《My Medical Skills Give Me Experiences》


 Chapter 1： 100,000 stitches

    In the collective dormitory for interns at Tuya Hospital, other roommates either did not return from the night shift or fell asleep.


    Only one handsome young man was tirelessly practicing sewing.


    "201 stitches, 202 stitches..."


    Every time Zhou Can sews a stitch, he counts silently.


    Today''s goal is to sew 300 stitches.


    Even though he was exhausted and sleepy waves hit him like a tide, he still gritted his teeth and persisted.


    He had to be tough on himself, the one-year internship was over soon, and if he wanted to stay in the hospital to work, the regular training recruitment two days later was his only chance.


    Tuya is a top three provincial hospital with complete hardware and software facilities and numerous famous doctors.


    Being able to stay and work here will not only allow you to learn many advanced medical skills, but also broaden your horizons and improve your situation. There is huge room for growth and the future will be bright.


    Everyone wants to stay, and the competition must be fierce.


    He is also better at pathological diagnosis, and his medical skills are far behind the excellent interns.


    If you want to stay, you have to work harder than others.


    The piece of pigskin covered with dense stitches in his hand has witnessed his sweat.


    Pig skin is very close to human skin, and it is an excellent prop for practicing skin sewing.


    The closer the props are to the human body, the better the practice effect will be.


    The drowsiness is getting stronger and stronger, and the clock on the wall has pointed to zero.


    He ran to wash his face with cold water, and continued to grit his teeth after dispelling his drowsiness.


    Nearly two hours later, he insisted on sewing 300 stitches with steely will.


    ¡¾Congratulations, you have completed 100,000 stitches and triggered the experience system. You can get medical experience points for medical practice and surgery. ¡¿


    Zhou Can shook his head vigorously.


    What the **** is this?


    As he thought, something even more miraculous happened.


    An interface appeared in front of his eyes.


    ¡¾Zhou Can, intern¡¿


    [Pathological diagnosis, level two, current experience value 89.5/100. The diagnostic ability standardizes and trains doctors to an excellent level. ¡¿


    [Cutting, level one, current experience value 7.6/10. Intermediate level of anatomical ability practice. ¡¿


    [Stitching, level one, current experience value 8.1/10. Excellent level of suturing ability practice. ¡¿


    [Ligation, level one, current experience value 8.5/10. Excellent level of ligature skills practice. ¡¿


    [Hemostasis, level one, current experience value 4.8/10. Hemostatic ability practice failing level. ¡¿


    ¡­


    After reading all the attributes, he found that all the scores were very pertinent.


    Pathological diagnosis has always been his strong point, and also his only advantage.


    When discussing medical records in the department, he is better than most interns.


    Suture and ligation are the medical skills he practiced the most.


    It is not surprising that it can reach the excellent level of intern doctors.


    Other medical skills, due to limited energy, can''t take care of all of them, so they are a little behind.


    "What is the use of this experience value system?"


    Zhou Can has seen many protagonists in novels take off in various ways after they get the system. Now that such a good thing has happened to him, it is natural to dig this ''golden mountain''.


    Tried a stitch in pigskin.


    [Sewing experience value +0.1, ligation experience value +0.1. ¡¿


    He couldn''t help a burst of ecstasy.


    I practiced stitching 100,000 times before, and my experience value is still only 8.1. Now, with only one stitch, the experience value has risen to 8.2. The speed of improvement is like a rocket.


    If the experience value continues to increase at this rate, he only needs to sew 18 more stitches, and his suturing skills can be promoted to the second level.


    He was suddenly full of energy and no sleepiness.


    Regardless of the fact that the hour hand had reached zero, he continued to practice sewing on this piece of pigskin.


    The experience value is also rising steadily.


    When he finished the fourteenth stitch, it seemed that an electric current flowed through his whole body, and he felt comfortable all over.


    [Congratulations on your promotion to the second level of ligation! Current experience value 0/100. The lower level of training for ligation ability. ¡¿


    His understanding, application and operation level of ligation seem to have climbed to a new peak that has never been reached before.


    Good guy, you have risen to the level of regular training so quickly!


    Once in hand, I have the world.


    Under the itch, he tried to tie a square knot with both hands on the spot.


    It only takes 0.5 seconds.


    He tied a square knot for at least 5 seconds before, which is 10 times faster.


    Compared with the knots tied before being promoted, no matter how neat or firm they are, they are not the same.


    I heard that the directors'' knot-tying level is so high that holding a needle with one hand and operating it on the tofu brain or a ball of cotton can ensure that the tofu brain does not suffer any damage and the knot is firm.


    Just imagine how fragile the bean curd is, and it will rot if you pull it casually when knotting.


    Zhou Can is still far from that level.


    However, he believed that with this miraculous experience point system, it would not be impossible to slap the director.


    After trying to tie the knot with both hands, he tried to tie the knot with one hand again. This time it took 18 seconds and the knot was stronger. The pull on the suture is tight.


    He didn''t try to tie the knot with one-handed pliers again.


    It can''t be done well by hand, and it is definitely worse to tie knots with pliers.


    Just like the swordsmen in martial arts novels, you need to practice the sword to the point where you can use your arms and fingers to be considered a little success.


    Tweezers and pliers are far from being alive in his hands.


    Even a little clumsy, not even dexterous.


    Zhou Can continued to practice hard with a sullen head.


    Due to the improved ligation level, his suturing speed has also been accelerated.


    Soon, his stitching experience rose to 10/10 as he wished.


    [Congratulations on your promotion to the second level of stitching! Current experience value 0/100. The suture ability is under normal training. ¡¿


    Finally upgraded.


    He grinned silly.


    He was fascinated by the wonderful taste of upgrading his medical skills.


    It also means that the gap between him and good interns is narrowing.


    According to this improvement speed, it won''t be long before they can catch up with them.


    After the suturing technique was upgraded, some incomprehensible aspects of suturing before were suddenly cleared up. The use and operation of sutures are different. UU reading


    He couldn''t wait to experience the upgraded stitching technique.


    Hold the needle with forceps, pierce it into the pigskin, thread it out, and tie a knot.


    All the movements were done in one go, as if there was such a trace of a master''s demeanor.


    The time for sewing a stitch has been shortened by nearly 50 seconds. The suture effect has been improved even more, the skin of the wound is aligned very neatly, the angle of the needle insertion is just right, and the distance from the cut edge of the skin is also just right.


    This is the stitching ability after promotion.


    At this moment, he looked at the previous stitches again.


    Just two words "garbage!"


    He can now spot some deficiencies and shortcomings in stitching at a glance.


    This feels a lot like reading the homework done in the first grade after the sixth grade of elementary school, with disgust on my face. Why is the handwriting so ugly? Such a simple arithmetic problem can be calculated wrong, how stupid.


    He felt the rapid improvement of his medical skills, and the invisible pressure brought to him by those outstanding interns has been ten to nine.


    Instead, full confidence overflowed between brows.


    At this moment, the pigskin has been completely sewn up.


    Zhou Can picked up the scalpel, ready to squeeze out the last bit of value from it.


    After finding a suitable knife position, the scalpel is carefully drawn across.


    [Cutting experience value +0.1. ¡¿


    Every time a hole is cut, the cutting experience value will increase by 0.1.


    After 21 knives, this piece of pigskin is useless.


    Seeing that he was only 0.3 experience points away from being promoted to the second level of incision medicine, even though he was unwilling, he had no choice but to dispose of the garbage.


    If I buy another piece of pigskin tomorrow, I will definitely be able to upgrade the incision technique to the second level.


    The clock is pointing to one o''clock in the morning, it''s time to go to bed.


    I have to go to work tomorrow.

 Chapter 2： double experience

    An intern is the most humble existence in the hospital, even worse than the cleaning staff.


    Doing the most tiring work, I was scolded countless times a day. Teachers scolded, department doctors scolded, nurses scolded, and sometimes had to be scolded by patients and their families. The key is not paid yet.


    Bear the burden of humiliation in order to survive as soon as possible.


    When you become a regular training doctor, your treatment in all aspects will be greatly improved. It won''t be so hard.


    ¡­


    That night, Zhou Can slept very soundly, feeling more relaxed than ever.


    In the dream, he became famous and became a master surgeon. All kinds of extremely difficult operations that famous doctors could not handle, he solved them with a wave of his hand. Tuya Hospital is proud of him, and the medical community respects him as a master of modern surgery.


    When he woke up, he realized that it was just Huang Liang''s dream.


    He was still that little intern.


    Just wait, sooner or later your dream will come true.


    Glancing at the wall clock on the wall, it was 7:10.


    Because I went to bed very late, I woke up more than an hour later than usual.


    In the dormitory, roommates who get up early are already reading books, or practicing basic skills such as toothpick beans and sewing.


    The internship is coming to an end, and he can feel the tension and anxiety in the air.


    Everyone is trying their best to make themselves stronger.


    I heard that Tuya''s regular training recruitment is open to both the interns of the hospital and social medical personnel, and the competition is fierce beyond imagination.


    Thousands of people participated in the regular training and exams, and it would be nice to have 20 people stay in the end.


    The elimination rate is as high as 98%, which is scary to think about.


    It is not an exaggeration to describe it as a success.


    A person''s life is actually a competition all the time.


    Only a small part of the best can enter key middle schools. Then junior high school will be promoted to high school, and a large part will be eliminated. Take the college entrance examination and eliminate a large part. The postgraduate entrance examination eliminated some of them.


    Those who stay to the end will stand at the top of the pyramid.


    Zhou Can failed the postgraduate entrance examination after graduating from university.


    This time, he didn''t want to fail again. Must kill.


    Morning is prime time for reading, clear mind and strong memory. After he finished washing, he checked that there was still some time, and hurriedly took out the medical book to read.


    The rise of every famous doctor depends on the accumulation of time.


    This book is 1,000 cases of surgical pathological diagnosis compiled by Mr. Huang Houzhong and many famous surgeons. The book records a large number of real cases.


    "The patient is a 34-year-old woman who lives in a rural area. Seven years ago, she found that her neck had become thicker without any treatment. In the past two years, her neck has become significantly thicker and she has difficulty breathing, but she has no symptoms of hoarseness or dysphagia. Touch her own , multiple nodules were palpable in the front of the neck, the largest was the size of a chicken egg, and the smallest was about the size of a peach pit. I once went to the clinic and took "iodized sugar pills" for treatment, and the tumor in the front of the neck did not decrease significantly..."


    Zhou Can carefully read the cases in the book.


    According to the patient''s symptoms, medical history and examination results, he began to deduce the cause and pathology.


    After some deduction, he thought it was a typical scapular gland tumor.


    After the reasoning was completed, after reading the diagnosis results of the famous teacher, as expected, it was indeed a tumor of the scapular gland.


    Finally, after the female patient underwent surgical treatment, the tumor removed was detected as benign.


    It is also a blessing in misfortune.


    Because of thyroid tumors, the probability of malignancy is high.


    Zhou Can just finished reading this case.


    [Pathological diagnosis experience value +0.1. ¡¿


    I didn''t expect that reading books can also increase experience points, which is really a surprise.


    It seems that there is no need to worry about the pathological diagnosis falling behind in the future.


    Its importance is no less than that of surgical techniques.


    Pathological diagnosis is a test of a doctor''s application of medical knowledge, as well as the accumulation of diagnosis and treatment experience, analysis ability, judgment ability and other comprehensive levels.


    Having tasted the benefits, and was about to read another case, the roommate greeted, "Zhou Can, let''s go, you will be scolded for being late."


    He closed the book and went to work in the hospital with a few roommates.


    He is currently practicing in the Department of General Surgery. Writing medical records, performing various nursing care for patients, changing dressings, measuring blood pressure, writing medical records, and performing operations are his basic daily routine.


    Don''t think that you will have the opportunity to practice surgery after surgery.


    It takes several hours to stand on the operating table with the instructor, and sometimes it takes more than ten hours to stand for an operation. The only things that can be obtained are hooks, skin cleaning and the like.


    Don''t even think about closing the cavity and sewing the skin.


    The teachers who lead them are very high-level, the deputy director level, and there are more than a dozen interns under them.


    When performing surgery on stage, the lineup is even more luxurious.


    The attending level is only worthy of being a first aid.


    If there is a chance to close the mouth, those residents rush to do it like hungry wolves.


    How can I get an intern?


    The day passed so uneventfully.


    Zhou Can wanted to have wings, so he immediately flew back to the dormitory to practice medical skills.


    The day after tomorrow is regular training recruitment, time is very tight, he must race against the clock.


    It is difficult to buy pigskin for practice suturing in the vegetable market. Its thickness and refrigeration treatment have requirements. He usually buys them in the teaching building of the hospital.


    When he was choosing pigskin, he had a whim, should he buy a white mouse and go back to practice dissection and hemostasis?


    Hemostasis has always been his weakness, but he can''t be held back by it.


    After some selection, I bought a medium-sized pigskin and spent 40 yuan. The price of white mice is relatively expensive, almost 60 mice. He bought the best one and spent a full 200 yuan.


    With such a high price, ordinary interns really can''t afford it.


    Zhou Can''s family background is good, in order to improve his medical skills, he is willing to spend money.


    Return to the dormitory with the pigskin and the white mouse.


    "Hey, Brother Can is a pigskin and a white mouse. It seems that he is going to practice until two or three o''clock today!"


    "Isn''t this going to be recruited immediately? Grind your guns before the battle, and shine even if you don''t shine. You are all working hard. I can''t hold back the 211 dormitory!"


    Zhou Can responded with a smile.


    "I heard that this year''s regular training recruitment is open to the whole country, and the number of applicants has exceeded 4,000. In previous years, only about 2,000 people applied for the job. This year, the difficulty of staying is at least doubled. Our lives are miserable!"


    "Gu Jie, where did you hear the news? Is it true?"


    The roommates tensed up.


    "It''s absolutely true. And the number is still increasing. I think this year is Xuan!"


    Gu Jie''s parents work in the health system and are well-informed.


    Zhou Can''s heart was heavy after hearing the news.


    However, so many people rush to join Tuya, which also shows that every position here is very popular.


    Good stuff, everyone wants it.


    It''s up to each other.


    Zhou Can began to practice against the clock.


    First cut a hole in the pigskin.


    [Cutting experience value +0.1. ¡¿


    Cool!


    It''s still 0.2 short of being able to advance to a level.


    Make persistent efforts and continue to dissect this piece of pigskin.


    Finally, the sweet congratulations sounded.


    [Congratulations on your incision technique being upgraded to level two! Current experience value 0/100. The lower level of training in anatomical ability. ¡¿


    The cutting has reached the standard training level, which is so cool.


    Now his understanding and operation of anatomy have jumped to a new level. When cutting, the hand does not shake or tremble, whether it is vertical cutting or oblique cutting, it can be easily competent. Even Liao, which was previously untouchable, has made great progress.


    Try to experience a secondary incision on pigskin.


    When he looked at the pigskin, he was surprised to see the lines on it.


    This is a capability that was not there before.


    Holding the scalpel and cutting it down, the feel is quite different from before. Now I can vaguely perceive the subtle differences in cutting the epidermis, dermis, and muscle layers.


    I heard that a good surgeon cuts off a stack of paper with a knife, and cuts as many layers as he wants. At that level, the incisor has been practiced to the point of perfection.


    As long as their knives touch the wall of a blood vessel, they can sense it immediately.


    This can greatly avoid the tragedy of cutting off important blood vessels or nerves during the operation.


    Zhou Can''s current level of anatomy is better than most interns.


    If he can be promoted to the third level and reach the level of a resident doctor, he will probably have the strength to crush outstanding interns. The chances of being killed out of thousands of troops can be much higher.


    After cutting and upgrading, he began to practice suturing and knotting diligently.


    In less than an hour, he sewed 150 stitches.


    This efficiency is more than a star and a half faster than yesterday, and it has increased several times.


    And the sewing effect is much higher than the practice level.


    Looking at the rapidly increasing experience points, Zhou Can was full of energy.


    Work hard, strive to upgrade the two medical skills of suture and ligation to the third level tonight.


    Another hour passed, and the whole pigskin was covered with seams.


    A total of more than 340 stitches were used.


    If I had known earlier, I should have bought a bigger pigskin and brought it home.


    He looked up at the clock on the wall, it was less than 9 o''clock.


    He used to have 300 stitches and had to stay up until at least 1am. UU Reading www. uukanshu.com is now shortened by four full hours, he is so happy that he wants to cry.


    After getting up and moving around, he found that all his roommates were also ''struggling''.


    The best one should be Gu Jie.


    He is practicing tail vascular anastomosis in white rats.


    This is a delicate job of high difficulty.


    Must be done with a microscope.


    "Gu Jie''s suturing may have reached or approached the level of a resident doctor."


    Zhou Can secretly guessed.


    Sitting back in front of his practice bench, he looked at the white mouse.


    "I''m sorry, man!"


    There are two common methods of anesthesia for white mice, one is cotton ball anesthesia. Buckle it into a beaker, put in a cotton ball soaked in ether, and keep turning it. After a few minutes, the mice will be anesthetized and left to be slaughtered.


    Zhou Can used intraperitoneal anesthesia for it.


    The advantages are fast onset and long-lasting anesthesia.


    After a while, the white mouse remained motionless, as if dead.


    Fix it on its back on a surgical wax dish, and start the dissection.


    After choosing the knife position, hold the scalpel and cut open its belly carefully.


    Compared with cutting the pigskin, he was obviously a little nervous.


    Practicing on living creatures can''t help but worry about cutting its intestines and internal organs.


    As soon as the knife was cut down, blood came out immediately.


    These will increase the tension of the surgeon.


    Fortunately, the incision has been upgraded to the second level.


    Helped him tremendously.


    A four-centimeter-long wound appeared, and the intestines inside were not cut. The blade is fairly neat.


    [Cutting experience value +0.2. ¡¿


    "No mistake, right? How did the experience point double?"


    Zhou Can was extremely surprised.

 Chapter 3： Rapidly improving medical skills

    Practicing incision on pigskin can only increase 0.1 experience points each time. How to switch to a white mouse to practice is double experience?


    Could it be because of practicing on living creatures?


    After making this important discovery, he was both surprised and delighted.


    It seems that this experience value system still has a lot to be developed!


    Practicing incision on white mice doubles the experience, so what about practicing other medical skills?


    After the wound was opened, the intestines, kidneys, bladder and other organs inside were all exposed.


    He was in no hurry to gut it.


    Instead, a closed cavity suture was chosen.


    [Sewing experience value +0.2, ligation experience value +0.2. ¡¿


    All are double experience, so cool.


    It feels like I usually go out for a walk, but now I am driving, experiencing unprecedented speed and passion.


    ¡­


    Before he knew it, Zhou Can had cut a total of fourteen knifes on the white mouse.


    Every cut avoided the vital points, and then the cavity was closed and sutured.


    It''s not that he had any enmity with this white mouse in his previous life, but to ensure that it is always alive. Only in this way can you continue to earn double experience points.


    At this moment, the clock has pointed to twelve o''clock.


    In total, there should be more than two hundred stitches.


    Suturing on living creatures is slower than practicing on pigskin. However, because he earned double the experience, the conversion was very cost-effective.


    He checked the experience points of various medical skills.


    [Pathological diagnosis, level two, current experience value 89.6/100. Excellent level of training. ¡¿


    It was originally 89.5, because I read a medical book this morning and finished reading a case, which increased by 0.1.


    Given enough time, just read 104 more cases to get it up to level three.


    The third level is the resident level.


    Not to mention that there are no interns who can reach this level, it is estimated that there are very few interns. At most one or two outstanding monsters may have reached this level.


    If Zhou Can can upgrade his pathological diagnosis to the third level before the regular training is recruited, his chances of staying will increase by at least 50%.


    Pathological diagnosis accounts for a very high proportion.


    It is the first and compulsory item in the interview.


    You can see how important it is.


    He sighed, but it was a pity that time was too tight.


    I have to work during the day and practice medical skills after get off work at night, so I don''t have time to read at all.


    Besides, after reading 104 cases, it is not a simple reading, but a deep thinking and inference.


    For simple cases, one can be read in ten or twenty minutes. When encountering difficulties, one or two hours may not be enough to check various materials and repeatedly demonstrate.


    [Stitching, Level 2, current experience value 87.8/100. Excellent level of training. ¡¿


    [Ligation, Level 2, current experience value 89/100. Excellent level of training. ¡¿


    These two medical skills can be regarded as a pair of twins, and the progress of experience points is about the same.


    Having grown so much overnight, Zhou Can is already very satisfied.


    If he could have found out earlier that practicing on living creatures would double his experience, maybe his two medical skills have been upgraded to level three by now.


    If I buy another white mouse tomorrow, I will definitely be able to raise them to the level of a resident doctor before the recruitment of regular training.


    [Cutting, Level 2, current experience value 3.6/100. The lower level of training. ¡¿


    The advancement of this medical skill is relatively slow.


    However, when participating in the recruitment of standardized training, it should be enough to have the level of standardized training.


    [Hemostasis, level one, current experience value 4.8/10. Hemostatic ability practice failing level. ¡¿


    This medical skill has now become Zhou Can''s major flaw.


    If it can''t be upgraded to the second level, the recruitment of regular training the day after tomorrow will definitely seriously hinder him.


    He looked at the white mouse.


    Time to practice hemostasis techniques with it.


    A scalpel in one hand and an electric coagulation knife in the other.


    Continuously cut a series of wounds on the white mouse, and then the electric coagulation knife followed, pinpointed the bleeding point, and pointed at the severed blood vessel.


    The electrocoagulation knife mainly coagulates small blood vessels through high-frequency current, and coagulates and carbonizes the blood through the action of electric heat, so as to achieve the purpose of hemostasis.


    Because of the horizontal dishes, he always made various mistakes.


    Either the broken blood vessel was missed, or the surrounding tissue was accidentally injured.


    However, this situation is improving as he continues to practice.


    Every time he successfully stops the bleeding, his hemostatic experience value will increase by 0.2. It''s still cool.


    The speed of practicing hemostasis is much faster than suturing and cutting.


    Any cut can have two or three bleeding spots.


    After the electric coagulation knife is clicked, basically 0.2 experience points are obtained.


    [Congratulations on your hemostasis up to level two! Current experience value 0/100. The hemostatic ability is under the standard training level. ¡¿


    After successfully stopping the bleeding of the white mouse twenty-six times, Zhou Can''s hemostasis was successfully upgraded to the second level.


    This made him happy.


    Finally, the short board of hemostasis was made up.


    In Long Wangshu, he found that hemostasis is so easy to upgrade, so he immediately adjusted his goal and rushed to the third level of hemostasis.


    He kept drawing wounds on the white mouse.


    Then electrocoagulate to stop the bleeding.


    After being promoted to the second level, his hemostatic efficiency increased several times. Now it is basically possible to avoid hitting at one point, and the chance of injuring the tissues around blood vessels is greatly reduced.


    Just when he was practicing hard.


    [Hemostasis experience value +0.1. ¡¿


    Try again, still only increase by 0.1.


    The rat''s heartbeat had stopped.


    it died.


    pity.


    Zhou Can sighed, the current experience of hemostasis is 46.4/100.


    It seems that if you want to upgrade to the third level, you can only wait until tomorrow.


    Even if it dies, it still has a modicum of value.


    I saw him holding a scalpel and began to dissect its internal organs.


    When the white rat was completely changed beyond recognition, his incision experience rose to a second-level 9.7/100.


    That''s pretty good.


    The harvest tonight is beyond imagination.


    Look at the clock, it is already 2 o''clock in the morning. He quickly cleaned up the practice bench, disposed of the garbage, took a shower and went to bed.


    This night, no dreams.


    Because I was too tired.


    The next morning, it was his roommates who woke him up.


    "Zhou Can, Zhou Can, if you don''t get up, you''ll be late!"


    Zhou Can opened his eyes and saw that it was 7:32.


    He was so frightened that he got up from the bed, washed up quickly, and rushed to the hospital at a speed of 100 meters.


    Interns are required to arrive at work at least 20 minutes earlier.


    He didn''t want to hear the general chatter of the hospital.


    After arriving at the hospital, first finish breakfast in the cafeteria as quickly as possible. Then go back to the department to handle a series of daily work.


    The task of each intern is very heavy.


    The superior doctors can''t wait to leave all the trivial chores to the interns. In other words, this is training you.


    "Xiao Zhou, quickly inform the 27-bed patient that he is going to have surgery at 10 am, and you are responsible for following up."


    The total voice in the hospital is always so loud.


    Obviously not a few years older than Zhou Can, Xiao Zhou screamed happily.


    Who calls someone a senior?


    "OK!"


    Zhou Can glanced at the time and hurried to the ward to notify the patient and his family.


    Preoperative preparations are cumbersome and must be meticulous. UU reading


    He dare not be careless.


    After arriving at the ward, out of responsibility, he inquired about the patient''s physical condition in detail. There is no problem, and then inform the patient to change clothes, defecate, fast and drink, and so on.


    During this period, the superior doctor entered the ward and talked with the family members, and asked the family members to sign an informed consent form for the operation.


    After the operation was confirmed, the anesthetist also came.


    It is to go through the process of talking and asking the family members to sign.


    These necessary processes cannot be avoided.


    In case of doctor-patient disputes, doctors and hospitals can be well protected.


    Everything was arranged properly, and the nurse lady entered the venue.


    "Doctor Zhou, did you prepare the patient''s skin?"


    "not yet!"


    Zhou Can was depressed. These tasks are obviously the duties of nurses, so why did they become his business?


    "Don''t be dazed, I''ve brought in the tools, and I''ll leave the skin preparation and indwelling needles to you." The nurse was pretty, but her tone was fierce.


    What can Zhou Can say?


    Do it now.


    After he finished, the sister nurse finally had a smile on her face, she nodded with satisfaction and said, "Well, Dr. Zhou''s preoperative preparation is getting more and more proficient, not bad. Hurry up and send the patient there, otherwise you will The director should scold someone!"


    A black line appeared on Zhou Can''s forehead, and he pursed his lips.


    "Can you be unskilled? Let our interns do all your work."


    "Oh, you''ve learned to talk back to your sister, right? Do you still want to find a wife? Be good, my sister will introduce you to a girlfriend!"


    The nurses looked fierce, but they actually got along pretty well with him.


    Zhou Can knew that he was no match for these married young women, so he hurried away with the patient. It made the nurse laugh from behind.

 Chapter 4： Director, I found the cause of the shock

    The red light and lightning all the way pushed the patient into the operating room.


    "Good morning, Director Liu! Good morning, senior doctors!"


    Zhou Can saw that people number 17 and 18 were already standing inside, each in surgical protective clothing, masks and hoods. To be honest, if you don''t identify carefully, it''s easy to mistake people.


    Say hello, he now has experience.


    The highest-ranking Director Liu greeted alone, and the other doctors replaced it with a superior doctor.


    In the past, Director Liu usually went to the outpatient clinic in the morning.


    Today''s operation is ahead of schedule, it is estimated that there is a temporary itinerary.


    "I''m going to the Provincial Medical Association to attend a symposium in the afternoon, and I''ll leave after the operation on this patient. Hurry up and start!"


    Director Liu''s qualifications are actually quite old, but his academic achievements are a bit poor, and he has been stuck at the level of deputy chief physician. Getting rid of that adverb was what he wanted most before retirement.


    From his recent frequent participation in various academic conferences, we can see how urgent he is.


    The patient was lifted onto the operating table together.


    The patrolling nurse asked the patient to take off his shirt and did a skin cleanse again. Then the anesthesiologist came to check the patient before anesthesia, and after confirming that the indicators were met, he began to install various life monitoring probes on the patient, wear a breathing mask, and so on.


    For a major operation, the anesthesiologist is as important as the chief surgeon.


    He is responsible for monitoring the patient''s vital signs throughout the process and giving advice in a timely manner.


    This is a cervical lymph node tuberculosis resection operation, which belongs to the third-level general surgery.


    This level of major surgery is at least performed by surgeons at the deputy director level.


    Even the attending doctor with rich surgical experience can only mix in one or two assistants.


    The dangers of surgery are self-evident.


    Zhou Can is just an intern, so he has a momentary highlight moment when sending patients into the ward. Now that the patient is on the operating table, he doesn''t even have a chance to pull the hook.


    You can only stand behind and observe and study.


    In fact, this kind of large-scale operation is still a novelty to observe once or twice. If you watch it a few times and don''t try it yourself, you will learn very little.


    Interns often use the phrase ''flying around'' to laugh at themselves.


    I can''t remember what tools are used in which part of the operation, and how to operate it.


    Only in some sudden emergencies, the use of rescue drugs is impressive.


    "Mr. Gao, can you hear me?"


    The anesthetist administers anesthesia to the patient through respiratory anesthesia. The patient''s eyes were closed feebly.


    Calling out to the patient is intended to test the patient''s response.


    The patient seemed to be in a deep sleep and was unresponsive.


    The anesthesiologist checked the patient''s limbs again, and turned to look at the various indicators on the life monitoring screen.


    "The anesthesia is successful, the patient''s vital signs are stable, and the operation can begin."


    These words were obviously addressed to the Chief Surgeon.


    Director Liu asked the equipment nurse to help put on the gloves, and the first, second, and third assistants all took their positions.


    This formation is very similar to the charge before the battle on the battlefield.


    It''s just that the enemy the warriors want to destroy is disease.


    "Open skin!"


    The chief swordsman said to Kazusuke.


    For such an important operation, the chief surgeon generally only performs the most critical part of the operation.


    It is also the most difficult part.


    I saw an assistant holding a knife land on the marked knife position, calmly and slowly cutting the patient''s neck cortex.


    There are dense blood vessels and numerous lymph nodes, which made Zhou Can''s scalp tingle.


    If it was him who opened the skin, he didn''t dare to use the knife at all.


    With the work of opening the skin and dissociation in place, the second and third assistants also worked hard to use hooks to enlarge the surgical wound, increase the surgical field of view for the main surgeon, and create favorable surgical conditions.


    A lymph node the size of an egg can be seen, surrounded by multiple lymph nodes of various sizes. The carotid artery was throbbing.


    It is extremely difficult to remove these diseased tissues in areas densely populated with blood vessels and nerves.


    The chief surgeon concentrated on peeling off the largest lymph node.


    Concentrated expression, calm, delicate and dexterous movements.


    The cooperation of the first aid is also in place.


    As long as there is a bleeding point anywhere, the bleeding will be stopped immediately by electrocoagulation. As precise and quick as whack-a-mole.


    Zhou Can watched with admiration.


    Just in the middle of the operation, the patient suddenly convulsed and his vital signs dropped sharply.


    Immediately afterwards, the monitoring instrument beeped an alarm.


    "Not good, the patient''s blood pressure dropped below 60, his breathing was abnormal, and his heartbeat was 160... Mr. Liu, did you hurt the patient''s carotid artery?"


    the anesthesiologist asked nervously.


    "No!"


    After all, Director Liu has seen all kinds of dangerous scenes, and he remained calm in the face of danger.


    "There is also a very small chance of injury to a vital nerve. There are no respiratory nerves in this area."


    Kazuke continued.


    The resident doctors behind were all at a loss. The performance of the interns was even worse, with panic and confusion.


    In this very short period of time, the anesthesiologist once again told everyone the bad news that the patient''s condition deteriorated sharply and he had entered a state of shock.


    Shock is very close to death.


    The sweat on Liu Lao''s forehead broke out immediately.


    "Wipe the sweat!"


    The hand washing nurse hurried forward to wipe Director Liu''s sweat.


    Panic spread rapidly in the operating room.


    If the patient died on the operating table due to unknown reasons, Liu Lao I''s reputation would be ruined, and those who participated in the operation would also be ashamed.


    Zhou Can took a deep breath and let it out to adjust his nervousness.


    Force yourself to be calm.


    At this moment, UU Reading actually felt an invisible responsibility on his shoulders.


    It is the mission of every doctor to protect the life and health of patients.


    Even though I know my abilities are small, I still want to contribute.


    This patient happened to be in charge of bed follow-up and surgery, so he knew the patient''s condition, symptoms, and various examination results very well.


    He began to ponder over the patient''s medical records, medical history, and various examinations.


    At this time, he inadvertently caught a glimpse of red rashes appearing on the surface of the patient''s skin.


    He seemed to think of something.


    "Yes, it must be so!"


    Zhou Can suddenly said a word without thinking at this time, which surprised everyone.


    "Xiao Zhou, don''t make a sound. Didn''t you see that Director Liu and the attending doctors are thinking?" The chief resident reprimanded him in a cold voice.


    "Director Liu, I found the reason for the patient''s sudden shock."


    Zhou Can ignored the general''s warning, but looked at Director Liu excitedly.


    This time, everyone was shocked.


    They all turned to look at the intern standing in the back row.


    Even the experienced Director Liu and the attending physicians couldn''t find the reason. Can he, an ordinary intern, find the reason for the patient''s shock?


    They don''t believe it.


    "What do you think!"


    After the initial surprise, Director Liu decided to listen to the intern''s opinion.


    But I didn''t hold out much hope.


    He has taught for many years, and what he has seen most is the kind of young junior whose heart is higher than the sky and whose life is thinner than paper. I thought I had read books for a few days and learned some medical knowledge, so I was pretentious, thinking that I was so awesome.


    The analysis of various diseases is also very impractical, and it is only based on personal subjective assumptions. In the end, it was ridiculous.

 Chapter 5： Made a great contribution

    "Look at the rashes on the patient''s body, which only appeared after the operation started. When I clean the skin of the patient in the ward, I can confirm that the patient does not have these rashes on the patient''s body."


    The faces of the doctors became a little ugly.


    Especially the main swordsman and one assistant.


    They are all the first and second responsible persons.


    "What nonsense are you talking about? Do you mean we made these rashes?" The hospital chief scolded in a deep voice.


    This is no joke.


    The patient suddenly went into shock on the operating table, and Zhou Can still said that, which is tantamount to pinning the responsibility for the accident to the chief surgeon and others.


    This kid is pure and ignorant, he doesn''t know what he can say and what he can''t say.


    "Director, I think the patient is a symptom of allergies."


    Zhou Can ignored the chief resident and continued.


    "allergy?"


    Director Liu''s eyes lit up instantly.


    Yes, why didn''t you think about it? It was only because the patient went into shock suddenly that his mind was in a panic.


    "Have you ever done a skin test for anesthesia?"


    Director Liu turned to ask the anesthesiologist.


    "I''ve done it, everything is normal. And I asked the family members and patients before the operation, and there is no history of allergies to anesthetics." The anesthesiologist dared not take the blame.


    "I think the patient probably has a rubber allergy."


    Zhou Can continued.


    "Why do you say that?"


    Director Liu found that this intern was not simple, and he already attached great importance to Zhou Can''s opinion.


    "Because when I was collecting blood from the patient, I tied the patient''s arm tightly with a rubber tube, and he showed a very resistant expression. At that time, I didn''t think much about it. Now that the patient suddenly went into shock, coupled with the various symptoms revealed, I boldly speculated that the patient should It''s a rubber allergy."


    Zhou Can calmly stated his conclusion.


    [Pathological diagnosis experience value +1. ¡¿


    The sudden increase in experience points, and an increase of a whole point of experience points, is simply a pie from heaven.


    It made him happy.


    With all the experience points in hand, he was even more sure that his diagnosis was correct.


    It turns out that using medical skills on patients can increase the experience value by ten times that of reading. No wonder all doctors say that going to the operating table is the only way to grow fast.


    Now he finally understood why it was just an opportunity to sew skin and close his mouth, and those normally proud residents fought for it like hungry wolves.


    For rapid growth.


    "Anti-shock treatment was given to the patient immediately. Everyone changed the rubber items. The roving nurse immediately called the family to ask if the patient had a history of rubber allergy."


    Director Liu acted decisively and made a series of arrangements.


    When you should be decisive in rescuing patients, you must not be mother-in-law. If the prime time for rescue is delayed, there will be no recovery.


    After rescue, the patient''s vital signs gradually returned to normal.


    "It''s okay, it''s okay!"


    The anesthetist was as happy as a child.


    During the operation, the life of the patient is escorted by the anesthesiologist.


    Every doctor wants the patient to leave the operating room safely.


    Everyone breathed a sigh of relief, with smiles on their faces.


    At this time, another good news came.


    "Director Liu, I asked the family members just now. The patient is indeed allergic to rubber." The itinerant nurse in the audience came back after making the phone call.


    "Okay! The cause of the shock has been confirmed, and I can operate with confidence this time."


    Director Liu is quite old, and he was really scared just now.


    It''s almost late.


    After the crisis was resolved, he immediately thought of the biggest hero.


    Looking at Zhou Can who was standing in the distance, his gaze was more amiable than ever before.


    "Xiao Zhou, right?"


    "Student Zhou Can."


    Zhou Can was very speechless. After nearly a year of internship, his teacher didn''t even remember his name.


    But this kind of thing is normal.


    The teaching teachers are generally not low-level. In fact, they rarely lead the interns themselves. Generally, it is under the supervision of the attendants and inpatients.


    The one who cares about Zhou Can the most is Dr. Fang, the chief resident.


    "You have performed very well. You are calm in times of crisis and have solid medical knowledge. You can apply what you have learned at critical moments, and you can connect some details of patients and make a comprehensive argument. This is especially valuable."


    Director Liu used several commendatory words such as "very good", "unruffled in times of danger" and "very valuable".


    It can be seen how much he admired Zhou Can''s performance just now.


    "Come on, stand here, and you will stand in this position for my surgery in the future. Young people, you should train more."


    The seat Director Liu was referring to was the seat of the hospital terminal.


    This position is often referred to as the ''four support position''.


    It is extremely difficult to get this position in Director Liu''s operation.


    Even the resident doctors can only take turns to stand in that position.


    Now Mr. Liu personally spoke to designate that position for Zhou Can, which made all the residents and interns envious.


    "Thank you Director Liu for cultivating!"


    Zhou Can was flattered to suddenly enjoy such good treatment.


    After a one-year internship, he followed the teacher to the operating room countless times, and it was the first time he stood in such an important position.


    I was always squeezed out of the fourth assistant''s seat when I was hospitalized, and I was very disappointed.


    Taking advantage of Mr. Liu''s good mood at the moment, he forced a smile and said, "Director Liu, although I have studied with you for several years, I am only 28 years old, and I am also a young man in your mouth! Old man, don''t care about me."


    A crying child has milk.


    The main reason for the hospitalization is that Zhou Can will always occupy the position of the fourth assistant in the future, and the others will not have a chance, so he said so.


    "Haha, you bastard, you have a smooth tongue. Don''t worry, everyone has opportunities." Director Liu scolded with a smile.


    "With your words, I feel relieved. I want to be your student for the rest of my life." The hospital is always good at playing the emotional card.


    A few words coaxed Mr. Liu until his eyebrows curled up.


    If you leave a good impression in the hearts of the leaders, it will be easier to get training opportunities in the future.


    "Okay, let''s continue with the operation! Xiao Zhou, you help the hook, and watch how I free the diseased tissue, especially the parts adjacent to large blood vessels and important nerves. Skill and experience are extremely important."


    Mr. Liu continued to operate on patients.


    And directly let Zhou Can participate in the operation. Although it is just a hook job, this is a third-level general surgery.


    There is an attending doctor who is doing the work of pulling the hook.


    It is an honor for him, an intern, to be among the drag hooks.


    The clever mouth of the hospital manager failed to shake Zhou Can''s position in Director Liu''s heart after all. In today''s operation, he is destined to stand behind Zhou Can.


    At this moment, Old Liu has already started.


    Carefully peeled off the huge lymph node mass and the surrounding tissue with one knife at a time.


    The scalpel seemed alive in his hands.


    Which part should be cut with the knife, the strength, angle, length of the stroke, etc., are all ingenious.


    The cooperation of the first aid is also in place.


    When the diseased tissue is peeled off, new bleeding points will continue to be generated.


    As soon as he helps, he will immediately point over with the electrocoagulation knife in his hand.


    The bleeding stopped instantly.


    The two of them cooperated very well.


    The job of the second assistant is to assist the chief surgeon in the operation. For example, support the tumor, or pull away the tissue that may hinder the operation, so that the best surgical field of view is exposed in front of the surgeon, etc.


    Zhou Can found that participating in the operation at close range and observing from a distance are completely different.


    It was obviously Mr. Liu who was doing the knife, but Zhou Can was nervous as if he was on the scene.


    Every time he saw Liu Laodao up and down, his heart would fluctuate accordingly.


    When the knife was dropped, his heart was suspended and he was very nervous. I can''t help worrying, what if the knife cuts the patient''s artery? Shouldn''t it cut a nerve?


    It wasn''t until Old Liu raised his knife and the patient was safe that he breathed a sigh of relief, and his heart fell to the ground.


    ¡­


    The operation went smoothly, and all the lymph nodes and tumors that needed to be removed were successfully removed one by one.


    Zhou Can consciously gained a lot.


    I have a deeper understanding of the separation and resection of tumors and lymph nodes.


    For example, when separating the tumor from the arteries, how to reduce the risk without injuring the blood vessels. Another example is the complex surgical environment around the tumor, how to remove the cocoons, remove the obstacles step by step, and so on.


    Also, Kazusuke''s flexible use of various methods of hemostasis also inspired him a lot.


    Which blood vessels need to be ligated and which need to be hemostatized?


    How to operate the bleeding point next to the nerve and so on.


    These are difficult to learn in books.


    Must learn in actual combat.


    The operating table is like a battlefield, ever-changing. Different situations require different approaches.


    This requires doctors to continue to accumulate and use flexibly.


    "Okay! It''s all cut up, remember to take it for pathological examination. Based on my personal experience, the possibility of malignant transformation is very small." Liu Lao explained after looking at the cut tumors and nodules on the plate.


    "He Hansheng, Song Ze, I will leave it to you to stop the bleeding from the surgical wound."


    These words were obviously addressed to the first and second assistants.


    During the operation, these two people are equivalent to the right-hand man of the chief surgeon. UU reading


    The medical skills of the two are not weak, and they have undertaken many important tasks during the operation.


    "You''ve worked hard, take a rest first, and let us check if we don''t do enough." The first assistant was very humble.


    The second assistant should belong to that kind of practical school.


    Don''t talk much, just work silently.


    Assist when it''s time to assist, and charge when it''s time to charge.


    Zhou Can and the third assistant were still pulling the hook hard, watching the first and second assistants do blood vessel anastomosis and fluid extraction.


    These jobs are very technical work.


    General indications are not necessarily competent.


    If the hemostasis of the surgical wound is not done well, it is easy to cause hematoma and effusion after suturing. This can seriously affect patient recovery.


    "Old Liu, the wound has stopped bleeding, please check again."


    Director Liu didn''t dare to be careless and checked carefully.


    Especially in some hidden locations, they will even be poked open for a closer look.


    This rigorous style is very worth learning for young doctors.


    "Pretty well done, ready to sew skin."


    Director Liu nodded with satisfaction after checking.


    For a job like leather sewing, the first, second, and third aids are not valued.


    At this time, Zhou Can, who had been hooking directly, felt that the opportunity had come.


    His current suture and ligation have reached the excellent level of regular training. He dare not do blood vessel anastomosis and organ suture, but skin suture should be no problem.


    Zhou Can was not the only one staring at the chance of skin stitching. The residents and interns behind him were all eagerly waiting.


    The opportunity is fleeting.


    It''s not easy to speak after being robbed by others.


    Zhou Can plucked up his courage and said, "Director, can you give me the opportunity to sew the skin?"

 Chapter 6： Skyrocketing experience bar

    The resident doctor in the back became anxious when he heard it.


    Before Mr. Liu could open his mouth, someone hurriedly said, "Doctor Zhou has never done it before, and the part where the skin was sewn this time is the neck with a high risk factor. To be on the safe side, I suggest you not to argue this time. Even if I I have completed many first-level and second-level skin sutures, but I dare not say that I am fully sure."


    Another resident doctor nodded and agreed, "Safety should come first! It will be safer if we have a resident doctor who has some experience in skin suturing."


    They are all highly educated and high IQ, competing for opportunities to exercise, and everyone is unambiguous.


    Old Liu also had some troubles.


    The wound suturing of tertiary surgery is more difficult than that of primary and secondary surgery.


    Zhou Can is just an intern, to be honest.


    He was very worried.


    It''s just that Zhou Can made great contributions in this operation, saved Lao Liu''s evening festival, saved the life of the patient, and owed him a great favor.


    Facing Zhou Can''s eager eyes, Mr. Liu couldn''t bear to refuse.


    "That''s all right, you can sew a stitch first. If the level is not bad, you will sew the skin."


    After thinking about it for a few seconds, Mr. Liu finally decided to give him a chance.


    "Thank you! Thank you! I will do my best."


    Zhou Can was so excited.


    The first opportunity of skin suture surgery that I finally won in my life, I cherish it very much.


    As long as the stitching is done this time, it will be much easier to fish out the seam skin later.


    This is called qualifications.


    The profession of a doctor is very special, and safety is more important than anything else.


    Seniority is very important.


    For example, a doctor successfully performed a lung cancer removal operation. When there is another similar case, he will confidently say, I have done this kind of operation, and the patient has recovered to health now.


    When the patient heard this, he immediately felt relieved.


    You have found the right person, doctor, please treat me too.


    See, that''s one of the things seniority does.


    "Xiao Zhou, stand in my position and sew!"


    Kazusuke stepped aside, out of the way.


    Zhou Can hesitated for a moment, then walked over with a firm gaze, and stood in the best surgical position on the operating table.


    This is a difficult three-level operation.


    As an intern, he successfully took the position of "chief surgeon", and this **** can be boasted for a lifetime.


    Take three deep breaths and try to calm your mind.


    On the first day in the operating room, Mr. Liu taught them that they must have a steady mind when performing any operation.


    He took the needle holder and tweezers from the equipment nurse.


    Needle. The seams are all in place.


    It just needs to be stitched directly.


    All eyes were on him.


    Looking at the **** open flesh, Zhou Can subconsciously clenched the suture tool in his hand. No matter how hard he tried to stay calm, he still felt nervous and his heart beat faster.


    "Don''t be afraid, just be bold and careful. That''s how everyone came here."


    Sansuke comforted him with a smile.


    Just now, the two pulled the hook together, which can be regarded as forming some fate.


    Zhou Can raised his head and nodded gratefully at him.


    Then he lowered his head and stared at the patient''s wound again, and quickly worked out a suture plan in his mind based on his understanding of suture.


    Select the needle position of the first stitch, insert it obliquely, and thread it out.


    Then carefully tie the knot.


    [Sewing experience +1. ¡¿


    At this moment, he was concentrating on sewing, and the experience value of sewing a stitch increased by 1 point, but he didn''t care about it.


    It is this kind of concentration that makes him appear particularly calm.


    Elder Liu didn''t stop it, and it was even less likely that other doctors would disturb him.


    Zhou Can continued to sew.


    For the suture of subcutaneous tissue, simple intermittent suture is generally not used, and continuous suture is generally used for such parts with low tension.


    His sewing movements are becoming more and more skillful and confident.


    Nervousness, fear of poor stitching, and fear of being scolded were all forgotten.


    Now there is only one thought in my mind, to try my best to sew up the patient''s wound.


    [Congratulations to your suture skills for upgrading to level three! The current experience value is 0/1000. The suturing ability is inferior to that of residents. ¡¿


    His stitching experience reached level two last night, 87.8/100.


    Each stitch now adds 1 experience point.


    After the thirteenth stitch, the suture was advanced at this critical point.


    God rewards hard work.


    God help those who strive for self-improvement.


    The level of suture has been greatly improved, reaching the level of a resident doctor, which is immediately reflected in the effect of his suture.


    Director Liu, standing in front of the operating table, showed deep appreciation in his eyes.


    This kid is really talented and making rapid progress.


    When she sews the first stitch, she still looks very immature. The technique, movement, and perfection can only be said to be barely qualified.


    Look at the current level again.


    Not only the suturing speed is significantly improved, the technique is clean and neat, the movement is smooth and standardized, the organization is more neat, and the tension of the suture is just right. There is no doubt that the wounds that are sutured now will heal faster.


    Ruzi can be taught, and will become a master in the future.


    Liu Lao was very happy to find a good seedling.


    Doctors, there are two most gratifying things, the patient is cured, and the doctor has successors.


    At this moment, Yizhu was shocked by Zhou Can''s rapid progress.


    Second Assistant didn''t show any expression, only surprise flashed in the depths of his eyes.


    Sansuke nodded again and again, the smile on his face getting stronger and stronger.


    Hospitalization is always a bit funny, eyes are fixed on Zhou Can''s movements, his eyes are getting bigger and bigger, and the eyeballs are about to fall out. Maybe he never thought that this little intern who was called around by him every day was so powerful.


    At the beginning, the few residents in the back hoped that Zhou Can''s suture would fail, and they would be kicked off the operating table by Director Liu.


    Then they have a chance to go up.


    Unexpectedly, this kid was just doing his best, and his performance was getting better and better.


    Now it seems that they are completely out of play.


    All of them showed disappointed expressions.


    The dozen or so interns standing at the back had mixed reactions. Some people envy, some people admire, and I''m afraid there are also those who are jealous.


    We are both interns, why is there such a big gap?


    Two young unmarried nurses have already started to look at this extraordinary intern frequently.


    He is handsome and has such strong strength, so he is quite attractive to girls.


    Zhou Can turned a deaf ear to the outside world, and only saw the patient''s wound and suture in his eyes, heart, and mind.


    After the suturing technique was upgraded to the third level, he seemed to be handy in the subsequent suturing.


    The sewing is also getting better and better.


    Of course, UU Reading www. uukanshu.com His suturing and ligation experience points are also increasing rapidly.


    After suturing the subcutaneous tissue, the next step is to suture the skin.


    It is very different from the feeling of practicing sewing pigskin.


    In addition to the different feel, the mentality is also very different.


    After all, this is suturing on the patient, just like walking on a tightrope, every stitch, and even every knot, is like walking on thin ice. Never dare to have any negligence.


    ¡­


    [Congratulations on your promotion to the third level of ligation! The current experience value is 0/1000. The ligation ability is inferior to that of residents. ¡¿


    When the skin sewing was about to end, the ligation was actually upgraded to the third level.


    Now he has two medical skills that have reached the level of a resident doctor, which has also become his two trump cards for participating in the recruitment of regular training.


    The three-level suture plus three-level ligation has the ability to anastomose general blood vessels. Even nerve anastomosis, which is more difficult than general vascular anastomosis, can be challenged.


    Finally, he finished the last stitch.


    The third-level ligation that has just been promoted is used.


    A nice and strong square knot is tied.


    "Director Liu, the stitching is complete, please check."


    Zhou Can stepped aside respectfully and gave up his seat.


    Only then did he realize that his back was wet.


    Just now, he was concentrating on stitching, he was very nervous, and his physical strength was also quite exhausted, but he was sweating all over.


    But it was worth the sweat.


    Because he, a novice Xiaobai, finally successfully completed the first real surgical suture, and bravely took the first step in his career.


    Years of hard study and hard training off stage day and night, in order to one day be able to stand on the operating table and save patients.


    Although skin-sewing is not a high-tech job, it opened a good game for him.

 Chapter 7： Status promotion

    "Well, the sewing is okay. It''s not bad to have such a good performance on stage for the first time."


    Director Liu first affirmed his stitching.


    Then the topic changed, "However, there are still some things that need to be improved. For example, the stitch spacing can be shortened. After knotting, the cortex will fit more tightly. Now with the naked eye, it can be seen from the surface that the fit is dense. There are actually tiny gaps in the dermis. That''s not going to help the wound heal."


    Only someone like Liu Lao who has a lot of experience in surgery can see the existence of small gaps under the cortex at a glance.


    "Also here, when choosing the needle position, you can get closer to the incision margin. As the Analects said, far away will cause complaints, and closeness will not be inferior. If the needle position is too far from the incision margin, the suture will be drawn too long and the strength will be loose. Needle position If it is too close to the cutting edge, the suture distance is short and the pulling force is strong, but it is easy to cause the skin to be torn. This degree can only be controlled by yourself.¡±


    Director Liu usually rarely explains these basic suture points.


    I also saw that Zhou Can is a good seedling, worth cultivating.


    This is the detailed explanation.


    "By the way, the selection of needle positions during suturing is not uniform. Some parts of the skin are tough and can be closer to the incisional edge. Some parts of the skin are fragile, and the distance from the incisional edge should be properly extended to ensure that it does not break."


    The seemingly simple skin sewing has so many profound skills.


    "Students have memorized it, and they will definitely understand it in practice in the future."


    Zhou Can nodded sincerely and said.


    Which parts of the skin are tender and which parts have strong skin toughness must be slowly explored in surgical practice.


    And different age, gender, skin strength will be different.


    Children''s skin is definitely more tender than the elderly. Women''s skin is thinner than men''s.


    The difference can only be understood and accumulated by oneself.


    Seeing that he has a very humble attitude towards learning, Mr. Liu loves this student even more.


    "Your potential is very good. You can do your best in the recruitment of Tuya Guipei this time. If you can stay, I can apply to the hospital and I will guide you."


    When the other interns heard Mr. Liu say this, their eyes turned red with jealousy.


    This is a great opportunity.


    You know, Mr. Liu is at the level of deputy director. If it wasn''t for his poor academic performance, he would have been the director long ago.


    Among the deputy chief physicians of the general surgery department, Mr. Liu is definitely one of the best.


    I don''t know how many doctors and residents who want to seek guidance from Mr. Liu. Even the attendants are vying to be Mr. Liu''s students.


    Now that Mr. Liu actually threw an olive branch at Zhou Can, an intern, how could he not be envied?


    "Doctor Zhou, it''s your luck to meet a nobleman!" the hospital chief said sourly.


    The sourness turned sour, but his address to Zhou Can quietly changed.


    From Xiao Zhou to Dr. Zhou.


    With such a trace of respect.


    "Thank you Director Liu for your appreciation!"


    Zhou Can is not stupid, so he hastened to thank him for such a good deed.


    Old Liu smiled and nodded slightly.


    He looked at the anesthesiologist.


    "How is the patient''s condition?"


    "The patient is waking up, and his signs are stable. The blood oxygen is slightly worse, but it is within the normal range."


    "Well, I''ll leave it to you guys here." Elder Liu looked at Kazusuke again. "Doctor He, please pay more attention to the patient''s postoperative twelve hours. If there is any abnormality, please call me at any time."


    This major surgery is extremely dangerous.


    Twelve hours after surgery is called the high-risk period.


    In the whole perioperative period, its risk factor is second only to the operation stage.


    "Okay. You can go to the symposium without worry!"


    If we compare their group to a small sect, Yizhu''s status is equivalent to that of a big brother.


    When the master is not around, the elder brother assumes the duties of the master.


    Not long after, the patient regained consciousness and behaved normally after the operation.


    After observing that there is no problem, he issued a doctor''s order and sent him back to the ward to recuperate.


    ¡­


    Back in the office, the interns who usually had little contact with each other became enthusiastic about him.


    The cold and serious resident doctors also became more polite to him.


    His status in the department has risen significantly.


    It feels so good to win the respect of everyone with this kind of real ability.


    It also strengthened his determination to continue to improve his medical skills.


    After writing the medical record and finishing the work at hand, Zhou Can began to figure out how to upgrade one or two medical skills as much as possible before tomorrow.


    At present, the two medical techniques of suturing and ligation have reached the level of hospitalization, so there is no need to worry about it.


    Hemostasis medical skills can only wait until after get off work, buy white mice or rabbits and go back to the dormitory to practice. Now I''m just an intern. If I want to go to the operating table to fight for the opportunity to exercise to stop the patient''s bleeding, I''m just wanting to eat.


    Anatomy can only be practiced at home.


    Originally, Zhou Can did not expect to advance to the third level of anatomy before the regular training was recruited.


    Because he has too many medical skills to improve and time is limited, he can only give priority to the more important suture, ligation, and pathological diagnosis.


    Now, suddenly, he has great ambitions.


    As long as you plan well and use all resources and time reasonably, you may be able to upgrade all four basic surgical skills and pathological diagnosis to the third level before the recruitment of regular training.


    If you really want to upgrade all these five medical skills to the third level, you will definitely be sure to apply for a regular training doctor.


    At that time, it will be other people who should worry about losing the election.


    Pathological diagnosis is the most difficult medical skill to improve.


    But it ranks first among all medical skills, and no medical skill can shake its position.


    Zhou Can was appreciated by Director Liu today, and he jumped from an unknown intern to a key training target. More than half of the credit belongs to his pathological diagnosis and medical skills.


    It shows how useful it is.


    Now prepare to raise it up first.


    He checked the experience value of pathological diagnosis, level two, 90.6/100. Excellent level of training.


    Only 9.4 experience points are needed to be promoted to the third level.


    If you upgrade by reading cases, you can only add 0.1 experience points for each case you read. He needs to read 94 cases, which is estimated to take at least several days.


    In the operating room, he added 1 experience point to the successful diagnosis of the patient.


    After tasting the huge sweetness, he began to think about it.


    Where is the easiest place to get a diagnosis? It must be a clinic.


    Checked the roster.


    It turns out that Dr. Yizhu He will come to the outpatient clinic in the afternoon.


    Zhou Can''s mind immediately became active.


    Taking advantage of the relationship appreciated by Director Liu, he begged Dr. He with a shy face, and maybe he would agree to give him a chance to practice as an assistant to the doctor.


    At this moment, Dr. He is carefully checking the written case.


    Zhou Can stood up and walked over.


    "Doctor He, would you like some water for your teacup?"


    He Hansheng is not only the attending doctor, but also has the highest status among all the attending doctors in the department in terms of seniority.


    Many people speculate that next year he is likely to be promoted to deputy chief doctor.


    On weekdays, they are kind to these junior doctors.


    Dr. He looked up at Zhou Can.


    "You kid has nothing to show courtesy, so you must ask me for something. Tell me, what''s the matter?"


    Zhou Can''s little thought was seen through, and he couldn''t help laughing.


    "Hehe, I didn''t expect that Dr. He not only has superb surgical skills, but also has a lot of enthusiasm in psychological medicine. I am so small, I can''t escape your eyes at all."


    Zhou Can flattered him first.


    Thousands of wears and thousands of wears, flattery does not wear.


    Everyone loves to hear good words.


    Especially in front of the leader, occasionally saying a few nice words can greatly enhance the favor in the leader''s mind.


    Things to do next will be much easier.


    "Tomorrow will be the recruitment for regular training. My pathological diagnosis is lack of practice. I checked the duty list just now. You will come to the outpatient clinic in the afternoon. Can you bring me along to help you and accumulate some practical experience with you?"


    Zhou Can said what he asked for with a shy face.


    "Well... okay, you follow me to the outpatient clinic in the afternoon. UU reading "


    After a little hesitation, Dr. He readily agreed.


    "Thank you! If the regular training has been recruited, I will treat you to a big meal."


    Zhou Can was so happy that he thanked repeatedly.


    Give it a go and turn your bike into a motorcycle.


    When it''s time to fight, you have to fight bravely.


    Let''s see, isn''t there an opportunity to exercise as a medical assistant?


    He did the math, 9.4 experience points, if every patient diagnosed can add 1 experience point. It only needs to diagnose 10 patients to upgrade the pathological diagnosis to the third level.


    "Doctor Fang, assign Xiao Zhou''s work to someone else in the afternoon, and he will come with me for consultation." Dr. He greeted the chief resident doctor Fang.


    Most of the work arrangements for general surgery interns are managed by Dr. Fang.


    "OK!"


    Dr. He personally opened the mouth, and Dr. Fang only had to agree.


    I saw him take out a roster, and then began to forcibly add tasks to other interns.


    "Xiao Gao, take care of the patients in beds 21 to 26 in the afternoon. Xiao Wu, I''ll leave it to you to follow up on the patients in beds 29 and 31..."


    In this way, Zhou Can''s work in the afternoon was allotted by the hospital manager.


    Even if the interns who were given the task were unwilling, no one dared to challenge the authority of the hospital.


    I can only agree in a muffled voice.


    Social competition is everywhere, survival of the fittest.


    The strong go up and the weak go down, this is the law of nature.


    Dr. He is willing to give Zhou Can a training opportunity because he feels that Zhou Can has great potential and is worth training.


    As for other interns being squeezed, this is the result of fair competition.


    Opportunities are available to everyone, and if you seize them, you can climb higher.


    There is an opportunity to become stronger and stronger.

 Chapter 8： upgrade obsession

    ¡­


    In the afternoon, He Hansheng took Zhou Can into the No. 4 outpatient room of the Puwai Hospital. The corridor outside was crowded with patients waiting for treatment. Some are follow-up consultations, and some are seeking treatment.


    If it is in the morning, there will be more waiting patients here.


    Modern people live a fast-paced life and are busy with work, often neglecting their health. Some small problems drag on and become big problems.


    In addition, environmental pollution is becoming more and more serious, and garbage and harmful food are flooding, leading to a high incidence of various diseases.


    Tuya Hospital is overloaded almost every day.


    General surgery has become the hardest hit area after the emergency department.


    "Xiao Zhou, you will be in charge of writing the medical records later."


    "OK!"


    Zhou Can learned to write medical records on the first day he entered the hospital. After nearly a year of internship, he has already become familiar with writing medical records.


    The guiding nurse outside stood at the door and knocked on the door.


    "Doctor He, can I start calling your number?"


    "Call!"


    "No. 1 Huang Fuqiu, consultation room No. 4."


    A nurse''s voice came from the speakers.


    Soon, a middle-aged man walking with his **** up pushed the door open.


    The man held a medical record and some examination materials in his hand.


    "Doctor, I had hemorrhoid surgery last week, and now I''m here for a review."


    "You look pretty good, how do you feel now?"


    "Everything else is fine. It''s just that the wound still hurts when I walk, and I can only sleep on my side or on my stomach. In the two days after the operation, it was very painful to defecate..."


    The patient briefly described the postoperative situation.


    "Okay, take off your pants at the back, let me check for you."


    Dr. He took a rough look at the medical records and took the patient to the back for an examination.


    The patient''s wound healed well.


    The wound has healed.


    Dr. He prescribed anti-inflammatory drugs for him, and told him not to take baths, but to take the drugs on time. Come back anytime if you feel unwell.


    A patient is finished with this.


    Zhou Can was a little disappointed that he couldn''t earn any experience points.


    However, he has also gained something. In the future, he will have a good reference for the follow-up patients who have undergone hemorrhoid surgery.


    Then, a second patient walked in.


    This is an old lady with thinning hair, with a thin figure and a large pustule on her wrist. The family member who accompanied her to see a doctor said that she was stabbed by a bamboo stick. At that time, the patient pulled out the bamboo stick without taking it seriously.


    As a result, after a period of time, the wound not only did not heal, but became more red and swollen.


    It wasn''t until recently that suppuration began, and the patient had symptoms of low-grade fever and severe pain, that''s when he rushed to seek medical advice.


    After some simple inquiries, Dr. He gave the patient a physical examination.


    "First do a routine blood test and B-ultrasound, and then come to me with the test results."


    He directed Zhou Can to make two checklists in his name.


    Thanks to the highly developed modern technology, it is now possible to write checklists and prescribe medicines into computers. It is convenient to calculate and pay fees, and it is also convenient to check files afterwards.


    However, patients still have to queue up with a note.


    After the patient left, He Hansheng talked to him in a chatty tone.


    "Xiao Zhou, think about it, what is the cause of this patient''s abscess just now? How to treat it?"


    Zhou Can had already started thinking about the cause of the patient''s abscess.


    He quickly went through the patient''s symptoms and causes of the disease in his mind. Then, according to the acquired medical knowledge, analyze and locate the pathological mechanism.


    "The low-grade fever should be an inflammatory response caused by bacteria invading the blood due to the abscess."


    The human body has a complete set of immune mechanisms.


    When the human immune system detects foreign matter or pathogen invasion, it will respond immediately. The phagocytes, lymphocytes, lymph nodes, spleen, etc. in the blood, with multiple response mechanisms, will become warriors to protect the body and kill those pathogens.


    Inflammation is actually a self-protection of the body.


    "Severe pain in the arm, sleepless nights, indicating that the abscess is still spreading and destroying normal body tissue."


    After listening to Zhou Can''s analysis, He Hansheng nodded slightly.


    "I suspect that there is still a foreign object in the patient''s arm that has not been cleaned."


    This happens from time to time.


    Objects such as bamboo sticks or wooden thorns penetrated into the flesh, and only part of it may be pulled out because it was stuck too tightly.


    But the patient thought it was all pulled out.


    Eventually the foreign body remains in the body, causing the infection to suppurate.


    [Pathological diagnosis experience value +1. ¡¿


    As soon as Zhou Can finished the analysis, he happily raised 1 experience point.


    The pathological diagnosis of this patient is not difficult, and it is estimated that the practice level can be competent.


    He now has an excellent level of regular training, so he is sure to be sure.


    "What about the treatment plan?"


    "Incision the wound to drain the pus, clean up the broken bamboo sticks or foreign objects inside, clean the wound, suture it, bandage it, and prescribe some anti-inflammatory drugs." Zhou Can finished the treatment plan he had planned in one breath.


    He Hansheng smiled slightly, "There is nothing wrong with the previous steps. Anti-inflammatory drugs need to be supplemented. In this case, infusion should be given in the hospital, and oral anti-inflammatory drugs should be prescribed after the patient''s infection is under control. The effect of infusion is faster than oral administration. It is stronger and can ensure no accidents to the greatest extent. In addition, it can keep abreast of the patient''s condition when the patient comes to the hospital for infusion."


    After listening to Dr. He''s instructions, Zhou Can nodded heavily.


    "Remember, safety comes first at all times. A doctor is a special profession, and he is in control of the patient''s life and health. Any negligence may lead to serious consequences. A doctor''s parental heart means that a doctor should treat himself Treat patients like children, and consider them more comprehensively and meticulously."


    Doctor He warned him earnestly.


    At this time, the third patient came into the ward.


    This is a woman in her thirties, stylishly dressed, wearing a black shoulder bag, and looks pretty good. Walking is no different from ordinary people, and the mental state is not bad. Doesn''t look sick.


    "Please sit down! What''s your problem?"


    Dr. He asked about the woman''s condition in a gentle tone.


    "Uh...um..." The woman lowered her head in embarrassment, not daring to look at anyone.


    His face was also red.


    "I don''t hide my illness from the doctor, but it''s okay to say it, and there''s nothing to be ashamed of." Dr. He comforted her patiently.


    After hesitating for a moment, she finally bit her lip and said in a low voice, "I, I feel some pain in my chest recently. When I touch it with my hand, it seems that there is still a hard lump. The pain has been so painful these days that it is difficult to lift my hand."


    Zhou Can immediately figured it out based on her drawing skills.


    Lumps in female **** are usually due to diseases such as breast hyperplasia.


    "How long has the lump been there?"


    "It has been almost two years since I discovered it. But it used to be occasional pain, so I ignored it. Recently, I found that the lump was getting bigger and bigger, and I was a little scared. I checked it online, and many people said it was possible. It''s breast cancer..."


    The woman was no longer ashamed.


    When she mentioned the word breast cancer, there was deep fear in her eyes.


    Indeed, breast cancer is known as one of the three major killers of women.


    Let a lot of adult women smell the pale.


    "Married?"


    "Married."


    "Have you ever had a baby?"


    "The child is almost eight years old."


    "Wow, can''t you tell, the children are so old, and you are still so young." Dr. He praised it as a joke, which immediately relieved the woman''s nervousness and anxiety a lot.


    The atmosphere in the clinic is also much more relaxed.


    "Hehe, you''re so proud of me! Doctor, do you think my disease could be breast cancer? I didn''t dare to tell my husband or my child when I came for the check-up this time."


    Her eyes were full of anticipation.


    "Don''t worry, no one can tell right now. Go for an ultrasound first to check the thickness of the glands and whether there are nodules in the glands. Breast hyperplasia usually causes obvious pain during menstruation. Don''t worry too much. Big psychological burden."


    Dr. He not only has profound medical knowledge and rich experience in diagnosis and treatment, but also treats patients with great patience and tries his best to comfort them.


    Zhou Can secretly admired the noble medical ethics displayed.


    The female patient queued up for an examination with a list.


    In this way, more than 20 patients have been treated one after another.


    Some are easy to diagnose and some are difficult to diagnose.


    Dr. He is patient, easy-going, and rigorous with each patient.


    It gave Zhou Can a good example.


    At this time, the old lady from UU Reading with a big pustule on her arm came back from the examination.


    Check out her test results.


    As Zhou Can expected, the infection led to inflammation and a low-grade fever. There is a two-centimeter long shadow inside the pustule.


    It is basically certain that the broken bamboo stick is embedded deep in the muscle.


    Surgery was arranged for her.


    I believe it will be cured soon.


    The patient with breast hyperplasia also came back from the ultrasound examination.


    Fortunately, there were no ultrasound features such as calcification, blood flow, and unclear margins. Basically, the possibility of malignant transformation is unlikely.


    In view of her severe breast hyperplasia and the large size of the tumor, Dr. He suggested that she go to general surgery to remove the tumor, and then do a pathological test to prevent malignancy.


    She readily accepted.


    This operation is a simple first-level operation and can be done on an outpatient basis.


    But it wasn''t Dr. He who performed the surgery.


    General surgery surgeons are on duty in the outpatient operating room. It is not a special case, and the attending doctor generally does not operate in person. Even if occasionally there is an operation that needs to be performed by myself, the patient will be arranged to be hospitalized first, and the operation will be performed the next day or at another time.


    Zhou Can looked at the time, it was 5:21.


    I''m leaving get off work soon.


    And he gained a total of 8 experience points in one afternoon.


    Current experience in pathological diagnosis, level two, 98.6/100, excellent level of regular training.


    This made him very depressed.


    You can upgrade with only 1.4 experience points.


    "God, another patient! Amen!"


    Zhou Can prayed silently.


    If he earns another 1 experience point, he will only be short of 0.4 experience points. If you can spare time to read the four cases after you go back, you will be able to improve this most important medical skill.

 Chapter 9： Why is it less than half

    Boom boom boom!


    The knock on the door sounded so pleasant to the ear.


    I''ll be off work soon, and the probability that this is a follow-up patient is very small.


    Generally, follow-up patients will be concentrated in the morning or the beginning of the afternoon.


    Zhou Can is on the alert, waiting to earn experience points.


    "Come in!"


    Dr. He''s voice is always so gentle and strong.


    The door of the consulting room was pushed open, and a man in his forties walked in with the support of his family. He pressed his stomach with one hand, with a pained expression on his face.


    "Ah yo, ah yo...Doctor, my stomach hurts badly, please help me!"


    The man''s face turned pale from the pain, and cold sweat was all over his forehead.


    "Sit down first!"


    Dr. He appeared very calm and calm.


    "When did it start hurting?"


    "It''s been two days, it''s been two days of pain, ah..." The man kept humming miserably.


    To be able to hurt a middle-aged man like this, the pain level is definitely not low.


    "Didn''t you eat poisonous things? Such as poisonous mushrooms, toads, vegetables and fruits with pesticides."


    "No, definitely not. I have been eating at home these days, and my wife and children are fine."


    "Smoking and drinking?"


    "Um."


    "Does any family member have a similar medical history?"


    "No!"


    "Come on, help him to lie on the bed, I will do a physical examination."


    Dr. He instructed the family members to help the patient to lie flat on the bed, and then began to do the examination.


    Zhou Can also got up and followed to watch.


    According to the patient''s description and symptoms, he has already begun to make pathological inferences.


    It''s just a lack of examination data, coupled with his inexperience in clinical diagnosis, it is difficult to clarify the patient''s pathological mechanism.


    Because there are many reasons that can cause abdominal pain.


    Peritonitis, gastroenteritis, gallstones, appendicitis, etc., many diseases can cause severe abdominal pain.


    Dr. He pressed the patient''s abdomen with his hands.


    "Ah yo... Take it easy, take it easy..."


    The patient screamed immediately.


    "That''s the only place where it hurts, right?"


    "There''s also pain in my right shoulder and right back, but it''s not as bad as my stomach."


    After hearing this, Zhou Can immediately understood that it was radiating pain caused by severe upper abdominal pain.


    Just like throwing a stone into a pond, with the stone falling into the water as the center, a circle of ripples will be formed and spread around.


    Pain is the same.


    It travels through nerves to surrounding areas.


    This phenomenon is called radiating pain in medicine.


    Now it can be basically concluded that the initial area of ??pain is in the upper right abdomen.


    "Did your abdominal pain come on suddenly two days ago, or did it come on slowly?"


    "It happened suddenly. There was no sign, and the pain started suddenly, intermittently. And every time the pain got worse, the pain became unbearable in the back, and I even vomited several times."


    The patient provided another clue.


    So, asking questions is still very important.


    Don''t be afraid of trouble, you must ask for more relevant information.


    "Since the pain is so severe, it shouldn''t be possible for you to wait until now to see a doctor, right? Have you ever been treated in another hospital?"


    Dr. He has rich experience in diagnosis and treatment, and immediately deduced some truths that the patient did not disclose based on the patient''s description.


    "Uh... I did see it in a small clinic. At that time, I was given an infusion and said it was anti-inflammatory. It didn''t work. The clinic boss was afraid of accidents and advised me to go to a big hospital for treatment."


    Those small clinics give patients infusions at every turn.


    All kinds of antibiotics are overused, and small clinics are the most guilty.


    For some minor colds or minor symptoms, intravenous infusion and antibiotics are used, and the effect is really fast.


    As everyone knows, this is a bit like drinking doves to quench thirst.


    This time it got better quickly, but the body''s immune system was disrupted and weakened, making it easier to get sick next time. will get sicker.


    So repeated, eventually forming a vicious circle.


    When the patient really needs antibiotic treatment, it will be sad to find that there is no medicine available.


    Because the virus in the patient''s body has developed serious drug resistance.


    Even a random cold can be a super virus.


    "Apart from abdominal pain, right shoulder and right back pain, do you have any other symptoms? When I touched your abdomen, it felt a little hot!"


    A physical examination is the initial examination after a doctor''s consultation.


    This is very important.


    It can help doctors discover some hidden diseases of patients.


    Some patients may feel embarrassed or irrelevant, and may deliberately conceal some symptoms. This requires a doctor''s sharp eyes.


    "I feel like I have a fever, chills."


    "Well, let me measure your body temperature, heart rate, and blood pressure first, relax a bit, and don''t be nervous. When we get here, we will definitely do our best to heal you."


    After Dr. He comforted the patient, without waiting for his order, Zhou Can has already cleverly rushed to measure the patient''s blood pressure, heart rate, and body temperature.


    These basic tasks, how can the superior doctor do it himself?


    Be diligent, Dr. He must be happy to see it.


    The next time you ask to take him to the clinic, the probability of agreeing will increase a lot.


    "Body temperature is 39.6, pulse rate is 98/min, and blood pressure is 120/mmhg. There is no abnormality in percussion of both lungs. There is no chest murmur when breathing, and the breathing rate is about 25 times/min."


    Zhou Can made a series of measurements on the patient.


    The range between 39.1 degrees and 41 degrees is already a high fever.


    The patient''s condition was more serious and complicated than imagined.


    "Let''s do a routine blood test and ultrasound imaging first. If the results are not satisfactory, you may need to do a CT scan." Dr. He said this to both the patient and Zhou Can.


    Zhou Can hurriedly ran to the computer to apply for a medical examination.


    "Because your condition is complicated, the outpatient department will be off work immediately. Before the results of your examination come out, the etiology of UU Reading is not clear, so you cannot be hospitalized. It is recommended that you go to the general surgery department of the inpatient department after the examination. Find Dr. Fang, and I will explain the situation to him.¡±


    The patient''s condition may deteriorate further at any time.


    Doctor He did not dare to take it lightly.


    If the condition is not serious, the patient is usually allowed to come back the next day.


    After the patient left, Dr. He stood up and got ready to leave work.


    "Xiao Zhou, how''s it going? Follow me for an afternoon, did you gain anything?"


    "I have gained a lot. I have benefited a lot from the process of receiving various patients and how to deal with them, especially the medical ethics and medical style. You have set a very good example for me."


    "Haha, you kid has such a sweet mouth. All right, it''s time for the nurse at the guidance desk to come and close the door, let''s go."


    After Zhou Can followed Dr. He out of the consulting room, he was still thinking about what kind of disease the last patient had.


    He is only short of 1.4 experience points, he is not reconciled!


    The pain in the right upper abdomen radiated to the right shoulder and back. The patient also had the habit of smoking and drinking. In addition, the patient had a high fever and chills. All these symptoms were combined, which seemed to be a problem with the bile duct.


    Could it be choledocholithiasis?


    Zhou Can seems to have grasped something, and his eyes became as bright as stars.


    Every time a doctor diagnoses a patient, it is like doing a math word problem.


    After calculating the results, there will be a special sense of accomplishment.


    [Pathological diagnosis experience value +0.4. ¡¿


    The experience value that I had been looking forward to reappeared again.


    Just add a little less!


    Only increased by 0.4.


    Under normal circumstances, clinical diagnosis, as long as the answer is correct, will add 1 experience point.


    Why is more than half less?

 Chapter 10： How good is your classmates medical skills?

    "Doctor He, what disease did you say the last patient was?" Zhou Can asked after a few steps.


    "Medicine is a rigorous subject. I never make subjective guesses, but conduct a comprehensive argument based on the results of the examination, combined with the patient''s symptoms, medical history, age, gender, hobbies and other information. However, judging from the patient''s symptoms, There is likely to be more than one lesion site."


    After speaking, Doctor He smiled.


    "I still have to check the bed, you can think slowly."


    As an attending doctor, his status is higher than that of residents and interns, and the responsibilities on his shoulders are even greater.


    Although there is a dedicated bed doctor in the inpatient department, the attending doctor cannot be a hands-off shopkeeper.


    In particular, some critical cases need to be more careful.


    For example, the patient Liu Lao had surgery on today is a key monitoring object. Before leaving, Mr. Liu specially told Dr. He to watch it.


    After Zhou Can watched Dr. He leave, he began to bow his head in thought.


    According to Dr. He''s words, the patient has more than one disease.


    This also makes sense, why his deduction is correct, but he only got 0.4 experience points.


    Indicates that there are other diseases that have not been diagnosed.


    What disease is there?


    Zhou Can racked his brains, but after repeated thinking, he still had no clue.


    "Sigh, there is no test data, and only a few symptoms are used to diagnose a common bile duct stone. After all, my level is still a bit low."


    Zhou Can sighed.


    Dr. He must have made a diagnosis, but he just refused to say it.


    It seems that there is a huge gap between the diagnostic ability of the regular training level and the attending level!


    Since he couldn''t figure it out, he didn''t waste any more time.


    Hanging from a tree is not the work of a wise man.


    Now, his pathological diagnosis experience value is level two, 99/100.


    Not much difference, just 1 experience point.


    I looked at the time, it is now 5:52.


    If you go back to the dormitory right away, you will do nothing but read medical books. Maybe ten cases can be read by tomorrow morning.


    It takes him 5 hours to read a case calculation in an average of 30 minutes.


    In fact, it takes longer to read the more difficult cases.


    Spend all your energy and time on pathological diagnosis improvement, just for this last point of experience.


    How to count how to suffer.


    Because he can use these few hours to improve the two medical skills of hemostasis and incision.


    It is absolutely sure that these two medical skills will be upgraded to the third level.


    As for the remaining 1 experience point of the pathological diagnosis, he is going to sharpen his gun tomorrow.


    As long as you find another patient in the hospital for diagnosis, there is a high probability that you will be able to finish the job and be promoted to the third level.


    At that time, the five medical skills will all be at the level of residents, and the recruitment of regular training will be sure.


    After making a decision, he no longer wasted time.


    Quickly rushed to the science and education building to buy white mice for practice.


    Considering that practicing incision and hemostasis consumes a lot of props.


    Especially cutting, it''s not just a simple cut on a small animal that can increase experience points. Rather, dissection is required.


    This requirement is still quite high.


    It is estimated that a white mouse can be dissected for about 20 knives at most, and it will die.


    Anatomy plus 0.2 experience points.


    Twenty knives is 4 points of experience.


    After death, you can still practice dissection on internal organs, but if you practice on dead props, the experience value will be halved, only 0.1 experience value once. It is expected to dissect about 25 times, with a total experience value of 2.5.


    Be conservative, calculate by adding 6 experience points to a white mouse.


    His current cutting experience value, level two, is 9.7/100.


    You still need 90.3 experience points to advance to level three.


    He calculated that he needed to buy at least 16 white mice to be safe.


    200 yuan a piece, the total is 3200 yuan.


    Zhou Can''s family is well-off, so it''s not short of money.


    "Buy me 16 white mice. Pick the right ones."


    "Are you sure you want to buy this much?"


    The doctor on duty was obviously shocked by the number.


    Doctors usually buy white mice for practice, and those who are more generous can buy one or two at most. This young guy bought 16 at a time, which is great.


    "I''m sure, sure!"


    Zhou Can directly scanned the QR code to pay without bothering.


    The doctor on duty found a larger cage, and picked out sixteen top-quality experimental white mice for him to put in it.


    After Zhou Can took it, he just turned around and was about to go out when three people came in.


    Almost hit him head-on.


    "Zhou Can!"


    The leading beauty is tall and tall, with beautiful facial features, and her skin is as white and tender as a baby''s. Brown-yellow shawl hair, coupled with a white coat, tsk tsk, amazing.


    Women should be pretty and filial.


    She is as beautiful as the fairy who does not eat fireworks.


    Her big phoenix eyes showed surprise and joy after recognizing Zhou Can.


    "Squad leader, long time no see."


    Zhou Can did not expect to meet the monitor here.


    To be more precise, she still has two honors, class flower and one of the three school flowers.


    She is not only responsible for her beauty, but also has real talents and learning, which is by no means comparable to a vase.


    To say she was the best girl in the class would be an understatement.


    The two entered Tuya Hospital together for internship. I heard that she performed extremely well during her internship in the Department of Obstetrics and Gynecology, and she has already won the favor of Director Zhang Bihua of the Department of Obstetrics and Gynecology.


    "How is it? Is the internship going well?" Yang Chan looked him up and down, and finally fixed on the mouse cage in his hand.


    He was obviously a little surprised to see him buying so many white mice.


    "Oh, that''s it. I heard about your glorious deeds in the obstetrics and gynecology department. It not only won honor for our class 512, but also added luster to his alma mater." Zhou Can would definitely feel inferior in front of her before. .


    Because she is so good.


    Now that there is an experience point system and medical skills in all aspects are advancing by leaps and bounds, he also has a little bit of confidence to talk on an equal footing.


    Of course, having strength does not mean raising your butt.


    You can also be a humble gentleman.


    Demonstrating self-confidence in a low-key manner has always been an excellent tradition of the Chinese nation.


    "It''s not as good as you said, I''m just lucky. Hey, buy so many white mice to practice dissection or suture?"


    "I''m ready to practice. You know, my medical skills have always been very good."


    "Preparing for tomorrow''s regular training recruitment?"


    "Don''t let me have a little dream?"


    "Hehe, I have never seen you so poor-mouthed when I was studying before! Old classmate, come on! No matter what the result is, as long as you work hard, you will have no regrets."


    There was comfort in her words.


    Obviously not very optimistic about Zhou Can.


    Thinking about it, this year''s regular training recruitment competition is extremely fierce, and the elimination rate of not particularly outstanding interns is almost 100%.


    In her impression, Zhou Can''s medical skills are not bad, but his medical skills in all aspects are somewhat unsatisfactory.


    Seeing that he bought so many white mice, he preconceived that Zhou Can''s medical skills were still at a relatively superficial stage.


    This level is not competitive.


    "The squad leader is still educated and speaks well. Goodbye."


    Zhou Can heard what she meant, but didn''t explain much.


    Tomorrow will see for ourselves.


    He waved at her and left with the rat cage in his arms.


    "Doctor Yang, how good is your classmate''s medical skills? You actually need to buy such a white mouse to practice."


    "I don''t know, but he has been working hard."


    "You should teach him next time. It is wasteful to use white mice to practice dissection, and the direction is wrong. The anastomosis of blood vessels in the tail of rats is the real high-precision technique."


    The sound of their conversation reached Zhou Can''s ears.


    He just smiled lightly.


    With his current three-level suture and three-level ligation medical skills, the success rate of anastomosis of mouse tail blood vessels should be 100%.


    Looking at the interns in Tuya Hospital, there are at most one or two who are better than him in vascular anastomosis.


    The high-precision technology that the female intern mentioned was nothing more than that in front of his experience point system.


    Zhou Can took the white mouse back to the dormitory.


    Good guy, I have practiced one by one early.


    It seems that everyone is preparing for tomorrow''s regular training recruitment.


    All of them are trying their best to fight out from the thousands of troops.


    "Wow, Brother Can, aren''t you! Are you buying so many white mice for barbecue?"


    "As long as you don''t find it disgusting, after I''m done practicing, I can take it to the barbecue for you!"


    Zhou Can smiled badly.


    "Forget it, I don''t have such a strong taste."


    Hearing that he was eating rat meat, the roommate waved his hands in fright.


    "I think Zhou Can is going to risk his life in order to get the training qualification. Brothers, come on. Whoever is lucky enough to stay, UU Reading will have to cover other people in the future, and he will also be worthy of us." Years of roommates."


    The roommates applauded loudly, and each of them practiced more attentively.


    Zhou Can sat in front of his practice table, and in order to save time, directly slapped the white rats in this cage.


    After the anesthesia was successful, a white mouse was caught, fixed on a wax plate, and the two medical skills of anatomy and hemostasis began to be improved.


    [Cutting experience value +0.2. ¡¿


    [Hemostasis experience value +0.2, +0.2...]


    The easiest thing to improve is the experience value of hemostasis, there is no one.


    As long as the bleeding point is found, the electrocoagulation knife will be used to touch it, and 0.2 experience points will be obtained immediately.


    ¡­


    Before he knew it, Zhou Can had practiced until 12:31 in the middle of the night.


    At this moment, all sixteen white mice had been exhausted by him.


    The two medical skills of hemostasis and incision have all been successfully promoted to the third level.


    He checked the experience value of medical skills.


    ¡¾Zhou Can, intern¡¿


    [Pathological diagnosis, level two, current experience value 99/100. Excellent level of training. ¡¿


    [Cutting, level three, current experience value 5.7/1000. Residential doctors are inferior. ¡¿


    [Stitching, level three, current experience value 21/1000. Residential doctors are inferior. ¡¿


    [Ligation, level three, current experience value 1/1000. Residential doctors are inferior. ¡¿


    [Hemostasis, level three, current experience value 652.4/1000. Intermediate level of hemostatic ability for residents. ¡¿


    Among all the medical skills, the best one right now is hemostasis.


    He actually reached the appalling intermediate level of residency.


    This level is comparable to surgical residents who have worked for more than three years.

 Chapter 11： Big Mom

    Why is the most backward hemostasis, but the latecomers prevail?


    Because after the hemostasis was upgraded to the third level, he did not stop practicing.


    A large number of bleeding points will appear in each dissection. If the bleeding is not stopped in time, the mice will lose blood and die after dissecting five or six wounds.


    Based on the principle of not wasting props, he could only stop the bleeding while dissecting.


    After the hemostasis technique is upgraded to the third level, the accuracy rate of hemostasis basically reaches 100%, and a bleeding point can be stopped in one second.


    More than 600 experience points, it looks very scary, but in fact, it only needs more than 3,200 points.


    "All four surgical basic medical skills have been upgraded to the third level as they wished, and the competition for the training qualification must be stable. If the pathological diagnosis can be upgraded to the third level, it will be perfect."


    Zhou Can didn''t stay up late, but disposed of the garbage, took a shower and went to bed.


    Staying up late before the exam is a taboo.


    ¡­


    In the early morning of the next day, all interns got up early to prepare for the regular training exam.


    As early as two weeks ago, everyone had signed up.


    Zhou Can applied for general surgery.


    However, according to Tuya''s past practice, the hospital has the final say on which department to arrange.


    He got up relatively early today, washed up and went to the bathroom, and it was almost 7 o''clock after he finished.


    The regular training recruitment starts at 8 o''clock, and there is still plenty of time.


    He quickly took out 1,000 cases of surgical pathological diagnosis and began to read.


    "The patient, Ms. Ma, 43 years old, found a lump the size of a broad bean on her left breast when she took a bath in February this year. She had no symptoms at the time, so she didn''t care. In July this year, she found that the lump continued to grow and was the size of a walnut. The patient During menstruation, I felt pain in my left breast and worried about cancer, so I went to the local hospital for treatment. After investigation, the patient had no symptoms such as high fever, low fever, chest pain, cough, vaginal discharge and **** discharge. No obvious weight loss, appetite , sleep is basically normal..."


    Judging from these symptoms, the patient should only have a benign tumor.


    However, pathological diagnosis requires a combination of multiple information to judge. Inspection results are especially important.


    "Palpation, the mass is 5*5*4cm, hard, and the surface is not smooth."


    Seeing this, Zhou Can''s heart skipped a beat.


    There is a faint sense of foreboding.


    "The blood routine is basically normal, and there are no abnormalities in the urine and stool routines. X-ray examination, chest X-ray and chest X-rays show abnormalities. The aluminum target radiography shows that the upper outer upper limit of the left breast is irregular, with high density in the central area."


    It''s over, this female patient has a malignant tumor in all likelihood.


    If you can see a doctor as soon as the lump is found, the result may be much better.


    The vast majority of serious illnesses are caused by the patient''s birth from a small illness to a serious illness.


    "B-ultrasound, a homogeneous mass in the upper outer quadrant of the left breast, with the possibility of malignant transformation."


    All test results are getting worse.


    "The patient has breast cancer without a doubt."


    [Pathological diagnosis experience value +0.1. ¡¿


    Zhou Can got 0.1 experience points, but he couldn''t be happier.


    What a pity for this female patient.


    It would be great if it was treated sooner.


    Then look at the subsequent treatment results. The patient was diagnosed with cancer after a biopsy. After further testing, the cancer cells had spread to surrounding tissues and organs, and the opportunity for surgery was lost.


    After chemotherapy, the patient finally died on October 17 of that year.


    When encountering similar patients in the future, we must let them receive treatment as soon as possible.


    He looked up at the time, 7:34.


    No time to read, have to report to the hospital.


    The gang of "uncles" and "menopausal women" in the personnel department of the hospital are all masters that their relatives do not recognize. If the regular training recruitment is late, he probably won''t even let him in.


    He ran all the way to the hospital cafeteria to have breakfast, and then went to the outpatient hall for a stroll to see if he could seize the last chance to diagnose another patient.


    His pathological diagnosis experience value is only 0.9 away from being able to advance.


    I''m really not reconciled!


    There was already a long queue in front of the smart registration machine in the outpatient hall, and the hall was very noisy.


    He would not dare to ask a patient about symptoms and medical history at random.


    Afraid of being beaten by family members.


    These days, what patients and their families hate most is Yituo and scalpers.


    When meeting someone with a bad temper, it''s just an old punch, and it''s not worth it.


    All the real doctors have developed sharp eyes and eloquent skills. Knowing what kind of patients or family members to choose for treatment, they are not easy to be beaten.


    Zhou Can searched around, but couldn''t find a suitable patient.


    Look at the time, it is already 7:47.


    Three minutes is enough to rush from the outpatient hall to the teaching and scientific research building.


    There are ten minutes left, hurry up.


    In the end, he locked on an aunt who was at the back of the line.


    Through observation, the aunt showed a painful expression from time to time, and frequently looked at the smart registration machine at the front of the line.


    She should be very anxious.


    There is no male family member to accompany the doctor, so the probability of being beaten is very small.


    Zhou Can stepped forward and asked with a smile, "Auntie, do you have a stomachache?"


    The aunt glared at him, her face full of displeasure, "Who''s the auntie? Am I that old? Go, go, go away, I''m annoying."


    The powder that this aunt made up on her face fell off. The wrinkles around the corners of the mouth and eyes are all revealed.


    Very fierce.


    Zhou Can was so frightened that he didn''t dare to say anything more, so he hurried to it.


    Soon, he found another target.


    This is a young man in his twenties, fair and frail. It should be Xiaobai who is new to society.


    "Brother, how about seeing a doctor?"


    "Um."


    The young man looked him up timidly.


    "Where is the discomfort?"


    Zhou Can was overjoyed, finally met someone easy to talk to.


    The final 0.9 experience value has been settled.


    "Uh...I''m registering for my mother."


    Zhou Can was disappointed for a while.


    It was not easy to meet someone who was easy to talk to, but it turned out that it was not the patient himself.


    "Security, security, that person is Yituo, that''s him. Just now he asked me about his condition, and now he is asking that young man about his condition. It must be Yituo..."


    Big Mom yelled at the patrolling security guards.


    Zhou Can has a dark face, don''t mess with Auntie if you mess with anyone.


    Especially the sick aunt.


    Hospitals also hate Yituo. Not only will it lead to the outflow of patients, but it will also harm the patients, seriously damage the interests of the patients, and tarnish the reputation of Tuya Hospital.


    The two security guards immediately took off their batons and rushed over.


    "Which hospital''s medical care? Be honest!"


    "Follow us to the security department!"


    Zhou Can is going to participate in the regular training recruitment soon, how can he have the time to go to the security department with them. UU reading www.uukanshu. com


    Hurry up and show your internship certificate.


    "I''m an intern doctor in this hospital, not a medical care provider."


    After the two security guards looked at his ID, their expressions softened a little.


    "Okay, it turned out to be an intern. No wonder I came here to ask patients about everything. Fortunately, I was very vigilant, so I was not harmed. Everyone, keep your eyes open. Don''t be tricked by the interns for them to practice."


    The aunt scolded at the top of her voice.


    Many people stared at Zhou Can with extremely unfriendly eyes.


    I don''t know what disease this aunt has, didn''t she just call her auntie? Why so much hatred?


    Zhou Can did not dare to cause adverse effects on the hospital because of this matter.


    Otherwise, the people from the medical department should come to the door.


    Obviously wronged, he had to explain to the patients queuing up with a smile on his face, "I''m just doing a research project, please don''t get me wrong."


    Everyone looked at him with less cold eyes.


    Zhou Can hurried away.


    After being made such a fuss by that vicious aunt, and then asking other patients for questioning, they probably won''t have a good face.


    Walking out of the outpatient hall, he took out his cell phone and glanced at the time.


    There are still five minutes.


    Look again.


    A middle-aged man who just got out of a taxi caught his attention.


    The middle-aged man was in his fifties and was wearing black trousers, a blue shirt and no tie. Carrying a black handbag.


    Judging by this style, he is probably a boss or a company executive.


    At first glance, he noticed that the man''s face was a little pale.


    The same goes for the lips.


    Walking is normal, mental state is not bad. His brows were slightly frowned.


    Zhou Can relied on the doctor''s keen intuition, this man must be sick.

 Chapter 12： Doctors benevolence

    I just want to get close to this kind of man who exudes mature charm, and if I ask about his condition, there is a high probability that he will be rejected.


    This kind of successful man has rich life experience, has seen all kinds of worlds, and dealt with all kinds of people.


    Wise, mature and stable, especially vigilant.


    Going forward to strike up a conversation for no reason will definitely make this man more on guard.


    How can I quickly gain the initial trust of this person?


    Zhou Can didn''t want to hang himself on this tree either.


    But the only suitable patient that can be found right now is this man.


    The man has already started to climb the steps.


    The distance to Zhou Can is also getting closer.


    The accident happened at this moment.


    The man staggered and almost fell.


    Zhou Can couldn''t help but be overjoyed, the opportunity has come.


    Immediately, he rushed over and supported the man.


    "Sir, are you all right?"


    "It''s nothing. It''s just a little chest tightness and cramping. Thank you just now."


    The man managed to force a smile.


    When Zhou Can supported the man, he found that the man''s body was shaking slightly.


    Coupled with the man''s self-reported symptoms of chest tightness and colic, he realized the seriousness of the problem.


    "I''m an intern at Tuya Hospital. Seeing your pale face, chest tightness and colic symptoms, I suspect it''s related to heart disease. Do you have a history of heart disease?"


    Zhou Can helped him walk to the outpatient hall.


    Hearing that Zhou Can was a doctor at Tuya Hospital, the man''s trust in him increased significantly.


    "I have no medical history in this area. After running this morning, when I got home, I felt some chest tightness and I couldn''t breathe. After taking a shower and changing clothes, I felt cramps in my left chest, so I rushed to see a doctor."


    The man briefly talked about the course of the disease.


    "You almost fell when you went up the steps just now, is it accompanied by dizziness?"


    "Yes, I''m a little dizzy, intermittently."


    Chest tightness, shortness of breath, angina pectoris, accompanied by symptoms of dizziness.


    And it is related to sports.


    A very fatal disease name popped up in Zhou Can''s mind.


    coronary heart disease.


    It is likely to be acute coronary heart disease.


    This is a very dangerous disease. Can take the patient''s life in a very short time.


    [Pathological diagnosis experience value +1. ¡¿


    [Congratulations on your pathological diagnosis being upgraded to level three, the current experience value is 0/1000. Residential doctors are inferior. ¡¿


    Xinxinniannian''s wish to upgrade the pathological diagnosis to the third level was finally realized.


    He now has five medical skills at the level of a resident doctor, and he is absolutely capable of beating other opponents in the regular training exam.


    "Judging from the situation you described and the various symptoms you have shown, the situation is not optimistic. The outpatient clinic can only be registered at eight o''clock. I suggest you go to the emergency department as soon as possible."


    Zhou Can persuaded with a serious tone.


    "I''ve never had an emergency room before!"


    The man''s body trembled even more.


    And most of his body weight was leaning on Zhou Can''s arm.


    It shows that his condition is rapidly deteriorating.


    Zhou Can glanced at the time, and it was only 4 minutes before the entrance time for the regular training exam. Taking this man to the emergency department is not something that can be done in a minute or two.


    It will cause him to be late for the exam.


    "Didn''t you call your family to accompany you?"


    "My child is studying abroad, and my wife is very busy with work. I thought it shouldn''t be a big problem, so I came here by myself."


    Without family members to accompany the doctor, leaving the man here alone, a fresh life is likely to be lost because the best time for rescue is missed.


    Although Zhou Can does not have to bear any responsibility, he is likely to suffer from conscience condemnation for the rest of his life.


    But if you take the man to the emergency department, he will definitely be late for the training exam.


    The price to pay will be very high.


    It is likely to lose the opportunity to stay in the hospital for regular training.


    What a trick.


    After preparing for so long and putting in countless efforts, in order to improve my medical skills, I often stayed up until one or two in the morning. Seeing that the medical skills have been promoted to the third level, the regular training exam will surely surprise everyone.


    Who would have expected such a thing to happen at this juncture.


    "Accompany the man to the emergency room? Or leave it alone and rush to take the training exam?"


    This is an extremely difficult choice.


    Although the man suffered from severe chest pain, he had rich experience and could see Zhou Can''s hesitation.


    "Young man, do you want to rush back to work? It''s okay, you go and do your work, I can do it." The man can understand the difficulty of these interns.


    Zhou Can has made a decision at this time.


    From the first day of entering the medical university, the teacher taught them that "for doctors, morality comes first, followed by medical skills. If you have virtue but no skills, you can still seek skills. If you have skills but no virtue, stop at skills."


    A doctor without medical ethics will never become a famous doctor in his life.


    "Let''s go, I''ll take you to the emergency department! To be honest, I''m going to take the training exam today, and it''s only 4 minutes until the admission time. But compared with your life, what is this?"


    Zhou Can helped the man towards the emergency department.


    "The young man''s noble medical ethics are admirable. Is my illness really that serious?"


    The man clearly still has doubts about his diagnosis.


    An intern doctor must be very average.


    It is possible to be misdiagnosed, and it is also possible to be frightened when encountering some slightly serious diseases.


    "Very serious. I suspect that it may be acute coronary heart disease. This disease is acute, develops fiercely, and can kill people in a short time. You may have caused this disease because of your morning jogging, and then you used it again when you went home. Bathing in cold water will further aggravate the condition. I suggest that you contact your family members immediately, and you will need the signature of your family members for any surgery in a while."


    Zhou Can seriously told the man that there might be consequences.


    Hearing what he said so seriously, the man hesitated for a while, and finally dialed his wife''s phone.


    Briefly explained the situation and asked her to come to the hospital.


    Zhou Can faintly heard that the woman on the other end of the phone was choked up and crying after learning that her husband was seriously ill. It can be seen that the relationship between the husband and wife is very good on weekdays.


    When danger strikes, the only ones who can be relied on are always the closest relatives.


    He couldn''t help but have a little more beautiful yearning for love.


    He helped the man all the way to the emergency department.


    "I am an intern at Tuyap Surgery. This patient has chest tightness, colic pain, and dizziness. He is likely to have coronary heart disease. His condition is rapidly deteriorating. Please arrange a diagnosis and treatment for him."


    Zhou Can showed his internship certificate and explained the situation to the doctor on duty in the emergency department.


    This is the easiest and quickest way to communicate.


    "Do you have any family members accompanying you?"


    "No!"


    "Give him a physical examination first!"


    The doctor on duty paid a lot of attention to Zhou Can''s diagnosis. He is Tuya''s doctor, so he naturally knows that even if it''s just Tuya''s intern, his medical skills are not bad.


    "Sir, have you brought your ID card? I''ll help you call the emergency number, and then my colleagues will examine and treat you." Zhou Can said.


    "I''m lucky to have met you today."


    The man quickly took out his ID card and handed Zhou Can a hundred-yuan bill.


    After registering, Zhou Can returned the change, registration certificate and ID card to the man.


    The doctor on duty is measuring the man''s blood pressure and heart rate.


    "The situation is very pessimistic. We need to do an electrocardiogram and an ultrasound examination." The doctor on duty looked serious. "Mr. Cui, immediately notify your family members to come to the hospital, you must hurry."


    At this moment, it was already difficult for the man to speak.


    "He has already notified his family members, and he should be here soon. I still have to take the regular training exam, so I will leave first."


    Before Zhou Can left, he briefly explained the cause of the man''s illness and self-reported symptoms.


    His heart was heavy when he left.


    Hope this man is okay.


    ¡­


    A few minutes later, he trotted to the temporary examination room for the regular training examination.


    There were several security guards outside the examination room, probably helping to maintain order when there were a lot of people before.


    At this moment, UU Reading has not seen a single candidate.


    Zhou Can glanced at the time, 8:21, 21 minutes late.


    "Hey, what are you doing?"


    Seeing him rushing in, the security guard immediately stopped him.


    "I''m Tuya''s intern. I''m here to take the regular training exam. Brothers, I''m sorry, I was delayed for a while because of an urgent matter. Please accommodate me and let me in."


    Zhou Can explained.


    "It''s true that you can be late for such an important matter. We don''t have the right to let you in. Let''s ask for you."


    The big security guard didn''t make things difficult for him.


    I ran in and asked for him.


    Not long after, he walked out with a middle-aged woman wearing glasses.


    "This is Deputy Chief Hu of the Human Security Division. You can explain the situation."


    "Hello, Section Chief Hu, my name is Zhou Can, and I''m an intern at the hospital. When I came here, I was delayed for a while because of an urgent matter, so I was late. Could you please accommodate me and let me in to take the exam?"


    Zhou Can kept his posture very low.


    When addressing each other, he consciously removed the adverb.


    Generally speaking, people with an adverb in their job title dream of removing the adverb. When addressing their titles, it is best not to call a certain deputy section chief, or a certain deputy director.


    Otherwise, properly pull hatred.


    "I don''t care if you are delayed by something, it''s wrong to be late. Being late for nearly half an hour shows that you don''t take the hospital''s recruitment seriously at all. Our hospital is people-oriented and builds morality. People like you don''t Candidates who have a sense of time actually don¡¯t need to take the exam anymore.¡±


    Deputy Section Chief Hu escalated the matter to the level of a moral problem, and politely rejected Zhou Can''s request for an entrance exam.

 Chapter 13： Goodness never fails

    "Please Chief Hu give me a chance."


    Zhou Can begged.


    "People who don''t have a sense of time generally have poor discipline. Doctors are doing life-saving work, and their sense of responsibility trumps everything else. So, I''m sorry, judging from your performance, it doesn''t meet the recruitment standards of our hospital. Goodbye .¡±


    The personnel department is hanging.


    Holds the power to formulate human resource systems, human resources development, recruitment, training, assessment, and salary.


    They are polite to the famous doctors and high-level management of the hospital, but to the low-level doctors and nurses, they really hold the power of life and death.


    In a situation like Zhou Can''s, Deputy Section Chief Hu could veto his qualifications for the exam with a single sentence.


    Zhou Can has nowhere to complain.


    He didn''t beg any more, turned around and left lonely. A man can be humble and humble, but his spine cannot be bent.


    Because that is the dignity of a man.


    There is a price to be paid for doing good deeds.


    But he has no regrets.


    If there is a reelection, he will still choose to save people.


    A gentleman is magnanimous, and it is good to have a clear conscience.


    At this moment, Zhou Can''s mood was very low. He sat down by the flower bed by the roadside, buried his head, and covered his face with his hands.


    A man does not flick his tears easily.


    Losing his qualifications for the exam meant that all his efforts were in vain. The pain and disappointment in the heart can be imagined.


    Time is passing by quickly, and patients or doctors and nurses pass by from time to time.


    He just felt that every minute and every second was extremely long.


    The cruelest thing in the world is to give others great hope and then extinguish that hope.


    When Zhou Can got the experience point system, he was overjoyed and full of ambition.


    At this moment, hope is dashed, and heart is disheartened.


    It was as if even the sky had turned gray.


    He is as humble as a small grass in the corner of a flower bed.


    At this time, a sudden mobile phone rang.


    He froze for a moment, then realized that it was his cell phone ringing.


    I took it out to check, it was an unfamiliar phone number.


    He hesitated for a while, but finally accepted.


    "Hi, who are you looking for?"


    His voice was a little hoarse.


    "Excuse me, is it Zhou Can?"


    A middle-aged man''s powerful voice came from the other end of the phone, revealing majesty.


    "Yes. You are?" Zhou Can was secretly wary, there are so many scammers these days. All kinds of telecommunications fraud are hard to guard against.


    Today is bad enough, if you let a liar trick you again, it will be a **** of a dog.


    "Hello, Doctor Zhou, I''m Xin Wanshan, chief of the medical department of Tuya Hospital."


    For interns, the word medical department is enough to make people tremble.


    Even if it is just an ordinary clerk, he is still a very authoritative leader.


    The person who called was actually the section chief, that''s definitely an indomitable existence.


    Zhou Can quickly recalled it, and his heart skipped a beat. Could it be that he was framed by the aunt in the outpatient hall as a doctor and made trouble in the medical department?


    It actually alarmed the chief of the medical department. Did you spend all your bad luck today?


    It''s a blessing, not a curse, and it''s a disaster that can''t be avoided.


    He tried his best to stabilize his mind and deal with it calmly.


    "Hi, Chief Xin!"


    He was secretly looking forward to the following, and he was quickly thinking about how to explain what happened in the morning.


    "Just now a family member of a patient called the medical department and told you that you would rather be late for the regular training exam than persist in saving lives. That''s when I realized that the interns at our Tuya Hospital are so amazing. The family members are worried that you were late for the regular training. I was affected by the exam, so let me ask about it."


    Being able to ask the chief of medical affairs to intervene directly, it seems that the energy of the family members is not small.


    Zhou Can''s grievance at the moment seems to have found an outlet in an instant.


    Nose bursts sour.


    There are still many good people in this world.


    Her husband was critically ill, and when she learned of the situation, the first thing she thought of was to help Zhou Can clarify the matter and prevent Zhou Can from bleeding and crying.


    Some people''s kindness is engraved in their bones.


    He saved that Mr. Cui and never thought of asking for anything in return. Mr. Cui''s family members took the initiative to help him clarify the facts at the first time, which was enough to make him feel relieved and warm in his heart.


    Zhou Can stabilized his mood.


    "Thank you, Chief Xin, for your concern. I have already lost my qualification for the regular training exam because I was late for the exam."


    The chief of the medical department personally intervened. If he didn''t express his grievances, he would be really stupid.


    "Ah... where are you now?"


    Chief Xin Ke is absolutely capable of taking care of this matter.


    Hearing his slightly eager tone, Zhou Can knew that today''s matter was likely to turn around.


    "I''m sitting by the flower bed next to the teaching and research building."


    "Okay, I''ll come over right away. You have been wronged by what happened today."


    "If the misunderstanding is clarified, I won''t feel wronged."


    "Can you wait for me at the entrance of the examination room? I''m wearing black trousers, a white short-sleeved shirt, and a red tie. I can arrive in about five minutes."


    "OK!"


    Zhou Can came back to the entrance of the examination room.


    Seeing him coming again, several security guards persuaded, "Young man, we sympathize with what happened to you. It''s just that Chief Hu doesn''t let you in, so there''s nothing we can do. You go, don''t make things difficult for us."


    Zhou Can grinned, "I won''t embarrass you, the hospital leaders will rush over to deal with this matter immediately. I just stay outside the examination room and wait."


    When the security guard heard that the leader of the hospital was coming, he didn''t chase him away.


    Can''t help but look at Zhou Can secretly.


    This kid has a background.


    I was late, but I could ask the hospital leader to help me intercede.


    Not long after, an imposing man with a beer belly arrived with the two of them.


    Black trousers, white shirt, and red tie, it was Chief Xin Ke on the phone.


    Zhou Can was about to meet him when Xin Wanshan walked over quickly with a smile on his face.


    "You must be Zhou Can, Doctor Zhou, right?"


    "It''s me. Hello, Chief Xin!"


    "Don''t worry, the hospital will never allow a hero like you to be wronged, and we must vigorously promote it as a banner of the hospital. Come in with me."


    The security guards knew Chief Xin, so they didn''t dare to obstruct him, but showed flattering expressions one by one.


    It''s just that they secretly wondered, this young man was obviously late for the exam, so why did he want to publicize it as a banner of the hospital?


    Is there something hidden in it?


    Section Chief Hu sat in the examination room and found that Zhou Can actually came in.


    She burst into flames.


    "why is it you again?"


    It''s just that as soon as she finished speaking, she saw the three people who entered the examination room with Zhou Can. UU Reading


    "Xin, Chief Xin!"


    Section Chief Hu hurriedly stood up to greet him as a show of respect.


    We are all hospital leaders.


    It is necessary to discuss the level, the personnel department manages people, the medical affairs department manages doctors, diagnosis and treatment services, and so on.


    Her position as the deputy head of the personnel department is not as good as that of chief Xin.


    "Hello, Deputy Section Chief Hu! I''m here to clarify something for this intern doctor."


    "Isn''t he late?"


    Chief Hu looked puzzled.


    "It''s true that he was late, but there was a reason for it. He was late to save a patient..."


    Xin Wanshan briefly explained the cause.


    After listening to the stern Chief Hu, he couldn''t help being moved.


    Her gaze at Zhou Can changed from coldness and disgust to appreciation, respect, and a hint of guilt.


    "Young man, you have done such a remarkable thing, why didn''t you say it earlier?"


    Zhou Can was speechless for a while.


    You directly sentenced me to death at that time, is there a chance for me to explain?


    "Because of my negligence, you have been wronged. I am very sorry. Fortunately, the matter was clarified in time and can be recovered. Let me handle it next."


    After Deputy Section Chief Hu finished speaking, he called to report the matter to the Section Chief of the Personnel Section.


    Not long after, she received a call from her superior.


    It was originally just a trivial matter, but unexpectedly it alarmed many important leaders of the hospital.


    These leaders must have been discussing how to deal with this matter just now.


    There are now results.


    Zhou Can''s requirements are very low, just restore his reference qualifications.


    "Come on, you enter the examination room with me."


    Chief Hu led Zhou Can into the examination room.

 Chapter 14： Here comes the opportunity to use diagnostic skills

    This is the examination room temporarily changed from the meeting room of the school''s ten thousand people meeting room.


    Tuya Medical College is actually a provincial medical unit integrating medicine and education. It includes two parts: Tuya Hospital and Tuya Medical University.


    What''s more interesting is that the hospital and the campus are connected together.


    For example, this conference room for ten thousand people is often used by hospitals to hold staff meetings.


    At the moment, the inside is full of interns from our hospital and medical personnel from all walks of life.


    Tuya recruits regular trainees, as long as they have a bachelor''s degree or above and are under the age of 35, they can apply.


    Including nursing, general practice, and medical technology three aspects of regular training students.


    The training period is 36 months.


    The medical technology here does not refer to surgical skills, but laboratory, radiology, B-ultrasound room, electrocardiogram room, electroencephalogram room, gastrointestinal endoscopy room, these examination departments.


    Why is it said that Tuya''s number of regular trainees is very popular?


    Because as long as you have completed 36 months of regular training here and can meet the standards in the final exam, you can get a training certificate from Tuya Hospital.


    This is a very valuable document.


    Even after the regular training is over, it is very popular to return to the original hospital, or go to the city-level or county-level hospital if you fail to obtain the qualification to stay in the hospital.


    Attending physicians and resident doctors in second-tier, third-tier, and third-tier hospitals in some counties and prefecture-level cities often regard Tuya training as a kind of further study.


    The examination room was very quiet, and all the candidates were answering the questions silently.


    Recruitment is divided into three parts: written test, interview and physical examination.


    It''s just a written test right now.


    Of the more than 7,000 candidates, more than half will be eliminated in the written test.


    Among the candidates, there are intern doctors in their twenties and social medical staff in their thirties.


    Of course, there are no masters like postgraduates and Ph. Ds.


    In terms of academic qualifications, Zhou Can''s undergraduate education is unremarkable.


    Compared with medical skills, hehe, I''m afraid it is enough to crush the heroes.


    "All candidates please pause, I have an important announcement to make."


    Deputy Section Chief Hu held a microphone in his hand and shouted loudly.


    Candidates looked up at her standing on the stage, and Zhou Can next to her.


    Some of Zhou Can''s classmates or colleagues have already recognized him.


    "Brother Chan, what happened?"


    Several roommates were worried about him.


    Class monitor Yang Chan silently prayed, "Students from rich families are just unreliable, but please don''t cause some trouble to discredit your alma mater."


    Her impression of Zhou Can was actually not very good.


    "Let me introduce to you first. The boy standing next to me is Zhou Can, who is also an examinee. When he rushed to the examination room in the morning, he met a patient with chest tightness and angina pectoris. After a brief inquiry, when he When it was diagnosed that the patient was probably suffering from acute coronary heart disease, and he was not accompanied by his family members.¡±


    Deputy Section Chief Hu''s voice echoed throughout the conference room.


    She has both voice and emotion.


    "Dr. Zhou Can was faced with two choices. Either leave the patient alone and immediately rush to the examination room to take the regular training examination. Or send the patient to the emergency department to save the patient''s life, and then be late for the examination. Even if he leaves the patient alone , and don¡¯t have to take any responsibility. But if you are late for the exam, according to the regulations, you will immediately lose your eligibility for the exam.¡±


    Everyone fell into short thinking.


    How would they choose? Ask yourself, I am afraid that the vast majority of people will put their own interests first.


    Especially this kind of major interest choice related to the future and destiny.


    Very few people can be selfless.


    On the contrary, it is human nature to be selfish.


    "But do you know? Dr. Zhou Can would rather lose the qualification for the exam, and resolutely chose to send the patient to the emergency department for treatment. In the end, because of his professional introduction, the doctor on duty diagnosed the cause in time and won precious time for rescuing the patient."


    Candidates were deeply moved by this and were full of admiration for Zhou Can.


    A gentleman carries things with virtue.


    Those who are virtuous are more likely to be respected from the heart.


    "Zhou Can is just an ordinary intern in our Tuya Hospital, but he has explained with his actions what is called great love and what is called medical ethics first. After learning about his heroic deeds just now, I am very shocked. Please help After becoming the leader of the hospital, everyone agreed that this kind of behavior should be highly praised. I announced that Zhou Can would be exempted from all penalties for being late for the exam and would be given full marks for medical ethics."


    As soon as the words fell, the audience burst into thunderous applause.


    A perfect score in medical ethics is definitely the highest honor given by Tuya Hospital since its recruitment.


    It will become a monument in Zhou Can''s career.


    He also had an unprecedented smile on his face.


    "Thank you to the leaders of the hospital for their praise and affirmation. I am not a hero, but just an ordinary medical worker. It is the duty of a doctor to save lives and heal the wounded. Thank you everyone."


    Zhou Can''s words to save lives and heal the wounded, it is the bounden duty of a doctor, touched every candidate present.


    Yes, curing diseases and saving talents is the original intention of every medical practitioner, and this is what they should pursue.


    For them, it was more like a baptism of the soul.


    The mind becomes pure and sublimated.


    The audience burst into thunderous applause again, which lasted for a long time.


    "Zhou Can, take your seat and take the exam. You are allowed to delay handing in the paper."


    Deputy Section Chief Hu said to him with a smile.


    "Thanks!"


    Zhou Can only felt that his feet seemed to be stepping on a vast light, and life could be so wonderful.


    A good man lives a safe life, and the world has not failed him after all.


    His seat is in the back.


    When passing by monitor Yang Chan, she smiled brightly and gave Zhou Qing a thumbs up.


    Zhou Can smiled and nodded in response.


    Follow the number, find your own seat and sit down, and there is a tablet computer equipped with the hospital on the table.


    Directly enter the candidate''s name, ID number, select the department to apply for, and then you can answer the question.


    Provincial top tertiary hospitals like Tuya have very high requirements for recruiting regular trainees. Gui Peisheng in the clinical medical department is required to take general practice theory.


    In other words, the test questions that appeared included not only surgical questions, but also internal medicine, pediatrics, obstetrics and gynecology, ophthalmology and so on.


    Theory has always been Zhou Can''s strong point.


    When answering the questions, I saw him move his fingers like flying, and he quickly answered difficult medical questions one after another.


    ¡­


    Although Zhou Can''s answering speed was faster than most of the candidates, he entered the room too late after all. Before he finished answering the test paper, the loudspeaker announced that it was time to hand in the test paper.


    Candidates submitted their answer sheets one after another.


    Zhou Can received special care and could submit the papers later. He continued to concentrate on answering questions.


    Not long after the candidates handed in the papers, Deputy Section Chief Hu took the microphone and began to announce the results.


    "Thank you very much for the active participation of all the candidates. Now the test results have come out. You can check your own results, and you can continue to participate in the interview if you have an A or higher. Candidates with a score below A, I regret to inform you that they will be eliminated. You You can leave in an orderly manner, and make persistent efforts when you return, and you are welcome to continue to participate in Tuya''s regular training recruitment next year."


    Now it is all computer-based grading and scoring.


    Amazing efficiency.


    It only took a few minutes from the time when the candidates handed in the papers to when the results came out.


    The candidates who were eliminated got up and left dejectedly one by one.


    Ten minutes later, there were nearly 7,000 candidates, but now there are only about 3,000 left.


    Almost eliminated 60%.


    This is only the first hurdle, and the next part of the interview is the most difficult.


    "Next, let''s invite our judges to enter."


    As soon as Deputy Section Chief Hu finished speaking, many doctors and nurses entered the examination room one after another.


    There were three groups of judges.


    Then there are workers carrying props needed for various interviews into the venue.


    "Candidates for regular training in the medical technology department, please sit here."


    This department mainly conducts various examinations and pathological tests on patients.


    Most of the instruments brought in by the workers are for the candidates of the medical technology department.


    There are quite a lot of candidates applying for the medical technology department, at least 800 or so.


    What they have to do in the interview is to read B-ultrasound films, CT films, X-ray films and so on. Then complete the operation of the Doppler ultrasound machine and make a clear video on the spot.


    Of course, the filming location is randomly designated by the examiner.


    "Candidates from the nursing department come to the front."


    Most of the female candidates flocked away, and there were not many girls with super good looks. Tuya Hospital recruits a large number of nurses every year. Nursing is basically a career that eats youth.


    Many nurses are older and either return to their families or switch to other jobs, such as health managers and so on.


    Only a very lucky few can be promoted to head nurses, or take a back seat to engage in relatively easy tasks.


    For example, follow the doctor''s order, open the computer, take medicine, manage the warehouse, organize data and other tasks.


    Generally speaking, nursing is a job that eats youth.


    There is a lot of turnover of people.


    Basically all hospitals are similar, often recruiting nurses.


    About 700 candidates apply for the regular trainee of the Nursing Department.


    Not all girls, but also boys.


    However, relatively speaking, the number of boys is very rare.


    The remaining more than 1,500 candidates applied for the standardized training of all departments.


    It can also be seen from this that the profession of doctors is the most popular. Because with the continuous growth and improvement of medical skills, the older the doctor is, the higher the income and the higher the status.


    Doctors are a growing profession with a bright future.


    The competition for standardized training for general subjects is the fiercest, far surpassing the two subjects of nursing and medical technology.


    More than 1,500 candidates are gearing up and waiting.


    "Good morning, candidates. Let me start the first part of the interview, the pathological diagnosis. I will play the role of the patient and give a series of symptoms. You can prescribe the examination plan through the tablet computer. Remember, do not prescribe the examination plan indiscriminately. Check, if you don¡¯t check, you will be deducted points.¡±


    The hearts of all the candidates tensed up.


    No one expected that the first question in the interview would be the diagnosis of a real person.


    Those social candidates in their thirties are better off. Many of them have worked as doctors in county-level and city-level hospitals for several years or even more than ten years, and have rich experience in clinical diagnosis.


    For interns, it can be a bit fatal.


    Their clinical diagnosis experience is still very little, and they have never been alone. On weekdays, it is more on paper.


    Now asking them to make a diagnosis in person, they are naturally a little flustered.


    "I suddenly felt chest pain, I couldn''t breathe, and I felt that my physical condition was not good, so I rushed to the emergency department of the hospital for medical treatment. You are the doctor on duty, what kind of examinations will you do for me? Please order on the tablet in order Checklist. Note that if the order of checks is reversed, the score will be halved."


    There is a stricter process for the examinations that doctors should do after seeing a patient.


    First of all, it must be a physical examination, such as palpation, inspection and so on.


    The next inspection items are like peeling cocoons.


    For example, after the routine blood test, I feel that it is necessary to take an electrocardiogram again. When applying for a checkup, I should prescribe the routine blood test first, and then perform the electrocardiogram.


    After some serious thinking, all the examinees issued examination applications one after another.


    "time up."


    The time given by the examiner is only about 10 minutes.


    This undoubtedly increased the difficulty of the test.


    However, in actual consultations, when encountering emergency or critically ill patients, the reaction time left for doctors will be shorter.


    "Below, you can view the scores and inspection results of the inspection items."


    At this time, Zhou Can finally completed the written test.


    He submits the answer sheet.


    The results are almost instant.


    a.


    Scores should be between 90-95.


    If the score is above 95, the grade should be A+.


    However, with such a difficult test paper, the content of the test almost covers internal medicine, surgery, obstetrics and gynecology, pediatrics... all medical departments. He can get an A, which is already very good.


    He also roughly listened to the exam questions given by the examiner just now.


    Now that you have passed the written test, go on to the interview.


    "The patient has chest pain and is out of breath?"


    First of all, you must check for heart disease. He quickly prescribed three tests including physical examination, routine blood test, and electrocardiogram.


    submit.


    "Congratulations, all the inspection items are correct and you get full marks."


    Zhou Can smiled slightly.


    The pathological diagnosis has been upgraded to the third level, which is already at the level of a resident doctor. If an examination can still make mistakes, then his third-level pathological diagnosis must have been bought with money.


    He quickly checked the results of various inspections.


    Physical examination showed a heart rate of 122 beats/min and a blood pressure of 97/49mmHg.


    The heart rate of a normal person is within the range of 60-100 beats per minute, but the patient''s heart rate is obviously too fast.


    The systolic blood pressure of normal people is 90-140mmHg, and the diastolic blood pressure is 60-90mmHg. The patient''s blood pressure was markedly low.


    An adult male in his thirties, in his prime, had blood pressure so low that it would cause shock. Besides, if the blood pressure is too low, the organs of the whole body cannot get enough blood oxygen, and the metabolism of cells will be hindered.


    A little longer, the organs will be overwhelmed and shut down.


    The patient died.


    Read on for blood test results. UU Reading


    Wow, troponin is so high.


    significantly higher than normal.


    Zhou Can couldn''t help thinking of a terrible disease, acute myocardial infarction. Mr. Cui, who was rescued in the morning, was quite similar to this disease.


    Acute myocardial infarction is also a type of coronary heart disease.


    If not treated in time, the mortality rate is extremely high and the prognosis is poor.


    Based on the results of the previous two inspections alone, it is difficult to conclude. Then look at the most important ECG.


    It can be clearly seen that the electrocardiogram has changes similar to myocardial infarction.


    The human heart, under normal conditions, is capable of continuous discharge. The electrocardiogram is to monitor its discharge and convert it into ripples for doctors to use for diagnosis.


    When a piece of myocardium is necrotic, or a blood vessel is obstructed, causing the myocardium to lose its vitality.


    Ripple peaks in the ECG will be evident.


    Doctors can roughly determine which blood vessel is blocked based on the electrocardiogram.


    "Fuck, it''s really an acute myocardial infarction."


    Based on the results of the three examinations, Zhou Can preliminarily deduced that the patient was probably suffering from acute myocardial infarction.


    It''s just that he faintly felt that something was wrong.


    What Dr. He said to him after his appointment yesterday echoed in his ears again.


    "Medicine is a rigorous discipline, and I never draw conclusions easily. Diagnosis must be based on the patient''s medical history, condition, gender, and various examination data to make a comprehensive diagnosis."


    At this time, the examiner said with a blank expression, "I believe that after reading the diagnosis results, you have already made a judgment in your mind. Please fill in the diagnosis results."


    Many candidates have begun to fill in the diagnostic results with confidence.


    Zhou Can frowned tightly, always feeling that something was wrong.


    But no reason could be found.

 Chapter 15： Do you have full marks?

    The diagnosis result represents the pathological conclusion given by the receiving doctor, and the subsequent treatment plan will also be carried out around the diagnosis result. If misdiagnosed, it can easily lead to medical accidents.


    In the attitude of being responsible to the patient, since you have doubts, you cannot fill in the diagnosis opinion.


    He felt that it was necessary to know whether the patient had a past medical history.


    "Medical history inquiry."


    After entering four words, the patient''s medical history information will pop up.


    "The patient has no past history of heart disease, and relatives within three generations of the family also have no history of heart disease."


    This means that there is no such thing as family inheritance.


    The patient''s heart should have been healthy before.


    "The illness has passed."


    He typed four more characters.


    Originally, this information should appear in the column of physical examination. But no.


    Only targeted queries will display that information.


    Zhou Can vaguely realized that this was probably because the examiner deliberately concealed some information. Or think that this information is not important, so it is omitted.


    "Before the onset of the disease, the patient lost his job and divorced his wife. When he lived alone, he suddenly developed symptoms of chest pain and dyspnea."


    Zhou Can''s eyes lit up slightly when he saw the patient''s information.


    I always feel that something is wrong.


    Thinking about it now, it should not show the patient''s medical history and course of disease.


    Losing a job is bad enough in itself, and the mood must be low.


    At this time, there is no comfort, and his wife divorced him instead, which is tantamount to making matters worse.


    The greatest grief is death.


    When a person is extremely sad and in extreme pain, symptoms such as chest pain and dyspnea are prone to occur.


    Zhou Can''s eyes became more and more determined, and his wisdom shone brightly.


    "Emergency visit, chest pain, dyspnea, elevated troponin, and myocardial infarction in the electrocardiogram. From the very beginning, candidates entered the wrong circle of acute myocardial infarction with preconceived ideas."


    Looking at the candidates who were complacent after completing the diagnosis results, Zhou Can couldn''t help shaking his head slightly.


    These candidates are afraid that they will lose points.


    To find out whether a patient has myocardial infarction, the most authoritative examination is not an electrocardiogram or an X-ray, but a coronary angiography.


    X-rays do not detect blood clots.


    Only coronary angiography is the only authoritative and effective detection method.


    This examination is usually performed by an experienced cardiothoracic physician. A needle is needed in the femoral artery at the base of the patient''s thigh, and a guide wire is inserted.


    Keep pushing the guide wire deep into the blood vessel, wait until the guide wire reaches the abdominal aorta, continue to push, then reach the thoracic aorta, pass through the aortic arch, and finally enter the coronary artery.


    Once the guidewire is successfully placed, a catheter can be placed over the guidewire.


    What are you doing?


    The contrast agent is injected into the catheter, and it can reach the coronary arteries smoothly.


    At this time, do X-ray again, and it can be developed.


    Can clearly see whether the coronary artery is blocked, and even where the narrowing can be seen at a glance.


    Zhou Can resolutely quit the diagnosis filling page, but returned to the medical examination application page.


    "Application for coronary angiography examination."


    He decisively submitted a new inspection application.


    "Congratulations on getting the extra points for the supplementary check."


    The examiner is really mean.


    It has set up layers of confusion and fog for the candidates. It requires candidates to have strong concentration, high-level diagnostic ability, meticulous observation ability, and rigorous and responsible attitude to uncover all the fog and go to the hospital. Pseudo-truth.


    Scolding is scolding, it is undeniable that the exam questions given by the examiner are really good.


    It can find out the real elites from more than 1,500 outstanding candidates to the greatest extent.


    Recruit the most potential talents for Tuya Hospital.


    "Okay, I believe that many candidates have already filled out the diagnosis results, now please give your treatment plan."


    An imperceptible smirk appeared on the corner of the examiner''s mouth.


    It was clearly a scheming scheme that had succeeded, and he smiled triumphantly as he watched the candidates fall into the deep pit he had dug.


    Zhou Can ignored the examiner''s urging, but carefully checked the results of the coronary angiography.


    Angiography results showed that the patient''s coronary arteries were normal.


    There was no myocardial infarction.


    Zhou Can showed a knowing smile.


    "Sure enough."


    The next step is simple, go to the diagnosis result page and write "The patient''s heart muscle is normal, and symptoms similar to myocardial infarction are caused by violent mood swings."


    After submitting the diagnosis result, the treatment plan page will pop up.


    He cursed secretly in his heart, the examiner is a chicken thief.


    After the previous inspection items are submitted, the score will pop up immediately, telling the candidates that the inspection items are correct.


    At the step of submitting the diagnosis results, there is no prompt, and it directly jumps to the treatment plan page.


    I believe that many candidates will always be kept in the dark.


    Proper rhythm of being cheated to death by the examiner.


    Students and examiners are natural enemies. This is Zhou Can''s conclusion.


    In the column of the treatment plan, he filled in "recommended psychological counseling."


    Then submit.


    The next step is to wait patiently for the examiner to announce the results.


    "Fortunately, I upgraded the pathological diagnosis to the third level, otherwise I might fail at the first stage of the interview."


    His gaze swept over the other candidates, some of whom were still filling out seriously with their heads down.


    Needless to say, nine out of ten of these low-headed people fell into the pit.


    The treatment plan for acute myocardial infarction is very long and cannot be written in ten or twenty minutes.


    From a medical point of view, if the diagnosis is wrong, no matter how detailed the subsequent treatment plan is, it is all wrong.


    This is somewhat similar to the multiplication rule.


    As long as the multiplier is zero, it doesn''t matter how many multiplicands there are, the result is still zero.


    He was in a panic, and looked up at the nursing candidate recruitment side.


    All the young and beautiful girls are very seductive.


    Seeing him in a happy mood, he has the urge to fall in love.


    They have also reached the interview stage and are competing for basic skills such as injections.


    When I saw a doctor, I met a nurse who gave injections of horizontal vegetables, and I suffered a lot.


    If you draw blood, she can **** you with more than a dozen needles because she can''t find a vein. The simplest intramuscular injection can pierce your bones with one needle, guaranteed to make you want to die.


    When you want to scold your mother, seeing that the other party is a young and beautiful girl, you feel a little bit unbearable. He swallowed the words that had just reached his lips.


    "Candidates who have not yet submitted their diagnosis results and treatment plans please hurry up, there are still 60 seconds left."


    The examiner''s voice drew Zhou Can''s attention back.


    After the deadline was given, the candidates speeded up their filling.


    "Time is up! Now you can check the pathological diagnosis score. UU Reading "


    Candidates can''t wait to check the answers.


    "Ah...how come my score is only 2 points?"


    "Examiner, is there a mistake in the scoring system? My inspection items are all correct, and the subsequent diagnosis results and treatment plan are also correct. Why do I only get 5 points?"


    "My score is also 5 points. There must be a mistake in scoring."


    ¡­


    Candidates complained one after another, and the examination room became a mess.


    Candidates for nursing and medical technical training also turned their heads to look this way.


    Wondering what the **** happened?


    "What are you shouting about? What are you shouting about? Keep quiet for me."


    The examiner shouted angrily, no one dared to challenge his authority, and told the aggrieved candidates to quiet down.


    It''s just the anger on their faces expressing their strong dissatisfaction.


    If the examination room doesn''t give a reasonable explanation, they will definitely make trouble again.


    "Do you know why your scores are low? The total score for pathological diagnosis is 30 points, and most of the candidates with a score lower than 10 only answered part of the previous inspection items correctly."


    As soon as this statement came out, everyone in the audience was shocked.


    Candidates who scored below 10 began to re-examine the questions, trying to find where they might have gone wrong.


    "This, this can''t be wrong! The patient has low blood pressure, elevated troponin, and an electrocardiogram showing a myocardial infarction at the same time. Isn''t this acute myocardial infarction?"


    Candidates who answered incorrectly were confused.


    The examiner smiled slightly, "Pathological diagnosis can''t just look at the appearance. It is possible that what we see and hear will deceive us. This requires us to screen carefully, discard the false and keep the true, so as not to misdiagnose in the end. The question just now, there are Candidates with full marks?"

 Chapter 16： Whats the use of being fast?

    "Report to the examiner, my score is 30."


    A tall male candidate stood up first, his face was full of pride.


    "Well, very good. What''s your name? What institution are you from?"


    The examiner looked at the candidate with admiration.


    "My name is Gao Jian. I graduated from Imperial College of Medical Sciences with a postgraduate degree. My internship unit is Imperial Renhe Hospital."


    At first glance, this buddy belongs to the kind of personality that is more affectionate.


    Full of confidence and pride overflowed from his face.


    However, his conditions are indeed very impressive.


    Imperial College of Medical Sciences is one of the best medical schools in basic medicine.


    It is much better than Tuya Medical College where Zhou Can studied.


    The academic achievements of Tuya Medical College in basic medicine are not high, and even belong to the bottom. It is more inclined to clinical medicine, and it can barely squeeze into the top ten in the country.


    In recent years, thanks to the rapid development of Tuya Hospital, the popularity of Tuya Medical College has increased.


    "It turned out to be a talented student of the Imperial College of Medical Sciences, and he had an internship in the top hospital in the Imperial City. No wonder he got full marks. Please share your diagnostic thinking with everyone."


    After hearing Gao Jian''s introduction, the examiner couldn''t help giving him even more high-level glances.


    Imperial City Renhe Hospital is the ceiling of all hospitals in China. Its academic and scientific research achievements, the cure rate of various difficult and high-risk cases, and its medical team rank first in the country.


    Being able to practice in the top hospital in the country is definitely a shining point in the resume.


    Gao Jian looked around, and then smiled calmly, "I have two ideas for diagnosis. The blood test report shows elevated troponin. That''s right, troponin is a marker of myocardial necrosis. But serum muscle Hemoglobin is the most sensitive indicator for diagnosing the early stage of acute myocardial infarction. The patient''s troponin increased, but it did not rise to an exaggerated level of more than two times."


    He paused for a moment, his eyes showing disdain for everything.


    "Then I looked at myoglobin, creatine kinase and other key indicators, which fluctuated slightly and were basically normal. I began to suspect that the patient might not have acute myocardial infarction. So I then carefully checked the electrocardiogram. At first glance, it was indeed consistent with The electrocardiogram of myocardial infarction is somewhat similar. But compared with the straight myocardial infarction electrocardiogram, it is not so tasteful."


    "How should I describe this feeling? It''s like a tiger and a cat. They look similar. But the cat''s body is much smaller and lacks the majesty that the king of beasts should have. When we meet a cat on the road, no one will be afraid of it. If you encounter a tiger while playing in the mountains, you will immediately become terrified and run away. The electrocardiogram of this patient is the ''cat'' that looks more like a tiger."


    As expected of a talented student from Imperial Medical University, he is indeed awesome.


    The solid medical skills revealed made Zhou Can feel ashamed.


    Zhou Can''s diagnostic thinking is completely different from his.


    "After the above two findings, I have basically diagnosed that the patient is likely to have symptoms similar to myocardial infarction. So I performed a coronary angiography examination. The result was as I expected, and the coronary arteries were normal. I think it is necessary to check again. Let¡¯s take a look at the cause of the patient¡¯s illness. After investigation, the patient lost his job not long ago and divorced his wife. He suffered a huge blow. Only then did he develop symptoms of chest pain and dyspnea. The treatment plan I prescribed was oral tranquilizers, and then I suggested psychological counseling .¡±


    This treatment plan is similar to Zhou Can''s.


    However, Zhou Can did not prescribe tranquilizers, which have certain side effects and dependence.


    Can not, it is best not to.


    It''s like using wine to drown your sorrows.


    From this point of view, it can also be seen that the teaching philosophy of Tuya Medical College and Imperial Medical College is very different.


    Tuya is more inclined to Chinese medicine, incorporating some of the essence of Chinese medicine into it.


    Imperial College of Medicine is in line with the world''s most developed West, North America, and island countries. It focuses on Western medical theory, and its diagnosis and treatment programs are more Westernized.


    Both have their strengths.


    I can''t say which one is better than the other, but I can only say that both of them can cure the disease.


    From the perspective of the patient''s interests, Zhou Can''s treatment method is better. Although the effect is slower, the patient needs to open his mind and recover slowly. However, there is an old saying in China, which is called breaking and then building. The patient who stands up again from the blow will be reborn from Nirvana stronger than before.


    On the other hand, the wise treatment plan has quick results, but it will also imperceptibly weaken the patient''s will. After getting out of the haze, the patient''s mind will become stronger, but it is very limited. After all, he got out with the help of medicine.


    In addition, patients have to bear the negative effects of long-term use of tranquilizers, such as insomnia, constipation and so on.


    From this point of view, Western medicine is actually very bad. It cures the patient''s existing disease, but creates other diseases invisibly.


    Traditional Chinese medicine treats the root cause, while Western medicine treats the symptoms.


    Perhaps one day, the concept of treating diseases in traditional Chinese medicine will be sought after by the world.


    "Okay, thank you Gao Jian for the wonderful sharing. Now those candidates with less than 10 points, understand why the scores are so low?"


    Those candidates with scores below 10 lowered their heads in shame.


    No one yelled about the system scoring errors anymore.


    shame.


    Gao Jian sat down complacently.


    Judging from his smug expression, he probably thought he was the only one who got the diagnosis right.


    Among the candidates, many girls looked at Gao Jian with worship and admiration in their eyes. Even Yang Chan, who is proud and beautiful like a fairy, couldn''t help but take a few more glances at Gao Jian.


    It is easier to win the favor of girls and the admiration of others if you are talented.


    Otherwise, how did the ancients say that everything is inferior, but reading is high?


    Zhou Can has always been a man who doesn''t like to make publicity. He has always dismissed such things as rushing to show off and show off.


    Judging from the current scoring situation, he will never be lower than his opinion.


    However, Gao Jian''s theoretical grade is likely to be A+.


    After all, this buddy''s medical foundation is too strong.


    "Next, we will enter the second part of the interview, medical technology operation. It is divided into four items: dissection, suture, ligation, and hemostasis, with a total score of 60 points."


    The examiner let everyone fully understand what hell-level difficulty is.


    The previous theory and pathological diagnosis are more inclined to internal medicine.


    But now the test is surgery.


    This is a proper requirement for all-around talents!


    Zhou Can''s preparations were very thorough, so he appeared extraordinarily calm.


    Looking at those candidates who have not practiced well in surgery, they are a little restless.


    "With the advancement of modern medical technology, the application of surgical techniques has become more and more extensive, and the two disciplines of internal and external medicine have begun to be highly integrated. The interventional, minimally invasive, and stent operations of internal medicine are all based on the four basic medical techniques of surgery. Internal medicine is Disease diagnosis is the basis of treatment ideas, and surgery is a sharp edge in treatment methods. It and medicine are called the double sharp edges of treatment, and the combination of two swords makes the world disease-free.¡±


    The examiner spoke impassionedly about the importance of surgery.


    "Due to the limitation of equipment, the medical technology examination is divided into preliminary examination and re-examination. Only those with excellent performance in the initial examination will have the opportunity to enter the re-examination. Our staff will give each candidate a piece of pigskin and a set of anatomical suturing tools. Later, according to the marked knife position on the pigskin, a wound of about four centimeters will be made, and then sutured."


    When Zhou Can heard that it was stitching pigskin, he couldn''t help grinning.


    This is his forte!


    He has stitched so many pigskins that he can''t remember the number.


    I''m afraid it will be calculated in tons.


    The other candidates also showed relaxed expressions. Dissecting pigskin and suturing it is not a difficult technique.


    None of the candidates present could do it.


    The pigskins and tools were quickly distributed, and the candidates couldn''t wait to show their skills after getting them.


    Zhou Can also got a piece of pigskin and a set of dissection and suture tools.


    The knife position is marked on the pigskin.


    His third-level incision technique came in handy at this time.


    Staring at the knife position for a while, you can see the texture on the pigskin, and then further infer the approximate distribution of the nerves and blood vessels below.


    Severing blood vessels and nerves is a taboo when making an incision in a patient.


    Just imagine, they just wanted to cut off a conscience tumor on their legs. As a result, the knife went down and severed the motor nerves in the legs. Oh, there is a high probability that the patient''s leg was disabled.


    It became a medical malpractice.


    Relying on the incision at the level of a resident doctor, Zhou Can easily cut a wound on the pigskin with a length of about four centimeters.


    Perfectly avoided possible nerves and blood vessels.


    "Hey, why is there a trap inside?"


    He found two thin red catheters and one white catheter inserted under the skin. UU Reading If the cut is wrong, the catheter will probably be cut off.


    Red catheters represent hidden arteries, and white catheters represent important nerves.


    The examiners really took pains to help the hospital select talents.


    Next is the wound suturing.


    This is also Zhou Can''s strong point.


    His current five basic medical skills are all at the third level, and he has no weaknesses.


    Stitching is fast and good.


    It only took about eight minutes for him to complete the incision and suture.


    After the inspection is correct, raise your hand and hand in the paper.


    The examiner was quite surprised to see some candidates finish the test so quickly.


    Take a closer look, yo, isn''t this the young man that Deputy Section Chief Hu has highly praised?


    "Zhou Can, what''s the matter with raising your hand?"


    "Report to the examiner, the operation has been completed!"


    Many candidates were still carefully cutting open the pigskin, hearing that someone had already completed the operation. They couldn''t help being shocked.


    They all turned to look at Zhou Can.


    The high opinion that stole the limelight during the pathological diagnosis has already sutured about half of the wound.


    Hearing that someone actually finished it first, he couldn''t help but look up at Zhou Can.


    "Surgery is no better than others. It is done quickly and easily sloppy. I''m afraid the grades won''t get better." He lowered his head and continued to sew. This young man is eager for quick success, and nine times out of ten he will be eliminated.


    This is the second time Yang Chan heard Zhou Can''s name today.


    When she heard that Zhou Can completed the operation so quickly, she was stunned for a while. Immediately, there was a burst of regret, Zhou Can''s surgery level was mediocre, and if he didn''t suture well, he insisted on fighting for the false name of being the first to complete it, it was too stupid.


    What is the use of a false name?


    Surgical performance is the key to qualifying.


    She sighed slightly.

 Chapter 17： Retest

    "The maximum operation time I gave is 30 minutes, which is still early. Are you going to check again?" The examiner liked this young man with noble medical ethics very much.


    Only then did he gently remind him to check again.


    "Thank you examiner, I have already checked, please hand in the paper."


    Zhou Can has absolute confidence in his surgical skills.


    "Fine!"


    The examiner nodded helplessly.


    A judge walked quickly towards Zhou Can.


    The judges taught him while picking up the pigskin for inspection.


    "The young man is pretty fast! But you can''t just be fast in surgery, you have to pay attention to the quality... Uh, this, the quality is okay!"


    The incision was smooth, and the two red catheters arranged in the dark were not damaged.


    The cortex of the seam fits tightly without any gaps.


    The stress test is also very good.


    The knots fit perfectly with the skin, and the knots are firm and neat.


    I can''t believe it, is this really an intern level?


    Even Tuya''s resident doctor, it''s nothing more than that.


    After the inspection, the judges sized him up in surprise.


    He smiled awkwardly, "Correct what I said just now. If the operation is done quickly and well, there will be no problem."


    After speaking, he gave a score on Zhou Can''s tablet.


    9.5 points for anatomy, 9.5 points for suture, and 9.5 points for ligation.


    Hemostasis was not tested in the initial test, which should be limited by the expensive price of the monopolar electrocoagulation knife. The cheapest one costs tens of thousands of yuan, and more than 1,500 people, how much does it cost?


    The regular training recruitment funds allocated by Tuya Hospital will definitely not be too much.


    The examination room must try to reduce the cost as much as possible.


    Judging from the appreciative expressions of the judges, Zhou Can should be given a high score.


    "What? Not only does he sew fast, but he sews well?"


    How can this be?


    Gao Jian almost dropped his jaw in shock.


    His hand trembled, almost crooked.


    He was so scared that he quickly restrained his mind and sewed carefully. In terms of speed, Zhou Can has already taken the lead. If there is still a problem in the grades, won''t it discredit the Imperial Medical University?


    Yang Chan also looked at Zhou Can in shock.


    Today, this old classmate gave her surprises again and again.


    She had to redefine this kid from a rich family.


    In her impression, the children of rich families are all dudes, ignorant and incompetent, they only know how to spend their days and drinks, bragging and showing off their wealth all day long. It''s useless except to gnaw on old cheaters.


    She had been with Zhou Can for five years, and she hadn''t even looked him in the eye.


    Only now did I realize that Zhou Can, whom she looked down upon, not only had noble medical ethics, but also seemed to be much better at medicine than she thought.


    My previous understanding of him was really superficial.


    She felt ashamed.


    ¡­


    Thirty minutes passed in the blink of an eye.


    The efficiency of the judges is quite good. All candidates will be graded soon.


    "Okay, the initial test results of all the candidates have come out. Now you can check your rankings. The top 50 will be promoted and enter the re-examination session."


    The first test is 30 points, and the second test must also be 30 points.


    Those who failed to advance to the re-examination were basically doomed to be eliminated.


    "A more advanced operating table has been prepared over there. The top 50 candidates are asked to bring the tablet computers on your desks and drive over there to prepare for the next re-examination."


    Looking in the direction pointed by the examiner, there are fifty temporary operating tables lined up, equipped with advanced tools such as electric coagulation knife.


    Depending on the situation, hemostasis must be taken in the final exam.


    Zhou Can checked the ranking of the initial test, with a total score of 28.5, ranking fourth.


    This shows that there are three people with higher scores than him.


    The strong are more powerful.


    It seems that there are quite a lot of masters among the candidates!


    But this is also normal. After all, apart from intern doctors, there are also doctors who have worked in the society for more than ten years.


    Although they come from hospitals in county towns and prefecture-level cities, they have rich surgical experience, and they are not comparable to interns who have never touched a knife on the operating table.


    Luckily, Zhou Can has upgraded all his medical skills to the third level, otherwise today would be a bit of a mystery.


    Candidates who failed to advance sat in their seats dejectedly.


    Candidates who have successfully advanced are elated, enjoying the baptism of the envious eyes of the failed candidates.


    When Zhou Can stood up, there were especially many eyes focused on him.


    It''s not an exaggeration to describe it as being eye-catching.


    "Brother Can, good job, come on!"


    "Zhou Can, brothers can no longer fight with you to the end, we must save face for our dormitory."


    In Zhou Can''s dormitory, he was the only one who was promoted.


    Even Gu Jie was squeezed out of the top 50.


    It can be seen how fierce the competition is this year.


    Even now, the competition is not over. There are only 11 places for general trainees.


    It means that among the 50 people who advanced to the re-examination, 39 people will be ruthlessly eliminated.


    Zhou Can nodded heavily at his roommates, he will not disappoint the roommates'' expectations.


    Walk quickly to the operating table for re-use.


    When passing by a female examinee, the other party looked at him with extremely complicated eyes. A little bit bitterly said, "I saw you buying so many white mice yesterday, and thought your surgical skills were poor, but I didn''t expect you to hide your secrets and make it into the top 50."


    This female examinee is none other than the female intern who laughed at Zhou Can behind his back when Zhou Can bought the white mice.


    "Hehe, it''s just a fluke."


    Zhou Can''s strength is not limited to reaching the top 50.


    She is afraid that she still underestimated him now.


    "Xiaolu, don''t say it''s you, even I have been with him for five years, and he has cheated me!" Yang Chan had the intention of asking the teacher to blame.


    She is the class monitor, and she plays the role of half a teacher on weekdays.


    He is strict and friendly to the classmates in the class.


    Seeing Zhou Can perform so well this time, she was actually very happy.


    "I''ve never done anything to deceive the monitor. It''s just that the monitor doesn''t pay attention to me, a small person." Zhou Can smiled and turned her into the army.


    "How can there be anything, just talk nonsense!"


    Yang Chan glared at him, full of charm and charm.


    For a moment, Zhou Can''s eyes were straightened.


    Be darling, the title of class flower is really not given for nothing. This face value coupled with that spicy energy, mixed with unique charm, makes people have endless aftertaste!


    "The candidates for the re-examination have all passed, let''s hurry there too. Old classmates, come on."


    Yang Chan felt a little uncomfortable being stared at by him.


    Take the lead in walking towards the retest.


    Zhou Can secretly called the class monitor amazing, and also passed the re-examination.


    Relatively speaking, women are weaker than men in terms of physical strength and hands-on ability. In surgical operating rooms, there are far fewer female doctors than male doctors.


    This is an inherent disadvantage.


    She was able to make it into the top 50, and the hard work behind it is probably beyond imagination.


    By the time Zhou Can walked over, there was only one empty seat left.


    He hurried to his seat.


    "One more thing to announce before the re-examination. According to the usual practice, candidates who win the first overall score in the medical technology, nursing, and general training examinations every year will receive generous rewards. In addition to the 5,000 yuan cash reward, the hospital Some hidden benefits will also be given, such as fully assisting candidates to obtain a practicing certificate. After the regular training is completed, a formal employee contract will be signed directly. UU Kanshu department promotion, priority for further study, etc. "


    These are all real benefits.


    The eyes of all the candidates became fanatical.


    All aiming for the throne of the first place.


    "Next, let''s talk about the retest rules. Each person will receive a white mouse. The operation requires one, remove the left lung of the white mouse, suture, stop the bleeding, and close the chest cavity. The white mouse is required to survive normally. The second surgical requirement is to cut off the tail at a suitable position. When performing vascular anastomosis, it is necessary to ensure the smooth blood supply of the docked tail."


    Both surgeries require high levels of difficulty.


    In particular, thoracotomy and left lung removal are infinitely close to tertiary surgery in surgical operations.


    You should know that the chief surgeon of tertiary surgery requires at least the deputy chief physician.


    Candidates can''t help wondering, is this really recruiting trainees? Are you sure you''re not recruiting an attending physician?


    There is no way, Tuya Hospital is so awesome.


    If it fails to meet its requirements, it will be eliminated directly.


    Perhaps it is Tuya who has started to take the elite route in the past ten years. When recruiting talents for clinical departments, we strive for excellence, which makes its comprehensive ranking continue to leap forward.


    Many domestic hospitals that were stronger than it in the past have been left behind by it.


    Some people predict that Tuya may become one of the top ten hospitals in the country in ten years.


    Lobectomy requires very high medical skills for incision, hemostasis, suturing, and ligation. Any medical skill that lags behind may lead to the failure of the operation.


    Candidates who can pass the re-examination are not weak in medical skills.


    For geniuses like them, the more challenging the operation, the more they like it.


    How can you show your uniqueness without performing a high-tech operation?


    All of them are full of confidence and ready to show their talents.

 Chapter 18： Received 2 advanced medical skills

    Each received a live white mouse.


    "The operation time is two hours, let''s start."


    Following the examiner''s order, fifty examinees immediately began to anesthetize the white mice.


    Then fix to the wax dish.


    Prepare all the instruments needed for the operation, arrange them according to personal habits, and start the thoracotomy on the rats.


    After Zhou Can fixed the mouse, he held the lancet, selected a suitable knife position, and slowly cut open.


    All surgical steps need to be done alone without an assistant.


    This undoubtedly increases the difficulty of surgery.


    The three-level incision is cool, and the large blood vessels are perfectly avoided. The cutting depth of the knife is just right, without hurting any internal organs.


    "Wow, how can the bleeding be so severe?"


    Zhou Can almost thought that the main artery was cut off, only to see fresh blood spurting out.


    It took him by surprise.


    Rapid electrocoagulation to stop bleeding.


    One bleeding point, two, three...


    It took less than eleven seconds, and all thirteen bleeding points were stopped by him.


    The efficiency of the third-level hemostasis is extremely refreshing.


    Point by point.


    Of course, there are many ways to stop bleeding, such as clamping blood vessels with hemostats, or ligation and anastomosis of broken blood vessels.


    Rats have very small blood vessels.


    Those who can stop bleeding by electrocoagulation, Zhou Can will naturally not trouble himself just to show off his medical skills.


    "Bleeding so violently, it''s probably another pit dug by the examiner."


    Zhou Can looked up at the examiner, and sure enough, there was a sinister smile on the corner of his mouth.


    Pit B.


    He cursed secretly, then turned to check the situation of the other 49 candidates.


    Many candidates are operating in a hurry.


    Someone''s face was splashed with blood, and they didn''t bother to wipe it off.


    It seemed that every white mouse had been tampered with, bleeding ten times faster than normal.


    If the hemostatic technique is better, it is very likely that the rat will die due to excessive blood loss just after the chest is opened.


    Zhou Can was overjoyed for a while.


    Fortunately, hemostasis has risen to the middle level of residents.


    This is the only way to deal with it calmly.


    After opening the chest cavity, the liver, lungs, heart and other internal organs were all exposed to his surgical field of view.


    First find the large blood vessels at the root of the left lung and ligate them at the proximal end.


    This is to prevent massive bleeding when the left lung is removed.


    Then the left lung was carefully separated from the surrounding tissue bit by bit.


    [Congratulations on obtaining the separation technique, the current experience value, level three, 0.2/1000. It can be used to separate adhesions between various tissues of the body. ¡¿


    Separation is an advanced medical technique based on anatomy.


    Its application scenarios are very extensive.


    For example, during tumor removal, the tumor is separated from normal body tissue. Or for surgery on some special parts, it is necessary to remove a certain body organ first, which also requires separation.


    Separation of necrotic tissue from the patient is inseparable from dissection.


    Zhou Can was pleasantly surprised and surprised by the sudden addition of an advanced medical skill.


    "The moment you get it, it''s level three?"


    When other medical skills first started, weren''t they all at the first level?


    After a little thought, Zhou Can understood what was going on.


    Dissection is derived from incision.


    His incision technique is currently level three, so the separation technique will be level three as soon as it comes out.


    Every time a medical skill is practiced on a living prop, 0.2 experience points will be added.


    So the current experience value is level three, 0.2/1000.


    Finally figured it out.


    Now that the left lung has been successfully separated from the surrounding tissue, he resected it decisively.


    Fortunately, the main blood vessels were ligated ahead of time.


    Otherwise, with this blood volume of the white mouse, it would probably take less than ten seconds to spray all the blood in its body.


    It''s so much easier now.


    Only those small blood vessels need to be electrocoagulated to stop the bleeding.


    There was very little bleeding throughout.


    Then the wound was cleaned up, and the subcutaneous tissue was sutured after the inspection was correct, and the chest cavity was closed.


    A whole set of left pneumonectomy was completed neatly.


    After closing the chest cavity, he began a second operation.


    The root of the tail was first tightened with an elastic thread, then the tail was cut off, and then the blood vessel anastomosis was started with the aid of a microscope.


    There are four major blood vessels that require anastomosis.


    This is an extremely delicate project.


    The stitches are thinner than a hair.


    It is extremely difficult to operate.


    Even though his suturing and ligation techniques were all grade 3, it took a lot of effort to finally anastomose the first blood vessel.


    [Congratulations on obtaining the anastomosis technique, the current experience value, level three, 0.2/1000. It can be used to anastomose blood vessels, nerves, intestines and other organs. ¡¿


    Good guy, this surprise comes one after another.


    Another advanced medical skill was acquired.


    And it''s also level three.


    Anastomosis is derived from incision and suture. Very high frequency of use in surgery.


    Zhou Can vaguely realized that as long as he has practiced the four basic medical skills of incision, suture, ligation, and hemostasis, he will be able to obtain advanced medical skills at the same level as the corresponding basic medical skills.


    The basic medical skills are level five, and the advanced medical skills obtained will also be level five.


    This is very good.


    It is equivalent to a shortcut that allows him to grow faster.


    There are four main blood vessels in the tail of the white mouse, and he carefully anastomosed the remaining three blood vessels one by one.


    The check is correct.


    Untie the elastic thread bundled at the root of the rat''s tail. After bleeding, none of the anastomotic blood vessels leaked or blocked.


    The end near the rat''s tail became red again after the blood supply was restored.


    Not bad, all four blood vessels are unblocked.


    Zhou Can breathed a sigh of relief.


    It stands to reason that the operation can be successfully concluded at this stage.


    He checked the time, and it took less than an hour in total. Handing in the test paper now is probably just sitting around and waiting. Therefore, based on the principle of not wasting time, I decided to try an anastomosis of the rat tail nerve.


    Because nerves are much thinner than blood vessels, and nerves are composed of countless nerve filaments.


    This anastomosis is more than ten times more difficult than vascular anastomosis.


    A complete nerve bundle, UU Reading is equivalent to a tube, and then hundreds of thin nerve filaments are inserted in it.


    Nerve signals are transmitted through neurofilaments.


    When this nerve is severed, for it to fully recover its function, it is necessary to ensure that each neurofilament, which is as thin as a nanometer, is aligned with the original one.


    One can imagine how difficult this is.


    Zhou Can is naturally not at that level now.


    As long as the severed nerve can be roughly connected, it is already very good.


    As for how much of the neurological function can be restored, no one can say for sure.


    What he can do now is a more precise anastomosis.


    Under the microscope, he struggled with nerve anastomosis.


    Trying to connect the broken nerve.


    Nerve cell death is non-renewable, neuron cells are permanent cells.


    After the anastomosis, the nerve can recover part of its function, because the normal cells in the necrotic area will produce many synapses, and these synapses are in contact with each other, which has a better effect on the functional compensation of the necrotic area.


    Zhou Can anastomosed the severed nerve, and then sewed up the muscle and cortex at the severed tail.


    There are rows of tiny scales under the epidermis of the mouse''s tail, which to a certain extent increases the difficulty of suturing. But it doesn''t bother him.


    After the stitching was finished, he checked it carefully.


    The rat''s heartbeat was stable, the wound was sutured smoothly, and the paper was ready to be handed in.


    Zhou Can checked the time, and it took 80 minutes in total.


    The speed of this operation is absolutely amazing.


    Normally, for some people who suture horizontal dishes, 80 minutes is probably only enough to anastomose the blood vessels of the rat tail.


    "Examiner, I''m done."


    Zhou Can raised his hand and handed in the paper.


    The examiner took a look, yo, this kid was the first to hand in the paper again.

 Chapter 19： Doctor Gao is quite confident.

    "The re-examination basically determines whether to go or stay in the end, so don''t check it again?"


    "Already checked!"


    "Fine!"


    The examiner didn''t say anything more, a staff member came over with a special marker, wrote 50 on the white mouse, and handed it to the judges'' desk.


    Several judges immediately got busy.


    "I''m done too."


    The one who raised his hand was a young man of thirty-four or five years old.


    Definitely a social healer.


    In the first test, this person is likely to be in the top three.


    "Mine is fine too!"


    Gao Jian was the third to hand in the paper.


    Next, another seven or eight people handed in the papers one after another.


    Candidates who can hand in papers half an hour earlier are basically those with strong surgical skills.


    ¡­


    Time flies, Zhou Can is waiting for the result boredly. By the way, watch the buddy at the next table perform the operation.


    This buddy''s white mouse seems to have died.


    But he still insisted on completing the anastomosis of the rat tail vessels.


    Looking at his clumsy sewing technique, Zhou Can seemed to see himself before he got the experience point system.


    "It''s time! All candidates will stop their operations, and staff will come to collect your white mice. Please sit still and don''t move."


    The two-hour operation time was too long for Zhou Can.


    But for some candidates, the time is too tight. The surgery is not done yet.


    As the white mice were collected, they were handed over to the judges, and they scored after a unified review.


    "The score will be announced below. No. 50, Zhou Can, scored 30 points."


    There was an exclamation in the audience.


    It''s amazing that someone can get full marks for such a difficult operation.


    And Zhou Can was the first to hand in the paper.


    How strong is his surgical ability?


    When many candidates looked at him, they not only admired him, but rose to the level of worship.


    If they knew that Zhou Can had also done a difficult nerve anastomosis project, they would all be cast down.


    "No. 14 Jin Mingxi scored 29.6 points. No. 5 Gao Jian scored 29.5 points. No. 47 Yang Chan scored 29.4 points..."


    The examiner announced the scores of the 50 candidates in public.


    The one with the best score was actually Zhou Can who handed in the test the fastest, which was beyond everyone''s expectation.


    And he is still so young.


    The dozen or so candidates with the worst grades all scored zero. Because their white rat has died.


    Squad leader Yang Chan''s strength is really not weak, second only to Gao Jian.


    She is considered a benchmark among female interns.


    No wonder Zhang Bihua, the director of obstetrics and gynecology department, appreciated him. He was really excellent.


    "Dear judges, may I ask why Zhou Can''s score on the 50th is a full score?" Gao Jian was bound to win the first place, but when he found out that Zhou Can got a full score, but he only got 29.5 points, he felt unbelievable .


    He especially wanted to know, where is the gap with Zhou Can?


    Not to mention him, other candidates are also very curious about this.


    "Want to know?"


    The examiner smiled.


    "Then let me tell you why Zhou Can''s surgery won the full marks from the judges. First, the number 50 rat had the least amount of blood loss during surgery. For example, Jin Mingxi, who came in second, and Gao Jian, who came in third, were mainly deducted points." There was a lot of surgical bleeding.¡±


    After the words fell, the examiner directly played Zhou Can''s operation process on the big screen.


    Good guy, it turns out that the examination room has already secretly recorded the whole process of their operation.


    All the candidates held their breath and watched carefully.


    I saw Zhou Can cut open the cortex of the white mouse''s abdomen neatly, and he reacted quickly as soon as the blood started to splatter. Immediately electrocoagulate to stop the bleeding.


    And the method is extremely precise and fast.


    It only takes about half a second to stop a bleeding point.


    What''s even more frightening is that there were no mistakes.


    It''s really ''click to go''.


    Such superb hemostatic medical skills made the candidates present feel ashamed.


    "His separation and resection of the left lung, and suturing of subcutaneous tissue were impeccable. In addition, all four blood vessels in the tail of the rat were anastomosed successfully, and the blood supply capacity was almost the same as before the operation. These alone were enough to make the judges Full marks to him."


    Gao Jian heard the examiner''s implication.


    Asked in surprise, "Could it be that Zhou Can''s operation has more outstanding features besides the above?"


    The above highlights alone are enough to make many candidates far behind.


    Is there a bigger bright spot? Everyone was shocked.


    "You''re so clever. Please see."


    The examiner took three cages at the same time, each containing a white mouse.


    They have come out of anesthesia.


    The number written on the back is also clearly visible.


    "This cage is for No. 50 Zhou Can''s operation. This cage is for No. 14 Jin Mingxi''s operation. This is only No. 5 Gao Jian''s operation. Now they have all recovered from anesthesia. Everyone It can be seen that rat No. 50 is still full of vitality, rat No. 14 can move slowly, and rat No. 5 is almost huddled and motionless."


    The more successfully the operation is performed, the less harm the patient suffers.


    Conversely, if the surgical level is rubbish, the patient will suffer great harm.


    This is why the patient will try every means to give the surgeon a red envelope before the operation. I just hope that when the surgeon performs the operation, he can look at the red envelope and pay more attention.


    Only from the postoperative state of the white mice, it is easy to see who has the highest surgical level.


    "Next, I will do a small experiment for everyone, so that you can understand the gap with Zhou Can."


    The examiner took out a long-mouth lighter and burned it at the tail of No. 5 white mouse.


    Rats felt no pain and did not respond.


    Burn the tail of No. 14 white mouse again, the same is true.


    Finally when he burned to the tail of No. 50 white rat.


    "Squeak!"


    The white rat screamed in pain, and its tail quickly retracted.


    Candidates couldn''t help but gasp in amazement.


    "Oh my God, Zhou Can not only successfully anastomosed the blood vessels of the rat tail, but also successfully anastomosed the nerves of the rat tail."


    If you compare goods, you have to throw them away, and if you compare people, you have to die.


    Only now did they finally understand how big the gap was with Zhou Can.


    "Zhou Can, you are a liar! You are so lucky to get into the re-examination when you have the ability to win the first place!" The female intern who had ridiculed Zhou Can pouted and rolled her eyes angrily.


    A man''s mouth, a deceitful ghost.


    She will never trust Zhou Can, a ''big liar'', easily again.


    Zhou Can made her understand the meaning of being humble.


    Yang Chan was only one seat away from Zhou Can, and her bright eyes were fixed on Zhou Can.


    "Hey! Zhou Can! Didn''t you say that your medical skills are very good? Even the squad leader dares to lie, and he will kill you after get off work." She said this, somewhat to save face.


    She has always been the most outstanding student in class 512.


    After entering Tuya Hospital as an intern, it went smoothly and made great strides all the way, even being appreciated by the chief physician of the obstetrics and gynecology department.


    Looking at Zhou Can again, his grades were mediocre when he was studying. She has been an intern at Tuya Hospital for nearly a year, but she has been unknown.


    Until today''s regular training recruitment exam, Zhou Can was so dazzling like a comet rising into the sky.


    The brilliant light that bloomed made all the candidates dim.


    Even if evildoers are as evil as her and as wise as she is, they are all left behind by Zhou Can.


    Zhou Can rubbed her pride on the ground.


    Shamed and annoyed, he took out the authority of the squad leader to punish him.


    Of course, if you read it from another angle, she is somewhat coquettish and cute at the moment.


    This is also a common trick used by beauties to resolve embarrassment.


    "Okay, you can choose the best five-star hotel in the city. You can order whatever you want."


    Zhou Can''s family is well-off, and he is not short of money at all.


    Let alone one meal, even ten meals are fine.


    He is happy to be able to feast with beauties.


    "Oh, I forgot that you are a son of a rich family, and you are not short of money. I was thinking of making you bleed, and my heart will hurt for a few days. Forget it, let me invite you again when I have a chance." Yang Chan looked depressed. Wave.


    Ordinary people, please have a big meal, enough to feel distressed for a long time.


    But for a rich man like Zhou Can, UU Reading is too arrogant. Just let her pick a five-star hotel and eat whatever she wants.


    Meeting such a master, she was completely defeated.


    "Who has any doubts now?"


    The examiner asked with a smile.


    Those examinees who questioned just now lowered their heads.


    Even though he was as proud as a dragon, he was sincerely convinced, "There are mountains beyond the mountains, and there are people beyond people. I saw Zhou Can''s surgical skills today, and I was convinced. However, the total score of the re-examination is 30 points, and there is only a difference between Zhou Can and me." 0.5 points. I should score higher than him in the pathological diagnosis and written test. The first place is still me."


    Gao Jian now thought that he was the only one who got the pathological diagnosis right.


    "Hehe, Doctor Gao Jian is very confident! The ranking of the total score is in progress and will be announced soon."


    The examiner smiled noncommittally.


    More than 1,500 candidates are waiting eagerly, waiting for the final ranking to be released.


    The recruitment notice of Tuya Hospital stated that only 11 general practitioners were recruited, which also meant that more than 99% of them would be eliminated.


    Of course, the final admission quota is subject to the actual admission number of the hospital.


    There are so many excellent candidates this year, and the number of applicants is more than double that of previous years. It is estimated that there is a high possibility that the number of places will be appropriately increased.


    Zhou Can''s regular training quota must be stable.


    Whether he can get the first place, he has no idea.


    I think I definitely want to take the first place.


    This is not only a great honor, but also extremely beneficial for future development.


    "Please keep quiet, I will announce the top 20 candidates with total scores."


    The examiner''s voice sounded again.


    The audience was silent.


    Everyone is looking forward to the verdict of fate.

 Chapter 20： soft nail master

    "First place, Zhou Can, written test score A, actual score 94 points. Interview score, 88.5 points, extra points, medical ethics 10 points. Total score 192.5 points."


    When Zhou Can really heard that he had won the first place, he quickly regained his composure after a brief moment of excitement.


    This is just a regular training exam. The real achievement and real growth should be on the operating table. He still has a long way to go.


    There is no end to learning, and medicine is worth studying for a lifetime.


    The written test score A+ is above 95 points, and he scored 94 points, which is quite good.


    The full score of the interview score is 90 points, and only 1.5 points are deducted. It is estimated that it will be at least the top three, and it may even be ranked first.


    Needless to say, the medical ethics bonus was earned by him at the risk of losing his qualifications for the training exam.


    This 10 points is accepted calmly.


    Of the more than 7,000 candidates, he was the only one who won this honor and enjoyed extra points, 10 points for medical ethics.


    After winning the first place, all the candidates'' eyes were on him.


    Envy, worship, admiration, and so on.


    Zhou Can became the star of the audience.


    "The examiner asked weakly, did Zhou Can also get full marks for his pathological diagnosis?"


    Gao Jian thought that the first place was none other than me, but it turned out that Zhou Can was the first. I just feel my brain buzzing.


    "Otherwise what do you think?"


    The examiner might also be a little annoyed by this guy''s question, so he stopped him.


    "All candidates can rest assured that the scoring is fair and just, and there is almost no chance of mistakes. Some people like to talk about strength, some like to put it on their heads, and some like to hide it in their hearts. There is no other meaning, just to tell you , according to my understanding, the more powerful people are, the more modest they are, and the more they like to keep a low profile."


    Being choked up by the examiner, Gao Jian blushed.


    He lowered his head, not daring to say anything.


    Doesn''t the person who shows off his strength on his head refer to him?


    "The second place, high opinion, the written test score is A+, the actual score is 99 points. The interview score is 88.1 points. The total score is 187.1 points."


    As expected of a talented student from Imperial Medical University, his written test scores were really good, and he only deducted 1 point.


    What''s even more rare is that Gao Jian''s interview results are also extremely impressive.


    It can be called both civil and military.


    "The third place, Yang Chan, with A+ in the written test, 97 actual points. 87.4 points in the interview, 184.4 points in total. The fourth place, Du Leng, A+ in the written test, 100 points in actual..."


    The audience couldn''t help being amazed.


    The papers of the written test were so difficult that someone actually got a perfect score.


    What is the origin of this Du Leng? Even better than Gao Jian, a graduate student from Imperial Medical University.


    It was really not easy for Yang Chan to reach the third place.


    After all, there are too many masters in this issue.


    It is somewhat surprising that Jin Mingxi, who ranked second in the retest, failed to make the top ten. His written test score is 90 points. It was also here that seriously held him back.


    "Okay, the top 20 total scores have been announced, and other candidates can log on to the official website of Tuya Hospital to check their rankings. The top 20 candidates should go to the hospital''s physical examination department to participate in the unified physical examination. Congratulations to Zhou Can for winning the first place."


    The examiner leads the applause.


    All the candidates also applauded to congratulate Zhou Can for winning the first place.


    "Thank you for your support and trust in Tuya Hospital. Candidates who have not been admitted should not be discouraged and will fight again in the coming year. You can also always pay attention to the recruitment announcement on the official website of Tuya Hospital. Goodbye."


    Examiners and judges leave.


    The two departments of nursing and medical technology have also been recruited.


    Some people are happy and some are worried.


    Candidates who have been admitted are naturally full of joy.


    As long as you don''t kill yourself, the future is basically bright.


    Those who were eliminated from the game were depressed and left the field sadly.


    One will succeed and all will die.


    There are always only a handful of successful people.


    Gao Jian walked in front of Zhou Can, and the two looked at each other, the light from Zhou Can''s starry eyes was soft and calm, like the water in an ancient well, calm and calm.


    Gao Jian''s eyes are sharp and domineering, full of unruly and unwilling to admit defeat.


    "You are strong."


    Gao Jian squeezed out three words.


    "Each each other."


    Zhou Can responded calmly.


    There is quite a kind of mastery of letting it be strong and letting the strong wind blow the hills.


    "Our competition is just the beginning. It won''t be over until I win you and leave you far behind."


    Gao Jian declared war on him in an almost arrogant tone.


    This is a contest between two men.


    They will compete fiercely in the medical field.


    "Winning or losing is really that important?"


    Zhou Can squinted at him.


    "Before I came to participate in the regular training recruitment of Tuya Hospital, my instructor asked me to win the first place, to win glory for my alma mater, and to add luster to him. In the end, I lost to you. If I don''t get back this place, I can''t explain to my instructor .¡±


    Gao Jian originally came here with a mission, no wonder he attaches so much importance to reputation.


    "Okay! You are welcome to challenge."


    Zhou Can stretched out his hand gracefully.


    Takashi held his hand tightly.


    "I promise to compete fairly. Men from the north, spitting is a trap, and you will never do those low-level things."


    Gao Jian''s expression was quite serious when he said this.


    "Hehe, eyes don''t lie, I can trust you."


    Zhou Can smiled.


    He has never been afraid to fight with others.


    Gao Jian''s uprightness made him feel a little good.


    This is a respectable opponent.


    "I have been an intern in Tuya for nearly a year, and I am familiar with the terrain of the hospital. How about I take you to the medical examination department?"


    "Thank you."


    Gao Jian also smiled, and followed Zhou Can to the medical examination department.


    The two walked side by side, talking all the way, how could they look like enemies? They are clearly a pair of friends.


    Maybe this is a duel between masters.


    Compete friendly and try to outwit each other medically.


    ¡­


    The most difficult part of the regular training test is the written test and the interview. When it comes to the level of physical examination, it is basically equivalent to getting the regular training contract.


    Of course, it is not ruled out that some unlucky people have infectious diseases or special diseases and are eventually turned away by the hospital.


    The results of Zhou Can''s physical examination came out soon, and everything was normal.


    Not long after, he received an invitation text message from the personnel department.


    He happily ran to the personnel department and completed the training procedures. Because he was lucky enough to win the first place, the Human Resources Department handled the whole process for him to obtain a medical license.


    At that time, when the national unified examination is held, he only needs to take the examination.


    The rest of the registration and other things are covered by the hospital.


    This saves him a lot of time.


    I practiced in a hospital for a year, worked part-time for free and had to pay money from time to time, in order to get a medical license.


    With a medical license to practice medicine legally.


    In the future, promotion to attending physician, deputy chief physician, etc., requires a licensed physician certificate.


    "Those who have signed the regular training contract can wait in the small meeting room next to them. The directors of each department will come to pick people later."


    Tuya Hospital is really rich and powerful. This year, it has recruited 20 general practitioners. Nursing recruited nearly thirty people. The medical technical trainee recruited ten people. This department is quite special and belongs to the hardest hit area for related households.


    Where there are people, there are human relationships.


    For example, an old classmate of the vice president of the hospital invited him to drink tea.


    After the meeting, the old classmate brought his son with him.


    After the greetings, the relationship was almost over, and the old classmates started to get to the topic. "Brother, aren''t you the vice president of Tuya Hospital? You have a high position and authority. My incompetent son is also a medical student, but the school he went to is a little worse. It''s a second school. I want to find a job these days." It''s hard to do a good job. Seeing him stay at home and hang out with his cronies all day makes me sick."


    "Can you help get him to work in your hospital? We have been friends for so many years, and my brother has never asked you for anything. There is really no way this time."


    The vice president was in a difficult situation.


    Not to mention medical students from two schools, even one school may not be eligible to enter Tuya Hospital.


    But the old classmate opened his mouth. If he didn''t agree, he would definitely disappoint the old classmate.


    Promise, and I am afraid that the son of an old classmate will cause trouble.


    The clinical medical department is very fragrant, and the risk is too great. People with no skills force it in, and you can get ten baskets out in three days.


    If there is a medical accident, not only will the hospital suffer losses, but even the vice president himself will be implicated.


    How to do it?


    Arrange this kid to the medical technology department.


    Responsible for taking an electrocardiogram for the patient, the work is easy, and it is not easy to cause trouble. What the old classmates asked for was also done.


    So, after a little hesitation, the vice president reluctantly agreed to help.


    In the end, after some work, the son of the old classmate was stuffed into the medical technology department.


    When the other leaders saw it, hey, this idea is not bad.


    The next time you encounter a request that cannot be shirked, the other leader will follow suit.


    In the end, the medical technology department became the hardest hit area for related households.


    The chief and deputy chiefs of the personnel department are all excellent people. There are many times when the leaders greet the Cypriots. Every year when the medical technology department recruits trainees, some places are deliberately set aside for backup.


    Zhou Can walked into the small conference room and found that many people were already sitting and waiting inside.


    In the future, everyone will be colleagues, and some people who are good at drilling have begun to build relationships and build friendships.


    Zhou Can likes to be quiet, and he is even less good at being slick and good at dancing.


    So I sat alone and played with my phone.


    Click on HowNet to open the favorite papers for reading.


    Since he discovered that reading cases can increase the experience value of pathological diagnosis, he loves reading even more.


    Not long after, a very magnetic male voice came over.


    "Hello! Beautiful Ms. Yang, can I get to know you? My name is Du Leng, UU Reading graduated from Johns Hopkins University with a Ph.


    It has long been guessed that this person''s background is not small.


    I didn''t expect the cow to explode.


    Not only has a terrifying doctorate, but also graduated from a prestigious foreign university, Johns Hopkins University.


    This university is the second-ranked medical university in the world.


    Great man.


    Zhou Can heard the sound and turned his head to look over.


    I saw an older young man with a handsome hairstyle and a suit and leather shoes greeting Yang Chan with a graceful smile.


    Meeting such a tall, rich and handsome man, there are few girls who would not be tempted.


    This guy''s vision is really thieves, he actually chose Yang Chan among the many girls at a glance.


    In fact, the girls sitting next to Yang Chan are also very beautiful.


    But compared with Yang Chan, they are like Cinderella.


    A woman is like a flower, and the morning glory is beautiful when it is alone. If you put it together with peonies, it will immediately become a foil.


    Zhou Can wanted to see how the monitor would respond to Du Leng''s accost?


    Having been classmates for five years, in his impression, Yang Chan seems to get along well with classmates on weekdays, but she is arrogant in her heart and has always loved and respected herself.


    Thinking back when Zhou Can first entered college, Zhou Can saw such a beautiful girl in his class, and immediately had the idea of ??chasing her.


    As a result, he hit his head and broke his blood.


    Yang Chan''s soft nails have left him with a psychological shadow to this day.


    She doesn''t look down on Zhou Can, a kid from a rich family, but what about this gentle and handsome doctor of overseas returnee with an extremely dazzling academic record?


    A somewhat immoral idea popped up in Zhou Can''s heart.


    I want Yang Chan to throw out a few soft nails to bring Du Leng out of his psychological shadow.

 Chapter 21： humiliation

    "Hello, now that we have known each other, what else can I do?"


    Yang Chan smiled and blinked.


    On the surface, he is polite and enthusiastic, but in reality he rejects people thousands of miles away.


    Zhou Can suppressed a smile unkindly.


    At the beginning, he was fed soft nails by Yang Chan in this way.


    Now watching her deal with Du Leng with soft nails, why does it feel so cool?


    "Hehe... I think your surgical ability is very powerful, which is very admirable. I have mainly focused on academics these years, and I am a little behind in surgery. Can you give me an e-mail so that I can ask you for surgical skills in the future? "


    Du Leng''s face is thick enough.


    The other girls had already politely rejected him thousands of miles away, but they pretended not to know and continued to strike up a conversation with the cheek.


    And he is very clever in asking for contact information.


    If you directly ask for a phone call or WeChat, it is easy to be rejected.


    Asking for an email address, on the one hand, can show his superiority. After all, developed countries, especially the United States, prefer to use email for communication. On the other hand, it can make people feel that he wants to contact, really for the purpose of exchanging work.


    Phone calls, WeChat, and QQ numbers are more likely to remind people of a clear purpose of making friends.


    "Email, I don''t usually look at it very much! Dr. Du wants to ask for surgical skills. I think it''s better to ask Dr. Zhou Can, who is the number one!"


    She directly used her old classmate Zhou Can as a shield this time.


    Du Leng used the guise of asking for surgical skills in order to have more opportunities to communicate with her top beauty.


    Now let him ask a man for advice, and he won''t do it.


    He also saw that this intellectual and elegant beauty was not easy to strike up a conversation with, in order not to leave a bad impression in her heart. Decide that enough is enough, and look for opportunities to approach later.


    Immediately laughed and said, "Forget it, I''m not familiar with Dr. Zhou Can, I''d better wait for the opportunity to ask him for advice in the future! Goodbye!"


    Du Leng felt ashamed and had no choice but to run away.


    "I can introduce Dr. Du, Zhou Can and I are classmates!"


    Yang Chan is too bad.


    Obviously they have already run away people, and they have to leave a deeper impression on the other party.


    One time will make Du Leng give birth to a psychological shadow, and he will not dare to strike up a conversation with her easily in the future.


    "Don''t dare to trouble Dr. Yang, I''ll just get to know Dr. Zhou myself in the future! Thank you!" Du Leng wiped the sweat from his forehead as he walked.


    Worried that Yang Chan would talk about introducing Zhou Can again, he was so frightened that he hid away.


    "Let''s go now. Zhou Can is my classmate. It won''t be troublesome to introduce you to each other!"


    Du Leng pretended not to hear.


    How dare you reply again.


    Sitting honestly in the distance, he quickly took out his mobile phone and swipe to relieve the embarrassment and tension in his heart.


    Zhou Can almost burst out laughing.


    Fortunately, brother Du Leng is very knowledgeable, otherwise, Zhou Can would not mind taking the initiative to walk over to introduce himself or something.


    If you want to be a class flower in class 512, you have to ask the male compatriots in class 512 whether they agree.


    After nearly half an hour, the directors of each department and the head nurse of the Nursing Department finally came to pick someone up.


    The first person to come was the director of the medical technology department, and he took away all 8 medical technology students.


    The specific arrangement will be decided internally by the department.


    Immediately afterwards, many head nurses from the Nursing Department came to select candidates.


    They belong to various departments.


    Generally, priority will be given to selecting talents who are compatible with their own departments.


    Although the status of nurses in the hospital is lower than that of doctors, their importance is extremely high.


    In addition to assisting doctors in administering medicines and injections to patients, nurses are basically responsible for the care of patients after surgery and during hospitalization. Sometimes a doctor makes a mistake in prescribing a doctor''s order, and a competent nurse can point it out immediately and ask the doctor to correct it.


    As for the instrument nurses, hand washing nurses, and stage patrol nurses in the operating room, it is precisely because of their professional assistance that the operation can be completed smoothly and efficiently.


    It is worth mentioning that with the change of people''s concept and the actual needs of the hospital, the nurse team gradually has male figures.


    It''s just that the number of male nurses is very rare.


    Gui Peisheng, who was in nursing and medical technology, was elected.


    There are twenty general trainees left.


    In any hospital, the core talents are always doctors.


    The 20 of them will be divided up by emergency departments, obstetrics and gynecology departments, internal medicine departments, surgery departments, and pediatrics departments.


    Anesthesiology and pharmacy are not involved.


    The department of anesthesiology is quite special, it belongs to a comprehensive discipline, and it contains multidisciplinary knowledge. The scope is very wide, not only to meet the requirements of surgery, but also to participate in the rescue work of various departments, painless childbirth and abortion in gynecology.


    Recruitment is generally fixed recruitment, or training in clinical departments of hospitals.


    Sometimes there is a shortage of anesthesiologists in the hospital, and it will not be able to recruit suitable ones for a while, so the hospital leaders will focus on internal medicine. Talk to one or two Xiaobai, say that you have performed very well recently, and you have an opportunity to study, do you want to fight for it?


    How can an ordinary workplace rookie resist such temptations?


    He was so fascinated on the spot, his head rushed to agree like a chicken pecking at rice.


    Then tell you, go to study anesthesiology, and transfer to work in the anesthesiology department when you come back. What is said that the anesthesiology department has less work and more money, and has more opportunities to be promoted than other departments.


    A fool.


    Xiaobai will most likely readily agree. I thought I was appreciated by the leader and got a good chance for promotion.


    It wasn''t until he actually entered the anesthesiology department that he realized that he had been cheated miserably by the leader.


    ¡­


    Not long after, the directors of several departments came over.


    "Yang Chan is my obstetrics and gynecology department has been training, the directors are not allowed to compete with me!"


    As soon as Director Zhang Bihua of the Department of Obstetrics and Gynecology came in, he called Yang Chan by name.


    It shows how much she values ??Yang Chan.


    "Gentlemen don''t take what others like. Our internal medicine department has always liked the beauty of adults, and we will never steal Director Zhang''s lover." The chief director of the internal medicine department is a red-faced man who looks about 40 years old.


    He is slightly fat, with bright eyes, black hair, and a good complexion.


    It is said that internal medicine is best at conditioning and health preservation, and the director of internal medicine, Tan, is the best sign of internal medicine.


    According to the profile data of famous doctors in the hospital, Director Tan is 59 years old this year.


    If placed in rural areas, many 60-year-olds are senile, with gray hair and wrinkled skin. Director Tan of the Department of Internal Medicine looks 20 years younger than his actual age. If he said that he didn''t use his knowledge of internal medicine to regulate and maintain his body, who would believe it?


    He speaks unhurriedly, with enough air and a gentle voice.


    "I agree with Director Tan''s words. The department of obstetrics and gynecology is special in that it only treats female patients, and female doctors are more trusted and loved by female patients. It is common for female doctors to learn the theory well. It is really rare to have surgical talent. Although I don''t know Yang Chan, I have heard of her outstanding potential. Congratulations to Director Zhang for finding a successor."


    Director Xie of the Department of Surgery is also very good at speaking.


    Those words won the favor of Director Zhang and Director Tan.


    "Thank you, thank you both for your great support to me, an old woman." Director Zhang put his hands together and thanked repeatedly.


    "Several directors, this year we recruited a total of 20 general practitioners. Proportionally, we can assign two people to the emergency department. Your major internal medicine, major surgery, and obstetrics and gynecology departments are all from Tuya Hospital with considerable achievements. It has a large department with a lot of talents. However, the talent team in our emergency department is still very backward, can you take care of the emergency department and let us pick two people in the emergency department first?"


    Director Lou of the emergency department looks a little anxious, with thick eyebrows, small eyes and a big nose, and a long face. He is estimated to be about 1.6 meters tall.


    Fortunately, it is a man.


    If you are a lesbian, I am afraid it will be difficult to find a partner.


    He was worried that all the good talents would be robbed by several powerful departments, so he hurriedly stood up and spoke out.


    The emergency department should be the most difficult department among several major clinical departments.


    There is a lot of work and a lot of things, and the relationship between doctors and patients is tense.


    The team of doctors in the key emergency department is also amazing. There are not many fixed emergency doctors. The key point is that most of these people are kicked out of other departments.


    To put it bluntly, no one refuted the use of the word elimination.


    It is conceivable that the team of doctors in the emergency department is not really strong.


    When you go to the emergency department of the hospital, as long as you stay for a long time, you will find that the emergency department receives ten patients, and at least five of them need to call doctors from other departments to the emergency department.


    One can imagine how humble its status is.


    Every aspiring director of the emergency department will do everything possible to recruit talents.


    It''s just that because the weight of the department is low and the right to speak is not strong, there are really few opportunities to recruit talents. The annual allocation of regular trainees is an important opportunity for it.


    It doesn''t matter whether you can win against other departments or not, even if you fight for blood, you must do your best to fight for it.


    Director Lou had obtained information from special channels early on, and knew that among the 20 regular trainees recruited this year, several of them were talented.


    There is even a returnee doctor who graduated from a famous foreign university.


    It would be great to get recruited into the emergency department.


    "Hey, our pediatric department serves the future flowers of our motherland. Are good talents sent to our pediatric department first?" The chief director of the pediatric department is a very beautiful female doctor.


    He looked like he was in his thirties.


    Of course, the actual age may be more than that.


    Without any qualifications, it is impossible to sit on the throne of the chief director of such an important department as pediatrics.


    When attractive women communicate with men, they have an advantage psychologically.


    Because of her beauty, she can naturally get preferential treatment and favor from men.


    Human beings are visual animals, and this law is established by the Creator.


    Zhou Can watched the directors of several major departments vying for talents, and thought to himself, "It turns out that these big bosses also eat the fireworks of the world, and they also compete for the interests of their respective departments."


    He won the first place in the regular training exam, so he should be a hot item.


    I have some expectations in my heart, hoping to enter a key department.


    "I don''t think we need to fight anymore. It''s our turn to choose one person at a time. This is fair to everyone."


    Director Xie suggested.


    "That''s a good idea, I agree."


    Director Lou of the emergency department knew that he was a soft-spoken person, so it was already very good to achieve this result.


    readily agree.


    The other three directors also nodded in agreement.


    "Director Zhang has already been selected. According to the weight of departments, our Department of Surgery and Internal Medicine should be tied for the first place, followed by Obstetrics and Gynecology, followed by Pediatrics, and the Emergency Department is the last. Director Tan, how about doing my major surgery today?"


    Director Xie smiled and looked at Director Tan of the Department of Internal Medicine.


    "Director Xie opened the golden mouth, and Tan will naturally not refuse. In the future, when the internal medicine department encounters difficult patients and needs help, the surgery department will also ask for strong support!"


    Director Tan spoke in an amiable manner without a trace of anger.


    It is difficult for ordinary people to achieve this kind of self-cultivation.


    Internal medicine often encounters patients who need intervention and intracardiac stents. Since this kind of minimally invasive and interventional surgery has only just emerged in the last ten years, it is inevitable that the skills are unfamiliar.


    Accidents also happen from time to time.


    For example, when performing intracardiac interventional surgery, I did not grasp it well, and sadly pierced the patient''s heart.


    This is life and death.


    Putting face aside for the time being, I quickly called the surgeon to come over and help wipe my butt.


    For now, although the status of internal medicine is higher than that of surgery, it is an indisputable fact that internal medicine often seeks help from surgery.


    Although the Department of Internal Medicine has always looked down on Surgery, thinking that Surgery is all about taking knives, and without a scalpel, nothing can be done.


    Director Tan took this opportunity to make a ''small request'' to Director Xie of the Department of Surgery, and he expected that he would not refuse.


    "Haha, we are all in the same hospital, we are a family at first, easy to talk about, easy to talk about. When I go back, I will say hello to those under me. If there is anything in the internal medicine department, they will be there on call."


    Director Xie laughed and agreed.


    "Hurry up and pick someone! The emergency department just picked up a critically ill patient. I''m not in the emergency department to keep an eye on it. I''m afraid that those idiots under my command will make something happen." Director Lou urgedLook at him The deep furrows between the brows showed that he hadn''t worried much at ordinary times.


    Director Xie''s eyes swept over the remaining nineteen Gui Peisheng, his eyes only swept across Zhou Can''s face, and then quickly fell on Du Leng.


    "I chose Du Leng, not for anything else. Just his doctorate from Johns Hopkins University is enough for me to choose him without hesitation." Director Xie didn''t even think about ranking first in the overall score, the white mouse Zhou Can who got full marks for surgery.


    This surprised Zhou Can, and even made him feel a little bit disappointed.


    It turns out that academic qualifications can overwhelm everything.


    Surgery relies on surgery for a living. It is really puzzling to choose someone with a high degree of education instead of the one with the best surgical ability.


    "Gao Jian, a postgraduate student from the Imperial College of Medical Sciences, with solid medical knowledge and strong surgical skills, I need such talents in internal medicine. Xiao Gao, do you agree?"


    Director Tan of the Department of Internal Medicine still chose Gao Jian, a graduate student from a prestigious school with a higher education.


    Zhou Can was left out in the cold again.


    He just felt panicked.


    Because of his low education, he suffered unprecedented discrimination, which made him realize the reality.


    He vowed that he must redouble his efforts and one day stand at the top of medical skills and tell everyone that academic qualifications are not everything.


    "Oh, you have selected the two best talents! Chen Jiaojiao, it''s just you. You are also a graduate student of the Imperial College of Medical Sciences, and your surgical skills are also good. We welcome you to join us in the Department of Pediatrics."


    Director Tang''s choice of Pediatrics is tantamount to putting a handful of salt on Zhou Can''s wound.


    Zhou Can lowered his head, bearing the humiliation caused by his low education.


    "Zhou Can, would you like to come to our emergency department?"


    At this time, Director Lou of the emergency department extended an olive branch to him.

 Chapter 22： continuous shock patient

    After being rejected three times in a row, Zhou Can''s stubbornness has already come up.


    It is also good to enter the worst department.


    It is more beneficial to his growth.


    The medical team in the emergency department is poor, and the competition is far less intense than that of the weighted departments. Even a rookie like Zhou Can can get a lot of opportunities to practice mobile phones.


    In addition, with a sigh of relief in his heart, he can prove himself even more by growing rapidly in the worst department.


    He wants to show those department directors who didn''t choose him that not choosing him is their biggest loss.


    "I would."


    Zhou Can answered very firmly.


    "Puchi!"


    Someone laughed.


    Zhou Can followed the prestige a little angrily, and saw Du Leng covering his mouth with a strange expression.


    It is probably because Zhou Can, the number one, is not wanted, but he, the number four, has become the most sought-after talent. Then when the worst emergency department offered Zhou Can an olive branch, Zhou Can rushed to agree, as if no one wanted it.


    The strong contrast made Du Leng feel a little funny, so he sneered.


    After noticing Zhou Can''s angry gaze, Du Leng hastily coughed to cover it up.


    This small episode did not affect several directors to continue to choose people.


    When it was the turn of director Lou of the emergency department to choose someone again, he chose Jin Mingxi, who had a bachelor''s degree from a regular college. It should be Jin Mingxi''s work experience and surgical ability.


    In the re-examination, Jin Mingxi scored second, second only to Zhou Can.


    If this person didn''t have a bad grade in the written test, he would definitely rank among the top three in terms of total scores.


    "Okay, we have run out of two places in the emergency department, so excuse me." Director Lou greeted the other four department directors, and left with Zhou Can and Jin Mingxi.


    Judging by his busy demeanor, he must be very busy at ordinary times.


    "I''ll take you to the personnel department to register first. You two will be doctors in the emergency department in the future."


    Take the two to the emergency department.


    "Hey, Director Lou is here, please take a seat!"


    The female clerk in the personnel department smiled like a flower.


    When Zhou Can signed the contract with her not long ago, she still had a proud face and spoke very coldly.


    Looking at the current enthusiasm for Director Lou, Zhou Can really made Zhou Can wonder if this woman had a split personality?


    "Register the two of them, and they will be managed by the emergency department. This one is called Zhou Can, and the other is called Jin Mingxi."


    Director Lou is at the bottom among the directors of several major departments.


    But in front of a small member of the personnel department, it definitely has weight.


    Words are also very useful.


    While quickly registering the two of them, the female staff member smiled and said, "Didn''t Director Lou choose someone with a higher education? There are quite a few graduate students in this period''s regular training program!"


    If the number of graduate students is small, Director Lou can''t compete with other department directors, so he can only choose the remaining ones, which is understandable.


    But more than 70% of this batch of regular trainees are postgraduates, and Director Lou has two places, so there is no reason why they can''t get any of them.


    "Our emergency department needs people who can do things more. The education background of the two of them is a little low, but they have strong surgical skills and a good level of diagnosis. They can be used when they take them home. Besides, isn''t Gui Peisheng going to the rotation department? Recruiting someone with a high degree of education looks pretty good, but you have to work hard to train them. When the training period expires, you might go to another department."


    After listening to Director Lou''s explanation, the female staff covered her mouth and giggled.


    "Girl, don''t laugh. Our emergency department has a lot of work and low wages, and the risk is still high. We really can''t keep people. Those who are a little bit better will be poached by other departments soon. I want to start now." I can¡¯t keep those who are going to leave, just pick those who can work immediately.¡±


    The emergency department has always been at the bottom of the department, and it cannot retain talents, which is determined by its general environment.


    Compared with other departments, it has natural disadvantages.


    "You see it quite openly. Well, the registration is over."


    A department director stared at it, and the efficiency of female staff members increased several times.


    This man is reality.


    "goodbye!"


    Director Lou waved to the female staff and took Zhou Can and Jin Mingxi back to the emergency department.


    "The emergency department is no different than other departments. There are often some patients with headaches and brain fever. They may look fine, but in fact they may be in critical condition. Once they get worse, they will soon develop to the point where they need to be sent to the emergency room. So you two should be very careful. .Give you half a month to adapt, and I will arrange experienced doctors to take you. If you don¡¯t understand, if you are not sure, you must ask the superior doctor. Don¡¯t be afraid of being scolded, or feel embarrassed..."


    On the way back to the emergency department, Director Lou explained some precautions to the two of them.


    For the first half month, he didn''t expect the two of them to be of any help, as long as they didn''t cause trouble.


    As soon as they entered the emergency department, a nurse trotted over.


    "Director Lou, you should go to the emergency room to have a look. The patient has gone into shock three times. The family members are arguing so badly that they barely beat him." The nurse panted and quickly reported the situation.


    That patient must be the critically ill patient mentioned by Director Lou who was just admitted not long ago.


    Shock is a very special medical term.


    When ordinary people hear the word shock, they may equate it with coma.


    In fact, shock is much more serious than coma.


    Shock is a syndrome in which after the body is attacked by strong pathogenic factors, due to the sharp decrease in effective circulating blood volume, tissue blood perfusion is extensively, continuously, and significantly reduced, resulting in poor microcirculation throughout the body and serious impairment of vital organs.


    At this time, the function of the body loses compensation, tissue ischemia and hypoxia, and nerve and humoral factors are out of balance.


    The state of shock is actually near death.


    It''s like half of your body has entered the gate of hell.


    A coma may or may not be severe.


    For example, the most common epileptic seizure, after the patient falls into a coma, is actually not too dangerous. Sometimes short-term suffocation and hypoxia, or severe blows to the head, or even fright, can easily fall into a coma.


    Through the above comparison, it can be seen that once the patient falls into shock, he must be rescued immediately.


    Otherwise, it may hang up at any time.


    That patient has gone into shock three times in a short period of time. What kind of disease is he suffering from?


    Director Lou had a sullen face, without saying anything, and walked quickly to the emergency room.


    Seeing that the director didn''t make any arrangements, Zhou Can naturally followed to the emergency room.


    On the first day he came to the emergency department, he encountered a thrilling scene. Apart from a little nervousness, he was more excited. As long as he has strong enough medical skills, he can flourish in the emergency department.


    There are plenty of exercise opportunities available.


    "Is your hospital okay?"


    "If my son''s life is gone, I will definitely take you all to court!"


    "He was still awake when he was sent here. It was you quack doctors who put my nephew into shock. You are killing people."


    Several family members rolled and splashed at the door of the emergency room.


    The curse words are very ugly.


    Zhou Can had been an intern doctor for a year at least, and this kind of scene was rarely seen, but he had seen it a few times.


    At this time, what you say to your family members is nonsense, and it is right to rescue the patient first.


    "Family members, please don''t worry. Our director is here, and he will definitely try his best to rescue the patient."


    The female nurse was very brave and rushed ahead to open the way.


    "Why do you have to wait until everyone is in shock before showing up? What did you do earlier?"


    "You are so irresponsible."


    These family members are anxious, sad, and understandable.


    But this unreasonable behavior of insulting doctors must not be encouraged.


    Director Lou was in a hurry to go in to rescue people, but they blocked the door, seriously disrupting the rescue order.


    "Give it up, give it up! If the patient dies because of your obstruction and interference, you will bear the consequences yourself." Seeing that the nurse couldn''t shake the scene, Zhou Can strode forward immediately, and sternly sternly yelled at the family members. scolded.


    Several family members were really shocked by him.


    "Go over there and wait. We are doctors, and it is our duty to rescue the patients. We will definitely do our best to rescue your children. If you don''t trust us, you can transfer the patients to other hospitals. It¡¯s no good for anyone if it goes on like this.¡±


    Although these family members were a little unhappy, they finally subsided.


    Director Lou was able to enter the emergency room smoothly.


    Zhou Can and others followed closely behind.


    In the emergency room, six or seven doctors and nurses were in a hurry to rescue a child with twitching limbs.


    The child''s eyes were closed tightly, his teeth were clenched, his face was pale, and the situation looked very bad.


    The life monitoring indicators of blood oxygen, heart rate, and blood pressure are all bad.


    "Director Lou, this child went into shock shortly after being rescued. The reason has not been found yet." An attending physician in his forties was sweating profusely and didn''t bother to wipe it off.


    His brows were furrowed, his expression was dignified and full of worry.


    "You are responsible for the rescue first, and show me the medical records!" Director Lou was calm and did not panic like other medical staff.


    Instead, he calmly searched for the cause of the shock.


    After Zhou Can entered the emergency room, he first inspected the child, and then listened to Director Lou read the medical records.


    "The child caught a cold two days ago and developed fever, loss of appetite, listlessness, lethargy and other symptoms. After treatment at a nearby clinic, it didn''t work. Seeing that the child''s condition worsened, he was sent to the emergency department of Tuya Hospital for medical treatment."


    It''s just a simple cold, how could it become so serious?


    There are only two situations that Zhou Can can think of, or the child doesn''t have a cold at all. After all, there are too many diseases similar to colds. Or the family has something to hide.


    He is a young Pearson who has just entered the emergency department. He is soft-spoken, and naturally he will not speak indiscriminately until the cause is clarified.


    All that needs to be done now is to verify and investigate one by one.

 Chapter 23： terrible copycat drug

    Director Lou found no useful clues after reading the medical records.


    His eyes could not help but fall on the child.


    "The sick child is 11 years old, with a body temperature of 39.7 degrees and a high fever. Shortness of breath, blood pressure dropped again and again, 86/54mmHg, heart rate 155/min."


    Each of these basic data looks worrying.


    The sick child is currently in an extremely dangerous situation. If the cause of the shock cannot be found out in time, he may die in the emergency room.


    The doctor has fulfilled his duty of rescue, so he does not need to bear any responsibility.


    But it can have a negative impact on the hospital''s reputation.


    Judging from the previous performance of the family members, the possibility of medical trouble is extremely high.


    The faces of Director Lou and the attending doctor became more and more solemn, and a trace of anxiety appeared from between their brows.


    "Have you done all the inspections that should be done?"


    Doctors are human beings, not gods.


    When experience and medical knowledge alone cannot diagnose the cause of disease, modern advanced medical equipment can only be used.


    "This is the result of a blood test, as well as the films of the brain, chest and abdomen, and nothing abnormal was found."


    There are many reasons for shock, such as hemorrhage in the abdominal cavity, brain tumors compressing important blood vessels and nerves, and so on.


    Director Lou took the inspection list and checked it carefully, trying to find clues from it.


    Sweat dripped from his forehead.


    It gathers into the size of a mung bean and slides down from the forehead. But he didn''t care to wipe it.


    "According to the blood test results, the possibility of poisoning can basically be ruled out. Sepsis can also be ruled out. The X-rays taken can basically confirm that the sick child has no internal bleeding and no obvious brain damage. No, I have to ask the family members. How does the clinic treat it?"


    Director Lou has rich experience, and there are problems with the medicines used in the clinic.


    Of course, this is just suspicion.


    "I have already asked, and the family members bought Ganmaoling Capsules for the child to take. Besides, following the doctor''s advice in the clinic, the child was given plenty of boiled water, and no other treatment was done."


    The receiving doctors are experienced and experienced, and the receiving procedures are also very rigorous.


    Everything that should be asked clearly has been asked clearly.


    Medication is fine.


    "Small clinics like to give patients infusions the most. Are you sure you haven''t given infusions to children?"


    "The family said no."


    Sometimes the words of family members may not be credible.


    "Did you check the child''s arm, arm?"


    "I checked it carefully, but I didn''t find any needle marks left by the infusion."


    This time it was a middle-aged doctor with dark skin and a thin figure who answered the question. This person looked very serious at first glance, because of frowning for a long time, a deep Sichuan-shaped line formed between his eyebrows.


    His eyes are like knives, the sharpness pierces people''s hearts.


    "Doctor Xu has checked it himself, and there must be nothing wrong, so I don''t need to read it again. The condition of this sick child is critical, so we can''t delay any longer. Contact the internal medicine department and ask them to send a doctor over for consultation."


    Director Lou made a decisive decision and decided to ask a doctor from the Department of Internal Medicine for consultation.


    Internal medicine is called the mother of medicine. It is the definition of disease, etiology, pathogenic mechanism, epidemiology, natural history, symptoms, signs, laboratory diagnosis, differential diagnosis of imaging examination, pathological diagnosis, treatment, and prognosis. very professional.


    When encountering this kind of shock whose cause cannot be found, I am afraid that only an internal medicine doctor can give a more professional diagnosis opinion.


    "I have already called to request someone from my heart to come over for consultation, and explained that the patient''s situation is urgent. I hope they can send a chief doctor over."


    The nurse next to him whispered.


    Director Lou was silent for two seconds, "How long have you been calling?"


    "Almost fifteen minutes."


    The nurse puffed out her cheeks and muttered.


    The doctors in the internal medicine department have always been aloof and a little airy, so they are not easy to please.


    The status of the emergency department is not as good as that of the internal medicine department, so it is okay to ask once or twice occasionally. The number of invitations is too many, and people are very impatient.


    "Hush again."


    Director Lou also knows that internal medicine doctors are hard to find.


    It''s just that human life is at stake, and the hospital has this mechanism. The emergency department was initially just an emergency diversion platform. When encountering such uncertain patients, you have the right to ask any doctor in the department for consultation.


    Each department shall not refuse.


    "Forget it, I''ll call Director Tan!" Director Lou was worried that the nurse''s reminder would be useless, so he put down his old face and called Director Tan in the internal medicine department himself.


    Director Tan did not refuse, and promised to urge his heart to send a doctor over immediately.


    Zhou Can practiced in Tuya Hospital for one year, and has rotated in several important departments.


    He could feel some of the mutual disdain between departments.


    Internal medicine is one of the two most powerful departments in the hospital. Almost all critically ill patients, as well as various cancers, leukemia, etc., need support from internal medicine. About 60% of the medicines prescribed by pharmacies come from internal medicine.


    Whether it is medical status or ability to absorb money, internal medicine is a well-deserved leader.


    Cardiology is the ace department of internal medicine.


    Ask the doctor in your heart to go to the emergency department, it''s normal for people to put on airs.


    The inner doctor is notoriously arrogant, after all.


    Maybe I also want to use this method to gently remind the emergency department not to move around, and ask them to go to the emergency department if there is something serious, everyone is very busy.


    Time passed by every minute and every second.


    Zhou Can stared at the sick child who was still in shock.


    His face was pale, but there were two sickly flushes on both sides of his cheeks due to high fever, no sweat, and cyanosis on his fingertips... These symptoms always seemed familiar. Should have seen it in a book.


    It''s just that I have read too many books, and I can''t remember them for a while.


    "Ask the family members, maybe you can gain something."


    Zhou Can walked outside.


    At this time, no one cared about him as a junior trainee. Director Lou just turned his head and glanced at him, then continued to study the blood test sheet.


    Colds are prone to viral myocarditis and may also lead to shock.


    It''s just that it rarely happens to children.


    Both filming and blood tests showed normal results.


    Basically can be ruled out.


    Zhou Can left the emergency room and went straight to his family members.


    "May I ask who are Zhu Wenwen''s parents?"


    "I am the child''s mother. Doctor, how is my son?"


    "It''s being rescued, and the situation is not optimistic. Has Zhu Wenwen been living with you recently?"


    "That''s right! My son is so good, I never thought that a cold would be so serious, woo woo..."


    Zhu Wenwen''s mother burst into tears as she spoke.


    "Listen to me, the hospital is doing its best to rescue them. If you can provide some important information, it may be of great help to the rescue work."


    Zhou Can patiently communicated with the family members.


    "If you want to know what''s going on, just ask, and I will definitely cooperate."


    She looked at Zhou Can with tears in her eyes, and the only thing she could count on now was the doctor.


    "After Zhu Wenwen caught a cold, are you sure he didn''t get injections and infusions at the clinic?"


    "Definitely not."


    "Just took Ganmaoling Capsules?"


    "Yes. I feed my son myself."


    "How many pills did you eat in total?"


    "Four pills. I took two pills last night, and took another two pills this morning. I took it strictly according to the instructions. It said, take two pills at a time, three times a day."


    "Did you bring the rest of the medicine?"


    "I brought it with me, I was worried that I would continue to take medicine for my son when I got to the hospital, so I brought them all."


    She dug out a small plastic bag from her bag, which contained a box of medicine.


    After Zhou Can took it, he took it out to check.


    On the box, it says Ganmaoling Capsules, specially designed to treat headaches, stuffy nose, and runny nose...


    No, why is it different from the pack of Ganmaoling capsules in the hospital pharmacy?


    Look again, good guy, it turned out to be a counterfeit brand.


    These years, pharmaceutical companies have also learned to ride the heat.


    They will package similar drugs produced by themselves into well-known drugs in the market.


    For example, the well-known 999 Ganmaoling Capsules.


    This pharmaceutical company removed the three nines and hit the edge.


    The manufacturer''s information is all true. It''s a drug company name I''ve never heard of.


    Zhou Can is most concerned about the ingredients of the medicine.


    All drugs on the market must undergo multiple reviews by the regulatory authorities. This cannot be faked.


    Drug ingredients must also be truthfully declared.


    "Tricornus bitter, wild chrysanthemum, caffeine, acetaminophen, chlorpheniramine maleate, mint leaves, and the auxiliary material is talcum powder."


    The ingredients are exactly the same as 999 Ganmaoling Capsules.


    I have to admire the copycat capabilities of these small pharmaceutical companies.


    Take out the medicine inside, there are twelve pills in one version, only eight pills are left.


    Explain that the child''s mother did not lie.


    The sick child took four pills.


    In fact, the dosage above it is customized for adults. For children under the age of twelve, the dosage should be halved.


    However, many parents worry that too little dosage will not work, and they usually choose to let their children take the dosage of adults.


    Usually, there should also be a paper manual inside.


    After Zhou Can took out the capsule, he checked and found a folded white instruction manual inside the box.


    The above content is basically the same as the description on the box.


    Ordinary consumers often don''t bother to look at it.


    Only professional medical personnel can see some different information from the instructions inside.


    "This medicine contains a powerful ingredient called paracetamol, which provides fast pain relief and allows you to recover."


    Just such a sentence similar to a slogan attracted Zhou Can''s great attention.


    What is potent?


    Only increasing the dose can produce a stronger effect.


    What is paracetamol? Ordinary people don''t know it, but Zhou Can knows it very well. Acetaminophen and paracetamol are the same drug.


    This also means that the acetaminophen content in this box of Shanzhai Ganmao Capsules is likely to far exceed that of the genuine 999 Ganmaoling Capsules.


    In order to seize market share, small pharmaceutical companies increase key drug ingredients and enhance drug efficacy, which is a common trick.


    As for the safety of patients, the unscrupulous bosses don''t care.


    As long as it doesn''t kill people and cause serious consequences such as disability, then it''s fine.


    "I know that the sick child is likely to be allergic to paracetamol or overdose, which leads to shock and is critically ill."


    Zhou Can''s heart brightened.


    No wonder I always feel that the symptoms of sick children seem familiar, and I have seen similar descriptions in a medical book in the library before.


    I didn''t expect to encounter a case today.


    [Pathological diagnosis experience value +1. ¡¿


    Experience points arrive on time.


    It appears that the cause of the sick child''s shock was an overdose of acetaminophen.


    "This time, there is no need to ask the emperors from the cardiology department."


    Zhou Can is now a doctor in the emergency department, and honor and disgrace are bound together with the emergency department.


    He is very happy to help the emergency department.


    "Thank you for your valuable information. This box of medicine is not genuine. I''ll take it to test the ingredients of the medicine first." Zhou Can explained a few words to his family members and returned to the emergency room excitedly.


    After entering the door, he found that the ''emperor'' of the cardiology department had finally arrived.


    He is a young doctor in his mid-thirties.


    Judging by the situation, it should have just arrived.


    The condition of the sick child is being checked.


    Being so young, he must not be the chief physician. The heart probably sent a random doctor over on an errand.


    "If you have a cold, you need to ask the doctor in your heart for consultation. Don''t you emergency doctors usually read books?"


    This person had a cold face, he didn''t find out the cause of the disease, instead he first taunted the doctor in the emergency department.


    The doctors in the emergency department were all full of anger and dared not speak out. Now that you need help from others, you must be patient.


    "Judging from symptoms, heart rate, blood pressure, blood oxygen and other indicators, the patient''s shock state is not particularly serious. It will not be life-threatening for the time being. Show me the blood test report."


    The bossy tone made people feel uncomfortable.


    It is not appropriate for Director Lou to hand over the inspection report in person. Especially in this person''s tone of commanding servants.


    Just imagine, UU Reading The emperor of a country, like a servant, delivers documents to the courtiers of the other country, is this appropriate?


    Although the status of the emergency department is low, it is not so humble.


    Zhou Can is preparing to step forward to be the delivery person.


    Unexpectedly, the nurse girl took the lead.


    She naturally took the inspection report from Director Lou and handed it over.


    "Doctor He, this is the blood test report of the sick child."


    After the other party takes it, check it carefully. No valuable information seems to be found.


    "Have you ever filmed it?"


    "I took color Doppler ultrasound and CT, and found no problem."


    Handed over the film too.


    Dr. He checked each one carefully, but still found nothing.


    In fact, doctors in the Department of Cardiology can''t be too mythical, basic medicine, everyone''s level is not much different.


    If you look at a film, you won''t even look at the results of a blood test, and you won''t be able to stay in Tuya Hospital.


    "Doctor He, have you found out the problem?" Director Lou asked.


    Now he is most concerned about how to save the patient.


    "Don''t worry, the patient''s situation is a bit complicated, I have to think about it again." Dr. He''s tone was too high just now, he put himself on the top, and couldn''t get off. I can only hold on.


    "Hehe, even Dr. He in his heart has to think hard to diagnose the cause. It seems that this cold is not simple!"


    A simmering emergency doctor fired.


    I don''t know how to ridicule, just irony.


    After all, when Dr. He first came in, he choked on them very arrogantly. Even if you have a cold, you have to ask the doctor in your heart for consultation. Has the doctor in the emergency department not read the book?


    "I''m not saying it''s difficult, it''s just that it''s a bit complicated, and the diagnosis needs to be more rigorous." Dr. He is still stubborn.

 Chapter 24： Are you beaten by your family members?

    It seems that this ''master'' in cardiology is hopeless.


    Fortunately, Zhou Can has found the reason for the sick child''s shock.


    "Director, I think I have found the reason for the patient''s shock." Zhou Can walked up to Director Lou and said.


    Everyone looked at him in surprise.


    Even Dr. He from the Department of Cardiology failed to find out the cause. He is a small-scale Pearson, and he only spends a few minutes in the emergency room. If he can really find out the cause, he will definitely be a genius among geniuses.


    "Who is this?"


    Dr. He found that Zhou Can was very young, and wondered, is this kid a master or a rookie?


    There are usually some newcomers who think they are very capable, in order to show off, they come up with some unrealistic diagnosis results, and finally make a joke.


    "Oh, let me introduce to you, these two are Gui Peisheng who have just joined our emergency department. His name is Zhou Can, and his name is Jin Mingxi." Director Lou was in a hurry to save people just now, so he didn''t have time to introduce the two newcomers.


    "Oh¡ªit turns out to be a novice Pearson, no wonder talking is so ''interesting''!"


    Doctor He showed such a sarcastic expression.


    This pair of sloppy lips really deserves a beating.


    Zhou Can has no time to argue with this.


    Instead, he said seriously to Director Lou, "Director, I suspect that the sick child''s shock is related to the Ganmaoling Capsules he took."


    After Director Lou finished listening, his hopeful eyes quickly dimmed.


    He was not disappointed.


    Because it was not expected that the newly recruited Gui Peisheng could find out the cause of the sick child''s shock.


    "Xiao Zhou, it''s a good thing to be skeptical. But I have to tell you that Ganmaoling Capsules have been on the market for so many years, and I''ve never heard of anyone going into shock after taking it."


    Director Lou sighed secretly.


    The directors of other departments are all scrambling to get the highly educated Gui Peisheng, and they really have their reasons.


    Even Zhou Can, who had the highest overall score in the standardized training exam, had extremely poor pathological diagnosis and analysis skills.


    "Young man, diagnosis is not a child''s play! It must be based on the patient''s symptoms, combined with various inspection data, and then flexibly use profound medical knowledge to conduct scientific and rigorous syndrome differentiation. If you have a chance, I suggest you read more books, otherwise it will be a joke How embarrassing! Don''t you think so?"


    While Dr. He taunted Zhou Can, he frequently lowered his head to check his phone.


    Is this asking for help online?


    Taunting Zhou Can was just to delay time in an open and aboveboard manner.


    "Director, please take a look at this medicine. I just went out and asked the family members for it. It is not the genuine 999 Ganmaoling Capsule, but a counterfeit version." Zhou Can withstood the pressure and showed the box of medicine to Director Lou for inspection.


    "There is such a thing, let me see!"


    Director Lou''s expression became serious, and he took the medicine and checked it carefully.


    "Damn it, it''s really a counterfeit version!" He also swears in front of so many people regardless of his identity as the director.


    "I asked the family members in detail, and I gave the child four pills in total. I took two pills last night and another two pills this morning. This is the dosage for adults. What''s even more frightening is that this unscrupulous pharmaceutical company tried to enhance The effect of the drug is likely to increase the dose of acetaminophen. The various symptoms of the child are highly similar to the symptoms of paracetamol shock allergies."


    Zhou Can explained the ins and outs of it in detail.


    Everyone was stunned.


    Who would have thought that the reason for the sick child''s shock was that the Ganmaoling Capsules he was taking were not genuine.


    "Good boy, so many people failed to find out the cause, but you found it out. Haha, this time our emergency department has found a treasure." Director Lou was delighted.


    The cause of the sick child''s shock has been found, and the sick child should be able to be revived soon.


    The recruited Zhou Can was a hundred times more powerful than he expected.


    Just now, he regretted picking two Gui Peisheng with low education, but now that he has seen Zhou Can''s ability, he realizes that he has picked a big mistake.


    Double happiness is coming, he is naturally happy.


    "Saving people is like putting out a fire. Immediately give anti-allergic treatment to sick children."


    The patient must be rescued immediately.


    Director Lou immediately issued a doctor''s order to give the patient calcium, vitamin B and other drugs, specifically for paracetamol allergy treatment.


    "Director Lou, it''s just a guess right now, it''s not confirmed yet. Would it be safer to do a test on the contents of the stomach before deciding on the next treatment plan?"


    Doctor He dissuaded.


    "Although the sick child is in a state of shock, the time for a laboratory test can definitely wait. If such a risky treatment is recklessly done because of a few words from a Gui Peisheng, I think it is extremely unadvisable. If something happens I can''t take the responsibility for that."


    He was invited by the emergency department to participate in the consultation.


    If something really happened, it would be more or less implicated.


    "What do you mean by guessing? Doctor Zhou Can has already conducted in-depth syndrome differentiation, and you are still here tossing around doing stomach content tests, what do you think? Don''t listen to him, give me a quick treatment!"


    Director Lou has practiced medicine for many years and has his own sense of propriety.


    This Dr. He looked a little unattractive, so it took nearly 20 minutes before he came to the emergency department to participate in the consultation. After the key came, it didn''t work.


    Now Zhou Can from the emergency department has diagnosed the cause, but he is still talking here.


    What is it?


    Besides, the sick child''s condition is already critical. The cause of the disease has been clarified, do we have to do the tests rigidly and delay the rescue until the sick child dies?


    "Doctor He is afraid of taking responsibility. It''s okay. If something goes wrong, we in the emergency department will deal with it ourselves. If you are busy, go and do your work." Director Lou barely said that you can''t help if you stay here, on the contrary Something gets in the way.


    let''s go now.


    Doctor He''s face turned pale and white.


    Originally, he came here as a king, but in the end, he was not capable enough, and instead of pretending to be B, he was slapped in the face by a Gui Peisheng.


    His status also plummeted.


    If you leave like this, you will probably be laughed at when you return to the department.


    Don''t leave, and I''m worried that if something happens, I will be implicated. And it''s somewhat embarrassing to continue to stay here.


    Gritting his teeth, he decided to check the situation before leaving.


    I can have an explanation when I go back.


    "Wow, the sick child''s blood pressure has increased. The convulsions are also reduced. It means that the anti-allergic treatment is correct."


    "Very good!"


    When Director Lou heard this, he let out a long sigh of relief.


    An unprecedented smile appeared on his face.


    Even the very serious doctor Xu smiled rarely.


    The atmosphere in the rescue room changed from tense to relaxed.


    A crisis was successfully resolved by Zhou Can.


    "It''s too risky for you to do so, and it doesn''t conform to medical procedures." Dr. He is still maintaining his so-called face.


    "There is no way. The doctors in our emergency department don''t read much, and they only know that the method that can save people is a good method." An emergency doctor taunted him in turn.


    "Dr. He hasn''t left yet? Let me tell you quietly, the doctors in our emergency department never talk on paper." The nurse also started to tease him.


    In fact, everyone has long been unhappy with this guy.


    However, this Dr. He has no eyesight, so it''s fine to stay here and refuse to leave, and his mouth still smells bad.


    In terms of rank, Director Lou and attending doctor Xu are all higher than him. In terms of qualifications, he is also older than him.


    Which round gets him to dictate here?


    The doctors want to save some sympathy, and ask for a good meeting in the future if they have something to do.


    But the nurse didn''t have these worries, so she just ranted if she wanted to.


    Next time, I should call the doctor in my heart for a consultation, and please do so.


    "Let''s go, let''s go!"


    Dr. He couldn''t afford to offend her, so he quickly confessed.


    Before leaving, he still did not forget to smear gold on his face.


    "I''m actually worried that your anti-allergic treatment plan won''t work, or that it''s putting the patient in a more dangerous situation. That''s why I didn''t rush away. If something happens, it''s convenient to help at any time, isn''t it? Now that the patient''s condition is improving, I Take it easy. Goodbye."


    Before Dr. He left, he looked at Zhou Can more deliberately.


    It seems that he wants to remember this unusual Gui Peisheng.


    Gui Peisheng was the first one to compare him to.


    Seeing the back of Dr. He fleeing in embarrassment, everyone looked at each other and smiled. Today can be regarded as a breath of bad breath.


    Doctors in the Department of Cardiology are usually high-spirited, but there are not many times when they are deflated.


    In many cases, the physician is the authoritative presence in the consultation. After the discussion, they often make concluding remarks.


    This time, Zhou Can, a small-scale Pearson, has once again become an authority.


    Earned enough face for the emergency room.


    "Director, Director, the child''s blood oxygen has also gone up! The heart rate has also dropped."


    "Haha, good, good, very good. When the child wakes up and returns to normal, tell the family members not to take the child home. Give them a bed in the observation area and treat the child for a cold."


    Director Lou made a series of arrangements.


    The shock of the sick child was caused by an overdose and an allergy to paracetamol.


    Now the shock is resolved.


    The cold symptoms are still there, and the cold must be treated next.


    He didn''t dare to let the family members take the child back to make trouble.


    If something happens again, the efforts of so many of them will be in vain.


    In a top-tier provincial hospital like Tuya, it is impossible for ordinary cases to be hospitalized. Because the hospital beds are very tight.


    In this special situation right now, it is the best way for sick children to stay in the observation area of ??the emergency room for treatment.


    "Xiao Zhou, it''s thanks to your carefulness this time. Don''t worry, I will remember this credit for you, and I will never miss you." Director Lou looks ugly, but he is quite straightforward.


    It is actually quite good to work under such a leader.


    Much better than those smiling tiger leaders.


    "Thank you Director Lou for cultivating."


    Zhou Can saw that he was straightforward, so he didn''t refuse.


    Otherwise it is not beautiful.


    It makes people feel hypocritical and hypocritical.


    Remember the merit, and you will be able to use it when you have the opportunity to study and get promoted in the future.


    "After entering the emergency department, we will be a family from now on. There is no need to say too much to be polite. Arrange Dr. Xu to take you and Xiaojin." Director Lou turned to look at Dr. Xu.


    Following such a strict superior doctor, Zhou Can''s heart pounded.


    I am not afraid of anything else, but I am afraid of being scolded.


    "Old Xu, you should work harder for a while, and teach them with your heart for about half a month. Then let them go slowly and let them do what they can. I can rest assured that I will entrust them to you."


    Director Lou seems to have a lot of trust in Dr. Xu.


    Whether it is to diagnose a patient, or let him take two Gui Peisheng, he seems very relieved.


    "OK."


    Dr. Xu nodded solemnly in agreement.


    "The two of you will follow Dr. Xu from now on. I can tell you that Dr. Xu is notoriously strict. Both of you are prepared to be scolded."


    "It''s done, I''m sure I won''t scold anyone."


    Doctor Xu corrected him blankly.


    Not long after, the sick child came to life. When the family members outside learned that the child had turned the corner, they wept with joy.


    Thank you doctor again and again.


    Compared with their previous image of rolling and playing, they are like two different people.


    Sometimes, the doctor-patient relationship is tense because the doctor''s treatment fails to meet the expectations of the patient or family members As long as the disease is really cured, almost no patient will make trouble.


    Very few rare patients or family members are not listed here.


    When Zhou Can walked out of the emergency room, the child''s mother stepped forward and thanked him repeatedly.


    This made Zhou Can feel particularly gratified and had a unique sense of accomplishment.


    It would have been devastating to the family if the child had not been rescued.


    Saving this child is equivalent to saving a family.


    ¡­


    When Dr. He returned to the internal medicine building, he met Director Tan who had picked someone up.


    Behind him were five Gui Peisheng who had just been picked up.


    "Hello Director Tan!"


    Dr. He is so arrogant in the emergency department that he is out of print.


    In front of the chief director of the internal department, he was as humble as a reptile.


    People are so realistic.


    "Hey, Dr. He is back from the consultation? I invite you to go to the emergency department for consultation next time, so don''t delay any longer. The director Lou of their emergency department called me personally. People will think that our internal medicine is ignorant and arrogant. .If this matter gets to the ears of the hospital leaders, everyone will look bad."


    Director Tan also knew the urinating nature of these doctors.


    Can''t help typing a few words.


    "clear."


    Dr. He did not argue.


    It is a taboo to talk back to the leader when you are criticized, it will only make the leader feel worse about you.


    Honest acceptance of opinions is the only correct way.


    "Look at your dejected look just now, did the sick child not be rescued?"


    Seeing his sincerity, Director Tan''s face softened a little.


    "Saved."


    "Then why do you have the expression of being beaten? Did you get beaten by your family?" Director Tan asked with concern.

 Chapter 25： gold shines everywhere

    The emergency department is prone to doctor-patient disputes, and it is common for doctors to be beaten by family members.


    As the head of a department, he often protects the rights and interests of his doctors.


    Do not let the doctor chill.


    "The mood of the family members is fairly stable, and there is no disturbance."


    Doctor He was embarrassed for a while.


    It was embarrassing to be smothered in the emergency department, and he was too embarrassed to say it. In particular, there are five new Gui Peisheng watching behind Director Tan.


    It''s too embarrassing for these newcomers to know his embarrassment.


    Director Tan couldn''t help but feel even more puzzled.


    The patient was also cured, and the family members didn''t make trouble or beat anyone. What''s the matter with Dr. He''s appearance of suffering so much?


    "Is it because you went late and were scolded by the doctor in the emergency department?"


    "They don''t have the guts."


    Dr. He''s neck stiffened, and a trace of ''bastard'' air returned to his face.


    The majesty and status of internal medicine is the pride engraved deep in the bones of every physician.


    It is impossible for a doctor in the emergency department to be stunned by anyone.


    "Be careful with what you say." Director Tan reprimanded, but the meaning of reproach was light.


    He only asked Dr. He to pay attention to what he said out of the need to maintain the peace between the departments of the hospital.


    In fact, I quite agree with Dr. He''s point of view.


    The status of internal medicine is supreme and should not be trampled by other departments.


    "What''s the result of the consultation?"


    "The sick child took counterfeit medicine, and the paracetamol seriously exceeded the safety standard, which caused anaphylactic shock. After taking allergy symptomatic treatment, he has improved."


    Dr. He secretly rejoiced that at that time he had the cheek to stay until the child''s condition improved before leaving.


    Otherwise, I am afraid that I will ask three questions now.


    "Well, not bad. It seems that we still need our internal medicine doctor to make a visit to find out the cause! The medical status of internal medicine cannot be shaken by any department."


    Director Tan nodded in satisfaction, a proud smile bloomed on his ruddy face.


    These words were more for the five new members behind him.


    Let them understand that joining internal medicine is a very honorable thing. The future is bright and the status is high.


    Dr. He was embarrassed for a while. In fact, he didn''t deserve any credit for going to the emergency room this time.


    However, Director Tan didn''t know about it, and was still flattering him fiercely.


    In fact, this matter can''t be hidden at all.


    Sooner or later, it will reach Director Tan''s ears.


    Taking a deep breath, Dr. He suppressed his strong vanity, and decided to tell the truth. Otherwise, a dishonest impression will be left in the mind of the leader, which will be extremely detrimental to his upcoming promotion to attending physician.


    Losing face is a small matter, but promotion is a matter of future.


    "Director Tan, actually... I didn''t do my best for this consultation."


    Gathering up his courage, Dr. He told the truth.


    "Ugh!" Director Tan''s smile froze. "What do you mean by that? Is it humility or is it really useless?"


    "I really didn''t do my best. The doctor in their emergency department diagnosed the cause of the disease." Dr. He wished he could bury his head in his underpants. He lowered his head, his face bursting with fever.


    It took him a lifetime of courage to admit these things in front of several newcomers.


    The atmosphere was extremely awkward for a moment.


    Director Tan originally wanted to take the opportunity to brag about the medical status of internal medicine in front of the newcomers, but he overturned.


    I can''t hold back my face more or less.


    "You didn''t make the diagnosis, at least you did your best. If the doctors in the emergency department are really capable of diagnosing it on their own, they don''t need to ask our internal medicine doctors to help, don''t you think?"


    Director Tan tried his best to smooth things over.


    There must be a fig leaf left, right?


    "Yes, yes, it must be the case. Otherwise, think about it, the emergency department has been unable to find out the cause of the disease, and Dr. He from the cardiology department rushed to find out the cause. What does this mean? It means that the doctor He issued Strength is the key."


    No matter where you are, there will never be a shortage of people who are flattering.


    Gaining leadership appreciation through flattery is simple and rude, and the cost is low.


    All you need to do this is thick-skinned and smart-mouthed.


    A smile appeared on Director Tan''s face again.


    "Doctor He, tell everyone, how did you help the doctors in the emergency department find out the cause?" Director Tan asked expectantly.


    "I... I really didn''t do much. It was a doctor named Zhou Can from the emergency department who communicated with the family members and finally found out that the sick child was taking counterfeit medicine." Dr. He stammered what happened.


    What a **** of a day.


    After being disgraced in the emergency department, he returned to the internal medicine department. By coincidence, he ran into Director Tan returning with a new doctor, and caught him asking about the consultation in the emergency department.


    Isn''t that which pot is not opened and which pot is lifted?


    As soon as he finished speaking, the scene became extremely quiet.


    The sycophant Gui Peisheng shrank back subconsciously, trying to minimize his presence.


    Flattery is also risky.


    He never dreamed that things would be reversed, so that his beautiful flattery was slapped on the horse''s leg.


    Fortunately, Director Tan''s attention was attracted by another matter.


    "You said it was a Gui Peisheng named Zhou Can who found out the cause?"


    Director Tan looked particularly surprised.


    Not to mention him, even the few Gui Peisheng behind him had complicated expressions.


    Especially Gao Jian has mixed feelings in his heart.


    He lost to Zhou Can in the regular training exam, and he refused to admit defeat. The two agreed that they would continue to discuss the level of medical skills in the future. When the directors of the department were selecting candidates, Gao Jian took the lead because of his higher education than Zhou Can.


    Join the best in internal medicine.


    This made him suddenly full of confidence.


    The growth of a doctor is inseparable from a good learning environment. This includes the guidance of famous teachers, cutting-edge medical resources, and abundant exercise opportunities.


    In any case, internal medicine can beat the emergency department.


    Gao Jian believes that as long as he studies internal medicine for a few months, he will surely surpass Zhou Can and leave him far behind.


    It now appears that this is a joke.


    Gold shines everywhere.


    Even if Zhou Can enters the worst emergency department, he can make quick achievements. As soon as I entered the emergency department, I diagnosed the cause of the disease that neither the emergency doctor nor the cardiologist could find out. God, how strong is this monster? .


    Gao Jian felt powerless for a while.


    But it also aroused his competitive spirit.


    Zhou Can can do well in the emergency department, why can''t he do well in internal medicine?


    "Director knows that Zhou Can?" Dr. He deduced from Director Tan''s surprised expression that Director Tan must know Zhou Can.


    He was particularly curious, who is that little regular Pearson?


    Even the head of internal medicine knows this person.


    "I can''t talk about knowing each other. I only know that he won the first place in this year''s regular training recruitment examination. I heard that his surgical ability is not bad, but his education is a bit short. He graduated from Tuya Medical University with a bachelor''s degree."


    Director Tan looked indifferent.


    But I was thinking in my heart, was it right or wrong to choose Gao Jian at that time?


    A powerful medical talent can even support a department.


    Lead the department to glory.


    If you didn''t choose a genius, but chose to come back with an empty air of academic qualifications, I''m afraid you will regret it.


    "It turned out to be the champion of the regular training exam, no wonder he is so good."


    Doctor He felt better.


    Losing to a No. 1 scholar, Gui Peisheng, was not wronged.


    "Okay, go get busy! The five of you will follow me to the big office, and the directors of the internal medicine departments will come to pick people up soon." Director Tan''s joy of snatching Gao Jian, a graduate student from a prestigious university, faded a lot.


    I hope that Gao Jian will not be too far behind Zhou Can, otherwise it will be a big loss.


    After a while, look at Zhou Can''s development in the emergency department, and you will know whether it is a dragon or a snake.


    ¡­


    In the emergency department, Dr. Xu is leading Zhou Can and Jin Mingxi to familiarize themselves with the environment of the emergency department.


    "Our emergency department is different from ordinary departments. This is a hodgepodge. According to the hospital''s regulations, as long as the patient needs it, we must receive it. It doesn''t matter whether it is a headache, fever, car accident, burn, or emergency. We are usually responsible There are only two doctors sitting in the clinic, this is the emergency internal medicine consultation, and the other is the emergency surgery consultation.¡±


    The number of emergency cases in Tuya Hospital is frighteningly large. It is unimaginable that there are only two doctors attending the consultation.


    How busy will it be?


    "It''s very hard to sit in the emergency room. We operate three shifts in our department. Due to the shortage of manpower, sometimes there is no way to do it, and you even need to work two shifts in a row. You have to be prepared to endure hardship."


    Dr. Xu vaccinated the two of them.


    "As long as you can grow, it''s nothing to suffer a little bit. I worked 36 hours in a row at the County People''s Hospital, and I almost died suddenly." Jin Mingxi said with a smile.


    Zhou Can had already guessed that Jin Mingxi was a social doctor.


    Bachelor''s degree, aged 35, probably already has 12 or 3 years of work experience.


    In terms of surgical ability, Jin Mingxi is no weaker than the current Zhou Can.


    "What about you? Are you afraid of suffering?"


    Dr. Xu was very satisfied with Jin Mingxi''s answer, and turned to look at Zhou Can.


    "I''m not afraid of suffering, but I''m afraid that Dr. Xu won''t trust me, treat me like a baby, and don''t give me the opportunity to exercise and grow." Zhou Can needs to constantly diagnose and treat diseases to gain experience points and quickly upgrade.


    The biggest fear is not getting the opportunity to exercise.


    Originally, he wanted to become a regular trainee in general surgery.


    Because Deputy Director Liu already had a certain foundation of trust in him. He also said that he would be trained.


    It''s a pity that people are not as good as heaven. When the head of surgery was picking people, he didn''t even look at Zhou Can.


    Dr. Du Leng, a returnee, was chosen first.


    "Don''t worry, there are plenty of opportunities to exercise. However, as a regular trainee under my command, I must see that you have the ability before delegating the authority to let you try." Dr. Xu said seriously.


    "Doctor Zhou wants opportunities to practice. I have a lot here! I just hope that you two newcomers can grow up quickly and help us share some."


    The young doctor who was attending the consultation took the time to greet him with a smile.


    The news about Zhou Can''s meritorious deeds in the emergency room just now has spread, UU Reading www.uukanshu. The doctors and nurses in the com department were very polite to him.


    "Luo Yong, don''t use two things at the same time when you see a doctor, and be careful of making mistakes." Dr. Xu warned the young doctor. "Come on, I''ll take you to the observation room and the infusion room."


    He might be worried that it would affect the two attending doctors, so he didn''t make any further introductions, and took them to the observation room and the infusion room.


    Basically only the busy figure of the nurse can be seen here.


    Doctors rarely visit these two areas without an emergency.


    "Hi, doctor Zhou!"


    A beautiful nurse greeted Zhou Can with a smile.


    "I remember you, the brave girl who ran into Dr. He in the emergency room just now." Zhou Can responded with a smile.


    "goose¡­"


    She covered her mouth and smiled until her eyes narrowed.


    "The doctor in my heart has always been arrogant. If I can seize the opportunity to beat him up, I have to thank you for creating this opportunity. My name is Ye Tingting, and I am in charge of patient monitoring in the observation room. I also occasionally help out in the emergency room. If the doctor wants anything, just call me."


    She is not only a brave girl, but also very enthusiastic.


    "Haha, please cover me with Ye Meimei from now on."


    Zhou Can laughed happily.


    He found that the big family in the emergency department is very good.


    "I''ll take you to the two core places of the emergency department, the ICU and the operating room."


    The emergency department is basically composed of internal and surgical consultation tables, observation room, infusion room, rescue room, operating room, and ICU.


    The operating room and ICU can best reflect the strength of a department.


    The operating room is Zhou Can''s favorite.


    I just don''t know what kind of operations are performed in the operating room of the emergency department? Can he get a chance to exercise?

 Chapter 26： Dr. Hsu

    "This is the ICU of our emergency department. There are eight beds in total and closed aseptic management. The equipment is the usual ones, multi-functional monitors, invasive and non-invasive ventilators, defibrillators, etc. These instruments require you to Be able to operate and use it proficiently. If not, you can go in and learn after work."


    Dr. Xu did not take them in.


    Because it is required to maintain a sterile environment inside, the management of personnel entry and exit is extremely strict.


    In principle, family members are not allowed to visit inside.


    When medical staff enter and exit, they must also strictly follow the procedures.


    "You are still newcomers, and the ICU will not arrange for you to be on duty for the time being. It is recommended that you go in frequently to study and help the doctor on duty. You can learn a lot from it."


    The ICU wards are full of critically ill patients, and various emergencies may occur at any time, and must be handed over to experienced doctors for care.


    It is difficult for newcomers to be competent for duty tasks without three to five years of study.


    "Let''s go, I''ll take you to the operating room to have a look. I heard that both of you have good surgical skills. I especially hope that you can grow up quickly, so that the serious shortage of emergency department staff can be alleviated."


    When Director Lou selected people, he also took a fancy to their surgical abilities.


    Hope to bring it back to work.


    After the three entered the door of the operating room, they changed into surgical protective clothing in the changing room.


    "Counting me in the operating room, there are a total of four doctors on duty in turn. Most of the operations usually performed are relatively simple, such as suturing small wounds, cutting the appendix, etc. There are also exploratory operations, such as laparotomy, intracranial exploration, etc. wait."


    Dr. Xu briefly introduced the staff in the operating room and the types of operations that are often performed.


    These minor operations are exactly what Zhou Can needs now.


    With his current surgical ability, he doesn''t even think about difficult surgeries. Do some minor surgery first, quickly accumulate experience points, and improve the level of medical skills. This is the most suitable development path for him.


    You can''t become fat with one bite.


    Rice can only be eaten one bite at a time.


    In the operating room, only one doctor and one nurse are operating on the patient at the moment.


    "This surgical team is too streamlined."


    Zhou Can used to follow Deputy Director Liu into the operating room, and every time he was surrounded by people, there were at least a dozen doctors and nurses at all levels.


    In addition, the operating room is quite small, far from being able to compare with the large operating room of general surgery.


    The surgical equipment inside is only the most basic.


    It can also be seen from these that there is a huge gap between the strength of the emergency department and surgery.


    No wonder the status of emergency departments is low.


    It is estimated that the entire emergency department is inferior to the general surgery under the surgery.


    "The doctor who is operating is Dr. Lu, a senior resident. She is a nurse in the operating room, Liu Jing, with relatively junior qualifications." After Dr. Xu''s introduction, he sideways let the two newcomers out. "This is Dr. Zhou Can, and this is Dr. Jin Mingxi, the newly recruited Gui Peisheng."


    The doctor who was operating stopped the operation and smiled at the two of them.


    "Welcome to the emergency department."


    "Please take care of me in the future."


    Zhou Can kept his posture extremely low.


    "We are all in the same department, and we should help each other. We will talk after I finish the operation." Dr. Lu bowed his head and continued the operation.


    Zhou Can''s eyes also turned to the patient''s wound.


    "The patient was accidentally bitten by a dog."


    Although Dr. Xu did not stay in the operating room, he knew the patient''s situation very well.


    If you guessed right, the superior doctor in the operating room is Dr. Xu, and this Dr. Lu will operate under the guidance of Dr. Xu.


    It can be seen that a large piece of flesh on the patient''s right calf was torn open.


    At present, the debridement inside the wound is basically over.


    Seeing the opportunity to earn experience points approaching, Zhou Can was extremely excited.


    Just in time to show off my suturing skills in front of Dr. Xu, so that I can get more training opportunities in the future.


    "Doctor Lu, I think you''ve worked hard. Why don''t you leave the rest of the seams to me."


    Zhou Can is a person who seizes the opportunity and never lets it go.


    Fighting with a shy face.


    Dr. Lu is indeed quite tired, and he is very happy if someone is willing to take over for him to complete the rest of the work.


    For the senior resident doctors, the opportunity of skin sewing has long been looked down upon.


    "You have to ask Dr. Xu about this, I can''t make the decision."


    Dr. Lu did not dare to agree easily.


    Gui Peisheng is basically a novice, and his suturing skills are not flattering.


    The person was brought by Dr. Xu, and I believe that Dr. Xu has a bottom line.


    "Have you ever sewed before? I don''t mean practicing on pigskin!"


    Doctor Xu asked.


    They are all from interns, and Dr. Xu naturally understands that it is very difficult for interns to get opportunities to practice their mobile phones.


    "Doctors, you can''t use me as a guinea pig for training!"


    The patient was given local anesthesia, but he was still awake.


    When he heard that the young doctor Guipei wanted to suture his wound, he resisted very much.


    "I sewed it up during surgery with Director Liu."


    "Director Liu Qingzhi from the general surgery?"


    Dr. Xu obviously also knew Mr. Liu.


    "It''s him." Zhou Can nodded.


    "Old Liu is a famous surgeon in general surgery. The operations he performs are basically three-level difficult operations. The chances of sewing the skin and closing the mouth should not be available to interns like you, right?"


    Dr. Xu did not shy away from it, and directly refuted Zhou Can in front of the patient.


    His sharp eyes were fixed on Zhou Can''s eyes.


    Apparently, he suspected that Zhou Can had deliberately lied in order to gain opportunities to exercise.


    If it is determined that there is something wrong with Zhou Can''s character, Dr. Xu will not only not give him a chance to exercise, but will also be careful in the future. It would be considered polite to give Zhou Can a cold bench.


    "Perhaps Mr. Liu trusted me. At that time, I performed a cervical lymph node tuberculosis removal operation. The wound was quite large. I sewed up the subcutaneous tissue and epidermis for a long time."


    Zhou Can looked calm.


    Let the doctor check and ask these things casually.


    If Zhou Can had entered the Department of Surgery when selecting candidates for the department director, there would be a high probability that Mr. Liu would go on to become his apprentice and focus on training him.


    "Cervical lymph node tuberculosis removal surgery? This is a highly difficult major surgery that is infinitely close to level 4. Neck suturing is even more dangerous. When Mr. Liu performs surgery, even a senior attending doctor can only mix in one assistant and two assistants. The opportunity for the skin-related cavity will definitely be given priority to the resident doctor. To put it bluntly, I really don¡¯t believe that an intern like you will be allowed to sew up the neck.¡±


    Dr. Xu is not only serious, but also very serious.


    It was such a small matter that he did not expect to be raised to such a height.


    "If you really don''t believe me, there''s nothing I can do. Just now I just saw Dr. Lu working hard, so I wanted to help him with what I can doSince you have questions now, I won''t do the stitching this time. Just do it."


    Zhou Can was a little speechless, and he never expected to meet such a serious and serious senior doctor.


    Misunderstandings will be cleared up sooner or later.


    So he is not in a hurry.


    "You may not know me yet. I can tolerate the level of my doctors and slow progress, but I will never allow any problems with my character. Tell me the truth, are you lying on purpose in order to gain the opportunity to exercise?"


    Dr. Xu''s gaze was icy cold.


    His face became colder.


    It''s a little frightening.


    "I''m not lying."


    Zhou Can denied it again.


    "Admit it voluntarily now, and I can still give you a chance. The most I can do is to kick you out of the emergency department. If you are lucky and you have to wait for me to find out before you admit it, then I''m afraid you won''t even be able to stay with Tuya."


    Dr. Xu''s expression and tone are very serious, if he can say it, he can really do it.


    "I really didn''t lie." Zhou Can emphasized his tone.


    He cursed inwardly, is this Dr. Xu mentally ill? Isn''t it just to fight for a chance to sew skin?


    As for the trouble to the extent of going online?


    He was a bit disappointed that he failed to enter the important department. If he was kicked out by the superior doctor when he first entered the emergency department, which department would dare to ask him in the future?


    "Okay, I''ll call and ask now. To tell you the truth, I happen to be familiar with Mr. Liu."


    Doctor Xu sneered.


    Obviously, he has decided that Zhou Can has lied.


    As soon as he finished speaking, Zhenzhen took out his mobile phone and called Liu Lao.


    Doctor Lu and the nurse in front of the operating table looked at Zhou Can sympathetically. It seems that Dr. Xu has become accustomed to this kind of serious behavior of love.

 Chapter 27： Recognized

    Jin Mingxi was so frightened that his heart skipped a beat, his face turned pale.


    It is estimated that with the lessons learned by Zhou Can, he must be careful when speaking in the future. Otherwise, if it touches a certain sensitive nerve of Dr. Xu, it will cool down in minutes.


    Dr. Xu called Mr. Liu to ask for confirmation.


    Dr. Lu continued to do the final debridement for the patient, preparing for sutures.


    "Hi, Director Liu!"


    "Yo, it''s Lao Xu! I guess you must have something to call."


    It sounds like the two are really familiar.


    "Nothing special, just want to ask if you know an intern named Zhou Can."


    "I know, this is a very nice young man. Originally, I was thinking of taking him in as a closed disciple after he got the qualification to stay in the hospital for regular training. Unexpectedly, he was snatched away by your emergency department. What happened? ?¡±


    When Mr. Liu mentioned Zhou Can, he was full of admiration.


    "It sounds like you have a high opinion of him!" Dr. Xu''s originally dark face eased a lot. "Nothing else, just want to ask if you let him have his skin stitched when you took him to the surgery?"


    From Liu Lao''s high admiration for Zhou Can, he was basically sure that Zhou Can was not lying.


    But still want to make sure.


    The operating room was already quiet, but Dr. Xu''s earpiece was very loud, and Dr. Lu, Jin Mingxi and others could hear him clearly.


    Jin Mingxi is fine, knowing Zhou Can''s ability is very strong, so he is more or less psychologically prepared.


    He was only slightly surprised.


    Dr. Lu and the nurse girl were not so calm.


    They all looked at Zhou Can again in shock.


    It seems that the emergency department recruited a talented person this time.


    "Old Xu, old Xu, have you made a serious mistake again?"


    Mr. Liu seemed to know Dr. Xu very well, and he knew what was going on as soon as he heard it.


    "You, you still haven''t been able to get out of the shadow of that incident! This kid, Zhou Can, has been an intern under me for nearly a year, and it was only later that I discovered his outstanding potential. It was a cervical lymph node tuberculosis removal machine. Surgery, the situation was very dangerous at the time, and this kid¡¯s performance was really amazing. Later, he asked me for the opportunity to have the skin stitched, and I was still hesitant at that time.¡±


    "The neck is rich in blood vessels and numerous nerves. Even the resident doctors under me are a little worried about suturing. He is an intern, can he sew it up? But facing his longing eyes, I can''t bear to refuse. Seriously. Yes, when I watched him get the first stitches, I was really terrified. Fortunately, that kid is very competitive, the more he sews, the better he is, and his level is no worse than that of my resident doctors."


    Liu Lao''s words are enough to prove that Zhou Can is not lying.


    "Oh, what a pity, that kid was snatched away by your emergency department. If he was in the general surgery department, I would definitely bring him here and focus on training him. That kid is the intern doctor with the most outstanding potential I have ever seen in my life."


    The high evaluation given by Liu Lao made Zhou Can blush a little.


    At that time, the suture was halfway through, and it happened that suture and ligation were promoted to the third level.


    That''s why Old Liu was particularly surprised.


    It is true to say that his potential is outstanding.


    With an experience point system, as long as you can quickly earn experience points. It is possible to rise to the surgical level of the attending physician in one year.


    This kind of potential, not to mention Tuya Hospital, is the second one that can''t be found in the whole country.


    "It turns out that he really didn''t lie. But it''s the first time he sewed the skin, and you dare to ask him to sew up the wound on his neck, which is quite courageous. It''s okay, it''s fine, I''m still undergoing surgery. Let''s talk later."


    Dr. Xu really said he would hang up.


    This is a call to a senior deputy chief physician, no matter the casual tone or the impoliteness when hanging up the phone, it is surprising.


    As the attending doctor of the emergency department, his status is not a bit worse than that of Mr. Liu in the general surgery department.


    Why are you so awesome?


    Moreover, when Liu Lao chatted with him, his tone and attitude were completely unique to his peers.


    What is the history of this doctor Xu?


    During the chat just now, Mr. Liu said that Dr. Xu still couldn''t get out of the shadow of that incident.


    It also gives people unlimited room for reverie.


    What kind of thing is it?


    This Dr. Xu definitely has a story to tell.


    In the future, if I have the opportunity, I can slowly understand the story behind Dr. Xu.


    Zhou Can also felt a little relieved about Dr. Xu''s almost neurotic seriousness.


    "Zhou Can, come and suture the patient! The doctor''s morality comes first. My attitude just now was too serious. Don''t take it to heart." After Dr. Xu hung up the phone, his attitude towards Zhou Can changed a lot.


    His trust in Zhou Can has obviously risen a big level.


    "understand."


    Zhou Can nodded.


    The misunderstanding is cleared up, and everyone is happy.


    Dr. Xu turned to look at the patient.


    "Don''t worry, just now I called Director Liu specifically to ask for confirmation, and I praised Dr. Zhou''s high level of suturing. If he sutures, it will not be worse than Dr. Lu."


    With rich experience in dealing with patients, Dr. Xu helped Zhou Can win the trust of patients with just a few words.


    "Then ask Dr. Zhou to take care of you."


    The patient squeezed out a flattering smile at Zhou Can.


    In the operating room, the patient''s position is actually quite weak.


    Basically only at the mercy of the doctor.


    Dr. Lu stepped off the operating table and stepped aside.


    With the help of nurses, Zhou Can put on sterile rubber gloves and prepared to suture.


    "Doctor Zhou, can I use Line 1?"


    "You are very professional."


    Zhou Can smiled and nodded.


    The tension on the lower leg is very small, and the No. 1 thread is just right.


    Her operation technique was standardized and skillful, and she threaded the thread quickly, and handed the crochet needle and needle holder to Zhou Can.


    Before suturing, Zhou Can routinely inspected the patient''s wound.


    About half a palm-sized piece of flesh was torn open on the calf, and the marks left by the canine teeth were clearly visible.


    Tooth marks were extremely deep, forming blood holes.


    The biting dog must have been extremely ferocious.


    When he opened the flesh, he couldn''t help frowning.


    I watched Dr. Lu debride the wound for so long, but the wound treatment was quite rough.


    It can only be said to be barely qualified.


    Zhou Can hesitated for a moment, pointing it out at this time would probably make Dr. Lu unhappy. Just suturing the wound in this way is very detrimental to the wound recovery.


    Not only slow healing, but also prone to infection and suppuration.


    In the end, Zhou Can decided to put patients first.


    "Doctor Xu, according to my personal suturing habits, can you let me repair the wound?"


    At this time, in front of the patient, neither can we say that Dr. Lu''s wound is not treated well, nor can we say that his suture is not good.


    Zhou Can only said that his suturing habits were different, and he saved enough face for Dr. Lu.


    "sure."


    Dr. Xu also noticed the patient''s wound at this time.


    With his level, it is natural to see that Dr. Lu is sloppy in his work at a glance.


    This is also impossible.


    The emergency department is understaffed, and many residents are kicked in from other departments.


    To put it bluntly, they are veterans eliminated by the weight department.


    These people have more than three years of work experience, or have fished in troubled waters in the previous department, dawdling. Either poor growth potential, level vegetables.


    They are all problem people.


    Every time the emergency department reports to the hospital leaders that there is a shortage of manpower, the weighted departments will seize the opportunity to survive the fittest and send those problem doctors to the emergency department.


    Not only helped the hospital leaders solve the problem, but the department also eliminated the doctors who were dragging their feet.


    Kill two birds with one stone.


    Perfect.


    After the seats are vacated, excellent personnel can be introduced.


    In this way, the medical team of the important department will naturally become stronger and stronger.


    Just a pain in the emergency department.


    But there is still suffering.


    Watching Zhou Can clean up the patient''s wound again, Dr. Lu curled his lips with a nonchalant expression.


    Nine out of ten this person is an old fool.


    In line with the attitude of being responsible for the patients, Zhou Can cleaned up the work extremely meticulously.


    The debridement of this kind of bite wound is actually quite troublesome.


    If those damaged tissues are not cleaned up, there is a high probability of necrosis, infection and suppuration.


    Moreover, dog bites also increase the risk of rabies infection.


    More needs to be cleaned up.


    "Little doctor, can you do it anyway? That doctor Lu has already taken care of it for me, and you''re going to do it again. You don''t mean to use me to practice on purpose, do you?"


    The patient didn''t know the truth, but instead blamed Zhou Can.


    This happens to doctors all the time.


    It was obviously a good intention, but the patient turned around and scolded the doctor without knowing what was good or bad.


    "Okay, it''ll be fine soon."


    Zhou Can didn''t explain much.


    The patient does not understand medicine, explaining is like playing the piano to a cow.


    What''s more, it can''t be explained.


    Unless he wanted to offend Dr. Lu to death on the first day he entered the emergency department.


    "You can lie down with peace of mind! Doctor Zhou is responsible for you. The cleaner you clean up, the faster your wound will heal." Doctor Xu''s words are more weighty and authoritative.


    When he said this, the patient became honest.


    After Zhou Can carefully cleaned the wound, it looked much more comfortable.


    The stitching that follows is the real test.


    Dr. Xu and Dr. Lu stared at him, wanting to see if this kid could do it?


    I saw Zhou Can take the hook needle and needle holder from the nurse''s hands calmly, and after clamping them firmly, UU read www. uukanshu.com is assisted by tweezers in the left hand.


    Select the needle position of the first stitch, pierce, pass through, tighten, and tie a knot.


    All actions are done in one go.


    Second stitch, third stitch...


    Such an outstanding performance stunned everyone.


    "The new Dr. Zhou seems to be better at sewing than Dr. Lu." The nurse quietly commented in her heart.


    Jin Mingxi secretly admires Zhou Can''s suturing skills.


    Although his suture level is not inferior to that of Zhou Can, Zhou Can has reached this level after only one year of internship. But he worked for fourteen years to reach this level.


    The learning time is 1 to 14.


    What''s even more frightening is that according to his experience, there are only a handful of opportunities for interns to get real stitches.


    All I can say is that Zhou Can is too evil.


    No wonder Director Liu wanted to accept him as a closed disciple.


    Such a genius, but because of his low education, he was disliked by the directors of surgery, internal medicine, and pediatrics.


    In the future, they will regret it.


    After nearly 20 minutes, Zhou Can finally sewed up the wound.


    "Doctor Xu, the wound is finished, please check." Zhou Can put down the tool, full of joy in his heart.


    His suturing and ligation medical skill experience points have each increased by 21 points.


    Practicing with real people is cool.


    The experience value obtained is ten times that of practicing on pigskin.


    At this rate, it is estimated that within two months, his suturing and ligation will be able to rise to the fourth level.


    That''s the level of dominance.


    Excited just thinking about it.


    What would it be like for a regular training doctor with two medical skills at the attending level?


    At that time, not only the skin can be sutured, but blood vessels, nerves, and intestines can all be sutured.

 Chapter 28： injection medicine

    "Ku Yisaac! The sutures are neat, the sutures are spaced reasonably, the knots are firm, and the skin of the incision is tight. This level is quite good!" Dr. Xu nodded in satisfaction after the examination.


    "Have you had your tetanus shot?"


    "Already hit!"


    "That''s okay, remember to ask the patient to go to the epidemic prevention station for rabies vaccination in time. Come here to change the medicine once a day. Push the patient out."


    Dr. Xu issued a doctor''s order.


    The biggest risk of being bitten by a dog is rabies.


    The mortality rate of this disease is 100%.


    Vaccination is the only effective form of protection.


    "Dr. Zhou can sew so well when he just entered the operating room, he is very good!"


    Doctor Lu smiled and praised him.


    "I am over-flattered!"


    Zhou Can handled it carefully.


    From Dr. Lu''s sloppy attitude when treating patients, it can be seen that this person has an average character.


    The second debridement done to the patient just now may make Dr. Lu feel bad.


    Have to guard against.


    "Don''t be modest! Being praised by Dr. Xu is enough to prove that you are extraordinary. If you are so good, you will have to share more with us in the emergency department for any surgery in the future!"


    Doctor Lu still praised him with a smile.


    It''s just that no matter what Zhou Can heard, he felt that this guy had no good intentions.


    As a newcomer, Zhou Can naturally lowered his posture.


    It''s better to show people as ''Xiaobai''.


    "No problem, no problem. I''m a junior, so I should work more."


    The answer was impeccable.


    Doctor Lu didn''t say anything more.


    The atmosphere on both sides is quite harmonious.


    The operating room in the emergency department is actually quite busy.


    The patient bitten by the dog had just been pushed out, and a new patient was pushed into the operating room.


    "This patient accidentally fell and injured. There was a 4cm long wound on the left forehead. After examination, there was no bleeding in the brain. Doctor Luo Yong saw it and said that the wound should be stitched in the operating room."


    Dr. Xu took the film and watched it carefully, but found no problem.


    "Okay, go get busy!" Dr. Xu said to the nurse, then turned to look at the patient. "Can I go?"


    "Can."


    "From the photos taken so far, no major problems have been found, only flesh injuries. We are going to do debridement and suture for you. According to your description, when you fell, your head hit the edge of the coffee table, right?"


    "That''s right. The ground I just dragged was too slippery, and I accidentally fell."


    "You are lucky! We saw an old lady two days ago, and she suffered a fractured femur. She needs a major operation. Be careful when you just finish mopping."


    Dr. Xu is strict with his subordinates, but he is kind when talking to patients.


    This made Zhou Can see his lovely side.


    "Doctor Zhou, I will leave this patient to you!"


    Dr. Xu turned his head and threw the patient to him directly.


    "okay!"


    Zhou Can couldn''t help being overjoyed, the opportunity to earn experience points came again.


    It seems that Dr. Xu didn''t ''fight'' and didn''t know each other. After the misunderstanding of lying was resolved, Dr. Xu''s trust in him was soaring.


    Coupled with the fact that he showed good surgical skills, this patient who broke his head was directly rewarded for exercise.


    He knew that in order to obtain more surgical opportunities from Dr. Xu, he had to do every operation carefully.


    "Come on, please lie down first. After I give you local anesthesia, I will clean the wound first. If there is no problem, you can directly suture the wound."


    Communicating with patients before surgery is an essential quality for every doctor.


    It allows patients to have a general understanding of the entire operation process, increases trust in doctors, and reduces doctor-patient disputes.


    "Doctor Zhou, please be more careful. When suturing, try not to leave ugly scars."


    "Will do."


    For the head, face, neck, arms and other positions, in addition to the healing of the wound, the aesthetics of the patient after recovery should also be considered.


    Whether an unsightly scar is formed is not only related to the constitution of the scar, but also closely related to the doctor''s suturing level.


    Zhou Can''s suturing level is placed in a county-level hospital, which is almost equivalent to the attending level.


    It''s definitely enough to sew a small wound on the forehead.


    Let the patient lie on his side and give anesthesia first.


    Local anesthesia injections have been tested many times on small animals before, but this is the first time on humans.


    The forehead has less muscle, only a thin layer of skin, and the hard skull underneath.


    It is more difficult to inject anesthesia than other parts.


    Zhou Can couldn''t be bothered.


    Insert the needle at an angle and inject it.


    [Congratulations on obtaining the injection medicine skill, the current experience value is 1/10 of the first level. Internship failing level. ¡¿


    Zhou Can was a little confused.


    Is an injection considered a medical skill?


    Under normal circumstances, the most powerful injection must be the nurse.


    Injecting various drugs to patients is basically done by nurses. The more you practice, the more refined your technique will be.


    "Fortunately, it''s just an injection of anesthesia for the patient. If you give the injection to a child, with the three-legged cat''s unqualified injection technique, I''m afraid the family will beat him to death every minute."


    If you fail the internship level, you are better than ordinary people, so you have to hurry up to get up.


    Originally, two injections were enough.


    Zhou Can was envious of the super high experience value when injecting into the human body.


    Leng is to inject anesthesia into four parts.


    In this way, a total of 4 injection experience points were easily earned.


    He must quickly find a way to improve this medical skill.


    Injection medicine is not only used for injections, but can also be used in multiple scenarios during surgery.


    Don''t overwhelm yourself with too many skills.


    No matter what kind of medical skill, too **** is not a good thing after all.


    Easily a flaw for him.


    "Well, can you still feel the pain now?"


    He questioned the patient.


    "It''s numb, it doesn''t seem to hurt anymore."


    Patients report their truest feelings.


    It appears that the anesthetic has worked and debridement can begin.


    After washing away the congestion and possible debris in the wound with hydrogen peroxide, he observed it carefully and found that the wound was in good condition.


    Just sew it up.


    It took less than ten minutes for Zhou Can to finish the stitches.


    There were five stitches in total.


    Checked again, no problem.


    This is Zhou Can''s first operation. Although it is only a small operation, it is of great significance.


    Hosting an operation and participating in an operation are two completely different concepts.


    It is the comprehensive ability to stand on one side to preside over the surgery.


    "Doctor Xu, please check it out." Zhou Can looked up and found that Dr. Xu was standing by and watching.


    "Well, it''s handled well."


    After the patient''s wound was disinfected for the second time, gauze was applied and sent out.


    The rest will be handled by the own nurses according to the doctor''s orders.


    "I have a basic idea of ??Zhou Can''s surgical ability. Jin Mingxi, try it for the next patient."


    "become!"


    Jin Mingxi''s heart was already itching to see Zhou Can''s meritorious deeds.


    Immediately readily agreed.


    Soon, another patient came in.


    The patient had a mild femoral hernia.


    Jin Mingxi took the initiative to examine the patient.


    "The patient''s condition is not serious, and there is no incarceration. I think manual reset is enough, and no surgery is needed. Doctor Xu, what do you think?"


    It can be seen that Jin Mingxi has extremely rich diagnostic experience and strong strength.


    "Are you sure you can complete the manipulation reset?"


    Doctor Xu asked back. UU Reading


    "have."


    He answered firmly.


    "Then what are you waiting for, hurry up!"


    Dr. Xu fully delegated power.


    Jin Mingxi asked the patient to lie down, relax, and then skillfully reset the patient.


    In fact, patients can sometimes slip it back themselves.


    The so-called hernia is most of the time when the intestine leaks out through the weak point of the hernia sac.


    Formation of a raised bump in places such as the abdomen or the base of the thighs.


    Big and small.


    Sometimes it may even be invisible to the naked eye.


    The patient will experience excruciating pain.


    Symptoms are mild, just reset the manipulation. No surgery is required.


    It''s just that the disease is prone to recurrence.


    "alright."


    As soon as Jin Mingxi''s words fell, the patient''s painful humming stopped immediately.


    This also fully demonstrated his powerful strength.


    "After going back, take a good rest. Do not cough hard, lift weights, or exercise strenuously in a short period of time, so as not to cause recurrence. If you feel unwell, come to the hospital immediately."


    After he cured the patient, he professionally told the patient some precautions.


    The femoral hernia patient was cured so easily and walked out of the operating room by himself.


    "Not bad, this time we recruited two go-getters from the emergency department, which is definitely good news."


    Doctor Xu showed a rare smile.


    The emergency department has two go-getters at once, which is enough to greatly alleviate the serious shortage of emergency department staff.


    "Doctor Jin, I think you are very experienced in both treatment techniques and prescribing medical orders. Which hospital used to be the best?"


    Doctor Xu''s name for him has changed.


    This is a kind of recognition, but also a kind of respect.

 Chapter 29： hello auntie

    "After graduating from university, I went back to my hometown to become a doctor in Shuangchuan County People''s Hospital. I have done internal medicine, surgery, pediatrics, and emergency department. This job lasted for 14 years, from intern to doctor. The attending doctor of the hospital. If there are no accidents, he will be able to be evaluated as a deputy senior professional title next year."


    Jin Mingxi talked about his past for the first time.


    "Wait, you''re 35 years old, right?"


    Dr. Xu loves to be serious, and seems to have committed it again.


    "Yes, I just turned 35 this year. If I haven''t been admitted to Tuya''s regular training qualification this year, I will never have another chance in my life." Jin Mingxi is stuck at the age point and making the final sprint.


    There are actually quite a few social doctors like him.


    Because Tuya''s training qualification is too difficult to test.


    Just like an old boy or an old scholar in ancient society, he still didn''t give up when he was gray-haired in order to take the exam.


    Many social doctors failed to pass the Tuya training qualification this year, and will continue to take the exam next year. As long as they''re under 35, they''ll keep going.


    "Graduated from a bachelor''s degree, at least 23 years old. You have worked for 14 years, so aren''t you 37 years old?" Dr. Xu stared at him fiercely.


    This is a big flaw.


    Not long ago, Dr. Xu also stared at Zhou Can with this kind of eyes.


    "Hey, when I was in elementary school, I skipped three grades. I was called a child prodigy for a long time." Jin Mingxi explained with a smile.


    This kind of prodigy can be found all over the country.


    There are even special classes for young geniuses.


    Unexpectedly, Jin Mingxi was so good when he was a child that he could jump three levels in a row.


    "You have worked in the County People''s Hospital in your hometown for so many years, why do you want to come to Tuya as a regular trainee?" Dr. Xu asked curiously.


    After another year, I will be able to be evaluated for the title of deputy senior professional, and I will get through it.


    Even if you are only the deputy chief physician of the county-level people''s hospital, you can live a very nourishing life.


    At this level, there is absolutely no need to go to Tuya Hospital for regular training.


    "How should I put it? From the perspective of my personal interests, there is really no need to travel thousands of miles to Tuya Hospital to become a doctor in training. My hometown, Shuangchuan County, is located in a remote mountainous area, poor and backward, and there is no way to keep high-end doctors. Talent. This has also led to the overall medical level of the county people''s hospital being particularly backward."


    "In my work, I often encounter some patients who are limited by the local medical level and medical conditions, and eventually die. Whenever this happens, I am very sad. Because I know that as long as their illness is changed to Tuya Such a large hospital will definitely be able to cure it.¡±


    "Later, I came up with an idea. I was admitted to a top hospital as a doctor. After learning the skills, I went back to teach the doctors in the People''s Hospital in my hometown. Only in this way can I gradually improve the medical level in my hometown and save more people. people."


    After hearing these words of Jin Mingxi, everyone was silent.


    The spirit of doctors who give up their homes and protect everyone is particularly great.


    Many people may have feelings, but there are not many people who dare to abandon their personal interests, serve the people wholeheartedly, and contribute to the medicine in their hometown.


    Whenever the country is in trouble or the hometown is in trouble, the heroes who appear are often the "fool" type like Jin Mingxi.


    At critical moments, they dare to stand up without fear of sacrifice.


    Throughout the thousands of years of Chinese history, whether it was the chaos of the Five Kingdoms at the end of the Jin Dynasty or the invasion of the Eight Kingdoms at the end of the Qing Dynasty, whenever the Chinese nation was in danger of extinction, there would always be countless heroes who stood up.


    They bravely defended their homes and the country, even sacrificing their lives.


    This is the blood and courage engraved in the bones of Chinese sons and daughters.


    "Doctor Jin, I believe your wish will come true." Zhou Can sincerely wished him.


    If he has the ability in the future, he will be happy to help.


    "Thanks!"


    Jin Mingxi smiled gratefully at Zhou Can.


    "Great Dr. Jin! What a dream! In the future, if you don''t understand medical skills, you can ask me anytime." Dr. Xu was also moved by Jin Mingxi.


    Thumbs up to him.


    "Sure! Thank you!"


    Jin Mingxi nodded heavily.


    "Hehe, Dr. Jin''s idea is indeed great, but I think it would be better for those who are more capable to do these things. Anyway, if it were me, I would definitely not do such stupid things."


    Dr. Lu did not agree with Jin Mingxi''s approach.


    "Maybe! Some things must be done by someone. I also know that my ability is limited, but it is a good thing even if it is just to take the lead."


    Jin Mingxi''s belief is firm and he is not moved at all.


    A refined egoist like Dr. Lu can''t understand it at all.


    At this time, another patient came in.


    "Ah yo, ah yo, hurry up and operate on me, I''m going to die soon..." The patient lay on the cart and kept moaning.


    Zhou Can always felt a little familiar when he heard this voice.


    "You two go over and pick it up!"


    Doctor Xu gave Zhou Can and Jin Mingxi instructions.


    "Doctor Xu, this patient has been here since the morning. She called the Department of Gastroenterology, and after the examination, she was found to be a cecal calculus. So the Department of Internal Medicine asked her to go to the Department of Anorectal Surgery to register for surgery. She had to wait in line for a long time, and it was really painful. I couldn¡¯t stand it anymore, and heard that there was no need to queue up in the emergency department. So I came to our place. What Dr. Luo Yong meant was to do the surgery for her as much as possible.¡±


    The nurse gave an overview of the situation.


    Because of the high popularity of large hospitals, people from all over the country come to see a doctor, and the number of people seeking treatment is particularly large.


    Standing in line is a difficult time for every patient.


    There have even been cases where patients died because they waited too long before being admitted for treatment.


    The female patient on the cart was a bit miserable. She wandered around the hospital''s internal medicine and surgery departments for nearly a day, and finally had no choice but to go to the emergency department to seek treatment from a doctor.


    The emergency department does not mean that there is no queue.


    The patient''s condition is critical and can be rescued first.


    In addition, because the emergency department is only an emergency aid station, all kinds of patients have to be accepted, and the number of patients received is huge. This has resulted in the characteristics of emergency department but not refined.


    When encountering some difficult cases, or the situation is not urgent, the patient will still be sent to a specialist for treatment.


    Zhou Can took the cart from the nurse and looked down at the female patient who was screaming in pain on the cart.


    Immediately happy.


    No wonder the voice is so familiar.


    Isn''t this the morning in the outpatient hall to frame him as Yito''s aunt?


    After a day of tossing in the hospital, the makeup on the aunt''s face has become a mess, and her hair is also a mess.


    Looking scary like a ghost.


    If Zhou Can hadn''t been so impressed with her, he would hardly have recognized her.


    "Are you accompanied by family members?"


    Doctor Xu asked.


    The aunt was only focused on crying out for pain, and seemed not to hear Dr. Xu''s question.


    Zhou Can had no choice but to repeat it.


    "The attending doctor asked if you were accompanied by family members?"


    Aunt heard clearly this time.


    "No one is accompanying me! I can sign by myself. I have already signed the consent form for the operation and paid the money."


    My aunt is so sick, I don''t know why she didn''t ask her family to accompany her?


    "Your surgery is a second-level operation. If you go to a specialist for laparoscopy, it is a third-level operation. You can''t do it without the company of your family!" Dr. Xu said while taking the aunt''s examination data to check.


    Whether this operation can be performed or not is up to him to make the final decisionDr. Luo Yong, who is attending the consultation, can only give suggestions.


    "This intestine is blocked like this. If I came to the hospital for treatment earlier, I might not need surgery!"


    After seeing the B-ultrasound and CT films of the abdomen, he sighed slightly.


    Cecal stones are actually caused by falling bezoars into the appendix cavity.


    If it is not serious, it can be treated conservatively.


    The stones can be passed out with medicines.


    If it develops to the point of intestinal obstruction, even close to necrosis, it will be serious.


    It needs to be removed along with the appendix.


    When the aunt heard that she wanted to find a family member to accompany her, she seemed very embarrassed.


    She looked at Zhou Can.


    "Young man, your voice sounds familiar just now, can you take off the mask and let me take a look? Maybe we know each other." She must be thinking in her heart, if she is an acquaintance with this young doctor.


    I beg for mercy, maybe I don''t need to ask my family to come over.


    Zhou Can took off his mask, a playful smile appeared on the corner of his mouth.


    "Hello, Auntie!"


    This is how Zhou Can greeted her in the morning.


    "Ah...how could it be, it''s you?" The aunt originally thought that this young doctor might be an acquaintance, and she could make friends and say a few nice words so that she could be taken care of easily.


    As a result, when Zhou Can took off the mask and saw Zhou Can''s true face clearly, she couldn''t help being dumbfounded.


    It''s really a narrow road to Yuanjia. Isn''t this the young man she scolded as a doctor in the morning?


    "Hey, this world is so small, we meet again."


    Zhou Can smiled very comfortably.


    In the morning in the outpatient hall, I was **** off by this aunt. Now she is a patient and Zhou Can is a doctor. She probably wanted to die.


    What worries her most is Zhou Can''s revenge on her.

 Chapter 30： Seeking to preside over Level 2 surgery

    Although the aunt was sweating from the pain at the moment and her face was distorted, she still tried her best to squeeze out a smile that was uglier than crying.


    "Young man, I was wrong in the morning, and please don''t be as knowledgeable as an old woman like me."


    People under the eaves had to bow their heads.


    Being called auntie by Zhou Can in the morning is like digging her ancestral grave.


    Now, in order to get Zhou Can''s forgiveness, she calls herself an old woman.


    Auntie''s ability to seek advantages and avoid disadvantages is really not bragging.


    His eyes were full of desire to survive.


    In the morning, he had a good time thinking about it, and he said a lot of harsh words, which offended Zhou Can to death. If you don''t apologize quickly at this time, if you get on the operating table, Zhou Can will cut her two more times.


    What can I do then?


    In fact, she is purely judging the belly of a gentleman with the heart of a villain.


    Zhou Can is not as narrow-minded as her. It is even more impossible to desecrate the sacred profession of doctors and make fun of patients'' lives.


    "Don''t worry, it''s just a misunderstanding in the morning, and I won''t care about it."


    Zhou Can waved his hand generously.


    It is enough to get the patient''s bow and apology.


    It was quite refreshing to see this bitter and mean aunt bowing her head.


    "Good man! The young man is such a good man! See if you can take special care of me, an old man, and don''t ask family members to come over. Is that okay?"


    The aunt pretended to be pitiful and begged sadly.


    "How can you do without the company of your family members? Who will take care of you in the hospital? Push her out first. This Ronaldinho is just messing around. How can such a patient who does not meet the conditions for surgery be pushed into the operating room?"


    Dr. Xu saw that Zhou Can was just a newcomer and had little experience in dealing with such difficult patients.


    He made this villain with a dark face.


    Needless to say, this is what my aunt eats.


    When he heard that she was going to be pushed out, he panicked on the spot.


    From morning to now, she has been queuing up and seeing a doctor. She dragged her sick body for nearly a day, and finally begged Dr. Luo outside to agree to operate on her in the emergency department.


    Now seeing that the operation will be possible soon, because there is no companion to fall short, she naturally refuses to give up.


    "Hey, I''m calling, I''m calling now. Please, don''t push me out!"


    The aunt saw that the leading doctor was very strict, pretended to be pitiful, and begged that the method was not working, so she had to honestly call the family.


    The phone got through.


    "Daughter..." As soon as the aunt called her daughter, she lost control of her emotions, choked up and couldn''t continue.


    It is quite different from the strong and aggressive image in the outpatient hall in the morning.


    "Mom, what''s the matter?"


    A young woman''s Nunuuo voice came from the other end of the phone.


    It''s hard to say, the voice is sweet, with a hint of laziness.


    "I... woo..."


    The aunt was the first to cry.


    Zhou Can saw that this was not a problem. The operating room of the emergency department was very busy. Aunt''s emotions are out of control, and I''m afraid it will be difficult to express things clearly.


    "Why don''t I tell your daughter!"


    Zhou Can stretched out his hand to signal.


    The aunt pursed her lips tightly and handed him the phone with red eyes.


    "Hi, I''m a doctor from Tuya Hospital."


    "May I ask what''s the matter with my mother?"


    The woman''s voice was trembling, obviously flustered.


    Suddenly hearing that her mother was sick in the hospital, she must have been very nervous.


    It can also be seen from this that the relationship between mother and daughter is not bad.


    The aunt is so seriously ill, why doesn''t she want to tell her daughter?


    "Your mother has cecal calculus and is in urgent need of surgery. However, according to the hospital''s regulations, considering that the patient needs to be hospitalized and the operation is risky, family members must be accompanied."


    "Ah... Is my mother''s illness serious? She didn''t tell me! Doctor, I''ll come over right away. May I ask which department of Tuya Hospital is it?"


    The aunt''s daughter suddenly heard that her mother was seriously ill, and she was very anxious.


    "We are in the emergency department of Tuya Hospital. When we arrive, we will go directly to the operating room. When will you arrive?"


    Zhou Can asked.


    "About two hours! I''ll ask the boss for leave right away."


    The mother and daughter should not live together.


    Two hours'' drive, at least more than a hundred kilometers apart.


    "Well, okay, pay attention to safety on the road."


    Zhou Can hung up the phone.


    After returning the phone to the aunt, he looked at Dr. Xu.


    In such a situation, if the family members agree to rush over to accompany them, they can have the surgery first, or they can wait until the family members arrive.


    "Doctor, I have already signed the consent form for the operation, please do it for me quickly!"


    Aunt begged again.


    Dr. Xu did not immediately agree, but said seriously, "We can do your operation in emergency. But I want to tell you that, from your examination results, although the intestinal obstruction is a bit serious, it is far from being life-threatening immediately. If you are not particularly anxious, you can go to a specialist for treatment. The specialist has better technology and more advanced equipment, and can perform laparoscopic surgery for you. The wound is smaller and the postoperative recovery is faster, but the price will be a little more expensive.¡±


    Laparoscopic surgery is already a tertiary surgery.


    The technical requirements for doctors are higher, and the equipment is more advanced.


    From this point of view, because specialists specialize in a certain field, their medical skills are indeed much better than emergency medicine.


    "No, no, I''ll do it here with you."


    Aunt shook her head again and again.


    She was quite suspicious, probably thinking that the doctor was trying to trick her into paying more for the operation.


    So I declined without thinking.


    "If you insist on performing this operation in the emergency department, we can only perform routine operations here, do you agree?"


    "agree."


    "Okay, then I will arrange it for you."


    Doctor Xu didn''t say any more.


    "Notify the anesthesiologist to come over to prepare for preoperative anesthesia, and call the nurse Ye Tingting in to help. Tang Ling, you should prepare the patient for the operation first."


    Cecal calculi surgery seems to be only a minor second-level operation, but at least five medical staff are required.


    An anesthetist, chief surgeon, an assistant, an equipment nurse and a nurse on tour.


    It would be better for a female nurse to do the work of cleaning the skin of a female patient.


    Soon, the anesthesiologist arrived. After reading the patient''s information and having a brief exchange, he confirmed that there was no problem and asked her to sign.


    The anesthetist then gave her an epidural.


    "The anesthesia is successful, the patient''s vital signs are normal, and the operation can be performed."


    Dr. Xu has already stood at the chief surgeon''s position.


    Zhou Can''s eyes became hot.


    The previous two surgeries were just minor incidents.


    Especially the patient with the forehead injury, even in the first-level surgery, it can only belong to the simplest.


    The current appendectomy operation is a real second-level operation.


    And it belongs to the higher difficulty in the secondary operation.


    It would be of great significance to Zhou Can if he could get the opportunity to practice this operation. UU reading


    In the relevant regulations, there is such a clause in the evaluation of doctors'' surgical ability: those who complete 80% of the same level of surgery are deemed to have passed the evaluation of surgical ability, and can be granted the same level of surgical authority.


    What does that mean?


    That is to say, if Zhou Can can complete 80% of the appendix removal operation by himself, he will be able to obtain the authority of the second-level operation.


    Of course, because he has not yet obtained a doctor''s qualification certificate, let alone registered a medical practitioner''s certificate, he cannot practice medicine alone.


    But leaning against a big tree is good for enjoying the shade!


    It is no problem to work under the guidance of superior doctors.


    The doorway here is big.


    The hospital implements a three-level responsibility system.


    Zhou Can is just a trainee, and the doctors who are in charge of taking care of him, as well as the doctors at the next level, have to be responsible for his actions.


    If he puts the patient to death, Dr. Xu is the one who bears the main responsibility.


    It is conceivable that it is a matter of future and destiny, so Dr. Xu will naturally take him seriously.


    He would definitely not dare to do a job with a higher risk.


    It would be different if Zhou Can could show his ability to independently complete the second-level surgery.


    At least in Dr. Xu''s mind, he was able to obtain the qualification for second-level surgery.


    If there is such a job in the future, I will trust him to do it with confidence.


    This is exactly what Zhou Can needs.


    The operating room of the emergency department is basically a first-level and second-level operation.


    If you can only obtain the first-level surgical qualification, you will definitely miss many opportunities. For example, medical skills such as dissection, separation, and anastomosis are difficult to exercise and improve.


    If secondary surgery can also be done, then it will be awesome.


    It''s not a problem for Zhou Can to spend a day in the operating room and easily earn two to three hundred experience points.

 Chapter 31： Seemingly harsh, but caring

    Opportunities are right in front of you, and you have to be bold and thick-skinned to get them.


    "Doctor Xu, can I have an open abdomen?"


    "no!"


    Dr. Xu refused without thinking about it.


    A smile appeared on the corner of Dr. Lu''s mouth, and when he looked at Zhou Can, he somewhat mocked him for his ignorance.


    "Zhou Can, don''t worry, when the time is right, Dr. Xu will give you a chance to exercise." Ye Tingting winked at him, and expressed relief.


    "Um!"


    Zhou Can smiled gratefully at her.


    This is a second-level operation. Although laparotomy is not as dangerous as thoracotomy, the risk is not small. Being rejected by Dr. Xu was within his expectations.


    Opportunities are always worth fighting for.


    Success or failure is out of his control.


    At least try your best and you won''t regret it.


    "You stand there and watch carefully!"


    After Dr. Xu refused his request, he gave him another chance to watch and learn from the best angle.


    Zhou Can was secretly happy, Dr. Xu clearly intended to train him.


    "When choosing the position of the scalpel, it is necessary to avoid important blood vessels and nerves that may exist. There is not much difference in the position of the appendix between men and women, but the anatomical position of the appendix itself sometimes varies greatly, which needs to be combined with the patient''s film. Determine the location of the knife. Under normal circumstances, the appendix is ??located in the right lower abdomen, the middle and outer 1/3 point of the line connecting the umbilical cord and the superior iliac space, which is called McBurney''s point."


    While explaining, Dr. Xu demonstrated.


    "Here, her Max''s point is here. During the operation, the incision will be made along the Max''s point."


    This kind of practical experience is very important.


    It was summed up by the predecessors after countless surgeries.


    It can ensure that the operation will not go wrong to the greatest extent.


    Zhou Can kept them in mind one by one, and he put away the idea of ??rushing forward. Set your heart down and study hard.


    After Dr. Xu finished explaining, he began to operate.


    The scalpel seemed to be alive in his hands.


    Drop the knife and pull back.


    His eyes are sharp, and his movements are accurate, steady and fast.


    The skin, subcutaneous fat, the anterior sheath of the rectus abdominis, the rectus abdominis, and the posterior sheath of the rectus abdominis, all layers of human tissue were cut open layer by layer as if by magic.


    Zhou Can''s eyes straightened.


    This level is not inferior to Director Liu.


    Never thought that the worst emergency department hides such a powerful expert. Moreover, Dr. Xu is only an attending doctor.


    Not even the deputy director.


    With such a high level of surgery, it is really a shame to be an attending doctor in the emergency department.


    As these layers of tissue were cut open, blood began to flow out rapidly.


    Dr. Lu''s first assistant immediately held the electrocoagulation knife to help stop the bleeding.


    It''s just that Dr. Lu''s level is really not flattering.


    The speed is not bad, but accidental injury or incomplete hemostasis sometimes happens.


    He is very sloppy in his work.


    No wonder he was kicked out by the weight department.


    If you can''t correct the problem of sloppy work, you can only do first-level and second-level operations. I can''t even preside over a second-level operation, I can only be an assistant.


    As far as this level of hemostasis is concerned, Zhou Can is much better than him.


    Contempt is contempt, Zhou Can is just a regular trainee, so naturally he is not qualified to criticize a senior resident doctor.


    Dr. Xu frowned, but didn''t say much.


    It is estimated that there is no way.


    The emergency department was already understaffed, so even if Dr. Lu''s level skills and attitude were sloppy, he could only make do with it.


    This is the real situation in the emergency department.


    But now that Zhou Can and Jin Mingxi are two leaders, this situation will change soon.


    "Remember, only two layers of peritoneal fat and peritoneum are left after cutting here. You must be careful during the operation, and you must not try to save trouble and make one size fits all. What is the most important thing in surgery? It is safe. Otherwise, no matter how good you are, a small mistake may destroy you forever."


    When Dr. Xu said the last sentence, his tone was very special.


    It seems to have deep emotions in it.


    This made Zhou Can speculate about Dr. Xu''s story.


    I saw Dr. Xu holding the scalpel, as if carving a handicraft, with a dignified and focused expression, slashing and pulling unhurriedly.


    The peritoneal fat layer was perfectly cut.


    Next is the peritoneum.


    As soon as it was cut open, pus overflowed.


    Dr. Lu stood on the first assistant''s seat, motionless like a dead man.


    In this case, the pus overflow must be sucked out immediately.


    Zhou Can didn''t ask for instructions this time.


    It was too late to ask for instructions.


    Immediately pick up the suction device and **** up the pus.


    "I didn''t expect the suppuration to be so severe. Her illness must have been dragging on for a long time."


    Dr. Xu gave Zhou Can an appreciative look.


    If Zhou Can hadn''t reacted quickly just now, it would have easily caused wound contamination.


    "Doctor Lu, stand over there and pull the hook with Jin Mingxi. Xiao Zhou stands here and is in charge of assisting."


    Dr. Xu saw that Zhou Can''s auxiliary ability and adaptability seemed to be better than Dr. Lu''s, and he didn''t show any favors to Dr. Lu, so he directly changed Zhou Can to the first assistant seat.


    Appendectomy retractor is not particularly hard, and the operation time is relatively short.


    But this arrangement is equivalent to promoting Zhou Can to the first assistant, while Dr. Lu, who is older and more senior, is demoted to the second assistant.


    Even though he was wearing a mask, he could feel that Dr. Lu''s complexion was a bit ugly.


    Anyway, Zhou Can is how the superior arranges and how to do it.


    After standing on the first assistant seat, he used the electric coagulation knife in one hand and the suction device in the other.


    Stand by.


    The peritoneum was cut bit by bit until it was as big as the surgical wound.


    At this point, you can already see what''s inside.


    Bursts of stench came to my face.


    The abscess was more serious than imagined.


    Necrotic tissue sticks together, like minced meat.


    "Make the wound a little wider."


    Zhou Can quickly electrocoagulated the bleeding point to stop the bleeding, and then carefully sucked out the pus in the abscess.


    It must be sucked clean, otherwise it is easy to cause abdominal contamination.


    That would be a big problem.


    There is no harm without comparison.


    Compared with Dr. Lu''s clumsy assistance, Zhou Can is not only ten times more serious, but also has enough hemostasis to beat Dr. Lu by two blocks.


    "Xiao Zhou, come and look for the cecum."


    "good!"


    Zhou Can understood that Dr. Xu was focusing on training himself.


    It is almost a hand-in-hand teaching.


    He followed the colon belt, pushed aside the fat pendants on both sides, and searched carefully. Soon the cecum was found, which was slightly whiter than the small intestine. But it is not pure white, but gray and white.


    When the cecum is found, the appendix is ??also found.


    Because they are connected.


    Zhou Can used gauze pads on his fingertips to lift up the cecum, and then successfully found the appendix along the colon.


    "The adhesion seems to be particularly serious."


    Zhou Can looked at Dr. Xu.


    "It''s not that hard to separate them as long as you''re careful."


    Dr. Xu looked very calm.


    I saw him carefully separating the adhesions. The whole process is meticulous, precise, and unhurried, revealing the style of a master.


    When they were separated, he kept teaching Zhou Can some skills and explaining the main points.


    It took almost half an hour to completely separate the adhesion tissue.


    "Next, the necrotic cecum can be removed. Remember, whether it is to remove the cecum or appendix, it should be done outside the abdominal cavity as much as possible to prevent contamination of the abdominal cavity. If conditions do not permit, it can only be removed in the abdominal cavity, and gauze must be placed around it. Properly protect all layers of the abdominal cavity."


    The lesions have been separated, and it is enough to propose laparotomy.


    The stump of the colon was sutured by Dr. Xu himself.


    He told Zhou Can and Jin Mingxi the key points, precautions, and various sewing methods without reservation. As for Dr. Lu, he should have taught him a long time ago.


    "Retract the intestines, and then clean up the accumulated blood and fluid. After the inspection is correct, you must check the number of surgical instruments and consumables."


    There are often irresponsible doctors who forget surgical instruments or gauze in the patient''s body.


    Eventually cause medical malpractice.


    These good habits need to be developed from the beginning.


    "Xiao Zhou, shut up your stomach!"


    Dr. Xu was right in not agreeing to open his laparotomy and remove his cecum.


    Because Zhou Can lacked both experience and surgical skills.


    After learning this time, at least Zhou Can will be more confident in cutting the cecum or appendix next time.


    The growth of every doctor is accumulated over time and gradually grows up.


    The experience point system can accelerate his growth, but it cannot help him achieve it overnight.


    Dr. Xu also delegated power to him a little bit and cultivated him slowly.


    It seems harsh, but it is actually a kind of love.


    If a child is just learning to walk, let him run, which is tantamount to doing him harm. Because that kid can''t run very far and falls badly.


    After Zhou Can sewed the patient''s abdominal cavity, he earned another 20 experience points.


    A total of ten stitches were performed on the patient.


    His sewing skills are also becoming more and more proficient.


    Suturing on patients is completely different from suturing on pigskin and white mice.


    First, the feel is different.


    Human skin is more delicate and appears more delicate when sutured.


    In addition, when practicing with pigskin, there is no psychological pressure. When suturing patients, they will naturally feel nervous and have a lot of psychological pressure. Mental power is also highly concentrated throughout the process.


    To be precise, this is the fourth time he has stitched on a patient.


    Compared with the first time, all aspects have improved significantly.


    Although I still can''t be as calm and unhurried as Dr. Xu, at least I won''t be as tense as the first time. When he closed the abdominal cavity for the patient just now, his heart was relatively calm.


    This kind of improvement in mood is by no means what the experience point system can give.


    It can only be improved through surgical experience.


    "The sewing is not bad. In the future, I can entrust you with suturing the epidermis and closing the abdominal cavity. This kind of work, Dr. Lu and Dr. Jin probably don''t like it, right?"


    Even a fool can see that Dr. Xu is deliberately cultivating Zhou Can.


    "It''s good to let Zhou Canduo exercise." Jin Mingxi expressed his opinion.


    "I really don''t like skin stitching and closing the mouth. When will Dr. Xu let me preside over a second-level surgery!" Dr. Lu said with a smile.


    "When will you get rid of your sloppy behavior, and come to me again to make this request!" Dr. Xu said to him mercilessly.


    Doctor Lu smiled awkwardly and stopped talking.


    The old lady''s operation was very successful. After waking up from anesthesia, she was pushed out of the operating room by the nurse.


    ¡­


    In the emergency operating room, a steady stream of patients are sent in, and the volume is large.


    For Zhou Can, it is simply a paradise for upgrading his medical skills.


    It''s a pity that there are many operations that cannot be done.


    Either it will be presided over by Dr. Xu, or the patient can only be persuaded to transfer to a specialist for surgery.


    He was busy until twelve o''clock in the evening, when the doctor who took over shift came, Zhou Can got off work.


    When he walked out of the hospital, Zhou Can felt that his body was almost falling apart.


    Being a doctor is really tiring.


    But today''s harvest is too big to imagine.


    He not only achieved his goal of staying in the hospital as a regular Pearson, but also quickly integrated into the big family of the emergency department. It has been preliminarily approved by Director Lou and Dr. Xu.


    Next, as long as you don''t kill yourself, the future of development is absolutely bright.


    Doctor Xu has obviously started to focus on training him now.


    Even Jin Mingxi didn''t have this treatment.


    In addition, UU Reading has earned a lot of experience in the four medical skills of suturing, hemostasis, ligation, and injection. Cutting experience points is the least earned, earning only 2 points.


    For the slightly risky dissection, Dr. Xu was worried about accidents, so he basically performed the surgery himself, and dared not let Zhou Can do it.


    At most, when cutting, Zhou Can will explain the key points and precautions of each step in detail.


    After all, it takes a long time to train a medical talent.


    It can''t be done in a day or two.


    Zhou Can also made study adjustments according to the current situation.


    When I return to the dormitory after get off work, I can buy more white mice and rabbits to practice dissection at home. Although practicing dissection on small animals, the increased experience value is 5 times less than practicing on the human body.


    But there is no risk.


    And if you want to practice, you can practice at home every day. Even if he only increases his incision experience by twenty or thirty points a day, after two or three months of practice, his incision skills can be raised to the level of attending.


    He didn''t have time to look at his phone all day, so he took out his phone to check it.


    There are quite a lot of unread messages.


    The group of students in class 512 has exploded.


    Almost all the students and teachers sent messages in the group congratulating him and Yang Chan on successfully obtaining the qualification for regular training.


    Yang Chan has already replied in the group.


    It is nothing more than thanking the teacher for cultivation, thanking the students for their blessings and so on.


    Zhou Can did not reply in the group for a long time, and some students quit.


    Start to gather together.


    Why would he pay attention to his teachers and classmates now that he is so prosperous now?


    What''s more, some people say that he is now the champion of Tuya Hospital''s regular training exam, and even the teacher doesn''t pay attention to him, I''m afraid he has forgotten his teacher''s kindness long ago.


    Zhou Can roughly flipped through the messages in the class group, and was speechless for a while.

 Chapter 32： 0 million net worth

    Some people are like this, they can''t see that you are better than him.


    Seeing that Zhou Can suddenly became so good, but they didn''t even get Tuya''s internship qualification, they were naturally resentful.


    Zhou Can directly chose to ignore these people who were unreasonable.


    The teachers have already congratulated him individually, so there must be something to show for it!


    "I''m sorry, I just had the operation, so I finally have time to touch my phone. Thanks to the careful teaching of several mentors, I can achieve today''s results. Thanks to the students for their congratulations and encouragement. I will never forget my original intention and work hard to improve my medical skills. Yang Chan will add glory to Class 512 together."


    After sending this message, he left it alone.


    There are still many private messages waiting for him to reply.


    Those who sent him private messages were either relatives, or close classmates and friends.


    "Ah Can, you are amazing. You actually won the first place in Tuya''s regular training exam! I''m back to my hometown, remember to treat me!"


    This is a message from Fa Xiaocheng Dazhuang.


    The two have been classmates until high school, and both like medicine. It''s a pity that Cheng Dazhuang''s college entrance examination score was a little low, and he only went to a general medical university in the end. Zhou Can was very lucky, stepping on the line and being admitted to Tuya Medical University.


    At any rate, it can be regarded as a key undergraduate course such as 985.


    After graduation, his fate was completely different from that of Cheng Dazhuang.


    He successfully obtained the internship qualification of Tuya Hospital, and now he has applied for Tuya''s regular training doctor. The future looks bright.


    Cheng Dazhuang got into the local county people''s hospital because he only studied for an ordinary undergraduate degree and heard that he was looking for connections everywhere.


    It is estimated that I should have completed a one-year internship by now, and continue to study in the hospital.


    It seems that they are all regular training doctors, but their status and status are already very different.


    Cheng Dazhuang is equivalent to an introductory disciple of a third-rate sect. However, Zhou Can is equivalent to an introductory disciple of a famous sect.


    The gap between the two will continue to widen as time goes by.


    Cheng Dazhuang worked hard to become an attending doctor in ten years, and his medical status and level may not be as good as a junior resident doctor in Tuya Hospital.


    This is also the reason why countless people are fighting for their heads and also want to get into a good school.


    Zhou Can couldn''t help but smile when he thought of Fa Xiao''s appearance.


    In a person''s life, family affection, love, and friendship are all indispensable.


    These are the most beautiful things.


    "Hey, surprise? Surprise? I was lucky enough to pass the exam. Speaking of treats, even if I go back to my hometown, I invite you!"


    After replying to the small message, the next thing is some friends who have a good relationship with him sent him private messages to wish him well.


    These people are really well informed.


    After quickly replying one by one, he clicked on the most important message.


    This is from my mother.


    "Boy, is work going well? It''s been a long time since you asked your family for money. I transferred 50,000 to you just now, so you can eat better."


    Zhou Can''s heart felt warm.


    Mom is really good to him.


    My parents opened a food processing factory in my hometown county, specializing in deep processing of agricultural products. Due to honest management, hard work and willingness to work, the business is still booming. The exact annual income is unclear.


    Zhou Can only knows that his parents have never owed him material things since he was a child.


    However, it is different from those who over-indulge children''s education.


    They have guided Zhou Can to establish a correct concept of money since he was a child, and Zhou Can has never done any such brainless things as spending time and drinking, taking drugs, gambling, and driving luxury cars around the streets to show off his wealth.


    The pocket money given by his parents, except for normal human relations such as occasionally inviting friends to dinner, the rest is basically used by him for investment and study.


    When he was ten years old, his parents gave him 500,000 yuan as a birthday present.


    And tell him that he can spend whatever he wants.


    As a result, Zhou Can used it to buy shares in Penguin. As a minor, I bought it with my mother''s identity information. The purchase price that year was around 94 yuan per share, and a total of 5,300 shares were bought.


    At his 20th birthday party, his parents proudly gave him 1 million as a birthday present.


    Still the same sentence, he can spend whatever he wants.


    In fact, parents are smart. They also know their own children, so they dare to be so willful.


    In addition, my mother saw that he was an adult, and proposed to transfer the stocks bought when he was 10 years old to his name.


    Zhou Can was already a college student at this time, and his knowledge and vision had greatly improved.


    He felt that Penguin''s stock price had risen to a high point, so it was better to realize it and then switch to real estate.


    So I asked my mother to sell the 5,300 shares of Penguin at a price of 586 yuan per share. A total of more than 3.1 million cashed out.


    It has doubled more than 6 times in ten years, which is a very successful investment.


    Especially when he was only ten years old.


    For many children, the concept of money at this age is basically at the level of going to the canteen to buy snacks.


    It has to be said that if the children of the rich can be properly guided, their knowledge, cognition, and pattern will far exceed those of the children of the poor.


    Zhou Can is equivalent to running on the shoulders of giants.


    Later, he cashed in more than 3 million yuan in stocks, plus the 1 million yuan gift from his parents for his 20th birthday. After careful consideration, he subscribed for four sets of lake-view houses in the provincial capital city.


    At that time, because the lake view real estate was located in a relatively remote location, various supporting infrastructure had not yet been built.


    As a result, real estate sales are slow.


    At a rough price of 6,500 yuan per square meter, he bought four large suites with an area ranging from 121 to 142 square meters.


    Not a loan, but full payment.


    That year, he was only twenty years old.


    The house was handed over in February this year. After Zhou Can got the keys, he simply renovated them.


    Three sets have already been rented out.


    There is another set ready to be kept for self-occupation.


    The rent is not much, the monthly rent of a house is about 2,000 yuan.


    However, there are more than 6,000 in total, which is equivalent to a month''s salary of ordinary wage earners.


    The key is that the prices of the four houses have risen from the initial 6,500 yuan/square meter to around 17,000 yuan/square meter.


    This is a real appreciation.


    He is not short of money now, and he is not ready to sell.


    After all, this is a provincial capital city, and the infrastructure around the house is gradually improving. Metro Line 6 is directly open to the door of the house. In addition, the originally stinky Bajing Lake has changed a lot after treatment and construction.


    Zhou Can believes that housing prices here will continue to rise. Based on the current housing prices, the value of his four suites is as high as 9 million. If it rises again, it will definitely exceed 10 million.


    In addition to the above-mentioned investments, he also invested a large amount of pocket money in himself.


    After entering a martial arts school, entering a special class, and later in college, I bought medical equipment, books, props, etc. These invisible soft investments are the most valuable.


    Let him not fall behind in the fierce competition.


    "Thank you mom and dad!"


    Zhou Can knew that whether his mother transferred pocket money to him or gave him a large amount of cash on his tenth or twentieth birthdays, his father must have known about it.


    It''s just that the father is more strict on weekdays, and the father and son rarely talk to each other.


    When they met, Zhou Can yelled ''Dad'', and his father said ''Mmm'', and it was over.


    Especially after Zhou Can was in high school, the father and son became even strangers.


    "Stinky boy, are you leaving get off work so late?"


    Mom is still not asleep.


    "Being a doctor, that''s all. You can''t ignore patients when they come to see a doctor, can you?" Zhou Can chatted with his mother, feeling very relaxed.


    "Your father and I are only a child like you, you must pay attention to your body, do you hear me?" His mother said the harshest words to him, and this was the kind.


    That''s why he''s so relaxed when he''s talking to his mom.


    "Got it! You haven''t slept so late?"


    "The factory has received a large foreign trade order, and we have made an appointment to go to their company to discuss it tomorrow. Tonight''s flight at two o''clock in the morning, sitting here is fine, and I am swiping my phone!"


    Parents work very hard to make money.


    For example, now, in order to win that big foreign trade order, I have to catch a plane overnight.


    But when the hard-earned money his parents earned was given to his son, they didn''t even bat an eyelid.


    This is the love of Chinese parents for their children.


    "Wow, the products of our factory are actually sold abroad, I feel so tall!"


    Zhou Can also attached a big ''Like'' gesture at the back.


    "Haha, there are many things you don''t know! If you don''t insist on studying medicine, you will manage the factory, and you will definitely do better. How about it, do you have a girlfriend? Your father has talked about it many times. Don''t you I would like to take over the family business, at least give him a few grandchildren, and there will always be someone to take over the family business in the future."


    As my mother talked, she began to urge the marriage.


    This is the most troublesome thing for Zhou Can.


    He''s only 24 years old, so why worry?


    It is not difficult at all to marry a beautiful wife under his conditions, but after all, people who have to live a lifetime can''t just look at their looks, can they?


    When you meet someone you like, it will happen naturally.


    "Mom, stop talking, the phone is out of battery!"


    Zhou Can hurriedly ended the chat.


    "Stinky boy, when you mention your girlfriend, you will give my mother a sloppy eye. Don''t always pick and choose, take one home!"


    Zhou Can pretended not to see his mother''s thoughts.


    After exiting WeChat, he found a message from the hospital.


    It was sent to his mobile phone at 4:00 pm.


    "Hello, according to the benefits of the hospital staff, you are now a regular trainee doctor, and you can get an accommodation upgrade. If you want, please go to the logistics support department to apply for a double apartment check-in card within one week. If you have any questions, you can contact 139... Chen Qin."


    I used to be an intern and could only live in a dormitory shared by eight people.


    Now that he has been promoted to a regular training doctor, his status has been improved, which is equivalent to half of a full-time employee in the hospital, and the treatment he receives has also been greatly improved.


    Possibility to move into a double apartment.


    Zhou Can went to see it once, it was upstairs.


    With private bathroom and air-conditioning, the interior decoration is much better than dormitories. Usually two Gui Pei students live in the same room.


    Most doctors work in shifts.


    If one person is on night shift and the other is on morning shift, they won''t even be able to meet each other.


    Relatively speaking, double apartments are much better than dormitories in terms of personal privacy protection and noise interference.


    Zhou Can decided to apply for the room card when he went to work in the hospital tomorrow.


    Pushing open the dormitory door, it was quiet inside.


    It is estimated that all the roommates are already asleep He didn''t turn on the light, but used his mobile phone as a flashlight, and groped towards his bed.


    Suddenly, the lights in the dormitory were turned on.


    "Welcome the heroes of 211 to return in triumph! Welcome! Haha..."


    The roommates did not sleep, but waited to celebrate him.


    They laughed one by one, surrounding Zhou Can in the middle.


    "Thank you, thank you brothers!"


    Zhou Can was really moved by them.


    "We''ve bought supper, and we''re waiting for you, let''s take a seat!"


    Two square tables were joined together, and there were more than a dozen disposable food boxes placed on them.


    After opening, the alluring fragrance filled the entire dormitory.


    There are marinated chicken feet, crayfish, kebabs, cabbage, Filipino dishes and so on.


    The dishes are still hot, these roommates really bothered.


    There are three beers on the ground.


    It seems that this is a celebration banquet and a breakup meal.


    "It''s fate for everyone to get together. We live together for a year. Although the people on the day shift and night shift may not see each other a few times a month, the roommate friendship between each other is real. Come, I respect you first. Let¡¯s have a cup, thank you for the fate that allowed us to meet, get acquainted, and establish a deep friendship.¡±


    Gu Jie is worthy of having a father who is a leader, a tiger father has no dogs, and his speech level is quite high.


    He has always played the role of the big brother of the 211 dormitory.


    Everyone took a bottle of beer, and no cups.


    Clink glasses straight from the bottle.


    Gu Jie looked at Zhou Can.


    There are blessings and envy.


    "You bastard, you hide really deep! Everyone thought you were mediocre, but unexpectedly you won the first place in the regular training exam. If you don''t punish yourself today, you can''t justify it!"

 Chapter 33： Its a big misunderstanding

    "drink!"


    "drink!"


    The other roommates followed suit.


    "All right, all right, I''ll do it first as a respect!" Zhou Can was so happy today, he wanted to have fun, raised his bottle, and drank booze with his head raised.


    "good!"


    "Enough man!"


    "Worthy of being the champion, domineering!"


    Seeing him drinking a bottle of beer in one go, all the roommates couldn''t help applauding loudly and applauding.


    "Eat vegetables, eat vegetables!"


    Everyone began to wipe out the delicacies on the table.


    While eating and drinking, everyone began to chat about their future plans. Some plan to go back to their hometowns to apply for jobs in municipal hospitals, and some plan to make plans after obtaining their doctor''s qualification certificate.


    Gu Jie failed this time and was very unwilling.


    He plans to rely on his father''s relationship to enter a better hospital for training first, and then take Tuya''s regular training recruitment exam next year.


    Zhou Can is the luckiest of all.


    Just like the ancient imperial examinations, once one wins the Juren, the fate will change dramatically.


    The roommates are worried about the future, but he can devote all his energy to how to improve his medical skills.


    ¡­


    That night, Zhou Can fell drunk on the bed. The roommates were also very drunk, and some even lost their temper after drinking, because they failed to pass the qualification training this time and cried like a child.


    Everyone considers himself a genius from the moment he is sensible.


    Only when the cruel reality came, did he realize that he was just the bottom one among all living beings. They have been working hard and fighting hard during the growth of their lives for more than 20 years, but they were finally eliminated ruthlessly.


    That kind of sadness and bitterness cannot be confide in others yet.


    Under the stimulation of alcohol, let them throw away all their pretense and release the sadness and sadness brought about by setbacks. Crying should not be defined as cowardice and shame.


    It is the best way for human beings to express their painful emotions.


    When I was a baby, I would cry when I was hungry, cry when I was in pain, and cry when I was unhappy. Later, as we got older, everyone told us to learn to be strong, and it was shameful to cry.


    As a result, many adults lost the expression of crying.


    Zhou Can fell into a drowsy sleep when he heard the phone ringing. He just dropped it.


    Again, he continued to press down.


    The man seemed to be addicted to harassment, and not long after, his cell phone rang again.


    "Which psychopath disturbs the people in the middle of the night?"


    Drunk, he cursed indistinctly, and simply pressed and held the power off button to try to be quiet.


    The next morning, when Zhou Can woke up, he felt a little pain in his head.


    Sitting up, rubbing the temples on both sides of the forehead and the Fengchi point on the back of the neck with both hands. After a massage, the pain symptoms were greatly relieved.


    In addition to treating other people''s diseases, studying medicine can also quickly solve headaches and fevers in life.


    He habitually picked up his phone to check the time, only to find that it was turned off.


    He''s been a little bit out of shape from drinking too much.


    After trying to recall, I vaguely remember someone calling my cell phone in my sleep. Then he hung up.


    "It''s so late, who will call me?"


    Could it be that the emergency department told me to work overtime?


    Thinking of this, he became nervous.


    Doctors are a special profession. When there are patients who need to be rescued, even in the middle of the night, they have to rush back to the department to participate in the rescue.


    Because saving people is like fighting a fire, sometimes even a delay of a few seconds may lead to the loss of a fresh life.


    After the phone was turned on, he swiped open the screen to check the missed calls.


    "Yang Chan!"


    He never expected that it was actually Yang Chan calling.


    Although the two kept calling each other for more than a year, they never contacted each other.


    With her arrogance, there are only two possibilities for making so many phone calls suddenly at two o''clock in the middle of the night. Either accidentally touch the phone and dial by mistake. Or it was something very urgent.


    "Oops, she didn''t meet a gangster and asked me for help, did she?"


    Zhou Can''s heart sank. Several hours had passed since she made the phone call. If he really wanted to meet a gangster...he didn''t dare to think about the consequences.


    It''s a mistake to drink!


    Quickly try to call back.


    No one answered the first time.


    This made him even more nervous.


    Fortunately, it was finally connected when I dialed the second time.


    "Hello¡­"


    There was a hint of laziness in the indistinct voice.


    Why does it feel like you haven''t woken up?


    Knowing that she was still alive, my hanging heart sank slightly.


    Hope nothing bad happens.


    "Squad leader, why did you call me last night?"


    "Zhou Can!"


    The squad leader''s voice suddenly rose, and seemed to be full of anger.


    "Are you deliberately not answering my call?"


    "How could it be! I didn''t get off work until twelve o''clock last night. When I returned to the dormitory, my roommates celebrated for me. I finally passed out drunk, so I hung up your call in a daze. You... nothing dangerous happened, right? ?¡±


    After Zhou Can explained, he asked tentatively.


    "You are in danger!" She choked Zhou Can angrily. "It''s all because of your good deeds. The words posted in the classmate group caused a huge misunderstanding, making the classmates and teachers think that what happened to me and you... Do you think it was intentional?"


    "Didn''t I say anything in the group? I just wanted to thank my teachers and classmates. What misunderstanding did I cause?"


    Zhou Can was dumbfounded.


    "Go and see for yourself! You bastard, you kept people up all night. Hurry up and explain clearly to everyone in the group, do you hear me?" She was still so domineering.


    "All right, all right, I''ll go and see what those grandsons said first, which made the squad leader so angry. Don''t worry, I will definitely find a way to clarify this matter."


    After Zhou Can hung up the phone, he went to the WeChat classmate group to have a look.


    Immediately my head grew bigger.


    Didn''t you just post a sentence, "Let''s win glory for class 512 with Yang Chan"?


    How can these ''gossip women'' be so good at messing around?


    No matter what, Zhou Can and Yang Chan must have come together.


    Zhou Can was able to perform super long this time, and won the top prize in the Tuya Guipei Examination because of the power of love.


    He also said that his medical skills could improve so quickly because of Yang Chan''s full guidance.


    ¡­


    One by one has a nose and an eye.


    People''s words are terrible, and three people become tigers.


    A very normal sentence was over-interpreted by these people, constantly spread rumors, and eventually turned into a farce of messy mandarin ducks.


    It doesn''t matter to Zhou Can, whoever likes to talk, let him talk.


    But Yang Chan has a thin skin, because of this incident, she didn''t sleep all night.


    I have been the class monitor for five years and have always maintained a good image in the minds of my classmates.


    It also made her care more about her reputation.


    If Zhou Can didn''t clarify this matter for her, she would be under great psychological pressure. I''m afraid that even my work will be seriously affected.


    The best way to deal with gossip is not to respond.


    Otherwise, those who spread rumors will only get more motivated.


    In the current situation, silence is definitely not going to work. These **** will think that Zhou Can has acquiesced in this matter, and it will be more troublesome then.


    How can we make these people shut up?


    Zhou Can calmly thought about the solution.


    After thinking about it, there is only one way to quickly dispel the rumors that he and Yang Chan are in love.


    There is a saying in medicine, which is called fighting poison with poison.


    Eliminating a rumor can also destroy a rumor with a rumor.


    After making up his mind, he began to organize his language.


    "Thank you, students, for caring about my life-long affairs. My family is a little rich, and I pay attention to being well-matched. My family has already chosen a spouse for me. In order to avoid misunderstandings, students, please don''t mess with the red line, so as not to affect my marriage. .It will even damage the reputation of the monitor. Please look at it for the sake of the friendship of five years of classmates, hold your hands high, and the rumors will end as soon as possible."


    After Zhou Can sent this message, he casually sent a 1,000 yuan lucky red envelope in the group.


    First use the rumors to break the rumors, and then sprinkle RMB to show favor.


    The classmates who received the red envelopes all started to speak for him.


    "Wow, I actually grabbed a big red envelope of 88 yuan. Thank you Brother Can. Don''t mess with Brother Can in the future. He already has a partner."


    "Let me just say, if Zhou Can really fell in love with the squad leader, how could there be no rumors about it. Don''t over-interpret it, everyone, I''m so sorry for such a big misunderstanding!"


    "I''m sorry, I blamed me for having fun and said irresponsible words. I''m sorry! @ÖÜcan, @ÑîÜ°."


    The first person who spread rumors immediately stood up and apologized after receiving the red envelope.


    The farce was finally calmed down by Zhou Can.


    "It''s okay, it''s okay, just say it clearly!"


    Yang Chan must have been staring at it. She quickly replied to the classmate who apologized in the group.


    Seeing that the matter had been resolved, Zhou Can let out a long sigh of relief.


    Get up quickly, wash up, and help your roommates clean up the dormitory. Then reluctantly say goodbye.


    After rushing to the hospital, he first went to the cafeteria to eat breakfast.


    Tuya Hospital has a dedicated staff canteen, which is cheap, high-quality, and rich in variety. You can get a lot of delicious food for very little money.


    This is still very good.


    Of course, only hospital staff can enjoy this treatment. Patients and social personnel can only eat in the outsourced canteen below.


    Prices and dishes are far from enough.


    While eating, when he looked up, he found Yang Chan who also came to have breakfast.


    There are two female doctors with her.


    "Morning monitor!"


    Zhou Can greeted with a smile.


    "morning!"


    There was no expression on her face, and her tone was very cold.


    What''s wrong with these girls?


    Zhou Can wondered, haven''t all the rumors in the group been quelled by him? There''s no reason to be angry.


    Having been a classmate for five years, in Zhou Can''s impression, she is a very generous girl.


    Apart from not falling in love, there is almost nothing wrong with her. UU reading


    "Are you still angry about what happened last night?"


    Zhou Can asked casually.


    He does not mean that.


    The expressions on the faces of the two fellow female doctors immediately became ambiguous.


    A young man and a woman who can be together at night must have an unusual relationship.


    And only couples fight and get angry.


    They secretly looked at Zhou Can.


    Handsome, extraordinary temperament, especially the self-confidence from the bottom of his heart made him more attractive.


    "Doctor Yang, who is this? Could it be yours?"


    "Hehe, let''s go buy breakfast first! You guys chat slowly!"


    The two female doctors covered their mouths and took a sneak peek at the two of them, then left Yang Chan where she was.


    "You **** Zhou Can, you can''t pay attention to what you say!" Yang Chan stomped her feet angrily.


    Because of embarrassment, even the ears are red.


    "I...did I say the wrong thing again?" Zhou Can looked innocent.


    After careful reflection, the sentence just said does make people have some reverie.


    "You two wait for me. He is just an ordinary classmate of mine. He is going to marry a well-matched wealthy daughter. I am not his type!"


    He gave him a fierce look, and chased the two female colleagues away.


    Zhou Can was a little puzzled by Monk Zhang Er.


    A woman''s heart, a sea needle.


    Why listen to the meaning of her words, and be so worried about what he said when he explained in the group?


    Even if her family background is average, there is no need to care so much!


    If you don''t understand, you don''t want to.


    Rush to work in the emergency department.


    I earned a lot of medical experience points yesterday, and today is another brand new day.


    The harvest should not be worse than yesterday.

 Chapter 34： 3rd advanced medical skill

    The emergency department of Tuya Hospital is always so busy, before eight o''clock, the corridor is already full of patients seeking treatment.


    Many patients who obviously should register for a specialist clinic number, in order to see a doctor earlier, or they have run out of appointments for that day''s specialist clinic number. They crowded into the emergency department.


    This also exacerbated the shortage of emergency department staff.


    "Doctor Zhou, hurry up and help in the operating room. There is a car accident patient who needs emergency surgery."


    Seeing Zhou Can, Ye Tingting immediately called him to support the operating room.


    Based on my feeling, her title should not be too low.


    Certainly not junior nurse level, at least junior nurse.


    She seems to have a special affection for Zhou Can, and she took care of Zhou Can in the operating room yesterday.


    Jin Mingxi, who entered the emergency department with Zhou Can, did not have this treatment.


    "Okay, I''ll go right away!"


    As soon as Zhou Can heard that there was an operation that could be done, he immediately became excited.


    After changing into the surgical gown, I went into the operating room to have a look.


    I saw Dr. Xu, an unfamiliar resident doctor, an anesthesiologist, and equipment nurse Tang Ling. A total of four people were preparing the patient for surgery.


    "Good morning, Doctor Xu! Good morning, you all!"


    Zhou Can took the initiative to greet the four of them.


    The patient''s thighs were **** and bloody. The **** trousers have been cut off.


    Perhaps due to lack of manpower, the equipment nurse has multiple roles and is disinfecting the patient''s upcoming surgery.


    Although in the eyes of doctors, there is no distinction between men and women.


    But when she watched her disinfect the patient''s perineal area, she was obviously embarrassed.


    "Let me do it!"


    Zhou Can took the initiative to **** the pliers from her hand, and sterilized the patient with sterile cotton.


    "Thanks!"


    Tang Ling showed him a grateful smile.


    "polite!"


    When Zhou Can was an intern, he did this kind of thing a lot. It is very proficient in operation now.


    It was done in no time.


    "Introduce the catheter to the patient."


    Doctor Xu ordered.


    This is usually the job of nurses. Tang Ling held the catheter and looked at Zhou Can for help.


    "In the future, when I am present, just leave this kind of work to me."


    Zhou Can took the initiative to take the catheter without her asking, and skillfully inserted the catheter into the patient.


    Catheterization serves multiple purposes in a critically injured patient like this.


    For example, obtaining urine samples for laboratory tests, real-time monitoring of whether the patient is urinating normally after surgery, etc.


    [Congratulations on getting the implantation technique, the current experience value is 1/1000 of the third level. Special equipment or drugs such as vascular stents, bone nails, and springs can be placed in the corresponding tissue parts of the patient. ¡¿


    Zhou Can was stunned for a moment, then ecstatically.


    Implantation is an advanced medical technique.


    Its practice is extremely difficult.


    But it is widely used in various high-difficulty precision operations. Such as heart stent placement, vascular balloon placement, etc.


    It is directly at the third level, which is equivalent to the inferior level of a resident doctor, which makes Zhou Can very satisfied.


    If this medical skill is practiced well, when it returns to surgery one day, it will definitely shock everyone.


    He was pleasantly surprised by inserting a urinary catheter and actually getting implantation.


    It seems that these humble chores can also be rushed to do in the future.


    Inserting a urinary catheter can get 1 insertion experience point, which is simply not too cool.


    It''s as enjoyable as picking up hundred-dollar bills on the street.


    At present, he already has three advanced medical skills, if he can raise them all to the attending level. At that time, I will be able to take on some difficult surgical work.


    "The patient''s legs have been severely fractured internally. Our emergency department can only deal with the injury initially to ensure the patient''s life safety. We will try our best to keep his two legs and then transfer them to the surgeon."


    Dr. Xu set the tone for this operation.


    The emergency department simply does not have the conditions to perform all operations on such patients.


    Its job is to rescue critical patients and do its best to save lives.


    "Dr. Lin''s suturing and ligation level is much higher than that of Xiao Zhou, so Dr. Lin will be my assistant, and Xiao Zhou will be in charge of assisting and part-time as a nurse on tour."


    After Dr. Xu arranged the division of labor, several people took their positions.


    "Ouyang, are the patient''s vital signs okay?"


    "Operation possible."


    Before the operation, the opinion of the anesthesiologist must be obtained first.


    The patient''s blood pressure was significantly low and his heart rate was too fast. Indicates excessive blood loss.


    There is a femoral artery in the thigh that is fast enough to bleed to death.


    Judging from the current situation, the femoral artery is likely to have been ruptured.


    Many people may not know how high the risk factor of femoral artery rupture is. I believe everyone knows that if the neck is cut, a person can easily die.


    In fact, if the trachea in the neck is cut, the person will not die immediately.


    But when the carotid artery is cut, blood will spurt out immediately.


    The femoral artery, like the carotid artery, is a direct coronary artery.


    This hemorrhage is very scary.


    Second only to the heart being pierced by a sharp weapon.


    On the contrary, it is a common suicide by cutting the wrist in TV dramas. The bleeding is actually not that terrible. In some environments with strong coagulation function or low temperature, it is likely to stop bleeding automatically.


    Dr. Xu carefully debrides the crushed part of the patient''s leg.


    I saw a stream of blood gushing out like a spring.


    "Hemostat!"


    Before Dr. Xu finished speaking, Zhou Can had already clamped the proximal end of the bleeding blood vessel with a hemostat.


    Intermediate-level hemostasis for residents is not free.


    The first assistant, Dr. Lin, looked at Zhou Can in a little surprise.


    "I heard that the emergency department recruited two go-getters. I still don''t quite believe it. After seeing Dr. Zhou''s hemostasis level, I believe it now."


    As soon as the master makes a move, he will know if there is one.


    Zhou Canlu''s ability to stop the bleeding immediately won the respect of Dr. Lin.


    Surgery is not like writing a dissertation. Many attending doctors will spend money on dissertations or even projects in order to gain the title of associate senior. Or use various means to reduce the difficulty of evaluating deputy senior titles.


    Even if it is rated in the end, the level can be imagined.


    There is only a false name, but it is actually very watery.


    Surgery can''t be faked.


    It''s okay, if you don''t, you will be exposed immediately.


    "I don''t dare to take the title of general. I will ask Dr. Lin to take care of me in the future."


    Zhou Can lowered his posture as much as possible.


    For newcomers, the lower the profile, the better.


    As long as he earns experience points silently, he will be able to leave opponents like Dr. Lin and Jin Mingxi far behind in a short time.


    "Since the bleeding point on this side has been found, Dr. Lin, you clean up the wound on the other side. Xiao Zhou maintains the hemostatic position, and I will perform the anastomosis."


    This is an anastomosis of the femoral artery. Although the difficulty is not too high, it is a test of the doctor''s anastomosis level.


    Dr. Xu is not at ease to let Dr. Lin do it.


    Choose to match in person.


    Zhou Can was jealous for a while, but unfortunately his current anastomosis level is only inferior to that of a resident doctor. If it can be promoted to the excellent level of a resident doctor, it should be able to anastomose the femoral artery well.


    In the patient''s other leg, the muscles and bones inside were destroyed, but the skin was still attached.


    Dr. Lin carefully cut the epidermis.


    I saw that the muscles under the skin had rotted away.


    There were hematomas and gores everywhere.


    There are even bone fragments.


    It''s too awful.


    The injured should have been run over by the rear wheels of a large truck over his legs.


    On the other side, there was a hole in the femoral artery.


    Blood is being sprayed out.


    Zhou Can had to use two things at once, freeing up his left hand to hold the hemostat to control the bleeding point.


    "Thanks!"


    Without Zhou Can''s help, Dr. Lin would not be able to operate alone.


    This ruptured femoral vessel needs repair.


    "Doctor Xu, the femoral artery here is also broken. It''s in good condition. Can you let me repair it?"


    When Dr. Lin asked this question, Zhou Can probably deduced his suturing skills.


    If you are exhausted, you will not exceed the excellent level of a resident doctor.


    It seems that the gap with Dr. Lin is not that big.


    Zhou Can''s current suture level is inferior to that of a resident doctor. He only needs to spend a few months in the operating room, and he may overtake Dr. Lin.


    Others can only improve their medical skills step by step and at a slow pace.


    For the vast majority of surgical residents, it takes at least five years for the suturing level to be improved from inferior to excellent.


    This has to be the case that the amount of surgery is sufficient.


    If it takes three or four days to get a suture opportunity, and then practice in private without being too diligent, it may not even reach an excellent level in seven or eight years.


    So in comparison, Zhou Can''s advantage is quite large.


    "You can try it. The suture gap should be tight, and arterial pressure needs to be fully considered."


    Doctor Xu agreed.


    On the one hand, he was too busy.


    On the other hand, as long as the risk is not particularly high, he will try his best to delegate power to his doctors to help them grow quickly.


    "clear."


    Dr. Lin nodded and quickly began repairing the ruptured femoral artery.


    Thanks to the protection of skin and flesh, the damage to the femoral artery was not particularly serious.


    Otherwise, just blood vessel repair will be very troublesome.


    "Dr. Lin''s suture level should be at the middle level of a resident doctor."


    After seeing Dr. Lin''s blood vessel repair, Zhou Can has a bottom line in his mind.


    It seems that it doesn''t take too long to surpass Dr. Lin in suture level.


    Be proactive, maybe you can surpass him in ten days and half a month.


    "Xiaozhou, the great artery anastomosis, in addition to ensuring that the suture gap is tight, UU Reading also needs to pay attention to distinguishing whether the blood vessel is damaged. Like this, it must be cut off. If after cutting, the distance between the two blood vessels is relatively small far, the pulling force is too great, and must not be anastomosed by force. You can take a section of saphenous vein or replace it with an artificial blood vessel."


    "It is generally best to consider using the patient''s own blood vessels. Although the technology of artificial blood vessels is very mature, it is still a minefield. Especially when operating on young patients, it must be considered that they will live for decades. Using any artificial organs, tissues Be careful when replacing it."


    While operating, Dr. Xu carefully passed on his valuable surgical experience to him.


    "remember."


    Zhou Can nodded with an extremely sincere attitude.


    Modesty and eagerness to learn are one of his great strengths.


    In the operating room, Jin Mingxi and Dr. Lu came in one after another.


    It''s shift time.


    Dr. Lin worked the night shift, while Dr. Xu and Tang Ling came to help after receiving a call from the hospital.


    Twenty minutes later, Dr. Xu had successfully anastomosed the severed femoral artery.


    Dr. Lin is still busy.


    Depending on the level, the speed of the operation will also vary greatly.


    A powerful surgeon, not only the operation time is short, but also the operation quality is particularly high.


    "Xiao Zhou, let go of the hemostat here and try the blood flow."


    Zhou Can slowly loosened the hemostat.


    Instead of frizzy direct release.


    From this point, it can also be seen that his level of hemostasis is quite good. The real high level is not only reflected in the wonderful technology, but also needs to pay attention to many details.


    Like this kind of artery and large blood vessel, just after the anastomosis is successful, the hemostatic clamp is suddenly released.


    It is equivalent to suddenly opening all the gates when opening the gates for flood discharge.


    It is easy to cause adverse consequences.

 Chapter 35： Famous teachers lead to high apprentices

    As Zhou Can loosened the hemostat bit by bit, the dry blood vessels began to fill up. Immediately afterwards, the patient''s right lower limb began to recover a little bit of blood. Not so pale anymore.


    "The blood flow was smooth and the anastomosis was successful."


    Everyone had smiles on their faces.


    For a doctor, the happiest thing is to see the patient''s condition improve.


    Restoring the blood supply to the lower extremity also means that the possibility of the patient keeping the leg is greatly increased. From a medical point of view, if the blood flow of limbs is blocked, death may occur within 20-30 minutes.


    If it is cerebral ischemia, it is even more terrifying.


    Brain death occurs in as little as four or five minutes.


    Even if it is saved in the end, there is a high probability that it will become a vegetable or a mentally handicapped person.


    "Doctor Lin, is the anastomosis almost over?"


    Doctor Xu asked.


    "Hurry up, there will be about five or six minutes."


    Dr. Lin is focusing on repairing the broken arteries.


    "Based on the patient''s current injury, it is not appropriate to move. Please ask the surgeon to come over for a consultation! See if the operation can be completed here."


    What the emergency department can do is the initial rescue work.


    After the patient''s vital signs stabilized, he was transferred to a specialist for further treatment.


    After a long wait, Dr. Lin finally completed the blood vessel repair.


    "Take a blood test!"


    After speaking to Zhou Can, Dr. Lin looked expectantly at the repaired blood vessels and the patient''s left lower limb.


    Zhou Can still loosened the hemostat bit by bit.


    It can be seen that the dry blood vessels are slowly propped up by the influx of blood. However, the complexion of the lower extremities is still pale.


    After watching for tens of seconds, Dr. Lin looked at Dr. Xu nervously.


    "Don''t worry, I think the blood flow is smooth. There are two reasons for the slow return of blood to the left lower limb. First, the repaired blood vessels are narrowed, which reduces the blood supply to the left lower limb. Second, the patient lost too much blood after the injury. Too much, low blood pressure, resulting in insufficient blood supply to the extremities."


    Dr. Xu seemed very calm.


    No panic at all.


    The reason why superior doctors can preside over more advanced operations is not only because of their better medical skills, but also because of their stronger psychological quality in dealing with crises. Coupled with richer experience, the correct solution can be given in a shorter time to deal with some emergencies.


    In short, the growth of a doctor is very difficult.


    Including academics, medical skills, experience, psychological quality... many aspects.


    "Xiao Zhou, watching us perform vascular anastomosis, what do you gain?"


    Dr. Xu asked him questions alone.


    It made other doctors and nurses look at him enviously. Any fool can see that Dr. Xu is very fond of this new regular trainee.


    "The harvest is quite big. For example, in the final stage of anastomosis, the air that may exist in the blood vessel must be exhausted. There is also the extent to which the blood vessel is damaged and needs to be removed, and the method of taking the great saphenous vein. In addition to medical technology , Your calmness in the face of crisis has also benefited me a lot."


    Zhou Can roughly shared his harvest.


    "Hehe, you kid can even imitate the psychological quality of a superior doctor, so I have convinced you."


    Dr. Xu, who has always been strict, showed a rare smile.


    "If you were to repair the femoral artery that Dr. Lin just repaired, what would you do?"


    When Dr. Xu anastomosed blood vessels just now, he taught him a lot of experience.


    Did Zhou Can really listen carefully?


    Can you apply what you have learned?


    This is what Dr. Xu is most concerned about.


    He doesn''t like people who are stupid.


    "If I were to repair it, I might do a triangular anastomosis. There are two reasons. The circular anastomosis is not so strong, and the triangular anastomosis is stronger. The second point is that the triangular anastomosis can perfectly avoid the small piece of damaged blood vessel wall. , to remove it. In this way, the narrowing of the blood vessel lumen and even secondary rupture can be avoided to the greatest extent.¡±


    Zhou Can gave his own opinion.


    Doctor Lin felt ashamed for a while.


    Although his suture level is higher than Zhou Can''s, the application of surgical plan is obviously not as flexible as Zhou Can''s.


    "It''s okay, it''s not in vain. I guess it will take a while for the surgeon to arrive. You can anastomose these two small veins."


    This is obviously a chance for Zhou Can to practice.


    Even if you mess up, there''s not much risk.


    Doctor Xu was watching from the side.


    Wipe his **** anytime.


    Zhou Can couldn''t help but be overjoyed, as long as there is an opportunity to get experience points, he likes it.


    I just learned a lot of vascular anastomosis skills and key points, and now I can practice it on patients. This is definitely the dream of every low-qualification doctor.


    Because this method of combining learning and practice can make learners get twice the result with half the effort.


    Many people only know that famous teachers give rise to great apprentices.


    But I don''t know why the apprentices taught by famous teachers are so powerful.


    In addition to the high level of the famous teacher itself, the most important point is that the famous teacher can also provide students with various practical opportunities.


    For example, the current venous and vascular anastomosis, if ordinary Gui Peisheng wants to get it, he wants to eat it.


    ¡­


    After about twenty minutes, an orthopedic surgeon rushed over.


    "Old Xu, is this patient?"


    He nodded to Dr. Xu as a greeting.


    Eyes then fell on the patient.


    "Hmm! The injured man''s legs were crushed very badly by the car. The femoral artery has been temporarily connected, and the rest of the operation may have to be handed over to your surgery department. Personally, I suggest that you ask your surgery specialist to After the operation is completed for the patient here, is it transferred to the ward?"


    Dr. Xu briefly introduced the situation.


    Zhou Can is still concentrating on anastomosis of veins.


    His speed is extremely fast, and he has successfully matched one.


    The one that is being stitched together in the hand is more complicated, and the broken section needs to be cut off, and then stitched together.


    "Your operating room is relatively simple, and the connection and repair of bones are very complicated. I''m afraid it can only be done in our orthopedic surgery operating room. Also, I see that the patient''s thigh muscles and bones are severely damaged. These two It is hard to say whether the leg can be saved. You are the first doctor, so you need to communicate with the family. In addition, the cost of treatment will not be low, and the family must be clear about whether to save the leg or amputate."


    This kind of crushing injury can easily lead to necrosis of the muscles and skin of the legs.


    It''s hard to see with the naked eye alone.


    Only after a few days of observation can a final conclusion be drawn.


    "That''s fine. After we have communicated with the family members, we will transfer it to your orthopedic surgery department for further treatment."


    Doctor Xu didn''t say anything more.


    He is just an attending doctor in the emergency department with limited abilities. Many things are out of his control.


    Before leaving, the orthopedic surgeon glanced at Zhou Can who was stitching up.


    "Old Xu is planning to train a successor?"


    "What is there to take over from my class? Attending is my end."


    There was a hint of loneliness in Dr. Xu''s tone.


    "Old Xu, let me tell you something you don''t like to hear. The environment and conditions of the emergency department make it impossible to cultivate high-level talents. You might as well let go of some obsessions and focus on emergency rescue. With your talent, you It¡¯s really possible to make a difference.¡±


    The attending doctor of orthopedic surgery also seemed to know about Dr. Xu''s past.


    Zhou Can couldn''t help being even more curious. Dr. Xu''s medical skills are obviously not weak, so why was he placed in the emergency department, the worst department, as the attending doctor?


    What happened back then?


    "What kind of talent do I have, I''m already a useless person."


    Doctor Xu laughed at himself.


    "But don''t say that, at least in the minds of many of our surgeons, you are still the legendary Xu Yidao. Don''t say anything, let''s go!"


    The attending doctor of orthopedic surgery waved his hand and left quickly.


    Orthopedic surgeons should be one of the busiest clinicians in the department.


    At this time, Zhou Can finally completed the anastomosis of the second vein.


    [Stitching experience +1, ligation experience +1, anastomosis experience +1. ¡¿


    Earning experience points now is like flying at a speed.


    For anastomosis of two veins, UU Reading earned 30 experience points for suturing, 4 experience points for ligation, and 2 experience points for anastomosis.


    The attending doctor of orthopedic surgery said that the emergency department could not train high-level doctors, Zhou Can expressed his dissatisfaction.


    According to the current rate of progress, I am afraid that within three years, a master surgeon will be born in the emergency department.


    After the anastomosis was completed, Zhou Can tried to drain the blood.


    not bad.


    At least they all fit together.


    Dr. Xu checked it carefully for a while, and then said, "The anastomosis method is okay, but the level of suture needs to be improved. For example, here, it is because your suture has not reached a high level, resulting in the narrowing of the lumen of the blood vessel. And this, you It should be selected as the starting point for stitching. In the future, these details must be paid attention to.¡±


    It was a great benefit for Zhou Can to get Dr. Xu to point out the problems in the suture one by one.


    Father, like son.


    Many problems are hard to find by yourself, and a clever teacher can point them out sharply, which can avoid detours.


    "Doctor Lin, please communicate with the family members again. He said that the patient''s hemorrhage in both legs has been controlled, and now he needs to be transferred to the orthopedic surgery department for further treatment. The cost of limb salvage needs to be prepared at least 200,000 yuan, and there is a possibility of failure. Ask clearly After the family wishes, we will proceed to the next step of treatment.¡±


    Doctors can only give medical advice.


    As for the final choice of patients and their families, doctors have no right to interfere.


    Zhou Can has seen family members directly choose to give up the 20,000 yuan treatment fee.


    The injured man was about fifty years old. Judging from his clothes, tanned skin, and rough hands, his family should not be rich. It is hard to say whether the family members are willing to spend hundreds of thousands to choose limb salvage.


    Everyone waited patiently for Dr. Lin''s communication results.

 Chapter 36： most expensive doctor

    For the family members, the most fearful thing is that they will lose money and people.


    Dr. Lin came back soon after he went out to communicate urgently with his family members.


    "The family members demanded that the hospital do its best to save the limbs."


    Hearing this result, everyone was very pleased. At least their efforts were not in vain.


    "That''s fine, immediately transfer the patient to the orthopedic surgery department for further limb salvage surgery!"


    Everyone worked together to carefully lift the patient from the operating table to the transfer bed, and then sent to the orthopedic surgery department.


    "Doctor Xu, I''ll get off work after I send the patient there."


    Dr. Lin had already arrived off work, but he hadn''t finished dealing with the injured, so he couldn''t leave.


    "Well, okay! Xiao Zhou, help us **** it!"


    Dr. Xu was worried, and asked the careful Zhou Can to accompany and **** the patient.


    "Goodbye, everyone!"


    The anesthetist packed up his things, and left after Xiao Sa. They belong to the Department of Anesthesiology and provide anesthesia support to all clinical departments. It feels like anesthesiologists are like legendary rangers, they will appear wherever there is a need.


    Zhou Can and Dr. Xu pushed the patient out of the operating room, and the nurse Ye Tingting was already waiting for them with the patient''s information.


    The family immediately surrounded him.


    There are only two family members.


    The middle-aged woman in old-fashioned clothes, with many wrinkles around her eyes and forehead, should be the injured man''s wife. The eyes were swollen like peaches and filled with tears. Another family member is a seventeen or eighteen-year-old girl.


    Washed white jeans, a cheap white T-shirt, white canvas shoes on his feet, and a clean ponytail.


    The little girl is very handsome and gentle, she should still be a student.


    Her eye circles were also red, and tears were rolling in her eyes. She bit her red lips tightly and looked at the injured with a sad face.


    "dad!"


    She rushed to the transfer bed and called for her relatives.


    "The surgeon has just woken up from anesthesia and is very weak, so he can''t communicate with you now. If he wants to save his limbs, he must be sent to the orthopedic department for further surgery."


    Zhou Can especially sympathizes with this family, but there is very little he can do to help them.


    The middle-aged woman spoke in dialect and pulled her daughter aside.


    Just as the mother and daughter stepped aside, a man in a full set of Adidas sportswear came forward with a smiling face.


    "Doctor, can his legs be kept?"


    "Who are you from the wounded?"


    Zhou Can glanced at the man warily.


    The man was able to laugh, indicating that he was definitely not a family member.


    "I''m the driver who caused the accident, please smoke."


    The man took out a pack of Huazi from his pocket, pulled out two skillfully, and prepared to smoke.


    "Smoking is not allowed in the hospital, please put it away. It is hard to say whether the injured''s legs can be saved. But don''t worry, our hospital will definitely do our best."


    Zhou Can thought to himself that the driver who caused the accident had a conscience and knew how to care for the injured.


    "Doctor, I mean what if the limb salvage fails, what will happen in the end?"


    "Then the only option is amputation to save my life."


    Zhou Can answered patiently.


    "Can you tell me what the success rate of limb salvage is?"


    After being silent for more than ten seconds, the man asked again.


    "There is no way to give an answer to this. We can only say that we will do our best to save the limbs of the injured." Zhou Can was very speechless when encountering similar questions from patients or family members.


    Doctor, can I be cured?


    Doctor, how many days will it take for me to recover?


    ¡­


    No doctor can give an accurate answer to this question.


    The man may have also seen a trace of impatience in Zhou Can, so he didn''t continue to pester him.


    Zhou Can and Dr. Lin quickly sent the patient to the orthopedic surgery department.


    At this time, the driver who caused the accident pulled Zhou Can aside, Guigui Chongchong said.


    "Doctor, I think this person''s leg may not be able to keep. How about you tell the family members that the only option is amputation?"


    Zhou Can rolled his eyes, and refused without thinking, "Sorry, we can''t do anything about it."


    The driver who caused the accident must be worried that the patient will eventually have to amputate after limb salvage treatment. In this way, he would have to pay hundreds of thousands more for treatment.


    It is in the best interest of the driver to directly amputate the patient''s limb and then make a one-time compensation.


    It''s just that he didn''t think about it. Amputation means that the injured will spend the rest of their lives in wheelchairs. She can''t take care of herself, her movements are extremely inconvenient, and she has to bear the great pain of losing her legs all the time.


    The double pain in mind and body is enough to make many people despair and finally choose to commit suicide.


    The driver who caused the accident had a really dark heart.


    "Doctor, as long as you help me with this, I will give you 20,000 yuan." The man offered the price. "Don''t worry, I can give you cash directly, and I promise not to let anyone know."


    "Why do you think I''ll take your money?"


    Zhou Can looked at the man playfully.


    "Well...I think you are handsome and kind..."


    Zhou Can interrupted the flattery that the man racked his brains.


    "I want to hear the truth!"


    The man''s sycophantic behavior was exposed, and he couldn''t help laughing twice.


    "It''s because your job card is a regular training doctor. The grade is relatively low and the income is not high. It is easier to impress with money." The man finally told the truth.


    "You should say that my rank is low and I can be bought with very little money."


    Zhou Can exposed him mercilessly again.


    "Hehe, you are so humorous. But I hit someone this time, because I only bought compulsory insurance, and the insurance company can''t pay much, so I am very miserable. I may have to pay hundreds of thousands to the injured. I can spend the least money to get things done. Do it, it''s the best."


    The man began to behave badly in front of Zhou Can.


    "The idea is very good, but have you considered the injured? First of all, this matter is illegal, and secondly, won''t your conscience hurt? Give it up."


    After Zhou Can finished speaking, he turned and left.


    "Hey, doctor, if you think it''s too little, you can add more. Can you add another 10,000 to 30,000? If you distribute 10,000 to other doctors, they will definitely agree. You can easily earn 20,000. Why not do it? I think you are so young, and your accent doesn''t sound like a local one. You will need money to buy a house and get married in the future."


    The man caught up with the first two steps and pulled him back.


    "I''m sorry, but you missed it."


    Zhou Can''s impression of this man was extremely bad.


    "What do you mean?"


    The man looked puzzled.


    "You found the most expensive doctor. I can consider it for 3 million."


    He personally has a net worth of nearly ten million, richer than the average chief physician. Wanting to buy him, really picked the wrong person.


    After Zhou Can finished speaking, he left without looking back.


    Only the depressed man remained.


    Buying Zhou Can with 3 million yuan, is there still a need to buy it?


    The treatment expenses and disability compensation for the injured can add up to about one or two million at most.


    The man failed to bribe Zhou Can, and quietly pulled Dr. Lin aside.


    As long as it is a doctor with a little conscience, it is impossible to agree to this matter.


    Zhou Can secretly observed the two of them.


    Dr. Lin said a few words with an angry face, and walked back quickly.


    From this point of view, Dr. Lin''s character is quite good.


    This little incident gave Zhou Can a good impression of Dr. Lin.


    After they handed over the patient, Zhou Can glanced at the two pitiful family members.


    "Auntie, don''t worry too much, have faith in the doctor, and believe that your husband will stand up again."


    "Thank you doctor."


    The middle-aged woman also knew good from bad, and thanked Zhou Can with a hoarse voice.


    "Sister, are you still studying?"


    Zhou Can looked at her daughter.


    "Hmm! Sophomore year."


    "College students are good. They are educated and knowledgeable. You should help make up your mind about some things. Don''t give up lightly. Give your father more support."


    It is inconvenient for Zhou Can to say some things clearly.


    However, I believe that with the above instructions, the family members should be more determined to ask for limb salvage.


    In this way, even if the man bribes other doctors, no one dares to amputate the injured person regardless of the request of the family members.


    "I will."


    Her social experience is still young, so she obviously didn''t realize that Zhou Can said these words to her, there was something more to it.


    Only the young doctor encouraged her out of sympathy.


    There is nothing wrong with Zhou Can here.


    He went straight back to the emergency department.


    "Doctor Zhou!"


    Dr. Lin walked a few steps to catch up with him and gave him a thumbs up.


    "Didn''t you also make the same choice?"


    Zhou Can winked at him.


    "Haha, we are in the same league! I have to go back to the emergency department office to hand over and go together."


    Dr. Lin took the initiative to extend the invitation.


    "Isn''t this walking together!"


    Zhou Can frowned and smiled.


    "Haha, Dr. Zhou is not only noble in medical ethics, but also a wonderful person. I heard that you got the first place in the standardized training. Why did you come to the emergency department, which is such a stupid department? With your talent, you should go to Shenwai, The development of the top departments of cardiothoracic surgery, cardiology, and neurosurgery."


    He only said this because he regarded Zhou Can as a friend.


    Dr. Lin has worked in Tuya Hospital for many years, and he knows exactly which departments in the hospital are good and which are bad.


    "I really want to go, what can I do if people look down on me!"


    Zhou Can shrugged and laughed at himself.


    "Those department directors didn''t choose you, that''s their loss. You are only in the regular training stage anyway, and studying with Dr. Xu for three years is no worse than staying in those weighty departments."


    Dr. Lin knew that he had made a slip of the tongue, and asked about Zhou Can''s pain.


    Quickly speak words of relief.


    "Dr. Xu''s medical skills are indeed very good. I was curious, why is he just an attending doctor in the emergency department?"


    Zhou Can has been curious about this for a long time, and now he seized the opportunity to inquire about it.


    As for the fact that he was not selected by the weight department, he has long since ignored it.


    Medical skills in all aspects are constantly improving, and sooner or later they will become a blockbuster.

 Chapter 37： fainting pregnant woman

    "I don''t know much about Dr. Xu''s past, because I have only been in Tuya for five years. I only know that Dr. Xu seems to be very influential in surgery, and many surgeons in charge of surgery respect him very much. The director and the chief physician are all polite when talking to him. Even Director Lou and Deputy Director Han in our emergency department don''t have that much face."


    In this way, Dr. Xu may have been a big surgeon in the past.


    Maybe because he offended a powerful person, or made a mistake, he was sent to the "cold palace" of the emergency department.


    Zhou Can secretly guessed.


    "There is another very interesting thing. Once a seriously injured patient was admitted to the emergency department and needed emergency surgery. Several director-level physicians came, and it seemed that Dr. Xu was finally invited to perform the most critical part of the operation."


    This is another shocking news.


    Any doctor at the specialist director level can become the trump card of a prefecture-level city hospital.


    This kind of existence can''t do the part of the operation, but Dr. Xu took care of it.


    What kind of ability does Xu Yidao, who has created a legend, have?


    Zhou Can is becoming more and more curious about him now.


    "Although Dr. Xu is a bit harsh, he is actually very good to people, and his level in many fields of surgery is also very high. I wanted to worship him as a teacher two years ago. It is not a bad thing to be in the emergency department. Occasionally, I will be taught some surgical techniques. It is a pity that my comprehension is limited, my surgical thinking is not flexible enough, and my level is improving slowly. But I can still feel that after two years in the emergency department, the operation Under the guidance of Dr. Xu, his ability and diagnosis ability have been greatly improved."


    When Dr. Lin said this, a satisfied smile appeared on his face.


    For him who is less talented, he is already very satisfied to have made such a big improvement.


    "Doctor Zhou, don''t mind if you say something simple and profound. I think Dr. Xu thinks highly of you. You should seize this good opportunity and settle down to learn from Dr. Xu. Your talent is far superior to mine. I believe that after studying with Dr. Xu for a few years, there will be no small achievements."


    Dr. Lin said to him sincerely.


    "Thank you Dr. Lin for your kind words. Don''t worry, I''m not the kind of person who is too ambitious. From the moment I entered the emergency department, I was determined to do a good job in the emergency department. To get such a good teacher as Dr. Xu, It is my greatest luck. I will cherish it."


    Zhou Can was blessed by misfortune, and entered the emergency department known as "Leng Yamen", but he was able to get a senior doctor who was as capable as the chief surgeon of the surgery and carefully cultivated him.


    He has had enough.


    Even if he entered the weighted department, with his academic qualifications, it is impossible for him to be valued so much by the chief physician.


    ¡­


    Back in the emergency department, only Dr. Lu, Jin Mingxi, and Tang Ling were operating on the patient in the operating room.


    The patient''s palm was scratched by a sharp object, and they are doing debridement and suturing.


    Without the presence of the attending doctor, Dr. Lu can only perform a first-level operation at most.


    "Doctor Zhou is back! Your master told you to go to the emergency room first. It seems that there is a pregnant woman who is unconscious and needs to be rescued." Tang Ling said to him.


    "Dr. Xu is just his superior doctor. He didn''t say he was accepted as an apprentice. Don''t wear a hat." Dr. Lu was obviously jealous of this, but he couldn''t say it clearly, so he took the opportunity to criticize Tang Ling.


    In the operating room, the chief surgeon has absolute authority.


    The tiger is not there, the monkey is the king.


    In the absence of Dr. Xu, Dr. Lu has the highest status.


    He is the master knife.


    Although he can only preside over a first-level operation, he is still majestic.


    Zhou Can was too lazy to listen to this guy''s babbling, so he turned around and left the operating room.


    All the way to the emergency room.


    There was a well-dressed old lady standing outside the door, looking anxiously inside.


    After Zhou Can entered the emergency room, he found Director Lou and Dr. Xu there. There are also two senior doctors who are slightly familiar.


    I''ve seen it a few times before in my ED practice.


    The thin, tall, slightly hunched middle-aged male doctor is the deputy director of the emergency department¡ªHan Changqing. Despite his plain appearance, he is the chief physician of the emergency internal medicine department.


    Of course, the chief physician of internal medicine may have water.


    But to be able to get the title of Chief Physician in the Tuya Appraisal, no matter how high the water content is, it will not be far behind.


    Another middle-aged female doctor with a medium build and slightly fat body and brown curly hair is the attending general practitioner in the emergency department.


    What is general practice? That is, diseases in the four departments of internal and external gynecology and children can all be seen and cured.


    However, a person''s energy and time are limited, and there are almost no doctors who are proficient in general diseases.


    She is likely to be rich but not good.


    It is rare for so many directors and attending doctors of the emergency department to gather in the emergency room. The patient''s condition is particularly critical.


    "Hello Director Lou! Hello teachers!"


    Zhou Can took the initiative to say hello to several people.


    Deputy Director Han Changqing glanced at him and frowned, "Why did Gui Peisheng come in too?" There was a hint of displeasure in his tone.


    The pregnant woman''s condition is critical, but the diagnosis and treatment have not made substantial progress, and he is annoyed.


    Come in a regular trainee, isn''t this adding to the chaos?


    "I asked him to come." Dr. Xu said calmly.


    Even in the face of the deputy director of the department, Dr. Xu still stood firm like a mountain and stood still.


    Zhou Can suddenly felt that as long as he has real skills, even if it is just an indication, he can be very good.


    Whether Dr. Xu directly called Deputy Director Liu in a peer-to-peer tone, or the attending doctor of orthopedic surgery worshiped and respected him, or confronted the deputy director of the department with an extremely indifferent tone at this moment.


    All are exciting.


    "His name is Zhou Can, and I picked him back yesterday. He has the first overall score in regular training, and after arriving in the emergency department, his performance is also outstanding. Letting him participate in the diagnosis is also a kind of training for newcomers!"


    Director Lou also spoke for Zhou Can.


    Han Changqing, who hadn''t even looked at Zhou Can in the first place, turned his head to take a serious look for the first time at this Gui Peisheng who could win the appreciation of two important figures in the emergency department.


    "You are Zhou Can?"


    Han Changqing''s question was...very mentally handicapped.


    Director Lou has already introduced them.


    He still asked.


    It''s nothing more than an expression of arrogance. He wanted to establish his position as the deputy director of the department and the chief physician of the internal medicine department in front of Zhou Can through this method, which was close to half-demonstration and half-beating.


    "You can just call me Xiao Zhou."


    Zhou Can just entered the emergency department and is still in the learning stage, so naturally he would not offend the deputy director of the department for such a trivial matter.


    Lowering your posture is definitely a manifestation of high emotional intelligence.


    When Zhou Can grows up in the future, it will be Deputy Director Han''s turn to look up to him, a junior.


    "Yesterday I heard that you performed well. You are indeed a good-looking talent! Since Director Lou and Dr. Xu are optimistic about you, I will give you a chance to watch and learn from our diagnosis. Cherish it, ordinary residents don''t have this Treatment!"


    Between the lines of Han Changqing''s words, there is a high-ranking senior style.


    It feels like a very arrogant person.


    Zhou Can didn''t even want to talk to this kind of person, so he just nodded and stood behind Dr. Xu.


    "Look at the information first."


    Dr. Xu took the information bluntly and stuffed it into Zhou Can''s hands.


    This move made Deputy Director Han and the general practitioner look at Zhou Can again.


    "Hehe, Dr. Xu seems to care about this newcomer Gui Peisheng!"


    "The main reason is that this kid is timid. If you don''t give it to him, he will definitely not dare to take the initiative to get the materials in front of you." Dr. Xu''s explanation is absolutely dead.


    Zhou Can began to quickly check the patient''s information and films.


    With so many senior doctors present, it was impossible for him to occupy the information all the time.


    There is not much time left for him.


    "Patient, female, 36 years old, twenty-four and a half weeks pregnant, with a history of hypertension, on the way to take a taxi from home to parents'' residence, suddenly complained of feeling unwell, UU Reading consciousness gradually became unclear, and then Fainted. After being sent to the hospital, after investigation, the sick woman''s heart rate was as high as 180, blood pressure was 192/120mmHg, and fetal heart rate monitoring was weak..."


    Hypertensive patients belong to the high-risk group.


    It is even more frightening for hypertensive patients during pregnancy.


    In addition, the patient''s age is over 35 years old, which belongs to advanced maternal age.


    All kinds of data are enough to make professional medical staff feel terrified.


    If the systolic blood pressure is higher than 180, it belongs to the third stage of hypertension. It is also the most serious level.


    The patient''s systolic blood pressure was as high as 192.


    It''s unbelievable that she was able to enter the hospital alive.


    Preliminary B-ultrasound examination of the chest and abdomen and CT scan of the head have been done. Blood testing is a routine inspection item, especially for such critically ill patients. It''s just that the test results haven''t come out yet.


    The urinary catheter has not been inserted yet, and the urine sample cannot be obtained, so the urine test should not be done yet.


    After Zhou Can read all the materials, he put them back on the table in the emergency room.


    This kind of behavior of knowing the proportion and knowing the current affairs has won the favor of the superior doctors to some extent. If he is a regular student and keeps researching with materials, it is likely to offend the superior doctors.


    After all, Zhou Can participated in this diagnosis as a student.


    To put it bluntly, he is a supporting role.


    No one expected him to contribute to this diagnosis.


    Deputy Director Han is the only chief physician of internal medicine in the emergency department, and he is the absolute main force for this diagnosis.


    At this moment, he has already circled the rescue bed three times, and it seems that he has no intention of stopping his "confusing" behavior.


    Director Lou couldn''t hold back at first.


    "Old Han, you are the only one in the emergency department who has a relatively deep knowledge of internal medicine. Do you see anything?"

 Chapter 38： Alternative Diagnosis Ideas

    Deputy Director Han stroked a few strands of gray hair on his forehead, frowning deeply.


    "Judging from the current examination results and the patient''s symptoms, the heart, liver, lungs and other important organs are all fine. The possibility of abnormalities and lesions can basically be ruled out for the liver blood vessels and cardiovascular system. The CT scan of the head shows that it is close to the brainstem. , there seems to be a hemangioma. In addition, the intracranial pressure monitoring was significantly higher than the normal value. So I think the cause of the patient''s fainting is in the head."


    After he gave the diagnosis opinion, he seemed a little unconfident, afraid of being slapped in the face.


    He cast his eyes on the female attending physician with brown curly hair, "Dr. Ai, because of the special situation of this patient, she is a pregnant woman who is pregnant. You usually receive more emergency treatment for pregnant women. What''s your opinion?"


    The emergency department is a department with a very high workload.


    The average female doctor can''t resist it at all.


    Not to mention anything else, the two-day night shift alone is enough for many doctors over the age of 35.


    Dr. Ai has rich experience in general practice diagnosis and treatment, and is a rare female doctor. In this backward department of the emergency department, she is as precious as a treasure.


    "The pregnant woman has no risk diseases such as uterine fibroids, hemorrhage, and placenta previa. I am also inclined to diagnose that the cause of the fainting is in the head. Her blood pressure is so high, it is like a dynamite bank, and it may be detonated at any time. I have to think about it." There is a way to lower it as soon as possible. Also, the fetal heart rate has dropped from 116 to 105 in just ten minutes since it was received, which is very, very dangerous."


    She used two extremes to remind everyone that the current situation of fetuses is more dangerous than that of adults.


    The hearts of several senior doctors sank, and their faces became more solemn.


    Industry specializing in surgery.


    Deputy Director Han diagnosed the approximate scope of the lesion in the pregnant woman, but Dr. Ai found that the fetus was very dangerous.


    Therefore, when encountering some patients with complicated conditions, it is necessary to have a joint consultation with doctors from multiple departments. Each person is good at different fields, united, can learn from each other''s strengths and avoid major omissions.


    Just then, Director Lou''s cell phone rang.


    Being interrupted by a phone call at this time, he showed a trace of impatience, took out his phone and frowned, and then a Sichuan opera changed his face.


    His expression became extremely respectful.


    Quickly swipe across the screen to answer.


    People also stand up straight.


    Judging from his reaction, one can guess that it must be a call from a big person like the leader.


    "Hi Dean, I''m Lou Jingshan from the Emergency Department, please give instructions."


    "Okay, we will do our best to rescue."


    "At present, the cause is not yet clear, and it is only tentatively determined that it may be caused by a problem with intracranial blood vessels. The fetal heart rate of the fetus in the pregnant woman''s abdomen has dropped below 110, which is quite dangerous."


    Director Lou reported his condition to Dean Zhu.


    The normal value of fetal heart rate in my country is between 120-160. Fetal heart rate below 110 is quite serious.


    "clear!"


    After a short call, Director Lou put the phone in his pocket.


    "The identity of this pregnant woman is very important. The dean Zhu ordered us to rescue it at all costs and manpower. The internal, external, obstetrics and gynecology departments will send people to support immediately. Everyone, our emergency department has always been looked down upon by other departments. Let''s all work harder and try to find out the cause of the disease before other departments arrive. Otherwise, we will be ridiculed by them again."


    What is the origin of the patient?


    It was actually able to make Dean Zhu not hesitate to mobilize three top doctors in the department to save people at the same time.


    Director Lou picked up the patient''s information and checked it again.


    "Go to the laboratory again, the blood test results are also a very important reference."


    "OK."


    Ye Tingting trotted to urge the blood test results.


    Patients who can let Dean Zhu personally intervene are either rich or expensive.


    This rich is not a net worth of tens of millions or over 100 million, but a super rich. Ordinary millionaires with a net worth of tens of millions or hundreds of millions come to Tuya Hospital for medical treatment, let alone alarming the level of Dean Zhu, even the level of the department director is difficult to talk to.


    Usually, a person worth over 100 million will have a certain influence in both political and business circles.


    It is not uncommon to know one or two powerful officials.


    The background of pregnant women is much bigger than that of people worth over 100 million.


    Who dares to neglect?


    The superior doctors were all at full strength, eager to cure her immediately and make great contributions.


    This is a good opportunity to gain both fame and fortune.


    Zhou Can didn''t care about credit, let alone curry favor with anyone.


    All he was thinking about was to earn this point of diagnostic experience.


    In the past two days, I have followed Dr. Xu in the operating room of the emergency department, and my surgical experience has been worth a lot.


    Only very few opportunities to earn diagnostic experience points.


    Because Dr. Xu does not attend consultations, the operating room is the emergency room.


    Zhou Can''s eyes fell on the pregnant woman. Her swollen belly showed that the fetus was well supplied with nutrients.


    He has gone through the examination information of pregnant women many times in his mind.


    The diagnostic opinions of Director Han and Dr. Ai are actually not stated.


    Because the cause of the patient has not yet been found.


    Zhou Can walked to the hospital bed, took off the blouse of the pregnant woman and looked at the pregnant woman''s abdomen.


    There are multiple stretch marks on it.


    Color appears lighter.


    It means that these stretch marks have not appeared for a long time.


    Theoretically speaking, this elderly pregnant woman should still be pregnant for the first time.


    At the age of 36, women who marry early are about to become grandmas.


    She was pregnant with her first child at such an old age, and there were only two possibilities. The first type is a public figure, in order to pursue a career. For example, female celebrities, or executives of large companies, etc.


    The second type is that the body has an underlying disease and does not allow pregnancy. Or have been unable to conceive.


    Zhou Can felt that it was necessary to understand exactly what kind of situation it was.


    The pregnant woman is now in a coma and cannot answer his questions at all.


    I don''t know if the old lady outside is her family member?


    Zhou Can stared at the woman''s face, and felt that the old lady outside looked a little like her.


    "Doctor Xu, I''m going out to find the family members to find out the medical history of the pregnant woman."


    "Go!"


    Dr. Xu readily agreed.


    "Did Xiao Zhou discover anything again?"


    Director Lou remembered that Zhou Can also found out the reason for the child''s multiple consecutive shocks by asking the family members yesterday.


    At this moment, when there is no major progress in the diagnosis, he has a little more hope for Gui Peisheng, who has made great contributions.


    "No, no, I just think it is necessary to supplement the patient''s medical history, so as to provide more detailed diagnosis basis for the superior doctors." Zhou Can quickly denied.


    So many directors and attending physicians failed to find out the cause of the disease, and he, a regular trainee, could find it out with just a few glances.


    Then he is not a man, but a god.


    At most, his diagnostic thinking was different from other doctors, and he found some clues that other doctors thought were insignificant.


    When a pregnant woman faints, no doctor will spend precious time and energy studying the stretch marks on the belly of a pregnant woman.


    Zhou Can''s brain circuit has always been quite unique.


    When she came outside the emergency room, the old lady was still anxiously waiting for the result.


    "Excuse me, are you a family member of Ms. Cao Qin?"


    Zhou Can discovered that the watch worn by the old lady was an old Shanghai mechanical female watch with a sense of age.


    From this detail, it can be roughly inferred that she is a nostalgic person.


    "Well, I''m her mother. How is my daughter?"


    The old lady took a look at Zhou Can, her attitude was quite cold, and her aura was particularly strong.


    This old lady is by no means an ordinary person.


    "Still being rescued."


    Zhou Can answered with this universal formula.


    "I saw a group of doctors outside the door surrounding my daughter for various examinations and discussions, but there was no actual treatment. Tell me the truth, don''t speak bureaucratically."


    The old lady is not easy to fool.


    Much smarter than the average family member.

 Chapter 39： major progress

    The family''s daughter is critically ill, and it is very likely that she will die twice. It is not appropriate to smile at this time.


    It offended the family members, and there was no way to continue the conversation later.


    Zhou Can simply told the truth.


    "The director and attending physician of our department are doing their best to make a diagnosis. It''s just that your daughter is pregnant, and the diagnosis is much more difficult than ordinary patients. For the time being, it is only locked that the lesion may be in the brain. We wish the dean has personally intervened in this matter. We have transferred doctors from several top departments to support them. They should be here soon."


    Zhou Can deliberately told the family members that reinforcements are on their way, and there is no need to worry that the rescue team is not strong enough.


    This is also a comfort to the family.


    The old lady didn''t show any expression when Dean Zhu personally asked about it.


    It seems that she already knew about this.


    Knowing that the hospital temporarily transferred doctors from several top departments to support, the old lady''s expression softened a little.


    "I''m a low-level doctor. I come to you now for no other reason than to seize the time to supplement the medical record information and provide more information basis for our doctors to quickly and accurately identify the cause."


    Zhou Can''s frankness made the old lady satisfied.


    His attitude towards him was no longer so indifferent.


    "Young man, what information do you want to know, just ask!"


    "Your daughter should be pregnant for the first time, right?"


    Zhou Can asked directly.


    "Yes."


    The old lady sighed.


    "My daughter has high blood pressure, and the doctor does not recommend pregnancy. But she wants a child so badly. The child she conceived this time has special meaning to her and our family. She even told me, Mom, the baby in my belly The child of Haowei is the only flesh and blood that Haowei left in this world, and it is also a gift from God to him and me, even if I lose my life, I will give birth to the child."


    Zhou Can couldn''t help asking curiously, "May I ask, did any accident happen to your daughter''s husband?"


    "My son-in-law is an anti-narcotics policeman. During an arrest operation, my son-in-law Chen Haowei was stabbed twenty-seven times, and his intestines flowed out. But in order to catch the leader of the drug criminals, he used his flesh and blood and iron will to kill him. The leader of the drug culprit was firmly in control and pressed against him. It was not until his comrades arrived and caught the leader of the drug culprit that he closed his eyes forever."


    Speaking of her son-in-law''s heroic deeds, the old lady''s eyes glistened with tears.


    Zhou Can was also moved after listening to it.


    The people can live and work in peace and contentment without the silent protection of those heroes and soldiers.


    The husband of a pregnant woman would not hesitate to sacrifice his life in order to protect the people from drugs. Such a hero is enough to make people admire and appreciate from the bottom of their hearts.


    At this moment, an idea became firm in his heart.


    We must do our best to save the pregnant woman and help her keep the child.


    Because this is the only flesh and blood of the hero left in the world.


    "When did your daughter start to have high blood pressure?"


    He continued to ask for the information he wanted to know.


    "About twenty-one years old. She worked too hard in her studies and didn''t pay attention to her diet. As a result, she developed high blood pressure. Later, as the pressure of study and work increased, her high blood pressure not only did not improve, but became worse. It''s getting worse. Sigh, this kid is just too strong, for the sake of studying and working, he doesn''t take his body seriously at all."


    In this way, the pregnant women in the emergency room have had a history of hypertension for fifteen years.


    This is a very important clue.


    can provide guidance for diagnosis.


    "Does your daughter have any other underlying diseases or serious medical history?"


    Zhou Can continued to ask in accordance with the principle of caution.


    "I haven''t heard anything else from her. Occasionally, I have a headache and brain fever. I haven''t had a serious illness." The old lady thought about it seriously before answering.


    "Okay, thank you for your cooperation. Please take care of yourself, your daughter will still need you to take care of her!"


    Zhou Can saw that she was too old, so he gave the old lady some confidence through psychological hints.


    "okay, thank you!"


    The old lady walked to the bench opposite the emergency room and sat down.


    Zhou Can entered the emergency room with the supplemented medical records.


    "Teachers, I just received an important piece of information from the family. The patient has a history of hypertension for more than fifteen years."


    Han Changqing''s eyes lit up immediately.


    "This information came too timely! The patient''s intracranial pressure is extremely high, and he has a long-term history of hypertension. It is likely to be hypertensive encephalopathy." Han Changqing said excitedly.


    Director Lou was also very happy to see the significant progress in his condition.


    He glanced at Zhou Can appreciatively.


    This kid has done it again.


    It seems that it is very necessary to communicate more with the family members in the future, instead of blindly bowing their heads to rescue.


    The emergency department treats acute and critically ill patients. Because they are eager to rescue patients, it is often easy to neglect detailed communication with their families.


    In addition, family members are often very anxious because they are worried about the safety of their loved ones. Doctors are not in a hurry to save people, but ask them about things, they will feel confused and even angry.


    This will greatly increase the risk of doctor-patient conflicts.


    Doctors are afraid of being beaten, and they often think that doing more is worse than doing less.


    When receiving a doctor, ask a few simple questions.


    Han Changqing has begun to investigate hypertensive encephalopathy.


    Zhou Can stared at the patient again.


    He always felt that the patient did not seem to have hypertensive encephalopathy. Because the early symptom of hypertensive encephalopathy is a headache in the back of the pillow, rather than a direct disturbance of consciousness and a rapid coma.


    Deputy Director Han was eager to diagnose the cause before the arrival of doctors from other departments, which would save face and make great contributions. This mentality of eager for quick success is actually very bad.


    It is easy to cause misdiagnosis.


    Zhou Can felt that he was forcing the patient with hypertensive encephalopathy.


    "History of high blood pressure for more than 15 years, pregnant with Liujia, elderly pregnant women, fainting, disturbance of consciousness, continuous decline in fetal heart rate..."


    Zhou Can linked these symptoms, medical history and examination results together.


    After much deliberation, there is still no gain.


    He couldn''t help but adjust his thinking again. The patient had a high degree of education and must have some medical knowledge.


    She must have known that pregnancy with high blood pressure is very dangerous. She has been pregnant for nearly six months and has been safe. It shows that she has very good blood pressure control.


    What caused her blood pressure to rise suddenly?


    Faintly, Zhou Can seems to have grasped the key to the problem.


    His eyes swept over the pregnant woman again.


    Ever since he entered the emergency room, he always felt that the pregnant woman''s face looked a little awkward.


    Cyanosis of the lips?


    Probably not.


    Get close to the pregnant woman''s face and examine it carefully.


    Because he just made a small achievement, but no one bombarded him.


    "Xiao Zhou, learn a little bit, the diagnosis of hypertensive encephalopathy is not something that can be explained clearly in a few words in a book." Han Changqing thought that Zhou Can came to learn how he diagnosed hypertensive encephalopathy.


    "OK!"


    Zhou Can agreed with his mouth, but he didn''t even look at Han Changqing''s diagnosis method.


    When his eyes fell on the patient''s eyebrows, he finally understood why the pregnant woman''s face looked awkward.


    It turned out that her eyebrows were not drawn well. UU reading www. uukanshu.com


    The lines and curves drawn are quite beautiful, at least it can be seen that she has very good drawing skills.


    It''s just that the eyebrows on both sides are drawn unevenly, and the tail is a little crooked when it ends.


    It stands to reason that such low-level mistakes should not be made.


    Zhou Can couldn''t help but think of a sentence in the medical book that "hypertension during pregnancy is a systemic disease that may cause fundus lesions, blurred vision, and even blindness in parturient women."


    A pregnant woman is a very self-reliant and self-reliant woman. She is going to see her parents, and she will definitely put on beautiful makeup before going out.


    If she finds that the brows are unevenly drawn, she will definitely repaint them.


    But she didn''t.


    Then there is only one possibility, she doesn''t know that the end of her eyebrows is not well drawn. It means that before she went out, her eyesight had already been impaired.


    Maybe it wasn''t particularly serious, so she didn''t care.


    [Pathological diagnosis experience value +0.2. ¡¿


    The sudden increase of 0.2 experience points further verified that Zhou Can''s diagnosis was correct.


    Under normal circumstances, diagnosing a patient can increase 1 experience value.


    He also encountered this situation once when he was with Dr. He in the general surgery department. At that time, the patient also suffered from multiple diseases at the same time. Zhou Can only diagnosed one.


    So only part of the experience points were obtained.


    Now only 0.2 experience points are added, which means that pregnant women still have diseases that have not been diagnosed.


    Even so, Zhou Can still felt very excited.


    Diagnosing such a difficult case is of great benefit to improving his diagnostic ability.


    He sees patients with minor ailments such as colds and fevers every day, and he is still a quack doctor for the rest of his life.


    Only by constantly challenging such difficult case diagnosis can we quickly improve the level.

 Chapter 40： 4 consultations

    At this time, the door of the emergency room was pushed open, and doctors from the three top departments finally came.


    Zhou Can turned his head to look, and couldn''t help but secretly exclaimed, "This lineup is really luxurious. Director Tan of the Department of Internal Medicine arrived with three doctors. One of them is the top ace of neurology¡ªYin Hua, the chief physician of Shennei, who was once published in core journals. Published many important papers. Known as the gold medal expert in Shennei, he has a pivotal position in the field of neurology in China.


    You can even sit down and discuss with famous neurology doctors of Imperial Renhe Hospital.


    Even Director Tan of the Department of Internal Medicine had to pay him three respects.


    The other two, one is a 37-year-old Shennei doctor, attending level. The temperament is elegant, and there is a style in every gesture. Another person is Gao Jian who is only twenty-seven or eight years old.


    It has to be said that having an outstanding academic qualifications is popular.


    Gao Jian was selected into the internal medicine department, and Director Tan took him to the emergency department for an important consultation the next day.


    Undoubtedly, it sends an important signal to everyone that the Department of Internal Medicine is preparing to focus on cultivating ideas.


    This kind of treatment is really enviable.


    As soon as Gao Jian entered the emergency room, his gaze swept over everyone, and naturally fell on Zhou Can.


    Others don''t know Zhou Can''s strength, but Gao Jian regards him as a lifelong rival.


    After Director Tan came in with three doctors from the internal medicine department, Director Xie from the surgery department also brought in two doctors.


    The little old man with a short stature, despite his appearance, is Wu Baihe, a town-level leader in neurosurgery. Known as the pinnacle of neurosurgery, the scalpel has been in neurosurgery for many years, and it has been in the field of neurosurgery in China.


    It is no exaggeration to say that most of the jobs in neurosurgery at Tuya Hospital were made by him.


    There are no fewer than one hundred super-difficult cases cured by him personally.


    There are patients in the super big cities such as the imperial capital and the magical capital who come here for medical treatment.


    Following behind Wu Baihe was the returnee Dr. Du Leng.


    Tuya''s entire surgery has not achieved much in the academic field, which has always been a pain point for surgery. As soon as Du Leng was recruited, he was asked to teach him personally by Wu Baihe. It seemed that he was going to raise Du Leng as a banner of surgery.


    At least it can make surgery look less ''vulgar''.


    Zhang Bihua and Yang Chan from the Department of Obstetrics and Gynecology came in after the surgery department.


    Despite the fact that only two people came to the obstetrics and gynecology department, and the other one was just to make up the number, but Director Zhang Bihua''s strength is enough to replace several chief physicians. She is one of the few chief doctors who has made achievements in both medical and academic fields.


    Yang Chan, as her apprentice, coupled with her own super good looks, also attracted much attention.


    "Director Lou, please tell us about the patient''s situation!"


    Director Xie said bluntly.


    Departments are sometimes like countries. Whoever is stronger has the right to speak.


    The emergency department is weak, has poor ability to absorb money, and has poor academic achievements, so it is naturally looked down upon by other departments.


    This contempt will be directly reflected in unequal dialogue.


    For example, Director Xie asked Director Lou to make an introduction in this semi-commandative tone in front of everyone.


    Even the word please was omitted.


    If it were Director Tan of the Department of Internal Medicine, would he dare to be so rude?


    "I am the first doctor for this patient, let me introduce the situation to you!"


    Deputy Director Han took the initiative to stand up at this critical moment.


    He will make the introduction instead of Director Lou.


    This also maintains the face of the department.


    What does it look like for the top leader to be ordered by other department heads?


    In the face of bullying from other departments, the emergency department showed special solidarity.


    "The pregnant woman is 36 years old and is pregnant for the first time..."


    Deputy director Han gave a general introduction to the situation of pregnant women.


    Some of the important information was added by Zhou Can through in-depth conversations with family members.


    "You have been seeing patients for a while, and you have no substantive diagnostic suggestions?"


    Yin, Director of Neurology Department of Internal Medicine, spoke quite directly.


    This actually hurt the self-esteem of the emergency department.


    "Uh... so far, we only found out that the fetus is in a very dangerous situation, and it is suspected that the cause of the fainting of the pregnant woman is hypertensive encephalopathy." Deputy Director Han felt so ashamed that he dared not look at anyone.


    Everyone is also the chief physician, and the gap between him and Yin Hua is not a little bit.


    "It cannot be hypertensive encephalopathy."


    After hearing this, Yin Hua directly rejected Deputy Director Han''s diagnostic opinion.


    Didn''t even bother to explain the reason for the downvote.


    "The patient has had high blood pressure for more than fifteen years, and the body will inevitably develop some lesions. For example, left ventricle thickening, ventricle dilation, atherosclerosis, etc. Among them, atherosclerosis is the most fatal. From scratch Judging from the results of the internal CT scan, I personally tend to believe that intracranial vascular aberrations lead to fainting."


    Yin Hua''s work efficiency is really high.


    The level is also significantly higher than that of the "Chief Physician of Moisture Internal Medicine" like Deputy Director Han.


    "The fetal heart rate is only 100, which is 10 lower than the lowest standard of the international normal value. If this happens, it means that the fetus is hypoxic, and decisive measures must be taken, otherwise, even if the fetus survives, it may become a mentally handicapped baby."


    After Zhang Bihua made a quick diagnosis of the pregnant woman, he immediately gave accurate advice on fetal protection.


    This is really without comparison, so you can''t tell the level.


    As soon as these top experts from Tuya arrived, the situation immediately improved.


    It''s much more useful than the stupid cobblers in the emergency department.


    Only when there is a target in the target can we hit the target with a hundred shots.


    The same principle applies to healing.


    Only by prescribing the right medicine can the symptomatic treatment be effective.


    The Department of Obstetrics and Gynecology and Internal Medicine successively gave diagnosis and treatment opinions. Especially in the Department of Obstetrics and Gynecology, Director Zhang Bihua has taken Yang Chan to start protecting the fetus.


    Director Xie of the Department of Surgery is a very face-saving person. If you bring three people here, you can''t eat dry food, right?


    Just diagnosing this kind of invisible disease, UU reading is not his forte.


    If you speak indiscriminately, you will only slap yourself in the face.


    Du Leng, who was behind him, seemed to see Director Xie''s embarrassment. After reading the patient''s information, he said with confidence, "It should not be a vascular aberration, but an aneurysm. And this aneurysm is in the brainstem area."


    This is tantamount to overturning Director Shen Nei Yin''s diagnosis.


    And he is just a training doctor.


    The whole audience was shocked.


    The focus of eyes also fell on his face.


    At the same time, the directors of the department came up with an idea, this is the returnee doctor, well-deserved reputation. Within two days of working, he was able to challenge Director Yin, the top neurologist.


    "Hemangioma is also a kind of vascular aberration! Can Dr. Du tell you the basis for diagnosis? The patient''s condition should not be delayed for a long time, and a specific and feasible diagnosis and treatment plan should be come up as soon as possible."


    Director Tan spoke out to resolve the embarrassment for Director Yin.


    However, Director Yin''s and Du Leng''s diagnostic conclusions both point to intracranial blood vessels, so there should be no mistake.


    After all, one is the chief physician of Shennei with extremely rich diagnostic experience, and the other is a super scholar with extensive knowledge and profound medical knowledge.


    "Haha, the so-called heroes have the same views. Du Leng and Director Yin''s opinions are quite similar, but Du Leng''s diagnosis is more accurate, and overseas medicine is advanced! Du Leng, tell the directors well!"


    The Gui Peisheng brought by Director Xie is so eye-catching, I only feel that his face is full of glory.


    Surgery has never had such a bright moment in the joint diagnosis of multiple departments.


    Director Xie felt that it was the most correct choice to be the first to choose Du Leng to join the surgery.


    He believed that none of Gui Peisheng in the same period could stand shoulder to shoulder with Du Leng.

 Chapter 41： On paper

    "The basis for the diagnosis is very simple, that is, this head CT and some subtle changes in the blood test results. When I was studying abroad, my doctoral supervisor once taught us to diagnose hemangioma by combining blood test data and inspection images. Happened? Where exactly did it happen? For example, if troponin increases, we immediately think of myocardial infarction. This involves very complicated calculations, so I won¡¯t explain in detail.¡±


    Du Leng talked eloquently, and his diagnosis method was also different from ordinary people.


    "In order to quickly locate the hemangioma, and judge its size and lesion degree, I think it is necessary to do another head color ultrasound examination."


    Color Doppler ultrasound has the ability to observe changes in blood flow, and can diagnose arteriosclerosis, cerebral vasospasm, cerebrovascular stenosis, and blood flow velocity.


    This proposal was immediately approved by the directors.


    Before they knew it, everyone discovered that Du Leng, the regular trainee, took the leading position in the joint consultation with so many directors and attending physicians.


    The two directors of surgery were very happy from the bottom of their hearts.


    On the other hand, the directors of other departments have mixed feelings besides envy. There is a crisis of being eliminated by the times.


    Zhou Can has been standing in front of the rescue bed and carefully observing the pregnant woman.


    Inspection by inspection is different from pulse diagnosis, and is a diagnostic method recognized by both Western medicine and Chinese medicine.


    No matter what doctor you see, the first thing you need to do is to see a doctor.


    Now that the patient is about to be sent for head color Doppler ultrasound, Zhou Can hastily stepped aside.


    The cause of the disease is basically clear, and the tense heartstrings of the directors are much more relaxed.


    Director Xie looked at Zhou Can again.


    A slightly smug smile appeared on his face.


    "Director Lou, I heard that Dr. Zhou Can you selected made a great contribution just after bringing him back to the emergency department yesterday. Is it true?"


    "There is such a thing."


    Director Lou nodded and admitted, with a nervous look on his face, subconsciously blocking Zhou Can behind him. This is because he is afraid that Director Xie will take away a good seedling that the emergency department finally got.


    Director Xie''s eyes and ears are really good.


    It means that he is also paying attention to Zhou Can.


    After all, people have a comparison mentality.


    He chose Du Leng, who had the highest education, and gave up Zhou Can, who had the highest overall score. He was also afraid of being distracted.


    But Du Leng''s performance just now was extremely eye-catching, so Director Xie was very happy.


    It shows that you didn''t choose the wrong person.


    "Haha, don''t worry, our surgery department has Dr. Du Leng, a returnee from overseas, it is impossible to recruit an undergraduate talent! You don''t need to be nervous."


    Director Xie''s words somewhat hurt Zhou Can''s self-esteem.


    Maybe he was too complacent, outspoken, and didn''t consider Zhou Can''s feelings.


    It was found that Zhou Can''s expression was gloomy and he was wronged.


    Doctor Xu looked at Director Xie and said.


    "Educational qualifications are not everything. Director Xie believes that undergraduates are far inferior to doctoral students. I disagree."


    Dr. Xu is really stubborn, even in the face of the head of surgery, he dares to refute.


    Zhou Can is actually just a small-scale trainee, it''s normal to feel wronged. He can also protect himself wisely, regardless of this matter. But he still stood up to speak for Zhou Can, this is a person''s heart.


    If he doesn''t speak for Zhou Can, there will never be another person to offend a major department director for Zhou Can.


    Many people don''t know how awesome the director of a major department is.


    Their administrative titles are basically equal to those of the leaders of the hospital.


    Because he holds a weighty department, he has also made great achievements in academics and medical skills. So they are all existences like "big border officials".


    Director Xie glanced at Dr. Xu, slightly surprised.


    It seems that Dr. Xu did not expect to defend Zhou Can in this way.


    He sighed, and said with a complicated expression, "Old Xu, the era of relying on medical skills to overwhelm everything has long passed. Your ending back then was accidental and inevitable. Nowadays, medical science and technology are changing with each passing day, and the importance of academics is already high. After passing the medical skills, wake up!"


    The seemingly earnest persuasion made people feel very uncomfortable.


    Zhou Can found that Dr. Xu''s expression was lonely, even showing a touch of desolation that made people feel distressed.


    The end of the hero is a heavy proposition.


    Those who have experienced it first-hand need to bear the huge psychological gap of falling status, loss of reputation and glory, and the double trauma caused by ridicule by everyone.


    Dr. Xu will be attacked to protect Zhou Can from being humiliated.


    At this moment, Zhou Can is grateful and wants to use his meager strength to repay the most respectable person in his heart.


    He is no longer silent.


    What about the Chief of Surgery?


    In less than ten years, Zhou Can is absolutely sure that Director Xie will take his breath away. Of course, at that time, it was hard to say whether Director Xie could still sit in the position of chief surgeon.


    "Director Xie, I quite agree with what you said about keeping pace with the times. It''s just that there is no need to worship foreigners! The medical civilization in China has a long history, with at least five thousand years of history and accumulation. It is recognized by the world as the two magic weapons for defeating serious illnesses. How can Director Xie look down on medical skills so much? Don¡¯t forget, surgery relies on medical skills for a living, and it¡¯s nothing without a scalpel.¡±


    What Zhou Can said was wonderful.


    If it weren''t for the wrong occasion, everyone would definitely applaud him.


    Director Xie is obviously a doctor who relies on a scalpel to make a living. Now that he has recruited a doctor from abroad, he is so frightened that he doesn''t even know who his ancestor is.


    "you you¡­"


    Director Xie''s temper was already a little irritable, and he was speechless after being refuted by Zhou Can, a junior. He couldn''t help blushing and grinning.


    "Okay, okay, Xiao Zhou is also outspoken, and he is not right about people. Director Xie doesn''t need to be too concerned." Director Lou said that he was a peacemaker, but he had a smile on his face.


    Seeing the always strong Director Xie deflated, he felt very happy.


    Of course, everyone is a person of status and status, so we must show some sympathy.


    So he quickly stood up and found a step down for Director Xie.


    So as not to really make the relationship deadlocked.


    Originally, this was the end of the matter. Du Leng may have seen that Director Xie couldn''t argue with Zhou Can, and felt that the prestige of the Department of Surgery was weak.


    He stood up again.


    "If you want to say that the status of education, academics and medical skills are equal, I don''t agree. Take the diagnosis of the pregnant woman just now. Isn''t the emergency department always helpless?"


    Du Leng is a guy with a high IQ and a high degree of education, and his words are really sharp.


    It hit the nail on the head and directly exposed the shortcomings of the emergency department.


    And hit the seven-inch vital point.


    The doctors in the emergency department were all dull and ashamed.


    "Dr. Du''s words are a bit exaggerated! Our emergency department is not helpless, but human life is at stake. In line with the principle of caution, we dare not jump to conclusions."


    Deputy Director Han was annoyed when he heard this, and hurriedly defended the emergency department.


    Although his defense was a bit far-fetched, it was a matter of the face of the emergency department. You can''t let a junior slap you in the face, right?


    It is also good to pull a fig leaf to block it.


    At least the face has not completely landed.


    "Heh, Director Han may have misunderstood the word cautious. It is necessary to be more rigorous in diagnosing the sick and saving lives, but there should be no delay. Otherwise, the patients will die and they are still arguing. Wouldn''t it be a typical quack doctor?" !"


    Du Leng completely tore off Deputy Director Han''s fig leaf this time.


    But we are all civilized people, so we must not say blasphemy.


    It is a common phenomenon in hospitals to ridicule a few words and ridicule the object of contempt.


    The doctors in the emergency department were all scolded with shame and anger in their hearts.


    He was scolded as a quack, but he still couldn''t refute it.


    One can imagine the mood of several people.


    Both aggrieved and helpless.


    Zhou Can didn''t know why, but Du Leng didn''t like it very much.


    I really don''t envy people with high education.


    I just can''t understand this guy''s god-like attitude.


    "As soon as Dr. Du heard this, he knew that he was a fledgling newcomer, and he had never experienced the dangers of saving lives in the emergency department. It is easy to make mistakes in a hurry. Several doctors in the emergency department draw conclusions cautiously. It may not be a bad thing. This is all The valuable experience that the emergency doctors have learned from the blood lessons should be learned by a novice like you.¡±


    Zhou Can never uses dirty words when swearing.


    Just take Du Leng''s lack of work experience as an example, and beat Du Leng to death with a stick.


    I can''t even climb up.


    "What does Doctor Zhou mean?" Du Leng''s face turned blue.


    However, his self-cultivation is still at home, and he restrained the anger in his heart.


    "It''s nothing, I just want to tell Dr. Du that there is actually a big difference between talking on paper and actual combat. After all, one is talking about it, and the other is doing it with real knives and guns."


    Zhou Can replied indifferently.


    Ha ha!


    Many doctors and nurses couldn''t help laughing.


    Especially the doctors and nurses in the emergency department, I just feel so refreshed from head to toe.


    Zhou Can said all the words they wanted to say but were at a loss for words.


    This Du Leng thinks that he has been studying for a few years and has stayed abroad for a few years, so he is so amazing.


    He even dared to teach all the doctors in the emergency department a lesson.


    Zhou Can used the words "talking about soldiers on paper" to attack him back and forth, which is really incisive!

 Chapter 42： Beware of misdiagnosis

    "Hmph! When I was studying for a Ph. D. overseas, I had an internship in a very high-ranked medical center in the United States, and it was not as bad as you said. After the fainting pregnant woman is cured, I will prove that it is not just a theory. When the time comes You must apologize to me too."


    Du Leng claimed to be a top medical genius, but Zhou Can said in public that he was talking on paper.


    How could he stand it.


    Just use this pregnant woman to prove your diagnostic ability.


    What''s more, Zhou Can should apologize to him in public.


    Zhou Can grinned with an unpredictable and profound smile.


    "Okay, no problem! I just have to remind Dr. Du that misdiagnosis is the scariest thing!"


    Du Leng''s face turned from blue to red, and his breathing also became heavy.


    "What do you mean? That my diagnosis of this pregnant woman was a misdiagnosis?"


    Anyone can feel that Du Leng is extremely angry.


    Doctors are most afraid of hearing the word misdiagnosis.


    Once a misdiagnosis occurs, it will be slapped in the face at least, and it will lead to medical accidents at worst.


    It''s no wonder that Du Leng would jump after hearing this.


    Director Xie was also furious when he saw that the newly erected surgical signboard was about to be smashed.


    "Director Lou, your doctor is really arrogant. Director Shen Neiyin and Du Leng of our surgery department both diagnosed the patient''s fainting as an intracranial aneurysm compressing the brainstem. He came here casually and said that our joint consultation Opinions are wrong."


    Director Xie held his own identity and directly protested to Director Lou.


    This is for Director Lou to teach Zhou Can a lesson.


    By the way, Director Yin was also drawn into his camp.


    "Young man, although you have won the first place in the regular training exam, you must be humble. The cases I have diagnosed are ten thousand times better than yours. You have only worked for a few days? Don''t be too superficial. Otherwise, you will lose yourself It also lost the face of the emergency department."


    Director Yin was also a little angry.


    There are no worthless people under the famous name.


    His authority in the field of internal medicine has already been challenged by Du Leng once. Now a small undergraduate student, who is still a regular doctor who has only been working for two days, dares to refute his diagnosis opinion.


    This wind must not rise.


    Director Lou faced the protests of the two big bosses at the same time, and he was under a lot of pressure.


    "Xiao Zhou, be strict with your words!"


    He reprimanded Zhou Can without pain, which was an explanation to the two directors.


    Zhou Can didn''t say anything more, the facts speak louder than words.


    As long as the real cause of the disease is found, whether it is Director Yin or Du Leng, they all have to bow their heads.


    He dared to remind Du Leng to be careful about misdiagnosis, but he already had some confidence.


    The lesions are also sometimes camouflaged.


    For example, it is often joked that headaches and feet are treated. According to normal logic, for headaches, the lesion must be in the head. In fact, the lesion may really be on the foot.


    Eye diseases caused by heat foot disease can lead to headache symptoms.


    If you meet a quack doctor and prescribe a prescription for headache, it will definitely not work.


    The pregnant woman''s fainting may indeed be caused by a hemangioma in the head, but the real cause may not be the hemangioma.


    Zhou Can felt that the sudden increase in the blood pressure of the pregnant woman was very strange.


    It is likely that this is the real cause.


    As for the head hemangioma, it was just an appearance.


    If the treatment of a disease only treats the appearance, it is like whack-a-mole. After you hit one, another one pops up again.


    There are many examples of this.


    Many patients had only one disease when they were first admitted to the hospital, and the result became worse as they were treated. From one disease, five or six diseases are cured, which is called a complication in medicine.


    Some complications may indeed be unavoidable, and some so-called complications are purely caused by doctors'' wrong treatment.


    Zhou Can bowed his head in thought.


    The pregnant woman has been pregnant for nearly six months, and her blood pressure has been well controlled, and nothing happened.


    Why did my blood pressure suddenly rise?


    It is said that a long illness makes a good doctor.


    The pregnant woman has a history of high blood pressure for more than fifteen years, and she may be no worse than a professional doctor on how to control blood pressure.


    It can be inferred from this that low-level mistakes such as forgetting to take antihypertensive drugs and excessive behaviors that raise blood pressure can basically be ruled out.


    What''s more, she regards the child in her stomach as more important than life, so she will definitely be more careful.


    She fell ill suddenly in a taxi.


    It means that she didn''t notice the abnormality before she went out, otherwise she would not take a taxi, but an ambulance.


    But what danger can there be in taking a taxi? Even if the driver slammed on the brakes ten times in a row, it would not cause her blood pressure to rise out of control.


    Judging by her dress, she is very intellectual and elegant, and her face is also very kind. The possibility of quarreling with the driver and causing blood pressure to rise is also very small.


    Since all the above are ruled out, let''s make a bold guess, could it be because she ate something she shouldn''t have before going out?


    Such as taking the wrong medicine.


    This possibility is very high.


    Because she painted her eyebrows in such a mess before going out, but she didn''t notice it, it was enough to show that she had a vision problem at the time.


    Habitually taking antihypertensive drugs before going out, resulting in vision problems, leading to taking the wrong medicine.


    After taking it, go out in a hurry.


    The drug enters the stomach, dissolves over time, is absorbed by the body, and causes an increase in blood pressure.


    It takes about twenty minutes from taking the medicine to onset.


    The timing of the onset was just right.


    "Yes, it must be so!"


    Zhou Can''s eyes became brighter and firmer.


    Clear the clouds and see the sun.


    Now the reason why the pregnant woman''s blood pressure suddenly rises and goes out of control is deduced by him.


    The next step is the evidence from the medical test data.


    You can''t just rely on guesswork for anything, right? There has to be a scientific basis.


    What medicine did she take wrongly?


    There are many drugs that can increase blood pressure Look at her blood test report, maybe you can find some clues.


    Because the pregnant woman is now in a coma and cannot communicate.


    If you want to find the ultimate cause, you must rely on a doctor to diagnose and dialectically.


    Zhou Can walked to the locker, picked up the patient''s examination results on it, and checked it.


    This move immediately attracted everyone''s attention.


    Several senior doctors in the emergency department looked at Zhou Can with admiration.


    It is a good thing that young doctors love to learn.


    Only by seeing more and thinking more can we improve the level of diagnosis.


    "Doctor Zhou seems to have different diagnostic opinions!" Gao Jian came over with a smile and took the initiative to talk.


    Others look down on Zhou Can as an undergraduate, but Gao Jian thinks that Zhou Can has real talents and learning.


    After coming to the emergency room, Gao Jian has been thinking about the cause of the pregnant woman.


    I want to win back a round in the contest with Zhou Can.


    But he had no idea.


    Now Zhou Can suddenly took the test results to check, which made Gao Jian feel bad.


    "I just have a learning attitude, just take a look."


    After Zhou Can picked up the blood test report of the pregnant woman and read it, he was a little disappointed.


    This is just a routine blood test report.


    To find out the drug ingredients in the patient''s blood, blood must be collected and sent to a specialist laboratory.


    At this time, the pregnant woman pushed back after finishing the head color Doppler ultrasound.


    Du Leng couldn''t wait to have a color ultrasound examination.


    "That''s right, the intracranial aneurysm is pressing on the brainstem." Du Leng looked extremely excited.


    It''s just not screaming.


    I can''t wait to announce to the world that his diagnosis is correct.

 Chapter 43： Director Tan is sour

    Director Yin of Shennei also took the film and looked at it, nodded slightly and said, "It is indeed a cerebral artery aneurysm, not big, but it happened to invade the brainstem area."


    After speaking, he showed Director Tan the color Doppler ultrasound image for review.


    "Director Tan, what''s your opinion?"


    "I support your diagnostic conclusion. It''s just that how to remove this brain aneurysm, I''m afraid I have to ask the surgeon to discuss the treatment plan."


    Director Tan looked at Director Xie of the surgery department.


    Only by joining forces with medicine and surgery can we be invincible and overcome powerful diseases.


    When the two major departments were discussing the operation plan, Zhou Can felt that he could not wait any longer.


    The brainstem area is the nerve center of the human body and is called the restricted area of ??life.


    Surgery in this area is extremely risky.


    Even the extremely experienced chief physician of brain surgery was terrified. A little carelessness, even a small mistake, is enough to undo.


    If the patient really took the wrong medicine, causing blood pressure to go out of control, as long as the symptomatic treatment is given and the blood pressure drops, the ''arterial hemangioma'' may disappear automatically.


    At least Zhou Can thinks so.


    He had seen similar cases in medical books.


    The pregnant woman''s intracranial pressure was much higher than normal, making it more likely that she would have a ''temporary aneurysm''. This is closely related to a history of hypertension over fifteen years.


    Because of long-term hypertension, it will lead to atherosclerotic lesions.


    "Director Lou, can you give the patient a supplementary blood test and urine test?"


    Zhou Can mustered up his courage and asked.


    "Haven''t the diagnosis results already come out? Don''t worry about it, cherish this learning opportunity and watch from the side."


    Director Lou rejected Zhou Can''s proposal.


    The emergency department is so soft-spoken that it is shameful enough to fail to diagnose the cause of a pregnant woman.


    Now that the two departments of internal medicine and surgery have unified their diagnostic opinions and started to discuss the operation plan, what the emergency department has to do is to fully cooperate. Instead of making trouble for them.


    There can be competition among hospital departments, but they cannot compete with each other and must take the overall situation into consideration.


    Zhou Can looked at the unconscious pregnant woman and sighed secretly.


    He is just a training doctor. In this level of consultation, allowing him to watch and learn is already very good. No one would take his diagnostic opinion seriously.


    After discussing with several directors of internal medicine and surgery, they decided to perform craniotomy on the patient.


    It''s just that because of the special location of the lesion, the risk of surgery is extremely high, even Wu Baihe''s ''Peak Scalpel'' is not very sure.


    If it doesn''t work out, it will kill two people.


    Seeing the ''Peak Scalpel'' frowning, he admitted that the success rate of the operation was less than 50%.


    Zhou Can decided to give it another go.


    "Doctor Xu, I think the brain aneurysm of the pregnant woman may be just a false image. It is too dangerous to operate on her. The child in her womb is the only flesh and blood left in the world by a dead drug police officer. I asked for a specialist blood test for the pregnant woman to see if she was taking any medications that would raise blood pressure."


    no solution anymore.


    Zhou Can could only bite the bullet and find Dr. Xu.


    If Dr. Xu still disagrees, the pregnant woman can only resign herself to fate.


    After all, his position was too lowly, and the superior doctor didn''t listen to him, so there was really nothing he could do.


    "this¡­"


    Dr. Xu was also in a difficult situation.


    In this consultation, his status was not much higher than Zhou Can''s.


    "Director Xie, Director Tan, can you request a specialized blood test for pregnant women?" Facing Zhou Can''s eager eyes, Dr. Xu finally put on an old face and made a request to the two chief physicians who were consulting.


    "Old Xu, old Xu, Zhou Can is messing around, why are you messing around too? The blood has already been tested, so there is no need for another test. The most important thing now is to arrange the operation immediately."


    Director Xie flatly refused.


    Director Tan didn''t say a word, basically acquiescing to Director Xie''s opinion.


    Dr. Xu was scolded, looked helplessly at Zhou Can, and stopped talking.


    Yang Chan saw all this in her eyes.


    "Teacher, I have been with Zhou Can for five years, and I have never seen him so anxious. If he is not sure, he will definitely not ask for a specialist blood test for pregnant women twice in a row. Just help him, okay?"


    She actually pleaded with Director Zhang Bihua in a coquettish and cute way at this time.


    There are only a few people who have the right to speak at the scene.


    As long as Zhang Bihua nodded, Director Xie and Director Tan would no longer object.


    Zhou Can''s shattered hope was rekindled again.


    At the critical moment, the old classmates still talk about friendship and are willing to help.


    "Xiao Zhou, tell me about your diagnostic thinking!"


    Zhang Bihua looked at Zhou Can.


    It was because of Yang Chan''s begging that she was willing to give Zhou Can a chance. After all, it takes time and seconds to save patients, and there is no time to waste.


    "Thank you Director Zhang for giving me this opportunity. Please look at the eyebrows of the pregnant woman."


    Zhou Can grabbed the last straw.


    Everyone is puzzled, what is the relationship between the illness of pregnant women and eyebrows?


    "Oh, the patient''s eyebrows are messed up, and the ends of the eyebrows are also crooked." Nurse Ye Tingting exclaimed.


    The doctors stepped forward to take a closer look, hey, it really is.


    "Hypertension during pregnancy may cause fundus lesions, blurred vision, and even blindness in the parturient. Obviously, the pregnant woman has already developed symptoms of blurred vision. She was going to her parents'' home to visit her parents, so she must be particularly concerned about her appearance. Pay attention. The eyebrows are painted like this but she didn¡¯t notice it, which means she doesn¡¯t know that her eyesight has become blurred.¡±


    Zhou Can revealed his diagnosis.


    After Zhang Bihua listened, he nodded slightly, with an approving expression on his face, "Go ahead."


    Other doctors began to pay attention to Zhou Can''s opinion.


    Even Director Yin, who had just criticized Zhou Can, listened carefully, and his gaze towards Zhou Can also changed quietly.


    From contempt at the beginning to attention.


    "We know that long-term hypertensive patients need to take antihypertensive drugs every day. When she goes to visit her parents, she will not go out for a short time. She may stay at her parents'' house for a meal and spend more time with her parents. Then she will definitely take antihypertensive drugs before going out. Blood pressure medicine. At this time, because of blurred vision, it is possible to take the wrong medicine and take it as an antihypertensive medicine. From the time she went out to the onset of the disease, this time point is also very consistent with taking the wrong medicine, which led to a sudden increase in blood pressure and passed out in a taxi superior."


    Zhang Bihua nodded again, there is indeed such a possibility.


    "I once saw a similar case recorded by a famous surgeon in a medical book. The patient also had a long-term history of hypertension, because his blood pressure rose sharply after arguing with others, and finally passed out. After being sent to the doctor, the internal cerebral artery was checked. The hemangioma compressed the nerves and fell into a coma. Due to the difficulty of the operation, the hospital did not dare to operate rashly, and the family members¡¯ opinions were also very conservative. In the end, they chose to use drugs to lower blood pressure. Unexpectedly, after the blood pressure dropped, the intracerebral artery hemangioma It just disappeared little by little.¡±


    Zhou Can shared the cases he had read in the book.


    "I have seen the similar cases mentioned by Dr. Zhou in surgical books. This kind of sudden arterial aneurysm is more like a ''balloon''. They usually appear in patients with a history of hypertension for more than ten years. When When the patient''s blood pressure rises to an extremely high level, the diseased part of the blood vessel will expand like a balloon, forming a temporary aneurysm."


    Director Yin''s ability to become an expert in the gods was not given for nothing. He has even read a lot of books on surgery.


    "Immediately give the pregnant woman a specialized blood test, and do not need surgery for the time being. Although the pregnant woman is in critical condition, after Director Zhang takes effective measures to protect her pregnancy, she should not be in too much danger for the time being. UU Reading "


    Director Yin''s address to Zhou Can changed from "superficial young man" to Doctor Zhou.


    This is the respect that Zhou Can has won with his strength.


    It was Zhou Can''s persistence that avoided a possible misdiagnosis.


    It can be regarded as saving the reputation of all the doctors present.


    "I agree with all my hands. It is best to avoid surgery, because the risk of surgery is too great. To be honest, I am not even 50% sure that surgery is really necessary."


    Wu Baihe knew the identity of this pregnant woman very well.


    If he really wanted to die at his hands, even if the family members signed the surgical risk consent form, I am afraid they would not let him go easily.


    It is not easy to go from an intern doctor to today''s "peak scalpel" status step by step.


    Many chief physicians have agreed to do a specialized blood test first, and the rest is simple.


    Blood was drawn for emergency testing.


    While waiting for the results of the blood test, the attitude of these superior doctors towards Zhou Can has changed drastically.


    "Director Lou, you were the most discerning when selecting people yesterday." Director Tan said a little sourly.


    "Haha, the person you selected is also very good! Xiao Zhou is indeed very talented in medicine, and our emergency department also needs such a successor." While Director Lou laughed happily, he was even more afraid of the two powerful departments. The director dug his wall.


    After praising Zhou Can, I did not forget to emphasize the importance of Zhou Can to the emergency department.


    On the other hand, Du Leng, a foreign doctor, is really embarrassed at the moment.


    There is a high probability that he will be slapped in the face by Zhou Can.


    In order to hide the embarrassment in his heart, he could only pick up the patient''s information and stare at it carefully. I can''t wait to catch a few bugs out of it.

 Chapter 44： You made me redefine doctor training

    Presumably, at this moment, he most wants to become a mass of air, and hopes that no one will pay attention to him.


    As the saying goes, the higher you jump, the harder you fall.


    Du Leng was too high-profile just now, so that after the misdiagnosis, he couldn''t step down.


    Fortunately, everyone''s attention was basically on Zhou Can and the pregnant woman.


    No one pays too much attention to him.


    Now everyone is most concerned about the treatment of pregnant women.


    Although Zhou Can''s analysis is meticulous, it makes sense. But the final result is still subject to blood tests.


    "Give the patient a shot of diuretic first?"


    Director Yin Hua actively seeks a cure to save the damaged image.


    After all, it was a very serious mistake to almost misdiagnose and mistreat just now.


    "I think it works. Even if it is not clear what the wrong medicine is for pregnant women, diuretics basically do not conflict with other medicines, and there is almost no risk of aggravating the condition of pregnant women."


    Director Zhang Bihua supports this tentative treatment plan.


    At this moment, the instrument for monitoring intracranial pressure issued a "beep" alarm sound.


    Everyone was taken aback.


    "No, her blood pressure is still rising, and effective measures must be taken immediately to lower it. Otherwise, the intracranial aneurysm may rupture at any time."


    The doctors present were all professionals, so they naturally knew the consequences of the rupture of the hemangioma.


    Director Yin directly ordered the doctor to inject diuretics to the patient.


    "Director Zhang, do you think it is possible to insert a catheter for pregnant women now?"


    Because pregnancy is a special period, the body''s ability to resist diseases is reduced, and catheterization may cause urinary tract infections, and in severe cases, it may cause miscarriage.


    The risk is very high, and no one wants to take this risk unless it is absolutely necessary.


    "Let''s not insert it for now! Her fetus is relatively large and has a very special constitution. The risk of catheterization is much higher than that of ordinary pregnant women. I asked Yang Chan to closely monitor the pregnant woman''s urination. If there is no urine all the time, then consider catheterization." .¡±


    Zhang Bihua considered for a few seconds, but did not agree to insert the catheter.


    It can be seen that she is very cautious.


    Almost all obstetricians and gynecologists are extremely cautious in their practice. In case of miscarriage or abnormality of the fetus, the responsibility is too great.


    "I think that just giving her diuretics is too simple a way to lower blood pressure. I personally suggest that some blood be drawn from her body first to achieve the purpose of reducing blood volume and lowering blood pressure. Then it will be transfused back into the pregnant woman''s body."


    Director Tan proposed a blood pressure reduction plan that ordinary doctors dare not even think about.


    Or how to say that the older the doctor, the more popular it is.


    Older doctors, with rich experience in diagnosis and treatment, are well-informed, and many unexpected methods are flexibly used by them in actual combat.


    After taking two ways to lower blood pressure for pregnant women, the effect is immediate.


    Especially Director Tan''s bloodletting to lower blood pressure.


    This physical method of reducing blood pressure is straightforward. Compared with drugs to lower blood pressure, it has no waiting period.


    Seeing that the blood pressure of the pregnant woman had been successfully lowered, the chief physicians at the head let out a long sigh of relief.


    "Don''t be too happy, everyone. Now the blood pressure has dropped a little, but the fundamental problem has not been solved. I hope that Dr. Zhou Can''s deduction is correct. After the blood test results come out, find the culprit and give the right medicine to cure the disease completely. good her."


    Director Yin now treats Zhou Can with great respect.


    With his age and status, Zhou Can can be called Xiao Zhou.


    However, he used the words Dr. Zhou Can to highlight his respect for this doctor.


    Time is passing by every minute and every second.


    The specialist laboratory also knew the dignity of this patient.


    In addition, the chief directors of the three important departments are all waiting for the results in the emergency department.


    In less than half an hour, the blood test results came out.


    "The specialist laboratory called and found indomethacin in the patient''s blood."


    Indomethacin is commonly used in anti-inflammatory and pain-relieving drugs.


    Taking it can cause blood pressure to rise.


    "Great, finally found out the culprit."


    Smiles of relief appeared on the faces of several chief physicians.


    This pregnant woman is a patient that Dean Zhu personally intervened. The doctors who consulted were under a lot of pressure.


    It''s cured, and everyone is happy.


    In case it really fails to be rescued, there is no legal responsibility, but it is difficult for the dean to explain. It is also difficult for the family members to explain.


    Zhou Can smiled happily when he heard the news.


    It also has an unprecedented sense of accomplishment.


    Through his unremitting efforts, he finally saved the pregnant woman and her unborn baby.


    [Pathological diagnosis experience value +0.8.]


    [You have successfully diagnosed a super-difficult compound recessive case, and the diagnostic experience reward +100.]


    Zhou Can was not surprised to receive the 0.8 experience points.


    But when he received a reward of up to 100 diagnosis experience points, he was completely dumbfounded.


    This is a full 100 points.


    You need to read 1,000 medical records, or successfully diagnose the pathology of 100 patients, to gain so many experience points.


    Although diagnosing the cause of this pregnant woman is more difficult than reasoning and solving the case, all the efforts are worthwhile.


    The richness of the harvest is beyond imagination.


    [Pathological diagnosis, level three, current experience value 102/1000. Residential doctors are inferior. ¡¿


    This medical skill, which is the most difficult to improve, has taken a big step forward.


    As long as nine more cases of this extremely difficult case are diagnosed, his pathological diagnosis can be upgraded to the attending level.


    But such patients are rare.


    And with his current level of diagnosis, it may be difficult to diagnose extremely difficult cases.


    As for being able to successfully diagnose the cause of this pregnant woman, a lot of luck is involved.


    If it were not for the accidental discovery that the patient''s eyebrows were not drawn properly, and then it was inferred that there was something wrong with her vision, it would be difficult to have a successful diagnosis later.


    In general, there is strength and luck.


    "Treat the symptoms immediately!"


    Find the drug that the pregnant woman took by mistake, which is easy to handle.


    Give appropriate medicines to dissolve it.


    After some emergency treatment, the pregnant woman''s blood pressure finally dropped naturally for the first time.


    "It''s dropped, the blood pressure has finally dropped, hehe!"


    Nurse Ye Tingting shouted excitedly and let out giggles.


    There were smiles on everyone''s faces.


    After the patient''s blood pressure dropped to normal, Director Tan was not in a hurry to transfuse the patient''s blood back.


    "Send it for a color ultrasound to check if the aneurysm has disappeared?"


    Unexpectedly, before pushing her out, she woke up.


    "Hmm... so dizzy! I... am I in the hospital?"


    She subconsciously wanted to sit up, but she was so weak that she couldn''t sit up at all.


    "Don''t move! You fainted in the taxi because of a sudden rise in blood pressure. We are in the emergency room of the emergency department of Tuya Hospital. After emergency treatment, your blood pressure has dropped. But there is still a certain danger , I need to send you for a head color Doppler ultrasound to see if the intracranial aneurysm disappears."


    Director Zhang Bihua stepped forward to hold down the pregnant woman, and patiently explained the cause and effect to her.


    "Ah, is the baby in my belly okay?"


    "The child is fine at the moment."


    "Thankfully, as long as the baby is okay."


    The pregnant woman smiled happily when she heard that the baby was fine, and she was not worried about herself at all.


    It can be seen that she really values ??her children more than her life.


    "Go and check first!"


    Only when it is confirmed that the aneurysm has really disappeared can everyone be completely relieved.


    After the blood pressure of the pregnant woman returns to normal, she can wake up from the coma immediately, and it can be basically concluded that the aneurysm pressing on the brainstem has become smaller or disappeared.


    Not long after, the pregnant woman returned from her head color Doppler ultrasound Let me have a look. "


    Director Yin couldn''t wait to take the color ultrasound film and check it against the light.


    Other doctors also craned their necks, expecting good results.


    "This this¡­"


    Yin Hua''s right hand holding the film was trembling, and his lips were moaning.


    The expression is like seeing his deceased grandfather return to the world.


    Everyone''s heart sank for a while, judging from Director Yin''s performance, the situation was probably not good.


    "Director Yin, what happened to the result? Tell me!"


    Director Xie''s temper has always been more irritable.


    Seeing that Director Yin has not announced the result for a long time, he can''t wait.


    Du Leng also pricked up his ears to eavesdrop, and everyone counted him as the most nervous.


    "It''s really gone, it''s really gone... Doctor Zhou''s diagnosis is all correct." Director Yin was extremely excited, and his heart was full of emotions.


    Who said that low education means poor diagnosis?


    Who said that Gui Peisheng''s diagnosis opinion is unreliable?


    "Doctor Zhou, I have to say, you let me redefine the word "Guipei doctor". You are the most powerful doctor I have ever seen, bar none."


    Director Yin said this in front of everyone, more or less meant to apologize to Zhou Can.


    After all, he scolded Zhou Can for being superficial not long ago.


    He still pretends to be old in front of Zhou Can, saying that he has diagnosed tens of thousands of cases and has eaten more salt than Zhou Can has eaten.


    Now the blood pressure of the pregnant woman has successfully returned to normal, and the person has woken up, and the intracranial aneurysm has miraculously disappeared.


    Facts speak louder than words.


    This is how medicine works. If the diagnosis is correct, the cure will be accurate. If the diagnosis is wrong, you can only pray to God and gods from all walks of life, and don''t make a medical accident.

 Chapter 45： Rushing to claim credit is risky

    "An aneurysm disappearing without surgery? This is too mysterious."


    Director Xie has been in surgery for so many years, and this is the first time he has encountered such a case.


    Maybe not the first time we met.


    Just because of limited cognition, he didn''t know it was a temporary aneurysm when he encountered it, and then he treated it as a regular aneurysm and solved it with surgery.


    "Let me see!"


    He took the color ultrasound image of the patient''s head and examined it carefully.


    Even though he already knew that the aneurysm had disappeared, he still couldn''t help being shocked when he saw the situation on the color ultrasound image.


    Medicine is so amazing.


    There are countless strange diseases of all kinds. Even old doctors who have practiced medicine for decades will often witness various ''miracles''. This is why doctors often regard living and learning as a mantra.


    There is no limit to the sea of ??medicine, and one can never learn it all in one lifetime.


    "Hehe, I have learned a lot today."


    Director Xie laughed at himself and handed the film to other directors to check.


    After the doctors saw it, they were all amazed.


    "Okay, let''s filter the pregnant woman''s blood and reinfuse it! Hmm... remove about 150ml, it''s safer."


    Director Tan''s medical practice style is as stable as his personality.


    Reinfusion of 150 ml less blood will neither cause adverse effects on pregnant women, but also reduce blood volume appropriately.


    It is safer than returning all of them.


    The pregnant woman turned from danger to safety, everything is moving in a good direction, and every medical staff is very happy.


    The happiest are the doctors and nurses in the emergency department.


    They have never been so elated as they are today.


    Because the biggest contributor to curing the pregnant woman is Zhou Can.


    This is someone from their emergency department.


    Strength wins respect, which applies everywhere.


    The directors and doctors of the important departments no longer dare to underestimate the emergency department.


    At this moment, the door of the rescue room was pushed open.


    An imposing middle-aged male doctor walked in. Along with him was an old man in his sixties and a pregnant mother.


    "Hey, I wish you all the best, Dean, why bother you to come here in person!"


    When Director Tan, Director Zhang and others saw the middle-aged male doctor, they immediately showed respectful expressions.


    They all stepped forward to greet them.


    He is the director of Tuya Hospital, about fifty years old. Perhaps because of working day and night, severe Mediterranean seas have appeared on the top of the head, and the few remaining hairs have also turned gray and white.


    The old man who walked with him looked simple and unpretentious, but the majesty of the superior exuded from his gestures made people awe-inspiring.


    "Just now I received a message from Director Xie, saying that the patient''s cause has been found, and he will be ready for treatment immediately. My old leader was worried about my daughter, so I accompanied him to the rescue site."


    Dean Zhu explained with a smile.


    "Oh, I forgot to introduce, these two are the parents of the pregnant woman and my former boss."


    After the introduction, he looked at the pregnant woman lying on the rescue bed, and saw that the pregnant woman was being transfused with blood and she was awake.


    He couldn''t help being slightly stunned for a moment, and then showed joy.


    The pregnant woman has woken up from a coma, indicating that the rescue has been effective.


    He can also explain something to the old leader.


    After hearing this, several department directors present couldn''t help but look at Director Xie meaningfully.


    This old Xie is better at taking credit than anyone else.


    Everyone stayed together all the time, and they didn''t know when he secretly reported the happy news to Dean Zhu.


    "Dad! Mom!"


    At this time, the pregnant woman also saw the parents entering the emergency room, and excitedly called for their relatives.


    "Oh! My daughter is awake! How wonderful!"


    The old man, who faintly exuded the majesty of a superior, was overjoyed when he heard his daughter''s call.


    Both excited and moved.


    The old lady was sobbing, and walked to the hospital bed and held her daughter''s hand tightly.


    The mother and daughter were almost separated from each other forever. Fortunately, through the efforts of the doctors, they were finally rescued.


    Meeting again after life and death, few people can be calm.


    After the excitement and extreme joy, it is time to let go of the negative emotions accumulated due to extreme worry, sadness, and anxiety.


    Crying is the only purely natural way.


    It also best embodies the sincerity of emotion.


    Dean Zhu was relieved to see the reunited old leader''s family, and now it''s time to commend the meritorious officials.


    "Who is Du Leng?"


    the dean asked with a smile.


    "I am!"


    Du Leng didn''t understand why the dean suddenly called his name.


    But it is definitely a good thing to be able to get acquainted in front of Dean Zhu.


    Looking at the smile on Dean Zhu''s face, he definitely won''t be criticized.


    Du Leng couldn''t help but expect a little more.


    Dean Zhu looked at Du Leng who stood up with a smile, with deep appreciation in his eyes.


    "As expected of a returned overseas Ph.D. from Johns Hopkins University, he is indeed a talented person with extraordinary bearing!"


    "Thank you! It''s my good fortune to be able to work in Tuya Hospital with such a wise director as you!" Du Leng''s flattery skills are quite impressive.


    Speaking of this kind of nasty clich¨¦, it''s natural.


    Changing to Zhou Can, he asked himself that he couldn''t do it.


    Because the mental barrier is too great.


    Some people are good at relying on flattery, and some are good at relying on real skills.


    Zhou Can belongs to the latter.


    "Listen to Director Xie''s report, you have played a key role in the rescue of pregnant women this time, right?"


    The dean smiled more kindly.


    The humble smile on Du Leng''s face froze instantly.


    With his cleverness, he immediately realized that Director Xie probably quietly asked Dean Zhu for credit when he had just diagnosed that the disease of the pregnant woman was due to an aneurysm compressing the brainstem.


    It''s just that people are not as good as God.


    Things have taken a major turn.


    This time he was in trouble.


    No one mentioned the misdiagnosis.


    Now that Dean Zhu is going to commend him, this matter must be explained clearly.


    It''s like putting him on fire, how embarrassing it will be, one can imagine.


    "Uh... um..." Du Leng murmured, thinking about how to answer so as not to be so embarrassing.


    "Haha, this young man Du Leng not only has a high degree of education, but also a high level of medical skills, and he is quite humble!" Dean Zhu laughed and praised Du Leng again.


    Otherwise, why is the first impression so important?


    Dean Zhu thinks that Du Leng is a great hero, UU reading www.uukanshu. Com''s impression of Du Leng has a good basic score.


    Coupled with Du Leng''s dazzling academic qualifications, this favorability score will be further improved.


    So, looking at Du Leng, I feel pleasing to the eye, and there are advantages everywhere.


    The so-called beauty covers all ugliness is probably the same reason.


    "Is this the young man who saved my daughter?"


    The pregnant woman''s father also came over.


    My savior, I must be grateful.


    "Uh...uh..."


    Du Leng was even more embarrassed, and his nervous forehead began to sweat.


    In fact, Director Xie was even more embarrassed at the moment.


    It''s nothing to secretly rush to ask for credit. It can not only strengthen the prestige of surgery, but also support Du Leng, a newcomer. Moreover, the diagnosis result was approved by Director Yin Hua in Shennei, and Director Tan and others did not object.


    No matter how you think about it, it''s a sure thing.


    It''s just that who would have thought that the diagnosis was full of twists and turns, and Du Leng''s previous diagnosis eventually turned into a misdiagnosis.


    There was a big oolong.


    How can this be explained to Dean Zhu?


    He is an imposing chief of surgery, and he really can''t get rid of this old face.


    At this moment, it would be great if some director would stand up and help clarify. Although he would still make a fool of himself, at least he didn''t have to face it directly.


    Director Xie looked at the other directors for help.


    Unexpectedly, the expressions of these department directors were surprisingly consistent. Either turn his head and look at it, or watch Du Leng make a fool of himself with a smile on his face. They''re all watching free shows.


    Director Xie understood that the directors of these departments were annoyed at him secretly rushing to ask for credit, so they deliberately made him look ugly.


    This is indeed a bit unreasonable.


    Now he has reaped the bitter fruit.

 Chapter 46： heroes

    "The person who plays the key role is not Du Leng! It''s Dr. Zhou Can from our emergency department." Ye Tingting spoke out, like a little pepper, telling the truth.


    Director Xie wanted to bow to her.


    Finally, he didn''t have to come forward to explain this matter directly.


    Dean Zhu''s smile stopped, and he asked in astonishment, "What''s going on?" He looked directly at Director Xie.


    False, no leader would like such dishonest subordinates.


    Director Xie has a big head.


    Even though he is in the high position of the chief director of the surgery room, his back is still sweating coldly.


    At this time, it is no longer a matter of face, but a matter of personal reputation.


    No matter how embarrassing you are, you have to stand up and explain clearly.


    "President Zhu, I have to explain this to you. At that time, many directors and experts of our surgery, internal medicine, obstetrics and gynecology rushed to the emergency room and conducted a joint consultation on the pregnant woman at the first time. Du Leng relied on his overseas studies With the advanced diagnostic technology, it was diagnosed on the spot that the pregnant woman had an intracranial aneurysm compressing the brainstem. This diagnosis result is roughly the same as Director Yin Hua''s preliminary judgment. To be precise, Du Leng''s diagnosis is more accurate."


    After listening to Director Xie''s explanation, Dean Zhu''s eyes softened a little.


    It''s not that cold anymore.


    "Why did the nurse say that Dr. Zhou Can in the emergency department is the key person?"


    he asked.


    "At that time, we were discussing to perform surgery on the pregnant woman to remove the intracranial aneurysm. However, because the aneurysm was in the brainstem area, the risk of surgery was very high. Even director Wu Baihe made it clear that he was not even 50% sure. .¡±


    Hearing this, the pregnant woman herself, as well as her parents, deeply felt the danger at that time.


    "At this time, Dr. Zhou Can deduced that the pregnant woman''s eyesight might be a problem from the fact that the pregnant woman didn''t draw her eyebrows well. After further deduction, she made a bold assumption that she probably took the wrong medicine when she was taking antihypertensive medicine before going out. . That¡¯s what caused the blood pressure to spike.¡±


    When Director Xie described the diagnosis process, he felt quite complicated.


    He was actually boasting about the doctors in the competing department.


    It''s not that he wants to praise Zhou Can, but he has to.


    With so many witnesses, no one can erase the credit of Zhou Can.


    "Oh, let me just say that when I swallowed the medicine, I felt that the taste was a bit wrong. I thought it was because of the abnormal taste caused by pregnancy. I was too careless. It was probably taken together with the antihypertensive medicine. Indomethacin."


    After the pregnant woman heard this, she blamed herself.


    "You child, you have a vision problem, why didn''t you tell us?"


    The old lady scolded her daughter.


    His eyes were full of distress.


    "At that time, I thought that my vision was a bit blurry when I just woke up, and it would be fine after a while. I didn''t care about it. I didn''t expect that I almost died. Fortunately, the baby in my stomach is fine."


    The pregnant woman caressed her belly with joy.


    "By the way, that Dr. Zhou Can is really amazing. I was in a coma at the time, and I couldn''t describe what I had done. And I didn''t know that I took the wrong medicine. If he didn''t deduce the cause and effect based on the clues, the consequences would be unimaginable. Dad, Mom, you must thank that Doctor Zhou on my behalf."


    The pregnant woman survived the catastrophe. After hearing the diagnosis, she realized how difficult it was for the doctor to find out the cause of her disease.


    Thank you for being such a good doctor.


    "Yes, yes, when you are discharged from the hospital, let''s thank Dr. Zhou together, you will lie on the bed obediently to recuperate, you know?" The two old people looked at their daughter with pity in their eyes.


    "Didn''t you just say that there is an aneurysm in my daughter''s brain that must be removed by surgery? My daughter is awake now, please ask the doctors to find a way to see if the operation can be avoided? Let alone 50% sure, it is 90% sure, I think the risk is too great."


    The father of the pregnant woman is more concerned about this matter.


    It''s good that my daughter is waking up, but the aneurysm requires surgery, which is really worrying.


    He doesn''t want to let the child take any risks.


    Especially after being rescued, he was lost and recovered, which made him cherish the relationship between father and daughter even more.


    "Cough... After the joint diagnosis by Dr. Zhou and us, it was found that it was just a temporary aneurysm. It was caused by excessive intracranial pressure. After a series of antihypertensive treatments, we just checked your daughter. Very Fortunately, the temporary aneurysm has disappeared."


    Director Tan is quite conscientious. Although in order to take care of the face of several important departments in the hospital, he was forced to say that it was a joint diagnosis, but he mentioned Zhou Can''s name emphatically.


    It doesn''t count as taking credit for him.


    It is impossible to tell the family members and patients that so many of our experts and directors failed to diagnose it, and even almost misdiagnosed it. It was diagnosed by a regular training doctor, right?


    If you really want to say that, Dean Zhu''s face will probably be longer than a horse''s face.


    For any hospital, reputation equals brand name.


    It''s more than anything else.


    Sometimes when a doctor makes negative news or makes a mistake, the hospital will try to cover it up.


    What for?


    It is to protect the reputation of the hospital.


    With a bad reputation, a top hospital can shrink sharply in a very short period of time, and its competitiveness will drop sharply.


    At that point, it is not a person''s job that will be smashed.


    It''s the rice bowl on the whole ship.


    "So that''s the case! Will my daughter still be in danger?"


    Family members and pregnant women are all relieved.


    First of all, they said that surgery was needed, but they didn''t go into the matter of being cured without surgery.


    As far as the patient is concerned, as long as the disease can be cured, it will be fine.


    Process is not important.


    "As long as you pay attention to controlling your blood pressure, generally speaking, there is not much danger."


    Director Tan also breathed a sigh of relief, the hurdle of the misdiagnosis incident has finally passed.


    After practicing medicine for so many years, he has been slapped in the face countless times. But the embarrassment like today only appeared when I was young. Since he became famous, there have been almost no misdiagnoses.


    When the cause of the disease could not be found out, he would rather tell the patient and his family that the problem could not be found out for the time being.


    Ask the patient to go to another hospital for another look, or to observe again.


    "Is Dr. Zhou Can still here?"


    After the pregnant woman''s father learned that his daughter''s danger had been lifted, his heart finally fell to the ground.


    Next, it''s time to thank the doctor who saved my life.


    "This is Dr. Zhou Can from our emergency department."


    Director Lou introduced it loudly with great pride.


    In an instant, Zhou Can, who was standing behind with a low profile, became the focus of everyone''s attention, and he became the most dazzling star in the emergency room.


    The dean, pregnant women, and family members are all looking at him.


    "What a young lad!"


    The pregnant woman''s father couldn''t help but exclaim.


    He thought that a doctor with such a good diagnosis ability must be a doctor with a white beard.


    Seeing Zhou Can so young, I was a little surprised.


    "This Doctor Zhou is not only young, but also very down-to-earth~ www.novelhall.com~ and has a very kind heart!"


    The pregnant woman''s mother also came over at this time.


    Looking at Zhou Can with a grateful smile.


    "You know each other?"


    asked the old man in surprise.


    "OK!"


    The old lady nodded repeatedly.


    "Just now my daughter was being rescued inside, and I was guarding outside. Their initial rescue work was not smooth. It was this Dr. Zhou who came out to me to ask me about her medical history and other information. At that time, my attitude towards him was not very good. Good. But not only did he not care about it, he also comforted me after the questioning, and asked me to sit on a chair to rest in concern. Doctor Zhou is really benevolent and benevolent!"


    People''s hearts are made of flesh.


    After the old lady learned that Zhou Can was her daughter''s savior, she couldn''t help but feel even more guilty.


    The way she looked at Zhou Can was so soft that it could melt people away.


    "Doctor Zhou, thank you for saving my daughter!"


    The old lady bowed deeply to him solemnly.


    Zhou Can was so panicked that he quickly reached out to support him.


    "Auntie, you can''t do it. I''m a doctor, and it''s my duty to save your daughter. To tell the truth, after hearing you tell your son-in-law''s heroic deeds, I made up my mind to do my best Save your daughter and the child in her womb. Fortunately, the auspicious person has his own destiny, and with the joint efforts of all medical staff, he finally rescued your daughter."


    Zhou Can did not monopolize the great contribution, but distributed the credit to all the medical staff present.


    This also made him a very good impression in the minds of many doctors.


    Even Director Xie looked at Zhou Can with softer eyes.


    Benefits can be shared and cannot be few, this is a famous saying through the ages.


    If you only want to monopolize all the benefits, you are destined to not go far.

 Chapter 47： Strength makes the world a better place

    "The young man is indeed very nice. My name is Cao Zhengguo, and this is my business card. If you don''t mind, you can always call and chat. If you encounter trouble someday, you can always find me."


    The old man handed him a black business card.


    It simply said Cao Zhengguo, plus two phone numbers.


    Zhou Can took it with both hands and put it in his pocket.


    How to address each other is a science.


    If you can call me younger, try not to call me too old. Sometimes it is easy to arouse the other party''s resentment.


    "Thank you Uncle Cao for your kindness. If you are free, I will bother you."


    Generally speaking, the more powerful the big shots are, the simpler their business cards are.


    Because their names already trump all titles.


    On the contrary, those bluffers, or those who have no real skills, often like to get a bunch of names printed on their business cards.


    The president of a certain association, the manager of a certain company, etc.


    Looks awesome, like a successful person.


    In fact, not a single title of weight.


    Cao Guo is the old leader of Dean Zhu, and this relationship alone is enough to benefit Zhou Can endlessly.


    In the future, for hospital promotions, important training opportunities, etc., report to Dean Zhu, and see that it is Zhou Can, and there is a high probability that he will take care of him.


    Being a doctor is a wonderful profession.


    In addition to reaping the joy of saving lives and healing the wounded, you can often reap some unexpected fate.


    This is a very precious relationship.


    No wonder the chief physicians of some large hospitals have extremely high social status. Not to mention anything else, just the various big shots they met in the process of practicing medicine are enough to make them a lot better than ordinary elites.


    Society is a big web made up of all human beings.


    Everyone is a point on this super-large web.


    Relationships are about trying to connect yourself to other dots, forming a small web centered around you.


    Whoever has a bigger and stronger net will be able to get along better in this society.


    "Xiao Zhou, my old leader rarely gives business cards to people, so you should cherish them."


    The dean smiled and gave Zhou Can some hints.


    In fact, Zhou Can also understood the importance of this business card without his reminding.


    "I will! Thank you, Dean Zhu!"


    Zhou Can was extremely humble and polite.


    "Hehe, the young man is very polite. This time you made a great contribution and performed very well. You must keep it up. Our Tuya Hospital needs talents with good medical ethics like you."


    The dean used the word "Medical Virtue Shuangxin" to him.


    This is a great honor.


    It is also a high recognition of Zhou Can''s performance this time.


    Du Leng, Gao Jian, Yang Chan and the others all looked enviously at Zhou Can being praised.


    Opportunities are equal, and whoever can seize them will be a big step ahead of others.


    In the future, Zhou Can will have an advantage when these people are promoted to residency, attending, promoted, or participate in research groups, advanced studies in other hospitals, etc.


    After praising Zhou Can, Dean Zhu glanced at all the medical staff in the emergency room.


    "This rescue mission was completed very well, thanks to everyone."


    "It should be, it should be!"


    Several directors expressed their opinions one after another.


    On such occasions, ordinary doctors and nurses actually do not have much say.


    "Old leader, I will arrange a ward for your daughter in a while. She will stay there for two days for observation, and then she will be discharged after her physical indicators are stable. Do you think it is ok?"


    I wish the dean made considerate arrangements.


    I have to say, it''s nice to have a relationship.


    The beds in Tuya Hospital are extremely tight, and many patients who need surgery are waiting in line for the beds to come out.


    Dean Zhu gave Ms. Cao the green light with a wave of his hand.


    "You do things, I rest assured."


    Cao Zhengguo is also very good at leadership, and he directly affirmed Dean Zhu. This is ten times better than direct compliments.


    "Thank you for the old leader''s trust." Dean Zhu smiled like a flower.


    "Okay, go and do your work! Thank you for your hard work today!"


    Cao Zhengguo waved his hand, indicating that Dean Zhu does not need to accompany him.


    From the conversation between the two, it can be seen that Dean Zhu has always regarded himself as a subordinate in front of Cao Zhengguo. And the latter is also calm.


    I don''t know what the identity of this Cao Zhengguo is?


    It doesn''t feel like Tuya''s former dean.


    Zhou Can has this old man''s business card, and he will have a chance to get to know him slowly in the future.


    After Dean Zhu left, the experts and directors who came to participate in the consultation were all busy people and left one after another.


    Director Xie made a mess today, and when he left, he gave Zhou Can a complicated look.


    That resentful look in his eyes is intriguing.


    I don¡¯t know whether it¡¯s because I regret not choosing Zhou Can at that time, or because Zhou Can¡¯s performance is too good, which changed his superstitious concept of high education.


    Du Leng should be the worst one.


    The first half has been bright, and the second half has been "tears".


    At the beginning, Dean Zhu looked at him with admiration. But after learning that he almost made a misdiagnosis, Dean Zhu''s attitude towards him became obviously colder.


    Until he left, Dean Zhu never looked at him again.


    Director Tan also left with the three internal medicine staff.


    "Doctor Zhou!"


    He looked at Zhou Can with an amiable face.


    "Just call me Xiao Zhou!" Zhou Can lowered his posture.


    "Well, it''s really good. You have just made great achievements, but you can not be arrogant or impetuous. I am very optimistic about you. As President Zhu said just now, our hospital needs talents with good medical ethics like you. Regular training is not necessary. Do you rotate through various departments to exercise? You are welcome to come to the internal medicine training practice, and I can take you personally."


    Director Tan is offering him an olive branch.


    But Director Lou who was on the side was anxious.


    The talent team in the emergency department is poor, and a good seedling has finally arrived, but they can''t be poached like this.


    "Director Tan, it was agreed in advance that Xiao Zhou is the regular doctor selected by our emergency department. You can''t win people''s love!" Director Lou hurriedly vaccinated.


    "Look at what you said, aren''t we all doctors from Tuya Hospital? A family, why should they be so clearly separated. Besides, can you train the top doctors with the conditions of your emergency department? I think Zhou Can This young man is righteous and kind, and he is a person who knows how to be grateful. No matter how well he develops, it is impossible for him to forget the kindness of the emergency department.¡±


    Director Tan finished speaking and looked at Zhou Can with a smile.


    "Really? Doctor Zhou."


    "You are right, the emergency department will always be my mother''s home." Zhou Can''s statement reassured Director Lou.


    "Internal medicine is the foundation of all medicine. Only by mastering internal medicine can you lay a solid foundation for your future growth. UU Reading Therefore, I suggest that you can extend the training time for internal medicine. Three months , no matter how good the talent is, it can only be seen on horseback. Of course, this is just my personal advice to you, and ultimately it is up to you to decide."


    Director Tan looked at him sincerely.


    "Thank you for your kind words. I will definitely go to the internal medicine department. I will ask you and the internal medicine teachers to give me more advice." Zhou Can could feel Director Tan''s kindness.


    Put your hands together and bow slightly to show your gratitude.


    "When it comes to internal medicine, internal medicine is a compulsory course! Dr. Zhou is welcome to come to me at any time." Director Yin Hua has always been quiet, and not long ago he even scolded Zhou Can.


    Now seeing that Zhou Can is a talented person, humble and upright, I can''t help but love talent.


    He even took the initiative to show his favor to Zhou Can.


    To get the guidance of this top expert in the gods is definitely something Zhou Can can only wish for.


    "Thank you, Director Yin, for letting go of past suspicions. Go and ask for advice when the time comes. Don''t bother me." Zhou Can said with a smile.


    "Haha, let me tell you something. I''m notoriously strict in teaching students. You have to be prepared to be scolded." Director Yin was amused by him, and when he saw this kid, he was even more pleasing to the eye.


    "Don''t be afraid, don''t be afraid, my skin has been trained a long time ago. If you don''t believe me, touch it, I''m afraid it''s not much thinner than the soles of your shoes."


    Zhou Can has been scolded a lot this year as an intern.


    Almost every doctor grows up like this.


    Zhou Can is more than happy to be able to turn hostility into friendship with Director Yin.


    What''s more, in the future, you can consult this top expert in the gods at any time, and it''s nothing to suffer a few scolding. Even if Director Yin beat him up, it would be worth it.


    "Naughty!"


    Director Yin couldn''t help laughing and cursing.

 Chapter 48： sudden public event

    Gao Jian looked at Zhou Can in frustration, and said bitterly, "You won another game, but I won''t give up easily."


    Director Tan was a little puzzled after hearing this.


    He turned his head and asked, "Xiao Gao, what are you two?"


    "Didn''t Zhou Can take the first place in the regular training exam? I was not convinced, so I made an agreement with him that the two would compete in the medical field. Yesterday I was a little worried that he would be assigned to the emergency department , It¡¯s a bit unfair to him. Now I¡¯m depressed, a genius is a genius wherever he puts it. Today¡¯s consultation, I lost to him again!¡±


    Gao Jian explained the cause and effect again.


    After hearing this, everyone couldn''t help but smile.


    Gao Jian has the frankness and candor of a northern man.


    After losing two games in a row, he can still show a funny expression of distress, which is enough to show that he has a broad mind. If you lose, your skills are inferior to others, and you have no complaints.


    "Huo Huo! This agreement is very interesting, I support it! If you want to improve, you have to compete!"


    Director Tan was very supportive of the competition between the two of them.


    Where can I find such an enlightened department director?


    "gone!"


    He waved his hand and left with three internal medicine doctors.


    The last person to leave was Director Zhang Bihua of the Department of Obstetrics and Gynecology.


    She has been monitoring the condition of the fetus, and after the blood transfusion of the pregnant woman is completed and the fetus is normal, she takes Yang Chan away with confidence.


    When Yang Chan passed by Zhou Can, Zhou Can smiled at her.


    "thank you for helping me!"


    If she hadn''t pleaded with her master at a critical moment, Zhou Can would hardly have had the chance to convince the directors.


    "Don''t think too much, I''m not helping you. I''m just out of responsibility for the patient."


    Her small cherry mouth was slightly pouted, her tone was so cold, and her face was expressionless, obviously she was still angry with Zhou Can.


    Zhou Can was puzzled, didn''t there be a misunderstanding because of a group testimonial in the class last night? Do you need to keep worrying about it?


    In order to settle this matter, he also spent a thousand oceans.


    I''ve never seen such a petty side of her.


    The other doctors and nurses couldn''t help secretly laughing at Zhou Can''s embarrassment.


    It''s good to be young!


    Everyone has fond memories of being in love when they were young. It''s perfectly normal to quarrel and have a little conflict.


    "Hey, isn''t it just a group..."


    "Shut up!"


    She seemed to have guessed what Zhou Can was going to say, and she was so frightened that she immediately glared at Zhou Can viciously, preventing him from continuing.


    In front of the teacher and so many doctors, this guy can''t hold back.


    Everyone still doesn''t know how to guess.


    "Xiao Zhou, girls need to be coaxed more, you know? But don''t worry, I will also do Yang Chan''s ideological work when I go back." Zhang Bihua taught him based on the experience of someone who has been there.


    "Teacher, it''s not what you think!"


    Yang Chan was embarrassed.


    "Hehe, I understand, I understand. You don''t need to explain too much, the teacher understands everything."


    After Zhang Bihua finished speaking, he winked at Zhou Can and left with Yang Chan.


    This is to remind Zhou Can not to forget the experience she imparted.


    Yang Chan was so ashamed that even the base of her fair neck turned red.


    Her thin red lips almost bleed from her bite.


    It gets darker and darker.


    If she continued to explain it, she might not be able to wash it off even if she jumped into the Yellow River.


    Fortunately, Zhang Bihua was a busy person, so he didn''t stay any longer, and led her out of the emergency room quickly.


    "I think Zhou Can is a pretty good guy. It''s normal for you young people to have some conflicts when you are in love. Women are like water, you have to be soft, and softness can overcome rigidity..."


    Director Zhang''s voice gradually faded away.


    Zhou Can couldn''t help being overjoyed when he heard that Director Zhang not only taught medical skills, but also taught his apprentices how to fall in love.


    There are not many such good teachers.


    In fact, there is really nothing between him and Yang Chan.


    Classmates for five years, even if they practiced in the same hospital for one year, they may not have spoken more than ten sentences.


    As he gradually emerged, he found that the chief physicians in Tuya Hospital were not as unpredictable, cold and severe as he had imagined.


    At least now, many chief physicians are very friendly to him.


    In fact, this society is like this. Excellent people are always in good times.


    The less outstanding people are, the more obstacles they encounter, and they hit walls everywhere.


    This is also the truth that everyone is working hard for.


    Through hard work, after becoming stronger, people who looked down on me before greeted me with a smile. The leader, who is very cold to himself, has a much more amiable attitude. The mother-in-law who had always disagreed with the marriage suddenly let go...


    Life is wonderful because of hard work.


    "Xiao Zhou, don''t be dazed, the little girl has already left. Follow me to work in the operating room!"


    Doctor Xu greeted.


    It can be seen that after this meritorious service, Zhou Can''s status in Dr. Xu''s mind has improved a lot.


    Before, Dr. Xu would never joke with him.


    talk is


    "okay!"


    What Zhou Can likes most is to stay in the operating room to earn experience points.


    For him at this stage, the operating room of the emergency department is simply a holy place for upgrading his medical skills.


    Not only is there a large amount of surgery here, but there are also many first-level surgeries.


    Coming out of the emergency room, the two of them were shocked by the sight before they entered the operating room.


    I saw at least twenty or thirty patients waiting for surgery in the long corridor.


    The emergency department generally only performs emergency surgery.


    For many operations, patients are advised to go to an outpatient clinic or a specialist inpatient department.


    Surgical capacity in emergency departments is very limited.


    With so many patients, when will we be able to deal with them?


    And there will be a steady stream of new patients joining the waiting list for surgery.


    Doctor Xu was frightened when he saw this situation.


    "I''ll go, haven''t we been in the emergency room for a long time?"


    "It''s less than an hour and a half."


    Zhou Can glanced at the time.


    At this time, a petite nurse ran over.


    "Doctor Xu, you are finally here. These are people who are going to be operated on."


    "Why are there so many surgery patients all of a sudden? Our emergency department has limited capabilities, so guide them to their specialist clinic!" Dr. Xu whispered.


    "It is estimated that the general surgery clinic is already overcrowded. I heard that it was a third-tier female star''s concert, and the stage suddenly collapsed, causing many people to be injured."


    The female nurse looked helpless.


    It turned out that there was a public emergency, no wonder there were so many surgical patients.


    In a year, the emergency department of a hospital is always overcrowded for dozens of days.


    For example, a bus crashes, a small restaurant explodes, a house collapses... Even in winter, the morning freezes and the emergency department is overwhelmed.


    Zhou Can is still deeply impressed.


    Last year, when the New Year was approaching, it rained for several days in a row, the temperature dropped sharply, and one night it suddenly froze. As a result, before seven in the morning, the hospital notified him to rush to help.


    Patients with various falls have not been broken since the morning.


    Most of the time, five or six patients with falls can come at once.


    Zhou Can passed the most unforgettable year. After working overtime for 24 hours, he fell asleep sitting on the floor leaning against the wall of the operating room when he was done.


    This is the first time that the stage of this kind of concert has collapsed.


    I''m afraid there will be many injured people.


    Except that when the stage collapses, a group of people will be injured. Sudden panic can lead to a stampede.


    If the venue is not spacious enough and there are many spectators, the secondary damage caused by the stampede will be more serious.


    "Go, hurry to the operating room."


    Dr. Xu took Zhou Can into the operating room in a hurry.


    I heard Dr. Lu mumbling in the operating room, "I''ve had three surgeries this morning, and I''m exhausted. Xiao Jin, don''t be dazed. Hurry up and sew up the patient''s wound. Let me take a breather."


    Zhou Can was secretly glad to follow Dr. Xu to the emergency room to participate in the consultation.


    If you hang out with Dr. Lu, you will definitely suffer bad luck for eight lifetimes.


    The man is lazy and cunning.


    I can''t learn much, and I have to be ordered by him in various ways.


    Leaving so many patients outside alone Doctor Xu seemed a little unhappy, and entered the operating room with a dark face.


    "Dr. Lu is so exhausted, the three surgeries he performed must be at least grade 3 major surgeries, right?"


    Anyone can hear that this is irony.


    "Hey, I''m not capable of performing tertiary surgery! It''s just that if you don''t come back, our emergency operating room will be overwhelmed. It is said that a star''s singing stage collapsed and injured many audience members and staff. I¡¯m really not lazy, the three injured people I dealt with were all injured in multiple places, and the injuries were quite complicated. There are still many injured people who have reached the standard of second-level surgery outside, I can¡¯t do it at all, I can only wait for you to come back and deal with it.¡±


    Look at this clever mouth.


    With his answer like this, Dr. Xu couldn''t criticize him anymore.


    After all, Dr. Lu is also a senior resident doctor.


    In terms of status, it is already second only to the attending physician.


    "Okay, hurry up and rescue the wounded! There are so many wounded outside, I observed them, and there are very few seriously injured, and I can''t handle it by myself. Xiao Zhou, Dr. Jin, you two are dealing with first-level surgery The wounded within the range. Dr. Lu will be my assistant. Then I will call two nurses to help."


    Dr. Xu''s heart is like a bright mirror.


    Directly arrange Dr. Lu, a sneaky and cunning lazy person, to be his assistant in front of him.


    Then let Zhou Can and Jin Mingxi preside over the first-level surgery respectively.


    Jin Mingxi''s expression was flat, because he had done too many such first-level surgeries.


    And he is qualified to practice medicine independently.


    Zhou Canke was overjoyed.


    What a great exercise opportunity.


    Experience points can skyrocket again.


    If you improve your medical skills early, you will be able to participate in more advanced surgeries.

 Chapter 49： Fudge is also a compulsory course for doctors

    "Doctor Xu, your arrangement is unreasonable! Xiao Zhou is just a trainee, he is not qualified to operate alone. It is better to let him be your assistant. Like Xiao Jin, I treat the first-level surgical injuries alone."


    Zhou Can does not have a doctor''s qualification certificate, but Jin Mingxi does.


    This is Zhou Can''s weakness.


    When Dr. Lu heard that he was going to be Dr. Xu''s assistant, he immediately turned bitter.


    He even found a legitimate reason to want to switch with Zhou Can.


    Zhou Can scolded his mother in his heart.


    This doctor Lu is really nothing. Looking at so many wounded waiting for surgery outside, I have no sympathy at all. Instead of rushing to treat the wounded, I just think about how to be lazy and how to relax.


    It is really a patient''s misfortune that a person with bad moral character becomes a doctor.


    "Who said he was practicing medicine alone? Am I not here to guide his surgery? Stop talking nonsense and get ready to work. Tang Ling, ask the outside to push the most seriously injured person in."


    Dr. Xu blocked Dr. Lu to death with one word.


    So, don''t fight with your boss, you can''t beat him.


    Soon, two temporarily transferred nurses came in. They are assistants to Zhou Can and Jin Mingxi respectively.


    Then the small operating room became very lively.


    Three wounded people can be sent in at a time, and several doctors can operate at the same time.


    Zhou Can is also at full power, assessing the wounded, debridement, hemostasis, and sutures.


    These injuries are basically mainly bruises.


    What is more miserable is that parts such as the head or arms are smashed and bleed.


    For the wounded who can be sent to the operating room, the doctors in charge of the consultation have already done relevant examinations for them.


    However, considering the large number of injured, medical resources are highly strained.


    For some superficial injuries, it may be just a physical examination and then sent to the operating room for further treatment.


    This requires the surgeon to check carefully to avoid mistakes.


    "Next person!"


    After Zhou Can dealt with the first injured person, he asked the nurse to send it out, and then brought in the next injured person.


    The wounded just now had the palm side stitched up.


    According to the injured person''s own description, when the stage collapsed, he was fortunately far away.


    But it was still hit by a very long billboard.


    At that time, he instinctively raised his hand to cover his head and face.


    There was a 2.5 cm long wound on the side of the palm, with deep bone visible.


    Zhou Can gave him anesthesia injections, debridement, hemostasis, and sutures, earning a total of 4 points of injection experience, 1 point of debridement experience, 5 points of hemostasis experience, 4 points of suture experience, and 4 points of ligation experience.


    Overall, the payoff was pretty good.


    In particular, he was quite surprised by the acquisition of experience points for debridement.


    Click on the attribute list to see, and found that there was an extra debridement at some point.


    [Debridement, advanced medical skills, current experience value: Level 1 8/10. Excellent level of practice. ¡¿


    This medical technique can be applied to the cleaning of soft tissue injuries, cleaning of uneven wounds, cleaning of erosive or polluted wounds, etc.


    What he didn''t expect was that debridement was an advanced medical skill.


    The current level is still relatively backward, only reaching the excellent level of practice.


    Judging from its current experience value of 8/10, it should be a medical skill that already existed before.


    It''s just that Zhou Can didn''t notice it.


    Soon, a new injured person was brought in front of Zhou Can.


    Came in in a wheelchair.


    Seeing this battle, Zhou Can was startled.


    I am currently at a half-baked level, and I can''t deal with too complicated injuries.


    Especially this kind of patient who may fracture.


    He squatted down first, and carefully examined the patient''s knees. The blood had already stained a large area of ??his trousers red.


    The wounded have pained expressions on their faces.


    "Have you had an X-ray?"


    "After checking, the doctor who attended the consultation said that there is no fracture, and you only need to go to the operating room for treatment and you can leave."


    Zhou Can took the X-ray film from the patient and watched it carefully.


    The bones are intact and there are indeed no fractures.


    That is, trauma looks scary.


    With his ability, there is no problem in dealing with skin trauma.


    "I''m afraid you have to cut off these trousers for you."


    Zhou Can said to the injured.


    "Cut it, cut it, just give me the surgery quickly."


    The wounded face contorted in pain.


    After obtaining the consent of the injured, Zhou Can cut off his trouser legs without hesitation.


    The wound was clearly displayed in front of him.


    It is an irregular round wound.


    "Did you fall?"


    "Don''t mention it, the stage suddenly collapsed, and I ran away in fright. I tripped over something and fell hard to the ground. My right knee hit the gravel first, and I bled on the spot."


    When the injured mentioned the scene at that time, he still looked unhappy.


    "Doctor, my leg won''t be disabled, will it?"


    "Judging from the current situation, it should not be disabled."


    It is only a skin trauma, and the possibility of disability is relatively low.


    But Zhou Can didn''t dare to speak too absolutely.


    This kind of speaking skills was learned from the residents during the internship.


    He took the anesthetic prepared by the nurse and injected it around the injured wound.


    [Injection experience value +1. ¡¿


    [Injection experience value +1. ¡¿


    [Congratulations on your injection technique being upgraded to level two, the current experience value is 0/100. The standard training doctors are inferior. ¡¿


    Finally got to level two.


    He has a much deeper understanding of injections. Before upgrading, I took it for granted, wouldn''t I just get an injection? Everyone knows it.


    After he was promoted to the second level, he realized that the seemingly simple injection has a lot of knowledge.


    For example, for drugs that require intramuscular injection, areas rich in blood vessels and nerves must be avoided. Especially large blood vessels and important nerves.


    Precisely, any injection should try to avoid major blood vessels and nerves.


    If a needle punctures a large artery, it is not saving lives, but killing.


    There is also the choice of parts, as well as knowledge.


    The site of muscle hypertrophy is preferred for intramuscular injection. Such as arms, buttocks, etc.


    Depending on the characteristics of the drug, the site of intramuscular injection is also particular.


    The closer the arm is to the heart and brain, the faster the drug will be absorbed.


    The blood supply in the buttocks is relatively poor, and the drug absorption is much slower. In addition, the muscle group of the buttocks is stronger, the fat layer is thicker, and its tolerance is stronger.


    In addition to theoretical comprehension, he has also improved a lot in terms of operation.


    With his current level, he can perform more standardized and more difficult intravenous injections. During intramuscular injection, such mistakes as hitting the epidermis or piercing into the bone, puncturing a large blood vessel, will basically not occur.


    Only two needles were given to this patient.


    According to Zhou Can''s habit of working hard to earn experience points in medical skills, at least four injections are required.


    After choosing the needle position, another needle was inserted.


    The hand is very stable, and the depth of the piercing is also very suitable.


    Inject slowly.


    The anesthetic in the needle diffuses steadily to the muscle layer.


    "Hey, doctor, you gave me three needles, and this one is the best one!" The wounded praised him.


    Just hope he continues to maintain this high level.


    Because compared with the first two needles, UU reading www. The injection of uukanshu.com is much more comfortable.


    "You don''t understand that, do you? For the first two injections, I had to ensure that the anesthetic would take effect as soon as possible, so I stuck it hard." Zhou Can naturally wouldn''t admit that the injection was technically dishonest.


    The injured don''t understand these things either, so a few words to fool him can keep the doctor-patient relationship harmonious.


    Communication between doctors and patients is a profound knowledge.


    It is a compulsory course for every medical staff.


    It is also an important part of the operation to let the patient cooperate with the doctor for treatment.


    He then gave the injured a fourth injection, still at the level of a newly upgraded doctor.


    Technology is in place.


    This time, the injured not only believed his statement, but also praised him again and again.


    "Doctor, I saw that you look so young. I didn''t expect your level to be so high! Give me an anesthesia injection, which is moderately severe and can be retracted freely. Tsk tsk, this level is really good! It''s much better than those nurses."


    Zhou Can felt ashamed when he heard it.


    The nurse next to her had a black line on her face.


    Next, Zhou Can debrides, stops the bleeding, and sutures the wounded step by step.


    Because of the special wound, he boldly adopted skin flap suture.


    It can also be regarded as a challenge to self-ability.


    Compared with straight suturing, this kind of flap suturing is more difficult. It is often used in cosmetic plastic surgery to avoid scars to the greatest extent.


    "Okay, let''s push it out! The wound can''t touch the water. The wound is right on the knee. It''s best not to move too violently when bending. Too much tension will cause the wound to re-open. Remember to come on time to change the dressing."


    After he gave instructions, the injured man was pushed out.


    After sending the wounded away, the nurse blinked at Zhou Can, "Doctor Zhou, why don''t I remember that anesthesia requires two heavy shots and two light shots?"

 Chapter 50： A teacher may be the care of a lifetime

    "Smart ghost, you have seen all of this! The highest level is to see through but not tell, understand?"


    The professional medical staff knew that what Zhou Can said to fool the injured just now was false.


    He simply admitted it generously.


    "Hmph, it''s fine if I don''t talk nonsense. Hush money, a cup of milk tea!"


    The nurse sister made a condition with a sly smile.


    Zhou Can stared at her.


    About twenty-two or three years old, with fair skin and pretty looks. It is not as overwhelming as Yang Chan, but it is still interesting.


    In fact, to be able to work as a nurse in Tuya Hospital, except for some older employees, the minimum is a bachelor''s degree.


    Universities are famous forges of beautiful women.


    There is poetry and calligraphy in the abdomen.


    After a few years of college, girls are generally able to complete a full range of transformation. There will be a qualitative improvement in temperament, figure, and grooming.


    This is also an important reason why there are so many beautiful women on the university campus.


    Originally only 80 points in appearance, after entering university for a few years, it can immediately rise to 95 points or more.


    Facing Zhou Can''s gaze, she boldly raised her head and looked back.


    This nurse girl is really bold and unrestrained.


    "What a big deal, isn''t it just a cup of milk tea? Deal!"


    Zhou Can readily agreed to her request.


    "Hmph, I know you dare not disobey."


    She smiled triumphantly.


    Zhou Can couldn''t help thinking to himself, there are so many people who are popular! Why does this nurse girl seem to be teasing me?


    Of course, maybe he was being self-indulgent.


    Because these nurses in the hospital, no matter they are married or single, are very smart.


    Perhaps it is because Zhou Can sees great potential and wants to establish a good relationship in advance.


    In order to get some care in the future.


    That''s all.


    "Call the next injured person in!" Zhou Can said to the nurse.


    Jin Mingxi, who had just finished the first operation, found that Zhou Can had completed two operations in a short period of time, and couldn''t help but feel the pressure.


    He didn''t want to be mistaken by Dr. Xu for being lazy.


    So it was decided to speed up the operation.


    "Next person!"


    He also shouted.


    Zhou Can turned his head to look over, and the two met their eyes and smiled knowingly. They all saw a trace of fighting spirit in each other''s eyes.


    The two are preparing to compare who will deal with more wounded.


    Dr. Lu, who was working as Dr. Xu''s assistant over there, was sweating profusely from exhaustion. Seeing Zhou Can and Jin Mingxi working so **** the operation, he couldn''t help but secretly scolded them for being stupid.


    Gui Peisheng doesn''t participate in the performance sharing of the department, so why work so hard?


    The chick knows the ambition of the swan.


    All day long, he just thinks about playing fish and dawdling, but Zhou Can and Jin Mingxi both have their own lofty goals. The three of them formed a sharp contrast in their work attitudes.


    ¡­


    Zhou Can treated thirteen wounded at one go, and Jin Mingxi treated ten.


    "Next person!"


    Zhou Can is still immersed in the soaring experience value and cannot extricate himself.


    It''s so cool to upgrade quickly.


    "Doctor Zhou, there are no more first-level surgery patients out there! Hehe!" The female nurse covered her mouth and smirked at him.


    "It''s gone so soon?"


    Zhou Can''s intentions were still unfinished, but he had no choice but to give up.


    "No amount of patients can stand up to you two ''monsters'' cleaning up!"


    The female nurse saw with her own eyes how desperate Zhou Can and Jin Mingxi were.


    So much so that she used the word monster in a commendatory sentence.


    "Doctor Zhou can be called a monster. I have saved several patients less than him. At best, I can only be regarded as hardworking." Jin Mingxi said with a smile.


    Compared with Zhou Can, he is much older after all, and his hands and feet are not as flexible as young people after all.


    In addition, Zhou Can has an experience value system bonus, making rapid progress.


    Suture, debridement, hemostasis, injection, all kinds of medical skills are becoming more and more refined, and the speed is also constantly improving. The key quality has also been improved. Acceleration without loss of quality is the real horror.


    At present, Zhou Can''s debridement has been upgraded to the second level, and the level of the regular training doctor is inferior. The experience value of injection has also risen to 48/100 for the second level.


    If there are enough patients, he can even upgrade the injection technique to the third level in a day.


    "Hey, didn''t I want to save the patient from the fire as soon as possible! The first-level surgery patient is gone, and it''s good for me to help Dr. Xu."


    Zhou Can walked towards the large operating table where Dr. Xu was.


    Doctor Lu looked at him with a wicked smile.


    "Our emergency department needs an activist like Dr. Zhou. It''s just in time. You can take over from my assistant. I''ll go to WC."


    He has long wanted to be lazy.


    Seeing that Zhou Can was very active in his work, he directly arrested Zhou Can as a strong man.


    Dr. Xu didn''t say anything.


    After all, people have three urgencies. Dr. Lu offered to go to the bathroom when someone replaced him. This reason made it impossible to refuse.


    Zhou Can is worried that he has no chance to exercise.


    Dr. Lu, a lazy bastard, gave him work, just because he was sleepy. He came to give him a pillow, and he gladly accepted it. He took over the job as an assistant.


    The injured man''s index finger was severed, the broken bone had been fixed with Kirschner wires, and the tendon had been anastomosed.


    Zhou Can was envious for a while.


    Finger replantation surgery, the risk is relatively small. Now only the anastomosis of nerves and blood vessels, cortical suture three parts work.


    Fight for it, maybe the doctor will agree.


    "Teacher, can I sew?"


    Zhou Can mustered up the courage to ask.


    Doctor Xu looked up at him in surprise, what did you call me?


    "Old...teacher!"


    Zhou Can was somewhat embarrassed.


    In the emergency room, Dr. Xu did not hesitate to contradict Director Xie and defend Zhou Can. It was from that moment that Zhou Can regarded him as a teacher.


    Or more accurately, the Master.


    In the hospital, interns and regular trainees, sometimes due to the needs of the workplace, call the superior doctor as a teacher.


    It''s not wrong in itself.


    After all, the environment is like this.


    But Zhou Can seldom calls it that way. I always feel a little awkward.


    He prefers to call them by their titles directly.


    For example, a certain director, or a certain doctor.


    This time, he called Dr. Xu a teacher from the heart. So when you call, you have emotion in it.


    "My eyesight is a bit blurred. You young people have sharp eyesight and quick hands. You can do the rest of the finishing work."


    Doctor Xu actually agreed.


    As for the blurry eyes he said, Zhou Can didn''t believe it.


    This is also a speaking technique in front of a patient.


    Otherwise, the patient is likely to object.


    After all, everyone knows that young doctors are not skilled enough, if they don''t connect well, this finger will be useless.


    Now that Dr. Xu claims that his eyes are blurred, and there is only "finishing" work left, the patient has no objection.


    Zhou Can was overjoyed stood at the position of the chief surgeon, performing blood vessel and nerve anastomosis for the patient.


    In the morning, I anastomosed two veins to the patient whose legs were crushed by wheels.


    It''s not particularly good, but it all fit together successfully.


    At this moment, the blood vessels of the severed finger that are anastomosed are thinner. It also includes arteries. There are nerves that need to be anastomosed.


    The difficulty of the operation is much higher than the vein anastomosis in the morning.


    This is also the reason for his excitement.


    If this anastomosis is successful, the surgical capability is equivalent to a big step forward.


    Dr. Xu will assign him more advanced tasks.


    With the help of a microscope, he began to concentrate on anastomosis of blood vessels.


    For the replantation of a severed finger, at least one artery and two veins must be connected to establish a normal blood circulation channel. Because the blood vessels are very thin, it is quite difficult.


    The main reason is that Zhou Can''s current anastomosis, suture, and ligation are all at the resident level.


    If they can be upgraded to level four, they will reach the level of indications.


    It''s safe to do this kind of surgery.


    This is why the higher authorities have set up a strict surgical graded admission system. Even senior residents can only preside over first-level surgeries. Participate in secondary surgery under the guidance of superior doctors.


    Note that it is participation, not hosting.


    Of course, in the actual operation of the hospital, the superior doctors feel that the doctors under them will decentralize appropriately after they have that ability.


    The so-called guidance is basically to stand by and check.


    Or after surgery, check it out.


    There is still quite a lot of room for maneuvering here.


    The first anastomosis was not smooth. Zhou Can''s forehead began to sweat, and his heart became more nervous.

 Chapter 51： Extraordinary nerve anastomosis

    "Don''t rush, take your time."


    Dr. Xu saw the clue and encouraged him from the side.


    The patient was given local anesthesia, but he was awake. There are many things that are inconvenient to say.


    If the patient is under general anesthesia and there are only medical staff in the operating room, Dr. Xu will definitely guide Zhou Can in detail.


    Now it can only be properly encouraged.


    If Zhou Can still can''t do it, then he can only stop decisively and let him take over in person.


    Zhou Can took a deep breath, trying to calm his heart.


    Maintaining a peaceful and normal mind is the key to a successful operation.


    He seriously summed up the problems that existed in the anastomosis just now, and after improvement, re-anastomosis.


    Ten minutes later, the first blood vessel was finally anastomosed.


    It is also the most important artery.


    The veins and blood vessels have not been anastomosed, and there is no way to conduct a blood test at this time.


    Zhou Can felt somewhat unconfident.


    "Very good, continue."


    Doctor Xu has been standing by the side to check for him.


    With the teacher''s affirmation, Zhou Can''s confidence became full and he continued to anastomose the veins.


    Generally speaking, for the replantation of a severed finger, first debride and remove the damage, then connect the bone, then anastomose the tendons, blood vessels, and nerves in sequence, and finally suture the skin.


    Whether the blood supply is smooth is the key to the survival of severed fingers.


    Nerves appear to be less important.


    It is related to how much the function of the severed finger can be restored.


    One venous vessel was anastomosed successfully, and the second was also anastomosed eight minutes later. His confidence became more and more powerful, and his technique became more and more precise. The speed of anastomosis of a blood vessel was shortened from twelve minutes to eight minutes.


    A full one-third of the time was shortened.


    "Very good, continue."


    Dr. Xu showed admiration on his face.


    Zhou Can then anastomosed the nerves, which was much more difficult than anastomosing blood vessels.


    But this kind of surgical training opportunity is too tempting.


    As if he was fighting a war, he worked hard and prepared to win the last ''fortified city''.


    There is a strong teacher behind him as the backing, which also gave him the confidence to try boldly.


    The nerve anastomosis was completed in less than six minutes.


    The whole process was surprisingly smooth.


    [Suture experience +1, ligation experience +1, anastomosis experience +1. ¡¿


    Experience points arrive on time just like monthly wages.


    Anastomosis is an advanced medical skill, and it is quite difficult for him, who is still a trained doctor, to earn money.


    The main reason is that there are few opportunities for anastomotic surgery.


    If the risk is slightly higher, Dr. Xu dare not entrust him to do it.


    There are really not many opportunities to earn 4 consistent experience points like the current one.


    The nerves and blood vessels have been anastomosed, and the inspection is correct.


    The next step is the most important blood test.


    Make or break it.


    Loosen the rubber tube tied around the wrist. Blood immediately poured into the entire palm along the blood vessels. The other four fingers that were intact returned to rosy at a speed detectable by the naked eye.


    The originally pale amputated finger turned red little by little, and gradually became blood-colored.


    "Successful!"


    Zhou Can was extremely excited.


    Lifting the heart, be regarded as falling to the ground.


    This is his first severed finger replantation operation, which is of great significance.


    Docking and reconnecting with white mice are completely two concepts.


    [Neural anastomosis is successful, the matching value exceeds 50%, and the reward anastomosis experience value is 10 points. ¡¿


    Hey, I didn''t expect to receive an additional reward.


    It was a little surprise.


    It is almost impossible for the neural anastomosis to be a 100% match, even Wu Baihe, who is known as the "Shenwai Peak Scalpel", does not have that ability.


    Generally speaking, the matching value after nerve anastomosis can reach about 30%, which is enough to restore some nerve function.


    Zhou Can is just a novice, and the first time he matched the human nerves, he was able to achieve a matching value of 50%, which is definitely an extraordinary performance.


    The vast majority of chief physicians are also at this level.


    Normally, a resident''s neural anastomosis matching value can reach 30%, which is considered excellent. Senior veterans can generally achieve a matching value of more than 40%.


    This is not to say that Zhou Can''s level of neural anastomosis has reached the level of a director, but that a blind cat met a dead mouse and performed supernormally once.


    However, he seems to be very talented in neural anastomosis.


    During the regular training exam, he tried to anastomose the rat tail nerve, and successfully restored the pain sensation of the severed rat tail, which shows that his talent in this area is extremely outstanding.


    The injured man''s severed finger had a nerve anastomosis matching value of as high as 50%. It is foreseeable that most of the finger''s functions can be restored.


    Seeing that the operation was successful, Dr. Xu also showed a smile on his face.


    The happiest is the wounded.


    It was Zhou Can who operated on him just now. To be honest, he resisted in his heart. For such a young doctor, it is estimated that his medical skills are not much better. So much so that Zhou Can was always in fear during the operation for him.


    Fortunately, the results are very good.


    "Hurry up and sew the skin!"


    Dr. Xu gave the order to suture.


    "OK."


    Zhou Can''s confidence is even stronger.


    The difficulty of sewing the skin is not too great.


    He has completed nearly twenty skin suturing operations, and now he is very strong in terms of mentality and technique.


    There is no high tension during anastomosis of blood vessels and nerves.


    I saw him stitching quickly and leisurely, showing a hint of a master''s demeanor.


    "Okay, please ask the teacher to check it for me."


    Doctor Xu looked at it and nodded with satisfaction.


    "Well, the finishing work is done very well! After the wound is bandaged, the injured can go to the infusion room for infusion."


    The wounded were rushed out quickly.


    When leaving, the injured also specially thanked Dr. Xu and Zhou Can.


    Dr. Lu hung his face, and muttered unhappily, "Obviously I also participated in the operation and put in a lot of effort. Just don''t thank me. This patient is really rude."


    No one answered his words.


    The patient is not an idiot either, Dr. Lu is lazy everywhere as an assistant, it is considered polite for the patient not to scold him.


    I also thought about asking the patient to thank him specifically, really offering myself as a god.


    Seeing that no one answered, Dr. Lu turned his eyes to Dr. Xu.


    "Doctor Xu, you can see that Zhou Can, a regular trainee, can participate in such important tasks as vascular anastomosis and nerve anastomosis. Give me some opportunities to exercise too!"


    This is seeing a newcomer Zhou Can running in front of him, UU reading www. uukanshu.com is a little psychologically unbalanced.


    Except for your parents, no one wants you to live better than him.


    This sentence is really good advice!


    "Hmph, last time I almost ruined a patient''s blood vessel, do you still remember? You were asked to anastomose a limb vein with no risk. Not only did you fail to connect it, but you also produced a blood clot and almost caused a major medical accident. If you really want to improve, you can practice more anastomosis of blood vessels in the tail of white rats when you go home. When you pass the test, I will consider giving you a chance to practice surgery."


    Facing Dr. Lu, a senior resident, Dr. Xu was speechless.


    It''s not that he doesn''t want to support him, but that this guy is too disappointing.


    Doctor Lu smiled dryly and stopped talking.


    "Tang Ling, go and see how many injured people are still outside?"


    Dr. Xu is over 50 years old. After such a long operation, his physical strength is obviously exhausted.


    He took advantage of this gap to sit on a small round stool against the wall for a short rest.


    "Through our efforts, there are only two wounded left outside!"


    After reading it, Tang Ling said happily.


    "Push one in first!"


    Dr. Xu was exhausted when he spoke.


    However, he still gritted his teeth and insisted. Depending on the situation, he was going to eat after all the wounded were dealt with.


    Zhou Can admired his professional ethics very much.


    Doctors who care about their patients are all good doctors.


    Soon, a male patient screaming in pain was pushed into the operating room.


    After some research, I found out that this man was very close to the stage, and was unlucky enough to be hit on his lower body. After examination by the attending doctor, it was suspected that the injured testis had been displaced or damaged, so he was sent to the operating room for treatment.


    No wonder the patient screamed so hideously.

 Chapter 52： Doctor Lu was rejected

    For men, the pain level of testicular injury is no less than that of pregnant women during childbirth.


    The World Health Organization classifies pain into five grades, with the lowest being 0 and the highest being four.


    Childbirth, severe blows to male vital parts, burns... these injuries can reach level 4 pain.


    Dr. Xu checked the film carefully, and then conducted further examinations on the injured, and finally ruled out broken or displaced testicles.


    Fortunately, only hematoma and impact damage.


    No surgery is required, just medication and further observation are required.


    From this point of view, there is still a big gap between the attending doctor and Dr. Xu. Leaving aside the ability of surgery, Dr. Xu is far better than the doctor in terms of diagnosis ability alone.


    The wounded were rushed out quickly.


    Only the last one left.


    This was an eleven or twelve-year-old boy with a **** **** at the corner of his left eyebrow. Now the bleeding has stopped, the little boy''s entire left forehead is swollen high, and his left eye has been squeezed into a slit.


    The little boy is very sensible, neither crying nor fussing.


    Under the guidance of the nurse, he obediently walked to the operating table.


    "Little friend, you are so good! Come, come to the doctor''s grandfather!"


    Dr. Xu waved to the little boy with a gentle tone, kind eyes, and a kind smile on his face.


    Compared with the usual sternness and aloofness, he was a completely different person.


    The little boy timidly walked to a position about two meters in front of him and stood still, without speaking, with his head slightly lowered, looking at the ground.


    "Don''t be afraid! I''ll check your injury!"


    Dr. Xu walked up to the little boy, bent slightly to check the little boy''s wound.


    He stretched out three fingers and waved them in front of the little boy''s left eye.


    "Can you see it?"


    "Um!"


    The little boy responded like a mosquito.


    "Show me the film he took."


    The nurse hurriedly handed the examination bag to Dr. Xu.


    He looked carefully.


    "Oh, the left brow bone was cracked. Fortunately, the eyeball was not injured."


    The existence of the skull is mainly to protect important tissues such as the brain, cerebellum, and brainstem.


    The eyes are more fragile than imagined, whether it is the cornea, or the vitreous body, optic nerve, any injury may lead to blindness.


    "Xiao Zhou, tell me about your treatment plan."


    After the examination, Dr. Xu suddenly asked Zhou Can for his opinion on diagnosis and treatment.


    "It''s not easy, first repair the brow bone, and then suture it!"


    Doctor Lu hurriedly said.


    Perhaps sensing the crisis of being surpassed by newcomers, Dr. Lu became proactive.


    But his positive approach is special.


    Normal people must study hard and improve their medical skills.


    But he used the stupidest way, competing for performance and credit.


    There are people like this in any unit, who don''t work hard, don''t work hard, don''t study, but think about unrealistic superiors and getting ahead all day long. Seeing other people go up, he was still indignantly jealous.


    I always feel that leadership is unfair.


    Zhou Can took a flat look at Dr. Lu, "I don''t think the degree of cracking of the brow bone of the left eye is serious. Children''s physical recovery ability is strong, and the time is short, so there is no need to deal with the tear of the brow bone. After debridement, just suture the epidermis." .¡±


    Brow bone repair is not as easy as imagined.


    In case of injury to the eyes.


    Then the loss outweighs the gain.


    "Jin Mingxi, what''s your opinion?"


    After Dr. Xu listened to Zhou Can and Dr. Lu''s opinions, his face remained expressionless.


    He looked at Jin Mingxi.


    "I am more in favor of Zhou Can''s diagnosis and treatment plan. However, it is necessary to make sure that the fractured brow bone does not compress the optic nerve, otherwise intervention measures must be taken. In addition, if the fracture is obvious, it will affect the patient''s defecation, which also needs to be dealt with. "


    Jin Mingxi deserves to have more than ten years of medical experience.


    The same diagnosis and treatment plan is more detailed than Zhou Can''s.


    This kind of experiential knowledge can only be accumulated slowly.


    I believe that Zhou Can will definitely be stronger than Mingxi after working for more than ten years.


    "Well, Jin Mingxi''s diagnosis and treatment opinions are detailed and pragmatic. Dr. Lu''s opinions are more suitable for patients with severe brow bone fractures." Dr. Xu commented. "Xiao Zhou, you are responsible for debridement and suturing the child."


    The teacher didn''t yell for nothing, and took care of Zhou Can as much as possible.


    "no problem."


    Zhou Can accepted the job happily.


    This kind of suture with subcutaneous fractures is at the upper left corner of the eye. For a novice like him, he can still sum up a lot of valuable experience.


    Watching Zhou Can finish sewing, Dr. Xu nodded slightly.


    "Bandage the child''s wound, and tell the family members to take care to protect the child''s forehead. The wound should not touch water, and this large part should not be subjected to any pressure. Some parents like to rub the blood inside when they see a bruise. In order to achieve the purpose of reducing swelling quickly. This point must be clearly explained, and it must not be rubbed."


    After Dr. Xu explained in detail, he looked at the time, and it was already past 4 pm.


    Everyone was so busy dealing with the many wounded that they didn''t even have time to eat. Especially Zhou Can, Dr. Xu and others have been busy since seven o''clock in the morning.


    Almost exactly nine hours.


    During this period, neither doctors nor nurses took in a drop of water.


    It''s no wonder that Dr. Xu is so exhausted.


    "Let''s hand over the work, and go to eat quickly! You have worked hard!"


    Dr. Xu said to everyone.


    "Finally off work! I''m starving to death!" Dr. Lu was the first to walk outside with a happy smile When he passed by the female nurse who served as Zhou Can''s assistant, he showed a wicked smile . "Qiao Yu, we both get off work at the same time today, and it happens that no one has eaten. How about I invite you to eat French and Western food?"


    Dr. Lu is at least in his thirties.


    Qiao Yu was probably only twenty-three or twenty-four years old. Like Zhou Can, she is also in the regular training period and is currently a regular training nurse at Tuya Hospital.


    Judging from the tone of Dr. Lu''s conversation with her, the two should be familiar with each other and communicate with each other on weekdays.


    "Hehe, thank you for your kindness, I have to go home and write a thesis, let''s talk about it another day!"


    Qiao Yu declined with a smile.


    Whether it is her appearance or professional level, she is quite outstanding among many nurses. Doctor Lu is lazy at work, but he has a good eye for finding girlfriends.


    She was chosen among many female nurses and female doctors.


    Only now did Zhou Can understand that it was no wonder that Dr. Lu looked at him frequently when he and Qiao Yu were operating on the wounded.


    At that time, I thought that Dr. Lu was watching the progress of the operation on his side, but I didn''t expect Dr. Lu''s pervert to keep peeking at nurse Qiao Yu.


    Zhou Can will not interfere with other people''s feelings.


    However, he was very happy to hear that Qiao Yu rejected Dr. Lu''s invitation. It wasn''t that he was interested in Qiao Yu, but that he thought Qiao Yu should find a more reliable boyfriend because of her excellence.


    See micro-knowledge.


    Dr. Lu is so lazy at work and extremely irresponsible to patients. He is afraid that he will be even lazy and lack responsibility in life.


    It would be difficult to be happy marrying such a man.


    "Qiao Yu, I have asked you out several times in the past two months. Either you want to write a thesis or have an appointment with your little sister to go shopping. Can you give me a chance?"


    Dr. Lu was obviously unwilling to give up easily.

 Chapter 53： seamless stitching

    "I''m so sorry, I really want to write a thesis. And... you can say anything in the hospital, it''s the same! There''s no need to spend money!"


    Qiao Yu accompanied her with a smiling face, not wanting to offend him.


    Although nurses and doctors are two systems, doctors occupy a leading position in work.


    Especially a senior resident doctor like Dr. Lu, who has a little bit of power.


    And she was just a backup nurse in the operating room.


    And she is a regular trainee, not a formal nurse.


    She was afraid that Dr. Lu would become angry and make things difficult at work. That''s why I always refused with a smile on my face.


    Dr. Xu didn''t care about this kind of thing.


    In fact, the hospital does not care.


    The unit has no right to interfere with personal emotional life.


    She didn''t dare to refuse aggressively and decisively, and there was another cruel realistic reason.


    Doctors and nurses have disputes, and when the trouble comes to the top, the hospital will often favor doctors. Because doctors can create more benefits for the hospital and are the core talents of the hospital.


    The training cycle and cost are much higher than that of nurses.


    A famous doctor can support a department, and a top-notch chief nurse, after all, is only doing nursing work, and may not be as valuable as an attending physician.


    I didn''t mean to belittle the nurses, but just stated the **** facts covered under the cloak of equality.


    After the nurses reach the age of 45, most of them either change careers or take up some idle jobs for the elderly. Look at the doctor again, even if he is ninety years old, as long as he can do it well, he will be hired back by the hospital to worship like an ancestor.


    Not to mention social status.


    Qiao Yu is a very smart girl. In order to make her work go smoothly, when faced with Dr. Lu''s entanglement, she would rather refuse with a smile on her face and mediate with him. I also don''t want to tear my face easily and make the relationship stalemate.


    She seemed a little upset that Dr. Lu had been rejected by her in public twice in a row.


    In a joking tone, "Qiao Yu, you must be interested in Dr. Zhou, right?"


    Zhou Can was shot while lying down, very speechless.


    After Qiao Yu took a peek at Zhou Can, she quickly denied, "What! Dr. Zhou is so good, he must have had a girlfriend long ago, so stop guessing!"


    Dr. Lu curled his lips, "I don''t believe it! You even asked him to buy you milk tea, I heard it all."


    While helping Dr. Xu as an assistant, he can also focus on two things, monitoring Zhou Can and Qiao Yu''s private conversation.


    Dr. Lu''s ears are really sharp.


    "Hehehe... That''s just a joke between me and Dr. Zhou! Oh, it''s past four o''clock, let''s go! Goodbye, sisters, and doctors!"


    Qiao Yu obviously didn''t want to entangle with Dr. Lu any longer, so she waved her hand and left.


    Doctor Lu''s complexion was a little ugly, gloomy, and he walked out of the operating room after changing his clothes.


    Judging by his expression, I''m afraid he won''t just give up.


    "It''s Dr. Zhou who is so popular! No female nurse has ever asked me to bring them milk tea!"


    After Dr. Lu left, Jin Mingxi laughed and teased Zhou Can.


    The two are just ordinary colleagues now, and they appreciate each other very much.


    Jin Mingxi took the initiative to joke with him, presumably in order to narrow the relationship between the two.


    Zhou Can was preparing to respond when Tang Ling and another nurse rushed to say, "Hehe, we will definitely help you fulfill Dr. Jin''s wish. I want to drink strawberry-flavored milk tea."


    "I like to drink Pu''er rose milk tea, thank you!"


    The two female nurses were very shrewd. Naturally, they couldn''t miss such a good opportunity to drink milk tea for free.


    Immediately blackmailed Jin Mingxi.


    "Hey, aren''t you! This is called taking advantage of the fire!"


    Jin Mingxi yelled in frustration.


    "We are obviously helping you fulfill your wish, so don''t cheat! Doctor Zhou, am I right?"


    Tang Ling held back her smile and winked at Zhou Can.


    It means asking Zhou Can to help round it up.


    "Yes, yes, I can testify, and my teacher can also testify."


    Zhou Can nodded repeatedly.


    Others would definitely not dare to bring Dr. Xu in. Zhou Can also saw that Dr. Xu was too serious, and wanted to bring him along to feel the vitality of young people.


    "I don''t want to get involved with you young people."


    Dr. Xu stood up from the round stool with his waist supported, looking quite strenuous.


    Zhou Can hurried over to support him.


    "Teacher, as long as it is a job that I am competent in the future, you can leave it to me. If I am not competent, I will work hard to improve and strive to share more with you one day."


    These remarks are by no means flattering, but thoughtful and caring from the heart.


    Dr. Xu is old, and his body is definitely not as strong as the young man''s.


    Zhou Can can help him share more workload, and he can relax a lot.


    "Well, I''m very pleased that you have the heart. But you can only eat one bite at a time, and medical skills can''t be achieved overnight. You must not be complacent just because you have a little talent, and think about reaching the sky in one step."


    While feeling relieved, Dr. Xu did not forget to warn him.


    "You should keep your teachings in mind."


    Zhou Can seriously agreed.


    When he first arrived at the emergency department, his mentality was indeed a little impetuous. The regular training exam killed the Quartet and won the first place. Just entered the emergency department and made a great contribution. After all, I am too young, so it is inevitable that I will be a little drifting.


    However, after being taught a lesson by Dr. Xu yesterday, he has realized his mistake and quickly adjusted his mentality.


    He considers himself to be in a relatively calm state of mind now.


    At this moment, the guiding nurse outside pushed open the door of the operating room, poked her head outside and asked, "Doctor Xu, there is another injured person here, can you work overtime to sew up her wound?"


    "Let her in!"


    Doctor Xu agreed without thinking too much.


    "Tang Ling, thank you for working overtime with Xiao Zhou and Jin Mingxi. Li Shuangshuang, get off work first!"


    Another female nurse left happily.


    A simple suture would have been enough for two people.


    The purpose of keeping Zhou Can and Jin Mingxi behind is to train these two newcomers.


    The wounded man was also brought in.


    It was a young woman, quite tall, wearing a baggy coat and oversized sunglasses. The whole person is wrapped up quite tightly.


    "Dressed up like this, shouldn''t he be a wanted criminal?"


    Zhou Can muttered.


    The woman also seemed to feel the questioning eyes of the doctors, and took off her sunglasses on her own initiative.


    Immediately, everyone''s eyes lit up.


    On the pretty melon-seeded face, the delicate features are arranged just right. The lightly swept eyebrows and lower eyes are like autumn water, and a head of slightly brown hair is parted in waves and falls on the fragrant shoulders.


    That kind of special temperament mixed with elegance, nobility, and charm seems to be the fairy Chang''e in the moon palace who has descended into the mortal world.


    It''s really "better than jade fragrance, more true like flower language. Willow eyebrows stretch far away, sandalwood mouth breaks cherry lips."


    Such a beautiful woman brightened the entire operating room.


    Wherever she stands is a beautiful scenery.


    Fortunately, Dr. Lu left, otherwise he would have to show his brother pig''s face, and his saliva would probably drip out.


    "Hi, my arm is hurt, can you sew it up for me?"


    The woman smiled slightly at Zhou Can.


    Like spring flowers blooming, Zhou Can only felt sweet and crisp, very comfortable.


    Asking myself, I have seen many beauties, but this is the first time I have seen someone who is so beautiful and so captivating.


    "Yes, of course. This is my superior doctor, Dr. Xu, I have to let him check it first."


    After Zhou Can was slightly stunned, he immediately let his teacher to the front.


    Ask yourself how to deal with it decently, without losing your composure.


    He can have such a strong immunity to beautiful women, he has to thank the class flower Yang Chan.


    Having been with her for five years made Zhou Can suffer from ''face blindness''.


    Look at any beauty is similar.


    Seeing that Zhou Can was not fooled by her beauty, the woman gave him a slightly surprised look.


    Compared with Zhou Can, Jin Mingxi''s performance was much inferior.


    Staring at the beautiful woman, his eyes remained motionless for more than a minute.


    It seems to be fixed.


    It is human nature to like beautiful things.


    It''s a man''s instinctive reaction to take a few more glances at a beautiful woman, UU reading or even stare straight at him.


    "Girl, where is the injury? Let me see."


    Doctor Xu is an old man after all, facing such a beautiful woman, he behaved calmly and indifferently.


    Zhou Can couldn''t help giving a thumbs up secretly.


    The woman carefully took off her coat, only to see that the long lace sleeve on her left arm had been stained red with blood. She did a simple bandage herself.


    So far, the bleeding has stopped.


    "Is the wound long?"


    "Hmm! About 4cm."


    She nodded slightly.


    "Help her untie the bandaged gauze."


    Dr. Xu gave instructions to Zhou Can and Tang Ling.


    After the gauze was untied, a shocking blood hole was revealed, the depth should be more than 0.6cm, and the length of the wound should not be less than 4cm by visual inspection.


    This kind of trauma is only skin trauma, not complicated, simple debridement and suture are enough.


    "Is there any other injury?"


    Doctor Xu asked after seeing the wound.


    "Just the back of the hand is scratched, it''s not a problem. I was introduced by Xu Dawei, and he said that Dr. Xu Chen would suture it without leaving any scars. Please be more considerate."


    The woman actually came all the way to see Dr. Xu for stitches.


    And there are introductions from acquaintances.


    It seems that she should not be an ordinary person.


    Suturing seems simple, and any intern can do it, but if you want to leave no scars, even the general chief physician would not dare to guarantee it.


    Zhou Can was a little excited, this time he had a lucky eye.


    You can see Dr. Xu''s scarless suture.


    "Director Xu Dawei?"


    Dr. Xu stared into the woman''s eyes in a little surprise.

 Chapter 54： cant go

    "Yes. I am an actor. If there is an ugly scar on my arm, it will have a great impact on my career. So I ask you to sew it up for me. Director Xu said that you have sewed it up for other stars , the effect is very good."


    She did her homework before she came.


    I have already inquired about Dr. Xu''s skills.


    "Since it was introduced by Director Xu, I will try my best. But the ugly words are up front. If you leave scars, you can''t blame me."


    Whether to leave scars, in addition to the suture technique, also has a lot to do with personal physique and postoperative maintenance.


    The most common is scar constitution.


    This kind of patient has a special physique, and any wound may cause scar hyperplasia after healing. No matter how good the doctor''s suturing skills are.


    Postoperative infection and inflammation, or improper care, such as itching when the wound heals, scratching with hands may stimulate it to grow scars, or scar hyperplasia.


    "You are willing to sew for me. It is too late to be grateful. How can I blame you? I have already thought about it. If I really want to leave an ugly scar, I will tattoo a butterfly to cover it."


    Tattoos can cover up scars very well, and even achieve the finishing touch, making ugly scars beautiful.


    This woman is so beautiful and has an outstanding temperament. She also knows a director surnamed Xu, and she is very concerned about whether she has scars. Zhou Can vaguely guessed that she must not be an ordinary actor.


    Thinking of this, he suddenly realized, could this woman be the third-tier female star who collapsed on the concert stage?


    "Oh, you are the female star Su Qianqian, right?"


    Tang Ling seemed to have guessed her real identity at this time.


    The woman nodded and admitted frankly, "It''s me."


    Sure enough, Zhou Can guessed correctly, she was the third-tier female star.


    "It''s really you, wow, I''m so happy! I finally met my idol today, I''m so happy! I''ve listened to your songs, and it''s very healing. By the way, you''re hurt so badly, why are you only now? Come to suture it? With your contacts, you should be fully capable of getting treatment immediately."


    Unexpectedly, Tang Ling was still her fan.


    Zhou Can doesn''t like chasing stars, let alone third-tier female stars, even first-tier stars, he only remembers a few.


    He didn''t know this unbelievably beautiful female star in front of him at all, let alone understand it.


    "Oh! Today I held a concert. I wanted to promote my new album, but unfortunately the stage collapsed, causing many of my fans to be injured and bleeding. Afterwards, I was really very sad. I was also injured at the time, and the brokerage company The first time I was sent to the hospital, I just saw that my fans didn''t finish the operation, I really couldn''t bear to rush ahead of them."


    When Su Qianqian talked about the collapse of the stage, she couldn''t help crying.


    Her sincerity and compassion for fans made Zhou Can feel that this female star is not bad.


    Many celebrities have one thing on the outside and another on the back.


    In public, he behaved flawlessly, as if he was otherworldly. In private, they crazily reap the wealth of fans, and even some scumbags cheat the feelings of female fans and play with them wantonly.


    If Su Qianqian was acting on occasion, there was no need to wait until now to come in to stitch the wound.


    Because during these hours of waiting, the continuous pain caused by the wound is enough to destroy the will of many people.


    It is about personal interests, and the good and evil of a person can be seen best.


    She was able to wait until all the wounded had been operated on before entering the operating room, which is enough to show that she is a caring person. This is from the heart for the fans.


    "Our operating room is about to change shifts. Hurry up and operate!"


    Dr. Xu looked at her sleeves.


    Lace trim. Long, flared sleeves.


    It looks very delicate, beautiful and generous.


    "I''m afraid the sleeve can''t be rolled up, and there is a hole in the middle. To facilitate the operation, do you think it should be cut off or how?"


    "Just cut it off!"


    she said directly.


    Without Dr. Xu''s instructions, Zhou Can and Tang Ling worked together to help her cut off the left sleeve.


    Without the cover of the sleeves, a snow-white arm like a white lotus root appeared in front of several people.


    The skin care of female stars is really good.


    Soft as baby skin.


    It really deserves the words ''can be broken with blown bullets''.


    Zhou Can gave her anesthesia first, then disinfected and debrided the wound.


    "Teacher, do you think it is possible to operate?"


    "Um!"


    Doctor Xu nodded slightly.


    "I''ll see it later. The seamless suture method is very different from ordinary sutures. The threads and needles used must be thin. The sutures are usually made of absorbable cosmetic threads, and the sutures are also very particular."


    While suturing Su Qianqian''s wound, Dr. Xu taught Zhou Can and Jin Mingxi more advanced suture techniques.


    The whole operation process is not complicated.


    The sewing speed is medium, and the whole process is done in one go.


    After passing through the sutured wound, it is slightly depressed inward.


    "My seamless suture technique is quite different from the seamless suture in beauty salons. This kind of suture avoids the granulation and dermis that may cause hyperplasia, and the suture is tight, which can greatly reduce scars The occurrence of hyperplasia. The stimulation to the wound is relatively small. After you learn, you can use this method when suturing the patient''s head, face and neck."


    Seamless sutures are widely used in beauty institutions.


    However, Dr. Xu''s seamless sutures are obviously much more advanced than those of beauty institutions.


    "It''s just that the requirements for suturing and knotting skills are too high, and I can''t reach this level at all for the time being."


    Jin Mingxi sighed deeply.


    Medical skills are not improved just by wanting to improve.


    Personal talent, guidance from famous teachers, hard work, and opportunities to exercise are all indispensable.


    Just like Jin Mingxi, who has worked in the county-level people''s hospital for 14 years, but his medical skills may not be as good as the residents of Tuya Hospital. It is also at the same level as Zhou Can, Gao Jian, and Yang Chan, who are particularly excellent training doctors.


    Really not disparaging.


    After seeing this thing, imagining it out of thin air or watching a few teaching videos can''t improve too much.


    Must improve through practice in a good learning environment.


    This is also the reason why there are so many doctors who want to enter a top hospital like Tuya.


    Studying and exercising in Tuya for one year may be better than working in a county hospital for ten years.


    Among the patients treated here, there are many difficult cases that cannot be handled by local hospitals. Some patients who were sentenced to death in local hospitals can be cured here.


    Faculty, scientific and technological strength, and academic achievements are not comparable to local hospitals.


    "It doesn''t matter if you can''t reach it temporarily, take your time. I think your surgical talent is not bad, as long as you persist, you will definitely achieve something."


    Doctor Xu comforted him.


    Turning his gaze, he looked at Zhou Can.


    Usually, I am the most active in studying for a few weeks. Why is there no reaction today?


    He wondered to himself.


    It turned out that Zhou Can frowned slightly, staring straight at the female patient''s neck.


    "Xiao Zhou, Xiao Zhou..."


    Dr. Xu thought to himself, this kid really has no ability to resist the beauty. During the operation, Zhou Can behaved quite normally. After the operation was over, Zhou Can stared at the female patient, reluctant to take his eyes away.


    Su Qianqian naturally noticed Zhou Can''s direct gaze.


    A trace of contempt flashed in her bright eyes.


    I thought how serious this young doctor was, but it turned out he was just pretending. Isn''t it all revealed now?


    Sure enough, no man can resist her beauty.


    "Teacher, what''s the matter?"


    Zhou Can looked up at his teacher.


    "It''s nothing, the patient''s operation has been completed, let''s bandage it and send it out of the operating room!" Dr. Xu also came here, and he didn''t criticize Zhou Can harshly.


    It''s quite normal for an unmarried guy to be interested in beautiful women.


    "Oh well!"


    Zhou Can agreed, and after secondary disinfection of her sutured surface, she wrapped it with sterile gauze.


    During this period, his eyes still stared at her delicate collarbone and slender neck from time to time.


    Su Qianqian''s disgust towards him deepened.


    Nobody likes a hypocrite.


    "After bandaging, let Miss Su go!"


    Dr. Xu couldn''t stand it anymore.


    Can only urge loudly.


    Otherwise, the apprentice could stare at the female patient''s neck for another hour.


    "She can''t go yet!"


    Zhou Can said without thinking.


    Both Tang Ling and Jin Mingxi were surprised, looking at Zhou Can in surprise.


    Because Zhou Can has always performed well, has noble morals, behaves well, and is very measured in speaking and doing things.


    Now pull a female star, just don''t let her go.


    What''s the matter?


    Is this the nature of Dr. Zhou?

 Chapter 55： is your boy constipated

    "Haven''t Dr. Zhou seen enough?"


    Su Qianqian''s beautiful face had a hint of sullenness.


    "Well, Miss Su is so beautiful, I can''t get enough of it. It would be even better if you could roll up your trouser legs for me to see." Zhou Can nodded solemnly.


    No matter how much Dr. Xu admired this student, he couldn''t stand it anymore.


    This is a hospital, they are doctors, what does molesting a female patient look like?


    "Xiao Zhou, pay attention to the influence!"


    Doctor Xu reminded him with a straight face.


    The female nurse Tang Ling was so shocked that her little mouth was rounded. Doctor Zhou''s current performance is really shocking.


    Jin Mingxi looked at him sympathetically, a hero is sad for a beauty!


    Such an outstanding person as Dr. Lian Zhou finally fell in front of the beauty of this female star.


    Su Qianqian gave Zhou Can a disgusted look, her self-cultivation skills are pretty good, she didn''t scold anyone.


    Instead, he stood up and thanked Dr. Xu, "Dr. Xu, thank you for performing the operation on me. I still have something to do, so I''m leaving first."


    Anyone could see that Zhou Can''s frivolous words made her angry.


    "Wait! It''s okay for Ms. Su not to let me see her legs, please do a urine test!" Zhou Can''s expression became more serious instead.


    Su Qianqian was almost dizzy by his anger.


    Never seen such a brazen person.


    Being peeped by Zhou Can, she endured it. She endured Zhou Can''s frivolous words. Unexpectedly, she didn''t know how to restrain herself, but intensified it, and asked her to do a urine test.


    Hearing it in her ears, it immediately interpreted into another meaning.


    insult.


    "Smelly rascal, it''s unfortunate to have a scum like you among the doctors! Scum!"


    Her pretty face flushed with anger, her bright eyes burst into flames.


    "Miss Su, please don''t be angry. I have been staring at your neck and asking you to take a urine test for your own good."


    Zhou Can was called a stinky hooligan by her, which was more wronged than Dou E.


    It was also because of her beauty that she was a little bit joking when she answered for the first time. But that was also a compliment to her.


    Because she is indeed very beautiful, and I can''t get enough of it for a long time.


    "For my own good? Letting a girl pee, isn''t it obscene, what is it? Tell me, how can it be good for me?"


    If it weren''t for being a public figure, I didn''t want to make things big.


    She must complain to this nasty doctor.


    The collapse of the stage this time had already pushed her to the forefront, it was bad luck.


    I didn''t expect to meet such a disgusting doctor after a minor operation.


    "I saw that the dissection of your skin color is more obvious on the neck and below the collarbone. At first I thought it was tanned, but from some subtle points, it doesn''t look like tanned. The skin on the face and neck is fair and translucent, and the skin below the collarbone But my skin was dark and lacklustre, and I found out the reason later."


    Zhou Can seriously stated the reason.


    "Go on!"


    Su Qianqian''s anger subsided a lot.


    The others also showed thoughtful expressions.


    Only then did he realize that he seemed to have misunderstood Zhou Can.


    "May I ask, have you used cosmetics to beautify your neck and face?"


    Zhou Can has never used cosmetics, but he has heard about the power of cosmetics.


    All freckles and dark marks can be covered up. It can also make the originally dull skin fair and charming.


    Su Qianqian''s privacy was discovered, and a trace of panic flashed in her eyes.


    Stretching out his right hand, he habitually stroked the hair on his forehead lightly to cover up his embarrassment.


    "Well... I did use some cosmetics, and few girls don''t use cosmetics." She worked hard to maintain her thin skin.


    She doesn''t want others to think that her beauty is applied with the help of cosmetics.


    "I don''t mean that. I think it''s good for girls to use cosmetics. After seeing your dull skin, from a professional medical point of view, I have reason to suspect that there is something wrong with your kidneys? For example, your legs Inexplicable itching, edema, smelly urine, abnormal urination, etc.¡±


    After listening to Zhou Can''s explanation, everyone realized that it was not because Zhou Can couldn''t look away when he saw a beautiful woman.


    Instead, it was discovered that the female star might have hidden kidney lesions. Out of responsibility, she kindly asked her to have a urine test.


    Instead, she scolded him as a hooligan.


    "I, my legs do sometimes feel inexplicably itchy. There should be no swelling, right?"


    As she spoke, she pulled up her pant leg with her right hand.


    The slender and white legs appeared in front of everyone.


    "There is already a slight edema, hurry up and do a urine test to check the kidneys."


    After Zhou Can looked at it, he pressed it with his hand, it was soft. It will take a long time to reply to the imprints that have been pressed down.


    At least 90% sure that her calf has edema.


    "Ah... is it really that serious?"


    At this time, Su Qianqian had no doubts about Zhou Can.


    It''s just that Zhou Can is too young, and it''s hard for her to believe in Zhou Can''s medical level.


    "Edema, inexplicable itching on the body, and dull complexion may indeed be kidney disease. Ms. Su must pay attention to it and treat it early. If it reaches the middle and late stages, the damage to the kidney will be irreversible."


    Doctor Xu emphasized the seriousness of the problem with a serious face.


    Su Qianqian has no doubts this time.


    Before she came, Director Xu must have told her that Dr. Xu''s medical skills are extremely high.


    Otherwise, she wouldn''t have been waiting for hours just to ask Dr. Xu to sew her up.


    "I listen to you, go for a urine test right away!"


    After finishing speaking, she looked at Zhou Can with some shame.


    "Doctor Zhou, I misunderstood you just now. There are so many offenses in my words, please forgive me!"


    She bowed deeply to Zhou Can.


    Accidentally involved the wound on his left arm, with a painful expression on his face.


    The anesthetic should not wake up so quickly, but there will still be some pain when it touches the wound.


    Brachial plexus anesthesia is not as good as general anesthesia or spinal anesthesia.


    "Don''t, don''t, pay attention to your hands. My teacher took so much painstaking efforts to sew it up, but don''t make it crack." Zhou Can hurriedly helped her, but he had just been scolded as a hooligan, and he didn''t dare to be serious. Hold her body.


    Seeing Zhou Can''s clumsy and flustered performance, Su Qianqian laughed out loud.


    She lightly covered her red lips, she was charming and charming.


    A pair of water-cutting autumn pupils stared at Zhou Can shiningly.


    She giggled.


    "Doctor Zhou is really a very special person! When I first met him, he looked like a gentleman. When we deal with him, he looked like a hooligan. Deep down, he is still a gentleman. Look at him, Liu Xiahui is one of the gentlemen!"


    She gave several impression stages of meeting and acquainting Zhou Canxiang.


    "It''s like what the eminent monk said: Mountains are not mountains, water is not water. Mountains are still mountains, water is still water. It''s really vivid."


    Unexpectedly, Su Qianqian not only has good looks, but also talent and art.


    The words spoken are also very deep.


    Zhou Can couldn''t help being a little more impressed with this female star.


    In his impression, female stars rely on a good face, good figure, posing, singing a few love songs, or acting in two TV dramas, and then become popular.


    Su Qianqian made him change his perception of celebrities.


    At least she is a talented and thoughtful female star.


    "Miss Su flatters me too much. I''m just pretending to be gentle and showing my sensuality. I''m very grateful that you can tear off the hooligan label for me. Hurry up and get a urine test! If the creatininase is too high, you must be active receive treatment."


    Zhou Can was a little embarrassed to be praised by her.


    Creatinase is a very important indicator. If it is abnormal, there is a high probability that there is something wrong with the kidneys.


    "Okay, thank you. Goodbye!"


    Su Qianqian took a deep look at him, waved to everyone, put on her sunglasses and walked out of the operating room.


    Looking at her leaving Manmiao''s back, Tang Ling still had a fanciful expression on her face.


    "Wow, Ms. Su is worthy of being a star. She walks so elegantly! She also speaks very well. UU Reading I have decided that I will buy her album even after eating a few instant noodles."


    It seems that through Su Qianqian''s excellent performance, Tang Ling, a small fan, has become more loyal.


    "Is her song that good?"


    "Of course there are! Especially her sad series of love songs, which are really nice. That is to say, her fame is not obvious, otherwise she has the strength to become a first-line female singer, and even hit the crown of queen."


    "Haha, is that an exaggeration? The more you say it, the more outrageous it is. Stop chatting and get ready to get off work."


    Zhou Can shook his head, he didn''t believe that Su Qianqian''s song was so good.


    As a doctor, his greatest hobby is to conquer one case after another. Improving surgical and diagnostic abilities, and reading various medical books are his favorites.


    I used to play basketball with my classmates, but now I am too busy with work, I am afraid it is difficult to have time.


    "Xiao Zhou, you have good observation skills!" Dr. Xu took off his mask and disposable rubber gloves and threw them into the trash can, complimenting Zhou Can.


    "Hey, it''s because the teacher and Dr. Jin are too upright, they didn''t even look at the female star''s neck and other parts." Zhou Can saw that the teacher was in a good mood, so he dared to joke appropriately.


    If you really want to be dead all day long, and make the operating room look like a memorial place, everyone is solemn and serious, how boring it is!


    "You kid, when will you learn to be glib, and you are no longer serious? Clean up, and you all get off work too."


    Doctor Xu scolded with a smile.


    "Teacher..." After Zhou Can stopped him, he didn''t continue.


    "Are you constipated, kid? Tell me something, I don''t even eat breakfast with my old bones, so I don''t have time to waste time with you." Dr. Xu rolled his eyes strangely.


    It made Tang Ling and Jin Mingxi laugh uncontrollably.

 Chapter 56： growth plan

    "Do you think it''s possible to say hello to the attending doctors and ask them to admit some more first-level surgery patients when you are on duty? I''m just a newcomer, and I especially need a lot of opportunities to exercise."


    Zhou Can''s four basic medical skills and the two advanced medical skills of anastomosis and separation are already at the level of a resident doctor.


    Fully competent for Level 1 surgery.


    This is more than ten times better than when he practiced with mice, tofu, and cotton at home.


    Due to the limited surgical capacity and the shortage of manpower, the emergency department often only handles emergency operations. If it is not urgent, they will be divided into various specialties.


    As long as you say hello to the attending doctor, first-level surgery patients can get soft hands.


    "Doctor Xu, I need it too!"


    Seeing Zhou Can open his mouth, Jin Mingxi hurriedly followed.


    He would not dare to speak directly to Dr. Xu.


    Zhou Can is different, a fool can see that Dr. Xu is very fond of him.


    It''s completely cultivating as a mantle disciple.


    So Zhou Can dared to make some small requests.


    "Hey! You two have had a one-day operation, are you addicted? Okay, I will say hello to the attending doctor, and I will accept more first-level surgery patients when I am on duty. If you two feel that eight hours is not enough , Director Lou can also help you fight for it when he is on duty."


    Dr. Xu is very happy that the two of them are so motivated.


    After a little hesitation, he agreed.


    The manpower in the emergency department is quite tight, and the patients who are usually treated can be assigned to specialists, and they will never be kept.


    There are only two attending surgeons in the entire emergency department.


    They are Dr. Xu and a doctor surnamed Fu.


    Dr. Fu usually attends consultations.


    In the operating room, Dr. Xu and three surgical residents are the main force. Because there are three shifts, Dr. Xu is almost unstoppable for the morning shift, which is also the one with the heaviest surgical tasks.


    For the evening shift, Director Lou will also take over.


    In fact, there are not many surgeries in the night shift, and they are usually emergency surgeries or surgical examinations. The resident stays behind, and there is an emergency operation above the second level. He calls Dr. Fu or the doctor rushes to the hospital to help.


    It is worth mentioning that the emergency department generally only performs primary and secondary operations, and can only be performed by specialist doctors if it reaches the tertiary standard.


    The arrangement of several surgeons in this way can basically guarantee the normal operation of the operating room of the emergency department.


    Zhou Can didn''t expect that Dr. Xu would agree so happily.


    I am really happy.


    Never worry about not having a chance to exercise again.


    "Thank you, teacher!"


    "Thank you, Doctor Xu!"


    Jin Mingxi followed closely to thank him.


    "Let''s go! After you two go home, you must seriously summarize today''s surgical experience. Especially the seamless suture method I taught you. I can tell you that the seamless suture method I taught you has been practiced. In the future, many It can be applied in high-end surgeries. Moreover, this seamless suture method is not the most advanced, but it is equivalent to basic medical techniques such as suture, incision, ligation, and hemostasis in particularly advanced top-level surgeries."


    Before leaving, Dr. Xu drew a big cake for the two of them.


    What is a particularly cutting-edge top-level surgery?


    The operations that ordinary chief physicians can perform cannot be called particularly cutting-edge.


    Only the operations performed by experts at the expert level, or even the world''s leading surgeons, are worthy of these four words.


    There are large and small types of surgery.


    Large ones require the cooperation of many elite surgical teams to complete.


    For example, the world-renowned head transplant surgery, heart transplant surgery and so on.


    Zhou Can is like a toddler now, and he has just started to learn to walk on the road of medicine. His growth path is almost endless, and how far he can go depends on his own efforts and opportunities.


    "It''s time to plan your daily practice tasks."


    He actually had this idea yesterday.


    After Dr. Xu gave them a blueprint for the future, his desire to quickly improve his overall medical skills became more urgent.


    At present, experience in suture, ligation, hemostasis, injection, anastomosis, and debridement can be obtained in the operating room.


    There are three types that are more difficult to get: insertion, incision, and separation.


    He didn''t worry too much about the pathological diagnosis, because after getting acquainted with it, he could take the initiative to stay and work overtime for free. Follow the sitting doctor to see patients. With the terrifying number of patients in the emergency department, it is not uncommon to earn thirty or forty points of pathological diagnosis experience a day.


    It will go up steadily soon.


    The doctor in the emergency department, Dr. Luo, was very friendly to him. He greeted him and invited him to dinner in private. There was a high probability that he would agree to take him to the clinic.


    As for other doctors, we can only make requests after getting familiar with them slowly.


    After some calculations, he only needs to focus on practicing the three medical skills of insertion, incision, and separation after get off work.


    Practice inserting on white mice, and only get 0.2 experience points once.


    Insert a urinary catheter for a patient, and you can get 1 experience point at a time.


    If the skin is thick enough and the contacts in the hospital are wide enough, going to the critical care unit to specialize in inserting catheters should be the fastest way to earn experience points for inserting them.


    It''s just that on the one hand, he is not familiar with the people in the critical care department.


    On the other hand, it is easy to be mistaken for a psychopath by colleagues, so the idea can only be aborted.


    At least now there is absolutely no such condition.


    Fortunately, the emergency department also often encounters patients who need to be catheterized, so they can save some money.


    After get off work, Zhou Can first went to the logistics support department to get a room card.


    Then I bought a bionic model specially used for practicing implantation, a pound of soybeans, and ten white mice.


    Get ready to practice and have a good time when you get home.


    Now it''s pretty good to be a regular training doctor and hang out with Dr. Xu.


    You only need to work eight hours a day.


    Compared with the hard work of interns, it is simply heaven.


    Since it is in the operating room of the emergency department, there is almost no other chores except working overtime during the operation. I used to be an intern in the inpatient department, it was really miserable. Managing the bed, writing medical records, learning to prescribe a complete set of doctor''s orders, writing medical history, following surgery... almost as busy as a spinning top.


    Sometimes after a day''s work, I really feel as tired as if I have finished a month''s work.


    Now that he has a lot of free time, it is beneficial to Zhou Can.


    After returning home, he can practice various medical skills that are difficult to practice in the operating room, and he can also work overtime with the attending doctors and surgeons.


    You can choose flexibly according to your own growth needs.


    ¡­


    When I returned to the collective dormitory where I lived for a year, it was already empty. The roommates are gone.


    There is a heartwarming note on the table.


    "Zhou Can, come on! I believe you will become a famous doctor of a generation!"


    The names of seven roommates are signed on the backZhou Can''s heart is warm, but his nose is a little sour. Putting away this precious note that carried the friendship of roommates, he began to quickly pack his personal belongings.


    Then move upstairs to the double apartment.


    Find room 315, try to use the room card to swipe the smart lock on the door, after pushing the door open, his face showed an expression of extreme surprise.


    "Doctor Jin!"


    "Haha, fate! I didn''t expect my other roommate to be Dr. Zhou."


    Jin Mingxi also laughed happily.


    He is currently writing the operation summary seriously. Seeing that his roommate was Zhou Can, he quickly closed his notebook and got up to help move things together.


    The decoration here is much better than the dormitory downstairs.


    It belongs to fine decoration, and the bed is no longer a bunk bed, but two independent Simmons beds.


    Kind of like a double room in a hotel.


    It also has air conditioning and a separate bathroom.


    After bathing and going to the toilet, there is no need to squat in the collective toilet anymore.


    The treatment of regular trainees is much better than that of interns. Sure enough, we still have to work hard, and the future will be better and better.


    With the help of Jin Mingxi, he quickly moved all his things into the new residence and settled them down.


    "Wow, Doctor Zhou really has all the tools for practicing medical skills!"


    Microscope, electrocoagulation knife, wax table...you can open a private clinic.


    "Hey, the competition is fierce, there is no way!"


    Zhou Can''s investment in medicine has never been stingy.


    Being able to get out of thousands of applicants and get the first place, of course, has the help of the experience point system. But your own efforts and capital investment are also important factors for success.

 Chapter 57： 5th advanced medical skill

    "I kind of understand why Tuya''s interns seem to be on the hook! Every hard work reaps the rewards. From you, you can see how hard-working Tuya''s interns are! No wonder I worked so hard to take the exam. It took six years to finally get Tuya''s regular training qualification. Because my opponents are not only social doctors with rich experience in diagnosis and treatment, but also a group of extremely monstrous interns!"


    Jin Mingxi gained a deeper understanding of Tuya Hospital after seeing Zhou Can''s surgical practice table.


    Even interns can be so strong.


    The strength of those attending and chief physicians is absolutely terrifying.


    In such a big environment with strong people like clouds, it is more conducive to his growth.


    As long as he can survive, he will definitely be able to quickly improve his medical skills in all aspects.


    After the simple greetings between the two, they each went their own way.


    Jin Mingxi continued to write the operation summary, while Zhou Can simply recorded some key problems in the operation, such as mistakes in anastomosis, and some areas that can be improved during the operation.


    Then use the seamless suture method taught by Dr. Xu, and briefly record it with words and drawings that I can understand.


    Now it''s just a matter of mastering the method.


    There is still a long way to go to truly master this suture medicine.


    Even if he wanted to practice, he had to wait for his suturing skills to be promoted to the attending level.


    After writing the necessary surgical summary, he took out the soybeans he bought home, set up the molds, and began to practice the implantation.


    This bionic mold is specially designed for doctors to practice implantation.


    On the way to the insertion point, anti-human obstacles were set up one after another.


    Moreover, there are nearly forty insertion points on this mold, and their insertion difficulty is divided into several levels.


    For the two most difficult insertion points, even though Zhou Can has a third-level insertion technique, he still trembles at the double-strand battle.


    It is estimated that at least level 4 implantation is required before you can try to challenge it.


    He took the long arm forceps used for surgery.


    The reason why it is difficult to insert is that its operation is often operated with long arms. Even sometimes relying on only one guide wire for traction, the operation is very difficult, as you can imagine.


    Practice placement, usually initially with tweezers or toothpicks.


    In the hospital cafeteria, you can often see doctors eating with two toothpicks.


    What they practice is the basic skills of surgery.


    Zhou Can''s implantation has reached the level of a resident doctor, so he no longer needs to practice with toothpicks and tweezers.


    Instead, challenge the more difficult long-arm clamp.


    If you practice this well, you can lay a good foundation for future minimally invasive surgery.


    Various tools such as rongeurs, rotary cutters, needle holders, and curettes used in minimally invasive surgery belong to long-arm manipulation.


    He holds the long-arm tongs to pick up the beans in the pot.


    These are dried soybeans.


    The texture is hard and the skin is slippery.


    The difficulty of gripping is quite high.


    After trying more than ten times in a row, I finally managed to get one out.


    The main reason is that the arm of the long-arm pliers is close to 30 centimeters, and it is particularly difficult to operate. In addition, the beans are smooth, so it will lead to multiple clamping failures.


    If it was replaced with a toothpick or short tweezers, Zhou Can was sure that he would be able to clamp it firmly once.


    ¡¾Congratulations on getting the grasping technique! Advanced medical skills, which can operate tools such as forceps and tweezers in surgical instruments to clamp and grasp objects or human tissues. ¡¿


    Zhou Can was excited when he saw this brand-new medical skill.


    Another advanced medical skill, this is the fifth one.


    [Gripping technique, level three, current experience value 0/1000. Inferior level of resident medicine. ¡¿


    Not bad, as soon as it appeared, it reached level three.


    The application scenarios of this medical technique are also very wide. Almost all high-end surgeries require it.


    It is a required skill for high-end surgery.


    Clamp the soybean firmly, and slowly place it into the first practice point in the bionic mold.


    Hit it once!


    [Gain experience value 0.001. ¡¿


    Seeing how little experience points Zhou Can had, a black line appeared on his forehead.


    Now he has figured out the routine of the experience point system.


    If the practice is too simple, it will use this kind of beggar-style very little experience to correct Zhou Can''s ''laziness''.


    The difficulty of the first five insertion points on the bionic mold is really low.


    Suitable for beginners like interns.


    He is now at the level of a resident doctor, and practicing the insertion that is only as difficult as an intern doctor is simply inferior. It''s no wonder that the system will give punitive very little experience points.


    He grabs again.


    It was a little better than the first time, and it only took eight times to successfully pick up a soybean.


    [Gripping skill experience value +0.1.] This time, I directly choose to place it at the placement point of medium difficulty.


    After a lot of effort, it was finally placed into the target slot.


    [Experience value of implantation +0.1.]


    He couldn''t help sighing, it was really not easy to earn the 0.1 experience points of implantation.


    All beginnings are hard.


    Hope to practice more times, the efficiency can be improved!


    Every insertion point on this bionic mold is actually set by simulating the real structure of the human body. For example, the seventh insertion point is the only way for gastroscope exploration. The fourteenth insertion point is a similar structure to the left branch of the coronary artery.


    In the future, when patients are operated on, they will almost always be encountered.


    In actual surgery, it is definitely more difficult than mold practice.


    So you have to practice hard now, and you will be able to catch it when you come to the operating table in the future.


    He practiced picking and placing over and over again.


    Practice makes perfect.


    Gradually, his movements became smoother and his efficiency quietly improved.


    The failure rate of using long-arm pliers to grasp soybeans dropped from about 8 times to about 6 times. The placement success rate can reach almost 80%.


    After practicing for nearly two hours, his grasping experience value increased by 7.8 points, and his insertion experience value increased by 6 points.


    Compared with the experience value of real surgery, it is quite slow.


    However, it is also a good choice to improve medical skills such as this kind of medical skills that are difficult to get training opportunities at the current stage, relying on accumulated practice.


    Looking at the time, he stopped the two exercises of grasping and placing.


    There are ten white mice beside it.


    200 yuan a piece, a full 2,000 yuan was spent, so it can''t be wasted.


    These white mice are mainly used to practice the three medical skills of hemostasis, incision and separation.


    As for suturing and ligation, you can get a lot of practical opportunities in the operating room every day, so there is no need to spend five times more time on white mice.


    After the ten white mice were given group anesthesia by him, one of them was caught out at random.


    Put it on its back on the wax table, fix the limbs, and start practicing the three medical skills.


    Anatomy!


    [Cutting experience value +0.2.]


    After successfully cutting a surgical wound, blood gushes out from multiple parts of the wound immediately.


    The electric coagulation knife clicked over immediately.


    ¡¾Hemostasis experience value +0.2.+0.2.+0.2...¡¿


    The speed of earning experience points for hemostasis ranks firstNo medical skill dares to be second.


    After an operation window was cut in its abdomen, the wound was pulled to both sides with a hook to expose the field of view of the abdominal cavity operation. Then aim at the pile of intestines, and start practicing separation medicine.


    Under his control, the scalpel flexibly separated the cecum from the colonic band.


    [Separation experience value +0.2. ¡¿


    The hand slipped, the force was not controlled well, and the intestines were accidentally cut.


    The contents of the intestines spurted out.


    He was so frightened that he hurriedly performed a ligation.


    However, the feces ejected from the intestines still polluted the abdominal cavity of the white mice.


    Fortunately, this is just a white mouse. If it is performing appendix surgery on a patient, it is unimaginable. This is definitely a serious medical malpractice.


    The abdominal cavity is polluted by **** fluid accumulated in the intestine, and the consequences are extremely serious.


    Because the contents of the intestinal cavity are highly irritating, it will cause dehydration, fever, and even toxic shock in patients. It is likely to cause death of patients. In addition, the peritonitis and various complications caused will be life-threatening.


    After he ligated the stump of the intestine, he finally managed to control the situation.


    ¡¾Ligation experience value +0.2.¡¿


    I felt that this section of intestine was cut and ligated anyway, so it was better to just cut off the end that connects to the rectum.


    The hand rises and the knife falls.


    Successfully severed the intestines of white mice.


    In this way, most of the intestines can be easily lifted out of the abdominal cavity for surgery.


    [Cutting experience value +0.2.]


    Zhou Can was a little confused.


    In this way, you can also get 0.2 cutting experience points?


    How does it feel like a bug in the experience value system has been discovered.

 Chapter 58： Finally have the attending level of medical skills

    He tried to separate a small piece of intestine, then ligated it again, and cut it off.


    ¡¾Separation experience value + 0.2. Ligation experience value + 0.2. Cutting experience value + 0.2.¡¿


    Obediently, it''s amazing.


    It seems that the discovered system bug is bigger.


    Before earning 0.2 separation experience points, he had to wait until he successfully separated all the target intestines. Now the cut corners are only separated by less than 1.5cm. After cutting off this separated intestine, you can immediately get 0.2 separation experience points and 0.2 cutting experience points.


    It turned out that the most valuable thing was the intestines of white rats.


    He was so excited that he began to repeat the three actions, separation, ligation, and cutting, and then gained the experience points of the three medical skills.


    The total length of the large intestine, small intestine, and cecum of a white mouse is about 100 cm.


    One separation and ligation will consume about 2cm.


    That is to say, a white mouse can be used for fifty times of separation, ligation and incision.


    Zhou Can thoroughly tasted the joy of the experience value of the three medical skills soaring at the same time.


    A white mouse is worth more than that.


    After cutting the intestines, it will not die.


    You can also continue to practice dissection and hemostasis.


    Finally, until its value is completely squeezed out, life ends.


    After death, you can still practice the two medical skills of dissection and separation, but the added experience value is reduced by half, only 0.1 each time.


    He estimated that since the bug in the system was discovered, a white mouse could probably bring him 10 experience points for ligation, 12 experience points for separation, 16 experience points for incision, and 41 experience points for hemostasis.


    This is definitely an extremely rich harvest.


    Especially anatomy.


    In the past, a white mouse could only provide him with 6 cutting experience points at most.


    Now it has nearly tripled.


    Not at all less than making money in the operating room.


    ¡­


    Feeling the skyrocketing experience value, he practiced tirelessly as if he had been injected with chicken blood.


    The white mice were constantly consumed by him.


    Around eleven o''clock, Jin Mingxi, who was practicing knotting on the cotton, couldn''t stand it anymore and went to bed first.


    Zhou Can is still working hard.


    When he practiced the eighth mouse, the electric coagulation knife just went down to a bleeding source.


    ¡¾Hemostasis experience value +0.2.¡¿


    [Congratulations on your hemostasis up to level four! The current experience value is 0/10000. The hemostatic ability of the attending doctor is inferior. ¡¿


    Good guy, this is his first level 4 medical skill.


    Hemostasis seems simple, but it is a medical skill that is easy to learn but difficult to master.


    In the emergency rooms of major hospitals, patients often die after being rescued. The main reason is often massive hemorrhage or cerebral hemorrhage, rupture of aortic dissection and so on.


    At least 50% of patients died of bleeding.


    If Zhou Can can practice hemostasis to the expert level, the success rate of rescue in the emergency department of Tuya Hospital will definitely be greatly improved. All major departments will rush to invite him to make a visit.


    Even if the current hemostasis is only level 4, it is enough to make him stand out from the crowd of regular trainees and residents.


    Zhou Can did not stop practicing because of the upgrade of hemostasis.


    Instead, make persistent efforts and continue to stop the bleeding of the wounds of the mice.


    This white mouse had already been stabbed twenty-one times, with scars everywhere, and the whole body of the mouse was shattered beyond recognition.


    The bleeding speed of its wound was several times slower than at the beginning.


    According to experience, this is a sign of excessive blood loss and imminent death.


    At this point, it is very difficult for Zhou Can to accurately find its bleeding point. It often takes a long time to search carefully to find a bleeding point.


    Because the bleeding is slow, it is a bit similar to diffuse bleeding.


    On the contrary, it has greatly increased the difficulty of finding the source of bleeding.


    At this moment, his eyes looked at a small pool of blood on the wound, and he was surprised to find that the center of the pool of blood could be seen at a glance.


    Aim the electric coagulation knife in your hand and point it down.


    Zizi!


    [Hemostasis experience value +0.2. ¡¿


    "Wow, is this the level of hemostasis after upgrading to level four? It''s amazing."


    After experiencing the ability of the fourth-level hemostasis technique, he couldn''t help but exclaim.


    Compared with the third-level hemostasis, the level has not been improved by a single star. Just looking for the bleeding point is ten times better than before.


    It''s really not an exaggeration, but it does have this ability.


    For example, the pool of blood just now, if you look at it before, the source of the bleeding seems to be covered by a large piece of ink. If you want to find where it is, you have to clean up the pool of blood, and then observe carefully to find it.


    Even if he found it, when he was about to electrocoagulate to stop the bleeding, he found sadly that the bleeding source was covered up again by the blood flowing out.


    The blood vessels of this white mouse are not much bigger than a hair.


    Even if the blood that flowed out only covered a spot the size of a soybean, it couldn''t be electrocoagulated to stop the bleeding.


    It''s impossible to electric coke the whole piece, right?


    Injury to other organizations, the consequences are quite serious. If it is not done well, it will be necrotic and suppurative, increasing the risk of infection inside the wound.


    It would be even more serious if it hurt a nerve.


    Proper medical malpractice cannot escape.


    Therefore, electrocoagulation to stop bleeding seems simple, but the difficulty is actually much higher than imagined.


    After Zhou Can''s hemostasis level reached level four, he could see the blood flow routes in the pool of blood at a glance, and finally successfully locked the central diversion point. This place is like a spring, with blood constantly gushing out and spreading around.


    Finding it means finding the source of the bleeding.


    Level 4 hemostasis, in addition to the improvement of eyesight, the use of hemostasis techniques has also become more flexible and precise, and the technique is also more refined. He has even gradually mastered the comprehensive hemostatic ability of combining multiple hemostatic methods.


    And has initially possessed the ability to analyze the cause of bleeding.


    This ability is actually equivalent to the diagnostic ability.


    It is used specifically to diagnose the cause of bleeding.


    "It feels so good to improve my medical skills! I have become a little stronger!"


    Zhou Can felt that the upgrade to the fourth level of hemostasis brought many tangible benefits.


    Even comprehending by analogy is helpful to other medical techniques.


    He continued to practice.


    ¡­


    When the clock pointed to 1:14 in the morning, Zhou Can finally consumed all the white mice.


    The harvest is so great that it even far exceeds the sum of working in the operating room for two days.


    He checked, and the ten white mice brought him a total of 102 experience points for ligation, 120 experience points for separation, 162 experience points for incision, and 410 experience points for hemostasis.


    He could gain so much experience just by practicing on white mice for one night, even he himself felt incredible.


    But this kind of practice is also very expensive.


    Ten white mice cost 2,000 yuan.


    Ordinary people simply cannot afford it.


    Zhou Can''s family is considered moderately wealthy, and his mother will give him about 10,000 to 20,000 pocket money a month.


    In addition, he has three houses for rent, and the total monthly rent is about 6,000.


    And now he has become a regular trained doctor, with the state subsidy plus the basic salary of the hospital, he should be able to get about 5,000. UU reading


    It is not a big problem to buy a hundred white mice a month for practicing medical skills.


    Calculated in this way, he can use the white mice after get off work to practice for about ten days a month to skyrocket the experience points of the above four medical skills.


    For the remaining 20 days, you can choose to stay in the hospital and work overtime to increase experience points.


    For example, doing surgery in the operating room, or sitting with the doctor for eight hours, you can get good results.


    With anticipation, he checked all the attributes of medical skills.


    ¡¾Zhou Can, Doctor Guipei¡¿


    [Pathological diagnosis, level three, current experience value 102/1000. Inferior level of residents. ¡¿


    [Cutting, level three, current experience value 167.7/1000. Inferior level of residents. ¡¿


    [Stitching, level three, current experience value 248/1000. Inferior level of residents. ¡¿


    [Ligation, level three, current experience value 335/1000. Inferior level of residents. ¡¿


    [Hemostasis, level 4, current experience value 82/10000. The hemostatic ability of the attending doctor is inferior. ¡¿


    [Injection has been upgraded to level two, and the current experience value is 52/100. The standard training doctors are inferior. ¡¿


    Advanced medical skills


    [Separation, level three, current experience value 120.2/1000. Inferior level of residents. ¡¿


    [Anastomosis, level three, current experience value 16.8/1000. Inferior level of residents. ¡¿


    [Implantation, level three, current experience value 13/1000. Inferior level of resident doctor]


    [Debridement, Level 2, current experience value 8/100. The lower level of training. ¡¿


    [Gripping technique, level three, current experience value 7.8/1000. Inferior level of resident medicine. ¡¿

 Chapter 59： hush money in place

    Overall it''s pretty good.


    Except for injection and debridement, which are a little hip-lifting, they are still at the standard of training, and other medical skills have reached the resident level. The most dazzling thing is the hemostasis technique, which has directly risen to the level of attending physician.


    A regular training doctor has the ability to stop bleeding at the attending level, and it is scary to spread it out.


    Even for a doctor who has been trained for almost three years, if hemostasis can reach the middle level of a resident doctor, he can already be called excellent.


    In fact, until the completion of the training for the vast majority of doctors, many surgical abilities are still at the training level.


    In the hospital, it is often seen that the resident doctor has to ask the superior doctor for help when encountering a serious problem. Don''t laugh at them, because the vast majority of new residents are at this level.


    They have very little experience, and their medical skills are still immature. When they encounter a slightly more serious patient, they feel really panicked.


    What if the patient is misdiagnosed or accidentally killed?


    Wouldn''t the future of a lifetime be ruined?


    So he would rather be scolded by the superior doctor than act like a giant baby who hasn''t grown up. This also asks the attendant, then ask the director to have a look.


    At least after the superior doctor saw it, it was safe.


    "The future is promising, come on!"


    Zhou Can''s heart was full of light after seeing the results of improving his medical skills in the past few days.


    It is estimated that in one or two months at most, he will be able to upgrade many medical skills to the attending level.


    At that time, I am afraid that he will become the most capable doctor in the emergency department.


    Can be like a diamond, work everywhere.


    It''s getting late, after disposing of the surgical waste, take a shower, and go to bed.


    Jin Mingxi was already snoring like thunder, and slept deeply.


    After a man reaches the age of thirty-five, his body has already begun to decline. Not as energetic as the lad.


    Women''s aging age is earlier, and after the age of thirty, the body begins to decline significantly.


    For example, the appearance of small belly, obesity, dark spots, decreased energy and so on.


    This is also the reason why many large companies recruit people, in addition to card qualifications, they also limit the recruitment age to less than 35 years old.


    What the company pursues is profit, not charity. Employees over the age of 35 are recruited and trained for several years, and they are 40 years old. I can''t work, and my learning ability is not as good as that of young people. It naturally prioritizes guys in their twenties just out of school.


    The age of 35 is dubbed by the Internet as the catastrophe of middle-aged people, and it has its own reasons.


    ¡­


    The next day, Zhou Can got up and found that there was still a little time, so he took out a medical book to read.


    A good amount of reading can help him in diagnosing various diseases.


    After Jin Mingxi got up, she went out for a run.


    Zhou Can also has the habit of exercising, but these days he is busy taking the training exams and improving his medical skills, so he really doesn''t have time.


    It was almost 7:40, and Jin Mingxi came back.


    Zhou Can finished reading the two cases.


    Diagnosis XP increased by 0.2.


    not much.


    But the function of reading medical books is not only to increase experience points, but also to strengthen his medical knowledge.


    It is undeniable that compared with the medical knowledge of people like Gao Jian and Du Leng, there is still a big gap between him and others. The improvement of medical skills mainly depends on practice, and the accumulation of medical knowledge is to read more books, study more, and think hard.


    "Hi, morning!"


    Jin Mingxi greeted him with a smile.


    "Morning! I didn''t expect you to have the habit of doing morning exercises, let''s go together from now on!" Zhou Can responded with a smile.


    Now that I have obtained the qualifications for regular training, I can spare some time to exercise in the morning.


    Being a doctor is a high-risk profession, and it is very necessary to exercise every day.


    "That''s a good thing, I''m just worried that I don''t have a companion!"


    Jin Mingxi was looking for some opportunities to get closer to Zhou Can, and running together was something he could only wish for.


    Seeing that it was getting late, the two went to work in the hospital together.


    Chatting all over the world is indispensable on the road.


    Jin Mingxi talked about the medical situation in his hometown county. The team of doctors varies from good to bad. Even the county people''s hospital with the highest level can''t handle a little complicated disease.


    Can only be treated conservatively or transferred to a higher level hospital.


    Speaking of these, he was very helpless.


    It seems that everyone in the medical industry can treat diseases, and the education they receive in school is similar, but in fact, there are many invisible technical barriers.


    Each hospital has its own specialized field, which is equivalent to its exclusive secret technique.


    It is also its ''signature dish''.


    These unique secret skills are generally not easily passed on to the outside world. If you want to learn these secret skills, you must join this hospital and work in the corresponding department before you have the opportunity to learn them.


    For example, a patient with stage II gastric cancer seeks treatment.


    The doctor at the county-level people''s hospital saw it, alas, the patient''s cancer cells had spread to the surrounding area, and it was hopeless. Then give the patient conventional chemotherapy to minimize the pain of the patient and other conventional means.


    To put it bluntly, it is resignation to fate.


    But this stomach cancer patient has parents in their seventies who need to support him, and has two underage children who need to be raised. He doesn''t want to die!


    So after inquiring, I went to the gastrointestinal tumor department of Tuya Hospital for treatment.


    Hey, you really came to the right place this time.


    Physicians in this department specialize in gastrointestinal tumors. Including etiology, pathological mechanism, treatment, prognosis and so on.


    The director of the department checked him with a gastroscope and told him that the tumor had only spread to the stomach wall, and he could still be saved.


    Then a whole set of combination treatment plan is given.


    Tumor removal, chemotherapy, nutritional support, special drugs to consolidate the curative effect.


    After such a set of treatment plan, the patient was finally cured.


    It turns out that cancer is not terrible, but the terrible thing is that I didn''t find the right doctor who can cure cancer.


    From this short story, it can be seen that the gap in treatment level between different hospitals is really not a star.


    It is definitely a wise choice for Jin Mingxi to do everything possible to work in Tuya Hospital.


    Just learn a few techniques and go back, and you can become the most advanced treatment plan of the County People''s Hospital.


    After the two had breakfast, Jin Mingxi walked to the milk tea shop opened downstairs.


    "I''m going to buy two cups of milk tea!"


    Zhou Can was stunned.


    "What are you thinking? I bought it for those two little nurses." Jin Mingxi was full of depression. He made a joke with Zhou Can yesterday because of his cheap talk, but was blackmailed by the two little nurses.


    It was only then that Zhou Can remembered that he had promised to invite Qiao Yu to drink milk tea.


    "Haha, I''m going to buy a cup too!"


    If I didn''t buy it, the little girl might have to talk about it again.


    Thinking of Jin Mingxi''s milk tea being blackmailed by two little nurses, he couldn''t help laughing.


    "Give me a cup of strawberry flavor and a cup of Pu''er rose milk tea Jin Mingxi bought it according to the instructions of the two nurses.


    Zhou Can looked at the many flavors of milk tea but found it difficult.


    Qiao Yu didn''t say what flavor she likes!


    "Miss Boss, what flavor do girls in their twenties usually like to drink?"


    The charming proprietress glanced at Zhou Can.


    With a slightly weird smile, he said, "This is the first time you have invited her to drink milk tea, right?"


    "Um!"


    "How does she look? Do you prefer heavy makeup or light makeup?"


    "It''s more elegant!"


    Zhou Can tried his best to recall Qiao Yu''s face, but there was hardly any makeup on.


    "Then give her a cup of coconut milk tea, I believe she will like it."


    "OK!"


    Zhou Can nodded indifferently.


    Carrying milk tea, I came all the way to the emergency department.


    Just in time, Qiao Yu came out after changing into the nurse uniform.


    "Beautiful Qiao, the hush money will continue!"


    Zhou Can smiled and handed the milk tea to her.


    "Hehe, you really bought it! Thank you!" There was a hint of surprise in her expression.


    "Wow! Qiao Yu is the most difficult girl to date in our emergency department nurse station! There are many male doctors who were rejected when they asked her out. Dr. Zhou is really amazing. He only worked in the emergency department for three days and succeeded! You ox!"


    After Ye Tingting discovered the situation, she immediately came forward to watch with a smile.


    She has a good relationship with Zhou Can, so she has no scruples about making jokes.


    "What! This is the hush money that Dr. Zhou gave me. Sister Ting, don''t mess with us!" Qiao Yu blushed with embarrassment, and hurriedly explained.


    Ye Tingting''s almond eyes lit up immediately.


    It is a woman''s nature to love gossip.


    "Really? What kind of hush money? Tell me."

 Chapter 60： best partner

    Just when Zhou Can thought that Qiao Yu would sell him, Qiao Yu smirked and said, "Secret! Otherwise, I would be embarrassed to take the hush money! Hush money, do you understand?"


    This answer is absolutely perfect.


    I took Zhou Can''s hush money, so I must keep it secret.


    It is enough to prove that Qiao Yu is indeed extraordinary, with very high IQ and EQ.


    "You don''t have to say anything. Doctor Zhou can''t favor one person over another. If you want to hire all the nurses on duty in our emergency department, you can''t just invite Qiao Yu. Everyone has accepted your benefits, and the matter of pursuing Qiao Yu in the future will be covered by us." Ha!"


    Ye Tingting dared to say anything.


    Zhou Can took these married nurses as the most troublesome.


    He has never even talked about love, and he knows that he is definitely not Ye Tingting''s opponent.


    Invite the nurses to drink milk tea together, and build a good relationship, so that they can be taken care of at work in the future.


    Anyway, it''s a bargain.


    "Okay, okay, give me the count of the number of people, and count the best tastes. The arrangement will be in place tomorrow. There are nurses in all three shifts." He is really not petty at all.


    Proudly invite all the nurses to drink milk tea.


    "Hehe, Dr. Zhou is magnificent! No wonder Qiao Yu, who has such a high vision, is so moved! I''ll tell you after counting the number!" Ye Tingting smiled brightly.


    For them, the pleasure of drinking a cup of milk tea far outweighs the economic value.


    She swayed away.


    Qiao Yu held the milk tea and looked at Zhou Can apologetically.


    "Hey, there are more than 50 nurses and nurses in our emergency department nurse station. You need at least 10 yuan for a cup of milk tea. Don''t agree to it randomly next time. This time, when the total cost comes out, I will bear half of it for you."


    After speaking, she turned and left.


    Zhou Can, a rich second generation, wouldn''t care about hundreds of dollars.


    However, Qiao Yu was able to put herself in his shoes and even offered to bear half of the cost, which made him feel that this girl did have a lot of bright spots.


    "Xiao Zhou, why are you standing here stupidly! Go to the operating room!"


    Doctor Xu just came out of the office.


    He has a rigorous work style and arrives at the hospital about ten minutes earlier every day.


    "Morning teacher!"


    Zhou Can followed immediately.


    "You don''t have to follow me, you can go directly to the operating room. I''ll go and say hello to the doctors who are attending the clinic, and ask them to take in more first-level surgery patients."


    Dr. Xu is quite concerned about his apprentice''s affairs.


    Zhou Can was really touched.


    He will remember these kindnesses in his heart, and when he has the ability in the future, he will repay his teacher even more.


    With a promise, he went straight to the operating room.


    There were only Jin Mingxi and Tang Ling in the operating room.


    The doctor on the night shift had apparently left.


    "Dr. Zhou is here! I heard that you will invite all our nurses to drink milk tea. Is it true?"


    Tang Ling earned a cup of milk tea from Jin Mingxi, and the smile on her face was almost overflowing.


    Seeing Zhou Can come in, she greeted him with a smile.


    "It''s true, the arrangements will be in place tomorrow!"


    Zhou Can nodded in acknowledgment.


    "Ah, that''s great! I''ll save money on the milk tea I''ll make tomorrow! Thank you, Dr. Zhou!" Tang Ling was as happy as a little girl.


    Sometimes I feel like she''s just a little girl who hasn''t grown up.


    In order to chase stars, I would rather eat instant noodles.


    She can be so happy to get a cup of milk tea successfully.


    Zhou Can felt that her mind was simple and she was very simple. He never beat around the bush when he spoke, laughed when he was happy, pouted and shrugged his head when scolded. Emotions are basically written on the face.


    "Doctor Lu hasn''t arrived today!"


    Zhou Can asked casually.


    He doesn''t like Dr. Lu very much, but he is happy to be on duty with Dr. Lu.


    For nothing else.


    Because Doctor Lu is surprisingly lazy.


    On duty with such a person, he has the opportunity to pick up a lot of opportunities for surgery and exercise.


    "Maybe it''s almost here! He usually likes to step on it! Occasionally he will be a few minutes late."


    Tang Ling glanced at the electronic clock on the wall.


    There is a clock on the wall in the operating room.


    In this way, it is convenient for the doctor to check the operation time or other timing at any time.


    For example, the duration of cardiopulmonary resuscitation.


    If there is no improvement after more than 30 minutes, it is generally declared that the rescue is invalid and the patient dies.


    At this time, the door of the operating room opened, and Dr. Lin walked in.


    "Hi, hello, three!"


    Dr. Lin''s smile is particularly cheerful, it is easy to be infected by him, and then his mood becomes sunny.


    "Switch to Dr. Lin''s morning shift today?" Zhou Can asked in surprise.


    "Yes! Our three operating room residents come in rotation, and we have to work night shift every three days."


    Working the night shift is the hardest. In the case of three shifts, there are usually two day shifts and one night shift.


    This can basically ensure that every doctor can be full of energy.


    While talking, Dr. Xu came in.


    As soon as he came, the atmosphere immediately became much more serious.


    Everyone became well-behaved, and no one dared to laugh and laugh anymore.


    "I''ve already made an appointment with the attending doctor, and I will appropriately cut off some of the surgical patients for you to exercise according to your surgical ability. I only have one request, even if it is a first-level operation with a very low risk factor, you must be more cautious. If there is an accident, then you will not be able to easily get training opportunities in the future."


    Dr. Xu said to the two very seriously.


    "clear."


    Any surgery has risks, and if something goes wrong, the superior doctor will be the worst.


    Dr. Xu is willing to give them opportunities to exercise, which is a great kindness.


    If the two of them can''t be cautious, it will be equivalent to driving Dr. Xu to death.


    This act of repaying kindness with hatred will definitely be stopped.


    It will be difficult to gain Dr. Xu''s trust again in the future.


    "Call the standby nurses Qiao Yu and Li Shuangshuang in the operating room to help!"


    Doctor Xu said to Tang Ling.


    To perform an operation, at least one or more nurses are required to pass instruments, record the operation process, and provide various assistance.


    "Dr. Lin is my assistant. Zhou Can and Jin Mingxi are still doing the first-level surgery independently just like yesterday."


    Dr. Xu made a series of arrangements.


    Soon, Qiao Yu and Li Shuangshuang came in.


    "Shuang Shuang, I will be Dr. Zhou''s assistant!"


    Qiao Yu discussed with her in a low voice. UU reading www. uukanshu.com


    "Ann! Knowing that you are Dr. Zhou''s old partner, no one will **** you away."


    Li Shuangshuang laughed and teased her.


    "The old partner is so ugly, you have to call us the best partner! Hehe!"


    Qiao Yu walked quickly to Zhou Can''s side.


    "Doctor Zhou doesn''t mind if I serve as your assistant?"


    Her hands were tightly clasped together, hanging in front of her body.


    Judging from her slightly nervous expression, she must be nervous and afraid of being rejected.


    "Welcome!"


    After Zhou Can said these four words, a happy smile burst out on her face.


    Can''t even hide.


    "You cooperated very well yesterday. The equipment was delivered in a timely manner. The surgical assistance is also very professional. It is very good to calm the patient''s emotions and cooperate with me to explain to the patient. It is my wish to cooperate with you."


    This wave of fierce praise made her very happy.


    "Hehe, you are about to praise me to the sky! If I have shortcomings in my work, Doctor Zhou can correct me!"


    Girls really want to praise more.


    With a confident smile on her face, she exudes a positive charm.


    Soon, surgical patients began to flow in like an assembly line.


    Zhou Can is naturally at full power to operate on the patient.


    If you are in doubt, ask Dr. Xu for advice honestly.


    Dr. Xu answered every question, and even patiently guided Zhou Can''s surgery many times. Whenever this time, the patient''s expression will become very strange. His eyes were full of worry and fear of being treated as a guinea pig, but he didn''t dare to say anything more.


    In case Zhou Can, a novice doctor, was irritated, his hand trembled and he made an extra cut, the patient would be unlucky.

 Chapter 61： Tuya 3 famous knives

    Fortunately, Zhou Can is quite up to date. So far, he hasn''t made a fool of Dr. Xu.


    With the continuous accumulation of various surgical experience, he is also doing better and better.


    On the other hand, on Jin Mingxi''s side, although relying on more than ten years of rich experience in diagnosis and treatment, he rarely consulted Dr. Xu. But it basically belongs to relying on its laurels, and its progress is far less than that of Zhou Can.


    In addition, Zhou Can''s surgery is much faster than Jin Mingxi''s, which is also a big advantage.


    He performed three operations, and Jin Mingxi performed at most two operations.


    And as Zhou Can''s skills became more and more proficient, the gap between the two continued to widen.


    The more surgeries you do, the more knowledge you will gain, and the accumulation of experience will only get better and better.


    Jin Mingxi also seemed to feel this gap.


    He tried his best to catch up, but after all, he was more than ten years older than Zhou Can, and his physical and mental strength could not keep up. Tired and sweating profusely, but to no avail.


    ¡­


    Working until four o''clock in the afternoon, Zhou Can had already performed 18 operations.


    What I gained the most was the experience points of the two medical skills of suturing and ligation.


    Even if calculated on the basis of an average of 5 stitches per operation, 18 operations can add 90 points of suturing experience and 80 points of ligation experience.


    You earn less experience points for ligatures, because some sutures do not require one stitch at a time.


    Such as continuous stitching.


    Just tie the knot twice at the beginning of the needle and tie it again at the end.


    Therefore, the experience value of stitching is more than that of ligation.


    He also earned a lot of debridement experience points, a full 11 points.


    According to this progress, it only takes eight or nine days to upgrade the debridement to the resident level.


    Debridement is widely used in surgery.


    Good debridement can not only greatly reduce the chance of wound infection and suppuration, but also greatly reduce the difficulty of suturing. Can make the stitching more perfect.


    Wounds heal faster and better, reducing the possibility of scarring.


    Not to mention the importance of debridement in rescue work.


    Whether the vascular debridement is done well or not is directly related to the success rate of rescue.


    In addition, debridement can also be used to clean up necrotic tissue and infected purulent lesions.


    Seemingly a simple debridement technique, it ranks among the advanced medical techniques for its own reasons.


    It is as important as fit, fit, and separation.


    In addition to the above gains, he also has a ''small'' gain.


    One patient received four injections of anesthesia, and 18 patients received 72 injections.


    A total of 72 injection experience points have been harvested.


    His injection experience value would have been 48/100 for level two. After adding 72 points, it was directly promoted to the third level, and the current experience value is 20/1000.


    Although this medical skill does not seem to be of much use in surgical operations, it is based on the idea that more skills do not overwhelm one''s body.


    It is a good thing to have more medical skills.


    At least now let him give the child an injection, establish an intravenous access and so on, so he doesn''t have to worry about being beaten anymore.


    Totally capable of doing it right the first time.


    His current injection level should be at the same level as that of a nurse.


    This is much better than the average nurse.


    "Xiao Zhou, how do you feel?"


    Dr. Xu took off his gloves and looked at him.


    "It feels very good. The harvest in one day is greater than the harvest in one month during my internship."


    Thanks to Dr. Xu''s greeting with the attending doctor, more than a dozen patients who should have undergone surgery in the specialist clinic were admitted.


    Of the 18 surgeries performed, only four were debridement and suture surgeries on knife wounds and bruises.


    There are other types of surgery.


    Even performed a thrombosed external hemorrhoid surgery.


    You know, hemorrhoid surgery is generally secondary or tertiary surgery. Not to mention Zhou Can, even his teacher, Dr. Xu, is not qualified to preside over a tertiary operation.


    But there are exceptions to everything.


    Thrombosed external hemorrhoid surgery is a first-level surgery.


    This is also an important reason why Zhou Can can get it.


    Through this operation, he learned a lot of valuable experience in hemorrhoid management. For example, how to make a radial incision, how to identify thrombus, how to deal with thrombus, and so on.


    There are six or seven such operations that have never been experienced before.


    This is why he always asks Dr. Xu for advice.


    Today''s harvest is really great.


    "Hehe, it looks like the effect is not bad! We can continue tomorrow." Dr. Xu smiled gratifiedly.


    He looked at Jin Mingxi.


    "Doctor Jin, how about you?"


    "There must be gains, but it can''t be compared with Zhou Can. For the same debridement and suture operation, his operation time is almost half that of mine. The quality of the key is also very high. I really convinced him."


    Jin Mingxi was helpless.


    Ability is something that is different for everyone.


    Zhou Can''s surgical ability improved too fast. In the regular training exam, he might be a little weaker than Jin Mingxi. Now it has begun to catch up with the latecomers and achieve a go-ahead.


    "You don''t have to compare yourself with anyone, as long as you surpass yourself, that''s good."


    Dr. Xu is actually quite suitable to be a teacher.


    Basically, every junior doctor has taught students in accordance with their aptitude.


    For example, Dr. Lin with mediocre talent, he only asked him to gradually improve his basic surgical ability. For example, the lazy and irresponsible Dr. Lu, he pulls by his side as an assistant, trying to urge Dr. Lu to work hard.


    For Zhou Can, a once-in-a-thousand-year good seedling, he is delegating power step by step.


    Do your best to meet the exercise opportunities that should be given.


    Zhou Can will never be allowed to do the part of the operation with uncontrollable risks.


    It deserves the words "lenient and strict".


    It will neither let the apprentice get into trouble, nor hinder the apprentice''s growth.


    Dr. Xu looked at Zhou Can again, showing a trace of kindness and remembrance of the past.


    The eyes are quite complex.


    "Xiao Zhou, fast surgery is a good thing and a bad thing, do you understand?"


    Zhou Can shook his head puzzled.


    "I only know that every second counts in rescuing patients. The faster the operation is completed, the less physical damage to the patient. When rescuing a critically ill patient, even a second faster may save a life."


    Such as bleeding patients.


    The sooner the cause of bleeding is found, the sooner surgery is performed, the better.


    If it is delayed for a long time, the patient may not be able to get off the operating table.


    "The pursuit of speed is not wrong in itself. It''s just that once you pursue speed, your mentality will easily become anxious. Especially when you are capable of performing four-level major surgery in the future, many key parts of surgery have strict requirementsMust Complete it in two or three minutes, or even a few seconds. At this time, the brain must be too fast. A small mistake can make you regret for life."


    A thoughtful light flashed in Zhou Can''s eyes.


    Without personal experience, I am afraid it is difficult to express these profound insights.


    "Teacher, is it because you were called ''Xu Yidao'' because you used to be a fast swordsman?" Zhou Can asked this question after careful consideration.


    Because he was too curious about Dr. Xu''s past.


    "Although this matter has been dusty for several years, it is not a secret. I used to be a famous knife in the general surgery department, and Director Wu Baihe, Director of Shenwai, and Director Hu Kan, Director of Cardiothoracic Surgery, were known as the three famous swords of Tuya. Wu Baihe The operation is famous for its fineness, and it can reach 0.1mm level for all kinds of extremely difficult cuts.¡±


    Doctor Xu''s tone was full of fond memories of the past.


    That was the highlight moment of his life.


    Wu Baihe''s surgical ability is even more shocking.


    The cutting in surgery can be accurate to the level of 0.1 mm. What is the concept?


    Chief surgeon, when cutting a stack of papers, he can cut as many sheets as he wants. This is enough to make countless surgeons worship and look up to them.


    A sheet of paper is about one millimeter thick.


    0.1 mm, only one-tenth of the thickness of a piece of paper.


    Wu Baihe''s accuracy at the surgical director level has increased by ten times.


    No wonder he was able to make half of the neurosurgery department of Tuya Hospital.


    This kind of surgical ability is enough to make many chief surgeons look up to them all their lives.


    Because this is a height that they can hardly reach no matter how they practice.


    I have to say that in addition to hard work, talent and opportunities are also very important.

 Chapter 62： The Chosen Quick Knife

    "Hu Kan is known for his prudent operation. So far, the success rate of the operations he has performed is 100%."


    This is another famous surgeon that people can only look up to.


    Cardiothoracic surgery is basically all major operations, and the risk factor is almost the highest among all surgical departments.


    Director Hu Kan has done cardiothoracic surgery for so many years, and none of them failed, which is too scary.


    Any surgery has a risk of failure.


    Otherwise, there is no need to force patients and their families to sign various consent forms and informed forms.


    The vast majority of famous doctors are fond of talking about the difficult surgeries he has performed, but the success rate of the surgeries is obscure.


    Surgeons who can maintain a zero failure rate are absolutely rare.


    From this point, it can also be seen that Director Hu Kan''s strength must be terrifying.


    "I am known for being fast. I have created many national records for the fastest operation time, and the completion time of two major operations even broke the world record. I still maintain the world''s first place."


    When Dr. Xu talked about the glory of the past, he was a little arrogant.


    It turns out that his strongest method is the speed of the knife.


    "When the teacher operates on the patient, the speed seems to be quite normal!" Zhou Can didn''t question it, but was just curious.


    "Well, since I had a medical accident in an operation six years ago, I have changed my mind and always warned myself that I must not blindly pursue speed anymore."


    Dr. Xu really had an accident.


    Even after six years, Dr. Xu was still full of self-blame and brooding when he brought up this matter.


    "Xiao Zhou, you are the most talented young doctor I have ever seen. I am almost morbidly strict with every junior doctor. It is not because I am mentally ill, but because I don''t want you to make the same mistakes. Back then, I was always fighting with Hu Kan , constantly competing in medical skills. What he pursued was stability, and what I pursued was speed, and in the end I was completely defeated."


    At this point, Dr. Xu''s voice seemed to choke.


    Zhou Can hurried forward and patted the teacher on the back.


    Now he finally understood Dr. Xu''s good intentions.


    "Six years ago, I fell from the top famous doctor in Tuya Hospital to the altar. I was infamous overnight and became the laughing stock of everyone. I almost faced the top punishment of being banned from doctors for life. The hospital leaders finally remembered The old relationship, under tremendous pressure, tried my best to mediate with many parties, and finally saved me. However, my title was downgraded from director to chief executive, and I can no longer be rated as a deputy senior or higher for the rest of my life. I am only allowed to be a second-level and below Operation."


    The price is too painful.


    He was downgraded from the top chief physician to the attending physician, and even transferred from the important department to the "Lenggong" emergency department.


    The huge status gap will tear Dr. Xu''s self-esteem and pride like a knife.


    If this is not fatal enough, he will not be able to undergo operations above the second level for the rest of his life, which can definitely wipe out his last glimmer of hope.


    Dr. Xu has suffered so many blows, not only has he survived, but he still loves his career. This means that he has achieved Nirvana.


    I believe Dr. Xu, who is reborn from the ashes, will only be stronger than before.


    It was no longer the Xu Yidao who only pursued speed.


    Steady, ups and downs of humility are revealed in him.


    "Teacher, I''m sorry to mention your sad past."


    Zhou Can didn''t expect the teacher to be so miserable.


    Apologize to him hastily.


    "No problem!"


    Doctor Xu waved his hand with a calm expression on his face.


    "In the first two years, I also gave up on myself. Now I have come out of the trough."


    He looked at Zhou Can with hopeful eyes.


    "In the past few years, I have been thinking, is it wrong to have a fast operation? I think there is nothing wrong with a fast operation, but you need to have a calm heart to control it. From you, I see young people It is difficult for a person to have a calmness. So, I think you can try this path that I have not gone through."


    Dr. Xu stumbled a lot on the road of Kuai Dao.


    After learning from the pain, he finally found the reason for the failure.


    It''s just that he has been demoted to attending physician now, and it is impossible for him to be awarded the title of deputy senior professional in his life. It is equivalent to completely losing the qualification to preside over major surgery.


    He has never had the chance to fulfill his ambitions in his life.


    It is the only way to train a successor and fulfill his unfulfilled dreams.


    Zhou Can is the good seed he was looking for.


    He is also the person who is most likely to fulfill his wish for him.


    Zhou Can is very cautious about the future direction of his specialization.


    "Teacher, let me think about this matter for a while before I give you an answer, okay?"


    Almost all residents choose an area of ??specialization in their third year. For example, some people specialize in orthopedic rheumatology, some specialize in pediatric blood diseases, some specialize in surgical heart and cardiovascular diseases, and so on.


    A person''s energy and time are limited.


    Too much to chew.


    Doctors with average talent will choose an easier main direction of attack. Talented doctors will try to challenge difficult areas such as tumors and nerves.


    There are also very few enchanting doctors who will choose two to three main directions of attack.


    However, there are generally no more than three research fields at most.


    Otherwise, it is easy to be miscellaneous but not refined, and in the end, you will not even be awarded the title of deputy senior professional. Not to mention the title of Chief Physician.


    It will be very embarrassing to get there.


    It is impossible to turn back time, and I can only watch the doctors who were not as good as me make achievements in their specialized fields, and then be left far behind by them.


    Zhou Can is still in the regular training stage, and he is still several years away from being a resident doctor.


    Before he has figured out which fields of diseases he is good at and which diseases he is interested in, he will not make a rash choice. When choosing a specialization direction, one must also consider one''s own development, the needs of hospitals, and the domestic medical achievements in this field, etc.


    "You should think carefully. I just give you a suggestion. I think you have the talent to be a sharp swordsman. In addition, you have the calmness that ordinary people can hardly have at a young age. You can try this. If The performance is not bad, so we can make a long-term plan during the residency stage."


    Dr. Xu didn''t mean to force him.


    Just out of a teacher''s guidance to the students.


    The teacher is someone who has experienced it, and according to the strengths and weaknesses of the students, he will make a guide that is most conducive to the growth of the students.


    "I will seriously consider it. The basic skills of surgery in all aspects are still weak, and the accumulation of surgical experience is far from enough. It will be safer to try to learn the fast knife after I have a solid foundation."


    Zhou Can has been very assertive since he was a child.


    Have a clear understanding and positioning of your own career planning.


    These words not only won the appreciation and affirmation of Dr. Xu.


    Even Qiao Yu applauded him secretly When she looked at him, her bright eyes shone with a strange brilliance.


    "Tsk tsk! It''s really rare to have such a mind at such a young age and have such a clear understanding. I''m getting more and more optimistic about you."


    After being rejected by Zhou Can, not only was Dr. Xu not disappointed, but he was even more optimistic about this young man.


    "Okay, tidy up the operating room and get off work!"


    "Teacher, I want to stay and work overtime and continue the operation, is that okay?"


    Zhou Can is very eager to upgrade the remaining three basic surgical skills to the attending level in the shortest possible time.


    In the future, I will be able to get the opportunity to practice secondary surgery.


    Doctor Xu took a deep look at him.


    "Dr. Fu and Dr. Lu are on duty in the evening shift. It''s okay for me to say hello to Dr. Fu, but if you want to get the opportunity to exercise during the operation, you can only fight for it yourself."


    Dr. Xu dared to delegate authority to Zhou Can and asked him to preside over the first-level surgery as a trained doctor because of his appreciation and trust.


    It''s hard to say about other senior doctors.


    Most senior physicians are especially cautious when involving junior physicians in an operation.


    Because once something goes wrong, the person responsible is the superior doctor.


    How many senior doctors dare to joke about their future and career?


    Many Gui Pei students complained that during the three years of regular training, they had never even touched a scalpel in the operating room except for doing odd jobs with retractors.


    This is really not to blame the superior doctor.


    It can only be blamed that Gui Peisheng failed to gain the trust of the superior doctor for three whole years.


    He is a rookie himself, he is not humble in learning, and he is still doing nothing all day long, or his eyes are high and his hands are low. Which superior doctor would dare to let such a regular trainee use a knife on a patient?


    While talking, the doctor who was taking over the shift had already entered the venue.

 Chapter 63： free good guy card

    The first to come in was a thirty-five or six-year-old female nurse. A pancake face, thick hands and big feet, looks quite strong.


    "Doctor Xu isn''t off work yet!"


    The female nurse greeted with a smile.


    "I had a few more conversations with the two doctors under me, so it was a little later than usual."


    After Dr. Xu explained, he looked at the two people who came in after him.


    One is Dr. Lu, and the other is of medium height, with long eyebrows, about forty-five years old, and has a kind face.


    "Doctor Fu came just in time!"


    "Haha, Dr. Xu is my senior, so it''s impolite to be late! These two are Gui Peisheng who just joined the emergency department, right?" Dr. Fu laughed and looked at Zhou Can and Jin Mingxi secretly.


    "This is Dr. Jin Mingxi, and this is Dr. Zhou Can!"


    Dr. Xu made an introduction sideways.


    "Hi Doctor Fu!"


    Jin Mingxi and Zhou Can said hello in unison.


    This is also the respect of younger generations for their elders.


    "Haha, how are you all! I heard that our emergency department has recruited two go-getters. It''s better to meet each other than to be famous. Today I finally got to see the demeanor of the two!"


    This rich doctor is easier to deal with than imagined.


    People are also very cheerful.


    "Doctor Fu, I have something to discuss with you. Zhou Can wants to stay and study more, so he insists on asking me to say hello to you. Can you let him exercise with you in the operating room?"


    What Dr. Xu promised is just two words, reliable.


    Whatever Zhou Can asked him to do, as long as he agreed, he would definitely take it to heart.


    It is definitely a blessing for Zhou Can to meet such a down-to-earth senior doctor.


    Many senior doctors are condescending and arrogant in front of newcomers. Not to mention asking them to do something, even asking them about medical problems depends on their mood.


    "That''s no problem! Multiple helpers, that''s a good thing."


    It''s because of Dr. Xu''s face, Dr. Fu didn''t hesitate at all, and readily agreed.


    "Since Dr. Xu asked him to exercise, he must be optimistic about his surgical ability. I also heard that Dr. Zhou has made great achievements twice in two days in the emergency department. Tell me the truth, so I can do it Do it in your mind."


    The smile on Doctor Fu''s face disappeared.


    The tone has also become a lot more serious.


    This attitude is to clearly tell Dr. Xu that the introduction must be pertinent and not watery.


    "The work is fairly solid, and the level of suturing is about the same as that of a resident doctor who has worked for two or three years. Lack of surgical experience, excellent diagnostic ability. That''s about it. In a word, seeing is believing. You can arrange for him after seeing his ability. An opportunity to exercise. If it doesn¡¯t work, stop at any time.¡±


    Dr. Xu''s evaluation of Zhou Can is quite conservative.


    This is also for the benefit of both parties.


    In case something happens, he, the introducer, is more or less responsible.


    "good!"


    Doctor Fu has a bottom line in his mind.


    Dr. Xu took Jin Mingxi and others to the operating room.


    "Goodbye, Doctor Zhou!"


    Qiao Yu waved goodbye to Zhou Can.


    After getting to know Zhou Can better, she seemed to admire this peer even more. The relationship between each other has become a lot better during the two consecutive days of cooperation.


    "bye!"


    Zhou Can waved his hand and grinned at her.


    "By the way, I''ll be on the night shift tomorrow. After the milk tea money is calculated, why don''t you send it to my phone!" As she spoke, she took out her phone and tapped the screen a few times. "You scan it and add a friend."


    Ever since Dr. Lu entered the operating room, his gaze had been on Qiao Yu.


    Now that Qiao Yu took the initiative to ask Zhou Can to add her WeChat friend, his motherly face turned green on the spot.


    But this man is very smart.


    I was extremely jealous in my heart, but I didn''t rush forward angrily to stop it.


    Instead, he took a deep breath, suppressing his anger like a Sichuan opera changing face. There was a slightly unnatural smile on his face.


    I saw that he also took out his mobile phone and moved up.


    "Qiao Yu, don''t you want to write a dissertation? Why don''t we become friends too, and you can private message me any time you have any surgical questions. I believe that with my senior resident doctor teaching you personally, the dissertation must pass .¡±


    When Dr. Lu was courting a girl, he was really thick-skinned.


    But the reason he was looking for was good.


    At least the name is justified and will not be underestimated.


    "Thank you, Dr. Lu, for your enthusiastic help. I see that you are usually very busy, so I am really sorry to bother you. Didn''t you add Dr. Zhou as a friend? It''s the same if you have questions about surgery in the future!"


    Qiao Yu smiled and thanked Dr. Lu, but the screen of the mobile phone in her hand turned black naturally.


    "This, this..." Dr. Lu wanted to say something more, to save him.


    "Goodbye, Doctor Lu!"


    She was already smiling and waving goodbye.


    Only Dr. Lu was left with a pretty back view.


    Dr. Lu''s expression was as if he had just announced the results of the college entrance examination, full of confidence that he would pass the exam. Then I checked the score, **** it, how could it be possible to only get 200 points? Filled with joy, was poured with a ladle of cold water.


    One can imagine the taste.


    Zhou Can almost couldn''t help but laugh when he saw his sour expression.


    Today''s girls are all masters at handing out good person cards. When meeting an unsuitable suitor, they don''t feel offended, but smile and politely hand out a good person card.


    Or like Yang Chan, who specially feeds soft nails to people.


    Dr. Lu failed to add Qiao Yu''s WeChat friend, and he still didn''t give up. He has a brilliant mind for doing this kind of thing.


    Turning to look at Zhou Can.


    "Doctor Zhou, didn''t you add Qiao Yu''s WeChat? Recommend her WeChat business card to me."


    Thanks to him being able to say this kind of request.


    Is this treating Zhou Can as Wu Dalang? Everyone is single and unmarried, why do you think that Zhou Can will definitely give up his sister to him?


    I really don''t know where the superiority and self-confidence come from.


    "Don''t you want to improve your medical skills? I can teach you a thing or two in the future."


    Seeing that he didn''t agree, Dr. Lu immediately offered benefits.


    After Zhou Can heard this, he almost cried out from laughter.


    He knew exactly what level Dr. Lu was. Not sure who will teach whom.


    "I''m sorry, out of respect and protection for women, I''m afraid I can''t agree to Dr. Lu''s request. If Dr. Lu really wants to add her as a friend, I can convey it on her behalf. Dr. Lu is so handsome, and he is already a young woman. A senior resident doctor at Tuya Hospital, with such excellent conditions, I believe she will definitely consider it seriously."


    The good person card doesn¡¯t cost money anyway, so Zhou Can sent him one too.


    I would rather offend a gentleman than a villain.


    Do not offend such a person as much as possible.


    He just asked Zhou Can to recommend Qiao Yu''s WeChat business card to Dr. Lu. He would never do such an immoral thing.


    "Hmm, then I would like to ask Dr. Zhou to say something kindly. If the matter is resolved, I will cover you in the future." Dr. Lu looked like a senior.


    It''s a big cake for Zhou Can, a newcomer in the workplace But he doesn''t think about it, Zhou Can has Dr. Xu as a teacher, and he needs a half-level resident doctor to cover him?


    Talk to people when you see people, talk to ghosts when you see ghosts.


    Zhou Can readily agreed.


    "Liu Xia, prepare for the operation! Dr. Lu will be my assistant, and Dr. Zhou will stand by and study first. If you don''t understand, you can ask me anytime."


    Dr. Fu made a series of surgical arrangements.


    Although he heard that Zhou Can performed very well, he did not have the ability to see Zhou Can with his own eyes, so he was still very cautious when arranging the operation task.


    Zhou Can can also understand.


    There is no way to rush this kind of thing. Trust can only be built step by step.


    Doctor Fu agreed to let him watch and allow him to ask questions at any time, which is already a great care.


    Soon, surgery patients began to come in continuously.


    It''s basically minor surgery.


    Occasionally, there is a second-level hemorrhoid cutting, which is considered a very advanced operation.


    Zhou Can studied humbly by the side, carefully watching Dr. Fu''s surgical steps and methods.


    Different doctors have different surgical styles.


    When Dr. Fu performed surgery, he felt that he tended to be rough.


    Dr. Xu''s surgical style is more delicate. There may have been some accidents, so I deliberately maintain a delicate style to keep myself alert at all times.


    After watching four surgeries in a row, Zhou Can has basically figured out Dr. Fu''s surgeries.


    Compared with Dr. Xu, it is far worse.


    Looking at her in her forties, her surgical skills can barely reach the attending level.


    The team of doctors in the emergency department is really hard to describe.


    It felt like the whole ED was like a ''garbage'' hospice. All the "old, weak, sick and disabled" in various departments have been stuffed into this department.

 Chapter 64： stop others from shining

    The fifth operation is a trauma emergency patient.


    There was a gap in the jaw, and no bone was injured after taking a photo.


    Just debriding and suturing.


    Zhou Can saw a good opportunity.


    There is basically no risk in suturing this patient.


    Fight for it, get the chance to suture, and then perform well.


    Otherwise, if you keep on watching like this, let alone today, tomorrow or the day after tomorrow, you won''t be able to get real training opportunities from Doctor Fu.


    "Doctor Fu, can I do the stitching?"


    Zhou Can plucked up his courage to fight for the opportunity.


    Doctor Fu looked at him with a relaxed expression.


    Because the risk of this operation is extremely low and completely controllable.


    It is also good to take the opportunity to learn about Zhou Can''s surgical skills.


    Unexpectedly, before Dr. Fu could speak, Dr. Lu rushed to say, "I have worked with Dr. Zhou for two days. Although his ability is good, after all, he has just been trained for two days. This operation involves the head and face, which is somewhat risky." The sewing is not good, and it is easy to leave ugly scars. Why don''t I show him a demonstration, does Doctor Fu think it''s okay?"


    In front of the patient, he revealed that Zhou Can was a novice.


    The patient looked at Zhou Can immediately with disgust and contempt. A novice who has just trained for two days, who would dare to stitch him up?


    The relationship between Dr. Fu and Dr. Lu is much closer.


    Worked with each other for many years.


    I will not lose face of Dr. Lu.


    What''s more, what Dr. Lu said is indeed reasonable.


    "Haha, Dr. Lu is more considerate, so Dr. Lu will suture it."


    Doctor Fu readily agreed.


    The patient breathed a sigh of relief, and swallowed all of Zhou Can''s words to sew him up.


    Zhou Can scolded his mother in his heart, this doctor Lu is really despicable.


    Knowing that he has even completed more difficult operations independently.


    But he came out at this critical moment to prevent him from performing.


    Nothing more than jealousy.


    He didn''t want him to be recognized by Dr. Fu.


    In this way, it is very difficult for Zhou Can to get the opportunity to practice surgery.


    "Xiao Zhou, watch out! If it was someone else, I would not teach you so patiently. Check the wounded first..."


    The more I listened, the more disgusting I became.


    With poor medical skills, he is still acting as a teacher here, self-righteously teaching Zhou Can how to debride the wound and how to suture the wound.


    Zhou Can felt like being forcibly fed shit.


    It would be a waste of talent not to become an actor.


    In fact, since yesterday, he has noticed that Dr. Lu is afraid of being surpassed by him, and has already developed jealousy.


    I didn''t expect to trip him up directly today.


    This operation is definitely out of the question.


    The next time he encounters a suitable operation, I am afraid that Dr. Lu will continue to prevent his progress.


    This is a bit difficult to handle.


    Zhou Can''s status and connections are not as good as that of the senior Dr. Lu.


    Being stuck in the neck by this bastard, it is difficult to break the situation.


    A patient with a jaw injury left the operating room shortly after the stitches were completed.


    As for the level of suturing, it barely reached the inferior level of a resident doctor.


    This is Dr. Lu''s unreserved true strength.


    I really wonder if his senior resident doctor bought it?


    Under normal circumstances, senior residents, especially outstanding ones, can already reach the level of excellent suturing for residents. Those who are close to it can at least reach the intermediate suturing level of residents.


    There are no shortcuts when it comes to surgery.


    A point of sweat, a point of harvest.


    Dr. Lu is usually so lazy, presumably he seldom practiced in private.


    It is normal that the level of medical skills is not as high as that of senior doctors.


    "Xiao Zhou, how are you learning? How to insert needles and how to tie knots when suturing, you have a lot of knowledge." Dr. Lu regarded himself as a senior, and "tips up" Zhou Can.


    "It''s not a small gain!" Zhou Can said with a smile.


    After being forcibly fed shit, how delicious is it?


    Lord Ma didn''t show his power, probably because he didn''t know that Zhou Can had three eyes.


    "Oh, tell me and Doctor Fu quickly, what have you gained?"


    The smile on Dr. Lu''s face deepened a little.


    "For example, when the second stitch is not tied properly, it can be removed and re-sewed. Or when the hook of the lower needle is a little bit off, you can properly tighten the suture and tie three knots to strengthen it."


    Zhou Can replied seriously.


    Puchi!


    Nurse Liu Xia almost burst out laughing.


    He quickly turned his head away, but his shoulders shook uncontrollably.


    Doctor Fu also couldn''t hold back his laughter, but he quickly suppressed his laughter out of consideration for Doctor Lu''s face.


    The eyes are wide open, the mouth is tightly closed, as if stuck in glue.


    The expression itself is very humorous.


    After a short moment of astonishment, Dr. Lu froze the smile on his face and disappeared little by little, his face turned livid, and his fists were clenched hard.


    He took several deep breaths in a row before suppressing the anger in his chest.


    What''s wrong with Dr. Zhou?


    Just answer truthfully.


    Dr. Lu''s surgical skills are poor, and his work is sloppy, and he also asked Zhou Can, a junior doctor, to praise him. Zhou Can is not plasticine who can be rounded or flattened by others.


    He is humiliating himself.


    "Call the next surgery patient in!"


    Doctor Fu resolved Dr. Lu''s embarrassing situation in time.


    After this incident, Dr. Lu should restrain himself and dare not bully Zhou Can as a fool.


    Some newcomers are easy to bully, while others have thorns.


    "Ah yo... ah yo..."


    A young man in his twenties was pushed into the operating room with a hole in his right trouser leg, and the blood had already stained a large part of his jeans red.


    Based on experience, it should have been stabbed in the thigh by a sharp weapon.


    Judging from the guy''s clothes, he looks like a migrant worker on a construction site or a worker in a repair factory.


    "What''s the matter with this man?"


    "He and another worker had an accident while operating the grinding wheel. After the grinding wheel exploded, a piece of debris penetrated his trouser leg and entered the meat. He needs to have a subcutaneous foreign body removal operation!"


    "Have you been checked?"


    "I took a picture, and there is no bone injury."


    "Alright, get on with your work!"


    Doctor Fu took the CT film taken by the patient and watched it carefully.


    Dr. Lu also stepped forward to watch.


    Zhou Can frowned slightly and stared at the patient who kept moaning miserably.


    From the first glance alone, he felt that something was wrong with this patient.


    Can''t tell exactly.


    The patient''s face seemed much paler than normal. The same goes for the lips.


    In addition, the blood from the patient''s right leg was very bright red.


    Out of a doctor''s instinct, he felt that this patient was abnormal.


    This is because after his various medical skills have been promoted to a certain level, his diagnostic ability has improved, and this is the first time he has a keen intuition for sniffing out hidden diseases.


    In order to have a clearer diagnosis, Zhou Can walked up to the patient and observed it carefully. UU Reading


    Dr. Lu''s heart tightened when he saw that he had been checking in front of the patient.


    There is no way to get a chance to exercise.


    "The foreign body is not deeply embedded, so it won''t be too difficult to remove. Doctor Fu, why don''t you leave it to me?"


    Doctor Lu is usually surprisingly lazy.


    Been working so hard today.


    When something goes wrong, there must be a demon.


    Zhou Can could guess what he was up to with his toes.


    It was nothing more than seeing that Zhou Can was very concerned about this patient, and worried that Zhou Can would fight for this exercise opportunity.


    So, he didn''t do it, and he didn''t stop, and he acted first.


    Without waiting for Zhou Can to speak, he directly snatched away the chance of surgery.


    "Hmm! The foreign body removal from the subcutaneous tissue is only a minor operation. The foreign body is embedded in the lower limbs, so the risk is not great. You can operate on the patient without any problem."


    Dr. Fu was very relieved to entrust this operation to Dr. Lu.


    I secretly wondered, Dr. Lu was very active today.


    It seems that there is still a little competition!


    In the past, Dr. Lu really pushed and moved. None of the senior doctors didn''t say he was lazy.


    Now that Dr. Lu has become more diligent, Dr. Fu is very happy.


    "You had several surgeries in the morning, and you''re really tired. Leave this surgeries to Xiao Zhou and me. You can just sit and rest for a while, and just do some work for us."


    Although Dr. Lu has a lot of shortcomings, he is very good at flattering his superiors.


    At least he got on well with a few of his superior doctors.


    If I have to generalize, this person should be inclined to the type of bullying and charming.


    "Xiao Zhou, cut off the patient''s trousers and clean the surgical site."


    He unceremoniously ordered Zhou Can to fight.

 Chapter 65： If you want him to die, let him go crazy first

    Zhou Can hesitated.


    There must be something wrong with this patient, but he hasn''t found out what''s wrong.


    According to the surgical safety regulations, patients who encounter problems should suspend the operation.


    But how should I tell the two superior doctors?


    "What, you think my title is low, only doctor Fu can call you?"


    Seeing his delay in agreeing, Dr. Lu was a little unhappy.


    "This patient''s condition seems to be abnormal. I suggest that Dr. Lu postpone the operation."


    Zhou Can dissuaded very seriously.


    Even if it is just a simple minor operation, there may still be hidden risks that cannot be seen.


    He knew very well that Dr. Lu already had a grudge.


    At this time, it may be difficult to persuade Dr. Lu to postpone the operation.


    I just hope Doctor Fu can trust him once.


    "what do you mean?"


    Doctor Lu stared at him with an unfriendly expression.


    The villain not only has a dark heart, but also often likes to judge the belly of a gentleman with the heart of a villain.


    He thinks other people are as mean and shameless as he is.


    He took it for granted that Zhou Can prevented him from undergoing surgery, because he was jealous that he snatched the opportunity to practice surgery twice in a row.


    Doctor Fu also looked at Zhou Can.


    "Uh... I can''t tell. I just rely on the doctor''s intuition to think that this patient is abnormal." Zhou Can was also very helpless.


    His experience in diagnosis and treatment is not rich enough.


    Although some abnormalities can be detected in the patient, the specific reason cannot be found out.


    It''s like seeing a thief enter the house, but having no way of finding out where the thief is hiding.


    I don''t even know what the thief is going to steal.


    If Dr. Xu was here, he might be able to spot the problem at a glance.


    "Can''t tell? Where do you think this is? This is the operating room! It''s the operating room, do you understand?" Dr. Lu, based on his preconceived ideas, felt that Zhou Can was just looking for trouble, and deliberately prevented him from operating.


    In order to wait for an opportunity to take away the chance of surgery, or deliberately create embarrassment for him.


    This time he spoke very rudely.


    He just missed pointing at Zhou Can''s nose and swearing.


    "Doctor Fu, I think Zhou Can is just jealous that I robbed him of his opportunity to practice surgery, so he makes trouble for no reason. This kind of behavior is not only childish, but also easy to cause bad influence, and should be resolutely stopped."


    Doctor Lu looked at the patient pointedly.


    Think about it too.


    The patient is sober now, the doctor said some irresponsible words here, what does the patient think?


    "Xiao Zhou, as a newcomer, you should read more, learn more, think more, and be cautious in your words and deeds. This is the end of this matter, and this will not be an example."


    Doctor Fu''s tone and expression were quite serious.


    Almost like a serious warning.


    As long as Zhou Can dares to make alarmist remarks and disrupt the normal order of the operating room, Doctor Fu will mercilessly drive him away.


    It is even possible to file a complaint with Dr. Xu and Director Lou.


    "Okay! I will definitely pay attention in the future."


    Zhou Can must sincerely admit his mistake at this time, otherwise he will most likely be rejected if he wants to operate with Dr. Fu next time.


    Dr. Lu successfully cleaned him up, the corners of his mouth slightly raised, showing a hint of complacency.


    A rookie still dares to compete with his old comrade for this and that, he simply doesn''t know the heights of the heavens and the earth.


    If I don''t teach this newcomer a lesson, I''m afraid I don''t know the names of my parents.


    "Xiao Zhou, you have to eat one bite at a time. You have only been here for two days, and I have been working for almost eight years. Don''t think that if you are talented, you will surpass anyone at every turn. Hurry up and work!"


    Doctor Lu taught him a few words, but enough was enough.


    Take the time to do surgery.


    Zhou Can carefully cut open the patient''s jeans, and the wound was clearly exposed.


    It was a long, fairly regular wound, surrounded by blood.


    However, the amount of bleeding from the wound was not very large.


    It just oozes blood slowly.


    He froze for a moment, why is the color of the blood always bright? According to medical common sense, after the blood flows out of the body, it will coagulate and turn dark red soon.


    "Xiao Zhou, what are you thinking? Hurry up!"


    Doctor Lu urged.


    The superior doctor has this power.


    The newcomer was scolded, so he could only listen honestly and follow the advice of the superior doctor.


    Zhou Can didn''t think about it so much, and cut off the **** trousers to the end of the trousers, and then threw them into the trash can.


    Liu Xia has to clean the surgical site for the patient.


    Doctor Lu stopped it.


    "Let Xiao Zhou do it! Newbies should start with the smallest things, otherwise it''s easy to get too high."


    Liu Xia gave Zhou Can a sympathetic look.


    She is an old nurse with rich social experience.


    From Dr. Lu''s various attitudes towards Zhou Can, he has noticed that Dr. Lu seems to have a lot of opinions on this newcomer.


    It is a normal process for the old comrades to teach the new comrades a lesson, to give a few blows, and to let the newcomers be more honest.


    She tacitly stood beside her with a plate.


    Zhou Can took the pliers, clamped the sterile cotton, and cleaned the blood around the patient''s wound.


    "Aw... it hurts, it hurts..."


    The disinfectant seeped into the wound, causing the patient to scream in pain.


    "Be careful when disinfecting. Clean the area around the wound first, and then clean the blood above the wound after I finish the anesthesia."


    Doctor Lu taught him a lesson.


    It was cleaned up in no time.


    Dr. Lu injects anesthesia into the patient.


    The wound was located on the inner thigh 8cm above the knee.


    The high-speed rotating grinding wheel burst suddenly, and its power was no less than that of a bullet.


    The wounded man was only wounded in the leg, which is already a blessing in misfortune.


    If it hits the head, eyes, or heart, the consequences are much more serious.


    For such a superficial injury, local anesthesia should be enough.


    "Can you still feel the pain?" Dr. Lu tried to press around the wound.


    "It doesn''t hurt anymore. Please help me operate quickly!" The patient seemed to trust Dr. Lu''s medical skills, after all, he was an old doctor who had worked for eight years.


    Therefore, sometimes doctors have to be able to package themselves.


    "Doctor, will my leg be affected in the future?"


    "Judging from the pictures taken, the situation is relatively good. Whether there is any impact will not be known until the foreign body inside is removed and the wound heals."


    Dr. Lu answered impeccably.


    This point is worth learning for newcomers like Zhou Can.


    Answer the patient''s questions as conservatively as possible. Never use affirmative words.


    Definitely, absolutely, totally... Experienced old doctors never use these affirmative words in reply to patients.


    Instead, use words with a high degree of flexibility.


    Maybe, perhaps, generally, probably...


    "Okay, I will immediately remove the foreign body inside. Judging from my eight years of surgical experience, the wound is not complicated and the foreign body is relatively flat, and the operation time will not be too long."


    Dr. Lu once again mentioned his proud eight years of work experience.


    It should refer to three-year training and five-year residency.


    In fact, all residents with undergraduate degrees follow this process. Well done Five Years Promotion Indications. Ten years of poor work may not be able to be promoted to attending physician.


    Especially a provincial key tertiary hospital like Tuya.


    They are all top-notch, and the pressure of competition increases geometrically every time the professional title is promoted.


    People who are nearly 40 years old and still working as resident doctors are not one or twoThe normal promotion process is basically that when they have worked as a resident doctor for three years, they perform well and can win a place for further study . After returning from advanced studies, he will work as a general inpatient for one year, and if there are no accidents, the working years will meet the requirements of the competent department, and he will be able to be promoted to the attending level after passing the exam.


    It''s not particularly difficult to be promoted to a doctor, the real difficulty is to evaluate the title of deputy senior.


    I don''t know how many people got stuck in this level.


    Doctor Fu is the best example. The age is over 45 years old, but the title of deputy senior professional is still far away. With a high probability, he has been working until retirement and is still an attending doctor.


    "Xiao Zhou, don''t stand still, hold the film so that I can refer to the depth and position of the foreign object at any time."


    Dr. Lu likes to treat subordinate doctors like slaves the most.


    Yesterday, Jin Mingxi was unfortunately ordered by Dr. Lu for nearly a whole morning.


    Now it''s Zhou Can''s turn to be unlucky.


    But Zhou Can is different from Jin Mingxi. With Zhou Can''s ability, sooner or later he will be appreciated and trusted by Doctor Fu. At that time, Dr. Lu''s good days of domineering will come to an end.


    If Dr. Xu was here, how dare he shout at Zhou Can like this?


    Zhou Can suppressed his anger and held up the film for Dr. Lu to check at any time.


    "Hold it up a little higher and face the light! You can''t hold a picture, you''re so stupid!"


    Doctor Lu scolded.


    It was not enough to give Zhou Can a killing blow, and he had to give a few more.


    Zhou Can followed suit honestly.


    If you want him to perish, you must first make him rampant.


    Let Dr. Lu be arrogant for a while.


    There is definitely something wrong with this patient, let alone Dr. Lu, a **** with high eyesight and low hands, who performed the operation on him.


    Even if Dr. Fu performed the operation himself, he might stumble.

 Chapter 66： The accident happened only in an instant

    I saw that Dr. Lu took the scalpel with a masterly demeanor and enlarged the wound.


    "That little Zhou, hurry up and help pull the hook!"


    Doctor Lu shouted.


    Zhou Can had no choice but to put down the film, took the flat hook, and opened the wound.


    It is worth mentioning that different flat hooks are used to pull wounds or tissues in different parts. For example, in breast surgery, L-shaped flat hooks are often used. For the abdominal wall, use a large abdominal hook. For appendix surgery, use double-ended hooks.


    When Zhou Can was an intern, he was often scolded for pulling hooks with Director Liu or other doctors.


    Later, I pulled the hook more often. I knew what hook to use for which part and how to pull it. I rarely got scolded.


    Famous teachers produce outstanding apprentices.


    Director Liu''s surgical skills are very high, and Zhou Can''s ability to pull hooks can be regarded as practiced.


    At least on par.


    After Dr. Lu''s scalpel enlarged the wound, the blood gushed out even more violently.


    However, he has quite a lot of experience in surgery, so he didn''t panic.


    Instead, let Zhou Can **** the blood away, and then calmly continue to expand the wound and cut down.


    This is mainly the muscle and dermis.


    There are only two large blood vessels.


    As long as you are careful, it usually won''t break.


    At this moment, the black grinding wheel fragments have appeared.


    It''s actually a metal grinding wheel.


    The fragments are embedded in the dermis and muscle layers, quite deep.


    "Xiao Zhou, learn a little bit. Judging from the patient''s film, this piece of debris is triangular in shape. The big head is exposed outside, and there must be only a sharp corner left under it. Just clamp the tail of the piece and pull it out. Speed Be fast and act handsomely."


    Dr. Lu suppressed Zhou Can to death, and the operation went smoothly, he was already drifting.


    I saw him grab the fragment with pliers and pull it out forcefully.


    The posture is very handsome.


    "Chi Chi!"


    Tiny blood columns are sprayed out directly.


    This sudden change frightened Dr. Lu into a fool.


    "Is the blood vessel broken?"


    Doctor Fu''s face changed slightly, and he hurried over to check.


    "It shouldn''t be a big problem. It may be that the fragments have injured the blood vessel. After pulling out, the blood vessel has a small opening. Simple repair should be enough."


    Doctor Lu pretended to be calm.


    At this moment, he has not realized the seriousness of the problem.


    Zhou Can''s face has become very serious.


    He never found out what was abnormal about the patient.


    When cleaning the wound, I just had a little idea, and was interrupted roughly by Dr. Lu.


    It was not understood until this moment that the patient likely had a coagulation disorder.


    No wonder the blood has not coagulated, and after a period of time outside the body, it still maintains a bright red color.


    [Pathological diagnosis experience value +1. ¡¿


    The experience value was successfully credited to the account, and it really was a coagulation disorder.


    Too bad it was diagnosed a little too late. Tragedy has happened.


    Dr. Lu enlarged the wound, which already increased the amount of bleeding.


    Now after pulling out the fragments, the broken blood vessels lost their suppression and started to spurt blood directly.


    This time it''s in big trouble.


    It''s ridiculous that Dr. Lu thought it was just normal bleeding, not a big deal.


    I was afraid that it would be too late to cry.


    Of course, the first person to cry must be Doctor Fu.


    When something goes wrong, the first person to be held accountable is the doctor with the highest status.


    This is a bit like the army having lost a battle, the general is punished, not the soldier.


    "Stop the bleeding quickly!"


    Doctor Fu was so regretful that his intestines were green.


    If I had known that Dr. Lu was so good at handling things, I should never have asked Dr. Lu to preside over this operation.


    "It''s hard to stop the blood."


    Zhou Can has already walked to the cabinet where the first aid items are stored, looking for the binding gauze tape for hemostasis.


    The patient has a coagulation disorder, and electrocoagulation may be difficult to hemostasis.


    Tighten the proximal end of the thigh first, which is the only effective way to stop bleeding quickly.


    Zhou Can''s idea is very simple, control the bleeding first, and then find a way to stop the bleeding.


    Otherwise, according to this bleeding rate, it won''t be long before the patient will be life-threatening due to excessive blood loss.


    "Xiao Zhou, shut your crow''s mouth for me!"


    Doctor Lu''s expression was somewhat ferocious.


    When something goes wrong, no one is in a good mood.


    I saw him take the electric coagulation knife and point it at the sources of bleeding.


    Zizi!


    The blood was stopped immediately.


    But not long after it stopped, it soon began to bleed out again.


    Only then did Dr. Lu realize how bad the situation was.


    Zhou Can doesn''t care about this bastard, just do his own thing well.


    Tighten the patient''s proximal thigh with gauze tape.


    The bleeding finally stopped temporarily.


    "Doctor Lu, if you continue to charge it, it will be burnt. Debridement will be a troublesome thing at that time."


    Zhou Can couldn''t stand it.


    Dr. Lu''s hemostasis is not good at all, and he is still acting recklessly there.


    This is not to stop the bleeding, but to cause more harm to the patient.


    At that time, whoever will clean up this mess will have a headache.


    "Shut up!"


    Dr. Lu''s eyes were red, and his expression was ferocious.


    I could feel a terrible hostility emanating from it.


    "Doctor Zhou is right! You should stand on stage first."


    With a cold face, Dr. Fu drove Dr. Lu off the operating table.


    The most panicked ones are probably the patients.


    "Doctor, is my leg okay? What''s going on?"


    Although the patient is only a young man in his early twenties, his experience is still inexperienced. But I also felt the danger from the conversations of these doctors.


    Fear spread rapidly in his heart.


    "Don''t worry, that fragment probably broke the wall of your blood vessel a little bit. We''re trying to figure it out."


    After comforting the patient, Doctor Fu looked at Zhou Can.


    After the crisis just happened, Zhou Can reacted quickly, and the solution was very good.


    The judgment is accurate, and the hemostatic strategy is scientific and reasonable.


    It''s true at first glance.


    "Doctor Zhou, why did you think the patient''s bleeding was difficult to stop just now?" Doctor Fu thought that before the operation Zhou Can had suggested to postpone the operation.


    In the end, he believed Dr. Lu''s nonsense, and instead criticized Zhou Can.


    Now that something happened, it is too late to regret.


    "The patient is likely to have coagulation dysfunction, and ordinary hemostasis methods may not be effective."


    Zhou Can stated his diagnosis opinion again.


    Doctor Fu wished he had listened to him sooner.


    Now it''s too late for catastrophe.


    "Tell me about your diagnosis!"


    Doctor Fu''s face became as pale as a patient''s, and layers of oily sweat appeared on his forehead.


    He also had this bad premonition.


    Now Zhou Can suspects that the patient has a coagulation disorder, and his last trace of luck is gone.


    "When the patient was sent in, I felt that his face was paler than normal. Also, the blood around the patient''s wound was very fresh. It stands to reason that after the blood flows out of the body, it will coagulate soon. The color is dark red and black. But at that time, only these two points were found, and I am not too sure that the patient has a coagulation disorder."


    Zhou Can paused, and glanced at the flustered Doctor Lu.


    "It wasn''t until Dr. Lu enlarged the surgical wound on the patient that I realized that the patient probably had a coagulation disorder. Just now he used electrocoagulation to stop the bleeding, but it was almost ineffective. I can basically confirm that the diagnosis is correct."


    When doctors perform surgery, what they are most afraid of is that the patient has coagulation dysfunction.


    Because this patient was undergoing emergency surgery, trauma, and minor surgery, the attending doctor may not have done a routine blood test for him.


    After simple inquiry and CT examination, he was sent directly for surgery.


    The doctor who was attending the consultation had good intentions, thinking of operating on the patient as soon as possible to relieve the pain.


    Unexpectedly, something went wrong.

 Chapter 67： Guipei saved the attending

    "Collect a blood sample and send it for testing immediately! At the same time, give the patient intramuscular injection of vitamin K1 to control the bleeding!"


    Doctor Fu still has two brushes.


    He made a decisive decision and made a safe treatment arrangement.


    The patient''s legs cannot be tied all the time, and the terminal limbs will not be bleeding for a long time, and will soon be necrotic.


    And this ischemic necrosis is irreversible.


    It needs to be untied every 15 minutes or so to let it bleed once.


    "Doctor Fu, the patient''s bleeding is serious, is it safer to use intravenous drip?" Zhou Can reminded.


    His hemostasis has now risen to the level of attending.


    The ability to stop bleeding is no worse than that of Dr. Fu.


    Dr. Fu may be somewhat out of order because of his inner anxiety.


    Not so much attention is paid to some trivial things.


    In the case of severe bleeding in patients, intramuscular injection can easily cause muscle bleeding.


    An IV drip is slower to work, but safer.


    "Thanks for your reminder. Don''t give the intramuscular injection, and give the patient an intravenous drip. Safety is the most important thing."


    Doctor Fu gave Zhou Can a grateful look.


    This young man is indeed extraordinary.


    If I had listened to his suggestion, I would have postponed the operation.


    Right now, I don''t know if I can cross this hurdle?


    Nurse Liu Xia seemed a little nervous when she was making an intravenous indwelling needle for a patient.


    She is an old nurse, and her skills must be fine.


    It''s just that this patient has a blood coagulation disorder, and there is a panic atmosphere in the operating room, so she inevitably feels nervous.


    "Let me do it!"


    Zhou Can took the indwelling needle.


    "This requires a lot of injections, can you..." Liu Xia also understood Zhou Can''s kindness.


    But Zhou Can''s work experience is really less.


    Including the one-year internship, I only worked for about a year with all my budget.


    Doctors rarely practice injections, and many residents are not as good at injections as nurses. It is impossible for a regular training doctor to be any better.


    This patient had already had an accident during the operation. If something happened after the intravenous access was built, Dr. Fu might be furious no matter how good-tempered he was.


    "Isn''t that all right?"


    Zhou Can''s injection technique is skillful and precise.


    It takes about two seconds to complete the indwelling needle.


    "My God... Dr. Zhou''s injection technique is too powerful!" Liu Xia''s mouth was opened wide, and her pancake face looked even bigger because of her shock.


    Dr. Lu stood under the operating table, looking depressed for a while.


    Things were going in the direction he least wanted to see.


    Not only has Zhou Can won the attention of Doctor Fu, but even the nurse Liu Xia has begun to admire Zhou Can''s ability.


    On the other hand, he, a senior resident doctor, suffered a crushing defeat.


    If he got into trouble this time, Doctor Fu will definitely guard against him in the future.


    Possibly a bonus.


    After the successful establishment of IV access, the patient has started an IV infusion of vitamin K1.


    Doctor Fu hurriedly called to report to Director Lou.


    An accident occurred in the operation, not only he was in trouble as the attending doctor, but even Director Lou was in trouble.


    We are all grasshoppers in the same boat.


    After hanging up the phone, Doctor Fu''s face was very ugly.


    "It will take half an hour for Director Lou to arrive at the hospital. Let''s stop the bleeding first and check the situation. If it doesn''t work, we can only call a specialist doctor for consultation."


    After ten minutes, try to untie the gauze tied on the patient''s leg.


    As soon as it was untied, blood spurted out again.


    Everyone''s heart sank, and the worst result appeared.


    Vitamin K1 injections turned out to be ineffective.


    Doctor Fu even thought of crying.


    Who would have thought that a first-level surgery could make such a big mess.


    His ability to stop bleeding is only so high, it seems that he can only seek help from a specialist.


    The specialist doctors are afraid that cynicism will be necessary again.


    Zhou Can kept frowning to observe the patient''s bleeding.


    At this moment, Dr. Fu was helpless, so he decided to try his own hemostasis solution.


    "Doctor Fu, the patient is bleeding profusely, and conventional hemostatic drugs have little effect. Can you try a combined treatment plan?" Zhou Can suggested.


    "Doctor Zhou, please speak!"


    Now as long as someone can stop the patient''s bleeding, let him pass this test. He can call his father.


    Zhou Can performed very well one after another just now, which made Doctor Fu dare not treat him as an ordinary Gui Peisheng anymore.


    "Intravenous oxygen, ice cold, it is best to lower the temperature of the operating room to below 15 degrees."


    Zhou Can gave a combined hemostasis solution.


    This advanced treatment plan can be used flexibly during the operation, and Dr. Lu can''t even think about it.


    I could only be stunned for a moment.


    "For the patient, there will be no danger and no sequelae."


    Zhou Can added.


    These two methods of hemostasis are safer than drugs to stop bleeding.


    Needless to say, ice cold is a common emergency hemostasis method.


    Intravenous oxygen supply is used in the treatment of various acute and chronic hypoxia and ischemic diseases, various shocks, acute and chronic cardiopulmonary failure, drug poisoning, carbon monoxide poisoning, etc.


    It is not a routine hemostatic means.


    But the emergency hemostasis for this patient is very applicable.


    It can not only help lower blood pressure, but also help patients'' blood coagulation factors to be more active.


    Those who can give such a different approach to hemostasis show that their understanding and technique of hemostasis have at least reached the level of the attending physician.


    Doctor Fu couldn''t help but looked at Zhou Can in shock again.


    There are no worthless people under the famous name.


    This Dr. Zhou really deserves his reputation.


    "Immediately lower the temperature in the operating room, and take an ice pack to cool the patient''s wound. I will personally perform the intravenous infusion of hyperoxic fluid."


    Doctor Fu is like a drowning man grasping at the last straw.


    Completely follow the treatment plan given by Zhou Can.


    "Doctor Lu, hurry up and get an ice pack."


    Dr. Fu gave orders to Dr. Lu.


    "ah¡­"


    Dr. Lu is a senior resident doctor with a very distinguished status. Shouldn''t Zhou Can, a small regular trainee, be asked to do this kind of errands?


    "Ah, what? I didn''t ask you to go, why did I ask Dr. Zhou to go? You have half of Dr. Zhou''s ability and don''t put it in..." Dr. Fu stopped when he cursed.


    The patient listened to him. Although Dr. Lu was hateful, he still had to maintain his image.


    Soon, after following Zhou Can''s series of hemostasis plans, the patient''s bleeding speed dropped down noticeably.


    In the end, some capillaries even stop bleeding automatically.


    Everyone breathed a sigh of relief. UU Reading


    Doctor Fu''s frowned brows relaxed a lot.


    There was a happy expression on his face for the rest of his life after the catastrophe.


    "Doctor Fu, the hemostasis is under control now. According to the degree of blood spurting after Dr. Lu took out the metal fragments, an artery must have been ruptured. But this should not be the femoral artery. It is probably just a branch."


    Zhou Can finally got the chance to perform.


    "Well, your analysis makes sense."


    Doctor Fu nodded in agreement.


    Unknowingly, when he, the majestic attending physician, discussed his illness with Zhou Can, his tone and mentality were completely normal.


    And he seems to be the weaker side.


    This is the direct impact of strength.


    Even Dr. Fu found this kind of drastic change in status a bit ridiculous.


    If it weren''t for Zhou Can''s age, he would only be 24 years old.


    He even wondered if Zhou Can was deliberately pretending to be a pig and eating a tiger here by a certain doctor in charge?


    "Do you think you can entrust me with the debridement work? It''s also convenient to find out the bleeding situation quickly!"


    Zhou Can''s request this time was really upright and confident.


    "Okay! But be careful!"


    Doctor Fu hesitated for about two seconds, and finally agreed.


    Doctors are human too, with flesh and blood and feelings.


    Zhou Can had just saved him once, and asked for a chance to practice debridement, would he have the nerve to refuse?


    Doctor Lu''s eyes flickered, but he didn''t dare to say anything.


    He wanted to stop Zhou Can from showing his surgical ability, but he was powerless.


    Doctor Fu looked at him with cold eyes, like a glow on his back, he probably wanted to strangle him to death.


    At this time, it is most sensible to reduce the sense of presence.

 Chapter 68： this is no joke

    Zhou Can''s debridement technique is currently at the second level, which is a low level of regular training, not too advanced.


    It was more than enough to deal with the wound in front of him.


    If it wasn''t for Dr. Lu''s stupid pig, he scorched the patient''s two bleeding points with the electric coagulation knife. Debridement will be less difficult.


    After pulling out the fragments, a small column of blood spurted out from the wound.


    It is possible that when Dr. Lu pulled out the fragment, the sharp edge of the fragment cut the blood vessel.


    It''s also possible that the fragment had punctured the blood vessel in the first place.


    Before it was pulled out, it was tightly pressed because it was embedded in the muscle.


    So there was no bleeding.


    After pulling out, there is no barrier at the opening of the blood vessel, and the blood spurts out directly.


    This is also the reason why someone is pierced by a sharp weapon, and the sharp weapon is stuck in the body and must not be pulled out.


    If you don''t pull it out, it may just be bleeding slowly.


    There is still hope for rescue if sent to the hospital in time.


    Once pulled out, the pressure disappears, which can easily cause massive bleeding.


    The wounded will die quickly.


    "This branch artery is punctured by debris. What do you think?"


    Zhou Can pointed to the broken blood vessel and asked Dr. Fu to check it.


    This is a minimum respect for superior doctors.


    No matter how powerful he is, if he doesn''t know how to respect the superior doctor, he will be unable to move forward.


    There is one more thing he did well.


    Zhou Can did not say that Dr. Lu cut the blood vessel, but said that the fragments punctured the blood vessel.


    They can compete and even involve, but they cannot tear each other down in front of patients.


    "Well, the damage to the blood vessel is really not serious. It can be repaired with a blood vessel anastomosis."


    What Dr. Fu was most worried about was hurting the femoral artery.


    The result now is much better than expected.


    "Can I do the anastomosis? I have done many anastomoses under Dr. Xu, and there are no failed cases yet."


    Zhou Can hurriedly promoted himself.


    After spending so much effort and only earning 1 point of debridement experience, he is not so easily satisfied.


    Take the initiative to stay and work overtime.


    It is to quickly earn a lot of surgical experience points.


    Whenever he gets the chance, he will fight for it like a hungry wolf.


    "I''ll repair the blood vessels, and leave the rest to you!"


    Dr. Fu was a little scared after seeing Dr. Lu''s pig-like skills.


    Such an important task as vascular anastomosis should never be easily handed over to junior doctors.


    "Okay! Thank you, Doctor Fu."


    It is also quite good that Zhou Can successfully got a chance to suture.


    As long as he has the opportunity to perform, he can gain Doctor Fu''s trust step by step.


    Are you afraid that you will not get the opportunity to exercise in the future?


    Dr. Fu''s suturing ability is already at the level of attendings, and it is simply a pleasure to watch him perform vascular anastomosis. A lot of matching skills can be learned.


    After he finished sewing, the blood test will be done.


    The blood flow was smooth, and the anastomosis was very successful.


    No matter how weak the attending physician is, he is still the attending physician, and the level of strength lies there. It''s really not comparable to a resident doctor.


    "Doctor Zhou, I will leave the rest to you!"


    Doctor Fu gave up his seat.


    However, after learning the lesson from Dr. Lu''s accident, he did not go to the stage to rest. Instead, stand by and watch, so you can guide as you go.


    As soon as Zhou Can got the first stitch, Doctor Fu''s expression lit up.


    With appreciative eyes, a smile appeared on his face.


    It seems that Dr. Xu didn''t exaggerate this kid''s ability!


    Next, Zhou Can''s momentum was like a broken bamboo, and the meeting was fast and good.


    Doctor Fu''s eyeballs almost fell out in shock.


    Nurse Liu Xia was also shocked.


    Is this really just a regular training doctor who just went to work for three days? Why does it feel stronger than Dr. Lu, a resident doctor?


    "The stitching is complete, please ask Doctor Fu to check it!"


    Zhou Can treated the patient''s wound well, and this dangerous operation with twists and turns finally came to a successful conclusion.


    He also successfully broke through Dr. Lu''s blockade, showing off his surgical prowess.


    "Haha, the stitches are very good! In the future, I can entrust you with all my operations and skin stitches."


    Doctor Fu laughed heartily.


    A successful resolution of a crisis, to him, was like a catastrophe of life and death.


    "Push the patient out! Because he has coagulation disorders, give him a bed in the observation area for observation for a day to avoid accidents."


    This kind of minor operation is always carried out in Tuya Hospital.


    For patients with postoperative risks, the routine treatment method is to let the patients stay in the observation area for a day or two to observe.


    After the patient was sent out, Doctor Fu breathed a sigh of relief.


    I was about to call to report to Director Lou, but I didn''t expect that Director Lou had already arrived at this time.


    Straight into the operating room.


    "What about the bleeding patient?"


    Director Lou asked with a sullen face.


    He, the director of the emergency department, looks at the scenery, but the pressure is greater than anyone else.


    It is necessary to find ways to improve the rescue rate of the emergency department, but also to find ways to generate income for the emergency department and improve the level of diagnosis and treatment. I have to worry about it all day long, praying that the doctors below will not make trouble.


    If a first-level surgery patient died on the operating table, the entire emergency department would be a laughing stock.


    The dean and the vice dean in charge of business pointed to their noses and cursed.


    "It has been cured after surgery!"


    Doctor Fu reported truthfully.


    He was really depressed.


    If it is found that the patient has coagulation dysfunction before the operation, they will solve the problem of the patient''s bleeding through a series of means. If it is spread out, it is definitely a resounding achievement.


    But now that Dr. Lu treats her like this, it''s not bad if she doesn''t get scolded.


    "Healed? Doctor Fu You can''t joke about this matter, let alone cheat. If you get into trouble and are afraid of being scolded, you will deal with the patient hastily. I can''t bear this responsibility."


    After Director Lou heard this, not only did he not look happy, but his face turned even darker.


    "Don''t worry, although I, Fu Chachun, have mediocre medical skills and mediocre performance, I never shirk my responsibilities. I will never make fun of the patient''s life. This is also the basic morality of a doctor. I guarantee with my personality that the patient really healed me. alright."


    Doctor Fu had a serious face and a serious tone.


    Director Lou stared into his eyes for a full 20 seconds. He didn''t believe it until he saw the calmness in Dr. Fu''s eyes.


    Afterwards, I will definitely have to check the patient myself to be relieved.


    "For patients with blood coagulation disorders, it is difficult to stop the bleeding. In addition, if the artery is broken, even I may not be able to stop the bleeding. Dr. Fu was able to successfully stop the bleeding in such a short period of time, and performed the operation Finished, it really surprised me. It seems that your medical skills have improved a lot!"


    Director Lou''s tone softened a bit.


    Doctor Fu was ashamed.


    It''s not that his level has improved a lot, but that a super-strength Gui Peisheng came and saved him just once.


    "Tell me about the whole treatment process! Also, the patient has blood coagulation dysfunction, so didn''t he get checked before the operation?" Director Lou''s voice became sharper again.


    The preoperative inspection is not in place, which is a serious flaw.


    Surgery is not a child''s play, and such low-level mistakes are never allowed to be made.


    "It was indeed my negligence to carry out the operation without waiting for the results of the routine blood test before the operation." Doctor Fu is also a man, and he took this responsibility directly by himself.


    Originally, the person most responsible for this matter was Dr. Lu.

 Chapter 69： support

    "What do you want me to say about you? He is 46 years old and has practiced medicine for more than 20 years. He can make such low-level mistakes. They are newbies who don''t understand, don''t you understand? The safety of surgery is above everything else, How many times do I need to emphasize this?"


    Director Lou''s voice roared in the operating room.


    He is really angry.


    The safety awareness of the doctors under him is weak, so they must be strictly controlled.


    "Director Lou, calm down. I should have reminded Dr. Fu earlier. If you want to scold me, scold me."


    At this time, Dr. Lu stood up and pretended to be a good person.


    This is definitely a scheming whore.


    In a simple sentence, I exhausted my scheming.


    On the surface, he stood up very righteously to help Doctor Fu share the punishment.


    At the same time, he told Director Lou cryptically that the patient''s mistake of undergoing surgery without a blood test had actually been discovered by him a long time ago. It''s just that his status is low, so he didn''t remind Dr. Fu.


    Director Lou glanced at him, his eyes were soft.


    "Next time you find a problem, just speak up."


    He didn''t expressly praise Dr. Lu, but there was a sense of praise in his words.


    "OK!"


    Doctor Lu has a low eyebrow and is pleasing to the eye, as well-behaved as a little daughter-in-law.


    "By the way, let''s quickly talk about the whole process of your treatment of patients, especially the hemostasis plan."


    After Director Lou scolded them, he cared more about whether the patients really received effective treatment.


    After Dr. Fu reported the situation to him, he realized that the patient''s hemostasis would be very difficult. On the way back to the hospital, he thought about the hemostasis plan over and over again.


    "Liu Xia, tell me, just tell the truth."


    Doctor Fu first glanced at Doctor Lu coldly, and then turned to nurse Liu Xia.


    Nobody is a fool.


    Good-natured people are late bloomers. They were ripened by bad people like Dr. Lu. When others are smart, they are stupid and stupid. They are honest when others weigh the pros and cons.


    When others run out of ideas, their souls open up.


    Doctor Fu stood up and shouldered the responsibility.


    But Dr. Lu, the real ''perpetrator'', was not only not grateful, but stood up to pretend to be a good person, deliberately distorted the facts, and claimed credit in front of Director Lou.


    Anybody would be on fire.


    Doctor Fu is kind and honest, but that doesn''t mean he''s easy to bully, let alone stupid.


    When the patient had a hemorrhage, he drove Dr. Lu off the operating table without hesitation, and he could see that his appointment was not for nothing. When it''s time to be ruthless, he will never be soft.


    Dr. Lu was too smart to play such tricks in front of him.


    If it was normal, Dr. Fu might not bother to care about it.


    At this moment, he was already full of anger and had a lot of opinions on Dr. Lu. Now a criminal who stabbed the basket is actually in front of him, pretending to be a good person and innocent in front of Director Lou.


    There is no way to do this if you want to be in the top position.


    People are against each other.


    It seems that Liu Xia is not ashamed of Dr. Lu''s two-faced style.


    After receiving Doctor Fu''s hint, she no longer had any scruples.


    "At that time, the patient screamed all the way and was pushed into the operating room. There was a wound on the inner thigh of the right leg near the knee, and the blood stained the jeans in a large area. After questioning, I learned that when the patient was operating the grinding wheel, the grinding wheel It exploded, and a fragment pierced through the patient''s jeans and penetrated into the flesh. Dr. Fu picked up the CT film for inspection at the first time, and the injury was not serious."


    She was eloquent.


    Describes the entire surgical procedure.


    "At that time, Dr. Lu was watching the CT scan with Dr. Fu, while Dr. Zhou was frowning and observing the patient''s wound and face. Dr. Lu offered to ask Dr. Fu to entrust him with the operation. Dr. Fu agreed. "


    Director Lou nodded again and again, and looked at Dr. Lu more softly.


    It seems that Xiao Lu has become diligent.


    This is a good thing.


    "Dr. Lu asked Dr. Zhou to be his assistant and asked Dr. Fu to rest beside him. Before the operation, Dr. Zhou once..." When Liu Xia said this, Dr. Lu winked at her desperately.


    He motioned her to take the part where Zhou Can stopped his operation.


    Liu Xia pretended not to see it.


    Go ahead and state the facts.


    "Before the operation, Dr. Zhou advised Dr. Lu to postpone the operation. Unfortunately, Dr. Lu mistakenly thought that Dr. Zhou was jealous of him, so he didn''t follow Dr. Zhou''s advice. He also sued Dr. Zhou at Dr. Fu''s place and scolded Dr. Zhou. .¡±


    Liu Xia felt that Zhou Can had suffered a lot of grievances.


    Now that she has this opportunity, she should tell the truth and give Zhou Can justice.


    Of course, doing so would definitely offend Dr. Lu.


    And everyone is a selfish refinementist. Nurses also have justice and conscience in their hearts.


    "Liu Xia, can you stop talking nonsense? I just thought Dr. Zhou shouldn''t talk nonsense in front of patients, so I scolded him."


    Doctor Lu''s eyes were so fierce that he could eat people.


    Doesn''t this nurse know what to say and what not to say?


    "What she said is just the truth. What is true cannot be false, and what is false cannot become true. It is even more impossible to turn black and white in this world."


    Doctor Fu, an honest man, exploded.


    There are two kinds of people in this world that you can''t mess with.


    The first type, the silent person. He is not afraid of you, but you have not touched his bottom line.


    The second type is people who smile all day long. Don''t think that he doesn''t care about anything. If you offend someone he cares about, he will turn his back on you and you won''t have time to cry.


    Dr. Lu touched Dr. Fu''s bottom line. Dr. Fu will not let him pass this hurdle easily.


    In the future, Dr. Lu will not show any kindness.


    Director Lou can become the director of the department, and his medical skills, personal ability, and management ability must be outstanding.


    Immediately heard some clues from Doctor Fu''s words.


    Squinting his eyes slightly, he glanced at Dr. Lu meaningfully.


    Just this one glance made Dr. Lu feel like he was on ice.


    "Liu Xia, keep talking. The courage to tell the truth is very commendable."


    Director Lou personally supported her.


    Dr. Lu may not know that Zhou Can has already been selected by Director Lou as a pillar of the emergency department.


    The person who will take the lead in the future.


    Director Lou was very angry when he heard that Zhou Can had been wronged a lot.


    He even made up his mind to appease Zhou Can.


    Such a genius, if he is run away by Dr. Lu, a guy with poor medical skills, it will definitely be a loss for the entire emergency department.


    "After scolding Dr. Zhou, UU Reading Dr. Lu ordered Dr. Zhou to do various tasks. During this period, he scolded Dr. Zhou several times. He also taught Dr. Zhou, don''t think that you have a talent Thinking of surpassing so-and-so. Dr. Zhou did not refute the whole process, and was serious about being an assistant."


    When Liu Xia told about Dr. Lu''s behavior of bullying the newcomers, she felt extremely relieved.


    Although it is possible to suffer retaliation from Dr. Lu.


    She doesn''t care anymore.


    To be a human being is to be worthy of one''s conscience.


    "During the operation, after Dr. Lu took out the fragments from the patient''s body, blood spurted out immediately. Then Dr. Zhou said that the patient''s blood might be hard to stop. Dr. Fu also realized the seriousness of the problem and drove Dr. Lu away The operating table. Next, Dr. Zhou said that the patient probably has coagulation dysfunction. Dr. Fu agreed with Dr. Zhou''s diagnostic point of view."


    Speaking of this, Dr. Lu has revealed his true colors.


    No matter how scheming you are, you will be vulnerable in the face of the facts, and your scheming will be in vain.


    His face was ashen.


    "Xiao Zhou''s diagnostic ability is really abnormal. His diagnostic ideas, flexible use of medical knowledge, and comprehensive judgment of various information about patients are all outstanding. It''s a pity that no one listens to his opinions."


    Director Lou directly praised Zhou Can''s diagnostic ability to the sky.


    This is also a high degree of affirmation of Zhou Can''s behavior during the operation.


    Dr. Fu was extremely ashamed and said, "This is the first time I have dealt with Dr. Zhou. I really shouldn''t underestimate his suggestion. I shouldn''t have believed Dr. Lu''s slander against him. Fortunately, the patient turned the crisis into safety, otherwise I''m afraid I will regret it."


    At this moment, if Dr. Fu still doesn''t understand that Dr. Lu is the real despicable person, then he is too stupid.


    Dr. Lu has turned into a street mouse, and everyone shouts and beats him.

 Chapter 70： You cant cover anyones light

    "Haha, not to mention you, even I almost made the same mistake. Who would have thought that Gui Peisheng could be so powerful?"


    Director Lou thought of Zhou Can''s two meritorious deeds in the emergency room, and couldn''t help but feel a lot of emotion.


    People are not sages, and it is the easiest mistake to underestimate those who are not as qualified as themselves.


    "Tell me how to stop the patient''s blood!"


    Director Lou was more interested in this point.


    Based on his knowledge of Dr. Fu, he should not have the ability to stop bleeding so difficult.


    "After we suspected that the patient had coagulation dysfunction, we first thought of giving the patient intramuscular injection of vitamin K1. Zhou Can suggested that intramuscular injection could easily lead to local muscle bleeding. So we followed his suggestion and changed to intravenous infusion. But after taking the medicine, the effect was not good. It was ideal. Later, I was ready to invite a specialist to come for consultation. At this time, Dr. Zhou gave a combined hemostasis plan..."


    Doctor Fu told the truth about what happened.


    Zhou Can''s credit was not erased for the sake of face.


    From this point at least it can be seen that Dr. Fu is an aboveboard person.


    "It''s Zhou Can''s credit again?"


    Director Lou turned his head to look at Zhou Can, with a thick and friendly smile on his face.


    "My boy, can''t you be more humble? You have been in the emergency department for three days, and you have to make a great contribution every day."


    Such a difficult hemostasis was actually done by Gui Peisheng.


    In addition to being shocked, Director Lou was more surprised.


    "Hey, that''s because you and the superior doctors have cultivated well and are willing to give me a chance to exercise!"


    Zhou Can''s answer does not say full marks, at least 90 or more.


    Looking at the brighter smiles on the faces of Doctor Fu and Director Lou, it can be seen that Zhou Can''s answer made them very happy.


    Director Lou turned his head to look at Dr. Lu who lowered his head and looked uncertain.


    If the ground has seams and is big enough. Dr. Lu will definitely get in immediately.


    Those little thoughts of his were exposed to the ''sun''.


    The good image that was disguised suddenly collapsed.


    Now it''s like a clown, which is disgusting.


    "Xiao Lu, it''s been a few years since you transferred to our emergency department, right?"


    Note that Director Lou used ''our emergency department''.


    No matter how it sounds, it seems that Dr. Lu is not regarded as one of his own.


    It shows that he has a very strong opinion on Dr. Lu.


    "It''s been four years!"


    Dr. Lu''s shoulders were slightly slumped, and his waist was also slightly bent.


    He also knew it was time to be beaten.


    If you have a sincere attitude, at least you won''t be beaten lightly.


    "At the beginning, I transferred you to the operating room and trained you step by step. I hoped that you would be promising and that you could make contributions to the emergency department. I didn''t ask you to meddle here, let alone use methods to suppress newcomers."


    Director Lou''s tone kept getting heavier, without even a trace of a smile on his face.


    His gaze was as cold as frost in nine autumns.


    "Remember, this era will not stop you from shining, but you can''t cover anyone else''s light."


    Dr. Lu''s head is like a chicken pecking at rice.


    "I won''t dare next time!"


    He dared not look up at all.


    I wanted to stop Zhou Can from making progress. In the end, Zhou Can was too evil, not only did not prevent success, but made Zhou Can soar into the sky and become even more dazzling.


    But he was notorious and became a negative teaching material.


    All the dirty tricks used to suppress Zhou Can were exposed.


    He''s turned into a total clown.


    "If there is a next time, we will not keep you in the emergency department. When the general surgery department kicked you out, you had no chance to continue working in Tuya Hospital. It was Dr. Xu who gave you a hand and begged me to come out to the hospital leadership Say good things and let you stay and work in the emergency department. Over the years, Dr. Xu, Dr. Fu, and I have been working hard to teach you, and want you to become an attending doctor as soon as possible, and share more with us. But what about you? Ba Nao has done a lot of things, but the level of medical skills has not improved much."


    Director Lou blamed Dr. Lu one by one.


    They are so well-intentioned that they hope that he can achieve something.


    Because the medical team in the emergency department is inherently weak, if you want to become stronger, it is the best solution to train new talents.


    Dr. Lu''s talent is not bad, but his work attitude is not correct.


    I don''t even know how to cherish.


    This has led to today''s situation.


    Director Lou, Dr. Xu and others have always tolerated him, hoping that he will get better.


    Unexpectedly, not only did he not get better, but he even played tricks on the top talent recruited by the emergency department with great difficulty.


    Director Lou didn''t slap him to death, he was being polite.


    But I''ve made it clear, and I''ll give him one last chance.


    If there is another time, he will be directly kicked out of the emergency department.


    "I will definitely change my past. Please Director Lou and Dr. Fu believe me and change. If I can be promoted to the attending doctor next year, I can be on duty alone, and you, Dr. Fu and Dr. Xu won''t have to work so hard."


    Doctor Lu said to change it.


    But the dog can''t change the problem of eating poop.


    Still don''t forget to flatter Director Lou and others.


    "Hmph, I''m afraid it will be quite difficult for you to be promoted to an attending physician next year! It is king to work hard to improve the surgical ability and medical diagnosis level first, so work hard!"


    Director Lou said blankly.


    I''m afraid I''m thinking in my heart, this little Lu''s surgical ability is about the same as that of a resident doctor who has been working for a year or two, and he is still far behind the level of attending. I still want to be promoted to the attending doctor next year, I''m afraid I''m just thinking about farts.


    Of course, as the leader of the emergency department, he would never say such hurtful words.


    He also tactfully told Dr. Lu that there is basically no hope of being promoted next year.


    "Okay, I''m going to see the patient. You guys get on with your work!"


    Director Lou left in a hurry.


    Walking to the gate of the operating room, he still didn''t forget to turn his head and tell him, "Doctor Fu, it''s not easy for our emergency department to recruit talents like Zhou Can, we must train them well."


    "Understood! Even if you don''t say hello, I''m ready to train him well."


    Doctor Fu smiled and nodded.


    Obviously, Zhou Can''s previous series of excellent performances have completely conquered Dr. Fu.


    Which superior doctor doesn''t like such an outstanding newcomer?


    With a little training, when Zhou Can becomes famous in the future, Doctor Fu can follow suit.


    It would be even more beautiful if Zhou Can was grateful for his kindness in supporting him and would repay him in the future.


    After Director Lou left, the new surgical patient was pushed into the operating room This is a patient with a fishbone stuck in his throat. It may have been dragged on for several days, and the throat is obviously red and swollen. The patient even had difficulty breathing.


    "According to the description of the patient''s family, I attended a relative''s 60th birthday three days ago, and accidentally got stuck in a fishbone while eating. I heard from the person at the same table that drinking vinegar can get the fishbone out. After drinking vinegar, it didn''t matter. It works. Later, I heard that swallowing food hard can swallow the fishbone together. After trying it, it still didn¡¯t work, and the fishbone got stuck even deeper.¡±


    After hearing these simple methods, Zhou Can shook his head.


    Tufangzi is harmful!


    If the fishbone is stuck in the throat upside down, it is indeed possible to get it out by swallowing food.


    But doing so is extremely dangerous.


    It is easy to cause the fishbone to pierce the esophagus, causing bleeding, abscess, and even life-threatening.


    As for jealousy, the fishbone will become soft when soaked in vinegar.


    But the process of drinking vinegar is very short, and the fishbone cannot be soaked. The part stuck into the meat is even more impossible to soften. Drinking a large amount of high-concentration acid vinegar can also easily burn the esophagus.


    Therefore, both methods are not advisable.


    If you cannot remove the fishbone by yourself, you must go to the hospital in time.


    Sometimes it is delayed for a long time, causing very serious consequences, and it may not be possible to save the patient in the hospital.


    "Come on, open your mouth and let me see!"


    Doctor Fu told the patient to open his mouth.


    When the patient raised his head, an expression of pain immediately appeared on his face.


    Breathing also becomes more difficult.


    I saw that the patient''s throat was already swollen, and the throat was squeezed to less than 0.5cm wide.


    Several medical staff could not help but gasp.


    Once the airway is completely blocked, it takes only a few minutes to be fatal.

 Chapter 71： Can I try it?

    "Why did you wait until now to find a doctor? You are in a very dangerous situation, and you may lose your life at any time." Doctor Fu was very angry.


    Doctors feel very sad every time they see such patients who die due to delay.


    "Doctor Lu to push the laryngoscope over."


    Doctor Fu ordered with a blank face.


    It can be clearly felt that Dr. Lu''s status in the operating room is no longer as good as that of Zhou Can.


    Everywhere speaks with strength.


    Even more so in the operating room.


    No matter how good the flattery is, if he is soft as soon as he is on the operating table, he can only be a softie.


    Dr. Lu looked like an angry little daughter-in-law. She gave Zhou Can a resentful look, and after finishing the laryngoscope obediently, pushed her over.


    "We are now going to do a laryngoscopy for you to see where the fishbone is inserted, how deep it is, and whether there is any suppuration. You must cooperate, understand?"


    "Uh-huh!"


    The patient nodded repeatedly.


    After laying the patient down on the operating table, teach him to open his mouth wide and insert the laryngoscope for examination.


    Irritation to the throat is easy to swallow and vomit.


    This requires the cooperation of the patient.


    Fortunately, this is an adult male, and his endurance is not bad.


    Doctor Fu told him to relax, and he relaxed. Cooperate with inspection throughout.


    "Oh, this fishbone is very thick! And it''s so deep that only a small section is exposed."


    After passing the laryngoscopy, Dr. Fu''s face was quite serious.


    "This can only be tried by pinching it. If it can''t be pulled out, it can only be sent to surgery for removal."


    Emergency departments have limited surgical capacity.


    If this patient is going to undergo an invasive surgery to take the thorn, he must only let the surgical specialist evaluate the surgical plan. Because of the need to operate from the neck, the surgical risk is extremely high.


    If the surgeons feel that the risk of surgery is too high after assessment, the patient may not be able to get off the operating table.


    Then there is no way to operate.


    The patient will most likely die.


    It''s not that the doctor refuses to save him, but that he can''t.


    With professional knowledge and experience, doctors can predict that even if an operation is performed, the patient will die on the operating table.


    So it is better to let the patient adopt some conservative treatment, maybe there is still a chance of survival.


    "Ugh..."


    The patient seemed to be aware of the seriousness of his condition, and kept bowing to Dr. Fu and Zhou Can.


    Ask the doctor to save him.


    He was too anxious and his throat was so swollen that he couldn''t even speak.


    "Don''t worry, we will definitely try our best."


    Doctor Fu comforted the patient with a gentle voice.


    Stabilize the patient''s emotions.


    This is why experienced doctors are usually reluctant to tell patients directly when they find out that a patient is terminally ill. Instead, he secretly told his family members.


    Because once the patient''s emotions break down, it is very unfavorable to the treatment.


    Tell a little story.


    Once, two patients, A and B, went to the hospital for physical examination at the same time. It turned out that the doctor who was in charge of recording the computer was a sloppy intern. Inverted the results of the two patients.


    Patient A thought that what he had this time was likely to be seriously ill, because he occasionally vomited blood.


    A look at the test results, it is only mild gastritis.


    That''s all right.


    Just take some medicine.


    Patient A lives happily every day, and pays more attention to health after the last scare.


    Patient B had no major problems at first, but just felt a little bloated.


    Take a look at the test results.


    Almost fainted on the spot.


    What I got was terminally ill, gastric cancer in the late stage.


    Patient B stumbled back home, locked himself in the room and cried for a long time.


    The doctor told him that he only had three months to live at most.


    After his grief, he began to arrange funeral affairs. Then wait for death to come.


    Every day is very depressed, full of fear.


    He felt that his health was getting worse and worse, and death seemed to be getting closer.


    Until one day, the hospital discovered that the results of patients A and B were entered into the computer incorrectly.


    Immediately notify the two patients to re-examine.


    As a result, the doctor was surprised to find that patient A, who was originally suffering from cancer, unexpectedly improved dramatically. There are even signs of recovery.


    The patient B who was originally only gastritis, because he lived in depression, fear, and sadness every day, gastritis turned into gastric cancer.


    Six months later, patient B died of cancer. Patient A''s gastric cancer was cured.


    This story is a true story that happened in France.


    Later, after follow-up visits and investigations of many patients, doctors found that patients who are in a happy mood are more likely to recover. Patients who are depressed are more likely to get worse.


    To this day, doctors have attached great importance to the influencing factor of the patient''s mood.


    After comforting the patient, Dr. Fu began to use the laryngoscope to pull out the fish bone from the patient with tweezers.


    once, twice...


    After Dr. Fu tried many times, they all ended in failure.


    Tired and sweating profusely.


    "No, the fishbone is too deep. The part left outside is very short, and it''s hard to pull it out deep in the throat." Dr. Fu said helplessly.


    Zhou Can has been acting as an assistant by the side.


    The laryngoscope clearly displayed the condition of the fishbone on the screen.


    Including the process of Dr. Fu pulling out the fishbone.


    "Doctor Fu''s long pole instrument control seems to be a bit of a dish!"


    He only dared to twitch this thought in his heart.


    Never dare to show half of the face.


    To pull out the fishbone stuck deep in the throat, the grasping technique should be used.


    Zhou Can instinctively felt that his third-level grasping technique seemed to be able to pull out this fishboneDoctor Fu, can I try it? "


    Pulling out this fishbone is dangerous.


    Zhou Can can only try his best to fight for it.


    Doctor Fu glanced at him, pondered and didn''t dare to agree immediately.


    "The operation of this kind of long-arm tweezers is very difficult, try using it to pick up the surgical crochet needle!"


    Out of trust in Zhou Can''s previous excellent performances, Dr. Fu did not immediately refuse.


    Instead, I decided to take a look at Zhou Can''s grasping skills first.


    The corner of Dr. Lu''s mouth twitched, revealing an imperceptible sneer.


    As a senior doctor, although his medical skills are not very good, he still knows exactly which operations are difficult and which are easy.


    Grasping has always been regarded as a director-level medical skill.


    It is often used in various high-precision minimally invasive surgeries or major surgeries above grade 3.


    To do some high-end minimally invasive techniques, the attending level may be just the beginning, and it is only qualified to be an assistant. The chief surgeon is at least the deputy chief physician.


    Grasping is the most basic medical technique of minimally invasive surgery, and it is also the most difficult medical technique to improve.


    Zhou Can, a little Gui Peisheng, dared to challenge the director-level grasping technique, it was too arrogant.


    Doctor Lu waited to see how he could humiliate himself.


    Nurse Liu Xia has cleverly handed Zhou Can a pair of long tweezers.


    The arms of this tweezers are more than 25cm, which is more than twice as long as ordinary straight tweezers.


    One can imagine the difficulty of manipulating it to pick up a tiny suture needle.


    I saw Zhou Can unhurriedly holding the long tweezers to pick up the crochet needles on the plate.


    The movements are like flowing clouds and flowing water, and the crochet hook can be easily and firmly clamped.


    This is the gripping ability at the resident level.

 Chapter 72： Surgical epiphany

    "Good guy, I have to let you try your calm and light grasping technique! You must pay attention to safety during operation, so as not to hurt the patient''s esophagus."


    Doctor Fu admired Gui Peisheng so much.


    Eighteen kinds of martial arts, really proficient in all of them.


    Did this kid start practicing surgery in the womb?


    He has a deep understanding of how difficult it is to practice the grasping technique and how difficult it is to improve it.


    When Dr. Fu was young, he was also a very motivated and ambitious doctor. Since his third year as a resident, he has determined to learn from chief physicians. One day, I will also stand on the operating table to manipulate minimally invasive surgical tools and instruments, and solve the patient''s lesions with four or two tricks.


    It was not until he was 38 years old that he passed the attending examination by chance and was hired by Tuya Hospital as an attending physician.


    Since then, he began to work hard for the title of deputy senior.


    The grasping technique has become an advanced medical technique that he practiced the most.


    However, time is limited, talents are limited, and conditions are limited.


    He is over 46 years old after practicing, but his grasping skills barely reach the inferior level of a resident doctor.


    The difficulty of improving this medical skill is not particularly high for a talented doctor. But for a doctor like him who has no talent in this area, it is simply a nightmare.


    It''s harder than climbing to the sky.


    With Zhou Can''s strength in grasping skills just now, Doctor Fu can tell at a glance that Zhou Can is stronger than him.


    With such an evil junior, Doctor Fu is more than envious, but more happy.


    It is a great blessing to have a powerful helper in future operations.


    "It can be operated. I will hold the patient''s tongue and hold the laryngoscope for you."


    Doctor Fu himself acted as his assistant.


    Zhou Can carefully manipulated the long tweezers into the patient''s throat, and with the help of a laryngoscope, approached the fishbone little by little.


    Then operate the long tweezers to clamp the tail of the fishbone in the limited narrow space of the larynx.


    The first gripping failed.


    The second time...until the fourth time I finally clamped the end of the fishbone firmly.


    At this time, his heart was particularly tense.


    Hands began to lose control, shaking.


    After taking a few deep breaths, he tried to maintain a calm heart, and pulled out the long tweezers with little force.


    It''s a pity that the fishbone got stuck too deep.


    Coupled with the swelling of the surrounding tissues, the fishbone was firmly embedded in the meat and could not be moved at all.


    With a little force, the tail end of the fishbone will come out of the grip of the tweezers.


    Zhou Can tried several times in a row, but all ended in failure.


    Sweat kept gushing from his forehead.


    Liu Xia wiped his sweat carefully.


    After such a long time, the patient couldn''t stand it anymore.


    Moreover, the patient''s throat was stimulated for a long time, causing him to have a severe vomiting reaction.


    There are not many opportunities left for Zhou Can.


    "It would be great if we could use sharp tweezers. Although this kind of round-headed flat tweezers is much safer, it is not easy to stab the throat tissue. But when picking up fish bones, it can only hold a short section of the tail of the fish bones."


    Zhou Can knew very well that Dr. Fu would never agree to let him use sharp forceps.


    Then there is only one last way.


    Instead of clamping the fishbone with the tips of the tweezers, hold the fishbone a little behind the tips of the tweezers.


    This will ensure that the root exposed by the fishbone is clamped as much as possible.


    When pulling back, the tail end of the fishbone is not easy to come out from the tip of the tweezers.


    Taking a deep breath, Zhou Can tried to operate according to the train of thought just now.


    After several hard attempts, I finally caught it again.


    He closed his eyes and carefully felt the pinching force of the tip of the tweezers. Try to find the touch.


    Looks like it hasn''t gotten to the root yet.


    If you pull it upwards, the fishbone will probably come out from the tip of the tweezers.


    "vomit¡­"


    The patient began to experience severe nausea.


    The unexpected movement of the throat allowed Zhou Can''s tweezers to successfully grab more parts of the fishbone.


    He could feel that it should be caught at the root where the fishbone was exposed.


    Just like fishing, if it is a small fish, you will feel very light when you lift it up.


    If it is a big fish, it will be much stronger and appear particularly heavy.


    "Success or failure depends on it!"


    With his eyes still closed, he slowly lifted the tweezers up by hand.


    laugh!


    A slight click passed from the tip of the forceps to his fingers.


    "Well!"


    The patient let out a grunt of relief.


    A smile appeared on Zhou Can''s face, he opened his eyes, and withdrew the tweezers from the patient''s throat little by little.


    Finally exited safely.


    I saw a rather thick fishbone clamped on the tweezers, which was more than 2cm long.


    Seeing that the fishbone that almost killed a person was successfully removed, everyone had a happy smile on their faces.


    [Gripping experience value +1. ¡¿


    [Congratulations on your comprehension of profound skills in the process of pulling out fishbone, like using your arms and fingers. Reward 100 points of grasp experience. ¡¿


    Zhou Can was stunned for a moment, then ecstatically.


    In addition to reaping the joy of curing the patient, I did not expect to get a reward of up to 100 experience points unexpectedly.


    Grasping is very difficult to practice.


    The reward of 100 experience points is worth half a month of hard training in the dormitory.


    So far, he has been rewarded with experience points many times.


    The highest reward is 100 experience points.


    One was the diagnosis of a super-difficult case, and the other was when I had a great understanding of the use of long tweezers during the process of removing fishbone for the patient.


    When you close your eyes, you can clearly feel the strength and length of the fishbone held by the tweezers.


    This feeling is very strange.


    It''s as real as pinching the fishbone with your fingers.


    It turns out that this is called using your arms and fingers.


    Zhou Can couldn''t help but think of the masters of swordsmanship and swordsmanship in martial arts novels. When they practice the sword or knife in their hands until they are as flexible as their own fingers, they can be regarded as a little successful.


    So, is the wonderful epiphany he had just now considered a small success?


    It''s just that his weapons are surgical instruments such as long tweezers and rongeurs. UU reading www. uukanshu.com


    After the experience value skyrocketed, his grasping technique improved a lot.


    Let him pull out this fishbone again, and he is sure to pull it out successfully once.


    "Okay, okay, finally pulled out!"


    Dr. Fu laughed so hard that the corners of his eyes were wrinkled, but his hair was already very gray.


    Doctors are generally prone to premature aging.


    Because of the high pressure, the brain is overused.


    Many doctors have gray hair by the age of forty.


    "Thank you, thank you!"


    The patient was so excited that he kept thanking them.


    "You can''t leave the operating room just yet. We need to observe the bleeding from the fishbone wound."


    Dr. Fu is quite steady in his work.


    He didn''t become paralyzed because the fishbone was pulled out.


    After laryngoscopy, the bleeding from the fishbone wound was satisfactory.


    If a blood vessel is stuck, it will be a big trouble.


    The patient left the operating room with a smile on his face after thanking him thousands of times. His life was finally back.


    After this lesson, I am afraid that I will not dare to eat fish for a long time in the future.


    Doctor Fu breathed a sigh of relief, and finally cured another patient.


    For him with mediocre medical skills, he is most afraid of encountering two types of operations. The first one has potential risks. The second, seemingly simple, has extremely high technical requirements.


    The second is better, at worst, lose face and ask a specialist to come over for consultation.


    The first one is very scary.


    If you are not careful, you will have a medical accident.


    Ever since Dr. Fu was promoted to an attending physician, he walked on eggshells every time he was on duty.


    But no matter how careful you are, you still have encountered many dangerous situations.

 Chapter 73： Su Qianqians gift

    Therefore, the profession of doctors is definitely a high-risk industry. It is far from being as beautiful as outsiders see.


    As far as salary is concerned, the income of the deputy director and above is indeed not low. But the salary of a resident doctor, Gui Peisheng, is really not high.


    Even the salary of the attendant is not that high.


    However, because doctors have the right to prescribe, attending patients can have some gray income.


    In addition, at the attending level, sometimes you can go to some small hospitals to do private work. Tuya''s attending doctor went to the township hospital for consultation, basically as an expert to make extra money.


    Even if he went to some county-level tertiary hospitals, he made outpatient visits as a famous doctor in a certain field.


    Therefore, Tuya''s doctor title is actually quite high in gold.


    Of course, the level of medical skills is much higher than that of small hospitals.


    Dr. Fu looked at the biggest contributor to this difficult operation, with a smile on his face.


    "Doctor Zhou, tell me honestly, how many skills do you still have mastered? Suture, injection, pathological diagnosis, everything is proficient. You have already achieved quite a lot of advanced surgical skills such as grasping. Show me today The surprises are really wave after wave!"


    Doctor Fu really opened his eyes today.


    Never thought that a Gui Peisheng could be so amazing.


    This kid is just like Sun Wukong, he can fight in the heavens at the top, and trouble the **** at the bottom.


    In the future, there will be one more capable person in the operating room of the emergency department.


    "Actually, I don''t know much, that''s basically it!" Zhou Can said with a modest smile.


    You can''t run out of skills, you have to keep some.


    He will always surprise Dr. Fu.


    "Is that enough? I want to talk to Dr. Xu, and let you follow me for surgery in the future."


    Such a go-getter, which superior doctor doesn''t like it?


    Taking Zhou Can to do surgery together can not only share a lot of surgical work, but also help with diagnosis together to avoid thunder.


    "As long as you don''t think I''m in the way, I can often work overtime in the future. I will learn from you."


    Although Zhou Can knew that Dr. Fu was just joking, he was also worried that he really greeted Dr. Xu.


    It is definitely more promising to hang out with Dr. Xu.


    In terms of emotional foundation, Dr. Xu is the only master currently recognized by Zhou Can.


    "That''s what you said. From now on, as long as I''m on duty, you can come to the operating room to help at any time." After hearing this, Doctor Fu was very happy.


    Expressing your opinion on the spot can give Zhou Can the greatest freedom.


    Zhou Can can decide freely when to help in the operating room and when to leave.


    Dr. Lu next to him was very sour.


    He had known for a long time that as long as Zhou Can showed his performance, he would immediately win the high praise of the superior doctor.


    Now that the deal is done, he can no longer stop Zhou Can from progressing.


    It can only be sour on the side.


    Soon, the next surgical patient was sent into the operating room.


    After gaining the trust and approval of Dr. Fu, it will be much easier for Zhou Can to fight for opportunities to exercise.


    It was easy to get the chance of debridement and suture.


    There was even a chance to anastomose a small blood vessel.


    That''s why Doctor Fu didn''t know his strength, so he was so cautious.


    He has already anastomosed many blood vessels under Dr. Xu.


    Even the nerves have been successfully anastomosed.


    Zhou Can did not dare to be negligent when he finally won the chance of vascular anastomosis.


    With all his efforts, the anastomosis of blood vessels was very successful.


    After seeing it, Doctor Fu nodded in satisfaction.


    I have a new understanding of Zhou Can''s surgical ability. Not surprisingly, in the future there will be general vascular anastomosis, which will most likely be handed over to Zhou Can.


    ¡­


    I have been busy until about ten o''clock in the evening, and few patients who need surgery have been sent in.


    The operation volume of the night shift is much less than that of the day shift.


    However, I heard that the night shift is easy to receive some seriously ill patients.


    For example, patients in car accidents, patients injured in fights, etc.


    In short, it was relatively peaceful tonight, and no such patients were sent to the emergency operating room.


    "Doctor Fu, I have to go to get off work early tomorrow. There are no patients who need surgery now. I''ll get off work first. Do you think it''s okay?"


    "Well, let''s go back! Be careful on the road!"


    Doctor Fu readily agreed.


    Zhou Can was originally obliged to work overtime, with the purpose of learning.


    If you want to go, you can go anytime.


    Out of the operating room, he passed the nurse''s station, and a young short-haired nurse stopped him.


    "Hey, hey, Doctor Zhou, wait a minute."


    Behind the nurse''s desk sat two nurses on the night shift.


    "Ask me to intubate the patient late at night?"


    Zhou Can asked with a smile while lying on the nurse''s desk.


    "Hehe! Doctor Zhou is so enthusiastic. Next time we need to insert a urinary catheter, we will definitely ask you for help." The female nurse covered her mouth and chuckled. "A lady Su asked us to pass this on to you."


    As she spoke, the female nurse took out a very delicate handbag from under the table and handed it to him.


    A lady surnamed Su?


    Zhou Can ran through his mind quickly, and it seemed that there was no female friend surnamed Su.


    There are a lot of scammers these days.


    Fraud methods are also emerging in an endless stream.


    He couldn''t help being vigilant secretly, and took out the items in the bag to have a look.


    It''s a beautifully packaged record.


    It''s also signed.


    Su Qianqian.


    "It turned out to be her!"


    Only then did Zhou Can suddenly realize.


    She is a caring person, and she actually gave Zhou Can a box of records.


    "Yo, from your girlfriend?"


    The two female nurses looked gossipy.


    "I really want to find such a high-level girlfriend, but it''s a pity that people don''t like her! Let''s go, goodbye!"


    Zhou Can left quickly with the bag.


    Back in the dormitory, Jin Mingxi was practicing knot-tying skills.


    Tie a knot on a block of tofu.


    Several pieces of broken tofu have been thrown into the basin next to it.


    The piece that is being practiced is also riddled with holes.


    "I''m home!"


    Jin Mingxi looked up at him.


    "Um!"


    Zhou Can walked up to him, stared at the knot on the tofu, and said with a smile, "Tie a knot on the tofu to ensure that the tofu is not broken and the knot is firm. I heard that is a director-level knotting technique."


    Jin Mingxi smiled wryly, "That''s right! I practiced for several hours, and a pot of tofu was ruined, but my knotting skills didn''t improve much! Sigh, let alone the level of knotting at the director level, I will secretly be happy if I can reach the attending level." Already!"


    That''s what I said, but it can be seen that Jin Mingxi''s knotting skills are already very good.


    At least it is at the middle level of resident medicine, and may even reach the excellent level of resident medicine.


    "Aren''t you about to be evaluated as a deputy senior professional title in the County People''s Hospital? How can your knot-tying skills be at the attending level!"


    "Hey! The professional title evaluation of local hospitals is very watery You don''t know it. In our small county town on the 6th or 7th tier, the level of the chief physician is probably not as good as that of Tuya''s attending physician."


    This is a big truth.


    In county hospitals, residents who have worked as residents for four years can be admitted as attending physicians. After passing, you will be automatically promoted to attending physician.


    But Tuya Hospital, a provincial tertiary hospital, had too much competition.


    Even if residents take the attending examination and pass the exam, they still have to wait in line.


    Because there are only so many attending places in each department of the hospital, people with high medical skills will definitely be hired first.


    As for those who can''t get up and down, they either wait in line for an opportunity, or they are transferred to the outer courtyard to work.


    However, few doctors are willing to leave Tuya Hospital voluntarily.


    They would rather wait in line for an opportunity.


    Because once you leave, it''s almost impossible to come back.


    In terms of development, there must be much more room for development in Tuya Hospital.


    Zhou Can chatted with Jin Mingxi for a few words, and didn''t bother him to practice knotting again.


    After taking a shower, he lay on the bed and prepared to read a book after writing his operation experience, and then went to sleep.


    After a one-day operation, you must pay attention to the balance between work and rest.


    He could not help but glance at the record box that Su Qianqian gave him.


    Tang Ling said that the songs sung by Su Qianqian are very healing for the soul.


    Out of curiosity, he thought about listening to it.


    At any rate, it was a record personally given by a female celebrity.


    Among other things, her autographed record alone is worth a lot of money.


    Opening the record case, a note fell out.


    The handwriting on it is silk embroidered, agile and neat, which looks pleasing to the eye.

 Chapter 74： sounds of nature

    "Doctor Zhou, thank you for discovering my kidney disease, I will actively treat it. I will give you a piece of my latest album as a gift, please don''t laugh! Su Qianqian!"


    This third-tier female star knows how to be grateful.


    Looking at her handwritten thank you letter, Zhou Can smiled knowingly.


    A female star who is both beautiful and talented must not sing too badly.


    Take out the disc inside, it looks quite advanced.


    It is not at the same level as the pirated discs on the market.


    Put the CD into the CD-ROM drive of the laptop, put on the Beyerdynamic brand headphones produced in Germany, and click on the playback software.


    The beautiful picture of the sea appeared on the screen, and the light accompaniment sounded. Su Qianqian appeared in the picture in a floral skirt, wearing a sun hat, pure as the girl next door.


    Immediately afterwards, the melodious singing seemed to fall from the sky.


    Falling down like a waterfall.


    Zhou Can couldn''t help closing his eyes, feeling the spiritual enjoyment brought by the music.


    The exhaustion of a day''s work, all the pressures of real life, and all the troubles are all washed away by the singing like the sound of nature at this moment.


    Her soft, sweet singing seems to be able to infiltrate the depths of Zhou Can''s heart.


    Then wash his soul a little bit.


    Let him have a wonderful experience that he has never had a clean mind, and he can return to one without any dust.


    After listening to the song, he was still immersed in the beautiful singing, unable to extricate himself for a long time.


    It took a long time before he opened his eyes, with a faint beautiful smile on his face.


    His heart has never been so peaceful and comfortable as it is at this moment.


    It seems to be a pleasure from head to toe.


    "No wonder Tang Ling said that the songs sung by Su Qianqian can heal the soul. It seems that they really have such magical power!"


    After listening to Su Qianqian''s song, Zhou Can completely changed his prejudice against actresses.


    In the past, he always felt that the songs sung by many female and male singers were purely moans. There is no artistic beauty at all.


    Especially in this era, capital is king.


    Many actresses and little fresh meats, through capital packaging, publicity, promotion, and planning, quickly became popular and became stars.


    However, the artistic level of these people varies from good to bad.


    Some humming songs are really unbearable.


    There are actually very few female stars like Su Qianqian who are handsome, talented, virtuous and artistic.


    "Singing so beautifully and looking pretty, why is she only a third-tier female singer?"


    Zhou Can feels that she should be able to become a first-line actress with her strength.


    Even became a queen.


    He also doesn''t understand the affairs of celebrities.


    In the future, if I have a chance, I can buy a few more Su Qianqian''s albums to support her.


    Half lying on the bed, listening to music and reading at the same time, he found it a very good enjoyment.


    ¡­


    The next morning, when Zhou Can just woke up, Jin Mingxi had already changed his shoes and was waiting for him.


    "Zhou Can, didn''t you say you want to run together? Hurry up!"


    He just mentioned one thing yesterday, and he took it to heart.


    Jin Mingxi is quite trustworthy.


    "Wait for me for five minutes!"


    Zhou Can hurriedly went to the toilet, brushed his teeth, drank a glass of warm water, then put on his sneakers and went out with Jin Mingxi.


    They live very close to the park.


    Jin Mingxi was not familiar with the surrounding environment, Zhou Can led him into the park.


    The green trees are sprouting here, the environment is quiet, and there are no vehicles coming and going, which is very suitable for morning exercise.


    "Hey, this place is nice! Much better than my morning run on the road yesterday."


    Jin Mingxi smiled.


    "When I was studying at Tuya Medical College, I came here to exercise every day. How about it, won''t it hurt to wait for me in the morning?"


    Zhou Can is actually quite cheerful when he meets someone who is compatible with him.


    Often a joke or something.


    The two started running in circles in the park.


    Because it was early, there were not many people in the park.


    There are only a few scattered old ladies and old men doing Tai Chi, or kicking felt.


    The two had been running for nearly half an hour before they knew it.


    There are more people in the park.


    A young woman with a rather eye-catching figure was wearing a peaked cap and a Bluetooth headset for sports around her neck, and ran over from the opposite side at a leisurely pace.


    In fact, up to now, there are already many people running in the park.


    With the improvement of people''s living standards, many people begin to pay attention to health.


    Not to mention national fitness, at least in big cities, you can see all kinds of people exercising in the morning and evening.


    When the two sides were only seven or eight meters away, the woman stared at Jin Mingxi, and then smiled in surprise.


    "Hi, Jin Mingxi, is that really you?"


    The woman greeted first with a smile.


    Jin Mingxi stared at her twice, and then smiled happily.


    "Haha, old classmate, Ye Zi."


    It turned out that the two were old classmates.


    Zhou Can naturally wouldn''t stay here as a light bulb.


    "That you guys chat first, I''ll go for another two laps!"


    "This is my colleague Zhou Can, who lives in the same dormitory as me." Jin Mingxi hurriedly introduced to her.


    "Hello! Mr. Zhou!"


    The woman named Ye Zi was quite cheerful and outgoing, and greeted Zhou Can with a smile.


    "Hello, hello! See you later!"


    Zhou Can waved to her with a smile, dropped Jin Mingxi and ran away.


    If Ye Zi and Jin Mingxi were old classmates, they should be about the same age. It''s just that regardless of her figure or skin condition, she looks like a young girl in her mid-twenties.


    Being able to maintain such a good figure and firm skin should be related to her daily fitness.


    Therefore, as long as women do not have too much pressure in life, can be self-disciplined, exercise consistently, and strictly control their diet, they can really live younger and younger.


    After Zhou Can ran three laps, Jin Mingxi caught up.


    The woman is gone.


    "I''m sorry just now! I didn''t expect to meet a high school classmate here."


    Jin Mingxi took the initiative to explain.


    "I''m fine. There''s not much difference between running alone and running alone. I just don''t know if you two have any stories? Hehehe!"


    Zhou Can was just making a joke. UU reading


    Unexpectedly, Jin Mingxi''s old face blushed for a while, and he said with a dry smile, "There are stories that I can''t talk about, but they were at the same table in high school for a while, and the two still got along. At that time, I was determined to study medicine, and she chose it." It''s financial management. Haven''t been in touch since high school."


    After speaking, he said with emotion.


    "More than ten years have passed, and she is now an executive of a listed company. But I am just a training doctor at Tuya Hospital. Life is really unpredictable!"


    Everyone has their own opportunities for development.


    There are countless examples of some students who have mediocre grades in school and are even called poor students in the class, and eventually become entrepreneurs, celebrities, and big bosses.


    "We chose the path ourselves. If you hadn''t insisted on getting the admission ticket to Tuya Hospital, I''m afraid you would soon be the deputy chief physician of the County People''s Hospital. Your status isn''t much lower than hers, is it?"


    Zhou Can''s life path is chosen by himself.


    He didn''t need to work so hard, he could live a more nourishing life than most people by being a second-generation ancestor directly, or returning home to pick up his parents'' work.


    But he still chose to be a doctor without hesitation.


    Since he was a child, he felt that doctors who save lives and heal the wounded are particularly great.


    So he decided to become a doctor when he grows up.


    Choosing to practice medicine is not only a hobby, but also an ambition.


    After hearing this, Jin Mingxi smiled mischievously.


    "Hehe, that''s true! Dr. Zhou is so much younger than me, but he has such a deep understanding of life, I am really ashamed."


    "Is it intentional to put a high hat on me? I''m just saying it casually. But I think your female classmate looks at you very specially. Hehe, are you sure you don''t have any thoughts about her?"


    Zhou Can smiled badly.

 Chapter 75： National conditions in the field of minimally invasive

    "Fuck you! Don''t be so dirty, okay? I have a wife and children, okay?"


    Jin Mingxi firmly refused to admit that he had any thoughts about female classmates.


    But her female classmate is fair and beautiful, her temperament is not to mention, and her figure also maintains a girlish curve. If Jin Mingxi wanted to say that he had no idea about her, Zhou Can would not believe it.


    It''s just that married men and women can restrain their desires, don''t do things that cross the line, and be responsible for the family, which is very good.


    ¡­


    The two rushed to work in the hospital. As soon as Zhou Can passed the nurse''s station, Ye Tingting came over twisting her waist.


    "Good morning, Doctor Zhou!"


    "Morning sister Ting! You seem to be more beautiful again!"


    She must be older than Zhou Can.


    "Hehe, are you putting honey on your mouth?" She smiled coquettishly and gave Zhou Can a wink with those watery peach blossom eyes. "Here, this is the number and taste of the milk tea you asked me to count. The sisters have said it, and I will definitely not ask you to invite it for nothing."


    Several rows of flamboyant statistical data are written on medication notes.


    "Please drink a cup of milk tea, is there anyone else who wants to make a promise?"


    Zhou Can took the note and put it in his pocket.


    By the way, he made a joke with Ye Tingting.


    Puchi~!


    "Doctor Zhou is confessing his love to Qiao Yu? It''s a pity that she''s not here today because she''s on the night shift. But don''t worry, she''s short-handed and soft-spoken, and my sister will definitely convey it to you!"


    Ye Tingting laughed so hard that her branches trembled wildly.


    Sometimes it''s a good way to make people closer by making jokes and making people happy.


    Basically tried and tested.


    Just be mindful of proportion and timing.


    If in the operating room, the chief surgeon is sullen, you are still joking there, purely looking for scolding.


    When rescuing patients, if you dare to joke, there is a high probability that you will be beaten by your family members.


    If the joke is too much, it will be even worse, and it is likely to overturn on the spot.


    Zhou Can''s joke was undoubtedly successful.


    Ye Tingting got along better with him and got closer.


    "Don''t, don''t! I''m nothing. The little girl has a thin skin. When you make such a fuss, she might run away if she sees me."


    How could Zhou Can have imagined that, just making a casual joke, she could pull on Qiao Yu.


    A married woman is really not something that a little virgin like him can fight.


    Fortunately, he saw that Dr. Xu had already changed and came out of the office.


    "Okay, I won''t tell you! I''m going to the operating room."


    He walked quickly towards Dr. Xu.


    "Morning teacher!"


    Doctor Xu turned to stare at him with a serious face.


    It made his hair stand on end.


    "I heard that your kid did another big ticket yesterday?"


    Zhou Can was stunned for two seconds, and then he felt overwhelmed.


    Ninja couldn''t help laughing, "Teacher, when I heard this, I thought that the ancient bandits kidnapped the lady of a rich family." The ancient bandits wanted to rob a rich family, and they went directly to the village, and it was very difficult to succeed.


    Because the big households generally built a Wubao, and trained Zhuang Ding and Huyuan.


    It is almost impossible for bandits to attack in a short time.


    Time has dragged on for a long time, and once the officers and soldiers arrive, it will all be over.


    Therefore, when the cunning bandit found out that the young lady of a wealthy family at the foot of the mountain was about to leave the cabinet, they would choose to rob the sedan chair on the wedding day and tie the bride up the mountain.


    After they rob people, they will issue flower tickets to the family members.


    If you obediently pay a large ransom, the bandits will be more moral, guarantee the bride''s innocence, and send her back.


    If you dare to report to the officials, or don''t pay the ransom, the bride will be miserable.


    The husband''s family and the mother''s family usually collect the ransom money on the same day to redeem the person. After one night, the husband''s family is generally unwilling to redeem it again. Even if people are redeemed, most of them will commit suicide.


    Dr. Xu is usually a very strict person, so he played a cold humor early in the morning.


    It seems that he is in a pretty good mood!


    "The patient you successfully stopped the bleeding yesterday, Director Lou, after seeing it, suggested that he undergo further examinations. Finally, liver lesions were found."


    This is heavy news.


    The patient was only in his twenties.


    In general, liver disease that can cause coagulation disorders must be very serious.


    When liver disease develops to a very serious level, the prognosis is often poor.


    Every organ in the human body is very individual.


    The liver is the only organ that does not feel pain.


    This also makes it difficult to detect liver disease, once it is discovered, it will be at an advanced stage.


    "I heard that you have already achieved quite a high level of grasping skills?"


    It seems that someone told Dr. Xu about Zhou Can''s excellent performance in the operating room last night.


    No wonder I''m in such a good mood.


    The apprentice was praised by other doctors, and this teacher had a bright face, so he was naturally happy.


    "Doctor Fu told you?"


    Zhou Can asked tentatively.


    Dr. Xu was noncommittal and did not answer.


    Zhou Can didn''t dare to ask again, and confessed honestly, "I''m actually at an average level. I just caught the fishbone yesterday, so I successfully took it out." sharp.


    Doctor Xu knew this apprentice too well.


    Other young people like to compete for the limelight, wishing to show off their underpants.


    But Zhou Can likes to do things in a high-profile manner and behave in a low-key manner.


    I''ve never seen him show off on purpose.


    As a person who has suffered a big somersault, Dr. Xu is actually very envious of Zhou Can who already possesses a lot of restraint that middle-aged and elderly people do not necessarily have at such a young age.


    The vast majority of people belong to the kind of people who are poor and suddenly rich, who have ten money in their waists, and they must vibrate their clothes to show off their characters.


    Only those who have experienced ups and downs and been beaten by society know how to keep a low profile.


    It is especially commendable for Zhou Can to have such awareness at such a young age.


    "Hmph, there''s no need to hide in front of me! Do you know the importance of grasping technique?"


    Doctor Xu snorted.


    "Know it. It''s mostly used in minimally invasive procedures."


    Zhou Can followed the teacher to the operating room.


    "If suture, dissection, ligation, and hemostasis are the basis of traditional surgery, then grasping is the basis of high-precision surgery. And with the rapid development of medical technology, minimally invasive surgery with less trauma, faster recovery, and less risk Surgery is gradually replacing traditional surgery You have extraordinary talent in grasping, which is a huge advantage. Almost all famous surgeons in RB, the United States, Germany and other developed countries have transformed into the field of minimally invasive surgery .¡±


    Although Dr. Xu committed himself to the emergency department of the ''Lenggong'', he did not close his eyes and ears.


    Not to mention giving up on oneself.


    On the one hand, it is to precipitate oneself, try to learn the lessons of failure, and find a way to eliminate the major defects that are fast and unstable.


    On the other hand, seeing the world with his eyes and listening to all directions, he is always paying attention to the medical trends and development progress in foreign countries.


    Zhou Can has a feeling that if the teacher ever comes out of the arena again, he will definitely improve his skills to a higher level.


    It is likely to become a truly peerless famous knife.


    I don''t know what kind of accident happened to Dr. Xu back then? When Zhou Can''s ability is strong enough, he will definitely inquire carefully and try to help the teacher get rid of the ''shackles'' on his body.


    One day, I believe it will be the best repayment for Dr. Xu.


    "Did you know? When RB removes pancreatic cancer, the patient can work the next day and basically recover in only three days. In our country''s surgical plan, the patient needs to be hospitalized for at least half a month, or even longer. And our country is now basically If you do laparotomy, the risk is much greater than minimally invasive. If you do pancreatoduodenectomy, the risk is even greater."


    Zhou Can knew that RB''s medical technology was much more advanced than Huaxia''s.


    But I didn''t expect the gap to be so big.


    And that''s just one area of ??pancreatic surgery.


    In the fields of drugs, medical equipment and instruments, our country also lags behind developed countries.


    However, our country is in a stage of rapid development, and we will catch up, and maybe we will be able to overtake them in many fields of science and technology in the near future.

 Chapter 76： Extremely rare dual talent talent

    When it comes to drugs lagging behind Western developed countries, it is actually quite aggrieved.


    China''s medical history has been inherited for thousands of years, but it is beaten by Western medicine with a history of only two hundred years.


    Fortunately, in recent years, Chinese medicine has cleverly adopted the method of combining traditional Chinese and Western medicine, and has survived.


    And it is slowly rising.


    It has basically become the consensus of Chinese people that Chinese medicine treats the root cause and Western medicine treats the symptoms.


    And internationally, the status of Chinese medicine is also improving a little bit.


    There are even many treatment concepts of Chinese medicine that have been studied abroad.


    For example, the newly developed new cancer drug is to release the seal of human immune T cells and rely on the body''s own immunity to kill cancer cells.


    This concept is actually the concept of Chinese medicine.


    I believe that with the great revival of China, Chinese medicine will also have a day when it will regain its glory.


    At least, many people have realized that traditional Chinese medicine has few side effects, while western medicine has various serious side effects.


    Traditional Chinese medicine is milder and safer.


    It''s just a lot slower.


    "Developed countries have entered the market in the field of minimally invasive surgery and have made great achievements. They have accumulated rich experience in preoperative evaluation, minimally invasive surgery plan, postoperative care, medication, and surgical operation skills. Our country is still It¡¯s just a first glimpse, and we are still far behind in all aspects. We can learn from others and catch up quickly with theoretical knowledge. However, it is not so easy to improve surgical operation skills.


    After Dr. Xu finished speaking, he turned to look at Zhou Can.


    "There are a lot of doctors in our hospital who can do traditional surgery, and none of them are bad at skills. But there are not many who can do minimally invasive surgery. After observation and comparison, we found that some people are very talented when practicing the basic skills of traditional surgery. But they practice the basic skills of minimally invasive surgery such as grasping and implantation, and there are very few talented people."


    Let''s use a figurative example.


    The basic skills of traditional medicine are equivalent to martial arts. The basic skills of minimally invasive surgery are equivalent to fairy methods.


    As long as you have a little root in practicing martial arts, you can achieve something through hard work. But if you want to practice immortality, you need immortal roots and immortal bones, and there is hardly one among ten thousand martial arts masters.


    "If it''s just like this, the problem is not serious. After all, our country is a country with a large population, and we can always find some medical talents with advanced surgical talents."


    Zhou Can was puzzled after hearing this.


    Is there any more difficult request?


    "Minimally invasive surgery is an advanced medical skill evolved on the basis of traditional medical skills. If you want to train a doctor who can perform minimally invasive surgery, you must have both traditional medical skills and advanced medical skills. But this kind of talent is too much. Too little."


    Doctor itself is a special profession.


    Talent is scarce and the training cycle is long.


    This has led to the extreme scarcity of doctors who possess both traditional and minimally invasive surgical talents.


    "Doctors in our country have thought of many ways to change this situation. For example, physicians have also picked up the scalpel and learned to do various interventional operations. Even so, the talent pool for minimally invasive surgery in our country is still seriously insufficient. Then This kind of true elite is even rarer.¡±


    Internal medicine has indeed pioneered many minimally invasive surgery programs in recent years.


    This is the so-called intervention.


    It''s just that if you want to do a minimally invasive surgery well, you must first have the basic skills of traditional surgery, and then you need to have certain advanced medical skills.


    Both are indispensable.


    Otherwise, even a minor appendicitis operation could go awry.


    As for some highly difficult minimally invasive surgeries, many of them cannot be done in China at present.


    Because to do this kind of operation, the basic skills of traditional surgery and the operation ability of advanced medical skills must all reach the director level.


    Dr. Xu looked at Zhou Can with extremely earnest eyes.


    "It is extremely rare for you to have both traditional surgery and advanced surgery. Our country is still very backward in the field of minimally invasive surgery, and the field of top minimally invasive surgery is almost blank. as a lofty goal."


    As a teacher, it is equivalent to a guide.


    Dr. Xu just analyzed the domestic situation to him.


    Then guide him to take minimally invasive surgery as a specialization direction.


    "I''ll try harder."


    Zhou Can is very down-to-earth, he didn''t say that I will go beyond foreign countries and beat up famous foreign doctors.


    He has always disdained to do such things as shouting slogans.


    He prefers to show his determination with practical actions.


    "Let''s go, let''s go to the operating room! I will try my best to cultivate your traditional surgical ability first. Today, first-level surgery is enough." Hearing what Dr. Xu said, Zhou Can was very happy.


    Today, I must be able to earn a lot of surgery experience points.


    Can accumulate a lot of valuable surgical experience.


    ¡­


    Entering the operating room, nurses Tang Ling and Jin Mingxi had already arrived.


    Tang Ling''s eyes lit up immediately when she saw him, and she smiled all over her face.


    "Doctor Zhou, Doctor Zhou, I heard that Su Qianqian gave you a box of albums yesterday, is it true?"


    She cared about Su Qianqian''s affairs.


    "There is such a thing!"


    Zhou Can nodded in acknowledgment.


    "Oh, I''m so envious!" Tang Ling was so sour after receiving an affirmative answer. "Can I borrow it for two days? When I got off work yesterday, I saw the box and knew it must be her latest album. She was greatly affected by the collapse of the concert stage. The release of the new album will definitely be delayed. I heard that she has sold houses and cars online to compensate those injured fans."


    Zhou Can was very surprised to hear that Su Qianqian sold the house to compensate the injured fans.


    The first thought must be to take the opportunity to hype.


    After all, those star brokerage companies can do anything in order to earn traffic.


    "If her new album hasn''t been released yet, I''m afraid I can''t lend it to you. As you know, if the content of the new album is leaked and the original version hasn''t been released yet, pirated discs will be flying everywhere."


    Zhou Can rejected her request.


    Su Qianqian gave him the album out of gratitude and trust.


    Right now is the most difficult time for her. If Zhou Can leaks the content of her new album again, causing pirated copies to fly everywhere, it will be like adding insult to injury for her.


    "Oh well!"


    Tang Ling was obviously a little unhappy, she pouted slightly.


    "They usually cooperate with the insurance company when they hold a concert, and the ticket includes the insurance fee. If something happens now, won''t the insurance company pay? And even if the insurance company doesn''t pay, it should be the company she works for that should be responsible for the compensation. The fact that she sold the house and lost money to fans, I think, is probably a gimmick. She intentionally wins the sympathy of fans, and takes the opportunity to do a wave of free promotion.¡±


    Zhou Can put forward his own views.


    "This... shouldn''t be possible! I heard in the Qianqian fan group that the insurance company only pays a part of the compensation, which may not even be enough for medical expenses. And her agency is Beihai Wolf Star Media Co., Ltd. This is a well-known rogue company, There is a lot of black material. It is also possible to shirk responsibility."


    Tang Ling was obviously trying her best to protect Su Qianqian.


    Zhou Can pays very little attention to celebrities and media companies. If he doesn''t understand, he will not express his opinions indiscriminately.


    At this time, Dr. Xu also changed into surgical protective clothing and came in.


    The atmosphere became much more serious.


    His eyes swept over the three of them, and his brows frowned.


    "Which resident doctor is on duty in the operating room today?"


    "It seems to be Dr. Lu''s morning shift!"


    Tang Ling checked the duty list.


    "Little Lu, being late has become commonplace, it''s too shameful." Dr. Xu has a headache for this junior doctor. "I don''t care about him. With the help of Xiao Zhou and Jin Mingxi, there is no problem in performing primary and secondary operations. Call the first surgical patient to come in!"


    As soon as the voice fell, the door of the operating room was pushed open.


    Doctor Lu came in with disheveled hair.


    Then rushed into the changing room and hurriedly changed the surgical gown.


    "Sorry, sorry, I have a little diarrhea in the morning. Are you late?"


    Doctor Lu apologized repeatedly as soon as he came in.


    "If you''re only two minutes late, your attendance will be recorded for you. Don''t worry. You have diarrhea five or six times a month. I suggest you go to the gastroenterology department for treatment."


    Doctor Xu''s face was dark, but he didn''t directly expose his lie.

 Chapter 77： Escort

    "Doctor Xu, you can see that I was only two minutes late in total. I didn''t do it on purpose. Can you show me your hand... My salary is already low, and I want to make a down payment to buy a house and marry a wife! I''m thirty-four years old. house, and no girl wants to marry me..."


    Doctor Lu begged for mercy with a shy face.


    According to hospital regulations, if a doctor is late for work or leaves early, 100 yuan will be deducted each time he is caught. Including meals during working hours, it is also deducted 100.


    The salary of a resident doctor in the operating room of the emergency department should be around 7,000 a month.


    Dr. Lu is a senior resident doctor, but the operating room in the emergency department has low income-generating capacity, and he is lazy, so the volume of operations is not much. It will not exceed 8,000 for a month.


    Withholding one hundred yuan can make him care so much, which means that the family situation should not be much better.


    Salary income is likely to be around 7000.


    When paying wages, after deducting the five social insurance and one fund expenses, as well as personal tax, it is good to have 6,000 in hand.


    If you''re late ten times a month, that''s a thousand dollars gone.


    In addition, according to the assessment regulations of the department, there will be no bonus for being late, leaving early, and leaving the post more than three times in the month.


    Then department evaluation, promotion, promotion and further study will also be affected.


    Knowing that the consequences of being late are serious, I dare to be late often.


    It''s nothing more than being sure that the superior doctors are soft-hearted.


    As long as he is not caught by the medical department and the personnel department, he will basically let him go if he begs for a favor from the superior doctor in the department.


    "I must write it down for you today, so that you can remember better!"


    Dr. Xu has changed from his previous Hades face, tofu heart.


    "Oh! I should have gotten up five minutes earlier if I knew it! I also know that you are doing it for my own good, and I accept it."


    Seeing that Dr. Lu was not emotional, he admitted it.


    "It''s right to know that you think so. Get ready for work. You will still be my assistant, and Jin Mingxi and Xiao Zhou will operate independently."


    Dr. Xu made the surgery arrangements.


    "I also want to improve, how about I change with Xiao Zhou, is that okay?"


    Dr. Lu may have been quite agitated last night. Seeing a newcomer leave him far behind, he must feel a little uncomfortable.


    Coupled with what Director Lou said to him, it also gave him a sense of crisis.


    So I became more proactive.


    "no!"


    Dr. Xu simply refused.


    In terms of surgical safety, he was much stricter than Dr. Fu. As long as he thinks there is risk, he will never agree.


    "If you want to improve, I will give you some opportunities to exercise."


    Then added another sentence.


    Dr. Lu''s reputation was ruined by the accident he just caused last night. It is estimated that no superior doctor would dare to delegate power to him easily.


    Soon, two surgical nurses were called in.


    Since Qiao Yu was on night shift today, the nurse who helped Zhou Can was replaced by someone else.


    There is no harm without comparison.


    This nurse named Tian Tian was pretty and she spoke pleasantly, but she was obviously inferior to Qiao Yu in her work.


    Sometimes surgical sutures can go wrong.


    When handing things over, they are also very rigid.


    Sometimes Zhou Can even needs to remind her before handing over the corresponding equipment.


    For example, after the initial debridement, the wound was bleeding, so she just watched in a daze. Zhou Can had to say "electrocoagulation knife". Then she quickly handed over the electric coagulation knife.


    The cooperation between Qiao Yu and Zhou Can was much tacit.


    Many times, the two of them seemed to have a good understanding. Before Zhou Can spoke, she had already prepared the corresponding instruments or surgical supplies and handed them over there early.


    It would be great if one day he can be promoted to attending.


    A fixed instrument nurse can be selected.


    Now the status is low and I can only make do with it.


    ¡­


    Zhou Can has been busy until he got off work, and Zhou Can performed a total of 16 operations today.


    Two less than yesterday.


    Jin Mingxi made a total of thirteen sets, one more than yesterday.


    You know, Zhou Can had six more operations than Jin Mingxi yesterday.


    Several units were missing today, mainly due to the lack of cooperation with nurse Tian Tian, ??which seriously affected the efficiency of the operation.


    Fortunately, his harvest was not bad, and he earned a lot of experience points.


    The two medical skills of ligation and suture should be able to rise to the middle level of resident medicine tomorrow or the day after tomorrow.


    The experience value of injection and hemostasis has also increased by dozens.


    The only thing that didn''t rise much was cutting.


    However, after he discovered the bug in the experience point system, as long as he was willing to spend money and practice dissection on white mice after work every day, he could still quickly upgrade the incision technique to level four.


    With a four-level incision, it is the attending level.


    As long as you find a chance to show off your strength in front of Dr. Xu, there is no reason not to give him the opportunity for a second-level surgery.


    There is one more thing worth mentioning.


    After his grasping technique epiphany, he has made great progress. This benefit is also reflected in the ligation and suture process.


    When clamping the surgical needle with the needle holder, it is more handy and flexible than before.


    Not to mention knotting.


    When clamping sutures with tweezers, one clip is accurate, and it is also like a miracle to tie knots in circles.


    The resulting knot is stronger and neater.


    Then the force involved in the wound during the knotting process became much smaller.


    This is definitely a huge improvement.


    The highest state of knotting is to tie all kinds of knots steadily on a ball of light cotton without the slightest movement of the ball of cotton.


    He is definitely far from being able to do it now.


    It''s just a big step in that direction.


    "Okay, pack up and get ready to leave work! Dr. Fu will probably be here soon." Dr. Xu has already taken off his gloves and mask and threw it into the trash can.


    He looked at Zhou Can.


    "Xiao Zhou, are you going to work overtime tonight?"


    "I very much hope that Dr. Zhou will stay and work overtime!" Dr. Fu walked into the operating room at this time, and he rushed to answer for Zhou Can.


    "Haha, Dr. Fu''s attitude towards Xiao Zhou has changed a lot!" Dr. Xu joked with a smile.


    He is stern in front of junior doctors, but he talks and laughs in front of doctors at the same level, and sometimes he is quite a cheerful person.


    "Hehe, if you want to blame, you can only blame Dr. Zhou for being too good! Fortunately, he was there last night, otherwise there would be big trouble."


    Doctor Fu still has lingering fears when he mentioned what happened last night.


    Jin Mingxi and Tang Ling immediately pricked up their ears.


    Judging from the meaning of Doctor Fu''s words, Zhou Can probably made another great contribution last night.


    Tang Ling is fine, she just admires Zhou Can and thinks he is very good.


    Jin Mingxi felt the real pressure.


    The gap between him and Zhou Can seemed to widen again.


    "Doctor Zhou, will you stay and work overtime? Don''t worry, you don''t have to work overtime. I will help you apply for overtime pay." Doctor Fu''s eyes fell on Zhou Can''s face.


    Whether to stay and work overtime, you have to ask Zhou Can for his opinion.


    "I''m sure I''d be happy! As long as you''re not afraid that I''ll cause trouble for you!"


    Zhou Can had already made up his mind.


    It looks like I can work overtime for about 20 days a month.


    For the remaining ten days, he will practice dissecting mice in the dormitory.


    Those medical skills that cannot be improved in the operating room must not be left behind.


    There must be a way to follow up synchronously.


    "Don''t be afraid. You are practical and conscientious. You have strong surgical and diagnostic skills. Not only will you not cause trouble if you stay, UU Reading will also help me a lot. In front of Dr. Xu today, I Say it again, I will be on duty in the future, as long as you are willing to work overtime, you can come anytime. You can leave whenever you want."


    Doctor Fu repeated this sentence for the second time.


    Explain that inviting Zhou Can to help him is by no means hypocritical and polite, but sincere.


    Zhou Can made a contribution yesterday and initially gained Doctor Fu''s trust.


    Today I just stayed and worked overtime to deepen and expand this trust.


    "Hello, Doctor Xu!"


    Dr. Lin came in right after Dr. Fu.


    Just never got a chance to talk.


    Now that he had the chance, he hurriedly greeted Dr. Xu.


    "Um!"


    Doctor Xu just nodded solemnly.


    "Xiao Zhou, do a good job. Save my phone. I basically don''t turn it off 24 hours a day. Call me anytime if you need something." Dr. Xu may also be worried that Zhou Can will get into trouble.


    Leave your phone number, and if something happens, he will rush over to help Zhou Can wipe his ass.


    "Thank you, teacher!"


    Zhou Can hurriedly saved Dr. Xu''s phone number.


    "Does the teacher have WeChat? Why don''t you add one!"


    "Add it! Just search for the phone number."


    Doctor Xu was very kind to him.


    Everyone looked at the two senior doctors who took such good care of Zhou Can, a newcomer, and they were really envious.


    After the two became friends on WeChat, Dr. Xu told them before leaving, "Try to call if there is an emergency, and send WeChat for fear that you may not see it sometimes, and it is easy to delay the time for rescue."


    This time, even a fool can see Dr. Xu''s love for Zhou Can.


    It is definitely an extremely happy thing for a Gui Peisheng to receive the care and protection of this special attending physician.

 Chapter 78： young landlord

    Zhou Can had surgery with Dr. Fu today, and it was much more enjoyable.


    Many first-level minor operations were directly thrown to Zhou Can.


    However, due to Dr. Fu''s mediocre level and the fact that Dr. Lu was scared by what happened last night, he still stood by and watched even though he let Zhou Can exercise.


    After all, he didn''t dare to delegate power as boldly as Doctor Xu, and asked Zhou Can to bring a nurse to do it alone.


    In addition, Dr. Lin is quite motivated.


    If you encounter a slightly difficult operation, you must compete with Zhou Can for the opportunity to have the operation.


    After all, his qualifications are older, and it is basically useless for Zhou Can to compete with him for some more difficult surgical tasks.


    In the face of interests, no matter how fond Dr. Lin is of Zhou Can, he must be the priority.


    Zhou Can''s cell phone kept vibrating from about six o''clock in the afternoon after the surgery.


    In the operating room, turning the bell to silent is a detail that must be paid attention to.


    Otherwise, whether it is the ringtone of the mobile phone or the sound of a text message, the chief surgeon will curse at people.


    Even if you don''t curse, just looking at him with the cold eyes of the chief knife is enough to make you feel terrified.


    "Excuse me, answer the phone!"


    Zhou Can said hello, then walked outside the operating room before connecting.


    Note that the operating room generally has at least two doors.


    After entering the first door, there is often a changing room and a duty cubicle on the left. Then there''s a fairly wide aisle.


    The second door is the operating room.


    The operating room like theirs is the worst. It''s just a normal operating room. For specialized operating rooms, the best ones are Class 100 operating rooms, and the ones below are basically Class 100,000 operating rooms.


    In that kind of operating room, the chances of patients and doctors being infected will be greatly reduced.


    Some operations with high antibacterial requirements must be completed in a class 100 or 10,000 laminar flow operating room.


    For example, valve replacement, heart surgery, organ transplantation and other high-precision operations have a high risk factor and extremely strict requirements for anti-bacteria. It must be operated in a class 100 laminar flow operating room.


    "Mr. Zhou, hello, I''m Lao He, the tenant!"


    "Hello, Lao He!"


    Zhou Can has rented out three houses, and these tenants rarely bother him.


    When it comes time to pay rent, I''m basically very conscious.


    "The house I rented from you is due soon. The house I bought was handed over last month. After discussing it with my wife, I decided to move to my own house. Your house will not be renewed."


    Lao He and his wife are close to forty years old, and they have worked hard together in this city for more than ten years before finally buying a house.


    It''s not easy.


    "Hehe, this is a good thing! Living in your own house is definitely more practical than living in a rented house. Congratulations!"


    Zhou Can smiled and congratulated him.


    "Thank you, thank you! If it''s convenient for you, can you come over and hand over?"


    "Okay! When do you think it''s appropriate?"


    "Uh... The personal belongings are almost finished moving now. My wife and I should clean the house and it should be almost done. It is estimated that it will be finished after eight o''clock. If you are sure to come, I will wait for you here. If it is not convenient, Make an appointment tomorrow."


    The quality of Lao He and his wife is quite high.


    Stop renting, and there are not many tenants who can take the initiative to clean the house.


    "Then I''ll come over around eight o''clock!"


    After Zhou Can ended the call, he went back to the operating room and waited until the operation was completed. Only then did he say to Doctor Fu, "Doctor Fu, I''m afraid I can only work overtime here tonight. I have some urgent matters at home to deal with."


    "Go!"


    Doctor Fu readily agreed.


    After getting along with each other, Zhou Can felt that among the three superior doctors, Director Lou, Dr. Xu, and Dr. Fu, Dr. Fu was the most talkative person.


    After leaving the operating room, he did not forget to promise the nurses.


    Go to the milk tea shop first to get this done.


    Then, taking advantage of the on-duty doctor in the scientific research and teaching building before get off work, he bought five more white mice. If people are off work, they can''t buy it if they want to.


    The white mice used in this experiment are not hamsters from the pet market.


    Its breeding has strict requirements.


    Including the bacteria carried, the vitality of the white mice, body weight and other indicators.


    Although the price is expensive, it will be bought by the laboratory for experiments, or for surgeons to practice rat tail anastomosis, dissection, etc.


    In fact, white mice are the cheapest.


    Monkeys are expensive.


    The cheapest ones are around 20,000 yuan. For example, the cynomolgus monkey, which is seriously scarce recently, is even more difficult to order for 160,000 yuan.


    Seeing that it was less than seven o''clock, he simply ate dinner in the restaurant.


    Only then did the white rats be sent back to the dormitory.


    To his surprise, Jin Mingxi was not in the dormitory.


    Run outside?


    After get off work, as long as there are no urgent patients, doctors are generally quite free.


    Not like a programmer, too busy to even have time to fall in love.


    After putting away the white rat, he went downstairs to take a taxi, and went straight to Phase 1 of Bajing Lake Xiangshan Bieyuan.


    After about forty minutes, I arrived at the gate of the community smoothly.


    It''s quite a long way from the hospital.


    If it is rush hour and the traffic jam is serious, the time to take a taxi will be longer.


    Fortunately, Metro Line 6 goes directly to my doorstep. Taking the subway to get off work is much more convenient than taking a taxi. It may take about 15 minutes to get to the hospital. Not only is there no fear of traffic jams, but commuting costs are much lower.


    This is also an important reason why the house price of Bajing Lake Xiangshan Bieyuan rose from the initial 6,000 to 17,000 yuan per square meter.


    After paying the fare, Zhou Can walked into the community.


    I saw that the infrastructure here has been built quite well, and it is full of high-end residential atmosphere everywhere.


    Especially Bajing Lake, which used to be full of smelly water and sewage.


    After treatment, the water of the lake is clear, and a scenic trail has been built beside the lake. Rows of willows hang down with silk ribbons, showing the softness and beauty of a modest lady. There is even a lake gallery for people to play in the lake, which can lead to the antique octagonal pavilion in the middle of the lake.


    Lotuses are planted in the shallow water area.


    After taking care of the purple bamboo forest on the other side of the lake, it is also clustered into a scene.


    Bajing Lake has become a veritable "Eight Scenic Spots", and the lake is so beautiful that it is full of spring scenery.


    Developers are unprofitable masters.


    When Zhou Can bought the house, the lake was still dirty and smelly. Later, the No. 6 subway line was planned here, and the housing prices rose. The developers felt that it was profitable, so they spent money to renovate the lake.


    Then the second and third phases of Bajinghu Xiangshan Villa, Bajinghu Villa District, Bajinghu Prosperous and Prosperous and other new buildings were built.


    Of course, the price of the new real estate built later is not less than 10,000.


    The owners who bought the first phase of Bajing Lake Xiangshan Bieyuan made a lot of money.


    Zhou Can heard that there were some houses left in the first phase with poor floors, or poor lighting and interior structure, and all of them were sold for more than 8,000 yuan per square meter.


    He bought four sets in one go, which was a very successful investment.


    Swipe the access control card directly to enter the community.


    Because it is a high-end community, a special design for the separation of people and vehicles has been made You can see that there are quite a lot of residents in and out of the community.


    The four houses he bought are all in Building 2, Gate A.


    The unit type is one elevator and two bedrooms.


    Compared with those houses with one storey and four bedrooms, it is much better in terms of privacy protection and lighting.


    The two houses on the fifth floor belong to him.


    He remembered that Lao He rented No. 2501.


    At this moment, the entrance door is open.


    Zhou Can knocked on the door.


    Old He Wensheng who was cleaning the kitchen came out immediately.


    "Mr. Zhou is here! The sanitation is basically cleaned, only the kitchen cabinet doors are left to be wiped.


    Lao He held a rag in his hand and was wearing an apron.


    There was movement in the kitchen.


    Presumably his wife was busy.


    A five or six-year-old girl poked out half of her head timidly from the kitchen, secretly looking at Zhou Can with a pair of smart eyes.


    Zhou Can glanced at the room casually. The furniture, walls, and home appliances were all well taken care of.


    Generally speaking, in families with young children, children like to scribble on walls, sofas and other places.


    The house can be maintained so well, it is already very good.


    "I was in a hurry to move in as soon as the house was handed over. Aren''t you worried that the pollution caused by the decoration will affect your health? Especially your children are so young." Zhou Can just reminded him in good faith.


    There is no intention of keeping them to continue renting a house.


    Some homeowners can''t wait to move in as soon as the house is renovated. But they ignore harmful gas pollution such as formaldehyde and benzene.


    Children''s resistance is much weaker than that of adults.


    Some children even lived in new houses and were diagnosed with leukemia in less than four months.


    This tragedy is very sad.

 Chapter 79： inpatient mid-level ligation

    "Thank you Mr. Zhou for your reminder. I''m not afraid of your jokes when I say it. My wife and I discussed it and decided to live in without decoration. Our couple''s income is not high, and the monthly mortgage, children''s education costs, and living costs are quite high. High. Live in first, at least 2,100 monthly rent can be saved. When the economy is affluent in the future, it will not be too late to renovate.¡±


    Lao He is not yet 40 years old, but there are already dense wrinkles around the corners of his eyes and forehead. Although the hair on his temples is shaved to the lightest, it is still difficult to hide the white roots.


    Not everyone can come from a wealthy family.


    More are ordinary migrant workers, strugglers who broke into the cities from the countryside.


    Relying on their loneliness and courage, they worked hard in the big city, just to take root in this city one day. In the future, children will no longer have to lose at the starting line like them.


    "Hehe, the idea of ??the two of you is quite trendy! I saw on the Internet that many people also choose not to decorate and move in. Decorate it a little bit, it will have a special flavor. The experience of staying in a house is not worse than that of a luxuriously decorated house."


    Zhou Can''s chat level is actually quite high.


    By saying this, he fully took care of Lao He''s face.


    Just look at the smile on Lao He''s face.


    "Haha, the poor have their own way of life. Mr. Zhou, please check the house to see if there is any damage."


    Lao He laughed heartily.


    His wife also stretched out more than half of her body from the kitchen.


    "At that time, I proposed to move in without decoration, and Lao He was afraid that others would make fun of him, so he didn''t agree!"


    Old He smiled dryly.


    "Aren''t I afraid that you and the child will be wronged?"


    It can be seen that the relationship between the couple is quite good.


    "It''s rare to see such a pragmatic and virtuous young woman like my sister-in-law nowadays! Many young girls are very money-worshipping, vain, and they also need to drive luxury cars and carry designer bags for loans, so they don''t care about men''s life and death. Lao He, You can marry such a good wife, be content!"


    Zhou Can smiled and praised Lao He''s wife.


    Although Lao He''s wife looks ordinary, she manages the house well.


    These days, it is really hard to find a woman who can live a hard life with her husband, work hard to buy a house together, and always think about the family.


    Marrying such a wife is definitely a man''s blessing.


    Zhou Can inspected the house and took good care of it.


    And the sanitation is very clean.


    "The house has been inspected and there is no problem. I will refund the deposit to you now." Zhou Can returned the deposit to Lao He.


    "Hey, why did you refund 500 yuan more, did Mr. Zhou remember it wrong?" Lao He asked in surprise.


    "The other five hundred yuan is a little care for my child. Buy her some food, some stationery and so on."


    In fact, many tenants will not clean up when they quit the lease.


    It costs at least 200 to hire a housekeeper.


    Zhou Can has always disliked taking advantage of others. In addition, Lao He''s family is in great need of money now, and life is very tight.


    Five hundred yuan is nothing to Zhou Can.


    With the five hundred yuan, Lao He can buy a few more meals of meat for his wife and children, which is a little better.


    "This can''t be done, can''t be done!"


    Lao He hastily refused.


    "Put it away! It is fate that we can meet in the vast crowd."


    "That''s so embarrassing!"


    After several rejections, Lao He accepted the five hundred yuan.


    Taking back the key, watching Lao He''s family of three remove the last remaining personal belongings, Zhou Can sincerely wishes the family the best of luck.


    He took a few interior photos of the house and posted them online for rent.


    With the development of the modern Internet, it is no longer necessary to post small advertisements everywhere or find an intermediary for renting out a house.


    It can be easily done by directly posting a few posts.


    After posting, he didn''t care.


    When someone wants to see the house, they will naturally call.


    According to market conditions, he raised the rent to 2,200 yuan/month. He even saw someone with the same area, simple decoration, and rented 2,500 yuan/month.


    ¡­


    Back at the apartment, Jin Mingxi still hasn''t come back.


    Is this guy going on a date with that female classmate?


    This is his private life, Zhou Can can''t control it. He just does his own thing.


    After anesthetizing the five white mice, the tireless surgical practice began again.


    His experience in the four medical skills of separation, ligation, hemostasis, and incision began to soar.


    After practicing until eleven o''clock in the evening, Jin Mingxi came back.


    Zhou Can looked back at him.


    His face was full of red, he was proud of the spring breeze, and there were smiles in the corners of his eyes.


    Definitely went on a date with a girl.


    "Several classmates insisted on asking me to go get together. I had no choice but to go! Ugh..."


    He hurried to the bathroom.


    After vomiting for a while, he staggered out.


    "Are you OK?"


    Zhou Can quickly put down the scalpel and stepped forward to support him.


    "It''s okay, I just drank a few more glasses." Jin Mingxi fell on the bed and soon fell asleep.


    Zhou Can shook his head, helped him take off his shoes, and covered him with the quilt.


    If you don''t have that amount of alcohol, you can drink less.


    He continued to practice medical skills before returning to the operating table.


    When he consumed the last white mouse, the clock was already close to twelve o''clock. The timing was just right.


    Staying up late every day is definitely not enough, the body will soon collapse.


    The five rats added 51 ligation experience points, 60 separation experience points, 82 cutting experience points, and 208 hemostasis experience points to him.


    This harvest is pretty good.


    The coolest thing is the hemostatic technique, which is almost like picking up experience points.


    It''s just that his hemostasis has now been upgraded to level four, and he needs 10,000 experience points to be promoted to the director level. The difficulty is still quite large.


    There is one more little surprise.


    His ligation current experience value has reached the third level of 612/1000.


    From the low level of resident medicine to the middle level.


    This also means that his stitches will be faster. Ligation of blood vessels and intestines can be done better.


    Especially for some delicate blood vessels, the requirements for ligation are very high.


    If the force involved in tying a knot is slightly greater, the vessel wall may rupture.


    There is also the deep knotting of the heart and mind, which can also be challenged now.


    However, if you want to suture the peritoneum, special tissues or parts that are more difficult, I am afraid that you need to at least upgrade the suture and ligation to the excellent level of resident doctors Zhou Can went to work in the hospital the next day, and the nurses drank The milk tea he invited showed a lot of enthusiasm towards him.


    When they met, they all took the initiative to greet each other with a smile.


    His position in the big family of the emergency department has also stabilized a lot.


    Wealth scattered and people gathered together, this is an eternal law that has not changed through the ages.


    Spending a few hundred yuan can close the relationship with all the nurses in the emergency department. This is a very cost-effective purchase. If there is a problem with the prescription after practicing medicine, experienced nurses can easily find it. They will promptly remind you to modify.


    Or when working the night shift, it was very hard and sleepy.


    If there are no patients, you can say hello to the nurses on duty and ask them to help keep an eye on the patients you need to be responsible for. Then you can catch up on the severely deprived sleep in the duty room.


    There are many more benefits like this.


    He followed Dr. Xu into the operating room.


    Dr. Lu came very early today, and he is already in the operating room.


    The doctor on the night shift was a well-built male doctor who was close to forty years old and looked very mature and steady. The operating nurse is Qiao Yu.


    No wonder Dr. Lu came so early.


    At the moment, the doctor on duty and Qiao Yu are operating on a middle-aged woman.


    There is an obvious wound on the palm.


    Zhou Can has also been working in the operating room of the emergency department for several days.


    It was the first time I saw this male doctor.


    Doctor Lu seemed to be pestering Qiao Yu, but Qiao Yu didn''t pay him much attention.


    Seeing Zhou Can come in, Qiao Yu smiled, and the frost on her face disappeared. However, because of wearing a mask, most of the bright smiling face was covered.


    Zhou Can also nodded at her in response.

 Chapter 80： funny soul millionaires 1

    "Doctor Xu is quite early!"


    The male doctor took the time to say hello.


    "How was the operating room last night?"


    Doctor Xu asked casually.


    "It''s going well, and there are no difficult cases." The man answered with his mouth, but his eyes were fixed on the suture site, his hands were moving steadily, and his expression was focused.


    After Zhou Can watched it carefully, he roughly deduced that this person''s suturing ability was at least above the excellent level of a resident doctor.


    very strong.


    It seems that not all emergency departments are parallel importers like Dr. Lu and Dr. Lin.


    There are also some doctors who have the real stuff.


    "This is Dr. Cui, a resident doctor with the highest level in the operating room of our emergency department. He is basically on duty for the night shift, and Dr. Fu and him take turns occasionally."


    Dr. Xu spoke highly of this man.


    The superior doctors dared to let him be on duty alone, which showed that they were very assured of his surgical ability and work attitude.


    At this time, Dr. Cui just finished suturing.


    "Hello, Dr. Cui! My name is Zhou Can, please take care of me in the future."


    Zhou Can lowered his posture.


    "I''ve heard of your name. The future star of our emergency department, I look forward to working with you in the future."


    Dr. Cui spoke with the calmness of a middle-aged man.


    The eyes are sincere and the aura is full.


    This is a practical doctor.


    "Hehe, I dare not accept the future star hat you gave me. But it is my good fortune to be able to work with Dr. Cui."


    Zhou Can dare not pretend to be an uncle in front of these senior doctors.


    Acted unusually low-key.


    "Hi Doctor Cui, my name is Jin Mingxi, nice to meet you."


    After all, Jin Mingxi is a person who has been in the workplace for a long time.


    Take the initiative to step forward to make a familiar face.


    "Hello, hello! I have also heard of Dr. Jin''s name. Director Lou personally recruited one of the two generals in the emergency department."


    Doctor Cui responded with a smile.


    Compared with Zhou Can, Jin Mingxi is obviously inferior.


    It can be regarded as having a certain strength, but there is no such thing as a brilliant result that can be achieved.


    On the surface, he and Zhou Can are the key introductions of Gui Peisheng, but there is a clear gap in status. Over time, this status gap will grow wider.


    Of course, the two have just entered the emergency department for a few days, so long as he works hard, he still has a chance to catch up with Zhou Can.


    While the few people were talking, the patient who was undergoing surgery had been sent out of the operating room by Qiao Yu.


    "Doctor Xu, Qiao Yu and I will leave first."


    Dr. Cui waved at them after taking off his gloves and mask.


    "OK!"


    Doctor Xu nodded slightly.


    "Qiao Yu, goodbye!" Dr. Lu waved at Qiao Yu.


    Qiao Yu just hummed politely.


    Then he walked towards Zhou Can and said with a sweet smile, "Thank you for the second cup of milk tea."


    "You''re welcome!"


    Zhou Can really didn''t take this little matter to heart.


    "How much did you spend on the treat yesterday? Didn''t you ask you to send me the total amount? Why didn''t you send it!"


    she asked.


    "It''s not much money. Besides, I''m treating guests, how can I ask you to pay for it!"


    Zhou Can never thought of asking her to pay.


    She has always remembered this matter, which shows that she is honest. Being able to offer to bear half of the cost shows that she has a kind heart.


    This girl is really cute.


    Good-looking skins are the same, but interesting souls are one in a million.


    She has a pure and kind heart, and she is also very assertive, with a little stubbornness. This unique personality charm is enough to make her more beautiful and moving.


    Dr. Lu took a fancy to her, and his vision was really good.


    "Doctor Zhou doesn''t care about such a small amount of money at all. You still have to give him money desperately. Are you stupid? Let''s go quickly! We are going to take patients in for surgery."


    Dr. Lu felt particularly disturbed when he saw Qiao Yu being nice to Zhou Can.


    Drive people out directly.


    Qiao Yu walked out and said to Zhou Can, "If you don''t say the number, I can only guess blindly! Don''t mind if there are fewer turns!"


    "No need."


    Zhou Can has nothing to do with this stubborn chick.


    Soon, a day of intense surgery began again.


    As usual, he and Jin Mingxi each brought a nurse to perform the operation alone.


    Today, it is not Tang Ling who is the equipment nurse for Dr. Xu, but Liu Xia. The person who worked as a nurse for Zhou Can is still Tian Tian from yesterday.


    He is really helpless.


    If possible, he especially hoped that Qiao Yu could be his assistant.


    ¡­


    It was about 12 o''clock in the noon.


    Zhou Can''s cell phone kept vibrating.


    This is a call coming in.


    At this moment, Dr. Xu and Liu Xia had already gone to eat. Only Dr. Lu was left here to watch Zhou Can and Jin Mingxi.


    Eating at noon, the operating room cannot be empty.


    They usually take turns eating.


    But sometimes there are so many patients requiring emergency surgery that doctors often don''t have time to eat. Instead, he insisted on operating on patients while hungry.


    Just like the sudden public incident two days ago, Dr. Xu, Zhou Can and others did not go to lunch.


    The vast majority of doctors look cold, but in fact they put patients first in their hearts.


    "I''ll answer the phone!"


    Zhou Can said hello and walked directly outside the operating room to answer the phone.


    "Hello, is there a house for rent?"


    "Yeah!"


    It turned out to be a rented house.


    The voice is that of a young woman, with round accents and straight characters, and her Mandarin is very standard. And the voice is very sweet.


    "Is your house in Phase I of Bajinghu Xiangshan Bieyuan?"


    "Yeah!"


    "Can the rent be any more favorable?"


    "I''m afraid not is already the lowest price, you can compare prices."


    Zhou Canding¡¯s rent is 2,200 yuan/month, which is really not expensive.


    Money is money, but he is never soft on the money that should be earned.


    His parents taught him since he was a child that no matter how much money he has, he should not look down on a penny.


    Gathering sand can form towers, and gathering water can form rivers and seas.


    Facts have proved that his parents have been quite successful in educating him about money since he was a child. He can have a net worth of tens of millions, although he has the help of his parents, but he also has his own wisdom and hard work in it.


    The other end of the phone hesitated for five or six seconds, and finally agreed.


    "Okay! When is it convenient to see the house?"


    "Estimated to be after five o''clock in the afternoon."


    "I''ll wait for you at the gate of Xiangshan Bieyuan Phase I community at ten past five o''clock, is that okay?"


    "Can!"


    The two agreed on a time and ended the call.


    Looks like I won''t be able to work overtime tonight.


    The same goes for buying ten white mice and going back to practice later.


    What he wants to do most now is to upgrade the incision to the attending level as soon as possible. Then you will have the strength to fight for the opportunity of secondary surgery.


    Compared with the first-level operation, the gains will be greater for him in the second-level operation.


    When Zhou Can returned to the operating room, Dr. Lu looked at him.


    "Doctor Zhou is really young and promising! Not only can he be a doctor, but he can also run a business! Admire him!"


    Obviously, Dr. Lu had been eavesdropping on Zhou Can''s phone call just now.


    Fortunately, it''s not a secret.


    Probably only heard what Zhou Can said, but not what the tenant said.


    So I can only guess here.

 Chapter 81： became an intermediary

    "The hospital didn''t stipulate that doctors are not allowed to do business?"


    Zhou Can handled it carefully.


    His relationship with Dr. Lu seems to be getting worse.


    The night before yesterday, he suppressed Zhou Can, and then was severely scolded by Director Lou. It is estimated that I have long remembered the grudge.


    Coupled with the fact that Qiao Yu and Zhou Can got close, Dr. Lu became even more jealous.


    But so what, let alone a useless resident doctor like Dr. Lu, or a hospital boss like Director Xie, Zhou Can is still angry when his temper comes up.


    He is not RMB, so there is no way to make everyone like him.


    "Oh, that''s not true. I just think Dr. Zhou is quite capable, that''s all. I don''t know what kind of business Dr. Zhou does?"


    Dr. Lu continued to inquire with a dry smile.


    "A little business."


    Zhou Can dealt with it casually.


    "E-commerce?"


    "Well! Almost!"


    "Take me with you if you have the chance. That little salary every month is not enough to eat."


    "When I get rich one day, I will definitely take you with me. For now, forget it, I have been losing money. Of course, if you are not afraid of losing money, just pretend I didn''t say anything."


    Zhou Can ran the train with his mouth full.


    When Dr. Lu heard that it was a money-losing business, he immediately shrank his head.


    No further entanglement with this topic.


    ¡­


    After getting off work, Zhou Can went straight to Bajing Lake Xiangshan Bieyuan.


    In the afternoon, he answered several calls from renters.


    It seems that the houses near Bajing Lake are quite popular. Many people are interested in the fact that the subway line 6 passes here, and the transportation is convenient. Of course, it also has something to do with his rent being three or four hundred yuan lower than others.


    When he arrived at the gate of the community, he dialed the number of the first renter.


    "Hello, I have already arrived at the gate of the community. When will you be able to arrive?"


    "almost there!"


    Not long after, a young woman wearing sunglasses, a shoulder bag, and a light blue parasol came over.


    The body seems to be quite hot.


    The loose Korean style clothes can''t hide her good figure.


    "Excuse me, are you going to rent a house?"


    Zhou Can asked from a long distance away.


    The woman looked up at him.


    This girl looks familiar.


    Zhou Can muttered.


    "Doctor Zhou?"


    The other party recognized Zhou Can first.


    "Who are you?"


    Zhou Can also felt familiar when he heard this voice.


    It''s just that the other party has a pair of large sunglasses on his face, and his bangs and hair deliberately cover half of his face, so he really can''t recognize who it is.


    "I''m Su Qianqian! You treated me two days ago, did you forget?" After the woman took off her sunglasses, she revealed a charming and beautiful face.


    Only then did Zhou Can recognize her.


    No wonder.


    In other words, ordinary women seldom have such a hot body, and their walk is not as elegant as hers.


    "Haha! You celebrities go out, why do you always dress up as if you are going to rob a bank?" Zhou Can laughed at her.


    Su Qianqian was not angry, but giggled instead.


    "Paparazzi are everywhere, and some fans are also very enthusiastic. In order to avoid trouble, we must take some protective measures when we go out. Hey, aren''t you a doctor? How did you become a real estate agency?"


    She naturally didn''t think Zhou Can could afford a house at such a young age.


    Zhou Can was stunned.


    Then he laughed and said, "There is no way, our doctors'' wages are low, and if we don''t want to find a way to expand our income, we can''t even afford food."


    She nodded understandingly.


    "I heard that the interns still pay money to the hospital. It''s really hard for you. Where is the house?"


    "Go, I''ll take you to have a look."


    Zhou Can took her to Room 2501.


    When he opened the door, he took out a key and rummaged for a while before he found the entry key to room 2501.


    Su Qianqian smiled and said, "You have quite a lot of houses in your hand!"


    "Hey, relying on this to make a living, it is natural to collect more house listings."


    Opening the door, Zhou Can invited her in to see if she was satisfied.


    She had already seen the photos of the interior of the house on the Internet, and after looking at the whole house, she nodded with satisfaction.


    "I am quite satisfied with the house. The layout is reasonable and the lighting is good. The decoration is a bit simple, but the house is very clean."


    After she finished speaking, she paused, staring at Zhou Can with a pair of clear eyes.


    "Is the rent 2200 yuan/month?"


    "yes!"


    "There are no other expenses, right? For example, your agency fee, if it''s too much, I can''t pay it."


    "No, no, don''t worry. If you are satisfied, you can sign the rental contract now. You can choose to pay the rent for a whole year in advance or quarterly. If you pay for a whole year in advance, you can get a discount of 1,000 yuan. The deposit is 2,000 yuan. "


    Knowing is knowing.


    Even if the other party is a celebrity, it must be made clear.


    To avoid future disputes.


    "I choose to pay quarterly!"


    She chose the quarterly payment with the lowest payment amount, and did not choose the preferential annual payment.


    That means her money is tight.


    This made Zhou Can believe what Tang Ling said.


    "I''ll bring the contract! Have you brought your ID card?"


    "Um!"


    She took out her ID card.


    Zhou Can walked to the antique shelf in the living room and took out a box from it. Inside was a stack of blank contracts.


    After the two signed the contract, she also readily paid 8,600 yuan to Zhou Can.


    Including three months'' rent and a deposit of 2,000 yuan.


    "This is the key to the house, and the payment numbers for water, electricity and gas are all on it. There is a certain balance in it at present, you can check it. The broadband can be used for free, but it is only 1M."


    Zhou Can''s service is quite in place.


    She checked the balance of water, electricity and gas, and there was nothing wrong with it.


    "Okay, you can come in anytime. Before I leave, I would like to thank you for the box of albums you gave me. It sounds great and you sing very well!"


    Zhou Can thanked her.


    "Hehe, thank you for the compliment, as long as you like it!"


    She was very happy to praise her for singing well.


    "One more gossip question at the end. Did you really sell the house and car to compensate fans for the loss?"


    She needs to rent a house now, and the rent can only be paid quarterly which means she is short of money.


    "Can I refuse to answer this?"


    "Of course! I just think that something happened. Shouldn''t your company be held responsible? It''s too bullying for you to pay compensation."


    "Thank you, Dr. Zhou, for caring about me. I have nothing to say about these things! It''s time for me to move things. Goodbye."


    She obviously didn''t want to talk about these personal matters.


    He also seems to be wary of Zhou Can.


    Being a star is actually quite tiring.


    "goodbye!"


    Zhou Can was originally angry at what happened to her, so he asked one more question.


    Since she didn''t want to say anything, she naturally wouldn''t ask any more.


    After coming out of the community, he checked the time, it was 17:47. Now is the rush hour for get off work, and the road must be very congested. It is obviously not a wise choice to take a taxi.


    He chose to take the subway back to the hospital.


    For meals, he would be more at ease in the staff restaurant of the hospital.


    I just had to go back to the hospital to buy ten white mice.


    We can do it together.


    At this moment, there are quite a lot of people in the subway car, and the seats are already full.


    What this big city with a population of nearly 8 million people lacks most is people.


    Zhou Can had no choice but to walk backwards, and finally found a relatively empty place to stand at the end of the carriage.


    He doesn''t like to be crowded with many people, mainly because he is afraid of being stolen.


    He had had his phone stolen once before.


    On the seat in front of him sat a two-year-old girl and a thirty-seven-eight-year-old man. These three people should be familiar with each other, and they are chatting casually.


    After listening to a few words, Zhou Can realized that the two women and one man were traveling together.


    They should all work in the same hospital.

 Chapter 82： The flood rushed to the Dragon King Temple

    The youngest one is a female nurse, it is not easy to judge whether it is Gui Peisheng or a formal nurse. The working years are definitely not too long.


    Another woman in her thirties who appeared to be a resident.


    Seems to be impacting indications.


    As for the man''s identity is unclear, he only knows that he is a doctor, and he seems to have a high status.


    No matter the female nurse or the female doctor flattered and fawned on him in various ways.


    The subway is moving fast.


    Compared with buses and taxis, it has the advantages of fast speed, no traffic jams, and fewer detours.


    In this way, after a stop and a stop.


    Passengers are constantly getting on and off.


    Suddenly, the flight attendant''s call for help sounded on the radio.


    "Hello passengers, there is a child in carriage 3 who suddenly fainted and convulsed, and needs immediate help. Medical staff or passengers with first-aid knowledge are asked to help in carriage 3 immediately. Other passengers please cooperate and give up the life channel. Thanks!"


    Accidents often happen to passengers on trains, airplanes, and subways.


    Zhou Can didn''t expect to meet him this time.


    When the three medical staff in front of him heard the announcement, they immediately stood up and ran towards the No. 3 car.


    Zhou Can highly praised the behavior of these three people.


    He is just a small training doctor, so there is no need to get ahead of these people. Following behind the three of them, they also rushed to the No. 3 carriage.


    Before entering the No. 3 carriage, I heard crying voices.


    "Save my grandson, please save my grandson!"


    The old lady was so anxious that she cried.


    "I''m a doctor at the Second Affiliated Hospital of Tuya, let me see your grandson!"


    The male doctor was actually from the Second Affiliated Hospital of Tuya.


    Zhou Can was very surprised by this.


    No wonder the three of them took the subway together, and they probably got off work together.


    The establishment of the Second Affiliated Hospital of Tuya, on the one hand, is to relieve the pressure of diagnosis and treatment of Tuya Hospital. On the other hand, there are other considerations of interest.


    For example, arrange some old comrades whose medical skills are not very outstanding.


    New blood can only be replaced by moving the old comrades who are occupying the pit but have nothing to do in medical and academic fields. Only in this way can Tuya maintain a better competitiveness.


    In addition, the construction of the Second Affiliated Hospital of Tuya can also expand the popularity of Tuya.


    Some experimental projects that are difficult to do in this hospital can also be piloted in the Second Affiliated Hospital of Tuya.


    If it is not done well, the impact on the reputation of Tuya General Hospital will be relatively small.


    In recent years, the Oncology Department of the Second Affiliated Hospital of Tuya has developed very well.


    I saw the child was only four or five years old, lying on the floor of the carriage, his face was cyanotic, and he was close to a coma. There was no response to calling or patting the shoulder.


    "Everyone, don''t come around, step back. Let the air circulate around the children."


    The female nurse immediately dispersed the onlookers who were eating melons.


    It looks very professional.


    Seeing Zhou Can standing still, she frowned.


    She seemed to recognize that Zhou Can was in the same carriage as her.


    "Sir, please step back a little. It''s best to go back to the original carriage, there''s no need to watch the excitement."


    Zhou Can''s lips moved, and he swallowed back the words of explanation.


    He backed away cooperatively.


    Because the female nurse didn''t listen to his explanation at all.


    The flight attendants also came to maintain order at the scene.


    After the male doctor examined the child, his face was serious.


    "Old man, don''t cry yet. Tell me, how did your grandson fall into a coma?"


    "I, I don''t know... He was playing well, but suddenly he covered the position under his neck, and then fell to the ground. I hurried over to pull him and asked him what''s wrong? He just kept shaking his head, with a very serious expression. Painful, like very frightened and frightened.¡±


    The old lady told what had happened.


    A little below the neck, isn''t it the heart?


    Various symptoms in children, food choking, heart disease, and even epilepsy are possible.


    "Do you have a history of heart disease? Like congenital heart disease!"


    The male doctor checks the child''s condition again, including the oral cavity.


    It is estimated that the secondary exclusion is whether it is stuck by food or the like.


    Still not much to discover.


    He has begun to suspect heart disease.


    "The child''s grandfather has a heart attack. The child is so young, so he shouldn''t have it! Doctor, please save my grandson quickly! Please..."


    Seeing that her grandson''s condition was getting worse, the old lady knelt on the ground and kowtowed to the male doctor anxiously.


    "Grandma, don''t worry. Dr. Shangguan carefully inquired about the condition in order to be able to diagnose the cause in time and rescue your grandson faster and more effectively." The female doctor supported the old man and comforted her with a gentle voice.


    "Does the child''s father have a heart condition?"


    The male doctor asked again.


    "Does coronary heart disease count?"


    The old lady was paralyzed on the ground and refused to get up, she thought for a while before speaking.


    "Um!"


    The male doctor''s eyes lit up, and his expression became much firmer.


    Grandpa and father both have a history of heart disease.


    This family history is a very important reference in diagnosis.


    "Just now I checked the child''s condition. There is almost no heartbeat and no breathing. I will try to give him cardiopulmonary resuscitation immediately. I suspect that your child has a family hereditary heart disease. Sun Qian, call him 120 first, and prepare to let the nearest The emergency doctor sees you."


    After the male doctor finished speaking, he laid the child flat, and then began to perform cardiopulmonary resuscitation on the child.


    This is also the most common rescue method.


    It is mostly used for patients with sudden coma, cardiac arrest and respiratory arrest.


    The rescue time is very short, within 4 minutes is the best. If it fails to be revived for more than 30 minutes, it can basically be declared dead.


    Generally speaking, if cardiopulmonary arrest lasts for more than 4 minutes, the brain will be irreversibly damaged due to lack of oxygen.


    The longer the delay, the worse it is.


    If they are rescued, they may be mentally handicapped or even become a vegetative state.


    In medicine, it is called the rescue gold 4 minutes.


    Dr. Shangguan''s cardiopulmonary resuscitation is still very professional.


    Thirty compressions alternated with artificial respiration.


    But after two sets of compressions and artificial respiration, UU Reading The child still didn''t respond.


    The child''s grandmother began to cry.


    Dr. Shangguan''s expression was tense, and he couldn''t help but increase the pressure.


    Zhou Can stood not far away and kept watching.


    The child''s face was cyanotic, and now it has turned dark purple, looking very scary.


    He stepped forward again, wanting to check further.


    Such as fingertips, toes, tongue and so on.


    "What''s the matter with you? Didn''t you see that you are being rescued? What are you watching!"


    The female nurse found out that Zhou Can was close to the child again, and she was really angry.


    The rescue did not go well, and this man kept making trouble.


    "I''m also a doctor. I saw that you didn''t make any progress in the rescue, so I just wanted to go forward to see if I could help. It didn''t mean anything else." Zhou Can explained to her.


    "Which hospital?"


    When the female nurse asked this, her chest was puffed out.


    It''s not to show her proud career line, but to be proud of her status as a nurse in Tuya Second Affiliated Hospital from the bottom of her heart.


    Tuya is currently number one in the medical field in the province.


    People in the Second Affiliated Hospital never considered themselves to be a branch of Tuya, but considered themselves to be Tuya people.


    Pride and self-confidence have already been deeply engraved in their bones.


    "Tuya Hospital."


    Zhou Can replied lightly.


    But his eyes were fixed on the sick child''s fingers and observed carefully.


    The fingertips are purple, especially the nails.


    "Are you also a doctor at Tuya Hospital?" The female nurse was very surprised.


    Even Dr. Shangguan, who was rescuing the sick child, and the female doctor named Sun Qian looked at Zhou Can in unison.


    Because of the word Tuya, it is a golden signboard in the medical field in the province.

 Chapter 83： its over

    Jin Mingxi tried his best to squeeze into Tuya as a regular trainee because the attending doctor of the County People''s Hospital was wrong, because Tuya Hospital was too strong.


    Even the Provincial People''s Hospital, Provincial Children''s Hospital, and 701 Hospital were left far behind by it.


    Only in such an environment can one learn truly powerful medical skills.


    "yes!"


    Zhou Can still answered calmly.


    "Second Attachment or General Hospital?"


    The female nurse was ready to question her to the end.


    "Headquarters!"


    Zhou Can''s answer made the three of them change their expressions again.


    When the doctors of the Second Affiliated Hospital faced the doctors of the General Hospital, they felt somewhat inferior.


    Although no one has ever said it clearly, everyone knows it very well.


    Most of the doctors in the Second Affiliated Hospital failed in the discipline competition of the General Hospital and were eliminated.


    A 60-year-old doctor cannot do as well as a 30- or 40-year-old young doctor. This is an unspeakable pain in the hearts of many old doctors.


    Academic and medical skills, they were all defeated.


    The only thing to be proud of may be the rich experience in diagnosis and treatment accumulated in a lifetime.


    With the rapid development of the times, old doctors generally have low academic qualifications, and after all, only a very small part of them can not be eliminated by the times. Through continuous learning, advanced studies, and advancing with the times, these people eventually became the Big Dipper Taishan in various medical fields in contemporary China.


    For example, Huang Lao in the field of breast cancer.


    Heirs of the Jiang family, Mr. Wu, etc. in the field of orthopedics.


    They are all town-level figures in a certain medical field.


    It''s just that there are too few medical seniors who can strictly demand themselves and keep learning. It''s more about enjoying the benefits of life and honor after becoming famous.


    There are a large number of such old doctors in Tuya Attached Second.


    When the female nurse who interrogated Zhou Can heard that Zhou Can was from Tuya General Hospital, her arrogance and arrogance could not help but drop a lot.


    To be more realistic, she already felt oppressed by her low self-esteem.


    "Which department of the general hospital are you from?"


    She tried her best to regain some self-confidence, especially this young and outrageous doctor, who had never looked at her directly until now.


    At first, I thought this person was afraid to look at her because of low self-esteem.


    Now that she learned that Zhou Can came from Tuya General Hospital, she realized that they probably didn''t take her seriously from the beginning.


    This feeling of being slighted made her angry.


    "Emergency Department!"


    "Oh¡ªso it''s a doctor in the emergency department! Seeing how young you are, an intern?"


    Her confidence is back.


    Which medical staff in Tuya doesn''t know the garbage in the emergency department of the general hospital?


    "Well, almost. Guipei."


    Zhou Can casually agreed, but he was quickly diagnosing the boy''s cause in his mind.


    His face was blue, and so were his fingertips.


    Respiratory arrest, heartbeat?


    He looked at Dr. Shangguan who was still working **** cardiopulmonary resuscitation. At this time, if you propose to check the heartbeat again, most people will not agree.


    If the sick child died, Zhou Can might be blamed.


    When Dr. Shangguan described the sick child''s physical symptoms, he only said that he was not breathing at all and his heartbeat was almost non-existent.


    That is, there is still a heartbeat.


    At this time, he inadvertently caught a glimpse of green in the sick child''s trouser pocket.


    I immediately took it out and saw that it was a box of Green Arrow chewing gum.


    There are only three slices left.


    "Was your grandson chewing gum before the accident?"


    Zhou Can asked the old lady.


    It''s just that the old lady is crying so hard that her sanity is a little unclear. After more than ten seconds, I nodded, "Yes! He likes chewing gum. I bought him a box before getting in the car."


    "Doctor Shangguan, don''t press it. The child is probably suffocated by a foreign object stuck in his throat."


    Zhou Can said loudly.


    [Pathological diagnosis experience value +1. ¡¿


    Everyone was shocked.


    After a long time, it turned out that it was not a heart attack, but a foreign body stuck in the throat.


    However, Zhou Can just reported the identity of the doctor of Tuya General Hospital, which somehow gave the onlookers some trust in him.


    Doctor Shangguan was stunned.


    There was a fever on his face, "Probably not, I checked the child''s mouth twice."


    "It''s a little deeper and it''s hard to see without a laryngoscope. I''ll try."


    Zhou Can couldn''t help but pick up the child, put his stomach against the child''s back, and turned his head down.


    Hold the child''s abdomen with both hands, about three fingers above the navel.


    Then slam back hard.


    boom!


    once!


    boom!


    twice!


    Everyone is watching, expecting a miracle to happen.


    The child''s hands were already drooping weakly, and his face was blue, as if he was dead.


    ¡­


    Until the sixth time, a ball of gum shoots out of the child''s mouth.


    fall to the ground.


    "Come out, come out! After all, the doctors from Tuya General Hospital are more powerful!"


    The crowd cheered.


    The Heimlich first aid method is one of the best ways to rescue a child with a foreign body stuck in his throat.


    Buckling with fingers and feeding water are very wrong methods.


    It will only cause the child to die sooner.


    It is the correct way to hold the child''s abdomen back hard, so as to flush out the foreign objects stuck in the throat with the help of a strong abdominal pressure shock wave.


    Zhou Can laid the child flat on the ground and checked it carefully again.


    It was found that the child''s breath was already there.


    He breathed a sigh of relief.


    The doctor Shangguan next to him was blushing with embarrassment.


    From the very beginning, he was misled by the child''s grandma. Thinking that the child has genetic heart disease must be a heart attack. Then lead to the rescue that has been using the wrong method later.


    Not to mention the arrogance of that female nurse, she dared not speak to Zhou Can at all now.


    I was also afraid that Zhou Can would mock her. UU reading


    As a result, Zhou Can still didn''t even look at her.


    The female doctor Sun Qian didn''t help much throughout the whole process. She took a deep look at Zhou Can, as if she wanted to remember this particularly powerful young doctor.


    "Wow¡­"


    The child paused for a while and cried out.


    Eyes also opened.


    The old lady was overjoyed.


    "Live alive! My grandson is alive!"


    She hugged the baby excitedly.


    Then he thought of something, put down the child again, and kowtowed to Zhou Can.


    If Zhou Can hadn''t saved her grandson, it would have been disastrous for her family. She also has no way to explain to her son and daughter-in-law.


    "Don''t do this, don''t do this. Although the child is awake, you still have to take the child to the hospital for an examination. Also, if the child is too young, it is best not to give him chewing gum, jelly, peanuts and the like. Children are naturally Be active and prone to accidents."


    Zhou Can supported the old lady.


    Saving people is the bounden duty of a doctor.


    Zhou Can was most gratified to successfully rescue this little boy from death.


    After saving people, he didn''t stay here again.


    leave quietly.


    Flick off your clothes when things are done, and hide your achievements and fame deeply. This is the real freedom and ease.


    ¡­


    When he returned to Tuya Hospital, he acted as if the rescue had never happened. Do whatever you want, and don''t mention it to anyone.


    After dinner, I bought eight white mice and went back to the dormitory to continue earning surgical experience points.


    He is silently improving various medical skills every day.


    It''s a bit too much to describe it as a thousand miles a day.


    But his speed of progress is absolutely unmatched.


    No matter how evil the genius is, he is still a younger brother in front of him.

 Chapter 84： Promise with Qiao Yu

    When he went to work the next day, he was blocked by Qiao Yu.


    "I transferred half of the money for milk tea to you, why don''t you accept it?"


    "It''s really not necessary."


    Zhou Can took her a little speechless.


    I have never seen such a stubborn girl.


    What she decided, nine cows can''t be pulled back.


    "Don''t you think it''s too little?" She asked with a beautiful but not vulgar face.


    "I''m afraid of you, I accept it!"


    Zhou Can opened WeChat and accepted the money in front of her.


    Then I sent a thank you to the lady boss.


    Chi!


    She chuckled, "Who is the proprietress, messy hair!"


    "Hey, let''s discuss something with you!"


    Zhou Can took this opportunity to make a small request.


    "you say!"


    Her big pure eyes looked at Zhou Can.


    "I really like doing surgery with you, can you schedule a little more morning shift?" Zhou Can worked with Tian Tian for two days, and he really couldn''t bear it.


    Doing surgery with Tian Tian is simply a kind of torture.


    If this continues, his lifespan will be shortened by several years.


    In comparison, performing surgery with Qiao Yu was really a pleasure.


    Feeling happy throughout the process can save a lot of things.


    The efficiency of the operation is also very good.


    "I''m on the morning shift today! After work, I''ll discuss with the head nurse to see if she can arrange a few more morning shifts for me. But it''s not very hopeful. Nurses are not as scarce as your doctors, but I usually take more charge of the infusion room, and I am always transferred to the operating room as an assistant, and other nurses will not be happy."


    Qiao Yu heard that Zhou Can liked to operate with her very much, and a happy smile appeared on her face.


    It''s just that the nurse''s shift arrangement is much more complicated than imagined.


    Especially the emergency department.


    Many nurses wear multiple jobs, and nurses with strong professional ability or senior qualifications are usually assigned to fixed positions.


    Qiao Yu is just a newcomer, so it is difficult to enjoy this kind of treatment.


    Of course, if there is a strong background, all rules can be broken.


    "You try it, if it doesn''t work, forget it. I''ll have a place in the emergency department in the future. If you''re willing, I''ll talk to Director Lou directly." Zhou Can thought for a while and said seriously.


    "Um!"


    She nodded a little shyly in agreement.


    Zhou Can didn''t say anything more, but secretly set a small goal in his heart.


    Strive to achieve results as soon as possible.


    It is not difficult to say that it is difficult to achieve results.


    As long as most of his medical skills are raised above the attending level, he will be able to gain some voice in the emergency department.


    After all, he still has the backing of Dr. Xu behind him.


    A lean camel is bigger than a horse.


    Even if Dr. Xu had an accident, he was demoted and sent to the emergency department. But his status in the emergency department is not low. This can be seen from Director Lou''s attitude towards him.


    ¡­


    In the operating room, Zhou Can cooperated with Qiao Yu in surgery today as he wished.


    It''s great to have her as an assistant.


    In addition, Zhou Can''s medical skills have improved compared to the previous two days, and the operation speed has also increased a lot.


    Jin Mingxi was hanged and beaten by him again.


    Today, Zhou Can performed five operations, and Jin Mingxi only performed three.


    Zhou Can was extraordinarily vigorous today, and Dr. Xu also noticed it.


    A smile appeared in his eyes.


    But nothing was said.


    Jin Mingxi was in despair. This Zhou Can must be hanging up today.


    Yesterday, Zhou Can performed five surgeries, and Jin Mingxi could perform at least four.


    Why is the gap so big today?


    Jin Mingxi looked at Qiao Yu subconsciously, as if she understood a little.


    A weird smile appeared on his face.


    A good horse needs a good saddle!


    Coupled with the blessing of youth hormones, it will be even more powerful.


    About 11 o''clock in the morning, Dr. Xu received a call.


    "Zhou Can, the medical department asked you to come over immediately."


    "OK."


    Zhou Can just finished one operation and hasn''t called in a new patient yet.


    "Did you work overtime yesterday?"


    Doctor Xu asked with some concern.


    "No!"


    Zhou Can left after get off work yesterday, first rented out the house, and then went back to the apartment to practice surgery honestly until twelve o''clock at night.


    "Is there nothing wrong with it?"


    Dr. Xu has a lot of experience, and it is impossible for the medical department to invite a regular doctor to drink tea for no reason.


    Generally, they have committed a crime, and they should first call someone over there for questioning and find out the situation.


    Then do further processing.


    "should not."


    Zhou Can recalled it carefully, and there was no quarrel with the patient, nor any major mistakes in diagnosis and treatment.


    However, in the past few days, many operations have been performed.


    There is no guarantee that no accident will happen.


    At this time, his heart moved, and he seemed to think of something.


    "Don''t worry, teacher. Maybe I saved a child who was suffocated by a foreign object while taking the subway yesterday. It might be a good thing." The only thing Zhou Can could think of was this.


    Although there was no name left at the time.


    But the nurse at the Second Affiliated Hospital of Tuya asked all the questions, and he answered them all.


    It is not difficult to find him.


    "I don''t sound like it. You go and have a look first." Dr. Xu''s brows are still frowning.


    After finally accepting a very talented apprentice, he was afraid that something would happen.


    "Qiao Yu, I''m sorry, you should go busy with other things first!"


    Zhou Can looked at his partner.


    "I''m fine. You... be smart!"


    She finally choked out three words.


    There was concern and worry in his eyes.


    "Hehe, am I not smart enough?" Zhou Can was amused by her.


    It was quite warm in my heart.


    "That''s a little bit better than the second senior brother! Giggle..." She followed up with a smile, and the originally tense atmosphere relaxed a lot.


    "Zhou Can, the medical department can be foolish sometimes, so it''s always right to be careful."


    Jin Mingxi has worked in the County People''s Hospital for more than ten years and knows all departments of the hospital very well.


    The medical department focuses on medical business, and puts the interests of the hospital first in everything.


    It can also be said that all administrative departments are ruthless machines.


    "I will."


    Zhou Can agreed, left the operating room, and went to the office of the medical department.


    He knocked on the door Who are you looking for? "


    The female staff member closest to the door looked up at him.


    "I''m Zhou Can from the emergency department, and the medical department notified me to come over."


    "It turned out to be Dr. Zhou. Deputy Section Chief Yin is already waiting for you in the small conference room No. 2. Hurry up, it''s right next to you."


    She pointed to the right.


    "OK, thanks."


    When Zhou Can entered the small conference room No. 2, he faintly heard someone roaring in the doctor-patient dispute mediation room not far away.


    "Three of the child''s ribs are broken, you must give an explanation..."


    I don''t know which doctor got into trouble again and broke the child''s ribs.


    However, some family members are unreasonable. It is obviously not the doctor''s fault, and they also like to blame the doctor.


    Zhou Can met many unreasonable family members or patients during his internship.


    Some made a fuss on purpose, just to reduce medical expenses a little.


    Or he thinks that''s the case, and he just googled it, or heard it, and questioned the doctor''s wrong operation.


    When encountering such patients or family members, the doctors are the first and the second big.


    After a tiring day and treating many patients, I had to patiently communicate and explain to my family members.


    Sometimes I get two old punches from my family members, or I am hit by a family member with a stool.


    Therefore, there are only two types of chairs for family members to sit on. Or a bench that can''t be moved. Or a lightweight plastic stool.


    In case family members or patients go crazy and hit people with a chair, the injury to the doctor will not be too serious.


    Zhou Can walked into the small conference room No. 2 and found that there was only a middle-aged woman in her forties with a faint majesty on her face.


    What''s the matter, it''s worth dispatching a deputy section chief to personally meet him, a little Gui Peisheng?

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 Chapter 85： I swear not to bow my head. 8 parties support

    Dongdongdong!


    Although the door is open, knocking is the basic courtesy.


    "Is it Zhou Can?"


    Deputy Section Chief Yin''s Danfeng eyes had a frightening sharpness.


    "Um!"


    Zhou Can nodded.


    "Come in! Sit down, please!"


    Her tone was mild.


    Zhou Can walked into the conference room and sat down opposite her.


    "Don''t be nervous, Doctor Zhou. I came here to discuss one thing with you."


    "Please speak!"


    Zhou Can remembered Qiao Yu''s advice to be smart.


    Secretly played twelve points of the spirit.


    "Did you save a child whose throat was stuck by a foreign object on the subway yesterday?"


    "There is such a thing."


    Zhou Can admitted it frankly.


    "Uh... That''s right. The behavior of rescuing the child is worthy of recognition and praise. But now the child has broken three ribs after being checked, and the family members went to the hospital to find trouble and ask for an explanation."


    Deputy Section Chief Yin''s tone became a little more serious.


    After Zhou Can finished listening, he secretly breathed a sigh of relief.


    It turned out to be this matter.


    He only used the Heimlich first aid method at that time, and the possibility of causing the child''s rib fracture was extremely low. On the contrary, it was Dr. Shangguan from the Second Affiliated Hospital of Tuya. After the two sets of cardiopulmonary resuscitation still had no effect, he directly increased the pressure.


    This is what is most likely to result in a broken rib.


    There have been many similar reports in the news. Some medical staff, or non-professionals, performed cardiopulmonary resuscitation on the patient too hard, causing the patient''s ribs to break.


    This is a serious secondary injury.


    It is caused by improper operation.


    "The child fell into a coma at the time, and the first rescuers were three medical staff from the Second Affiliated Hospital of Tuya. Among them, a doctor surnamed Shangguan performed cardiopulmonary resuscitation on the child. I only performed Heimlich on the child. First aid. Broken ribs should be his fault."


    Zhou Can tried his best to state the facts at that time.


    "No, no, you did this."


    Deputy Section Chief Yin immediately denied it.


    Zhou Can sensed that the atmosphere was not right.


    Although Tuya General Hospital and the Second Affiliated Hospital are equivalent to a family, there must be a difference in this direct benefit.


    It''s like two brothers, if they split up, they must do their own things.


    The possibility that the elder brother made money and gave it to the second younger brother was very small.


    The second brother lost money, and the possibility of asking the elder brother to fill the hole is also very small.


    If Zhou Can hadn''t stated the truth, Deputy Section Chief Yin believed that he was responsible for the broken rib.


    This is understandable.


    Now I have stated the matter very clearly. Although she is an administrator, she also understands medical knowledge.


    Which rescue method is more likely to cause rib fractures, wouldn''t she be unclear?


    Also, she insisted that it was Zhou Can who did it, and she clearly turned her elbow outward.


    This is very wrong.


    "If you want to find out who is responsible, it''s very simple. Look at where the child''s ribs are broken. If it''s close to the heart, I don''t need to say it. If it''s close to the abdomen, I will admit it."


    Zhou Can held back his anger and said calmly.


    Deputy Section Chief Yin seemed to have expected that Zhou Can would not agree easily.


    Changing his strong tone, he persuaded earnestly, "It''s a great thing to save a child who may die. The hospital highly praises and affirms your active saving behavior. Dr. Zhou is still very young. Even if you admit that you broke the child''s ribs, you won''t be punished substantially."


    This is the beginning of Zhou Can''s ideological work.


    "The relationship between doctors and patients is generally tense now, and family members go to the hospital to ask for an explanation. You just go through the motions and admit your mistake. The follow-up compensation and aftermath are all handled by the hospital. Do you think it''s okay?"


    Deputy Section Chief Yin made a series of promises.


    At first glance, it is really touching that the hospital protects its own doctors so much.


    It''s a pity that Zhou Can was born in a wealthy family since he was a child, and he followed his parents'' ears and ears, treated people, and judged various interests, which is by no means comparable to ordinary people.


    If it were an ordinary workplace rookie, he might have foolishly agreed.


    After all, he was facing the deputy chief of the medical department.


    Zhou Can was not so easily fooled.


    "No! I didn''t do this, so why admit it?"


    Zhou Can hit the nail on the head and pointed out the root of the problem.


    It was right, so there is no need to admit it, let alone the so-called asylum provided by the hospital.


    Deputy Section Chief Yin''s face became a little ugly.


    This young Gui Peisheng is not easy to fool!


    "Zhou Can, no matter whether you did it or not. You should put the overall situation first and the hospital''s reputation first. Letting the family continue to make trouble like this will only damage the hospital''s reputation. If you feel wronged, the hospital Appropriate compensation can be given to you."


    Seeing that she couldn''t fool around, she directly proposed to buy Zhou Can with benefits.


    Let him take the blame.


    "Sorry, I don''t need any compensation, just an innocence."


    Zhou Can refused again.


    He was not short of money, and he didn''t even want to hear the compensation conditions offered by Deputy Section Chief Yin.


    Don''t even think about it.


    "Zhou Can, this decision is a conclusion reached after discussions with many leaders of the medical department. We can understand your feelings and hope that you will accept this decision from the overall situation in order to maintain the reputation of the hospital."


    She accentuated her tone and her expression became serious.


    This is directly using power to suppress people.


    "You keep saying that you want to protect the reputation of the hospital, prove my innocence, and let the family members know that I did not do this. This is the real way to protect the reputation of the hospital, right? I don''t understand it, but you force me to carry it with all your heart What is the plot of this black pot?"


    Zhou Can was no longer polite.


    He also understands that the leaders of the hospital cannot be easily offended, because he is just a small person.


    But little people also have their own dignity and bottom line.


    No one can force him to admit what he has never done.


    Faintly, he realized that this matter was by no means as simple as it appeared on the surface.


    "Do you disagree? If you refuse to implement the hospital''s decision, according to the employee management regulations, all your duties and work will be suspended. You should go home and think about it calmly. When you figure it out, you can come to me at any time. "


    Deputy Section Chief Yin''s tone was very firm, and his aura was also very strong.


    This matter is neither big nor small.


    She didn''t seem to be afraid of Zhou Can''s trouble at all.


    It means there is someone behind her.


    Who can make the deputy chief of the medical department work so hard, who will be behind the scenes?


    I''m afraid it must be at least the leader of the school.


    Thinking of this, Zhou Can shuddered.


    The larger the unit, the deeper the water, and the more complicated the personnel.


    Not to mention that he is such a small-scale doctor, even at the attending level, he can''t make any waves.


    Without one or two Gui Peisheng, the hospital will hardly be affected in any way.


    When Deputy Section Chief Yin talked about this, in fact, he didn''t leave any room for him to maneuver.


    Zhou Can stood up and stared coldly at Deputy Section Chief Yin.


    Until the other party got a little hairy, a trace of movement appeared in the depths of his eyes.


    Zhou Can then said neither humble nor overbearing, "You have your decision, I have my attitude. I will not take the blame for this, and I will never compromise. Also, if this matter is only the decision of a certain hospital leader, then you can tell He may not be able to overwhelm me. He may even backfire on him. If it is the decision of many courtyard leaders, it means that Tuya is already rotten, and there is no place to stay here, but there is a place to stay."


    Zhou Can made it clear.


    Deputy Section Chief Yin''s face changed drastically, and there was not only anger but also panic in his eyes.


    She seemed to find that Gui Peisheng was far more powerful than she imagined, and more difficult to handle.


    "The last piece of advice is that people are doing it, and the sky is watching. Only when you do it right, you will not be afraid of the shadow."


    When the words fell, Zhou Can never dragged his feet. He left Deputy Section Chief Yin with a livid face, turned around and left.


    He would like to see how dark the world really is?


    Not bad net worth, as well as the strong financial strength from his parents, gave him a lot of confidence.


    In addition, as long as this matter is exposed in the sun, no one will be able to cover up the truth, which also gave him great confidence.


    Some grievances, he can bear.


    Some losses, he will not suffer, and will never compromise.


    A seven-foot man would rather die standing up than live on his knees in humiliation.


    After walking out of the medical department, Zhou Can did not return to the emergency department.


    Instead, he bought ten white mice and went back to the apartment.


    Blacksmith need its own hardware.


    Only by practicing medical skills more powerfully can he have the right to speak and have weight.


    There will even be a day when it is so strong that it can directly despise all oppression or interference by powers.


    In ancient times, all classes were strictly divided according to the three religions and nine streams, emperors, literati, officials, doctors, monks, soldiers, farmers, craftsmen, and businessmen.


    Businessmen are just the bottom of the bottom line.


    Modern society is ruled by law. A person with real ability is really capable of fighting against ordinary power.


    Zhou Can was wronged today, and an idea sprouted in his heart.


    One day, strive to form your own medical team, and then achieve the ultimate in medical skills.


    Jump out of the power oppression and **** of the hospital.


    If he doesn''t want to, it won''t work even if the dean comes.


    After returning to the apartment, he calmed down and began to practice medical skills.


    I saw that his movements were calm and his expression was focused, as if he was not affected by anything.


    No wonder Dr. Xu said that he has a calmness that others don''t have.


    If it were someone else, even a person in their 40s or 50s, they might be so angry that they would not want to do anything.


    It was around four o''clock in the afternoon when the door of the apartment was opened.


    "Please come in!"


    Jin Mingxi pushed open the door and turned sideways to make a false lead.


    A not tall figure walked in.


    "teacher!"


    Zhou Can turned his head and found that it was Dr. Xu who came. He hurriedly put down the electric coagulation knife in his hand and got up to greet him.


    Dr. Xu was as serious as ever.


    He stared at Zhou Can.


    "Seeing that you didn''t go back to the operating room, Dr. Xu was a little worried, so he asked me to bring him to you."


    Jin Mingxi explained next to him.


    Zhou Can''s nose was sore, and he had just experienced the ruthlessness and indifference of the hospital leaders, and Dr. Xu''s care for him felt very heartwarming.


    There is true love in the world.


    The teacher treated him really well.


    "Boy, didn''t you add WeChat? I thought you would say something on WeChat. In the end, you didn''t say anything, just went back to the apartment without saying a word. Do you still think of me as a teacher?"


    Doctor Xu''s tone was full of reproach.


    Zhou Can asked him to sit down, "This matter is more troublesome and beyond your ability to solve it, so I didn''t tell you."


    If Dr. Xu is still Tuya''s three famous knives and the chief physician, maybe he can speak a few words for him.


    The current Doctor Xu is completely a stranded dragon, unable to protect himself.


    "What the **** happened?"


    Doctor Xu stared at him sternly.


    When Jin Mingxi looked at him, he was also concerned.


    People have feelings.


    Seeing the suffering of those close to us, sympathy and concern are instinctive reactions.


    "Didn''t I save a child whose throat was stuck by a foreign object yesterday by taking the subway? The family members are now running to the hospital to make trouble..." Zhou Can told the story.


    After listening, Dr. Xu''s hands clasped the armrests of the chair tightly, and the veins on his thin arms were bulging.


    His face was full of anger.


    "This is too bullying. Don''t worry. I''ll find out and see if I can find a solution." After all, Dr. Xu is a seasoned veteran. Although he was extremely angry, he did not lose his mind.


    Not to mention reckless impulse.


    "I think the leaders of the hospital clearly want to protect the doctor Shangguan of the Second Affiliated Hospital. It''s really unfair to let the real rescuer take the blame."


    Jin Mingxi said angrily.


    "As long as Xiao Zhou refuses to agree, they may not be able to pin this **** pot on Xiao Zhou''s head. If they don''t do it, they will pin it on themselves instead. There are not many doctors with the surname Shangguan, and they are thirty years old. He looks eight or nine years old. If I guess correctly, it is probably a trump card trained by the Second Affiliated Hospital of Tuya."


    Dr. Xu is an old man from Tuya Hospital, and he knows a lot about the General Hospital and the Second Affiliated Hospital.


    Zhou Can guessed something in the medical department.


    Deputy Section Chief Yin tried his best to make him take the blame, in order to protect Dr. Shangguan who really caused trouble.


    As for how strong the background of that Shangguan doctor was, Zhou Can had no idea.


    That''s why he tried to press Deputy Section Chief Yin.


    It''s a pity that people who are leaders have deep concentration. From the beginning to the end, no truth was revealed.


    "Then what is the history of Dr. Shangguan?" Zhou Can asked curiously.


    "On Tuya Attachment II, only the medical oncology department has developed well in recent years. This Shangguan doctor is named Shangguan Yan. He has a master''s degree and specializes in gastrointestinal tumors. He once published an academic paper on gastric cancer ablation, which was published in SCI. Journal, and caused a certain sensation. He has a great reputation in the field of oncology medicine in China, and also has a certain reputation abroad. He is a young famous doctor who is being promoted by the Second Affiliated Hospital of Tuya."


    Currently recognized as the top medical papers are SCI journals.


    Although SCI is also divided into several districts, the academic level of domestic doctors is generally low.


    Compared with the United States, there is a big gap.


    There is no way, it is a gathering place for the world''s top talents, and there are really many powerful talents.


    How many papers have been published in SCI journals? As for the scoring of the impact factor, it is often sloppy.


    The impact factor score of SCI journal papers published by very few excellent B can exceed 5 points.


    The SCI paper published by Dr. Shangguan can cause a certain sensation, and the score should not be low.


    In addition, Tuya Fu Er is willing to promote him as a key famous doctor, so his strength is definitely not weak.


    "Shangguan Yan''s surgical ability is also excellent. I heard that his ability in minimally invasive surgery for gastrointestinal tumors is not weaker than that of the deputy chief physician. At present, there is no obstacle for him to advance to the deputy senior doctor. With his academic and surgical skills ability, he will definitely become the leader of the gastrointestinal oncology department in the Second Affiliated Hospital."


    "The Point Guard Is Here"


    Dr. Xu disclosed the general information of Dr. Shangguan.


    Such a great famous doctor naturally cannot tolerate any stains.


    Therefore, Zhou Can, a small-scale trainee, became an unlucky scapegoat.


    The world of adults puts interests first.


    Let Zhou Can make a certain sacrifice to preserve Dr. Shangguan''s perfect image of a famous doctor. It is beneficial to the hospital and Shangguan Yan himself.


    As for Zhou Can, because he is only a regular trainee, his mistakes in saving lives can be accepted and understood by the public.


    This matter can be solved perfectly.


    Did they just think about Zhou Can''s feelings?


    It''s like on the night of the wedding, the wife let another man sleep for the night. It seems that the loss is not big, but no man can easily accept it.


    "Xiao Zhou, I just came in and saw that you are still practicing the operation calmly, which means that you are in a stable state of mind. I will go to the hospital to ask first, and I will let you know when there is progress."


    After Dr. Xu understood what was going on, he got up and left.


    ¡­


    A day passed and there was no news.


    Zhou Can''s mood is still calm.


    Even if he left Tuya, he would leave with vigor and vigor, and it was absolutely impossible for those despicable people to live comfortably.


    He had already thought of some countermeasures.


    If he is really forced to leave Tuya, he will spend money to make the truth of the matter popular. Put all the hospital leaders involved in this matter on the fire. Let that Shangguan doctor be ruined.


    Things are not at their worst yet.


    So he behaved calmly and waited patiently for the result.


    In addition, he has a hole card.


    That is Cao Zhengguo.


    With his ability to see people and recognize faces, he felt that Cao Zhengguo had at least a 50% chance of helping him out.


    However, one hole card is one less.


    So until the critical moment, he is unwilling to use it easily.


    At this time, his cell phone rang.


    There is a WeChat message.


    Those who can add him as friends on WeChat are all acquaintances, friends, and relatives.


    His heart skipped a beat, Doctor Xu sent it?


    Clicking on it, I didn''t expect it to be a message from nurse Qiao Yu.


    "I heard something happened to you, are you okay?"


    Even she knew about Zhou Can''s accident.


    It means that the story of Zhou Can has spread in the emergency department.


    I really didn''t expect that after the accident, the third person who cared about me would be her.


    "I''m fine! It''s just those little white mice who are in trouble!"


    Zhou Can replied with a message.


    "Why, are you venting your anger with the white mouse?" She is probably off work now, otherwise it would be impossible to reply to the message in seconds.


    "Violence can''t solve the problem. How about I buy you a cup of milk tea and relax with you!"


    "Practice surgical skills! Stupid!"


    Zhou Can''s typing speed was slower than hers, and her second message actually arrived first.


    Taking the initiative to invite Zhou Can to go out to relax and drink milk tea, this is something Dr. Lu has mentioned to her many times, but has never agreed.


    After receiving the message, she seemed a little ashamed.


    A row of hammer knocking on the head emojis came over.


    "I still have the mind to joke, it seems that my worries are unnecessary."


    Another spitting expression.


    Zhou Can couldn''t help but smile knowingly.


    It was fun chatting with her.


    "Haha, thank you Qiao Meiren for your concern! Your worries are not unnecessary. To me who is in trouble, it is a heart-warming light." Zhou Can dare not disappoint those who care about him.


    Her kindness must be affirmed.


    "Glib and cunning! Since you''re in a good mood, I''ll write a thesis!"


    After sending this message, there was no response.


    It seemed that she was really busy writing her thesis.


    Whether it is a doctor or a nurse, academics are a very important blessing. Papers are the best evidence of academic achievement.


    After chatting with her for a few words, Zhou Can''s mood improved a lot.


    Sometimes, it is a very happy thing to have a few real friends.


    It was like half past five, and Jin Mingxi came back from get off work.


    They usually work in the morning, so they should get off work at four o''clock.


    Jin Mingxi was more than an hour late today, and probably encountered a tricky operation.


    "Doctor Zhou, do you know what happened just now?"


    "Don''t be tricky. I''m not in the mood for riddles right now."


    Zhou Can must have been under pressure when he was suspended for a day and stayed in the apartment.


    It''s just that he has a relatively strong ability to resist pressure, so he can always maintain inner peace.


    Deputy Section Chief Yin probably deliberately put pressure on him in this way.


    Waiting for him to compromise.


    Now both sides are secretly competing for patience. It depends on who is the first to be impatient.


    Zhou Can has no worries about food and clothing, and his family is well-off. He has a house and savings, so he really can afford it.


    "Dr. Xu went to the medical department to make a big fuss because of your matter. In the end, he went to the hospital office to find the hospital leader. To be honest, I was shocked. You are not treated like an apprentice, clearly It''s the treatment of a son!"


    Jin Mingxi said enviously.


    Zhou Can''s heart trembled violently.


    He really didn''t expect that Dr. Xu would make a big fuss in the medical department because of his affairs, and even asked the leader of the upper hospital to help Zhou Can.


    This kind of love is definitely regarded as the word "Master".


    Since ancient times, there has been a saying that being a teacher for one day is a teacher for life.


    Dr. Xu''s devotion to Zhou Can today, Zhou Can will definitely remember it in his heart.


    In the future, I will repay this heavy teacher''s kindness ten times and a hundred times.


    Around seven o''clock in the evening, Zhou Can''s phone rang.


    I thought it was Dr. Xu, but I didn''t expect it to be Yang Chan.


    What is the monitor doing calling him at this time?


    "Hi, monitor!"


    "Why didn''t I hear from you about the accident? If I hadn''t heard from Director Zhang that Dr. Xu from your emergency department made a fuss in the medical department, I wouldn''t even have known that you had been suspended." The squad leader is always so domineering and fierce.


    He is not polite to Zhou Can at all.


    When the phone is connected, it is a slap in the face.


    "You can''t handle this matter, tell you, will it cause trouble for you?" Zhou Can is not afraid of her.


    It''s just that the squad leader''s concern for him is really felt.


    "What''s the matter? You are usually a very prudent person. I have been hearing that you performed very well in the emergency department in the past two days. Why did something happen in the blink of an eye?"


    It seems that she has been silently paying attention to Zhou Can.


    This surprised Zhou Can.


    "Can you not tell me?"


    Zhou Can asked.


    "No!" Her attitude was firm. "If you don''t say anything on the phone, I''ll go find you where you live."


    "Are all of you women so curious?"


    Zhou Can choked on her.


    "Hurry up!"


    She urged impatiently.


    As long as Zhou Can doesn''t say anything, she will really come to him.


    "Okay, okay, satisfy your curiosity. But you have to say something first, don''t worry about it."


    Zhou Can gave an overview of what happened.


    "You didn''t break the ribs, so why should you be blamed? They are simply wicked. I will find a chance to talk to Director Zhang later, and see if I can help you with a few words. But the main thing is to see The attitude of Director Lou of your emergency department. If he refuses to agree, the hospital leaders will be more or less afraid."


    As soon as he finished speaking, Zhou Can heard bursts of busy voices.


    She has hung up the phone.


    The squad leader is really hot-tempered.


    But there was some truth to what she said. Doctor Xu''s status is not enough, but Director Lou is willing to stand up and speak for Zhou Can, so the nature is much different.


    In terms of rank, the position of the director of a major department is second only to the vice president.


    Although the emergency department is very shabby, it is equal to other departments at the administrative level.


    Whether Director Lou will stand up and help him is hard to say.


    After all, he would offend many people, including at least one hospital-level leader, and Shangguan Yan from the Second Affiliated Hospital.


    You know, Shangguan Yan is very likely to become a leader of a discipline in the future. Coupled with outstanding education, academic and surgical abilities, he is definitely a strong candidate for the leadership of the hospital.


    It is impossible for Director Lou not to weigh the pros and cons.


    ¡­


    Until seven o''clock the next morning, Zhou Can got up for a morning run, but still did not receive any news from Dr. Xu.


    It seemed that Dr. Xu had forgotten about him.


    If he hadn''t learned from Jin Mingxi what Dr. Xu had done for him, he might really think so.


    Now, he understands.


    Dr. Xu is likely to be a small and weak person, even if he is taking a huge risk, he will try his best to fight for justice for him. In the end it failed.


    The official level crushes people to death.


    As an attending ruler who had been sidelined, he couldn''t shake the decisions made by the school leaders behind the scenes.


    This is the harsh reality.


    I thought today was another day of crazily practicing medical skills with the little white mice.


    Unexpectedly, around eight o''clock, Zhou Can received a message.


    It wasn''t from Dr. Xu.


    It''s Chief Xin of the medical department.


    "Hello, Dr. Zhou Can, please come to the small conference room No. 2 of the medical department around 8 o''clock today. Chief of the medical department: Xin Wanshan."


    It is worthwhile for the section chief to personally send him a message, explaining that Dr. Xu''s disturbance in the medical department yesterday has already played a certain role.


    Usually, only when there is a safe solution to the matter, will the leader personally come forward.


    Otherwise, most of the second-in-command or ''temporary workers'' came forward to find out first.


    It''s best if you can win it, and if you can''t win it, you can still have room for maneuver.


    Zhou Can was disadvantaged because of his low academic qualifications, otherwise, his excellent performance in the regular training examination and the emergency department would be enough for the hospital leaders to be cautious when dealing with such matters.


    He will never be easily used as cannon fodder like the day before yesterday.


    Low education, generally limited growth potential. People dare not look at him seriously, not worrying about retaliation in the future.


    If you have a postgraduate doctoral degree, you must not talk like Deputy Section Chief Yin.


    It is even more impossible to suspend Zhou Can''s position and exert extreme pressure.


    Zhou Can first went to the hospital cafeteria to eat breakfast.


    To be honest, his mentality may be much more stable than Deputy Section Chief Yin. After all, he could afford it, but Deputy Section Chief Yin couldn''t.


    Because the longer the delay, the more the family members'' emotions will be backlogged, and the trouble will be more violent.


    He walked unhurriedly all the way to the No. 2 small meeting room of the medical department.


    "Ha, good morning, Doctor Zhou!"


    Dr. Lu was running towards the emergency department at a sprint speed of 100 meters. When he saw Zhou Can, he immediately put on the emergency brake.


    "morning!"


    Zhou Can responded indifferently.


    "I heard that you have been suspended? Is there any chance to come back to work?" Dr. Lu''s eyes were filled with a villainous smile.


    On his face, he put on a fake compassionate expression of a cat crying for a mouse.


    "Then do you want me to go back, or not?"


    Zhou Can asked back.


    "Ah ha ha...Of course I hope you can come back! But I heard that you caused a lot of trouble, and it doesn''t work if Dr. Xu went to make trouble in person. I think this matter is a bit suspenseful."


    For people like Dr. Lu, all kinds of gossip and gossip are what he cares most about.


    "Hehe, I don''t know about my affairs. But you are late for work today, so it should be a certainty."


    Zhou Can lights up the phone screen.


    The time was already 7:59, and it was impossible for Dr. Lu to reach the operating room before 8 o''clock even if he flew.


    "Ah... I won''t talk to you anymore, my 100 yuan..."


    It was only then that Dr. Lu realized that he was already late because he was only focusing on taunting Zhou Can.


    He sprinted 100 meters to the emergency department again.


    Zhou Can looked at his back and laughed for a while.


    Thousands of people have thousands of appearances, and there are all kinds of people.


    Dr. Lu was overrun by him, and he was terribly jealous. Now seeing that he is in trouble and the villain is successful, he is very happy.


    But I''m afraid I''m going to disappoint him.


    Chief Xin of the medical department personally sent him a message, which already revealed a major turning point in the matter.


    Anyway, Zhou Can has made up his mind and will never compromise.


    There is no way to ask him to take the blame.


    Doctor Guipei signed a formal contract, worked for one year, and obtained a medical license, so he could even be called a doctor. The status is second only to the residency physician.


    In the absence of any obvious fault on his part, it really wasn''t something a certain leader could just say to expel him from the hospital.


    After Zhou Can arrived at the No. 2 conference room of the medical department, he knocked on the door.


    "Doctor Zhou is here, come in!"


    Xin Wanshan, chief of the medical department, waved at him.


    At this moment, several people were already sitting in the small meeting room.


    Zhou Can knew Director Lou, Section Chief Xin, and Deputy Section Chief Yin.


    It seems that Director Lou finally stood up.


    "Xiao Zhou, sit here!"


    Director Lou signaled Zhou Can to sit next to him.


    Before Zhou Can came, these people should have been discussing for a while. Because the teacups in front of them have been emptied. Just some tea leaves that have sunk to the bottom.


    "Everyone''s time is very tight, so I''ll make a long story short."


    The speaker was a middle-aged man with big ears and fair skin.


    Hair is well maintained.


    Glossy black and smooth as silk.


    Dress is also quite elegant.


    It looks like a person with a very high quality of life.


    In the presence of Director Lou, Chief Xin and others, this person was able to sit in the chairman''s seat, and his identity was ready to be revealed.


    It is likely to be the school-level leader behind the scenes.


    There is only one dean, Zhu Xueyang. The last time Zhou Can met Dean Zhu in the emergency department, he was definitely not.


    From this, it can be inferred that this person is the vice president or the head of the school with other important positions.


    For example, the hospital assistants, the party office, the head of the trade union, etc., are all hospital-level leaders.


    There are several vice presidents, who are in charge of administration, medical treatment, logistics and general affairs, scientific research and teaching...


    "Zhou Can, I want to criticize you first. Because of your disregard for the overall situation, so many hospital leaders waste a lot of time and energy for you alone. This is a serious waste of hospital administrative resources."


    Good guy, this is a backlash.


    I heard that the leaders like to write down Mawei to those thorny subordinates, or kill the stick, kill the arrogance, and then talk about things.


    Zhou Can''s face turned cold, and he was about to refute.


    Director Lou next to him quietly pulled his clothes and shook his head slightly at him.


    Signal him not to contradict each other.


    "This is Bai Ziran, the vice president of the administration. Let''s listen to what he has to say."


    Director Lou whispered something to Zhou Can.


    "The matter has come to this point, I will not hide it. Dr. Shangguan Yan is the leader of the Department of Gastrointestinal Oncology of the Second Affiliated Hospital. If this discipline is well established, it will not only make the Second Affiliated Hospital famous. A higher level will make the oncology department of the Second Affiliated Hospital more competitive. And it will also be of great benefit to the General Hospital.¡±


    This is a direct showdown for Vice President Bai Ziran.


    "If his reputation as a famous doctor is damaged because of a small rescue incident, the consequences are likely to be devastating. Zhou Can is just a trained doctor. If he resists this incident, his contribution to the hospital will be huge." It will be very big. Of course, no one is willing to take the blame for others without reason, but Tuya is a big family. As a member of Tuya, we should put the overall situation first."


    After sweeping across the audience, his eyes fell on Zhou Can''s face again.


    "Only by making the basic market bigger, can Tuya''s employees live better and have more room for development. The hospital will never forget Zhou Can''s sacrifice and contribution to the hospital. Excellent evaluation, advanced training He can be given the green light for him to be promoted, to be promoted, and to choose a weight department.¡±


    The Executive Vice President has considerable powers.


    Promises made in public should be fulfilled.


    It is entirely possible to give Zhou Can the green light once or twice.


    "Zhou Can, let me ask you one last time, are you willing to make a small sacrifice for the development of the hospital?"


    Vice President Bai''s methods are much more powerful than Deputy Section Chief Yin''s.


    First, give Zhou Can a killing blow.


    Then move them with emotion, understand them with reason, and force them with righteousness.


    Finally, throw a series of rewards as temptations.


    In this case, no matter how hard-hearted the stabbing head is, it has to be subdued.


    What''s more, what he used was an upright conspiracy, and all his actions were open, not sneaky.


    All eyes were on Zhou Can.


    "I disagree."


    Zhou Can didn''t even think about it, and flatly refused.


    Such a reckless performance made Vice President Bai''s face extremely ugly, and a heart-warming anger quickly condensed between his brows.


    Like the dark clouds in the sky, they are getting thicker and thicker.


    "If there is no skin, there will be no hair. Do you really want to see the Second Affiliated Hospital lose a famous doctor and a department that is about to emerge?"


    Dean Bai''s voice sounded like thunder and roaring filial piety.


    Contains monstrous anger.


    That invisible coercion was like a mountain pressing down on Zhou Can.


    Not to mention him, even Director Lou next to him showed concern.


    "I have a different opinion on this matter. You need to be hardworking yourself. Dr. Shangguan had an accident this time and asked me to help him. The reputation is preserved. So what about next time? What about next time?"


    Zhou Can asked Vice President Bai in public.


    "this¡­"


    Vice President Bai was able to speak eloquently, but at this moment he was rendered speechless by the question.


    No one can guarantee that Dr. Shangguan will not cause trouble next time.


    "If he really has the potential to become a subject leader, then he will be able to deal with such a small crisis. Otherwise, the hospital has high hopes for him and pours countless resources on him, but in the end he failed to support a subject. This loss will only be greater. Towering trees will never grow in the greenhouse, and rainbows will never be seen without experiencing wind and rain. The more you try to protect him, the more you will harm him."


    Zhou Can''s rebuttal was very profound.


    And it makes sense everywhere.


    Director Xin, Director Lou and others nodded repeatedly after hearing this.


    Vice President Bai fell into deep thought, with an uncertain expression on his face.


    Finally a decision seems to have been made.


    "Call Dr. Shangguan in immediately!"


    He raised his head and said to the young girl who made tea and water for everyone.


    According to the meaning of this release, Shangguan Yan is nearby.


    Not long after, Dr. Shangguan walked into the meeting room with a tense expression.


    When he looked at Zhou Can, he obviously dodged a little.


    If you do something bad, the psychological burden will not be small.


    "Dean Bai, have you discussed the matter?"


    He looked at Vice President Bai with a heavy face.


    "After discussing with Dr. Zhou, we finally decided to let you confess your mistakes to your family members." Vice President Bai told him this difficult decision.


    "ah¡­"


    Dr. Shangguan paused and almost collapsed to the ground.


    His expression was anxious and terrified, "I am at the critical juncture of pursuing the deputy senior title. Affected by this incident, the evaluation of the deputy senior title will be postponed for at least one year. Also, my image of a famous doctor will be stained. It was originally planned Yes, this year I passed the review for the title of associate senior professional, and next year I can lead the discipline of gastrointestinal oncology to show my strengths, and all these plans will come to naught.¡±


    Shangguan Yan never thought that rescuing a child would have such serious consequences.


    This loss is too great.


    It was obviously a good thing, but why did it end up in a mess?


    "Don''t worry, sit down and listen to us slowly. What Dr. Zhou said just now is very reasonable. From the beginning of the accident, when you came to me for help, the first thing I thought of was how to protect you and keep your neighbors safe." A new signboard is about to be erected by the No. 2 Hospital. Zhou Can said that you need to be strong to strike the iron, and this small crisis is actually a good test for you."


    Vice President Bai is worthy of being a leader at the school level.


    After realizing the mistake, correct it immediately, and the advice of Zhou Can, a kind listener.


    Let Shangguan Yan handle this crisis by himself.


    If even such a small crisis can''t be handled well, even if Shangguan Yan is forced to go up, if something happens in the future, the loss to the hospital will only be greater.


    "But the family has already invited media reporters to come over. If I admit my mistake, it will be on the headlines immediately, and the image of famous doctors will be completely destroyed... Ah!" .


    Even his hands were trembling slightly.


    It''s not that his mental quality is not strong enough, but that it''s about his future and destiny. If he steps out one step at a time, it''s likely to be an abyss.


    "I''m to blame for this, and I shouldn''t delay. The family members thought we wouldn''t give him an explanation, so they asked the media to expose it." Deputy Section Chief Yin was quite good at life, and took the initiative to stand up and resist the blame.


    In fact, Vice President Bai is the manipulator behind the scenes.


    However, as a subordinate, it is an advanced workplace survival skill to stand up and help the boss block the ''bullet'' at a critical moment and take the blame.


    It is easy to gain the favor and trust of your superiors.


    When there are important job vacancies, the boss will consider her as soon as possible.


    Vice President Bai glanced at Deputy Section Chief Yin appreciatively, and then glanced at Zhou Can faintly.


    His original idea was to put extreme pressure on Zhou Can to force Zhou Can to agree.


    I really didn''t expect to provoke a hard bone.


    What''s even more frightening is that after Dr. Xu stood up to seek justice for Zhou Can, there were actually several directors, chief physicians, and deputy chief physicians in the hospital speaking for Zhou Can.


    Facing the turbulent public sentiment, Vice President Bai felt tremendous pressure.


    Although Dean Zhu did not express his opinion on this matter, based on his understanding of Dean Zhu, he knew that if it was not resolved properly, Dean Zhu should find him for tea.


    Tuya Hospital is definitely not just what someone said.


    It''s even more impossible to do whatever you want.


    It is under the leadership of the government and has internal democratic self-government.


    In this confrontation with Zhou Can, Vice President Bai was the first to be unable to bear the pressure. So there was the trick of Chief Xin personally sending text messages to Zhou Can.


    Speaking of which, after all, Xin Wanshan and Zhou Can had some fate.


    When taking the regular training test, Chief Xin personally came forward to help Zhou Can clarify the matter of being late.


    This is a good relationship.


    Vice President Bai asked Director Xin to send text messages in person, and he also had a deep intention of playing the emotional card.


    It''s a pity that Zhou Can''s head is too strong, and his mind is too firm.


    Now the matter drags on for a long time, with rather serious consequences. Vice President Bai is at the end of his rope.


    Shangguan Yan''s reputation must be lost.


    In addition, this incident also had a certain negative impact on Vice President Bai himself.


    If he runs for the dean in the future, his approval rate will definitely drop.


    Therefore, it is extremely cold at high places.


    Sitting in a high position, the leader seems to be comfortable, but in fact the pressure is very high.


    Because of the high position and weight, any decision made casually may have extremely serious consequences.


    Vice President Bai is afraid that his intestines are turning green at this moment.


    Unexpectedly, a three-year-old child collapsed into an eighty-year-old mother. A small doctor, Guipei, can actually make him fall such a big somersault.

 Chapter 86： It can be a game, but it must be a win-win situation. come back

    Shangguan Yan saw that his biggest backer was unable to protect him, and after three or four minutes of silence, he also knew that the matter was a foregone conclusion. Standing up, I looked at Vice President Bai first, "Thank you, President Bai, for everything you have done for me. I am sorry for causing you trouble."


    After speaking, he bowed deeply.


    Then, he looked at a middle-aged man sitting in the lower seat of Vice President Bai.


    The man never spoke at all.


    It''s just that the majestic aura exuded invisibly has the potential to stand up to Vice President Bai.


    When the others looked at him, they were quite respectful.


    "Director Chai, thank you for your continuous cultivation and care, and thank you for taking your precious time to accompany me to the General Hospital to deal with this matter. I let you down and failed your high expectations. The leader of the gastrointestinal oncology department , you choose someone else! I''m sorry!"


    He bowed deeply to the ground.


    After two or three seconds, he straightened up.


    When a person is about to die, his words are also kind.


    Seeing this scene, the people present were somewhat moved.


    Shangguan Yan was ready to be ruined.


    Misdiagnosis during rescue, this is one of them. The misdiagnosis is fine, and three of the sick child''s ribs were broken, which is the second. Getting into trouble, but not being able to stand up and apologize in the first place, and bravely admit the mistake, this is the third.


    After this incident was exposed by the media, people in the industry will not feel that there is anything wrong.


    However, the general public does not understand medicine, so they will only think that this doctor is unreliable, has problems with character, and is irresponsible.


    If such a person stands up as a signboard of a certain department of the hospital, there will definitely be a lot of scolding.


    There must be very few patients.


    "Well, it''s really sad to see a key talent die because of a small accident. If I asked you to take the initiative to take responsibility immediately after the accident, you wouldn''t have developed to this point. This is A lesson in blood."


    Director Chai''s status is definitely not low.


    He looked at Shangguan Yan and sighed.


    "The family members'' identities and backgrounds are not low. Our crisis public relations department has tried our best, but with little effect. It even has the opposite effect. Taking the initiative to admit mistakes and calm the anger of the family members may be the best choice to calm the situation."


    The woman sitting next to Director Chai is in her thirties, with exquisite makeup, tall and beautiful.


    Larger hospitals have various crises happening. For example, doctor-patient disputes, unexpected accidents, the exposure of a doctor¡¯s kickbacks from medical representatives, a hospital leader or chief physician¡¯s unspoken rules for female subordinates, and so on.


    Any piece of news that makes it into the news can have extremely bad effects.


    At this time, the crisis public relations department needs to come out to put out the fire.


    Large hospitals are generally not afraid of small people making trouble, but when facing family members or patients with strong backgrounds, the hospital sometimes cannot be tough.


    In the case of a loss, most will choose to compromise.


    Shangguan Yan nodded to the woman, "Thank you for everything you have done for me, I will take care of it myself!"


    When things didn''t turn around, he just let it go.


    Take out what should be done.


    His honor and reputation may be ruined, and his worries about the future and all kinds of concerns are left behind by him.


    He looked slowly at Zhou Can, with a complicated expression.


    Who would have thought that the unremarkable young man standing in front of him on the subway could be so powerful. Not only did he make a correct diagnosis when rescuing the child, he successfully saved the child.


    He even resisted all kinds of pressure from Vice President Bai and the hospital leaders, and finally forced Vice President Bai to make compromises.


    "Doctor Zhou, I made you, a real hero who saves people, wronged, and even forced you to blame me. I thought too much at the time, coupled with my selfishness, and I was tired of my reputation, so I made a series of Behavior that hurt you. I sincerely apologize. I''m sorry."


    He walked up to Zhou Can and bowed deeply to show his sincerity in apologizing.


    When the matter reached this stage, the tone in Zhou Can''s heart was completely smooth.


    He is satisfied with the result.


    Lifting Shangguan Yan up, Zhou Can also showed a tolerant mind.


    "People are not sages, and no one has faults. Dr. Shangguan can fully realize his mistakes and bravely take responsibility, which is already very good. To be honest, if it were me, I might not have the courage!"


    Zhou Can''s last self-deprecating words made the atmosphere of the audience a lot easier.


    Many people even showed knowing smiles.


    His status as a party is not high, but his attitude can determine whether the settlement of this dispute is satisfactory.


    "Thank you! Thank you for forgiving me! Thank you for leaving me with the last dignity!"


    Shangguan Yan held his hand, his gratitude was beyond words.


    A conflict resolution.


    The first is to resolve conflicts of interest. Then the two sides have the possibility of shaking hands and making peace.


    Zhou Can''s generosity and Shangguan Yan''s repentance turned the two sides into friendship.


    "I''m going to find my family members. Goodbye everyone! Let''s hope for a better result!"


    After Shangguan Yan put it down, his mentality became much more optimistic.


    "etc!"


    Zhou Can stopped him.


    Everyone looked at Zhou Can again, wondering what he wanted to do?


    "Does Doctor Zhou have anything else to do?" Shangguan Yan turned to look at him.


    "Maybe there is a better solution. My idea may not be mature, so let me speak out first and ask the leaders to help me as a joint adviser."


    When Zhou Can said this, everyone showed a surprised expression.


    Even the Crisis Communications Division has tried their best to do nothing about this matter. Zhou Can is a small-scale trainee, what else can he do?


    "People are emotional. I believe that the child''s family members are not unreasonable people. I saved their child. They must know this kindness in their hearts. Now they are going to the hospital to ask for an explanation. On the one hand, I feel sorry for the children who suffered because of the wrong rescue method. On the other hand, I don¡¯t want to suffer such a dull loss, and I want the doctor involved to stand up and give them an explanation.¡±


    Zhou Can calmly analyzed the mentality of the family members.


    Many people nodded after hearing this.


    This is the reason.


    "The family members will be even more angry, because the hospital has been reluctant to give an explanation. The doctor involved has not come forward to apologize. Your previous thinking was to let me cover the bag. However, this also led to the identity of the benefactor who saved the child being ignored by you. gone."


    Those present are all talented, experienced, highly educated, and highly intelligent.


    After being reminded by Zhou Can, their eyes lit up immediately.


    One leaf blinds the eye.


    If you look at a problem from a different angle, you will have a different way of thinking.


    "What I mean is, first let me meet the family members as a benefactor. Then I will use this relationship to resolve the family members'' anger and resentment. Finally, when the time is right, Dr. Shangguan came forward to apologize to the family members. What should be done to the children Compensation, and compensation. This matter may be reduced to a small one, and a trivial one."


    As soon as Zhou Can finished speaking, Vice President Bai actually applauded him.


    "Wonderful, wonderful!"


    Vice President Bai looked excited, thinking that Zhou Can''s proposal was highly operable.


    The success rate is extremely high.


    "Haha, it''s still young people who are amazing! The waves behind the Yangtze River push the waves ahead, and we are getting old!" Director Chai also smiled.


    I thought this matter would never turn around.


    Who knew that after Zhou Can changed to a different way of thinking, the world would turn around, and there would be a possibility of successfully resolving the crisis.


    "Doctor Zhou, if this matter can be resolved satisfactorily, and help me get through this, I would like to owe you a lifetime of kindness in the future."


    This is a bit heavy.


    The most expensive thing in the world is debt of favor.


    Shangguan Yan owed him a lifetime of kindness, implying that Zhou Can would be obliged to help him with anything in the future. And it¡¯s not about helping once, but about helping for a lifetime.


    But Zhou Can could really help him resolve this crisis, and through this disaster, Shangguan Yan''s future could be regarded as saved.


    It is not an exaggeration to owe a lifetime of kindness.


    "Everyone, what do you think of Dr. Zhou''s suggestion?"


    Vice President Bai no longer dared to monopolize power this time, but listened to everyone''s opinions.


    "I think it''s OK!"


    "The success rate is very high!"


    "Worth a try!"


    ¡­


    Everyone expressed their opinions one after another, and the vote passed unanimously.


    "Okay, then follow Dr. Zhou''s treatment plan! Dr. Zhou, I''ll leave this to you." Vice President Bai entrusted him with great anticipation.


    "I''ll do my best."


    Zhou Can nodded solemnly.


    He looked at the woman in the crisis public relations department.


    "Before I come forward, I need you to tell the family members the truth. I said that the investigation has been clear. Among the two doctors involved, the first doctor pressed a little harder because he was eager to save people, which may cause the child''s rib fracture. The second After careful observation, the second doctor found that the child may have been stuck in the throat by a foreign object, so he implemented the correct rescue method and successfully revived the child. It may be necessary to reflect my contribution as much as possible, so that the family members can be grateful to me."


    The woman in the public relations department nodded.


    "Understood! I will also tell the family members that you have been investigated for this matter and have suffered a lot of grievances. In this way, the family members will feel guilty, and it will be easier for you to get closer to the family members when you come forward."


    It is worthy of being engaged in crisis public relations, that is, professional.


    In this way, the effect is better.


    "My name is Du Qiongqiong, and I''m the chief of the Crisis Public Relations Department. Dr. Zhou can call me Chief Du, or my name."


    She can take the initiative to introduce herself to Zhou Can, which shows that she approves of Zhou Can''s performance.


    I feel that this young man has great potential for future development.


    Make a good relationship in advance, get acquainted, maybe you can use it in the future.


    "It''s such a special name." Zhou Can knew that too many words would lead to mistakes.


    Appropriate praise, the effect is even better.


    "Hehe, people with the surname Du are really rare! Well, I''ll go, the family members probably can''t wait long ago."


    She tidied her clothes and hair and walked out of the meeting room.


    Vice President Bai and others did not leave.


    All are looking forward to a good result.


    The most nervous person was Shangguan Yan.


    That was really restless.


    After about ten minutes, Vice President Bai received a message with a smile on his face.


    "The head of Section Du sent a good news, the progress is good, and the attitude of the family members has eased."


    Chief Xin of the medical department and others all smiled.


    In fact, if they had voluntarily admitted their mistakes from the very beginning, maybe the family members would not have made such a fuss.


    The more cover-up, the more insincere, the easier it is to backfire.


    Is it okay to treat the family members like fools?


    After a while, Vice President Bai received the message again.


    "Doctor Zhou, it''s your turn. Just go directly to the doctor-patient dispute mediation room. The family members have agreed to see you alone."


    Vice President Bai was both excited and ashamed.


    This matter is developing step by step in a good direction.


    The person who contributed the most was Zhou Can, who was almost used as cannon fodder by him.


    Now it is even more necessary to ask Zhou Can to come forward to appease the anger of the family members.


    "Wait for my good news."


    Zhou Can walked out of the conference room.


    The mediation room for doctor-patient disputes is divided into two rooms: inside and outside.


    There is a long table in the middle, with chairs on both sides, which has a certain seriousness.


    The outside is decorated like a tea room, which is more easy-going and friendly to the people.


    Several family members sat outside.


    The hospital was at a loss in this matter, so it naturally made tea politely and entertained these people.


    All Qiongqiong are talking with their family members.


    Maybe he was worried about causing resentment among his family members. For the time being, the hospital only saw Du Qiong alone here with him.


    As for the reporter invited by the family members, it seems that they were "politely" invited by the security guards of several hospitals to drink tea in the reception room next to them.


    Zhou Can walked in directly.


    "It''s him, it''s him!"


    The old lady stood up excitedly.


    The eyes of the family members looking at Zhou Can instantly became angry.


    A middle-aged man clenched his fists and stood up, glaring at Zhou Can.


    This person looks about forty-five or six-year-old, and is quite fat.


    A beer belly is a pregnant woman in labor.


    "I am very grateful for rescuing my child, but as a professional doctor, you actually broke three of my child''s ribs. How did you do it?"


    The man''s eyes were red, and he asked angrily.


    "Wrong, wrong! He is the doctor who saved my grandson!"


    The old lady quickly explained.


    Just now, Qiongqiong must have disclosed something to the family members.


    The family already knew of the two doctors who rescued the child, and one of them was a great contributor. The diagnosis was correct and the rescue method was effective, which saved their child.


    Another doctor made a wrong diagnosis, and the child''s ribs were also broken by that person.


    Others don''t know Zhou Can, but the old lady has a deep memory of him.


    It was this young doctor who saved her grandson that day when she was most desperate.


    "This is Dr. Zhou Can, and it was precisely because he adopted Heimlich''s first aid in a timely and decisive manner that day that he snatched your child back from the clutches of death."


    They all stood up in a timely manner and introduced to the family members.


    The child''s father slapped himself across the face.


    "I''m sorry, I''m sorry, I was too impulsive just now. I heard that Dr. Zhou suffered a lot of grievances because of our arguing for an explanation. I''m really sorry."


    When the child''s father learned that he had mistaken the wrong person, the guilt in his heart deepened.


    "It''s okay! I can understand your mood."


    Zhou Can said sincerely.


    There are five members of the family, three men and two women.


    The backbone must be this man.


    Zhou Can directly targeted him, ready to do some ideological work on this person openly and honestly.


    "May I ask your name?"


    "Miangui''s surname is Wu!"


    No wonder he was clenching his fist to hit someone just now. Even the surname is Wu, can it be non-violent?


    "Hello, Mr. Wu, I''m actually just a junior doctor in Tuya Hospital."


    "What''s the matter with Dr. Guipei? I think he is much better than some quack doctors. If it weren''t for you, my son would have passed away long ago." Mr. Wu didn''t care what level of doctor Zhou Can was.


    All he knew was that Zhou Can saved his son.


    "I was there the whole time to save people. There is some misunderstanding here. I want to chat with you alone, is that okay?"


    Zhou Can went straight to the point.


    Mr. Wu hesitated for two seconds, finally nodded and said, "Yes."


    "Let''s just chat in the room."


    Zhou Can guided Mr. Wu to the inside.


    Du Qiong continued to accompany the other family members outside.


    Mr. Wu took the initiative to close the door.


    "Doctor Zhou, is your hospital forcing you to intercede with me?"


    The man didn''t ask Du Qiong outside just now, and he didn''t ask until he went inside and closed the door.


    Obviously, Zhou Can has been regarded as one of his own.


    He must be well aware of many unspoken rules in the unit.


    "Thank you for your concern. No one can force me to do what I don''t want to do. Even the school leaders."


    Zhou Can said proudly.


    He really did.


    So when he said this, his expression was very natural, with arrogance and confidence written all over his face.


    "Hehe, I didn''t expect Dr. Zhou to have such a personality! When I was young, I was also like you!"


    Mr. Wu is happy.


    The two have a common personality, which makes him have a better impression of Zhou Can.


    "I can tell! Ordinary people don''t dare to make a fuss in the hospital."


    Zhou Can''s words made him laugh again.


    The opening remarks were almost finished, Zhou Can''s face straightened, and he began to talk about business.


    "I know that what I say next is suspected of interceding for the doctor who caused the accident, but I still want to say it. It is not easy to be a doctor. The vast majority of people are passionate and wholeheartedly treat them. Patient. Sitting on the subway that day, the broadcast said that a child was unconscious, and the medical staff on the car were asked to go to compartment 3 to rescue the patient. The doctor Shangguan and two other female nurses and doctors who accompanied him passed without any hesitation. "


    Zhou Can first expressed Dr. Shangguan''s positive attitude in saving lives.


    "I also know this from my mother. Those three were indeed the first doctors who rushed to rescue my son."


    Mr. Wu agreed to this matter.


    "At that time, the doctor Shangguan asked how the child fell into a coma. The child''s grandmother said that the child suddenly fell to the ground covering the lower part of the neck. According to our doctor''s professional judgment and your child''s various symptoms at the time, heart disease is the most suspected. In addition Cardiac and respiratory arrest, only about 4 minutes of golden rescue time. Dr. Shangguan did not have much time to think. He performed cardiopulmonary resuscitation immediately, which is medically correct. After two rounds of compressions, he saw When the child still didn¡¯t respond, he might be in a hurry, so he increased the pressure¡­¡±


    He tried his best to speak good words for Shangguan Yan.


    But not too obvious.


    Otherwise, it will only have the opposite effect.


    At that time, at least nine out of ten doctors would misdiagnose heart disease.


    Misdiagnosis itself is nothing, because the situation is urgent and there is no testing equipment, so misjudgment is inevitable.


    The problem lies in the misdiagnosis, which broke the sick child''s ribs.


    The combination of the two is basically equivalent to a lump of yellow mud falling in the crotch.


    Even if it''s not shit, it''s considered shit.


    As long as Shangguan Yan admits this matter, he will immediately bear the infamy of a quack doctor.


    "After the family members reported the situation to the hospital, it was indeed wrong for him not to stand up immediately. It is just necessary to understand his difficulties. He is an attending physician with a reputation and is afraid of damaging his reputation. Unlike me, a small-scale Pearson, it doesn''t matter. .¡±


    What Zhou Can said was quite pertinent.


    Not as bureaucratic as other mediators.


    But as sincere, frank, objective and fair as possible.


    "Mr. Wu, if possible, I would like to ask you to give Dr. Shangguan a chance to reform himself. At least his original intention of saving people in the first place was very noble, and he also did his best during the rescue process. Because of rescue mistakes, people will die. After ruining a doctor''s future, who would dare to save others easily in the future? In the past, many people helped the elderly when they fell, but now, is there anyone who dares to help them easily?"


    Zhou Can is definitely not scaremongering.


    The matter is related to the vital interests of the doctor''s group, he must repay the grievance with virtue, and use the favorable status of benefactor to say a few fair words for Dr. Shangguan.


    Mr. Wu fell into deep thought.


    After a while, he raised his head to look at Zhou Can with a trace of admiration on his face.


    "Mr. Zhou let me use my soul to comprehend the nobility of doctors today. In fact, I didn''t plan to make a fuss about this matter. I just didn''t want to suffer from this dumbness. I just wanted the hospital to give an explanation. Even if the doctor involved stood up and told me Apologize, it''s nothing. After all, my son was rescued by you. Compared with my son''s life, what is the loss of three ribs?"


    Mr. Wu''s thoughts were indeed similar to Zhou Can''s guess.


    Just want an apology.


    It''s only because Vice President Bai, Deputy Section Chief Yin and others took chances and thought that power could control everything.


    In the end, a small matter was dragged into a major event with very serious consequences.


    "Thank you for your understanding and tolerance. I''m calling the doctor in question to apologize now. Do you think it''s okay? He has already regretted it. I don''t think he can be chilled, and he can''t let him see someone who needs to be rescued in the future. The patient was afraid to move forward. That¡¯s why I volunteered and wanted to be the lobbyist.¡±


    Zhou Can said frankly.


    "Haha, you are quite straightforward! You obviously have scheming, but you use it in the open, making people feel comfortable and willing to accept it. It''s not like the people in charge of mediation in your hospital, who all use bureaucratic accents and are terribly hypocritical."


    On the contrary, Mr. Wu liked him even more.


    "Don''t blame them. After all, what they eat is that bowl of rice! Oh, by the way, the media reporters, can you try to save face for Dr. Shangguan, and don''t ruin his future."


    Zhou Can struck while the iron was hot, and made one last request.


    "My brother has spoken, what else can I say. Don''t worry about the media, I will take care of it myself."


    Mr. Wu directly changed his name from Doctor Zhou to brother.


    I don''t know what this guy does?


    I always feel that there is a sense of loyalty in the rivers and lakes.


    Zhou Can immediately called Director Lou and asked him to call Dr. Shangguan over.


    Instead of calling Director Xin, he called Director Lou. This is how he behaves.


    This is a matter of attitude.


    If you call Director Lou, the other party will think that this kid was not saved in vain.


    If he called Director Xin, Director Lou would feel that he was treated as an outsider.


    It''s like skipping the middleman after the two parties have successfully cooperated, which is obviously against the rules.


    Sophistication of the world is a very deep knowledge.


    If you don''t study well, you will be at the bottom all your life. After learning well, there are noble people everywhere, and friends from all directions.


    Not long after, Dr. Shangguan came.


    Without saying a word after entering the door, he bowed directly to Mr. Wu.


    "I''m sorry, I''m sorry, I was wrong! I broke the child''s ribs, and I am willing to bear all responsibilities and treatment costs."


    Doctor Shangguan had prepared for the worst.


    Now, after Zhou Can''s mediation, things have taken a major turn for the better, and he really has a sense of survival after the catastrophe.


    "One apology is enough. My family is not short of money. After hearing what Dr. Zhou said, I realized how difficult it is for a doctor. There is no need to mention the cost of treatment. I am grateful that you can save my son''s life." Endless."


    Mr. Wu is not an unreasonable person.


    All he wanted was justice.


    I don''t want to be taken for a fool.


    At this point, the matter has basically been resolved satisfactorily.


    Chief Xin personally represented the hospital and expressed his most sincere apologies to Mr. Wu and his family. Although Mr. Wu does not want compensation from Shangguan doctor, he no longer wants the hospital to give an explanation.


    But the hospital was very sensible and exempted Mr. Wu''s child from the treatment fee.


    Mr. Wu''s family is very satisfied with the result.


    At the media reporter, he told the reporter that after in-depth understanding, he realized that this was a beautiful misunderstanding. The doctors involved were eager to save people, and the child''s ribs were fragile, which led to a slight fracture of the ribs during cardiopulmonary resuscitation.


    Not only did he not pursue the responsibility of the doctor involved, but he also took advantage of the reports of the media reporters to thank the doctor involved for his brave rescue.


    This matter has drawn a perfect ending.


    Zhou Can became a two-way hero.


    The family members, the hospital, and Shangguan doctors are all grateful to him.


    Especially Dr. Shangguan, before returning to the Second Affiliated Hospital, held Zhou Can''s hand and refused to let go for a long time. Even more shy, he took the initiative to ask for Zhou Can''s phone number, added a WeChat friend, and said that he must have more contacts in the future. Feel free to ask him any questions about cancer.


    ¡­


    On the way back to the emergency department, Director Lou raised his eyebrows.


    It is not an exaggeration to describe it with joy.


    For the first time, he felt that the emergency department had a very high status in the hospital.


    Vice President Bai seldom looked him in the eye.


    Although Director Lou is also the director of a large department, he is second only to the deputy dean in rank.


    But the emergency department has no authority, let alone in front of the vice president, even in front of chief Xin of the medical department, he is very weak.


    But yesterday, when he spoke out about Zhou Can''s matter, there were many directors, chief physicians, and deputy chief physicians of important departments who spoke for the emergency department. It forced Vice President Bai to bow his head.


    Today, it is even more powerful.


    Vice President Bai held his hand and kept saying thank you.


    "Xiao Zhou, Dean Bai just said that you have made great contributions and asked you to make a request as compensation. Why didn''t you mention it?"


    "I mentioned it, I didn''t say not to mention it. It''s just that I haven''t thought about it yet."


    Zhou Can blinked.


    Director Lou was stunned for a moment, and then suddenly realized.


    "Haha, you kid is such a big kid! This is preparing to use good steel on the blade!"


    Zhou Can smiled knowingly.


    "After suffering such a big grievance, I must make a big profit. I really look down on anyone who is doing advanced studies or being promoted."


    Zhou Can is too smart to be a man.


    Vice President Bai obviously exerted extreme pressure on him, and even used him as cannon fodder, but he didn''t fall out with Vice President Bai. Later, he saved face for the other party everywhere.


    The benefits are also great.


    Vice President Bai not only apologized to him, but also took the initiative to repair the relationship between the two.


    And the promise can make him make a request as compensation.


    To put it bluntly, it almost meant to owe Zhou Can a favor.


    Basically, as long as it is within Vice President Bai''s ability, he can mention it.


    How powerful is the executive vice president? It is equivalent to the second in command of the hospital, and the resources under its control are unimaginable.


    Even if Zhou Can wants to grab the director position in the future, with the help of such a big boss, the success rate is at least 60% higher.


    In addition, just having a certain relationship with Vice President Bai is enough for him to benefit endlessly.


    "Director Lou, I was able to save myself from danger this time, and I have to thank you for speaking up for me."


    Zhou Can didn''t get carried away.


    He remembered all the kindness others showed him.


    If you know how to be grateful, there will be people who are willing to continue to help.


    If you are a white-eyed wolf, or don''t understand the world, if you help once, there will never be another time.


    "Hey, my contribution is actually not that great. You should thank Dr. Xu the most. Without him being the first to show up, there is a high probability that I would not show up."


    Director Lou waved his hand.


    The first ones are often the easiest to pull hatred. Shoot the first bird.


    Dr. Xu was willing to do this for him, it was almost the same as risking his life.


    This kindness is higher than the sky and deeper than the sea.


    Zhou Can had a way to repay Dr. Xu, so he was not in a hurry to repay Dr. Xu''s kindness to him. Put it in the account first, and when his strength rises, it will be time to repay his great favor.


    "No matter what, you are willing to stand up against the pressure and speak for me, a little regular trainee. This kindness cannot be erased."


    "As long as you practice your medical skills well and make more contributions to the emergency department in the future, this is the best reward for me."


    Director Lou really doesn''t have high demands on him.


    "Also, Dr. Xu and I are the only ones who helped you this time. Director Zhang Bihua from the Department of Obstetrics and Gynecology, Director Tan from the Department of Internal Medicine, Director Yin from Shennei, and Deputy Director Liu from General Surgery also stood up to help you speak up."


    Zhou Can was stunned.


    He didn''t expect that a humble little man like himself could get the help of so many elders.


    Director Zhang Bihua would help him, most likely because of her lover Yang Chan''s pleading.


    Director Tan from the Department of Internal Medicine and Director Yin from Shennei both stood up to help him. It seemed that his fate with the Department of Internal Medicine was much deeper.


    Deputy Director Liu of General Foreign Affairs was quite old, and in order to help him, he also ran out into the muddy water, which surprised Zhou Can.


    There is actually no deep friendship between him and Deputy Director Liu.


    As for the fact that his instructor during the internship was Deputy Director Liu, that''s nothing at all.


    Tuya is a comprehensive medical school that integrates medicine and education, and most of the doctors above the attending level have teaching tasks.


    Deputy Director Liu leads a large number of students every year.


    If it hadn''t been for Zhou Can''s outstanding performance on the last day, Deputy Director Liu would not even be able to remember his name at all.


    Now he also finally understands why the tough Deputy Section Chief Yin and Vice President Bai chose to bow their heads to him, a regular trainee, in just one day.


    With so many elders behind him voicing their support, Vice President Bai couldn''t resist it!


    This is not all of Zhou Can''s energy.


    Thanks to Vice President Bai''s resolute admission, otherwise, Zhou Can invited Cao Zhengguo out, and then it would be time for President Zhu to make a move. If he really got to that point, Vice President Bai might just lose face and get a little frightened.


    And it is possible that the position of the vice president may not be guaranteed.


    There are not just one or two people staring at his throne as the vice president of administration.


    There are many.


    All waiting for the opportunity to climb up.


    Zhou Can followed Director Lou back to the emergency department, and Director Lou just said, "Go to work with peace of mind!" and then left Zhou Can alone.


    Seeing Zhou Can''s safe return, the doctors and nurses in the emergency department gave him encouraging smiles.


    Ye Tingting walked over quickly with two bottles of normal saline.


    "Hey, are you all right?"


    "It should be fine."


    Zhou Can blinked and said with a smile.


    "Look at how successful you are, making people worry about you all the time!" Ye Tingting gave him a white look. "I went to work."


    She should have been really worried about Zhou Can.


    However, compared with Yang Chan and Qiao Yu''s concern, it was much weaker.


    Zhou Can didn''t dare to take what the married woman said seriously.


    All of them are fairies.


    Zhou Can walked quickly to the operating room, the person he most wanted to see now was Dr. Xu.


    I want to tell him it''s okay.


    Besides Dr. Xu, Zhou Can also wanted to tell Yang Chan and Qiao Yu the good news as soon as possible.


    After all, both of them cared about Zhou Can.


    "I''m all right."


    As he walked, he sent two identical messages with his mobile phone.


    "Disturbing people''s lucid dreams, disgusting!"


    The speed at which Qiao Yu responded to the message was always so fast.


    It was past ten in the morning, and she was still sleeping. I guess she worked the night shift yesterday.


    "But I''m glad to hear you''re alright. Forgive you! (smile


    Her second message bombarded me again.


    Zhou Can couldn''t help smiling after reading it.


    He could feel that Qiao Yu cared about him from the bottom of his heart.


    Yang Chan did not respond.


    The squad leader has always been aloof, and it''s normal not to reply to messages.


    Zhou Can walked directly into the operating room.


    After changing into the surgical protective clothing, he opened the door and walked into the operating room inside.


    Dr. Lu, Jin Mingxi, and Dr. Xu were all there, as well as two nurses. They are Tang Ling and Tian Tian respectively.


    Tian Tian is working as an assistant for Jin Mingxi.


    Finally it was Tian Tian''s turn to harm Jin Mingxi.


    Dr. Xu, on the other hand, guided Dr. Lu and Tang Ling to perform the operation with some absentmindedness.


    This style of painting is wrong.


    Dr. Xu seldom delegated authority to Dr. Lu, but today he let Dr. Lu take the lead. And he just watched.


    "Teacher, I''m back!"


    Zhou Can''s call pulled Dr. Xu back from his wandering mind.


    He turned his head and looked over, and the moment he saw Zhou Can, his face burst into extreme joy.


    Even wearing a mask can''t hide the extreme surprise from the heart.


    His surprise smile was like a flash in the pan, and soon disappeared.


    "Just come back and get ready to work!"


    Doctor Xu''s tone was calm and serious as always.


    This is gone?


    Zhou Can was stunned.


    I originally thought that the teacher would have to be surprised anyway, and even make a little gaffe.


    Unexpectedly, Dr. Xu''s surprise only lasted for a second, and then he became serious again.


    Excited performances such as cheering and jumping, don''t even think about it.


    "Doctor Zhou, congratulations!"


    Jin Mingxi smiled and congratulated him.


    Tang Ling also smiled happily at him.


    Tian Tian smiled and said, "I knew Dr. Zhou would be fine."


    Doctor Lu''s expression was more interesting.


    Seeing that Zhou Can returned safely, his hands trembled, and he almost caused another catastrophe.


    "Okay, let me do it!"


    Dr. Xu''s face turned pale with fright, he kicked Dr. Lu off the stage, and operated on the patient himself.


    "Xiao Zhou, don''t stand still, hurry up and help."


    Dr. Xu didn''t even give Dr. Lu a chance to help.


    Think about it, the beloved apprentice is back, if you don¡¯t give the apprentice the opportunity to exercise, why not give it to a ¡®Adou¡¯ who can¡¯t help it?


    "okay!"


    Zhou Can ignored Dr. Lu''s resentful eyes at all, and stood unceremoniously in the first assistant''s position.


    Dr. Lu was really aggrieved, why was he laid off when Zhou Can came?


    Didn''t the gossip say that Zhou Can''s matter was serious?


    Just suspend for one day and nothing will happen?


    Dr. Lu must hope that Zhou Can will never come back. Unfortunately, things backfired.


    If he was told that Zhou Can not only came back safe and sound, but also obtained a debt of favor from Vice President Bai because of this crisis, he would probably have a heart attack on the spot.


    When Zhou Can didn''t come back, Dr. Xu was absent-minded.


    At this moment, Dr. Xu seemed to have returned to his soul, and his surgical movements were accurate and steady, and he advanced smoothly.


    "Okay, I''ll leave the stitching to you!"


    After Dr. Xu finished the key part with higher risk, he directly threw it to Zhou Can for stitching.


    As soon as Zhou Can got a stitch, Dr. Xu''s eyes widened instantly.


    "This knotting level has improved a lot!"


    With Dr. Xu''s eyesight, he immediately discovered that Zhou Can''s knot-tying level had even surpassed that of Dr. Lu.


    Already on par with Dr. Lin.


    Zhou Can showed a smile, and he was promoted to the middle-level ligation level of the resident doctor, which surprised the teacher.


    Hehe, if he is promoted to the attending level in a few days, the teacher''s eyeballs might fall to the ground.


    In the past two days, he has used more than twenty white mice in the apartment.


    The ligation experience value has increased by more than 200 points.


    The current experience value has reached level three: 812/1000.


    It''s only less than 200 points away from being promoted to the fourth level.


    In addition, his incision experience value has also risen sharply, currently reaching the third level of 549.7/1000. Only a few dozen points away, he can be promoted to the intermediate level of resident medicine.


    You know, incision is actually anatomy, and it is also the most difficult to practice among all medical skills.


    Many novice residents work for a whole year, and it is considered very good to get twenty autopsies.


    One can imagine how difficult it is to improve this medical skill.


    Dr. Lu is a senior resident doctor, and his current incision technique is inferior to that of a resident doctor.


    This is the result of the three senior physicians in the emergency department training him with all their efforts, coupled with his own talent, to reach this level.


    When Zhou Can''s incision technique rises to the middle level of a resident doctor, his strength will catch up to the strongest Dr. Cui.


    ?? Some jobs with a higher risk factor, he can gradually be competent.


    Zhou Can quickly finished the stitches.


    "Very good! Your suturing and knotting skills have improved a lot You must continue to maintain it."


    Doctor Xu stood by and watched the whole time.


    He liked this apprentice more and more.


    I thought that Zhou Can''s one-day suspension would be greatly affected, but unexpectedly, he became more and more frustrated. Medicine is advancing rapidly.


    ¡­


    At around four o''clock in the afternoon, Dr. Fu and Dr. Lin came over on time to take over the shift.


    Seeing Zhou Can in the operating room, Doctor Fu froze for a moment.


    Then he smiled and congratulated Zhou Can for his safe return.


    Doctor Lin also nodded to him with a smile.


    But Zhou Can clearly noticed that Dr. Fu was not as enthusiastic about him as before.


    If it was in the past, Doctor Fu would probably keep him working overtime.


    But not today.


    Didn''t mention it.


    After congratulating Zhou Can, he never spoke a second word to Zhou Can.


    It''s not that he has any opinions on Zhou Can, but that he is wise and safe.


    Although Zhou Can is back, the situation is unknown. He didn''t dare to get too close to Zhou Can rashly, so as not to be implicated.


    Zhou Can can understand Doctor Fu''s actions.


    No doctor dares to risk his future for someone who has nothing to do with it.


    Zhou Can followed Dr. Xu to the locker room.


    "Teacher, thank you for everything you have done for me." He finally found the opportunity to thank Dr. Xu in person.


    There is no harm without comparison.


    Compared with Dr. Fu, Dr. Xu is like a family member.


    Doctor Xu just glanced at him indifferently.


    "There is nothing to thank, I just don''t want to see a talent buried."


    Before he finished speaking, he had already walked into a small cubicle in the dressing room.


    Only Zhou Can was left with a somewhat thin back.


    In Zhou Can''s heart, that figure from the back was as majestic as a majestic mountain.

 Chapter 87： No Pole Comes Together, Cutting and Separating Double Advancement

    When Zhou Can changed his clothes and came out, Dr. Xu had already left.


    Zhou Can walked out of the operating room, thinking in his mind that he would buy ten more mice and go home to practice his surgical skills.


    Strive to upgrade the incision to the middle level of resident medicine.


    In fact, his experience value of separation technique has also reached the third level 520.2/1000. Just shy of 80 or so to move up to mediocre.


    The importance of this medical skill is even higher than that of incision.


    It is needed to peel off various diseased tissues and tumors.


    Jin Mingxi caught up from behind.


    "Doctor Zhou, I have known you for so long and I have never invited you to dinner. How about I treat you tonight?"


    Zhou Can turned to look at him.


    "Why do you suddenly want to invite me to dinner? I''m afraid I won''t be able to stay for two days and leave?"


    Living together with Jin Mingxi, there is no gap when joking around.


    "Haha, your brain circuit is really special. I just wanted to celebrate your safe return, but you... I''m really speechless! Haven''t you passed away yet?"


    Jin Mingxi rubbed his forehead and laughed.


    "I don''t think I''m the only one with a very special brain circuit. Does it have anything to do with whether I''ve broken my body?"


    Zhou Can scratched his head and couldn''t figure out the connection between the two.


    "If you haven''t broken your body, then you are a virgin. Of course it is childish!"


    When Jin Mingxi said this, Zhou Can suddenly realized.


    He couldn''t help but also laughed and said, "Haha, what era is this, and you still practice feudal superstition! Don''t worry, my matter is over, it''s impossible to stay for two days and leave!"


    He found that Jin Mingxi looked at a very silent person, and let go when chatting, which was quite humorous.


    Zhou Can glanced at the time on his phone, "It''s still early, I''ll buy a few white mice and go back to the apartment to practice surgery for a while, how about going to dinner around six o''clock?"


    "Can you stop working so hard? Those of us who were admitted to the hospital at the same time are very stressed!"


    Jin Mingxi thinks she is pretty good, but compared with Zhou Can, a monster, she can only watch helplessly being left behind by him.


    "If you don''t work hard, you can''t do it! All of you must have rich work experience or high academic qualifications. I don''t care what I want. If you don''t work hard, you will really only be eliminated."


    This is really not an exaggeration.


    Tuya''s regular training recruitment is getting more stringent year by year. Especially this year, affected by many aspects, it is too curly.


    Many high-end talents with more than ten years of work experience and even a master''s degree have failed to make it into the top 20.


    Three or four graduate MDs were eliminated.


    Zhou Can''s undergraduate education is the lowest.


    Almost no work experience.


    If you don''t work hard enough to carve out a world among so many strong people, even with the medical skill experience point system, it''s useless.


    "Dr. Zhou, Dr. Zhou, there are patients and their family members looking for you. They have been waiting for almost two hours." A nurse ran over and told Zhou Can, pointing to the rest area.


    Zhou Can turned his head and saw a middle-aged couple sitting on a row of chairs for patients to rest.


    He didn''t know the well-dressed middle-aged woman.


    But he recognized the man in the hospital gown at a glance.


    It was the patient with acute myocardial infarction encountered in the last regular training exam.


    He felt very relieved to see the patient recover.


    He immediately walked over quickly.


    The middle-aged man also recognized him, and immediately stood up with the support of the middle-aged woman, looking at Zhou Can with a grateful smile on his face.


    "Doctor Zhou remember me?"


    "Remember! You are the patient with acute myocardial infarction! How is your body now?"


    Zhou Can asked with concern.


    "I had the operation, because the treatment was timely, and the attending doctor said that my recovery is quite good. I was discharged from the hospital today and I am going to go home to rest."


    Patients discharged from the hospital within three to five days of myocardial infarction surgery are generally in good condition, indicating that no extensive necrosis of the myocardium has occurred.


    More severe cases usually require hospitalization for about two weeks.


    If conduction cannot be restored after surgery, a pacemaker needs to be implanted, and the hospital stay will be longer.


    "You can be discharged from the hospital so quickly. The situation is very ideal. After returning home, you must follow the doctor''s advice and rest more." After hearing this, Zhou Can felt happy for the patient.


    "I was able to regain this life and recover so well, thanks to your help! No, after leaving the hospital, my wife and I immediately thought of coming over to say thank you in person."


    After the middle-aged man finished speaking, his wife smiled and nodded to Zhou Can.


    "The chief surgeon told me that if I was sent three minutes later, I might die. Even if I could be rescued, the prognosis would be very unsatisfactory. My family''s old Cui is not familiar with the hospital''s treatment process, and he is a strong person. If it weren''t for your help Let him go to the emergency department for quick treatment, and he will stand in the outpatient hall stupidly in line, and the consequences will be unimaginable."


    The middle-aged woman speaks in a leisurely manner, with a graceful and luxurious demeanor.


    The smile on the face is even more like a spring breeze.


    "Doctor Zhou, on behalf of Old Cui, on behalf of our whole family, thank you!"


    She pressed her neckline with one hand, and bowed to Zhou Can instead of her husband.


    "I just did what a doctor should do, you don''t have to be polite! Speaking of thanks, I can''t thank you for reporting the situation to the hospital leaders in time and helping me clarify the lateness! If you didn''t help me clarify in time, I can only lose this year''s regular training recruitment opportunity."


    Zhou Can is also grateful for their kindness and gratitude.


    Kindness given to the right person is called kindness.


    Giving it to the wrong person is called hurting.


    "Speaking of this, I didn''t know about it at first. Before the operation, Lao Cui told the nurse to tell me about it, and then asked me to find the hospital leader to clarify it in time."


    she explained.


    "At that time, I thought, I can''t delay this guy''s future!" Mr. Cui looked at Zhou Can. "You were late for the exam because you saved me, didn''t it affect you too much?"


    "At first, I was blocked by the examiner from entering the examination room. Later, the medical department came forward to clarify for me, and the examiner let me in. The hospital also gave me an extra 10 points for medical ethics."


    When Zhou Can talked about that day, he was filled with emotion.


    Good people get rewarded in the end.


    "That ten points is too right. You, an intern, dare to take the huge risk of being late for the exam to save an irrelevant person. This kind of golden virtue should be highly praised."


    Mr. Cui was very happy to hear that the result was not bad.


    "Oh, that''s right! Can Dr. Zhou give us his private phone number? It''s fate that we know each other, and you are my savior. I''m a little older than you, so I hope we can visit often in the future."


    Mr. Cui and his wife can be seen as well-educated and qualified people.


    Zhou Can is very happy to be able to make friends with such a person.


    Immediately gladly informed the other party of the phone number and saved the phone number.


    "If you''re not afraid that I will cause you trouble, you can add a WeChat account, and it will be more convenient to chat in the future." Mr. Cui said with a smile.


    Telephone chat is more direct, and WeChat chat has a certain buffer space.


    Calls are generally for urgent matters, or work needs, business contacts and the like. Look serious and formal.


    WeChat chats are more casual.


    "Okay!"


    Zhou Can readily agreed.


    People are willing to take the initiative to make friends with him, which is to think highly of him.


    Adding WeChat and saving each other''s phone numbers means that the relationship between each other has taken a big step closer.


    "I should have invited Dr. Zhou to have a light meal. My body has not fully recovered, and I can''t drink alcohol. I have to refrain from eating a lot of things, so it would be a lot less fun. Wait until I fully recover, and then invite you .¡±


    Mr. Cui asked him for his phone number, probably just to invite him to dinner in the future.


    "Okay, I won''t waste your time. My family owns a foreign trade company, and now I''m sick, and my son is abroad again. My wife is responsible for everything."


    Opening a foreign trade company can make a lot of money if you do well.


    And it''s foreigners'' money.


    "So my sister-in-law is so capable! No wonder she looks like a strong woman!"


    Zhou Can boasted with a smile.


    Gifts of roses, hand a fragrance.


    Appropriately praise others more, in fact, there are many benefits, and it is easier to gain the favor of others.


    "Hehe, are you complimenting me or hurting me? Strong woman is a double meaning now."


    She covers her mouth and chuckles.


    "Of course it''s a compliment! Sister-in-law is such a gentle, considerate and capable woman, I''m afraid no derogatory term would dare to use it on you."


    Chat sometimes has to improvise.


    Otherwise, it will be cold every minute, or even capsize.


    "Haha, Doctor Zhou is not only benevolent and skilled, but also has first-rate skills in boasting! Let''s go, goodbye!"


    She smiled happily and waved her hands, helping Mr. Cui to leave together.


    ¡­


    On the way back to the apartment with 8 mice, Zhou Can was in a particularly bright mood.


    When the haze is cleared, it will be extremely peaceful.


    His life has become brighter after going through this storm.


    Considering that Jin Mingxi wanted to invite him to dinner, it would definitely delay some time, so he deliberately bought two less white mice.


    In the apartment, Zhou Can greedily earns a steady stream of medical experience points from the little white mice.


    Jin Mingxi is still persistently practicing knotting.


    Slices of white tofu were ruined by him.


    Even for surgeons, everyone''s main direction of operation will be different.


    If Zhou Can didn''t have an experience point system, he might be like Jin Mingxi, in addition to practicing the four most basic medical skills, and then choose one or two surgical directions as his specialization.


    Don''t look down on knotting, you can also become a famous surgeon if you practice well.


    It was around 6:40, when Zhou Can consumed the third mouse, Jin Mingxi invited him to a small restaurant for a sip. During the period, the two drank seven or eight bottles of beer.


    The last time I saw Jin Mingxi was drunk after attending a class reunion, I thought he couldn''t drink well.


    Hey, I didn''t expect that I really underestimated people.


    After five bottles of beer, Jin Mingxi still acted like a normal person.


    Zhou Can only found out after asking.


    At the last class reunion, because he blocked a lot of wine for the female classmate named Ye Zi, the three male classmates were dissatisfied, so they joined hands to punish him. It is enough to propose to drink white plus red.


    The so-called white plus red is a mixed wine.


    In the end, Jin Mingxi fought three against one and was almost **** to the point of stomach bleeding.


    The three of them were all brought down by him, and he was also drunk after being sent back to the apartment by Ye Zi.


    From this point of view, under Jin Mingxi''s gentle appearance, there is also a **** side.


    Zhou Can and him got closer through eating and drinking this time.


    After returning to the dormitory, Zhou Can devoted himself to medical practice again.


    Around 8:20 in the evening, he received a message.


    Click to view.


    It was sent by Yang Chan.


    "Just after surgery, you''ll be fine!"


    I thought she was very cold and would not reply to messages.


    But even after replying to the message, there was still a hint of aloofness in the content.


    "Thank you for everything! (Rose


    Zhou Can knew in her heart that she had put a lot of effort into this matter.


    Director Zhang Bihua was willing to speak up for Zhou Can because of her face.


    In terms of the weight of discourse, two Lou directors may not be as good as one Zhang Bihua.


    As for why a dignified head of the obstetrics and gynecology department valued Yang Chan, an intern doctor with a bachelor''s degree, no one knew the reason.


    The only way to know is to ask the parties.


    "You''re welcome!"


    She replied with three words.


    That is really cherishing words like gold.


    Based on Zhou Can''s understanding of her, the chat should end here.


    He once again devoted himself to tireless medical practice.


    When all eight white mice were consumed, his incision and separation skills had all risen to the average level of a resident doctor. The experience value of ligation is 894/1000 for the third level.


    Already far ahead of sutures.


    As long as he buys ten more white mice to practice at home tomorrow night, ligation will definitely be upgraded to level four, and it will become his second main medical skill.


    This speed of progress is really frightening.


    You know, he has only been trained for a few days.


    Incision surgery has finally risen to the intermediate level of resident medicine. If you have the opportunity tomorrow, you should be able to ask Dr. Xu for a first-level surgery anatomy opportunity to show your strength.


    However, such opportunities in the emergency department are quite rare.


    General surgery has the most incision practice opportunities. For example, lipoma cutting, hemorrhoid cutting, and so on.


    ¡­


    Going to work the next day, Zhou Can deeply felt what it means to be cold and cold in the world.


    Only a few people such as Ye Tingting and Dr. Luo still warmly greeted him. Many colleagues in the emergency department deliberately kept a distance from him.


    That kind of alienation cannot be seen or touched, but can be truly felt.


    This is the real adult world.


    He was not affected at all, everyone was just colleagues in the same department, it was impossible to ask everyone to focus on him and lick him unconditionally.


    A few days ago, when he became popular in the emergency department, everyone saw his amazing development potential, so they naturally wanted to build a good relationship.


    In the future, if you ask for something, you can talk to each other.


    Many doctors and nurses have been in this system for a long time, and they are actually very clear in their hearts who are easy to get promoted step by step, and they need to look up to them in the end. Who are those who just eat their own food and live an ordinary life.


    This time, Zhou Can was suspended from the medical department without any warning. Coupled with Dr. Lu''s broken mouth, he was stalking the wind and spreading rumors everywhere.


    In the end, many colleagues thought that Zhou Can had offended a certain leader of the hospital and committed a serious crime.


    It was normal for everyone to avoid him.


    It''s just that these people probably never imagined in their dreams that Vice President Bai, who put extreme pressure on Zhou Can, now owes Zhou Can a debt of favor.


    The relationship with Zhou Can, not to mention very close.


    Not bad at least.


    It''s even more nonsense for the two to have a feud or something.


    Vice President Bai not only suppressed him again, but also provided some help and care within his ability.


    If these people knew the truth, they would probably come to lick him again.


    However, Zhou Can has long seen this kind of flattery and flattery. He does not need it.


    It is more in line with his desire to grow silently and become stronger now.


    Entering the operating room, Dr. Lin and Dr. Xu are on duty today.


    "Morning, Doctor Lin!"


    "morning!"


    Doctor Lin nodded, with a lukewarm attitude.


    It''s a little better than those who avoid Zhou Can and deliberately distance themselves.


    Naturally, Zhou Can would not be overly ingratiating, he just needed to hug Dr. Xu''s thigh.


    Dr. Lin and Dr. Lu are likely to be resident doctors until they are forty years old. At that time, if you are lucky, you will be eliminated to the Second Affiliated Hospital. If you''re unlucky, I''m afraid you''ll have to find another job in a prefecture-level hospital.


    "Xiao Zhou, are you operating alone today or as my assistant?"


    Doctor Xu asked.


    Zhou Can is probably the first person to receive such treatment from Gui Peisheng.


    In addition, Gui Peisheng is secretly happy to get one or two training opportunities such as skin sewing from the superior doctor.


    "Surgery alone!"


    What Zhou Can has to do now is to upgrade all four basic medical skills to the attending level as soon as possible.


    Then as an assistant to Dr. Xu, he will be able to participate in important parts of the secondary surgery.


    "Call two more equipment nurses to come in and help, let''s start the operation!"


    Dr. Xu''s position in the operating room of the emergency department is second only to Director Lou.


    In fact, Director Lou seldom went to the operating room to preside over the work.


    Therefore, Dr. Xu is basically the boss here.


    At the same time, he dispatched two equipment nurses into the operating room to help him all day. Doctor Fu absolutely did not have the right to do so.


    For Dr. Xu, it was just a matter of one sentence.


    That''s the difference.


    From this point, it can be seen that even if everyone is an attending physician in a department, their status can vary from high to low.


    Soon, two equipment nurses walked in.


    One is Tian Tian, ??and the other is Zhou Can''s favorite partner Qiao Yu.


    Tian Tian''s eyes communicated with Zhou Can, then moved away, and walked quickly towards Jin Mingxi.


    At work, she seemed rigid and dull in doing things. But as a person, he has a delicate mind. Whether dealing with colleagues or family members, he is very scheming.


    Now walking towards Jin Mingxi quickly, he was just worried about being Zhou Can''s assistant and getting into unnecessary trouble.


    This is exactly what Zhou Can wants.


    Jin Mingxi''s complexion turned bitter for a while. He cooperated with Tian Tian yesterday, but it was hard to say.


    I have a deep understanding of what it means to be a pig-like teammate.


    I finally understood why the number of surgeries completed decreased by several as soon as Zhou Can cooperated with Tian Tian. Cooperating with Qiao Yu is like a god''s help.


    There really is a difference between people.


    They are also equipment nurses, but their working ability is very different.


    "Doctor Zhou, congratulations!"


    Qiao Yu said with a slight smile.


    "Thanks!"


    Zhou Can was grateful from the bottom of his heart.


    When she approached, Zhou Can whispered, "Aren''t you afraid of getting into trouble for being my assistant?"


    Qiao Yu rolled her delicate eyes.


    "Don''t say such sad things, can you? In order to be your assistant, I begged the head nurse for a long time yesterday before agreeing to let me work early today!"


    The morning shift is also called the day shift.


    If it is an inpatient department, only the morning shift nurse is the real person in charge. They are fixed, and they are on the morning shift every day.


    Evening and night shift nurses are on duty in turn.


    They are called on-duty nurses, and they are quite different from day-shift nurses. The status is not as good as the day shift nurse, and the business is also not so professional.


    Because of the special departments in the emergency department, most of the nurses'' positions are mobile.


    Everyone wanted to work the day shift, and Qiao Yu, a newcomer, hardly had any competitiveness.


    It was really not easy for her to ask the head nurse to help transfer a day shift.


    He must have said a lot of good things and begged for a long time.


    "Don''t be angry, just kidding. I invite you to drink ten cups of milk tea as a token of apology, okay?"


    Zhou Can quickly apologized to her.


    "That''s about the same!"


    She turned anger into a smile.


    Tian Tian, ??who was not far away, was avoiding Zhou Can just now, keeping a distance from him.


    Now that Zhou Can was going to invite Qiao Yu to drink milk tea ten times, she immediately became excited.


    "A generous person like Dr. Zhou can''t just invite Qiao Yu!"


    The vast majority of women love to take advantage of small things.


    Tian Tian also wanted to drink ten cups of milk tea with Zhou Can.


    "Dr. Zhou''s salary is only so little for a month. He just invited all the nurses in our emergency department nurses to drink milk tea, so stop ripping him off! I was just joking with him, and I didn''t really ask him to invite him."


    Qiao Yu quickly helped Zhou Can speak.


    She was worried that Zhou Can would save face, so she agreed to Tian Tian''s request.


    "No, no, no, a man keeps his word. I invite you if I say please. As for Tian Tian and others, it''s the same when I have money in the future." Zhou Can is not a fool with a lot of money.


    The last time I promised to invite all the nurses to drink milk tea, it was to build a good relationship with them and get acquainted with them.


    This Tian Tian has too many eyes, if he is really taken advantage of, it is the wrong person.


    To even wish to enjoy the same treatment as Qiao Yu is simply wishful thinking.


    Zhou Can said it beautifully, but in his heart he secretly thought, she deserves it?


    "Okay, okay! Then I wish Dr. Zhou a rich man as soon as possible!"


    Seeing that she couldn''t gather the wool, Tian Tian had to give up.


    Qiao Yu enjoyed a different special treatment, and felt like drinking honey in her heart.


    The smile on his face became even brighter.


    "What flavor do you like to drink?"


    Zhou Can asked her.


    "Really? Then treat me to a cup of jasmine-flavored milk tea."


    She thought for a while and said.


    People are just that weird sometimes.


    Tian Tian''s kind of person who has racked his brains to take advantage of it will not get it. People like Qiao Yu who are not greedy are easier to get.


    "no problem!"


    How could Zhou Can only invite one cup?


    I will definitely buy her ten drinks.


    While talking, patients who need surgery have been admitted into the operating room one after another.


    Another busy day has begun.


    Zhou Can has Qiao Yu as his ''golden partner'', so it would be really refreshing if the surgery is quick and efficient.


    Look at Jin Mingxi again, his unrequited expression can''t even be blocked by a mask.


    His heart was probably quite broken.


    Zhou Can has already had three surgeries, and he only finished one.


    This gap is really too big.


    "Qiao Yu, help me pay attention to Dr. Xu''s side. If you find a simple excision operation, call me."


    Zhou Can''s incision technique has finally reached the intermediate level of a resident doctor, and he really wants to find a chance to practice.


    If I have to describe it, it''s a technical itch.


    He has lost count of the number of mice dissected. But it has never been tried on patients.


    In fact, as long as the incision reaches the lower level of a resident doctor, you can participate in some simple resections.


    For example, removing foreign bodies from the subcutaneous tissue, cutting some simple external hemorrhoids, etc.


    One patient after another was taken into the operating room and pushed out after the operation was completed.


    The opportunity Zhou Can was waiting for never came.


    When getting off work, a middle-aged woman whose face was swollen into a bulldog was pushed into the operating room.


    At this moment, Zhou Can has no surgery left in his hands.


    Jin Mingxi''s operation is finishing.


    Because Dr. Fu will come over soon to take over the shift, and since Dr. Fu is unwilling to get too close to him now, he is afraid of being implicated. Zhou Can didn''t want to make the scene embarrassing, so he didn''t call in any new surgery patients.


    The same goes for getting off work early and practicing medicine with mice at home.


    "Hey, the surgery you want is here!"


    Qiao Yu whispered to him.


    Looking at the woman with a huge swollen face, Zhou Can couldn''t help but feel refreshed.


    Based on my feeling, the swelling on the woman''s face should be something like a lipoma.


    "How did she do it? Have you done all the inspections?"


    Doctor Xu asked.


    "The inspections are all in place, and this is the result of the relevant inspections. She has acne on her face, and she became like this after being picked with an acne needle. Doctor Luo checked and said there was an abscess inside."


    The nurse briefly explained the situation.


    Picking pimples has its own risks.


    Because acne usually grows on the face.


    The blood circulation in the face is very rich, and the criss-crossing blood vessels shuttle through the facial muscles.


    The superficial veins join the deep veins and enter directly into the venocavernous sinus of the cranium.


    The most frightening thing is that there are no venous valves in the facial veins to prevent blood backflow.


    When the muscles contract, blood can flow back into the brain, the heart, and then all organs throughout the body.


    I believe that many people have heard of the dangerous triangle of the face.


    For example, the upper lip under the nose is particularly prone to rashes, blisters, and acne. At this time, if someone squeezes them hard, it may cause pus to pour into the blood and invade the heart along with the veins.


    The consequences of this will be very serious.


    Doctors have repeatedly publicized that the rash and blisters in the danger triangle should not be squeezed, but there are always some people who don''t take it seriously.


    Zhou Can has seen a real case. A 19-year-old guy was admitted to the ICU because he squeezed a pimple on his upper lip, but he couldn''t be rescued and died in the end.


    Luck can really kill people.


    The opportunity for incision surgery that Zhou Can had been waiting for finally came.


    I was very excited.


    But he had dealt with Dr. Lin. This kind of operation, Dr. Lin must rush.


    If Doctor Fu was on duty, Zhou Can would definitely have no chance.


    It is my own teacher who is on duty now, so there is a lot to do.


    As long as Dr. Xu is sure that he really has that surgical ability, he will definitely give him this training opportunity.


    As for Dr. Lin, there is a high probability that he can only watch from the sidelines.


    After all, there is no difference between intimacy and distance.


    "Teacher, she should undergo superficial tumor resection!"


    Zhou Can looked forward to the examination results with a shy face.


    Then take the initiative to express surgical views.


    Dr. Xu took him with him for several days and got to know him to a certain extent.


    This kid is not usually so enthusiastic.


    He glanced at Zhou Can, "Tell me about your surgery plan."


    "According to the examination images, there must be an abscess inside, and the size is not small. First, a small incision is made here to **** out the tumor. Then the wound is enlarged, the tumor is peeled off inside, and finally the tumor is removed. Next, debridement , sewing."


    Zhou Can has seen many similar surgery videos on the Internet.


    During the internship, I saw the resident general doctor in the general surgery department perform similar operations.


    But he was still a young intern at that time, and he didn''t even have a chance to help.


    You can only stand on the sidelines and learn from the sidelines.


    Dr. Xu took a deep look into Zhou Can''s eyes, as if he understood Zhou Can''s eager eyes.


    With an indifferent expression, he said, "It''s up to you to incise and drain the pus! But first draw the surgical line."


    This is still not very reassuring.


    If the blood vessels or important nerves in the face are cut off, causing the patient''s facial paralysis, it will be a catastrophe.


    "okay!"


    Zhou Can really wanted to hold Dr. Xu in his arms and kiss him.


    The teacher was really kind to him.


    He had never performed an incision on a patient.


    Now, the opportunity finally came.


    Even if it is just a small incision of less than 2cm, it is an important step for him.


    The patient is guided to lie on the operating table.


    Seeing such a young doctor operate on her, I must be reluctant in my heart. This has revealed some from the eyes.


    Tomato read novels for free


    However, due to various concerns, she finally remained silent.


    A hospital as big as Tuya has such a high reputation. Even if it is just a young doctor, his medical skills must not be too bad.


    It is much better than local small hospitals.


    "This is the scalpel position to drain the pus! This is the scalpel position to expand the surgical wound and remove the internal tumor after the pus is drained."


    Zhou Can drew the position of the knife.


    After Dr. Xu saw it, his eyes showed admiration.


    The knife position avoids important blood vessels and nerves, and is relatively cautious and conservative.


    This attitude of putting safety first made Dr. Xu very satisfied.


    "The knife position is well drawn, let''s start!"


    Zhou Can was not in a hurry to start.


    "Can you ask Qiao Yu to be an instrument nurse for me? I have cooperated with her for a long time, and I have a high degree of tacit understanding, and the operation will be done more smoothly." Zhou Can asked Dr. Xu.


    This kind of opportunity is very precious to Zhou Can, in fact, it is equally precious to Qiao Yu, a regular training nurse.


    She is just a supplement to the operating room nurse.


    If it weren''t for Dr. Xu''s bold delegation of authority to Zhou Can and Jin Mingxi recently, they would have to operate alone. It is difficult for Qiao Yu to enter the operating room several times a month.


    Even if they are transferred to the operating room, they often act as nurses on tour.


    Those experienced instrument nurses would definitely look down on instrument delivery for such a minor operation.


    Qiao Yu needed it very much.


    A gleam of splendor flashed in her beautiful eyes, and a surprised expression flashed across her face.


    It seems that Zhou Can will help her progress together.


    "Can!"


    Doctor Xu nodded in agreement.


    Tang Ling naturally acted according to the face of the chief surgeon.


    Seeing that Dr. Xu agreed, she immediately stepped aside and said with a smile, "Qiao Yu, stand here! If you don''t know anything, you can ask me anytime!"


    Tang Ling is honest and kind, and she does things in a down-to-earth manner.


    These are her advantages.


    "Thanks!"


    Qiao Yu nodded to her with a grateful smile.


    For the first time, I took the position of the chief surgeon and deputy first on the operating table.


    A powerful equipment nurse, her role is not inferior to Yisuke.


    After she sterilized the patient''s operating area, she first sucked the prepared local anesthetic into the syringe, then exhausted the air, and handed it to Zhou Can.


    His injection technique has already reached the third level, and he is quietly moving towards the middle level of resident medicine.


    Because the area requiring surgery is relatively large, Zhou Can chose to inject anesthesia from six different points.


    "Can you still feel the pain?"


    He waited for a while, guessing that the anesthetic had taken effect, and began to conduct a small test.


    "No pain!"


    The patient''s speech has become a little awkward.


    This is caused by extensive anesthesia on the face.


    A sharp lancet was handed to Zhou Can.


    Her cooperation is always so tacit.


    The two began to cooperate to operate on the patient.


    Zhou Can took the knife with sharp eyes, focused expression, and calm movements.


    The knife in his hand crossed the drawn knife line impartially.


    A little blood came out, but more of it was stinky pus.


    Zhou Can quickly sucked it up with the aspirator.


    He didn''t care about the microbleeding of the surgical wound.


    A little bleeding from this suppurative part is beneficial.


    It can drain the toxins and pus that may potentially be in the blood.


    After the pus was sucked out, the swelling on the patient''s face did not drop too much.


    This shows that the volume of the tumor inside is not small.


    "This tumor is a bit big! Dr. Xu, can you leave it to me to remove it?"


    Doctor Lin really made a move.


    In the face of interests, no one will be polite.


    He first emphasized that the tumor was very large, and the subconscious meaning was that the task of removing it was absolutely impossible for a rookie like Zhou Can.


    Then it was logical to ask Dr. Xu to entrust him with the operation.


    Compared with Dr. Lu, Dr. Lin speaks more politely and takes Zhou Can''s feelings into consideration.


    I will not directly say some offensive words to suppress Zhou Can.


    The two sides can barely be regarded as a fair competition.


    Of course, interpreted from another angle, Dr. Lin must be bullying the small with the big.


    He has been a resident doctor for four years, so he is considered an old man.


    Zhou Can is just a newcomer, Ji Peisheng.


    The status and work experience of the two parties are all unequal.


    But if a newcomer wants to stand out, it is so cruel. It is equivalent to a wolf snatching meat from a lion''s mouth.


    "Look first!"


    Dr. Xu gave him a cold look, and was so frightened that Dr. Lin didn''t dare to grab him any more.


    It is estimated that after this time, Dr. Lin has somewhat recognized the reality.


    "Xiao Zhou, you continue!"


    There are many things that are inconvenient to say in front of patients.


    It can only give some vague hints.


    "OK!"


    Zhou Can was overjoyed. It seems that the incision just now has been preliminarily approved by Dr. Xu.


    Qiao Yu had already handed over the scalpel.


    After receiving the knife, he carefully enlarged the wound to about 4.5cm, then looked up at Dr. Lin.


    "Please ask Dr. Lin to pull the hook for me!"


    "OK!"


    Dr. Lin readily agreed, and took the flat hook to enlarge the wound.


    The situation inside is revealed to everyone.


    The suppuration is actually not serious, just superficial and slight suppuration. What really caused the patient''s facial swelling was a tumor with a diameter conservatively estimated to exceed 3cm.


    It doesn''t look like a sebaceous cyst.


    The whole body is light yellow, a bit like chicken fat.


    The specific nature may need to be cut out for pathological examination to know.


    "Picking the acne might just be the trigger. The tumor could already be there. It gets irritated, then gets infected, and it grows very quickly."


    After Dr. Xu saw it, his face was a little dignified.


    Every time he encounters a slightly more complicated illness, he basically has this expression.


    "Xiao Zhou, tell me about your surgery plan."


    He had to check for Zhou Can.


    Only when he was sure that the operation plan was reliable and safe would he agree to allow Zhou Can to continue the operation.


    "First, simply debride the wound, then find the blood vessels at the root of the tumor, clamp it with a hemostat, and then peel off the tumor and surrounding tissues little by little. Finally, resection is performed."


    "Well, let me clamp the blood vessel for you."


    The incision was not that big, and it was actually a bit crowded for three people to operate it.


    It is estimated that Dr. Xu was also worried, so he personally helped Zhou Can clamp the blood vessel. It is convenient to stop or guide at any time.


    Zhou Can''s hemostasis is at the attending level, which provides him with great help in finding blood vessels.


    After debridement, I turned around along the tumor, and soon found the root blood vessel.


    Generally speaking, all tumors are capable of continuous growth and have blood vessels to feed them.


    This tumor just happened to grow on the face, otherwise it would be a small tumor that is not popular. Compared with those huge liver tumors with a diameter of more than 20cm, it is nothing.


    A benign tumor growing on the liver, with a diameter less than 5cm, is benign. Doctors usually tell patients that this does not need to be treated.


    Just check it periodically.


    "Teacher, please help me clamp this blood vessel."


    Zhou Can directly exposed the blood vessel.


    "Tsk tsk! You can accurately find the blood vessels at the root of the tumor so quickly, awesome!"


    Dr. Lin next to him couldn''t help boasting.


    At least he didn''t have the ability.


    "I am over-flattered!"


    Zhou Can smiled humbly.


    In terms of hemostasis, even Doctor Fu is inferior to him. Dr. Lin''s hemostasis level is at best average among residents, far worse than Zhou Can''s.


    "It''s true." Dr. Xu also nodded in praise.


    After clamping the root blood vessel with a hemostat, he did not forget to point out several subordinate doctors.


    "If you need to keep the blood vessels, you must be careful when clamping, don''t use too much force, so as not to damage the blood vessel tissue."


    Many newcomers are prone to make this mistake.


    When clamping the blood vessel, I was nervous and worried that the bleeding would not be stopped, so I clamped very hard.


    The part of the blood vessel to be removed is naturally no problem.


    If the blood vessel to be preserved is clipped like this, it will be easily abolished.


    Doctor Lin waited quietly.


    Finding the blood vessels at the root of the tumor is only the first step.


    The complexity and difficulty of this operation far exceeded that of a first-level operation.


    In fact, it is already a second-level surgical level.


    He didn''t believe that Zhou Can, a newcomer, would be able to do the next tumor separation.


    Even he, a senior resident doctor, is not fully sure.


    At most, just dare to try.


    This is also the reason why he tried his best to win the opportunity of this operation.


    In the past, Dr. Xu might not have allowed Zhou Can to participate in such a relatively high-risk operation.


    Maybe what happened yesterday also stimulated him.


    If it weren''t for the fact that there were many department bosses who spoke up for Zhou Can, it is very likely that Zhou Can is still in a state of shame. Even worse results.


    Dr. Xu''s position is light and soft, and he can only watch helplessly, and there is nothing he can do.


    Therefore, he accelerated the training of Zhou Can.


    I want Zhou Can to become stronger faster and increase his status and weight.


    I saw Zhou Can hold the scalpel and began to carefully separate the tumor from the surrounding tissue.


    One knife at a time, it is accurate and steady, and the knife is in place.


    When detached from the surrounding normal tissues, his movements are swift and efficient. When it is separated from the blood vessel, it is pushed forward slowly, with the strength, angle, and process all properly grasped.


    "Good boy, you are really generous! This separation technique is at least at the level of a resident doctor. And it is still above the average level of a resident doctor."


    Dr. Xu was more pleased than anyone else when he saw Zhou Can handle the knife with ease and grasp the proportions just right.


    This kid is really against the sky.


    Originally, I just wanted to see how good Zhou Can''s incision skills were, and I wanted to see how Zhou Can''s separation talent was.


    He is ready to call stop and take over the mess at any time.


    In the end, Zhou Can didn''t give him a chance to stop at all, but gave him a huge surprise.


    Fortunately, such a talented apprentice was rescued.


    He felt that risking his life to stand up for Zhou Can, everything he did was very worthwhile.


    Dr. Lin, who was waiting for an opportunity, was dumbfounded.


    My heart is cold and cold.


    Zhou Can''s separation technique is so good, it is more than enough to be competent for the separation and resection of this tumor. Dr. Lin will never have another chance.


    Jin Mingxi has also finished the operation at this moment, and stands by the side with his neck stretched out to watch.


    His expression is more interesting.


    It''s just a **** of an expression.


    He is a doctor who has been working for more than ten years, and he has a lot of experience in surgery, and his surgical ability is not bad.


    However, Zhou Can''s ability to separate made him feel deeply frustrated.


    This newcomer is too evil.


    This is an advanced medical separation technique, much more difficult than incision.


    How did Zhou Can practice?


    Jin Mingxi lived with Zhou Can every day, except that Zhou Can often dissected a large number of mice, and did not see him do other exercises!


    At this point, it was time for the handover.


    Dr. Fu, Dr. Lu, and nurse Liu Xia came to take over.


    As soon as I entered the operating room, I saw several doctors operating on a patient around the operating table.


    Take a closer look, good guy, Dr. Xu is actually beating someone up.


    "Shit, why is he standing on the chief surgeon''s seat? Attending physicians, senior residents, all help him, this kid''s treatment is so special!"


    Dr. Lu''s cheeks twitched with jealousy.


    His eyes were fixed on Zhou Can who was concentrating on the surgery.


    He has never enjoyed such treatment.


    Then, he made another discovery.


    Qiao Yu, who has been chasing him for a long time, is actually working as an equipment nurse for Zhou Can. The two appeared to be very close.


    Dr. Lu''s heart felt like ten thousand ants were gnawing on him, which made him very uncomfortable.


    It would be great if the person standing on the chief knife position was him!


    Of course, he can only imagine this kind of thing.


    Qiao Yu also worked as an equipment nurse for him a few times, but every time it was a business. He has never been so intimate as with Zhou Can. UU reading


    This made Dr. Lu even more uncomfortable.


    There are also bursts of cramps in my heart.


    Dr. Fu is very curious. It''s time for the shift change. What kind of operation is not done yet?


    Walking forward, he first greeted Dr. Xu with a smile, "It''s rare for Dr. Xu to work overtime for surgery!"


    "A surgical excision of superficial subcutaneous tumors."


    After Dr. Xu made an introduction, his eyes fixed on Zhou Can''s movements again.


    He didn''t dare to be careless.


    Must keep an eye on it.


    Doctor Fu didn''t take it seriously at first, but when he saw what Zhou Can was doing, his eyes widened suddenly as if by magic.


    This, this is too scary!


    A Gui Peisheng was actually separating a facial tumor. The key is that the movement is not only calm and smooth, but also the peeling effect is surprisingly good. It''s really shocking to have this kind of ability appear in a doctor who has just been trained for a few days.


    Zhou Can has basically separated the entire tumor from the surrounding tissues.


    The most critical part of the vessel is being isolated.


    It can be said that every knife is dancing on the tip of the knife, and a little carelessness will cut a blood vessel.


    However, he just didn''t have any accidents, and his knives were precise. You say it''s irritating or not.


    Dr. Lu was also curious to see Dr. Fu''s exaggerated expression after seeing Zhou Can''s operation.


    Come forward to see what''s going on.


    "This, this... Is the boy transformed by a monster? The separation technique is so slippery!" Doctor Lu''s expression was not much better than that of Doctor Fu, even a little more exaggerated.


    Not only the eyeballs were rounded, but even the mouth was opened into an O shape.


    Although Dr. Lu is lazy, he still has sharp eyesight. At a glance, Zhou Can''s separation technique beat him by several blocks.


    The shock in my heart can be imagined.

 Chapter 88： Jade cant be cut into a tool, and there are many attending-level medical skills

    Everyone watched Zhou Can performing powerful medical skills that shouldn''t belong to Dr. Guipei.


    The blood vessels on the tumor were successfully peeled off bit by bit.


    Finally, the separation is almost done.


    "Teacher, I''m going to cut off the capillaries growing in the tumor, and then electrocoagulate to stop the bleeding. Finally, I will completely separate and remove the tumor from the muscle tissue. Do you think it''s okay?"


    Out of respect and prudence, Zhou Can did not rush to finish.


    Instead, ask Dr. Xu first.


    "This solution is great!"


    Dr. Xu never hesitated to praise him in front of his patients.


    With the teacher''s affirmation, Zhou Can has a bottom line in his mind.


    Step by step, complete the remaining surgical work step by step.


    Cut off the small blood vessels growing in the tumor, and then electrocoagulate to stop the bleeding.


    In fact, now that main blood vessel is clamped by Dr. Xu, the amount of bleeding is very small.


    During surgery, bleeding must be minimized as much as possible.


    Not to mention anything else, just the blood blocking the sight of the operation is not a small trouble.


    Dr. Fu had seen Zhou Can''s hemostasis before, and he was still amazed when he saw it again.


    Not to mention Dr. Lu, Dr. Lin, and Jin Mingxi.


    Seeing Zhou Can''s superb hemostasis, they were not only envious, but also under a lot of pressure.


    There is pressure to be motivated.


    Those who walk with tigers and wolves are usually ferocious beasts, and those who fly with phoenixes must be handsome birds.


    Only with the strong can we become stronger.


    After processing the blood vessels and successfully separating the tumor from the surrounding tissue, there is only the last step left.


    That is excision.


    Zhou Can was not soft on his hands at all, and cut off the tumor neatly.


    "Xiao Zhou, you cut this tumor very well. Remember, whether it is a benign tumor or a malignant tumor, it doesn''t matter if you cut as much normal tissue as possible during the resection. In order to achieve a clean resection without recurrence."


    "clear!"


    Zhou Can nodded and wrote it down.


    If the malignant tumor is not completely removed, the consequences will be very serious.


    It will lead to the spread of cancer cells, and eventually lose the chance of surgery.


    This kind of thing is very common.


    For example, breast cancer, uterine fibroids, gastric cancer... It is common for doctors with poor medical skills to cut cleanly.


    Tumors have one of their greatest characteristics.


    If you don''t stimulate it, it may just grow normally.


    Once stimulated, it is true that the Tao is one foot tall, and the devil is one foot high.


    In order to survive, it will frantically enter the "explosive soldier" mode.


    Not only will the speed of division and replication be doubled, but it will also rapidly transfer to surrounding tissues.


    Getting to that point is definitely a disaster for the patient.


    "Teacher, do you think it is possible to debride and suture the wound?"


    The tumor was successfully removed, and the patient''s swollen cheeks have basically disappeared.


    Dr. Xu checked it carefully, and there was nothing wrong with it.


    Indicate that he can debride and suture.


    After more than 20 minutes, Zhou Can successfully completed the debridement and skin suturing.


    The patient''s right cheek appears to have been flattened.


    "Okay, the operation was completed very well, and the subcutaneous tumor on your face has been successfully removed. If there is any abnormality in the wound, you must report it to our medical staff in time."


    Doctor Xu told the patient.


    Taking advantage of Zhou Can''s suturing time, he had already issued a doctor''s order.


    Ask Qiao Yu to take the patient to the infusion area for an IV.


    After the patient left, Dr. Xu looked at Zhou Can, and then glanced at Dr. Lu, Jin Mingxi, and Dr. Lin.


    "You must pay attention to the postoperative care of this kind of operation. If the wound is purulent, it must be dealt with in a timely and decisive manner. It is best to use antibiotics and anti-inflammatory drugs through intravenous infusion after the operation. For the first three days, the patient can be asked to infuse once a day , it is convenient to observe the patient¡¯s wound condition.¡±


    Dr. Xu imparted surgical experience to several people.


    "Xiao Zhou, if you practice medicine independently in the future, you must tell the nurses in the infusion area to pay special attention to the patient''s condition for patients with high postoperative risks. So, you invite them to drink a cup of milk tea occasionally. It¡¯s actually quite good. They will pay more attention to what you tell me.¡±


    Doctors and nurses are two systems.


    interdependent.


    The status of doctors is higher than that of nurses, but if the relationship is not good, it is not good for doctors.


    They are only responsible for doing normal work, and no one can say anything about them.


    If something really happened, the unlucky one must be the doctor involved.


    Of the few doctors here, only Zhou Can is a newcomer, and there are many unspoken rules in the department that he might not understand, so Dr. Xu took them aside to teach him.


    "Xiao Zhou, in general, you did a pretty good job in this operation. But you should also be aware of some shortcomings, such as when the tumor was peeled off, the margins were not neat. In addition, the debridement was not particularly good. It''s in place. Those are areas that need strengthening. The stitching isn''t particularly good either, just above par."


    In front of everyone, Dr. Xu continuously pointed out Zhou Can''s many deficiencies.


    Debridement has now become a weakness of Zhou Can.


    Because it is still only the lower level of regular training.


    This is also impossible, after all, his working hours are too short.


    The foundation is still quite weak.


    It is impossible to eat a fat man in one bite.


    The improvement of various medical skills takes time and opportunities for exercise, so it can only be done slowly.


    "I will work harder!"


    Zhou Can humbly accepts the teacher''s advice.


    Also face up to your own shortcomings.


    At the same time, he noticed that after Dr. Xu pointed out a bunch of shortcomings to him in public, Dr. Lu and others looked at him with a lot more friendly eyes.


    Only then did Zhou Can understand the teacher''s good intentions.


    The trees are beautiful in the forest, but the wind will destroy them.


    Being too good is easy to make people jealous.


    Appropriately find some shortcomings and let other jealous people find a psychological balance, which can reduce many unnecessary troubles.


    "Doctor Xu has too high demands on Xiao Zhou! His level is already considered outstanding among Gui Peisheng, very good!"


    Lo and behold, the effect came out.


    Doctor Fu began to help Zhou Can speak well.


    "If you can''t cut a jade, you can''t make a weapon, and you can''t go wrong if you are strict with him!"


    Dr. Xu has achieved the desired effect without further delay.


    "Okay, I''ll leave the operating room to you, and we''ll call it a day and go home."


    ¡­


    The days went on like this day by day, and Doctor Fu never mentioned Zhou Can''s overtime work.


    Many colleagues in the emergency department kept a distance from Zhou Can.


    Zhou Can commutes to and from get off work on time every day. Under the care of Dr. Xu, he has been doing first-level surgery independently.


    Since he showed the mid-level incision and separation of residents, Dr. Xu gradually began to give him some simple resections.


    However, as long as the risk is slightly higher, Dr. Xu will stand by and guide Zhou Can when he performs the operation.


    In terms of safety, Dr. Xu is particularly strict.


    In addition to gaining experience quickly in the operating room, Zhou Can bought eight to ten white mice every day and returned to the apartment to practice because he didn''t have to work overtime for a while.


    His experience in the three medical techniques of incision, separation, and ligation continued to soar.


    It''s really a different day.


    However, this practice mode is also very expensive.


    The purchase fee for white mice alone costs 1600-2000 yuan per day.


    It''s close to 60,000 yuan a month.


    If you were an ordinary person, you wouldn''t be able to bear it at all.


    Fortunately, the white mouse practice is only an initial need. When most of his medical skills have risen to the attending level, the main battlefield for practicing medical skills will be completely transferred to the operating room.


    At that time, it will be faster to earn medical experience points directly from patients. Not only does it not cost money, but it can also make money.


    However, Gui Peisheng''s salary is relatively fixed.


    According to relevant national documents and regulations, the regular training doctor writes a case for 10 yuan, and the on-duty fee is 50 yuan, but it is time to pay the salary. The money is nonexistent.


    It''s useless to find a teacher from the regular training office.


    Looking for the director of the department, I''m afraid I don''t have the guts. Occasionally, someone with a stubborn head is not afraid of death. I really asked the director of the department to ask about it, but in the end it was still nothing.


    If the hospital doesn''t issue it, it''s impossible to deduct it from the department, right?


    Therefore, what Gui Peisheng can get is basically only a pitiful monthly food allowance, basic salary, and state subsidies. Overtime pay may be appropriate for one month.


    What kind of bonuses, performance commissions, and surgery commissions are just thinking about farts.


    However, there are still some doctors who come to Tuya to participate in the regular training as advanced trainees. In addition to receiving the above-mentioned salary, their original unit will also pay them a salary.


    Of course, there is a huge difference between those who participate in regular training as advanced students, and Zhou Can and the others who are recruited by the school.


    If you want to learn real skills, you must be a general-disciplinary trainee like Zhou Can and the others.


    Belonging to the hospital''s ''core disciples''.


    The hospital will train them as future successors.


    In addition, there are also regular recruiting rules for Pearson. The status is much worse than that of general trainees.


    But it was also cultivated as one''s own.


    There are a few regular recruits who are particularly outstanding, and eventually become the leader of a certain subject in the department, or the team leader, chief physician, or department director.


    In short, if you want to classify the three types of training students into different levels.


    General subjects are the best, with very few recruitment places, high difficulty and high weight. Followed by fixed recruitment, as long as the department has a need, it will recruit a group of regular trainees with relevant majors to train them, and the survival of the fittest will be eliminated. After the regular training is over, some people will be lucky enough to get the chance to stay in the hospital and become a regular worker. Some people may be eliminated after obtaining the training certificate.


    Regular training is the worst.


    To put it bluntly, it is some prefecture-level hospitals or small hospitals that send doctors to gild.


    It is difficult to learn core medical skills if you can learn something and go back.


    Tuya Hospital conservatively estimates that the total number of trained doctors recruited in a year exceeds at least 200.


    The difference can only be experienced by oneself.


    ¡­


    It is worth mentioning that he discovered an obvious problem in the process of using white mice to practice medical skills.


    That is, since his hemostasis was upgraded to level four, there was nothing abnormal.


    But not long ago, when the experience value rose to the fourth level of 1000/10000, it suddenly stopped rising.


    Stop the bleeding on the patient, and the experience value can still increase by 1 point each time.


    But practice with mice, the hemostasis can only increase by 0.001 each time.


    He is very clear that this is the penalty experience value given by the experience point system.


    He had similar problems when he practiced sewing before.


    The only solution is to earn on patients.


    Other methods are basically ineffective.


    He secretly guessed that it was likely that the practice of hemostasis on the white mice had reached its peak.


    Therefore, continuing to practice is basically ineffective.


    It''s quite reasonable when you think about it.


    For hemostasis below grade 4, electrocoagulation is basically the main method. But after reaching the fourth level, the methods of hemostasis also began to become complicated and diverse. It is no longer a simple electrocoagulation to stop bleeding or ligation of blood vessels.


    Its hemostasis has been raised to a new level from diagnosis, to drugs, hemostasis ideas, and hemostasis methods.


    To achieve this level of hemostasis, every hemostasis will be a test.


    Zhou Can has a feeling that since this problem occurs in hemostasis, other medical techniques must also appear.


    His time with the experience point system is short, and there''s still a lot to explore.


    This system can help him quickly improve his medical skills, but it''s not just a single-player practice. Instead, he guided Zhou Can to find the most correct practice method by how much experience he gained at a time.


    For example, for diagnosing extremely difficult and complex cases, for each diagnosed case, in addition to gaining 1 point of ordinary experience, you can also get a reward of 100 large experience points.


    After it was difficult to earn hemostasis experience points from the white mice, he was not discouraged.


    Instead, continue to use white mice to quickly earn experience points for other medical skills.


    Anyway, he can afford to burn money.


    ¡­


    In the blink of an eye, sixteen days have passed.


    Zhou Can is living a very fulfilling life these days, and his various medical skills are advancing by leaps and bounds. He has accumulated a lot of first-level surgical experience through surgery.


    After hemostasis, many medical skills have been successfully promoted to the attending level.


    Incision, suture, ligation, injection, separation, these medical skills have all been successfully promoted to the attending level.


    When their experience points rose above 1000/10000, the same problem as the hemostasis also appeared.


    Practicing on white mice has already stopped rising.


    Can only be earned by operating on patients in the Operating Room.


    At present, the experience points of these five medical skills are basically more than one thousand. Injection is a little less, only 252/10000.


    Mainly because he hadn''t practiced injections on white mice.


    Only by giving local anesthesia to the patient every day in the operating room, it has been raised to the current level.


    Now, his injection level is at the same level as those of older nurses in charge. Many little nurses are not as good as him for injections.


    Of course, injections are definitely more than just injections.


    In the future, as he can obtain more advanced surgical opportunities, there will definitely be a wider application space.


    In addition, his debridement technique has finally been upgraded from level two to level three.


    Current experience value: Level 3 41/1000.


    Inferior level of resident medicine.


    With this level, the debridement of primary and secondary surgery is basically enough.


    It is finally making up for this shortcoming.


    Of course, it would be better if he could rise higher in the future.


    "My four basic surgical skills have all been upgraded to the attending level, and the practice rats can no longer move up. It''s time to upgrade to the three advanced medical skills of anastomosis, grasping, and placement."


    Zhou Can thought about it and made a new practice plan for himself.


    The anastomosis of rat tail nerves, blood vessels, and intestines can all be practiced.


    Although the earning speed is a bit slow, and you can only get 0.2 experience points for a successful matching, it is still quite good.


    Basically, he can successfully anastomose a small blood vessel in about fifteen minutes Practice for one night, and he can earn about 6 to 7 anastomosis experience points.


    I believe that if you persist for about a year, the anastomosis will definitely be promoted to the indication level.


    Ever since he learned that the domestic minimally invasive field is very backward, he secretly included the improvement of minimally invasive surgery capabilities in his plan.


    In the morning, Zhou Can went to work in the hospital as usual.


    "Morning, Doctor Zhou!"


    "morning!"


    "Wow, Doctor Zhou is getting more and more handsome!"


    "Hehe, it''s your eyes that have become beautiful!"


    Zhou Can smiled and responded to them one by one.


    After colleagues in the emergency department alienated him for a while, eventually the rumor died down to the wise.


    More than half a month has passed, and Zhou Can is doing well every day, and he has not seen any hospital leaders trouble him.


    The rumors spread by Dr. Lu are self-defeating.


    Everyone gradually resumed normal communication with him.


    The workplace is so real.


    Although friendship is also talked about, the most important thing is interest.


    Taking advantage of the accident last time, it was like a magic mirror, allowing Zhou Can to recognize the faces of every colleague.


    It''s also been a great development for him.


    "Xiao Zhou, Jin Mingxi, don''t go to the operating room yet. Follow me to the morning meeting!"


    Doctor Xu greeted the two of them.


    Zhou Can has not attended any meetings since he became a doctor of Guipei.


    On the contrary, when I was an intern, I often had meetings. If you do not participate, you will be deducted 50 yuan once.


    "Teacher, can you give me some more difficult first-level surgery patients today?"


    Zhou Can asked with a shy face while following Doctor Xu.


    After his multi-disciplinary medical skills have risen to the attending level, he is no longer satisfied with simple debridement and suturing, but wants to do some more difficult operations.

 Chapter 90： Abandon the helmet and abandon the armor, advanced basic skills of surgery

    This matter made Director Xie angry. I am afraid that it is not just as simple as the reduction of surgical opportunities for training newcomers.


    No matter how small a mosquito is, it is still meat.


    In fact, primary and secondary surgery cases can also bring a lot of income to the department.


    The weight composition of each department can be divided into several major items: academics, top talents, income generation, ranking in specialized fields, and medical examination capabilities.


    One of the most important ones is income generation.


    No matter which department you are in, as long as your income-generating ability is awesome, your waist will be thick, and your words will be tough.


    "Director Lou, is there such a thing?"


    Vice President Ye looked at Director Lou who was sitting in the back row.


    Zhou Can turned his head and looked over, and found that both Dr. Xu and Director Lou were calm.


    He immediately felt relieved.


    It seemed that these two had been prepared for a long time and were not caught off guard by Director Xie.


    "There is this."


    Director Lou openly admitted in public.


    "Speaking of this, our emergency department is also out of kindness."


    Look at someone who is a director, he speaks well.


    He obviously robbed the surgical patient, but in front of everyone, he told Director Xie and Vice President Ye confidently that it was out of good intentions.


    It feels like snatching the meat from someone else''s bowl, eating it dry, and then telling the other person, I am afraid that eating too much meat will be bad for your health. This is what eats you up.


    "Nonsense! You''re talking about it, why is it out of good intentions?"


    Director Xie blushed with anger.


    But he was born in surgery, so his temper was a bit rough.


    Among the chief directors, he has the worst temper.


    Perhaps because of the high status in the surgery room, he thought he had a thick waist, and his voice was a little uncontrollable when he spoke.


    "I heard many doctors and nurses in the emergency department react, and many doctors in the surgery room complained, and all kinds of patients were sent to them. I can understand the difficulty of surgeons, because they are busy! Sometimes they are asked to come out. It¡¯s fast enough to arrive at the emergency department within half an hour, and it¡¯s possible to wait an hour or two or even longer.¡±


    Director Lou stated the facts unhurriedly.


    He took this opportunity to speak out about some old-fashioned things about surgery.


    Many of the surgeons present felt feverish on their faces.


    "Before we changed our job, we had limited manpower in the operating room of the emergency department, and there was really no way to share it for the operating room. Until more than half a month ago, thanks to Dean Ye for his compassion, he gave the emergency department two places for general practitioners. Our emergency department The operating room was finally able to expand. After two more Gui Peisheng, Dr. Xu and I discussed it and felt that we have an obligation to share the workload within our capacity for the surgery. "


    "It just so happens that the two newly recruited trainees are also up to the task, and have undertaken a lot of junior work in the operating room."


    Director Lou''s words were very beautiful.


    He looked at Director Xie, "It''s just how many surgeries can be taken away by two trained doctors? What Director Xie said just now is really petty. It even misinterpreted the kindness of our emergency department."


    Zhou Can secretly gave a thumbs up.


    Ginger is still old and spicy.


    The remarks prepared by Director Lou and Dr. Xu are against General Xie''s army everywhere.


    And they all occupy a rational word.


    "You, you are acting in a wrong way, the tile ax thunders."


    It''s okay for Director Xie to wield the scalpel, and it''s okay to play tricks and grab credit. But this kind of face-to-face debate is not his strong point.


    In three or two rounds, he was killed by Director Lou.


    "I can''t argue with you. Anyway, the emergency department just can''t grab the surgery patients from the surgery room."


    It''s unreasonable, so he just messed up.


    The weight and status of surgery is much higher than that of the emergency department, directly overpowering others.


    "Since Director Xie said so, it doesn''t matter to us in the emergency department, just accept fewer patients for surgery. I''m happy to make it easy." Director Lou shrugged with a smile indifferently.


    Vice President Ye remained silent all this time, but now seeing that the two directors of the department had almost coordinated, he interjected at the right time.


    "Old Lou, I think your emergency department is also very kind about this matter, but you didn''t say hello to Lao Xie in advance, which led to a misunderstanding. Your emergency department properly admits and treats some patients who can be solved, so as to reduce the pressure on other departments. It¡¯s also pretty good. I really only want to relax, so that¡¯s not okay!¡±


    He must encourage and support the active work attitude of the emergency department.


    Just take into account Director Xie''s feelings.


    "Old Xie, how many surgeons are there in the emergency department? There are only eight of them. How many surgeries can two trained doctors take away from your surgeons? You''ll have to be sloppy about this kind of thing in the future."


    Vice President Ye has already talked about this, so what else can Director Xie say?


    He could only nod his head in agreement with tears in his eyes.


    Originally, he asked the emergency department Xingshi to question him, and the evidence was conclusive.


    As a result, Director Lou was well prepared, and he was clearly the one who did the wrong thing, but became the one who took the right.


    On the contrary, he, the disadvantaged party, left a petty image in the minds of others. Even Vice President Ye was speaking for the emergency department.


    He felt aggrieved!


    "Let''s end the meeting!"


    Vice President Ye was the first to leave the meeting room after announcing the end of the meeting.


    Director Lou stood up and greeted Director Tan and others with a smile.


    I usually communicate with each other more, and I can speak up when I have something to do.


    Zhou Can remembered that director Tan and director Yin helped him speak a while ago, and followed him.


    "Director Tan, Director Yin, thank you for standing up and helping me last time. I will definitely remember this love."


    At the risk of offending a deputy dean, he spoke for him.


    Zhou Can must have something to say.


    Even if you are unable to repay them now, verbal thanks must be given.


    This is the minimum principle of life.


    If people do him a great favor, he doesn''t show it. Sure to chill those who helped him.


    The next time something happens, no one else will help him.


    "Small things, not worth mentioning."


    Director Tan waved his hand.


    "I just don''t want to see a child with good talent being delayed!"


    Director Yin Hua followed suit with a flat tone.


    Both of them are kind and not reciprocated.


    On the one hand, I really appreciate Zhou Can, who is both a human being and a medical talent. On the other hand, most people are upright and kind in their hearts.


    They are willing to help Zhou Can if they can.


    "Xiao Zhou, it''s been a while since that incident. It hasn''t been affected, has it?"


    Director Tan asked with concern.


    "Fortunately, I have already walked out of it."


    Zhou Can''s personality is fairly optimistic.


    At the beginning, it was false to say that there was no resentment.


    However, Vice President Bai apologized to him and gave him compensation. Dr. Shangguan also regretted it, and now he and Zhou Can have become good friends.


    By now, Zhou Can has long been relieved.


    "Just come out! You don''t have to hold grudges. If one day, you sit in that high position and need to consider the future and destiny of the entire hospital, you may make the same decision. Let a regular trainer For the hospital, the loss is almost negligible. But the loss of a hospital academic leader is too great. It is like when you are walking on the road and encounter a piece of iron weighing fifty catties and a piece of iron. Fifty catties of gold, you can only take away one piece with your physical strength. Then you will definitely abandon the iron piece and do everything possible to take away the gold."


    Director Tan was not sure if he really let go.


    Patiently analyzed the reason for him.


    "I understand."


    Zhou Can nodded again.


    Everyone understands the truth, but when this kind of unfair thing really falls on him, few people are willing to accept it.


    Gao Jian also came over to say hello.


    "Zhou Can, long time no see!"


    "I haven''t seen you for more than half a month. Seeing your confidence, you must have made great progress in medical skills, right?"


    Zhou Can responded with a smile.


    "Oh! Don''t mention it."


    Gao Jianchang sighed.


    "What''s the matter?"


    Zhou Can wasn''t sure whether Gao Jian was trying to sell misery on purpose.


    "My traditional surgical ability is good, and my talent is not bad. But practicing interventional surgery, my hands are as clumsy as pig''s hooves."


    Gao Jian looked at his hands with disgust.


    "Hehe, you really don''t care about this analogy! The operation of interventional surgery is more complicated. You have only practiced it for more than ten days. Do you still want to reach the director level? Calm down and take your time!"


    Zhou Can comforted him with a smile.


    However, Dr. Xu said that people who are talented in traditional surgery do not necessarily have talent in minimally invasive surgery.


    Gao Jian probably only has traditional surgery talent.


    It would be a shame if that were the case.


    "Maybe I''m too eager for quick success! Listen to you, calm down and try again."


    Gao Jian nodded approvingly.


    "Okay, I have to go to work with Dr. Xu, goodbye!"


    Zhou Can saw that Dr. Xu was almost at the door of the meeting room, so he hurried after him.


    Dr. Xu seems a little autistic in terms of communication.


    Other doctors, those of a lesser status, are trying to expand or maintain their social circles.


    Dr. Xu did not deal with anyone.


    Can understand his mood.


    Falling from a high position will definitely cause some communication obstacles psychologically.


    It feels awkward to call someone who used to be lower than him a brother and brother. Associating with people who used to have the same status as him, people may not buy his account, and it is easy to find yourself bored.


    So the word withdrawn became his best self-protection.


    "Teacher, can you tell me now, Director Hu''s intention of pinching his hair?"


    Zhou Can chased after him and asked.


    "See if the hair in your hand is still there?"


    Doctor Xu said without looking back.


    Zhou Can put his hand in front of his eyes and examined it carefully.


    "Hey, why is this gone?"


    He was surprised to find that the hair he had been pinching in his hands had disappeared.


    "Mine are gone!"


    The same situation happened after Jin Mingxi checked.


    "Do you know why it''s gone?" Dr. Xu looked back at the two meaningfully.


    Zhou Can thought about it carefully.


    "It should have fallen when I went to thank Director Tan and Director Yin. At that time, I was focused on talking with them, and I didn''t notice the hair I was pinching in my hand."


    Jin Mingxi was a little frustrated and said, "I don''t even know when it fell. It''s been a long time, and I forgot about it."


    Dr. Xu seemed to have known for a long time that this would be the result.


    He said calmly, "If what you pinched was a gold necklace or a priceless diamond, would it still fall?"


    "Of course not."


    The two shook their heads at the same time.


    Such a valuable item is something that everyone will care about.


    "That''s right! The hair is irrelevant and has no value at all, so from the moment you hold him, you don''t pay attention to it. If it falls off, it doesn''t matter anyway. Plus the hair The smaller it is, the more likely it will be lost.¡±


    What Dr. Xu said was true.


    Because I didn''t take it seriously from the beginning, the loss became a matter of time.


    "Director Hu pinches a piece of hair with one hand in order to exercise concentration. You must maintain a high degree of concentration at all times to ensure that the hair you are pinching in your hand will not be lost. When performing an operation, you must maintain a high degree of concentration, otherwise it will be easy. Failed. An ordinary minor operation may be completed in ten minutes or half an hour."


    "If it is a complicated major operation, it may take more than ten hours or even longer. Few people can maintain a high concentration of mental power for such a long time. Most people can concentrate for about half an hour It starts to scatter. You get mentally tired and you want to relax, take a break."


    Hearing this, Zhou Can and Jin Mingxi suddenly realized.


    I also admire Director Hu Kan even more.


    It seems like a simple lifting of the arm to pinch a hair and keep it still, but unexpectedly, it can exercise two basic surgical skills at the same time.


    Is this the legendary back to basics?


    In martial arts novels, real masters are often able to simplify the complicated, have no tricks to win and have tricks, and return to the basics. UU reading


    It seems to be the same for the doctor''s surgical operation ability practice.


    It''s just that many surgeons stay at the attending level all their lives, and will never be able to explore this higher level of surgical ability.


    "Now do you understand Director Hu''s intention of pinching the two strands of hair?"


    "Understood!"


    Both of them nodded in unison, and they both benefited a lot.


    However, Director Hu''s special training method already belongs to the training of advanced basic surgical skills.


    One is to practice hand stability, and the other is to exercise attention and maintain a high degree of concentration for a long time.


    "Teacher, how long can Director Hu hold on to two strands of hair?"


    Zhou Can wanted to know how strong Director Hu was.


    "I''m really not sure about this. But during the operation, there was a major operation, and our multiple teams worked together for more than 18 hours. The part that Director Hu was in charge of took about 13 hours. He has a high degree of concentration, and I haven''t seen him take a break. Both physical fitness and concentration are amazing."


    Doctor Xu recalled this before saying.


    terrible.


    Persevere for thirteen hours, who can do this for ordinary people?


    Zhou Can asked himself if he persisted for forty or fifty minutes at most, his attention would be distracted. If an operation takes more than three hours, he will feel mentally exhausted and dizzy.


    It seems that I have to learn from Director Hu Kan in the future, and consciously practice these advanced basic surgical skills.


    "Teacher, how did you practice your sharp knife? Tell us too!"


    Zhou Can really dared to ask anything.


    Dr. Xu''s operation time is long, and it is definitely not easy to maintain the world record for the fastest operation of the same kind.


    And Wu Baihe, known as the ''Peak Scalpel in Surgery'', probably also has his own unique skills.

 Chapter 91： Shop around, the one that suits you is the best

    "Are you going to choose the fast knife as the development path of surgery?" Dr. Xu turned his head and stared at him.


    The last time I asked Zhou Can, Zhou Can hadn''t considered it yet.


    This time, he took the initiative to ask about the method of practicing Kuai Dao, which reminded Dr. Xu of this matter again.


    He was so eager for Zhou Can to be his passer-by.


    "Hmm... I haven''t figured it out yet! But it doesn''t prevent me from understanding the advantages and disadvantages of your quick knife and Director Hu''s ''most stable scalpel''." Zhou Can said with a smile.


    "You guys are shopping around! Alright, I just want to tell you about the surgical styles and their advantages and disadvantages."


    Doctor Xu couldn''t help shaking his head and scolding with a smile.


    "The three most common surgical styles are steady, precise, and fast. Director Hu''s surgery is characterized by stability, which can handle almost most surgeries, ensuring that the surgical process is extremely smooth, as stable as an old dog. But because he is too stable, he is doomed The speed of the operation cannot be fast. It can take into account the ''fineness'' to a certain extent, but it cannot be so precise that it is so subtle."


    The biggest feature of Wenwen is that it is safe and guaranteed, and the smooth completion of the operation is guaranteed.


    However, because it cannot be fast, nor can it achieve the ultimate precision, it is doomed that some operations that require a short time to complete, or extremely detailed resections, separations, etc., cannot be performed by it.


    This is also an important reason why director Hu Kan''s reputation is not as good as Wu Baihe''s.


    He can''t perform many sophisticated surgeries.


    Either give up, or ask someone else to do it.


    Just participating in the operation is equivalent to a supporting role in a movie actor. The fame is naturally not as great as the protagonist.


    People often only remember the protagonist.


    Of course, the supporting roles also have the opportunity to stand out, even surpassing the leading role, but that is a very small number after all.


    The profession of doctors has a strict hierarchy and rules. Just as a ''supporting role'' participating in the operation, it is almost impossible to surpass the chief surgeon in fame.


    It is estimated that this is also the unspeakable pain in Director Hu Kan''s heart.


    When he chose stability as his style, he was doomed to be stable all the time, and he couldn''t shine like Wu Baihe and Dr. Xu, and everyone knew it.


    "Let''s talk about my ''fast'' style again. There is a saying in the martial arts world, which is called martial arts in the world, only speed can''t break it. The operation is basically like this. When your speed is extremely fast, it seems that you have given up stability, but In this fast process, you can have a stable effect. For example, if you cut quickly with a knife, at most, the cut will be sideways or overcut, but there is almost no need to consider problems such as hand shaking and stuttering."


    That''s true.


    According to the kinetic energy and potential energy of physics, when the speed reaches the extreme, the cutting route must be a straight line. It cannot be a wavy line.


    The operation time is greatly shortened, and it no longer takes more than ten hours to maintain a high degree of mental concentration.


    Maybe half an hour, an hour or two and it''s over.


    Each surgical style has its own advantages and disadvantages.


    Just like people, no one is perfect.


    "The disadvantage of being fast is that you can''t fully control it, and it''s easy for your hands to be faster than your brain. In addition, as long as you have concerns in your heart, you can''t be extremely fast. This requires more practice to be able to do it freely. But even if you do It is still not safe to retract and release freely. Then I have pondered over the reasons for countless accidents in the past few years. I think that as long as I have a calm mind, I can restrain the anxiety and restlessness caused by the pursuit of the ultimate speed. It is equivalent to giving Fasten the double bumper, and the probability of an accident should be controlled to zero."


    When Dr. Xu said these words, his face and eyes showed an almost crazy self-confidence.


    The hands are faster than the brain, and the wrong organ is cut, or too many organs are cut. This kind of thing happens from time to time in the operating room. Dr. Xu is an absolute expert in this area and has the most say.


    "I believe the teacher''s philosophy is correct."


    Others didn''t believe him, but Zhou Can was convinced.


    It''s not blind worship, but a comprehensive judgment made from Dr. Xu''s clues, words and deeds.


    "Thanks!"


    Dr. Xu took a deep look at Zhou Can, and the two looked at each other. Dr. Xu felt like he had found a soulmate.


    Maybe it''s because after the accident, his status dropped drastically, and he couldn''t even stand up for the rest of his life, so any thoughts he thought were the words of a loser in the eyes of outsiders.


    Not recognized, not valued.


    So that when someone suddenly recognized his point of view from the heart, Dr. Xu was so excited to say thank you to his apprentice.


    It was the first time that the teacher was so polite to him.


    This made Zhou Can a little uncomfortable.


    Because being too polite is a sign of rustiness.


    On the contrary, he likes the teacher Xu who is very strict with him.


    "Let''s talk about the third surgical style, fine. Wu Baihe of neurosurgery has already reached the peak level in this field."


    Zhou Can noticed that the teacher used the word close.


    This shows that Wu Baihe has not reached the pinnacle in the field of precision, but has only achieved very high attainments.


    "Fineness can be understood as precision and fineness. During surgery, even if it is moving a knife next to the brainstem, even if it is stripping tumors on the coronary arteries, or anastomosing nerves, special blood vessels, etc., it can do what the heart thinks. He dares to perform dangerous operations that other doctors dare not perform, and this is his advantage. In recent years, Wu Baihe has successfully completed at least one hundred extremely difficult operations."


    "Although there is a certain failure rate, he has indeed completed many extremely difficult operations that the chief doctor regards as taboo."


    Precise surgical ability should be the best among the three styles of steady, fast and precise.


    Especially gaining fame is simply a supreme weapon.


    For example, a tumor grows next to the brainstem. No one dares to rule.


    Other hospitals have sentenced patients to death and suggested conservative treatment.


    With his precise surgical ability, Wu Baihe cut off the tumor. The patient survived and recovered.


    Tuya Hospital can publicize to the dead that Wu Baihe, the chief neurosurgery physician of the hospital, led the elite surgical team of the department, and successfully cured a high-risk patient with tumor in the restricted area of ??life through surgery.


    The restricted area of ??life is the center of human life, and it is recognized by the medical profession as an untouchable area. There is a tumor here, which is almost equivalent to a death sentence...


    Such a propaganda, ordinary people who eat melons can''t stop it.


    It is natural to think that Tuya''s neurosurgery skills are the best in the world. If you have a disease in this area in the future, it is right to seek medical treatment there. Because there are the most authoritative doctors there.


    This is the famous doctor effect.


    Wu Baihe alone can attract countless medical seekers.


    Even doctors in other hospitals can''t handle patients who need surgery next to the brain stem. If the patient and his family were sensible enough, they would tell the patient that he could go to Tuya God for medical treatment.


    "Let''s talk about the shortcomings of precision. I personally think that people will have emotions and desires, and they will have obsessions. This means that people who follow the precise surgery style will not be able to achieve the ultimate in their entire lives. What''s more, human beings can''t even achieve their own. The arms may not be able to be controlled to the point of extreme precision, let alone hold a scalpel or other instruments to operate."


    The structure of the human body is extremely complex, and it is considered very good if the body can execute 95% of the movement instructions issued by the cerebellum.


    In fact, if it is an unfamiliar action command, the body''s execution rate may only be about 60%.


    To use the simplest analogy, when we watch others ride a bicycle, we just sit on the seat, step on the pedals with both feet, and hold the bridle with both hands to control the direction.


    "The First Clan"


    When we sit on it, the cerebellum tells us to do it.


    As a result, two teeth fell off, and he got up from the ground with a bruised nose and a swollen face.


    Mom sells batches, others obviously ride like this! Why do I fall when I ride it?


    This is just one example of the body not fully executing the instructions of the cerebellum.


    Because the brain only collects the posture of others riding a bicycle through vision, then analyzes it, and then conveys the command to the cerebellum. Ultimately, the cerebellum sends out the motor commands.


    It ignores balance.


    It wasn''t until we finally mastered the balance of riding a bicycle after falling countless times that we could easily control it.


    The same is true for performing surgery with a scalpel or other instruments.


    It will be affected by various factors such as mood, thoughts, sense of balance, sense of force, etc., resulting in the inability to achieve the precision that the brain wants to achieve.


    After listening to the three most common surgical styles, Zhou Can couldn''t help but fell into deep thought.


    Every surgery has pros and cons.


    It was difficult for him to decide which one was better.


    "Teacher, can I choose two of these surgical styles at the same time?"


    Zhou Can asked.


    "There should be no way, at least countless seniors have tried, and none of them succeeded. At the beginning of the practice, the conflict between the three styles was not particularly obvious. The higher the level, the more serious the conflict. In the end, the fire and water are incompatible, so I can only give up Other styles, keep one style."


    Dr. Xu is someone who has experienced it, so he said no, of course he has his reasons.


    You can''t have both abalone and bear''s paw.


    "Of course, you are just laying the foundation now. You can practice the basic skills of the three styles. Although the three cannot be combined, they have mutual shadows. For example, my quick knife style requires both precision and stability. You can also practice Director Hu''s hair pinching and arm raising exercises. They are all very beneficial."


    Dr. Xu was not in a hurry to let Zhou Can choose which style.


    Instead, let him practice the basic skills of the three styles.


    "What about the basic skills of Kuai Dao? How do you practice it?"


    Zhou Can humbly asked for advice.


    It seems that after work, in addition to doing surgery exercises on mice, there are many more things to do.


    These advanced surgical practice methods can only be learned in a big hospital like Tuya.


    Jin Mingxi''s ears were erect.


    He refused to let go of every word Dr. Xu said.


    This kind of learning opportunity, he is still in the honor of Zhou Can.


    Normally, Dr. Xu probably wouldn''t teach it to others.


    "There are multiple practice steps for the basic skills of the fast knife. At the beginning, you can practice cutting radishes. There are only two requirements, the faster the better, and you must ensure that the thickness of each slice of radish is the same. This is equivalent to practicing fast and radish at the same time. Master the basic skills of the two styles."


    It turns out that radish has this purpose besides practicing sewing and carving.


    Zhou Can felt a bit like learning to cook no matter what he heard, so he started practicing from knife skills first.


    "When you practice cutting radishes, it''s best to practice with both hands. There are many surgeries that are more suitable for left-handed operations. Also, the flexibility of the left hand is higher than that of the right hand."


    Dr. Xu made another request.


    About the left hand is more flexible than the right hand, Zhou Can knows a little bit.


    Only those who study medicine know this secret.


    Many people think that the right hand is not only stronger than the left hand, but also more flexible, which is actually a misconception.


    The strength of the right hand is strong because in our human living habits, there are more opportunities to exercise the right hand to carry heavy objects. The right hand is more flexible than the left hand, also because the right hand is used more than the left hand in life.


    For example, we use our right hand to write, use our right hand to hold a tachymeter, and use our right hand to play ball... The more the right hand is used, the more the body depends on it.


    Eventually a vicious circle is formed.


    The right hand is dominant, and the left hand is secondary.


    But in medicine, this is not the case.


    The left hand corresponds to the right brain, and the right hand corresponds to the left brain.


    There are distinct functional differences between the two halves of the brain.


    The left brain determines the logical thinking of people, that is, the rational side. The right brain tends to be artistic thinking, the emotional side.


    The two hemispheres of the brain have a cooperative relationship.


    The left brain is responsible for language and logical thinking, while the right brain does some work that is difficult to convert into words, replacing language thinking with representations.


    After scientific research, it has been found that the right brain controls the important instincts and autonomic nervous system functions necessary for human life, as well as all the information obtained by human beings such as morality, ethical concepts, and laws of the universe.


    The left brain stores the information acquired throughout a person''s life,


    The right brain is more creative, while the left brain is equivalent to a computer with rigorous procedures, which can process various instruction information mechanically.


    Therefore, the left hand controlled by the right brain is more flexible than the right hand controlled by the left brain.


    It''s just that we ordinary people seldom exercise it.


    "After get off work today, I will go to the vegetable market to buy radishes to practice my sharp knife."


    Zhou Can couldn''t wait to practice the sharp knife.


    This kind of basic surgical ability with a strong style is not something that the experience point system can help him with.


    It can only be acquired through repeated practice.


    "I''ll go too! Let''s go together after get off work!"


    Jin Mingxi followed suit.


    He seems to be targeting Zhou Can now. I want to make progress with Zhou Can.


    "Jin Mingxi, during this period of time, I have watched your surgical ability and made a comprehensive assessment of your talent and character. I think it is okay for you to practice the basic skills of Kuai Dao now, but it is not suitable for Kuai Dao''s style."


    Dr. Xu''s words were like pouring cold water on Jin Mingxi''s head.


    "Why? Can''t Zhou Can also practice quick knife?"


    Now that Jin Mingxi has been opened up by Zhou Can, there is a huge gap, and he is already under pressure.


    Hearing Dr. Xu say that he is not suitable for the quick knife style really hit him hard.


    "First of all, you don''t have the calmness of Xiao Zhou. Secondly, you are mature and prudent, and you appear to be very cautious and steady during the operation. So I suggest that you can choose to be steady or refined."


    There are no two identical leaves in the world, and so are people.


    Everyone is unique, and there will be differences in all aspects such as heart nature, way of thinking, personality, body preferences, etc.


    As for the difference in appearance, that''s secondary.


    "Mingxi, I think what the teacher said is very reasonable, the one that suits you is the best."


    Zhou Can was also at the side persuading him.


    After working with Jin Mingxi for so long, the relationship between the two is getting closer and closer, and they have a certain friendship.


    Zhou Can''s name for him also quietly changed.


    Called more intimately.


    "Okay then! I''ll listen to you." Jin Mingxi is thirty-five years old and has a lot of social experience. It is natural to see that Zhou Can and Dr. Xu are sincerely looking after him.


    "Doctor Xu, which style do you think is more suitable for me?"


    It is about the future and the direction of the main attack, and Jin Mingxi is also afraid of detours.


    He was too old to bear the delay.


    When people reach middle age, besides family, love, and friendship, the most precious things are probably time and energy.


    "Which style is more suitable for you, I can''t comment. You can practice cutting radishes with Zhou Can first. When you have a certain foundation, I will observe and observe, and then I will give you a more pertinent evaluation. Maybe there Then, you can make the right choice yourself.¡±


    Dr. Xu thought about it and said seriously.


    "Okay! Thank you!"


    Jin Mingxi didn''t panic this time.


    The three returned to the emergency department, and Dr. Xu asked Zhou Can and Jin Mingxi to go to the operating room first. Instead, he ran to say hello to the attending doctors, and asked them to accept some difficult first-level and second-level surgery patients when they admitted patients for surgery.


    Director Xie from the surgery department asked the teacher about the crime at the morning meeting today, but was defeated by Director Lou with a few words.


    Dr. Xu must seize this favorable opportunity and give his lover more opportunities for surgical exercises.


    He could see Zhou Can''s progress.


    Suturing, ligation, incision, hemostasis, separation, all of them have preliminarily reached the level of attending. Even more powerful than those senior resident doctors in specialties.


    It is very necessary to appropriately increase the difficulty of surgery.


    Just talking about this matter, Dr. Xu also felt a little evil.


    Because Zhou Can''s progress speed is really terrifying.


    In the end, he attributed it to Zhou Can''s excellent comprehension, coupled with his careful guidance, and as many as 20 to 30 surgeries per day. A variety of conditions made Zhou Can''s progress speed a bit scary.


    ¡­


    In the operating room, Zhou Can changed into the surgical protective clothing and waited for the auxiliary equipment nurse to come in.


    He is a little nervous.


    What I fear most is Tian Tian''s appearance.


    But there are only a few nurses preparing equipment in the emergency department, and he has no choice at all.


    The ideal is for Tian Tian and Qiao Yu to appear together.


    Because Qiao Yu will take the initiative to choose to cooperate with Zhou Can every time. In this way, no one can rob him.


    Liu Xia is the instrument nurse for Dr. Xu, and she has already made preparations in the operating room early.


    At this time, a pretty figure walked into the operating room.


    Zhou Can''s eyes lit up, and a happy smile appeared on his face. It''s a stroke of luck, it''s finally Qiao Yu''s turn for the morning shift today.


    He hadn''t had surgery with Qiao Yu for at least a week. UU reading www.uukanshu. com


    She''s either on the night shift or the night shift.


    After get off work yesterday, Zhou Can also sent her a message via WeChat.


    "Qiao Yu, do you have any complaints about me? It''s been a long time since I saw you as an equipment nurse for me."


    She first responded with an expression of aggrieved and about to cry.


    Then tell Zhou Can that the nurse''s schedule is not decided by her. Many sisters want to work in the morning shift. She has low qualifications and is just a newcomer, so she can''t compete with others.


    I didn''t expect that she would come today from the message just sent yesterday.


    For Zhou Can, he was really overjoyed.


    Now his four basic medical skills have all been upgraded to the attending level. As long as he accumulates some difficult first-level and second-level surgery experience, his status in the operating room will rise.


    If he can gain the trust of Dr. Xu and perform more than 15 first- and second-level operations alone every day, or even more, he can apply to Director Lou for a relatively regular surgical nurse in due course.


    As long as he can really generate income for the emergency department, Director Lou should agree.


    At that time, when choosing a nurse for fixed surgery, he will definitely try his best to choose Qiao Yu.


    Judging by Dr. Xu''s attitude, as long as it is beneficial to the development of Zhou Can''s operation, Dr. Xu will strongly support it.


    Therefore, the possibility of this being done is quite high.


    However, I can''t eat hot tofu in a hurry. What I have to do now is to do a lot of first-level and difficult operations, and try to do some low-level second-level operations. Steady and steady, strive to be able to independently cope with primary and secondary operations as soon as possible.


    With his learning ability and medical skills, he can achieve it in three or four months at most.


    Winning over Qiao Yu as a fixed surgery nurse was only his first step. He also has bigger development plans.


    Try to make some dazzling achievements.


    Let Director Lou understand that he did not pick the wrong person.

 Chapter 92： scheming girl, troublesome patient

    "Oh~!"


    A sigh came from not far away.


    Zhou Can turned his head to look, and saw that Jin Mingxi had turned into a bitter face.


    The two exchanged a look, which Zhou Can understood in seconds.


    Qiao Yu always acts as Zhou Can''s assistant, and today is certainly no exception. Then the remaining preparatory nurse in the operating room must be assigned to Jin Mingxi.


    The probability of Tian Tian appearing is very high.


    I don''t know that Tian Tian is able to please her superiors because she has a clever mouth. Or is there any background relationship.


    She has at least four to five morning shifts a week.


    She''s fine.


    Zhou Can and Jin Mingxi suffered disaster.


    Whoever puts her on the table will be unlucky.


    I was really afraid that something would happen, and not long after, Tian Tian walked into the operating room with small steps. Jin Mingxi sighed again, with the expression on his face as if he had eaten Coptis chinensis.


    After Qiao Yu changed into the blue nurse''s surgical gown, she walked into the operating room first.


    "Hello, Doctor Xu!"


    "Um!"


    Dr. Xu hummed with a serious face, which was regarded as a response.


    "Qiao Yu, you look very beautiful today!"


    Dr. Lu''s eyes moved with Qiao Yu as if they were attracted by a magnet.


    Even though Qiao Yu rejected him thousands of times, he always treated Qiao Yu like first love.


    "Thank you for the compliment!"


    Qiao Yu replied lukewarmly, and walked quickly towards Zhou Can.


    "Hi, here I come!"


    She smiled sweetly and waved to Zhou Can.


    "Finally it''s your turn for the morning shift?"


    Zhou Can was also very happy to see her.


    It was a pleasure to work with her.


    "No! Didn''t you send a message yesterday? I asked Shuangshuang to transfer a shift, and the price was to treat her to kebabs." She explained in a low voice.


    The Shuangshuang she was talking about was Li Shuangshuang.


    Usually, Li Shuangshuang usually works as an assistant for Jin Mingxi.


    If Qiao Yu hadn''t switched classes with her, Tian Tian would definitely be assigned to Zhou Can again today.


    Today was the first time he asked the teacher for a more difficult surgical case.


    If you mess up, it will be more difficult to gain Dr. Xu''s trust in the future.


    The time span is also extremely long.


    Therefore, Qiao Yu came to be his assistant today, he was so lucky.


    "Hey, you were supposed to invite this mutton skewer."


    She said slightly coquettishly.


    Probably because he was worried about Zhou Can''s misunderstanding, so he went to Li Shuangshuang''s class.


    "Haha, no problem, no problem! As long as you will be my surgical nurse every day in the future, let alone a meal, it''s okay to ask me every day."


    Zhou Can didn''t care about this little money at all.


    It''s worth it to cooperate with the best partner for a meal of mutton skewers and avoid Tian Tian, ????a pig teammate.


    "You are so beautiful! I also work as a surgical nurse for you every day! I checked the duty list in the morning, and I still don''t have a morning shift next week."


    Qiao Yu said slightly aggrieved.


    "Your head nurse is really..." Zhou Can quickly stopped before finishing his sentence.


    Because he found Tian Tian coming over.


    The female nurse looked at her with a smile, and she said everything well, but in fact, in Zhou Can''s eyes, she was a scheming bitch.


    Those who make light promises will have few beliefs. Those who face reputation must be blamed.


    People who often speak nicely in person should be especially careful. This kind of person likes to speak ill of others behind their backs.


    The status of the head nurse is not low.


    It is almost equivalent to the head of the department, except that she is in charge of nurses.


    If this Tian Tian heard Zhou Can say that the head nurse was bad, and ran to the head nurse to chew her tongue, Zhou Can would have made a big enemy for no reason.


    "Doctor Zhou seems to be talking about our head nurse just now! Is it because our head nurse arranges too few day shifts for Qiao Yu?"


    Tian Tian asked with a smile.


    See, she''s a scheming whore.


    She clearly knew that Zhou Can liked to have surgery with Qiao Yu, but every time she worked as Zhou Can''s assistant, she never mentioned this. Instead, try to sell herself.


    "Ah, I mean, your head nurse is amiable, wise and powerful, and has arranged so many nurses properly. If I were to arrange them, one would be the first and the second would be the oldest."


    Zhou Can talks nonsense when he sees people, and talks nonsense when he sees ghosts.


    When I first came into contact with Tian Tian two days ago, I didn''t pay much attention to what I said.


    Later, I found out that she was very scheming, and she was always very careful when speaking in front of her.


    "Hehe, that''s right! Our head nurse is really good, she is my idol! Dr. Zhou just doesn''t like to do management work. You put all your thoughts on the operation, so the operation can be done. You did so well. I heard many nurses and doctors praise you in private!"


    Tian Tian''s clever mouth made everyone happy.


    In fact, she is a good match with Dr. Lu.


    Both of them are very good at speaking. It''s a pity that Dr. Lu doesn''t like her.


    Otherwise, the two are really a match made in heaven, a match made in heaven.


    "Haha, is that so?" Zhou Can laughed.


    "Of course it''s true! They all said that Dr. Zhou is young and promising, he will definitely become a famous doctor in the future!" Tian Tian boasted without hesitation.


    There are many witty words.


    If it was another rookie who had just entered the workplace, she might be so filled with her ecstasy soup that she couldn''t even tell the north from the south.


    Zhou Can was smiling, but deep in his eyes was the look of watching a clown perform.


    "Okay, get ready to work!"


    Dr. Xu swept over here with stern eyes.


    As someone who has experienced it, he doesn''t want his apprentice to be killed by Tian Tian''s nonsense.


    Dr. Xu will resolutely stop any behavior that may endanger Zhou Can''s progress.


    Tian Tian is not afraid of others, but Dr. Xu.


    She shrank her neck in fright, and walked to Jin Mingxi''s side honestly, causing Jin Mingxi to suffer.


    The first surgical patient was brought in.


    It was a patient who had a wound stitched up.


    "Jin Mingxi, you will be responsible for this patient."


    "good!"


    Jin Mingxi said in a simple way, after taking over the patient, after some inspection and simple questioning, he directly began to give local anesthesia, debridement, and suture for the patient.


    The second patient who came in was an old man in his sixties.


    Pushed in with a wheelchair.


    People can no longer walk.


    The old man clutched his chest tightly, moaning in pain from time to time, accompanied by signs of vomiting.


    This situation looks a little scary.


    Emergency surgery arrangements are generally to rescue critically ill patients first, and then rescue patients who may be life-threatening. The last thing is to treat patients in general condition.


    Most of the people who come here for medical treatment are emergencies.


    Falls, cuts, injuries, animal bites...these are the most common patients in emergency department operating rooms.


    The types of patients received in the emergency room are more complicated.


    Those who drink pesticides, those who eat poisonous mushrooms, those who suddenly vomit blood...any kind of patients may receive it.


    If an operation is needed in the emergency room, it will be checked and discussed with the family members before it will be sent to the emergency operating room. If it exceeds the capacity of the emergency operating room, it can only be sent to a specialist.


    "What''s the matter with him?"


    Dr. Xu asked the nurse who brought the patient in.


    "Acute cholecystitis, I checked abdominal plain film CT, the situation is not very good."


    The nurse handed the examination report to Dr. Xu for review.


    "You only did a urine test, didn''t you do a blood test?" Dr. Xu asked with a frown.


    "It''s done, but the time is a bit tight, and the laboratory has not yet produced the results. Because the patient''s condition is a bit critical, I thought of sending it in for you to see first."


    The level of doctors in the emergency department is definitely not as good as that of Dr. Xu.


    Most of the medical staff in the emergency department know that Dr. Xu used to be a director-level physician, so when they encounter some serious surgical patients, they will finally rely on Dr. Xu''s diagnosis results.


    "This ultrasound image suggests that there are intracystic stones!"


    Doctor Xu frowned even more.


    For acute cholecystitis, traditional laparotomy is only a secondary operation. If you do minimally invasive laparoscopic surgery, it belongs to the third level.


    If the patient wants to perform this operation in the emergency department, he can only do traditional laparotomy.


    Because the patient is too old and his physical condition does not look very ideal, there must be a certain risk of laparotomy.


    This kind of operation is often done electively rather than immediately.


    "Did you just receive it today?"


    "Well, I heard it was delivered at five o''clock in the morning."


    "Have you fasted yet?"


    "After being sent here, the doctor on the night shift in the emergency department suspected cholecystitis or gallstones, and asked the patient to fast."


    The work of a nurse is actually quite hard.


    Even the simple task of getting a surgical patient into the operating room still requires memorizing a lot of basic patient information. So that the surgeon can answer fluently when he asks.


    Their role is more like a bridge between the surgeon and the doctor.


    "This patient also has a fever and is so old, the risk of surgery is very high!"


    After reading all the examination reports, Dr. Xu frowned, his face revealing a thoughtful look.


    "Xiao Zhou, come here for a consultation!"


    Dr. Xu called Zhou Can over.


    Doctor Lu stood beside him and froze.


    Even if Dr. Xu couldn''t make up his mind, he should call for a joint consultation with his senior resident doctor.


    Calling a Gui Peisheng for consultation is simply a kind of contempt for him.


    "Can I see it?"


    Doctor Lu couldn''t stand still.


    With Qiao Yu present, he didn''t want to watch Zhou Can show off by himself.


    "sure."


    Dr. Xu gave the information to Dr. Lu.


    The patient said weakly, "Doctor... doctor, cough cough... quickly perform an operation on me..." Acute cholecystitis will bring great pain to the patient.


    Before the old man entered the operating room, he thought in his heart that it would be fine as long as he entered the operating room.


    The doctor can relieve his pain with three strokes, five strokes, and two strokes.


    Unexpectedly, after being pushed in, the doctors were not in a hurry to operate on him, but to study his condition together.


    "Don''t worry, the surgeons have to make sure the operation is safe before they can operate on you! The anesthetist is on his way."


    Abdominal surgery, which already requires the use of professional anesthesiologists.


    It''s not something that can be done with a single round of anesthesia.


    In fact, even if it is only an epidural anesthesia, a professional anesthesiologist is required to be present.


    There are specializations in the surgery industry. Doctors may know anesthesia knowledge, but they cannot be as proficient as they are.


    A top-notch surgical team needs at least one chief surgeon, two to three auxiliary doctors, one anesthesiologist, and one instrument nurse. If the requirements are more demanding, nurses on tour are also indispensable, and the more professional the better.


    In surgery, everyone''s division of labor is different.


    The importance of the anesthesiologist is not less than that of the chief surgeon.


    Dr. Lu took the examination materials and checked them one by one.


    After a while, he held back a sentence with a serious face.


    "This gallbladder must be surgically removed!"


    Saying is basically equivalent to not saying.


    The patients have already been pushed into the operating room, and they must be ready for surgery.


    Don''t cut off the gallbladder, but still keep it for the Chinese New Year?


    "Tell me your specific point of view!"


    Dr. Xu seemed to be concerned about the patient''s condition and wanted to hear more professional opinions from doctors.


    He really listened to Dr. Lu''s surgical advice with an open mind.


    "The calculi are so serious and acute inflammation has occurred, surgical resection is the only cure." Dr. Lu gave his own diagnosis point of view.


    "Well, it makes sense."


    Dr. Xu just nodded slightly, without much expression on his face.


    "Xiao Zhou, your diagnostic ability has always been excellent, and you also help the staff!"


    "OK!"


    After Zhou Can read all the information carefully, he checked the actual condition of the patient.


    "I don''t think surgery is right now!"


    Zhou Can has learned various surgical knowledge from Dr. Xu these days, and has made great progress.


    Vision, predictive ability, and risk control have all been greatly improved.


    The patient became anxious as soon as he heard it.


    "Doctors, please hurry up and help me with the operation! I can''t stand the pain. If I don''t do the operation, I... vomit, wow..."


    Crash!


    The patient vomited, but fortunately the experienced nurse Liu Xia was quick to catch the patient.


    Fasting for 12 hours before the operation is actually to prevent the patient from vomiting under anesthesia, which will lead to suffocation and death.


    In the situation just now, if the patient is under anesthesia, the patient is very dangerous.


    "Do you think the patient is not suitable for surgery now because there is no pre-operative fasting?"


    Doctor Xu asked.


    The contents of the patient''s vomit were not small, and it was very worrying to watch.


    "This is actually something that the anesthetist should consider. I think there are two views that it is not suitable for surgery. First, from the examination report, the patient should have gallstones that damaged the inner bile mucosa, which eventually led to bile stasis in the gallbladder, causing Bacterial infection. He will feel acute pain, nausea and vomiting, probably because the bile cannot be discharged and the internal pressure is too strong."


    Zhou Can presented his own diagnostic point of view in an unhurried manner.


    It is much more detailed than Dr. Lu''s hasty words.


    A doctor''s diagnosis has a lot to do with a person''s style of doing things. Lazy people try to save as much trouble as possible when diagnosing, including the surgical plan given, they are more concerned about how to deal with it quickly and simply, rather than thinking too much about the prognosis of the patient and the many potential risks during the operation.


    It''s not that they are unprofessional, they just don''t want to think about it.


    There are such doctors, and they account for at least 10% of the doctor team.


    Many are dawdling.


    But they''re generally hard to come by. Because there are superior doctors watching and checking them.


    Moreover, superior doctors and department leaders know their behavior style, and it is impossible for such a person to make decisions about some important diagnosis and treatment activities.


    Basically just assign them to do some less risky work.


    "Secondly, the patient is weak and old, and the risk of surgery is high. Coupled with the analysis of the inspection report, I suspect that there is suppuration around the gallbladder. It is necessary to drain the pus first, control the inflammation, and then elective surgery."


    Zhou Can absolutely couldn''t express these views on surgery before.


    Therefore, the fastest growth of doctors is practice.


    He spent more than half a month in the operating room every day, and he got a lot of opportunities to practice surgery every day, plus Dr. Xu''s careful guidance. Compared with the past, knowledge and various practical knowledge of surgery have improved too much.


    Just like when he ridiculed Du Leng for talking on paper. UU reading www. uukanshu.com


    What can be learned from reading books is only theory, the flexible application of knowledge in practice, and the combination with various practical experiences.


    Only when you are on the scene, can you learn real surgical knowledge in the operating room.


    "You have also seen the current situation of the patient. The risk of death from acute cholecystitis is not low. Tell me about your treatment plan. The safety of the patient must be guaranteed."


    The mortality rate of acute cholecystitis exceeds 10%, which is really not low.


    Moreover, this disease is often a complication caused by the patient''s major surgery, or the patient is weak and caused by various underlying diseases.


    After the onset, the patient''s physical condition could not tolerate cholecystectomy at all.


    In this case, the only treatment is symptomatic.


    Stabilize the patient''s condition first, and wait until the indications for surgery are met before performing surgery.


    "My diagnosis and treatment opinion is to do ultrasonic puncture first, lead part of the bile out of the body, and reduce the internal pressure of the gallbladder. At the same time, do an interventional contrast imaging positioning puncture on the patient to draw out the pus around the gallbladder. After the patient meets the indications for surgery, then surgery."


    Zhou Can gave two treatment opinions.


    "Operate me quickly. If I don''t operate today, I won''t go out, and I will die inside..." The patient''s face was distorted in pain.


    Generally speaking, when the patient has severe pain and is not feeling well, his temper tends to be particularly bad.


    The patient doesn''t understand medicine, and when he hears the doctors discuss not to operate on him, he doesn''t agree with anything.


    "Please come over for a consultation with the gallbladder surgeon and physician!"


    Dr. Xu is actually quite helpless in the face of threats from patients.


    Dora''s consultation with doctors from two authoritative departments can reduce the pressure they need to bear and spread the risk. At the same time, it can also convince patients and family members.

 Chapter 93： Senior flatterer, first laparotomy

    Although the emergency department is a bit shabby, and its strength is far inferior to the weighty departments, it has privileges that other departments do not have in terms of asking for help.


    If you encounter a doctor who is uncertain, you can call a doctor from any department to come for consultation.


    The other party cannot refuse.


    There are also strict limits on the time you can go to the emergency room.


    This is prescribed by the hospital.


    Moreover, when a specialist doctor comes to the emergency department, he can''t pick things up when he encounters something he can''t handle, saying that I can''t handle it. The specialist doctor who came out of the emergency room is of a low level, so if he can''t handle it, please ask a higher-level doctor to come over.


    In the end, all the efforts of the hospital could not save the patient, so there was no other way.


    Report according to the procedure.


    Although other departments encounter patients who are uncertain, they can also invite doctors from other departments to come for consultation. But the nature is much different.


    For example, the orthopedic surgery department received a patient with a fracture, suspected internal bleeding or other serious diseases.


    The orthopedic department felt that it could not be done with its own ability, and was afraid of accidents.


    So I invited the doctor in my heart to come for a consultation.


    After receiving the request, the doctor in my heart was somewhat reluctant. Because it is not easy for any doctor, and there is a lot of work to do in his hands, how can he have time to take care of other family''s affairs!


    But there is no way to push this matter away, the cutscene must go.


    We all belong to the same hospital. If you help me, next time you have difficulties, I will help you too.


    Solidarity is a must.


    The internal medicine doctor passed by.


    At first glance, alas, this patient is bleeding so badly that he is already in shock.


    Then, after carefully checking the examination report, he thought that the patient might not be able to get off the operating table.


    While telling the diagnosis opinion to the orthopedic doctor, he reported to his superior. If you are the chief physician yourself, then you don''t need to report.


    It may be possible to express a more positive attitude directly.


    This patient is very difficult to save, and it is very likely that he will not be able to get off the operating table. You can figure it out.


    After finishing speaking, you can leave with a pat on the butt.


    This is the difference between an emergency call and a general consultation.


    ¡­


    Not long after, the patient''s blood test report was brought, and the white blood cells were abnormal, and indeed there was abscess.


    The doctors who came out of the emergency department also rushed to the hospital one after another. The Department of Gastroenterology sent an attending, and the Department of Hepatobiliary Surgery also sent an attending.


    This level is no longer low.


    No matter the diagnosis and treatment experience or their own strength and level, they will not be bad.


    "What''s wrong?"


    "Acute cholecystitis!"


    "This is not a difficult disease! Wasn''t Dr. Xu the chief physician of our surgery department before? He should be able to handle it!" The attending doctor of the hepatobiliary surgery looked relaxed after hearing this.


    Maybe he didn''t mean to laugh at Dr. Xu himself.


    It''s just that no matter how you listen to it, there is a sense of contempt for Dr. Xu.


    Judging from this person''s age, he should be a newly promoted attending surgeon in recent years.


    There is still a little fighting spirit of young people in him.


    Young and promising, it is inevitable to be a little proud.


    This must go through the precipitation of years and the beating of reality before it can be slowly restrained.


    "Doctor Ruan can take a look at the patient''s condition first." Zhou Can stood beside him and spoke for the teacher.


    The attending doctor of the Department of Gastrointestinal Medicine has finished reading the examination materials and is examining the patient.


    Internal medicine examines patients very carefully, checking eyes, tongue coating, hands, complexion, etc. carefully one by one. And ask the patient some details about diet, defecation, specific parts of abdominal pain, etc.


    There are many situations that are not written in the medical records.


    This is generally a simple record of the patient''s symptoms, condition, consultation time and the like.


    Huaxia''s physicians, in fact, still have the shadow of Chinese medicine in them.


    Experienced physicians know a little bit about Chinese medicine.


    Zhou Can watched physicians examine and diagnose patients, and secretly learned their diagnostic methods.


    After the physician''s diagnosis was completed, he was not in a hurry to express his opinion.


    He just stood beside him with a slightly dignified expression, waiting quietly for Dr. Ruan, who was out of his liver and gallbladder, to come out with the diagnosis result.


    Five minutes passed, eight minutes passed... Dr. Ruan frowned, looked at the examination data, and then at the patient. No diagnostic opinion has been given for a long time.


    "Dr. Ruan, you must have treated this disease a lot. You have also read the examination report and the patient. I don''t know how you think it should be treated?"


    Zhou Canming obviously had a hard time seeing the other party, and deliberately put a high hat on him, but it was actually quite...''bad''.


    "Uh... Well, I still need to do more research!"


    Dr. Ruan''s expression was somewhat embarrassed.


    "Didn''t you just say that this disease is not difficult to deal with?"


    Zhou Can sent his army.


    As soon as he came in, it made it difficult for Dr. Xu to step down, so Zhou Can naturally wanted to punish him slightly.


    Let this person save some morals next time.


    "This kind of disease is generally easy to treat, but this patient is a bit difficult to treat. By the way, what is the treatment opinion of your emergency department?" Dr. Ruan is quite adaptable.


    The topic and target were changed in an instant.


    To be able to be an attending doctor is something that has been practiced in dealing with patients countless times.


    I don''t have the ability to adapt to changing circumstances, and I don''t know how many times I have been beaten by family members and patients.


    Zhou Can looked at the teacher.


    This question should be answered by the highest ranking physician.


    He is a small-scale Pearson, and he puts the position very well.


    Never talk nonsense when you should not call the shots.


    "Our opinion is to puncture the gallbladder first to extract part of the bile, then puncture to extract the pus around the gallbladder under contrast positioning, and give the patient anti-inflammatory treatment. After the inflammation is eliminated, elective surgery will be performed."


    Dr. Xu adopted Zhou Can''s diagnosis and treatment opinion.


    Just at this time, the anesthetist also arrived.


    After saying hello and inquiring about the situation, the anesthesiologist stood by and patiently waited for the consultation results from several surgeons.


    "Doctor Chi, what''s your opinion?" Dr. Ruan looked at the attending doctor of Gastroenterology.


    "I support the emergency approach. This patient has underlying diseases, is older, and is quite weak. In addition, there is pus around the gallbladder. The risk of surgery is extremely high. Moreover, there are vomit residues at the corners of the patient''s mouth, indicating that he was sent to the operating room. Before, the time of fasting should not be long. I suggest to drain the gallbladder and sweat, drain the pus and reduce inflammation, and then give infusion nutritional support and fasting. It is not too late to perform surgery until the indications for surgery are met.¡±


    Dr. Chi''s meticulous observation is really impressive.


    "I''d prefer laparoscopic surgery if I can. It''s a lot less invasive, and the risks are lower."


    The reason why minimally invasive surgery has become an emerging trend in surgery is that the trauma is small, the damage to the patient is greatly reduced, and the postoperative recovery is fast.


    Some frail and sickly patients may not meet the indications for traditional surgery, but minimally invasive surgery is fine.


    The only downside is that minimally invasive surgery is much more expensive.


    Then there are very few domestic doctors who are good at minimally invasive surgery.


    "The fasting time before the operation was not long enough, and the patient himself had a vomiting reaction. I am afraid that there is no way to anesthetize it!"


    When the anesthetist heard that the patient had just vomited, his expression immediately changed.


    The hospital is strictly tightening the safety of surgery recently, and he dare not take this risk.


    All eyes were on Dr. Ruan, waiting for him to express his opinion.


    "That''s fine, the patient should be transferred to the hepatobiliary inpatient department. I will report to the director here. After you communicate with the family members in the emergency department, you will send the patient there."


    Dr. Ruan took this ''hot potato'' back to the hepatobiliary specialist.


    This matter is temporarily over.


    Before leaving, Dr. Ruan stared at Zhou Can and said with a smile, "You guys are very supportive of your Dr. Xu, and you will return my army!" When he said that, he was asking for a step down.


    If he knew that the diagnosis and treatment opinions in the emergency department came from Zhou Can, a regular trainee, he would probably look at Zhou Can even more highly.


    "Hehe, don''t dare!"


    It''s not embarrassing at all for Zhou Can''s little thought to be seen through.


    Dr. Xu loves him so much, people are not grass, how can he be ruthless. Naturally, he also wants to repay his teacher''s kindness and protect his own teacher.


    Dr. Xu listened beside him, although he didn''t speak, but there was a hint of relief on his serious face that couldn''t be concealed.


    Obviously, Zhou Can''s act of defending him has benefited him a lot.


    This is ten times and a hundred times stronger than the effect of Dr. Lu flattering him a thousand times.


    Dr. Lu''s flattery can only make Dr. Xu happy at the time, but forget about it afterwards. But Zhou Can''s "advanced flattery" is about feelings, which can make Dr. Xu treat him like his own child.


    "I''ll go first, don''t delay this patient, for fear of accidents!"


    Dr. Ruan gave another warning.


    The patient''s condition is quite serious, and no one dares to delay.


    Dr. Xu personally communicated with the family members, and the talks were settled soon.


    The requirements of the family members are actually very low, as long as the hospital can cure the illness of the relatives.


    "Doctor Lu, you and the nurses outside immediately send the patient to the hepatobiliary surgery department!"


    Doctor Lu had a bitter look on his face.


    "Can''t you ask Xiao Zhou to go?" After all, he is a senior resident doctor.


    Small things like running errands are usually done by the lowest-ranking people.


    Jin Mingxi is undergoing surgery, it is understandable not to ask him to go.


    But Zhou Can did not undergo surgery.


    "You can be eloquent. Xiao Zhou''s mouth is too stupid, so he is only suitable for surgery. Hurry up!" Dr. Xu''s words made Dr. Lu wish to buy a piece of tofu and kill him.


    If Zhou Can''s mouth is still stupid, there is no one in the world with a smart mouth.


    Dr. Xu talked about this for the sake of it, clearly protecting Zhou Can. Dr. Lu is very smart, he can''t do anything, so he will never do some unwise actions to annoy his superior doctors or leaders.


    Honestly escorted the patient to go.


    "Call the next patient in!"


    Soon, a new surgical patient was pushed in, his face was pale from the pain, and his forehead was constantly sweating.


    This is an acute appendicitis operation patient.


    Before the anesthesiologist left.


    After reading the examination report, Dr. Xu inquired about the patient''s condition.


    Surgery is possible.


    "How long has the patient fasted?" the anesthetist asked the nurse who brought the patient.


    He was frightened by the coquettish operations of the doctors in the emergency department.


    In the last operation patient, the food in the stomach was obviously not emptied. If such a patient is also sent to the operating room, isn''t he afraid of accidents?


    "It''s been over six hours."


    The nurse answered honestly.


    Acute appendicitis generally occurs at night.


    It is estimated that the patient was brought in at night.


    "I, I didn''t...have anything to eat after I had supper around 22 o''clock last night!"


    The patient has obvious shortness of breath when speaking.


    This is for pain.


    Acute appendicitis can really kill people.


    "What''s the patient''s name?"


    "Huang Weiyuan!"


    "Did you receive the doctor last night?"


    "Um!"


    The anesthesiologist took out more than a dozen copies of the informed letter from his box, flipped through it, and found it quickly.


    "I''m going to find the family members to sign the anesthesia consent form!"


    The anesthetist is out.


    It didn''t take long to be back.


    According to the usual practice, the patient was checked and there was no problem. He was put on a life monitoring instrument, a non-invasive ventilator, and given inhalational anesthesia.


    The patient soon fell asleep.


    "Huang Weiyuan, Huang Weiyuan!"


    No response to calls.


    The patient''s vital signs are stable.


    "Surgery is ready!"


    After the anesthetist finished speaking, he moved over the small black leather stool by the wall and sat down. Eyes fixed on vital monitoring instruments.


    Throughout the perioperative period, anesthesiologists are there to **** and **** the patient''s life safety.


    However, this is only a second-level minor operation, and it is not treated like a big enemy like when it is a major operation.


    "Xiao Zhou, are you sure you can open the patient''s laparotomy?"


    "have!"


    Zhou Can was overjoyed.


    This is the first time the teacher asked him to open the patient''s laparotomy.


    Although the risk of laparotomy is much lower than that of thoracotomy, it still makes him very excited.


    "Come on! You must remember the principle of being bold and cautious, and safety first. If you don''t understand, you must not operate indiscriminately."


    "clear!"


    Zhou Can is not the kind of unstable person.


    For any operation, he is like a lion fighting a rabbit, going all out.


    "Can you let Qiao Yu be an equipment nurse for me?"


    Zhou Can took good care of Qiao Yu.


    "Are you planning to train permanent nurses, kid?" Dr. Xu scolded with a smile. "Liu Xia, bring more newcomers."


    This is agreed.


    Liu Xia is an old nurse with rich experience.


    His qualifications are much older than Tang Ling and Tian Tian.


    "no problem!"


    Liu Xia readily agreed.


    She is not stupid, she can see that Dr. Xu takes extra care of Zhou Can. At the same time, Zhou Can''s surgical potential is also extremely amazing.


    In less than a month, Zhou Can not only was able to complete various first-level surgeries independently.


    Now they even have the ability to open the abdomen and cut the appendix.


    It''s just too scary.


    She couldn''t imagine how great Zhou Can would be in the future if he could grow up smoothly.


    With such a potential doctor, she must have a good relationship.


    A while ago, Dr. Lu spread rumors everywhere, saying that Zhou Can had offended the big leaders of the hospital, that he was going to collapse, that he was going to be unlucky, and so on.


    Beep Pavilion


    Now it''s over.


    We are all smart people, so we will naturally think of taking the initiative to repair the relationship with Zhou Can.


    Looking at the recent days, more and more colleagues actively greeted Zhou Can enthusiastically, and you will understand.


    This is the general trend.


    Zhou Can took such good care of Qiao Yu.


    Love the house and the house.


    Now that Liu Xia shows kindness to Qiao Yu, she can not only gain Qiao Yu''s gratitude, but also Zhou Can''s favor.


    Why would she not do it?


    The operation has officially begun.


    Liu Xia also spared no effort to teach Qiao Yu related equipment preparation experience. Different surgeries require different preparations.


    Qiao Yu has a certain basic knowledge of equipment and nurses, plus she is talented and intelligent, basically she can understand everything, and she can master it as soon as she learns it.


    This also made Liu Xia love her a little more.


    Teachers generally like students with good grades.


    Not for anything else, on the one hand, teaching such students is easy to achieve results, on the other hand, it is much easier than teaching those students who are weak in acceptance.


    After Qiao Yu cleaned the surgical site, Zhou Can drew out the scalpel.


    Dr. Xu next to him checks.


    After no problem, he held the scalpel, his eyes were as sharp as an eagle, and as fierce as a wolf.


    Try to find the feeling, and cut the first layer of abdominal surface little by little.


    This skin layer includes epidermis and dermis.


    Blood gushed out, and Dr. Xu sucked up the blood in time.


    He should be satisfied with Zhou Can''s first cut.


    Next, Zhou Can incised the thicker subcutaneous tissue, the fascia layer, and the rectus abdominis in sequence. At this point, the peritoneum was exposed.


    This is also the last barrier to entry into the abdominal cavity.


    When cutting rough jadeite, there is a saying that one is poor and one is rich.


    If the peritoneal layer is not cut properly, it will lead to disaster.


    Dr. Xu dared to entrust such a surgical task to him, a regular trainee, what a trust this is.


    Zhou Can took a deep breath, trying to keep his mind calm.


    Then find the feeling, and slowly cut through the last layer of barrier.


    Fortunately, there was no accident.


    It''s not particularly perfect, at least it''s above the standard.


    It''s much better than a resident doctor.


    [Cutting experience value +1. ¡¿


    [Successful first laparotomy, reward +100 experience points for incision. ¡¿


    The system is so generous.


    One hundred was awarded directly.


    But only this time. If you open your stomach again in the future, there will definitely be no extra rewards.


    For Zhou Can, it is another extremely important step in the field of surgery.


    A successful laparotomy will result in qualitative improvement in all aspects, regardless of psychology, technique, experience, and courage.


    Usually, only a few senior resident doctors with strong surgical ability, when they challenge the attending physician, are soft and hard, and they are likely to get one or two laparotomy opportunities from the superior doctor.


    Zhou Can''s incision technique is now at the fourth level, which is the lower level of attending.


    To upgrade, you need to earn 10,000 experience points.


    He earned 101 cutting experience points at once, which is countless times faster than dissecting a white mouse.


    It is still comfortable to earn surgical experience from the patient When he cut the peritoneal layer, Dr. Xu''s expression was actually very nervous.


    Seeing that Zhou Can had successfully completed it, Dr. Xu also breathed a sigh of relief.


    "Will looking for the appendix do it?"


    "meeting!"


    Zhou Can answered firmly.


    At this time, Jin Mingxi finished the operation in hand.


    Dr. Lu guessed whether he would be back in a while.


    After all, for a lazy person, this is a legitimate opportunity to be lazy.


    Rest for half an hour on the way back, no one will say anything.


    "Jin Mingxi, come and help pull the hook together!"


    Jin Mingxi came over and saw that Zhou Can had already performed an appendectomy, he was really envious.


    He also had this kind of operation in the County People''s Hospital.


    However, the level of the hospital is different, and the attitude towards surgery is also completely different.


    Cutting out the appendix, in the operating room of the County People''s Hospital, it was like celebrating the Chinese New Year. A whole bunch of doctors are involved.


    The surgeon at the deputy director level performs the surgery himself.


    Look at Tuya again, the best emergency department performs this kind of operation, just like playing.


    An attending doctor rushed to the side, and directly asked Dr. Guipei to perform the operation.


    It''s scary.


    Of course, it is undeniable that Zhou Can''s strength far exceeds that of Dr. Guipei. Jin Mingxi doesn''t know how strong Zhou Can is now.


    All I know is that Zhou Can''s surgical ability is like riding a rocket.


    Almost every day.


    They also operated together and practiced together, so why is there such a big gap?


    Jin Mingxi gave Zhou Can a thumbs up, "You are awesome!"


    Then help pull the hook together.


    Qiao Yu watched Zhou Can perform so well, and she also followed Zhou Can to ascend to heaven, reaping great benefits. It was like drinking honey in my heart, when I looked at Zhou Can, apart from admiration, there was a smile in my eyes.

 Chapter 94： Nurses are actually not weaker than doctors, Dr. Lu spent a lot of money

    The growth of nurses is sometimes more difficult than that of doctors.


    From the perspective of outsiders, isn''t it just caring for patients? Injections and infusions are not difficult.


    This is interlaced like a mountain.


    Laymen can only watch the excitement, and experts can only watch the doorway.


    First, there are many types of nurses. The division of labor will also vary greatly.


    Such as ward nurses, operating room nurses, outpatient nurses, etc.


    The well-known nurse''s work is to take medicine, divide medicine, distribute medicine, dispense medicine, give acupuncture, infusion, draw blood and so on. In fact, more advanced nurses will provide the most professional nutritional advice and rehabilitation advice for patients recovering after surgery.


    The status of senior nurses in many developed countries abroad is not even inferior to that of doctors.


    For example, a patient who had just undergone a major operation got off the operating table alive. But the body is extremely weak, and the doctor is very worried about the patient''s postoperative complications. And I think that even if the patient survives, the recovery period will be extremely long, at least more than half a year.


    Then the patient''s family was very rich, and he hired a senior nurse to take care of him at a high price of 1 million US dollars.


    This nursing fee is even ten times higher than the medical fee.


    The senior nurse first learned about the patient''s various conditions, including physical condition, operations performed, underlying diseases, serious medical history, personal preferences, and so on. Then a set of extremely professional postoperative rehabilitation plan was developed for the patient.


    Including nutrition, various daily activities, professional rehabilitation training, and psychological counseling.


    Two months later, the patient not only survived, but also returned to health, and his physical condition was even better than before he was not ill.


    When he went for a follow-up visit, the attending doctor was amazed and called out "Omegadi!" three times in a row.


    This is the ability of foreign senior nurses.


    Doctors heal and nurses help patients recover.


    For nurses in the operating room, the training direction is around the operation.


    If you are a novice, you usually start with a nurse on stage or an intern nurse under the stage. Then I became a little more advanced and became a hand washing nurse. The most senior is the equipment nurse.


    Many director-level surgeons will have a dedicated surgical team.


    Equipment nurses are fixed.


    And for a complicated major operation, there may be more than one equipment nurse.


    Zhou Can chose to train Qiao Yu, on the one hand because of the tacit cooperation between the two, and on the other hand because of their affinity. Her character is upright and motivated, these are excellent qualities.


    It is worthy of Zhou Can''s long-term training for her.


    ¡­


    After Jin Mingxi opened the surgical wound, Zhou Can had already seen the cecum.


    Once you find the cecum, you can follow the colon to find the appendix.


    All is well.


    "Teacher, I found the appendix, which is quite swollen. But it didn''t fester."


    If there is suppuration, it is generally necessary to drain the pus first, and then the appendix can be surgically removed again after about three months.


    Dr. Xu has already passed the appendix surgery for him today.


    The difficulty is average, and there are no particularly complicated abnormalities, so I dare to hand it over to Zhou Can.


    "Well, yes. Next, carefully separate the appendix from the surrounding omentum intestine, free the appendix artery and the root of the appendix in sequence, ligate the appendix artery and the stump of the appendix, cut off the mesentery, and then remove the appendix."


    In the case of laparoscopic surgery, ligature staples are generally used to clamp the stump of the artery and appendix.


    However, many doctors still prefer to use sutures for ligation.


    The new method saves trouble, but the traditional surgical method is safer and more stable.


    Because the traditional surgical method has gone through many years of clinical practice, it will be passed down from generation to generation after confirmation of safety.


    Zhou Can saw Dr. Xu perform an appendicectomy.


    And more than one.


    Now that I operate it myself, I realize that seeing and doing are two different things.


    Finding the appendix went well.


    But the next operation made him feel very difficult.


    There is no problem with the technical level, and the surgical method is also well known, but it is only when it is time to perform the operation by myself that I realize that I have lost sight of the other. The spirit is even more tense throughout.


    After separating the omentum intestine around the appendix, his palms were covered with sweat.


    Twice even my hands trembled.


    I had to stop immediately, take a deep breath, adjust my state, and dare to continue after the inner tension eased.


    ¡­


    The operation took far longer than a normal appendectomy.


    But no one urged him.


    In the process of training novice doctors in the hospital, most of the old comrades will be extra tolerant to the newcomers. Because everyone has been there and knows how difficult it is for newcomers.


    As long as the newcomers don''t commit suicide, don''t cause medical accidents, slow down, or don''t do the work so neatly, the superior doctors generally won''t say anything.


    At most, it is to help you point out the shortcomings and let you improve.


    After hard work, it took nearly forty minutes for Zhou Can to completely separate the appendix from the surrounding omentum intestine.


    [Separation experience value +1. ¡¿


    [Successful separation of intestinal tissue for the first time, reward separation experience value +100. ¡¿


    Another huge surprise.


    After hard work, the rewards for him are quite generous.


    The separation of intestinal tissue this time is completely different from the separation of the intestines of white mice.


    If the intestines of a white mouse are accidentally broken, it doesn''t matter much.


    Just learn from it and be more careful next time.


    But the psychological cost of isolating a patient''s intestinal tissue is too high. The pressure was as great as two mountains pressing down at the same time. There can be no mistakes. If the patient''s normal bowel is ruptured, or other abdominal organs are injured, the consequences can be devastating.


    Every knife he separates is like walking on thin ice, being cautious and cautious.


    After successfully separating the appendix from the surrounding omentum bowel, the next surgical steps were a little easier.


    It''s just a little bit easier.


    The pressure is still high.


    Whether it is ligation of appendix stump or artery, there are extremely high requirements for ligation.


    After everything is done, cut off the mesentery of the appendix.


    The severed appendix was then successfully removed.


    Zhou Canchang breathed a sigh of relief.


    Liu Xia has wiped his sweat countless times during this process.


    The next step is to clean up the abdominal cavity, check the gauze of the pad, and check whether all the instruments are retracted. This is a required process in the Surgical Safety Management Regulations.


    "Teacher, do you think the abdominal cavity can be closed now?"


    Zhou Can checked it twice, and after confirming that it was correct, he asked Dr. Xu to have a look.


    "It''s okay, shut up!"


    Doctor Xu nodded.


    He is quite satisfied with the whole operation process.


    Doctor Lu came back more than ten minutes ago. It would not take so long to send the patient to the hepatobiliary surgery department and complete the handover work, even if there were two fights with the family members.


    I must take this opportunity to hide away easily.


    It''s just that when he returned to the operating room, he found that Zhou Can was performing an appendectomy, which made him sore.


    Until now, Dr. Xu has never let him open his abdomen once.


    Dr. Lu watched Zhou Can close the abdominal cavity skillfully, and the level of suturing had even far surpassed him.


    His face was cloudy and uncertain.


    If it is said that Zhou Can performed well in the past, it only brought him pressure.


    At this moment, Dr. Lu really felt a strong crisis.


    That''s the crisis of being eliminated.


    He knew the life of some doctors who were eliminated after losing the competition in Tuya Hospital.


    After the resident doctors are eliminated, the better ones can go to work in the Second Affiliated Hospital.


    But it''s still just dawdling.


    And I heard that the Second Affiliated Hospital has launched a double promotion system in order to ensure the overall medical level of the hospital.


    The promotion of pure rookies can be carried out according to the normal process.


    The general hospital eliminated the doctors in the past, and the number of promotions was extremely rare.


    It is much more difficult for a resident doctor to be promoted to an attending physician than that of the general hospital.


    The ideal is to be promoted to an attending doctor in the general hospital.


    Even if they are eliminated from the competition, they can still sit in the outpatient clinic, take new recruits, and perform several operations every day when they arrive at Tuya Attached Second. The small life is quite comfortable, and the status is not too bad.


    Dr. Lu''s eyes subconsciously moved away from Zhou Can and fell on Jin Mingxi''s face.


    Now, Zhou Can has surpassed him. No matter how hard he tried, Jin Mingxi would soon overtake him.


    Dr. Lu looked at Qiao Yu who was working as Zhou Can''s assistant.


    I just think she is more beautiful.


    What you can''t get is always the best.


    "I''m going to start working hard!"


    Dr. Lu clenched his fists, his eyes became firmer little by little.


    It''s just...he has made this determination countless times.


    Every time I persist for less than three days, I will indulge myself again and choose to lie flat.


    "The stitching is complete, teacher, can you see if it''s all right?"


    Zhou Can is asking Dr. Xu to comment and help him point out the shortcomings.


    Sew the skin and close the mouth, he has done it many times.


    There is no need for the superior doctor to worry about it.


    "The patient can be awakened from anesthesia." Dr. Xu first said something to the anesthetist, and then began to comment on Zhou Can.


    "Overall, you did a good job. In terms of safety, you have been careful and careful, and I have noticed that you have noticed most of the details. Although it is not so perfect, it is the first time to do this. It was not easy. There were many things that were not done well. For example, during laparotomy, the first layer should be the cortex of the abdominal wall, but you cut part of the subcutaneous tissue. For example, when you were performing omentum separation, your hands were shaking all the time, so you had to be so nervous what?"


    Dr. Xu pointed out many deficiencies to him.


    These are all areas that need to be improved and improved.


    After all, the low-level medical skills are still weak after all.


    When cutting the cortex of the abdominal wall, Zhou Can was already careful enough.


    Unexpectedly, the subcutaneous tissue was still cut.


    Although there are factors of psychological excessive tension, it is not the main reason.


    Incision surgery is not well practiced is also an important reason.


    Fortunately, the operation was finally completed smoothly and safely.


    "Is there anything wrong with the patient''s vital signs?"


    Dr. Xu asked the anesthesiologist.


    "everything is normal."


    replied the anesthetist.


    "Thank you for your hard work. You helped push the patient to the outside recovery room. After the patient regained consciousness, make sure there is no problem before sending it to the ward."


    The patient was quickly pushed out of the operating room.


    The recovery room is outside, and there are special personnel on duty. Under normal circumstances, the anesthetist needs to wait until the patient wakes up before leaving.


    Patients with local anesthesia are better.


    This kind of general anesthesia patient may have an accident at any time.


    "The two of you continue to operate independently! It is estimated that there is a backlog of patients outside."


    Doctor Xu said to Zhou Can and Jin Mingxi.


    Zhou Can was still immersed in the surgical experience just now.


    Today, he had a second-level operation that was not low in difficulty, and he was already satisfied.


    The huge gains in it need to be digested slowly.


    This is a precipitation process.


    After receiving Dr. Xu''s order, Zhou Can and Jin Mingxi started the crazy output mode again.


    One by one, the first-level surgery patients were brought in.


    Both of them are at full power, relieving the pain of various surgical patients.


    Dr. Lu followed Dr. Xu to perform the operation, and he also started to be very active. When you encounter something you don¡¯t understand, ask for advice. He also started to take the initiative to do some leather sewing work that he usually looked down upon.


    His active performance is completely different from the lazy him before.


    However, how long his positive enthusiasm can last is still unknown.


    ¡­


    When the shift was handed over at 4:00 p.m., Zhou Can performed a total of 14 surgeries today.


    Simple skin suturing and debridement, eight cases were performed, and the remaining six cases except for the second-level appendectomy, the other five were operations with certain risks and difficulties in the first-level surgery.


    This is the special treatment that Dr. Xu greeted the attending doctor and received special care.


    Jin Mingxi performed a total of eleven operations.


    It seems that there are only three less than Zhou Can, but he has performed a total of eight simple operations such as debridement and skin suture.


    Only three are slightly more challenging.


    Compared with Zhou Can, the gap is quite big.


    Zhou Can''s experience gained today is also quite satisfactory.


    The cutting experience value, which is usually difficult to obtain, has increased by 112 points. Of course, this includes the 100 points awarded.


    The separation experience value also increased by 116 points.


    This is advanced medicine.


    It really made him overjoyed to be able to gain more than one hundred experience points at a time.


    Especially after his separation technique has been upgraded to the fourth level of 1000/10000, he can no longer rely on practicing on white mice to gain experience points.


    "Some difficult and risky parts of the operation, as long as it is successfully performed on the patient, and it is the first time, you can be rewarded with 100 experience points. It''s really cool."


    After summarizing, Zhou Can found another way to quickly earn experience points.


    In addition, his anastomosis and debridement also increased a few points.


    As for suture, ligation, hemostasis, and injection, these medical skills have all increased by dozens of points.


    In basic medical skills, except for incision, which is not easy to increase, everything else is relatively easy.


    He is not in a hurry, there is still time anyway.


    There are three years of regular training.


    Even just one year in the emergency department can be hugely rewarding.


    These medical skills can at least rise above the middle level of attending. It is even possible for some medical skills to be promoted to the level of deputy director.


    There are two medical skill experience points that are difficult for him to get now.


    One is implantation, the only way he can obtain it in patients so far is to insert a urinary catheter.


    It''s just that there are very few such opportunities.


    They may go to the emergency room or ICU to work, and the chances of catheterization are a little more.


    Another one is grasping.


    After all, there are very few patients who pull out fish bones, and there are also few opportunities to fish bones from patients.


    It seems that these two medical skills can only be practiced at home.


    After he changed his clothes and walked out of the operating room, he saw Dr. Lu pestering Qiao Yu again.


    This bastard, doesn''t he know that twisted melons are not sweet?


    "Seeing you squeeze the bus every day, it''s not easy to walk to and from get off work. I bought a car specially. Anyway, we are on the way, so we can take my ride in the future!"


    Doctor Lu said to her with a smile.


    Good guy, it turned out that he bought a car to increase his bargaining chip in chasing Qiao Yu.


    Dr. Lu was late last time crying about being poor, and it seems that he is not that poor.


    But these days, second-hand cars are available for thousands of dollars each, which is rotten and cheap. There are also all kinds of zero down payment and low down payment, which also allow many people to enjoy life in advance.


    The salary for senior residents is not too high. Like Dr. Lu, there should be 80,000 to 90,000 a year, plus year-end bonuses, various subsidies, etc., if you put it together, it is not a big problem to exceed 100,000.


    After all, this is a provincial tertiary hospital, and the treatment is not bad.


    If Dr. Lu doesn''t spend a lot of time drinking, he should be able to get the money to buy a car.


    In the eyes of Zhou Can, a rich second generation, a car is a means of transportation.


    He wants to buy, not to mention expensive tens of millions of cars, at least he can afford one.


    However, he feels that there is no need for a car now, so he has no plans to buy a car.


    Instead, invest your money where it is needed.


    He was not in a hurry to help Qiao Yu stop Dr. Lu from pestering her.


    We are all colleagues, Dr. Lu did not do anything illegal, just pursue Qiao Yu normally.


    She refuses or agrees, that is her freedom.


    If Dr. Lu threatened or coerced her, Zhou Can would take action.


    After all, she was his equipment nurse, so naturally she couldn''t tolerate being bullied by others.


    "Thank you, Doctor Lu, walking is healthier." Qiao Yu flatly refused.


    "You can walk if you want! I can give you a ride and put you down when you get to the hospital!" Doctor Lu still didn''t give up.


    Zhou Can secretly wondered, it''s normal for Dr. Lu to live in the dormitory provided by the hospital.


    After all, he is a senior resident doctor.


    It is very inconvenient for people in their thirties to live in a dormitory.


    If you are in a relationship, you can only take your girlfriend to a hotel or book a room in a hotel.


    Isn''t Qiao Yu a training nurse? Why didn''t you live in the dormitory provided by the hospital?


    For example, the dormitory where Zhou Can lives is very close to the hospital.


    You can walk there in ten minutes at most.


    And according to Dr. Lu''s words, Qiao Yu should take the same route to and from get off work as him.

 Chapter 95： Cant look down on anyone, another advanced medical skill

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    "I have an appointment, see you, Dr. Lu!"


    Qiao Yu didn''t want to entangle with Dr. Lu anymore, so she waved her hand and left with a pretty back.


    "Hey..." Dr. Lu shook his head helplessly and sighed.


    It seems that even if he bought a car, it would be difficult for him to win Qiao Yu!


    "What are you looking at?"


    Jin Mingxi came up from behind and asked Zhou Can.


    "Here!"


    Zhou Can pursed his lips and pointed to Dr. Lu in front of him.


    Jin Mingxi looked at it and said with a smile, "It seems that Dr. Lu was rejected by Qiao Yu again. Between a man and a woman, fate is what matters. I don''t think he should hang himself on a tree."


    Thirty-four years old is considered an older man.


    Of course, it is also possible that Dr. Lu was married a long time ago, and he just wanted to be a scumbag and harm the little girl. Or divorced.


    Colleagues who are not particularly close, generally don''t pry into other people''s privacy too much.


    "Don''t you want to buy radishes to practice knife skills? Go now?"


    "Let''s go!"


    The two walked to the vegetable market together.


    When Zhou Can performed the appendectomy today, he clearly felt that his operation was too slow.


    Simple debridement, suture, his speed is very fast.


    But when it came to a somewhat difficult operation, it immediately paled in comparison.


    Doctor Xu said that he has a talent for quick knives, but it is worth a try.


    At least you can practice the basic skills of the quick knife first, so as to increase the speed of the operation.


    He found that the experience value system can boost his medical skills to a certain extent, but such things as knife skills, surgical experience, perception and experience during the operation, psychological quality training, etc., are not what the system can bring.


    Its biggest function seems to be to quickly boost Zhou Can''s medical skills to a higher level.


    This feels a bit like in a novel about cultivating immortals, a certain handyman disciple in the Qi training period mastered the method of alchemy and took pills every day. People are only willing to eat one in a month, but he is like eating snacks.


    The realm of mana has skyrocketed all the way relying on the elixir, reaching the stage of elixir formation.


    But the actual combat power is much weaker than those cultivators who step by step and rely on countless experiences and life-and-death fights to reach the alchemy stage. Of course, relying on magic power to bully the Qi refining period of the same realm, it is easy to do.


    Occasionally bullying the foundation building period is fine.


    The use of mana improvement is still there, but other aspects have not been improved together, so there is a big gap with the real alchemy master.


    This is also the natural law of the development of things.


    Zhou Can''s current situation is that his medical skills have been upgraded very quickly, and his other abilities have not been able to keep up in time.


    Fortunately, he is aware of this problem and is thinking of various ways to solve it.


    For example, challenging difficult operations in the operating room, humbly asking teachers for advice, buying carrots and practicing basic skills of fast knife, etc.


    In general, it is much better than a doctor without an experience point system.


    The growth rate is more than ten times faster.


    In addition, if Dr. Guipei wants to challenge appendectomy, he will have to wait at least six years to have a chance. After three years of regular training, a resident doctor who has lived for more than three years can be called a senior resident doctor.


    It has to be a very good one.


    Ordinary residents like Dr. Lu and Dr. Lin may not have a chance after staying for eight years.


    Zhou Can can complete the journey of others in six or even ten years in one year.


    This is the advantage.


    ¡­


    "How do I go through the back door?" Jin Mingxi and Zhou Can usually go to work through the front door.


    At this moment, Zhou Can led him to the back door of the hospital.


    "Don''t you want to go to the vegetable market? I remember there is one more than 200 meters away from the back door." Zhou Can studied at Tuya Medical College for undergraduate and internship, and knows the surrounding environment like the back of his hand.


    The entrance and exit of the parking lot are set at the back door, and there are private cars lining up outside from four or five in the morning, waiting to enter the hospital.


    The parking spaces in the hospital are very tight. Basically, one car is driven out, and another car is put in at the back door.


    However, hospital staff are given preferential treatment.


    One floor of the underground garage is dedicated to parking for hospital employees.


    Zhou Can has never been there, only heard about it from his colleagues.


    The official cars of the hospital and the scooters used by most employees to go to work will be parked there.


    If nothing happens, few doctors and nurses come in and out through the back door.


    Because there are too many vehicles, it is very unsafe.


    "Look over there!"


    Jin Mingxi pointed to a black car waiting in line not far away to leave the hospital.


    The front windows are lowered, so you can clearly see the situation in the front cab.


    "Fuck, isn''t that Dr. Lu?"


    Zhou Can''s eyes brightened slightly.


    "I can''t tell that Dr. Lu is quite rich, but he actually drives the latest Volkswagen Passat worth more than 200,000 yuan." Jin Mingxi was obviously a little surprised.


    For some low-income doctors, it takes several years to buy a car worth more than 200,000 yuan.


    In particular, Tuya''s emergency department has a relatively weak income-generating ability, and the income of the attending physicians and directors may be pretty good.


    The income of low-level residents like Dr. Lu is far worse than that of specialist doctors.


    Many specialist doctors in Tuya with strong earning ability often ridicule the doctors in the emergency department as beggars.


    Although this is ugly, it is also an indisputable fact.


    People''s monthly performance is at least 8000+, and there is medicine, and the less is basically 6000+, not to mention other hidden gray income.


    Any one of these two major items alone is enough to overwhelm the emergency department.


    This is also an important reason why the emergency department cannot retain excellent doctors.


    The number of patients under management is already small, and it is impossible to generate income through surgery and medication. The income of doctors and nurses will naturally not increase.


    The income is small, but the work in the emergency department is not a lot.


    Been busy all day long.


    The patients are also like watching flowers on horseback, walking in waves and coming in waves, and the cycle repeats.


    "How much do you think Dr. Lu earns in a month?" Zhou Can asked curiously.


    Gui Peisheng is equivalent to half-study and half-work, and a basic income is good. So I don''t know the income of other formal doctors.


    The basic salary can be roughly calculated.


    "It''s hard to say. The income will fluctuate every month, and the hidden income is not easy to calculate. But according to the situation in our emergency department, he will not survive more than 10,000 a month."


    The income estimate given by Jin Mingxi should be more reliable.


    After all, he has been in charge of the county people''s hospital for several years, and he is about to be rated as an old man.


    He knows at least most of the ways to make money.


    "Dr. Lu was late that day, crying poor and miserable, and you were there. Do you think he bought a house?"


    What Zhou Can was more curious about was this.


    "Now the cheapest housing price in this provincial capital city is close to 9,000, and the high-end one is close to 21,000. He is a senior resident doctor, and it is unlikely that he will buy a house with all the money. But he is willing to spend money to buy such an expensive car. , It is very possible to pay a down payment to buy a set. The loan is 600,000 to 700,000, and the mortgage is 30 years. Not big."


    Jin Mingxi made a calculation.


    It is basically certain that Dr. Lu has already bought a house.


    You can''t judge by appearance, I really underestimated Dr. Lu before.


    Zhou Can originally thought that Dr. Lu''s financial situation would not be very good.


    I didn''t expect people to have a car and a house.


    Even though it was bought on a loan, it was quite a feat.


    These days, the qualifications are not very good, and the bank will not lend you money at all.


    Since Dr. Lu was not that poor, he begged Dr. Xu for the fine for being late, and he did not hesitate to cry poorly. It shows that this person is very hypocritical.


    Zhou Can has a deeper understanding of this person.


    While the two were talking, Dr. Lu waved to a pretty young woman.


    The woman ran over to talk to Dr. Lu, opened the car door and got in.


    "This scumbag!"


    Zhou Can couldn''t help cursing.


    "Isn''t it normal for a man to be bothered? Why do you take it too seriously." Jin Mingxi said beside him.


    Zhou Can turned to look at him with a meaningful smile on his face.


    "Hey, why are you looking at me like that?"


    Jin Mingxi couldn''t resist.


    "Doctor Jin has a strong will to protect the scumbag, so maybe he has something to do with your classmate Ye Zi?"


    Zhou Can smiled and dug his secret.


    "Go, go, go! What logic are you talking about! In this society, there are many scumbags and scumbags, but there are also many people who are loyal to love!"


    Jin Mingxi''s face was slightly blushing, and his eyes were averted, as if there was a suspicion of covering up.


    Moreover, the words are trying to prove their innocence, which inevitably makes people think deeply.


    Zhou Can can only pray for the sister-in-law who has not met, hoping that Jin Mingxi can keep his love in this colorful world.


    "You are married, do you think Dr. Lu is married?"


    Zhou Can changed the subject.


    It is best not to talk about things that the other party is trying to hide.


    Even if they have a good relationship with each other.


    "It''s hard to say. I just feel that he is an old hand at chasing women. Nowadays, many men and women are just for fun and are not in a hurry to get married. The woman who got into his car just now is either a nurse or a doctor in our hospital. , it can''t be a patient. And have you noticed? She was sitting in the passenger seat after getting in the car, and the smile on her face was quite revealing. She must have known Dr. Lu for a long time, and they meant to talk about the relationship between boyfriend and girlfriend .¡±


    Jin Mingxi expressed his views.


    "Haha, you married people still have vicious eyes. Whether it''s a boyfriend-girlfriend relationship or not, you can tell at a glance."


    Zhou Can gave him a thumbs up.


    At least he, a little virgin who hasn''t had a formal relationship yet, can''t tell just by a woman''s eyes. Unless Dr. Lu hugged the woman, or walked together holding hands or arms, he could be sure that the two were boyfriend and girlfriend.


    The two of them ignored Dr. Lu''s business and went to the market to buy 50 catties of carrots.


    Seeing that they bought so many carrots, the vegetable seller thought they were running a restaurant.


    I left a business card and said that it will be much more next time, and it can be delivered to my door.


    This really made the two of them dumbfounded.


    They took a taxi and carried the carrots back to the apartment.


    "Wow, are you guys going to play a carrot-slicing competition?"


    The doctors who lived in the same apartment were shocked by their posture when they saw how fierce the two were.


    With such a large snakeskin bag of carrots, ordinary surgeons can practice at least ten days and a half months.


    Back at the apartment, Zhou Can couldn''t wait to take a scalpel and start cutting radishes.


    It''s just that he soon discovered that it was not easy to cut thick carrots quickly with a narrow blade. And the mechanical traditional scalpel is divided into many kinds.


    It is impossible to practice only one technique of tangent.


    There are also anti-pick, cross-cut, draw and so on.


    The point is, he can''t even do the simplest and crudest tangent well.


    It''s not that his technique is poor, but that the carrots are too thick and the texture is relatively hard. Cutting up is more difficult than imagined.


    It is not as tough and brittle as human tissue, and the difference in feel between the two is huge.


    He turned his head to check the situation on Jin Mingxi''s side.


    Much better than him.


    The cutting speed is not fast, but it is very stable.


    "Hey! You are good at cutting, and each slice is about the same thickness." Zhou Can walked over to pick up the carrot slices that Jin Mingxi had sliced ??to check, and found that Jin Mingxi''s knife skill was comparable to that of a chef.


    "Hey, I used to chop pigweed for my family every day when I was a child, so it''s a bit of accumulation!"


    Jin Mingxi smiled.


    Every step in life counts.


    The knife skills he accumulated from helping his family chop pigs and grass since he was a child have helped him a lot now.


    "You just cut it. If it doesn''t go well, you can cut a carrot in half. It may be easier to practice." Jin Mingxi helped him find a way.


    Zhou Can tried to find a fruit knife to cut the carrot in half from the middle, and then practiced with the scalpel.


    It really went much smoother.


    [Cutting experience value +0.0001. +0.0001...]


    Every time a knife is cut, the experience value increases by 0.0001.


    Fortunately, there is no need to rely on it to earn experience points to upgrade, otherwise, Zhou Can would cry.


    His incision technique is now level 4 and requires 10,000 experience points to upgrade. It only adds 0.0001 once, and it takes 100 million cuts to upgrade to level five.


    It is estimated that he will not be able to upgrade until the day he enters the coffin.


    As Zhou Can practiced repeatedly, the movement of cutting carrots became more and more skillful, and the speed also became faster and faster.


    After all, there is a basis for four-level incision.


    He''s getting better and better.


    Jin Mingxi heard the sound of intensive cutting from the side, he stopped practicing, and turned his head to look at Zhou Can.


    "monster!"


    Then he couldn''t help cursing.


    Zhou Can''s speed of progress made him feel desperate.


    Compared with this kind of evildoer, he will never try to surpass him in his life. He could only watch helplessly as Zhou Can''s latecomers took the lead, and then left him far behind.


    Finally disappeared at the end of his level.


    Four hours later, Zhou Can had four bags of chopped carrots beside him.


    He stopped practicing the sharp knife.


    Mainly the arm is too much.


    Although his physical fitness is very outstanding, it is still too much for him to chop carrots at high speed for a long time.


    The arm was sore and sore.


    Both left and right hands are about the same.


    It is worth mentioning that this is the first time he has allowed the training volume of his left hand to be equal to that of his right hand.


    Although I would consciously exercise the coordination ability of the left hand and the strength of the arm muscles in the past, it certainly cannot be compared with the right hand.


    Dr. Xu told them to practice with both hands at the same time, and he listened.


    This is also a good foundation for becoming a famous surgeon in the future.


    Zhou Can squatted down to check the carrot slices in the four bags.


    The first bag is the worst.


    At the beginning of cutting, there are always some improper operations.


    The thickness of the carrot slices is uneven, and some even cut it twice before cutting it.


    Things got a lot better in the second bag, and the improvement in the third bag was even greater.


    When it comes to the last bag, it''s a pretty good cut.


    There is only a slight difference in thickness, which is quite uniform.


    And the incision is flat and smooth.


    His progress is really visible.


    Jin Mingxi also ran over to check his practice results and was amazed.


    "You are a monster, living with you is really a blow to self-confidence."


    He said very discouraged.


    "Don''t put a high hat on me! There is still a big difference between the radish slices I cut and yours, don''t think I don''t know."


    It is unrealistic for Zhou Can to surpass Jin Mingxi''s sword skills that he has practiced for many years in just one day.


    He has a clear understanding of this point.


    "I can''t call you Mingxi anymore, I have to call you Lao Jin."


    "why?"


    Jin Mingxi looked at him puzzled.


    "Really want to know?"


    Zhou Can grabbed a handful of the radish slices he cut and compared them with Jin Mingxi, looking for gaps in order to improve.


    "Nonsense! Say it!"


    Jin Mingxi dislikes him the most.


    "Is there a flicker Wang surnamed Jin in the TV series? It''s that old TV series from the 90s. A man with a golden front tooth on a bicycle."


    "His surname is Xie."


    "Yes, yes, it seems that his surname is Xie. But others call him Lao Jin. I think you are quite similar to him. You know how to fool me and flatter me every day. And you have an advantage over him. He only relies on a golden Damen Ya got the title of Lao Jin, but you are a serious surname of Jin, there is nothing wrong with being called Lao Jin!"


    "I protest!"


    Jin Mingxi was dubbed the fool king, how could he accept it.


    He protested with a black face.


    "The protest is invalid. Comrade Lao Jin, it''s almost nine o''clock in the evening. It''s time for us to solve the dinner problem."


    Zhou Can picked up two bags of carrots and walked straight out the door.


    The road to growth in surgery is difficult, and the sweat and hard work are hard for outsiders to see.


    But also happy.


    Every advancement in medical skills means more confidence when standing on the operating table to deal with various difficult operations.


    Ten years of work off stage, one minute on stage!


    The two of them practiced sharp knife skills and forgot to sleep and eat, so that it was almost nine o''clock and they hadn''t had dinner yet.


    ¡­


    After throwing out the garbage, the hospital cafeteria must be closed by now.


    Zhou Can invited Jin Mingxi to a nice restaurant for a meal. It cost more than 100 yuan, much more expensive than the hospital.


    Fortunately, the taste is okay.


    After eating and returning to the dormitory, Zhou Can practiced grasping and placing techniques again.


    Jin Mingxi is holding a medical book


    Comparing the two, the young Zhou Can must be more aggressive.


    In the process of practicing grasping and placing, Zhou Can remembered Dr. Xu asking them to practice left and right hands at the same time. UU Reading He tried to hold the long-arm pliers with his left hand.


    First use the right hand to pick out a dry soybean, and then use the left hand to take it with the long-armed pliers.


    Once, it failed.


    Failed twice.


    ¡­


    On the twenty-first time, it finally succeeded. Holding the long-arm pliers in his left hand, he successfully caught and clamped it firmly without falling off.


    [Congratulations on obtaining the advanced medical transfer technique. During the operation, surgical equipment such as vascular stents, metal rings, occlusal nails, and bone nails can be transferred through instruments, and human tissues can also be transferred to complete left and right hand swaps or pull in opposite directions. ¡¿


    [Transfer technique experience value +0.1. ¡¿


    Zhou Can suddenly burst into joy.


    Originally, I was just going to practice the flexibility and grasping ability of my left hand, but I didn''t expect to get a new advanced medical skill by accident.


    In minimally invasive surgery, delivery is a frequently used medical technique.


    But very few doctors can do it well.


    Just like Zhou Can passed a soybean just now, it took 21 times to succeed.


    He checked the attributes of medical skills.


    [Transfer technique, level one, current experience value 0.1/10. Interns fail level. ¡¿


    Unlike other medical skills, which are at the level of resident medicine as soon as they are acquired, it is a brand-new first-level medical skill.


    Zhou Can needs to improve a little bit.


    If you pass a soybean successfully, you can add 0.1 experience points, which is actually not slow.


    Mainly in the early stage, because the success rate is low, it takes more than 20 times to succeed once.


    This leads to slow upgrades.


    Zhou Can simply raised its level a little first.


    0.1 once, and 10 experience points for 100 times.


    It will definitely be no problem to get promoted to level two tonight.

 Chapter 96： Kim Myung-hee had an accident and the uncooperative foreign injured

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    He started the game of left hand to right hand and right hand to left hand.


    The soybean was swapped back and forth between the two long-armed tongs.


    The passing experience value is also constantly increasing.


    As his movements became more proficient, his control over the technique of passing soybeans became better and better. The number of failures has increased from an average of 25 times to one success, to about 18 failures to one success.


    After practicing until 11:42 in the evening, he finally made up 10 transfer experience points.


    [Congratulations on your teleportation technique being upgraded to level two! Current experience value 0/100. The lower level of transfer ability is standardized and trained. ¡¿


    upgraded.


    Finally rose to the regular training level.


    He was pleasantly surprised to find that the knowledge about the surgical transfer technique that he had learned from reading books and lectures in the past emerged one after another. The use and understanding of them, compared with the half-knowledge before, is now sober in the world.


    This feeling is particularly wonderful, quite like reviewing the past and learning the new.


    In addition to improving his theoretical level, he also had a qualitative improvement in his surgical skills.


    Try to pick up a soybean and pass it to the long-armed tongs held in the left hand.


    The left hand naturally controlled the long-arm pliers to open slightly to a suitable width, and caught the soybean handed over by the right pliers. The two hands cooperated very well.


    The moment the pliers in the right hand were released, it was sent forward slightly.


    This is a dark force.


    The pliers in the left hand moved forward, tightened, and clamped.


    A seemingly simple transfer requires a high degree of tacit cooperation between two hands when manipulating the long-arm pliers. The angle, strength, timing, and distance must be just right.


    This progress is palpable.


    It took most of the night to upgrade the teleportation technique to one level, and he was very happy.


    Although it is very difficult to use this medical skill now, it does not overwhelm you with too many skills.


    Having more skills is definitely not a bad thing.


    Besides, he will definitely take the path of minimally invasive surgery in the future. If you have practiced advanced medical skills in advance, then you will be able to accumulate a lot and make great progress.


    ¡­


    The days passed like this day by day.


    Zhou Can never mentioned working overtime with Doctor Fu again. People always need a little ambition.


    He looks low-key and modest, but he is very tough in his bones, with a strong and proud personality all over his body.


    Doctor Fu is an honest man with a good heart.


    But just because of a few rumors, he was able to keep a distance from Zhou Can immediately. Such a person is very selfish in his heart and is not worthy of deep friendship.


    Like Dr. Xu, he dared to go to the medical department to make a fuss without saying a word, and went to the hospital office to help Zhou Can ask for an explanation. He looks a little naive, a little silly, but he is a real-tempered, passionate man.


    On the contrary, it is worth paying close attention to.


    Zhou Can doesn''t blame Doctor Fu, everyone has the right to choose how to live.


    It is impossible to ask everyone to focus on him and pay for him in various ways.


    It''s not realistic.


    Seeking good luck and avoiding bad luck is the innate survival instinct of human beings after millions of years of evolution.


    However, when Dr. Fu encounters troubles in the future, it is impossible for Zhou Can to stand up for him.


    If Dr. Xu was in trouble, he would try to ruin his future and help Dr. Xu.


    People are mutual.


    When others treat him well, he must repay. Others don''t have this kindness towards him, so they won''t meddle in other people''s business.


    These days, Zhou Can lives a simple life of two points and one line in the operating room and apartment every day.


    Medical skills in all aspects are also steadily improving.


    It''s a pity that you have to work for a full year to get a medical license.


    Otherwise, he got the certificate and became a practicing doctor, and his status could change from a doctor to a doctor. There will be more things that can be done and faster development.


    Now, it is to silently improve the operation ability.


    He is also consciously getting closer to a few doctors in the emergency department who are a little easier to deal with.


    Pave the way for earning pathological diagnosis experience points.


    At present, he is capable of performing most of the first-level surgeries alone, and some of the second-grade surgeries.


    Dr. Xu is also consciously increasing the number of secondary surgeries and reducing the amount of primary surgeries.


    Compared with Zhou Can, Jin Mingxi pales in comparison.


    Yesterday, Dr. Xu was also on a whim. Unable to withstand Jin Mingxi''s repeated requests, he arranged for Jin Mingxi to separate the omentum and bowel in a second-level appendectomy.


    Maybe it''s because Zhou Can has successfully performed more than a dozen appendectomies recently.


    Has been doing well.


    Dr. Xu believes that Jin Mingxi has more than ten years of work experience and is a very stable person in his daily work. No matter how bad it is, it shouldn''t be any worse than Zhou Can.


    Only then did he agree to give Jin Mingxi a chance to exercise.


    In the end, I don''t know what Jin Mingxi did.


    Halfway through the separation, a small incision was made in the patient''s intestines.


    Fortunately, the wound was not deep and did not cause intestinal perforation.


    But it also scared Dr. Xu into a cold sweat. His face changed on the spot.


    Quickly called a stop, and directly scolded Jin Mingxi severely.


    The roar of filial piety is really like thunder.


    This is also the worst time Zhou Can has seen Dr. Xu get angry since he followed him.


    It was like a raging lion, scolding so much that everyone didn''t dare to vent their anger.


    Jin Mingxi was thirty-five years old, she lowered her head in a daze, not daring to say a word.


    That day, until the end of get off work, the atmosphere in the entire operating room was particularly depressing.


    In fact, in any operating room, the mood of the surgeon is the barometer of the operating room.


    If the chief surgeon is in a bad mood, no matter how much you are favored, it is best not to say anything. Work hard, and be more careful than usual.


    Otherwise, it is easy to be sadly scolded by the chief knife until his dignity is swept away.


    And this will seriously reduce your favorability in the mind of the chief surgeon.


    In the future, it will be more difficult to ask questions and seek opportunities for surgery and exercise.


    Yesterday, Zhou Can was unlucky with Jin Mingxi.


    Until after get off work, Dr. Xu did not give him another chance to arrange a second-level surgery. Only a few first-level surgeries were performed.


    Jin Mingxi was even worse, he didn''t even have to do independent first-level surgery.


    Sit on the bench for nearly four hours.


    Afterwards, returning to the apartment, Zhou Can comforted Jin Mingxi. After one night, Dr. Xu''s anger might subside.


    ¡­


    In the early morning, Zhou Can and Jin Ming Xilei insisted on running in the morning without moving.


    "Old Jin, I see that you are usually very stable in surgery, why did you suddenly miss it yesterday?"


    Zhou Can didn''t dare to ask yesterday because Jin Mingxi was very depressed.


    Asking this matter again will definitely make Jin Mingxi feel even more uncomfortable.


    "Oh, blame me for not being brave. It''s not like I haven''t had an appendectomy in the operating room of the County People''s Hospital before. I think I have some experience, and it''s no problem to separate the omentum intestine. At the beginning, it was really smooth. Later When it came to the middle part, there was a short section that was particularly difficult to separate. At that time, as long as I stopped in time and let Dr. Xu take over, nothing would happen."


    When Jin Mingxi mentioned this, he wanted to slap himself.


    "At that time, I felt as if I had been blinded by eating lard. I was lucky and wanted to prove my ability in front of everyone. In this way, with face, it will be much easier to get second-level surgery tasks in the future. As a result When I was separating, my hand slipped, and the scalpel had already cut to the normal intestine. Fortunately, I have been practicing the basic skills of fast knife with you for a while, and my ability to control the scalpel has been greatly improved. At the critical moment, I quickly lifted the knife up, so it didn¡¯t hurt. It caused a catastrophe, just cut the outer skin of the intestine."


    Only Jin Mingxi himself knew how dangerous it was.


    Zhou Can stood by and watched, but he didn''t really feel much.


    I only heard Jin Mingxi yell, and then stood there at a loss with the knife put away, with a terrified expression.


    Accidents often happen in an instant.


    "Zhou Can, when you perform surgery in the future, you must learn from my lesson. When you are not sure, don''t be brave."


    "I will!"


    Zhou Can nodded.


    The two finished their run and went to work in the hospital together.


    After breakfast, I came to the emergency department. Jin Mingxi was still a little uneasy.


    Dr. Xu walked out of the office with a serious face as usual.


    "Morning teacher!"


    "Good morning, Doctor Xu!"


    Jin Mingxi followed Zhou Can to greet each other.


    Knowing that he made a mistake yesterday, taking advantage of Zhou Can''s special status to ease the relationship, at least Dr. Xu''s anger can be dissipated faster.


    "Go to the operating room!"


    Doctor Xu was expressionless.


    After the two entered the operating room, nurse Tang Ling had already arrived.


    It was close to 7:55, and Dr. Lu arrived early for an unprecedented time. He usually either arrives on time or is late.


    Probably also worried about being scolded for being late.


    After all, no one knew whether Dr. Xu''s anger had subsided.


    Around eight o''clock, Dr. Xu came in after inspecting the duty room.


    There was no expression on his face.


    "Zhou Can, today you can do the first-level surgery on your own, and I will take care of the second-level surgery. But the ugly thing is first, if Jin Mingxi makes a surgical mistake like Jin Mingxi, I will cancel your treatment."


    Doctor Xu said with a cold face.


    "clear!"


    Zhou Can was very careful.


    Jin Mingxi''s independent surgery qualification has been suspended. He dared not follow in this footsteps.


    Most of his current medical skills have been upgraded to the fourth level, and he is no longer able to increase experience on duty through props practice. Can only be earned in the operating room.


    If the qualification for independent surgery is suspended, his medical skills will stagnate.


    If you want to avoid accidents, one is not to be brave, and the other is to be cautious and careful.


    "Jin Mingxi, you will be my assistant for a while."


    "OK!"


    Jin Mingxi quickly agreed.


    "Dr. Lu has performed well recently, with a positive attitude and serious work. I can arrange some first-level surgical tasks for you and let you independently manage them."


    Dr. Xu is planning to create a competition mechanism in the department to strictly control the safety of surgery.


    Whoever is not cautious will sit on the bench.


    "Thank you, Doctor Xu!"


    Dr. Lu couldn''t help being overjoyed after hearing this.


    Since the last accident, Dr. Xu has not let him operate alone for a long time.


    This time, it was thanks to Jin Mingxi''s accident that he had the chance to be in the top position.


    "Call two equipment nurses to come in and help, prepare for the operation!"


    Soon, Tian Tian and Qiao Yu walked into the operating room together.


    Dr. Lu was elated when he saw Qiao Yu coming in.


    I''m afraid I stepped on dog **** when I went out today, good luck!


    "Qiao Yu, I can operate alone today, so be an instrument nurse for me!"


    Doctor Lu directly opened his mouth to **** people.


    These days, the timid are starved to death, and the bold and thick-skinned are exhausted.


    "Qiao Yu will work as an equipment nurse for Dr. Lu, so I will help Dr. Zhou."


    Tian Tian likes to get close to Zhou Can. I don''t know if she likes handsome young guys.


    It''s a pity that Zhou Can hates this woman very much.


    "Come on, Qiao Yu has been working as my assistant, and I''m used to it. I think Tian Tian and Dr. Lu are both talented and beautiful, and they must cooperate with each other tacitly. It''s better for you two to be partners."


    Zhou Can is usually easy to talk, but it doesn''t mean he is easy to talk at any time.


    It was rare for Qiao Yu to work the morning shift, just to be an equipment nurse for him.


    There was absolutely no way he could just sit and watch Dr. Lu force him over.


    Doctor Lu is a hypocrite, Tian Tian is a scheming woman, they are definitely a match made in heaven.


    Bringing these two together as partners is definitely a merit!


    "Hehe, Dr. Zhou thinks so highly of me, I don''t want to be your assistant!"


    Qiao Yu smiled happily and walked to Zhou Can''s side first.


    It made Tian Tian roll her eyes, and her face was a little ugly.


    Dr. Lu must be upset that he didn''t win by grabbing Qiao Yu.


    "Qiao Yu, be my assistant next time!"


    He has a good plan, and he plans to make an appointment in advance for the next time, so he can act first.


    "I''m sorry, but I''m not sure about my schedule. Tian Tian and Shishi are much more professional than me. It would be better to have them as your assistants!" Qiao Yu politely declined his request.


    When women with high emotional intelligence and high IQ refuse to be pursued by men they don''t like, they often use various ways of tactful refusal.


    But I don''t speak very aggressively, the kind that irritates the other party.


    Some extreme men have psychological problems.


    In a fit of anger, he can do anything.


    Qiao Yu and Dr. Lu work in the same department. In addition to worrying about personal injury, she also has to worry about all kinds of difficulties and retaliation at work.


    Dr. Lu''s small calculation failed again, and he smiled sarcastically.


    "I used to be a bit lazy. But I''m changing now. I''ll let you see that my surgical ability and talent are no worse than Dr. Zhou''s."


    Dr. Lu is not exaggerating, he has really changed recently.


    The number of being late in the morning has decreased, the work is proactive, and the operation attitude is also very correct.


    These changes are felt by everyone.


    I thought this guy would be hot for at most three days, but he persisted until now.


    It was a surprise indeed.


    At this time, surgical patients have already begun to be sent to the operating room.


    Another day of stressful work has begun.


    Dr. Lu and Zhou Can are both at full power, performing crazy surgeries. One patient after another has been cured.


    In terms of the speed of the operation, after practicing the quick knife, Zhou Can is more evil than before.


    In less than three hours, Zhou Can had completed seven first-level surgeries.


    Dr. Lu only completed four sets.


    The gap is nearly doubled.


    Moreover, the first-level surgeries performed by Dr. Lu are all extremely low-risk, very simple ones.


    Three of Zhou Can''s seven first-level surgeries were difficult.


    Affected by Jin Mingxi''s incident, Dr. Xu has not arranged a second-level surgery for him today.


    Not long ago, Dr. Lu told Qiao Yu in front of everyone that he wanted to prove that his surgical ability and talent were no worse than Zhou Can''s.


    As a result, Zhou Can was left far behind, and his pressure was really not ordinary.


    Of course, there is also part of the credit for Tian Tian.


    Whoever cooperates with Tian Tian will be unlucky.


    At this time, a blond foreign man was sent to the operating room.


    Tuya Medical College has a certain reputation throughout the country, and it is a leader in many disciplines in the province, and its comprehensive strength ranks first in the province.


    Occasionally receiving some foreign friends, many doctors and nurses are no strangers to it.


    As Huaxia is gradually recovering and developing better and better, there are actually quite a lot of foreigners who come to work in Huaxia. Especially in some provincial capital cities, foreigners of all skin colors can be seen.


    "What''s the matter with him?"


    Dr. Xu stopped the operation and raised his head to ask.


    "I only know that his arm and knee were injured. According to his colleague''s description, he is a foreign teacher in a bilingual school and fell while riding a bicycle."


    A bicycle fall should not be too serious.


    Dr. Xu personally checked the patient''s wound, and then looked at the X-rays taken. No bones were injured.


    The emergency department can handle it here.


    "Xiao Zhou, this patient will be handled by you."


    Considering Zhou Can''s prudent and meticulous work, Dr. Xu handed over the foreigner to him.


    Everyone is very cautious when dealing with foreigners.


    On the one hand, they are worried about conveying a bad international image. On the other hand, most official departments have certain preferential treatment for foreigners.


    It''s not about xenophobia, but to attract more foreign investors and talents to China.


    "OK!"


    Zhou Can took over the foreign patient.


    Dr. Lu was jealous. Treating foreign patients was a very honorable thing in his opinion.


    Healed, no small credit.


    It is also possible to hook up with foreigners to provide convenience for going abroad in the future.


    Zhou Can didn''t feel anything, just treated it with a normal heart.


    "Hello, can you speak Chinese?"


    Since they are foreign teachers, many of them have a certain level of Chinese.


    "Yes, yes!"


    The man nodded repeatedly.


    Zhou Can found that the man''s body was shaking There was also deep fear in his eyes.


    He couldn''t help laughing secretly, foreigners are quite timid.


    Didn''t you just fall down while riding a bicycle?


    There is no need to be afraid of being like this?


    "Mr. Ke Luoyin, please don''t be nervous. You didn''t break any bones. You can leave with simple debridement and sutures." Zhou Can comforted him.


    "OK, thanks!"


    His body was still shaking.


    Zhou Can found that a large piece of skin had been scraped off his arm, and the deepest part had reached the dermis.


    This does not require sutures, just clean the wound and bandage it.


    The injury to the right knee may be more serious.


    He was wearing a pair of sports shorts, and he could clearly see a **** **** on his knee, which was still bleeding out.


    "Treat the wound on his knee first!"


    This was said to Qiao Yu.


    However, when she brought the disinfectant for cleaning the wound to the side, the foreign man seemed extremely resistant.


    "Mr. Cloyin, don''t be afraid, don''t be afraid! Cleaning the wound is a necessary procedure, which can prevent wound infection and clean away the possible impurities in the wound."


    Zhou Can quickly comforted the man.


    "NO! NO!"


    As he finished administering the local anesthetic and was about to clean the wound on his knee, the man yelled.


    Even more directly hide back.


    Zhou Can was a little surprised by this abnormal behavior.


    Is this person afraid of pain when cleaning the wound?


    "Don''t worry, it won''t hurt after taking anesthesia."


    Zhou Can comforted the man patiently.


    Under his reassurance, the man seemed to feel better.


    But when Zhou Can was about to clean his wound, he resisted again, and almost knocked over the plate Qiao Yu was holding.

 Chapter 97： Cup bow and snake shadow, towards unity

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    Zhou Can noticed some subtle movements and expressions of Cloyin.


    Just now, Cloyin stared at the bottle of hydrogen peroxide used to clean the wound with horror in his eyes. With his hands waving wildly, his body backed away vigorously. Even the corners of his mouth were drooling.


    To deal with this kind of patients who do not cooperate with the treatment, the hospital actually has a way after obtaining the consent of the family members.


    The hands and feet of the patient can be tied directly.


    If it is a patient undergoing major surgery, it is even simpler. Two or three people press down and force the patient to wear a breathing mask. The anesthetic is inhaled by the patient through a ventilator.


    The patient will soon be unconscious.


    If you tie up a foreign patient, it is estimated that even if this person is cured, he will definitely spread the word after returning to China.


    Don''t go to Huaxia''s hospital, their treatment is terrible.


    Tie up people roughly like cannibals and let them manipulate them.


    "Mr. Cloyin, are you afraid of this?"


    Zhou Can shook the bottle of hydrogen peroxide.


    Cloyin immediately waved his hands in horror, backed away again and again, staring at the hydrogen peroxide in Zhou Can''s hand in horror.


    "Take it away first!"


    Zhou Can handed the hydrogen peroxide to Qiao Yu.


    When turning his head, he lowered his voice and said, "Be sure to wear protective gloves, and don''t get too close to him!"


    "Um?"


    Qiao Yu agreed lightly, but her eyes were full of doubts.


    But she still did as Zhou Can said.


    This is a kind of trust that is gradually built up.


    "Mr. Ke Luoyin, do you have any family members here?" Zhou Can asked.


    Seeing that the other party hesitated and did not answer, he asked again in English.


    "No!"


    Chloe shook his head.


    "Don''t be nervous, can we sit down and talk about your injury first?"


    Zhou Can was not in a hurry to perform surgery on him, but led the patient to chat in the operating room.


    Although there was a reason for this abnormal behavior, it still attracted the attention of Dr. Lu and Dr. Xu.


    The operating room is a very serious place. Under normal circumstances, cold, serious, and quiet are the main atmosphere here.


    Chatting with patients and letting them relax has also happened.


    However, it rarely occurs in emergency operating rooms.


    Those who come here for surgery are emergencies.


    Injury, sudden onset, etc., the patient is bleeding, or screaming in pain, and the surgeon pulls him to chat, is it appropriate?


    Therefore, the painting style at the moment is quite weird.


    "Did you fall from a bicycle?"


    "Um!"


    "Did the process of falling scare you very much?"


    "I''m a little scared, but it''s okay!"


    "Why is your body shaking all the time? Is it because of panic?"


    "A little bit!"


    The two had just chatted for a few words, but Dr. Lu couldn''t stand it anymore.


    "Doctor Zhou, if you keep talking like this, you won''t be able to finish this operation in a day. Let me do it, isn''t he just afraid of cleaning the wound with hydrogen peroxide? There must be a solution."


    Doctor Lu volunteered.


    "This patient is a little abnormal. It may not be as simple as being afraid of hydrogen peroxide to clean the wound." Zhou Can said seriously.


    In front of the patient, even if it is suspected that the patient has a certain disease, but without a confirmed diagnosis, you must not talk nonsense.


    If it is light, the patient will scold you, if it is serious, he may complain to you.


    The worst result is being beaten by the patient.


    Zhou Can now only suspects that this patient has other diseases, but there is no valid basis.


    "Let me tell you, a foreigner is injured and likes to heal it himself. He may have tried to wash the pain of the wound with alcohol or hydrogen peroxide, and now the wound is very large, so that''s why he feels scared. Just let me handle it."


    Dr. Lu didn''t care about Zhou Can''s reminder.


    "Mr. Ke Luoyin, I am a senior doctor at Tuya Hospital, and I have rich experience in diagnosis and treatment. Don''t worry, I will definitely let you experience a very good treatment."


    When Dr. Lu introduced himself to the patient with a smile, he kept putting money on his face.


    A doctor just needs to be able to brag.


    The better the doctor is, the more money he makes.


    There are often some charlatans who create a lot of titles and honors, and the house is full of pennants. Then ask some childcare to cooperate and make a name for yourself. After becoming a so-called miraculous doctor, naturally some patients eager to seek medical treatment would travel thousands of miles to seek treatment from him.


    The most common is toothache. He gives you medicine to fumigate, and then worms fall out of your eyes and ears.


    The euphemistic name is to cure dental worms.


    People with a little medical knowledge know that this is a deceptive trick.


    But there are some people who believe in it and keep sending money to these scammers.


    Cloyin looked at Dr. Lu in a different way obviously.


    "Thank you! You are his superior doctor, right?"


    In the eyes of patients, superior doctors represent better medical skills, more professional and safer treatment methods.


    Even if it is just a small cold, the patient can''t wait to be diagnosed and treated by the chief physician himself.


    In fact, there is really no need for this.


    For the treatment of common diseases, there is not much difference between a resident doctor, an attending doctor and a director. They''re all pretty much the same thing.


    It''s cheap to register with a general doctor, and you don''t have to wait in long lines.


    It''s a pity that the vast majority of patients are superstitious directors, experts, and professors.


    Tuya is a top expert account, and the registration fee alone costs 2,000 yuan.


    The registration fee for a general doctor is usually 6 to 8 yuan.


    Why spend that wrong money.


    But then again, if you really have a complicated and intractable disease. Ordinary doctors can''t cure it, but it is highly likely that these experts will work.


    Although the registration fee of this top expert is expensive, the treatment process is very clean.


    It will not deliberately prescribe expensive, or let you do some unrealistic money-burning treatments.


    They often like to prescribe medicines that cost a few cents, or one or two yuan a box.


    And it works pretty well.


    "Yes, yes, I am his superior doctor."


    Doctor Lu nodded vigorously.


    "OK! Then please treat me!"


    Cloyin obviously prefers to trust Zhou Can''s superior doctor.


    Foreigners generally speak very directly and don''t like to beat around the bush.


    He will not take care of Zhou Can''s emotions, but directly make a choice that is more beneficial to him.


    "Thank you, Mr. Keluo Qiuyin for your trust. Next, I will put on a blindfold for you to reduce your fear during the treatment." As expected of a senior resident doctor, Dr. Lu still has some tricks.


    At least in the face of patients with this special reaction, he can immediately think of a solution.


    After Cloyin''s eyes were blindfolded, he really heard a lot.


    Honestly cooperate with the doctor''s treatment.


    "Xiao Zhou, learn a little bit. When treating patients, you often encounter some special situations, so you can''t act recklessly." Dr. Lu really can''t get rid of the problem of eating poop.


    Started to get nervous in front of Zhou Can again.


    Since the last time he got into trouble with Dr. Fu in an operation, he hasn''t been frightened in front of Zhou Can for a long time.


    I thought he changed it.


    However, it is also understandable that some people have a flamboyant personality, while others are low-key and reserved.


    Dr. Xu regained his independent surgery qualification today, and when he treated this foreign friend, he was indeed more capable than Zhou Can.


    The combination of multiple reasons caused Dr. Lu to drift uncontrollably.


    The most important point, he wanted Qiao Yu to understand that his medical skills were no worse than Zhou Can''s.


    "I''m learning! Warmly remind Dr. Lu that you must take good precautions. If possible, it is best to let the patient have a blood test or a urine test first before debridement and suture."


    Zhou Can in turn gave him a piece of advice.


    When Dr. Lu heard this, his heart skipped a beat.


    Because he remembered the patient who was bleeding profusely last time.


    At that time, Zhou Can was also nagging, telling him not to rush for the operation.


    As a result, he didn''t believe in evil, and finally fell into bad luck.


    Once bitten, twice shy.


    Doctor Lu hesitated immediately.


    "Did this patient just have an X-ray?"


    He was obviously asking Tian Tian.


    "It should be! I''ll ask!"


    Tian Tian hurried out to ask the nurse in charge of the patient.


    Be back soon.


    "The doctor at the clinic considered that the patient had only skin trauma, and simple debridement and sutures would be enough, so no blood test was done. Only an X-ray examination was performed to confirm that there was no bone injury."


    This is the big hospital.


    If it is a clinic or township health center, even X-ray examinations are exempted.


    Direct debridement and sutures will suffice.


    "Doctor Zhou thinks a blood test is necessary to perform surgery?" Dr. Lu began to ask Zhou Can''s opinion solemnly.


    "Debridement and suture can be done now, but personal protection must be done well. Then I think it is very necessary to take a blood or urine test out of responsibility for the patient."


    No matter how much Zhou Can disliked Dr. Lu in this matter, he still cared enough about it.


    "Take blood for an expedited test!"


    Dr. Lu actually listened to Zhou Can''s opinion.


    This surprised Dr. Xu, Jin Mingxi and others.


    Next, Dr. Lu debrides and sutures the wound step by step.


    The whole process is very careful.


    Dr. Lu may also suspect from Zhou Can''s words whether the patient has an infectious disease or something.


    AIDS should be the most serious infectious disease for foreigners.


    In the current situation, if the doctor does not do a good job of personal protection, the risk of infection is quite high.


    "Hey, I think Dr. Lu seems to take your opinion very seriously!"


    Qiao Yu blinked at Zhou Can.


    "I was also surprised that he could listen."


    Zhou Can smiled.


    Continue to call the next patient in for surgery.


    ¡­


    After more than 20 minutes, Dr. Lu treated the two wounds of Mr. Cloyin.


    Cloyin''s mood seemed to have stabilized a lot.


    At this time, Cloyin''s blood test report came over.


    "The opinion given by the laboratory is that the blood test is abnormal, and further virus screening is recommended." Tian Tian took the blood test report to Dr. Lu.


    "Let me see!"


    After Dr. Lu took it, he examined it carefully.


    Then his face changed on the spot.


    "Dr. Xu, there are serious abnormalities in the blood test report of this patient. The total number of peripheral blood white blood cells in his body varies, and the number of neutrophils is as high as 81%."


    Anyway, he is a senior resident doctor, and Zaicai is also Tuya''s resident doctor.


    The level is not much different.


    After Zhou Can heard the abnormal data of the blood test results, his face became more determined.


    Dr. Xu stopped the operation in hand, took the blood test report and read it carefully. His face became extremely serious, revealing a trace of dignity.


    "Take Mr. Cloyin to the anesthesia recovery room to rest for a while, and tell him not to leave, and tell the medical staff on duty to be cautious about contacting him, and take good care of himself."


    Cloyin also seemed to realize that something was wrong.


    His mood, which had gradually stabilized, became agitated again.


    "Doctor, do I have other diseases?"


    In a foreign country, an unknown disease appeared in his body, which made him panic.


    The body trembled again.


    "It''s hard to say now, but your blood test results are abnormal. Please go to the anesthesia recovery room outside to rest for a while, and we will conduct further examinations for you."


    Doctor Xu comforted him with words, and only after Tian Tian sent him out, did he look at Zhou Can.


    "Xiao Zhou, now you can talk about your diagnosis."


    Everyone knows that Zhou Can was the first to discover the abnormality of the patient.


    His opinion is that even Dr. Xu has to take it seriously.


    Moreover, he has made great contributions to the diagnosis many times, and he has indeed shown extremely high talent in this regard.


    "I observed that the patient was afraid of hydrogen peroxide, and even salivated when he was nervous, so I suspected it was rabies!"


    The patient was here just now, and he didn''t dare to talk nonsense.


    Now I have no worries.


    It is equivalent to a joint consultation of several doctors.


    In addition, the blood test report has further confirmed his diagnosis.


    It also has some basis.


    When the course of the rabies patient progresses to a certain point, fear of water and light will appear.


    "Ah..." Doctor Lu''s face turned pale in an instant, and he hurriedly checked his body.


    Fortunately, the gloves and protective clothing protected him well.


    He quickly took off his gloves and threw them into the trash can.


    Tian Tian was more nervous than him, with a panicked expression on his face.


    She was helping just now and had contact with the patient''s blood.


    The mortality rate of rabies is 100%, so they are not afraid.


    "Notify the nurses in the infection prevention department to come immediately to collect the patient''s oral saliva for further testing. There are a lot of people in the hospital, so we must let them control the patients so as not to cause innocent harm."


    Fortunately, the patient has not yet fallen into a state of madness.


    The doctors and nurses in the epidemic prevention and infection department have very professional methods to deal with various infectious patients.


    It is most appropriate for them to take over the handling.


    "Doctor Zhou, thank you for your kind reminder just now!"


    Doctor Lu thanked him immediately, which surprised everyone.


    This incident seems to have greatly eased the relationship between the two.


    "You''re welcome. I''m glad you paid attention to my reminder." Zhou Can was not condescending at all.


    A rare smile appeared on Dr. Xu''s serious face.


    This is also the first time Dr. Xu has smiled since Jin Mingxi almost got into trouble yesterday.


    "It has been a great pleasure to see you all working together and I hope you will continue to do so."


    He is more like a patriarch in the operating room.


    I would like to see the doctors under my command united as one, instead of tearing each other down or even suppressing newcomers.


    Hospitals are not like other administrative units.


    It is an excellent tradition for the old to lead the new.


    Only in this way can medical skills be passed on from generation to generation and successors from generation to generation can be cultivated.


    In Tuya Hospital, doctors above the attending level have the task of teaching every year. The superiors do this to train new people.


    "I also want to thank Dr. Zhou for his protection!" Qiao Yu''s bright eyes were full of smiles.


    Zhou Can guessed that her nose must be slightly wrinkled under her mask.


    "Isn''t it right to protect you?" Zhou Can winked at her.


    "Hehe, you''re the one with the sweetest mouth!"


    She smiled even more.


    "Okay, let''s get to work!"


    Zhou Can continued to operate on the patient.


    "At the beginning, seeing you so young, I was a little worried. I didn''t expect you to be so powerful. This time, I am relieved! Doctor Zhou, please take care."


    The patient listened to the discussion of several doctors, and he was surprised to find that the young doctor who operated on him seemed to be more powerful than the senior doctor.


    He was very happy to have such a brilliant doctor operate on him.


    What patients are most afraid of is being practiced by a novice doctor with excellent medical skills.


    What the patient didn''t know was that Zhou Can''s surgical skills were much higher than Dr. Lu''s.


    ¡­


    When changing shifts for lunch at noon, news came from the Infection and Epidemic Prevention Department that Cloyin was diagnosed with rabies.


    This is very sad and sad news.


    This disease can only be prevented, not cured.


    Diagnosis is basically tantamount to a death sentence.


    What a pity for such a young life.


    During the operation in the afternoon, Dr. Xu gave Zhou Can two second-level surgeries.


    However, he supervises and guides the whole process.


    Zhou Can was very upbeat, and both operations were successfully completed without any mistakes.


    This made Dr. Xu feel very relieved.


    "Xiao Zhou, it seems that you have made a lot of progress in practicing the basic skills of the quick knife during this period of time! From your operation, you can already feel a hint of the flavor of the quick knife." Dr. Xu praised him with a smile.


    "Really?" Zhou Can was a little surprised. "I kept practicing every day when I went home, but I didn''t expect to achieve a small achievement so soon."


    When operating on patients, he also felt the changes in the two medical techniques of incision and separation.


    I can''t say it, but it feels easier and faster than before.


    He thought it was the result of improving his medical skills Only now did he realize that it was probably the result of practicing the basic skills of quick knife.


    "Continue to practice, and your gains will be even greater. Now it''s just a glimpse of the door. When you reach a certain level, I will teach you the next step of practice."


    Dr. Xu was quite surprised to see his progress so fast.


    I can''t help but look forward to it a little more.


    Under normal circumstances, it takes at least one to two years of practice to practice fast knife to achieve the first glimpse of the door.


    Zhou Can has reached this level in less than a month of practice, and his talent is really good.


    If such a genius inherits his quick sword technique, he will surely be able to outshine blue and surpass blue.


    The achievements will definitely surpass his teacher.


    "Okay, thank you teacher!"


    Zhou Can was very happy in his heart and became more motivated.


    When he got home from get off work today, he planned to increase the practice time of Kuai Dao''s basic skills from four hours to five hours.


    Strive to reach a higher level as soon as possible.


    When Jin Mingxi saw that Zhou Can''s basic sharp knife skills were praised and affirmed by Dr. Xu, he also felt a little itchy.


    These days, he has been practicing the basic skills of Kuai Dao with Zhou Can.


    Never been lazy.


    It''s just that he is now a "body to be punished", and he dare not take the initiative to ask Dr. Xu. He could only look to his good friend Zhou Can for help.


    Receiving Jin Mingxi''s eyes asking for help, Zhou Can took advantage of Dr. Xu''s good mood and decided to ask him for help.


    "Teacher, Jin Mingxi has also practiced the basic skills of Kuai Dao with me these days. What do you think of his progress?"


    Doctor Xu turned to look at Jin Mingxi.


    "Don''t continue to practice the basic skills of Kuai Dao!"


    In a word, Jin Mingxi''s face instantly turned as if struck by lightning.

 Chapter 98： Doctor Fus overtures, late-night help

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    Based on Zhou Can''s understanding of Dr. Xu, it is impossible to beat Jin Mingxi to death with a stick just because he caused trouble during the operation yesterday.


    When Dr. Xu gave them opportunities to exercise, he always left room for them.


    Even if there is a surgical accident, he has the ability to wipe their ass.


    On several occasions, Zhou Can shyly asked for a chance to exercise when encountering a relatively risky secondary operation, but Dr. Xu refused.


    It is enough to show that only when the risk is controllable, Dr. Xu will give them the opportunity to operate.


    "Doctor Xu, please give me one more chance. I will be more careful in the future, and I will not be brave again."


    Jin Mingxi begged hard.


    His bowels were broken.


    If I had known that the consequences would be so serious, I would never have taken that risk.


    "You misunderstood! You are not allowed to practice the basic skills of Kuai Dao anymore because you are not suitable for this path. To use an inappropriate analogy, men are born with great strength and are capable of all kinds of heavy physical work. Women''s hands are dexterous and are more suitable for needlework Live. Have you ever wondered why you got into trouble yesterday?"


    Doctor Xu stared at him and asked.


    "At that time, the patient''s omentum was a bit special. When it was separated, I felt powerless. In the end, I still bit the bullet and continued, so I missed and caused trouble. I will definitely learn a profound lesson in the future."


    Jin Mingxi has thought about it countless times.


    So when answering, it is simply blurted out.


    "This is only one reason. I dare say that even if you didn''t miss yesterday, you will still miss next time."


    Dr. Xu is very sure.


    Such fortune-telling words made Jin Mingxi feel depressed.


    "I said before that if you want to take the road of quick knife, you must have calmness in your heart. Although you are mature and stable, you lack the concentration and calmness of Zhou Can. These two qualities, theoretically speaking, can It can be obtained through acquired training, various exercises, and personal cultivation insights. But our human personality has a great characteristic, and it is almost difficult to change after the age of eleven."


    A person''s personality is mostly formed at birth.


    Some people think that personality will be inherited from parents, but scientists are surprised to find that personality is not inherited after research and investigation.


    For example, if parents are careless, children may be careful.


    The so-called heredity is actually the acquired influence of parents'' precepts and deeds on children.


    Many people think that the words and deeds of the parents will affect the child after the child is born.


    In fact, from the moment a mother conceives a baby, the influence of parents and the external environment on the child has already begun.


    Before the age of eleven, the child''s personality has the opportunity to change.


    In theory, the younger the child, the stronger the plasticity.


    Parents can promote the development of children''s character in a good direction through various methods such as parental influence, teaching, guidance, and conscious training.


    After the age of eleven, children''s personalities have basically been qualitatively formed. They already have strong opinions and their own way of thinking and understanding, so it is difficult for parents'' education to work again.


    Jin Mingxi is already 35 years old, and his personality has already been determined.


    The country is easy to change, but the nature is hard to change.


    I''m afraid it will be difficult to change.


    "You lack calmness. If you continue to practice the basic skills of quick knife, it will only increase the restlessness and hostility in your heart. During the operation, you will be involuntarily competitive and eager for quick success. That''s why I say, even if you don''t have an accident yesterday, you will not be injured in the future." It''s still going to happen."


    Dr. Xu is a person who has experienced a lot of experience and knowledge.


    There is some truth to his analysis.


    After Jin Mingxi thought for a moment, he sighed, "It seems to be the case. Then what should I do?"


    He panicked.


    I didn''t expect that practicing the basic skills of Kuai Dao would actually bring harm.


    Accidents often happen, which sounds scary.


    "Didn''t you ask me last time, Wen and Jing, which surgical style is suitable for you? Now I can answer you. You are suitable for Wen. Whether it is your character, talent, or disposition, they are all suitable for developing in the direction of stability." .So, you can learn the practice method of Director Hu Kan. Keep raising your arms for a long time, pinch the two hairs without moving. This kind of practice is similar to the Zen meditation of Buddhism and Taoism."


    "It can not only make your hands more stable, but also exercise your calmness and concentration."


    Dr. Xu showed him a clear path.


    The path that suits you best is the best.


    "I see, thank you for your guidance."


    At this moment, Jin Mingxi finally understood that Dr. Xu didn''t mean to throw him into **** directly because of his troubles.


    It''s because he is really not suitable for the path of Kuaidao.


    He decided to try the practiced and steady operation style.


    Dr. Lu has been eavesdropping on the side.


    Including the three female nurses, they also quietly listened to Dr. Xu''s discourse.


    This kind of knowledge involving advanced medical skills cannot be learned in books.


    Listening more can broaden their thinking and horizons.


    Good for them.


    "Doctor Xu, am I suitable for learning fast knife?" Doctor Lu envied Zhou Can and Jin Mingxi. Both of them learned advanced surgical practice methods from Dr. Xu.


    Especially Zhou Can, no wonder he is so powerful.


    It turns out that I got the inheritance of the quick knife taught by Dr. Xu.


    Dr. Xu stared at Dr. Lu a few times.


    Dr. Lu stood up straight in cooperation, like an obedient student.


    "As long as you can get rid of the problem of laziness, it is the greatest victory."


    In a word, everyone laughed.


    Fortunately, there are no patients in the operating room.


    There are only a few medical staff, and everyone is on their own, so it''s okay.


    While they were talking, Dr. Fu and Dr. Lin came over to take over the shift.


    "Hey, it''s rare like today, the operation ended early!"


    Doctor Fu greeted with a smile.


    "Isn''t it time to get off work? There are no urgent surgical patients outside, so I didn''t ask the nurse to bring the patients in." Dr. Xu seemed in a good mood at the moment.


    It''s much better than yesterday when I lost my temper and left work with a gloomy face.


    "I heard that Dr. Zhou made another big contribution today!" Dr. Fu looked at Zhou Can, more or less intentionally showing his favor.


    A while ago, the relationship between the two became very estranged, Dr. Fu must be well aware of it.


    Now that the rain is over, Zhou Can is fine.


    Coupled with Zhou Can''s performance getting better and better, this gave Dr. Fu the idea to take the initiative to find Zhou Can to repair the relationship.


    It is not easy for a superior doctor to take the initiative to bow his head to the doctor below him.


    In the entire emergency department, Zhou Can was probably the first to enjoy this special treatment.


    "Doctor Fu is quite well-informed! You know all about this?"


    Doctor Xu answered with a smile.


    "As soon as I arrived at the emergency department office, Director Lou was talking about this. Can you not know? I heard that the foreigner was invited to a student''s home half a month ago to teach English. During the period, I felt that a child raised by the student''s family The little white dog is very cute and clingy, so he stretched out his hand to let him lick it. There may have been small wounds on his hand at the time, but he didn¡¯t care about it.¡±


    "Until the last few days, he developed a low-grade fever and his body was shaking. He thought it was a cold, but he went out to exercise on a bicycle today, and finally fell inexplicably, and the fall was quite serious. That''s why he was sent to the hospital by his colleagues at the school. Come to Tuya Hospital to treat the wound."


    Doctor Fu recounted what he had heard in the office.


    Chloein fell on his bicycle and what must have been a rabies attack caused an imbalance in the cerebellum.


    In the middle stage of the onset of rabies virus, the virus will multiply in the nerve center, and then invade the spinal cord and the entire central nervous system. During this period, neurons in the brain and cerebellum are mainly violated.


    Therefore, patients in the middle stage of rabies may fall down for no reason, or miss and break the cup or bowl for no reason.


    This is caused by the inability of the cerebellum to completely control the body after being attacked by the rabies virus.


    "That dog was carrying rabies virus, so the student''s family must be notified, the dog should be culled in time, and every family member should be vaccinated against rabies and tested for nucleic acid."


    After hearing this, Dr. Xu felt sorry for the foreigner, but at the same time realized that the dog might endanger other people.


    This is the doctor''s instinctive reaction.


    The heart of doctors and parents.


    It is natural to think about the health of others.


    "The Department of Infection and Epidemic Prevention is already doing it. It is estimated that the hospital will definitely praise our department. Dr. Zhou Can is really a noble person in our emergency department!"


    Doctor Fu once again expressed his affection to Zhou Can.


    "You''re flattering me! I was just a blind cat bumping into a dead mouse, and I happened to discover something. Dr. Lu and Tian Tian handled Mr. Ke Luoyin''s wounds. Dr. Xu presided over the follow-up decisively according to the procedure, and mine The credit is actually very small.¡±


    Zhou Can was extremely humble.


    No matter Dr. Lu, Tian Tian, ??or Dr. Xu, they were all very happy after hearing this.


    Especially Doctor Lu, the look in Zhou Can''s eyes is no longer as hostile as before.


    "Haha, it seems that our emergency operating room is very united! Dr. Zhou, will you stay and work overtime today?"


    Doctor Fu took the initiative to express his kindness again.


    "Today I have to go home and practice the basic skills my teacher taught me, so I won''t work overtime."


    Zhou Can has now summed up a set of methods to improve medical skills in an all-round way. Performing surgery in the operating room is as important as practicing medicine at home.


    Besides, the chances of working overtime with Dr. Fu are much less than that of Dr. Xu.


    Kind of a waste of time.


    So he flatly refused.


    "That''s fine! When you want to work overtime someday, you can come to me at any time, and I will take care of you if you have the opportunity to practice first-level surgery."


    "Okay, thank you for your cultivation care!"


    Zhou Can nodded, followed Dr. Xu and others to walk outside.


    After changing clothes, Dr. Lu actually stood outside the door and waited for him.


    It was rare for this guy not to pester Qiao Yu today.


    "Doctor Zhou, thank you for today."


    "A few trivial things, nothing to worry about!" Zhou Can smiled and waved his hands.


    "Is it convenient to have a light meal? You see, there were a lot of misunderstandings between us before. I did do something wrong. I want to take this opportunity to apologize."


    It seems that this is the purpose of Dr. Lu''s special trip to wait for him.


    Dr. Lu has many shortcomings, but he also has some advantages.


    For example, when dealing with people, not to mention being fluent in all aspects, at least he has a good relationship with most people.


    "Thank you so much for your kindness, you won''t have to eat. As for the unhappiness in the past, let it go with the wind!"


    The other party took the initiative to apologize, and Zhou Can also showed his due magnanimity and tolerance.


    "You really don''t care about what I did to you before?" Dr. Lu was still a little worried.


    "I really don''t care!" Zhou Can''s eyes were calm.


    "Thank you! When you are free some other day, I must treat you to a meal and toast you two glasses. See you tomorrow!" Dr. Lu waved his hand and left with a smile.


    The human heart is the most complicated.


    Who would have thought that the appearance of a rabies patient would break the ice in their relationship.


    This Doctor Lu is able to bend and stretch, he is a character.


    Zhou Can couldn''t help thinking of a philosophical saying, existence is reasonable. Dr. Lu''s ability to survive in Tuya Hospital has its own merits.


    It is impossible for Zhou Can to have a deep friendship with such a person.


    It is enough to maintain a superficial harmony and unite at work.


    ¡­


    At about five o''clock in the afternoon, he was practicing Kuai Dao Kung Fu in the apartment when his cell phone rang.


    Glancing at the screen, it turned out to be a call from Mr. Cui, the acute myocardial infarction patient he rescued last time.


    "Hello, Doctor Zhou! I am the myocardial infarction patient surnamed Cui you saved, remember?"


    "Remember, I saved your mobile phone number!"


    Zhou Can said with a smile.


    "That''s right, I''ve fully recovered now. I want to treat you to a light meal and thank you for your life-saving kindness. Do you have time recently?"


    "You don''t need to eat!"


    Zhou Can declined.


    Is today an auspicious day? Dr. Lu invited him to dinner, and Mr. Cui also invited him to dinner. Good things came together.


    "I want to. I like to make friends, and it is fate that we met. We have a meal, get together, and connect with each other. What day do you think is convenient? The place is at my house, and your sister-in-law and I will cook. Which dishes do you like to eat, you can also tell me now."


    Mr. Cui showed full sincerity.


    Having said all of this, it would be a bit hypocritical to refuse.


    It is also very good to have the opportunity to chat with successful people like Mr. Cui.


    Many friends have many paths.


    "Hehe, your kindness is hard to deny! This Saturday night, do you think it''s okay?"


    Zhou Can smiled and agreed.


    There is a saying in the dinner that the temporary invitation is for you to make up or pay the bill. Inviting in advance is not only a kind of courtesy, but also a kind of respect.


    Mr. Cui''s respect for Zhou Can is reflected in the invitation.


    "Saturday is good, I have plenty of time. What kind of food do you like to eat? I can prepare it in advance." Mr. Cui asked.


    "I don''t pick anything, I like to eat everything. I just need to trouble Brother Cui and sister-in-law."


    Zhou Can''s address to Mr. Cui has changed.


    Since I agreed to go to Mr. Cui''s house for dinner, it means I have the idea of ??making friends.


    Mr. Cui is at least twice his age.


    He should have been called Uncle.


    It''s just that people like to be called younger these days.


    Calling brother, the relationship is closer.


    "No trouble, no trouble. If you can promise to come, your sister-in-law and I will be happy before it''s too late! Then let''s talk about it, this Saturday night. Do you need me to drive over to pick you up?"


    "No, no, just give me the coordinates and go there by yourself. Don''t worry, I''m so old that I can''t lose it."


    "Haha! OK!"


    Mr. Cui was amused by him.


    After finishing the call, I sent him a map coordinate via WeChat.


    Zhou Can checked it out.


    Good guy, it''s actually in the Jiangxin Garden villa area.


    This is the most upscale river view room in the city.


    The houses are all built on an island in the middle of the river. Surrounded by water on three sides, there is only one road leading to the island.


    In the early years, I heard that the island was inhabited by scavengers and a few local fishermen.


    Because of the inconvenient transportation at that time, few people wanted to live on the island.


    It wasn''t until later that a talented developer took over the entire Jiangxin Island and built the most high-end villa area in the city. The area of ??the island is limited, and it is said that only more than 30 villas have been built in total.


    Since there is only one road leading to the island, it has natural advantages in terms of security and privacy protection.


    The number of villas is limited and the environment is unique.


    Not only can you lean on the fence to enjoy the continuous river view, but you can also take a walk in the private garden, which is really a great enjoyment in the world.


    This is also destined to make the more than 30 villas on the island become high-end sought-after products.


    People who live on the island are either rich or noble.


    As early as a few years ago, the worst villas on the island sold for more than 100 million yuan.


    I''m afraid it will be more expensive now.


    This Mr. Cui lives in such a high-end place, he must be a wealthy family.


    Being able to make such a capable friend must be of great benefit to Zhou Can.


    But he was born in a wealthy family, so he didn''t feel much about it. But treat it with a normal heart.


    Soon I was immersed in the sharp knife practice again.


    It was around eleven o''clock in the evening, Zhou Can had already taken a shower and was sitting on the bed while reading a book and listening to the record sent by Su Qianqian, when the phone rang again.


    His usual call volume is actually very small.


    Rarely more than two calls a day.


    The social circle is also very simple, there are no cronies.


    It''s so late, it''s really urgent to call him, UU reading www.uukanshu. com is either a family member or a harassing phone call.


    At first glance, it was an unfamiliar number.


    Zhou Can hesitated for a moment, but still took it.


    "Hello. Who is this?"


    "Excuse me, is this Dr. Zhou?" A young girl''s voice came from the other end of the phone.


    "Su Qianqian?"


    Zhou Can heard the voice and recognized it.


    Her voice is very special, very soft and sweet.


    Not to mention unique, it''s hard to find another girl with this kind of voice.


    I often listen to her songs, and I am more familiar with her voice.


    "I didn''t expect Dr. Zhou to remember me." Su Qianqian was silent for about two seconds. "Can I trouble you with something?"


    "you say!"


    Zhou Can didn''t know what was going on with her so late.


    The house is leaking?


    Or is there a power outage?


    It was only for these things that Su Qianqian would look for him.


    "I, my key was accidentally locked in the house. I went downstairs to buy things just now, and when I came back, I found that I didn''t bring the access control card and key. I don''t know the landlord''s phone number. Can you provide me with the landlord''s phone number? I want Ask him to bring the key. I also know it''s so late, it''s too much to ask for this..."


    "Wait at the gate of the community, I will open the door for you in the past."


    Zhou Can was speechless for a while.


    Girls'' brains have always been relatively simple, and it is easy to make such low-level mistakes.


    In the middle of the night, a beautiful girl like her was locked outside the complex, which was very unsafe.


    I have no choice but to send it to her.


    As a landlord, collecting rent is really not easy.


    Zhou Can took the spare key and access card and went out.


    It''s so late, I can only take a taxi.


    Fortunately, the streets of the city were very deserted in the middle of the night, and the taxi was speeding all the way, unimpeded.

 Chapter 99： Those who show their muscles are all ostentatious, and their attitudes are mutual

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    When he arrived at the entrance of Phase 1 of Bajinghu Xiangshan Bieyuan, it was already 12 o''clock in the middle of the night.


    From afar, I saw a thinly dressed girl squatting under the streetlight at the gate of the community. Next to her was a man in a black short-sleeved T-shirt and floral shorts talking to her.


    When I got closer, I found that the black short-sleeved man had blue tattoos on his arms and chest.


    His face was shiny with oil, and his appearance was far from being handsome, but rather vicious and ferocious.


    His eyes were fierce.


    When Zhou Can walked over, the man just gave him a cold look.


    The girl squatting on the ground has a perfect figure because she is squatting on the ground, so she is not so conspicuous. Her snow-white skin made her look even more beautiful under the light. The delicate face is slightly lowered.


    Zhou Can was also uncertain about the relationship between Su Qianqian and this man.


    Possibly her boyfriend or something.


    She secretly thought in her heart, Su Qianqian is so beautiful and talented, why did she find a boyfriend who is like a low-level socialite?


    But some art people like to dress up as gangsters and engage in so-called performance art.


    Especially some young directors like to grow long hair, thick beard, and dress differently from ordinary people.


    This shows that their aesthetics are different.


    "Miss Su!"


    Zhou Can called her.


    She raised her head slowly, then with a joyful expression on her face, she stood up quickly and walked to Zhou Can.


    "Coming!"


    Her expression was completely filled with joy at the arrival of a savior.


    "Who is this?"


    Zhou Can noticed that there was something unusual in her words, and immediately became wary of this strange man.


    "I don''t know him! I said that my boyfriend will come soon, but he didn''t believe it, and kept asking me to drink at the bar in front. I ignored him."


    Su Qianqian has worked hard in society, and to become a third-tier actress, she must have seen all kinds of worlds.


    When encountering a harassing man, she has some ways to deal with it.


    Like lying about her boyfriend coming over soon.


    I want to use this to scare away these malicious social people.


    At twelve o''clock in the middle of the night, there were very few pedestrians on the road. She was such a beautiful young girl, she was an easy prey for some people when she was outside alone in thin clothes.


    This is actually very dangerous.


    She is very smart.


    One is to choose to squat near the security booth, and the other is to lie that her boyfriend will come right away.


    At least he succeeded in frightening the tattooed man from making some excessive moves.


    For example, forcibly dragging people away.


    This social man sized Zhou Can up, but didn''t take him seriously.


    Zhou Can looks fair and clean, with the elegance and elegance of a scholar. In the eyes of social gangsters, this kind of person is similar to those weak scholars in ancient times.


    Look at the strong triceps of the social man, one punch is enough to knock down several frail men like Zhou Can.


    "Dude, your girlfriend is not bad-looking! I just like a girl like her. It''s nothing else, I just want to make friends with her." The social man is not afraid of him at all, but uses an eagle to stare at the viciousness of the chick cub. He stared at Zhou Can.


    He wanted to impose a huge psychological deterrent on Zhou Can.


    If it was an ordinary guy who just came out of society, maybe he would really be afraid of him.


    Zhou Can started to practice Taekwondo at the age of five and Sanda at the age of eleven.


    Just such a three-legged cat social bastard, in his eyes, is a moving rake in human form.


    Of course, those who have practiced martial arts know how to restrain themselves and will not do it easily.


    This is called Wude.


    If someone throws a look at him to scare him, he won''t be able to punch him to the ground.


    "Anything else?"


    Zhou Can asked calmly.


    The social man saw his cowardice, and thought that Zhou Can was frightened by his ''bad air''. Courage became stronger.


    "When you first met her, you called her Miss Su. Is she really her boyfriend?"


    The social man stared into his eyes and asked.


    Who said that those who are in the society must be simple-minded, who only know how to chop people with a watermelon knife?


    Look at this social man, he discovered the flaw just from Zhou Can''s address to Su Qianqian.


    These gangsters are much smarter than imagined.


    They are the most able to observe the situation and act according to the wind.


    When encountering weak and deceitful common people, they can gain a lot of benefits by intimidating and intimidating them. When encountering powerful people, or being cracked down by the police, they immediately smiled and subdued with all kinds of accompanying smiles.


    "My boyfriend likes to call me that, can''t he?"


    Su Qianqian leaned against Zhou Can like a bird clinging to her, holding his arm.


    I could feel her hands gripping hard and trembling slightly.


    It is estimated that during the time when Zhou Can sent the key over, she was often intimidated by this person.


    "Any thing else?"


    Zhou Can''s voice became heavier.


    "Damn it, don''t you want to be shameless?"


    Social men turn their faces when they say they turn their faces.


    His face darkened, and his expression became more ferocious, and the viciousness with which he dared to hit someone at the slightest disagreement was frightening.


    "You, don''t mess around! Otherwise, I''ll call the police!"


    Su Qianqian was still a girl after all, and she was filled with endless fear in her heart when she encountered such a vicious person.


    She is not afraid of gentle hooligans.


    All kinds of directors, producers, and sponsors who want to take advantage of her, she can find a way to deal with and get away.


    Facing this kind of social bum, who does things regardless of the consequences, she can''t help but not be afraid.


    "Haha, call the police? I don''t want to ask. I don''t know which one is black and white in this area? Little sister, as long as you accompany brother to the front bar for a drink or two, nothing will happen. Otherwise, I know you live here , just bringing a few brothers over here can make your life worse than death."


    The society man smiled unscrupulously and arrogantly.


    He looked at Zhou Can again, and threatened viciously, "Boy, where do you fight, you will die for me. Pretend to be her fake boyfriend here, believe it or not, I will **** you?"


    While speaking, he deliberately showed off the strong muscles of his arms.


    This action almost didn''t make Zhou Can laugh and hurt his stomach.


    Among the real trainers, who can show off their muscles?


    It''s all about observing the opponent''s steps, body shape, and eyes, and feeling whether the opponent''s momentum is stable and strong enough.


    Nine out of ten people who show off their muscles like this are ostentatious.


    With bare hands, even ordinary people can knock them to the ground with a trick of monkey picking peaches, or a kick of extreme kick.


    "climb!"


    Zhou Can only spit out one word.


    The weight and power are not weaker than the opponent.


    "court death!"


    The social man was thoroughly irritated.


    A punch directly hit Zhou Can''s left cheek.


    He wanted to let this kid who just came out of society know what a social person is. What do you mean big brother can''t afford to mess with you.


    Zhou Can tilted his head to avoid the opponent''s almost sneak attack punch.


    I have been chatting with this social man all the time, waiting for the other party to strike first.


    Now that the time is ripe, there is nothing more to be polite about.


    Fast as a lightning punch out.


    boom!


    Hit the target just below the ear.


    If this part is hit hard, it will not only cause severe pain, but also there is an important acupuncture point behind the ear, where various nerves and blood vessels are densely packed. A powerful blow can instantly make a person lose consciousness and fall directly to the ground.


    Ordinary Lianjiazi don''t easily hit other people''s temples, for fear of accidents.


    Hitting the side of the face, close to the earlobe, generally does not cause serious consequences.


    But it can effectively incapacitate the opponent.


    The social man was stupefied, he didn''t even hum, and fell straight to the ground.


    "ah¡­"


    Su Qianqian let out a terrified scream.


    "Don''t be afraid, don''t be afraid, he won''t die."


    Zhou Can quickly comforted her and patted her jade back.


    On the back near the waist, there is an important acupuncture point called Sanjiao Yu. When a person is highly stressed, tapping this point can have a certain soothing effect.


    Traditional Chinese medicine believes that the water-damp air in the Sanjiao Fu is transported to the Bladder Meridian.


    When you pat this acupoint, it can effectively slow down the pressure on the bladder and the secretion of adrenal hormones. Therefore, there is a certain scientific basis for patting the back to comfort others.


    In the middle of the night, if she kept screaming, others would think that someone killed someone here.


    Zhou Can just ran over to deliver a key, but he didn''t want to make headlines the next day.


    At this moment, the social man has woken up after a brief faint.


    Slowly get up from the ground.


    Not far away, someone called and seemed to be planning to call the police, "There was a fight at the gate of Phase 1 of Bajinghu Xiangshan Bieyuan..."


    "Hit your mother! Say it again, I will kill you."


    The social man got up, instead of seeking revenge on Zhou Can, he yelled at the young couple who called the police.


    The boy was so scared that he almost dropped his cell phone on the ground.


    He quickly fled into the community with his girlfriend.


    After threatening the caller, the social man looked at Zhou Can.


    "Boy..."


    "roll!"


    Zhou Can didn''t give him a chance to speak at all, and spit out a word again.


    To deal with this kind of person, based on Zhou Can''s experience, there are only two words, ruthless and cold.


    He is more ruthless than him, and then the whole process is icy cold, which can leave an extremely deep and terrifying image on the other party. This is what Zhou Can''s father taught him.


    The family runs a company, and occasionally encounters social gangsters making trouble.


    My father had a lot of experience dealing with people of this type.


    When I was very young, I taught Zhou Can.


    It''s a pity that as Zhou Can grows up, the father and son rarely sit together and have a good conversation. Between father and son, it seems that both sides are deliberately keeping a distance.


    The social man didn''t dare to say another word, and fled away in disgrace.


    "Don''t be afraid, if he dares to come again next time, I''ll hit him every time I see him."


    Zhou Can''s words seemed to be comforting Su Qianqian, and he was speaking to social men.


    The social man staggered and almost fell.


    The speed of escape is faster.


    It would be embarrassing to lose a fight. Then Zhou Can was as cold and ruthless as the legendary **** of death, which really scared this society man.


    "Come on, let''s go in!"


    Zhou Can led her to the entrance of the community.


    The security guard looked at him with eyes full of awe.


    Just now Zhou Can knocked out the social man with a punch, and this security guard watched him the whole time.


    Zhou Can used the access control card to open the first fence gate to enter the community, and led her into the community.


    Only then did Su Qianqian dare to let go of his arm.


    Before entering the community, she was probably afraid that the social man would find out that Zhou Can was not her boyfriend, so she kept holding Zhou Can''s arm.


    "Doctor Zhou, thank you just now. If it weren''t for you, I''m afraid I can only call the police."


    she said gratefully.


    "You''re welcome, it''s just a matter of little effort. But you''re so pretty, it''s not safe to go out alone at night. If you have to go out, you can ask your boyfriend to accompany you, or call your agent, Assistant is with you."


    Zhou Can gave her some advice.


    He wants every tenant to be safe and well.


    When Su Qianqian heard him mentioning the word boyfriend, she couldn''t help but her pretty face slightly fumed, revealing a shy expression.


    Just now, in a hurry, I caught Zhou Can pretending to be a boyfriend, and I was somewhat embarrassed.


    "I don''t have a boyfriend! Just now, in order to get rid of that person''s entanglement, I asked you to pretend to be my boyfriend. I''m sorry!" She stroked her hair, and put some of the hair that was scattered on her cheeks behind her ears.


    That beautiful and heavenly face was more clearly reflected in Zhou Can''s eyes.


    "No way! You''re so beautiful and outstanding, how could you not have a boyfriend? I don''t think it''s strange that men who want to pursue you line up around the city three times."


    Zhou Can couldn''t believe it.


    "goose!"


    She covered her mouth with a smile and bent over.


    "It''s not as exaggerated as you said! I have circled the city three times, do you think I am RMB?"


    "Hehe, I think you are more popular with men than Renminbi."


    Zhou Can found that her attitude was much more enthusiastic than last time.


    It is said that saving the beauty by a hero is the fastest way to get closer to a beautiful woman.


    I used to think it was necessary for TV plots.


    Now after experiencing it himself, he found that it seemed to be true.


    "Seriously, the next time you go out shopping late at night, you''d better ask an assistant or agent to help you. You''re so beautiful, you''ll be a disaster wherever you go."


    Su Qianqian''s nose was slightly wrinkled, and she said angrily, "Hmph! Do you slander a lady like that?"


    After her attitude became more enthusiastic, Zhou Can chatted with her more humorously.


    People are like this, if you are too cold, then everyone must be doing business.


    If you are more easy-going, the other party will become easier to talk to.


    When he was an intern in Tuya, Zhou Can rotated almost all departments. At the beginning, I didn''t understand anything, and I was obviously thinking about the patient, and I was even more human inside and out. Being scolded by superior doctors and buried by patients.


    Later he learned to be smart.


    When you meet a patient who greets you with a smile and is polite to him, take care of him if you can. I don''t bother to remember some insignificant consumables.


    If you encounter a patient who has to ask questions about using a cotton swab or a piece of gauze, for fear of cheating him of money, then I am sorry, even if it is a piece of film, a few pieces of gauze, and what consumables are used, all must be recorded to the patient.


    Anyway, the next morning, when the list of expenses comes out, you just need to pay the money.


    Su Qianqian acted like he was guarding against thieves last time. He didn''t say anything, but he was calculating in his heart.


    This time I sent the key and kept the taxi ticket.


    I also thought about asking her to reimburse me after opening the door.


    Now that there is such a fuss, Zhou Can is embarrassed to speak up.


    Zhou Can took out the key and opened the entrance door.


    It was pitch black inside.


    At night, he didn''t dare to enter a female tenant''s house at will.


    Instead, the gentleman stood outside the door, waiting for her to go in and turn on the light.


    "It''s a bit messy in the house, come in and sit for a while?"


    Her invitation was just a courtesy.


    "No, no, no. I have to go to work tomorrow, and it''s getting late, so I have to go back to bed quickly." Zhou Can shook his head and refused. "Where are the keys? I have to take this set of spare keys."


    He pulled out the key and stood outside waiting.


    She seemed to be the only one living in the house.


    The room is really a bit messy, two big dolls of wombats are casually lying on the sofa in the living room. There are some snack packaging bags and bottles scattered on the coffee table.


    I saw her walking quickly into the inner room, and then came out quickly.


    "Hehe, I found it, and put it on the bedside table. Maybe after taking a shower, I wanted to go out to buy something temporarily, and then I forgot to take it out."


    The things she went out to buy at night were carried in a black plastic bag, which looked very light.


    Not too bulky.


    Zhou Can glanced at it and already guessed a bit.


    Lesbians always feel unwell for a few days, and sometimes "relatives" come suddenly. If there is no spare at home, it is easy to be caught off guard.


    Can only go out temporarily to purchase.


    "Can you have a bottle of yogurt, please? I don''t have any other beverages at home."


    She took out a bottle of An Muxi yogurt from the safe of the refrigerator and handed it to Zhou Can.


    "Then, you took a temporary taxi in the middle of the night and sent me the keys. I''m really grateful. How much is the taxi fare? I''ll pass it on to you."


    She knows how to behave.


    The money that should be given to Zhou Can was offered by himself.


    From this point, it can be seen that at least she is not a petty person.


    "The one-way taxi fare is 51 yuan, you can give me 100!" Zhou Can is not short of money, but he must pay what should be charged.


    Running over to give her the key in the middle of the night is already a big favor.


    It''s not a relative, it''s impossible to ask him to pay the fare back.


    He will not lick all kinds of pugs just because the other party is a beautiful female star.


    The attitude towards her is no different from that of ordinary tenants.


    "I sent you a red envelope, please accept it! Thank you so much today."


    She put her hands together and thanked Zhou Can.


    Generally, people with a bit of status like to use this gesture to thank others.


    Ordinary people prefer to say thank you directly, or give some food, small gifts and so on.


    Zhou Can clicked on the red envelope, and it turned out to be 150 yuan.


    "It''s too much! The round trip is only 102 yuan at most."


    No matter how you look at it, this female star doesn''t look like she didn''t learn math well.


    "The extra 48 yuan is my little idea, please eat some fruit." She said with a smile.


    This kind of generous behavior increased Zhou Can''s affection for her.


    There is not much money, but one can see a person''s attitude towards money.


    "100 is enough! The extra 50 will be transferred back to you. Take it. Remember to bring the key with you next time you go out. I came from the hospital dormitory. It''s really far away. If I happen to work late today, you will be miserable. "


    Zhou Can is now working with Dr. Xu, so he doesn''t have to work overtime every day, and he only works in the morning shift.


    Simply blissful.


    During my previous internships, especially in general surgery, I was on duty for two consecutive shifts, and the longest working hours were 36 hours.


    The vast majority of Gui Peisheng in the hospital had a harder life than him.


    But his good days may not be too long.


    Because the hospital requires regular training doctors need to rotate in multiple professional related departments.


    Some important departments need to rotate for at least three months.


    If the attendance is not enough, it would be foolish not to pass the training.


    Zhou Can practiced in general surgery and had seen the consequences of Gui Peisheng not following the routine. At that time, there was an incident involving Gui Peisheng. It was said that he was late for a month and left 18 times early.


    Later, Zhou Can never saw that dear friend again.


    That was also the one that impressed him the most.


    Even today, he can be regarded as doing well among Gui Peisheng. Dean Zhu and Vice President Bai all had a good impression of him, and they could even ask Vice President Bai for help at a critical moment.


    Director Lou and Dr. Xu also took special care of him.


    In addition, Director Tan and Director Yin of the Department of Internal Medicine valued him very much.


    A Gui Peisheng has so many high-level resources. If he were an ordinary person, he would really walk sideways, with his tail sticking up to the sky.


    But Zhou Can has never made any jokes.


    He is also very low-key.


    He firmly believes that only by keeping a low profile and keeping a low profile can the trees be evergreen.


    There are too many geniuses who are proud of their talents, because they offended important leaders, or were too arrogant, and finally sat on the bench and were depressed for a lifetime.


    Be a man before you do it.


    This is a truth that his parents taught him since he was a child.


    After leaving Su Qianqian''s place, he sat in the taxi, but he was curious about one thing. Su Qianqian now not only needs to rent a house to live in, but also avoids talking about the agent and assistant.


    I feel that her career may have been affected by the collapse of the stage and has slipped into a trough.


    It''s not easy being a star!


    I really hope she can come out sooner.


    Zhou Can has listened to the album she sent many times.


    I just look forward to when she will release a few new albums. Give him a change.

 Chapter 100： Qiao Yu was bullied, broken bones and then picked up again

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    The matter of opening the door for Su Qianqian in the middle of the night did not cause waves in Zhou Can''s life.


    Legend has it that after the hero saved the beauty, the good thing that the beauty promised with her body did not happen.


    He is still the ordinary doctor in the emergency department.


    In addition to working hard to improve various medical skills every day, I read books and study.


    Compared with those rich second generations who only know how to spend their days and drinks, or who are only thinking about how to make quick money, he is simply an outlier.


    He likes money, but he loves medicine even more.


    Almost all of my thoughts are used to study medicine.


    The improvement in level is also obvious.


    During the regular training exam, Jin Mingxi, who had stronger surgical skills than him, has now been thrown several blocks away by him. Zhou Can''s basic skills of sharp knife have already begun to see the way, and he is moving towards a little success.


    But Jin Mingxi was still pinching a thin strand of hair with one hand every day, and then raised his arms slightly, sitting still like an old monk in meditation.


    This kind of static work is the most tormenting.


    The speed of progress is also extremely slow.


    It takes at least one or two years of practice to get a glimpse of the way. It takes three to five years of practice to achieve a little success.


    However, Jin Mingxi himself likes this practice method very much.


    Every day after work, I sat there and stopped moving.


    A practice is several hours.


    The whole person seemed to be in a daze.


    It seems that Dr. Xu is right, he is suitable for taking the path of ''steadiness''.


    Except for practicing the basic skills of the surgical style, Zhou Can was ahead of Jin Mingxi. When performing surgery in the operating room, he is also a latecomer, surpassing Jin Mingxi by a large margin.


    At present, Jin Mingxi is still receiving the punishment of suspending his qualification for independent surgery because of the accident.


    I can only be an assistant to Dr. Xu every day.


    Except for the tasks of getting retractors and suturing skin, Dr. Xu would not give him any slightly risky surgical tasks.


    How long this punishment will last, no one knows.


    It is conceivable how much the surgical level can be improved by pulling the hook and sewing the skin all the time?


    The most is to gain a little knowledge.


    Looking at Zhou Can again, he can get two or three second-level surgeries every day. Opportunities for a few to a dozen first-level surgeries.


    Such a large amount of surgery is no less than that of ordinary attending physicians.


    The improvement of Zhou Can''s surgical ability is enough to describe it as a rapid progress.


    Coupled with the assistance of the medical experience value system, the speed of progress is even more terrifying.


    Under the ebb and flow, it is not surprising that Jin Mingxi was left far behind by him and overtook him in all directions.


    Not to mention Jin Mingxi, even Dr. Lu and Dr. Lin, two senior residents, were not spared.


    He was also surpassed by Zhou Can.


    Perhaps only Dr. Cui, whose strength is close to the level of the attending doctor, can compare with Zhou Can.


    ¡­


    Today is Friday, and a week is coming to an end.


    How time flies.


    Zhou Can was with Dr. Xu. If Dr. Xu doesn''t take a vacation, he can''t take a vacation.


    Hospital interns and regular trainees have no human rights at all when it comes to vacations. As long as the teaching teachers do not take vacations, the interns and regular trainees they supervise are not allowed to take vacations.


    Dr. Xu often only rests for about one day a month, or even does not rest for a day. Zhou Can and Jin Mingxi could only go to work together.


    This has something to do with the shortage of manpower in the operating room of the emergency department.


    There are only two attending physicians in the operating room.


    If someone is on vacation, another attending doctor may need to work two consecutive shifts.


    In addition, Dr. Xu is on the morning shift, which is also the busiest shift in the emergency operating room.


    Doctor Fu couldn''t handle many sudden emergency operations.


    In order to ensure the normal operation of the emergency operating room, Dr. Xu can only minimize the number of vacations.


    Zhou Can walked quickly into the emergency department as usual.


    "Morning, Doctor Zhou!"


    "morning!"


    "Doctor Zhou is very handsome today!"


    "Haha, I can''t even praise you for being beautiful!


    Along the way, from time to time, doctors or nurses greeted Zhou Can enthusiastically.


    Now basically all the doctors and nurses in the entire department know that Zhou Can performed very well in the operating room.


    If you don''t fawn on Zhou Can when he is still Gui Peisheng, you won''t be able to fawn on him even if you want to in the future.


    Ye Tingting walked over with her little waist twisted and gripped.


    "Morning, Sister Ye!"


    Zhou Can took the initiative to greet her with a smile.


    It can be felt that Zhou Can''s attitude towards her is obviously much more enthusiastic than that of other nurses.


    The reason for this is simple.


    Zhou Can was already closer to her. In addition, when he had an accident last time, the other nurses avoided him one by one, but Ye Tingting did not avoid suspicion.


    Therefore, it is normal for Zhou Can to repay her.


    This is a fundamental principle of human emotion. If you treat me well, I will naturally treat you well.


    "I''ll tell you something." Ye Tingting said in a low voice.


    "you say!"


    Zhou Can didn''t know what was going on, making it so mysterious.


    Ye Tingting glanced around, but there was no one else nearby. Then he whispered, "Qiao Yu was bullied yesterday!"


    "who?"


    Zhou Can''s anger gushed out instantly.


    Qiao Yu is such a kind person, the person who bullies her is really nothing.


    "She wanted the head nurse to transfer her to the morning shift every week. This request was not excessive at all. But Tian Tian and Pan Xinyao insisted on opposing it. In the end, the head nurse had no choice but to agree to Qiao Yu''s request to transfer the shift. .I told you this, not to make you trouble anyone. I just guessed that Qiao Yu wanted to be transferred to an early shift, probably to work as a surgical nurse for you."


    "Yesterday I saw her leave the nursing office with red eyes. You have to comfort her."


    If Ye Tingting hadn''t had a good relationship with Zhou Can, she wouldn''t have told him about it.


    "Okay, thank you for telling me such an important thing."


    Zhou Can has long been upset seeing that Tian Tian.


    Now that Tian Tian bullied Qiao Yu with another nurse named Pan Xinyao, his heart was filled with anger.


    Not everyone can have the protection and support of a good teacher like Dr. Xu.


    Not everyone is as lucky as him to get a medical skill experience point system.


    Qiao Yu is indeed excellent.


    But now she is just a regular nurse, and she has no way to fight against the two senior nurses.


    To be more realistic, if Zhou Can hadn''t met such a noble person as Dr. Xu, if he hadn''t been appreciated by Director Lou, Dean Zhu and others. No matter how good he is, any resident doctor who is the best can eat him to death.


    The hierarchy of hospitals is stricter than that of ordinary companies and enterprises.


    Zhou Can did not call or send a message to Qiao Yu.


    It is inappropriate to send her a message or call her at this time.


    She is a strong girl. Being bullied is something that hurts face and self-esteem.


    The best way is to pretend not to know about it.


    Give her enough face.


    But don''t think that Zhou Can will just forget about it.


    He will find a way as soon as possible to help her solve this matter.


    Nurses, like doctors, want to improve their status and don''t need anything else, as long as they make achievements in academic or medical skills.


    Zhou Can''s idea is very simple, to help her improve her status.


    At that time, she will be able to find her own place.


    This is a hundred times better than calling to comfort her now.


    Zhou Can walked into the operating room, Dr. Xu, Dr. Lu, and Jin Mingxi all arrived.


    Speaking of Dr. Lu, the recent changes are really quite big.


    Regardless of the quality of the surgery he performed. At least his attitude is quite correct. Every day, the horsepower is fully turned on, and one operation after another is performed non-stop. The number of late arrivals is also less and less.


    It is difficult to see the shadow of laziness from him.


    "Okay, everyone has arrived. As usual, Xiao Zhou and Dr. Lu operate independently. Jin Mingxi will be my assistant. Call two equipment nurses to come in."


    Dr. Xu quickly made arrangements.


    The worst thing is Jin Mingxi, who can only watch Zhou Can and Dr. Lu doing surgery alone every day.


    Soon, two equipment nurses walked in.


    Li Shishi and Tian Tian.


    "Good morning, Doctor Zhou! You look so special today! Hee hee!"


    Tian Tian smiled happily and walked straight to his side.


    "Teacher, Dr. Zhou and I are also old partners, don''t compete with me!"


    This scheming bitch, she still feels good about herself.


    Little did he know that Zhou Can hated her to the extreme.


    But now I have to bear with her, when the time is right, Zhou Can will straighten things out


    At this time, Zhou Can showed strong concentration.


    "Let''s start the operation!"


    Zhou Can had no expression on his face, imitating Dr. Xu and playing aloofly.


    Soon, patients who needed surgery were sent to the operating room. Zhou Canlao''s first surgery was replantation of severed fingers.


    Because of its great reputation, Tuya Hospital has a population of more than eight million.


    There are endless operations in the emergency department 24 hours a day.


    This is the first time for Zhou Can to do the replantation of severed fingers alone.


    I have participated in most of the surgical tasks of severed finger replantation under the guidance of the teacher before, and there is no record of failure for the time being.


    Dr. Xu assigned this patient directly to him this time, presumably because he wanted to exercise his ability to connect broken bones.


    This is also the only part of the operation that Zhou Can has not actually performed.


    "How long has it been since you cut off your finger?"


    "About an hour! Doctor, can my finger still work?"


    The patient was so painful that cold sweat broke out on his forehead.


    The amputated finger has been treated by the doctors and nurses in the emergency department. Did nothing else but refrigerate.


    This slows down the rate of death of severed limbs.


    Generally speaking, the shorter the time for replantation of amputated limbs, the better.


    Theoretically, it would be difficult to pick up jobs for more than six to eight hours. If the storage environment is harsh, this time will be shorter.


    "Don''t worry too much, we will do our best to replant your amputated finger. Whether you can accept it or not depends on many aspects, including whether the entire operation process is smooth, whether the blood supply is smooth, postoperative care, etc. We often The survival rate of severed finger replantation is very high, if you actively cooperate with the treatment, the effect will definitely be better.¡±


    After working in the operating room for more than a month, Zhou Can also learned the basic survival skills of doctors to "flicker".


    This is one of the essential skills in dealing with patients.


    "Don''t worry, I will actively cooperate."


    The patient was tricked into going in by him, and actively cooperated with the operation like a good baby on the spot.


    Tian Tian next to her was still chatting with Li Shishi and Dr. Lu who were not far away.


    "Anesthetic!"


    Zhou Can had to remind her.


    Then she started to dispense a local anesthetic.


    In general, ropivacaine is the commonly used local anesthetic of choice. A single use should not exceed 3mg/kg, and even a fat man of five hundred catties should not exceed the limit of 200mg.


    When used, it needs to be diluted with saline.


    These tasks are prepared by the equipment nurse.


    If it is a major operation, it will be prepared by the patrol nurse and checked by the equipment nurse.


    However, major operations are generally performed under spinal anesthesia or general anesthesia, and there are not many opportunities to use local anesthetics.


    Zhou Can is going to give him brachial plexus block anesthesia for this patient.


    Generally speaking, the effect is quite good.


    The duration of anesthesia can reach more than four hours.


    For such a long time, with his operation speed, it is enough to connect a severed finger.


    Tian Tian finally prepared the anesthetic and handed it to Zhou Can.


    After the patient''s left hand was successfully anesthetized, he was ready for the next step.


    debridement.


    This medical skill is currently at the inferior level of a resident doctor.


    The rise is a bit slow, but it can''t be helped.


    A patient brings him at most one or two debridement experience points. And not every patient needs debridement.


    The patient''s severed finger should have been injured by a sharp weapon, and the fracture was neat.


    This is beneficial for surgery.


    It is worth mentioning that debridement of amputated fingers is not as random as imagined. Regular large hospitals like theirs often choose to debride the wound under a microscope. The purpose is to prevent the blood vessels and nerves trapped in the subcutaneous tissue from being removed.


    Debridement does not only debride the section of the remaining severed finger, but also includes the severed part.


    The most difficult thing to do is bone debridement.


    Even for this kind of wound with relatively neat incisions, the broken end of the bone needs to be removed by about 0.5 cm to ensure successful bone grafting.


    After the debridement was completed, it was time to test him.


    set bones.


    According to the patient''s condition, Zhou Can chose to use a stainless steel needle to connect the medullary cavity of the severed finger.


    Doctor Xu came over and stood by to supervise and guide.


    This is because Zhou Can will screw up.


    "The steel needle that breaks the phalanx!"


    Zhou Can was a little crazy.


    This Tian Tian is as stupid as a pig, except for the conventional surgical instruments and consumables, she is just like wood.


    Reminders are needed to prepare impromptu.


    This also seriously affected the operation process.


    In the operating room, perhaps only Dr. Xu has the right to scold her.


    Zhou Can has no right to scold her.


    In terms of seniority, she is older than Zhou Can.


    "What size steel needle do you use?"


    Tian Tian asked Zhou Can really wanted to call her a pig. This kind of question still needs to be asked.


    If Qiao Yu had been the equipment nurse for him, she would have been ready a long time ago.


    I really don''t know what Tian Tian put his mind on?


    If you are not interested in surgery, you can not be a nurse for preparing equipment.


    After she got the steel needle ready, Zhou Can got impatient for a long time. Even Dr. Xu next to him couldn''t stand it.


    "Tian Tian, ??next time you have to prepare in advance, otherwise it will greatly delay the operation time."


    In front of the patient, this was enough to save her face.


    "Ok, ok! The main reason is that this patient was the first to enter the operating room, so the preparations were not so sufficient." She promised, promising to do it again next time.


    Zhou Can took the steel needle and began to carefully fix the bone marrow cavity at both ends of the severed finger.


    He has seen Dr. Xu perform this operation many times, and Dr. Xu has taught him all the essentials, techniques, and precautions.


    Normally, this kind of orthopedic surgery skills can only be learned during the regular training of orthopedic surgery.


    Therefore, having a great teacher can indeed increase the efficiency of regular training several times.


    He operated carefully, step by step, and finally successfully fixed the severed finger and the stump of the finger.


    Checked it out to make sure it''s correct.


    ¡¾Congratulations on your bone fracture surgery. Can be used for splicing after bone fracture. ¡¿


    [Osteosynthesis, current experience value, level 1 1/10. Internship failing level. ¡¿


    He was depressed for a while, why is it so low?


    Fortunately, the phalanx of this patient''s severed finger was successfully grafted.

 Chapter 101： I was almost killed, the opportunity to make trouble came

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    The low level of the first orthopedic surgery should be related to his lack of any orthopedic surgery foundation.


    Separation and anastomosis are grade 3 once obtained, because they are advanced medical techniques derived from basic surgical techniques such as incision, suture, and ligation.


    For osteosynthesis, he does not have any surgical basis.


    He was able to set bones successfully for the first time. One is that he is very talented, and the other is that all laws in the world are interlinked. His four major surgical basic medical skills are already at the attending level, allowing him to comprehend by analogy.


    Definitely much stronger than a true novice when it comes to bone setting.


    "Orthopedics is an unavoidable hurdle in surgery, and there are many application scenarios. Now that I have acquired this medical skill, it is not bad to find opportunities to improve it a little bit."


    Zhou Can always likes to plan for a rainy day.


    Instead of asking for help for surgery in the future, it is better to find a way to learn more medical skills.


    The field of surgery is very finely divided, and there are almost no universal doctors.


    In the face of complex operations, it is often a multi-disciplinary joint operation.


    For example, if the ribs are completely broken and there is a risk of stabbing the heart or other important organs, open chest surgery may be required.


    At this time, the cardiothoracic surgeon and the orthopedic surgeon often work together.


    Every time Zhou Can adds a new medical skill, there will be fewer chances to ask someone for surgery in the future.


    Moreover, all kinds of medical skills are inextricably linked and complement each other. Learning a few more medical skills will also be of great benefit to his comprehensive medical skills.


    ¡­


    "Teacher, do you think it''s okay to join the phalanges?"


    "Well, the connection is very good, hurry up and complete the follow-up part of the operation!"


    Doctor Xu nodded in satisfaction.


    It is very good to be able to receive it so well for the first time.


    In the replantation of amputated fingers, connecting the patient''s phalanx is only the first step in the operation.


    The following tendon suturing, vascular anastomosis, and nerve anastomosis are all difficult steps. If any step is not done well, it may cause the failure of the severed finger replantation operation.


    Fortunately, Zhou Can is fully capable of doing them well.


    Tendon suturing mainly tests the two medical skills of suturing and ligation, as well as the related knowledge of tendon repair.


    A resident doctor with an intermediate level can be fully qualified for this job.


    Zhou Can''s two medical skills are both at the attending level, which is enough to sew up a severed tendon very well.


    Nearly forty minutes later, the tendons and blood vessels were all anastomosed.


    In the blood test, in less than 30 seconds, a trace of rosiness appeared on the tip of the severed finger.


    Perfect.


    Seeing this, Dr. Xu was very relieved.


    He smiled and went back to work.


    Zhou Can continued to complete the follow-up nerve anastomosis and skin sewing for the patient.


    After more than an hour of hard work, the replantation of severed fingers was finally successfully completed.


    He also earned more surgery experience points.


    Also harvested an orthopedic medicine.


    It''s a great feeling to be steadily improving.


    The growth of a famous doctor is such a step by step, through countless operations, rescue and diagnosis experience, continuous learning and accumulation.


    The operations continued one after the other.


    Tian Tian still chatted with Dr. Lu and Li Shishi from time to time.


    She wanted to chat with Zhou Can, but it was a pity that Zhou Can didn''t talk to him at all because of his serious work.


    After getting bored a few times, she changed the chat target.


    Around three o''clock in the afternoon, a surgical patient with traumatic sutures came. He broke his jaw and cut a hole. He was very young, only nine and a half years old. He was a boy.


    There were still wet tears on his face.


    Children of this age are in the naughty stage of going up to the house to uncover the roof tiles and going down to the ground to play in the mud.


    Playing around, falling and getting injured is a common occurrence.


    Considering that the suturing is the face, and it is a child, the requirements for suturing are relatively high.


    Dr. Xu handed the patient over to Zhou Can.


    Dr. Lu''s sutures were too sloppy. If an ugly scar is left on the child''s chin, it may affect the child''s life.


    Zhou Can learned the seamless suture method from Dr. Xu very early.


    In the past, because of the low suture level, I couldn''t try it.


    Since the level of suturing has risen to the attending level, he has started to look for opportunities to try the seamless suture method.


    After practice and many consultations with Dr. Xu, he has been able to do quite well.


    After Zhou Can took over the operation, he first checked the child''s examination report.


    No bone damage, just skin trauma.


    not bad.


    The amount of bleeding was not large, indicating that no larger arteries were injured.


    This operation can only be regarded as a very small debridement operation.


    Tian Tian and Li Shishi are chatting happily.


    I don''t know why she is so happy today?


    She said that she will be able to take the mid-level nurse exam this year, and she has great hopes.


    In general, nurses are promoted differently than physicians. After graduation, you can work for one year to be a junior nurse. After you get the junior nurse certificate, you can work for four years to be an intermediate nurse.


    She said that she will be able to take the mid-level nurse exam next year, which means that she has worked for at least five years.


    No wonder Qiao Yu was bullied to death by her.


    "Local anesthetic!"


    Zhou Can had to remind her.


    "OK!"


    Tian Tian agreed with a smile, quickly prepared the anesthetic, and handed it to Zhou Can who was carefully examining the child''s wound.


    Since there was a lot of blood in the wound, and some of it clotted, it was impossible to see the specific situation of the wound clearly.


    The best suture plan can only be formulated after the anesthesia is performed and the wound is cleaned and disinfected.


    Zhou Can took the prepared anesthetic and injected it around the child''s chin wound.


    With his attending-level injection technique, he is probably better than most attending doctors in administering local anesthetics.


    Not long after the beating was started, the child''s wound bleeding suddenly increased.


    The child complained of a headache, chest discomfort, and shortness of breath.


    This frightened Zhou Can.


    Jin Mingxi had an accident last time, and he is still being punished.


    "Teacher, after the local anesthesia, this child showed many abnormalities. Could it be an allergy to anesthesia?"


    It was the first time Zhou Can encountered such a situation, and he panicked.


    Hurry up and ask Dr. Xu over there for help.


    "What is the dosage of the medicine?"


    "About 20mg!"


    Zhou Can injected the child with a superficial anesthetic, reducing the dosage by at least half.


    "What anesthetic was used?"


    Doctor Xu looked at Tian Tian.


    At this moment, Tian Tian was very calm. When something goes wrong, nurses generally don''t have to take too much responsibility, and doctors stand in front of them.


    Unless it is found out that it is the nurse''s negligence or mistake, it is the nurse who takes the main responsibility.


    The biggest risk for equipment nurses is that when they participate in major operations, they fail to count the consumables, resulting in gauze, vascular clips and other things left in the patient''s body.


    In such a minor operation, the probability of nurse error is very small.


    So Tian Tian showed that it had nothing to do with him, and was quite calm.


    "I used tetracaine! It was diluted strictly with normal saline."


    she replied.


    While talking, the child''s situation took a turn for the worse.


    Any surgery has risks.


    Once danger occurs, sometimes doctors and nurses don''t even have time to respond.


    The situation at the moment is extremely dangerous.


    "Tetracaine is almost impossible to cause a severe allergic reaction. Procaine needs to be tested for allergies before use." Dr. Xu frowned.


    Delegating power to allow Zhou Can to operate independently is actually against the hospital''s regulations.


    But as long as he, a teacher, is willing to take this risk, it can be justified in terms of procedure. At least there is no legal risk.


    If nothing happens, nothing happens.


    If the people don''t raise it, the officials don''t investigate.


    But now the child''s situation is so dangerous that even the experienced doctor Xu didn''t know what the problem was for a while.


    Then there is no way to accurately rescue it.


    time is life.


    For every second of delay, the patient''s risk of dying from this procedure doubles.


    Sweat dripped from Dr. Xu''s forehead, and his eyes were extremely sharp, staring at the child closely, observing some of his symptoms.


    "Suddenly increased bleeding from the wound? This indicates that the patient''s heart contraction has increased, and the blood pressure may have increased. Measure his blood pressure immediately."


    After measurement, it was 190/110mmHg, and the systolic blood pressure was frighteningly high.


    Such a sudden high systolic blood pressure indicates that the heart is contracting rapidly and its pumping capacity is far beyond normal.


    "Teacher, do you think there may be a problem with the anesthetic?"


    Zhou Can has quickly calmed down from his panic.


    The most important thing right now is not to think about being suspended or even sentenced after an accident.


    Instead, try to find out the reason against time and save the child.


    Zhou Can''s diagnostic ability is very strong. After testing his blood pressure, he can think of the cause and effect. It was the abnormality that appeared after the anesthesia was injected.


    That must be an anesthetic problem.


    "Show me the bottle of narcotics."


    Needless to say, Dr. Xu''s strength, he also realized that it might be an anesthetic problem.


    Tian Tian immediately squatted down to look for the anesthetic bottle.


    I saw her face change slightly.


    Then take out a medicine bottle from inside.


    "Here, here''s the pill bottle."


    Her eyes were a little evasive, and her face was a little abnormal.


    After dealing with her for so long, Zhou Can knows that this woman is a scheming whore.


    I don''t quite believe her words.


    Directly bypassing the operating table, he walked to the small trash can and squatted down.


    A lot of medicine bottles have been thrown in it.


    Almost all bottles of local anesthetic.


    One of the vials was buried under the others, but it was still found to be slightly different from the other anesthetic vials.


    Zhou Can felt that something was wrong and was about to dig it out.


    Tian Tian said with a concerned face, "Doctor Zhou, those glass bottles are broken, be careful."


    Zhou Can didn''t speak, but used a bottle to pick apart the top bottle, and then turned out the medicine bottle that was pressed down.


    At this moment, Tian Tian''s face turned pale.


    Still pretending to be calm.


    "Isoproterenol!"


    Zhou Can saw the name of the medicine on the bottle, and suddenly realized that he wished to greet the eighteenth generation of Tian Tian''s ancestors.


    What is a femme fatale?


    Tian Tian is.


    "I did not use isoproterenol in today''s surgery, where did this bottle come from?"


    Zhou Can questioned Tian Tian coldly.


    Dr. Xu has a wealth of experience, and has seen all kinds of tricks, ghost tricks, monsters and monsters.


    His gaze was also staring at Tian Tian with an incomparably cold gaze.


    "I-I don''t know about this either! Maybe it was left by the doctor who worked the night shift yesterday!"


    Tian Tian is still trying to quibble.


    If Zhou Can hadn''t seen her as a woman, he would have wished to slap her to death.


    It''s all this time, and I''m still lying here.


    She only worries about being punished after admitting her mistake. However, he ignored the danger of the patient and ignored the fact that the patient might die at any time.


    I can''t imagine such a vicious and stupid woman in the world.


    Looking at that pretty face at the moment makes people sick.


    "Isoproterenol can enhance myocardial contractility, increase heart rate, and expand peripheral blood vessels and smooth muscles. It is clinically used to treat bronchial asthma, cardiac arrest and shock. It is a rescue drug that is always available in the operating room."


    Zhou Can gave her a scientific explanation of the use of this drug with a cold face.


    In fact, there is no need to popularize science, she is also a professional, and must know the use of this medicine.


    Otherwise, when she squatted down to look for the medicine bottle in the trash can just now, she wouldn''t have deliberately buried the medicine bottle under many bottles.


    Doctor Xu has almost understood the cause of the accident.


    There are many things that cannot be said in front of the patient.


    He hurriedly brought Zhou Can and Tian Tian into the dressing room outside.


    "Tian Tian, ??human life is at stake, are you treating this medicine as an anesthetic?"


    Dr. Xu''s face was so cloudy that water dripped out.


    The eyes are also extremely terrifying.


    "I, I don''t know, there is such a possibility."


    At this point, she is still hiding her secrets.


    This woman is really stupid and bad.


    If a person studying medicine has a problem with his moral character, it will be a disaster for both the patient and the hospital.


    They are like a ticking time bomb, ready to explode at any moment.


    "I''ll ask you one last time, isn''t it?"


    Dr. Xu seldom yells at filial nurses like this.


    I was really angry at the moment.


    This stupid woman, she didn''t know how serious the consequences of this matter would be. It is very likely that Xu Yi and Zhou Canquan were killed.


    And the child''s life was at stake.


    Of course, the child may not die, but how do the parents explain it?


    Sew a superficial wound, and you make the child like this for me.


    I''m afraid no parent will agree.


    Tian Tian couldn''t be sure whether she had taken the wrong medicine, so they could only draw blood for a test first, and then determine the rescue plan.


    By then, the day lily will be cold.


    "Yes! I made a mistake. I was chatting with Li Shishi and the others just now. Doctor Zhou urged me suddenly. I was negligent, so I took it wrong." Facing Doctor Xu''s fierce eyes, she finally dared not avoid the important thing.


    "You, you, let me tell you what''s good about you?"


    Emergency medicines and anesthetics are stored separately.


    I really don''t know where her mind wandered to make such a serious low-level mistake.


    "Immediately use 100 mg of ¦Á-receptor blockers to reduce the drug damage!"


    After clarifying the reason why the child was in danger, Dr. Xu immediately tried to rescue him.


    Alpha blockers have specific effects on isoproterenol. Some patients have this blocker naturally in their body, making isoproterenol ineffective.


    After a series of rescue measures, the child''s condition finally improved.


    Doctor Xu also let out a long sigh of relief.


    This matter must not be concealed, and must be reported to the superior according to the regulations.


    "Xiao Zhou, you continue to sew up his wounds, and I''ll report."


    Dr. Xu is only an attending doctor. This matter needs to be reported to Director Lou first, and then Director Lou will report to the relevant departments of the hospital.


    Fortunately, there were no serious consequences. It should be stabbed at the level of the medical department, and the fire will be turned off.


    There will naturally be an experienced doctor to explain to the child''s parents.


    Sometimes it is a good thing that family members and patients do not understand medicine.


    As for the sudden situation of this child, as long as the explanation is reasonable and the child is fine, parents can generally accept it.


    Of course, when explaining, you will definitely not foolishly say that the medicine is wrong.


    Tian Tian was immediately suspended from the operation.


    Temporarily called Li Shishi to work as a nurse for Zhou Can, while Dr. Lu stopped operating independently.


    ¡­


    That kid was doing well after the stitches were done.


    After taking the wrong medicine and being rescued, there is no serious problem.


    The end result was alright.


    This is the only place to be gratified and thankful.


    The matter is not over.


    A special person came out to explain and communicate with the family members, and the family members accepted the hospital''s explanation. Went home with the baby.


    In the emergency department office, Director Lou''s face was as heavy as water, and Dr. Xu''s face was also ugly.


    Zhou Can was cautious.


    Tian Tian lowered her head, fiddling with the hem of her clothes.


    Soon, the nurse in charge of Tian Tian and the head nurse of the emergency department nurse station also walked in.


    "Today''s medical accident happened very wrongly. Due to the negligence and carelessness of the equipment nurse Tian Tian, ??it almost caused irreparable and serious consequences. We originally wanted to compete for excellence in the operating room of the emergency department this month. Now this happened. This matter, not to mention the excellent evaluation, will definitely attract criticism and punishment from the superiors."


    Director Lou''s temperament was a little anxious.


    After such a big thing happened, he slapped the table angrily.


    "Director Lou, calm down. Tian Tian really shouldn''t have made such a serious mistake. I will definitely strengthen her education." The nurse in charge


    Still very protective of his nurses.


    So do doctors.


    Protect the cubs, many people have this behavior.


    The two professions of doctors and nurses have a high probability of making mistakes.


    Without the care of superior doctors and nurses, less than one in ten would have survived.


    Whether it''s Director Lou, Director Tan of the Department of Internal Medicine, Dr. Xu...the elders of these hospital departments, each of them has made mistakes. No one remembers exactly how many mistakes he made.


    Because there are too many.


    It is also a good thing that interns and training doctors are sometimes scolded.


    Only by being scolded can we have a long memory.


    "This incident deserves every nurse''s vigilance. I will hold a safety meeting for nurses on this site as soon as possible. Take this incident as a typical example and educate all nurses to strictly abide by relevant regulations and put safety first. .¡±


    The head nurse is sitting when she speaks.


    From this point, it can also be seen that her status is quite high.


    Basically, being able to become a head nurse is at the level of a chief nurse. In terms of nursing and management, they have a very high level.


    Director Lou''s face softened slightly.


    "Niu Lan, how do you think Tian Tian will deal with this?" Director Lou is showing face to the head nurse and showing respect to her.


    "Deduct the bonus of the month, cancel the qualification for the annual appraisal, and write a deep reflection and self-criticism. Do you think it is okay?"


    The name of head nurse Niu is really unique.


    Ordinary parents would never come up with such a name. After all, it is homonymous with the bullpen, and it is easy to be misunderstood.


    She speaks very steadily, without rush or delay, calm and calm, modest but independent. UU reading www. uukanshu.com


    "Well, I think these punishments are enough for her to remember deeply."


    Director Lou affirmed her decision.


    When this matter comes to this point, it basically comes to an end, and we can leave.


    The person in charge has been put in place, and Tian Tian will bear it alone.


    "Nothing else, go get busy!" Director Lou said to everyone.


    Zhou Can deeply felt the art of being a leader.


    Not long ago, it was thunderous, and he slapped the table angrily. Now it is picked up high, put down gently, and the clouds collect the rain.


    Probably just a tap on the emergency department nursing department.


    So as not to poke out the basket next time.


    "Major Nurse Niu, please stay. There is one thing I want to discuss with you in front of Director Lou and Dr. Xu."


    After Zhou Can waited for so long, the opportunity finally came.


    Originally, he thought that it might take two or three months until he had learned most of the primary and secondary operations before he would have the opportunity to mention this matter.


    I didn''t expect Tian Tian to commit suicide and cause such a big disaster.


    You really answered that sentence, if the sky wants you to die, it will make you crazy.


    Tian Tian may be very happy because she cleaned up Qiao Yu yesterday and established her position. In a good mood, I chatted with Li Shishi, Dr. Lu and others.


    It just so happened that they were talking about being able to take the mid-level nurse exam this year. She felt that the future was bright and everything was going well.


    Get carried away.


    End up making a low-level mistake that is easily overlooked.


    Zhou Can was still a little worried that she would go back to the operating room, and she would be hired as an assistant at that time, and she would have to suffer a lot.


    It''s better to seize this opportunity and help Qiao Yu up.


    Although there was suspicion of falling into trouble, he didn''t care.

 Chapter 102： To set things right, the investigation by the medical quality control team

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    Head nurse Niu looked at Zhou Can in a little surprise.


    Her eyes were soft.


    Although I have never had contact with Zhou Can, as the head nurse, I must be clear about the personnel of the emergency department.


    She has heard of Zhou Can''s various outstanding performances more than once.


    Then Zhou Can generously invited everyone in the nurse station to drink milk tea that time, and the head nurse also received a cup.


    The money is not much, but the mouth of eating people is soft.


    The impression of Zhou Can in my heart must have added points.


    "you say!"


    Head nurse Niu didn''t know what Zhou Can wanted to say?


    Director Lou was equally curious.


    Zhou Can was not punished for this incident, only Tian Tian, ??the nurse involved, was dealt with.


    Does he feel that he is at a disadvantage and wants to reap some benefits?


    "Through today''s incident, I am deeply aware of a problem. To ensure the safe completion of an operation, in addition to requiring the doctor to be cautious and hard-working, a responsible and professional equipment nurse is also required."


    Killing people.


    This remark did not mention names or surnames, but made a very bad evaluation of Tian Tian''s behavior today.


    Irresponsible and unprofessional, these two evaluations are basically equivalent to ending Tian Tian''s path of continuing to be an equipment nurse.


    Tian Tian, ??who had her head down, looked up at Zhou Can.


    Her eyes were cold with strong dissatisfaction.


    She also wanted to threaten Zhou Can?


    Overreaching.


    "I am very grateful to Dr. Xu and Director Lou for giving me many opportunities to practice surgery, which allowed me to grow rapidly. During the operation, I was fortunate to cooperate with many nurses. Although Qiao Yu is only a newcomer, she is very professional. The work is also extremely serious and responsible. When working with her, the cooperation is tacit and the efficiency of the operation is greatly improved. It is really a pleasure."


    Zhou Can first took this opportunity to thank Director Lou and Dr. Xu.


    Without Director Lou''s support, no matter how much Dr. Xu took care of him, it would be difficult to obtain a large number of independent surgery opportunities.


    Gratitude cannot always be buried in the bottom of my heart. Expressing gratitude to the other party when you have the opportunity will make the leader feel that you are a grateful person.


    The benefits are self-evident.


    On the contrary, those "stuffy gourds" in the workplace are either ashamed to express, or feel arrogant and feel that there is no need to express. Such people are often depressed.


    Even when I was laid off, I still complained about the unfair fate.


    I kept scolding in my heart, this leader is blind, that leader doesn''t know talents, let me not reuse such a talented employee. But they used a group of guys who can only flatter.


    It''s not fair, it''s so unfair.


    After listening to Zhou Can''s words, Director Lou smiled a little bit more on his face.


    The eyes looking at him are also softer.


    "Qiao Yu''s performance in the operating room is indeed very good. She operated with Xiao Zhou, and the number of operations completed by Xiao Zhou was obviously three or four more." Dr. Xu knew a little bit about his apprentice''s thoughts.


    At this critical moment, with his testimony as the attending doctor in the operating room, everyone believed in Qiao Yu''s ability.


    "No wonder she always wants to ask me to change the day shift. It turns out that she is so talented in the operating room. It seems that we should consider giving her more day shifts in the future so that she can have the opportunity to study and exercise in the operating room."


    Niu Lan''s statement was exactly what Zhou Can wanted to achieve.


    "I think it''s good to promote more talented and hard-working newcomers. Our emergency operating room is in the development stage, and we still need the strong support and cooperation of your nursing department!"


    Director Lou helped Zhou Can and Dr. Xu to say hello.


    With him, the director of the department, speaking, the weight is completely different.


    This is something that Zhou Can did not expect.


    Originally, with the statement of head nurse Niu, he was already very content.


    If Qiao Yu wanted to switch day shifts in the future, there would be much less resistance.


    Now that Director Lou has spoken, the matter has become a certainty.


    "No problem. It is your and my common wish to make the emergency department bigger and stronger together. The Nursing Department will fully cooperate and support."


    Head nurse Niu readily agreed.


    ¡­


    It was around six o''clock in the evening, and Zhou Can just finished his dinner and went back to the apartment to practice the basic skills of quick knife.


    The phone received two messages.


    When I opened the screen, I saw that it was from Qiao Yu.


    "I have good news for you. The head nurse just informed me that I will be on the morning shift tomorrow."


    "It''s the morning shift! And it''s a week."


    (Smiley! Smiley...)


    She ended it with a series of smiley emojis, indicating that the frustration had been swept away.


    Zhou Can showed a knowing smile.


    Being able to help her made Zhou Can very happy.


    Looking at it now, she still doesn''t know that Zhou Can is secretly helping her fight for it, and the matter of going to the morning shift has a major turning point.


    Zhou Can will not take the initiative to ask for credit or anything.


    It is the kind that is willing to help her without expecting anything in return.


    It doesn''t matter whether he is out of justice or selfishness. As long as it can make her burst into laughter, that''s enough.


    "Haha, congratulations! For the next week, you belong to me!"


    Zhou Can couldn''t help but teased her a little.


    Unexpectedly, after the message was sent, there was no reply from there.


    After a few minutes, still no reply.


    "You joked too much and made her angry?"


    There is such a possibility.


    "Angry?"


    He tried to send a cute expression in the past.


    "Um!"


    She finally responded this time.


    "I''m sorry, I was too frivolous. It''s just a joke."


    Zhou Can quickly apologized to her.


    "Forgive you!"


    She replied with a cute expression.


    "See you tomorrow!"


    Zhou Can breathed a sigh of relief. In the future, try not to joke around with girls as much as possible.


    ¡­


    When he went to work the next day, he saw Qiao Yu as soon as he entered the operating room.


    "Hi!"


    She smiled brightly and waved hello to Zhou Can.


    "Finally I can cooperate with you in surgery again! Happy cooperation!"


    Zhou Can walked over with a smile and held out his hand.


    She very cooperatively shook hands with Zhou Can.


    "Hehe, happy cooperation!"


    The two shook hands politely. Zhou Can found that her hands were more fleshy than the average girl''s, soft but still strong.


    It is said that powerful people can easily get a glimpse of the other''s general character by shaking hands with them.


    People who are weak when shaking hands are mostly lazy and lack of responsibility.


    A strong handshake shows that the person has a pragmatic style.


    There are many more details, too. A person''s character, no matter how he conceals it, will show through his words and deeds.


    That scheming **** Tian Tian finally disappeared.


    This is Zhou Can''s happiest.


    Whoever puts her on the table is unlucky. Yesterday, I took the opportunity to remove this scourge from the operating room, so I don''t have to worry about being assigned to her in the future.


    The nursing department should have made adjustments overnight.


    A new surgical nurse came, slender and handsome, named Song Chunyan.


    A very tacky name.


    She works as an assistant to Dr. Song, so her specific professional level cannot be evaluated for the time being. It''s just that she is very shy when she speaks, and her voice is very low, and her face turns red at every turn.


    It feels like a simple little girl who just entered the society.


    Dr. Lu seemed to like this assistant very much, and from time to time he said some compliments or funny words to her, which made her laugh all the time.


    Zhou Can couldn''t help worrying for this innocent little girl.


    That day at the back door of the hospital, I saw Dr. Lu''s scumbag side. Dr. Lu is also a veteran, like a cunning wolf. This little girl is like an ignorant cake sheep, who is easily confused by Dr. Lu''s rhetoric.


    Of course, Zhou Can would not care about such matters.


    Everyone needs to grow on their own.


    He is not a savior, and he cannot save everyone.


    Not to mention Song Chunyan who had no friendship, even when Qiao Yu was pursued by Dr. Lu, Zhou Can also had to make her own decision.


    Surgery began soon.


    Zhou Can''s surgical ability has been greatly improved, and now that he has Qiao Yu as his best partner as his assistant, performing surgery is really as if it''s a fake.


    In less than an hour, he completed three first-level surgeries.


    This speed is really scary.


    Dr. Lu has only performed one operation so far. This is the result of his not being lazy.


    In the past, it was possible for him to perform a minor operation in two hours.


    "Next person!"


    Zhou Can made great strides, and hurried towards his small goal.


    He hopes to master all primary and secondary operations as much as possible in the remaining one month or so. When the time comes to change the discipline and training, there will be no such treatment anymore.


    Not sure, it is very difficult to get a chance to participate in surgery in ten days and a half months.


    During his internship in general foreign language, he heard a senior who had been trained for almost three years complained once. It is said that it was three months of regular training in orthopedic surgery, and every day was writing medical records and assisting in doing some chores such as pulling hooks on the operating table.


    Didn''t even catch a seam.


    Not to mention surgical operations such as bone setting.


    The door of the operating room opened, and a female patient who was clutching her abdomen and humming was pushed in. Looking at this situation, the probability of acute appendicitis is very high.


    After Zhou Can has performed many surgeries, he can roughly guess what kind of disease the patient has from the patient''s pain site or some symptoms.


    As expected.


    It is acute appendicitis.


    After reading the examination report, Dr. Xu inquired carefully about the patient''s condition.


    After confirming that the patient had fasted for more than six hours and met the indications for surgery, the anesthesiologist was called over.


    For this kind of emergency, if the fasting time is short, there is a risk of anesthesia, but surgery is urgently needed.


    Generally, it will be treated initially by the attending doctor.


    First, check the patient according to the procedure. After the cause of the disease is determined, the patient can be given pain relief injections and anti-inflammatory drugs. Wait until the food in the patient''s stomach is emptied, and then push into the operating room for surgery.


    The emergency department is not like a specialized inpatient department. Before an operation is scheduled, patients often need to be hospitalized for two to three days of management.


    The patients sent here, sometimes in order to operate as soon as possible, they do not know the consequences of not emptying the food in the stomach, so they choose to hide the real time of eating from the medical staff.


    For example, the old man who vomited last time had this kind of suspicion.


    In this situation, emergency doctors are actually quite helpless.


    The patient needed emergency surgery, and the doctor was so focused on the rescue that he never imagined that the patient and his family would deceive the doctor.


    Of course, in case something goes wrong, a consent form for surgery is signed.


    It is clearly stated above that in a real lawsuit, most of the losers are the patients and their families.


    The anesthetist arrived shortly thereafter.


    After Dr. Xu finished the surgery patient in his hand, he didn''t call the next surgery patient in.


    Instead, Zhou Can was asked to operate on the patient, and he stayed by to supervise and guide.


    In the face of secondary surgery, Dr. Xu never dared to be negligent.


    Zhou Can had already done several appendectomies, and he didn''t need Dr. Xu''s advice on the operation now.


    Opening the abdomen, searching for the appendix, separating the omentum and intestinal tube, ligating the root of the appendix and blood vessels...every movement is skillful and precise.


    At this moment, two people suddenly broke into the operating room.


    A man and a woman.


    The man was about forty years old, and he looked dignified. It should be the management and cadres with a little power in their hands.


    The woman was quite young, only in her twenties, holding a folder and a DV player.


    As soon as he entered the operating room, he directly photographed Zhou Can and Dr. Lu who were undergoing surgery.


    "What are you doing?"


    Tang Ling hurried forward to stop the two.


    Random photography is not allowed in the operating room. Even more irrelevant idlers are not allowed to enter.


    The two were able to put on surgical protective clothing, indicating that they were probably inside the hospital.


    "We are from the quality control team of the medical department. I am Zhong Hui, the leader of the quality control team."


    The man introduced his identity with a dignified expression.


    Don''t look at it as just a team leader, but this is a real administrative cadre with real power in his hands.


    Medical quality control has always been the top priority of the hospital.


    "Please watch from the side first, and try not to interfere with the operation of the surgeon and nurse. If there is anything to do, wait until the patient has finished the operation." Dr. Xu''s face sank like water.


    The leader of the quality control team of the medical department personally led people to conduct a surprise investigation of the operating room of the emergency department, which may have something to do with giving the child the wrong medicine yesterday.


    This matter was reported by Director Lou, and he did not know the result of the above-mentioned handling.


    I thought it would not attract the high attention of the above, but now it seems that things are a bit troublesome.


    "Xiao Zhou, Dr. Lu, continue with the operation and don''t be distracted."


    Doctor Xu comforted the two of them.


    In the operating room, he is the boss. When the Heavenly King Laozi comes, he has to obey his arrangements.


    ¡­


    After more than half an hour, Zhou Can finally completed the operation. The abdominal cavity was closed to the patient, and the examination was correct.


    "Teacher, can you see it?"


    "Well, very well done."


    Dr. Xu nodded and turned to look at the anesthetist.


    "If there is no problem Push it outside to the recovery room and wake up the patient from anesthesia!"


    After speaking, he quickly issued a doctor''s order to the patient and carried out the finishing work.


    At this time, no surgery patients were called in.


    Because the two ''uncles'' from the medical department are obviously not friendly, so I have to ask them what''s the matter first.


    "Group leader Zhong, what can I say now!"


    Doctor Xu''s tone was quite polite.


    After all, they are officials.


    "He is Zhou Can, right?" Zhong Hui pointed at Zhou Can.


    "I am!"


    Zhou Can faintly felt something was wrong.


    Hasn''t everything about yesterday''s accident been investigated? It''s nurse Tian Tian''s responsibility, why bother him?


    "Our medical department received a report from your emergency department yesterday that there was a medical accident. After careful investigation, you were one of the doctors involved. Come here today, first to collect evidence. Second, to test the medical quality of your emergency operating room. I hope all of you can actively cooperate with the interview and investigation.¡±


    Sure enough, he came to ask for guilt.


    Looks like there''s going to be a lot of trouble today.


    This is why each department has a small matter, and if they can digest and deal with it by themselves, they should try to digest it by themselves. Deliberately concealing it from the superiors is really difficult.


    After reporting, it will seriously affect the department''s evaluation and fine.


    It will also attract the attention and investigation of the higher authorities.


    Trouble continues.


    There is a saying that is not afraid of control, but afraid of investigation.


    No matter who it is, there are always times when negligence and mistakes are made. When the superiors stare at the investigation, it is easy to lose control in many ways and find problems everywhere.


    At that time, the whole department will be unlucky.


    In fact, some small problems, or negligence in the program, are really not a problem.


    At least not with bad consequences.

 Chapter 103： In the Emergency Department of Unity, Team Leader Zhong is in a hurry

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    "Who is in charge of the operating room in the emergency department?" Zhong Hui asked coldly.


    "I am!"


    Dr. Xu responded calmly.


    "Give us all the operation records, cases, and course records of the emergency operating room in the last month. Our quality control team needs to conduct a comprehensive investigation on the surgeons, nurses, and receiving doctors involved yesterday."


    The purpose of the medical quality control team is very obvious, it is aimed at the medical accident that happened yesterday.


    And get ready to dig deep.


    This is also the first time that Zhou Can deeply felt the serious consequences of medical accidents.


    Surgical records are generally recorded and kept by nurses.


    Liu Xia is the nurse in charge of the operating room, and rushed over in time after being notified.


    Then take out the relevant records and submit them to the quality control team for review.


    Because Zhou Can, Dr. Xu and yesterday''s nurse on duty are all subject to investigation. We can only call Dr. Fu over to give him a temporary top.


    Otherwise, the emergency operating room will not be able to operate.


    ¡­


    In a small office, Dr. Xu came out after being called in to ask questions.


    "Zhou Can, come in!"


    The young woman in the quality control team didn''t give Dr. Xu a chance to communicate with Zhou Can at all.


    It must be to prevent the two from colluding.


    Zhou Can walked in, and Zhong Hui, the leader of the quality control team, sat there with a serious face.


    The female officer of the quality control team closed the door, walked to the computer next to Zhong Hui and sat down. She acts as a recorder.


    There is a camera pointed at Zhou Can.


    I feel that the atmosphere of this questioning is very serious.


    "Zhou Can, when did you become a regular doctor?"


    "May 7th of this year."


    "When will I enter the emergency department operating room to participate in standardized training?"


    "May 7 this year."


    On the day he passed the training, he was assigned to the emergency department. Then I followed Dr. Xu in the operating room for surgery.


    Originally, the standard training direction he wanted to apply for was General Foreign Studies.


    However, being able to enter Tuya Hospital with the qualifications of general practice training students is definitely much better than direct general training. Both the gold content and the actual status are much higher.


    The prospects for development will also be greater.


    "When did you start participating in surgery?"


    "May 7th."


    "When did you start participating in secondary surgery?"


    "I really don''t remember this. It should be half a month after entering the operating room."


    "When will you start independently presiding over the first-level surgery?"


    "Never. I have been operating under the guidance of superior doctors."


    Zhou Can is not stupid, how could he admit such a thing.


    He still understands the basic surgical admission rules.


    "Zhou Can, now the organization is asking you a serious question, and you must answer honestly. If you deliberately conceal it, the hospital has the right to impose a series of punishments on you. This includes dismissal from the training program, being included in the industry blacklist, and recorded in the personnel file. Bad negative reviews etc.¡±


    Zhong Hui''s voice was calm and powerful, and his threatening words were like mountains pressing down.


    The psychological pressure that Zhou Can endured was beyond imagination.


    It''s just that he finally resisted this invisible pressure, his face became calm, and his eyes became clear again.


    "Every word I say is the truth, there is no deceit."


    He replied calmly.


    "We learned through investigation that you presided over a large number of first-level surgeries alone, including second-level surgeries. Do you still want to quibble?" Zhong Hui''s tone became more serious, and his face became more severe.


    Zhou Can''s heart sank.


    I keep my mouth shut, but others may not be able to do it.


    Nurses and other doctors may become breakthroughs and reveal the truth.


    Zhong Hui''s gaze was fixed on him, the invisible coercion made people breathless.


    "Just do it, just admit it. Now it''s just our hospital dealing with it internally, so don''t worry too much." The young female officer assisted.


    The two sang together, trying every means to break down Zhou Can''s inner defense.


    It''s fine if she doesn''t say anything. Zhou Can immediately realized that the two were trying to trick him.


    If they really had conclusive evidence, would they still need such troublesome inducements?


    "It''s true that I didn''t do any surgery alone. They were all done under the guidance of Dr. Xu. If you don''t believe me, you can investigate casually."


    Zhou Can''s tone and attitude became firm.


    Disappointment flashed in Zhong Hui''s eyes.


    But he is still not reconciled.


    "When we entered the operating room, we saw you removing the appendix of the patient. It was all filmed at that time, do you still have to quibble?"


    This is the final push.


    "Could it be that you didn''t take pictures of my superior doctor standing next to me?" Zhou Can curled his lips, thinking that it was dangerous in his heart.


    Facing the interrogation of the two people just now, fortunately they did not admit it.


    Regulations are dead, but people are alive.


    Some permission issues in the operating room have a lot of room for maneuver.


    As long as he doesn''t admit it, no one can do anything to him.


    "Please pay attention to your words, just answer our questions directly!"


    The young female officer scolded with a cold face.


    Next, the two conducted a series of questions to Zhou Can. Zhou Can dealt with it carefully.


    "Okay, you can go back to work! If there is a need later, we will find you again. Thank you for your cooperation."


    She stood up to see off the guest.


    Zhou Can was ''invited'' out of the small office. The questioning was not over yet, Dr. Lu was still waiting outside.


    All the doctors involved are subject to investigation.


    Seeing Zhou Can come out, Dr. Lu stood up and asked, "Are you okay?" He is very smart, and this is the result of asking questions.


    "fine."


    Zhou Can blinked.


    "Until the investigation is over, no communication is allowed. Doctor Lu, it''s your turn! Please go in!"


    The female officer of the quality control department immediately stopped the two from continuing to talk.


    The two exchanged a look, and both showed a smile.


    This situation made the female officer next to her very angry.


    A face was so cold that it was about to drop ice scum.


    Dr. Lu walked into the office quickly, with his hands behind his back, and made an OK gesture to Zhou Can.


    Meaning don''t worry, he knows how to answer.


    Zhou Can almost burst out laughing.


    Everyone has flaws and strengths. Dr. Lu has many shortcomings, but when faced with such a major event, he is very clear.


    Although the doctor team in the emergency department is not good at the level of medical skills, and the soft and hard facilities of the department are also poor, they are extremely united when facing the outside world.


    Last time in the emergency room, the directors were like this.


    Now, the same is true for these low-level doctors.


    ¡­


    When Zhou Can returned to the operating room, Dr. Xu calmly continued the operation.


    Seeing Zhou Can come back, Dr. Xu cast a questioning look.


    "Good!"


    Zhou Can only said two words.


    Dr. Xu must still be a little worried. Now that Zhou Can didn''t have Kuang Piao, he was obviously relieved.


    The most worrying thing is Zhou Can''s mistakes in the investigation.


    After all, Zhou Can is the youngest and has no experience in this area.


    "Hurry up and do the surgery! Try to get rid of all the backlog of surgery patients as soon as possible, and I guess there will be things to do later."


    Doctor Xu said to him.


    "OK!"


    Zhou Can walked to the auxiliary operating table inside, and Qiao Yu followed.


    He asked in a low voice, "Are you okay?"


    "It''s impossible to go back to the operating room if something happens."


    Zhou Can looked relaxed.


    "Hey, thank you for speaking for me yesterday. If Tian Tian hadn''t sent a private message to scold me, I wouldn''t even know you helped me."


    When she looked at Zhou Can, her eyes were watery.


    Is this moved to tears? Or is it the spring heart after being moved?


    Zhou Can spent so much effort to help her, but didn''t tell her.


    This kind of secret help, without expecting anything in return, moved her deeply.


    "I just told the truth, there is nothing to thank. But this woman Tian Tian, ??she made a mistake herself, how can she still have the face to scold you?" Zhou Can seldom hates a person in particular.


    I used to think that Dr. Lu was not pleasing.


    But compared with Tian Tian, ??Dr. Lu is considered a ''good man''.


    "Do the surgery first, and I''ll tell you when I have a chance."


    She avoided it like this, which shows that Tian Tian''s scolding words must be particularly unpleasant.


    ¡­


    I have been busy until after five o''clock in the afternoon, and then all the surgical patients in line have been processed.


    When it was time to change shifts, Dr. Cui, who was rarely on the night shift, came to take over.


    The entire emergency department operating room was disrupted.


    "Xiao Zhou, Doctor Lu, don''t leave after get off work, go to the office of the emergency department." Doctor Xu told them.


    Dr. Cui should have learned about what happened in the emergency department from some sources.


    He was a little worried and said, "That Tian Tian is really, it has dragged the entire emergency department. I heard that the quality control team has come, is there anything wrong?"


    "If there are no loopholes in Xiao Zhou''s answer, nothing will happen. Otherwise, it''s hard to say whether I can go to work tomorrow. If I can''t come, you young people must work harder and strive to be the top."


    Dr. Xu is already waiting for the crime. If something happens again, the hospital will definitely deal with it seriously.


    "Teacher, you don''t believe me!" Zhou Can smiled wryly.


    "No, no, no, I trust you very much. It''s just that you are still very young. Facing the medical department''s questioning, you are inexperienced and prone to mistakes. Even if there is something, I don''t blame you. With my surgical ability, I can live a good life in any hospital. I stayed in Tuya all these years. Firstly, I felt unwilling and dreamed that I could get up again one day. Secondly, I was trained by Tuya. Some hospital leaders It is very good to me, and I want to use my own strength to help Tuya Hospital improve the surgical capabilities and rescue level of the emergency department."


    Dr. Xu would never say these things in front of so many people.


    If he doesn''t say it now, he is worried that he won''t have a chance to say it again in the future.


    "Ah! It''s a pity that my ability is limited after all. Although the operating room of the emergency department has been improved, it is far from being strong. Originally, if Xiao Zhou did not have any accidents, it would only take three years at most. Once the training is over, the emergency department There will be one more high-level surgeon in the operating room."


    Dr. Xu spoke very highly of Zhou Can.


    It has high hopes.


    "I can grow from a surgical rookie who can''t even sew skin well to the present situation. You have cultivated me the most. I believe that you and Dr. Zhou will be fine. This matter was originally the surgical nurse Tian Tian. The hospital leadership must be able to clearly distinguish the responsibilities."


    Doctor Cui said with some emotion.


    People are most likely to reveal their true feelings when they are parting.


    If you hide the words in your heart, you are worried that if you don¡¯t say it, you will not have a chance to say it to the other party in the future.


    "Work hard, this is the best reward for me and Director Lou."


    Dr. Xu patted Dr. Cui on the shoulder and walked out of the operating room first.


    There were two nurses with red eye circles.


    The parting words of several doctors just now are really touching.


    He has the feelings and ambition to strengthen the emergency department, and he also has the care and support for the younger generation.


    This is a warm department.


    ¡­


    After Zhou Can changed his clothes, he came to the emergency office with Dr. Lu and Jin Mingxi.


    Director Lou and Deputy Director Han Changqing are both there.


    The atmosphere is a little depressing.


    "Everyone is here! Close the door of the office!"


    Director Lou''s eyes swept over everyone.


    "In the last month in our emergency department, the number of surgeries has increased by more than 900. This is a very gratifying result."


    Director Lou first summarized the results of this month.


    Zhou Can alone can complete 14-20 operations in one day. Jin Mingxi''s surgical ability is also good, and he can also perform more than a dozen first-level surgeries a day.


    Dr. Lu''s operation speed is slightly slower than Jin Mingxi''s, but not too slow.


    It is not surprising that the number of surgeries completed in one month has increased by more than 900.


    "Yesterday''s medical accident did not cause serious consequences. The fault was not with the doctor, but with the surgical nurse. Originally, the superior would not have made such a big move against our emergency department because of this incident."


    Director Lou had a look of helplessness on his face.


    "During the last morning meeting, Director Xie of the Department of Surgery was already dissatisfied with us for stealing the operation from the Department of Surgery. After all, he felt that the total revenue generated by the Department of Surgery had been reduced. I understand."


    An appendicitis resection operation, if the laparotomy is performed, is about 8,000. The price of laparoscopic surgery is more expensive, more than 12,000 yuan.


    Ordinary first-level surgery is a few hundred yuan lower and about two to three thousand yuan more expensive. The average price should not be less than 1500 yuan.


    If only more than a dozen surgical operations were robbed, the operating room would lose about 20,000 to 30,000 in revenue at most.


    This income, spread over the heads of multiple surgical departments, is a drop in the bucket.


    Now more than 900 units have been produced in a month than usual, which is really scary.


    The emergency department can increase revenue by at least two to three million yuan.


    Enough to cause surgical pink eye.


    In fact, it is still not a big deal if this income is evenly distributed to so many surgical departments.


    But for the emergency department, which has always been weak and shabby, it is definitely a rain of rain.


    Not only the doctors and nurses in the operating room and medical technology department can increase a lot of income. Moreover, the emergency department can also obtain some department development funds and obtain some medical resources.


    As long as you stick to it for one or two years, the emergency department will gradually become stronger, and there will be a leap-forward improvement.


    It has to be said that this is a good opportunity for the emergency department to get out of the predicament and break the deadlock.


    "Director Han, let''s talk to the big guy next!"


    Director Lou took a sip of water and stopped halfway through the speech.


    Even if the leader speaks behind closed doors, sometimes he must pay attention to the influence.


    When necessary, the second-in-command must be the vanguard, saying what the first-in-command cannot say.


    "Why did the medical quality control group do this to us? It''s simple. The leader of the medical quality control group, Zhong Hui, used to be an ordinary doctor in surgery. He has always been mediocre in medicine, but he has shown great talent in administrative management." Later, with the help of Director Xie and several surgical directors, he successfully became the leader of the quality control team step by step."


    It turns out that Zhong Hui and Director Xie still have this relationship.


    No wonder he would investigate a medical malpractice of any size so hard.


    "Surgical jealousy, we robbed some of its operations. After Director Lou cleverly resolved the last morning meeting, we must not be reconciled. But there is no way, they can only wait for the opportunity. This medical accident is considered to be given to them. An excuse against the emergency department operating room."


    Hospitals are by no means just one person''s word.


    Under the intricate personal network, everyone needs to abide by the rules.


    Each department will prioritize its own interests.


    This is the same no matter which hospital.


    Because it is related to the status and income of each department member.


    "Now it is basically certain that the surgical team asked Zhong Hui, the team leader, to thoroughly investigate this medical accident, in order to reduce the number of surgeries in our emergency department. The medical department has notified us to meet in the past, and we will go now. Tell you so much, just I hope everyone is mentally prepared."


    Deputy Director Han glanced over Zhou Can and the others.


    To put it bluntly, the in-depth benefit analysis just now was for young doctors like Zhou Can, Dr. Lu, and Jin Mingxi.


    "Director Han, let''s go together!"


    Director Lou looked at Deputy Director Han.


    "Me? This time I''m only notifying you and the doctor involved in the operating room. I don''t need to participate, do I?"


    "Our emergency operating room has made a lot of progress and development. Don''t you take this opportunity to fight for the emergency medical department?" Director Lou asked with a smile.


    "There are no such talents as Zhou Can and Jin Mingxi in the Department of Internal Medicine. No matter how many patients I grab, it''s useless. I can''t digest them." Deputy Director Han shook his head in distress.


    It is more difficult to train talents in internal medicine than in surgery.


    It is impossible for talented internal medicine talents to flow into the emergency department.


    Director Han wants to expand the emergency internal medicine department, but he is also powerless.


    "That''s right, that''s fine, you are in charge here. But don''t let anything happen." Director Lou took Dr. Xu, Zhou Can and others to the medical department.


    It turned out to be the small meeting room No. 2.


    It seems that every internal conversation is held here!


    Zhou Can couldn''t help but smile wryly, and he has become a regular visitor here.


    Not long after sitting down, Chief Xin from the medical department, Zhong Hui from the medical quality control team, and the female officer who took notes entered the meeting room one after another.


    Immediately afterwards, Vice President Ye appeared.


    The leaders of these hospitals cooperated quite tacitly.


    Today was originally Saturday, and many people in the administrative department did not go to work.


    Director Xie''s energy is really great.


    In order to reduce the number of surgeries in the emergency department, the quality control team leader was asked to work overtime.


    It is estimated that I was also worried that after two days, things have subsided. It''s not good to talk about it again. Only then did they strike while the iron was hot, and seized the opportunity to attack the emergency department.


    "I didn''t go to work today. I just came back from studying."


    After Vice President Ye greeted Director Lou and Section Chief Xin, he started talking directly.


    "The morning meeting on surgical safety was held last time. Your emergency operating room, this is giving me eye drops!"


    He didn''t slap the table, didn''t lose his temper, and just said to give him eye drops, which means that the problem is not serious.


    "Group leader Zhong, have you investigated everything?"


    Vice President Ye looked at Zhong Hui.


    "It has been found out. The cause of the accident in the operating room of the emergency department yesterday was that Tian Tian, ??the surgical nurse, chatted with others during the operation, neglected his duty, and mistook isoproterenol for an anesthetic when preparing superficial anesthetics." Tetracaine eventually led to dangerous symptoms such as increased wound bleeding, headache, chest pain, and shortness of breath.¡±


    Zhong Hui''s work is still very detailed.


    "This incident reflects that there are many omissions in the safety management of the operating room of the emergency department. The superior doctor failed to stop the chattering during the operation. Second, after investigation, there is a more serious problem. Xu Chen, the attending doctor in the operating room, privately asked Gui Peisheng Zhou Can to participate in the important steps of the secondary operation."


    This is a list of crimes for them.


    After hearing this, Vice President Ye glanced at Zhou Can in surprise.


    If I remember correctly, this young man named Zhou Can just became a Gui Pei doctor this year, right?


    It took more than a month of standardized training, UU Reading www. Can uukanshu.com complete the important steps of secondary surgery?


    He didn''t quite believe it.


    As for the first two crimes listed by Zhong Hui, they are minor problems, just give a few words of warning, and pay attention to it in the future.


    As the vice president of medical treatment, I also know that the emergency department is not easy.


    When you are a big leader, you are generally very tolerant of your employees. If the requirements are too harsh, it will only lead to alienation.


    Just guide it correctly.


    "Doctor Xu, you are basically in charge of the emergency operating room. During the operation, nurses and doctors are chatting, you have to take care of this, and you can''t let them go on like this in the future. Now, doctors still need to supervise properly, some nurses are very irresponsible. I will also report this matter to the Nursing Department and ask them to strengthen training for all nurses in the hospital and standardize operations.¡±


    Vice President Ye knew the situation of the emergency department very well.


    He even knew that Dr. Xu presided over the operating room.


    And the attitude towards Dr. Xu is quite polite.


    Zhong Hui, who was next to him, looked anxious for a while, and spent a lot of effort. He thought that the operating room of the emergency department would have to be called the third shock of the emergency department. Now that Vice President Ye''s attitude is so kind, how can we talk about the next thing!


    He came with a mission.


    If it can''t be finished, it''s hard for Director Xie to explain.


    "Please rest assured, I will strengthen management."


    Doctor Xu made a solemn statement.


    "Tell me, which important step did you let Zhou Can participate in the secondary operation?" Vice President Ye seemed more interested in this matter.


    "It''s nothing, just sewing a skin or something."


    Dr. Xu is an old man, and he will not let down his vigilance just because of Vice President Ye''s amiable attitude.


    Be extremely careful when speaking.

 Chapter 104： Make another move. The most helpless thing in the world is called perfection

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    "Group leader Zhong, how could it be as exaggerated as you said? They just sew skins."


    Vice President Ye looked at Zhong Hui.


    "Doctor Xu, please see if Zhou Can is sewing skin?"


    Zhong Hui showed Dr. Xu the pictures he took.


    "Oh¡ªyou''re talking about this. At that time, I was teaching Xiao Zhou how to cut the appendix. Is there any problem?" Dr. Xu looked calm and didn''t take it seriously at all.


    He is definitely a qualified veteran.


    It seems that I have never been afraid of anyone.


    Whether it is facing Director Xie or the team leader Zhong, Dr. Xu always looks rebellious and fearless.


    That is to say, only when the patient is in danger, he will show a nervous expression.


    "A Gui Peisheng asked him to operate the high-risk steps in the second-level surgery, and asked me what''s wrong? How did you become an attending doctor? Have you never studied the graded access system for surgery? Have you memorized the surgical safety regulations? ever?"


    Zhong Hui is indeed very talented as a leader.


    The ability to convict a hat is probably unmatched by anyone.


    "Group leader Zhong used to be a surgeon, right? If the superior doctor doesn''t allow you to do it, then he won''t allow you to touch it, and just let you stand by and watch. I''m afraid you won''t be able to do first-level surgery even if you retire. "


    Dr. Xu retorted coldly.


    Zhong Hui was so angry that his face turned green.


    It was because of his mediocre performance in medicine that he entered the administrative department.


    Dr. Xu was just giving an example casually.


    But it hit Team Leader Zhong''s sore spot.


    "New recruits must be cultivated vigorously. Dr. Xu''s boldness in cultivating new recruits is worthy of recognition. However, safety must be considered in the process of cultivating new recruits. When performing high-risk operations, one must follow the steps and not rush."


    Vice President Ye gave guidance.


    Although he said it tactfully, he basically told Dr. Xu that Zhou Can could not be allowed to participate in the high-risk part of the secondary surgery for the time being.


    "I will not let him operate the medium and high risk part of the secondary operation next time."


    Dr. Xu can only express his attitude in person.


    This matter was originally a sideshow, and Team Leader Zhong had brought it to the table for discussion, and Vice President Ye had also given guidance. If Dr. Xu doesn''t express his opinion, he will be ignorant.


    "That''s right, how nice it is!"


    Vice President Ye nodded in satisfaction.


    At this point in the conversation, the meeting can basically be adjourned.


    Team Leader Zhong''s goal has not been achieved, so he will not give up.


    "Dean Ye, there is one more thing to tell you. We recently discovered that the surgical satisfaction in the emergency department has plummeted. After in-depth investigation and understanding, we initially suspect that it is related to the large number of first-level surgeries performed by the two regular doctors in the emergency department. .They are still only trained doctors, with limited surgical ability and low level, and the quality of the completed surgery can be imagined."


    He really did his homework this time in order to help the surgery get back the surgery business.


    For the top tertiary hospitals in the province like Tuya, the quality of medical care is the lifeline, so the treatment is extremely strict.


    Satisfaction with surgery is low, and it is basically ignored in many small hospitals.


    There is no way to control it.


    If the salary of the surgeon is deducted, or the requirements are too harsh, they may directly quit.


    After all, it is difficult to train a doctor who can skillfully complete relevant operations, and the time span is also very long.


    This caused the surgeons in small hospitals to be quite nervous.


    It can only be offered as an ancestor.


    Even ophthalmologists and orthopedic surgeons in many small hospitals have an annual income of more than 300,000 yuan before tax.


    This income is already very high.


    The formal income of many chief physicians in county-level hospitals is only about 20,000 yuan.


    Famous doctors in individual departments are not listed here.


    Small hospitals have only one requirement for surgeons, no accidents. Large hospitals require postoperative recovery to meet high standards. For example, when suturing a patient''s face, it must be healed well without leaving ugly and ugly scars. Another example is the removal of the appendix, which must be solved thoroughly at one time. It is not possible to remove the appendix and cause individual problems for the patient.


    "Are there relevant statistics?"


    After hearing this, Vice President Ye frowned slightly and his face became serious.


    Tuya can become bigger and stronger, relying on word of mouth and the effect of famous doctors.


    The quality of surgery has seriously declined, which is a very serious problem.


    "have!"


    Team Leader Zhong gestured slightly to the female assistant next to him.


    She immediately took out several statistical reports that had been printed out earlier, and handed them to Vice President Ye respectfully.


    "This is the operation volume and follow-up survey of the operating room of the emergency department in the last three months. Please take a look."


    Vice President Ye checked it carefully after taking it, and compared the data of the last three months.


    "The number of surgeries has increased a lot, but the satisfaction has indeed dropped a lot!"


    After reading it, Vice President Ye handed the report to Director Lou.


    "I can see both Xiao Zhou''s and Jin Mingxi''s surgical abilities. They shouldn''t be!" Dr. Xu frowned, wondering.


    Although Jin Mingxi''s qualification for independent surgery has been suspended for a while, his surgical ability is quite good.


    The quality of the finish is also high.


    Not to mention Zhou Can, Dr. Xu even felt that the quality of surgery completed by Zhou Can could already be ranked among the top three in the operating room of the emergency department.


    "Dean Ye, I suggest that the surgical qualifications of Zhou Can and Jin Mingxi, two doctors trained in the emergency department, be suspended. It is required that the emergency department should no longer preempt surgeries that should be performed by specialist outpatient clinics. There are specialties in surgery, and the emergency department only Suitable for emergency surgery."


    Zhong Hui made so many preparations, and he did not hesitate to invite Vice President Ye here, in order to stop the emergency department from rushing for specialized outpatient surgeries.


    This matter is related to the development of the emergency department, Director Lou naturally cannot easily agree.


    It''s just that people have reasons and evidence, and if he wants to refute, he must find the right starting point.


    Talking nonsense is useless.


    After all, Dr. Xu was in charge of the specific affairs of the operating room, so he handed the report to Dr. Xu.


    "Old Xu, take a look."


    Dr. Xu took the report and checked it carefully. There were cases of surgeries performed on it, with clear numbers. What is the content of the operation and the prognosis of the patient are all clear at a glance.


    "I can''t remember the previous operations because the time span is too long. Take the last week as an example. Jin Mingxi and Zhou Can did not perform the dozens of operations with poor postoperative recovery. Jin Mingxi Hee has been hooking me up or watching the procedure for the last two weeks, and wasn''t involved in a significant part of the procedure."


    After Dr. Xu read the report, his mind was clear.


    "Group leader Zhong didn''t check. Who performed these low-scoring surgeries?"


    Stopping Zhou Can''s operation would be a great loss to the emergency department.


    "This... I really haven''t checked it. With such a low score, I can guess that it was done by a novice without checking." Zhong Hui felt a little uneasy.


    Because Dr. Xu was too determined.


    "Which doctors and nurses are involved in each operation, and how many parts of the operation have been completed by which doctor, can be found. While Director Ye is here, I sincerely suggest that people be thoroughly investigated. Our emergency department Punishment should be punished, and we will never cover up and condone."


    After exchanging glances with Dr. Xu, Director Lou made a public statement.


    These old foxes, they don''t have any certainty, so they don''t jump to conclusions so easily.


    "I have something to do later, just check the last few days."


    It''s almost six o''clock in the afternoon, and it''s time for dinner.


    With Vice President Ye''s level, the dinner party must be indispensable.


    There is a high probability that they are in a hurry to attend an important dinner.


    To find out the participants of an operation and the completion rate of each doctor in the operation, the medical department is the most authoritative.


    When the leader spoke, Chief Xin naturally had to say something.


    Two clerks from the medical department were called on the spot to help with the investigation.


    In less than ten minutes, it''s all done.


    It has to be said that the emergence of computers has provided great convenience for human work.


    Quick and efficient.


    "Mr. Xin, we have already checked everything out. This is the participating doctors and the specific proportion of operations completed by each doctor."


    After Xin Wanshan took it, he took a closer look.


    Suddenly his expression became weird.


    "Dean Ye, please take a look."


    After he handed the report to Dean Ye, he gave Zhong Hui a sympathetic look.


    As the chief of the medical affairs section, he naturally knew why Zhong Hui was jumping up and down.


    From the looks of it now, Zhong Hui might have been busy in vain.


    "Who is Lu Qingyuan?"


    Vice President Ye asked without raising his head.


    "A senior resident in our emergency operating room."


    "This person''s surgical skills must be strictly controlled. He performs almost all low-scoring surgeries. There is also a doctor named Lin Ping, whose surgical score is also not high, and he is better than that Lu Qingyuan."


    Vice President Ye looked serious.


    "Lin Ping is also a senior resident physician in our emergency operating room. In the future, I will strengthen the training of surgical skills and access to these two people, please rest assured."


    Doctor Xu''s face twitched.


    The talent team in the emergency department is really hard to describe.


    Most of them are cobblers kicked out by other departments. Some of them are really poor in talent, and some have problematic work attitudes.


    The emergency department is really hard.


    Fortunately, this year, we won the allocation of two general training students.


    It has to be said that the quality of General Practice Gui Peisheng is really high.


    The surgical scores of Zhou Can and Jin Mingxi actually surpassed those of the two senior residents.


    When Zhong Hui heard the result, he was surprised but still unwilling to give up.


    "How about Zhou Can and Jin Mingxi''s surgery scores?"


    After he finished asking, he gave the female assistant next to him a blank stare.


    Blame her for not being meticulous in her work, for not finding out in advance who performed those low-scoring surgeries.


    Made it very passive now.


    "Basically, the scores of the surgeries that Jin Mingxi participated in were above 8.5. Zhou Can''s scores... er, none of them seem to be lower than 9.5." Vice President Ye seemed shocked by this result.


    "See for yourself!"


    He handed the report to Zhong Hui.


    After taking the report and checking it for a few times, Zhong Hui''s eyes widened, with an incredible expression on his face.


    "This, this...impossible! It''s too exaggerated!"


    He really didn''t expect the two Gui Peisheng''s surgery scores to be so high.


    Especially that Zhou Can, this score is higher than the average attending.


    Proper emergency operating room elite.


    "Group leader Zhong, now the facts have been clarified. Jin Mingxi and Zhou Can performed well in the operation. The surgery you mentioned has a specialization. I personally think it has a certain color and prejudice. The emergency department The talent team is crude, and we should try our best to help it develop instead of hindering its progress. Our Tuya Hospital''s various departments basically rely on a large number of regular trainees to share the work, so that it can operate normally."


    This is not only true of Tuya Hospital.


    Almost all major hospitals are similar.


    Gui Peisheng only needs to be paid a basic salary. Belongs to cheap labor.


    But they do a lot of work.


    The operation of many departments, operating rooms, and medical technology departments would be unimaginable if there were no trained doctors. You let attending and chief physicians in their 40s, 50s and 60s work night shifts? 24 hours a day?


    Can they handle it?


    Tuya Hospital basically needs to start doing projects as long as they are promoted to above the attending department, and the requirements are at least above the provincial level. A high-level dissertation is also required. At least core journal-level papers.


    An attending doctor who wants to be rated as an associate senior professional title within five years does not have three to five medical papers at the core journal level, has not done a decent research project, and is not even qualified for the upper review.


    Not to mention that doctors above the attending level also have the task of teaching.


    If there is no Ji Peisheng to share their worries, they will probably die suddenly from exhaustion.


    Vice President Ye''s words actually meant criticism.


    It even pointed out Zhong Hui''s careful thoughts.


    Zhong Hui''s face was flushed with shame, and he lowered his head, not daring to criticize the emergency department anymore.


    "Your emergency department must strictly control the quality of surgery and medical safety. The emergency department is equivalent to a portal of Tuya Hospital. You are not required to deal with high-tech cases, but ordinary cases must be handled by me. The rate of patient rescue must be strictly controlled. Pay close attention. In the future, I will observe the scoring of emergency department operations, if there is no change, then you can only significantly reduce your operation volume."


    Vice President Ye typed a few words to the emergency department.


    Not too harsh.


    Both Director Lou and Dr. Xu expressed their opinions on the spot, and they will definitely implement them.


    Zhou Can thought to himself that the happy days of Dr. Lu and Dr. Lin are over. This time it is very likely that the two operations will be stopped directly.


    These are two senior residents!


    It can be considered a veteran.


    It seems that if you want to do well in the hospital, you must have a good surgery, academic achievements, or strong administrative management skills. If there are none of the above three points, it is hard to say whether I can survive until retirement.


    "Who is Zhou Can?"


    Vice President Ye looked at Zhou Can and Jin Mingxi.


    "I am!"


    Zhou Can quickly stood up to show respect.


    This is the leader of the school, not to mention him, even Director Lou dare not neglect him.


    "The young man''s surgery was done beautifully, and his performance was particularly excellent. I hope to continue to maintain it. Although the emergency department is not as good as other departments, I want to tell you that the fragrance of plum blossoms comes from the bitter cold. As long as you can settle down and keep your feet on the ground in the emergency department, I believe you can will be worse than anyone."


    Vice President Ye''s words were a special encouragement to him.


    It was only in the training stage, but the surgery was already done so beautifully.


    In the future at least he will be the director Okay, the meeting is over! "


    Vice President Ye raised his wrist to glance at the time, then hurried away with his purse between his hands.


    Director Lou and Dr. Xu looked at each other and smiled.


    This crisis is completely over.


    The emergency department withstood Director Xie''s two rounds of attacks, and the momentum of the operating room''s development has been unstoppable. As long as he doesn''t kill himself, the operating room of the emergency department will definitely grow step by step.


    Group leader Zhong was like a defeated rooster, a little downcast.


    He is really suffering.


    He racked his brains and made a lot of accusations, thinking that he would be able to suppress Gui Peisheng, the most evil person in the emergency department.


    Who would have thought that it would be self-defeating, because the investigation work was not meticulous enough, it actually helped Zhou Can.


    This made Zhou Can''s reputation even louder.


    The most helpless thing in the world is this.


    After Director Xie knew the result of this matter, he might wish to slap him to death. Tell him to deal with the emergency department and suppress Zhou Can, but the matter failed, and it made Zhou Can''s position more stable.


    It left an excellent impression on Vice President Ye''s heart, and it would be extremely difficult to suppress Zhou Can in the future.


    The female assistant looked at the group of people in the emergency department with a gloomy look.


    When his eyes fell on Zhou Can''s face, he was curious, but more helpless.


    She understood that Zhou Can was the core person in this matter.


    Group leader Zhong listed Zhou Can''s crimes over and over again, but in the end they were all defeated by Zhou Can''s hard power.


    A Gui Peisheng can actually make Director Xie feel a headache, make Team Leader Zhong helpless, and even get personal encouragement from Vice President Ye. If this person can keep up this momentum, he might be included in Tuya''s wall of famous doctors in less than ten years.

 Chapter 105： The ceremony of honoring guests is more than just holding a scalpel

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    Director Lou took them back to the emergency department. Along the way, the smile on Director Lou''s face never stopped.


    The atmosphere feels like New Years Eve.


    Only Dr. Lu kept his head drooping and remained silent.


    In the conference room, he deeply realized what it means to lose someone to death.


    When the team leader Clock publicly criticized the severe decline in the quality of surgeries performed in the emergency department, many surgeries had extremely low scores. Doctor Lu didn''t take it seriously at all.


    I really thought it was done by Zhou Can and Jin Mingxi, two newcomers.


    As a result, after a thorough investigation, Zhou Can performed so many surgeries, and the score of each surgeries was as high as 9.5 points or more. Jin Mingxi was a little bit close, but he still scored more than 8.5 points, which is considered excellent.


    He never expected that he and Dr. Lin''s surgery scores would be so low.


    Especially him, who was named and criticized by Vice President Ye at that time.


    Dr. Lu really wanted to get under the table.


    "Old Xu, you did a good job today! Director Xie is also a person with a reputation. I don''t think the emergency department will compete for specialist outpatient surgery in a short time. But it also reminds us that it is time to be ruthless. Let¡¯s focus on the quality of medical care.¡±


    No matter how ambitious Director Lou was, he had no one under his command, so he could only be patient and wait.


    After recruiting Zhou Can and Jin Mingxi this time, it unexpectedly opened up a little bit of situation in the surgery business.


    Moreover, in the face of Director Xie''s suppression twice, the emergency department stood firm.


    This made Director Lou realize that talents are the core development foundation of the department.


    It also made him secretly determined to deal ruthlessly with some people who were fooling around.


    If any department or enterprise wants to be strong, it must have a brutal competition mechanism.


    Otherwise, a large number of old fritters with mediocre business capabilities will occupy the pits, and that department will never be strong.


    Dr. Xu turned his head to look at the sluggish Dr. Lu.


    "Dr. Lu still has talent, and he has become a lot more diligent recently. I believe that after he recognizes his own level, he will know his shame and be brave, practice his surgical skills hard, and correct his surgical attitude."


    This is already a good word for Dr. Lu.


    "Yes, yes, yes, I will definitely work harder, please give me another chance, Director Lou."


    What Dr. Lu reveals is full of desire to survive.


    He has realized that Director Lou may have the idea of ??eliminating him.


    Although Dr. Xu is usually strict, he doesn''t show any sympathy when scolding others. But the mouth of the knife, the heart of tofu. His doctors and nurses are extremely tolerant.


    Director Lou is different.


    Playing the role of the helm of the emergency department, you must be ruthless when you should.


    Just like Tian Tian got into trouble yesterday, no matter how pitiful she pretended to be, Director Lou would never have any thoughts of sympathy.


    He should be punished as he should.


    "Xiao Lu, you can be regarded as an old man in the emergency department. I will not beat around the bush when I say something, just say it straight. In fact, I have given you countless opportunities, but you have never cherished them. You promised well, It¡¯s the same thing when you do it. This time should be your last chance, and I sincerely hope that you can become a qualified surgeon.¡±


    Director Lou said this in front of Zhou Can and Jin Mingxi.


    While warning Dr. Lu, he also intended to beat the two newcomers.


    Zhou Can has long seen the cruelty of the workplace.


    The heart is very calm.


    He has been working hard and has never slacked off, so he is not afraid of competition.


    At present, his position in the emergency department is becoming more and more stable. The competition, on the contrary, allowed him to stand out.


    ¡­


    After get off work, he walked out of the emergency building with Jin Mingxi.


    "It''s meal time, let''s go to the cafeteria to solve the problem of food and clothing!"


    Jin Mingxi smiled.


    "Look at you smiling so happily, I''m afraid Dr. Xu will restore your qualification for independent surgery tomorrow!"


    Zhou Can joked.


    There are only a few people in the operating room of the emergency department, and Dr. Lu''s surgery score is so low, he will definitely be stopped.


    In consideration of the interests of the emergency department, Jin Mingxi''s independent surgery qualification will be restored in all likelihood.


    "Hey, you guessed it all, amazing! I''ll add a chicken leg to you tonight!"


    Jin Mingxi is in a very good mood.


    He was almost depressed after he suspended his qualification for independent surgery for more than two weeks.


    Now that things have turned around, can he be unhappy?


    "You can have chicken legs, remember first, and invite me tomorrow. A recovered patient invited me to his house for dinner tonight, so I won''t accompany you."


    Zhou Can is extremely honest.


    Mr. Cui made an appointment with him a few days in advance, and we will go to Mr. Cui''s house for dinner tonight.


    If I got off work early, I should have rushed there around five o''clock.


    There was some delay today, but I hope Mr. Cui and his wife didn''t have to wait too long.


    "You still have such a good thing, why can''t I meet it? Go, go, bring me something delicious!"


    Jin Mingxi looked envious.


    He felt that Zhou Can was really lucky.


    Good things often happen.


    It''s just that he didn''t think about it, Zhou Can''s dinner was really not easy. At that time, I risked losing the qualifications for the regular training exam and saved people, so I got it.


    Good intentions are rewarded, which should refer to this.


    The most indispensable thing at the entrance of the hospital is a taxi. Even during rush hour, those smart taxi drivers still come to pick up passengers.


    Zhou Can stopped one casually and got in.


    "Master, go to Jiangxin Garden!"


    "Hey, it''s a well-known wealthy area, and the security work is very strict! Foreign vehicles can''t get in without the guidance of the owner of the island."


    The taxi driver looked at Zhou Can, looking like a rich man.


    But he was also a little uncertain.


    Because those who can live in Jiangxin Garden are either rich or expensive, and they are all rich with a net worth of at least several hundred million.


    In this city, benefiting from the soaring housing prices, many original residents of the city have earned two or three apartments during the demolition boom, plus a large amount of various compensation and resettlement expenses.


    Tens of millions of millionaires, just grab a handful.


    But there are very few rich people with a net worth of more than 100 million.


    "It''s okay, just walk me to the door."


    Zhou Can didn''t care.


    The security of Jiangxin Garden is very strict, he has also heard of it.


    This time I took the opportunity to get a taste of the lifestyle of the super rich.


    After the car started, he checked that the time was close to six o''clock, and decided to call Mr. Cui first.


    I heard that the rich have very regular schedules.


    According to the theory of Chinese medicine, dinner should be finished around five o''clock, and then no food should be eaten until the next morning.


    There is an even more exaggerated one, which is called not eating after noon.


    Stop eating after noon until the next day. It is said that doing so is beneficial to the cardiovascular system, but there is a lack of real survey data. Whether it is true or not, no one is sure.


    According to Zhou Can''s understanding, many rich people will choose to have dinner around 4:30 pm when they don''t need to talk about business, and then read a book quietly, or enjoy life.


    The phone rang twice and was connected.


    Generally speaking, people who can answer the phone within three rings each time are very honest and courteous people.


    "Doctor Zhou, are you off work?"


    "Brother Cui, I''m really sorry today, because something went wrong in the operating room, and the meeting has not ended until now. I was on my way to your residence, and the taxi driver told me that Jiangxin Garden cannot be entered without the owner''s guidance."


    "I''ll pick you up at the gate of the community, do you remember what I look like?"


    Mr. Cui smiled.


    "Of course I remember, otherwise I wouldn''t dare to go to your house for dinner!"


    Zhou Can didn''t have any psychological pressure to face this kind of rich man with a net worth of over 100 million.


    On the one hand, he has some family background, on the other hand, Mr. Cui is very kind and has no airs.


    If he really had airs, he wouldn''t have gone yet.


    "Haha, Doctor Zhou is funny! I''m wearing a cooking apron, and I''m waiting for you at the gate of the community." Mr. Cui should be cooking at the moment.


    Picking up people in an apron is really special.


    It shows that this Mr. Cui is a bohemian person who can ignore the worldly vision.


    At the same time, it also explained that treating Zhou Can as a true friend is why he is so casual.


    Otherwise, a person with a head and a face like him will definitely pay attention to his image when he goes out.


    "I won''t be there for at least half an hour, so I''ll call you when I get there!" Zhou Can didn''t dare ask someone to stand at the door and wait for him for a long time.


    "It''s okay, I''m very happy that you can come. The ingredients have been prepared here, and my wife is cooking. I happened to go over early to say hello to the security guard. It will be convenient for you to come to visit again in the future."


    Mr. Cui is really enthusiastic about him.


    After 36 minutes, Zhou Can finally arrived at Jiangxin Garden.


    At the entrance stands a landscape stone more than two meters high, engraved with the four characters of Jiangxin Garden.


    In other respects, nothing special.


    It is an asphalt road leading to the small island in the heart of the river, and humanoid trails are built on both sides of the road.


    Zhou Can paid the fare and got out of the car.


    Mr. Cui, who was wearing a dark apron, walked over quickly from the security booth.


    At this time, a black Audi stopped in front of the railing of the entrance.


    "Mr. Cui, is this picking up a friend?"


    A woman in her forties stuck her head out of the car window and greeted Mr. Cui with a smile.


    Judging by her attire, it is quite classy.


    The smell is also pretty good.


    "Yes, yes! This is a distinguished guest that I managed to invite." Mr. Cui respected Zhou Can very much in words.


    "Hello!"


    The woman greeted Zhou Can with a smile.


    "good!"


    Zhou Can nodded politely in response.


    "I''m leaving first, I have to go back and cook for Mrs. Huang!"


    The woman smiled and waved her hands, then drove into the community.


    "This is a nanny hired by my neighbor next door. There is only one old man living alone in my neighbor, and the children are very busy with work, so I hired a nanny to take care of them."


    Mr. Cui introduced the identity of the woman to Zhou Can.


    Zhou Can''s eyeballs almost fell out.


    My god!


    Drives an Audi, dresses more upscale than ordinary white-collar workers, and is just a nanny.


    This really refreshed Zhou Can''s cognition.


    "Hehe, don''t be surprised. Those who can work as a nanny in this high-end community have a monthly salary of at least 30,000, and a yearly salary of 13. But the recruitment requirements are also very high." Mr. Cui explained his doubts with a smile.


    "Hey, 30,000 a month is higher than the salary of most of the attending physicians in our hospital. I really learned a lot today."


    The attending physician of Tuya Hospital generally earns around 20,000 yuan.


    Who would have thought that the salary of a nanny would be so high.


    No wonder people drive Audis and wear high-end clothes.


    "Haha, doctors don''t want to make money. And the doctors with high income are all associate senior doctors. As far as I know, there are deputy chief physicians with an annual income of more than 1.2 million in large hospitals in southern coastal cities."


    Mr. Cui laughed heartily.


    Don''t look at the keyboard warriors on the Internet, each of them has an annual income of tens of millions, but the overall income level of China, even in the top three first-tier cities, a monthly income of more than 50,000 is already considered a high income.


    The real level of the general public is generally a monthly salary of several thousand yuan.


    In some impoverished areas and remote mountainous areas, the per capita annual income is even only a few hundred yuan.


    The doctor industry is a stable growth type.


    After being evaluated as a deputy senior professional title, the income will be nearly double that of the attending doctor.


    Mr. Cui led Zhou Can into the security booth.


    "This is my friend, please help him enter the access control."


    There are two security guards in the guard box.


    They all have straight waists, steady bodies, and sharp eyes.


    There is a faint shadow of a soldier on his body.


    Probably veterans or something.


    "Mr. Zhou Can, please point the camera at the camera to collect facial data and iris data. To be on the safe side, if you agree, you can press your palm on it to leave fingerprint data."


    The security guard guided Zhou Can to enter the facial recognition information.


    This kind of high-end residential area generally does not need an access control card, but swipes the face and iris, and if it cannot be verified, fingerprint recognition can also be used.


    The fact that the security guards can accurately call out his name shows that Mr. Cui has already communicated with the security guards.


    "It''s recorded! In the future, when Mr. Zhou enters the Jiangxin Garden Community, just let the camera shine on your face."


    The security guard beckoned to him.


    "Thanks!"


    Zhou Can felt that there was no need to record it. But Mr. Cui was very kind, and it was really hard for him to refuse.


    If you have time in the future, it would be nice to visit more often.


    He didn''t have many friends. A high-quality friend like Mr. Cui is worth spending some time and energy to maintain.


    "Mr. Cui has been waiting for you here for nearly half an hour, and we have never seen him attach so much importance to any guest. Presumably you and him must be good friends who Wangnian made?"


    The security guard was particularly curious about Zhou Can''s identity.


    He really can''t think of too many reasons why Mr. Cui attaches so much importance to such a young man.


    "Hehe, brother Cui is indeed destined for me."


    Zhou Can did not deny this.


    Especially knowing that Mr. Cui had been waiting for him here for more than half an hour, he felt that this friend was worth making.


    Many things can be seen in the details.


    Mr. Cui''s sincerity to him is all reflected in various details.


    "I didn''t drive here, it''s not far anyway, let''s walk there together!"


    "OK!"


    Zhou Can secretly guessed that Mr. Cui made such an arrangement because he wanted to have a few more conversations with him on the road.


    The two walked and chatted along the way, the island had beautiful scenery, the waves were blowing, and exquisite villas were lined up on the island, and they could see their own private gardens.


    Many are well maintained.


    Some villas may even have in-ground swimming pools.


    Rich people are really a kind of extreme enjoyment.


    The two chatted along the way. At the beginning, both of them deliberately avoided touching some private topics.


    The more we talked, the more speculative we became, and gradually we talked about family, life and so on.


    "The front is my home."


    Mr. Cui pointed to the house number on the doorpost.


    "You just need to remember the number 9. If you can''t remember it, just look at the dragon in front of my garage."


    Zhou Can looked up, and saw a long golden dragon lying on the pavilion at the entrance of the villa.


    Domineering, mighty, but also very flamboyant.


    "This is not in line with Brother Cui''s personality! My sister-in-law seems to be a very low-key person, why do you want to get such a flamboyant golden dragon?" Zhou Can only dared to say such things after chatting with him for so long and getting familiar with him. .


    Otherwise, you must say nice compliments instead of saying that this dragon looks very flamboyant.


    "When my son was born, I was still young and had some small achievements in business. I bought this villa that year. When I was happy, I got carried away and asked someone to make this golden dragon. Later, I was a little older. , and his personality is no longer so flamboyant. But after my son went abroad, he rarely came back. When I see this dragon, I can think of my son. So I have never been willing to change it."


    Mr. Cui introduced the ins and outs of this golden dragon.


    Zhou Can quite understands him.


    Although he doesn''t have a son yet, he has also experienced the parting of his family.


    His parents are in a distant county, and he is studying in the provincial capital. It is difficult to go home once a year. Only he can understand how he misses his parents.


    Sometimes, when I feel homesick and miss my loved ones, holding some gifts with special meaning can alleviate the longing in my heart to some extent.


    "Qin, I brought Dr. Zhou here."


    Mr. Cui shouted into the house.


    Hearing the sound, a luxurious woman wearing an apron walked out of the house quickly. It was Yin Qin who had met once.


    "Doctor Zhou, come in quickly!"


    Yin Qin really went up to the hall and down to the kitchen, dignified and grand.


    A model of women.


    "You don''t need to take off your shoes, just come in!"


    The couple warmly welcomed Zhou Can into the house, allowing Zhou Can to experience the hospitality of a guest of honor.


    The first thing you enter is an oversized empty living room.


    The decoration inside is based on classical and Chinese themes.


    Jiadian is also Chinese mahogany furniture.


    Chairs, armchairs, six-page screens, long eucalyptus, and Eight Immortals tables are all high-end old furniture that can only be seen in costume dramas.


    "Doctor Zhou, how do you feel about the interior decoration? You can tell that the golden dragon outside is too flamboyant, which shows that your aesthetics is very tasteful. I want to hear your opinion."


    Mr. Cui obviously spent a lot of effort on the decoration of the house.


    Yin Qin made tea for Zhou Can.


    "Doctor Zhou, please drink tea!"


    The Sancai cup with a strong retro flavor is actually used. The tea leaves inside exude a refreshing fragrance, which must be rare and high-grade tea.


    "OK, thanks!"


    Zhou Can took the tea with both hands and put it on the coffee table.


    He looked around the overall decoration style of the living room twice.


    Yin Qin didn''t rush to the kitchen, wiped her hands on the apron, with a smile on her face, and wanted to hear what kind of evaluation Zhou Can could give.


    "Brother Cui, sister-in-law, I don''t know much about aesthetics, so don''t mind if I''m wrong."


    "I don''t mind or don''t mind, I just want to hear your truth. My friends in the business field, don''t expect them to tell the truth, just keep boasting."


    Mr. Cui waved his hand and said.


    "Brother Cui, you always say that the decoration lacks taste, but you can''t find the reason. He is really asking for advice!"


    Yin Qin explained a few sentences in a timely manner.


    "Then I''ll be presumptuous. When the whole living room just walked in, what I felt was not classical elegance, but luxury and extravagance. You see, this floor tile is beautiful, but its modern atmosphere is too strong, and then there is that A large crystal lamp, which reflects each other with the floor tiles, gives people a sense of magnificence. But look at the furniture placed, the calligraphy and paintings on the wall, the retro window spirits, and the large pillars with withered dragons and phoenixes. Strong classic atmosphere."


    "The combination of the two is more like a hodgepodge."


    Zhou Can gave some insights of his own.


    He has learned many specialties since he was a child, such as piano, chess, calligraphy and painting, and is proficient in almost everything.


    In terms of general aesthetics, he can still comment on a few words.


    "Go on."


    Mr. Cui''s expression was very funny, showing nervousness, but also like a student listening carefully.


    "Judging from these old-fashioned furniture, as well as the decoration style of the walls and pillars, I feel that you seem to want to create a classic, grand, and luxurious atmosphere."


    As soon as Zhou Can finished speaking, Mr. Cui nodded repeatedly.


    "Yes, yes, you have spoken my heart. Dr. Zhou is indeed a master."


    Mr. Cui had no hope at all.


    Until Zhou Can went through a series of comments and even expressed his thoughts, he couldn''t help but think highly of Zhou Can''s aesthetics.


    A little more expectation.


    Yin Qin also looked at Zhou Can in surprise.


    She did not expect that this young man not only has noble medical ethics, but also has a very high level of aesthetics.


    "Brother Cui really wants to create such an environment, I''m afraid he will have to undergo major surgery on the decoration. The floor tiles need to be paved with retro blue bricks, and the magnificent crystal lamp has to be replacedFor example, replace it with a classic one. The Eight Scenery Lanterns. And those withered carvings have to be changed into low-luxury withered decorations. Dragons and phoenixes will look too deliberate and vulgar if they are used too much. Maybe engraving flowers and plants will add a bit of scholarly atmosphere and elegance."


    In ancient times, everything was inferior, only reading was superior.


    It is not how much money you have that embodies the dignity of a person, but fame, talent and education, and official rank.


    "If I want to sum it up, let me just say two words! You should be refined but not beautiful, you should be novel and elegant, and you should not be delicate and romantic."


    After Zhou Can commented, he gave a concluding comment.


    Clap clap!


    There was a clap of hands outside the door.


    A man in his forties with a stubble beard and very ordinary clothes.


    It''s just a pair of well-washed dark sweatpants, plus a white vest with a singlet.


    Hair is messy and long.


    What is revealed in the eyes is the unique confusion of Fei Qing.


    People who can enter Mr. Cui''s house at will are definitely not ordinary people.


    "Mr. Li!"


    Both Mr. Cui and his wife were very friendly and enthusiastic towards this man. The two sides are clearly familiar.


    "My house is out of soy sauce. I came to ask your house to borrow some soy sauce. I didn''t expect to hear this young man''s wonderful comment. I was so surprised. Before I entered the door, I thought it was Brother Cui who invited a master in his 60s and 70s." High-level figures came to design and decorate."


    Mr. Li highly praised Zhou Can''s comment just now.


    When looking at Zhou Can, apart from curiosity, it is more of appreciation.


    That kind of appreciation of bosom friend with piano and bosom friend with wine.


    More like like-minded people.


    "You flatter me!"


    Zhou Can didn''t know the identity of the other party, and he didn''t dare to talk nonsense, so he just said something modestly.

 Chapter 106： The infatuated man, the story of Li Lao and his wife

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    "This is my neighbor, Mr. Li Luo. A very infatuated and dedicated man." Mr. Cui hurriedly introduced them. "This is Mr. Zhou Can, who works in Tuya Hospital and has high medical ethics."


    When Mr. Cui introduced the two to each other, it was very interesting.


    Everyone introduced an advantage, and it was about character.


    Perhaps at their level, the first thing they value when dealing with people is character.


    Show the character and strengths of both parties, and it is up to them to decide how to communicate next.


    "Mr. Li is good!"


    Zhou Can did not despise the other party just because the other party was not well dressed and had a bad image.


    On the contrary, after hearing that the other party was an infatuated and single-minded man, he had a little admiration for this Mr. Li.


    These days, there are not many men who can be infatuated, but it is hard to find a man who is infatuated and dedicated at the same time.


    A woman''s upper body is a temptation, and her lower body is a trap.


    The upper body of a man is self-cultivation, and the lower body is instinct.


    There are too few men who don''t care.


    This has nothing to do with character, it is purely driven by instinct.


    "I know a little bit about you. I heard that you risked losing your qualifications for the training exam and resolutely chose to save Brother Cui first. People who can make unfavorable choices in the face of important interests are true gentlemen. "


    Mr. Li looked shabby, but what he said pointed directly to his heart, and he had very profound insights.


    This made Zhou Can a little more curious about him.


    What is the background of this Mr. Li?


    "I just listened to your comments on the decoration of this house. I admire it from the bottom of my heart. Only people who really understand aesthetics can speak so brilliantly. Brother Cui also asked me before, although I also pointed out the floor, The crystal lamp does not match the overall style, which makes people feel very inconsistent. But it is not as original as your opinion."


    In words, Mr. Li highly praised Zhou Can''s aesthetic ability.


    "Doctor Zhou''s comments are really that good?"


    Mr. Cui''s words were obviously asking Mr. Li Luo.


    "It''s not good, but it''s very good. His aesthetic level is better than that of several master teachers I have seen. His comments just now can not only gain insight into the atmosphere you want to create in your heart, but also integrate into his understanding of classical art. His unique insights. If Big Brother Cui changes according to his plan, and even invites him to participate in some detailed design, it will definitely give your living room a real ancient charm in the end."


    Mr. Li praised him so much, which made Zhou Can feel a little embarrassed.


    In fact, he just gave a more pertinent suggestion based on his understanding of beauty and classical art.


    "It can make Mr. Li so highly praised, and full of confidence. The solutions proposed by Dr. Zhou, I think they are worth a try. Dr. Zhou, can I ask you a ruthless request with the cheek?"


    Mr. Cui looked at Zhou Can.


    "you say!"


    Zhou Can did not agree easily.


    He needs to hear whether it can be done and what he needs to pay before he considers whether to agree.


    "I want to redecorate the living room according to the plan you just mentioned. Could you please give me some pointers, and it would be best to help draw a construction drawing."


    "That''s easy to say. In two or three days, I can finish the drawings. It''s just ugly words first. If the decoration doesn''t suit Brother Cui and sister-in-law, you can''t blame me."


    For Zhou Can, this is just a trivial matter.


    Take some time and get it done.


    "How can I blame you! It''s too late to be grateful!"


    Mr. Cui''s wife was the first to speak out.


    After Zhou Can finished commenting, she seemed to be moved. Now with Mr. Li''s affirmation, she is more sure that Zhou Can''s suggestions for improvement are correct.


    "Doctor Zhou agrees?"


    Mr. Cui didn''t even bother to express his position again.


    To him, the money for decoration is nothing at all.


    "No problem! I''ll send you the blueprint after it''s finished. It may take three to four days. The main reason is that I''m too busy with work, so I can only do it after get off work."


    Zhou Can needs to improve his medical skills too much.


    Busy at work, still busy after work.


    "Haha, three or four days is no problem at all, so it''s settled!"


    Seeing that Zhou Can agreed, Mr. Cui was very happy.


    "I''m curious, why did Brother Cui decorate the living room in an ancient style?"


    Zhou Can really didn''t understand.


    Do rich people like to toss?


    "Isn''t our family running a foreign trade company? We often need to negotiate with some foreign businessmen. I found that the negotiation effect in the hotel is not good. If we can create a living room full of classical atmosphere at home, we can directly receive customers at home in the future. Negotiation. I believe that when foreign businessmen are in a classical environment, their willingness to cooperate will be stronger. At the same time, it can also show the strength and heritage of our company, and save a lot of expenses for renting conference rooms in business hotels.¡±


    "There are so many benefits, why not do it?"


    The thinking of a businessman always revolves around business.


    Mr. Cui''s whimsical idea is indeed feasible to a certain extent.


    "Since Brother Cui is going to be a place for business meetings, I will do my best to design it."


    Zhou Can readily agreed.


    At this time, a woman''s voice came from outside.


    "Li Luo, did you borrow the soy sauce?"


    "My wife is here!"


    Mr. Li immediately ran out.


    "I met a very unique young man just now, so I chatted a little more."


    He is explaining to his wife.


    Zhou Can followed the sound and looked outside.


    I saw a gentle-looking woman sitting in a wheelchair.


    Li Luo was pushing the wheelchair, looking at the woman lovingly.


    It turned out that his wife was ill and unable to walk normally, so she needed a wheelchair to travel.


    No wonder he ran out immediately when he heard his wife''s voice just now.


    Seeing him so nervous, his wife must be deeply affectionate.


    Zhou Can has never been in a relationship, and he is ignorant, curious and full of longing for love. He has seen the "beautiful" appearance of love in the hospital. There is a 23-year-old boy who has been guarding his severely burned girlfriend.


    Girls'' families are very poor, as are boys.


    Then some public welfare platforms and media launched fundraising for girls, and finally succeeded in raising a large sum of money. Even if it is not enough to support the later stage of plastic surgery, at least the early treatment is enough.


    Zhou Can often saw the boy guarding the girl''s hospital bed.


    When interviewed by media reporters, the boy said forcefully that he would treat the girl well and marry her when she was discharged from the hospital.


    Then, during the rounds one morning, Zhou Can found the girl curled up on the bed and crying.


    After asking several nurses on duty, I realized that it was the boy who ran away with the money. The mobile phone has become an empty number and can no longer be contacted.


    That incident left a deep psychological shadow on Zhou Can.


    He is also wary of love.


    He was very afraid that one day he would meet a female liar who cheated money and feelings.


    At this moment, seeing Mr. Li and his wife are very affectionate, he seems to believe that love is beautiful again.


    "Qiu Jie, our family invited Dr. Zhou to dinner today. It hasn''t started yet. Just now, your husband and Dr. Zhou also had a good chat. If you don''t mind, you can make do with a meal at my house. Two more people, we can Livelier."


    Mr. Cui''s wife warmly extended an invitation to Mr. Li and his wife.


    "This...isn''t that good!" Qiu Jie, who was sitting in a wheelchair, glanced at the room, and her eyes fell on Zhou Can.


    "There''s nothing wrong with it. Don''t Lao Cui and I often go to your house to eat and drink? If you don''t agree, we''ll see you!" Mr. Cui''s wife said so,


    Li Luo and his wife no longer refuse.


    "Mrs. Li, hello!"


    Zhou Can took the initiative to say hello.


    "It must not be easy for Brother Cui to invite him to eat at home. My family seldom praises others. I think Dr. Zhou must be a very special and outstanding young man."


    She smiled and shook hands with Zhou Can.


    He praised Zhou Can even more.


    But when Zhou Can shook hands with her, he found that her hands were a little cold.


    This shows that her upper extremity blood supply is not very good.


    Her leg was not amputated.


    I don''t know what disease I''m suffering from?


    When meeting for the first time, Zhou Can naturally wouldn''t ask some questions that shouldn''t be asked.


    It was just out of a doctor''s instinct to be somewhat curious about her cause and condition.


    "Mrs. Li, don''t praise me! The love between Mr. Li and you is very enviable! It made me feel the beauty of love."


    "Heck! Listening to Dr. Zhou''s words, I guess you haven''t fallen in love yet." After she finished laughing, she sighed slightly. "Sometimes, love looks beautiful, but it may also bring pressure and burden to the other party. For example, if it weren''t for my illness, Li Luo would not have dropped all his careers and went home to guard me and take care of me. .¡±


    "Honey, why are you bringing this up again? Give up all your careers and stay by your side. I think this kind of life makes me feel at ease and comfortable. Compared with your career, it''s nothing at all. "


    Li Luo held his wife''s hand, a little bit reproachful, but also looked at her with some distress.


    "But... with your talent, if you don''t have to guard me, I believe you are already the president of Tianyu Interactive. Every time I see you sitting quietly by the window, I know you must be thinking about your career."


    She didn''t have any scruples about the presence of others, and spoke directly from her heart.


    In fact, these things should be a secret between their husband and wife.


    Now speaking in front of Mr. Cui, his wife and Zhou Can, it shows that this woman prefers to be frank and sincere in front of her friends.


    Will not play any tricks.


    "No matter what you say, I have already decided anyway, and I will stay by your side for the rest of my life, until I am old." He refused to talk about this matter again.


    The attitude is also very firm.


    From his tone and eyes, Zhou Can keenly caught a trace of guilt towards his wife.


    There must have been some stories between them.


    Li Luo might have become the president of Tianyu Interactive, which made Zhou Can finally understand why Mr. Cui and his wife attached so much importance to Li Luo''s opinion.


    Tianyu Interactive seems to be one of the best entertainment companies in the world.


    Many celebrities and singers are signed by Tianyu Interactive.


    In the entertainment industry, this company is definitely an industry benchmark.


    "Hehe, the two of you, show your affection in front of so many people, you must sincerely make us feel sour! The dishes will be ready soon, everyone please sit down!"


    Mr. Cui''s wife smiled and subtly eased the dispute between the two.


    "Yes, yes, let''s eat first! I''m just talking about the decoration of the living room, so I''m sorry!"


    Mr. Cui also greeted the guests with his wife.


    The restaurant is very spacious, and it is no problem to accommodate twenty people for dinner at the same time.


    The floor-to-ceiling curtains on the wall are opened to fully enjoy the beautiful view of the garden outside. Lawns, cobbled paths, some unnamed trees and flowers are dotted among them.


    They even built a rockery, flowing water, and fish ponds to create a mountain atmosphere of high mountains and flowing water.


    Mr. Cui and his wife have really high requirements for the quality of life.


    On the other side of the restaurant, there is a wine cabinet and a large cold drink refrigerator on the wall.


    The shelves of the wine cabinet are filled with all kinds of red wine and white wine.


    Some of the wine in the grid may have been drunk, and it was not replenished in time, so it was empty.


    "What kind of wine does Doctor Zhou like to drink? You are my honored guest and savior. I must entertain you with the best wine in the wine cellar." fine wine.


    Mr. Cui''s wine cellar must have a rich collection.


    "I''m not particular about wine, and I don''t know much about wine! Brother Cui and his sister-in-law can personally cook such a table of meals for me. This is the greatest sincerity. Your good wine should be reserved for guests who know wine. Don''t waste money! "


    Zhou Can''s words made several people smile.


    "Then let''s have a bottle of red wine with a certain age to add to the fun."


    He got up and walked to the wine cabinet, and took a bottle of red wine from the top shelf.


    Then open it with a bottle opener and pour half a glass for everyone.


    "Come to and have a toast for us to get together!" As the host, Mr. Cui took the lead in toasting.


    "It is fate that pushes us to the same table. Life is so beautiful. May our friendship be like this wine, which will become more and more mellow."


    Li Lao deserved to be an artist, and what he said was very gentle.


    "It''s my good fortune to meet four people among billions of people and have a drink at the same table."


    Zhou Can''s level is also not bad.


    "cheers!"


    The two women were more succinct, saying cheers in unison.


    The five of them clinked glasses together, and started chatting with each other while eating the delicious food on the table.


    Mr. Cui, his wife Yin Qin, and Li Luo are all very knowledgeable.


    Talking about many things can make Zhou Can feel refreshed.


    Especially chatting with Li Luo, as if it opened a window for him to see a different world. When the two chatted, they were very speculative, and they were a bit heroic.


    Li Luo''s wife is relatively quiet, only occasionally saying a few words, or echoing with a smile.


    She may need to sit in a wheelchair because her legs are disabled, and she has a lot of pressure in her heart.


    I feel that her heart is not cheerful and lacks happiness.


    Zhou Can seemed to understand why Li Luo stayed by his wife''s side.


    When a person is in a low mood, it is easy to do stupid things.


    While toasting, Zhou Can inadvertently caught a glimpse of two wound marks on her left wrist.


    Based on his diagnosis and treatment experience, the two scars did not occur at the same time.


    span at least half a year or more.


    Others didn''t understand the origin of those two marks, but Zhou Can deduced some.


    If you guessed right, it was the scar left when he cut his wrist and committed suicide.

 Chapter 107： A disease that even famous doctors cannot diagnose.

    My medical skills can add experience points Chapter 107 A disease that even famous doctors can''t diagnose.


    I don''t know what disease this woman named Qiu Jie has?


    What Zhou Can thinks is that if her leg disease can be cured, maybe it can help her regain her confidence and stop being pessimistic and world-weary.


    "Mr. Li..."


    "It''s so awkward to call Mr. Li, can''t you call me Brother Luo?" Under the stimulation of alcohol, Li Luo''s face was flushed, but his eyes were no longer so confused.


    Many people turn into lakes when they are drunk.


    Li Luo was the opposite, he became sober after drinking.


    This reminded Zhou Can of Li Bai''s "Everyone is Drunk and I am Alone". Li Bai often got drunk. The world only knew that he was a poet, but they didn''t know that he was a famous "drunkard".


    From many perspectives, Li Lao has many similarities with Li Bai.


    All of them are brilliant and talented.


    They all have their own depression and frustration in their hearts.


    Seems like he''s still addicted to alcohol.


    "Brother Luo, can I ask what happened to my sister-in-law''s legs? Our doctor has an occupational disease. When we shook hands with her just now, I felt her hands were cold. This is a sign of poor blood flow in the upper limbs."


    Zhou Can asked this out of kindness.


    I just want to see if I have the ability to help her solve her leg problems and restore her confidence in life.


    "Oh! It''s all my fault to say it. A few years ago, my wife was pregnant with a child, and it was the time when I needed company most. At that time, my career was in full swing, and I became the youngest vice president of Tianyu Interactive. The team competes with two other vice presidents for the position of president. Of the other two vice presidents, one has strong network resources and financial support. The other vice president is a veteran of the company and has strong strength."


    "The strength of the two vice presidents is much stronger than mine. But I have a bad problem. The stronger the opponent, the more vigorous I am. At that time, I just wanted to beat the two vice presidents. On to the president."


    When Li Lao described the peak of his career that year, there was a gleam of light in his confused eyes.


    As his wife said, he actually had his career in mind.


    Every man has an ambition.


    Especially a talented person like Li Luo wants to make a great career in his own field.


    Now, he is with his wife every day, living a life that is almost secluded.


    It''s like putting a tiger in a cage.


    My heart must be yearning all the time to return to the mountains one day, climb high and scream, and regain the former glory, domineering, and blood.


    "During those days, I couldn''t stay with my wife, let alone take care of her. Even because I was too busy at work, too hard, and my time was out of order, I often turned upside down day and night. It was also a common thing not to answer her calls. Later , after my team and I worked hard, we finally defeated the two vice presidents, and the project I led won the first place."


    "But when my superiors talked to me and were about to appoint me as the successor president of the company, I received a call from the hospital. It was said that my wife had fainted at home, but no one found out. When it was sent to the hospital, the child had already miscarried. She Nearly died and ended up paralyzed from the lower limbs. At that moment, I realized that I had lost my most precious thing."


    When Li Luo said this, tears streamed down his face, he picked up a glass of wine and drank it down.


    Qiu Jie also bowed her head and sobbed.


    The price of losing a child and being paralyzed is too high.


    "I made a decision that day. Without her, what''s the point of me becoming the president? So I resigned resolutely and stayed with her in the hospital. During this period, she thought of committing suicide many times. My heart It is also full of endless remorse and self-blame. Fortunately, after being by her side for a few years, she never mentioned suicide again, and she has a little more enthusiasm for life."


    Li Luo took his wife''s hand and held it tightly.


    The scene is very touching.


    Zhou Can waited for the two of them to calm down, and continued to ask, "From the perspective of medical common sense, abortion should not cause paralysis of the lower limbs! Has she been checked in a big hospital?"


    Miscarriage can lead to bleeding, infection, etc., and may even leave some roots behind.


    For example, it is difficult to conceive a child again.


    But I haven''t heard of miscarriage directly causing paralysis.


    "Why didn''t I check it? I checked all the famous hospitals across the country. I have made appointments with various famous doctors and seen them, but they all said they were powerless."


    This time it was Qiu Jie who answered.


    She should have gotten over the pain of losing her child.


    What is tormenting her now is paralysis of the lower limbs.


    It is estimated that I want to heal my legs in my dreams.


    "Paralysis is usually caused by neurological problems. I don''t know what the diagnosis results of famous doctors are?"


    Zhou Can had already guessed that her illness must be very difficult to treat.


    Because the owner who can live in Jiangxin Garden must not be short of money.


    The major domestic hospitals are powerful, and there are many famous doctors in the neurological field. So many people have checked and said that there is nothing they can do. It is conceivable that the difficulty of treatment must be 3S. "


    "Blood routine, electrocardiogram, head CT, head MRI, transcranial Doppler, and carotid artery ultrasound...all the tests that can be done have been done. I even saw several old Chinese medicine practitioners. Their diagnostic results are also different. Some doctors think it is caused by a virus infection of the nerves during the miscarriage. Others think that the nerves in the cranium are damaged. Others think that the nerves in the lower back have been damaged or amputated."


    "It''s just that no doctor can give a definite diagnosis. I have taken medicine, injections, and all kinds of rehabilitation training, but nothing has worked."


    When she said this, her eyes were full of despair.


    What people fear most is to be full of hope again and again, and then to be disappointed again and again, and finally feel ashamed and completely desperate.


    "Can you show me the inspection data? There is no other meaning, just study it with a learning attitude. I will ask the teacher for advice at that time. If the exact cause of the disease can be found out, there is hope."


    Zhou Can is just a regular trainee, not arrogant enough to despise all famous doctors.


    He just wanted to help the patient''s new friends out of compassion.


    "Okay, I have it on my phone, just add a WeChat friend and send it to you." Li Luo agreed.


    But he didn''t have much hope for Zhou Can.


    Because so many famous doctors have seen him, and Zhou Can is so young, even the doctors of Tuya Hospital are at most better than the doctors of some city and county hospitals.


    There is definitely no way to compare with those famous doctors in related fields.


    He stores all kinds of examination data on his mobile phone, so that it is convenient for the doctor to see at any time.


    In fact, it is not necessary to print the film for the film taken in the hospital.


    In order to reduce the burden on patients, some hospitals have taken the lead in trying to allow patients to print independently.


    If the patient has no special needs, he can choose not to print the film. The films taken during the examination will be directly uploaded to the hospital''s patient archives in the medical examination room.


    The doctor who consulted directly enters the patient''s name, and it can be called out for viewing.


    This alone can save patients at least one million yuan a year.


    After Zhou Can received the inspection reports from Li Luo, he checked them carefully one by one.


    After reading it again, I didn''t find much.


    Think about it too, so many famous doctors have seen it, but they haven''t been able to clarify the cause. He can find out the problem after reading it once. It''s not a genius, but a god.


    "My level is limited, and I haven''t been able to find out the cause. Tomorrow, I''ll ask my teacher for help."


    Zhou Can put away his phone.


    "Thanks!"


    Li Luo raised his glass to toast him.


    The two hit each other.


    Li Luo wanted to pour wine into the glass, but his wife refused to let him drink.


    "Stop drinking, you''ve already had a lot of drinks today."


    she advised.


    "I''m so happy! I met Zhou Can, a new friend, and in many ways, we have common cognition and understanding in the same direction. We really hit it off."


    He was obviously a little drunk.


    A hand was placed on Zhou Can''s shoulder.


    "Zhou Can, I''m very glad to meet you. My wife won''t let me drink today, and I''ll drink with you another day."


    His words made Mr. Cui and his wife laugh secretly.


    Henpecked men are actually cute sometimes.


    After three rounds of wine and five flavors of food, several people are almost finished eating.


    Zhou Can got up to say goodbye.


    "Zhou Can, let me take you back!"


    "Don''t drink and drive. I can''t let you break the law. Just take a taxi by yourself. Thank you Cui Ge and sister-in-law for their hospitality. Goodbye."


    Zhou Can didn''t drink much wine, like three or four glasses.


    "Brother Luo, Qiu Jie, goodbye!"


    "Come and play with us if you have time, we live next door to Brother Cui. We are at home every day." Qiu Jie said to him.


    At this moment, Li Luo was so drunk that he staggered a little.


    Just waved and smirked at Zhou Can.


    "Will do!"


    When Zhou Can walked out of the villa, Mr. Cui chased after him and wanted to see him off.


    "Brother Cui, please stay!"


    "Then you should pay attention to safety on the road! When you arrive at the place, report that you are safe."


    Mr. Cui raised his phone.


    He was a little worried mainly because he saw Zhou Can drinking.


    "good!"


    Zhou Can''s mind is actually very clear, and his actions are not affected.


    He used the car-hailing software and called a car.


    When he walked out of the Jiangxin Garden community, the online car-hailing car was already waiting for him at the door.


    Modern science and technology are highly developed, and all aspects have brought great convenience to people''s lives.


    ¡­


    Back at the apartment, Zhou really brought back some food for Jin Mingxi.


    "A king crab, a small half box of caviar, and some ham."


    At that time, he thought the ham tasted very good, so he put some in the disposable food box.


    "Wow, are you going to a five-star hotel for a big meal? King crab, caviar, my God, these are the top ingredients that only rich people can enjoy."


    When Jin Mingxi smelled the fragrance, he didn''t care about practicing the basic skills of ''stabilizing the knife''.


    Jumping out of bed, I can''t wait to taste the food.


    "This ham looks unattractive. I bet it is definitely not simple. Someone once invited me to eat the top ham in China, but both the aroma and taste were much worse than this. Could this be a legend? The Yin Billi ham in the middle, right? Tsk tsk, I think the person who treats you to dinner is not only very rich, but also treats you with the highest standard."


    Jin Mingxi enjoyed it.


    He was even more curious about the person who invited Zhou Can to dinner.


    Ordinary rich people simply cannot afford such expensive top-grade ingredients.


    Only wealthy families dare to have a meal once in a while.


    "Eat yours, why so much nonsense!"


    Zhou Can rolled his eyes. As a rich second generation, he knows a little about all kinds of food.


    Mr. Cui received him with a high standard, how could he not know?


    To make friends, apart from fate, the rest is sincerity.


    Intersect with each other, and when the benefits are exhausted, they will disperse. Intersect with potential, and when the potential goes away, it will fall. Only with heart-to-heart friendship can the friendship last forever.


    Zhou Can looked at the time, it was getting late.


    After taking a shower, he began to design the living room decoration for Mr. Cui on the computer.


    It was meant to be drawn on paper.


    After thinking about it, it might be better to use a computer to draw.


    It also saves another trip to send drawings to Mr. Cui.


    ¡­


    The next day, when he went to work in the hospital, he was still thinking about what happened to Qiu Jie?


    But still no idea.


    He decided to ask Dr. Xu to have a look.


    As the three famous surgeons in surgery, he was once a first-level chief physician, so he must not only do a good job in surgery. The diagnostic ability will not be weak. His knowledge and experience surpassed Zhou Can''s many times.


    After seeing it, Doctor Xu shook his head.


    "The patient''s blood potassium data, intravenous pyelography, and electrocardiogram are all normal. Then this patient''s lesion is probably in the nerve, but you also know that the nerve is not like a blood vessel. Unless you find obvious signs of compression, atrophy, and necrosis." Otherwise, it would be very difficult to detect the symptoms with modern technology. I am not professional in this area, if this patient is your relative or a good friend, you can have the cheek to ask Director Yin Hua of Shennei to take a look."


    Every famous doctor has his own strengths.


    Dr. Xu''s field of expertise is surgery and surgery. He knows very little about neurology, which is known as the most difficult.


    Maybe not better than Zhou Can.


    "Okay, I''ll find him after work later! Thank you teacher!"


    Zhou Can was not disappointed, this matter was originally for the purpose of learning.


    It''s best to find the lesion, but he can''t do anything if he can''t.


    ¡­


    In the emergency operating room, Dr. Lu arrived early.


    Unlike usual, there was a trace of heaviness on his face, and the faint sadness between his brows could not be concealed no matter what.


    "Sura Martial God"


    In the past, he may have been relying on his qualifications to suppress an excellent newcomer like Zhou Can.


    He even thought that he was very good at one time, and he was even planning to be promoted to attending this year.


    It wasn''t until yesterday that he really realized the status quo.


    It turned out that his surgical skills were so bad.


    It turned out that the two rookies who were underestimated by him had surpassed him in strength. Especially Zhou Can, who is so strong.


    You know, he saw Zhou Can complete many second-level surgeries by himself.


    Now what he has to consider is how not to be eliminated.


    Doctor Xu soon walked into the operating room with a blank expression.


    "Xiao Zhou and Jin Mingxi, each of you brought a nurse to perform the operation. Xiao Zhou, you also went to the meeting yesterday, and the qualification for second-level surgery can only be suspended. If you want to participate in the important part of the second-level surgery, I''m afraid you can only wait until you Let¡¯s talk about getting a medical license.¡±


    Doctor Xu said helplessly.


    Seeing that the development of the lover is restricted, the most sad thing is not Zhou Can, but Dr. Xu.


    Before obtaining a medical license, they were called doctors.


    After obtaining it, it is a doctor.


    The surgical tasks that can be participated in can also be upgraded by one level.


    "Teacher, it''s okay. I''ll do the first-level surgery well first, lay a solid foundation, and then do the second-level surgery after I get the certificate. It will definitely be more stable and better."


    For Zhou Can, there is an experience point system.


    If you don''t do second-level surgery, except for advanced medical skills, it is difficult to have the opportunity to earn experience points, and a few basic medical skills will not be greatly affected.


    He is just like Lime.


    The more the enemy poured cold water on him, the more he boiled.


    One year later, if all the basic medical skills are upgraded to the excellent level of attending, or even the level of the deputy director. At that time, he will be more than ten times stronger than now.


    Sooner or later, Director Xie will be given a big surprise.


    Dr. Xu nodded, "It''s best for you to think so! The saplings that grow in adversity will be stronger." Dr. Xu was afraid that he would be hit by this incident and have negative emotions in his mind.


    Thus affecting his enthusiasm for work.


    Now it seems that this apprentice is stronger than imagined.


    Mental quality far exceeds that of ordinary people.


    No bending, no bending, unyielding and tenacious progress.


    "Doctor Lu, you will be my assistant."


    "OK!"


    Dr. Lu did not have any dissatisfaction this time, and readily accepted.


    This is the change after acknowledging reality.


    If you don''t correct your mentality, there is really no chance.


    Qiao Yu and Li Shishi quickly walked into the operating room.


    If you want to have the right to speak, you still have to have strength!


    If Zhou Can hadn''t been so good at performing surgery, it would be impossible for Dr. Xu and Director Lou to help him win over Qiao Yu as his assistant.


    For the past two weeks, Qiao Yu was on the morning shift.


    Zhou Can just felt too happy.


    Being able to perform surgery with a most suitable and beautiful female nurse every day can make me feel happy all day long. Surgical efficiency is also leveraged.


    "Don''t worry, one day she will become an exclusive equipment nurse. Zhou Can believes that this day will not be too long, and it may not take three years."


    Qiao Yu walked quickly towards Zhou Can.


    Qiao Xiaoqian said, "Hi, your old partner is here again!"


    "Hehe, welcome!"


    Zhou Can responded with a smile.


    "It''s just a welcome, then I have to work hard. I hope you will be happy when I show up." She managed to get the morning shift for two weeks, and it was obvious that she was very happy.


    Yesterday, she found out that it was Zhou Can who helped her, and after getting the morning shift, she seemed to be closer to Zhou Can.


    Can''t tell.


    It is to look at Zhou Can''s eyes, the tone of his speech, and the scale of the content of his speech. Much more intimate than before.


    "Haha, I look forward to that day."


    In fact, Zhou Can was already very happy when he saw her appear.


    Jin Mingxi was also very happy today, with a smile on his face.


    Surgery began soon.


    Both Zhou Can and Jin Mingxi began to desperately perform surgery.


    He found that after Jin Mingxi was suspended for a while from independent surgery qualifications, his level not only did not decrease, but increased a lot.


    Practicing the "Basic Knife of Steady Knife" has already had a slight effect.


    During the operation, Jin Mingxi was obviously more stable than before.


    Look at Dr. Xu again.


    Dr. Lu put away all his pride and impetuosity, and in order to be able to stay, he even asked Dr. Xu for skin-sewing skills for the first time. This performance is really surprising.


    Zhou Can remembers that when he first came here, Dr. Lu still had seven dissatisfied and eight dissatisfied.


    He doesn''t look down on skin-sewing at all.


    ¡­


    The day of surgery went by very quickly.


    Zhou Can has a good assistant, coupled with the speed improvement brought about by practicing fast knife, he has performed a total of 24 first-level surgeries today.


    The previous record was broken.


    Jin Mingxi made a total of sixteen sets.


    Although he has eight fewer channels than Zhou Can, he performed very steadily today.


    The entire operation process was carried out without haste or slowness, and moved forward steadily.


    It seems that the scene of the competition between Dr. Xu and Director Hu Kan has reappeared.


    It''s just that now it''s replaced by two newcomers, Jin Mingxi and Zhou Can.


    They have a steady style and a fast style, and the final result of the competition will take ten or twenty years to know.


    After get off work, Zhou Can went straight to the Department of Neurology.


    He wanted to ask director Yin Hua to help him read Qiu Jie''s inspection report.


    Director Yin Hua''s expert account is limited every day, 800 yuan per account.


    There is a gap with the top expert number of 1200, but this is already very awesome.


    Director Yin is currently the chief physician with the highest medical achievements in the field of neurology in Tuya Hospital. The level of medical skills and diagnostic ability are also the trump cards of neurology.


    From this point, it can be seen that in today''s continuous subdivision of the medical field, Chinese doctors are on par with international developed countries.


    Many doctors have started to cultivate and study hard in a certain subdivided medical field.


    As long as you can reach a very high level in a certain subdivision, you can become the ace of a discipline.


    Status, income, and fame will all be guaranteed.


    At present, the top expert number in China is about 1,200 yuan. The specific pricing has a set of strict evaluation standards.


    Zhou Can even heard that there is a top expert account that requires a registration fee of 2,000 yuan.


    He hasn''t found a public hospital like Tuya yet.


    On Shennei''s side, the inpatients are already overcrowded.


    Zhou Can has practiced internal medicine and knows where the doctor''s office in Shennei is. But I don''t know Director Yin''s office.


    He decided to ask a nurse.


    "Hello, beauty! Can I ask where Director Yin Hua works?"


    The female nurse with small freckles looked up and slapped him in the face.


    "Are you a doctor in this hospital?"


    Zhou Can was depressed for a while.


    A total of three months of internship in internal medicine, although some departments only stayed for half a month, but this nurse sister actually forgot about him.


    Fortunately, when I went to work, I often greeted them.


    It is only now that I understand that if she is not a resident doctor or above, the girl is just a polite response. I''m not going to remember you at all.


    It''s not their fault, there are as many interns as dogs.


    Moreover, they have no status and low income, so nurse sisters don''t look down on them at all.


    If you get to the level of a resident doctor, you might be able to get into their eyes.


    If you are attending the first level, then they are guaranteed to be very active in remembering your appearance and name.


    "Gu Peisheng from the emergency department of this hospital."


    Zhou Can also came wearing a white coat on purpose. At this moment, you can only actively show your task card.


    Otherwise, the nurse girl will definitely answer him with official formulas.


    "He came from the emergency room! What can you do with Director Yin?" When she heard that she came from the emergency room, her tone immediately became much colder, and there was obvious slight contempt in her eyes.


    Tuya''s emergency department, under the fierce competition of the major departments, is really just a transit point.


    The strength is too weak.


    The status is so low that people want to cry.


    "I want to ask him about medical issues After hearing Zhou Can''s answer, the nurse girl''s eyes turned white.


    "That''s it... You should ask another doctor! I don''t know too well. But Director Yin is very busy, and I''m afraid I won''t see you even if I find him. If you have any medical questions, it''s best to consult your superior doctor."


    She politely refused.


    In my heart, I am afraid that Zhou Can has been regarded as a guy with a short-circuited brain.


    Why is Director Yin so nice?


    If all the regular trainees in the hospital, residents and attending doctors ask him for advice when they encounter problems, he may not be able to answer them even if he is not working.


    At this time, two young doctors walked quickly from there.


    Walking all the way, still chatting about something.


    From time to time someone took the initiative to say hello to one of them.


    "Hello, Doctor Gao!"


    "Doctor Gao is going to the inpatient department!"


    "Doctor Gao, you are so hardworking!"


    Those high-cold nurse girls, even the young doctor, took the initiative to say hello to him. It''s like being treated like a star.


    The nurse girl who was talking to Zhou Can was also smiling and waving at him.


    "Hi, Doctor Gao!"


    Zhou Can also enjoys this kind of treatment in the emergency department. He was a little curious, who is this doctor Gao? It is so popular in neurology.


    "Zhou, Doctor Zhou! Haha, I''m not mistaken, it''s really you!"


    The two looked at each other, Gao Jian''s face showed a happy smile of seeing an old friend.


    "Doctor Gao knows him?"


    It was only then that the nurse realized that the emergency department trainee she despised was not an easy one. +Bookmark+

 Chapter 108： Myoelectric attenuation, a breakthrough diagnosis

    My medical skills can add experience points Chapter 108 Myoelectric attenuation, a breakthrough diagnosis


    Because Dr. Gao, the youngest and promising doctor in the Department of Neurology, when he saw this emergency doctor, the expression on his face was not only surprise, but also respect.


    The hospital is also a small society. If you have a future or strength, others will respect you.


    On the contrary, it is the dust in the corner.


    Tuya Hospital has thousands of employees, most of whom are ordinary people.


    "I can tell you that Dr. Zhou is the most promising doctor in the emergency department. Getting along with him will only do you good, not bad." After Gao Jian finished speaking to the nurse, he looked at Zhou Can again.


    "Could Dr. Zhou come to see me? Haha! I''m a little narcissistic!"


    Although Gao Jian and Zhou Can are competitors, when they met, they were very enthusiastic.


    The nurse girl looked at Zhou Can again in surprise.


    There is no contempt in the eyes.


    There is a little flattering smile on his face.


    It''s a pity that Zhou Can didn''t look at her again.


    "I''m here to ask Director Yin some questions, do you know where he is?"


    "Director Yin is my teacher. Do you think I know where he is? Let''s go, I''ll take you there. The teacher mentioned you two days earlier. You are lucky today, the teacher happens to be working overtime today. Normally, on weekends, Director Yin does not go to work. There have been a lot of patients recently, and the teacher is worried that his expert account will be fired by scalpers, so he chooses to work overtime."


    At Director Yin''s level, many basic tasks no longer need to be undertaken.


    The main thing is to guide students, attend consultations, hold meetings and so on.


    If you are a chief surgeon, you will need to perform surgery in addition to attending consultations.


    From this point of view, physicians have a natural advantage in academics.


    Surgical attendings and above, basically half a day for consultation and half a day for surgery. There are also ward rounds, leading students, leading groups, leading projects... There is really not much time to study and recharge.


    Many people think that surgeons earn more than internal medicine.


    This is very one-sided.


    Surgeons can of course earn surgery fees and overtime wages through surgery. But physicians also get a lot of commission on medicines.


    In terms of hospitalization, internal medicine can crush surgery.


    A daily ICU of 10,000 to 20,000 is a gold-swallowing behemoth.


    Even so, many hospital leaders often scold the ICU as a money-losing department.


    Under the leadership of Gao Jian, Zhou Can went straight to the neurology clinic.


    There are still many patients sitting in the aisle outside.


    There are actually quite a lot of specialist clinics in Tuya.


    The cheapest expert number is 50 yuan, and the most expensive special-needs expert outpatient number is more than 1,000.


    This world is very strange. Not many people want cheap expert accounts. On the contrary, there are hundreds or thousands of expert accounts, many of which are instant.


    It''s a little better now, and I am required to register with my ID card.


    Scalpers have much less room to operate.


    In the past, there were no self-service registration machines, and when it was all manual operation, the better expert accounts were all monopolized by scalpers.


    If you want to see a doctor, you have to find them to buy.


    It doesn''t matter if you don''t buy it, there are plenty of patients who are willing to pay more.


    Because the patient can''t afford it.


    "Liu Yan, how many patients have Director Yin left?"


    Gao Jian asked the guiding nurse.


    The role of these nurses is to guide patients in line, maintain order, and call numbers.


    As long as patients hand over their medical records and registration slips to her, she will call their numbers one by one in order.


    This prevents someone from jumping in line.


    Patients and their families only need to sit on the benches in the corridor to rest and wait.


    "There are three patients in total."


    "OK!"


    Gao Jian nodded and looked at Zhou Can.


    "There are three more patients. You will have to wait for about half an hour. I have to go to work in the inpatient department, so I can''t accompany you."


    All the regular trainees in the junior college are very hard-working.


    Taking care of patients, writing medical records, working night shifts, and doing various chores...every day, I am so tired that I fall asleep when I touch the pillow.


    "Go do your work! Thanks!"


    Zhou Can waved to him.


    Fortunately, I met Gao Jian today, otherwise it would not be easy to find Director Yin.


    After watching Gao Jian leave, Zhou Can found an empty seat and sat down.


    He found that many patients came for consultation with various examination reports done in other hospitals. They couldn''t find out the cause at the local hospital, or the treatment didn''t work, so they went to Tuya Hospital for expert diagnosis.


    Zhou Can glanced casually, and the outpatient rooms inside were basically specialist outpatient rooms.


    In Director Yin Hua''s room, there is the sign of Special Needs Specialist Clinic No. 1.


    There are at least six or seven consultation rooms for such specialist outpatient clinics.


    Those who can afford the four characters of special needs experts usually have made great achievements in a certain subdivision field.


    Only after a rigorous review can they be qualified to add the word "special needs".


    Tuya''s strength is still quite strong.


    After all, there are already so many top experts in just a subdivision of neurology.


    Adding up all Tuya''s weighted departments, the number of top experts is probably more than one hundred.


    The lifelong wish of many doctors is to become a top expert.


    In fact, it is remarkable that three or four of a hundred doctors can become top experts.


    As long as Zhou Can keeps working like this, sooner or later, he will be able to sit in the outpatient room of a special needs expert and treat patients as a top expert.


    While waiting, he took out his mobile phone and looked at Qiu Jie''s inspection report again.


    One by one, look carefully.


    He even read some inspection reports no less than ten times.


    But there has never been much discovery.


    Nearly five o''clock, Director Yin finally finished the outpatient clinic.


    Zhou Can hurried to the door and knocked on it.


    When Yin Hua raised his head and saw Zhou Can, he couldn''t help but froze.


    "Xiao Zhou!"


    "Director Yin, you said last time that I can ask you anytime if I have any questions. I really have the cheek to bother you."


    Zhou Can walked in with a smile.


    "Welcome! Have you been waiting outside for a long time?"


    Director Yin''s attitude towards him is quite warm.


    Look at this expression, he sincerely welcomes Zhou Can to come to him for advice.


    "It didn''t take long, only about half an hour. But it''s really not easy to find you. I''m not familiar with neurology, so I asked around where you work. Fortunately, I met Gao Jian, who brought me here."


    Zhou Can didn''t look out at all.


    Walking over, picked up Director Yin Hua''s empty teacup, and offered to refill the water for him.


    A small move made him close the distance with Yin Hua in an instant.


    Usually only the students will refill the teacher''s teacup in time.


    This is a kind of respect.


    It also has the meaning of dedication.


    "Come to see me next time. I''m here for the outpatient clinic on the first, third, and fifth. During the day shift on the second and fourth, I''m mostly in the office of the inpatient department, or the minimally invasive operating room. You only need to go to these three places to find me. If you can¡¯t find it, just call me, do you have a number?¡±


    Being courteous still pays off.


    Director Yin Hua took the initiative to give him the phone number.


    This treatment is not available to everyone.


    "I don''t have your number, please give it to me and let me remember it?"


    Zhou Can took out his phone and got ready.


    Director Yin reported his private mobile phone number, and Zhou Can wrote it down. It will be much more convenient to contact you in the future.


    Famous doctors of their level, in order to reduce unnecessary troubles, generally would not give their mobile phone numbers to irrelevant people.


    "What questions do you want to ask? I will go to the inpatient department for rounds later, hurry up!"


    Director Yin is really very busy.


    When others seek medical treatment from him, they not only need to pay 800 yuan for the registration fee, but also have to wait in line.


    It was a great convenience for Zhou Can to be appreciated by him.


    "I met a patient who had been paralyzed for several years because of a miscarriage. But after visiting famous doctors, the cause was still not found. You are a top expert in neurology and have a lot of knowledge. I would like to ask you to help look."


    Zhou Can opened Qiu Jie''s inspection report, and then put the phone in front of Director Yin.


    "Here are some of her inspection reports."


    Director Yin clicked on it, and a strange expression appeared on his face.


    Zhou Can also noticed that Director Yin''s expression was different.


    "This patient came to see me three years ago. As soon as you said that she was paralyzed due to abortion, I guessed something. Because there are so few such patients, it is difficult for one case to occur in 100,000 cases of abortion."


    Thinking about it, Li Luo and his wife lived in this city, so how could they not go to Tuya to seek medical treatment?


    As long as he went to Tuya Hospital, Director Yin would definitely be consulted for such difficult neurological cases.


    Although he had diagnosed Qiu Jie three years ago, he still opened up the patient''s examination reports one by one for inspection.


    He watched very carefully.


    "The patient named Qiu Jie left a deep impression on me. She committed suicide the second day after she was admitted to the hospital. Fortunately, the nurse found it in time. Unexpectedly, three years later, she still failed to find out the cause."


    Director Yin sighed.


    Hospitals are actually quite afraid of the dead.


    Even if it is a normal death, it will increase the fatality rate in the hospital. Let alone this kind of suicidal patient.


    It will have a certain negative impact on the hospital, and it will bear the responsibility for inadequate management.


    "When I diagnosed this patient, she had just had a miscarriage. At that time, my diagnosis level was weaker than now, and my experience was also poor. Thinking about it now, I fell into a misunderstanding. I think she was in shock for too long, which caused The degree of damage is very large, coupled with complications such as co-infection, this caused natural paralysis."


    "When she was examined at the time, it was found that the muscle spindles were more sensitive to stretch reflexes than normal, especially the muscle tension of the flexors of the upper limbs and the extensors of the lower limbs was very high. The resistance was high at the beginning, and then the resistance dropped rapidly, and the cliff-like decline That kind. At that time, based on the subtle results of these examinations, I diagnosed her as a natural paralysis caused by the lesion plus infection complications. I thought there was no way to cure it."


    Three years have passed, and after re-checking the materials, Director Yin still has a clear memory of what happened back then.


    Doctors are like this. When encountering some difficult cases, it is easy to remember them for a lifetime.


    One is that difficult cases are rarely repeated, and the other is that the diagnosis process is exhausted, so the memory is particularly deep.


    "Then do you have any new discoveries now?"


    Zhou Can asked.


    In the past three years, Director Yin''s diagnosis level and experience have improved to a certain extent.


    Maybe there will be new discoveries.


    "There is still no major discovery. However, this inspection report from the Kyoto Medical College gave me some ideas. They conducted a myoelectric test on Qiu Jie''s female patient. We Tuya can also measure myoelectricity, but because of the equipment It¡¯s not that advanced, and the detection can¡¯t be as accurate as theirs. You see, the electromyography test, the conduction ability gradually decays from here. There is still a weak signal when it is transmitted to the root of the thigh. I think if the patient¡¯s lesion can be found, it will definitely be There is a turning point."


    Zhou Can can understand common problems of EMG.


    But it is difficult for him to see some places that are too advanced or require a combination of rich experience and medical knowledge.


    This is a bit like a picture, some people can see two faces, some people can see seven, or even more.


    According to the examination report and some clues of the patient''s symptoms, you can see the abnormalities that other doctors can''t find. This is the master, and this is the level.


    Zhou Can had a very high talent in diagnosis, and when Yin Hua reminded him, his eyes lightened slightly.


    "You mean, if the EMG signal can be transmitted to the root of the thigh, it means that the patient''s nerves are not completely necrotic. It''s just that the nerve signal is severely attenuated and cannot be transmitted to the more distal parts of the lower limbs. At the same time, because the nerve signal is transmitted to the root of the thigh, It''s already very weak, so there''s no possibility of a motor response."


    As long as the nerves are not dead, there is still a chance.


    Because nerve cells are the only non-renewable cells, once necrotic, it is difficult to cure.


    "clever!"


    Director Yin gave him a thumbs up.


    This kid''s talent and comprehension are indeed very high.


    Just one point.


    "The patient''s myoelectric signal attenuation is gradual, not cliff-like. According to my experience, it is not much different from the result of nerve necrosis. It is like an aging wire, UU reading it There is a serious problem with the conductivity of the wire. Unless you replace it with a new wire, there is no way to solve it."


    Director Yin shook his head and sighed.


    There is no cure for this patient.


    The lower extremity neurons are quite rich, and I am afraid that no doctor can replace it with a new one.


    Zhou Can, however, seemed to be dazed, frowning, staring blankly at the corner of the wall without speaking.


    Director Yin noticed that Zhou Can didn''t respond, and when he looked up, he couldn''t help laughing.


    This kid is quite the demeanor of his past.


    When delving into medical problems, I often plunge into it, approaching the point of obsession.


    Director Yin did not interrupt Zhou Can''s meditation.


    Instead, he lowered his head and continued to check the patient''s information to see if there were more discoveries.


    After more than ten minutes, Director Yin was going to make a ward round, and he was about to get up, leaving Zhou Can here to continue thinking.


    At this time, Zhou Can had a result.


    "That''s right, yes, that''s probably the case."


    He was chattering, his eyes were bright, and his face was excited.


    "You made a new discovery?"


    Director Yin has seen Zhou Can''s alternative diagnosis ideas, so he didn''t despise him just because he is Gui Peisheng.


    Speaking of which, Director Yin admired Zhou Can so much that he did not hesitate to open the door for him.


    It is also because of Zhou Can''s alternative diagnostic thinking.


    "I think this patient can still be cured. Her EMG signal will decay all the way. Do you think it has something to do with blood supply?" Zhou Can asked, obviously having made a major diagnosis.


    Why do paralyzed patients need to check the electrocardiogram?


    What was actually checked was blood supply. +Bookmark+

 Chapter 109： Director Yins excitement, being entrusted by others, a matter of loyalty

    My medical skills can add experience points Chapter 109 Director Yin''s excitement, entrusted by others, and loyalty


    The relationship between blood and body is equivalent to gasoline and cars.


    When a car leaves gasoline, it loses its source of power. When the body''s blood is not flowing, nutrients and oxygen cannot be supplied to the body''s cells.


    Paralysis is often accompanied by problems with the blood supply.


    For example, patients with half body paralysis will feel that the paralyzed side is particularly afraid of cold, poor blood flow, numbness and so on.


    "Her blood supply to her lower extremities has not been seriously affected!"


    Director Yin said affirmatively.


    So many famous doctors have seen it. If such a simple problem can''t be found, wouldn''t those famous doctors have lost their reputation?


    "No, no, I''m not referring to the blood supply of the lower limbs, but the blood supply of the upper limbs."


    Zhou Can''s eyes were firm, revealing a kind of excited light of finding the truth.


    "Is there a problem with the blood supply to the upper limbs?"


    Director Yin frowned. If he hadn''t seen Zhou Can''s ability, he would have scolded "You have to go to school for a few more years!", then turned his head and left.


    At this moment, he is maintaining great patience, and even has a little expectation.


    This difficult case was a case that he failed to solve three years ago, and today, three years later, he still cannot make a clear diagnosis.


    The more difficult it is, the more interested he is.


    Because at his level, cases of ordinary difficulty no longer challenge him.


    "Paralyzed patients will naturally have insufficient blood supply due to muscle atrophy, especially in the extremities. To be honest, I shook hands with the patient, and her hands were very cold, indicating that there must be a problem with the blood supply to her upper limbs. At that time, I also Just a little curious. After listening to your advice just now, I got some inspiration."


    "Since her electrocardiogram is not too abnormal, it means that the whole body''s blood supply should be relatively balanced. So I suspect that she is suffering from systemic blood supply insufficiency caused by motor neuron damage."


    Zhou Can boldly made a series of inferences and dialectics.


    "Well, there is indeed such a possibility. But it doesn''t mean anything. Paralyzed patients generally have this kind of blood supply that is weaker than normal."


    Director Yin Hua didn''t care much about Zhou Can''s discovery.


    It can even be said that I am a little disappointed.


    The blood supply to the whole body is weakened, which is just a common phenomenon that occurs in most paralyzed patients.


    In the words of traditional Chinese medicine, it is the profit and loss of blood and qi, and the deficiency of qi and weak blood.


    "I checked the cause of the patient''s miscarriage that year. The patient said that he first lifted a heavy object upstairs, then felt unwell. Finally, he fainted at home. But the diagnosis on admission showed a virus infection in the blood? Abnormal brain nerves?"


    Zhou Can clicked on a diagnosis sheet when she was first admitted to the hospital.


    This is a very original medical record.


    Back then, after she fainted, she was sent to the No. 3 City Hospital for treatment by the 120 ambulance according to the principle of nearest rescue.


    Paralysis of the lower limbs occurred after the miscarriage, and the third city hospital could not diagnose the cause, so the family members sent her to the provincial people''s hospital with higher medical standards. Later, the Provincial People''s Hospital also failed to find out the cause, and the patient was severely depressed.


    His family members transferred him to Tuya Hospital for further diagnosis and treatment.


    Many patients will have such an experience. They thought it was a minor illness, but it was ineffective after being treated in a general hospital.


    Three years ago, the reputation of the Provincial People''s Hospital was similar to that of Tuya, or even slightly better.


    Today, Tuya Hospital has left it behind.


    It has become the hospital with the highest medical level and diagnosis and treatment ability in the province.


    "Do you think the patient has symptoms of paralysis of the lower limbs before being admitted to the hospital?" Zhou Can made another extremely bold speculation.


    "It should be unlikely. Before admission, the receiving doctor will definitely do a series of examinations on her. The medical level and diagnosis and treatment capabilities of the Third City Hospital are not bad, and their medical quality control has always been extremely strict. If the patient was at that time If there is paralysis of the lower limbs, it will definitely be recorded in the admission records. But they clearly stated in the medical records that they were paralyzed after abortion.¡±


    Director Yin is well aware of the strength and medical style of various hospitals in the city.


    At his level, he should often be invited to major hospitals to participate in some exchanges, guidance or lectures.


    After contacting the doctors in those hospitals, I naturally had the opportunity to learn about that hospital.


    "Could it be that when the patient was admitted to the hospital, the paralysis of the lower limbs was not obvious, so it was ignored? The 120 admission record stated that the pregnant woman fainted in the toilet at home."


    Zhou Can persevered in insisting on this determination.


    "That''s a possibility."


    Director Yin agreed with Zhou Can''s point of view this time.


    "It''s a pity that the Third City Hospital lacks high-level doctors who can support the pillars. It would be great if I could measure the myoelectricity for this patient at that time."


    If the EMG test was done when the pregnant woman was admitted to the hospital that year, it could provide a strong basis for the subsequent diagnosis.


    It has been more than three years now, and the meaning of doing the inspection that has not been done is very different.


    "Director Yin, please read these inspection reports again. These are the electromyography tests performed by Renhe Hospital in the Imperial City. I compared them with the electromyography reports of many normal people yesterday. Qiu Jie''s nerve conduction velocity is not Slow, but from the neck down, the strength of the EMG signal is constantly attenuating. Like climbing a hill, the closer to the lower limbs, the weaker the attenuation."


    "Then her evoked potential EMG test, as well as her motor unit count, were unremarkably abnormal."


    Director Yin had already discovered what Zhou Can said.


    "What do you want to say?"


    Director Yin didn''t know that he had provided so many evidences, what exactly was he trying to prove?


    Pathological diagnosis is extremely complicated, especially in this kind of difficult case, the difficulty of syndrome differentiation is even more frighteningly high.


    Check the profile everyone will read.


    To find a clue out of thousands of clues, and then sort them out, this is the level of diagnosis.


    "I think the patient''s cause is a problem with the source of motor neurons in the lower extremities. Her lesion is in the brain, and postpartum infection should only be an illusion of the cause."


    What Zhou Can is doing now is to turn the clouds to see the sun and find the real lesion.


    "It may be that there is a problem with the motor neuron hub in the brain, or it may be that there is a problem with the nerve center or the brainstem." Zhou Can further added.


    [Pathological diagnosis experience value +0.9.]


    Seeing the sudden increase in experience points, his heart beat faster for a while, and he was even more convinced that his diagnosis was correct.


    His diagnosis method, which is almost blind guessing, would not be recognized by senior residents who have undergone standardized training, let alone famous doctors.


    However, pathological diagnosis must sometimes dare to jump out of the shackles of the framework and not stick to the rules.


    One of the biggest shortcomings of Western medicine is that it is not flexible enough.


    It all speaks by checking the data.


    Even with the inspection data, there is still a question mark behind the diagnosis result.


    Why?


    Because I am afraid of being overthrown, afraid of being slapped in the face!


    Under China''s current medical system, what doctors are most afraid of is misdiagnosis and medical accidents. The question marks behind the diagnostic results reflect many real problems.


    In the final analysis, it is also a kind of lack of self-confidence in Western medicine.


    Looking at the old Chinese doctors in the past, there were very few ambiguous moments. Or it''s your illness that I can''t see, so please be smart. Either clearly identify the lesion, write down the pathology, and then prescribe a prescription.


    "Why only increased 0.9 diagnostic experience points?"


    This was the first time Zhou Can encountered such a situation.


    I have also encountered the situation of increasing 0.2 experience points before. That''s because the patient had multiple lesions at the same time, and he only diagnosed one.


    The experience value obtained this time is already very close to 1, and the difference of 0.1 is probably because the specific location of the lesion has not been clarified yet.


    Director Yin fell into deep thought after hearing Zhou Can''s diagnosis opinion.


    One minute passed, two minutes, three minutes...


    This time it was his turn to fall into a ''dementia'' like Zhou Can.


    In fact, many famous doctors have their characteristics.


    In order to overcome a certain disease, one can forget about eating and sleeping, even eating, going to the toilet, and even sleeping and dreaming, all thinking about diagnosis and treatment.


    After nearly six minutes, Director Yin followed Zhou Can''s diagnostic opinion and rearranged his thoughts.


    There was excitement in his eyes.


    That is the excitement and excitement that comes after a major breakthrough in diagnosis.


    "Xiao Zhou, the situation you mentioned is entirely possible. After repeated demonstrations, I think that the paralysis of this female patient is likely to be due to changes in the environment of the cranial cavity or compression of the cranial nerves. Hemangiomas, neuromas, and osteomas can basically be treated. exclude."


    After all, a lot of inspections have been done.


    There is a tumor in the brain, it must be found out.


    "If the patient is willing, you can ask her to come to the hospital to see me for another diagnosis. My opinion is to give her another head MRI examination. There is a high probability that the exact lesion can be found."


    Director Yin said to Zhou Can.


    If the patient is unwilling to trust Director Yin, or has no hope for Tuya Hospital and refuses to come, then there is nothing to do.


    "Okay, I''ll notify her now."


    "If she is willing to come, there is no need to register again. I will explain to the hospital then."


    Director Yin gave some convenience.


    You know, his special needs expert account is very difficult to get.


    800 yuan is a lot of money for ordinary people.


    "Okay, thank you! I missed you today, so go get busy!"


    Zhou Can got up to say goodbye.


    "Don''t say that. If you have any questions in the future, you can ask me for advice at any time. Today''s patient''s diagnosis has made a major breakthrough, and your contribution is no less than mine. Your talent in pathological diagnosis is really mine. I have only seen it in my life. It is no exaggeration to say that this kind of alternative diagnostic thinking that does not follow common sense is unique in the world.¡±


    Director Yin''s attitude towards Zhou Can became more and more polite.


    This kid is indeed a rare talent.


    "Xiao Zhou, if you are willing to come to our neurology department, I can come forward and transfer you here. Although the emergency department can train people, it is enough to stay there for three months. A lot of advanced medical knowledge is important in the emergency department. It is difficult to learn. Our human lifespan is very short, and it is difficult to work for more than fifty years."


    "The current field of medicine is becoming more and more subdivided. It is not easy to spend a lifetime studying and thoroughly studying a subject. A talent like you, in internal medicine, will definitely not have low achievements in the future. In addition, it is easier to improve your academic qualifications in internal medicine. Director Tan is a first-level professor, academician level, and you can choose his teaching subjects when you apply for the exam."


    Although he didn''t speak clearly, he basically hinted at Zhou Can.


    As long as they enter the internal medicine department, the matter of improving their academic qualifications is on them.


    The evaluation standards for first-level professors are extremely strict, and basically only academicians can meet them.


    I really didn''t expect Director Tan of Internal Medicine to be so awesome.


    However, in terms of academics, internal medicine is indeed easier to achieve.


    Director Yin now invites Zhou Can to develop in the Department of Neurology, and promises a lot of benefits, which is enough to show how much he values ??Zhou Can.


    "Thank you for putting yourself in my shoes and thinking so much for me. I''d better mix it up in the emergency department first." Zhou Can made up his mind at the beginning that he wanted to look like a normal person in the emergency department.


    Let those directors who did not choose him understand that academic qualifications are not the only ones.


    "Well, when you change your mind, you can come to me at any time. You can even go to Director Tan directly. He also appreciates you very much." Yin Hua nodded helplessly.


    If people don''t want to develop in internal medicine, he can''t help it.


    "By the way, have you chosen your regular training direction?"


    Even for general trainees, after being divided into departments, they still need to choose the direction of compensation.


    "I used to want to choose general surgery, but now it seems that I can only choose emergency medicine?"


    Zhou Can is also not very clear about the hospital''s arrangements for these general practitioners.


    Both he and Jin Mingxi were assigned to the emergency department, and they chose the direction of training, which he thought must be emergency.


    "It''s not bad to choose emergency department as the direction of regular training, and you can transfer to another department in the future. As for the general surgery you mentioned, I suggest not to consider it. The road is too narrow. The development prospect of general surgery is far inferior to that of neurosurgery and cardiothoracic surgery. As for internal medicine , and it is also the most promising for the development of neurology and cardiothoracic medicine.¡±


    Director Yin actually guided his choice of training direction, so much attention was paid to him, so he spent so much effort.


    "Thank you for giving me such thoughtful guidance. I am very touched."


    Zhou Can and Director Yin Hua didn''t even know each other.


    The first time they met each other, Yin Hua even scolded him in public. At that time, my impression of Zhou Can was also very bad.


    Later, with Zhou Can''s excellent performance and humility, Yin Hua''s impression of him gradually became better and better.


    ¡­


    After coming out of Shennei, Zhou Can called Li Luo directly.


    "Brother Luo, it''s me, yesterday..."


    "I know, Zhou Can! Do you want to come to my house today?"


    Li Luo chatted with him yesterday and hit it off very well.


    As soon as he opened his mouth, he directly invited Zhou Can to play.


    It is estimated that he is boring enough to be alone at home with his wife.


    "I won''t go today, I''m still in the regular training stage, and I need to practice my surgical skills! Alas, studying medicine is really hard!"


    Zhou Can sighed.


    "Haha, who told you to choose this line of work? Regret it!"


    Li Luo laughed.


    "It''s not too much to regret. After all, I like this job. Brother Luo, let me tell you something. Didn''t you send me the inspection materials of my sister-in-law yesterday? I asked a few teachers to read it today. , with a major diagnostic discovery. His opinion is that if you and your sister-in-law are willing, you can go to him again for a diagnosis, maybe a head MRI."


    Zhou Can didn''t dare to continue chatting with Li Lao.


    Instead, hurry up and talk about business.


    Otherwise, he will be able to talk about some topics of common interest later, and the chat will last for an hour.


    Zhou Can also likes to chat with him, and he can gain a lot of knowledge and learn a lot.


    It''s just that he still focuses on hard training in medical skills.


    Anyway, there will still be time to cook wine and talk together in the future.


    "Really wow! That''s great!"


    Li Luo was very excited when he heard the good news.


    Zhou Can even suspected that he jumped up happily like a child.


    "I know you are a sincere person. I just didn''t expect you to take my wife''s illness so seriously. Brother, don''t say too much, brother will keep this feeling in mind. Even if your sister-in-law goes to check up tomorrow, Still can''t find out the cause, I still thank you for your kindness."


    Li Luo, who almost became the president of Tianyu Interactive, has a strong ability to know people.


    Don''t look at him as a bit unrestrained, but his talent and ability are extremely strong.


    When dealing with people, I don''t like to play tricks.


    This can be felt when the two sides chat.


    When he chatted with Zhou Can, he never played tricks.


    "Hey, is Director Yin''s name Yin Hua?" Li Luo asked again as if remembering something.


    "Yes! It seems that you still remember him! When I showed him the information about my sister-in-law today, he was also very impressed with her. He said that he couldn''t find out the disease of my sister-in-law three years ago~www.novelhall.com ~I am very sorry."


    "It''s really him. I''ll take my wife to him tomorrow."


    Li Lao is extremely concerned about his wife''s illness.


    When he heard that there was a new discovery in the diagnosis, he was very happy.


    Although every time I seek medical treatment, I always go with hope, and finally return with disappointment.


    But as long as there is a glimmer of hope, he never gives up.


    indomitable.


    "Director Yin said yes, so you don''t need to register. It''s just that I think it''s better to register out of respect."


    Zhou Can has his own principles of life.


    He believed that Li Luo would not care about the 800 yuan registration fee.


    "It must be registered. I understand this. Brother, don''t worry. It''s just that Director Yin''s account is more difficult to get, and I''m afraid it will be cheaper for those vicious scalpers."


    Over the past few years, Li Luo often took his wife to seek medical advice.


    I am afraid that it is suffering from scalpers.


    So I hate scalpers very much.


    "There''s no need to buy an account from scalpers. Anyway, it''s already agreed, you just ask Director Yin to add an account." Zhou Can gave them an idea.


    He has a very sense of justice in his bones.


    Unless it is absolutely necessary, it will never encourage unhealthy trends.


    If patients do not buy numbers from scalpers, the profession of scalpers will naturally disappear.


    After the call, Zhou Can was very happy.


    Loyalty to friends entrusted, this is the show of credit. If there is no accident in this matter, there will be a good result soon.


    He also wanted to see, where exactly was Qiu Jie''s disease? What is the specific cause?


    I believe that after the examination tomorrow, Director Yin will be able to diagnose the specific cause. +Bookmark+

 Chapter 110： Cruel reality, break into the wine game

    My medical skills can add experience points Chapter 110 Cruel reality, breaking the drinking game


    The next day, it was almost five o''clock in the afternoon. Zhou Can had just left work and was sitting in the apartment practicing the basic skills of quick knife.


    The phone rang.


    It was Li Lao calling.


    Zhou Can was excited for a while, it seems that Director Yin''s diagnosis may have been confirmed.


    "Zhou Can, I took my wife to Director Yin for an examination today. The cause has been found out."


    "It''s a good thing. Why are you a little unhappy when you hear your tone?"


    He was not surprised to be able to find out the cause.


    Because he already started from the breakthrough of poor blood supply in the upper limbs yesterday, and after a series of dialectics, he finally confirmed that the focus of the disease was a problem with the nerve center with the highest possibility.


    "Swallowing the Starry Sky: Signing in to Become a God"


    After finding out the cause, only need symptomatic treatment.


    "After examination, Director Yin has confirmed that what my wife suffers from is a relatively rare local degeneration of the nerve center after being infected by a virus. He has prescribed some drugs for us, but he made it clear that there is currently no drug that can cure my wife. This disease. Taking medicine can only improve, and there will be certain side effects.¡±


    No wonder Li Luo couldn''t be happy.


    This time, the cause has been identified. But it still can''t be cured.


    [You have successfully diagnosed a super-difficult case, and you will be rewarded with 100 experience points for pathological diagnosis.]


    I didn''t expect the system to be so generous, and this rewarded him with 100 experience points.


    However, Qiu Jie''s cause is really difficult to diagnose.


    It can be regarded as a reward for him.


    "Is there no other way?"


    Zhou Can asked.


    He is just a regular trainee, and his education is not high. He knows very little about the treatment of this kind of neuropathy.


    According to his understanding, Qiu Jieying''s brain was partially damaged after brainstem lesions occurred, resulting in weakened motor nerve discharge signals. It''s not the crest nerves, peripheral nerves, etc. that have problems.


    Nervous system diseases are inherently difficult to treat.


    There is a problem with the nervous center, and the current medical technology in this area is still very immature. Whether it is medicine or surgery, the life center is regarded as a forbidden area, and almost no one dares to touch it.


    Director Yin is definitely the top existence in the province in the field of neurology.


    Even he said there was no other way, and it was probably useless to seek other famous doctors.


    "Oh! There are other ways, but the current technology is simply not up to it."


    Li Luo''s voice was full of helplessness.


    "No matter what, I would like to thank you very much this time. Director Yin knew that we are your friends. He not only gave us special care during the diagnosis and treatment, opened the door of convenience, but also said a few words on purpose. He told us, This time my wife''s illness can be diagnosed, and you have the greatest credit. It is you who differentiated the approximate location of the lesion, and only then can you find out the specific location and extent of the lesion in a targeted manner."


    Zhou Can was a little surprised by this.


    Unexpectedly, Director Yin would tell the patient and his family members about this.


    "Aren''t we friends? You''re welcome."


    Zhou Can is actually quite righteous.


    When a friend is in trouble, he usually helps out as much as he can.


    However, he is very cautious in making friends and never makes friends with questionable character. Those kind of wine and meat friends, fox friends and dog friends don''t even stick to any of them.


    As long as you can get into his eyes and become his friend, then he is a very reliable and righteous person.


    "You are right, we are friends. Thank you for treating us both sincerely and selflessly for us when you just made friends with us. It''s great to know you!"


    Li Luo was really moved.


    In the past, he was the vice president of Tianyu Interactive, and others helped him, probably just to curry favor with him.


    Now he is a decadent uncle, and many people avoid him.


    What can Zhou Can do to help them?


    Nothing is pictured.


    This friendship is also more precious.


    Li Luo is not a rookie who just came out of society.


    Zhou Can is just a training doctor, but he has a good friendship with a top expert like Director Yin, which shows that Zhou Can''s status in the hospital must not be low.


    Also, so many famous doctors failed to find out the specific cause of Qiu Jie''s cause. Zhou Can, a regular training doctor, can help Director Yin find out the cause of the disease. This is enough to prove that Zhou Can''s talent in medicine is extremely high, and he must have a bright future in the future.


    A young doctor with such a bright future has no pretensions when interacting with them, and treats them sincerely as friends.


    Where can I find such a good friend?


    "Okay, stop being flirtatious! You haven''t told me yet, what methods can cure my sister-in-law!"


    Zhou Can is more interested in curing diseases.


    The worst thing is being courteous.


    "Director Yin told us that if the foreign team that studies drugs for ALS can get enough financial support, it is possible to develop drugs that can treat this kind of degenerative neurological disease in the future. The second method, he said, is through It is also possible for my wife to be cured by surgery. But at present, whether domestic or foreign, no doctor dares to use a knife on the brain stem.¡±


    Both of these treatments are as far away as clouds in the sky.


    No wonder Li Luo felt so heavy.


    "Brother Luo, I think that as long as there is hope for this matter, it is a good thing. No one can say for sure about drug research. It may be developed at any time. In addition, although the operation is very difficult, as long as you find a doctor who can perform brainstem surgery , there is a chance. You must insist on massaging your sister-in-law''s lower limb muscles every day to prevent severe muscle atrophy."


    Zhou Can was not purely comforting the couple.


    Rather, it is possible.


    It''s hard to say when the drug will be developed.


    His own surgical skills, with the help of the experience point system, are advancing by leaps and bounds.


    Maybe in three to five years, you can reach a very high level.


    At that time, it was not impossible for him to perform the operation on Qiu Jie himself.


    After hanging up the phone, he worked harder to practice the basic skills of Kuai Dao.


    Jin Mingxi was fascinated by the old monk''s meditation, and practiced the basic skills of stabilizing the knife whenever he had time.


    ¡­


    The days passed like this day by day.


    In the blink of an eye, another month has passed.


    Zhou Can''s operation speed is getting faster and faster, and now he can complete more than 35 first-level operations every day.


    This speed is really too terrifying.


    It is more than double that of Jin Mingxi.


    His many medical skills and experience points have increased tremendously.


    Especially the medical techniques of suture, ligation, hemostasis, injection, and debridement.


    You can earn a lot every day.


    Other medical experience points can also be earned occasionally.


    So his medical skills have been steadily improving.


    It seems that only one level of surgery is not bad. It takes at least one or two hours to perform a second-level operation, and the morning shift is eight hours, and the number of operations is only three to five a day.


    How can there be a first-level operation as quickly as possible?


    He now completes a simple debridement and suture operation, which only takes about ten minutes.


    The stable completion of about 35 first-level surgeries per day has also greatly improved Zhou Can''s status in the emergency department.


    In the operating room, his status is currently second only to Dr. Cui.


    It is estimated that after a while, when his basic medical skills in multiple surgeries rise to the middle level, his actual status may surpass that of Dr. Cui.


    At present, there is no such thing as a crushing advantage.


    As for Dr. Lu, Dr. Lin, and Jin Mingxi, they were already far behind by Zhou Can.


    Jin Mingxi was a bit better. He had a solid foundation. After practicing the knife, he was able to perform a lot of operations safely, and he never got into trouble again.


    In addition, his surgical ability is excellent, and the amount he completes every day is not small, and his status has also risen very quickly.


    And he has one advantage over Zhou Can.


    He is a certified trainer, and he became a doctor as soon as he entered Tuya Hospital.


    Zhou Can has to complete one year of regular training before he can take the medical license exam. Now he is only a medical doctor, and the difference between the two is still quite large.


    In the past month or so, Dr. Lu has really started to put his life on the line.


    In order to be able to stay, it was like a different person.


    When working as an assistant to Dr. Xu, he became open-minded and eager to learn. Constantly improving the skills of basic surgical operations. His skin suturing and debridement skills improved quite quickly.


    As for other surgical abilities, Dr. Xu didn''t let him do it at all, so there was no way to test them.


    Finally, I would like to talk about Dr. Lin. This person has a good moral character and is very down-to-earth in his work. It''s a pity that his talent is dull. No matter how hard he studies, the improvement of his surgical ability is extremely slow.


    There is a high probability that it will be eliminated.


    Director Lou or Dr. Xu should have talked to him in private. In the past month or so, when Dr. Lin went to work, he was always preoccupied.


    Be extra careful when performing surgery.


    As a senior resident doctor, he even rushed to help the nurses clean up the operating room.


    Not long ago, Dr. Lu jokingly asked him why he went to work with two dark circles under his eyes every day, did he do something bad at night?


    He said with a wry smile that he practiced the basic surgical skills of suture and dissection every day after get off work.


    And practice until two or three o''clock in the middle of the night every day.


    This is really too hard.


    I can understand their anxiety, and the superiors have already talked to them, and it is clear that if there is no improvement, they will be eliminated. Anyone will feel anxious and work hard.


    There is also good news.


    After Li Luo''s wife underwent drug treatment, the symptoms of lower limb paralysis were greatly relieved. He was even able to walk two steps with a cane.


    The couple shared the good news with Zhou Can immediately.


    Their friendship with Zhou Can has also risen to the level of close friends.


    I often ask Zhou Can to go to their house to play.


    Zhou Can is very busy and has only been there twice.


    The first time was to go to Mr. Cui''s house to help solve the problems encountered in the decoration, and the second time was to give up the hospitality. Qiu Jie was able to stand up successfully, so he had to invite him, the biggest hero, to have a drink.


    There is no way, you can''t let people down.


    Zhou Can went.


    Moreover, he fought wine with Li Lao and returned drunk.


    On this day, Zhou Can was practicing two advanced medical skills of insertion and grasping in the apartment.


    The phone suddenly vibrated twice.


    He glanced at it and received a message from an unfamiliar number.


    It was already ten o''clock in the evening, and it was an unfamiliar number. He judged that it was more likely to be spam.


    However, he swiped open the screen and took a look.


    "Jiangnan Flavor Restaurant, Room 2018, help me"


    A few simple words, not even a punctuation mark at the end.


    Zhou Can realized that it was unusual.


    It was so late, if it was not in great danger, it would be impossible to ask him for help.


    This number seems somewhat familiar.


    But it is not stored in the address book.


    Explain that the person who asked him for help should have dealt with him.


    Suddenly, he thought of something.


    Open the call log to find it.


    Immediately found this texting number.


    Looking at the call time, he immediately knew who it was.


    Isn''t this the mobile phone number of that third-tier actress, Su Qianqian?


    Except for the last time she asked Zhou Can to help open the door late at night, she hasn''t bothered Zhou Can these days.


    "She asked me for help so late? The location is in the restaurant box."


    Zhou Can frowned.


    The relationship between the two is that of landlord and tenant.


    Zhou Can sympathizes with the weak and has justice in his chest. But it is definitely not a good person, a good old person.


    After hesitating for a moment, he finally decided to go.


    I took a taxi downstairs and went straight to the Jiangnan flavor restaurant.


    It''s not far, just beside the river.


    Ten minutes later, Zhou Can appeared in the lobby of the restaurant.


    "Welcome! Excuse me, sir, are you coming for an appointment or..."


    "Where is Box 2018? Someone called me over!"


    Naturally, Zhou Can would not be so stupid as to say that he came here to meddle in his own business.


    "It''s in a private room near the end of the corridor on the second floor, do you need me to take you there?"


    The business of this restaurant is so good, among other things, the enthusiastic service attitude can attract a large number of repeat customers.


    "I''ll just go there by myself, get busy!"


    Zhou Can went straight to the second floor.


    Room 2018 was easy to find, as it was at the end of the corridor.


    At this moment, the voice of persuading people to drink can still be heard from inside.


    It feels like there are at least a few people.


    Zhou Can was not polite either, since he came to save someone, he would not knock on the door politely.


    Open the box door directly and look inside.


    There were already a mess of cups and plates on the wine table, three men and two women, among them was Su Qianqian.


    Zhou Can didn''t know that man and the other woman at all.


    At this moment, Su Qianqian is already blush on both sides, and her human face is peachy, making her look even more charming.


    It appears she has been drinking quite a bit.


    The three men and one woman were still trying to persuade her to drink.


    Zhou Can can see the tricks of this kind of dinner at a glance. It was nothing more than aiming at Su Qianqian''s body.


    Many bosses or powerful figures with a certain status have taken a fancy to a female subordinate, and direct use of force will definitely not work. There is no way around the legal aspect.


    But what those people are looking for, naturally they have to rack their brains to get it.


    The most common way is this.


    Set up a drinking party, get the woman drunk, and then help the woman to open a room to rest.


    The box door was opened, and those people looked up at Zhou Can.


    It was found that Zhou Can was not wearing the waiter''s clothes. I thought he was a restaurant guest who went to the wrong door, so I didn''t care.


    Unexpectedly, Zhou Can walked towards them directly.


    "Who are you?"


    The middle-aged man with a bumpy face and a pockmarked face, with a fat head and big ears, was dressed like a dog, and wore green water ghosts on his hands. At first glance, he is a man of some value.


    The momentum is also quite sufficient.


    The other two men, one is thinner, less than thirty years old, and looks very smart.


    Sitting next to this talking man, who looks like an assistant, subordinate or something.


    Sitting on the other side of Su Qianqian was a man and a woman. The women were dressed in enchanting clothes with heavy makeup. UU Reading looks quite beautiful, and has a good figure, but she has the air of a prostitute all over her body.


    The man next to her is gentle, but his eyes are as terrifying as a wolf.


    "They are not good people!"


    Zhou Can gave these people an impression.


    "I''m Su Qianqian''s boyfriend, and I''m here to pick her up now."


    Zhou Can said indifferently.


    The woman and the thinner man looked like they were accompanying guests. Only the man who spoke and the gentle man looked like two bosses.


    "I''ve never heard that Su Qianqian has a boyfriend! What''s your name?"


    The gentle man said so, he should be familiar with Su Qianqian.


    "Zhou Can!"


    Zhou Can''s eyes locked on the man.


    "I''m Qianqian''s boss, and this is Mr. Zhao, the investor. We''re only halfway through drinking, and you barge in. If you make Mr. Zhao unhappy, his investment in Qianqian will be gone."


    The gentle man''s words were both a reminder and a threat.


    "Since you are Qianqian''s boyfriend, I believe you are aware of her current situation. Her album release has encountered great difficulties. Without Mr. Zhao''s investment, she may even have problems with her life. If she gets Mr. Zhao''s money The investment, coupled with Mr. Zhao''s strong resources, can make her album go on the market quickly and promote it vigorously. By then, she will make money, won''t your boyfriend also enjoy the blessing?"


    The gentle man didn''t doubt Zhou Can''s identity as Su Qianqian''s boyfriend.


    He directly started Zhou Can''s ideological work.


    It means let him be more sensible, and don''t mess up this wine situation.


    Otherwise, it will not be good for him or Su Qianqian. +Bookmark+

 Chapter 111： Man, I took it. The sad history of the third-line actress

    My medical skills can add experience points Chapter 111, I took it away. The sad history of third-tier actresses


    The pockmarked man with a square head and big ears named Mr. Zhao also sat there with a stern face and put on a displeased expression.


    "It''s okay, I won''t bother you to talk about work, you drink slowly!"


    Zhou Can directly pulled out a chair and sat down.


    The purpose of these people is to get Su Qianqian drunk and then take him away.


    Now Su Qianqian is very drunk.


    If Zhou Can came a little later, they would be able to get what they wanted.


    "Disappointment!"


    Mr. Zhao slapped Kuaizi on the table.


    Pick up the bag, get up and go.


    Even a fool would understand that his boyfriend is waiting beside him, how could he have the chance to pick up the corpse?


    The vast majority of these bosses have made their fortunes from childhood.


    The means and abilities are naturally not bad.


    Seeing Zhou Can''s ignorance, Mr. Zhao turned his back on him as soon as he said he would.


    "Mr. Zhao, Mr. Zhao, don''t be angry! Leave it to me, leave it to me!"


    The gentle man quickly got up and grabbed Mr. Zhao.


    The woman also pulled her back from the other side, and said sweetly, "Mr. Zhao! Don''t you believe in our ability as Mr. Qian? It will definitely make you happy!"


    good romance novels


    Most of her body leaned on Mr. Zhao.


    "Hmph, I had a good drink, so what''s the matter with such an irrelevant person? Let this kid go back first. After we finish drinking and talking about things, you can send his girlfriend back. "


    Mr. Zhao gave Zhou Can a cold look.


    Then with a cold face, he sat down.


    "That... your name is Zhou Can, right? Xiao Zhou, you saw Mr. Zhao''s attitude just now. Let me tell you, this is a big money maker. With his support, your girlfriend can live and even have a chance to become A first-line actress. At that time, your boyfriend will only need to be responsible for counting the money. Without Mr. Zhao''s support, you can only go to the street to beg for food."


    A gentle man named Mr. Qian once again did Zhou Can''s ideological work.


    "Don''t worry, I''m the vice president of Beihai Wolf Star Media Co., Ltd. I keep my word. With me and her female colleague Wu Jiali here, your girlfriend is safe. We will send Su Qianqian off after the cooperation is finished." go back."


    "Don''t worry, we''re here!"


    The woman was also helping out.


    Zhou Can naturally wouldn''t believe these people''s nonsense.


    "I, I want to go back!"


    Su Qianqian stood up unsteadily, her brain should still be clear.


    "I''ve never heard of a formal cooperation that requires a woman to accompany the drink. You can just talk. If you can agree, that''s your skill. If you can''t agree, I don''t think this cooperation is worth it. People, I will bring you first." gone."


    Zhou Can walked over to caress Su Qianqian, who was seriously unbalanced in mobility.


    Only then did I realize that her body was not only soft, but also very light.


    Actresses love to control their weight and maintain a good figure.


    However, she is over 1.7 meters tall and weighs so little. From the perspective of Zhou Can''s doctor, she is already malnourished.


    "You have to think about the consequences!"


    Qian Zong lost his smiling face, but his tone was cold.


    "The consequence is that Mr. Zhao and the two of you avoided the risk of going to jail. Goodbye."


    Zhou Can ignored the ugly faces of these three people, and helped Su Qianqian out of the box.


    Mr. Qian looked at his back, his eyes seemed to eat people.


    Zhou Can had already talked about this point, so he was naturally reminding the three of them that Zhou Can knew exactly what they were planning.


    "I didn''t expect you...to come...Thank you!"


    Her voice was slurred and her tongue was tied.


    But the moment she saw Zhou Can break into the box, she knew it was safe.


    "I thought you were completely drunk!"


    It was the first time Zhou Can hugged a girl so intimately.


    And she is a girl with top-notch looks and figure.


    To say that there is nothing unusual is to deceive oneself and others.


    Not to mention anything else, just the faint smell of perfume and hair fragrance from her body, which invaded Zhou Can''s nose from time to time, was already stimulating his brain.


    "I''m not drunk...how do I leave?"


    She smiled slyly.


    This is also the weakness and sadness of a third-tier actress.


    The vice president of the company asked her to come to the dinner, can she shirk? Can''t push it off at all.


    That Zhao is always the investor, does she dare to offend?


    I dare not offend at all.


    Calling Zhou Can, a fake boyfriend, to come to the rescue, the smartest way for her is to be in a ''drunk'' state. In this way, if Zhou Can takes her away, even if Mr. Qian and Mr. Zhao are not happy, at least they won''t tear their faces completely.


    Zhou Can stopped a taxi and decided to take her home.


    Seeing her drunken appearance, I don''t feel at ease to let her go back alone.


    "Master, at the gate of Phase 1 community of Bajinghu Xiangshan Bieyuan."


    "OK!"


    The driver saw that the woman was so drunk that she was afraid that she would vomit in the car.


    "There is a plastic bag in the seat bag, in case she wants to throw up, please use the bag to pick it up."


    "OK!"


    Zhou Can took out a plastic bag.


    Her body staggered from side to side, and finally leaned on Zhou Can''s shoulder.


    "Lean on your shoulder...I''m really tired..."


    As soon as she finished speaking, she fell asleep.


    Fortunately, she did not vomit while sitting in the car.


    Zhou Can has been half-arming her to prevent her from falling.


    Half an hour later, the taxi stopped.


    "Phase 1 of Bajing Lake Xiangshan Bieyuan is here!"


    After Zhou Can paid the fare, he wanted to wake Su Qianqian to get off the bus. But she couldn''t wake up anyway.


    no way.


    He could only hold her out of the car with a wry smile.


    "Young man, tell your girlfriend to drink less! She looks so pretty, and there are so many bad people in this society now."


    "I will pay attention in the future! Thank you!"


    Zhou Can looked at Su Qianqian in his arms and smiled wryly.


    In addition to being beautiful is real, the girlfriend is fake.


    I believe that with her appearance, talent, and talents, it is impossible to look up to Zhou Can, an ordinary little doctor.


    Actresses like to marry rich businessmen and wealthy families.


    Zhou Can hugged her, and after a lot of effort, he entered the house she rented.


    Turn on the lights and close the entry door.


    Zhou Can carried her directly to the bedroom.


    Looking at her current situation, she might not wake up until tomorrow.


    The bedroom is decorated with the sweet atmosphere of a little girl.


    Predominantly pink tones.


    Put her on the bed, help her take off her high heels, and cover her with the quilt.


    Zhou Can stared at her beautiful face for a few seconds, walked out of the room, and came in again not long after.


    Holding a glass of water in his hand, he put it on the bedside table.


    "vomit¡­"


    Suddenly, she had a violent vomiting reaction.


    Zhou Can quickly found a plastic basin, helped her sit up, and patted her on the back.


    "Ouch... wow... wow..."


    A lot of sour and smelly filth was vomited out, but luckily I took a basin to catch it.


    After she finished vomiting, Zhou Can wiped her mouth with a tissue.


    Then feed her two sips of water.


    After taking care of it, I quickly took the dirt to the bathroom to dispose of it.


    Go back to the room and open the windows for ventilation.


    For drunk people, vomiting is actually very dangerous.


    It is easy to cause vomit to block the airway, or **** the airway back, and finally suffocate to death.


    Zhou Can guarded the bed for more than an hour, making sure that she would not vomit again, and then got up and left.


    Before leaving, help her close the window and close the door.


    Su Qianqian, who was lying on the bed, heard the knocking sound of the entrance door outside, opened her eyes slightly, looked at the glass of water on the bedside table, but there was a smile on the corner of her mouth.


    A gentleman does not deceive a dark room.


    Zhou Can didn''t do anything frivolous in the face of a drunken beauty like her, and only the two of them were alone in the room.


    This should be the reason for her smug smile.


    At least it shows that she is quite accurate in seeing people.


    In addition, Zhou Can was very careful when taking care of her.


    This is a proper warm man!


    If it is said that running over to open the door for her in the middle of the night, it was only a preliminary increase in the understanding and trust between the two of them. So this time, the relationship between the two is definitely no longer an ordinary tenant-landlord relationship.


    Between people, it is so wonderful and magical.


    From meeting, to acquaintance, to getting to know each other slowly, and further communication.


    Every process is a slow evolution.


    There are more plots like love at first sight in idol dramas. In reality, very, very rarely.


    Especially in today''s materialistic era, the communication between men and women has become more and more cautious.


    Those who are not cautious will eventually be deceived into marriage, wealth, sex, and relationship... After being severely beaten by the society, they finally learn to be cautious.


    ¡­


    The next day, Zhou Can was preparing to go to work when he received a message from Su Qianqian on his mobile phone.


    "Thank you for your caring care! Thank you for your respect!"


    After reading this message, Zhou Can showed a knowing smile.


    Are celebrity text messages of thanks so special?


    Thinking back to last night, when Wen Xiang and Nephrite embraced each other and the two of them were alone in the room, he was able to suppress the thoughts in his heart, restrain his impulses and desires, which is really beyond the reach of ordinary men.


    Zhou Can had no intention of replying to the message.


    He is very sober, yesterday was just a river and lake emergency.


    If you think that Su Qianqian is interested in him, then you are thinking too much.


    He went to the hospital to work as usual, and his mentality was not affected.


    But when he got off work, he found an extra WeChat friend request.


    Click to open.


    "Doctor Zhou, please pass, I am Su Qianqian!"


    It''s been a long time since the friend request came.


    But he was at work at the time and couldn''t play with his mobile phone, so he didn''t find out.


    After applying through her friend.


    She actually sent an aggrieved expression at the first time.


    "I thought you were too lazy to talk to others!"


    "It''s just that you didn''t check your phone at work! Are you sober?"


    If he doesn''t reply to the message again, Su Qianqian will really consider him a tall and cold man.


    "I see. (Laughs


    "Wake up early~! But I want to get drunk again!"


    She was talking to Zhou Can now, as if she had finally let go of her guard.


    Perhaps it was Zhou Can who saved the beauty twice as a hero, and once as a hero who did not bully the dark room, which won her trust and favor.


    question mark


    Zhou Can sent a questioning expression in the past.


    In message chat, emoticons are warmer than simple punctuation marks.


    "Come and have a drink with me, and I''ll tell you!"


    She took a photo of what appeared to be a coffee table in the living room.


    There was a large tablet of canned beer on top.


    It seems that this is troublesome.


    However, her recent situation is indeed a bit unlucky.


    "Escorting chats are not within the scope of real estate agencies!"


    Zhou Can declined.


    "I don''t have any real friends in this city, so I just want to talk to someone. Maybe, I will leave this city soon."


    Is she acting miserable?


    "Just the two of us drinking in your rental house?"


    Zhou Can asked.


    "Come?"


    She''s pretty much acquiescing.


    "Aren''t you afraid that I''ll take advantage of my cowardice to do something to you?" He felt that the change in Su Qianqian''s attitude towards him was really great.


    "If you are really that kind of person, do you need to wait until today?"


    Her words are full of meaning.


    "..."


    Zhou Can was speechless for a while.


    "Is this spawning?"


    She was getting more and more presumptuous when she spoke.


    A black line appeared on Zhou Can''s forehead.


    "It''s okay to accompany you in the past. Let me tell you in advance that I can resist everything except temptation."


    "It''s not fun at all! Hurry up if you want to come!"


    Having said that, Zhou Can naturally has no worries.


    He would be happy to be alone with a beautiful actress.


    And looking at her current situation, there is no one to enlighten her, if she does something stupid in the rental house, wouldn''t it be him, the landlord, who is unlucky?


    Hurry up and take a taxi.


    After nearly fifty minutes, he arrived at Su Qianqian''s rental room.


    This still feels weird.


    She even took the initiative to invite Zhou Can, a big man, to drink with her at home.


    It''s so abnormal.


    Zhou Can has martial arts skills, so he is not afraid of fairy dance.


    And she doesn''t look like that kind of woman.


    Ring the doorbell.


    After a while, the security door opened.


    Su Qianqian was wearing slippers, her pretty face was flushed, and she was already a little drunk.


    There seemed to be traces of tears on her face.


    What happened to her?


    "I thought you didn''t dare to come! Please come in!"


    Zhou Can raised the food in his hand.


    "Drinking alone is too harmful, so I bought a salted salted duck, some stewed vegetables, and peanuts."


    After entering the house, Su Qianqian took the initiative to close the door.


    This is really defenseless against him.


    His eyes swept across the living room, but he didn''t see anyone else. There are already several empty tin cans lying on the coffee table.


    Just like the photo she sent to Zhou Can, there was only wine and nothing else.


    "Please sit down!"


    She asked Zhou Can to sit on the sofa, and she moved a small stool to sit on the other side of the coffee table.


    "Do you think I''m particularly cheap? Take the initiative to ask a man to drink at home."


    Her smile was a bit sad.


    "No, when you rented this house for the first time, you were very wary of me. Now that you have a foundation of trust, you dare to ask me to come to accompany you. Of course, it is also possible that I am too handsome and you like it me."


    Zhou Can tried to make a joke to liven up the atmosphere.


    The curtains in the living room were drawn, and the dim light was on.


    This can also reflect her current heart, which should be to put herself in a closed space, free from intrusion and harm.


    Most of them were hit hard at work.


    According to psychology, this is the performance of autism.


    Puchi~!


    "You are so beautiful!"


    She gave Zhou Can a cute look. But he was also amused by his success.


    "Why do you want to talk to a man like me? You can find a good girlfriend!"


    Zhou Can calmly cleaned up the empty wine cans on the coffee table. Then spread out the appetizers you bought.


    "The entertainment industry is the dirtiest place. I am a helpless little girl, how dare I have a deep friendship with them? There are some things that you simply can''t imagine. I still remember the first time I worked in a movie base, when I was shooting a TV show A short play. A female classmate I had a good time with took a shower that night and quietly walked into the director''s room. The next day, she got the role of the second female supporting role."


    She told about her work experience.


    "At that time, I was just out of school. I felt that as long as I had talent and real ability, I would be able to stand out. I was full of disdain for all kinds of hidden rules and dark deals in the entertainment industry. When a producer was sitting next to me, he secretly My thigh, I went crazy on the spot, stood up suddenly, and poured a glass of wine on his greasy face while scolding him angrily. Later, you can also guess that I was suppressed by all kinds, even the chance to perform in the group Hard to get."


    Speaking of the sad experience back then, her expression became even more sad.


    Zhou Can came here to be a qualified listener, he just listened carefully and didn''t interrupt.


    "Later, Director Xu heard about me, admired my self-discipline, and gave me some encouragement. He often helped me find some jobs, so I was able to survive. But after three years, I realized that I wanted to To stand out, you must either have the support of capital, or be willing to be submerged by directors, producers, etc. Otherwise, it will be too difficult to get ahead."


    "Director Xu is my noble man, but he can''t decide many things. What he can help me is to give me some ordinary jobs so that I can survive."


    Directors are also graded.


    Great directors have all kinds of resources, have successful experience, can gain the trust of the capital side, and have a great voice.


    Some young directors live worse than dogs, pretending to be grandchildren, begging for investment, begging for this and that.


    Moreover, even a great director will not support a newcomer vigorously for no reason.


    Either that newcomer is really talented, and with a little support, he can become famous. Either the newcomer is a related household, entrusted by someone to take care of him.


    "Later, I thought that singing might not be so much a matter. So I chose to sign with Beihai Wolf Star Media Co., Ltd. to develop. After entering the industry, I realized that the difficulty is not lower than being an actor. Yesterday, Vice President Qian took me to drink with President Zhao. You have seen it too. I know they have something in mind, so what? If you don¡¯t go, you will lose face, the company will leave you on the bench, and the investors will not invest in you.¡±


    She just jumped out of one fire pit and entered another fire pit.


    Before Zhou Can heard her personal experience, he really didn''t know that the environment in the entertainment industry was so bad.


    "The last time I held a concert, I couldn''t attract big investors because I refused to sell my body. That''s why I wanted to use roadshows to gain popularity and promote myself. Unexpectedly, a disaster happened, and the stage suddenly collapsed. Beihai wolf star media company is also hard to say. The company is unwilling to take responsibility for this matter, and let me handle it myself. I was so angry that I proposed to resign and terminate the contract. The company agreed, but there was one condition. The album I shot needs to be bought. , priced at five million."


    "They said there was no way this money could have been lost for nothing."


    This rogue company is really shameless.


    Earn money and put it in your pocket.


    In the event of an accident all losses shall be borne by the contracted artist.


    "I sold my house and car, and compensated fans for all kinds of losses. I also owed a lot of money. I couldn''t afford five million to buy that album. I have never felt so hopeless in my life."


    She said, picked up a bottle of beer, opened it, and poured it with her head raised.


    A weak woman, desperate, in a desperate situation.


    Zhou Can faintly felt that she seemed to have the idea of ??committing suicide.


    This is the only way to escape.


    "Okay, after talking to someone, I feel much more comfortable. Come and take this house back in two days, I''m going to develop in other cities."


    She wiped away the tears on her face and forced a smile.


    "Your lease has not yet expired. When you move out, I will refund the remaining rent and deposit to you."


    It''s been so difficult for everyone.


    Zhou Can naturally wouldn''t take advantage of her.


    "No need. Just treat it as you helping me twice, and I''ll give it to you!" She shook her head lightly, and picked up another can of beer.


    Hearing what she said, Zhou Can believed even more in her heart that she had the idea of ??committing suicide.


    In fact, he noticed it from the moment he entered the door.


    She was particularly depressed, and her eyes lacked the anger that should be there.


    A bit hopeless performance.


    "You can''t drink anymore! Drinking too much alcohol will hurt your body and liver."


    He reached out and grabbed the can of beer and advised her not to drink any more.


    "Also, didn''t you say that your company requires you to buy that album before allowing you to terminate the contract? If you go to another city, don''t you need to terminate the contract first?"


    When Zhou Can asked this question, he was actually probing.


    I want to confirm again whether she really has the idea of ??committing suicide. +Bookmark+

 Chapter 112： Im in love, Brother Luo goes out of the mountain

    My Medical Skills Add Experience Points Chapter 112 I''m in Love, Brother Luo Comes Out of the Mountain


    "Heh..." She smiled sadly. "I don''t have the ability to terminate the contract. This blood-sucking company just waits! I will use my own way to make it understand that weak women cannot be bullied and squeezed endlessly."


    In what way can she fight against the company?


    The only thing Zhou Can could think of was one.


    After her suicide, the value of that album was basically gone. At that time, Beihai Wolf Star Company''s investment in that album will basically be in vain.


    If she makes another suicide confession and accuses Beihai Wolf Star Company of its crimes, I believe this rogue company will suffer even greater losses.


    Thinkers


    "You let me drink!"


    She tried hard to grab the can of beer.


    "Don''t drink it, it''s bad for your health!"


    Zhou Can didn''t let go of her grip, she must be stronger than a man.


    What''s more, Zhou Can has also practiced, and his wrist strength is much stronger than ordinary people.


    "Why do you care about me?"


    She took advantage of the alcohol and glared at Zhou Can.


    "You said it yourself, I''m your boyfriend. Can I control you in this capacity?"


    Zhou Can felt pity for the first time when he looked at this stubborn, weak and beautiful poor girl.


    He didn''t want to watch a flower wither away.


    She has talent and looks, what she lacks is a development opportunity.


    At least from the perspective of Zhou Can''s doctor, life is extremely precious, and everyone has only one time. No matter how difficult it is, there is no need to commit suicide.


    There is a saying that goes well, the undead will eventually emerge.


    Only by being alive can we have a chance.


    Su Qianqian looked at Zhou Can and was stunned.


    "Heh... If it was before, I might really try to have a relationship with you. Let''s forget it now!" She smiled sadly again, but took back the hand that snatched the beer.


    "Afraid of dragging me down?"


    Zhou Can raised his eyebrows.


    She can see through her mind more or less.


    "My situation is worse than you can imagine! I am not in the mood for a relationship right now. I am very grateful that you can come with me tonight and listen to me. You are a good person, kind-hearted, and rich. Justice, you have a bright future as a doctor in a big hospital like Tuya. I believe you will definitely find a home worthy of you in the future."


    She looked at Zhou Can very sincerely.


    "Is this a good card for me?"


    Zhou Can twitched the corner of his mouth.


    "Sit down!"


    He waved to Su Qianqian.


    "what?"


    she asked softly.


    "Are you afraid that I will plot against you?" Zhou Can looked at her.


    In the end, Zhou Can pulled her to sit beside her.


    It could be seen that she seemed a little nervous.


    Maybe I''ve never been so intimate with a man before.


    "Sitting in the taxi last night, didn''t you lean on my shoulder? Is it comfortable?"


    Zhou Can asked her.


    "Hmm! Unprecedented steadfastness." A slightly shy sweet smile appeared on her face.


    The ignorant love between men and women is the most exciting.


    It will leave a deep and beautiful impression on both parties.


    "Come on, let me lend you my shoulder. As long as you need it in the future, I can lend you this shoulder for a lifetime."


    Zhou Can hugged her shoulder.


    She didn''t struggle or resist, but leaned on Zhou Can''s shoulder.


    Then close your eyes, and quietly feel the support this man brought her.


    No matter how strong a woman is, there are times when her heart is fragile.


    She is now besieged on all sides, in adversity, and a weak woman is really tired and suffering against all of this.


    Zhou Can''s shoulders can make her forget all her troubles and enjoy unprecedented peace.


    "Shallow!"


    "Um!"


    She purrs like a cat.


    The two are really like a close couple at the moment.


    Even Zhou Can felt a sense of strangeness and heartbeat like never before.


    "How much foreign debt do you owe?"


    "More than three hundred thousand!"


    "I''ll pay it back for you! If you agree to be my girlfriend."


    Zhou Can added a condition.


    His mother often urged him to bring a girlfriend home. No matter Su Qianqian''s appearance or figure, or his inner quality and temperament, Zhou Can could have the urge to fall in love.


    At this moment, he is holding this beautiful woman in his arms, and he is very willing to cuddle with each other quietly for a lifetime like this.


    He doesn''t know what love is, and he has never tried the feeling of being in love.


    All he knew was that holding her in his arms and being relied on by her made him very comfortable.


    The heart beats faster and the blood circulates faster.


    "it''s useless."


    She shook her head slightly.


    Leaning on Zhou Can''s shoulder, but refused to move away.


    Her hair rubbed against Zhou Can''s face, and the fragrance of her hair wafted into Zhou Can''s nostrils.


    That beautiful and charming face is so close.


    It brought Zhou Can an extremely comfortable visual enjoyment.


    "I will pay for the album and help you find a way to terminate the contract. In the future, if you want to work, you can find an ordinary job. If you don''t want to work, I will support you."


    Zhou Can''s voice was very calm, but in her ears, it set off huge waves.


    "Do you think it''s a little money? Five million! Don''t be stupid."


    She opened her eyes this time and looked up at him slightly.


    When Zhou Can offered to help her repay the 300,000 foreign debt, she didn''t respond much.


    Because for her, as long as she passes the hurdle in front of her, it is not difficult to earn three to four hundred thousand.


    It is even possible to make that much money in a year.


    "I know, what''s wrong with the five million? Don''t you fold the meat on the buns? Are you worried that I won''t be able to get them out?"


    Zhou Can hugged her tighter.


    He didn''t plan to take such a large sum of money from his family.


    Instead, they are planning to sell two houses.


    Think of it as an investment in Su Qianqian.


    In addition, before doing this, he was going to ask Li Luo for advice.


    He used to be the vice president of Tianyu Interactive, and he almost became the president. I believe he will be very professional in the copyright operation of this kind of music album.


    "You are so rich and still work as a real estate agent?"


    She found that Zhou Can was not joking, and she couldn''t help looking at him in surprise.


    There are really not many people who can come up with five million.


    It is very difficult for many families to get 500,000 out.


    Zhou Can is so young, but when he talked about buying her album with five million yuan, his tone was calm and his expression was full of confidence.


    This really shocked her.


    "When did I say it was a real estate agency? Obviously you said it!"


    Zhou Can said to her with a smile.


    Su Qianqian was stunned for a while, and tried to think back, it seemed that it was true.


    "Then what do you do?"


    She stared at Zhou Can and asked.


    "Doctor!" Zhou Can blinked.


    "Hmph, people don''t believe you! But your shoulder is really comfortable to lean on, I really want to lean on it like this for the rest of my life!"


    She closed her eyes and stopped talking, but enjoyed Zhou Can''s broad shoulders.


    Not long after, she actually fell asleep.


    Zhou Can couldn''t help chuckling, she must have drank a lot of stuffy wine, coupled with sadness, despair and other emotions that consumed a lot of her energy, that''s why she fell asleep so quickly.


    After holding her in his arms for a while, Zhou Can gently put her down on the sofa.


    Then go into the bedroom and get a blanket and cover her up.


    However, when he walked into the bedroom and turned on the light, he unexpectedly saw a folded note pressed on the bedside table.


    "Dear real estate agent, I''m gone, leaving this world forever. The remaining rent and deposit are my little repayment to you. Thank you for your help to me, and thank you for your kindness."


    It was actually a suicide note written by Su Qianqian to him.


    "This girl is so stupid!"


    Zhou Can secretly rejoiced that he came here.


    Now, Su Qianqian''s thoughts of committing suicide must have not been dispelled. Because she didn''t discuss Zhou Can''s acquisition of that album anymore.


    Taking the blanket, she walked to the sofa in the living room and covered her carefully.


    lest she catch a cold.


    She must be helped to terminate the contract with that rogue company, which is the best way to dissuade her from committing suicide.


    Zhou Can was worried that the phone call would disturb her.


    Go directly to the old man''s room at the back, close the door, and then walk to the balcony.


    Dial Li Luo''s phone.


    "Zhou Can, why did you take the initiative to call me to chat?"


    Li Luo was very happy to receive his call.


    "It''s so late, won''t it disturb you and sister-in-law''s rest?" Zhou Can rushed to Su Qianqian''s place after five o''clock. I spent more than three hours with her unknowingly, one, it''s almost half past eight in the evening.


    "We didn''t go to bed so early. I knew from your tone that there must be something wrong. You didn''t want to chat with me. Tell me, what''s the matter?"


    Li Luo is really powerful, and he noticed the slightest clue.


    "It''s really something. I have a friend who recorded a music album at the contracted company..." Zhou Can told what happened, and wanted to hear the opinion of Li Luo, a professional.


    "What is the relationship between this actress and you? Five million is not a small amount of money. It is worth you to spend such a large sum of money to help her. The relationship must be extraordinary. I always thought you were just a doctor, but I didn''t expect you to be a rich man. Hidden so deep."


    After listening to Zhou Can''s narration, Li Luo was really surprised.


    Because Zhou Can usually behaves very low-key, and doesn''t even have a scooter.


    Not to mention him, even Mr. Cui thought he was just an ordinary doctor.


    Never would have thought that he was still an out-and-out rich second generation.


    "I want to develop her into a girlfriend, but she is afraid of getting me involved, so she hasn''t agreed yet. Now she has the idea of ??committing suicide, so I especially want to help her."


    Zhou Can didn''t hide anything, and told Li Luo exactly.


    "If it''s a girlfriend, or if your relationship is very stable, then there is another method of operation to handle this matter. If I''m not mistaken, her agency is Beihai Wolf Star, right?"


    Li Luo looked like a waste young man who had been staying at home with his wife all the time.


    I didn''t expect him to be so clear about the entertainment industry.


    "Hey, you''re amazing. Her agency is really Beihai Wolf Star."


    "Hehe, as long as you tell the senior people in the industry about this kind of thing, everyone can basically guess it. Beihai wolf star is enough to be described as notorious. It is really unlucky for your girlfriend to sign with this company. But This company can only deceive those inexperienced Xiaobai. The founder of this company, Mr. Gui, is a department manager of Tianyu Interactive. Later, he was dismissed because he seriously violated the company''s regulations."


    Li Luo actually knew everything about this rogue company.


    The founder of this company had a criminal record. After being dismissed by Tianyu Interactive, he didn''t want to repent. It''s really disgusting.


    "What is the relationship between that actress and you?"


    Li Luo asked again.


    "She has a very good character, and it is not easy to be able to clean up her body for many years. I also have the confidence to develop her into a girlfriend, or even a future wife. But after all, this matter will not work out, and there is no guarantee."


    Zhou Can gave an objective answer.


    "Well, since there are variables in the relationship between the two of you, let''s implement it according to the insurance plan. First of all, the production cost of a song album ranges from about one million to tens of millions. The most economical singer I have seen, Writing lyrics, composing music, and singing by myself cost no more than 200,000 yuan in total. Among them, the relatively high cost is MV production."


    As expected of a professional, Li Luo is very clear about the price, production process and so on.


    This time it was right to find him.


    "MV production is basically a bottomless pit. For high-end ones, famous directors are hired, professional bands and dance troupes are selected, and then they go to some famous scenic spots to shoot. Plus special effects production, etc. There can be as many MVs as there are for an album. It cost tens of millions. The cost is not lower than making a short film."


    "I haven''t seen the specific effect of that album, and I can''t evaluate its price now. But based on my understanding of Beihai Wolf Star, it quoted a price of 5 million, and it can definitely be discussed again. There should be a lot of room for bargaining. big."


    Zhou Can''s heart moved, he has that album.


    Because I like to listen to it, I also copied some of the songs in it to my mobile phone.


    "Baoge, I have some songs from that album stored in my mobile phone, how about I send it to you for a look."


    "Okay, send it over!"


    Li Luo readily agreed.


    Therefore, sometimes making more reliable friends can be used at critical moments.


    Zhou Can sent the song over.


    Not long after, Li Luo called him back.


    "I have seen and listened to all the songs. You have a good eye. This actress'' singing voice is very rare. And her music foundation is also quite good. It is very capable. If someone can guide her and conduct her With matching packaging and promotion, I dare to say that she has the potential to become a popular actress. Even, as long as she can continue to grow and keep making progress, it is not impossible to become a queen in the future."


    Li Luo spoke highly of Su Qianqian.


    Zhou Can was not surprised by this.


    He doesn''t understand music, but listening to Su Qianqian''s songs is very comfortable.


    That kind of soul cleansing is not something ordinary songs can possess.


    "Brother Luo, I plan to go to Beihai Wolf Star Company to buy the master tape and copyright of this album in the near future. How much would you say is suitable?"


    Zhou Can is completely a layman in this regard.


    There is nothing in my heart.


    "The purchase price can be up to two million. Isn''t your girlfriend committing suicide? In fact, this is a very good way to bargain. It depends on whether you are willing to accept it."


    Zhou Can had already thought of what Li Luo said.


    "Brother Luo, we are really heroes who see the same thing. If you don''t tell me, I''m going to have a little talk with you before buying. Using her suicide as an excuse, I will put pressure on this company and bargain hard. No Let a rogue company like Beihai Wolf Star take advantage of it, and even sell UU Reading at a loss, I think I have this obligation."


    Zhou Can never cared about the so-called face and morality.


    As long as it can make the enemy suffer a lot, damage one''s own reputation, and lose face, it''s really nothing.


    "Since you don''t have any psychological barriers, it''s easy to handle. The actress will probably agree, she was forced to commit suicide, and she can''t wait to bite off a piece of Beihai Wolf Star''s flesh. If she has the chance to make this company suffer, she There''s no reason not to agree."


    Li Luo and Zhou Can are indeed like-minded in many aspects.


    For example, playing cards not according to common sense, not caring about worldly vision and so-called moral constraints.


    "Let''s talk about my whole idea below. I also want to participate in this matter. I have been idle at home for more than three years, and I am almost moldy. Before, your sister-in-law was in a low mood. I was afraid that she would not be able to think about it, and I wanted to make up for it. She is in debt, so I have been with her at home. Now her situation is getting better every day, and I want to come out of the mountain again and make more money."


    "In this way, when new drugs that can cure her disease come out in the future, I will be able to buy them immediately. In addition, I have a bigger ambition. I can''t wait for foreign pharmaceutical companies, I have to work hard to make more money, Try to start your own pharmaceutical company, or invest in research and development of this drug."


    Zhou Can was overjoyed by what Li Luo said.


    To be honest, he paid a lot of money to buy that album just to save Su Qianqian.


    As for how to realize it, he knew nothing about it.


    It''s a great thing to have Li Luo, the big boss of Tianyu Interactive, participating.


    What''s more, the two have a deep friendship.


    Zhou Can trusted him. +Bookmark+

 Chapter 113： Life is like a summer flower, join hands to make a game

    My medical skills can add experience points Chapter 113 Life is like a summer flower, join hands to make a game


    "Okay! Brother Luo, you can do whatever you want. To be able to partner with you, hehe, that''s because I took advantage of you."


    Zhou Can is also a wise man who does not speak dark words.


    Straightforwardly stated.


    If Li Luo hadn''t had a deep friendship with him, and Zhou Can''s kindness to his wife, it would have been impossible for him to offer to cooperate with Zhou Can.


    To put it bluntly, he made a fortune with Zhou Can.


    "Don''t say that. You gave me this opportunity. One more thing must be made clear. Any investment has risks. I am proficient in various operations in entertainment, but it does not mean that I will definitely make money. It can only be said that if you buy this album, the possibility of losing money is almost zero."


    Imagine Chinese Website


    Li Luo didn''t want to affect the friendship between the two because of the loss at that time.


    In this world, it is so difficult to find a bosom friend who is compatible with each other.


    He especially cherishes this fate and the friendship between them.


    "May I ask your source of funds first?"


    Every question Li Lao asks has a purpose.


    "I''m not going to hide it from you. I need to sell two houses to make up the money." Zhou Can said truthfully.


    "For an actress who doesn''t know if she can marry, I sold two houses to help her. Brother, I think the title of Love Saint is quite suitable for you." Li Lao laughed and teased him.


    "How should I put it! I like money, but I don''t think money is that important. I think it''s worth it to save a woman I like with money." Zhou Can offered to help her repay the foreign debt of more than 300,000 yuan, which was true. No hesitation.


    The proposal to acquire that album was actually after careful deliberation.


    He thinks that music album is particularly good and should be worth that price.


    Buy it as an investment.


    "Haha, I admire you more and more. At such a young age, you can see money so clearly. I really don''t have much heart." Li Lao really admired him from the bottom of his heart.


    Many people don''t understand the true meaning of money all their lives. They only know that money is very important. They can''t live without money.


    Only a few people can look down on money.


    Most of these people are wise.


    For example, some scientists obviously have a high income, and they can still enjoy state subsidies, and they have won a lot of various bonuses. But they live in an old house of 20 to 30 square meters, eating steamed buns, drinking porridge, and eating pickles. I haven''t bought a new dress for more than ten years.


    In terms of life, he is extremely stingy.


    But he donated the money he saved to where the country needs it.


    A donation is hundreds of thousands, millions.


    And keep donating.


    It is difficult for ordinary people to understand this kind of ''fool'' behavior.


    Just like summer insects can''t speak ice.


    Those whose level of thinking is below that level cannot understand it at all.


    "Brother, since you are planning to sell the house, I suggest that you mortgage the house to the bank for a loan. According to preliminary estimates, your loan of about 4 million is almost enough. I will also invest 4 million, and then we will establish an entertainment company together. This It¡¯s not a lot of money to build an entertainment company. But I¡¯m confident that after acquiring this song album, I¡¯ll go through a series of packaging, promotion, and then monetize it in various ways to earn the first sum of money.¡±


    "There is a prerequisite for this. You need to sign your girlfriend to the new company we established. As long as we make her famous, we can attract more outstanding talents to join and create more high-quality content. At that time, The company is basically on the right track. Don¡¯t you like being a doctor? Basically, you don¡¯t have to worry about anything. I¡¯ve been busy lately anyway, so I can handle everything.¡±


    "Let''s talk about profit distribution. You and I each hold 50% of the company''s shares, and the profit distribution is half of each person. When I need to use part of the profits to expand the company''s scale, I will discuss it with you. If you are willing to continue to invest, then we are still alone. Half, if you don''t want to follow, just dilute the equity according to the corresponding ratio."


    The brothers will settle accounts.


    Li Luo explained all possible profit distributions in advance, so as to avoid conflicts in the future.


    Money is something that can turn brothers against each other, father and son or husband and wife.


    Only by setting the rules in advance can we avoid being victimized.


    "Thank you Brother Luo for taking care of me! Just do as you said, and I will go to the bank for a mortgage tomorrow."


    Zhou Can knew very well that he had taken advantage of Li Luo in this matter.


    "Let''s talk about the acquisition of that album. Your girlfriend doesn''t have to go to work tomorrow, she just commits suicide and goes to the hospital. It''s better to be realistic. It''s not difficult for you as a doctor. Then suffer The top executives of Beihai Wolf Star Company will come out to discuss the acquisition in a few days. Once I come forward, it will be very difficult to get it at a low price. That turtle always knows my details, and if he sees me making a move, he will definitely increase the price. So you must speak carefully, and never reveal your relationship with me before the acquisition is in hand."


    "Just come forward as her boyfriend and say that you are selling the house to save your girlfriend. These are all real materials. Even if Beihai Wolf Star Company secretly investigates, it will only become more and more convinced that all of this is true. I am not afraid that it will not fall into the trap."


    Li Luo instructed Zhou Can how to successfully acquire that album at a low price.


    He is worthy of being the one who succeeded as the president of Tianyu Interactive. In addition to being brilliant, his personal abilities and methods are also extraordinary.


    "clear!"


    Zhou Can understood.


    "After the acquisition is negotiated, before signing the contract, remember to send me the contract. Be careful not to play tricks on the North Sea Wolf Star Company. After all, the boss of this company is not an upright person. This person is mercenary and can I cheated you twice, not just once."


    Li Luo told Zhou Can.


    The general evaluation of the turtle is even worse.


    "If you don''t understand, you can ask me anytime."


    "Okay! That''s it for now, just wait for my good news!"


    With Li Luo''s full support, Zhou Can has more confidence in his heart.


    He called Jin Mingxi and told him that he would not go back to the apartment tonight. In case he thought something happened to Zhou Can.


    Jin Mingxi came here, but he didn''t ask any questions.


    Just smiled and Huan Zhou Can be restrained.


    Obviously, this idea is wrong.


    At around three o''clock in the middle of the night, Su Qianqian woke up. After drinking so much beer, I was woken up by urination.


    When she opened her eyes, she found Zhou Can guarding her side.


    At this moment, Zhou Can was sitting next to her, closing his clothes and sleeping.


    After she came back from the toilet, she actually took the initiative to rest her head on Zhou Can''s lap. This is a more comfortable sleeping position.


    Perhaps, before committing suicide, she wanted to enjoy this last warmth.


    The feeling of being pampered and protected by a man made her obsessed.


    Zhou Can subconsciously put his arms around her body, and covered her with a blanket, covering her perfect figure. The two just stayed on the sofa in a posture that only intimate partners can have.


    "You said... how wonderful it would be if you could live like this for the rest of your life!"


    she murmured.


    "As long as you want, we can live like this forever. The sea is dry and the rocks are rotten, and the sky is old and the earth is old. I will protect you forever like this."


    Zhou Can caressed her hair.


    The relationship between the two heated up very quickly.


    Especially when the woman has death intentions and has never enjoyed the taste of love, she also boldly opens up her heart and tastes the fine wine of love.


    "Well, I believe you can do it." She nodded happily.


    After a while, she asked, "Chan, do you know what flower I like the most?" Her address to Zhou Can became intimate, which also meant that their relationship quickly heated up.


    Zhou Can thought for a while, and then replied, "You are a girl who is clean, connotative and talented. You definitely don''t like too showy flowers. I guess, you like elegant orchids, or white and fragrant jasmine flowers. "


    "Hehehe! You guessed wrong! I like Xia Hua." She laughed.


    "Xia Hua is too gorgeous, doesn''t it suit you?"


    Zhou Can was stunned.


    She didn''t expect that Xia Hua was what she liked.


    "I just like its splendor. I hope that life will be as gorgeous as summer flowers, and death will be as quiet and beautiful as autumn leaves." Her words made Zhou Can realize that her thoughts of committing suicide had not been dispelled.


    Looks like it''s time to have a good talk with her.


    Now, Zhou Can has discussed a set of feasible plans with Li Luo, and he has more confidence in his heart.


    As a weak woman, she was unable to fight against the rogue company Beihai Wolf Star, and Zhou Can helped her deal with it.


    "Qianqian, I saw the suicide note you left in the bedroom."


    Zhou Can showed her cards directly.


    Her body trembled, and her originally soft body became stiff.


    His expression became a little sad.


    The original warm and beautiful love atmosphere was broken, and she was pulled back to reality.


    "I¡­"


    She wanted to explain bitterly, but Zhou Can put his hand on her alluring red lips.


    "You don''t need to say anything, I can understand your difficulties, heartache, and helplessness. What I want to tell you is that death is not terrible. If you can truly see through life and death, you can live tenaciously, knowing that your life is unsatisfactory and your fate is unfair. This kind of person is truly brave. I think you should not be Xia Hua, but a noble and beautiful phoenix."


    Zhou Can looked at her **** jewel-like eyes.


    His eyes were extremely sincere.


    Eyes are the window to the soul, and this is a frank spiritual communication between two people.


    "Do you know why the phoenix is ??beautiful and noble? Do you know why the phoenix can become the king of all birds? Because every phoenix has to experience nine times of nirvana from birth to adulthood, and struggles in the fiery purgatory again and again. Rubbing shoulders between each other, and finally being reborn from Nirvana. After a narrow escape, the phoenix has the confidence and strength to soar above all other birds."


    "This is a kind of growth and a kind of accumulation of foundation."


    Zhou Can implied that she is a phoenix.


    This is a kind of spiritual encouragement to her.


    It can help her improve her pattern and re-establish her life goals.


    "You should not be as gorgeous as a summer flower, but as indomitable as a phoenix, as proud as it is, as brave as it is. In the end, you will realize all your dreams, break all the injustices the world treats you, and amaze the world , leaving an immortal legend in the world."


    After Zhou Can finished speaking, he just looked at her quietly.


    The two looked at each other.


    This kind of spiritual communication between men and women can only be understood, but it is difficult to express it in words.


    "I don''t want to be cowardly either, but how can I, a weak woman, break the injustice of fate?"


    She said quietly.


    There was a hint of resignation in his tone.


    The blueprint that Zhou Can drew for her just now did ignite a little bit of fighting spirit in her.


    Seeing that the persuasion had an effect, he proceeded to the second round of enlightenment step by step.


    "In the past, you were just a weak woman. But now with me, no matter how terrible the difficulties and obstacles ahead are, I will unswervingly accompany you to go forward. I will always be your strong backing."


    Zhou Can held her hand.


    Their fingers intertwined, their palms pressed together, they could feel each other''s hearts.


    Why is the first step between male and female lovers to hold hands?


    Because the ten fingers connect to the heart, through the contact of hands, you can feel the love for each other.


    "Didn''t you ask me who I am? I won''t hide it from you. I''m not very rich, but I can afford the life I want. The house you rented belongs to me. I''m not a real estate agent, but landlord."


    Zhou Can continued to show her cards.


    "ah¡­"


    This news really shocked her.


    Seeing her big mouth and wide-eyed surprised expression, Zhou Can enjoyed it quite a bit.


    "I''m going to mortgage the house, buy your album with a loan, and then help you terminate the contract."


    Zhou Can''s next words moved her and surprised her at the same time.


    "No, this risk is too great. Besides, you don''t know how to operate entertainment, and you will only lose money if you buy it. At that time, you will lose your house, and I will live in endless guilt and self-blame .¡±


    She firmly disagreed with Zhou Can helping her.


    Only those who have been in the entertainment industry know how deep the water is.


    For a rookie like Zhou Can, let alone one house, even if he has ten houses, he can lose everything.


    "You look down on your boyfriend, don''t you?" Zhou Can scratched her sharp and delicate nose.


    Provoked her dissatisfied coquettishly.


    "Don''t worry, I dared to buy it, so I naturally thought of a way out. Even if I really lost it all, I don''t regret it. Compared with you, what is a house?"


    Zhou Can really prepared for the worst.


    He can afford a house or two at all.


    Even if he doesn''t gnaw at the old man, he can still live well on his doctor''s salary.


    What''s more, he is still a rich second generation.


    "Thank you! Meeting you is the greatest luck in my life."


    She was very moved.


    Having worked in society for six or seven years, although she is not very old, she is very clear about the face of a man. Those men who coveted her beauty would immediately become selfish and hypocritical as soon as they talked about money.


    After she was in trouble, she borrowed money from the bosses she knew.


    Whether it''s the bosses or the rich sons. Knowing that something happened to her, they all bared their fangs. Lend her 10,000 to 20,000 yuan, and you don''t have to pay it back. But need to sleep with them.


    This is something that Su Qianqian cannot accept no matter what.


    Compared with those people, Zhou Can is a breath of fresh air.


    It is also so that she can see who is sincere and who is fake.


    Su Qianqian hugged Zhou Can''s waist subconsciously.


    "Chan, thank you for taking me so seriously. But I don''t want to drag you down, and I don''t deserve you to do this for me, my..."


    Her mouth was held down by Zhou Can again.


    Don''t let her go on.


    "I''ve made up my mind. Husbands and wives are always right. You just listen to me. You just wait and see, and wait for me to help you out. And after the album is successfully acquired, I will give you another one." Bigger surprise."


    Zhou Can did not tell her the specific plan.


    Things can be done with secrets, and words can be defeated with slack.


    Don''t tell others about things before they are done, and keep your mouth shut. Only in this way can you accomplish great things.


    If you want to buy that album at a low price, you have to rely on her to play the leading role.


    "Didn''t Beihai Wolf Star Company ask for five million yuan? I specifically consulted with professionals, and I can win it at most two million yuan. But this rogue company is sure. In order to terminate the contract, you have to buy it no matter how expensive it is. So we might as well just count on¡­¡±


    Zhou Can talked about his plan to let her act in a suicide farce, and then let him come forward to severely lower the price.


    After Su Qianqian finished listening, she realized that this young man with a little money was not messing around.


    Instead, it showed a rather advanced strategy.


    "You really like my album?"


    she raised her head and asked.


    "I am optimistic about you!"


    Zhou Can stared at her pretty face, which was as beautiful as a disaster.


    Humans are indeed visual animals.


    When a man sees a beautiful woman, or a woman sees a handsome man, the first thing she sees is mostly for sex.


    "You are so bad!"


    She protested.


    "Believe it or not, I''ll show you something bad?"


    Zhou Can stared at her thin red lips.


    "I always thought you were a gentleman, have you shown your true colors?" She wanted to refuse but still greeted, the expression on her face seemed to be provocative.


    "I never said I was a gentleman, okay!"


    Zhou Can lowered his upper body, and both of them could feel each other''s breath.


    I can feel that she seems to be very nervous, her body is tense.


    Zhou Can kissed her smooth forehead in a sneaky way, and he closed it with a slight touch.


    Love is like attacking a city, attacking the heart first.


    Capturing the hearts of beauties is the happiest thing.


    "Sleep at ease!"


    He made no further moves.


    Kissing her forehead is probably the limit she can accept.


    He likes this kind of warmth between lovers.


    Her pretty face was flushed with embarrassment, and after a while, she took the initiative to hug Zhou Can''s waist even tighter. With a sweet smile on his face.


    Early the next morning, an ambulance arrived with a siren.


    Stopped at the downstairs of Zhou Can''s building. Su Qianqian was taken away by an ambulance because she swallowed a ''large amount'' of sleeping pills.


    The incident was a big one, and Zhou Can first called the police.


    Then he called Beihai Wolf Star Company and told them that employee Su Qianqian committed suicide and was being sent to the hospital for emergency treatment.


    Have them send someone over to deal with it.


    The police were the fastest and arrived at the scene first.


    Beihai Wolf Star Company was worried about human life, so Vice President Qian, who had dealt with him once, brought people over in person.


    After completing the transcripts according to the procedures, the police heard that it was Su Qianqian''s contract dispute with the company, and suggested that Su Qianqian could resolve it through legal procedures. Or try labor arbitration.


    Of course, out of justice and conscience, the police educated Vice President Qian from Beihai Wolf Star.


    It can also be regarded as helping the two parties to mediate and do some ideological work for Beihai Wolf Star Company.


    Vice President Qian''s attitude is very ''sincere'', and he will definitely solve it properly.


    Then, I went to visit Su Qianqian in person.


    She is still in a ''comatose'' state.


    Zhou Can was filled with anger and scolded Vice President Qian and others. He also threatened them, saying that if his girlfriend was killed, he must sue to the end, so that their rogue company would be discredited and punished by law.


    Vice President Qian was scolded and held back his evil fire, but he didn''t dare to provoke Zhou Can any further.


    I have to comfort Zhou Can with kind words, saying that this matter will be reported to the company.


    ¡­


    Three days passed like this, and Su Qianqian stayed in the hospital.


    Of course, he didn''t live in Tuya Hospital, but in the Municipal Traditional Chinese Medicine Hospital closest to Bajing Lake.


    The diagnosis and treatment business of this hospital is quite bad, and the door is deserted.


    In a situation like Su Qianqian''s, the family members did not ask to be discharged from the hospital, and the hospital would not rush to leave the hospital.


    After all, the cost of staying here for one day is much more expensive than staying in an ordinary hotel.


    Hospitals also need to generate income.


    Beihai Wolf Star Company was a little worried that they would make a big fuss, so they tried their best to take appeasement measures.


    Not only paid the medical expenses in advance, the company also sent people to visit twice.


    Su Qianqian deserves to be a student of acting, so she really acted too well.


    Except for Zhou Can, other family members, nurses, and doctors in the ward believed that she was really suicidal.


    Keep a close eye on her.


    I was afraid that something might happen in the hospital.


    On the night of the third day in the hospital, the nurse discovered that Su Qianqian was about to cut her wrists to commit suicide again, and she was so frightened that she hurriedly called for someone.


    While notifying her family.


    And she has no family members in this city, leaving only the phone number between Zhou Can and Beihai Wolf Star Company.


    That night, Zhou Can and people from Beihai Company rushed to the hospital one after another.


    Zhou Can acted angrier than before and made more trouble.


    Vice President Qian looked at Su Qianqian on the hospital bed and Zhou Can, who was making a lot of noise. They were really two big ones.


    Beihai Wolf Star Company has done too many immoral things.


    If it was because of her suicide she would be interviewed and reported by those all-pervasive media reporters.


    Beihai Wolf Star Company will be pushed to the forefront immediately.


    The last time the stage collapsed, although it was pushed to Su Qianqian, the insurance company, and the organizer of the event. But for this kind of dark matter, what I fear most is exposure and deep digging.


    If the media really wants to investigate, it can''t hide it at all.


    "How did you Beihai Wolfstar Company solve this matter? My girlfriend''s request is very simple, she just asks to terminate the contract. This is a suicide note written by her, accusing your Beihai Wolfstar Company of some criminal acts of eating people without spitting out their bones." .If we can¡¯t give us a good solution today, then I¡¯ll call all the reporters over to see if there¡¯s justice in this world!¡±


    Zhou Can''s roar echoed in the hospital corridor.


    The doctors and nurses on duty rushed over to persuade them, so that they could go to other places to negotiate.


    Don''t make noise in the hospital.


    Vice President Qian can be regarded as a person who has seen a lot of the world, not to mention the means.


    In the past few days, Mr. Gui asked him to handle this matter properly, and has been following up carefully.


    Seeing that this actress will be discharged from the hospital soon.


    Then there will be nothing wrong.


    Who knew that Su Qianqian was so stubborn that she secretly wanted to commit suicide again.


    When meeting such a person who is not afraid of death, he has nothing to worry about.


    Zhou Can held a suicide note with **** fingerprints in his hand.


    Although he didn''t see the content clearly, Vice President Qian was sure that what was written on it must be accusing Beihai Wolf Star Company of its crimes and scandals.


    Once this kind of thing is exposed, it will be a blockbuster! +Bookmark+

 Chapter 114： Great things come true, eliminate harm for the people

    My medical skills can add experience points Chapter 114 Great things come true, eliminate harm for the people


    "Mr. Zhou, I can understand your feelings. We also feel guilty and sad when this kind of thing happens to the employees of the company. If there is anything to do, we have to sit down and discuss it carefully. This is not a place to talk about things. Find someone nearby Hotel, let''s have a good talk and try to resolve this matter, do you think it''s okay?"


    Vice President Qian speaks well and handles affairs well.


    Even though Zhou Can made a fuss and scolded his mother, he still spoke kindly.


    "There''s nothing to talk about! We only have one request, to terminate the contract."


    Zhou Can''s attitude was extremely tough.


    "It''s okay to terminate the contract, but you have to act according to the contract! The company has spent a lot of money on training, packaging, promotion and other expenses in the past few years. If you want to terminate the contract, the money is originally a sum of money. Part of the compensation should be paid by the signed artist. In view of her special situation, after I asked the company''s superiors for instructions, I helped Qianqian say a lot of good things, and the company agreed not to recover that part of the liquidated damages."


    Vice President Qian''s three-inch tongue is really good at speaking.


    The dead can be said to be alive.


    Zhou Can didn''t point it out, but just sneered in his heart.


    "Mr. Zhou, I believe you are also a reasonable person. Our company recently spent a lot of money and mobilized a large number of people to produce a song album for Qianqian, but it didn''t pay back a penny! Originally, you didn''t If you offend that Mr. Zhao, the album might be sold out... Sigh! Forget it, let¡¯s not talk about the past."


    Vice President Qian sighed and shook his head repeatedly.


    Sing bitter tricks in front of Zhou Can.


    It''s a pity that Zhou Can doesn''t like this at all.


    "The company''s requirements are not high, just let Qianqian buy the album. Then we can get together and break up."


    Going around, Beihai Wolf Star Company will not let go of this matter.


    "Five million is too expensive, we can''t get it out."


    Zhou Can asked Su Qianqian to cooperate in acting for several days, waiting for this negotiation.


    He is not in a hurry.


    Now that Su Qianqian commits suicide every day, I believe it must be the Beihai Wolf Star Company who is in a hurry.


    Just look at Vice President Qian''s earnest appearance, and you''ll know it.


    "Hearing your tone, it means that you still agree to buy that album! It means that you are a reasonable person. Let''s find a place to talk about it, okay?"


    Vice President Qian glanced around, there were many people, and he didn''t want to talk about things here.


    Zhou Can was dragged by Vice President Qian and the woman named Wu Jiali to a nearby hotel and got a room.


    The two sides sat down to discuss the matter.


    "Mr. Zhou, please drink water!"


    Wu Jiali bought water and handed Zhou Can a bottle.


    This woman was wearing a low-cut dress and a miniskirt, and Zhou Can didn''t dare to look up.


    Too spicy for the eyes.


    "Mr. Qian, I''ll just say it straight, can you make the decision on this matter?"


    Zhou Can looked at Vice President Qian.


    "Talk about your psychological price first."


    Vice President Qian narrowed his eyes slightly.


    "One hundred thousand!"


    Zhou Can quoted a price without blinking his eyes.


    "An international joke! Now which company records a music album with more than ten million yuan? Mr. Zhou really wants to solve this matter, and he has to show sincerity."


    After hearing the quotation, Vice President Qian was almost so angry that his stomach bleeds.


    But still did not turn his face.


    The city of this man is extremely deep.


    Gentle, with a smile on his face, he speaks politely. For the sake of profit, you can do whatever it takes.


    Just like that night, I gave Su Qianqian drunk to Mr. Zhao, just to reach a cooperation with Mr. Zhao.


    "Don''t say it''s ten million, even the five million you mentioned, you can''t get it out if you kill me. Not only do I have to show sincerity, but you also have to make concessions. You can also see the situation of my girlfriend. When it arrives, there is no telling when people will be gone. At that time, you will not be able to sell that album for a penny.¡±


    The meaning of Zhou Can''s words is very clear.


    He is willing to spend money to help Su Qianqian buy an album, just for her sake.


    If everyone is gone, he shouldn''t be taken advantage of.


    This matter is indeed a weakness of Beihai Wolf Star Company.


    The horizontal is afraid of death.


    Su Qianqian didn''t even want her life, no matter how powerful the company''s methods were, they couldn''t do anything to her.


    "Mr. Zhou also has some truth in what he said. This is good, our company will make some concessions, buy it for 4.5 million yuan, and pay it off in one lump sum. This is the limit reserve price we can accept."


    Vice President Qian gritted his teeth, with a desperate expression on his face.


    Zhou Can has already learned about the cost of this album from Li Luo, so why would he listen to Vice President Qian''s nonsense?


    The two sides went through a lot of contesting and pulling.


    Finally talked about the price of 1.6 million.


    We really can''t talk anymore.


    This price was the limit price given by Vice President Qian after a phone call with Mr. Gui, who had never shown up.


    In the end, Zhou Can said that he would sell the house and raise money to buy the album.


    Vice President Qian agreed.


    Things come to an end here, basically.


    Both parties should be satisfied with the result.


    Beihai Wolf Star will lose 200,000 to 300,000 yuan, but there is no way around it. On the one hand, Su Qianqian''s determination to commit suicide terrified the top management of Beihai Wolf Star Company. When the time comes, people will die, and the consequences will be serious. On the other hand, they are more afraid that the bamboo basket will be empty. If Su Qianqian really committed suicide, it would be very difficult to sell this album for 100,000 yuan.


    It''s better to take advantage of this ''infatuated'' fool who is willing to pay the money.


    Turn that album into cash.


    ¡­


    The next day, Beihai Langxing took the initiative to call and ask Zhou Can about raising money.


    It seems that they are in a hurry.


    Zhou Can went to the bank to go through the mortgage procedures.


    Then, after many reviews, they finally bought the album when Beihai Wolf Star Company was anxious.


    When signing the contract, Zhou Can said that he would ask a lawyer friend to have a look.


    The other party naturally has no objection.


    In fact, I just asked Li Luo to help me see if there was anything tricky about the contract.


    Sure enough, I found tricky places everywhere. After modification, there is no problem. Only then did Zhou Can sign the contract with the other party and pay.


    Get the master tape of that album, and all the copyrights.


    So far, the purchase of this music album has been completed.


    Beihai Wolf Star Company cut off a small piece of meat.


    Zhou Can gave Su Qianqian a sigh of relief.


    It is estimated that after this album becomes popular in the future, Beihai Wolf Star Company will stamp their feet and scold their mothers, and feel heartbroken.


    After Zhou Can successfully bought it, the rest was directly handed over to Li Lao.


    "Brother, ask the hospital for leave tomorrow, or transfer to the evening shift. In the morning, let''s register the company together!"


    Li Luo happily said to him.


    Li Luo has been pointing out this matter behind the scenes.


    After successfully buying the album, he no longer has any scruples.


    In the future, he will come forward to preside over all the affairs of the company. Zhou Can is still a doctor. The company made money, and the two split in half.


    "Okay! I''ll go first!"


    Zhou Can waved goodbye to Li Luo and his wife.


    It can be seen that Qiu Jie supports her husband in starting a company. As a wife, how can she not understand her husband''s mind when she gets along with her husband day and night?


    They may have already achieved financial freedom.


    But to reach their level, there will definitely be higher pursuits. It''s not just about eating and drinking.


    "Zhou Can, slow down on the road! You are really the lucky star of our family. My illness has improved a lot now, and I have regained the courage to live. Li Luo also took this rare opportunity to finally pursue him. Beloved cause. Thank you!"


    Qiu Jie is very grateful to Zhou Can.


    Li Luo also showed a long-lost smile.


    "Sister-in-law, please don''t say that. It''s fate that we can become close friends. If you want to say thank you, I should also thank brother Luo for directly sharing 50% of my shares. This is a great affection. "


    When Zhou Can said this directly, he told Li Luo and his wife that he was very grateful.


    Otherwise, people have given you great benefits, and you took the benefits without saying a word.


    Not even a thank you.


    Isn''t that treating people as fools?


    With Li Luo''s ability, he neither lacks network resources, nor lacks skills, nor lacks funds.


    If you want to set up a company, you can do it alone.


    There is absolutely no need to give half of the shares to an idler like Zhou Can.


    "Hehe, it''s because you don''t understand Li Luo. In his heart, friendship is much more important than money." Qiu Jie said with a smile.


    "Think you''re the only one who takes money lightly?"


    Li Luo gave Zhou Can a dissatisfied look.


    "Besides, your contribution is not small, okay! You and your girlfriend are all in charge of providing all the information and buying this album. The investment is also half of each person. I really don''t mind giving you 50% of the shares. Feel something."


    "All right, all right, I can''t beat you. See you tomorrow."


    Zhou Can waved his hand, turned around and strode away.


    Now that he''s in a relationship, and it''s the stage of passionate love again, he naturally won''t go back to the unit''s dormitory.


    Instead, she was planning to go back to Bajinghu Xiangshan Bieyuan Community to celebrate with Su Qianqian. Then tell her the good news that the new company plans to sign her and praise her.


    "Invincibility begins with offering sacrifices to the ancestors"


    Sitting in the taxi, he still couldn''t hide his excitement and excitement.


    This is the first company he co-founded.


    Hope to have a good result.


    When the day when the company makes money, he will proudly tell his parents that his son has finally grown up. You no longer need to gnaw on the old, you can make money by yourself.


    "Chan, can you come to Beihai Wolf Star Company?"


    "I''ll be right over! What''s the matter?"


    Zhou Can and Su Qianqian went to Beihai Wolf Star Company together.


    Originally, Zhou Can was going to accompany Su Qianqian to complete the resignation procedures and leave together.


    Later, Su Qianqian told him that the procedures for financial settlement and personnel filing were more complicated, and he didn''t know when it would be good. Let Zhou Can go to work first, and she will go back after completing the resignation procedures.


    Does this rogue company still want to do something?


    Her album was also bought. From a legal point of view, the company could no longer trap Su Qianqian with a contract.


    "When the Personnel Office submitted the file, I was asked to go to the general manager''s office to ask Mr. Gui to sign. There was a little sister who resigned before, who was also called to the general manager''s office, and it took a long time to come out. Later, she told me, don''t be alone. Go to the general manager''s office."


    Su Qianqian has been in the entertainment industry for so many years without any accidents, relying on constant vigilance.


    That turtle is always a wolf.


    How can there be no reason not to eat the meat that is put on the mouth?


    In the past, Su Qianqian was valuable and had been working in his company. Naturally, he was not in a hurry to start.


    Now Su Qianqian is leaving soon, this is Mr. Gui''s last chance to make a move.


    "wait for me!"


    Zhou Can only replied two words.


    Then he immediately asked the taxi driver to turn around and head to Beihai Wolf Star Media Company.


    After more than 20 minutes, the taxi finally arrived at the building of Beihai Wolf Star Company.


    "Keep the change, please!"


    Zhou Can threw down a hundred-yuan bill and rushed directly into Beihai Wolf Star Company.


    Security stopped him.


    "What look? I just came to your company to negotiate a big contract not long ago!"


    "Sorry, sorry!"


    The security guard was frightened by Zhou Can''s terrifying eyes.


    Apologize again and again.


    Zhou Can rushed directly into the company building, the elevator was too slow.


    He quickly climbed up the stairs to the third floor.


    "Who are you looking for?"


    A female employee questioned him.


    "Su Qianqian!"


    "She''s in the general manager''s office!"


    Zhou Can rushed to the general manager''s office. "Hey, you can''t go in!" Zhou Can ignored the woman at all, and kicked the door open with a slam.


    There are three people inside, a beautiful woman in a professional skirt and black silk, who should be a secretary or something.


    She is standing.


    The person sitting on the throne of the general manager was a wretched-looking fat man, at least fifty years old, with heavy bags under his eyes. The whole person exudes a faint majesty, and there is also a trace of social life.


    The look in his eyes is much more terrifying than that of that polite Vice President Qian.


    Like a tiger lurking deep in the mountains, feminine and meticulous.


    It is comparable to Sima Yi in history.


    According to legend, Sima Yi in the Three Kingdoms period was extremely feminine. It is a tiger and a wolf. He is a wolf who knows how to lurk and strategize. He has a gloomy softness and meticulousness that ordinary men don''t have.


    "who are you?"


    The female secretary shouted angrily.


    When Su Qianqian turned her head and saw Zhou Can rushing into the general manager''s office desperately, her eye circles instantly turned red.


    This man really dared to fight for her.


    How dare you be desperate.


    "He''s Qianqian''s boyfriend!"


    Faced with this sudden situation, the man was stunned for a moment at first, and then regained his composure immediately.


    He looked at Zhou Can indifferently, even showing a kind smile on his face.


    "Qianqian has a boyfriend who protects her like you, I believe she will be very happy."


    Zhou Can didn''t expect the scene in the office to be like this.


    It''s completely different from what he thought.


    When he rushed in desperately just now, he thought that Mr. Gui was doing something wrong to Su Qianqian.


    Unexpectedly, when he broke into the office, he found that besides Su Qianqian, there was also a female secretary present.


    "Sorry, I was reckless just now. I will compensate you for the door lock."


    Even though Zhou Can came to this company to sign a contract, the boss never showed up.


    It was the first time the two met.


    People are polite, but he is really embarrassed to be arrogant.


    "Understandable."


    Mr. Gui picked up a pen and began to quickly sign and seal Su Qianqian''s file.


    High-end talents hope to leave a better evaluation on their personal resumes when they resign. It''s about finding your next job.


    But isn''t this under the control of the HR department?


    It is really rare for the general manager to handle it personally.


    "Okay, I wish you a bright future, and you can find a better employer. If you don''t do well, the door of our North Sea Wolf Star will always be open for you." Mr. Gui said to Su Qianqian.


    After taking the personal file, Su Qianqian stood up.


    "Thank you Mr. Gui for taking care of and nurturing me, goodbye!"


    She turned to look at Zhou Can.


    At this time, Zhou Can accidentally discovered a small detail.


    Why did the female secretary keep looking at the glass of water in front of Su Qianqian?


    Those who wear clothes are not necessarily people, and those with wings are not necessarily angels, but may be bird people.


    This woman looks very beautiful, and her temperament is also very outstanding.


    But the eyes are erratic, moving faster than the eyes of a mouse.


    At first glance, it looks like a person who is exquisite and eight-faced, turning the steering wheel with the wind.


    Is there something wrong with this glass of water?


    Zhou Can was worried that Su Qianqian would have an accident, so he came a little too hastily.


    The water is still full.


    She probably hasn''t had a drink yet.


    "Qianqian, sit down for a while, I still have something to talk to Mr. Gui!"


    Zhou Can was thinking in his heart, should he call the police?


    What if that glass of water is okay?


    The sensible thing to do is to take Su Qianqian away. She wasn''t hurt anyway.


    But Zhou Can''s conscience and justice told him that if there is really something wrong with this glass of water.


    If Mr. Kame is not sent to prison this time, more girls will be victimized in the future.


    The little sister Su Qianqian mentioned was probably a victim.


    "Does Mr. Zhou want to talk about the compensation for that door lock? It doesn''t cost much, and you are eager to protect your girlfriend, I understand. No need to pay, you go!"


    Mr. Turtle said generously.


    This act of rushing to send Zhou Can away, UU Reading www.uukanshu. com made Zhou Can even more suspicious.


    "Thank you Mr. Turtle. But I want to talk about something else."


    While speaking, Zhou Can took out his mobile phone and quickly sent a message to Li Luo.


    "Call the police for me. The address is the general manager''s office on the third floor of Beihai Wolf Star Company. Be quick."


    "receive."


    Li Luo replied the message in seconds.


    Zhou Can made a good arrangement and deliberately messed with this boss.


    In order not to arouse the other party''s suspicion, he deliberately asked the other party humbly about the ways to realize the album he bought back.


    Mr. Turtle seemed to know something about his situation.


    An outsider who bought an album and didn''t know how to monetize it could understand.


    He patiently taught Zhou Can some ways to cash out.


    While the two were chatting, the door of the office was pushed open.


    "Who called the police?"


    Two policemen walked into the office.


    "I called the police!"


    Zhou Can breathed a sigh of relief when the police arrived.


    Mr. Turtle''s expression changed drastically, but he was still trying to maintain his composure.


    The female secretary turned pale, her eyes panicked.


    "What is it?"


    The police questioned Zhou Can.


    The scene was peaceful, and it didn''t look like there was a dispute.


    The only thing that stood out was the door lock, which had been clearly kicked.


    After the female secretary received Mr. Gui''s signal, she reached out to take the glass of water in front of Zhou Can more naturally.


    "do not move!"


    Zhou Can yelled sharply, which startled her a lot.


    The female secretary hurriedly explained, "This glass of water was poured for Su Qianqian before, and I''m going to replace it with a new one for you."+Add to bookmark+

 Chapter 115： Be her strongest support, a double harvest of love and career

    My medical skills can add experience points Chapter 115 Be her strongest support, a double harvest in love and career


    "Hmph, before the police came, you didn''t say to change a glass of water for me. As soon as the police arrived, you had to change it. Is this a guilty conscience?"


    Zhou Can sneered.


    Secretly asked Li Luo to help call the police, just to catch the thieves and seize the stolen goods, and to capture the criminal evidence of these people at the scene.


    Zhou Can was relieved by the guilty conscience of the female secretary and Mr. Gui.


    This glass of water is 100% faulty.


    "Comrade policeman, here''s the thing. My girlfriend resigned, but they insisted on calling her to the general manager''s office to sign. I was worried that something might happen to my girlfriend, so I arrived in time and broke in. Fortunately, she hadn''t had time to drink this A glass of water. I now suspect that the glass of water was drugged."


    Zhou Can briefly explained the whole story.


    "nonsense!"


    Mr. Gui, who was originally calm, couldn''t help scolding Zhou Can angrily at this moment.


    "Is there any problem? Wouldn''t it be clear after a test?"


    Zhou Can sneered.


    After the two policemen found out what happened, they said that the glass of water should be taken back for testing.


    Mr. Gui can only bite the bullet and agree.


    Zhou Can thought of something and ran to the trash can to check.


    Sure enough, a new discovery was made.


    "Comrade police, this seems to be a medicine packaging bag."


    He directly brought the trash can over. Do not take it directly to avoid leaving fingerprints on the packaging bag.


    After all, the female secretary''s psychological quality is not as strong as Mr. Gui''s.


    His face was pale, and his body was trembling violently.


    "Old Song, did you call the criminal investigator?"


    "I went to get things in the police car and collected evidence first. After testing this glass of water, if there is a problem, they won''t be able to escape."


    The two policemen quickly discussed a countermeasure.


    After collecting the evidence, seal it up.


    And take photos on the spot.


    Then let the female secretary and Mr. Gui register the ID card.


    The female secretary trembled when she spoke, which was a sign of extreme panic and guilt.


    "Why put medicine in the water?"


    The older policeman questioned her seriously.


    "No, it''s none of my business, Mr. Gui ordered me to do this! Please don''t catch me..."


    This woman is afraid that she became a secretary because of her figure and face, and her psychological quality is too poor.


    The interrogation has not officially started yet, but she just asked a tentative question, and she recruited everything.


    Mr. Gui''s face was as black as a rag.


    "Now I suspect that you have committed criminal acts, please follow us back to the police station for further investigation."


    The police took all four of them back to the police station.


    This completely confused the other employees of Beihai Wolf Star Company.


    "Comrade police, I have another message to report to you."


    "you say!"


    "This tortoise may have violated too many people by using the same method. If possible, I suggest searching his office and safe." Zhou Can just reflected on this situation.


    The rest will naturally be handled by the police.


    Gui Boss drugging Su Qianqian is an attempted crime, and this crime may not even reach the criminal level. It would be great if we could dig out Mr. Gui''s old background. There is a high probability of sitting in prison. It can be regarded as eliminating one harm for the people. Seek justice for those girls who were victimized.


    Mr. Gui''s face was ashen, and he gave Zhou Can a resentful look, but he didn''t say anything.


    Perhaps, he didn''t expect to fall into the hands of such a young man.


    ¡­


    After Zhou Can and Su Qianqian finished their transcripts, they could go home immediately.


    When he left, he heard the police talking, and found videos and pictures of assaulting many women from Mr. Gui''s office, as well as some harmful drugs. They scold Mr. Gui as a beast.


    Good and evil will be rewarded.


    Mr. Turtle is completely screwed this time.


    "Brother Luo, I have some good news for you. I''m afraid Mr. Gui has finished his game. He has violated many women, and the evidence is solid."


    Zhou Can walked out of the police station with Su Qianqian, and immediately told Li Luo the good news.


    "Great job! Congratulations!"


    Li Luo only replied eight words, followed by an expression of celebrating by lighting firecrackers.


    Zhou Can smiled knowingly.


    He held Su Qianqian''s hand, "What''s for dinner?"


    "Buy some food, let''s cook at home! What do you like to eat?" She was also very happy when she saw Mr. Gui was caught.


    Happier to be free at last.


    Get out of the grip of this rogue company.


    "Can you still cook?"


    Zhou Can was so surprised.


    In his impression, actresses always stretch out their hands for clothes, open their mouths for meals, and keep their fingers clean, and invite several nannies and aunts to wait on them.


    "Hmph! What kind of expression is this! Is he so unbearable? What kind of food do you like? I''ll cook it for you."


    After she fell in love with Zhou Can, like most girls, she had her sweetheart in her eyes and in her heart.


    "I like to eat braised fish, can you do it?"


    Zhou Can cherishes this beautiful and kind-hearted girlfriend even more.


    "Yes! Other dishes, I can decide on my own! Many people say that if you want to keep a man''s heart, you must first grasp the man''s stomach. You are such an excellent boyfriend, this girl has to grasp it. Watch today The anxious look of you rushing into the general manager''s office desperately, I really want to cry, I''m so touched!"


    Speaking of this, she held Zhou Can''s hand even tighter.


    When looking at Zhou Can, his eyes were full of affection.


    "In order to repay you, I will make a table of delicious dishes to reward you."


    Exchange true feelings with sincerity.


    Zhou Can treated her so well, paid so much, and finally won her heart.


    "There are many ways to repay, such as a physical promise!"


    Zhou Can teased her with a smile.


    "You are bad!"


    She is coquettish.


    "Men are not bad, women are not loving!"


    Zhou Can is shameless.


    You don''t need to be taught to chase girls at all, it will come naturally when you grow up.


    "Hehe, that''s wrong! What women like is not a broken man, but a man who is capable and a little bit naughty." She retorted with a coquettish smile.


    "Sister, would you like to be Mrs. Yazhai for my brother tonight?"


    Zhou Can asked angrily.


    "Cackling~!"


    She bent over laughing.


    "Death!"


    Zhou Can''s heart was shaken, and he picked her up by the waist.


    "Ah... put me down quickly! A lot of people are watching!"


    The sudden attack made her face flushed with shame, and she punched Zhou Can with her fist.


    It can be seen that she is a very traditional girl.


    After Zhou Can put her down, her pretty face was flushed to the back of her ears.


    "Don''t do that again next time, do you hear me?"


    She glared at Zhou Can fiercely.


    "clear!"


    Zhou Can didn''t expect her skin to be so thin. She often needs to sing on stage, so she should be very courageous.


    "Understand what?"


    she pressed.


    "This can''t be done outside, but it can be done at home at any time."


    As soon as the words fell, Zhou Can was attacked by a powder punch.


    "Why did I find you, a scoundrel! You don''t speak seriously."


    ¡­


    The two bought some vegetables, and Zhou Can specially bought a beer to celebrate her.


    When she got home, Zhou Can helped her.


    Washing vegetables and washing rice and the like.


    It''s like the happy life that a young couple often lives.


    "Chan, you have mortgaged this house. If the payment is not paid, the house will be gone?"


    she asked with some concern.


    "It''s not just this set that is mortgaged, there are two other sets!"


    Zhou Can borrowed 4.5 million in total.


    Banks are really bad.


    The market price can obviously sell a house of about 2.2 million yuan, and the mortgage loan can only be estimated at a little over 70%.


    This is because the house is located in a good location and has a large appreciation space.


    He had no choice but to mortgage all three rented houses.


    In fact, the monthly loan interest is a lot of money.


    Originally, according to his idea, he sold the house directly to realize cash.


    Li Luo persuaded him not to sell it, saying that it was sold, and he would buy it back when the time came. Not only was it time-consuming, but also various taxes and intermediary fees would cost a lot of money.


    Selling a house is really at a disadvantage when you are in a hurry to sell.


    Buyers will definitely bargain hard.


    "Ah... where do you get so many houses? Isn''t it 1.6 million to buy an album? The price of one house here is more than that. You mortgage three houses, are you stupid?"


    Su Qianqian was shocked.


    "That''s exactly what I''m going to tell you next. I mortgaged three houses. In addition to buying your album, I also partnered with someone to set up an entertainment company. Then I signed a contract with you, packaged you, Promote and help you realize your dreams."


    Zhou Can said seriously.


    She covered her mouth with her hands, her expression mixed with excitement and shock.


    More is moved.


    Zhou Can insisted on buying the album to help her terminate the contract, thinking he was just messing around. Only now did she realize that her boyfriend was more capable than she imagined.


    Financial resources are also extremely amazing.


    I can own three houses here, and I am still so young, much richer than 99.9% of my peers.


    "You are so kind to me!"


    She suddenly hugged Zhou Can, buried her head in his chest, and cried.


    "Don''t cry, don''t cry! You should be happy. Then, work hard and strive to realize your dream as soon as possible." Zhou Can hurriedly comforted her.


    "Um!"


    She nodded vigorously.


    "By the way, the last time I asked you to check your kidneys, what was the problem? I didn''t see any medicine you were taking!"


    Zhou Can is a doctor.


    According to his understanding of kidney disease, the period of taking medicine will be very long for slightly severe kidney disease.


    "I... I had no money, and I owed more than 300,000 foreign debts, so I stopped the medicine." She hesitated before telling the truth.


    "Isn''t this nonsense? Show me the inspection report. I will help you pay off the foreign debt without any pressure. What if the kidney disease is not cured? If it becomes uremia, it will be troublesome."


    Zhou Can was full of blame, really distressed and angry.


    She doesn''t care about her body too much.


    After reading her inspection report, Zhou Canru was struck by lightning.


    Her condition has developed to the compensatory stage of chronic renal failure.


    As a professional, it is very clear that this has developed from chronic kidney disease to uremia. The only fortunate thing is that in the early stage of uremia, it is unlikely to be completely cured, but the disease can be controlled and the deterioration can be delayed by taking medicine.


    It is relatively ideal.


    "The doctor said, my disease can''t be cured, the only way is to get a kidney transplant. I didn''t want to hurt anyone. But the love feeling you gave me that night made me very obsessed. I have never been in love, and I have never been in love. Thinking of the taste of being in love will be so wonderful. Can, don¡¯t worry, I won¡¯t implicate you. I have already thought about it, and I will try to earn enough money to pay you back before death comes. At that time, An Jing Quietly leave this world, I hope to be a summer flower in your heart that never fades."


    No wonder she chose to commit suicide.


    On the one hand, she was oppressed by a rogue company, and she was overwhelmed by heavy debts. On the other hand, there are also major problems with the body.


    This girl has suffered too much injustice of fate.


    Zhou Can held her in his arms.


    "What nonsense are you talking about? As long as I am here, this tragedy will not happen. From now on, all you have to do is to actively cooperate with the treatment. There are also people who have completely recovered their kidney function through treatment during the renal function compensation period. Quite a lot. Take ten thousand steps back, even if you really can¡¯t recover, I will be able to find a matching kidney source for you when my status in the hospital is higher. At that time, I will perform a kidney replacement operation for you, and you will be able to fully recover healthy."


    The current result is not the worst.


    At least there is plenty of time left for Zhou Can.


    As long as the funds are strong enough and his status in the hospital is high enough, a kidney replacement is not difficult.


    "It''s great to meet you!"


    She hugged Zhou Can tightly, but the tears couldn''t stop pouring out.


    "You rescued me from the abyss time and time again, and gave me hope in despair."


    With Zhou Can''s help, those difficulties that made her desperate and unable to face were resolved one by one.


    As if, nothing is difficult in front of him.


    ¡­


    The next day, Zhou Can asked for leave from the hospital. Get the registration of the new company done.


    He partnered with Li Luo to establish a media company called Jinyu Interactive.


    The name was thought up by Li Luo. He said that in the entertainment industry, packaging is very important. The name should be domineering and pompous.


    After the establishment of the company, the first artist signed was Zhou Can''s girlfriend, Su Qianqian.


    That album is the content that the company focused on promoting in the early stage.


    Zhou Can only made the investment, and Li Luo was responsible for the rest of the staff recruitment, company planning, artist packaging and promotion, etc.


    In addition, Zhou Can offered money to help Su Qianqian repay the more than 300,000 foreign debts, but she refused to agree to anything.


    Facing such a self-reliant, self-respecting and self-loving girl, Zhou Can has nothing to do but let her go.


    I was worried that she would die of illness due to financial constraints, this matter could not be delayed. Zhou Can took her directly to the hospital to buy medicine, and told her to take it on time.


    She promised Zhou Can that she would actively cooperate with the treatment for the bright future of the two of them.


    The following days, just like this day by day.


    Zhou Can went to her place to see her from time to time.


    But the two did not cross the line.


    She is a very traditional girl.


    He insisted on saving the first time for Zhou Can on the wedding night.


    She said that girls are too casual and easily despised by their husbands.


    In this regard, Zhou Can chose to respect her. Also pay more attention to this principled girl.


    After all, the two were in a passionate relationship, either Zhou Can went to see her, or she came to see Zhou Can.


    In order to alleviate the pain of lovesickness between the two.


    Going shopping hand in hand, or sitting with hugging and chatting, watching TV, cooking together... life is happy and sweet.


    The company co-founded by Zhou Can and Li Luo Under the leadership of Li Luo, a veteran in the entertainment industry, the company''s business really changes every day.


    In less than a month, the company has pushed a song selected from that album to the top of the charts on Kuwo, Douyin, Baidu Music and other platforms. Although it fell back a little later, it has always been in the top five of the list.


    Su Qianqian''s work has also become more and more busy.


    Li Luo told Zhou Can that Su Qianqian worked very hard and had a very strong learning ability.


    Her singing skills, expressions, control and comprehension of music, etc., have all improved significantly.


    The company is planning to record a new song for her in the near future.


    He bluntly said that in the entertainment industry for many years, it is rare to see such a hardworking and talented female artist. He is very optimistic about Su Qianqian''s future prospects.


    In addition to the sweet and gentle singing voice, his basic skills are also very solid, singing and dancing are all at a very high level.


    In addition, her figure and appearance are all first-class.


    The smell is also very good.


    With so many excellent conditions combined in one person, she now has all kinds of resources promotion and packaging that she could not enjoy before.


    Her current reputation has far surpassed her peak in Beihai Wolf Star Company.


    And it is rapidly rising.


    Li Luo also told Zhou Can that if there were no accidents, Zhou Can would be able to pay off the bank loan and release the mortgage on the house within three months at most.


    Zhou Can knows that the entertainment industry is very profitable, but he never thought of making money like this.


    Of course, in any industry there are leaders.


    It is always the top players who make money. +Bookmark+

 Chapter 116： different treatment

    My medical skills can add experience points Chapter 116 Different treatment, agreement


    In the operating room, as usual, Zhou Can entered about ten minutes earlier to prepare for the operation.


    "Hi, good morning, Doctor Zhou!"


    Tang Ling always seemed to be the first person to enter the operating room.


    But it is also understandable, after all, nurses have a lot of preoperative preparation work.


    It takes a certain amount of time to prepare various instruments, medicines, and consumables.


    "Looking at you smiling so happily, are you in love?"


    Zhou Can asked with a smile.


    "I would like to talk, but there is no handsome guy to ask me out!" Tang Ling''s words should be a self-effacing joke. Her appearance is not bad. These days, there are more men than women, and there are many men chasing ''dinosaurs''.


    There must be more men chasing her.


    "Do you know why I''m smiling so happily? Because my favorite female singer, Su Qianqian, reappeared after being silent for a while! Her new song even rushed to the top of the charts! You can see When she reappeared, it means that she has recovered from the impact of the stage collapse incident last time. I am really very happy."


    Tang Ling is definitely a die-hard fan of Su Qianqian.


    Finding that Su Qianqian had overcome the difficulties, she was happier than she had won the bonus.


    "I''ve noticed it recently too. Hey, let''s not talk about it, the song sung by Su Qianqian is really nice."


    As soon as Dr. Lu entered the operating room, he heard them talking about Su Qianqian, so he picked up the conversation.


    Dr. Lu has really changed a lot recently.


    Even though he was still a scumbag, he teased this girl and that female nurse from time to time. But I have never been late for work, and I will arrive a few minutes earlier.


    The attitude of surgery is also much more serious.


    His suture, hemostasis, debridement and other medical skills have improved significantly.


    Dr. Xu never praised him before.


    Now I will boast a few words every now and then.


    Even Dr. Fu said that Dr. Lu''s surgical skills have improved a lot.


    Competition forced him to improve.


    The strong desire to survive gave him a completely different work attitude.


    "Hmph, now you know how good it sounds! I recommended it to you before, but you still don''t believe me."


    Tang Ling said proudly.


    "Not only is the song beautiful, but the real person in the MV is also very beautiful. A goddess of this level, alas... If I have tens of millions and assets of over 100 million, maybe I can pursue it."


    Doctor Lu really wants to eat swan meat.


    As for him still wanting to pursue Su Qianqian, he was simply daydreaming.


    "Doctor Zhou, didn''t she send you a box of album last time? Is the new song on the Internet from that new album?"


    Tang Ling''s memory is really good.


    She still remembers this.


    "It should be, I don''t know too well."


    Zhou Canmohu replied.


    "Su Qianqian sent an album to Dr. Zhou? Why didn''t I know about it?"


    Doctor Lu''s ears straightened up.


    "Doctor Zhou, did she leave her contact information? I am willing to exchange five big meals." Dr. Lu stretched out his fingers.


    Fortunately, he really dared to think.


    "No."


    How could Zhou Can give this kind of scumbag the contact information of his future wife?


    Without even thinking about it, I directly refused.


    "Oh! That''s such a pity! If she comes to the doctor next time, don''t any of you rob me!"


    Dr. Lu was looking forward to such a good thing, and it would happen to him next time.


    He thought that if he had such a good opportunity, he would definitely be able to get Su Qianqian''s contact information.


    "Hee hee! Dr. Lu doesn''t pursue Qiao Yu anymore?"


    Tang Ling laughed and teased him.


    "I don''t care about me at all, and I can''t catch up even if I want to! I think that a good girl like Qiao Yu will definitely make Dr. Zhou cheaper in the end."


    Dr. Lu felt a little depressed when he mentioned this matter.


    Qiao Yu is not as easy to coax as other little girls.


    Really didn''t give him a chance.


    "The new surgical nurse, Song Chunyan, is pretty good too! I see you two talking and laughing."


    Tang Ling looked at a very honest girl. Dr. Lu never said a word when scolding her. I didn''t expect to gossip and compete with Ye Tingting.


    It seems that women all have a heart that loves gossip.


    "Don''t mention it, I have already invited her to a dozen western meals, and I haven''t even held hands."


    Dr. Lu had a bitter gourd expression on his face.


    After Zhou Can heard this, he almost burst out laughing.


    There should be a few more girls like this to treat Dr. Lu.


    That Song Chunyan looked very shy, especially easily shy, and Zhou Can was worried that she would be deceived by Dr. Lu, a scumbag.


    Now it seems that it is still uncertain who is lying to whom.


    Not long after, Qiao Yu and Song Chunyan walked into the operating room.


    Ever since Tian Tian was driven away by Zhou Can, Song Chunyan became a substitute surgical nurse.


    "Hey, good morning everyone! I heard you laughing so happily just now, what did you say?"


    Qiao Yu greeted everyone with a smile.


    When looking at Zhou Can, his eyes are even more special.


    "Doctor Lu said that chasing you was too difficult, and he wouldn''t give him a chance. He also said that it would definitely be cheaper for Dr. Zhou in the end."


    Tang Ling really dared to say it.


    Qiao Yu learned all these words.


    I really admire her ''emotional intelligence''. Sometimes, it feels like she''s just a little girl who hasn''t grown up.


    In addition to a serious work attitude and a good professional level, in terms of speaking, his nerves are really not ordinary.


    Of course, she never said hurtful words or curse words.


    "Doctor Zhou doesn''t like me!"


    Qiao Yu looked at Zhou Can with some resentment.


    Women''s sixth sense ability is the most powerful.


    She could feel that Zhou Can and her were just good colleagues.


    Even though no one has ever made it clear.


    But I can feel it from Zhou Can''s behavior towards her.


    For example, two people added WeChat friends. Chat is never about love.


    Zhou Can never took the initiative to ask her out.


    There is also the way Zhou Can looks at her, he likes her, but it is not the kind full of affection between lovers. Instead, his eyes were clear and friendly.


    "I have a girlfriend, but I dare not step on two boats!"


    Zhou Can quickly explained.


    This was also the first time he told Qiao Yu personally that he had a girlfriend.


    "Oh... yeah! No wonder you never joke too much with any female colleagues! These days, there are really not many men who are devoted to their feelings." Qiao Yu''s face changed slightly, and her smile was a bit forced.


    But her response was okay.


    It shows that she has long been psychologically prepared for this.


    Zhou Can himself is also a rookie who has never been in a relationship. He doesn''t think he hates Qiao Yu and likes to work with her. But there is absolutely no feeling of joy at first sight and still throbbing after a long time when seeing Su Qianqian.


    "Hey, classmate Qiao Yu, are you complimenting me or hurting me! Men who are single-minded are men with no skills. They are afraid that their girlfriend will run away, so they dare not mess around."


    Zhou Can could tell that she seemed a little unhappy.


    So he deliberately said something self-deprecating to make her happy.


    "Haha! Then I really don''t know that there are two explanations for the specificity of feelings. It''s purely accidental, sorry!"


    Sure enough, she was successfully amused by Zhou Can.


    "You just mentioned your girlfriend, not your wife, which means you''re not married yet, am I right?"


    Be very careful when talking to such a high IQ girl.


    A single word, or even a different tone of voice, can reveal many secrets.


    "sharp!"


    Zhou Can gave her a thumbs up.


    "Being your girlfriend, I believe you must be very happy! I really envy that girl!"


    When she said this, her tone, eyes, and expression were all envious.


    It can be seen that she is really envious of Su Qianqian.


    In addition, when she heard that Zhou Can was not married, her originally forced smile seemed much more natural.


    "It''s pretty early! Not bad!"


    Dr. Xu, the chief surgeon, was the last to enter the operating room.


    His eyes swept over everyone, and he showed a satisfied expression.


    When he came, everyone didn''t dare to chat anymore.


    "Xiao Zhou, Jin Mingxi, a notice came from above just now. Your three-month training period in the emergency department has expired, and you are asked to rotate in other departments. You can take a look at this form for specific departments."


    Dr. Xu entered the operating room a few minutes earlier, probably to tell the two of them about it.


    The emergency department must be reluctant to let the two go.


    But there is no way. The purpose of the training is to enable doctors to quickly learn standardized clinical operations and be able to handle various patients proficiently.


    "Doctor Xu, can I choose the regular training direction of emergency internal medicine?" Jin Mingxi clearly has strong surgical skills, but proposed to choose internal medicine as the regular training direction.


    "You can ask the internal medicine department, if they are willing to accept it."


    Doctor Xu replied.


    In fact, when the directors of various departments selected people, they, the regular trainees, did not have the right to choose.


    Basically, there are only two options, either accept fate, and just obey the hospital''s arrangements. Either after working for a period of time, the work performance is excellent, and see if it can be valued by the superior doctors in other departments.


    If someone accepts it, job hopping is also possible.


    This superior doctor must at least be at the attending level. Senior residents are not allowed.


    Only the ruler can have that little power.


    It would be great to be appreciated by a senior doctor at the director level.


    Job hopping is basically a matter of one sentence.


    After the past, it can also be cultivated emphatically.


    For example, Zhou Can, as long as he is willing to jump to internal medicine, Director Yin from Shennei will give him the best training.


    But in reality, Gui Peisheng, who is as talented as Zhou Can, is a minority after all.


    Most of them are ordinary regular trainees, which will test the ability of relationship background, flattering, and gaining positions.


    People like Jin Mingxi are pretty good.


    But because he is too old, his education is only a bachelor''s degree, and in terms of ability, he has better surgical ability. Those important departments generally would not accept him.


    Due to the limited resources of the department, the number of training places is also limited.


    For the development of the department, we must choose the best among the best.


    It is often considered holistically.


    Jin Mingxi¡¯s planned training table looks like a total of nine departments, including three months in the emergency department, one month in the intensive care department, three months in the orthopedic surgery department, three months in the urology department, two months in the anesthesiology department, and five months in the general surgery department. wait.


    Looking at the training direction, he was given the training direction of emergency surgery.


    Jin Mingxi stretched out his head and glanced at Zhou Can''s watch, his face was full of envy.


    "Hey, you have more training departments than me!"


    Zhou Can''s regular training departments are indeed several more than his.


    "Director Tan of the Department of Internal Medicine and Director Zhang of the Department of Obstetrics and Gynecology greeted each other personally, and Vice President Ye nodded in agreement. If you have the ability, you can also add those top weighted departments."


    Doctor Xu pouted.


    There has never been such a thing as fairness in this world.


    It can only be said that everyone has the same opportunity.


    Whoever can win more performance opportunities under the same conditions will have a better impression of the hospital leaders on him. Naturally, he is willing to give that person more resources.


    Jin Mingxi shrank her neck after listening to Dr. Xu''s explanation.


    "Forget it, I will honestly report to the orthopedics department tomorrow!"


    My family knows my own affairs.


    If he asked Director Tan and Director Zhang, he would most likely be frustrated. Might not even be able to see each other.


    As for looking for Vice President Ye, I didn''t even dare to think about it.


    "Start the operation! Stand on your last post!"


    Dr. Xu''s last sentence was addressed to Zhou Can and Jin Mingxi.


    After the two of them have completed all the training and learned something, they will return to work in the emergency department.


    At that time, it will no longer be Gui Peisheng, but a resident doctor.


    ¡­


    Surgical patients are sent to the operating room one by one.


    Zhou Can seized the last chance and brought his strength to the extreme. Operate on patients quickly and well.


    Qiao Yu''s performance was also more active than usual, with all kinds of cooperation and a high degree of tacit understanding.


    Working until the end of get off work, Zhou Can finished treating the wound of the last surgical patient, and put down the needle holder and tweezers in his hand.


    "How many surgeries did we have in total?"


    Zhou Can asked Qiao Yu.


    "39 units!"


    She is silently cleaning up the instruments and disposing of the garbage generated by the operation.


    "Are you tired from working with me so intensively?"


    Unexpectedly, the record was broken again.


    "Working with you is a kind of enjoyment, which I can''t experience from other surgeons. I always hope that one day, I will be your full-time instrument nurse."


    She looked up at Zhou Can.


    "Thank you for giving me such a high evaluation, thank you for supporting me! When I return from regular training, I believe I will be able to apply to Director Lou and Head Nurse Niu at that time."


    Zhou Can said seriously.


    "Hehe! I didn''t expect you to remember the promise you made to me. I''ll wait for you!"


    She smiled happily.


    Zhou Can told her before that she would become a full-time equipment nurse.


    He hadn''t forgotten about it.


    After he finishes his regular training and returns, he should be able to gradually form his own surgical team. Qiao Yu would be his first choice of equipment nurse.


    "It may take almost three years before I return to the emergency department. What are your plans for this time?"


    "After finishing my dissertation, I will apply to be transferred to the inpatient department to study for about a year. If I pass the assessment, I will enter the intensive care unit to work and study. My main focus is nursing. Now, as long as I have time, I will study hard. Supplement the knowledge of various surgical nurses, and regard surgical assistance as a main direction of attack, and strive not to be eliminated by you in the future."


    She clearly has a clear plan for her career.


    Surgical assistance was made for Zhou Can.


    "Moved! Let''s work together!"


    Zhou Can clenched his fist and raised his arm, beckoning to her.


    She smiled and gave Zhou Can a high five.


    "If we don''t work together, can I often ask you medical questions?" When she asked this question, she looked directly into Zhou Can''s eyes.


    You can see that there is a little tension.


    Seems to be afraid of rejection.


    "Of course, welcome anytime!"


    The two chatted the most on WeChat about medicine.


    To be more precise, she often asks Zhou Can for some medical knowledge.


    After Zhou Can said goodbye to her looked at Dr. Xu.


    "Teacher, I''m afraid it will be a long time before I come back to follow you to continue the operation." Zhou Can felt that he was really lucky.


    When I entered the emergency department, I met Dr. Xu, a good teacher.


    It is not an exaggeration to describe it as a mountain of kindness.


    "It''s like parting life and death! Don''t you still work in a hospital? You can ask me anytime if you don''t understand. After work, if you want to get a chance to practice surgery, you can come here at any time. If you have suffered a big grievance, you can also find me. Director Lou and I, this is your natal home."


    Dr. Xu is always so serious and heartwarming.


    "Um!"


    Zhou Can nodded heavily.


    "Jin Mingxi, you are the same!"


    Doctor Xu looked at Jin Mingxi not far away.


    "thank you!"


    Jin Mingxi nodded heavily.


    Walking out of the operating room of the emergency department, Dr. Lu chased him up from behind.


    "Doctor Zhou, it''s inconvenient to say something just now. You''ve seen the situation in the emergency department, but it''s actually very poor. With your ability, if you have the opportunity to work in those important departments, don''t be silly in the emergency department. Hanged from a tree. Do you understand what I mean?"


    Dr. Lu lowered his voice to ''remind'' him.


    "Well, I understand. Thank you for reminding me, I will seriously consider it."


    Zhou Can agreed with his lips, but he was like a mirror in his heart.


    Would Dr. Lu be so kind as to mention Zhou Can?


    It was nothing more than fear that Zhou Can''s status would be threatened when he returned from school.


    In terms of surgical ability, Dr. Lu is not as flattering as Zhou Can.


    On the day Zhou Can returns to the emergency department, his status may be close to the corner again. +Bookmark+

 Chapter 117： Entered orthopedics for the first time, fracture external fixation

    My medical skills can add experience points Chapter 117: First entry to the orthopedics department, external fixation of fractures


    Zhou Can looked at the training schedule, and the second training department was orthopedic surgery, which lasted for three months.


    Orthopedic surgery plays an extremely important role in the field of surgery, ranging from thoracotomy and craniotomy to replantation of a finger, all of which cannot be separated from orthopedic surgery.


    It is a must for surgery.


    Zhou Can is full of expectations for this new department.


    During the three months of regular training in the emergency department, he mainly stayed in the operating room.


    What I have learned is also the knowledge related to surgery.


    The three-month surgical operation in the emergency department is even more than the five-year work of others.


    He currently has several basic surgical skills that have reached the intermediate level of attending.


    With this strength, if you enter the training of orthopedic surgery, you will be able to succeed soon.


    The next day, he and Jin Mingxi rushed to report to the orthopedic surgery department early.


    The second stop of the regular training of the two is orthopedic surgery.


    When I walked into the orthopedic surgery department, I saw a long queue at the clinic. There are those in wheelchairs, on crutches, with bandages hanging on their arms, and some patients are even lying on carts.


    Most of the patients who come here for treatment are accidental injuries.


    "Good guy, the number of patients here is no less than that of the emergency department!"


    Jin Mingxi couldn''t help sighing.


    "Orthopedic surgery and general surgery should be the two busiest departments in surgery. Let''s go to the doctor''s office first."


    Looking at these patients, Zhou Can''s eyes sparkled. These are all experience points!


    "Hello, may I ask who is Dr. Gui Pei reporting to?"


    Zhou Can didn''t ask the nurse this time.


    I happened to see a middle-aged male doctor in his forties passing by, so he hurried forward to ask.


    "Which department are you from?"


    "Emergency Department!"


    "Come with me!"


    "thank you!"


    In Zhou Can''s impression, orthopedic surgeons are generally aloof. This middle-aged male doctor is also very easy to talk to, right?


    Ask for directions and take them to report in person.


    From time to time along the way, doctors or nurses took the initiative to greet the man.


    Call this person Dr. Yang.


    "Come in! Everyone take a form and register."


    Doctor Yang led the two into a fairly spacious office.


    At this moment, several young doctors are already filling out the same form as them.


    "Xiao He, how many people have the hospital arranged for orthopedic training this time?"


    Dr. Yang asked the young doctor who was sending and receiving forms in the office.


    "There are thirteen people in all departments, plus the five we recruited, a total of 18 regular training doctors."


    The regular training department is generally coordinated and arranged by the hospital.


    For example, Zhou Can and his colleagues transferred from the emergency department to the orthopedic surgery department, and Gui Peisheng from other departments would be transferred to the emergency department.


    Only in this way can the stable operation of the entire hospital be guaranteed.


    "There are too many people! But this is also a good thing. One more person works, and everyone can relax."


    Dr. Yang sat at the main seat in the office.


    It seems that this batch of regular trainees belongs to him.


    Zhou Can also said how did the orthopedic surgeon become so enthusiastic? It turned out to be the right person to ask.


    While they were filling out the form, people came to report one after another.


    "Hurry up and fill out the form. You only need to write one or two specialties that you think you are best at. If you really don''t know how to write them, just write which department you are from."


    Dr. Yang raised his wrist to look at the time, maybe he felt that these rules were too dark.


    So he urged.


    Zhou Can has already filled it out.


    In the special column, he wrote about suturing and ligating.


    Because the experience value of these two basic medical skills is the highest, and they are about to reach the excellent level of attending.


    Soon, all the 18 Gui Peisheng completed the forms.


    "Let me introduce myself. My surname is Yang. I am in charge of your preliminary arrangements and the management of the entire orthopedic surgery training period. First of all, on behalf of the orthopedic surgery department, I would like to extend my welcome to you."


    Doctor Yang''s eyes swept over the eighteen people.


    "Since the restructuring of Tuya, the system has been implemented in which the capable go up, the mediocre go down, and the survival of the fittest. I don''t care which department you are from or what background you have, the competition for training opportunities will be treated equally."


    This is an early vaccination.


    Let those who come from important departments put away their arrogance, and let those who have connections with backgrounds stop thinking about it.


    Don''t think about going through the back door, giving gifts, etc.


    Clinical departments have always been a place of failure for related households.


    If he didn''t have real skills, no doctor would dare to let him do it to patients, even if it was the dean''s son.


    What should I do if I cut down the patient with one knife?


    If something happened, the dean would not only not appreciate it, but would also wish to slap the superior doctor to death. Are you **** trying to kill my son? Knowing that his surgical ability is weak, let him do the cutting.


    "Let''s talk about the department''s needs for Gui Peisheng first. There are only two 100,000-level operating rooms in the operating room and six Gui Peisheng are needed to assist. The outpatient manipulation recovery room needs one. The more the inpatient department, the better."


    Every fool knows that regular training in the operating room is definitely the best.


    Outpatient manipulative reduction is not bad.


    The worst thing is to be a regular trainee in the inpatient department. The work is heavy and tiring, and it is easy to be scolded by family members and patients. All kinds of managing beds, being on duty, writing medical records, and doing odd jobs are enough to make people tired.


    "Of course, you don''t have to worry too much. The hospital''s standardized training for you is all-round. It doesn''t mean that you won''t have the opportunity to study in the operating room when you are assigned to the inpatient department. It''s just that the focus of learning is different."


    After seeing everyone''s slightly nervous expressions, Dr. Yang comforted everyone with a gentle smile.


    The Orthopedic Surgery Department asked him to manage Gui Peisheng, so he naturally has strong management and coordination skills.


    "For the sake of fairness, you will enter the operating room in batches in the first three days. Those who perform well will be retained by the chief surgeon in the operating room. Don''t be discouraged if you are eliminated. Surgery is not the only way out. And even if divided When I manage patients in the inpatient department, as long as I perform well, I can still win opportunities for surgical training.¡±


    Surgeons cannot perform operations, and the only way out is to choose more difficult academic research.


    It''s just that there are very few people who have made a name for themselves on this road.


    A careful observation of the famous doctors in each surgical room shows that all of them performed exquisite operations. Most of their academic achievements are also closely related to their surgical ability.


    After all, science comes from practice.


    "Anyway, everyone has the same opportunity, so I will randomly assign you the jobs for the first three days."


    Dr. Yang directly divided the eighteen data sheets in his hand into three parts.


    "Xiao He, read the names of the six people working in the operating room today."


    He handed the first information sheet to the young doctor.


    "Fan Wen, Wang Bin, Jin Mingxi..."


    A total of six names were read.


    Zhou Can may not be in the first batch because he submitted the form late.


    This is also good, you can spend one or two more days to familiarize yourself with the environment of orthopedic surgery.


    He knew very well that if he couldn''t be selected into the operating room, his development would definitely be much worse.


    Although his surgical ability is very strong, enough to crush everyone, but the lion fights the rabbit, he must do his best to be more secure.


    "The six people whose names were read just now went to work in the operating room. The remaining twelve people stayed in the inpatient department. Your main task for the first three days is to be familiar with the entire process of patients from admission to discharge. Manage the bed, write I don¡¯t need to say more about cases, operations, and ward rounds, you have already learned them during the internship stage.¡±


    What is done in the internship and regular training stages is actually different.


    Just like going to kindergarten, the main thing is to learn to abide by the campus rules, as well as the recognition and reading of the pinyin alphabet, and the meaning of the numbers 1 to 10. In the first grade of elementary school, children are required not only to recognize and read pinyin letters, but also to be able to write and spell, and to start learning to write simple Chinese characters. In terms of mathematics, children will also be required to learn addition and subtraction within 10, as well as larger numbers.


    The same goes for doctors.


    Step by step, step by step to improve business capabilities.


    Regulatory training doctors need to gradually complete certain risky affairs independently.


    Such as tube bed.


    What should the intern do if he finds that the patient is coughing violently or complaining of stomach pain? Then I must call the superior doctor to come and deal with it!


    If Dr. Guipei encounters this kind of thing, he must learn to diagnose it by himself.


    Call the superior doctor for something serious, and you will definitely be scolded to death.


    "Xiao He, go ask Mr. Xiang to come over!"


    Doctor Yang ordered.


    Mr. Xiang is not the boss of any company, but the president of the hospital.


    That''s what hospitals are usually called.


    Many newcomers think that the overall status of hospitalization is very high, but it is not.


    Don''t look at the hospital who always treats many regular trainees and interns as grandchildren, directing this work and arranging that work.


    In fact, the overall status of hospitalization is much lower than that of attending.


    This position is usually rotated, and the time is one year, which can be regarded as a hard job.


    To live in the hospital on duty.


    Being able to become the chief resident has some things in common, and the working experience of the resident physician is more than three years. I have advanced training.


    In fact, this is also a necessary process for promotion.


    Usually, they go to study for half a year to a year, and after returning, they will be hospitalized for a year, and then they will take the examination for promotion to attending physician. After passing, you will get the attending physician certificate. If the hospital has a quota, it will hire you as the attending physician.


    However, the number of appointments is limited, so there is no need to worry if you are not hired within a year.


    At this point, as long as no catastrophe occurs, basically the indications are stable.


    Mostly just waiting in line.


    It is worth mentioning that the difficulty of the examination is not high, and many people can pass it at one time.


    What is really difficult is to take the medical license exam one year after graduation. The pass rate is quite low, basically only one of the five people passed.


    If you fail the exam in the first year, you can retake the exam in the second year.


    It''s really not to pour cold water on those who haven''t passed the exam.


    I failed the test the first time, the second time, the third time... There is a high probability that I still fail the test.


    The smart way is to switch to administration in time, or change careers.


    After all, age can''t stand it.


    He graduated from a bachelor''s degree at the age of 24 and obtained a certificate at the age of 26. People with dull qualifications have been failing the exam, and they will be close to 30 years old after just two or three years. It will be very stressful at that time.


    It''s not that piece of material, it''s the smartest way to stop loss decisively.


    Soon, a male doctor in his early thirties hurried in.


    The man was of medium height, with thick and bushy eyebrows, as if he had two black brooms above his eyes.


    From the perspective of physiognomy, such a person is generally very irritable and rough.


    "Mr. Xiang, I will let you arrange the twelve people first. After three days, when the people in the operating room are selected, you will make long-term training arrangements for them."


    Doctor Yang said to the man.


    "no problem!"


    Doctor Xiang glanced at Zhou Can and the others, and waved his hand.


    "Come with me!"


    This style of acting is really vigorous and resolute, never procrastinating.


    Zhou Can and others followed him to the ward area.


    There are nine inpatient wards for orthopedic surgery, and the rest are open bed areas. The total number of beds is conservatively estimated to be at least three hundred.


    The scale is quite terrifying.


    Many smaller tertiary hospitals have a total of only about 500 beds. In order to be rated as the top three, some even need to inflate a part of the hospital beds to reach this number.


    Tuya is just an orthopedic surgeon with more than 300 beds. It has so many departments, and the total number of beds must be an astonishing number.


    With this size, it is difficult to find three companies in one province.


    What''s more, the number of beds in its affiliated first and second affiliated hospitals has not been added yet.


    "I don''t know your names. In order to save time, I''ll just divide the beds for you according to the list. For the three days, you are only assisting for the time being, and you don''t need to be in charge of these beds."


    Dr. Xiang read according to the list, and each assigned a batch of beds.


    The number of beds per person is about 8 to 12, and the number varies.


    The number of tube beds is mainly determined according to the ability of the tube bed doctor.


    Zhou Can was allocated beds 115-124.


    There are ten beds in total.


    As Dr. Xiang said, he was just assisting in the management. These ten beds are under the care of a doctor named He Zhang.


    This person will definitely have regular training and interns to assist him.


    "Who, don''t be dazed, hurry up and help put the plaster on."


    A busy doctor waved to Zhou Can.


    "It means you, come here quickly."


    Zhou Can hurried over.


    He has taken a scalpel, but never put a plasterboard on a patient.


    "The patient was injured by a fall from a high height, and his right leg was seriously fractured. He has already undergone surgery. The navicular bone in the arch of the left leg has a slight fracture and fracture. The attending doctor asked us to fix him with a plaster cast."


    It can be seen that the patient''s right leg has been wrapped into a mummy.


    It''s not clear what surgery was performed.


    In the case of a fracture, even after the operation, it needs to be fixed from the outside to allow the bone to heal.


    This cycle will be relatively long.


    There is a principle of priority for doctors to deal with patients'' conditions. Fatal injuries are dealt with first, serious injuries second, and minor injuries last.


    There are many kinds of high falls, such as falling from upstairs, falling from a cliff, or a branch breaking when climbing a tree, and unlucky falling to the ground.


    High falls are often accompanied by serious internal injuries.


    The patient in front of him only broke his leg, which is very lucky.


    "Look at you stupid, haven''t you put plaster on the patient yet?"


    "It''s true that I haven''t done it!"


    Zhou Can squatted down, not knowing how to help.


    "I''ll teach you once! First measure the length from the sole of the patient''s foot to the ankle. Then measure the width of the sole of the foot."


    The doctor is not tall, estimated to be only about 1.65 meters.


    Age twenty-eight or nine years old.


    Zhou Can didn''t know him, but the general hospital doctor assigned Gui Peisheng just now, and he must have been watching.


    "Okay, I remember. Are you Dr. He Zhang?"


    The other party spoke politely, at least not as fierce as imagined.


    Only then did Zhou Can dare to ask the other party''s name.


    "Well! I''m a resident doctor here, and I manage beds 115-124. Besides you, there are three interns. There was originally a regular trainee, but it has been transferred today."


    It really was Dr. He Zhang.


    Even in a large hospital like Tuya Hospital, the workload of a regular training doctor is already very heavy. It is almost used as most of the residents.


    The training doctor who was handed over was transferred away before the arrangement was in place.


    This shows that the staffing of doctors in the whole hospital is quite tight.


    "After measuring, you memorize the length, and then make the plaster ring into a plaster strip of appropriate length. Generally, you don''t need to worry about the width. The limbs that are too wide can be splinted directly. For this kind of case, a plaster cast is enough. "


    Dr. He Zhang''s hands and feet are quite nimble.


    The patient, like most patients, remained silent.


    Quietly watching the doctor busy for him.


    "These things are necessary for plasterboard. Plaster, plaster wool, bandages."


    He identified Zhou Can one by one.


    The three things are easy to distinguish, Zhou Can nodded to show that he remembered it.


    "After finishing the gypsum strips of appropriate length, the next step is to make gypsum wool. Remember, the length, width and narrowness must be grasped."


    "Sword Comes"


    In fact, it is customized according to the patient''s left foot.


    "Go and fetch half a bucket of hot water. The temperature is about 50 degrees. The hot water is available in the boiling water room over there."


    He Zhang deliberately let Zhou Can quickly familiarize himself with the environment.


    Soon, Zhou Can called the hot water.


    There is no way to measure the water temperature specifically, and it is tested with a beater.


    The temperature of the human body is about 36-37 degrees, and it feels a little hot to the touch, which is the water temperature of about 40 or 50 degrees.


    Dr. He Zhang was very satisfied when he saw that he had fetched the water so quickly.


    He tried the temperature of the water with his hand, and a smile appeared on his face.


    "It''s okay to do things! What''s your name?"


    "My name is Zhou Can! You can call me Xiao Zhou."


    Zhou Can was so narrow when he first came, and kept his posture very low.


    "Doctor Zhou, the next step is to soak the plaster strips in water."


    I saw that after the gypsum strip was soaked in, a lot of air bubbles began to emerge immediately.


    "Remember, you must wait for the bubbles to stop before taking it out."


    After a while, it stopped bubbling.


    Dr. He Zhang took out the softened plaster strip. Quickly pinch it with your hands.


    "Squeeze out as much water as you can, then spread it out on top of the plaster wool. Be quick, not too long, or it will harden very quickly."


    After finishing it, Dr. He Zhang instructed Zhou Can to lift up the patient''s left leg.


    "If the patient has the conditions, you can directly ask him to step on it."


    After speaking, Dr. He Zhang looked at the patient.


    "Uncle, it will hurt a little, just bear with it."


    Beside them, two family members of the patients were watching.


    The explanation must be explained in place, so as not to cause unnecessary misunderstanding.


    I saw Dr. He Zhang pressing the patient''s instep with one hand, and holding the plaster on the patient''s sole with the other hand. Then quickly wrap it according to the shape of the patient''s foot.


    "Doctor Zhou, hold on, don''t let the plaster come loose."


    Dr. He waited until Zhou Can supported him, then removed the bandage and began to wrap the patient. When one roll of bandages is used up, another roll is taken apart.


    After a few minutes, the plaster cast was firmly secured to the patient''s foot with bandages, all the way down to the heel.


    "Remember the bandage should not be too tight or too loose. Especially for these parts, if it is tightly wrapped, it will lead to ischemia and necrosis of the limbs. After wrapping it up, you can adjust the plaster by hand shape so that it fits more closely on the patient''s foot."


    Zhou Can was just laying hands on the whole process.


    When the patient''s plaster cast is finished.


    ¡¾Congratulations, you have obtained external fixation of fractures, which can perform external fixation for fracture patients and help the fracture site heal quickly. ¡¿


    [External fixation of fractures, current experience value: Level 1 1/10, unqualified level for interns. ¡¿


    Zhou Can was overjoyed to gain another orthopedic skill.


    Although it is just the most basic medical technique in orthopedics, it has a very high probability of being used in surgery.


    Especially in the department of orthopedics, many minor fractures only need to be cast with a plaster cast.


    "There is another cast over there. This time, you will operate it, and I will guide it by the side."


    "OK!"


    Zhou Can readily agreed.


    Dr. He Zhang definitely hopes that he can get started quickly, and next time there is a plaster cast, he can directly call Zhou Can to complete it.


    This is a patient with a broken hand, who needs to be put in a plaster cast and hung on his neck.


    "His severe fracture is mainly the hip joint. The operation plan has not yet been formulated. First, fix his fractured arm." This is a very thin middle-aged woman, lying on the hospital bed and humming.


    He kept yelling, he was going to die, he was going to die.


    Zhou Can is usually very careful when encountering such patients.


    The family member who accompanied her to see a doctor was a young man in his twenties, who should be her son. This unfilial son was holding a mobile phone and playing games beside him. +Bookmark+

 Chapter 118： The growth history of qualified doctors and abnormalities of surgical patients

    My medical skills can add experience points Chapter 118 The growth history of qualified doctors and the abnormalities of surgical patients


    Zhou Can only put plaster on this woman, as for her son, no matter how unfilial he is, it is not the doctor''s turn to take care of him.


    On the first day of their internship in Tuya, their teachers warned them that doctors only do what they should do.


    Don''t have too much sense of justice, and take care of the patient''s family and private affairs.


    He also told them that doctors should learn how to protect themselves while saving lives.


    Zhou Can didn''t understand the advice given by his teacher at the time.


    How did such a selfish person become a teacher?


    It wasn''t until later, after he personally experienced it, that he realized that what the teacher said were all good words. Zhou Can still remembers the first experience of meddling, when a 26-year-old young woman was injured and hospitalized.


    Tomato read novels for free


    It was obvious that someone had beaten him.


    But she said it was a fall, and the doctor who treated her, the nurse in charge of the bed, and the doctor didn''t meddle in their own business.


    Zhou Can just didn''t understand why she was lying.


    Also did not dig out the patient''s privacy.


    Until that evening, he was on the night shift.


    Accidentally found the woman''s husband in the ward, he slapped the woman twice and punched her on the head.


    She was sitting on the hospital bed crying.


    Seeing this kind of thing, Zhou Can was furious.


    I finally understood how the woman''s injury came about.


    Rushing into the ward to stop the man from continuing to attack. The man was very arrogant and warned Zhou Can not to meddle in his own business, it was his family business. Zhou Can didn''t get used to him, and angrily accused him of beating his wife as an illegal act.


    The man became angry and stretched out his hand to push him.


    Zhou Can was not used to this man, and he had practiced Sanda himself, so he threw the domestic violence man to the ground with one move.


    This time the matter can become a big mess.


    The woman cried and asked Zhou Can not to hurt her husband.


    The man called the police.


    The superior doctors in charge of the ward and the leaders of the hospital departments were all alarmed.


    The facts couldn''t be clearer. As a result, when the police questioned her, the woman helped her husband speak, saying that Zhou Can was meddling in his own business, and beat her husband first. The man even threatened to send Zhou Can to jail.


    At that time, Zhou Can''s heart was bleeding.


    It is obviously doing good deeds, upholding justice, and helping the weak.


    As a result, the woman not only didn''t appreciate it, but even bit her back. Together with her husband, she framed Zhou Can.


    Doctors beating family members, the impact is too bad.


    Losing money is a trivial matter, and it will definitely be punished by the hospital.


    Fortunately, a family member in the ward recorded the scene at that time, and secretly handed it over to the police afterwards, so that the truth of the matter could be restored.


    Zhou Can was not punished, nor did he lose money.


    But no praise either.


    Instead, the director of the department and the teaching teacher went to talk to him separately and criticized him.


    That incident left Zhou Can with an unforgettable memory.


    Since then, he has never been too busy.


    In the process of receiving patients, he learned how to protect himself little by little.


    The person who should sign must ask the family to sign.


    Never agree to patients or family members because of overflowing sympathy.


    This is a qualified doctor.


    ¡­


    Under the guidance of Dr. He Zhang, Zhou Can successfully put a plaster on the female patient''s left arm.


    This is the first time he has completed a plaster cast independently.


    Not particularly well done.


    Finally, it was successfully completed.


    He also earns 1 experience point.


    According to Dr. He''s instructions, after putting the plaster on the patient, observe for about 20 minutes to confirm that there is no abnormality before leaving.


    During this waiting process, Zhou Can couldn''t help but look at the patients in the nearby beds.


    There are male and female patients, and there are not a few young people.


    Some have undergone surgery and need to be hospitalized for a period of time. Some are waiting for the operation, or lying on the hospital bed in pain under traction.


    Zhou Can''s eyes finally fell on a bed next to him.


    The patient was a middle-aged man in his forties who was sleeping with his eyes closed. Compared with other patients, he seemed extraordinarily quiet.


    A middle-aged woman with a haggard face was lying on the side of the bed looking at her sleeping husband with a sad face.


    When disaster strikes, husband and wife, parents, and children are the three most reliable types of relatives.


    This middle-aged couple happened to be old on the top and young on the bottom.


    Belongs to the pillars of the family.


    The middle-aged man collapsed suddenly, and the consequences for the family were almost disastrous. The woman should be worrying about what to do if her husband cannot recover?


    Not only can''t make money during the hospitalization, but also has to pay a lot of money, which is undoubtedly worse for the family.


    "He was hospitalized due to a car accident, and his calf was crushed and fractured. I heard that the tibia of the calf was a disjointed fracture and part of the tibia was comminuted. The operation took a full eleven hours. It is estimated that the bones, blood vessels, and nerves need to be anastomosed and connected. .It was just after five o''clock this morning and I came out after the surgery."


    Dr. He Zhang carefully introduced the patient''s situation to Zhou Can.


    "Doctor Zhou, I don''t have much work for you to help with now. That''s all right, you should check the conditions of the patients in the ten beds first, and you may need to be on duty at night."


    The squeeze between doctors is just like Dr. He''s.


    The superior doctors will give some chores, dirty work, and tired pistons to the subordinate doctors to do. Working the night shift is very hard work, which is basically covered by the training doctors and interns.


    In a large department, it is not bad to have an attending-level night shift at night.


    Intensive care is not included here.


    When a patient in there has an accident, if the correct rescue is not done within a few seconds, life may be lost.


    For example, some patients have a sudden drop in blood oxygen, or sudden cardiac arrest, etc.


    This is why novice nurses and doctors are not qualified to be on duty in the intensive care unit.


    Because it really tests the ability of doctors and nurses to deal with various emergencies. This requires rich experience, solid medical knowledge, and skilled rescue skills to support it.


    The critical care departments of almost all hospitals gather elite medical staff.


    Faced with Dr. He''s oppression, Zhou Can actually had no room for bargaining.


    Only obey.


    Zhou Can got to know the situation of the patients in every hospital bed.


    Patients and family members generally have a cold attitude towards young doctors like him.


    These days, family members and patients are shrewd.


    In the morning, during the rounds of the ward, the director and the attendant shouted and hugged. They knew that this was the person in charge.


    Each of them will show flattering smiles, and their attitude will be very enthusiastic.


    Answer whatever you ask.


    After Zhou Can took a look around the patients in the ten beds, Dr. He, who was in charge of the beds, had already left.


    Bed doctors need to write medical orders for patients, check the cases written by interns and regular trainees, and then write their own summaries, and report the abnormalities of some patients to the superior doctors in time, etc.


    They have a lot going on.


    Sometimes when a patient has an emergency, the nurse or intern doctor calls him, and he has to run over immediately to check and deal with it properly.


    Zhou Can went back to the bed of the female patient who was wearing plaster and checked the plaster.


    The plaster has set.


    It feels firmer to the touch.


    The female patient was still moaning and shouting that she was going to die.


    Her son only cared about the games on his mobile phone, and neither urged the doctor when to schedule the operation, nor asked the doctor to give his mother painkilling injections.


    Zhou Can shook his head and looked at the middle-aged man who had just finished the operation on the hospital bed next to him.


    At this moment, the middle-aged man was still sleeping with his eyes closed.


    Judging from his blinking eyelids and moving his head from time to time, he should not be asleep.


    "Is his condition okay? Did he feel any discomfort after the operation?"


    Zhou Can just asked out of habit.


    In the past, when he was an intern in charge of the bed, he was also responsible in the same way.


    As long as it is a hospital bed under his management, he will run over to check it every once in a while. Take the initiative to ask the patient''s situation.


    "Everything else is fine. My husband always says that his left leg is a little swollen."


    She responded to Zhou Can.


    "Generally just after the operation, it is normal to experience symptoms such as swelling, soreness, and numbness. Don''t worry too much."


    Zhou Can comforted the family members.


    "Doctor, I feel like there is a big bug in my leg. It''s very uncomfortable."


    The man opened his eyes.


    Perhaps because of poor sleep for a long time, coupled with injuries, his vitality was greatly weakened, and his eyes were bloodshot.


    The mental state of the whole person is also quite poor.


    "Let me check it for you."


    Zhou Can lifted the quilt and checked the man''s legs. The crushed parts have been operated on and wrapped with gauze.


    This is to prevent the wound from becoming infected.


    The specific surgical plan is not clear, but it is certain that the bone is broken and must be connected. It is possible to add steel plates and steel nails. Blood vessels, nerves, and tendons all need to be anastomosed and repaired.


    Damaged muscles need to be removed.


    You can imagine how complicated this operation is.


    Below the surgical site, the ankle and foot of the patient appear to have more skin folds. The color is obviously paler than the knees and thighs above the surgical site.


    But there is a certain blood.


    It means that the blood supply should be fine.


    At most, it was just after the operation, and the blood supply was a little bit worse.


    Zhou Can touched the patient''s right foot, and the temperature was okay. Slightly lower than normal body temperature.


    It appears the operation was a success.


    After the operation is completed, the blood supply is no problem, the body temperature of the severed limb can be restored, and the patient can basically survive.


    "Can I feel it when I touch the back of your foot?"


    Zhou Can asked the patient.


    "Yes! It''s just a little numb." The patient replied.


    Zhou Can nodded, staring at the patient''s ankle and other parts carefully.


    There are some purple patches, hidden under the skin.


    Kind of like subcutaneous veins.


    Zhou Can thought so at first.


    But when he tried to touch the upper part of the patient''s ankle, it was noticeably stiffer to the touch.


    Based on experience, this is the tactile sensation of edema.


    "In general, everything is in good condition. There seems to be edema in the ankle area. I will check on you every two hours. Please rest assured."


    Zhou Can said to the patient.


    Postoperative edema is related to many factors.


    Both normal and possibly abnormal.


    Further observation is required based on the duration of edema.


    Zhou Can felt that the patient''s condition should be reported to the doctor in charge of the bed.


    He walked to the doctor''s office.


    Along the way, he thought about the middle-aged man''s edema near the surgical end of his left leg and a faint purple spot on the inside of his ankle.


    What does this mean?


    The operation was obviously a success.


    The blood flow is smooth and the temperature of the feet is okay.


    This kind of situation cannot be learned in medical books at all. You can only diagnose and think for yourself.


    During these three months in the emergency operating room, Dr. Xu gave him a lot of guidance.


    Coupled with the accumulation of surgical experience.


    Zhou Can''s diagnostic level has been significantly improved compared with the past.


    "Due to long-term ischemia, the terminal limbs have necrosis?"


    There is such a possibility.


    The phenomenon of gigantism and corpse spots after death is comparable to the edema and purpura in the extremity of the patient''s left extremity.


    Moreover, ischemic necrosis is difficult for doctors to detect in a short period of time.


    Dr. He is checking the medical records written by the interns.


    Whenever he found a problem, he would point it out immediately.


    The intern nodded humbly, and wrote down the points that needed to be revised one by one.


    At the beginning, Zhou Can was often scolded for not writing his medical records well.


    After patiently waiting for Dr. He to finish instructing the intern, Zhou Can said, "Dr. He, I found that the patients in bed 120 had some abnormal postoperative reactions."


    "What''s wrong?"


    Dr. He was taken aback, his face was full of tension.


    "During the process of questioning, I learned that the man kept yelling that his legs were swollen and painful, as if there was a big bug crawling around in it!"


    After hearing Zhou Can''s reaction, Dr. He calmed down a bit and let out a sigh of relief.


    This newcomer, Gui Peisheng, frightened him to death.


    "His leg was run over by a car, and the damage was serious. It is normal to have pain after surgery. You tell the patient that it will gradually get better in two days."


    Doctor He explained.


    "When I checked the patient, I found that there was edema and mild purpura at the proximal end of the operation."


    Zhou Can continued to report his findings.


    With his diagnostic ability, it can be determined that the patient must be abnormal.


    "I''ll go and have a look! Is the edema serious?"


    Doctor He didn''t dare to be careless, and decided to go and see for himself.


    "The edema is mild, but I predict that this is only the initial stage. It is likely to be more swollen later."


    Zhou Can has performed two cases of finger replantation.


    Although finger replantation is incomparable with 120-bed patients. But the principle is the same.


    Swelling at the severed limb site is a very bad sign.


    Often indicates surgical failure.


    Out of the attitude of learning and curiosity, the two interns also followed to check.


    In order to improve the level of doctors, in addition to reading more books and practicing skills, it is also necessary to continuously accumulate experience in dealing with these abnormal situations.


    The four came to bed 120, and the patient and his wife saw four doctors coming.


    Can''t help but nodded gratefully to Zhou Can.


    It means that the young doctor reported the situation to his superiors.


    Patients and families love this kind of responsible doctor.


    "Is the situation okay? I heard that you reported pain in your legs?"


    Dr. He asked the man on the hospital bed.


    "The pain comes and goes, and it''s a little sore, which is quite uncomfortable."


    The man responded truthfully.


    Dr. He nodded, uncovered the quilt, and carefully examined the man''s operated leg.


    Tuya''s safety mechanism and responsibility mechanism are there, and no doctor dares to neglect his duties and not take it seriously.


    After all, the jobs of doctors in Tuya Hospital are very good. If they mess up, they will destroy their bright future.


    "There should be no major problem. The upper part of the operation is quite normal, and there is slight edema at the lower part near the surgical site. As for subcutaneous purple spots, this is relatively common. Usually it is mild subcutaneous congestion. Judging from the color of the flesh and the temperature of the feet , less likely to have muscle necrosis."


    Although Dr. He is just a resident doctor in charge of the bed, his level is really not bad.


    Experience and diagnostic ability are even stronger than those of municipal hospitals.


    The more famous the hospital, the greater the volume of diagnosis and treatment business, and the richer the knowledge and experience of the doctors.


    A surgeon at a municipal hospital confessed frankly.


    He has mastered liver surgery and is fully capable of doing it well. However, there are not many liver surgery patients in a year. Some patients even ran away from their hospital when they heard that they were going to undergo liver surgery.


    As long as the patients have a slightly serious disease, they all go to the big hospital.


    Don''t go to their hospital at all.


    The scale of municipal hospitals is actually not small, and they are already large hospitals. Even hospitals of this level find it difficult to receive patients, and it is even more difficult for county-level hospitals and district hospitals below to receive patients undergoing major surgeries.


    Failure to receive patients means no opportunity to practice.


    Surgical and diagnostic capabilities cannot be improved, and experience cannot be accumulated.


    The ultimate result of this vicious circle is that super-large hospitals become stronger and stronger.


    Small and medium hospitals are getting weaker and weaker.


    After Zhou Can listened to Dr. He''s observations, he still felt that it was not that simple.


    He frowned, thinking hard.


    When the book is in use, I hate less.


    He only hates that his medical knowledge is not profound enough, and his diagnosis level is not strong enough.


    Obviously knowing that the patient''s condition is wrong, but I just can''t figure out where the problem is? +Bookmark+

 Chapter 119： The director rounds the wards, this regular trainee is really tough

    My medical skills can add experience points Chapter 119 Director''s ward rounds, this regular training is really hard


    This matter has to be temporarily abandoned.


    But Zhou Can still kept an eye on that man. Patients like this who have just undergone surgery should be closely monitored within 12 hours to prevent accidents.


    Sometimes, there are omissions in some operations, or the operation is not successful, the more timely it is found, the greater the chance of saving.


    "Everyone put aside the work at hand first, and Director Shen will bring someone over for rounds in no time, and get ready."


    The general inpatient doctor notified the doctors in the ward with a loud voice.


    The resident doctor in charge of the bed is required to check the room at least twice a day.


    The time is morning and evening before get off work.


    In fact, responsible junior doctors often check on patients under intensive care every two hours. Even at night, make sure to check it at least every three to four hours.


    Although the hospitalized patients are accompanied by their family members, the family members have very limited understanding of medical knowledge.


    When a patient is in danger, it is difficult for family members to find out in time.


    More effective remedial measures cannot be made.


    Mostly rely on doctors and nurses.


    When it comes to nurses, the division of labor between them and doctors is actually very different.


    They are responsible for injections, changing dressings, and giving professional advice on pre- and post-operative nutrition for patients. Then there is the doctor''s order.


    Only doctors can really diagnose.


    Ward rounds are the most effective way to prevent accidents from happening.


    The lower-level doctors are very diligent in rounds, but their skills are limited. Faced with some doubts and hidden dangers of patients, they are often unable to find out in time and have no way to answer them.


    This requires doctors at the two levels of attending and director to join the ward round team.


    At present, major hospitals implement a three-level ward round system.


    The resident doctor makes rounds two to three times a day, the attending doctor makes rounds once a day, and the director makes rounds once or twice a week.


    When Dr. He heard that Director Shen was coming, he seemed a little nervous.


    "Well, the three of you are all helping to sort out the inspection reports and medical records of ten hospital beds. Then you have to find out the diet, defecation, etc. of some key patients."


    According to the requirements, when the attending and director rounds the ward, these little guys have to follow. Introduce the patient''s situation in a timely manner, provide relevant inspection reports, medical records, etc.


    Dr. He Zhang seems to be very timid.


    In a hurry, he quickly sorted out various information of the patient.


    Zhou Can smiled secretly.


    Isn''t it just the director checking the room? There is no need to be so afraid?


    "Does Director Shen have many patients? I see many doctors are hurrying to prepare!" Zhou Can asked the two interns.


    "Brother, you may just come here, and you don''t know how powerful Director Shen is. He is a professor who is proficient in various treatments and researches in the field of orthopedic trauma. Most of the patients in our orthopedic surgery are under his care. The difficulty is slightly higher. Trauma cases are basically checked by him personally."


    When the two young interns mentioned Director Shen, their faces were full of admiration.


    In the minds of the interns, all the professors leading the group are giants.


    It belongs to the existence that only dares to look up.


    After preparing all the materials, Dr. He put them on the patient''s bedside and explained them to the family and the patient.


    At this moment, Director Shen is still missing.


    But the doctors in charge of the beds have already stood beside the beds they manage.


    Wait quietly.


    It must be mentioned here that in such an open bed area, it is a kind of respect to stand by the bed and wait in advance. If it is a ward, you have to stand outside in the corridor and wait.


    If the director hasn''t arrived yet, and you foolishly run into the ward, people won''t think it''s a respect for him.


    On the contrary, it seemed that he was deliberately stealing the director''s limelight.


    Especially sometimes the leaders at the hospital level come down to make ward rounds, and the interns are basically not qualified to go in.


    Because there are too many people.


    Finally, a ward round team consisting of seven or eight people appeared in sight.


    Walking in the front, in the middle is a male doctor in his sixties. The aura is extremely strong, and when walking, he has the demeanor of a king.


    This must be Director Shen.


    Next to him should be the attending physician and head nurse of the department.


    The doctor Yang who is in charge of regulating Pearson can only be in the back.


    Zhou Can noticed that there was a female doctor with particularly fair skin and wavy hair who followed closely behind Director Shen.


    With a confident but proud smile on his face.


    Her aura is also very strong.


    The doctors around her are also very respectful to her.


    Just by looking at the positions of these people, one can tell who has a high status and who has a low status.


    "Who is that woman behind Director Shen? She looks quite young, but she seems to have a high status!"


    Zhou Can whispered to Dr. He in front of him.


    It was only then that he realized that Dr. He''s expression was still tense, and a fine layer of sweat even appeared on his forehead.


    The hand holding the document, tightly grasping the edge of the document, trembled slightly.


    "That is Dr. Shan, the youngest attending doctor in orthopedic surgery. He is only 31 years old this year. He is very capable in surgery, known for his precision, and has a high degree of education. A paper he published was published in the Lancet Medical Journal. It''s the famous British medical journal, you know?"


    "I know. One of the core medical journals!"


    When Zhou Can wrote his graduation thesis, he also borrowed some knowledge and opinions from The Lancet.


    At the age of 31, she was hired as an attending doctor by Tuya Hospital. This woman is definitely a genius.


    No wonder the status is so high.


    Director Shen led people to check the beds one by one from over there.


    For some patients with simple and clear conditions, he basically just listened to the report, and then checked the next bed.


    After more than 20 minutes, I finally found the 115-124 bed area managed by Zhou Can.


    "Hi, Director Shen! I''m He Zhang, the doctor in charge of beds 115-124."


    Dr He is so funny.


    With his shoulders on the couch, his waist slightly bent, he greeted Director Shen with a smile on his face.


    Maybe because I was too nervous, my tongue was a little **** when I spoke, and my hands were shaking a little bit.


    Don''t make fun of him for licking like that.


    Everyone wants to try to climb up. If a low-level resident doctor like him can be appreciated by Director Shen, his fate will be changed immediately.


    Even if it''s just to leave a good impression in Director Shen''s heart, it''s good.


    "Thank you! The bed doctor knows the patient''s situation best. Please give us a brief introduction to each patient''s situation!"


    Director Shen smiled amiably.


    "no problem!"


    Dr. He immediately stood up straight, and began to introduce the situation of each patient to Director Shen in the most concise language.


    There were no major problems with the first few beds, Director Shen just asked a few simple questions.


    When introducing the female patient who kept yelling "I''m going to die", Director Shen listened carefully.


    And took her inspection report to check carefully one by one.


    Especially filmed.


    "This hip joint is cracked, and there are more than one place. The operation plan is a bit complicated!"


    After reading it, Director Shen handed over the inspection report to the extremely fair-skinned Doctor Shan.


    After she took it, she looked carefully at the film taken by the patient against the light.


    "It''s really complicated, and she still has osteoporosis symptoms, and the repair effect has yet to be evaluated."


    After reading it, Dr. Shan expressed his opinion.


    "It may be necessary to invite Director Luo, who specializes in the field of bone joints, to discuss together, and conduct a comprehensive discussion on the patient''s nutritional enhancement, surgical repair, or replacement of the entire hip joint, and evaluate an optimal surgical plan."


    Treatment of hip fractures is inherently difficult.


    Because it belongs to the point of connection between the lower limbs and the upper body, and this part is still active.


    "Who are the family members?"


    Director Shen asked.


    "This is the patient''s son. In a single-parent family, the patient was injured in a car accident. The driver is fully responsible, and the insurance company has already dealt with it."


    Dr. He quickly introduced.


    The adequate preparations made before the arrival of Director Shen came in handy at this moment.


    At least the answers in all aspects satisfied all the senior doctors.


    "Young man, because your mother''s injured part is the hip joint, and she has fractured in multiple planes, we must go through a rigorous discussion before working out the best treatment plan. It may take two to three days, and the results will be discussed at that time. I''ll talk to you again."


    Director Shen took the initiative to explain to the family.


    "Can."


    The young man just nodded indifferently, and then realized that there was nothing wrong, so he continued to play his game with his head down.


    Therefore, it makes sense to say that habitual children are like killing children.


    This young man''s nature is not bad, so that he can ignore his mother''s pain so much and only focus on playing games. I believe it must have been caused by being overly pampered and spoiled by my mother since childhood.


    Director Shen just looked at the young man and smiled, then walked to the next bed.


    Dr. He was about to introduce, Director Shen waved his hand.


    "I know this patient well. I performed the operation myself."


    He looked at the man on the hospital bed.


    "Did you drink water after the operation, did you eat?"


    "Drink a bowl of porridge."


    "Did you urinate?"


    "Row once!"


    "Is the color of your urine normal?"


    "Bright yellow!"


    "Well, it looks pretty good. In order to keep your leg, our entire medical team did an operation for a full eleven hours. If there is no rejection after the operation and the first seven days pass, then basically this leg is considered a Keep it."


    Director Shen lifted the quilt to check the patient''s legs.


    "The skin color of the feet is not bad, and the temperature is not bad. It seems that Dr. Shan''s technique of anastomosis of blood vessels and nerves has already reached a very high level!"


    "It''s because of your good guidance that I can improve so fast."


    Doctor Shan''s EQ is quite high.


    In front of the superiors, he is not condescending at all.


    Zhou Can looked at Dr. He, hoping that Dr. He would take this opportunity to report the patient''s slight edema and purpura. Unexpectedly, Dr. He pretended not to see it.


    can understand.


    He felt that the patient''s edema was just a normal postoperative reaction.


    At this time, pointing out objections in public may make Director Shen and Dr. Shan who are operating on the patient themselves unhappy.


    Sometimes it''s just a thought when you offend someone.


    Especially now that the atmosphere is very good, Director Shen is also very satisfied with the operation he performed.


    Director Shan is even more proud.


    It is okay to raise an objection at this moment, if the problem is serious.


    But there was only a slight edema, and when the two senior doctors were in a good mood and proud, they questioned whether their operation was not done well.


    I can imagine what will happen with my toes.


    When Zhou Can saw that Dr. He was so cowardly, he felt that it was necessary to seize this rare opportunity to report to Director Shen.


    After watching Director Shen ask a few words, he was about to move to the next bed.


    Zhou Can bit the bullet and said, "Director Shen..."


    As soon as he spoke, Dr. He tugged on his clothes.


    Shaking his head slightly at him.


    Instruct him not to speak at this time.


    "What''s the matter with you?"


    Director Shen looked at Zhou Can in surprise.


    He couldn''t recognize the names of many residents, and he didn''t know the newcomer Gui Peisheng even more.


    "Patients report swelling and pain in their legs!"


    Zhou Can made up his mind to say that this is really not the time to consider personal gains and losses, but to try to keep the patient''s leg. There is really a problem with the operation, and it should be corrected in time.


    If there is no problem, that is the best.


    "Well, I know. The patient reacted just now, and this is a normal phenomenon after surgery."


    Director Shen''s tone was still gentle.


    His face was kind.


    "I have carefully checked the patient''s legs, and the edema near the operation site is severe, with purpura under the skin."


    Zhou Can has a straight face.


    He doesn''t speak as licking and flattering as Dr. He. It is a normal way to respond to problems to the leader, neither humble nor overbearing.


    From this point, it can also be seen that capable people have a lot of confidence in their hearts when facing their superiors.


    This is the confidence brought by strength.


    "Because the patient''s leg was run over by a car, mild subcutaneous purpura appeared on the ankle, which is generally not a big problem." The smile on Director Shen''s face restrained a little.


    The young doctor''s speech was a little unpleasant.


    Even if you want to win a position, you have to divide the occasion.


    He had just checked the patient''s leg himself. Did he not see these phenomena mentioned by Zhou Can?


    "Edema near the surgical site is also a normal postoperative reaction. After a day or two, the edema will subside. You should humbly ask your instructor for advice on these issues in the future."


    Although he didn''t scold people explicitly, there was already a hint of dissatisfaction and criticism in his words.


    "The new Gui Peisheng is not sensible, and I will hold a training meeting for them after work." Dr. Yang quickly stood up and expressed his opinion.


    With so many patients and family members watching, he was hesitant to speak.


    Otherwise, it is very likely that Zhou Can will be scolded directly.


    It stands to reason that with a little discernment, Zhou Can should admit his mistake at this time, and then stand obediently behind and say nothing.


    He is very iron-headed.


    "Director Shen, I''m just making a bold assumption. Is there any hidden danger such as blood vessel damage or thrombus in the patient''s leg? I feel that the patient''s edema and subcutaneous purpura are different from the normal postoperative reaction. I was in the emergency department. I have also seen postoperative edema in the operating room, and generally the edema after surgery is not so hard. Purpura, if it is a skin injury, the color will be darker. And it will not continue to spread and become larger."


    Zhou Can''s boldness comes from his rich surgical experience.


    This patient is definitely not normal.


    When Director Shen checked the patient''s legs just now, Zhou Can clearly saw that the purpura had expanded a little.


    Extends to the ankle bone.


    Director Shen''s expression changed slightly, but he didn''t say much this time.


    He seemed to be thinking about Zhou Can''s words.


    The doctor Shan next to him would quit.


    The blood vessels and nerves in the patient''s legs were repaired and anastomosed by her. Zhou Can suspected that the patient may have vascular damage or even more serious thrombosis. Basically, it is equivalent to publicly questioning that her operation was not successful.


    She must be extremely proud to be promoted to the chief physician at such a young age, and to have a high talent in surgery.


    If Director Shen questioned that her operation was not done well, she would not have any opinion.


    But a Gui Peisheng, and he was from the worst emergency department, dared to question her in public.


    This made it hard for her to accept it anyway.


    "Doctor Yang, it seems that you have strengthened the training of these trainees at night! Their spirit of exploration is so ''cute''."


    Highly educated women never swear like shrews with their hips on their hips.


    Even though this doctor Shan was turned blue by Zhou Can''s anger and her chest heaved violently, she still maintained the art of speaking.


    How could Dr. Yang fail to hear the dissatisfaction in Dr. Shan''s words?


    When looking at Zhou Can, his gaze was cold.


    I''m afraid that he has the thought of strangling Zhou Can to death.


    "Xiaohe, take him to the office first, and explain it to him, so as not to make jokes next time."


    Dr. Yang can''t get away now.


    He can only let Dr. He take this ignorant doctor away.


    He really convinced Zhou Can, and the other junior doctors were all trying to make a good impression in front of Director Shen. This young man offended the two most prestigious doctors in the Department of Orthopedics and Trauma in one breath.


    The key is to offend him, and he, the attending physician who governs Pearson, has to be implicated.


    It is true that people sit at home, and disaster comes from heaven.


    During the ward rounds, nothing was wrong with the patient, but he was stabbed by this kid.


    Dr. He was about to cry.


    How could he have expected Zhou Can to be so stupid! It''s really just a single-minded brain, without turning.


    "Doctor Zhou, come to the office with me, and I will explain all your doubts to you. Don''t interfere with Director Shen and his ward rounds here." Doctor He Zhang grabbed Zhou Can, almost dragging him, and led him towards the office .


    "Invincibility begins with offering sacrifices to the ancestors"


    "etc!"


    Director Shen actually took the initiative to stop Zhou Can who was about to be forcibly taken away.


    "His analysis is not unreasonable, and his observation is very careful. Out of responsibility for the patient, I think this matter should be cautious."+Add to bookmark+

 Chapter 120： Hes actually right, its not a good situation

    My medical skills can add experience points Chapter 120 His point of view is actually right, the situation is not good


    Everyone is dumbfounded.


    Director Shen was obviously very angry just now, why did he suddenly agree with Gui Peisheng''s point of view?


    The wind direction has changed a bit fast!


    "May I have your name?"


    Director Shen looked at Zhou Can carefully for the first time, his eyes were not as cold as before, but soft.


    Even, with a hint of imperceptible appreciation.


    "My name is Zhou Can!"


    Zhou Can was quite calm in the face of this heavyweight chief physician.


    Compared with other junior doctors who tried their best to curry favor and flattery, it was a breath of fresh air.


    "From the emergency department, your name is Zhou Can... It turns out that you are Zhou Can! No wonder you performed so well!"


    Instead of criticizing Zhou Can, Director Shen even praised him greatly.


    Everyone''s minds couldn''t turn around for a while.


    Which one is this all about?


    Also, according to Director Shen''s words, this Gui Peisheng seems to be very famous.


    "Who is he?"


    A doctor whispered to the person next to him.


    "I know the champion of this year''s standardized training recruitment examination. But the education is a bit low, only a bachelor''s degree."


    Gui Peisheng, who was in the same class, recognized Zhou Can.


    Now Tuya, many postgraduate masters may not be able to enter.


    The undergraduates who can enter Tuya all have absolute strength.


    "It''s really amazing to be the champion of the standardized training recruitment examination. Especially this year''s competition is extremely fierce. No wonder even Director Shen has heard of his name."


    These people obviously don''t know some of Zhou Can''s glorious deeds in the emergency department.


    The perception of him is also extremely one-sided.


    Director Shen''s status is very high, and at his level, he can keep abreast of some major events in the hospital.


    He knew that Zhou Can had made great achievements in the emergency department many times.


    And there are many directors of major departments who appreciate this young man very much.


    Some time ago, the ''top package'', which was well known to the hospital''s senior management, made everyone realize Zhou Can''s influence. So many directors and directors of major departments have stood up to speak for Zhou Can.


    In the end, Vice President Bai was forced to compromise.


    What kind of terrifying energy is this?


    "Teacher, are you really going to adopt this opinion of Gui Peisheng?"


    Doctor Shan didn''t understand why Director Shen''s attitude suddenly changed 180 degrees?


    "This Dr. Zhou is so persistent in insisting that the patient''s leg condition is abnormal. We can''t take his opinion lightly just because of his low rank. At least it deserves to be taken seriously."


    No matter what Director Shen said, he was looking for a way out for himself.


    If he didn''t guess wrong, he might have realized the abnormality of the patient''s leg under Zhou Can''s reminder.


    His status is so high and his reputation is so high that he cannot immediately admit that Zhou Can''s point of view is correct.


    Otherwise, wouldn''t that be slapping himself in the face?


    Therefore, those who can become leaders are all masters of adaptation.


    It is a fool to realize that he has made a mistake and still hold on.


    Even if such a person becomes a leader, it will not last long.


    "Xiao Zhou, tell me about your diagnostic thinking carefully!"


    Director Shen also took advantage of the situation and lowered his waist to re-examine the patient.


    It can be seen that he checked very carefully this time.


    He focused on the subcutaneous purpura on the patient''s feet, and pressed the edematous area with his hands.


    "At about eight o''clock, when I checked the patient, I found that his subcutaneous purpura had only reached this position. Now it has spread to this position of the ankle in about an hour. It shows that the purpura phenomenon on the patient''s leg is in the Aggravated. This is definitely not normal. If it is the subcutaneous congestion caused by the wheel scrape before the operation, it should remain the same, and rapid expansion is impossible."


    Zhou Can clearly described his observations and judgments.


    "Also, the edema seems to be getting worse. When pressed by hand, it is very hard, indicating that the lymph fluid or water stasis inside is getting worse. IMHO, if no specific reason can be found for this situation, the failure rate of the operation is very high. "


    By Zhou Can''s saying that, he has saved enough face for Director Shen and Dr. Shan.


    If the root cause of the problem is not found out in time and solved, the operation will fail 100%.


    It may even affect the patient''s life.


    The lightest outcome is amputation.


    And not amputation from the surgical site. If the treatment is not timely, there is a high probability that high amputation will be required, and the thigh will be amputated from the root.


    "The Great Era of Rebirth"


    In fact, when I got to that point, I was thinking about how to save the patient''s life.


    It is impossible to think about what to do if the legs are gone?


    "Your analysis is very reasonable, and your observations are also very meticulous. What do you think is the cause?"


    Director Shen seemed to be testing him.


    "The possibility of blood vessel damage is small, and then only thrombus remains."


    When Zhou Can said this, he glanced at Dr. Shan intentionally or unintentionally.


    Female orthopedic surgeons are rare.


    She was able to stay in the competition of orthopedic surgery and emerge.


    It''s not easy.


    Female doctors have both advantages and disadvantages in surgery.


    Their physical strength is not as good as that of male doctors, and their logical thinking is weaker. The psychological quality in the face of various emergencies is also worse than that of male doctors.


    However, there are also very calm female doctors who are better than male doctors in rescuing patients.


    In addition, female doctors are dexterous and have natural advantages in performing delicate operations.


    Doctor Shan had no expression on his face.


    Maybe she was pretending to be paralyzed on purpose to hide her inner embarrassment.


    Because Zhou Can''s diagnosis directly pointed to a problem with the vascular anastomosis.


    This is the area she is most proud of.


    She still has a little luck at this moment, after all, the final result has not come out.


    "It''s pretty good that you, a Gui Peisheng, can make a diagnosis to this point. Remember, edema and purpura appear at the same time. It may not necessarily be a thrombus, but it may also be a limb rejection. This part of the patient was almost severed. When he was operated on, there was only one layer of skin attached. The operation performed on him was not much different from the replantation of a severed limb. The difficulty was even much higher.¡±


    Director Shen made a concluding speech.


    It seems to be pointing Zhou Can, but more to save face for himself.


    "Send the patient for a color ultrasound, just below the knee."


    The corners of Zhou Can''s mouth raised slightly, revealing an imperceptible smile.


    Director Shen said that it was not a blood clot, but the examination he prescribed for the patient betrayed his heart.


    Color Doppler ultrasonography is the most commonly used non-invasive examination device for detecting thrombus in blood vessels clinically.


    It can very well judge whether there is thrombus in limb arteries, veins or organ blood vessels.


    Whether it is the attending doctor or the resident doctor present, they are all aware of this.


    It seems that this Gui Peisheng is really talented!


    When everyone looked at Zhou Can, no one dared to look down upon him.


    ¡­


    Director Shen soon finished his ward rounds.


    As soon as he left, Zhou Can was dragged into the office by Dr. He.


    "Doctor Zhou, you were too reckless just now. Even if you really think that there is something wrong with the patient''s postoperative abnormalities, you can wait until Director Shen and the others leave after the room inspection. Director Shen, Doctor Shan and others worked together for that operation. They were proud of it after more than 11 hours of work. If you insist that there is a problem in front of patients and so many doctors, isn¡¯t that demolishing them?¡±


    Dr. He was almost scared to death just now.


    Because Director Shen was angered, he will definitely be implicated as well.


    "I know all of this. But have you ever thought about it? If you don''t take advantage of Director Shen''s ward rounds to respond to the situation, and react later, the patient''s treatment will definitely be delayed. The sooner the leg is treated, the better for the patient. It''s too late, But it will be too late."


    Zhou Can''s IQ and EQ are both fine.


    If it wasn''t for the emergency, how could he take the risk of offending the superior doctor and be this early bird?


    "Anyway, please pay attention in the future. Otherwise, it will be difficult for me, a senior doctor, to be a man."


    Doctor He helplessly set a hard rule for him.


    Not every doctor can risk his own future for the benefit of his patients.


    Because it''s an act of fools.


    This ward round incident did not have much impact on Zhou Can.


    What to do and what to do.


    Except for being a bit timid and putting more emphasis on future and interests, Dr. He is pretty good in other aspects.


    Not only did he patiently teach Zhou Can how to manage the bed and how to deal with emergencies of various patients, but he also showed him the patient''s film and taught him how to watch it.


    Look at films taken by ultrasound, X-ray, CT, and MRI.


    For orthopedics, more X-rays are taken.


    During the internship, Zhou Can learned to watch movies. But learning is superficial.


    After working with Dr. Xu for three months, my ability to watch movies has been strengthened. But the level is not so high.


    Only look at the most basic.


    There is no way to see the deep information revealed in the film at a glance like those experienced attending and chief physicians.


    For example, Dr. Xu once took a look at the color ultrasound taken by a patient and immediately concluded that the patient had cardiovascular disease.


    After checking, it was true.


    The patient had severe coronary atherosclerosis.


    As for how Dr. Xu saw it, Zhou Can is still puzzled.


    This is the level.


    Now, Dr. He instructs him on how to read the patient''s X-rays, and he has gained a lot.


    Especially for some undetectable fractures, it is a test of the doctor''s eyesight and experience.


    Doctors in the medical technology department can sometimes only mark a part, because their ability to see films is also limited.


    This requires a pair of keen eyes of doctors and surgeons.


    ¡­


    When it was time to get off work, it was agreed that Zhou Can would be on the night shift, but Dr. He did not give him this drudgery in the end.


    Maybe seeing Zhou Can''s potential is very strong, thinking that if he has a good relationship now, he might be able to use it sometime in the future.


    Squeezing can only be a temporary pleasure.


    In case Zhoucan develops resentment because of this incident, the loss outweighs the gain.


    After Zhou Can got off work, Su Qianqian was already waiting for him in the outpatient hall of the hospital wearing large sunglasses.


    "When did you come? Have you been waiting for a long time?"


    Zhou Can walked over quickly, looking straight at the girl he loved so much.


    Until now, he and Su Qianqian have been in love for almost a month.


    It still feels a little unreal.


    Others are playing flash marriage, and they are almost lightning love.


    The two fell in love with little warning.


    As if on the night of drinking with her, I fell in love directly.


    Of course, for Su Qianqian, there may be a certain period of love preparation.


    Specifically, it should have started when Zhou Can gave her the key late at night, when he punched and ran away the gangster''s heroic act of saving the beauty.


    After all, any girl hopes to have a strong boyfriend to protect her.


    No girl likes a cowardly man.


    The strength and arrogance that Zhou Can displayed are very popular among girls.


    Later, Zhou Can broke into the liquor bureau to save her, and he didn''t take advantage of her when she was drunk.


    This made her impression of Zhou Can extremely good.


    What really brought them together was the night at the darkest moment of life.


    On that day, she had a major setback at work, suffered from uremia, and was burdened with a foreign debt of more than 300,000 yuan. The multiple pressures drove her to a desperate situation.


    He even had a strong suicidal idea for a time.


    When she was most desperate, it was Zhou Can who spent an unforgettable night with her.


    The warmth brought to her, as well as the hazy sweetness of love, made her unforgettable for the rest of her life.


    Then later, let alone.


    Zhou Canhao spent 1.6 million to buy her album of songs, which helped her successfully terminate the contract. It even cost 4 million yuan and partnered with others to set up an entertainment company specially for her to support her.


    May I ask, which girl can resist this kind of love offensive?


    The moment Su Qianqian saw Zhou Can, an extremely happy smile bloomed on her face.


    "I know you''re at work, so I just sent you a WeChat message. How do you miss me?"


    "Think! Think all over your body!"


    "Bastard!"


    She spat.


    There are many people watching around.


    "Hey, didn''t you say that women like handsome men?"


    "I can''t argue with you! What to do next is up to you, the master."


    she smiled.


    "Didn''t you say last time that you want me to take you to the amusement park to go crazy? It''s like 5:40 in the afternoon, and it''s no problem to play until around nine o''clock."


    Zhou Can walked out with her arms around her.


    "Okay! But you have to protect me. I''m the least courageous. When I see that Ferris wheel, my legs will go weak."


    Like most girls, she is a child at heart.


    She was overjoyed to hear that Zhou Can would take her to the amusement park.


    The two of them had just walked not far away when Zhou Can noticed someone secretly filming and following them behind him. He couldn''t help frowning slightly.


    "Qianqian, don''t look back. We seem to be being watched by the paparazzi."


    Her fame is now rising steadily, even surpassing the previous peak period.


    The paparazzi are everywhere.


    For the sake of traffic, it is really disgusting to shoot all kinds of privacy of celebrities.


    "Ah... so what should I do? I''m dressed up like this, but I''m still being targeted. These paparazzi''s noses are really powerful."


    She said a little depressed.


    "Don''t worry, everything is up to me. The hospital is my territory, let alone a paparazzi, even if there are ten of them, he''ll be **** off."


    Zhou Can walked towards the security guards of the two hospitals with his arms around Su Qianqian.


    "Hi, I''m a doctor at the hospital."


    Zhou Can showed his work certificate to the security guard. The status of a doctor is still quite high.


    At least the hospital''s security guards, cleaners, nurses, and some people who depend on the hospital for survival are willing to curry favor with the doctor.


    "Hello, Doctor Zhou, please tell me anything."


    Security is very good.


    "There is a malicious person behind us who has been following us. I don''t know what he wants to do. Please stop him for me. It''s best to question him. Check your ID card."


    Zhou Can confessed.


    "No problem! You can move forward without worry, we won''t let that person continue to follow you."


    The security guard and his companion exchanged a look, and the two watched the stalker slowly approaching from the corner of their eyes.


    Zhou Can and Su Qianqian walked fast, so did the follower.


    As a result, after tracking for more than ten meters, he was directly captured by two security guards and pinned to the ground.


    "What are you doing? Why are you following the doctors in our hospital?"


    "Let me go, let me go!"


    The candid paparazzi struggled frantically.


    Zhou Can took Su Qianqian and took the opportunity to leave quickly.


    "Hehe, it''s really you. If I encounter this kind of paparazzi, there is nothing I can do. I can only avoid them."


    Su Qianqian felt particularly safe when she was with Zhou Can.


    With a little trick, he cleaned up the difficult paparazzi.


    "Two days ago, there was a very bad paparazzi who threw me a photo of our date. Let me give him 20,000 yuan."


    When Su Qianqian talked about this, his tone was full of anger.


    "Didn''t you give it?"


    "Where can I get the money for him? I''ll give him my life."


    Su Qianqian still owed hundreds of thousands of debts, and she didn''t even have the money to buy medicines for treatment.


    The paparazzi came to blackmail her, which is really wicked.


    "Besides, what''s wrong with me falling in love? It''s not some shady business."


    "You are now in the rising period of your career. It is better to be cautious when announcing your relationship. Have you told Li Luo about this?"


    Zhou Can asked.


    "Didn''t tell him."


    She shook her head. UU reading


    "You should talk to him. He will give you professional guidance."


    Zhou Can realized that there are many people who are popular.


    If there is a chance, maybe she should find a reliable female bodyguard.


    His woman does not allow anyone to hurt her.


    ¡­


    The next day, Zhou Can and Jin Mingxi rushed to work in the orthopedic surgery department.


    Today it was finally his turn to enter the operating room.


    I heard from Jin Mingxi that two of their group of Gui Peisheng yesterday were insanely strong.


    In total, only six people were able to stay and work in the operating room.


    This made Zhou Can somewhat stressed.


    Under the leadership of Dr. Yang, Zhou Can entered the operating room together with five other Gui Peisheng.


    This 100,000-level laminar flow operating room is obviously much more advanced than the conventional operating room in the emergency department.


    "Remember, your task is to assist in the operation. When you are off work, the chief surgeon will give you points based on your performance. If you perform well, you will have the opportunity to stay."


    Doctor Yang explained a few words and left in a hurry.


    Not long after, Dr. Shan, who had a deal with him yesterday, two nurses, and two assistant doctors walked into the operating room together.


    Perhaps considering the large number of trainees entering the operating room, they did not bring interns into the operating room.


    "Yo, it''s pretty early!"


    Doctor Shan''s gaze swept over the six of them.


    When she found that Zhou Can was also inside, she was slightly surprised. The look at Zhou Can is also cold.


    Zhou Can thought something was wrong.


    Judging from the situation, Dr. Shan is likely to be the chief surgeon.


    He offended her yesterday, and if she puts on small shoes today, he is likely to be eliminated directly. +Bookmark+

 Chapter 121： Desperate opponents, Doctor Shan, let me try

    My medical skills can add experience points Chapter 121 Desperate opponents, Doctor Shan, let me try


    I don''t know how the patient was treated yesterday?


    Didn''t even switch back to the original bed afterward. Based on feeling, things may be more serious.


    "Today I was going to arrange three of you to help in another operating room. There are two important operations that need to be taught, so let me take you for a day. My surname is Shan, and I can currently preside over the first and second levels independently. Orthopedic surgery, participated in many tertiary orthopedic surgeries, and completed the difficult part.¡±


    Doctors who do well seem to have a common skill.


    That is ''bragging''.


    These days, it¡¯s impossible not to brag. Once the patient hears how good you are and how many difficult operations you have done, he will trust you. Let you have surgery with confidence.


    "The principle I follow is that those who are capable go up, and those who are mediocre go down. If you are capable, you can strive for opportunities to exercise at any time. As long as you perform well, I will give high marks. The ugly words are up front. It is not allowed to rush to practice on the patient. You did too badly, and I will not give you another chance to practice next time."


    Doctor Shan first explained the competition rules to the six people.


    Sounds good, fair and square.


    "Next, please look at the X-ray taken by the first surgical patient today. I will give you five minutes to watch it, and then you will give your diagnosis and treatment plan. Learning to read the film is the first thing you have to do. Allow Quick answer."


    As soon as she finished speaking, the assistant turned on the optical film amplifier.


    A light curtain appeared on the wall.


    Four x-ray pictures are shown above.


    Looks like it should be the right foot bone.


    Taken from multiple angles.


    The patient''s big toe phalanx was significantly deformed.


    While Zhou Can marveled at the advanced hardware facilities in the orthopedic surgery operating room, he was also carefully observing the patient''s foot bone radiograph.


    Severe varus deformity of the big toe phalanx should be born or caused by some special reasons in the day after tomorrow.


    The healing line after the fracture cannot be seen.


    It''s almost certainly a congenital malformation.


    Then the patient is probably not here to be treated.


    Zhou Can continued to watch carefully.


    At this time, someone has already started to rush to answer.


    "These four X-rays should be the patient''s right foot. It can be clearly seen that the phalanx of the big toe of the right foot has a relatively serious deformity. This will affect the patient''s walking. I think surgery can be performed to correct it."


    When the man rushed to answer, his face was full of excitement.


    Thought to come out on top.


    As a result, after he finished speaking, Doctor Shan didn''t say anything.


    Zhou Can got a lot of guidance from Dr. He yesterday, and his level of watching movies has improved a lot.


    He found a slight fracture of the patient''s right foot''s first bone, near the navicular bone.


    "should be¡­"


    "I think¡­"


    Zhou Can and another Gui Peisheng spoke at the same time.


    In the end, Zhou Can generously made a humility gesture, "You answer first!" The Gui Peisheng was also polite.


    After all, it is related to whether orthopedic surgery training in the next three months can stay in the operating room.


    This has a great impact on future career development.


    "I think it is a mild fracture of the first bone of the right foot! This does not require surgery, and a plaster cast can be used for about 42 days."


    If the fracture is not serious, it is perfectly capable of healing on its own.


    The younger you are, the shorter the healing time.


    Children''s bones heal the fastest and have a high degree of stability after healing. Older adults heal the slowest.


    Judging from the picture, this is the foot bone of an adult.


    After 42 days of recuperation with a plaster cast, the treatment advice is very reasonable.


    "Zhou Can, now you can speak."


    Doctor Shan actually remembered his name.


    And it was fair to him and didn''t suppress him.


    This surprised Zhou Can.


    Many women are narrow-minded. I offended her a lot yesterday, but I didn''t expect that she didn''t care about it.


    "The previous opinion is the same as what he said, including treatment recommendations. Then I add that the big toe bone is a congenital deformity, and the patients are all adults, so the willingness to treat should be very low. And when the patient walks, he should have adapted to this condition. Deformity. I do not recommend surgical correction."


    "The Reborn Financial Giant"


    The advice given by Zhou Can is obviously more comprehensive than that of the previous man.


    It is also more comprehensive and in-depth.


    "Well, both of your answers are correct. Zhou Can''s answer is more comprehensive, and he considers the treatment plan from the patient''s point of view, which is very good."


    Doctor Shan probably didn''t want to praise him.


    But her performance is indeed excellent, she can''t boast.


    "Will anyone put a plaster cast on this patient?"


    "I can!"


    "I can!"


    All six can do it.


    Putting plaster is relatively simple and easy to learn. Even if they didn''t learn it before entering the orthopedic surgery department, they must have learned it after spending a day in the inpatient ward of the orthopedic surgery department yesterday.


    However, in only one day, I only learned the most basic operation methods.


    Only some simple operations can be performed.


    "You are the first person to get the answer right, so I''ll let you operate it! Dr. He, take him there, and make sure he''s locked up."


    Doctor Shan said to one of the assistant doctors.


    Zhou Can knew Dr. He.


    It was the doctor who taught eighteen of them to fill out the registration form in the office yesterday.


    "Look at the profile of the second patient!"


    As soon as Dr. Shan finished speaking, the smile on Gui Peisheng''s face froze instantly when he grabbed the cast assignment.


    During the time he went out to put plaster on the patient, he would definitely lose a lot of opportunities.


    Sure enough, as Dr. Shan said, everyone has equal opportunities.


    Two new films appeared on the light curtain.


    This time it was not an X-ray, but a B-ultrasound.


    From the looks of it, it appears to be the knee.


    Looking at the B-ultrasound images, Zhou Can got a lot of exercise in the emergency department. He was taught by a master like Dr. Xu.


    Naturally, his ability as a disciple of the mantle is not bad.


    It''s easy to see where the problem is.


    "The patient should have effusion in the right knee joint cavity, and it is quite serious. It is recommended to take out the effusion by puncture, and then inject medicine into it for treatment. The preferred medicine is hyaluronic acid, such as sodium hyaluronate."


    At this moment, Zhou Can finally understands what it means to have accumulated a lot.


    The accumulation of practice in the emergency department, coupled with the medical knowledge he has learned from reading medical books, has become his weight ahead of other regular trainees.


    The other four Gui Peisheng looked at him, all dumbfounded.


    Depend on! Is this really Gui Peisheng?


    Why do you feel that Si''s ability to watch movies is better than that of the attending physician?


    It was really bad luck for their group to meet such a ''monster''.


    In today''s competition in the operating room, there is a high probability that they will be beaten by Zhou Can.


    "correct answer."


    When Dr. Shan looked at Zhou Can, the surprise in his eyes couldn''t be blocked even by her black-rimmed glasses.


    Gui Peisheng in the emergency department really lived up to his reputation.


    Now she seemed to understand why Director Shen had that expression when he heard Zhou Can''s name.


    Director Shen must know what Zhou Can is capable of.


    "The treatment of this patient is a bit special. It requires bone cavity puncture, which is extremely difficult to operate. Not to mention you, even I need to be careful to make the puncture successful. You just need to watch carefully and learn the operation steps in a while."


    The patient came in quickly.


    This is an old lady with white hair, her left knee is swollen as thick as her thigh.


    It looked scary.


    When he pushed in, he kept calling "ahhhhhhhhhhhhhhhhh".


    This kind of joint pain is very tormenting.


    It is not the kind that can kill people instantly. It''s like a blunt knife cutting flesh, slowly torturing people until their will collapses.


    "Grandma, we will treat you right away, please sit down and keep this position still."


    For the puncture of the knee joint cavity, it is best to treat the patient in a sitting position.


    This makes it easier to select the puncture point.


    "Here, all of you come and take a look. The puncture point is at this location."


    Dr. Shan drew the puncture point with a pen.


    "This puncture point is not the only puncture point. According to the actual situation of the patient, the inside or outside of the lower patella can be used as the puncture point. If the puncture is from the outside, it should be this position."


    She taught very carefully.


    Kazusuke, who looked twenty-eight or nineteen years old, should be a resident doctor. It seems that he has already mastered the task of puncturing the knee joint cavity. He just watched from afar.


    Didn''t get close.


    "After finding the puncture point, first use a 5mL syringe to puncture the joint cavity from this part. Until there is a breakthrough feeling, it means... er, the puncture is successful only if there is a breakthrough feeling."


    Her expression froze for a moment, and the syringe puncture in her hand seemed to have encountered obstacles.


    "Ah yo...Girl, lightly lightly..."


    The patient screamed in pain.


    Doctor Shan couldn''t help but blush.


    When is Kuang Piao bad? It had to be when she was teaching Gui Peisheng.


    Isn''t this deliberately embarrassing her?


    The resident doctor seemed to see the predicament of Dr. Shan, and hurried forward to help.


    "Doctor Shan, we men should be stronger, let me try!"


    When he said that, he was obviously taking care of Dr. Shan''s face.


    Help her out.


    "The puncture of the knee joint cavity is not easy to succeed. It is a second-level operation. Be careful and don''t do it recklessly."


    She was very grateful to the male doctor for his rescue.


    He also took the opportunity to step aside.


    The male doctor took the syringe, changed the needle and punctured again.


    "Um¡­"


    The blue veins on the male doctor''s hands are showing, and he must have quite a lot of strength. The old lady screamed in pain, even the tone of her voice changed.


    "Pain, pain..."


    She patted the armrest of the wheelchair repeatedly.


    Might have really stung her.


    If it didn''t hit, it hit the periosteum, and the pain would definitely penetrate the bone marrow. No one can stand it.


    "Doctor Tang, take a break first, let me do it!"


    Dr. Shan dared not let his resident doctors operate again.


    She looked at the patient''s film again, and said with a little embarrassment, "Maybe the patient''s joint disease is more serious, and the difficulty of puncture is also doubled. But it doesn''t matter, it''s the same if we switch to the outside of the patella."


    She replaced the needle with a new one, and while comforting the patient, she identified the puncture point on the outside, and then performed the puncture.


    "Well¡­"


    Judging from her expression, she must be cursing in her heart, why the **** is she stuck again.


    Zhou Can has been standing by and watching.


    He also watched the film taken by the patient.


    Just B-ultrasound, there is no way to clearly show the bones of the knee.


    As Dr. Shan said, the patient''s joints may have serious lesions, so the normal puncture point will not work when punctured.


    After Dr. Shan tried it twice, his face turned red and he was sweating profusely.


    When teaching, one mistake was enough to embarrass her.


    Who would have thought that changing to the outside puncture would still fail.


    This is just a preliminary puncture.


    It''s really embarrassing.


    "Doctor Shan, I happen to have practiced piercing too, why don''t you let me try it!"


    Zhou Can''s injection skills are as high as level 4, and the attending physician is at an intermediate level.


    When I got injections before, I thought that this medical skill might not be very useful.


    I get it now.


    Its use is not only for injection, but also for puncture.


    Lumbar puncture, thoracic puncture, crest puncture... all kinds of puncture work should be controlled by the operating room planner.


    When I was studying in school, there were often teachers who bewitched students to learn physical chemistry, and they were not afraid to travel all over the world.


    Now, Zhou Can wants to tell all the doctors that the injection technique is well practiced, and all kinds of punctures are just one needle.


    Doctors who need two, three, or even more times for puncture to succeed are all poorly trained in injection techniques.


    Doctor Shan didn''t know how to step down at this moment.


    It has failed many times, so if you bite the bullet and puncture again, it may succeed. It is more likely to fail.


    At that time, the face will be even uglier.


    She was considering whether to ask someone to come and help.


    Zhou Can took the initiative to invite Ying. Although she didn''t hold out any hope, it was always a good thing that someone rescued her.


    Otherwise, the first surgery patient will let her lose face, how will she teach this group of regular trainees later?


    They dared not laugh at her in her face.


    There is still no way to point out how to criticize it behind the scenes.


    "You operate carefully, if I tell you to stop, you must stop immediately."


    She exhorted a little worriedly.


    "OK!"


    Zhou Can took the syringe and replaced it with a new needle.


    It must be said here that after the needle puncture is unsuccessful, it is best to replace it with a new one.


    The main purpose is to avoid the introduction of bacteria, leading to infection of the originally sterile joint cavity. In case of infection caused by puncture, the consequences will be serious.


    A needle doesn''t cost much.


    Anyway, it is counted in consumables.


    I saw Zhou Can touched the patient''s joints, and then inserted a needle.


    "laugh!"


    After the needle of the syringe plunged into the cortex, it encountered an obstacle and pierced quickly.


    The puncture was successful with one needle.


    "This, is the puncture successful?"


    A few regular trainees watching, including nurses. The resident doctor, Dr. Tang, was all quiet.


    He held his breath.


    Waiting to see the results.


    Dr. Shan''s small eyes widened in an instant, until she saw clearly that the needle had penetrated deeply into the skin, and then she was sure that Zhou Can''s injection was in place. The puncture of the knee joint cavity was easily completed.


    "What a cow!"


    Someone whispered admiration.


    Several Gui Peisheng felt hopeless in their hearts. Competitors are outrageously strong, how can they compete?


    Fortunately, there are six places in the operating room.


    What they hope most is that among the eighteen Gui Peisheng, there is only one monster, Zhou Can.


    "Don''t move, let me check!"


    She squatted down, and after careful inspection, she showed an expression of disbelief.


    Actually, the needle was in place and the puncture was successful.


    "Well, well done. After the puncture enters the knee joint cavity, the joint effusion inside needs to be pumped out first."


    She demonstrated the operation herself.


    "After pumping out the joint effusion, inject about 10ml of 0.25% lidocaine."


    The purpose of injecting anesthetic is to facilitate subsequent treatment.


    "This medicinal solution contains about 5mg of triamcinolone acetonide. It mainly injects the patient''s pain points. Then it helps the patient to move the knee joint so that the medicinal effect can be fully exerted."


    Doctor Shan kept observing the patient''s reaction.


    The drug effect should have worked, and the patient no longer complained of pain.


    "Grandma, your treatment will be divided into five times. Come back to the hospital for the second treatment in a week."


    she said to the old man.


    The old man felt no pain in her knee now, and she seemed very happy.


    "Thank you, thank you!"


    The old lady thanked Dr. Shan and Zhou Can repeatedly.


    Although she is old, she can tell who cured her.


    "Girl, I''m getting old and my memory is bad. Can you tell my son again later, can you?"


    "Okay! We will tell your son later!"


    After the patient was treated, he was pushed out of the operating room.


    Doctor Shan glanced at Zhou Can, and then glanced at the other Gui Peisheng.


    "This kind of treatment is generally divided into five times. The first two times are the injection of the medicinal solution just now. The third time starts with the injection of the sodium hyaluronate that Dr. Zhou Can said. The difficulty in the treatment should be the puncture of the joint cavity. You need to do it yourself. Watch more, think more, practice more."


    Thinking of the joint cavity puncture just now, she was still a little embarrassed.


    Until now, she didn''t know why the punctures kept failing.


    Usually this rarely happens.


    If you ask Zhou Can directly, even if you kill her, you will be too embarrassed to say so.


    But this is not a problem for her cleverness.


    "Doctor Zhou, please share with us the successful puncture experience just now."


    "OK!"


    Zhou Can glanced at Dr. Shan meaningfully.


    Zhou Can naturally knew her little Jiujiu well.


    I also secretly admire Dr. Shan''s speaking skills in my heart.


    Yesterday, Director Shen spoke very well of leadership skills, and the apprentices brought out by Director Shen are naturally not far behind.


    "I was able to puncture successfully. First of all, it must be mostly luck. Then, as Dr. Shan mentioned, the patient''s joints have lesions, which may lead to some changes in the bones, and even serious distortions. So I touched it with my hand, and I found her. The joint cavity is narrowed. When puncturing, deliberately choose a position close to the midlateral line."


    Zhou Can rolled up his trousers and showed everyone a demonstration.


    After Dr. Shan finished listening, he couldn''t help but suddenly realized.


    I see.


    No wonder patients who encountered such severe joint lesions failed several times in puncture.


    Every patient''s joint disease is different.


    The old lady just now should belong to one of the rarer types.


    Zhou Can said it modestly, saying that it was mostly luck.


    In fact, she knew in her heart that he was taking care of her face without any trace.


    Her affection for Zhou Can has also improved a lot because of this.


    "Okay! Thank you Dr. Zhou Can for sharing. Let''s move on to the examination report of the third patient."


    The patient''s examination images displayed on the light curtain are examined by two types of examinations: MRI of the hand bones and X-ray films.


    Generally speaking, the price of MRI examinations is not cheap, and doctors with a little professional ethics will not prescribe such examinations to patients at will.


    Only when the etiology is unknown, or when the doctor thinks that further examination is necessary will this examination be prescribed.


    And when it is prescribed, it will be discussed with the patient.


    Ask the patient for their opinion.


    The inspection report showed that it had been four or five minutes, but no one answered.


    Because the patient''s condition is very complicated.


    After two rounds of rushing to answer, everyone understood the truth that it is better to answer well than to answer early.


    "Can no one understand?"


    Doctor Shan seemed quite happy.


    Finally, she has the opportunity to reshape her authority and chief surgeon status.


    This group of regular trainees can''t understand, she will explain later, which can show that her level is very high.


    There was an embarrassment during the puncture just now, which was somewhat embarrassing.


    "I only see that the patient''s extensor tendons are ruptured, and the patient''s joints seem to be accompanied by rheumatoid arthritis?"


    Zhou Can was also a little uncertain.


    This question involved the knowledge of orthopedics, so it was a bit embarrassing for him to answer this question from a small trainee.


    "I also think it''s a ruptured finger extensor tendon from rheumatoid arthritis."


    Another Gui Peisheng echoed Zhou Can''s opinion.


    It is estimated that he, like Zhou Can, is not quite sure.


    Rheumatoid arthritis in the hand is very harmful, and it can easily cause finger extensor tendon rupture.


    Many patients do not lift heavy objects or perform dramatic movements in their daily lives.


    There was a "chi la" sound, like a rag was torn.


    Then there was severe pain in the hand and I lost the ability to grasp it.


    How painful can this pain be? It''s just that the strides are too big, and the crotch is pulled, that kind of severe pain like tearing. And it was a persistent, severe pain that was unbearable.


    In this case, most likely the tendon is torn. +Bookmark+

 Chapter 122： Eye-catching hemostasis and sutures, the status has risen in a straight line

    My medical skills can add experience points Chapter 122 Eye-catching hemostasis and suturing, the status has risen in a straight line


    "You two can actually be more confident, because your diagnosis is correct. The patient is a ruptured finger extensor tendon. As for the rheumatoid arthritis you mentioned, it is still in the early stage, and you can see the unique symptoms of synovitis. Minor cartilage destruction. Can anyone tell me the treatment options?"


    Dr. Shan''s ability to diagnose these interns has basically been established.


    Zhou Can and another Gui Peisheng performed well, while the others performed mediocre.


    Pathology and etiology have been diagnosed.


    Next comes therapy.


    Diagnosis and treatment are equally important.


    The clearer the treatment idea and the better the treatment plan, the greater the potential of Gui Peisheng.


    "I think it''s a matter of operating directly on the patient and suturing the ruptured tendon."


    "In addition to suturing the tendon, I think rheumatoid arthritis should also be treated."


    Several people have expressed treatment opinions one after another.


    Zhou Can kept silent.


    Several competitors breathed a sigh of relief.


    Fortunately, this evildoer finally has a shortcoming. He doesn''t seem to be very good at healing.


    Doctor Shan was a little puzzled, looked at him and asked, "They have all expressed treatment opinions, why don''t you speak? Are you unfamiliar with the treatment of this type of disease?"


    Everyone has an area of ??expertise.


    It shouldn''t be difficult to provide some basic treatment options, though.


    "I can''t provide a treatment plan because there is too little information about the patient. The specific treatment plan can only be given after a comprehensive consideration based on the patient''s age, physical fitness, whether there is an underlying disease, the patient''s ability to bear, and the patient''s own wishes. Formulate the optimal treatment plan. It is too one-sided to formulate a treatment plan based on only a few inspection reports."


    Zhou Can has a personal opinion.


    Medicine must be rigorous and prudent.


    It is extremely irresponsible to formulate a treatment plan without even knowing the patient''s condition.


    After Doctor Shan finished listening, his facial expression became a little stiff.


    This is indeed her negligence.


    It''s just that she was a little annoyed to be educated about safety issues in public by a regular trainee.


    "What Dr. Zhou said makes sense. It is true that all the information of the patient should be integrated to formulate the most suitable treatment plan. However, Dr. Shan is only trying to test your treatment ideas, so he deliberately asked you to provide treatment based on the diagnosis results. Solution."


    Dr. Tang excused Dr. Shan.


    This young man is sure to have a bright future.


    "Bring the patient into the operating room and prepare for the operation!"


    Dr. Shan did not want to continue talking about this topic.


    The patient was quickly taken into the operating room.


    This is a woman in her fifties with tanned skin and wrinkled face. The ten fingers of both hands have been bent due to rheumatoid arthritis.


    Ordinary people''s fingers can be bent or straightened at will.


    But her ten fingers could only remain bent and could not be straightened.


    His right hand was even hung with a bandage around his neck.


    Judging from her dress and temperament, she should be a rural woman. After tendon rupture, a primary diagnosis may have been made at the local township health center.


    Township health centers are not capable of treating this disease, so they can only go to county-level hospitals or large hospitals like Tuya for treatment.


    For the doctors at Tuya Hospital, this is just a minor operation.


    The difficulty is not great.


    "In this case, general anesthesia is generally not required, only brachial plexus anesthesia is enough."


    While explaining to several people, Dr. Shan directed Dr. Tang to give the patient anesthesia.


    Zhou Can was envious for a while, but it was a pity that he lost four injection experience points.


    If he were to inject the anesthetic, at least four injections would be given to the patient.


    At this time, Gui Peisheng and Dr. He, who had gone outside to put on plaster, came back.


    Dr. Shan has instructed Dr. Tang to do a second skin cleansing on the patient''s surgical site.


    Then draw the knife position, mark the location of the tendon rupture with a red line, and finally cut the skin of the hand carefully.


    Blood gushed out immediately.


    "Stop the bleeding!"


    She shouted to Dr. Tang.


    Zhou Can stood by and rubbed his hands. He felt itchy when he saw the operation.


    Hemostasis is his forte.


    That Dr. Tang''s ability to stop bleeding is really not flattering, at most it is inferior to that of a resident doctor. It is far worse than his inferior level of attending.


    On the contrary, Doctor Shan''s surgical ability is quite powerful.


    When cutting the epidermis of the patient''s hand, it is slow, steady and accurate. Larger blood vessels and nerves are well avoided.


    It''s like peeling the bark off a big tree.


    Her incision technique must have reached the inferior level of attending.


    No wonder the Orthopedic Surgeon let her take someone to do primary and secondary surgeries with confidence. There is something really important.


    Dr. Tang''s hemostasis is really slow.


    The patient''s wound bleeding has blocked the subcutaneous tissue.


    Zhou Can took the blood sucker and sucked up the accumulated blood.


    Doctor Tang glanced at him gratefully, while Doctor Shan showed admiration.


    The operating room needs someone like Zhou Can who can take the initiative to do things.


    The other Gui Peisheng would just watch stupidly.


    "This bleeding point is a bit difficult to deal with! Why can''t it be stopped!"


    Dr. Tang coagulated one of the bleeding points several times, but the effect was extremely poor.


    "It should be that the blood vessels have retracted. I happen to have experience in this area. Can you let me do the operation?"


    Zhou Can has long wanted to apply for a job.


    After finally catching the opportunity, he opened his mouth immediately.


    "You... can you?"


    Doctor Tang hesitated.


    The difficulty of this hemostasis is quite high. Even he can''t handle it, Zhou Can can do it with a regular trainee?


    Thinking of Zhou Can''s excellent performance in puncturing the knee joint cavity before, he finally chose to trust Zhou Can once.


    After receiving the electrocoagulation knife, Zhou Can took the sharp tweezers, scraped away the fat around the bleeding point, and then tapped the electrocoagulation knife with great precision.


    Zizi!


    The whole process is smooth and clean.


    The bleeding was finally stopped successfully.


    This kind of master-level operation level made everyone around me stunned.


    This is just one of the bleeding points.


    There are at least five or six bleeding points that have not been dealt with.


    The main reason is that Dr. Tang''s hemostatic efficiency is too low.


    Zhou Can held the electric coagulation knife in his hand, like a legendary acupressure master.


    Point by point.


    It only took five or six seconds to get everything done.


    Really fast and good.


    "Gu Peisheng, who came out of the emergency department, when did he become so strong? Didn''t everyone say that the doctors in the emergency department are very good?"


    Everyone was shocked, and couldn''t help but think of Zhou Can''s background.


    He''s from the emergency department.


    At present, it has only been trained in the emergency department.


    "alright!"


    Zhou Can returned the electrocoagulation knife to Dr. Tang.


    This time, Doctor Shan quit.


    Her eyes are not blind, Zhou Can''s ability to stop bleeding is so good, it is natural for Zhou Can to continue to stop bleeding.


    To ensure higher operation efficiency and shorten operation time.


    In addition, good hemostasis has an additive effect on the prognosis of surgery. It can make the patient''s wound heal faster and reduce other tissue damage during the electrocoagulation process.


    "Zhou Can, you will be the assistant. Doctor Tang will take a rest first."


    She changed players on the spot.


    "OK!"


    Doctor Tang had no complaints, but was a little disappointed.


    Being compared by a newcomer, Gui Peisheng, he must feel a little uncomfortable.


    Dr. He, standing under the operating table, looked at Zhou Can in surprise and envy. If Zhou Can''s meritorious service in front of Director Shen yesterday was regarded as a meticulous observation, his performance in the operating room today is definitely a demonstration of his strength.


    He couldn''t help but sigh, this Gui Peisheng is so strong.


    It is likely to be the strongest one among the eighteen regular trainees in this issue.


    Zhou Can was not hypocritical, nodded to Dr. Tang, and stood in the first assistant position that Dr. Tang vacated.


    Doctor Shan continued to cut the subcutaneous tissue, looking for the ruptured tendon.


    Blood gushed out again, and this time it was Zhou Can who stopped the bleeding. Compared with Dr. Tang, it was completely two levels.


    I saw Zhou Can''s extremely precise electrocoagulation to stop the bleeding, which was fast and good.


    Total bleeding was pitifully small.


    You don''t even need an aspirator. Because there is no pool of blood that needs to be aspirated.


    "The broken tendon seems to be coming out!"


    Zhou Can spotted the ruptured tendon with sharp eyes.


    The situation is relatively ideal.


    Without doctor Shan''s orders, he had taken the hook from the nurse on his own initiative to open the surgical wound.


    Provide convenience for the next repair operation by a single doctor.


    "Did you see it? This is the patient''s ruptured tendon."


    Dr. Shan was worried that the other Gui Peisheng would not know him, so he deliberately pointed them out to them.


    "What we have to do is find the proximal and distal ends of the broken tendon. In this case, we can use the assortment of 5ml syringes to fix them."


    After fixing it, Dr. Shan began to sew up the tendon.


    "This generally uses No. 4 absorbable thread, and the cross stitching method is more stable."


    Subcutaneous sutures are now mostly made of absorbable sutures.


    The advantage is that there is no need for a second surgery to remove the stitches.


    Her stitching level is also at the inferior level of attending, not as high as Zhou Can''s stitching level.


    The ruptured tendon was quickly sewn up.


    "After the sewing is finished, continuous reinforcement must be carried out around the stump of the tendon."


    As she sewed, she taught other junior doctors.


    This is the end of the tendon repair when the suturing is complete.


    The inspection is correct, and it can be finished.


    "Doctor Shan, can you leave the rest of the stitches to me?"


    Zhou Can was not greedy for this opportunity to sew skin.


    For him, if he wants to sew skin, he only needs to work overtime in the emergency department operating room after get off work. Give him plenty of opportunities to exercise.


    He took the initiative to fight for this opportunity to stitch skin in order to show off his strength in stitching.


    Next time there is tendon suturing and blood vessel anastomosis, he will have a chance to fight for it.


    It''s just skin stitching on the hands, and the risk factor is very low.


    Dr. Shan readily agreed to Zhou Can''s request.


    But she was still a little worried. Watch Zhou Can''s movements closely.


    I saw Zhou Can take the needle holder and threaded needle thread, and then began to sew the wound on the patient''s hand.


    Just after two stitches, Dr. Shan''s eyeball almost fell out.


    I was worried that Zhou Can could not sew well.


    Unexpectedly, Zhou Can is much more powerful than she imagined. Even better than her attending doctor.


    "So strong!"


    Dr. Tang and Dr. He, both residents, felt their faces burning hot.


    Because compared with Zhou Can, their suturing skills are far worse.


    "How can a regular training doctor be so strong? Could it be that this kid has been practicing suturing since his freshman year?"


    Even the attending doctors and residents were so shocked.


    Not to mention the other five Gui Peisheng. While feeling desperate in their hearts, all they could think of was the word "Monster".


    Zhou Can finished sewing quickly and neatly.


    "Doctor Shan, please check for me!"


    "Excellent sewing."


    Doctor Shan praised him without hesitation.


    "You''re over the top! Is her rheumatoid arthritis treated with anti-inflammatory and rheumatoid drugs?"


    Zhou Can knew very well that the patient''s tendon ruptured, and lifting heavy objects was only an inducement.


    The real cause was rheumatoid arthritis in the hands.


    Suturing the tendon is only a temporary solution.


    Drugs must be given to treat her rheumatoid arthritis in order to treat both symptoms and root causes.


    "I will prescribe the medicine into the doctor''s order, push the patient out of the operating room, and prepare for the next operation!"


    Her attitude towards Zhou Can changed significantly.


    Speak very politely.


    It''s almost the tone of a conversation at the same level.


    Strength is always the easiest hard condition to win respect.


    Zhou Can is not only extremely capable of surgery, but also can give precise prescriptions for drug treatment. This shows that he does not have any shortcomings in treatment.


    Currently, he is far ahead of the other five Gui Peisheng.


    But this is just the beginning.


    Although this operating room is only the worst operating room in orthopedic surgery, the number of operations in a day is still amazing.


    The examination report of the fourth patient appeared on the light curtain again.


    The shot is of a patient''s knee joint.


    Two kinds of examinations, X-ray film and B-ultrasound, were done respectively.


    "This is a typical suppurative infection of the knee joint!"


    The Gui Peisheng who is very good at watching movies rushed to answer.


    "I agree with his diagnostic point of view. Incision, drainage and lavage may be needed." Zhou Can has dealt with similar suppurative infections in the emergency department, and has extensive treatment experience.


    "It''s all very powerful! This patient is indeed a suppurative infection of the knee joint. The surgical plan is what Dr. Zhou said. It needs to be cut and lavaged."


    "The Great Era of Rebirth"


    Dr. Shan found that the two Gui Peisheng were very eye-catching, and a happy smile appeared on her face.


    The vast majority of superior doctors actually hope to see successors.


    People like Dr. Lu in the emergency department who are extremely selfish and selfish are in the minority after all.


    The patient was quickly wheeled in.


    Zhou Can was happy for a while.


    Here comes another chance to perform.


    At the same time, you can also earn a lot of experience points.


    Since it was a competition, he was not polite.


    Ask Dr. Shan directly for treatment authority including incision.


    With the excellent performance of the three medical skills of hemostasis, suture, and puncture, he has initially established a foundation of trust in Doctor Shan''s mind.


    At this time, she should not refuse to ask for a medium-risk operation permission.


    "It''s up to me to cut it open! I can leave the rest to you!"


    She didn''t dare to let Zhou Can operateAlmost all the senior doctors are similar. The risk of incision is the highest, and he will not easily delegate power to the doctors under him.


    Zhou Can was not discouraged.


    It is already very good to be able to grab the remaining exercise opportunities.


    As for the chance of higher risk and more difficult surgery, as long as you can get a place for regular training in the operating room, you will have a chance to fight for it in the future.


    ¡­


    In this way, they performed almost a dozen primary and secondary operations in one morning.


    When it was time to eat at noon, Zhou Can deeply felt the busyness of the operating room once again. Everyone takes turns to eat. There are no breaks.


    "Zhou Can, Dr. He, and nurse Wang Xiaohong stayed with me to continue the operation. The others took the time to eat and return to the operating room as soon as possible."


    Doctor Shan made arrangements.


    She didn''t keep Dr. Tang, but Zhou Can.


    It seems that this is the plan to let Zhou Can help her all the time.


    But also understandable.


    After all, with a powerful assistant assisting in the operation, the operation is not only much easier, but also the operation efficiency is extremely high.


    Just like Zhou Can especially likes to perform surgery with Qiao Yu.


    Nothing else, just because of her tacit cooperation, the work of the equipment nurse is very professional.


    Dr. Shan did not ask the resident doctor, Dr. He, to be his assistant.


    Instead, let him be responsible for putting plaster on patients and doing odd jobs in the operating room.


    She was definitely worried about letting the other Ji Peisheng cast alone.


    She was relieved to leave this kind of matter to Dr. He.


    Zhou Can''s status in the operating room also rose sharply. Competent surgical tasks are constantly increasing. +Bookmark+

 Chapter 123： Osteopathic surgery, Yuanjia Road is narrow

    My medical skills can add experience points Chapter 123 Orthopedic surgery, the road to the enemy is narrow


    Not long after, a new surgical patient was pushed into the operating room.


    This time, Zhou Can was the only regular trainee left, so there was no need to test him again.


    Dr. He took the initiative to display the patient''s examination report on the light curtain.


    "The patient underwent arm bone fracture surgery at the beginning of last year, and was fixed with two steel nails. Judging from the patient''s recovery, the fracture healed well, and now surgery is needed to remove the steel nails."


    Doctor Shan took the initiative to introduce the patient''s situation.


    Generally speaking, operations in the operating room are scheduled in advance.


    Surgeons, assistants, and nurses all know what time and operation will be performed today.


    The removal of the bone internal fixation is not particularly difficult.


    But the stakes are high.


    Improper operation or premature removal may lead to re-fracture or infection of the patient.


    The patient was quickly brought in.


    The steel nail at the elbow joint of the right arm needs to be removed.


    Doctor Shan seemed very cautious in performing the operation.


    Even though she had gone through layers of checks, she still conducted a series of examinations and inquiries on the patient. After the evaluation, she felt that the steel nails could be removed before starting the operation.


    Zhou Can naturally took the anesthesia needle prepared by the nurse, and pricked four needles into the patient''s right armpit.


    The puncture site for brachial plexus anesthesia is not fixed.


    Actual selection is made according to surgical needs.


    Sometimes the upper, lower, and shoulder grooves of the clavicle are also the sites where anesthetics are injected.


    The purpose is only one, to block the conduction of the nerves in the arm.


    In fact, the principle of painkillers is very similar to that of anesthetics, which also block nerve conduction.


    Many people are in so much pain that they are unwilling to use painkillers. Listen to the "fake science" on the Internet, thinking that painkillers will cause harm to the body. And there are sequelae.


    It makes people stupid.


    In fact, these are all nonsense.


    As long as the dosage is mastered, there will be almost no so-called ''negative effects'' on the body.


    In ancient times, Guan Yu scraped bones to cure poison without using anesthetics, and he could chat and laugh while accepting Hua Tuo''s surgery while playing chess with others. Perhaps such a tough guy really existed, and it was more likely that the anesthetics of that era were immature.


    He dare not take it.


    For modern people, there is really no need to emulate Guan Erye and suffer that crime.


    Some pains can really make people dizzy.


    Zhou Can''s injection technique is at the attending level. The local anesthesia he administered has a faster onset time and better effect.


    "Doctor Shan! The anesthesia is successful and the operation is ready."


    "Um!"


    She nodded slightly.


    The nurse is very professional in performing secondary disinfection on the surgical site.


    The position of the wound and the position of the steel nails have been drawn on the patient''s arm.


    Dr. Shan incisioned a wound skillfully and lightly, and Zhou Can cooperated tacitly to stop the bleeding. This part is actually a layer of skin, and the bones are directly exposed.


    Metal nails can also be seen.


    During the whole process of getting out, she seemed cautious.


    Zhou Can stood by and helped, and learned a lot.


    A total of two steel nails.


    Take out this one first, check that the bone has healed quite firmly, and there is no risk in taking it out, and then take out the other one.


    Sometimes, for the sake of safety, the doctor often removes the bone internal fixation equipment several times.


    "The stitching is up to you!"


    After Dr. Shan successfully removed the two steel nails, he was also very tired.


    Thanks to Zhou Can''s help, it went so smoothly.


    "no problem."


    Zhou Can happily agreed.


    He will not let go of any opportunity to earn experience points in medical skills.


    It only took him a few minutes to complete the debridement and suturing of such a small opening.


    It''s not for nothing that I have done so many first-level surgeries in the emergency department.


    In terms of the speed of the operation, I am afraid that few people can be faster than him.


    "Tsk tsk, Dr. Zhou''s suturing skills are really good! It''s fast and good!"


    She couldn''t help but praise.


    "Actually, my anatomical skills are not bad, when will I give you a chance to practice!"


    Zhou Can is already very humble.


    Because he still has many medical skills that have reached the third level or above.


    "If there is a suitable opportunity, I will give it to you!"


    She didn''t finish talking.


    After all, according to the safety rules of the operating room, interns generally require offline operations, that is, operations that pose a safety risk to patients, and interns only have side jobs.


    You can only stand on the sidelines and learn.


    Gui Peisheng can do some piercing, skin sewing and other jobs.


    To operate a knife on a patient, one must at least reach the level of a senior resident doctor, and only then can there be very few opportunities for exercise.


    Doctor Shan was able to let go of his mouth a little, which already showed great trust in Zhou Cantian.


    After the patient who took the steel nail was sent out, a nurse stood behind the second door and asked, "Doctor Shan, here is a child with a dislocated arm, can you join the team and help him do it?"


    There are all kinds of human emotions in any hospital.


    For example, when a nurse helps a child jump in line, it is either an acquaintance or the child has a certain background.


    "Arm is dislocated, you should send him to the manipulation recovery room!"


    Doctor Shan did not explicitly refuse.


    For dislocations, unless a very small number of cases are particularly severe and require surgery, most of them can be manually reduced.


    This is also a required skill for orthopedic surgeons.


    "It''s off work over there, and there will be no one until two o''clock in the afternoon. The child''s grandfather works in the Health Bureau and brought the child here himself. Look..."


    Although the nurse didn''t say it clearly, the meaning of what she said was basically clear.


    This child is the grandson of the relevant leader of the competent department.


    For Tuya Hospital, the ranks of the dean and others are not low. The general leaders of the Health Bureau came, and they couldn''t even reach the level of the dean''s personal reception.


    But for a low-level nurse, even if she is just an ordinary member of the health bureau, she is still a leader.


    In fact, no matter what, if you can make it to your grandparents, you can at least make it to a department-level cadre.


    "Since it''s the grandson of the superior leader, he should take care of it. The leader is so busy with work, how can he let him wait until after two o''clock in the afternoon! It just so happens that I''m not particularly busy here, so you can bring the child in!"


    Doctor Shan immediately changed his tune.


    Zhou Can couldn''t help but open his eyes, and today he has learned a lot.


    No matter how proud the doctor is, when facing the leader, they are basically the same.


    At most, the degree of licking is different.


    The child was quickly brought into the operating room, and his grandfather followed him through the first door outside.


    This is an old man with white hair and good spirits.


    "Which one is Doctor Shan?"


    "I am! Hello!"


    Doctor Shan lowered his posture.


    "My name is Qiu Jianye. I work in the Western District Health Bureau. I will go there to do business in the future. Welcome to my office for tea!" Before the old man came in, he must have found out from the nurses which doctor has the highest status in the operating room.


    The old man didn''t declare his position, and he didn''t even say which department he worked in.


    Others couldn''t tell, but Zhou Can felt that this person was very hypocritical.


    At least not a big leader.


    If you are exhausted, you will be a deputy department-level cadre. even lower. And the department he is in should be one that doesn''t have much real power.


    "Okay, thank you! I will treat your grandson now, and you can sit on the chair outside the operating room and rest for a while."


    She spoke very tactfully.


    It is obvious that they are inviting people out, but they cannot directly say, please go out or something like that.


    Instead, in a caring tone, ask the other party to sit on a chair outside the operating room and rest.


    In this way, not only will people not be disgusted, but they will also feel that the doctor is very enthusiastic.


    When the old man left the operating room, Dr. Shan took the film taken by the child to check.


    "The situation is not bad, but the shoulder joint is dislocated. After reset, hang it on the neck with a bandage for three or four weeks."


    She made a diagnosis after seeing the film.


    "Little friend, how old are you?"


    "Six years old!"


    When the child opened his mouth, the hole in the missing front tooth was exposed.


    It can be seen that his teeth are all black, and the caries are particularly serious.


    I definitely don''t eat less sweets at ordinary times.


    Eating too much sweets can easily lead to osteoporosis and weak constitution.


    This can make the child more prone to fractures and dislocations.


    "This arm hurts, right?"


    "Hmm! It hurts!"


    He bit his lip, teary eyes.


    "When I reset you, there will be a little pain. But after the pain is over, your illness will be cured and you won''t be in pain anymore. You are a brave little man! Can you hold back?"


    Doctor Shan was doing ideological work for the little boy.


    "able!"


    Children are the most innocent.


    Once you praise him for being brave, he will really show you how brave he is.


    "Doctor Zhou, please hug the child from behind and support his shoulders."


    "OK!"


    Zhou Can hugged the little boy from behind and pressed against his right shoulder.


    The little boy''s body was thinner and lighter than expected.


    Today''s parents are too fond of their children. All kinds of junk food.


    Actually hurt the child.


    Doctor Shan grabbed the child''s arm with one hand and the arm with the other, and first helped him relax his muscles.


    Then rotate slowly.


    "Kid, have you read yet?"


    "Kindergarten Class!"


    "Wow, it turns out that he is a student of the older boy, no wonder he is so brave! What does your grandfather do?"


    "The teacher often praises me for being great! My grandpa...uh, it seems to be on AIDS prevention and treatment... ah... woohoo, it hurts so much!" The little boy was halfway through his answer when Dr. Push and press up.


    It''s cleverness.


    Zhou Can heard a muffled "click".


    He knew that the shoulder joint reset was successful.


    The moment of reset brought severe pain, which directly made this "brave" little boy cry.


    Tears streamed down his face.


    If he guessed correctly, his grandfather worked in the AIDS Prevention and Control Division of the Health Bureau.


    No wonder he had to enter the operating room to say hello to an attending doctor like Dr. Shan to jump in line.


    If it was replaced by a leader with real power, it could be done with one phone call.


    ¡¾Congratulations, you have obtained the orthopedic surgery, which can correctly reset the displaced fracture end and treat soft tissue injuries, and can restore the dislocated joint to its original position and restore motor function. ¡¿


    Zhou Can was just helping out, but he didn''t expect to gain a medical skill.


    However, in the process of helping, he did learn how to reset the entire shoulder joint.


    At least how to operate, he has a clear and complete idea in his mind.


    After learning osteopathy, he is quite popular in orthopedics.


    Even if you don''t know anything else, you only need to sit in the manipulation reduction room, and you can eat for a lifetime.


    "Bring a bandage!"


    After Dr. Shan successfully reset the child''s dislocated shoulder joint, he hung him with a bandage around his neck.


    Shoulder joint dislocation, after healing, cannot lift heavy objects, shake violently, etc. for a short time.


    Otherwise, it will dislocate again.


    Those acrobats who run around the rivers and lakes, you can see that they hang their arms and shake them twice, and their arms are dislocated.


    In fact, it is because frequent dislocations lead to habitual dislocations of the shoulder joint.


    In order to achieve the effects required for performance, many people start practicing from childhood.


    Because arm dislocation is very painful, children of a few years old will definitely not take the initiative to practice. It was the head of the circus troupe, the acrobat master, who forcibly dislocated the child''s arm. The purpose is to win the sympathy of the audience and get more rewards.


    This is actually a very cruel behavior.


    It should be resisted.


    Just like meeting a child with hand and foot disabilities begging for money on the street, there is a high probability that the traffickers seized the kindness and sympathy of the public and deliberately broke the hands and feet of the abducted child, turning them into disabled people begging for money.


    It should also be resisted and not be fooled by those human traffickers who have lost their conscience.


    "Okay, remember this hand can''t be taken off for a month!"


    Doctor Shan patted the little boy''s head.


    "Woooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooo!"


    He is still sobbing.


    Maybe I felt a little ashamed, so I forcibly held back, and didn''t cry.


    This little boy is so cute.


    It made everyone smile.


    Doctor Shan did not send him out in person, but explained the precautions to the child''s grandfather. Instead let the nurse do it all. It is enough to show that after she found out the identity of the child''s grandfather, she only took this step in favor.


    The identity of the other party is not worthy of her being too humble.


    One is that the opponent is getting older and has no room for improvement. The second is that the other party''s department can hardly provide her with any help.


    No good things, everyone is very realistic.


    Besides, the status of Tuya''s attending doctor is actually not as low as imagined.


    A promising attending doctor like her has a higher status.


    Not long after, Dr. Tang and others came back after eating.


    It was Zhou Can''s turn to eat.


    The doctors in the operating room are actually very hard.


    Under normal circumstances, you can only use the time of eating to go to the toilet.


    Zhou Can worked in the orthopedic surgery operating room all morning and gained a lot.


    Not only did he initially gain the trust of Doctor Shan, but he also learned a new medical skill.


    Doctor Shan took the three of them to the cafeteria for dinner.


    After leaving the operating room, Dr. Shan had no airs.


    "Doctor Zhou looks quite young, did he apply for Tuya''s regular training just after finishing his internship?"


    she asked curiously.


    Dr. He and the nurse named Wang Xiaohong were listening.


    "I studied at Tuya Medical University, and my internship was also at Tuya Hospital. After graduation, I took Tuya''s regular training recruitment exam. I was lucky and passed the exam right away."


    Zhou Can recalled the experience of taking the training test, and still find it difficult.


    If there is no experience point system, the eight people in their dormitory will definitely be wiped out.


    Tuya''s general practice training doctor is really difficult to test.


    "Became the No. 1 scholar in the regular training in one test. Is this also called good luck?"


    Doctor He''s cheek twitched.


    "hehe!"


    Wang Xiaohong snickered for a while.


    She seems to be quite introverted. Working in the operating room all morning, except for the necessary work communication, she hardly said a word.


    However, she is very professional and meticulous in her work.


    Much better than all the surgical nurses in the emergency department.


    Whether it was Liu Xia, the elder nurse in charge, Tang Ling, or Qiao Yu, there was a gap with her.


    Qiao Yu''s main reason is that his working life is too short. With two or three years of work experience, he should be able to overtake Wang Xiaohong.


    It can also be seen from this point that a strong department not only has strong doctors, but also high-level nurses.


    "After the internship, you were admitted to the regular training of this hospital, so you have only worked in the emergency department for three months after all your efforts? How did you practice hemostasis, sutures, and punctures? They are too strong."


    After hearing Zhou Can''s experience, Dr. Shan was shocked.


    "I like this line of work, so I usually practice more. Then during the three months of regular training in the emergency department, I met a good teacher and gave me plenty of opportunities to exercise. The level has also improved."


    Zhou Can naturally wouldn''t say anything about the experience point system.


    The level can improve so quickly, I really should be grateful to Dr. Xu.


    A large number of surgical practice opportunities have made Zhou Can.


    "I have also trained in the emergency department. The operating room in the emergency department is very poor, and there are not many operations. It is really remarkable that you can achieve such a great growth in three months."


    Doctor Shan is quite a proud person, and at the moment he admires Zhou Can from the bottom of his heart.


    She probably didn''t know that the number of surgeries in the emergency department increased by more than 1,000 a month because of Zhou Can and Jin Mingxi.


    With such a large amount, even Director Xie is jealous.


    A few people quickly came to the restaurant on the second floor.


    There were a few people heading out after eating, and the two sides met head-on.


    "Hey, Dr. Du is quite late for dinner today!"


    Doctor Shan smiled and greeted the leading young doctor.


    Zhou Can lowered his head slightly, it''s really a narrow road I didn''t expect to meet Du Leng here.


    Seeing Du Leng yelling and hugging, many doctors and nurses holding him, it seems that he has developed quite well in surgery.


    Think about it too, he is a doctor of returnees.


    Even if it is not a postdoctoral fellow, it is already an extremely dazzling resume.


    Dr. Shan is a very promising attending physician in orthopedic surgery, and he even took the initiative to say hello with a smiling face when they met. It can be seen how high Du Leng''s status in surgery is.


    "Today, the Department of Cardiothoracic Surgery had a very difficult major consultation operation, and I was forced to participate. It took a long time to discuss with several chief and deputy chief physicians before formulating a surgical plan, so I came a little late."


    Du Leng''s words were all about showing off.


    Which regular trainee is qualified to participate in that level of major consultation? Even if you participate, you are still a student.


    But Du Cooling participated in the discussion as a member of the consultation.


    This is really awesome.


    The corner of Zhou Can''s mouth twitched, and he couldn''t help but think of Du Leng''s paper talk in the emergency department.


    The medical theory is indeed of a high level, but in the end he was slapped in the face because of lack of practical experience.


    This subtle expression of his was just seen by Du Leng.


    In fact, as soon as the two groups met, Du Leng had already spotted Zhou Can who was following Doctor Shan.


    He just showed off a few words in front of Dr. Shan and the others, and when they heard it, they all looked admiring. Only Zhou Can, a bastard, showed an imperceptible sneer.


    Du Leng naturally knew what Zhou Can was laughing at.


    Thinking of the consultation in the emergency room, he was a little crazy.


    That was the disgrace of his life. +Bookmark+

 Chapter 124： In vain, Director Shen is late

    My medical skills can add experience points Chapter 124 Waste of effort, Director Shen is late


    Although Du Leng was very angry in his heart, the smile on his face remained the same.


    Anyway, he is a doctor studying abroad, so it is impossible to quarrel with Zhou Can because of such an unfounded matter.


    "Dr. Shan brought a new student?"


    Du Leng''s eyes seemed to fall on Zhou Can''s face inadvertently.


    Dr. Shan turned his head to look at Zhou Can, and said with a smile, "He is Gui Peisheng who has just transferred to orthopedic surgery. I don''t know if I will teach him!" Zhou Can is so good that it is possible for the director to take him personally.


    She is just a newly promoted attending physician, and it is still possible to take care of ordinary Pearson.


    Zhou Can is such an evildoer, it may not be her turn.


    "Oh, that''s how it is! I know this Dr. Zhou, who happened to participate in the regular training recruitment at the same time as me. Speaking of it, I still admire him. Back then, he was late for the exam and saved a patient with acute myocardial infarction. The hospital gave him 10 points for medical ethics, so he successfully won the first place in this year''s regular training exam."


    Du Leng said admiration, but there was no expression of admiration on his face.


    His intentions are very sinister.


    In fact, it was to tell Dr. Shan that Zhou Can won the first place in the regular training exam because of his moral points, not because of his real skills.


    "Anyway, it''s really not easy for him to get the first overall score as an undergraduate."


    Du Leng really harbored evil intentions.


    After going around for a long time, Zhou Can was belittled in disguise.


    After talking about the extra points for medical ethics, I focused on Zhou Can''s low education.


    "Sigh, the growth potential of undergraduates is generally a bit low these days! It''s a pity..." Du Leng shook his head and sighed, with a grumpy face of feeling sorry for Zhou Can.


    "Doctor Shan, I have something else to do, so I''m leaving first."


    Du Leng''s coquettish operation has only one purpose, which is to find ways to reduce Zhou Can''s impression points in Doctor Shan''s mind.


    A Gui Peisheng who has no potential and no ability has no sense of presence in front of the teacher.


    The treatment he received was also very different from those of the elite Gui Peisheng.


    When Du Leng passed by Zhou Can, he smiled at him.


    "Do not worry too much, Dr. Zhou. Even if you don''t learn any skills in the regular training in other departments, it will not affect your future work. Anyway, you will eventually return to work in the emergency department, where the requirements for doctors are very low."


    Zhou Can was expressionless, and just hummed through his nostrils.


    This is enough to give Du Leng face.


    In his eyes, so what if he is a doctor of returnees? If you have real skills, you can still be an opponent.


    If you can only play tricks, the skills under your hands are very weak, and you don''t even have the qualifications to be his opponent.


    He would rather deal with vulgar people with foul mouths.


    I don''t want to waste time with such a sanctimonious hypocrite.


    Du Leng showed a sinister smile of a successful trick, and walked away.


    It can only be said that he underestimated Zhou Can''s ability.


    Although Zhou Can arrived at the Orthopedic Surgery Department in less than two days, the situation has already opened up. With his real skills, he won the initial appreciation of Dr. Shan and Director Shen.


    The chance of sitting on the bench is already very small.


    ¡­


    The four of them finished their meal and soon returned to the operating room to continue fighting.


    Those words of Du Leng did not affect Zhou Can in any way.


    Dr. Shan still let Zhou Can be his assistant.


    In the following operations, Zhou Can has been performing very well. The other Gui Peisheng saw that this was not going to work. If they didn''t strive for a chance to perform once or twice, they might just be eliminated.


    So they fought for some performance opportunities in the operation.


    At most, Doctor Shan gave them power to stop the bleeding or sew the skin.


    As a result, after several rounds, Doctor Shan never gave them another chance.


    There is no other reason, the other five Gui Peisheng are far behind Zhou Can. Leaving an attending-level assistant unused, instead let some rookies at the regular training level mess around there, unless her brain is sick.


    At around five o''clock in the afternoon, Dr. Shan pointed to the inspection report on the light curtain and said to several Gui Peisheng, "This is a patient with necrosis of the femoral head. Now it can be clearly seen that the blood supply has been lost. It will be like Like a dead tree, it quickly dries up and collapses."


    Zhou Can listened very carefully.


    He thinks his knowledge of orthopedic surgery is very shallow.


    The three-month orthopedic surgery training should be able to help him make up for this shortcoming.


    Make him acquainted with the treatment of most orthopedic diseases, as well as the pathology, pathogenesis.


    He hopes that after the remaining 33-month training period is over, he will return to the emergency department and be able to help the emergency department grow rapidly.


    This is also his promise to Director Lou and Dr. Xu.


    "Necrosis of the femoral head, how to treat it, does anyone know?"


    Doctor Shan asked six regular trainees questions.


    "Entire hip replacement!"


    "Bone necrosis, there should be only replacement, there is no other way!"


    After listening to Gui Peisheng''s answers, she shook her head slightly.


    "I read a method in a medical book, and I know the general principle, but I don''t know the specific operation."


    Zhou Can replied.


    "Oh, tell me what method it is?"


    Doctor Shan also wanted to see if Zhou Can''s knowledge was profound enough.


    "Replacing the artificial hip joint is the last resort. There is also a lower-cost rescue method called bone grafting. There are two types of bone grafting. One is to use a vascularized bone flap to implant into the necrotic In the femoral head, this method of bone grafting is difficult to operate. Second, if the bone necrosis is not particularly serious, you can drill the hole and fill it with bone fragments to reduce the intraosseous pressure and at the same time induce the necrotic femoral area to restore blood supply."


    Zhou Can found that reading more books usually has many benefits, which can be used at critical moments.


    It is beneficial to open a book, which is the golden and jade good words left by the ancients.


    "Well, the answer is very good. The operation we are going to perform on this patient today is to use a bone flap with a vascular pedicle for transplantation, trying to save the patient''s necrotic femoral head."


    When Dr. Shan announced the operation plan, his face was full of pride.


    You can tell from the name that this surgery is highly technical.


    She, a newly promoted attending doctor, is indeed proud and proud of being able to complete such a difficult operation.


    The patient was quickly wheeled into the operating room.


    The anesthetist also arrived in a hurry.


    Anesthesiologists are frequently used in orthopedic surgery.


    There is no way, many of the operations it performs are major operations.


    Both spinal anesthesia and general anesthesia must be performed by a professional anesthesiologist.


    The risk of getting this level of surgery is also very high.


    The patient was not particularly old, only about thirty-five or sixteen years old. She is a petite female patient.


    Her lower body was covered with a blanket.


    In the eyes of doctors, patients are not divided into men and women. Like this patient, she couldn''t even keep her underpants during the operation. She must be a little embarrassed in her heart.


    But compared with relieving the pain, this kind of detail is not so important.


    After the anesthesiologist skillfully examined the patient, he directly administered general anesthesia to her.


    It may also be in consideration of the patient''s feelings that she was given general anesthesia.


    Normally speaking, it is also possible for her to perform lumbar puncture and epidural anesthesia for this operation.


    "The anesthesia was successfully implemented, the patient''s physical condition is stable, and the operation can be performed."


    Anesthesiologist''s routine debriefing.


    Doctor Shan has performed multiple surgeries, and it has always seemed relatively easy.


    At this moment, her expression was quite dignified.


    "This operation is divided into two major steps. First, confirm the degree of necrosis of the femoral head in the recipient area. If the degree of necrosis is mild, you can directly drill holes for bone grafting. But like this patient, the necrosis of the femoral head is already serious, and only by reducing the intraosseous pressure The bone grafting method is difficult to do. It needs to help it establish a new blood supply."


    She is teaching while operating.


    This kind of difficult operation observation opportunity is not only attractive to the six Gui Peisheng students, but even the two residents, Tang and He, are also serious about watching and studying.


    Because Zhou Can acted as a helper, he was close to the water and had the advantage first, which was a great convenience when studying.


    You can understand each operation step more clearly.


    "First confirm the size of the femoral head to be implanted in the recipient area. Then free one or two groups of blood vessels."


    She picked up the scalpel and directly cut the patient''s epidermis and fat layer.


    Zhou Can hurriedly stopped the bleeding beside him.


    After showing the somewhat collapsed femoral head, Dr. Tang stepped forward to help pull the hook together to expose a more sufficient surgical field of view.


    In this step, the most difficult thing is to free the two sets of blood vessels.


    She operates carefully.


    When freeing the first artery, it went smoothly.


    Zhou Can, who was helping to pull the hook, found that her free technique was relatively weak. There is only the resident level, and it has not reached the level of attending.


    After all, the separation technique is an advanced medical skill, so it is difficult to practice and the speed of improvement is slow.


    It''s pretty good for her to be at her current level.


    Maybe many attending doctors are not as good at separation as hers.


    When she freed the second vein, because the situation was too complicated, the femur collapsed, which greatly increased the difficulty of freeing the vein.


    Time passed by every minute and every second.


    Sweat kept gushing from her forehead. The patrolling nurse kept wiping her sweat away.


    It can be seen that although Dr. Shan is wearing a hood, the little hair exposed on her forehead and other places has been completely wet with sweat.


    "The Point Guard Is Here"


    "No, it''s too difficult to dissociate this blood vessel. I''m afraid I have to ask Director Shen to come over and perform the surgery himself."


    After she tried many times, not only the progress was slow.


    The free blood vessels were also very sloppy, and on several occasions they almost broke the walls of the blood vessels.


    "Help me contact Director Shen!"


    This is for the patrolling nurse.


    She temporarily stopped surgery.


    The call got through quickly.


    "Teacher, I have encountered a difficult matter. This patient''s femoral head necrosis is beyond imagination. It is too difficult to free the blood vessels in the recipient area, and my level is not up to it. I may need to ask you to come and perform the surgery yourself."


    This is the importance of having a strong and honest person.


    At critical moments, it is the cheapest and most reliable to ask your own teacher for help.


    Ask other higher-level doctors for help. Due to hospital rules, they may help you wipe your ass.


    A scolding meal is indispensable.


    It is also possible to be reduced in power, and the qualifications for similar surgeries will be restricted in the future.


    Just like Zhou Can''s teacher is Dr. Xu.


    Leave him the direct phone number, and tell him that even if something happens at three o''clock in the middle of the night, you can call him over to help wipe your butt.


    You ask another director to try in the middle of the night?


    "All right, I''ll wait for you!"


    She ended the call helplessly.


    Zhou Can could hear clearly from the side. Director Shen seemed to be presiding over an important major operation and couldn''t get away at all.


    This matter is a little difficult to handle.


    Director Shen will not be able to make it in a while, the patient is naked and has an opening on his body.


    The operation encountered difficulties, and the chief surgeon, Dr. Shan, was unable to solve the problem due to his limited skills, so he could only let the patient wait.


    Time passed by every minute and every second.


    Director Shen didn''t know when he would be able to rush over, and Director Shan''s face was full of sadness.


    She really didn''t expect the operation to be so difficult.


    Now riding a tiger is hard to get off, which makes her very worried.


    "Doctor Shan, can I try?"


    Zhou Can boldly made a request.


    He knew very well that Doctor Shan refused to even give him the chance to cut the epidermis.


    How could he be allowed to do this important job of freeing blood vessels?


    Doctor Shan stared at Zhou Can with sharp eyes.


    "What did you say?"


    "I said can I mobilize this blood vessel? In the emergency department, I mobilized the intestines."


    Zhou Can quickly brought out his successful experience.


    "What surgery requires free bowel?"


    She stared into Zhou Can''s eyes and asked.


    "Appendectomy!"


    She has never done this operation, but she knows the general operation steps.


    It is indeed necessary to separate the omentum from the bowel.


    The difficulty is not low.


    "Are you sure?"


    "I dare not say 100% sure, more than 90%!"


    Doctor Shan is at war between heaven and man, do you want to let this volunteer Gui Peisheng try?


    After all, Zhou Can has always performed very well.


    In the end, she decided to take the risk and let Zhou Can try.


    This has a certain risk, but it is still within the acceptable range.


    In case Zhoucan behaves badly, she just needs to stop immediately.


    "Try it! But you must be careful, stop immediately if you are not sure. If you dare to be brave, act recklessly, and I will directly cancel your qualification for regular training."


    These words are more frightening.


    She should not have the ability to cancel Zhou Can''s training qualification.


    The most is to give a certain punishment.


    After all, Zhou Can didn''t do anything harmful or unforgivable.


    "Doctor Shan, do you really decide to let him try? He is only Gui Peisheng after all!"


    Doctor Tang tried to dissuade.


    Because of an accident, he will be somewhat implicated.


    "There is no better way right now. A person''s eyes can''t lie, his eyes reveal a strong confidence, let him try!"


    Doctor Shan explained.


    Zhou Can stood in the position of Doctor Shan, took the scalpel from the equipment nurse, and began to free the vein.


    Experts will know if there is one as soon as they make a move.


    When everyone saw Zhou Can''s calm posture, they already understood that he might really have this ability.


    One knife!


    The blood vessel was fine, and a small section was successfully freed.


    Doctor Shan''s heart jumped to his throat and immediately fell to the ground.


    When Zhou Can performed the second knife, her heart hung up again. The spirit is also highly nervous, and his eyes are firmly on the knife in Zhou Can''s hand.


    As long as there is something wrong, she will stop immediately.


    "Uh... This, this, is it really a free blood vessel? Why does it feel like peeling sugar cane?"


    She found that every time Zhou Can made a knife, he was crisp and neat.


    It''s not as cautious as she is at all, walking on thin ice.


    Her heart seemed to be on a roller coaster, rising and falling with Zhou Can''s scalpel.


    She couldn''t help being nervous.


    Because something happened, she was responsible.


    Zhou Can''s movements became faster and faster. The vein, which was difficult to free, was like playing with him in his hands. It only took about five minutes to free it.


    You know, it was not that difficult for Dr. Shan to dissociate the first artery, and it still took nearly half an hour.


    The gap between the two sides is too great.


    She is the chief surgeon and attending physician!


    Moreover, free blood vessels are very challenging for the operator to dissect.


    "Doctor Shan, this blood vessel has been separated!"


    Zhou Can was about to give up his seat and return the scalpel to the nurse.


    "Good job! It''s not finished yet, Dr. Zhou continues." Dr. Shan said to him with a smile.


    Only then did everyone recover from the extreme shock.


    When looking at Zhou Can, it was like looking at a monster.


    "Be good, I have been in the operating room for four years, and I have never seen such a powerful Gui Peisheng. Let me say, Doctor Zhou, tell everyone the truth, is he Gui Peisheng?"


    Dr. Tang can be regarded as a senior resident physician.


    At this moment, after watching Zhou Can separate the difficult vein, it is really shocking.


    It was Director Shen who came to do the surgery himself, probably at this level.


    The speed is not necessarily as fast as Zhou Can.


    "Our batch of regular trainees is done! How can we compare with such a monster!"


    This person expressed the common aspiration of all Gui Peisheng.


    "We are not competing with a regular trainee, but with an attending physician."


    Another Gui Peisheng said depressed and helpless.


    "It''s not as exaggerated as you say! I just happen to be good at dissociation." Zhou Can defended with a modest smile.


    "Doctor Zhou is really good at many things, puncture, hemostasis, suturing, dissociation... This is just a day of contact with you. Who knows how many specialties will emerge in the future? Comrades, I admit defeat. It''s not that I''m cowardly, but The opponent is too strong."


    Gui Peisheng, who is quite good at watching movies, said with a dejected look on his face.


    "Okay, okay, if you want to praise Dr. Zhou, wait until the operation is finished. No one is allowed to chat anymore, so as not to affect Dr. Zhou''s operation."


    Doctor Shan forcibly silenced everyone.


    Otherwise, these people praised Zhou Can for not taking a break for half an hour. Is this operation still possible?


    Free blood vessels are extremely risky.


    If it affects Zhou Can and causes an accident, she will be responsible for it.


    Zhou Can then continued to free blood vessels.


    one, two...


    When the last root was about to be dissociated, Director Shen hurried over to rescue his apprentice¡ªDr. Shan.


    When I first entered the operating room, I took a closer look and was almost scared to pee.


    Why is it that a strange young male doctor is doing the surgery?


    "Shan Dan what''s going on?"


    "Teacher, you are here!" Doctor Shan greeted the teacher quickly when he saw the teacher coming. "Dr. Zhou Can''s separation level is very high. I don''t know when you will be able to complete the operation, so I asked him to try it. As you can see, he did a good job."


    Doctor Shan explained.


    Director Shen stared at Zhou Can''s scalpel, feeling no less shocked than the others.


    "My operation was not finished. I only did the most important part of the operation, and I asked an assistant to take over. I thought that I would help you free the blood vessel first. I didn''t expect it to give me an accident. Surprised. Dr. Zhou Can really deserves his reputation, no wonder even Director Xie of our major surgery has mentioned it many times."


    When it comes to the word mention, the bite is a bit heavy.


    I feel that Director Xie should not be praising Zhou Can, but annoyed that Zhou Can is too capable in the emergency department and has performed too many operations.


    Then you may discuss countermeasures with other chief physicians in surgery.


    Of course, such discussions must be conducted behind closed doors.


    Outreach will not be allowed.


    "His fame is so great that even Director Xie knows about it?"


    Doctor Shan asked in surprise.


    "The number of surgeries he performed in the emergency department alone exceeded a thousand in a month, and even more than 1,200 in the last month. Do you think he is famous?"


    When Director Shen looked at Zhou Can, his eyes were all sizing up the monster.


    In the past, he still felt that the results of Director Xie''s investigation were watery. How could it be possible for a regular trainee who had just joined the training for three months to be so strong?


    At this moment, seeing is believing.


    He totally believed it. +Bookmark+

 Chapter 125： Dust settles, failed finger replantation

    My Medical Skills Can Add Experience Points Chapter 125 Dust Settled, Replantation of Failed Severed Fingers


    "He, can he perform so many operations per month by himself?" Dr. Shan was a little awkward when speaking.


    With two assistants and two nurses, she can complete 500 operations a month, which is considered very good. In fact, the number of surgeries she completes in a month is generally around 400.


    Others were also taken aback by the amount.


    Now they finally understand why Zhou Can is so powerful.


    Because people have more opportunities to practice surgery in one month than many residents do in a year.


    As for those Gui Peisheng, many of them have never touched a scalpel. Even the opportunity to sew the skin was only taken two or three times. To preside over an operation independently is even more unthinkable.


    Compared with Zhou Can''s actual combat experience, they can only look up to Zhou Can like reptiles on the ground look up to the stars in the sky.


    "As far as I know, it should be so."


    Director Shen looked at Zhou Can.


    Hope he can confirm it himself.


    Zhou Can''s background was exposed by Director Shen, and he said with a shy smile, "Actually, it''s not as exaggerated as everyone thinks! It''s just some simple first-level surgeries."


    In fact, if Director Xie hadn''t suppressed him, he might have vomited in the secondary operation.


    "Really make more than 1,200 units a month! You are awesome!"


    Doctor Shan couldn''t help giving him a thumbs up.


    This amount is really awesome.


    "Dr. Shan, since your problem here has been solved, I''ll go back to the No. 2 operating room first. The sternotomy is too dangerous. I don''t pay attention to it. I''m really worried."


    Director Shen came in a hurry and left in a hurry.


    Before leaving, he took a deep look at Zhou Can, with love in his eyes.


    Love is what many leaders have in common.


    Director Shen is one of the chief physicians in orthopedic surgery. When he met a young doctor with extraordinary talent, he liked it from the bottom of his heart.


    Unavoidably aroused the love of talent.


    Although he didn''t say anything when he left, it can be seen from his eyes that he will probably train Zhou Can himself in the future.


    ¡­


    After Director Shen left, the operation had to continue.


    It can be felt that Dr. Shan''s trust in Zhou Can has obviously risen to a new level.


    In addition to the work of freeing blood vessels, he was left to do it.


    Zhou Can also participated a lot in the following important surgical steps.


    He even had Zhou Can anastomose a blood vessel.


    However, Zhou Can''s anastomosis is weaker than that of Dr. Shan.


    This is an advanced medical skill.


    She also did not reach the attending level.


    At present, it looks like an excellent level of resident medicine.


    Zhou Can is a little ashamed, he has only reached the low level of a resident doctor.


    The main reason is that there are almost no anastomoses of blood vessels and nerves in the first-level surgery. This advanced medical skill eventually stagnated.


    He himself was in no hurry.


    As long as he obtains a doctor''s license, he will be able to participate in secondary surgery.


    By the time they finished the femoral bone graft operation, it was already past seven in the evening.


    This is the case in the operating room, and the off-duty is more flexible.


    You must complete the surgical tasks of the day before you can leave work.


    "Thank you for your hard work today. The six of you performed very well. I will give you a fair score based on your actual performance. Let''s all get off work."


    Dr. Shan''s words sounded very pleasant, but the Gui Peisheng knew in their hearts that Zhou Can was the only one who was steadily promoted.


    As for the others, we have to see how the other two groups of Gui Peisheng perform.


    Zhou Can was still in the inpatient department with Dr. He the next day.


    Unlike being an intern before, many things now need to be learned to handle independently. Dr. He is also very concerned about his potential stock. As long as he understands it himself, he will teach it to Zhou Can without reservation.


    When it comes to unreserved teaching, we must popularize science.


    General doctor''s knowledge, surgical skills, methods and technical points to solve various common diseases, almost all the superior doctors are willing to teach the subordinate doctors without reservation.


    However, some unique secret skills and core techniques for treating various difficult and miscellaneous diseases are only passed on by almost all doctors to "disciples in the mantle and bowl", "disciples passed on in person".


    At present, all the large and small hospitals in China are almost in this tone.


    For many young doctors, from the day of internship, all they have to do is to please a deputy director or chief physician who matches their main direction.


    Although the success rate will not be very high, once you are favored by a doctor of this level, even if you can''t become a mantle disciple, but just be included in the gate wall, it is enough to make your future bright.


    At least in the field of specialization of that chief physician, you can be well taught.


    How much an individual can comprehend and learn, that is the creation of the individual.


    Some interns and regular trainees have no ambitions and are timid. They enter a large hospital to work, and the object of their favor is basically a resident doctor who is one level higher than themselves.


    Unless this kind of person is extremely talented, there is a high probability that he will become a member of the ordinary doctor team.


    It is difficult to have a particularly great achievement in a lifetime.


    Zhou Can clearly realized this very early on. Therefore, during his internship, he would always treat the general doctor in the hospital with an attitude of neither offending nor licking.


    Later, in the operating room, he performed the third-level operation with Deputy Director Liu. Once he found an opportunity to be appreciated by Deputy Director Liu, he jumped out without hesitation.


    Even offending the general doctor in the hospital didn''t care.


    This is his growth strategy.


    There is a saying that goes well, a general cannot cut a fly with a sword. If you want to become a big tree, don''t compete with grass.


    Sometimes, vision and pattern also determine the upper limit of a person''s growth.


    Just imagine, arguing with a few regular trainees every day, and the object of fawning is a resident doctor who is one level higher than yourself.


    Where can it be so great?


    Zhou Can was busy in the hospital bed area until around 6:00 p.m., when he was supposed to get off work.


    Dr. He walked over with a smile and took over his work.


    "Go to the doctor''s office! Dr. Yang will make new work assignments for you. In the future, you will be assigned to work in the operating room. If you have hospitalization problems, or some patients who need special care, you can come to me at any time."


    Dr. He''s attitude towards him is so friendly, he probably already knew that Zhou Can could work in the operating room.


    Zhou Can walked quickly into the doctor''s office with anxiety.


    Before the results were announced, no matter how strong he was, he was still a little unconfident.


    All eighteen Gui Peisheng gathered in the office.


    Many people are nervous.


    Dr. Yang is still in charge, with young Dr. He assisting.


    Zhou Can and Dr. He worked together in the operating room for a day. He found that Dr. He''s surgical ability was very weak, but that Dr. Tang was much stronger.


    It is not difficult to see from this point.


    People with poor surgical skills will often be assigned to various chores.


    "It''s all here! In the past three days, the eighteen of you have been working hard to compete for excellence, and you have performed well."


    Doctor Yang first said a clich¨¦.


    Then began to talk about the key points.


    "It''s a pity that the number of training places in the operating room is limited, and there is no way to let all of you work in the operating room. After the preliminary screening of the attending physicians in the operating room and the final discussion of several chief physicians, it is decided to let the following six people enter the operating room to participate Daily training. The other 12 people will have the opportunity to participate in the operation room for regular training during the operation."


    This is common practice in most departments.


    With limited resources, we can only focus on training a small group and extensively train a large number.


    "Zhou Can, Lu Bubi, Cheng Daile..."


    Zhou Can actually ranked first.


    It seems that the superior doctors are very optimistic about him.


    But think about it too.


    As long as it is a little fairer, it is undisputed that he, the evildoer, ranks first.


    After reading the names of five people, Jin Mingxi''s name still did not appear.


    As soon as Zhou Can turned his head, he found that Jin Mingxi was clutching the corner of his clothes, with last hope on his face, staring closely at the list in Doctor Yang''s hand.


    If he fails to choose, Jin Mingxi will lose the opportunity one step at a time, and will be one step behind others from now on.


    Orthopedic surgery training is really important.


    It determines whether the future operation foundation is solid.


    During the three months of orthopedic surgery training, if you fail to learn enough surgical knowledge and skills, it is impossible to make up for it by reading books and watching teaching videos.


    It is bound to affect the subsequent rotation competition of various departments.


    One step behind, one step behind.


    And after becoming a resident doctor, the gap will further widen. It is very detrimental to the promotion of attending in the future.


    This is why Jin Mingxi is so nervous.


    His age is already not young. He is 35 years old and only has a bachelor''s degree. If he delays for another two years, he will die until he retires as an attending physician.


    In the end, he wants to return to his hometown County People''s Hospital after he has completed his studies, and his great dream of improving the overall medical level of the hospital will definitely be greatly reduced.


    "Don''t worry, if you lose the election, I will find a way to help you in the future."


    Zhou Can patted his hand and comforted him softly.


    "Um!"


    Jin Mingxi nodded gratefully.


    "The last name, Jin Mingxi."


    Dr. Yang deliberately whetted everyone''s appetite and left enough suspense before announcing the name of the sixth person.


    "yeah!"


    Jin Mingxi clenched his fist hard, extremely excited.


    The few seconds of suffering just now seemed to him as long as a century.


    The twelve Gui Peisheng who were not selected all showed extremely disappointed expressions.


    Their mood is low, and their hearts must be very uncomfortable.


    But the competition is so cruel.


    Those who can go up, and those who are mediocre go down.


    "Don''t be discouraged if you are not selected. There is a long way to go in medicine. As long as we keep studying hard and constantly improving the level of diagnosis and treatment, we will always achieve something. To be honest, I was also one of the regular trainees who were not selected. .However, with my perseverance and perseverance, I was finally promoted to the attending physician of orthopedic surgery. I will share with you.¡±


    Dr. Yang saw that many people were extremely depressed, so he warmly exposed the gloomy history of the year to motivate them.


    Gui Peisheng, whose self-confidence had been severely hit, raised his head again after hearing this.


    There was a firm light in his eyes.


    This doctor Yang is quite a good person.


    "The six people who have successfully advanced will report directly to the operating room tomorrow. Zhou Can, Lu Bubi, and Cheng Daile will directly report to Dr. Shan tomorrow. Wang Bin, Fan Wen, and Jin Mingxi will directly report to me."


    Arrangements were made directly for the six people.


    Based on my feeling, Dr. Yang''s surgical ability should be weaker than that of Dr. Shan.


    Zhou Can was wondering if the three assigned to Dr. Shan meant they were better?


    Now that the dust has settled, he has successfully entered the orthopedic surgery room, and his heart is finally settled. In the next three months, I will study hard and learn as many orthopedic surgery skills as possible, as well as surgical methods for dealing with various orthopedic diseases.


    ¡­


    The next day, Zhou Can rushed to the Orthopedic Surgery Department early to report to Dr. Shan.


    The working hours of the operating room here are different from those of the emergency department.


    The emergency room is open 24 hours a day.


    In the specialized operating room, except for overtime work for various special major operations, the normal working hours are to enter the operating room around 7.30 in the morning. Leave work after 5.30pm.


    The off-duty time can occasionally be advanced when the operation is fully completed.


    But even if the operating room is fine, the doctors and nurses are still worried that their attendance will count them as leaving early. Generally, I will write the case in the office, or the operation record, experience, or check the doctor''s order, etc.


    Stay up until that point before leaving get off work.


    In fact, leaving get off work late is the norm.


    "Good morning, Doctor Shan!"


    As soon as Zhou Can arrived at the orthopedic surgery corridor, he saw Dr. Shan.


    She had already changed into her white coat and was reading some inspection reports in her hand.


    "morning!"


    She looked up at Zhou Can, then continued to look down at the inspection report.


    Zhou Can hurriedly changed into her overalls and followed her.


    Among the three Gui Peisheng, I didn''t expect him to be the first one to arrive.


    "When everyone is here, prepare for rounds. This case is of great learning value, you can take a look."


    She handed Zhou Can a case with the inspection report in it.


    Come early, it seems that you can still get some special care.


    After Zhou Can took it, he studied hard.


    Not long after, Doctor He, Doctor Tang, and two other Gui Peisheng arrived one after another.


    "Let''s start the rounds!"


    She led several people towards the bed area.


    "Doctor He, do you know which beds are the surgical patients in our group?"


    "It''s already been counted! Bed No. 46 to No. 145, plus Ward No. 5 and No. 6."


    With so many beds, it is certainly not for a single doctor.


    The group she mentioned was probably the entire orthopedic trauma surgery group led by Director Shen.


    The chief physician usually checks the room once a week.


    This requires the attending doctors to be diligent and take good care of the surgical patients in this group.


    They checked the beds one by one.


    Zhou Can followed behind, just watching and listening to their conversation silently.


    Until now, UU reading www. uukanshu.com He will start to gradually learn to make ward rounds independently.


    Doctor Shan asks about the conditions of patients in different situations, and then makes treatment arrangements based on the reports of the bed doctor, interns, and the patient''s response.


    There is a lot of knowledge here.


    He greedily absorbed the knowledge and experience in it.


    Rounding the ward with the superior doctor at this moment is completely different from the ward round during the previous internship.


    Interns cannot prescribe medical orders, let alone prescribe prescriptions.


    A single doctor can flexibly make adjustments according to the situation of each patient.


    For example, if someone reported that the postoperative pain was unbearable, she would prescribe painkillers for the patient.


    "Doctor Shan, please see how my husband''s hand is doing? It''s been almost 24 hours since the operation, but his four fingers still don''t feel any sensation."


    The male patient on the hospital bed is about fifty years old.


    All four fingers on his right hand were amputated and replanted.


    At this moment, the four fingers are still pale.


    There is obviously a problem with the blood supply.


    Zhou Can secretly wondered that all four fingers had blood supply problems. It should not be that the doctor''s vascular anastomosis was not done well, but something went wrong in other aspects.


    Coincidentally, he was lucky enough to perform two finger replantation operations.


    Could have done more sets.


    Later, Director Xie ordered a team leader of the quality control department to suppress him, and in front of Vice President Ye, restricted him from undergoing more than one level of surgery.


    Since then, Zhou Can has never had a severed finger replanted.


    He stared at the patient''s four fingers. Did these four severed fingers miss the golden replantation time within 6 hours? +Bookmark+

 Chapter 126： Consequences of Damaged Recurrent Nerve, Thumb Reconstruction

    My medical skills can add experience points Chapter 126 Consequences of Nerve Recurrent Branch Damage, Thumb Reconstruction


    For severed limbs, surgery within six hours generally has a good survival rate. The storage environment is okay, if the temperature is low, there is still hope within eight hours.


    Even more than 12 hours, there are still cases of successful recovery.


    More than 24 hours after the replantation, the man''s four fingers are still pale and wrinkled, which is a very bad sign.


    Only dead fingers look like this.


    Doctor Shan examined the patient carefully, and then asked about some postoperative symptoms.


    For example, do your fingers hurt?


    Did you take care to keep it warm?


    Did you follow the doctor''s advice after the operation, and so on.


    Zhou Can just stood at the end of the bed and listened.


    When doctors make ward rounds, the order of entry and standing are all particular.


    The right side of the patient is generally reserved for the director and attending physician, and the left side is reserved for the resident physician. During the director''s ward rounds, there are usually multiple residents, and at this time it is necessary to determine the priority according to their seniority.


    Those with high seniority stand in front and those with low seniority stand behind.


    The head nurse usually stands in front of the bed, so that he can ''care and take care'' of the patient at any time.


    The remaining position at the end of the bed is reserved for unimportant people.


    Such as training students, interns, graduate students, advanced students and the like. All these are only for standing at the end of the bed.


    After Dr. Shan finished examining the patient, his face was quite solemn.


    Others felt the oppressive atmosphere, too.


    The failure of the operation is a bad result for the patient and his family, as well as all the doctors and nurses.


    "Can you show me your medical records?"


    Zhou Can didn''t want to get the limelight, but remembered a situation that the teacher said.


    He wanted to confirm the basic condition of the patient before making further analysis.


    The tube bed doctor is a somewhat greasy young doctor, about thirty years old. It may be due to excessive puberty, leaving dark marks on the face after the acne has healed.


    He just glanced at Zhou Can indifferently, without any response.


    I''m afraid I''m still thinking in my heart, this stupid B-regulation Pearson, didn''t he see that this is the attending rounds? Who do you think you are?


    "Bring me the medical records!"


    Seeing that the greasy man didn''t respond, Doctor Shan''s tone was extraordinarily cold.


    Many doctors actually hate bureaucracy and bureaucracy.


    Because patients can''t afford to wait, can''t procrastinate, and can''t be perfunctory about their illness.


    Doctors and nurses normally flatter leaders at all levels and superior doctors, and everyone can understand it. They all want to be in the top position, and want to get more support and resources.


    But absolutely no doctor likes bureaucracy.


    Because it means high death rate, high accident rate.


    The greasy male doctor shivered in fright, he didn''t understand why Doctor Shan was so angry?


    He handed over the medical records with respectful hands.


    "Please check it out!"


    After Dr. Shan took it, he handed it directly to Zhou Can.


    "If Dr. Zhou wants to know anything, if there is no record in the medical record, you can ask questions at any time."


    By doing this, she was almost tantamount to publicly supporting Zhou Can.


    "Thanks!"


    Zhou Can took the medical records and carefully


    The patient cut off four of his fingers when he was operating the wedge with his co-workers because the co-workers did not operate properly.


    After the accident, he was sent to the local social hospital immediately.


    The doctor simply bandaged the injured wound and provided the patient with an ice pack to cool down the severed finger. It is recommended that they immediately go to a large hospital for replantation of severed fingers.


    So I drove to Tuya Hospital.


    After receiving the diagnosis, Director Shen led a team to replant the severed finger of the patient.


    At that time, in order to shorten the operation time, Dr. Shan and Director Shen replanted the severed finger of the patient at the same time. One person took two severed fingers. The bones of the four fingers were all done by Director Shen.


    She mainly performed tendon anastomosis, vascular anastomosis and nerve anastomosis, as well as cortical suture for the patient''s two fingers.


    The whole operation went very smoothly.


    At that time, the blood supply of the four fingers was tested to be unobstructed.


    After reading the medical records, Zhou Can walked to the hospital bed and carefully examined the patient''s palms and backs.


    I saw many bruises on the back of his hand near the wrist and near the tiger''s mouth.


    "When you communicated with Doctor Shan just now, you mentioned the numbness of your thumb, right?"


    "That''s right! When I was first injured, I thought I was in so much pain that I couldn''t feel it. After the operation, I thought I would be fine after waking up from the anesthesia. As a result, my thumb still feels numb."


    The patient described exactly how he felt.


    Zhou Can nodded, and took a straw from the iron cabinet next to the bed. Touch the patient''s index finger near the palm.


    "Do you feel it?"


    "A little bit, but it seems to be separated by a layer of clothes."


    The patient''s education level is limited, and the description is not so specific.


    The analogy is quite vivid.


    Zhou Can tried his other three fingers in turn, and they were almost the same.


    It feels very dull and extremely insensitive to the touch.


    At this point, Zhou Can basically had a bottom line in his mind.


    He picked up the film taken by the patient and watched it carefully.


    Doctor Shan waited patiently, and the other doctors had to be patient even though they felt a little dissatisfied with Zhou Can.


    "Doctor Shan, do you see that the injured part of the patient''s hand is the recurrent branch of the median nerve?"


    "Yes! The reverse branch of the median nerve is approximately at this position."


    She nods.


    Then, the eyes became brighter little by little.


    There was also a hint of enlightenment on his face.


    "You mean, the median nerve is damaged, so the blood supply is affected?"


    Dr. Shan''s expression at the moment does not have the cold and serious demeanor of attending a doctor.


    He is clearly a happy kid who found the answer.


    The solemn expression before has long been wiped away.


    "I didn''t say it, you said it." Zhou Can blinked.


    "Hehe, at least you have a lot of credit for being able to find out the reason for the poor blood flow of the severed finger."


    Doctor Shan generally seldom smiles.


    At this moment, Zhou Can is sensible, save face for her, and give her all the credit. It made her happy and useful.


    "Mr. Gao, now we suspect that this part of you is injured, probably a nerve. Nerve cells are the only cells that cannot regenerate. Therefore, if the nerve damage is serious, we may not be able to do anything. Now I will prescribe two tests for you, Focus on checking whether the nerve pathway is interrupted, and the hematoma in this area."


    "After we find out, we will formulate a new treatment plan for you, and try our best to keep the fingers and hand functions of your hand."


    She communicates with patients, leaving room everywhere.


    And let patients make their own choices.


    Among them, Zhou Can secretly learned and absorbed the communication skills.


    In addition to doctors'' efforts to improve the level of diagnosis and treatment, communication with patients is also a compulsory course.


    "Doctor Shan, please tell me, is there any relationship between the nerve damage and the poor blood supply of the replanted severed finger?"


    The medical level of the greasy male doctor should not be very high.


    Didn''t know the relationship between the two.


    The relationship between the two is rarely recorded in books. It is the valuable experience summed up by doctors in practice.


    Zhou Can just clicked, and Doctor Shan knew the reason.


    She is clearly aware of the connection between nerves and blood supply.


    This also shows that it is too important to have a director-level teacher.


    You can avoid many detours.


    "You can ask Dr. Zhou for advice!"


    She should have taken this opportunity to teach the greasy male doctor a lesson about his arrogance towards Zhou Can.


    The greasy male doctor looked at Zhou Can with embarrassment.


    Asking him, a senior resident doctor, to ask a regular trainee for advice, is somewhat embarrassing.


    What''s more, not long ago he pretended to be an uncle in front of Zhou Can.


    How embarrassing it is to ask others for advice now!


    It will only be more embarrassing if you don''t ask for advice.


    Everyone knew what was going on and was sure to secretly laugh at him.


    "Doctor Zhou, can you give me some pointers?"


    The greasy man had no choice but to say this to Zhou Can cheekily.


    "Nerve damage may affect blood flow. Didn''t your teacher teach you?" Zhou Can asked back.


    "Ahem... Maybe I taught it, maybe I forgot."


    The teacher of the greasy male doctor is the attending level if he is exhausted.


    If the teaching teacher doesn''t like his behavior, it is likely that he is going through the motions as a routine.


    Therefore, the difference in level still has to find the reason from yourself.


    Arrogance, inability to behave, and bureaucracy, these personality defects may not please the superior doctor.


    "Doctor He, remember to follow up with the patient in this bed. After he finishes the examination, he can show me the results, or find Director Shen. His severed finger has been replanted for more than a day, so it must not be delayed."


    Dr. Shan handed over the matter to Dr. He for follow-up.


    She led several people to continue rounds.


    There are more than 100 beds to be checked, and even if it takes an average of one minute for each bed, it will take nearly two hours.


    Therefore, ward rounds are basically to check key patients.


    The patients who have just finished the operation, may be life-threatening, and the director mainly explained that these patients need to be carefully checked to understand the patient''s condition. The remaining ordinary patients can only be left to the residents, trainees, and interns to investigate slowly.


    After about half an hour, they checked all the open beds,


    Dr. Shan led them into the two wards of this group to continue rounds.


    Patients who need to be admitted to the ward generally need special care or have high requirements for the environment.


    Nurses and doctors also pay special attention to the patients in the ward.


    Everyone is afraid that something will happen.


    Zhou Can saw the male patient who was transferred from bed 120 at a glance.


    "Doctor Zhou, hello!"


    When the male patient saw Zhou Can, he immediately greeted him warmly.


    If Zhou Can hadn''t been scolded by the superior doctor two days ago, he would have to reflect his problem.


    Whether he can keep this leg is hard to say.


    The male patient didn''t say anything, but he kept his gratitude in his heart.


    Seeing Zhou Can at this moment, he was very excited and happy.


    "Hello! Are you here?"


    Zhou Can walked up to talk with a smile.


    The male patient''s wife also knew good and bad, and knew that the young doctor was a benefactor. Handed Zhou Can a bottle of eight-treasure porridge prepared for the patient''s breakfast.


    "I have to thank you last time. We country people don''t have any good things. Please drink a bottle of porridge. Don''t be disgusted."


    "Thank you, but our hospital has a rule that we cannot accept any gifts from patients and their families. Let''s save this bottle of porridge for uncle!"


    Zhou Can felt very relieved and very happy.


    Every time a patient''s illness is cured, or the patient''s life is saved, they will be grateful from the bottom of their hearts.


    For example, Mr. Cui, and that Mr. Wu''s child, or this simple middle-aged couple in front of us. The gratitude behavior of these people made Zhou Can feel very happy.


    "Is your leg better now?"


    "After another operation, it''s much better. My legs are no longer painful."


    The middle-aged uncle said with a smile.


    It seems that the spirit of the middle-aged uncle is much better than that day.


    Zhou Can took advantage of the opportunity and lifted the quilt to check the middle-aged man''s feet.


    The edema has disappeared, and the subcutaneous purpura is also gone. The complexion of the feet looks good. The skin on the feet is still a little wrinkled though. it `s just normal.


    It is necessary to wait until the patient can walk on the ground before doing some rehabilitation exercises on this foot.


    At that time, it will naturally return to normal.


    "After his first operation, a thrombus formed in the blood vessel, which may be related to the injury of that blood vessel. Later, Director Shen cut off a piece of vein for him and replaced it, and this was completely resolved."


    Doctor Shan explained later.


    Maybe she also wanted to tell Zhou Can that the thrombus was not because she didn''t sew it properly. Instead, the patient''s blood vessels are damaged.


    In fact, in the final analysis, I still lack experience and technology.


    If Dr. Xu performed the vascular anastomosis in this operation, this kind of thing would definitely not happen.


    Soon, they checked all the beds in the two wards.


    The patients living here all have problems of one kind or another and need careful care or intensive monitoring. And many of them have undergone major surgery.


    For example, Zhou Can was lucky enough to see the sternotomy patient that Director Shen presided over yesterday in the inpatient ward.


    The ultimate goal of this operation is generally to remove the scapular gland tumor.


    It is a major thoracotomy.


    The level is at least level three, and the risk factor is extremely high.


    Sometimes the orthopedic department cannot complete such an operation alone, and it needs to be performed jointly with doctors from the cardiothoracic surgery department.


    If there is a subdivided scapular surgery department in our hospital, it is also possible to directly invite doctors from this department to perform joint operations.


    Today, as medicine is becoming more and more subdivided, it is really awesome to make a certain subdivision to the extreme.


    When it comes to this, we have to mention the Japanese craftsmanship.


    Their craftsman spirit of pursuing only one thing in their lives is actually worth learning from.


    Even when making a piece of sushi, some people do it to the extreme.


    Who would have thought that someone could become a master with such a simple task as making sushi. Moreover, after continuous improvement in making sushi, several genres have been separated.


    Belongs to subdivision again.


    With micro-knowledge.


    It is not without reason that Japan can make achievements in many fields.


    "Let''s go to the operating room! You three newcomers, after getting off work every day, you need to understand all the surgical patients in this group. The patient''s information and surgical arrangements can be viewed through the intranet. In addition, you are also required to understand the new income of this group. Surgical patients, as well as patients who have not been discharged from the hospital after the operation, are kept in a timely manner."


    Doctor Shan taught the three of them how to log in to the intranet.


    First, you need to verify your login identity. After receiving the verification request, the hospital information center will contact the department where Gui Peisheng works. After obtaining the permission of the department director, release the corresponding viewing authority.


    This is actually quite convenient.


    Zhou Candeng went to check it out. The surgical patients in this group were divided into three categories: unoperated, about to be operated, and postoperative.


    The patient who is about to be operated on, when, in which operating room, and who will perform the operation are clearly written.


    That''s not the case in the emergency department.


    Basically, we treat whatever patients come here. If the operation cannot be performed on the same day, the emergency department must be transferred to a specialist.


    It''s past eight o''clock in the morning, and there will definitely be no more time for them to check the data of this group of patients.


    Doctor Shan led them directly into the operating room.


    What I entered today was actually a level 100 operating room. It seems that this is preparing to participate in a major operation.


    After entering, a strange male doctor had already arrived ahead of schedule with two residents.


    The male doctor may be about thirty-seven or eighteen years old, tall and burly, and exudes a strong aura. He is studying a dozen films displayed on the light curtain.


    "Good morning, Doctor Chi! As expected of the strongest attending doctor in our group, he came here early to study the patient''s film."


    Doctor Shan greeted each other with a smile.


    "Stop complimenting me! If you hadn''t taken care of the ward rounds, would I have been able to go to the operating room to read the documents in such a leisurely manner?"


    After Dr. Chi responded, he continued to concentrate on checking the patient''s film.


    Being able to become the strongest attending doctor in this group really has his strengths.


    Not to mention anything else, this kind of focus alone is not something ordinary people can have.


    Doctor Shan also walked over to watch the film.


    The film is not complicated, and it shows an X-ray image of a patient''s right hand.


    The bone defect of the patient''s thumb can be clearly seen.


    At the root, the entire thumb is absent.


    I don''t know whether it was a congenital deformity or an accident that caused the disability the day after tomorrow.


    What kind of surgery is this for?


    Zhou Can was secretly curious.


    His status is extremely low, so he can only stand behind Dr. Tang and Dr. He and watch the film from a distance.


    Not long after, Director Shen walked into the operating room quickly.


    One director, two excellent attending physicians, plus several residents and regular trainees. There are also three operating nurses.


    Just by looking at this battle, you can tell that this is a major operation.


    Finger replantation is only a secondary surgery.


    There is no need for so many doctors to be dispatched together.


    "They''re all here! Not bad, they have a positive attitude towards work."


    When Director Shen looked at Dr. Shan and Dr. Chi, it was as if he was looking at the two most important generals under his command. UU reading


    Zhou Can has only been in orthopedic surgery for a few days, how many groups are there in total?


    I don''t know who the doctors in this group are.


    Director Shen is the team leader, and Dr. Shan and Dr. Chi are attending. There are also four residents including Dr. Tang and Dr. He.


    These are the people he knows so far.


    "What is displayed on the screen is the patient''s incomplete right hand. It is a congenital deformity. The thumb controls more than 50% of the functions of the hand. It is very important! The patient is now a 21-year-old boy who earns a little money by working. At that time, he happened to hang up my number. He said that the missing right thumb has brought him a lot of trouble these years.¡±


    "It''s inconvenient to write, it''s inconvenient to hold things, and you can only use your left hand to wipe your buttocks. When looking for a partner, the girl saw that his hand is disabled, so she ran away. He wants to ask our doctor to think of a way. Can you help me?" He made a thumb."


    Director Shen briefly introduced the patient''s situation.


    In addition to sympathizing with such a disabled patient who is constantly striving for self-improvement, the doctor is also deeply moved.


    Willing to do everything possible to help them.


    Another thumb?


    How is this made?


    Nowadays, medical science and technology are more and more developed. I have heard of artificial hip joints and artificial blood vessels, but I have never heard of artificial thumbs.


    A low leg amputation allows a prosthetic to restore most of the patient''s motor function to the leg.


    But what about the thumb on the hand?


    Director Shen smiled and swiped across the display screen of the light curtain.


    "Look, this is an X-ray picture of the patient''s foot."


    Zhou Can took a closer look and found that the bones of the patient''s right foot were clear and complete. +Bookmark+

 Chapter 127： Dr. Chi wants to poach someone

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    The incomplete right thumb, coupled with a good X-ray of the right foot bones.


    He couldn''t help being shocked.


    Could it be... Director Shen said that he wanted to recreate a thumb for the patient, because he wanted to intercept the thumb of the right foot and transplant it to the position of the thumb of the patient''s right hand?


    The ingenious idea of ??this move is really a brain hole.


    Non-ordinary people would never think of such a trick.


    In ancient times, those who built palaces for the emperor were called skilled craftsmen, and modern doctors actually deserve this title.


    Although this idea is bold and ingenious, it is very difficult to transplant.


    At least according to Zhou Can''s understanding.


    The difficulty of replanting a severed finger is relatively low, because the size, tissue location, and division of the severed finger are all the same as the fracture site.


    Blood vessels, tendons, nerves, phalanges, and even skin can all be perfectly connected.


    But the big toe on the right foot is quite different from the thumb on the hand.


    How to pick this up?


    If the operation fails, the patient''s loss will be too heavy.


    Not only will I lose my right thumb, but my good right foot will become disabled. But also need to bear the high medical expenses, as well as the pain caused by the operation.


    That''s really spending money to pay for it.


    "Transplanting a toe to a toe is extremely difficult and risky. This is the first time I have seen this kind of surgery when I grow up!"


    Dr. He rubbed his hands excitedly and said.


    "Toe replacement surgery is a real fourth-level operation, do you think it is not difficult?"


    Doctor Shan was not much older than him.


    Indications are indications, and he has more knowledge than him.


    "We doctors need to have the courage to challenge and innovate. There have been two successful cases of toe replacement surgery in the Shanghai Metropolitan Hospital. As long as the operation is careful, meticulous, and rigorous, the success rate of the operation should not be too low. I have talked to patients After talking about the risks in case the operation fails, he expressed his willingness to give it a go.¡±


    Director Shen subtly guided the thinking of the doctors under him.


    Establish good medical ethics and medical ethics for them, as well as the concept of practicing medicine.


    An excellent chief physician can lead an excellent team. In addition to excellent skills, their noble spirit of doctors can also influence generations of people.


    "There are many difficulties in this operation that need to be overcome, and it is difficult for me to complete it alone. Dr. Shan is good at microscopic and delicate operations such as vascular anastomosis and nerve anastomosis. When the time comes, the anastomosis of blood vessels and nerves will be handed over to you." Dr. Chi is an expert in tendon reconstruction and repair. I leave this to you. I am responsible for amputating the patient''s toe, and then making an incision at the incomplete position of the patient''s right thumb, implementing the docking of the phalanx and the thumb bone of the hand, and the subsequent Flap repair and other work."


    Director Shen made a division of labor.


    "During the amputation of the toes, the patient''s hemostasis, foot wound repair, and suture work need to be undertaken by a resident doctor. Who of the resident doctors under the two of you is competent for this job?"


    Even doctors in the same group still have competition.


    Both Dr. Shan and Dr. Chi are excellent, but it''s not enough to be excellent alone.


    If the resident doctors under him are also excellent, they can get a lot of bonus points.


    "Yang Fuhai under me has done a good job in hemostasis, and Dr. Gandhi is great in wound repair. It should be very safe for the two of them to undertake this task together."


    Doctor Chi acted quickly.


    He directly helped the two residents under him to **** the exercise opportunity.


    "Dr. Tang and Dr. He under me are actually quite good. Dr. Gui Peisheng Zhou is also not weak." Dr. Shan is far behind Dr. Chi in terms of qualifications and strength.


    She has no way of robbing the other party of the opportunity to exercise in surgery.


    So I could only weakly help the doctor to groan twice.


    "The wound treatment after the amputation of the toe is more complicated. Dr. Chi''s two residents have more experience in surgery. This time, they will handle it well. The doctors under Dr. Shan will give other opportunities to exercise at that time."


    Director Shen finally chose two residents with more experience in surgery.


    The two doctors Yang and Gan looked at each other and smiled.


    Dr. Tang and Dr. He looked dark.


    The patient was quickly brought into the operating room, where general inhalation anesthesia was administered to him for safety.


    The anesthetist monitors the vital signs of the patient throughout the process.


    Surgery began soon.


    Follow the plan.


    After Director Shen amputated the patient''s toe, he processed it first and then refrigerated it.


    Immediately after that, the operation for the next transplant began at the position of the patient''s right thumb.


    The two doctors, Yang and Gan, have been busy for a long time.


    Hemostasis, bone grinding, nerve closed loop and other treatments are performed on the patient''s foot wound.


    Both of these two are senior residents, and they have received a lot of training in the operating room, and their surgical ability is not weak.


    Doctor Yang''s ability to stop bleeding should have reached the middle level of a resident doctor.


    It is infinitely close to the excellent level of residents.


    But it''s still a little bit short.


    Dr. Gan''s debridement level is also excellent, barely close to the excellent level of residents.


    No wonder Dr. Chi had so much confidence in these two under his command.


    Compared with these two, Dr. Tang under Dr. Shan was far behind. As for Dr. He, he is even worse than others.


    At the beginning, Dr. Yang did a good job of stopping the bleeding, and Dr. Gan also did a good job of debridement.


    It''s just that something went wrong very quickly.


    When Dr. Gan debrided the wound, he opened the ligated blood vessel again.


    Then it was found that the nerve closure was not easy to do.


    Worse still is the stitching.


    The depth of the wound treatment was not enough, the wound surface was too wide, and the skin on both sides could not be pulled together at all.


    One wrong step, one wrong step.


    I saw that the two doctors were in a hurry and almost didn''t fight.


    The patient''s thumb was amputated but had arteries. Blood splattered all over the place.


    Both Dr. Yang and Dr. Gan''s clothes were sprayed a lot.


    Dr. Gan even had a little blood on his face.


    Director Shen frowned at this scene.


    Doctor Chi helped his subordinate doctors smooth things over.


    "It may be the first time for them to deal with this kind of amputation wound independently, so they are somewhat inexperienced."


    "Teacher, can I let my subordinates, Dr. Tang and Zhou Can, try to take over? I think the two doctors Yang and Gan are really inexperienced, and the white coats on their bodies are about to be dyed with new patterns!"


    Doctor Shan took the opportunity to strike again.


    A humorous metaphor vividly pointed out the embarrassment of the two.


    Dr. Yang and Dr. Gan could not help but blush.


    They were all experienced and senior residents, and it was a mess because of insufficient cooperation and insufficient prediction.


    "Opportunities should be equal for everyone, let doctors Tang and Zhou try it! Otherwise, Doctor Shan should say that I am partial!"


    Director Shen couldn''t stand it anymore, so he agreed to Dr. Shan''s request.


    He also wanted to take this opportunity to see Zhou Can''s surgical ability.


    Rumors are rumors after all, and only by seeing them with his own eyes can he be confident.


    I saw Zhou Can''s level of separation with my own eyes yesterday, and it was amazing.


    "Dr. Shan asked a resident doctor and a regular trainee to take over. This arrangement is very interesting!"


    Doctor Chi looked at Zhou Can who walked out.


    He still understands Dr. Tang''s ability.


    What made him curious was that Dr. Shan did not let Dr. He, who had poor surgical skills, play, but let a Gui Peisheng do it. This arrangement definitely makes sense.


    It shows that she has great confidence in this Gui Peisheng surnamed Zhou.


    In the past two days, Dr. Chi has also heard someone say that a very strong Gui Peisheng has come to the orthopedic surgery department.


    Just according to his thinking, how strong can Gui Peisheng be?


    Soon, Zhou Can let him see how strong Gui Peisheng''s surgical skills can be.


    After Zhou Can took over, he immediately bandaged the patient''s heel.


    The bleeding stopped immediately.


    Then calmly clamp a blood vessel with severe contracture with tweezers, elongate it, and ligate the deeper root of the blood vessel with one hand. The whole process is skilful and confident.


    After treating this vessel, proceed to the second vessel.


    "Doctor Zhou, why did Dr. Yang ligate these blood vessels smoothly at the beginning, but later debridement caused the ligation of blood vessels to loosen, and it became very difficult to ligate them again?"


    Doctor Tang is really not ashamed to ask.


    Zhou Can''s operation stunned him.


    Everyone worked under Dr. Shan, and Zhou Can performed well, and he also followed suit.


    Doctor Yang blushed, and he wanted to know the answer to this question very much.


    "The human body''s blood system has a set of self-protection mechanisms. For example, if this blood vessel is broken or broken, it will start bleeding. At this time, in order to stop the bleeding, the body will control the continuous shrinkage of this blood vessel. Don''t say it is This kind of small blood vessel, even some large arteries, if it takes too long, it will be extremely unfavorable for the treatment."


    Zhou Can explained the reasons in detail.


    Doctor Yang''s ability to stop bleeding and ligate can only be regarded as relatively strong.


    It may not be a problem to deal with the blood vessels of fresh wounds.


    However, when Dr. Gan debrided the wound later, the ligation of the blood vessel was loosened, or the blood vessel was directly broken again.


    It is much more difficult to think about ligation.


    Because at this time, the blood vessels have retracted and become smaller.


    After hearing this, Dr. Yang was greatly educated.


    At the same time, seeing the blood vessels that were very difficult for me to deal with, in Zhou Can''s hands, it was like playing.


    His level of hemostasis and ligation is obviously much higher than his.


    This level is not even weaker than that of Dr. Chi.


    A regular trainee is better than an attending doctor?


    He subconsciously turned his head to look at Dr. Chi next to him.


    Then I saw Dr. Chi''s eyes widen, if he wasn''t wearing a mask. The mouth is likely to be opened wide.


    Dr. Chi was probably also intimidated by Zhou Can''s surgical prowess.


    Mumble!


    He swallowed hard.


    "Doctor Shan, where did you find such a powerful Gui Peisheng? No wonder you asked him to treat patients'' wounds with Dr. Tang."


    "Hehe, now you know how powerful he is! Who told you to be unruly Peisheng, this time I got a big deal."


    The two residents under Dr. Shan couldn''t compare with Dr. Chi''s staff at all.


    Now with Zhou Can, it''s different.


    One regular trainee can play two.


    Zhou Can quickly finished dealing with the blood vessels and nerves, and looked at Dr. Tang.


    "Leave the debridement to me, and you grind the bones, okay?"


    "no problem."


    Dr. Tang has one of his greatest strengths, that is, he does not strive for merit. Happy to let newcomers perform.


    Zhou Can debrides the patient''s foot wound.


    That is really merciless, some excess meat, tendons and other tissues should be cut off and never kept.


    Finally, an indented wound shape with a concave in the middle and preserved epidermis is formed.


    [Debridement experience value +1. ¡¿


    It''s really not easy to earn this bit of experience.


    ¡¾Congratulations, your debridement has been upgraded to level 4. The current experience value is 1/10000, and the attending doctor is at the lower level. ¡¿


    This medical skill has finally risen to the attending level.


    It''s not easy.


    Relatively speaking, the opportunity to use debridement is not bad. With 1,000 first-level operations, there are about 350 debridement opportunities.


    It''s a pity that you can only get 1 experience point for each debridement.


    Unlike injections, hemostasis, sutures, ligation and other medical techniques, one operation can earn more experience points.


    After this medical skill was upgraded, he was pleasantly surprised to find that his debridement ability also improved significantly.


    For example, in the treatment of the same wound, he has now been able to predict how to clean the wound, which is more conducive to suturing and wound healing. Even whether the follow-up of the wound is susceptible to infection, and whether it will have a serious impact on the patient''s life after healing.


    There can be a clear prediction.


    In addition, during debridement, there is a more comprehensive understanding of nerves, blood vessels, vital organ tissues, and tumors.


    The processing method will also be more perfect.


    For example, for the wound that has already been treated, his cognition has improved after his debridement technique has been upgraded to level four.


    It''s easy to see where things are not doing enough.


    Some repairs were made to the wound again.


    Take that nerve as an example, before only thinking about how to close it. Little is known about the effect on this nerve after the wound has healed.


    Looking at it now, he can clearly find that after the wound has healed, as long as he walks in shoes, the phalanx will continue to compress and stimulate this nerve.


    It will definitely affect the patient.


    So he improved it and moved it to a proper position. With the protection of the fat layer and the buffer, it will be fine.


    This is just a processing detail.


    But it fully shows that his debridement level has been greatly improved.


    Sometimes, the difference between the level of the director and the attendant may be a slight difference.


    But in surgery, this slight difference may be thousands of miles away.


    For example, in tumor removal surgery, after the attending surgeon has cleaned up the tumor, a small hidden danger is left near the nerve. His ability is limited, so he dare not cut it.


    The director completely eliminated that hidden danger.


    The difference between the two seems to be a little bit, but the prognosis is very different.


    If the main treatment is not cleaned up, the tumor cells will metastasize, which may cause the patient to relapse quickly.


    The operation performed by the owner has been completely cleaned up, the patient will not relapse and can live healthy all the time.


    In terms of medical skills, the higher the level, the smaller the gap.


    It is often reflected in the subtleties, just a slight difference.


    After Zhou Can''s debridement technique was promoted to the fourth level, he was really happy in his heart.


    "Doctor Tang, I''ll leave it to you to grind the bone! It''s about this position, and it''s best to round the front end of the phalanx a little bit."


    This is done so that after the patient''s wound heals, the flesh will not be pierced because the bone is too sharp.


    "OK!"


    Dr. Tang is a senior resident in orthopedic surgery at any rate, so if he grinds his bones, he''s still fine.


    Grinds quickly.


    "Doctor Zhou, how are you doing? Do you need to fix it?"


    "Excellent grind!"


    Zhou Can gave a thumbs up. After checking the wound, there is no problem. Start suturing the patient.


    He sewed the patient''s wound into a duckbill shape.


    This is also a common suturing method for amputation wounds.


    Indications for medium-level suturing, medium-level ligation, and low-level debridement, well-treated wounds are enough to score high.


    After the stitching was completed, he did not report to Doctor Shan or Director Shen.


    Instead, he respected Dr. Zutang mercilessly.


    "Doctor Tang, can you see it?"


    Most of the work of the operation was done by him, but in the end he asked Dr. Tang, who was not as capable as him, for instructions.


    This also deeply won the favor of Dr. Tang.


    No one will refuse to deal with a person who is like a spring breeze.


    "I can see that the sutures are very good Doctor Tang''s face is full of smiles.


    "Doctor Shan, please help us check if there is any room for improvement in the stitching of the patient''s foot wound."


    Dr. Shan is currently watching Director Shen build the interface for the transplant.


    Wen Yan came over to check it carefully.


    "You two sewed quite well! I''ll ask Director Shen to take a look after the operation is over." She was extremely satisfied with the performance of Zhou Can and Dr. Tang.


    Earn enough face for her.


    Usually, when did his doctors beat Dr. Chi''s doctors?


    Today is the only time.


    It is also the first time.


    "Damn, the stitching is so perfect, I wouldn''t believe that he is just a Gui Peisheng."


    After Dr. Yang and Dr. Gan saw it, they were deeply shocked.


    Today is an eye opener.


    It is true that there is a sky beyond the sky, and there are people beyond people.


    Zhou Can surpassed them in more than one medical field. But in many fields, it is almost completely surpassed.


    This frustrates both of them.


    "Doctor Shan, let''s discuss it! I usually have a lot of operations, why don''t I let Dr. Zhou exercise with me?" Dr. Chi saw how good Zhou Can was, so he directly made up his mind.


    At the attending level, most of the time, the operation is performed alone with an assistant.


    Their income is also linked to the operation commission.


    In addition, when evaluating the deputy director, academics are a very important part. The cumulative number of operations, the quality of operations, and the difficult operations completed are very important evaluation criteria.


    Dr. Chi should be a senior attending doctor, and he has already started to work hard for the deputy senior title.


    Being able to get a powerful assistant will be of great help to him in the evaluation of the deputy high school.

 Chapter 128： Advice from Director Shen for growth in orthopedic surgery

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    "It''s useless to ask me about it. We have to listen to Dr. Zhou''s own opinion and that of Director Shen."


    Doctor Shan definitely didn''t want to give up Zhou Can''s talent.


    Flatly refusing to offend Dr. Chi.


    She cleverly kicked the ball to Zhou Can and Director Shen.


    Under normal circumstances, Gui Peisheng himself does not have much say in who Gui Peisheng is with.


    Gui Peisheng, who is less capable, has to go through the back door and give some gifts, so that he may be assigned to a slightly better teacher.


    The people who really have the decision-making power are the department director, the deputy director and the chief physician in the department.


    In order to save trouble, some departments will directly appoint a teaching team leader.


    That person has a lot of power.


    "Thank you, Dr. Chi, for your great love to me. A tree never forgets its roots, and a man never forgets its roots. If I had to choose, I''d better follow Dr. Shan."


    Zhou Can has never been a person who forgets his roots.


    Dr. Shan took good care of him, and he could feel the kindness.


    For him, three months of training in orthopedic surgery was a short period of time. Follow an attending doctor who has a certain foundation of trust, and you can get more exercise opportunities.


    At this moment, instead of choosing the more powerful Doctor Chi, he chose Doctor Shan, which would definitely deepen this trust.


    "Haha, it''s just a joke, Dr. Zhou doesn''t have to take it seriously. I didn''t expect you to be grateful."


    After Dr. Chi tried it out, he saw that there was nothing he could do.


    Laugh it off.


    It can be seen that although there is competition within the group, it is generally considered united.


    At this time, Director Shen has initially completed the construction of the bone interface at the implant site.


    "Come over here and watch and learn carefully! I chose this position for the joint of the bones. The original thumb joint of his hand was preserved to the greatest extent. This is of great benefit to the recovery of finger function after successful surgery."


    Zhou Can also stepped forward to watch and study carefully.


    This fourth-level microscopic surgery has extremely high technical requirements in all aspects.


    There is so much to learn.


    "The problem of bone tissue docking has been solved. It is also necessary to solve many problems such as flap coverage, tendon, nerve, arteriovenous and vascular connections. In particular, this patient is congenitally deformed and has a missing thumb. Because after many years, there may be tendon, Constriction or loss of nerves and blood vessels."


    This kind of operation has a greater unknown risk of intraoperative exploration.


    The difficulty of surgery is also multiplied.


    It is a great test for doctors.


    "For the **** joint of the bone, you can refer to the replantation of the severed finger. Generally, the method of bone fixation is used."


    Director Shen skillfully connected the bone of that toe with the phalanx of the patient''s right thumb.


    "In the future, if you encounter similar operations like this, you can judge based on the phalanx of the patient''s hand. Like this, if the first phalanx of the thumb is intact, then the right big toe can be amputated. If the phalanx is seriously missing, amputation can be considered The ring finger next to the big toe."


    Director Shen explained patiently while setting bones.


    There are different transplant methods for different situations.


    "Doctor Chi, the tendon reconstruction is up to you! If you don''t understand, you can ask me anytime."


    After Director Shen completed the bone setting, the inspection was correct, and he gave up the position of the chief surgeon.


    Almost all surgeons only do the most critical part of the operation. The rest of the surgical work is handed over to other members of the surgical team.


    This is why directors like to bring talented junior doctors.


    Generally speaking, the better the talent, the higher the success rate.


    After bringing the apprentice out, being a master can be much easier.


    Especially for a major operation, the chief surgeon needs to complete it all by himself, which is almost unimaginable.


    Physicians who are qualified to preside over third-level surgeries are at least at the deputy director level.


    Generally older.


    Their energy and physical fitness are no longer as good as those of the young boys. They no longer have enough energy and physical fitness to complete all the steps of the entire operation.


    Let the disciples share their worries, this is the most ideal way.


    Director Shen specially gave Dr. Chi the opportunity to exercise to rebuild the tendon.


    It is also intended to cultivate Dr. Chi''s surgical ability in this area.


    After Dr. Chi took over, he began to look for tendons, and then tried to find a way to connect them.


    When he encountered something he didn''t understand, he asked Director Shen for advice in time.


    Even Director Shen personally operated it.


    Zhou Can stood by and studied silently. Some surgical skills and how to deal with various problems are very valuable core technologies. It is already a great opportunity for him to follow and learn.


    Jin Mingxi worked desperately to be admitted to Tuya as a regular trainee, in order to have the opportunity to learn skills.


    ¡­


    The operation lasted nearly four hours.


    The difficulty is high, beyond imagination.


    Finding and rebuilding the tendon is extremely difficult. In particular, the absence of the flexor tendon almost brought the operation to a standstill.


    It is also extremely difficult to anastomose the nerves at the back.


    Dr. Shan is very good at fine surgery. But meeting those nerves almost broke her down.


    In the end, there were two nerves that had to be shot by Zhou Can, and the anastomosis was successful.


    This is also because Zhou Can has a talent for neural anastomosis.


    Otherwise, I''m afraid Director Shen will have to do it himself.


    The subsequent vascular anastomosis is equally difficult.


    It is too difficult to suture a blood vessel with a diameter of one millimeter under a microscope.


    Moreover, there is also the situation that the sizes of blood vessels to be anastomosed are inconsistent.


    These all need to find a solution.


    The final flap, covered, was also fraught with difficulty.


    Fortunately, the whole team worked together, stumbled, and finally completed the operation.


    The next step is to bandage and observe the blood supply of the finger after transplantation.


    After bleeding, the fingers and nails had a tinge of blood.


    It''s just that the overall look is still a little dry.


    This is normal, and it will take a day or two, if the transplant initially survives. The color of the finger will become rosy, pale when pressed, rebound and quickly return to rosy after letting go.


    This shows that the fresh blood in the capillaries is full.


    On the contrary, there is a problem with blood supply.


    Just like the patient who had replanted four severed fingers during the rounds in the morning, his fingers were pale and there was obviously something wrong.


    It takes about a week to determine whether the transplanted finger is alive or not.


    If after a week, the fingers are rosy, warm, plump, and respond well to capillary pressing, it means that the graft has been performed. If it turns black, shriveled, or even infected, it means the transplant has failed.


    Must be dealt with immediately.


    It must be said here that the sooner a necrotic limb is amputated, the better.


    Otherwise, necrotic limbs or body tissues will produce a large amount of toxins, harmful substances, and bacteria, which will invade the human body along the blood.


    At that point, whether he can save his life is another matter.


    There is a city-level hospital that performed a lower limb artificial vascular bypass operation on a patient. During the period, the chief surgeon was on a business trip and was irresponsible in various ways. To the patient''s appeal and response, he tried every means to prevaricate, and in the end the patient''s high amputation failed to save his life.


    Such a doctor who neglects his duty and regards the patient''s life as a child''s play should be banned from practicing for life.


    But unfortunately, in this situation, the patient''s family and the hospital filed a lawsuit. Usually get a compensation.


    That doctor continues to wreak havoc on the world.


    "Okay, the patient can be anesthetized!"


    Director Shen said to the anesthesiologist.


    "I''m going to the outpatient clinic in the afternoon, and I have to go to school. The two of you will lead the team to continue the operation. There will be other arrangements in this 100-level operating room in the afternoon, so let''s withdraw! Everyone go to eat first and take a rest."


    Looking at the two favorite generals, Director Shen made arrangements for them.


    The professor with the group should be one of the busiest doctors.


    Meetings, presiding over surgeries, ward rounds, teaching, doing research, attending classes, sitting in clinics...their time is often full.


    From Director Deshen''s level, everyone is a treasure in the Chinese medical field.


    "Xiao Zhou, today''s performance is good. I took a special look at the treatment and suture of the patient''s foot wound. This kind of fish mouth suture is a very good choice. The suture technique and knotting are impeccable. You are in the emergency department. Who is your teacher?"


    Director Shen''s eyes fell on Zhou Can''s face.


    "Doctor Xu!"


    In Zhou Can''s mind, Dr. Xu is his only master.


    Director Shen nodded, "I guessed a little bit. Dr. Xu used to be one of the three famous surgeons in our surgery department. With him teaching you, it''s no wonder that your surgical ability is so outstanding. It is no exaggeration to say that you are now inferior to the attending physician except for your experience." , the surgical ability is not weaker than the attending doctor. Even some attending doctors with lesser surgical ability are far inferior to you."


    This evaluation is a bit high.


    But it''s fair and true.


    Zhou Can really has that strength now.


    "Xiao Zhou, don''t mind if you say something unpleasant."


    Director Shen looked at him with sincere eyes and tone.


    "Please speak, I''m all ears!"


    Zhou Can knew that at Director Deshen''s level, all he said was from the bottom of his heart and from experience.


    That is to say, he is talented and his performance is extremely outstanding, so he is willing to tell him these things.


    "When I saw you separating blood vessels yesterday, you had the shadow of Dr. Xu back then, and the style was very similar. Do you know how Dr. Xu fell from one of the three famous surgical knives back then to the current level of attending?"


    "I know a little bit. Back then, Dr. Xu had a medical accident because he performed an operation on a patient, and was finally punished."


    Zhou Can didn''t know much.


    "Back then, Dr. Xu almost killed the patient with one knife because his hands were faster than his brain because the knife was too fast during the operation. Later, the top chief physicians from multiple departments in the hospital tried their best to save him. The patient''s life. However, the patient is permanently paralyzed and unable to take care of himself, just like a vegetable."


    "The identity of that patient is not simple. At that time, this matter caused a lot of trouble. Originally, the higher-level authorities wanted to impose severe punishment on Dr. Xu, banning him from practicing medicine for life, revoking his doctor''s license, and being included in the list of prohibited entry in the industry. Many leaders of the hospital, as well as a big man rescued by Dr. Xu, came forward to mediate with all their strength, which saved him."


    "Your knife speed is too fast, which is very worrying. I''m really afraid that you will go down his old path one day."


    Director Shen said earnestly.


    "Your talent is stronger than any genius I''ve ever seen. As long as a talent like you is cultivated correctly, and you are diligent and unremitting in self-improvement, you will definitely have the ability to become the pillar of our Tuya in the future. As for the low education, then It¡¯s nothing at all, there are many ways to solve it. You can take advantage of this fast knife style just now, and the impact will not be too great. Stop the pursuit of speed blindly in time.¡±


    It was really well-intentioned for Director Shen to try so hard to persuade him.


    It is true that he loves talents, and he does not want to see a peerless genius go nowhere.


    "Thank you for your kind words to me today. I haven''t decided on Kuai Dao as the main direction of attack. It''s just a preliminary practice. After one year of regular training, when I need to choose the main direction of attack, I will definitely weigh the pros and cons carefully. Choose carefully."


    Zhou Can''s current level of quick knife is just a glimpse of the way.


    Even small achievements are still far away.


    He also made an agreement with Dr. Xu, to practice and try first.


    At that time, Zhou Can feels that it is not suitable, or the risk is too high. When faced with the choice of the main attack direction, he can give up at any time.


    "Just listen to it. Through these two days of understanding and observation, I have a preliminary understanding of your ability. In the future, as long as I have an operation, you can participate with Dr. Shan. If you encounter medical problems that you don''t understand Questions, as long as you are in the field of orthopedics, you can ask me at any time. But let me be clear in advance, I am proficient in the field of bone trauma and some microsurgeries. Joint surgery, spine surgery, orthopedics, foot and ankle surgery, I am all considered Not proficient."


    Every doctor has a specialization.


    Director Shen''s specialty is the Department of Orthopedics and Traumatology.


    "Thank you for cultivating me!"


    Zhou Can bowed deeply.


    Director Shen waved his hand, "I''m a more down-to-earth person, and I can avoid politeness if I can. Hurry up and go to dinner."


    Through today''s operation, Zhou Can''s position in this group has basically been established.


    His name is Gui Peisheng, and his actual status is almost equal to that of the attending.


    Just look at the two special cares Director Shen gave him just now.


    As long as Director Shen has surgery, Zhou Can is allowed to participate.


    You can always ask him for advice if you have any medical problems.


    This is the treatment enjoyed by two excellent attending physicians.


    In the following days, Zhou Can began to hang out with Dr. Shan day by day.


    Director Shen''s operation time is uncertain.


    He would spare time to preside in the operating room only for some third-level and fourth-level orthopedic trauma operations.


    Whenever he presided over the operation, Dr. Shan would definitely take Zhou Can to participate.


    Zhou Can especially likes to follow Director Shen to perform surgery.


    Because you can indeed learn a lot of advanced surgical knowledge and skills. These are Director Shen''s core skills, which are difficult for ordinary people to learn.


    What''s more, in Director Shen''s operation, there are many opportunities to exercise.


    From time to time, Zhou Can can always get some.


    His orthopedic surgery skills are improving every day. Gradually have a more systematic and comprehensive understanding of orthopedic surgery diseases.


    On this day, Dr. Shan performed another femoral head bone graft operation on the patient.


    But it''s simpler than last time.


    This time there is no need to take a blood-pedicled bone flap. Just drill a hole directly on the femoral head, fill in the broken bone, reduce the intraosseous pressure, and promote the recovery of blood supply to the necrotic femoral head.


    "Doctor Shan, can I try bone filling?"


    Zhou Can is now very familiar with Dr. Shan, Dr. Tang and others.


    In their small team, the status is not bad.


    Many important surgical tasks can be fished.


    It can be regarded as gradually breaking the ban of the quality control department that only allows him to perform first-level surgery.


    This kind of thing basically belongs to the people who don''t raise officials and don''t investigate.


    Zhou Can does have this surgical ability, and the superior doctor trusts him enough. It is his ability to get opportunities to exercise.


    In theory, even if he participated in the fourth-level operation, he would not violate any laws.


    The quality control department made a big fuss and had to talk about the quality and safety of the operation. Not allowing him to participate in operations above the first level is purely malicious suppression.


    But there is no way, the emergency department is weak, and he himself has small arms and legs, so he has no way to compete with big bosses like Director Xie.


    "The risk of bone grafting this time is relatively low, and the technical requirements are low. You can do it! I will guide you."


    She made room.


    Zhou Can was overjoyed. He insisted on playing with Dr. Shan at the beginning, which was the right move.


    Various surgical tasks with high risk factors can often be obtained in her operations.


    Such as separation of blood vessels and nerves, splicing of broken bones, internal fixation of fractures, etc.


    As he filled in the broken bones.


    Just finished.


    ¡¾Congratulations on your bone grafting. Bone **** and bones can be transplanted to designated positions. This operation can repair broken bones, and can also save necrotic bones and help them restore blood supply. ¡¿


    [Bone grafting, the current experience value is 1/10 of the first level, and the level of practice is unqualified. ¡¿


    Looking at the newly added orthopedic surgery skill, Zhou Can felt very satisfied.


    Now, he has learned all four basic medical skills in the Department of Orthopedics and Traumatology.


    As long as he keeps improving them, he can become a qualified orthopedic surgeon.


    As for other more advanced orthopedic surgery skills, we can only wait for the opportunity quietly.


    ¡­


    Time flies, and before he knows it, he has been practicing in orthopedic surgery for more than two months.


    The understanding of orthopedic surgery has a deeper understanding.


    He discovered that orthopedic surgery and neurosurgery are twins.


    Many orthopedic diseases and neurological diseases are like twin siblings. There are many major surgeries that Director Shen can''t do by himself. He has to ask a neurosurgery doctor to do the surgery together.


    Zhou Can''s development in orthopedic surgery is quite good.


    The basic medical skills of the four orthopedic surgeries have all improved dramatically.


    Including bone grafting, which is difficult to improve, he has already been promoted to the second level, which is the lower level of regular training.


    In more than two months, the total number of bone grafting operations was close to forty.


    The quantity is not bad.


    However, about one-third of bone grafting operations require the implantation of blood-pedicled bone flaps. This kind of surgery with a high coefficient of difficulty is usually performed by a single doctor himself.


    What Zhou Can can get the opportunity to exercise is the bone graft surgery without blood pedicles.


    Then, Dr. Shan still has two residents and two Gui Peisheng under him. It is impossible to give Zhou Can all the opportunities for surgical training.


    On average, he was able to get 16 training opportunities for bone graft surgery in more than two months, which is considered very good.


    From filling in broken bones at the beginning, to learning to take points and drill holes, and completing the whole bone grafting process.


    It''s been a very rapid growth for him.


    Bone grafting is currently the one with the lowest experience value among the four basic orthopedic surgeries.


    External fixation of fractures is currently at the third level, which is the lower level for residents.


    This is due to his hard work.


    After get off work, I went to the inpatient ward to collect work.


    Someone wanted to apply plaster, and he happily rushed to do it.


    After more than two months, a total of more than 170 patients have completed external fixation of fractures.

 Chapter 129： lying patient, sterile necrosis

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    Now, Zhou Can''s level of plaster casting is no worse than Dr. He''s.


    If he spends a year in orthopedic surgery, the level of plaster casting will definitely be better than most attending doctors.


    Fracture joint surgery, the improvement of this medical skill is also extremely gratifying. It also reached the lower level of resident medicine.


    After all, this is a specialty of orthopedic surgery, and there are too many opportunities to join broken bones.


    During these two months, Zhou Can followed Dr. Shan and Director Shen, and got a total of 117 chances of splicing broken bones.


    He could feel a marked improvement in the level of articulation of the broken bones.


    In the past, severed fingers were the most frequently received, and the superior doctor basically only let him do this kind of less risky and less difficult bone joint.


    Now he has a resident doctor''s level of osteosynthesis, and he can also perform one or two operations on the articulation of broken bones such as arm bones and tibias.


    It''s just that the ones who came out were not as good as Dr. Shan and Dr. Chi.


    The improvement of the above three orthopedic medical skills is not bad. Only osteopathy, after learning it, has been at the unqualified level of interns, without any improvement.


    Mainly because there is no chance to get started.


    The vast majority of patients who need bone-setting reduction are directly treated in the manual reduction room, and it is impossible to enter the operating room.


    Occasionally, because the dislocated or displaced joints are more complicated, it is difficult to perform surgical reduction, and an invasive operation is required to perform a surgical reduction on it.


    This kind of operation is usually performed by the bone and joint group, and the bone trauma group they belong to has never done it.


    Orthopedics has been unable to improve for a long time, and he can''t help it.


    You can only wait until later to find opportunities for further study.


    The main purpose of the regular training is to standardize the training of diagnosis and treatment operations. During this period, it is enough to learn the basic operation methods, diagnosis and treatment procedures.


    It is not necessary to master every medical skill.


    No one can learn all the medical skills that have been trained in a short period of three years.


    It''s all about getting started, learning the methods, and then slowly tempering and improving your medical skills during the next resident practice.


    In the more than two months of orthopedic surgery, in addition to the improvement of orthopedic medical skills, his suture, ligation, hemostasis, debridement, separation and other medical skills have been greatly improved.


    Hemostasis is currently close to the middle level of attending physicians.


    Suturing and ligation have more opportunities to use mobile phones, and the experience value increases quickly. In addition, it is already close to the excellent level of attending.


    As early as last month, he had reached the excellent level of attending, and was about to reach the level of deputy chief physician.


    He is looking forward to it.


    Director-level medical skills, what kind of experience would that be?


    On this day, Zhou Can arrived at the orthopedic surgery department early as usual.


    Arrive at the doctor''s office of their group at least half an hour in advance, for no other reason than to check the surgical cases in the group. Knowing the information of the patients who are about to undergo surgery in the group in advance can help you know what to expect during the surgery.


    In addition, by paying attention to the conditions of those postoperative patients and the surgical plan, you can clearly know the therapeutic effect of the operation.


    Accumulate rich experience for him to practice medicine in the future.


    When he found a talus fracture case that was about to be scheduled for surgery today, Zhou Can checked the various inspection reports and films of this person, but the condition of that patient during the ward round appeared in his mind.


    Judging from the film taken by the patient, the talus was severely fractured.


    Surgery is required to cut open the ankle joint, reset the fractured talus, drill holes, and use screws for internal fixation.


    Don''t look at the surgical site is only on the limbs, and it doesn''t look complicated, but the level of this surgery is level four.


    The deputy director can''t preside over it.


    It can only be performed by the chief physician himself.


    There is a strict standard for the classification of surgery. Ratings will be given based on various factors such as difficulty and risk.


    There is nothing easy to do if you can reach level 4 surgery.


    Director Shen will perform the operation himself at nine o''clock this morning.


    Director Shen must have seen the inspection report and the film. The pre-operative talk may be done by him personally, or by his subordinate attending physician.


    Zhou Can repeatedly zoomed in on the patient''s film and checked it carefully.


    The patient''s injured left foot, he saw, was swollen and flooded. It has been two days since he was admitted to the hospital, and the operation plan was only formulated yesterday.


    "What is Doctor Zhou looking at?"


    Dr. He walked into the office and found that Zhou Can was the first to arrive. He greeted him with a smile.


    "Check the patient information in the group. Come and help me see if there is any problem with this patient''s film?"


    Zhou Can''s intuition has always been stronger than a woman''s sixth sense.


    When checking the patient''s information, he always felt that something was wrong.


    Dr. He Zhang came over to carefully examine the film taken by the patient.


    "No problem, it is indeed a severe fracture of the talus."


    After looking at it, he found no problem.


    "Maybe I''m worrying too much! I''ll go to the ward to see the patient again."


    Zhou Can got up and walked towards the ward.


    Here are rows of open beds.


    There are too many patients in large hospitals. In order to save management costs and space to the greatest extent, they like to have this kind of open bed area.


    Along the way, family members or patients continued to greet him.


    Smarter patients or family members basically know that Zhou Can''s status is quite high.


    In the morning rounds, although Zhou Can was in fourth place, Dr. Shan would take the initiative to discuss some important cases with him.


    This is the treatment that Dr. Tang and Dr. He did not have.


    The reason is very simple.


    Zhou Can''s level of pathological diagnosis is not bad, and his knowledge of medical cases is quite profound.


    Often able to give very constructive diagnostic advice.


    Sometimes, Zhou Can can find problems that others can''t find in time.


    This is a kind of dependence and trust.


    Doctor Shan asked him to consult with him, feeling at ease.


    Patients and families are savvy.


    Knowing that Zhou Can''s status in orthopedic surgery is quite high, he naturally scrambled to curry favor. In order to get more attention in the stage of surgery and hospitalization.


    Zhou Can went straight to bed 77.


    "Mr. Zhao, I plan to arrange surgery for you today, do you understand?"


    "The nurse notified me yesterday evening, and told me to fast from water and food."


    The patient responded enthusiastically.


    As Zhou Can''s hidden status in orthopedic surgery continues to rise, now that he comes here for rounds, he is rarely treated coldly by family members and patients.


    Like now, he personally came over to inquire about Mr. Zhao''s condition, and the family members and patients were a little flattered.


    "How many days has it been since your foot was injured?"


    Zhou Can asked.


    The patient''s eyes flickered twice, and after thinking about it, he said, "It seems to be three days!"


    The family member next to him should be his father, who seemed unclear about his son''s injury. He rushed here when his son needed to be accompanied when he went through the hospital admission procedures.


    When a hospital handles inpatient admissions, it generally makes an implicit request.


    The hospital will not accept you without an accompanying person.


    Because after entering the hospital, the hospital will be responsible for the patient. Inconvenient mobility, going to the toilet, eating, pre-operative preparation, and post-operative care are all very real problems.


    It is impossible for the hospital to get a nurse to wait on it.


    Many people think that it is only natural for nurses to serve them when they are hospitalized and spend hundreds of thousands of hospitalization fees every day.


    Hehe, I can only say that such a person is too ''young''.


    Nurses are responsible for changing dressings, drips, injections, monitoring blood pressure and so on. It''s really overthinking to let someone serve you, eat and drink.


    Some pretentious male patients thought about the sweet smile and gentle attitude of the nurse girl. Should I take this opportunity to have an affair with her?


    Patients with superior conditions, such as the second-generation rich, second-generation officials, young corporate executives, etc., are indeed likely to succeed.


    For the general public, it is better to keep one''s law and order.


    Don''t think too much, get angry.


    Zhou Can stared at the patient''s left foot carefully. The ankle and instep were all swollen.


    However, the surface of the skin is somewhat gray and wrinkles are looming.


    "Are you sure the time of injury is three days?" Zhou Can''s tone became a little more serious.


    It is really difficult for doctors now.


    If you speak to a patient with a slightly worse tone, they will become hostile and even complain to you.


    Zhou Can suspected that the patient had not told the truth, so he could not blame the other party.


    I can only ask again in this reminding tone.


    Some patients will lie to doctors and nurses for various reasons.


    This is very frustrating.


    There are many kinds of purposes for patients to lie, and some are to cover up their ugliness. For example, when Zhou Can was in the emergency department, he received a patient with a foreign object embedded in his anus. They said that when he sat down, he accidentally inserted it into the anus.


    Do you have the nerve to keep asking?


    This kind of lie has no effect on treatment. As long as the doctor knows it well, he won''t reveal it.


    However, the lies of some patients will cause doctors to misdiagnose and misjudge, and the consequences will be very serious.


    When an accident happened, not only the patient was unlucky, but the doctor was also wronged.


    After this Mr. Zhao was questioned by Zhou Can for the second time, his eyes were still flickering.


    "If you misremember the time of injury, it''s only a few hours difference, that''s not a big problem. If it''s several days or even longer, it''s very detrimental to your surgery."


    Zhou Can really wasn''t trying to scare the patient.


    The surgery itself carries high risks.


    The preoperative understanding of the situation is very different, which will lead to double the risk of surgery.


    "It should be three days. I drank alcohol at that time, so I really can''t remember clearly."


    The patient''s insistence on the purpose of lying is very confusing.


    According to common sense, there is no need to lie about the time of injury.


    What is the purpose of this person''s repeated concealment?


    Seeing that there was nothing to ask, Zhou Can carefully observed his feet for a while, and then went back to the doctor''s office.


    Just in time, Doctor Shan came.


    "Doctor Shan, there is a very strange patient in our group."


    Zhou Can didn''t want to meddle in this kind of nosy at first.


    It was about the safety of the operation, so he had to bring it up.


    "Which patient?"


    Dr. Shan is very familiar with him now, and his tone of voice is also extremely easy-going.


    "Mr. Zhao from bed 77."


    "Director Shen is going to operate on him this morning! What''s the matter?"


    Doctor Shan knew that Zhou Can would never say useless words.


    She has always attached great importance to Zhou Can''s opinion.


    Immediately start to understand what''s going on.


    "When I checked the patient''s information in the morning, I always felt that something was wrong, but I couldn''t find the reason. So I ran to the bed area to check the actual condition of the patient. Judging from the hematoma on his foot and the gray and wrinkled skin, I think he might be injured for more than three days."


    Zhou Can said seriously.


    "Sometimes the patient''s memory is not so accurate. It''s a few hours away, but it''s not a big deal. It''s not a replantation of a severed limb anyway."


    After hearing this, Doctor Shan didn''t take it seriously.


    "But I asked the patient twice, and he insisted that he remembered the time of injury correctly. But his eyes were obviously lying. I was very puzzled, why did he deliberately lie about the time of injury?"


    Zhou Can asked.


    Dr. Shan thought for a while, and couldn''t help blurting out, "Could it be the same as the forensic TV series I watched recently, the patient is trying to hide the crime?" She didn''t expect her to have this hobby.


    Most young women like to watch romantic dramas, soap operas.


    She may have something to do with her profession, and the TV series she likes to watch turned out to be forensic reasoning.


    "If you deliberately postpone the injury time, you can get rid of the criminal suspicion!"


    Dr. Shan saw that Zhou Can was puzzled, so he added another sentence.


    One word awakens the dreamer.


    Zhou Can thought about it, and there was really such a possibility.


    Otherwise, why would the patient lie?


    "Should we report the patient''s information to the police station for investigation?"


    Zhou Can asked her for instructions.


    Hospitals have this obligation.


    When encountering patients with drug abuse, gunshot wounds, knife wounds, and beating injuries, it is necessary to report to the police in time to help the police maintain social order.


    Some criminals were injured and did not dare to enter a large hospital. They only dared to go to a small clinic to buy some medicine and treat the wound by themselves.


    It is precisely because he is afraid that the doctor will secretly call the police after discovering an abnormality.


    "It''s always right to report to the police station and check. You can call the police directly instead of calling 110. There is a phone number for the local police station here."


    She pointed to a business card in an inconspicuous place in the office, pressed on the desk.


    Zhou Can immediately called the police to report the patient''s condition.


    The rest will naturally be checked by the police.


    He continued to think about the patient''s surgery.


    While thinking hard, his eyes light up when he saw the date on the film.


    This is a picture taken two days ago.


    Will the patient''s bones change over the course of two days?


    "Doctor Shan, do you think the patient needs another X-ray examination before the operation?"


    "In consideration of the patient''s treatment costs, the hospital usually does it when they are admitted to the hospital, and will not do the same examination within three days. After the operation, you need to take another photo when you leave the hospital to check the healing of the fracture."


    She is looking down at the medical records and inspection reports of patients who need surgery today.


    Zhou Can could only review the patient''s X-ray taken two days ago.


    Looking at it, he suddenly thought of something.


    Immediately call up an X-ray film of femoral head necrosis for comparison.


    In this comparison, there is really a little discovery.


    Mr. Zhao''s talus seems to have a sign of necrosis.


    Without careful comparison with other necrotic bone slices, it is difficult to find this slight abnormality.


    There are several surgical contraindications for open reduction and internal fixation of talus fractures, and if one of them occurs, it is not suitable for surgery.


    The first type is those whose local skin conditions are not suitable for surgery. The second type is old fracture malunion. The third type is those with aseptic necrosis of the talus. The fourth type is those with severe comminuted fractures.


    Zhou Can seriously suspected that the patient''s talus had begun to show aseptic necrosis.


    This is a major discovery.


    It must be reported immediately.


    Preoperative discovery and postoperative discovery are two completely different concepts.


    "Doctor Shan, can you see if there are signs of aseptic necrosis in this patient''s talus?"


    Zhou Can is just a regular trainee, and he should have reported to Dr. Tang or Dr. He.


    However, his status is quite special, after all, his ability lies there.


    Coupled with the presence of Doctor Shan, he jumped directly to report.


    In fact, this is not the first time this has been done.


    "No way? Both the teacher and I have seen the film, and Dr. Chi has also seen it, and there is no problem."


    Doctor Shan didn''t quite believe it.


    Go to Zhou Can''s computer and check it carefully.


    "My level is limited, so I can''t tell. But this is a big deal. I''ll call Director Shen."


    She called Director Shen on the spot.


    "Teacher, I''m Shan Dan, please excuse me."


    "Dr. Zhou Can in our group checked the patient''s information and suspected that the patient who was going to undergo internal fixation of the talus this morning had aseptic necrosis of the talus. I looked at the film carefully, but I''m not sure, so I can only ask you to take another look."


    After hanging up the phone, Director Shen rushed to the hospital not long after.


    directly into the office.


    "Xiao Zhou''s eyes are really sharp. So many of us didn''t notice the problem, but you discovered it. No matter what the result is, this meticulousness and prudence is worthy of recognition."


    Director Shen smiled and praised him as soon as he entered the door.


    Then carefully review the patient''s film.


    After a few minutes, his face became serious little by little.


    "There are indeed signs of aseptic necrosis, but the symptoms are extremely mild. Give the patient another X-rayI''ll see the situation and make a conclusion."


    Because the patient will enter the operating room at 9 am.


    The inspection can only be expedited.


    Director Shen personally issued an application for an urgent inspection, and the Medical Technology Department dared not refuse to accept it.


    Soon, the film taken by the patient came out.


    It can be seen that the signs of sterile necrosis are already more obvious.


    "My god, it''s really sterile necrosis. Fortunately, it was discovered in time, otherwise, even if the operation is completed, it will still be a failure."


    Director Shen broke out in a cold sweat.


    "Xiao Zhou, you performed very well."


    Director Shen praised him, and then gave him a solution.


    "Tell the patient the situation first, so that the patient and his family members have a psychological preparation. Judging from the current situation, the osteonecrosis of the talus has just occurred and is still in the early stage. The operation can be evaluated according to the actual situation. It is possible to directly fix the foot with plaster after the operation. Ankle can be solved. No matter how serious it is, transplantation of bone marrow stem cells can also cure it.¡±


    When Director Shen said this, he frowned and couldn''t figure it out.


    "Strange, logically speaking, the injury only lasted three days, so it''s impossible for necrosis to occur so quickly!"


    After hearing this, Dr. Shan laughed and said, "Dr. Zhou is really good. He told me early in the morning that the patient may have concealed the time of injury. I suspected that the patient was trying to cover up the crime, so I asked Dr. Zhou to report the situation to the jurisdiction. The police station responded."


    After listening to Director Shen, he suddenly realized.


    Patted his forehead.


    "No wonder, I said, the injury is less than three days old, how could talus necrosis occur so quickly? The current doctors are really tired! In addition to treating diseases, they also need to learn some detective skills. Who would have thought that such a trivial matter, How can a patient lie!"


    In a word, everyone smiled.

 Chapter 130： Jurisprudence and human nature, the world of adults really only has interests

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    "Xiao Zhou, in the past two months or so, you have performed very well since your internship in orthopedic surgery. Today, you have avoided possible surgical failures and accidents. In order to express encouragement, I will give you more opportunities for surgical training and guidance. .In addition, I will report to the department and give you an excellent evaluation at the end of your regular training."


    These are all real benefits.


    After hearing this, Zhou Can thanked her again and again. The other two Gui Peisheng were envious.


    It''s just that they also understand that this is an extra reward Zhou Can won with his strength and hard work. is the result of fair competition.


    The two were convinced.


    At this moment, a nurse ran in.


    "Director Shen, two policemen said they want to find the head of our department."


    "Director You is in a meeting, let me handle it!"


    Hospitals are special occasions.


    When things happen, they usually communicate with the department leaders of the hospital or the hospital leaders in advance. Then act accordingly.


    "Hello, comrades of the police! May I ask what you can do with the head of the department?"


    Director Shen''s aura is full, his tone and expression are quite calm.


    Obviously experienced many similar scenes.


    The hospital has never been a peaceful place, and various things often happen, requiring the police to deal with them.


    "Who called the police just now?"


    "it''s me!"


    Zhou Can stood up.


    "After our investigation, the patient whose left foot you reported is probably related to a mobile phone store theft. Where is the patient now?"


    "In bed 77!"


    Zhou Can didn''t expect that the patient really committed a crime.


    Director Shen led the two policemen straight to bed No. 77.


    Mr. Zhao on the hospital bed suddenly turned pale and his eyes flustered.


    Mr. Zhao''s old father was at a loss, wondering why the police came to the door suddenly.


    "Do you know what we are looking for you?"


    "Know!"


    Mr. Zhao''s face was ashen, and he nodded dejectedly.


    "Now you are formally summoned verbally, and come back to the institute with us for investigation."


    Mr. Zhao knew that it was difficult to escape legal sanctions, so he did not make unnecessary sophistry.


    "Baby, what did you do?"


    His old father looked at his son with distress and anger.


    "Dad, I''m sorry. You''ve been expecting me to bring a daughter-in-law home, but I don''t have any special skills, I don''t read much, and all I do are drudgery jobs with low wages. Blind dates with other girls After hearing about my job and income, I left without looking back. Not one, but almost all of them. I know, they think my job is poor and I have no money.¡±


    Mr. Zhao also knows that it will be difficult to talk to his old father about these things when he is in prison.


    "A colleague quietly told me that as long as I pretend to be a rich man, I can get a girlfriend. A while ago, I pretended to be a rich second generation, and I finally got a girlfriend. The rich second generation dresses up to the end. He often takes her in and out of high-end hotels and buys expensive clothes and cosmetics for her."


    It takes ten lies to tell a lie.


    If you have no strength, you will have a swollen face to pretend to be fat, and sooner or later you will have to wear it out.


    This Mr. Zhao dug a hole for himself, and he could only jump into it with his eyes closed, and it became inevitable that he would end up on the road of crime.


    "My salary is less than 3,000 yuan a month. After deducting living expenses, it is not enough to invite her to a five-star hotel. It will be her birthday in two days. In order to surprise her, I thought of There is a mobile phone store, I went to buy a mobile phone once, and there are many high-end mobile phones in it. As long as you sneak in, you can definitely make a lot of money.¡±


    "After stepping on the spot secretly, I found that the mobile phone store had installed multiple surveillance probes. It would definitely not work to pry the door in. Just when I was worried, I found that there was a ventilation duct behind its store signboard. So I took a chance and went from there. Climb in, find the power supply of the monitoring probe, and unplug it directly. Then enter the store from the ceiling."


    "A total of more than 100 mobile phones were stolen. When I escaped, I unfortunately broke my foot. In the first few days, no matter how painful my foot was, I dared not go to the hospital. Because I knew that the police would definitely look for it. Thief. After dragging for seven or eight days, the pain in this foot was unbearable. I was afraid of becoming disabled, and thinking of my girlfriend¡¯s birthday was approaching, I had the courage to go to the hospital for treatment.¡±


    Mr. Zhao should be one of the most unlucky thieves in the world.


    In order to maintain the glamorous "rich second generation" persona, they did not hesitate to trample on the law.


    "Comrade police, I only have one request. Don''t tell my girlfriend about me. This is my first time stealing. I promise that I will never go this way again when I get out of prison."


    At this point, he still thinks about maintaining the perfect image in his girlfriend''s mind.


    "According to the regulations, we only need to notify the family members. Your girlfriend does not belong to your family members, so you don''t need to notify her."


    The police''s work is quite humane without violating the law.


    It may also be that the thief is not hopeless.


    Do what you can to save this person.


    "Dad, when my son comes out, I will go back to my hometown in the countryside to farm the land and do odd jobs. I will honor you well."


    Mr. Zhao looked at his old father.


    "You...you silly boy, Hutu!" His old father was so angry that tears came out.


    Looking at his son who made a big mistake, his heart was pierced.


    But he couldn''t help his son.


    "Okay, come back to the police station with us! Can you still go?" The two policemen were very happy when they successfully cracked a shoplifting case.


    It is necessary to take the person back, conduct a thorough examination, recover the stolen goods, and hand over the thief to the inspection agency for prosecution.


    "etc!"


    Director Shen looked at the two police officers and said sincerely, "Comrades, this patient''s left foot talus is severely fractured, and has begun to show aseptic necrosis. If he cannot be operated on immediately, his leg may become a permanently disabled."


    This person''s bone injury really cannot be delayed any longer.


    "Look, can you let him have the operation first, rest for a few days, wait until the leg injury is better, and then take him back to the police station for treatment."


    Doctors always consider problems from the perspective of patients.


    The heart of doctors and parents.


    If Director Shen didn''t plead for the thief, the thief''s life would be completely ruined.


    "Let''s report to the leader first."


    The two policemen did not dare to act rashly.


    After reporting and asking for instructions, he agreed to operate on the patient first.


    Mr. Zhao felt the care and kindness of the doctors and police, and was so moved that he choked up several times.


    This is actually a kind of salvation.


    The effect is better than reform through labor.


    I believe that this thief will change his mind after he comes out of prison, and he will never do illegal and criminal things again.


    ¡­


    The thief''s surgery was a success.


    Zhou Can participated in the whole process and even undertook part of the surgical tasks.


    Director Shen really kept his promise and gave Zhou Can more opportunities to practice surgery. When explaining doubts to Zhou Can, he was also extremely meticulous and patient.


    After the thief was sent out of the ward, the two policemen were already waiting for him.


    He should be questioned in advance, and the stolen goods should be recovered first and returned to the owner.


    Wait until the thief is discharged from the hospital before accepting legal sanctions.


    Zhou Can felt that he had done a very meaningful thing.


    Director Shen was very busy and left after the operation.


    Afterwards, Dr. Shan took them to the 10,000-grade operating room, which was much worse than this 100-grade operating room, to continue the operation.


    At present, the best operating room in our country is the class 100 laminar flow operating room.


    Performing surgery in this kind of operating room can filter the dust particles in the air, so that bacteria can spread without carrier, so as to effectively prevent and control the occurrence of infection.


    Not only is it of great benefit to patients, it can prevent wound infection, and it can also protect doctors and nurses from infection.


    At the same time, it can also provide a suitable temperature and humidity environment, so that the patient''s tissue is damaged as little as possible during the operation.


    The disinfection method is also completely different from spraying disinfectant in traditional operating rooms.


    It has its own disinfection ability, no need to use chemical or physical methods to disinfect.


    It''s just that the cost of this kind of operating room is high, and the requirements for all aspects are very high. Maintenance costs are also high.


    Even a top-ranked tertiary hospital like Tuya in the province can''t make all the operating rooms 100-level. There are only two 100-level operating rooms in the entire orthopedic surgery department.


    Generally, it is only used when the deputy director or director is the chief surgeon.


    Of course, if there is a real need for the operation performed by the attending doctors, you can also apply to the hospital.


    ¡­


    A day flies by in the blink of an eye.


    When he was about to leave work, Zhou Can was notified to go to the director''s office in the surgery building.


    He secretly wondered, could it be that the hospital is going to reward him because he helped the police catch a thief today?


    After much deliberation, there is only this possibility.


    He didn''t dare to neglect, and hurried to the office of the chief of surgery.


    Knocked on the door.


    "Come in!"


    A majestic and calm voice came from inside.


    Zhou Can pushed open the door, and saw that the layout of the office was relatively simple, and the filing cabinets were full of documents and materials.


    Director Xie, who is not tall but strong, sits behind a big desk and works.


    There is no so-called secretary waiting.


    Even the director of the major surgery works alone.


    In this regard, hospitals are still different from other institutions. In other words, only the dean has hospital assistants.


    And the assistant is not exactly the same as the secretary.


    More like a secretary.


    Because of the status of the assistants, they are almost equal to the vice presidents.


    Anyone who has met the assistant knows that sometimes the assistant is more dignified than the dean. The specific execution of many things is done by the hospital assistant.


    Zhou Can is currently training in orthopedic surgery, and will continue to train in multiple surgical departments in the future.


    It can be regarded as dawdling in Director Xie''s territory.


    "Director Xie, are you looking for me?"


    Zhou Can and Director Xie had a conflict in the emergency department last time.


    It''s not a slap in the face, but both sides have aggressive language.


    Later, Director Xie repeatedly suppressed the emergency department. This made Zhou Can feel bad for Director Xie.


    It''s just a superficial matter that still needs to be done.


    The respect has to be respected.


    What a Gui Peisheng should do in front of the chief of surgery is to grow up in a low-key and low-key manner, bearing the burden of humiliation.


    "sit!"


    Director Xie looked up at him with complicated eyes.


    This Gui Peisheng is different from other Gui Peisheng.


    At first, Director Xie had the opportunity to choose Zhou Can first.


    But he chose Du Leng with a higher education.


    Regret should not be, but I must feel a little regretful to miss a super genius.


    "In the blink of an eye, you''ve been in Tuyaguipei for nearly half a year, right?"


    In Director Xie''s tone, there was actually a bit of concern, and his attitude was unprecedentedly kind.


    "Seventeen days away is half a year."


    Zhou Can replied carefully.


    Director Xie called him over, it must not be commonplace to gossip.


    The purpose of the other party is not yet known.


    "Well! During this period of time, whether you are in the emergency department or the orthopedic surgery department, your performance is remarkable! Nowadays, there are not many young people who are as pragmatic as you."


    Director Xie got up and poured him a cup of tea himself.


    Zhou Can''s hair stood on end for a while.


    The difference in status between the two is too great.


    The more polite Director Xie was to him, the more uneasy he felt.


    Quickly stood up and took it with both hands.


    "Thanks!"


    He didn''t dare to sit down again.


    "Haha, you don''t need to be restrained when you come to my place. Sit down!"


    Director Xie smiled and pressed his shoulders and told him to sit down.


    Since Director Xie was much shorter than Zhou Can, he could only raise his arms.


    "Have you thought about your future development plan?"


    "What do you mean?"


    "For example, which department do you plan to work in after the regular training, and what is the main direction of attack?"


    Director Xie asked with a smile.


    It is completely a kind face of an elder who cares about the younger generation.


    But Zhou Can knew in his heart that Director Xie turned his face faster than the book for the sake of profit.


    He had seen Director Xie''s true face more than once.


    "After the regular training, where else can I go! Shouldn''t I go back to work in the emergency department? The main focus is also preparing for the work in the emergency department Zhou Can was originally selected by the emergency department. It was because of his outstanding performance later that a major turning point occurred.


    But director Lou of the emergency department treated him kindly, and Dr. Xu treated him even more kindly.


    Both of them hope that Zhou Can can lead the rise of the emergency department in the future.


    Therefore, after Zhou Can completes his studies, he will definitely return to the emergency department to develop.


    In other tertiary hospitals, even Tuya''s first and second affiliated hospitals, the emergency department is much better developed than the main hospital.


    The development of the emergency department of the general hospital is restricted everywhere, which is due to the abnormal growth of the emergency department caused by the competition of interests among various departments.


    Take the last time as an example, Zhou Can performed a few extra operations in the emergency department, and Director Xie immediately tried every means to suppress it.


    In this environment, how do you say the emergency department develops?


    There are no talents, and income generation is not enough. The soft and hard facilities of the department are far behind those of the specialist department. It''s like a feudal country that is a hundred years behind is fighting with the aircraft and cannons of a developed country with cold weapons.


    Don''t say you won.


    To survive, it still depends on the rules of the superiors.


    Larger hospitals must build an emergency center.


    "Given your talent, returning to the emergency department is really a waste of talent. I heard from Director Shen that you have extremely high talents in both fields of surgery and diagnosis. Have you ever thought about the development of surgery?"


    Director Xie walked around for a long time, actually to dig him out.


    It seems that Zhou Can''s excellent performance in orthopedic surgery has attracted Director Xie''s attention.


    Especially today, he discovered that the thief''s foot talus had aseptic necrosis, which even Director Shen and others didn''t notice.


    This talent is indeed extremely dazzling.

 Chapter 131： Dimensionality reduction blow, female patient with fracture

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    Director Xie came up with his idea. From a strategic point of view, it can prevent the emergency department from being overwhelmed. It is estimated that no specialized department is really willing to see the emergency department grow.


    Because the emergency department is the preferred registration department for most patients.


    If it is powerful, many cases can be digested directly, which is tantamount to stealing the diagnosis and treatment business of specialist departments in disguise.


    Recruiting Zhou Can to the Department of Surgery can not only prevent the emergency department from being overwhelmed, but also introduce a super genius to the Department of Surgery.


    Kill two birds with one stone, there are many benefits.


    That''s why Director Xie spared no effort to poach him.


    "I don''t think about it for the time being!"


    Zhou Can politely declined Director Xie''s invitation.


    A good horse never turns back.


    What''s more, Zhou Can was extremely distrustful of Director Xie''s various personalities. Then it is even more impossible to entrust the future to such a person.


    "What if I told you that, given your excellent performance, you can enter neurosurgery, cardiothoracic surgery and other promising top surgical departments?"


    His gaze was fixed on Zhou Can.


    He thought that the bait he had thrown was enough to make all the regular trainees tempted.


    The barriers to entry for these two departments are extremely high.


    Even a postgraduate doctoral degree may not be able to enter.


    "Thank you for your support and love for me. I still prefer to work in the emergency department."


    Zhou Can rejected it more clearly this time.


    Otherwise, if Director Xie offers a few more attractive conditions, he still won''t be able to attract him, and he will probably become angry from embarrassment.


    "Are you sure you don''t want to think about it anymore?"


    Director Xie''s tone turned slightly colder.


    "I''ve thought it through very clearly."


    Zhou Can once again firmly rejected Director Xie''s solicitation.


    "It is a good thing to be talented and gifted. But without a good training environment, the final achievement will definitely not be much higher. You must recognize your own disadvantages. With low education, it is almost impossible to make great progress in the field of internal medicine. Surgery is your only opportunity and path for development. If you decide to stay in the emergency department, then I will explain all the departments of surgery and train you in the direction of emergency. "


    Director Xie saw that the recruitment failed, so he started threatening directly.


    Everyone is a civilized person and will not make threats.


    Instead, they state their interests and force the other party to make a choice.


    Like some shameless male professor, a lot older. He took a fancy to the body of a certain female student, but he would not use violent means to obtain it.


    Instead, they deliberately let the other party''s paper fail, or let the other party do some research on topics with no future.


    In a disguised form, the other party is forced to agree to some unreasonable demands.


    Zhou Can also encountered this unspoken rule at the moment.


    If he does not agree, he will be left on the bench in the entire surgical training.


    There is no need to doubt the strength of a great director.


    As long as Director Xie said hello to the directors of the departments below, Zhou Can would fall into the ice cellar.


    "The general can pull a boat in his stomach. I believe that you can sit in the position of chief surgeon, and you will definitely not come to deal with me, a small regular doctor, just because of such a trivial matter."


    Zhou Can''s face changed slightly.


    Turning over the table and scolding mothers will definitely not work, it is no different from courting death.


    Unless he doesn''t want to hang out in Tuya anymore.


    The only way is to hope that Director Xie will rely on his identity and will not attack him as a small-scale trainee.


    "Hehe, it doesn''t work to put a high hat on me. If you make a fuss about this matter with the dean, that''s what I said too." Director Xie also knew that Zhou Can had some predestined relationship with Dean Zhu.


    But if he dared to threaten Zhou Can, he was not afraid of Zhou Can making trouble.


    In this kind of trivial matter, the eldest brother can really be so capricious.


    Don''t naively think about finding someone to reason with.


    If Dean Zhu is invited here, there is a high probability that Zhou Can will only be criticized for his mistakes.


    This phenomenon is not only in hospitals, but also in other enterprises and units.


    Leaders are leaders, and the bottom is the bottom.


    It is a taboo for the bottom to challenge the leadership.


    "Can''t you show your respect and let me, a little Pearson, go?"


    Zhou Can is making the last effort.


    Is it because Director Xie was beaten up in the emergency department last time? Then Director Xie held a grudge?


    Now take the opportunity to suppress revenge?


    This possibility is small. Because if Director Xie really hated him so much, it would be impossible to wait until now to attack him.


    On his first day in orthopedic surgery, he might have been suppressed by Director Xie.


    "Let me give you an example. If a mosquito was flying around next to you, would you reach out and hit it?"


    Director Xie did not answer directly.


    Instead, ask back questions with examples to let Zhou Can think for himself.


    In this case, nine out of ten people will kill the mosquito.


    Zhou Can smiled wryly to himself.


    Director Xie compared this to a mosquito. Is it that annoying?


    He thought for two seconds, and replied tactfully, "It''s not good to hit mosquitoes with your hands, as it is easy to infect them with viruses and bacteria. I usually wave my hands to drive them away."


    This answer is quite ingenious.


    Crazy suggested to Director Xie that the ''mosquito'' is poisonous, so don''t hit it.


    "Why did you reach out to chase it?"


    Director Xie continued to ask.


    "Fear of being bitten by them."


    Zhou Can had no choice but to bite the bullet and answer.


    "Since you understand, why bother to ask me again? Young man, the workplace is as deep as the sea. There are some truths, and you will understand sooner or later. Go to work, the door of surgery should always be open for you. If you understand, you can come again Find me."


    Director Xie said so far, and directly issued an order to evict the guest.


    However, Zhou Can still left a way out.


    Coming out of the director''s office, Zhou Can felt a little heavy.


    The trees are beautiful in the forest, but the wind will destroy them.


    Because he was too good, he suffered such a disaster, and he was really depressed.


    Director Xie suppressed him probably because he was worried that he would learn too much in surgery and become a general in the emergency department in the future.


    Nothing to do with personal grudges.


    It is the consideration and competition of great interests among departments.


    Right now, we can only take one step at a time.


    ¡­


    The next day, Zhou Can went to work in the orthopedic surgery department of the hospital as usual.


    Turn on the computer and prepare to view the surgical cases in this group.


    "Login failed!"


    A four-word dialog box popped up.


    He thought that he had entered the wrong password and identity information, and tried again, still the same.


    "Thank you, Director, for being quick!"


    Zhou Can immediately understood what was going on.


    He could no longer check the cases in this group, so he could only pick up the operation records and medical records he had written before to check.


    These are all your own and can be viewed at any time.


    No permissions required.


    "Doctor Zhou came quite early!"


    Dr. He was supposed to be on the night shift yesterday, with messy hair and dark circles under his eyes.


    "morning!"


    Zhou Can forced a smile.


    Other doctors in the group arrived one after another, and so did Dr. Shan.


    Their attitude towards Zhou Can is still the same as before, without any change.


    It means that they are low-level and don''t know what happened yet.


    After experiencing the heat and cold among his colleagues in the emergency department, Zhou Can did not believe that these colleagues would stand firmly on his side and fight against their superiors.


    At that time, everyone will hide from him like the **** of plague.


    this is the truth.


    "Hey, Dr. Zhou, why didn''t I see you check the cases in this group today?"


    Dr. Shan has worked with him for more than two months and has already relied on this powerful arm.


    Take the thief yesterday as an example, only Zhou Can could find out the problem.


    "My...login authority should be revoked."


    Zhou Can said bitterly.


    "Receive, take it back? Probably not, your orthopedic surgery training period is still 16 days away, let me ask for you."


    Doctor Shan thought it was unlikely.


    I was ready to call and ask the information department on the spot.


    Then I looked at the time, and it was only 7.35 minutes, so I must have not gone to work there.


    "Don''t worry, when the information management department is on duty, I''ll ask for you. You can use my computer to look at the case that is about to be operated on today! There is a case that needs to separate the nerve and then perform bone fracture. When the time comes, the nerve will be separated. The task will be handed over to you to complete.¡±


    Ever since Zhou Can showed his hand when he separated the blood vessel.


    During the operation, when she encounters more difficult tissue separation and free work, she always entrusts Zhou Can to do it.


    Zhou Can has always performed well and never made a mistake.


    This made Dr. Shan value and trust him even more.


    Around eight o''clock, Dr. Yang walked into the office.


    "Doctor Shan, I have something to discuss with you. Your subordinate Gui Peisheng, Zhou Can, may need to be transferred to the outpatient clinic for exercise."


    Doctor Yang said very tactfully.


    Sure enough, what should come has come.


    Fortunately, Zhou Can has already learned the knowledge of orthopedic surgery and the treatment of patients during the entire perioperative period.


    Proficiency is far from enough, but the foundation is firmly established.


    "why?"


    Dr. Shan was extremely surprised by this result.


    "This is an arrangement made by the department. Dr. Zhou will return to work in the emergency department in the future, so the direction of his training is mainly to prepare for the work in the emergency department."


    Doctor Yang has made it very clear.


    They have no right to question the arrangements made by the department directors, only to obey them.


    "Wait a minute, I''ll call and respond to my teacher."


    Director Shan obviously didn''t want Zhou Can to be transferred.


    What can Gui Peisheng learn in the outpatient clinic?


    Zhou Can doesn''t have a medical license yet, and he doesn''t even have the qualifications to accompany the doctor in the outpatient clinic. Can only be a medical guide, or run errands.


    The above arrangement is obviously aimed at Zhou Can.


    The first thing Dr. Shan thought of was that someone was jealous of Zhou Can''s ability and deliberately made troubles secretly.


    Her teacher is not vegetarian either.


    Even other chief physicians in the same department, including the director of orthopedic surgery, have to give her teacher some face.


    "Doctor Shan, it''s useless to ask Director Shen for this matter. You should obey the department''s arrangement."


    Doctor Yang''s eyes flickered.


    "What''s the meaning?"


    Dr. Shan is not simple, let alone stupid. She knew a little about the inside story and unspoken rules of the hospital.


    "I''m afraid that even Director You of our orthopedic surgery department may not be able to make the decision. You''d better not cause trouble for Director Shen."


    He said in a very firm tone.


    The doctors present understood a little bit at this time.


    Reminiscent of Zhou Can''s login authority being suspended suddenly, and now the superiors are going to transfer Zhou Can to work in the outpatient clinic. It seems that Zhou Can has offended a big shot.


    In the entire surgery department, there are only a handful of people with a higher status than Director You and Director Shen of the Orthopedic Surgery Department.


    The one Zhou Can offended must have been the number one boss in the surgery department.


    "Dr. Shan, thank you for taking care of and nurturing me these days. The green hills remain unchanged, and the green waters flow forever. We will have the opportunity to meet again. Today''s surgery to separate the nerve, I can no longer fight with you Yes, sorry."


    After Zhou Can went back yesterday, he thought about it all night.


    He has thought about all possible outcomes.


    The current results are not bad enough.


    Dr. Shan is just an attending doctor, and he doesn''t want her to be labeled badly by Director Xie because of this incident.


    Her abilities are limited, and she can''t change any results.


    "Doctor He, thank you for your help and guidance to me these days."


    Before Zhou Can left, there were three people who should be thanked.


    Dr. He Zhang in the inpatient department, Dr. Shan in the operating room, and Director Shen.


    "Brother, all difficulties will pass, hold on." Doctor He Zhang nodded to him.


    He sympathized with Zhou Can''s experience, but there was nothing he could do.


    I will not wade into this muddy water.


    "Doctor Shan, please say thank you to Director Shen for me. I sincerely appreciate his guidance and care for me these days."


    After speaking, Zhou Can glanced at the others.


    He found that the faces of the two doctors, Gui Peisheng and Dr. He, clearly revealed a hint of secret joy.


    When Zhou Can was around, because he was too good, the three of them were overwhelmed. Now that they have been transferred, the three of them have a chance to make their mark, so they are happy.


    "Goodbye, colleagues!"


    Zhou Can was not too angry at the trio''s gloating.


    If people are not for themselves, heaven and earth will perish.


    Can understand the thinking of these people. But forging iron still needs to be hard.


    The talents recruited by Tuya Hospital are getting stronger from generation to generation. If they don''t work hard enough and are not good enough, if Zhou Can leaves, there will be countless new talents pouring in.


    "Doctor Yang, I don''t know who I should report to at the outpatient clinic?"


    Zhou Can looked at Dr. Yang.


    "I''ll take you there! Every day, you only need to arrive at the outpatient clinic before 8:00 am and get off work at 5:30 pm. You don''t need to report to anyone again."


    This arrangement is really nonsense.


    It means that even the teachers who teach are gone.


    Ask Zhou Can to do odd jobs in the orthopedic surgery clinic.


    It almost means letting go.


    "Then what do I do in the outpatient clinic?"


    Zhou Can asked as he followed Dr. Yang.


    "Look at things and do things. For example, if a patient doesn''t know how to get to the laboratory, you can show them the way. Or if the patient doesn''t follow the order during the waiting process, you can help maintain it..."


    These tasks should be the work of guiding nurses and security guards.


    It is overkill for him to be a doctor.


    Zhou Can was very angry.


    But he didn''t get angry with Dr. Yang, it has nothing to do with Dr. Yang.


    It was the arrangement made by Director Xie.


    Soon, Zhou Can was brought to the corridor of the orthopedic surgery clinic. Dr. Yang greeted the responsible doctor and head nurse, and told them that there will be a special regular trainee in the outpatient clinic in the future.


    A new person came, and it was a doctor, and word spread quickly in the clinic.


    Mainly the broken mouths of the nurses, it was just horrible.


    Especially those guide nurses, many of them are social recruiters, not regular nurses.


    The work I am engaged in is also relatively simple, that is, to guide patients to see a doctor.


    The quality of these people varies from high to low.


    Broken mouth is the nature of most women.


    They whispered to each other, and quickly spread the news that Zhou Can was transferred to the outpatient clinic to do chores to the ears of the medical staff in the orthopedic surgery clinic.


    When some nurses and doctors looked at Zhou Can, they looked like they were looking at a rare species in a zoo.


    Zhou Can was a little stage fright at first.


    After staying longer, he gradually got used to it.


    Mainly wearing a white coat and acting like an idiot in the corridors and halls of the outpatient clinic, which is too uncomfortable.


    Not only will he be looked at by nurses and doctors as a rare animal, but also those family members, patients, and even the scalpers who are mixed in with him will cast strange eyes on him.


    After two full hours, Zhou Can has been wandering around.


    No one cares about him.


    very free.


    But no one arranged work for him.


    Occasionally, a patient would ask him for directions, or ask him where to register, and what department the disease should be registered in, Zhou Can would patiently advise him one by one.


    Orthopedic surgery, divided into traumatology, joints, microscopy and so on.


    Different bone diseases require different departments for registration.


    Registering the wrong number actually has a big impact.


    For example, it is clearly a broken arm, but the number of a joint doctor in the joint department is listed.


    This doctor may be better at diagnosing and treating bone injuries in joints.


    The prescribed treatment plan may vary greatly.


    Originally, traction should be done first before surgery, and the effect may be better. Because he is not so professional, he directly prescribed a surgical treatment plan.


    Of course, before the operation, there will be a second check by the chief surgeon.


    But it is also possible that the checks are not in place, and the operation is performed directly.


    There may be some degree of malunion after surgery, or that the arm may not return as well as expected.


    Why are there so many special-needed expert numbers so expensive?


    That''s because these experts who sit in the clinic, in addition to diagnosing you and giving you a treatment plan, may also perform surgery on you in person.


    For some difficult operations, other doctors can do them, but not so well and not so thoroughly.


    Experts do it for you, perfect solution.


    A registration fee of several hundred yuan or thousands of yuan is worth it.


    Therefore, for minor illnesses that are not serious, or common diseases, it is enough to register as a general doctor. Because no matter which doctor you hang up with, the treatment methods are similar.


    If the disease is still unsatisfactory after being treated in several hospitals, then don''t be stingy with the registration fee of several hundred yuan, and directly grab the account of a special-needs expert who is good at treating this disease.


    Zhou Can is a doctor himself, and it is the luck of the patient to have him guide the patient to register.


    "Someone''s fainted here...doctor, doctor..."


    Zhou Can followed the prestige, and in the waiting rest area of ??the outpatient hall, a poorly dressed woman fainted to the ground.


    He hurried over to check.


    It was found that the woman''s heartbeat and breathing were still there.


    My heart was slightly relieved.


    Only then did he have time to look at this woman.


    At the age of about thirty, he has a particularly thick frame, but he looks very thin. His complexion was yellow, and he was obviously malnourished.


    There was a lot of cold sweat on her forehead, her lips were pale and dry.


    The clothes on his body looked like cheap street stalls.


    Many places have been washed white, and you may even see traces of mending.


    Not a single piece of jewelry could be seen on her hands, neck, or ears.


    The patients in Tuya Hospital are very mixed. Because of its great reputation, patients from all over the province come to seek treatment. There are even patients from various provinces in the country who come to seek medical treatment from thousands of miles away.


    This woman should be from the countryside.


    The shoes on my feet were sneakers whose soles were about to wear out.


    What really moved Zhou Can was her twisted right hand. With the doctor''s professional vision, he could see at a glance that the woman''s right hand was severely fractured.


    As for whether there are other injuries, it is hard to say.


    "Is the family there?"


    After Zhou Can checked, her life was not in danger.


    Then he stood up and asked loudly where the family members were. In order to learn more about the woman''s condition.


    Didn''t see anyone stand up.


    "Are the lady''s family here?"


    Zhou Can raised his volume.


    However, the outpatient hall is very noisy, and the sound cannot be transmitted too far.


    "She seems to have come alone."


    An aunt in her fifties said.


    The aunt''s right foot was wrapped in white gauze, and there was a cane beside her. If I''m not mistaken, there is a plaster cast on the foot, which may be a treatment for a fracture.


    The white gauze on it has turned black and yellow in some places, indicating that it has been for a long time.


    Might be here today for a review.


    Aunt has two people to accompany her, so she should sit here and wait.


    So I know a little more about this woman who suddenly fell into a coma.


    "Her arm seems to be broken. Does she have any family members?"


    Zhou Can feels that when sick, relatives should be the most reliable.


    "I saw her come in to buy a medical record, fill it out, and queue up for registration. She was all alone. She should not be accompanied by her family."


    The aunt said with some sympathy.


    Zhou Can had no choice but to wake up the woman first and ask about the situation.


    If that doesn''t work, she may need to be taken to the emergency department.


    There is a special corresponding mechanism to deal with this kind of unaccompanied family members who are in urgent need of rescue.


    Specialist surgery, without the signature of the family members, generally will not agree to do it.


    But in the emergency department, when a patient really needs an emergency operation to save his life, he does not need the signature of his family members, but reports to the medical department, and the department leader signs on his behalf, and then the operation is performed directly.


    If it happens during non-working hours, you can report directly to the vice president of the hospital, and then the department leader will sign the consent form for the operation.


    "What''s the matter with this woman?"


    A nurse came over.


    "She fainted suddenly."


    As Zhou Can answered, he began to pinch the woman.


    The patient is only mildly comatose, and when the heartbeat and breathing are normal, this trick is a more effective way to wake up.


    After a while, she slowly opened her eyes.


    "Girl, what''s the matter with you?"


    Zhou Can asked with concern. UU reading


    "I, I''m dizzy, I haven''t eaten anything since last night..." She seemed weak.


    If you don''t eat for a long time, coupled with injury, you are prone to symptoms such as hypoglycemia.


    Hungry dizzy, no joke.


    But it can actually happen.


    Zhou Can looked at the female nurse, "Can you help me go to the cafeteria and buy a boxed lunch? Don''t want spicy food like chili and leeks. Her right hand should have suffered a severe fracture."


    Zhou Can took out a hundred-yuan bill.


    Good thing I had cash on hand. As mobile payments become more and more convenient, he has fewer and fewer opportunities to use cash.


    In life, mobile payment is chosen most of the time.


    The nurse took a surprised look at Zhou Can, took the money, and went to run errands to buy food.


    "Girl, are you the only one who came to the hospital?"


    Zhou Can quickly asked the key points.


    Mainly afraid that she would faint again.


    And now I don''t know if there are other fractures on her body, and I dare not help her up.


    Just let her lie on the ground.


    "Um!"


    She hummed lightly.


    Perhaps seeing Zhou Can spend money to buy food for her, I feel a little more grateful and trust Zhou Can.


    Without letting Zhou Can ask, she went on to say, "I was digging wild solitary and medicinal herbs on the mountain. I was suddenly attacked by a wild boar, and my arm was broken. It seems that one or two ribs were broken. There is only one grandma who is over 80 years old in the family. She was injured. Later, I was afraid that my grandma would be worried, so I kept it from her, and only said that I would go out for a few days, and then went to Tuya Hospital to see a doctor."


    "I heard that the medical skills here are good, and my injury can heal faster."


    What happened to her is distressing.


    The filial piety revealed made Zhou Can feel admiration.

 Chapter 132： Friendship in the same group, looking for a job in the manipulation restoration room

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    From her description, it can be inferred that this ordinary-looking woman with a thick frame should live with her grandmother.


    If there were other relatives in the family, it would be impossible for her to come to Tuya alone for medical treatment with her broken arm.


    "Are you registered?"


    Zhou Can sympathized with the woman.


    In hospitals, we can often see vulnerable groups at the bottom of society.


    Most doctors and nurses will give these people some care within their ability.


    "Already registered, waiting to be called! I don''t know why I fainted!"


    While speaking, she tried to sit up.


    "Don''t move, just don''t move! The ribs are broken. If you move around, it will easily puncture the heart and lungs and other important organs, and it will also easily lead to aggravated fractures." Zhou Can quickly pressed her shoulder.


    He motioned her to lie down first.


    As for the reason why she fainted, it was because of her injuries, her vital energy was severely damaged, and she hadn''t eaten for a long time, and she had symptoms such as hypoglycemia, which made her faint.


    "Where did the rib hurt? Does it hurt now?"


    "This location. It was hit by a wild boar."


    She raised her left hand with difficulty and pointed to the upper abdomen on the left side.


    After Zhou Can heard this, he had a bottom line in his heart.


    "How long have you been injured?"


    "I was injured yesterday morning. After I escaped home, I first went to the clinic in the town. They saw that I was seriously injured, and immediately suggested that I go to a big hospital for treatment. So I drove for nearly a day and rushed to Tuya Hospital. treat."


    The injury time is relatively short.


    If the time is more than half a month, the broken bone will grow callus, which is extremely unfavorable to the operation.


    Basically, many doctors are reluctant to perform surgery if the fracture lasts for more than a month.


    The operation is difficult and the effect is poor.


    She was so seriously injured that she came to the provincial capital by car alone.


    Looking at her attire, the possibility of taking a taxi is almost zero. If you take a long-distance bus, the possibility of crowding the bus is the highest.


    I really admire her perseverance.


    If it were a more delicate woman, one arm would be broken, and two ribs might be broken. I''m afraid he would have been lying on the ground and humming.


    "I want to sit up, I should be fine!"


    She stretched her waist again.


    Zhou Can had to carefully lift her up from the ground, and then sat on the chair.


    At this time, the nurse came over to buy food.


    "I bought fast food, 15 yuan!"


    She returned the rest of the money to Zhou Can.


    "Thanks for your hard work!"


    Zhou Can took the fast food and opened it.


    Look at the nurse.


    "Her arm is broken. It should be very inconvenient to eat. Could you please feed her?"


    The nurse frowned slightly, with a look of embarrassment on her face.


    Feeding patients is really not a nurse''s job. Nurses like that kind of food are carefully fed to patients, which basically only appear in TV dramas.


    In reality, it is good for nurses to be able to talk to patients and their families gently.


    In many cases, nurses are actually very fierce, and their ability to hate people is also extremely strong.


    Especially outpatient nurses, there are very few honest ones to deceive.


    "Sorry, I have something to do over there!"


    The female nurse found an excuse and left.


    Zhou Can had no choice but to feed the female patient himself.


    "I can eat it myself."


    She holds the talon in her left hand.


    Zhou Can helped her carry the lunch box as close to her mouth as possible.


    Probably really hungry.


    The woman quickly ate up a box of meals.


    Zhou Can ran to pour her a glass of water.


    After eating the food, she was significantly better.


    "Show me your registration form."


    Seeing that she was not accompanied by family members, Zhou Can decided to help this poor woman.


    Anyway, he has nothing to do now.


    Might as well do something nice.


    "The attending doctor is actually Dr. Chi."


    Zhou Can touched his nose.


    Outpatient department and inpatient department are two concepts.


    Many people think that every doctor has the opportunity to attend consultations, which is a big mistake.


    Not to mention a big hospital like Tuya, even a slightly stronger hospital has extremely high requirements for outpatient doctors.


    Doctors in Tuya, who want to apply for outpatient consultation qualifications, basically start as attending at the minimum.


    If you are a deputy director or above, the probability of passing will be higher.


    As for inpatient consultations, it is very rare. Only a very small number of particularly enchanting people, either with high academic achievements or strong surgical ability, were reported to the hospital after being evaluated by the directors of the department.


    It is not guaranteed to pass, but it can only be said that there is a chance to obtain the consent of the hospital to open a personal clinic number.


    From this point of view, the growth path of a doctor is really a long way.


    And the income gap is staggeringly large.


    In the same hospital, the weak chief physician may have an annual income of only about 150,000. Great, can get more than 600,000.


    The salary of doctors in Tuya Hospital mainly includes several aspects, such as rank salary, quarterly bonus, holiday subsidy, year-end performance, medical research award, and workload. These are normal and visible income.


    Add up seven, seven, eighty-eight, and there are many doctors with more than one million before tax.


    Basically, they are the bosses at the level of deputy directors and directors.


    Zhou Can now only has a pitifully small basic salary and a little overtime pay.


    After he has obtained the certificate of completion of the training program, the certificate of physician practice, and is hired by the hospital as a resident physician, he will be eligible to receive some income such as bonuses and performance.


    "You sit here and wait for a while, I''ll help you and ask if I can check you first."


    Zhou Can asked the woman to sit here and wait.


    She was injured so badly, and she was not familiar with the diagnosis and treatment process, it would be considered a high incense if she could get the film before tomorrow.


    Helping her out is a good deed.


    Zhou Can took her registration form and medical records and went straight to the 2014 outpatient room.


    The door is closed.


    There are patients who are being diagnosed inside, and more than a dozen patients are standing outside the door.


    It is estimated that the numbers of these people are relatively high.


    Zhou Can waited until the patients inside were finished, and rushed in.


    The other patients saw that he was a doctor in a white coat, so they didn''t have any objections.


    "Doctor Chi, excuse me."


    Zhou Can was ready to be rejected.


    After all, he is now being suppressed by Director Xie, and other doctors are likely to show a cold face. It''s too late to hide from him, let alone help.


    "It''s Doctor Zhou! What''s the matter, tell me!"


    Doctor Chi''s attitude towards him has not changed much.


    This made Zhou Can feel a little more fond of him.


    In fact, the two usually only get to know each other in the operating room or during case discussions.


    "This patient fainted outside just now. She has fractured arms and ribs. She is a female patient in the mountains and has no family members. Can you let her join the team and give priority to diagnosis?"


    When Zhou Can said these words, he was actually quite disturbed.


    Asking for help is like swallowing a three-foot sword.


    He can''t protect himself now, and he is still here to ask for a chance to take special care of the patient, so Dr. Chi doesn''t have to buy it.


    "Call her in, don''t wait for the number to be called, you can call her in now."


    After hearing this, Doctor Chi readily agreed.


    This made Zhou Can very grateful.


    "Hurry up! When you go to the outpatient clinic, there are actually many learning opportunities, such as the manipulation recovery room."


    At this moment, apart from Zhou Can and Dr. Chi, there was a patient and two family members in the room.


    Doctor Chi said some things in a more cryptic way.


    But he must have known what happened to Zhou Can.


    "I''m not familiar with the doctor in the manipulation reduction room!"


    It''s not that Zhou Can didn''t think of this way.


    He just took this opportunity to practice his bone-setting skills.


    But the world is so cold, why should the doctor in the manual restoration room give him a chance to learn?


    "You''ll understand when you go. Dr. Fu Zhi''an is working today. He used to be Director Shen''s student. He is half of the doctors in our group."


    When Dr. Chi said this, he blinked at Zhou Can.


    That expression is very mysterious.


    Zhou Can was not stupid, and immediately grasped a lot of meaning from his words.


    Director Xie asked the departments below to cooperate in suppressing Zhou Can, to suppress this monster and prevent him from rising. But people are all emotional and have a conscience.


    On the surface, he acted according to Director Xie''s wishes, within a reasonable range, opened some small conveniences for Zhou Can, and formed a good relationship, which is actually very good.


    It can not only make one''s conscience very comfortable, but also get Zhou Can''s return when he is in trouble or needs help in the future.


    The main reason for them to take this small risk is that Zhou Can''s potential is extremely astonishing.


    Potential is invisible and intangible, but it is a powerful weapon in interpersonal relationships.


    It''s like your neighbor is an orphan, only eight years old, whose parents died in an accident. This child is very sensible, and his academic performance is the first in the school every time. Would you like to help this child?


    The answer is yes.


    On the contrary, this child is not sensible and is a devil in chaos. He makes troubles every day, steals chickens and dogs, and his grades are so bad that they step on the lake.


    You are absolutely avoiding it.


    During the two months of regular training in orthopedic surgery, Zhou Can has shown amazing potential, and he is also impeccable in his conduct.


    Director Shen likes him, and Doctor Shan and Doctor Chi also like this Gui Peisheng.


    The other attending doctors in the same group should have no reason to hate him.


    Doctors in the manual reduction room should specialize in bones and joints. That''s why Dr. Chi said that Dr. Fu Zhian was only half of the doctors in this group.


    Zhou Can took the woman to Dr. Chi''s outpatient room.


    After Dr. Chi performed a simple physical examination on her, he issued an application for examination. Blood routine and X-ray films are the most basic routine examinations.


    Some hospitals may have income-generating tasks, or check indicators.


    The doctor will prescribe more tests.


    Regardless of whether you are seriously ill or minor, follow the routine inspection routine.


    The patient is not a fool. Although he belongs to a vulnerable group, he may avoid this hospital next time.


    Excessive medical treatment is a common phenomenon all over the world.


    Patients in developed countries who do not have medical insurance are basically afraid to go to the hospital when they get sick.


    One cure can make a person bankrupt.


    This is really no exaggeration.


    The consumption concept in foreign countries is different from that in China. They like to consume in advance. Ordinary families basically have no savings. A slightly more serious disease can make them bankrupt.


    Of course, the medical insurance system in developed countries is relatively sound.


    The reimbursement rate is quite high.


    This is why people in developed countries are particularly afraid of unemployment.


    Because of unemployment, it means that the next month may be cut off, and all kinds of insurance will be cut off.


    This is a very scary thing.


    Zhou Can led the female patient to pay the examination fee first, and then took her to get blood tests and line up for X-ray examinations.


    He is just a regular trainee now, and it is not easy for him to say hello and beg for mercy for her in the outpatient room.


    It is unrealistic to go to the medical technology department where the related households are piled up to say hello and ask for special care.


    Wait honestly.


    "Miss Wei, are you and your grandma the only ones at home?"


    Zhou Can chatted with her.


    "Well! My parents divorced when I was very young. When I was five years old, my father accidentally fell off the cliff one day when I was cutting firewood on the mountain. Because the family was poor and had no money for medical treatment, the second child he brought home The sky is dead. It was my grandma who brought me up."


    No wonder she has a deep affection for grandma.


    The hemp rope is only broken at the fine point, and bad luck is only for the poor.


    The female patient, named Wei Fang, lost the love and care of her parents since she was a child.


    "What do you usually make money at home? Digging wild mushrooms and medicinal herbs?"


    "Um!"


    She doesn''t seem to like talking much.


    It could also have something to do with her broken ribs.


    Generally speaking, when a rib is fractured or injured, coughing or talking will affect the injury and cause pain.


    But until now, I haven''t heard her snort or cry out in pain.


    It feels like her right arm fracture should be quite serious.


    The condition of the ribs cannot be known until the results of the X-ray film come out.


    "I can''t make much money digging wild solitary and medicinal herbs, right?"


    Zhou Can asked again.


    "If you''re lucky, you can earn two to three thousand yuan a year."


    She shyly reported a shockingly low income figure.


    On average, the monthly income is less than 300 yuan.


    It''s a matter of luck.


    Otherwise, the income will only be lower.


    "Haven''t you ever thought of working in the city? Even if you work in a factory, you will have at least three or four thousand yuan a month."


    "My grandma is getting old and needs someone to take care of her. I''m going to work outside, so I don''t feel at ease."


    Zhou Can also guessed the reason she gave.


    Many people in the mountains are very simple.


    They take family affection very seriously.


    Especially the kindness of parenting is seen higher than the sky and deeper than the sea.


    Wei Fang was almost brought up by her grandma, and the two depended on each other for life. She had the deepest affection for her grandma than anyone else.


    It is understandable to be reluctant to leave grandma and go to work in the city.


    "Now that you are so seriously injured, it will take at least two or three months to recover. What are you going to do during this time?"


    "I... I don''t know either. I''ll have an operation in the hospital first and stay for a while. When my injury is a little more stable, I''ll go home to recuperate." She thought for a while before answering.


    Zhou Can nodded and said nothing more.


    Nearly an hour later, her test results came out.


    Four ribs were broken, two of which were completely severed. This is a very scary injury.


    According to Zhou Can''s professional medical knowledge, not only will she need to be hospitalized, she may also need a thoracotomy. Connect the broken ribs and make an internal fixation.


    If no surgery is performed, the severed ribs can easily puncture the internal organs.


    Even just touching the lungs can cause her severe symptoms such as severe coughing, lung inflammation, and fluid accumulation.


    In addition, if the completely severed ribs are not connected by surgery, malunion will occur.


    The impact on the rest of her life will have a huge impact.


    Look at the X-ray of the right hand again.


    Broken arm bone, also very serious.


    The fracture line is obvious, and this also requires surgery.


    Just putting plaster and external fixation, the treatment effect will be very poor.


    There is also the possibility of disability in the right hand.


    "Doctor Zhou, is my illness serious?"


    Women are not stupid.


    When Zhou Can took her ID card and helped her print out the X-rays from the self-service machine, she saw Zhou Can''s face became very serious.


    "Your injury is very serious. Four ribs are broken, two are even more severed, and the ulna and radius of the right arm are all fractured. Doctor Chi will tell you the specific treatment plan. Although the result is a bit bad, can you It is very lucky to save a life under the attack of that big wild boar."


    Zhou Can can only comfort her like this.


    The mountain people have a saying since ancient times that there are one pig, two bears and three tigers.


    The combat effectiveness of adult wild boars is terrifying.


    Long fangs, like two daggers. With a flick of its long mouth, it can throw a person more than ten meters away.


    A head-on collision can break a tree as thick as a bowl.


    Zhou Can led her to Chi Yihe''s outpatient room, and then left.


    That''s basically all there is to help her.


    He subconsciously walked towards the manipulation recovery room.


    I thought it would be great if I could get a learning opportunity in the manipulation reduction room, as Dr. Chi said.


    The manual reduction room is located in the orthopedic surgery waiting room.


    Surrounded by a dozen sparse patients and their family members.


    The sound of a child yelling and crying came from the reset room.


    Anesthesia is not used during manual reduction, and the pain during the reduction process is often unbearable for many patients.


    Zhou Can squeezed in and saw that he was an eleven or twelve-year-old boy, plump and about 1.6 meters tall.


    These days, children''s nutrition is generally very good, and their physical development is also early.


    A female nurse, the boy''s mother, a young male doctor, and UU Reading could not hold him down.


    There is also a middle-aged male doctor with gray temples, probably in his forties.


    I am performing manual reset of the boy''s shoulder joint.


    For many boys, the dislocation of the shoulder joint once or twice is a pity for the naughty childhood.


    Zhou Can felt that this was a good opportunity.


    Quickly stepped forward to help hold down the boy.


    He is a practicing family boy, and the combined strength of a female nurse and a boy''s mother is not as great as him.


    The young male doctor was also far behind him.


    With his strong intervention, the crying and struggling boy was immediately immobilized.


    The middle-aged male doctor, who was resetting the manipulation but was unable to operate because of the violent struggle of the boy, turned his head to look at Zhou Can.


    "It''s quite powerful! Finally, hold down this little calf!"


    A middle-aged male doctor should know who he is.


    Smiled at him and praised him.


    "Excuse me, are you Dr. Fu?" Zhou Can asked taking advantage of the situation.


    "Well, I''m Fu Zhi''an! Basically, I sit in the manipulative restoration room."


    The middle-aged male doctor nodded slightly.


    The tone, attitude, are still friendly.


    "I''m Zhou Can, who has just been transferred to the outpatient clinic for regular training. I will ask Dr. Fu to take care of me in the future."


    Zhou Can gave full play to his thick-skinned skills.


    If you have an opportunity, you should take the initiative to fight for it.


    "No problem! You can come here to help whenever you have time. There are often some underage patients who don''t cooperate with the treatment, so you need a strong assistant like you to help immobilize the patients."


    Doctor Fu readily agreed.


    Didn''t even hesitate.


    Sure enough, as Doctor Chi said, as long as Zhou Can came over, he would take care of Zhou Can.

 Chapter 133： Muffled upgrade to earn experience, recruited a bodyguard

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    Zhou Can firmly controlled the boy''s upper body.


    This little boy was extremely fierce. Apart from yelling and struggling desperately, whenever Dr. Fu moved his dislocated arm, he would open his mouth and bite crazily.


    These days, lawless brats are spoiled by their parents!


    "Doctor Zhang, hold his head down and don''t let him bite."


    That young doctor''s strength is not as strong as Zhou Can''s, so it''s a good arrangement for him to control the child''s head.


    "Both of you grab one of the child''s legs to prevent him from kicking."


    The female nurse and the boy''s mother each grabbed one of the boy''s legs.


    Currently, the child is being treated in a sitting position.


    It is also an ideal position for shoulder joint reduction.


    After completely controlling the boy, Dr. Fu can finally perform a good reset on him this time.


    Grab the boy''s arm and rotate it slightly to help relax the shoulder muscles.


    Zhou Can carefully observed Dr. Fu''s reset technique.


    It was exactly the same as the shoulder joint reset technique performed by Doctor Shan in the operating room that day.


    After finding the bone position, he suddenly exerted force, grabbed his arm and pushed it up.


    "Crack!"


    The joints were successfully repositioned.


    "Ah...it hurts..."


    The boy struggled violently, his eyes extremely fierce.


    The mother who grabbed his leg didn''t know that her strength was too weak, but she still felt sorry for her son. When the boy broke free, she fell backwards and fell to the ground.


    The female nurses were not much better.


    After the boy broke free, he kicked the unsuspecting Doctor Fu.


    boom!


    Fortunately, Dr. Fu reacted quickly and covered his lower body with his hands.


    Otherwise, it is possible that this kick could kill him offspring.


    "Well!"


    Doctor Fu groaned in pain.


    "Hi, what are you doing?"


    Zhou Can yelled at the boy.


    Such a naughty child is rare.


    The doctor treated him, and he killed him.


    That kick just now could obviously kick Dr. Fu''s knee and other parts, but he kicked the most deadly part of a man.


    Really vicious.


    If the parents continue to spoil them, the child will be scrapped sooner or later.


    "The child is ignorant, sorry, sorry!"


    The child''s mother is the first to protect the child.


    "It didn''t kick you, did it?"


    After protecting the child, she asked Doctor Fu about his injury.


    Because she was afraid that Dr. Fu would beat the child in anger.


    "This kid kicks pretty hard!"


    Dr. Fu rolled up his sleeves, only to see a large bruise on the back of his right hand.


    He probably broke out in a cold sweat.


    Fortunately, he blocked it with his hand in time, otherwise the happiness of the second half of his body might be explained to the kick just now.


    "I will teach my son well when I get home. He is usually very well-behaved and sensible. He may have gone crazy because of the unbearable pain just now. Why don''t you go for a checkup first! I will bear all the treatment expenses."


    The fact that the child''s mother can offer to bear the cost of treatment shows that she is still a polite person.


    The attitude is also quite sincere.


    I really don''t understand why there is no limit to favoritism and doting when educating children?


    Dr. Fu is an orthopedic surgeon himself. After feeling the injured hand, he felt that the problem was not serious.


    Say it''s over.


    The boy may have also become a little scared after kicking someone, and hid behind his mother.


    Dr. Fu was worried that the boy''s newly connected shoulder joint would be dislocated again.


    Ask Zhou Can and Dr. Zhang to make a sling for the boy''s arm and hang the arm around his neck.


    The medicine was prescribed again.


    Before leaving, the boy''s mother forced two hundred yuan as compensation.


    This little episode is over.


    A new patient enters the manipulation reduction room.


    It was a younger woman with a sprained right foot. X-rays revealed only minor fractures.


    The doctor suggested that she go to the manipulation reduction room to follow the treatment.


    Doctor Fu took the film and looked at it.


    The treatment suggestion of manipulative reduction followed by plaster maintenance was given.


    The woman agrees.


    But when he reset the woman''s hand, there was a pained expression on his face.


    "Your right hand must have been injured by that boy just now. If you push harder, the hematoma will aggravate. How about you guide me, and I will reset her and put a plaster on her."


    Zhou Can volunteered to share the treatment task.


    "OK!"


    Doctor Fu gave up his seat.


    The woman''s expression was somewhat unwilling.


    But in the hospital, the patient is the meat on the chopping board, and I really dare not say anything to offend the doctor.


    It seems to see the woman''s worry.


    Dr. Fu smiled and explained, "Don''t worry, don''t look at this Dr. Zhou as young, he is one of the best young doctors in our orthopedic surgery department. Your reset is relatively simple, and what he does is no different from what I do."


    In front of patients, doctors and nurses are an interest group.


    Will help others to speak at any time.


    This is also the minimum professionalism.


    It''s unimaginable to tear each other down in front of patients.


    The director of the department and the management of the hospital will not allow this kind of thing to happen.


    The female patient dispelled her doubts and received treatment with peace of mind.


    Under the guidance of Dr. Fu, Zhou Can supported the soles of the woman''s feet, kneaded them slowly, and then vigorously bent the top and turned them around.


    "Ah...it hurts, it hurts so much..."


    The woman was so painful that she almost shed tears.


    [Osteopathic experience +1. ¡¿


    Zhou Can secretly rejoiced, one step in place, very good.


    "Well, the reset is pretty good. Dr. Zhang, come and help me put on a plaster cast and fix her foot well."


    Young Dr. Zhang''s technique of applying plaster is not as good as Zhou Can''s.


    If you are exhausted, you will be able to cultivate an excellent level.


    Zhou Can is now at the lower level of a resident doctor.


    When the two cooperated, they decided to judge each other.


    Dr. Fu saw Zhou Can''s technique of applying plaster so skillfully, and the operation standard was in place, he couldn''t help but secretly happy.


    It is a good thing that a good helper has come.


    Soon, the patient left after treatment.


    Then came another one.


    Dislocated wrist.


    It was caused by a fall while riding an electric bike.


    Zhou Can rushed to do it again, and under the guidance of Dr. Fu, he managed to reset it after three operations.


    The wrist joint and bone structure are extremely complex, and the difficulty of repositioning this part is comparable to that of the foot and ankle joints.


    Zhou Can is a novice, and he was able to successfully reset the patient in just three times, which is quite impressive.


    [Osteopathic experience +1. ¡¿


    [For the first bonesetting and reset of the difficult wrist joint, experience reward +10. ¡¿


    ¡¾Congratulations on your bone setting skill being upgraded to level two. ¡¿


    Zhou Can didn''t expect to be promoted to the second level so quickly.


    This time, being suppressed by Director Xie for reducing dimensionality and sneaking into the surgery reduction room was a blessing in disguise.


    It just happened to be able to upgrade the bone setting technique to level three or above.


    Any medical skill must reach at least level three to be regarded as the first glimpse of the door. Only after reaching this level can one be qualified to use it on patients.


    Internship and training level, from the perspective of safety, are actually not qualified to be implemented on patients.


    Generally, for these two levels, the superior doctor will suggest to watch more and use more props to practice at home.


    For example, for bone setting, there are special bone models to buy.


    Skeletal models can be used to practice orthopedic reduction techniques.


    After Zhou Can''s bone setting was upgraded to the second level, it was a big step forward.


    Whether it is theoretical knowledge or technical operation, there has been a great improvement.


    If he is asked to operate the wrist bone setting just now, he is sure that the reset will be successful once. Thinking back to the operation just now, some places where the operation was not in place, all jumped out.


    "Doctor Fu, does he need external fixation again?"


    "It''s just a joint displacement, no external fixation is needed after successful reduction."


    Dr. Fu is quite satisfied with Zhou Can''s operation.


    "I''ll prescribe you some medicine to strengthen your muscles and bones, just take it according to the doctor''s advice. This hand, you can''t lift heavy objects in the past one or two months, and you can''t do too violent movements, otherwise it will easily dislocate again."


    He explained to the patient.


    The patient kept them all in mind and nodded in agreement.


    Tuya Hospital has too many consultations in one day.


    There is a steady stream of patients, shoulder to shoulder.


    Zhou Can was in the maneuver reset room, learning the maneuver reset with Dr. Fu, and he was so happy.


    Sometimes when encountering difficult operations, or after treating two or three patients, Zhou Can will take the initiative to ask Dr. Zhang to operate.


    You can''t let him take all the benefits by himself.


    It is also because he is modest and eager to learn, and he is very measured in what he does and what he says, and he gets along well with Dr. Fu and Dr. Zhang.


    Especially Dr. Fu, who saw Zhou Can''s rapid progress with his own eyes.


    I like this young Gui Peisheng very much.


    Zhou Can can often explain some key points of manual reset. Compared with Zhou Can, Dr. Zhang''s comprehension is obviously much worse.


    However, Dr. Zhang has a postgraduate degree and has deep research on human bones.


    Zhou Can benefited a lot from the explanation of theoretical knowledge.


    I also admire Dr. Zhang very much in my heart.


    ¡­


    Before I knew it, it was past twelve noon.


    Patients are never exhausted.


    The operating hours of the manipulation reduction room are the same as those of the outpatient clinic. The period from 12:00 noon to 1:30 pm is a rest period.


    "Everyone go eat and rest first!"


    Dr. Fu Zhian had a bruise on the back of his hand, which made him unable to reset the patient himself.


    "I have to buy a bottle of potion and rub it. That kid almost killed me with one kick. Children these days are just too spoiled by their parents."


    He shook his head and was the first to leave.


    The nurse was the last to leave.


    Zhou Can was planning to go to the cafeteria for dinner with Dr. Zhang.


    But the other party seemed to be avoiding him deliberately.


    Said to go to the bathroom, but disappeared in the blink of an eye.


    It is human instinct to seek good luck and avoid bad luck.


    Zhou Can didn''t blame him.


    The orthopedic surgery department transferred him to the outpatient clinic for regular training, and did not arrange specific tasks for him. Someone with a little intelligence would be able to see the clues. Everyone is afraid of getting into trouble, so keep a distance from him during non-working hours to avoid suspicion.


    This is a wise move to protect oneself.


    After Zhou Can finished his meal, he had nowhere to go.


    I simply went back to the orthopedic surgery clinic, ready to read medical books with my mobile phone.


    His current identity is relatively sensitive, and staying in the doctor''s office will only make the atmosphere awkward.


    Therefore, the consequences of offending the leader are very serious.


    The leader doesn''t even need substantive suppression, he just needs to express his attitude in public, he hates you very much. Other colleagues will alienate you immediately.


    "Huh? Why didn''t that woman go through hospitalization?"


    As soon as Zhou Can arrived at the orthopedic surgery waiting hall, he saw the woman from Dashan sitting alone in the rest area.


    "Wei Fang, have you eaten Chinese food?"


    Zhou Can asked.


    She looked like a thirty-year-old woman, but her actual age was only twenty-one.


    It is very young.


    The women in the mountains live in difficult conditions, are often exposed to the sun, and do all kinds of heavy physical farm work. It is normal for them to look old.


    Regardless of skin, temperament, and grooming, all aspects are much worse than women in big cities.


    Some women who live in big cities have no worries about food and clothing, are well-maintained, and look like girls of twenty-five or six at the age of fifty.


    This Wei Fang''s appearance is also very ordinary.


    Absolutely not the word beauty.


    "without!"


    She shook her head at Zhou Can.


    "By the way, you bought food for me before, but the money for the meal hasn''t been given to you yet."


    I saw her left hand holding two crumpled bills.


    Obviously, it was prepared long ago, and it has been held in hand.


    Could it be that she has been sitting here waiting all this time just to return Zhou Can''s meal money?


    "It''s just a meal, it''s okay. Just treat it as if I treat you to dinner."


    Zhou Can refused to accept her money.


    He is not short of money, on the contrary, this poor woman should be in financial difficulties.


    "You are a good man, thank you. If one day you come to my hometown, I will treat you with the best food at home."


    She saw that Zhou Can was determined not to accept it, so she didn''t push it any further.


    It can be seen that her movement is inconvenient, and her broken ribs should have been pulled when she raised her hand, with a pained expression on her face.


    "Have you completed the hospitalization procedures?"


    Zhou Can asked.


    "No. My surgery cost more than 200,000 yuan, which is too expensive. I''m going home to take care of me. I was leaving a long time ago. I wanted to return the money for the meal to you. I don''t know where to find you. Just wait here."


    For her, more than 200,000 yuan is definitely an astronomical figure.


    "Your injury is so serious, how can you not treat it? You may become disabled in the future, do you know?"


    Zhou Can saw this kind of thing almost every day in the hospital.


    There is no money for treatment, or the treatment fee is too expensive, so the family members give up treatment.


    There are some children who heard that the treatment costs hundreds of thousands, and it may not be possible to save them. Ask the doctor directly to remove the tube.


    It is helpless, but also a kind of selfishness.


    One mother raises seven children, but it is difficult for seven children to raise a mother. This is the real situation that can often be seen in today''s society.


    "Doctor Zhou, thank you for your concern. I really can''t afford that much money. Doctor Chi said that if my bone injury is not treated, as long as I pay attention to rest, my life should not be in danger."


    She stood up with difficulty.


    "goodbye!"


    Dragging his seriously injured body, he walked towards the exit.


    Looking at this scene, Zhou Can actually felt very uncomfortable.


    More than 200,000 yuan, he can take it out.


    But he is not related to this woman, he is not the savior. There are too many people in the hospital to save, and he can''t save them.


    At this time, he suddenly thought of one thing.


    "Wei Fang, wait a minute!"


    She turned around with difficulty and looked at Zhou Can.


    "Do you have anything else to do?"


    "I want to ask you, if I pay for your treatment in advance, and then when you recover from your injury, I will be my girlfriend''s bodyguard, would you like it? Of course, the treatment fee will be reduced from your monthly salary." Slow deduction."


    Zhou Can is a trainer himself, and he can feel that even if this woman has never practiced, she has very good physical fitness.


    She was able to recover a life from the wild boar''s attack, which is enough to show that her skills are very good.


    When an adult wild boar goes berserk, even the largest Siberian tiger will stay away.


    The world''s top boxing champion, is he powerful enough?


    In front of the tiger is a snack.


    So, don''t think that humans can defeat wild beasts.


    Under normal circumstances, a gray wolf can easily kill a full-grown male.


    Zhou Can has long wanted to find a bodyguard for his girlfriend.


    Looking for a male bodyguard, there is no need to worry about strength, but he is afraid that he will be greened if he is not careful.


    This must be avoided.


    Finding a female bodyguard is ideal. The security company has specially trained female bodyguards, but the price is not affordable by ordinary people.


    The girl from Dashan in front of me is a good candidate.


    Judging from some of her performances, she has a pure heart and a kind heart. In fact, a filial person, whether male or female, has a good character.


    Then, her skill should be pretty good.


    Hiring her to protect Su Qianqian is a very good choice.


    "I, I have to take care of my grandma at home, so I can''t stay too far away from home."


    She was obviously moved by Zhou Can''s proposal.


    In her twenties, if she had a choice, how could she be willing to become a cripple?


    "Don''t worry, just take your grandma to live in the city. In this way, you can work and earn money, and take care of your grandma."


    Zhou Can waited for her to make a decision.


    She bowed her head and thought for a while, and finally made up her mind.


    "Can you...give me a salary of 3,000 yuan a month? The cost of living in the city is too high. I''m afraid I won''t be able to support my grandma."


    "As long as you work hard, I will give you a basic salary of 5,000 a month, plus bonuses."


    Zhou Can said with a smile.


    He has been influenced by his parents since he was a child, and he is well versed in some of the skills of asking people to do things.


    For example, if you plan to pay a salary of 10,000, the basic salary can only be set at most 5,000.


    The remaining five thousand was set as a bonus.


    Well done to get it.


    In this way, the enthusiasm of employees can be fully mobilized.


    "Great! I agree."


    She was very happy to hear that she could get 5,000 a month.


    Banknotes are really a good thing.


    Money can turn ghosts around.


    Few people can resist its temptation.


    "But... I''ve never been a bodyguard. If I don''t do well, how can I pay you back?" She was worried.


    "You can think of this, which shows that you are a good girl with integrity and kindness. Don''t worry, I think your physical fitness is good, and I can teach you if you don''t understand. As long as you study hard and work hard, you will definitely be able to do well. "


    Seeing that she agreed, Zhou Can took advantage of the fact that she was not at work yet.


    An agreement was drawn up on the spot, and she was asked to sign and press her fingerprints.


    Then she paid her treatment fee in advance and hired a nurse, so she was able to be admitted to the hospital.


    ¡­


    The days passed like this day by day.


    After Wei Fang was hospitalized, Zhou Can approached Director Shen to speak well, and quickly decided on an operation plan for her, and the operation was carried out the next day. Director Shen himself performed the operation. I heard that doctors from cardiothoracic surgery were also invited to perform joint surgery.


    Fortunately, the operation was very successful.


    Her body is also recovering rapidly.


    Zhou Can''s harvest in the orthopedic surgery clinic is quite good these days.


    The experience value of bone setting is increasing rapidly.


    He has learned a lot about the restoration of various fractures, joints, and spine.


    Originally, I thought that I would be satisfied if I could upgrade my bone setting to level three in sixteen days.


    Unexpectedly, in less than five days, his bone-setting surgery was successfully promoted to the third level, which is a real resident level.


    Dr. Fu Zhi''an saw that his understanding was excellent, and his bone setting and reduction techniques were also different every day.


    Even much smarter than Dr. Zhang.


    Therefore, Dr. Fu gave Zhou Can more opportunities to practice.


    In this way, Zhou Can''s bone setting experience value increased even more terrifying. Today is the eighth day I can get off work, and he has helped twenty-three patients to successfully reset their bones.


    Sometimes, some patients need plaster fixation after bone setting reduction.


    He can also earn 1 point of experience in fracture external fixation along the way.


    Dr. Xie''s suppression of him turned into a kind of fulfillment instead.


    "Doctor Zhou, at your rate of improvement, you may be able to complete most bone-setting reductions by yourself in just one month. You are the most talented doctor I have ever seen."


    Dr. Fu couldn''t use too much strength because of his hand injury a few days ago.


    Many bone setting reductions are done by Zhou Can or Dr. Zhang.


    He has seen Zhou Can''s progress these days.


    He couldn''t be happier to have such a powerful assistant to help share the burden.


    At this time, Zhou Can''s phone rang.


    Looking down, it was the call from Director Lou of the emergency department.


    "Hi Director Lou!"


    Zhou Can respected Director Lou very much.


    "You go to the hospital office immediately."


    Judging from Director Lou''s tone, he was very anxious.


    However, he has always been in a hurry.


    "Okay, I''ll be there right away."


    Zhou Can secretly wondered, why did he suddenly ask him to go to the hospital?


    In his impression, the hospital office is a very high-end place. Let alone a small-scale Pearson, doctors at the attending level seldom go there.


    Not to mention anything else, just meeting a school-level leader at random is enough to make one''s legs weak and flustered.


    The medical department is more like a local government office.


    The hospital office is one of the central yamen. Although they are all under the leadership of the dean, the difference is actually quite big. The division of labor is also completely different.


    It''s a blessing, not a curse, and it''s a disaster that can''t be avoided. Once you get there, you''ll know what''s going on.

 Chapter 135： 1 move to unload her craving

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    Director You was beaten violently this time, so it was bad luck.


    Because Director Xie''s rank and status are very high, it is not good for Director Fang to criticize Director Xie directly. The only way to euphemistically express the opinions of the hospital is by killing chickens to scare monkeys, or knocking mountains and shaking tigers.


    After Zhou Can came out of the hospital office, he looked at Director Lou very gratefully.


    "Director, thank you for standing up for such a small person like me."


    He didn''t address Director Lou, but used the more intimate title of Director.


    It also shows his heart, he is from the emergency department.


    "Do you still know that I am your director? Before leaving, what did Dr. Xu tell you? If you are wronged outside, you can go back to the emergency department to find support at any time. Do you not treat the emergency department as your mother''s home? Or are you worried about the emergency department?" Ke is too weak to support you?"


    Director Lou was very angry.


    What he said made Zhou Can''s nose sore with emotion.


    It is a fact that the mother''s family is weak.


    But today, Director Lou showed him the attitude of his mother''s family.


    Even in the face of such a powerful enemy as Director Xie, Director Lou did not hesitate to "help the coffin to fight" for him, and directly challenged Director Xie with a letter of resignation.


    What kind of firm determination is this?


    In fact, Director Lou could have chosen ''Gou'', because he is the director of a major department, no matter how poor his status and income are, he can live a better life than most doctors.


    He stood up resolutely, in order to tell Zhou Can, "No matter how weak your mother''s family is, they will do their best to protect you."


    "Study hard in surgery and work hard. Director Xie puts interests above everything else. Although he promised not to embarrass you under pressure today, there will definitely be small tricks. And he will do it more covertly. You have been treated unfairly. , Feedback to me or perhaps the doctor at any time."


    Director Lou also knew that Zhou Can and Dr. Xu were closer.


    "Let''s get off work!"


    Director Lou patted him on the shoulder and walked straight away.


    Zhou Can kept watching Director Lou leave before turning around.


    This is respect from the heart.


    I have to admit that what Director Lou did today really moved Zhou Can deeply.


    Some people like to use rhetoric to express their sincerity, while others like to use practical actions to prove their sincerity.


    It wasn''t until today that I found out that Director Lou turned out to be a silent man.


    Zhou Can took out his phone to check.


    I just sat in the meeting and felt the phone vibrate several times.


    Someone should be sending him frequent messages.


    "Honey, it seems like a man wearing a peaked cap has been following me!"


    "In about seven or eight minutes, I''ll be at the gate of your hospital."


    "The man was driving a black Volkswagen and was following the taxi I was in. I was a little scared."


    "Are you off work? Can you pick me up at the main entrance of your hospital?"


    A total of four messages were received from Su Qianqian.


    The first one was posted half an hour ago.


    She should have taken a taxi from the company to meet Zhou Can just after get off work.


    Su Qianqian has rich social experience.


    If he didn''t feel in danger, he wouldn''t have sent Zhou Can messages for help so frequently.


    She was never a squeamish girl.


    Several times, she was followed by Ma Zai and even blackmailed, and she only told Zhou Can afterwards.


    That''s why Zhou Can was in a hurry to find a female bodyguard for her.


    "Send me the location, I''ll be right there."


    A surge of anger rose in Zhou Can''s heart.


    There are always some dregs of society who think about doing evil things all day long.


    Su Qianqian has quickly become popular on major entertainment platforms, and opened her personal Douyin account at the end of last month. A total of six live broadcasts were conducted, the number of fans exceeded 2 million, and the peak number of viewers during the live broadcast basically remained at around 180,000.


    According to her own description, the Douyin account can increase by 300,000 to 400,000 followers every day.


    Especially when doing live broadcasts, the number of fans increases the fastest.


    Zhou Can didn''t know much about these, so he had no idea.


    Just hearing that his girlfriend''s career is getting better and better, and she is becoming more and more confident, Zhou Can is very happy for her.


    Su Qianqian quickly sent a coordinate location.


    It is very close to the hospital.


    Zhou Can was already running towards the main entrance of the hospital.


    "Just turn on location sharing!"


    Zhou Can directly applied to share location with her.


    The two rushed in both directions.


    Not long after, a taxi parked steadily in front of the hospital.


    Su Qianqian opened the door and got out of the car.


    Loose Korean style clothes and sunglasses are the standard equipment for her to go out and have a tryst with Zhou Can.


    Being a star is actually hard work.


    We must guard against those ubiquitous paparazzi, sneak shots, and unpredictable dangers.


    Many people think that celebrities are very rich, just like a mobile ATM machine, and all kinds of criminals are hard to guard against.


    "Can!"


    Su Qianqian looked at Zhou Can who was running over, and waved happily at him.


    She is paying the fare and asking for a ticket.


    A black Volkswagen came at a high speed, braked suddenly, and stopped firmly behind the taxi.


    Zhou Can narrowed his eyes slightly, staring at the car.


    Volkswagen Huiang, the price is around 400,000.


    Explain that the other party is not a poor person.


    There were three men sitting in the car, the driver and the man in the co-pilot seat were all young, no more than thirty years old.


    No wonder Su Qianqian felt scared.


    The three strong men are fully capable of forcing her, a weak woman, into the car and take her away.


    The young man in the co-pilot quickly got out of the car and opened the rear door.


    I respectfully ask the man in the back seat to get off the car.


    I saw a man in sunglasses wearing hair cream and combed hair ''wow'' coming out of the back seat, wearing a black suit and shiny leather shoes.


    With this attire, he doesn''t look like a boss, but more like a bodyguard or a gangster.


    There is also something very funny.


    Driving a car worth around 400,000 yuan, being the driver and being accompanied by an assistant, is more like trying to pretend to be a rich and wealthy old man, but because the hardware has not kept up. So the effect is greatly reduced.


    "Miss Su often comes to Tuya Hospital just to see this doctor?"


    The man in sunglasses walked straight over, staring at Su Qianqian.


    "How many people are there?"


    Zhou Can directly ignored the man''s muscular body.


    A real master is never a muscular man.


    However, muscular development can greatly improve the ability to resist blows.


    For a normal person, if the waist is hit by a leg, it is easy to break the ribs. For a professionally trained muscular man, even if he doesn''t use his arms to protect his waist, it won''t hurt him if he gets a leg.


    Su Qianqian half hid behind Zhou Can, this was her instinct to face danger.


    In her mind, Zhou Can is like the sky.


    Can bring her the strongest sense of security.


    "Hehe, it''s nothing serious, but the brothers are worried that Ms. Su''s career is in full swing and she is popular on all major networks. If people find out that Ms. Su has a boyfriend, hehe, this is a surprise!"


    The middle-aged man reached out and wiped his shiny hair.


    "Anything else?"


    As soon as Zhou Can heard it, he understood that they were just a few social dregs who wanted to extort money and make easy money.


    He never talks nonsense when dealing with this kind of person.


    Not to be weak.


    Otherwise, these people will just be like blood-sucking flies, never stop until they **** your blood dry.


    In the face of all crimes, when conditions permit, never compromise.


    Otherwise, if you can bully you once, there will be a second and a third time.


    In the school, some honest children were blackmailed by the school bully. The first time they gave money, there would be countless times in the future. The girl, who was bullied by hooligans, swallowed her anger, and did not call the police immediately because of face or fear of revenge. In the future, he will be bullied countless times, until he finally becomes a plaything of hooligans.


    "Boy, why are you talking to my elder brother?"


    The boy who pulled the car door pointed at Zhou Can and yelled at him.


    "roll!"


    Zhou Can didn''t waste any extra nonsense.


    "Who are you scolding? Believe it or not, how many times have you crippled you?"


    This twenty-five boy has a flame weapon that looks like a vicious dog.


    His fingers almost poked Zhou Can''s nose.


    Fortunately, he didn''t poke it, otherwise, Zhou Can would teach him to crawl and behave in the next second.


    "Qiangzi, don''t scare them. Ms. Su is a big star, so she''s timid. The boyfriend she found is also soft-skinned and tender, and he looks like a social sheep."


    After pulling Qiangzi back, the middle-aged man looked at Su Qianqian behind Zhou Can.


    "Miss Su, our requirements are not high. Seeing that you are a big star and don''t even have a bodyguard, the brothers want to make a living under your hands. In the future, when you go to any place, the brothers will **** you to ensure that you are ordinary. An An, all kinds of horsemen and social men who try to trick you will be blocked by the brothers."


    The middle-aged man originally had this idea.


    Zhou Can''s parents run a processing factory, and they have encountered such people before.


    A group of local unemployed youths said that they wanted to work as security guards for the processing factory. The result was rejected by Zhou Can''s father.


    Those people started to make trouble with all kinds of dirty means.


    Zhou Can''s father can still enjoy himself in the local area.


    I invited a well-respected local local snake, plus the director of the county seat, to have a meal together. Of course, those unemployed youths were also ''invited'' over for dinner together.


    There is only one purpose, to let these unemployed youths weigh their own weight.


    During the banquet, both local snakes and the director of the district expressed their views, and whoever makes trouble again will make trouble.


    Since then, no idle youth dared to make trouble in Zhou Can''s processing factory. It has also been running stably so far.


    Zhou Can didn''t want to know the origins of these three people.


    He is just a small doctor in the provincial capital with limited energy.


    Learning from his father''s trick, he doesn''t have the strength at all.


    Right now, I can only take one step at a time, and I will sternly reject it first.


    After all, it is a society ruled by law. As long as he handles it carefully, he is confident that these people will finally give up their crooked ideas.


    "We don''t need any security guards, goodbye!"


    Zhou Can put his arms around Su Qianqian, turned around and left.


    "etc!"


    The middle-aged man put his hand on Zhou Can''s shoulder with great strength.


    Zhou Can was worried that he would not have a chance to do it.


    This person took the initiative to attack, and his chance to stand up finally came.


    Wei Wei pushed Su Qianqian forward, and then Zhou Can turned around quickly, grabbing the middle-aged man''s arm and pulling it hard.


    Click!


    There was a muffled sound of shoulder dislocation.


    "Uh... ah"


    The middle-aged man hangs his right arm in horror, and quickly backs away to distance himself from Zhou Can.


    "Brother Kun, what''s the matter with you?"


    Qiangzi didn''t even see clearly how Zhou Can shot.


    With just one meeting, his eldest brother has become a disabled person.


    "This kid knows kung fu!"


    The middle-aged man turned pale from the pain, and looked at Zhou Can with horror.


    Zhou Can used to hit people with fists to the flesh. Recently, I learned orthopedic surgery in the manual reduction room, which can be regarded as a small achievement.


    Have a deep understanding of the arm joints of the human body.


    Coupled with his martial arts foundation, the combination of the two did not expect the striking effect to be surprisingly good.


    With just one move, the man''s arm was easily removed.


    Qiangzi thought of pointing at Zhou Can''s nose and screaming there. Can''t help being afraid for a while.


    A dog that bites does not bark.


    I didn''t expect Zhou Can''s strength to be so terrifying.


    At this moment, after Zhou Can dealt with Brother Kun with one move, his eyes swept over the three of them. Including the young driver who just got out of the car and wanted to come over to help.


    "One counts as one. Don''t think about making quick money every day. Find a serious job and do it, or you will end up in jail sooner or later."


    After Zhou Can warned the three dregs of society, he took Su Qianqian away.


    Keeping away for a long time, Su Qianqian held his arm tightly and said, "You were so handsome just now! Those three people have been following me since I left the company. And they have been guarding me for many days. I am very scared. No Thinking of being cowardly in front of my husband, haha..."


    She was very happy that the fear that had been in her heart for many days was relieved.


    I also rely more on Zhou Can in my heart.


    "Hehe, it''s just a few idlers in society, and that person has no muscles." Zhou Can defeated his opponent with one move, but he didn''t think it was a big deal.


    There are many real masters. When he was learning free boxing, he met many people he couldn''t beat.


    However, those people generally seldom go astray.


    All have legitimate jobs.


    The commission and bounty for playing a game is enough to nourish them for several years.


    "It''s you, you used a word just now very well!"


    "Which word?"


    She looked up at Zhou Can.


    "Husband is a good word!" Zhou Can said with a smile. "In ancient times, even if a marriage contract was made, they could only be called fiances. Only after they got married, they were husband and wife, and they would use the two titles husband or husband. Lady, do you want to get married?"


    Zhou Can has been in love with her for some time.


    The relationship between the two deepened day by day.


    Zhou Can can accept the marriage certificate.


    But this must be discussed with both parents first.


    At present, Zhou Can has not told his parents.


    "Hmph! Not at all!"


    Her nose was slightly wrinkled, obviously she couldn''t help herself.


    "Honey, I have good news for you. I received my salary today and finally paid off all my debts!"


    It seems that Zhou Can''s guess is not wrong, she really has the idea of ??getting married.


    Zhou Can was somewhat surprised to hear that all her debts had been paid off.


    "It''s only been a few months for a foreign debt of more than 300,000 yuan? Will it be paid off in less than three months?"


    In other words, doesn''t she have a salary of more than 100,000 yuan a month?


    Zhou Can''s current salary, plus various subsidies, is only more than three thousand.


    The wage gap between the two sides is also too big.


    "I got nearly 200,000 yuan this month, and I think it will be more next month. How is it, isn''t your wife amazing?" She was so happy that she changed her address from girlfriend to wife.


    Zhou Can laughed for a while. It seems that this little girl is really eager to get married after paying off her foreign debts.


    "Tsk tsk, 200,000 a month, and the annual income of the poor chief physician in our hospital is only 150,000 to 100,000 to 60,000. You are really outstanding!"


    He was really happy to hear that his girlfriend had such a high income.


    "Qianqian, do you want to get married?"


    Zhou Can looked at her seriously.


    "Well! My debts are paid off, I have no pressure, and I really want to have a real home. At that time, I can also give myself completely to you. I heard that you men are easy to run outside after holding back for a long time Steal."


    She admits it.


    In fact, in front of Zhou Can, she couldn''t hide some of her thoughts at all.


    Because Zhou Can''s IQ is too high, and his insight is also extremely strong.


    "I only have a salary of 3,000 a month Your monthly income of 200,000 is even higher. Don''t you feel bad for marrying me?"


    Zhou Can teased her with a smile.


    "Don''t say you are three thousand a month, even if you are heavily in debt, I am willing to stay with you forever. In my most difficult time, it was you who saved me from the darkness. In this life, I only recognize you as a man , and there will only be you as a man."


    She stared at Zhou Can affectionately, and said very emotionally.


    "Thank you for loving me so much!"


    Zhou Can hugged her and they kissed passionately.


    After a long time, the two separated, and her pretty face was blushing.


    "Chan, although I can''t wait to marry you right away, but my body...I''m afraid I will hurt you. Let''s get married after my kidney disease is cured, okay?"


    She should have thought about this deeply.


    The reason why love is fascinating is because it is great and selfless.


    This kind of wholehearted consideration for each other is difficult even for parents.


    It is not an exaggeration that husband and wife are the closest people to each other in this world.


    She especially wants to marry Zhou Can and have a real home. But I was worried that Zhou Can would be hurt.


    "I don''t care. Isn''t there a clause in the marriage vows that no matter poverty or illness, you will never leave and take care of each other for the rest of your life?" Zhou Can loves her.


    He will do everything possible to cure her kidney disease.


    At present, her kidney disease is only in the compensatory stage, and her kidney function has not been significantly damaged.


    It would be best if medication could cure it.


    If the condition gradually deteriorates, a kidney replacement must be considered.


    With the current medical technology, as long as there is a suitable kidney source and enough money to support it, it is not difficult to replace the kidney.


    Therefore, her worries are completely unnecessary.

 Chapter 136： Surprising dividend income, laughing patient

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    "I have learned that if you have this disease, you cannot have children. I know that you are a very affectionate person. If you are not married, you can have more choices. Once you are married, I am afraid to drag you down. Believe it Neither will your parents."


    She has concerns on many levels.


    "Give me a little more time. After my illness is cured, let''s hold the wedding, shall we?"


    Su Qianqian raised her head and looked at him pleadingly.


    "good!"


    Zhou Can nodded in agreement.


    In his heart, he secretly made up his mind to find a suitable kidney source for her.


    It is right to prepare for the worst in everything.


    In fact, in Tuya, various patients die every day because of ineffective rescue. Especially for some patients who died of injuries caused by car accidents, many of their organs can be used for transplantation.


    save the lives of other patients.


    But very few people are willing to donate their organs.


    Not even a thousandth.


    At present, some transplant organs that are in short supply in China, kidney, heart, cornea, and bone marrow, these four should be at the forefront.


    The demand is great.


    Many patients die without waiting for organs for transplantation.


    Special mention should be made of the lungs.


    It is one of the most important organs of the body.


    Its demand even far exceeds that of the heart and kidneys.


    It is not included because the prognosis for lung transplantation is generally poor. Don''t look at some big hospitals claiming that the success rate of lung transplantation is over 80%.


    The success rate of lung transplantation is indeed very high.


    However, after transplantation, many hospitals avoid the most important aspects of the patient''s life cycle.


    Let''s just say that after the transplant operation, it is good luck to live for five years.


    Kidney and heart transplants were successful, and the life expectancy of the patient was hardly affected.


    Many people are curious, why is the survival period so short after successful lung transplantation?


    Because the lung is currently recognized as the organ with the most severe rejection after transplantation.


    none of them.


    There are many reasons for this.


    For example, lung transplantation has very low typing requirements, as long as the blood type matches. For kidney transplantation, at least blood typing, tissue typing and cross-matching are required.


    Best of all, there are six matching item checks to be done.


    Therefore, don''t think that you can toss your lungs at will if you have money. In the event of a serious problem, money cannot buy a second healthy lung.


    "Chan, let''s not talk about these unhappy things. I finally paid off all my foreign debts today, and I am very happy. I will buy vegetables and cook them for you at home, okay?"


    That house has now become the duo''s love nest.


    Zhou Can didn''t live.


    However, the two often meet at home, watch TV, cook together, and enjoy a happy life as lovers.


    The two bought some vegetables and a beer, and went home to celebrate with her.


    As a result, Zhou Can was halfway through washing the vegetables when Li Lao called.


    "Brother Luo, do you miss me?"


    Zhou Can said with a smile.


    Since the company started by the two of them gradually got on the right track, Li Luo became busier and busier.


    The two also occasionally have dinner together.


    Or Li Luo took the initiative to call Zhou Can to talk about the company''s situation.


    Zhou Can regards money as a relatively light person, coupled with the emphasis on friendship, he fully trusts Li Luo. Zhou Can almost never asked about the company''s affairs.


    Even when Li Luo reported important financial data to him, he directly threw a word to Li Luo. I don''t worry about your work. Don''t tell me about these things in the future. If you make money, just share half of it with me.


    Zhou Can is really not interested in doing business.


    If you have time to listen to those troublesome financial statements, you might as well practice his medical skills.


    "We haven''t had a drink together for a while, and I really miss the days when we used to chat with you. The company is in a period of rapid development, and I can''t leave at all! Hiring a business manager is useless at all, and everything has to be done. Teaching by hand."


    Li Luo complained to him.


    "Just teach it! Be patient!"


    Zhou Can couldn''t help with these matters.


    "Haha, you just drew a cake for me! It seems that I have to work harder and teach the business manager as soon as possible, and then I can relax a lot."


    Li Luo''s laughter is so hearty, he should be in a good mood.


    "The accountant hired by the company calculated all the financial income and expenditure of the first three months today. After excluding taxes, venue rent, staff salaries, costs for recording new songs, and various operating promotion expenses, the company''s net profit is 10.6432 million yuan .¡±


    Jin Entertainment has now recruited nearly twenty employees, which is considered small.


    Zhou Can couldn''t help being frightened.


    "There is such a high profit! Bro, am I dreaming?"


    In three months, including the initial stage of development, he earned a total of more than 10 million yuan.


    "When I asked you to start a company together, I told you that running an entertainment company is quite profitable. But in this business, you lose money quickly. We will split the net profit in half, and you will get 5,321,600 yuan. This money will be distributed according to the company''s dividend method. It will be transferred to your account. At present, the domestic dividend tax is quite heavy, about 20%. The company will declare and pay for you, or do you do it yourself?"


    Corporate dividend tax has always been a pain point for many bosses.


    If you earn 1 million, you have to pay 200,000 in taxes.


    Who doesn''t feel bad?


    Many bosses can''t accept it.


    "Let the company do it for me. I don''t understand the procedures."


    Not long ago, Zhou Can was lamenting Su Qianqian''s high income.


    Looking at it now, how can an employee earn as much as a boss!


    "Speaking of this dividend tax, there are some legal ways to avoid it. If you want, come to the company with your ID card on weekdays, and I will teach you how to avoid taxes reasonably."


    Li Luo is a senior figure in the entertainment industry.


    All kinds of doorways are very clear.


    Zhou Can was naturally willing, saying that he would ask for leave for the next two days to go to the company.


    "The dividend this time is more than 5 million. After deducting taxes, there are only 4.26 million left. Is it enough for you to pay off the bank loan?"


    Li Luo knew that Zhou Can had borrowed a total of 4.5 million from the bank.


    Later, the two invested in the company, and the initial investment of both parties was 4 million each. In the first month, Li Lao discussed with Zhou Can, and each of them invested an additional 300,000 yuan.


    Even if Zhou Can didn''t spend a penny, he only had 200,000 yuan left in his hand.


    In fact, the bank''s monthly installment repayment is also a considerable expense.


    "Don''t worry, enough is enough."


    Zhou Can''s family background is quite solid.


    Take out two or three hundred thousand, no problem at all.


    This is still the case when you don''t ask your parents.


    "Well, if you don''t have enough money, you can get it from me at any time."


    Li Luo should not be particularly rich, but with a few million, he is fully capable of that.


    After the two finished talking, Zhou Can was excited.


    The loan can finally be paid off.


    Every day after that will be a good day.


    According to the development momentum of Jinyu Media Company, Zhou Can''s wealth may even exceed that of his parents.


    ¡­


    The next day, Zhou Can went to work in the hospital.


    There was already a long queue outside the manual reduction room.


    There are a large number of patients here from all over the world every day, and joint dislocation is the most common. There are also patients who need manual reduction in the pelvis, lumbar spine and other parts.


    Soon, Dr. Fu and Dr. Zhang also arrived.


    The day''s work of treatment began again.


    Zhou Can has now become a member of the manipulation recovery room.


    All kinds of methods of reset are basically competent, and they are getting better and better.


    "What team are you joining?"


    "Old woman, dare to say one more thing, believe it or not, I will break your other leg?"


    There was arguing outside.


    People who jump in line are arrogant and domineering.


    Doctors and nurses are particularly disgusted when encountering such people who jump in line.


    After Zhou Can treated the patient in his hand, he turned and looked outside the door.


    Immediately happy.


    Also said who jumped in line here? It turned out to be the social scum that he unloaded yesterday!


    The two younger brothers accompanied that brother Kun to see a doctor.


    These three men were vicious and deliberately exposed the tattoos on their chests or arms, which frightened other patients so that they dared not speak out.


    "Sir, please go to the back and line up."


    The nurse sister heard the quarrel and hurried over to persuade her.


    "Little sister, do you know who this is? Your dean is an acquaintance with Brother Kun, what''s wrong with joining the team? It''s for these people''s face."


    This is the virtue of social youth.


    Usually, they are used to it, except that they dare not be arrogant in the police station, there is no place where they dare not smash the table.


    "Our Brother Kun just accidentally fell and dislocated his shoulder joint. Just ask your doctor to pick it up. It will take less than two minutes."


    Another younger brother also followed suit.


    "If everyone jumps in line like you, how can we maintain order. Please line up at the back, otherwise I will have to call the security guard over."


    It was obviously not the first time for the nurse to deal with the problem of jumping the queue, and she was not intimidated by the three.


    Insist on three people to line up at the back.


    "What are you talking about? You call the security guard to try it. If you mess with us, you won''t have any good fruit to eat. One day when you get off the night shift, the brothers will take you to the hotel directly, believe it or not?"


    That social youth named Qiangzi is simply a fighting chicken.


    The ability to threaten and scold is the best in the world.


    Not to mention, the nurse girl is in her twenties. Seeing that these three people don''t look like good people, I felt a little guilty in my heart.


    Now that she heard that these three hooligans were going to block her on her way home from get off work, she immediately became a little scared.


    "Honestly, go to the back and line up!"


    As soon as Zhou Can appeared, Brother Kun was the first to recognize him.


    His face changed slightly, and he subconsciously stepped back.


    The two younger brothers also recognized Zhou Can at this time, and their faces also changed drastically, and their arrogance was completely extinguished. Honestly helped Brother Kun to line up at the back.


    "It''s better to say what the doctor said!"


    "Young man, good job!"


    The old lady in the wheelchair gave Zhou Can a thumbs up.


    Other patients and family members who lined up also praised Zhou Can''s behavior.


    Justice is at ease.


    When justice, public order and good customs are upheld, most people will feel happy.


    "Doctor Zhou is not only good at treating diseases, but also good at dealing with people who jump in line!" The female nurse praised him with a smile.


    "Hehe, that''s because they have a guilty conscience."


    Zhou Can smiled and entered the manipulation recovery room.


    After treating about 20 patients, it was finally the turn of Brother Kun to treat him.


    After entering the operating room, when the three of them looked at Zhou Can, they were still full of fear.


    Brother Kun looked even more embarrassed.


    The one who hurt him was Zhou Can, and the one who treated him was still Zhou Can.


    This feels like the owner of a tire repair shop deliberately throwing nails on the road. Let someone else''s tire puncture, and then go to his shop to repair it?


    Zhou Can grabbed Brother Kun''s arm, slowly rotated it, and then pushed it up.


    Click!


    The shoulder joint is perfectly reset.


    The whole operation was fast and nice.


    "This arm hangs around the neck for at least a month. Remember, don''t play around in the future, or you may break the other arm or even your legs next time."


    Zhou Can warned Brother Kun and others with a deep meaning.


    "Ok ok!"


    Brother Kun was terrified of him.


    He nodded repeatedly.


    It was already so painful to have an arm removed by Zhou Can. If he had his legs removed next time, he would be paralyzed on the street immediately.


    It''s scary just thinking about it.


    When going out, Brother Kun was a little anxious because he was leaving, coupled with fear in his heart.


    Accidentally tripped over the ground wire at the door.


    Staggered and almost fell gorgeously.


    Fortunately, he finally held on to the wall.


    "Brother Kun, are you okay?"


    The two younger brothers hurried forward to help.


    "Damn it, two stupid pigs who are like logs don''t know how to support them."


    Brother Kun couldn''t help scolding fiercely.


    Fortunately, he didn''t fall down, otherwise the arm that was just connected might be dislocated again.


    Seeing the backs of the three leaving, everyone smiled.


    "It deserves you to scare me!"


    The female nurse cursed at the backs of the three of them.


    It seemed that the threat of the three of them to block her on her way home from get off work still frightened her.


    The three had just left when another patient came in.


    I saw that the patient''s mouth was twisted in a strange shape, which looked extremely weird.


    It''s a bit like the distorted face shape caused by polio.


    But he seems to be walking normally.


    Generally speaking, polio is extremely harmful, involving deformities in multiple body parts.


    Especially hands and feet, spine and so on.


    "What''s his problem?"


    The accompanying family members hurriedly gave the film to Zhou Can and explained at the same time.


    "My brother didn''t know what happened when he laughed, and his mouth suddenly became like this. After taking a picture, it was said that it was a dislocation of the temporomandibular joint."


    Zhou Can took the film and examined it carefully.


    The family member asked next to him, "Doctor, what part is the temporomandibular joint? Does it mean the chin?"


    "right!"


    Zhou Can nodded.


    He spent eight days in the manual reduction room, and this was the first time he encountered a patient with a dislocated jaw.


    Someone often jokes that when you smile so proudly, be careful not to drop your jaw.


    Actually this is true.


    The temporomandibular joint is one of the most complex joints in the body.


    Sometimes laughing too loudly, or yawning, opening the mouth too wide when eating. For example, when biting an apple, you open your mouth wide and try not to eat half of the apple in one bite.


    These behaviors are actually very dangerous.


    If you are not careful, you may dislocate your jaw.


    Therefore, it is best to be subtle when laughing, and be careful not to drop your jaw when you are too proud.


    "Doctor Fu, please take a look!"


    Zhou Can has never reset such patients, nor observed them, so naturally he dared not act recklessly.


    Now he is familiar with Dr. Fu.


    When encountering this kind of dislocation that he doesn''t understand, he doesn''t even need to explain it, Dr. Fu will teach him. UU reading


    After receiving the film, Dr. Fu looked at it.


    Pointing out two of them, he said, "Look, there is a problem here and here. A normal temporomandibular joint should look like this."


    He turned around and operated twice, and the picture of the temporomandibular joint of a normal person appeared on the light curtain dedicated to watching movies.


    Zhou Can made a careful comparison, and he already had a bottom line in his heart.


    However, the joint capsule is close to the ear, so Dr. Fu has to teach him how to operate it.


    "For this kind of joint reduction, you only need to support your chin, find the bone position of the joint with the other hand, and lift it up."


    While teaching, Dr. Fu touched the joint capsule of the patient''s side face with his hand.


    As soon as it was touched, the patient complained of pain.


    "Patience, we must first find the dislocation point, and then we can accurately reset it for you. If manual reduction cannot be performed, surgical reduction is required, and the cost is quite high. At least one week of hospitalization is required."


    Dr. Fu really wasn''t trying to scare the patients, the hospital''s treatment principles were indeed like this.


    At present, manipulative reduction is definitely an economical, time-saving and labor-saving treatment with the least damage.


    It is also the first choice for the treatment of various fractures and joint dislocations.


    If the conditions for manual reset are not met, then there is no other way.


    In addition, some patients are very delicate and extremely distrustful of doctors.


    The family members of such patients are generally more difficult to deal with.


    Asking questions, wishing to investigate the eighteen generations of the doctor''s ancestors clearly.


    When encountering such patients, doctors are also human beings with emotions.


    Sorry, you should go to the inpatient department and ask if there are any beds! If there are beds available, we will arrange inpatient surgical treatment for you. If there is no bed, I can only trouble you to wait.

 Chapter 137： The Correct Answer of Knowing the Book and Dali, Neurosurgery

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    "Doctor Zhou, Doctor Zhang, pay attention to my reset technique!"


    After Dr. Fu touched the patient''s temporomandibular joint, his face was slightly dignified.


    If the operation is not too difficult, he will definitely let Zhou Can do it.


    Now I find that the situation is not very good, and the patient is not very good at talking.


    He can only do it himself.


    "Come on, sit with your back against the wall and your head against the wall."


    Doctor Fu guides the patient to sit down.


    "Yes, that''s it! Keep this posture and don''t move."


    After the patient sat down, Dr. Fu asked the nurse to fetch two pieces of clean gauze. Then wrap the thumb and insert it into the patient''s mouth.


    "Attention, when repositioning, the thumb clasps the patient''s posterior masseter muscle. This is the position."


    After Zhou Can and Dr. Zhang saw it clearly, he put his four fingers on the lower edge of the mandible.


    "Hold it with your fingers, and then slowly press down on the lower jaw. Remember, press down and back. While operating, you should also lift the patient''s chin up, just like holding a bowl of soup."


    This metaphor is really vivid.


    Zhou Can concentrates on studying.


    Carefully comprehend the key points of the operation and the intention of each action.


    "Have you seen my operation clearly?"


    "See clearly!"


    Zhou Can and Dr. Zhang nodded at the same time.


    "Very good! You relax, relax again! Yes, that''s it!"


    Seeing that the time was ripe, Dr. Fu gently pushed back. There was a slight bone-cracking sound.


    Immediately afterwards, Dr. Fu quickly pulled his finger out of the patient''s mouth.


    "It''s that simple! After helping the patient reset the joint, you must quickly withdraw your hand to prevent being bitten."


    When the patient''s temporomandibular joint is dislocated, he cannot bite.


    After the reset, the patient is prone to bite the doctor''s hand by virtue of inertia and instinct under the pain.


    Zhou Can understood it.


    The patient tried to open and close his mouth, and a very happy smile appeared on his face.


    "Haha, it''s really good, it''s good! Haha... uh uh uh..."


    The patient just laughed a few times, and his jaw dislocated again.


    This scene stunned several doctors and nurses.


    "Dislocation will cause the joint to loosen. You can''t laugh or open your mouth wide after the manipulation is reset. Just after you reset it, it fell off again. What can I do?"


    Doctor Fu was very speechless.


    I have never seen a patient who can do it like this.


    "Doctor, we usually buy a mobile phone, a TV, etc., and if there is a problem, we can enjoy the three-guarantee policy. My brother has just finished treatment and has not yet left the treatment room. You have to be responsible!"


    The patient''s younger brother is about forty years old. Instead of looking for problems from his elder brother, he directly moved out of the three-guarantee policy for home appliances.


    It was obvious that he wanted the doctor to treat him again for free.


    In fact, there are not many such cunning family members.


    As long as money is involved, they can be sloppy and will never be polite to doctors.


    "It stands to reason that he has been successfully reset just now. You should register and pay again for another treatment. I think it is not easy for you two, so the treatment fee will not be charged extra, and the consumable fee will be paid. No Question?"


    Dr. Foo gives the utmost care to his patients within the scope of his ability.


    "That''s no problem, thank you doctor."


    After hearing this, the patient''s younger brother smiled with satisfaction.


    Thank you again and again.


    Tell him to take another film and pay the treatment fee again, it will definitely turn the world upside down.


    "Doctor Fu, can I do the operation this time?"


    Zhou Can watched and studied the whole process just now, thinking that he had already comprehended the key points.


    Right now is an excellent opportunity to practice mobile phones, he wants to strike while the iron is hot and combine learning with practice.


    "OK!"


    Doctor Fu readily agreed.


    The family members were a little reluctant and said, "Is this young doctor okay? Don''t break my brother."


    "Don''t worry, he is the best young doctor in our department, no problem at all."


    Doctor Fu put gold on Zhou Can''s face.


    The family didn''t say anything more.


    Zhou Can imitated the example. After the patient sat down, he reset the patient according to Dr. Fu''s operation.


    I saw him hold the patient''s jaw and gently push it under the extremely distrustful eyes of the patient and his family.


    The sound of bone cracking sounded again.


    The temporomandibular joint was successfully repositioned again.


    "Works very well!"


    Doctor Fu praised him greatly. Zhou Can''s learning ability and hands-on ability are indeed the strongest he has ever seen.


    After the patient was cured, he dared not laugh again.


    Learn your lesson and be careful.


    Doctor Fu immobilized the patient''s jaw with gauze, explained some precautions, and prescribed medicine. The patient was sent away.


    In the following days, although Dr. Fu didn''t say anything, he obviously relied more on Zhou Can.


    Zhou Can got soft hands for various bone-setting and reset training opportunities every day.


    The level of bone setting reduction is getting better and better.


    Fulfilling days always pass very quickly.


    In the blink of an eye, Zhou Can''s regular training in orthopedic surgery was over. His bone-setting skills are now approaching the average level of a resident doctor.


    The orthopedic surgery department gave him excellent training evaluation.


    He was also the only one among the eighteen Gui Peisheng who received this evaluation.


    After get off work, Zhou Can went to the pharmacy to buy an old ginseng.


    He definitely can''t afford that kind of one hundred thousand, four hundred thousand.


    I chose the 3,000 gear.


    After buying it, wait at the exit of the staff parking lot of the hospital.


    Not long after, Dr. Fu came out driving a white Honda.


    Zhou Can hurriedly waved his hand to stop him.


    "Does Doctor Zhou want to give me a ride?" Doctor Fu asked with a smile.


    Zhou Can opened the co-pilot''s door and sat in directly.


    "Isn''t this the end of the orthopedic surgery training? I''m going to the neurosurgery training tomorrow, and I''m afraid it will be difficult to see you again in the future."


    After completing the training in orthopedic surgery, his next stop is neurosurgery.


    This was not arranged by himself, but by the hospital.


    "Haha, you have been with me for half a month, did you get emotional?" Dr. Fu drove the car slowly out of the hospital.


    It is unimaginable to block the entrance of the parking lot.


    None of the hospital staff dared to do such a frenzied thing.


    "I''m not afraid that you are disgusting. I really have such a trace of affection. It''s just the two of us, and I don''t beat around the bush. When I was first transferred to the orthopedic surgery clinic, I was like an abandoned baby. You didn''t avoid suspicion and asked me to learn bone-setting techniques from you. The kindness is very heavy. It is said that adding flowers is easy, but giving charcoal in the snow is difficult. I see that you have a lot of gray hair on your temples, and you must have worked very **** weekdays. This old ginseng is my little care, and I hope you don¡¯t dislike it.¡±


    Zhou Can took advantage of the opportunity and put the old ginseng in the glove box next to the main driver.


    "Oh, why are you giving such a valuable thing? Take it back quickly. I''ll accept your wish."


    Doctor Fu repeatedly refused.


    "It''s not worth a lot of money. I heard that old ginseng can replenish lean energy. I have no other intentions. I just hope that a good doctor like you will always be young. It can benefit more patients and bring out more new doctors."


    Zhou Can put a lot of thought into giving gifts.


    For more than half a month, Dr. Fu has taught him almost everything.


    Even if he opened a clinic, the bone-setting techniques he had learned would be enough for him to use for a lifetime.


    Sending him an old ginseng should be a good way to express his gratitude.


    "I live in the dormitory of the hospital. It''s just right to get off in front of me. Please stop."


    The gift Zhou Can should give and the words that should be said have been finished.


    Get out of the car immediately.


    "If you have time in the future, if you want to practice bone-setting reduction techniques, you can come to the manipulation reduction room to find me at any time."


    Dr. Fu stepped on the brake slowly on the side of the road.


    The old ginseng sent by Zhou Can has achieved very good results.


    At least, Dr. Fu knew that he was a sensible person.


    "That''s what you said. Only half a month of regular training in the manipulation reset room is definitely not enough to learn. If I have time, I will really go to the manipulation reset room to learn from you."


    Zhou Can was overjoyed, and hit the snake with the stick.


    It seems that the seniors are right, what is knowledge and courtesy? It is not enough to just know how to read, you have to know how to give gifts to get the appreciation of your superiors. Like a duck to water.


    At least this old ginseng was sent right.


    "Haha, no problem. You are such a good helper, and I welcome you at any time. As long as you come, I will give you everything I have." Dr. Fu stopped the car, and Zhou Can opened the door to get out of the car.


    "On the day you were transferred to the orthopedic surgery clinic, Director Shen actually greeted me, Dr. Chi, and Dr. Shan, asking us to take more care of you, so as not to waste a talent."


    Dr. Fu revealed another thing that made Zhou Can feel very heart-warming.


    Hospitals are not all about intrigue and competition for interests.


    There are still many doctors with a conscience.


    "Another day, I will thank Director Shen well. Thank you for telling me about this."


    Zhou Can waved his hand.


    "Drive slowly and be safe! Goodbye!"


    After closing the car door and watching Dr. Fu''s car drive away, Zhou Can smiled and turned to leave.


    There are many doctors who have basically lost contact with the superior doctors in the department after the training is completed.


    On the one hand, I have low self-esteem, and I dare not communicate with the superior doctor. On the other hand, most of the senior doctors are aloof, and it is impossible to be kind to every Gui Peisheng.


    Zhou Can is both outstanding and humble. It is not surprising that he is loved by many superior doctors.


    Those who really engage in medical research are rarely as calculating as Director Xie.


    Because in Tuya Hospital, doctors with a little ability will not have low income.


    When they meet some good seedlings, they like them from the bottom of their hearts.


    Zhou Can has currently trained two departments.


    Needless to say, the emergency department has been appreciated by Director Lou and Dr. Xie. This time I went to Orthopedic Surgery for regular training, and got the love and care of Director Shen, Dr. Fu, Dr. Shan, Dr. Chi and others, and established friendship.


    His network in the hospital is quietly expanding little by little.


    This will definitely be of great benefit to his future development.


    ¡­


    The next day, Zhou Can and Jin Mingxi reported to the neurosurgery department together.


    "Old Jin, our fate is really not shallow! We took the training exam together, entered the emergency department together, and the rotating departments are so similar."


    Zhou Can laughed and joked.


    "Hehe, it is indeed fate. The time for this orthopedic surgery training is too short. It would be great if I had the opportunity to learn more deeply from doctors in the field of joints."


    Jin Mingxi complained.


    "Guipui wants to master all fields, so you dare to think. We are very lucky to be able to enter the operating room. I want to learn surgical knowledge and advanced theories about bones and joints, and I want to become a resident doctor. After that, you can directly apply for advanced training in orthopedic surgery!"


    Zhou Can gave him a trick.


    From the current point of view, Jin Mingxi should have planned the development direction.


    "Hey, have you decided on an area of ??specialization?"


    Zhou Can asked him.


    "Well! I thought about it last night." Jin Mingxi nodded. "When I first joined Tuya, I still thought that I could learn a certain level of medical skills in every subject, and strive to be a general practitioner. During the three months in Tuya Guipei, I opened my eyes and understood I have learned a lot. A person¡¯s life is limited in energy and talent, not to mention proficiency in all subjects, but it takes a whole life to do well in a subdivided field.¡±


    The fact that Jin Mingxi has such a high awareness shows that in the past six months, both knowledge and medical knowledge have improved a lot.


    "You''re right if you think so! Tell me, which field are you planning to focus on?"


    Zhou Can asked with a smile.


    "Surgery!" He answered in four words.


    "I have a good talent in surgery. However, my education is not high, and it is almost impossible to enter internal medicine with regular training, and the conditions are limited. Focusing on surgery is the only way out."


    He should have summed it up deeply.


    Reality forced him to make the most rational choice.


    "I think it''s a good choice for you to choose surgery. At least after work every day, I can''t sit still and practice the basic skills of stabilizing the knife. You can persist every day, which shows that you are good at this aspect. I''m interested. However, surgery is also subdivided into many disciplines. From what you said, I still haven''t given up on the idea of ??becoming a general practitioner!"


    Zhou Can has a medical experience point system, so he can''t say that he is sure to be a general practitioner.


    Jin Mingxi may have to bow to reality again in the future and narrow his main field of attack.


    "Anyway, I gave up on internal medicine. As for which sub-fields surgery should specialize in, I will talk about it later. I can only take one step and see one step."


    While the two were talking, they had arrived at Tuya Neurosurgery.


    This time, I found the doctor''s office without much trouble.


    The old process, fill in the form first.


    Guan Guipei''s doctor is Liu Yongquan, a middle-aged doctor in his early forties. He is tall and thin, with a lot of fine hair on his face and hands, which is slightly yellow. Like a human being whose evolution has not been successful, it still has the characteristics of an ape.


    "Fill it out carefully. There are a total of 20 regular trainees this time. You will be divided into two groups, and you will take turns to complete the standardized training in the inpatient department and the operating room."


    Generally speaking, Gui Peisheng, who has not obtained a medical license, rarely arranges outpatient clinics.


    Theoretically, after graduating from medical undergraduates, it basically takes a year and a half to obtain a doctor''s license. This is still the case of being able to pass the exam successfully once.


    Shenwai is recognized as a top department and belongs to the ceiling of surgery.


    Surgery is known for its high precision.


    Its operation volume is not as large as that of orthopedics, but its revenue generating ability is not weaker than that of orthopedics.


    The cost of treating an aneurysm at will is hundreds of thousands.


    During Zhou Can''s internship, he encountered an unlucky patient with four aneurysms and a total cost of more than 540,000 yuan.


    Diseases treated in the Neurosurgery Department are broadly classified into the following bone types.


    Brain injury, such as skull fracture, brain contusion, cerebral hematoma, etc.


    Many people think that craniotomy is a matter of orthopedic surgery, but in fact, it is too despised orthopedic surgery.


    Orthopedic surgery mainly deals with bone trauma, joints, and ligaments. If you ask orthopedic surgery to open the chest and craniotomy, it is equivalent to asking elementary school students to complete the problems of college students.


    It''s so hard to be human.


    The second category is vascular disease. Aneurysms, arteriovenous malformations, etc.


    The third category, functional diseases, trigeminal neuralgia, glossopharyngeal neuralgia, epilepsy, convulsions, etc.


    It is not difficult to see from this that the top departments are actually closely connected.


    Orthopedic surgery involves spine, cervical spine and other parts accompanied by nerves, and neurosurgeons are required to perform joint operations.


    When dealing with some vascular diseases, it is also possible to ask surgeons from other departments to help.


    When treating functional diseases, if you are not sure, you have to ask doctors in neurology and urology for help.


    Therefore, the field of medicine has never had a truly independent discipline.


    There are intricate connections between disciplines.


    "I''ve filled it out, right? Next, I will randomly assign work tasks to you. Twenty people, each in a group of two, are responsible for dozens of beds. The total number of beds in our neurosurgery department is 125, including four intensive care rooms. room with 20 beds. For the time being, you only need to be responsible for 105 ordinary beds.¡±


    The number of neurosurgery patients is relatively small.


    But the hospitalization period is longer.


    In general surgery, many patients can be discharged after only two or three days of hospitalization. Neurosurgery, I was very lucky to live for ten days and a half months.


    "For the beds you are in charge of, if the patient has not been operated on, then you have to follow up. Then when the patient is operating, you can follow the patient into the operating room to gain the opportunity to observe and learn. As for whether you can get the opportunity to get started, it depends on whether the surgeon is willing or not. Decentralization to you There are obvious differences in the planning and training mechanisms of different departments.


    Shenwai''s requirements for Gui Peisheng are one-stop follow-up.


    From admission to discharge, follow up and be responsible for the entire hospitalization period.


    This is actually pretty good.


    It is easier to assign responsibility to people, and the management will be more refined.


    "A special reminder, inpatients in neurosurgery, even if they live in ordinary beds, must not be taken lightly. Danger may occur at any time. If something happens, the bed doctor, receiving doctor, and department director will all be unlucky, but Gui Peisheng, who is in charge of that bed, can''t escape. The punishment practice of our department is to disqualify the regular training at the lightest."


    Dr. Liu Yongquan was very serious when he spoke.


    What he said made every Gui Peisheng feel great pressure.


    Cancellation of qualifications for regular training basically means the termination of one''s career.


    That is, they have zero chance of trial and error.


    "Zhou Can and Jiang Xiaohua are in the first group, in charge of beds 21-31. Jin Mingxi and Chen Hao are in the second group, in charge of beds 32-42..."


    The number of general hospital beds is 105.


    The first five groups are responsible for 11 beds each.


    The workload is slightly heavier than the group behind.


    It doesn''t matter to Zhou Can, an extra bed is actually a good thing in his opinion.


    It means one more chance to exercise in the operating room.


    He has already raised many advanced medical skills to above the level of a resident doctor, and he has a very high talent in nerve anastomosis. If Director Xie stopped suppressing him, maybe during the two months of regular training outside the gods, he would be able to get a lot of opportunities to get started.


    In short, he is quite confident.

 Chapter 138： Spinal epidural hematoma, this one is very dragging

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    As soon as the groups were divided into half, a doctor in his thirties stood at the door and shouted.


    "Gu Peisheng, who is in charge of beds 21-31, will follow me immediately."


    The number of neurosurgery doctors should be relatively small.


    Manpower is tight.


    Otherwise, it would be impossible to rush to call for someone before the grouping was completed.


    Zhou Can and a fair and clean young man followed quickly.


    The two didn''t know each other, so they turned their heads and looked at each other at the same time.


    "Hello!"


    Jiang Xiaohua smiled shyly at Zhou Can.


    "Hello! My name is Zhou Can, please take care of me in the future."


    When we met for the first time, what we said was basically this kind of etiquette.


    He found that Jiang Xiaohua not only had fair skin, but also had delicate features, and her fingers were slender and thin.


    The body is also quite slender.


    There are many girls who like this kind of cream niche.


    However, Zhou Can felt that Jiang Xiaohua was a bit of a womanizer and lacked the masculinity of a man. Some only have the softness and delicacy of girls.


    But looking at a person''s hand, you can roughly guess whether it is flexible enough.


    Intuitively, Jiang Xiaohua''s hands should be very dexterous.


    People with dexterous hands have a natural advantage in performing delicate operations.


    For example, Dr. Shan, who has been with Zhou Can for more than two months, has very dexterous hands.


    When anastomosing blood vessels, nerves, and mesentery, her movements are gentle, precise, and swift.


    Zhou Can asked himself that he couldn''t do it.


    "The two of you immediately sent the 24-bed patient to operating room 3."


    The young doctor who walked in front of them led them to bed No. 24, looking very anxious.


    "My name is Cheng Gang, and I will be your superior doctor from now on."


    The doctor''s tone of voice was cold.


    There was no smile on his face, and he looked quite cold.


    Zhou Can looked at the patient on bed 24, a middle-aged and elderly man in his fifties, who was quite obese. There was a middle-aged woman who was suspected to be a family member playing with her mobile phone beside her.


    As soon as the male patient''s quilt was lifted, Zhou Can smelled a stench of excrement.


    "The patient seems to be pulling himself."


    Zhou Can responded to Dr. Cheng.


    When Jiang Xiaohua heard that the patient had feces on her body, Huarong turned pale with fright.


    "I, I''ll go and pull the cart over here first."


    He was cunning enough.


    The middle-aged woman frowned when she heard the patient put feces in her crotch. She glanced at Zhou Can secretly, pretended not to hear, and continued to play with her mobile phone.


    Cheng Gang had a cold face and was very impatient.


    "Hey, are you the patient''s family member? He''s about to be sent to the operating room for surgery. Help him clean it!"


    Zhou Can also didn''t know the relationship between the middle-aged woman and the patient.


    But it doesn''t make sense to ask him to clean up the patient''s excrement and urine.


    Unless there are some disabled patients who are not accompanied by anyone and the situation is urgent, there is no way. Zhou Can basically pinched his nose and did the job.


    Now that the family members are right in front of them, he needs a doctor to do this, thanks to this woman who dares to think about it.


    "Your hospital charges so much money a day, can''t you help clean it up?"


    The middle-aged woman glanced at Zhou Can indifferently.


    After hearing this, Zhou Can couldn''t help being furious.


    This woman is too unreasonable.


    "Auntie, the medical expenses you pay are normal medication and treatment expenses. Our doctors and nurses are not responsible for carrying excrement and urine for patients. If you need it, you can hire a nurse."


    Zhou Can didn''t dare to scold this woman, although he really wanted to greet her ancestors.


    But if you really want to do this, if the family members complain to the hospital, they will definitely criticize Zhou Can. Even make some substantive penalties.


    When he was an intern, he **** off his family members once.


    The inpatient general doctor scolded him severely without asking indiscriminately, and asked him to write a self-criticism.


    And warned him that if he dared to conflict with family members and patients because of a trivial matter next time, and scold him, his internship qualification would be directly disqualified.


    Since then, Zhou Can has learned a lot from a pitfall.


    He endured every patient and family member who needed to be beaten.


    At least there will be no more quarrels and scolding with family members and patients.


    Just like dealing with the middle-aged woman in front of me, without saying a single dirty word, it was enough to make her lose her temper.


    "Wait, I''ll fetch water and wash it."


    The middle-aged woman cursed and took out a plastic washbasin from under the bed, then went to the water room to fetch half a basin of water.


    "The patient is going to be operated on soon, both of you hurry up. Dr. Ou has a bad temper if you delay the time. Be careful of being scolded."


    After Dr. Cheng Gang finished his explanation, he turned and left.


    The resident doctors in charge of the bed are actually very busy, especially the patients who have just finished surgery or high-risk patients must keep an eye on them all the time.


    Postoperative patients need to be closely observed, and if problems are found, they must be analyzed in time and measures should be taken until they are resolved. It''s even more troublesome if the patient has complications.


    It takes a lot of time and energy to analyze and process.


    In addition, some patients who are preparing for surgery are in serious condition.


    For example, a patient in a car accident may look fine one second, but the next second, he really dares to die for you.


    None of the patients admitted to Shenyang Hospital were mild or chronic.


    "vomit!"


    Standing at the end of the bed, Jiang Xiaohua probably smelled the feces from the patient, and couldn''t help retching on the spot.


    "You go over there and wait. I''ll call you when I''m done here."


    Zhou Can waved at him.


    Jiang Xiaohua hid far away as if she had received an amnesty.


    "I''ve never seen such a delicate doctor. You spend thousands of dollars a day in medical expenses. You prescribe medicines, give injections, and make money easily. I only have two hundred yuan a day, and I have to wipe it for him." Wipe **** and pee, what a crime!"


    The middle-aged woman complained while scrubbing the body of the patient.


    It turned out that they were not the family members of the patient. No wonder they were so indifferent when they heard that the patient had **** on him.


    This middle-aged woman is likely to be a nurse or nanny hired by the patient.


    Zhou Can found that the patient didn''t say a word the whole time.


    His eyes were rather dull.


    And the body is paralyzed.


    What disease does this man have?


    No injuries were seen.


    "Where is the medical record?"


    "Here, it''s in the locker drawer. The inspection report and all the documents are in there."


    Zhou Can took them out.


    After reading it, I realized that the patient''s disease was called spinal epidural hematoma.


    At present, various symptoms such as sphincter loss of control and paralysis of lower limbs have appeared. Moreover, this patient had Alzheimer''s disease before he got the disease.


    I can''t imagine that a man who is only 56 years old has Alzheimer''s disease.


    Spinal epidural hematoma can be divided into several grades according to the severity of the condition.


    Grade A, complete damage to the spinal cord, complete loss of sensory, motor and sphincter functions below the level of damage. Grade B, only sensation exists below the level of injury, and all activity functions disappear.


    Both levels are very serious.


    Generally speaking, the sooner surgery is the better.


    No wonder Cheng Gang urged them to rush the patient to the operating room.


    Zhou Can didn''t know how to operate or treat this disease. It will be an eye-opener to send the patient to the operating room later.


    Finally, the middle-aged woman cleaned up the patient.


    Zhou Can found that the surgical incision had been drawn on the patient. The nurse has already done the skin cleansing.


    Now the terror is going to be re-sterilized.


    It is common for such paralyzed patients to lose control of their sphincter muscles and to vomit urine and feces.


    "Why didn''t you introduce a root catheter to the patient?"


    Through some details, Zhou Can realized that the management of the neurosurgery inpatient department is relatively loose. Compared with other departments, it is much worse.


    As a newcomer, he didn''t dare to accuse anyone.


    Unless it''s insane.


    "Doctor Jiang, I''m going to find a nurse to come over and sterilize again, just wait a moment."


    Zhou Can greeted him and ran straight to the nurse''s desk.


    There are two nurses who are busy.


    "The two beauties are busy!"


    Zhou Can greeted with a smile.


    "Um!"


    They looked up at Zhou Can, then bowed their heads again to do their own thing.


    I don''t know if it''s busy or cold?


    "The patient on the 24th bed just suffered from **** incontinence. He is going to be sent to surgery soon. Can you arrange someone to disinfect him again?"


    After a few seconds, one of the nurses looked up at him.


    "Are you new here?"


    "Yes! My name is Zhou Can, please take care of the two beauties in the future."


    Zhou Can lowered his posture.


    Nurses with slightly older qualifications like these don''t like to take novice doctors seriously.


    Gui Peisheng is better, because he is already half a doctor, or even a doctor directly.


    Interns, that really has no status at all.


    "You have to ask the bed doctor to make a doctor''s order! Otherwise, what shall we do?"


    She rolled her eyes and said angrily.


    "Before the operation, the doctor didn''t issue a doctor''s order? Are you sure you need to issue another doctor''s order?"


    Zhou Can is not a rookie who knows nothing.


    In addition to the one-year internship, I have already had one and a half years of work experience.


    At that time, they just need to add the disinfection supplies.


    "laugh!"


    The female nurse sneered.


    "Little comrade, are you questioning my way of doing things? Have you seen my rank? Supervisor in charge! The working years should be much higher than yours."


    She looked unhappy.


    Zhou Can gritted his teeth, the only villains and women in the world are hard to mess with.


    Can''t afford to provoke or hide?


    He could only bite the bullet and go to Dr. Cheng Gang.


    After searching for a long time, I finally found it.


    "Doctor Cheng, the patient''s excrement has been cleaned up. It needs to be disinfected again, and the urinary catheter is not catheterized. I will go to the nurse and they will ask you to issue another doctor''s order."


    Zhou Can accompanied carefully and said.


    On the first day I came to Shenwai, I felt that the doctors and nurses here were not easy to deal with.


    It''s like the people in Shanghai look at everyone like a villager.


    This kind of deep-rooted arrogance and discrimination is still acceptable in society. In the hospital, it''s really hard to deal with.


    "Haven''t sent the patient to the operating room yet? You guys are so stupid."


    Doctor Cheng Gang''s face was icy cold.


    "Let the nurse disinfect the patient right away. I''m busy here, and I''ll just fill in the doctor''s order later. What''s your name? The ability to handle things needs to be strengthened!"


    He is really busy.


    However, Zhou Can was suffocated with the outburst of criticism and scolding.


    Damn, the nurses and doctors here are really hanging.


    For such a small matter, they blamed each other, and each of them used the new doctor as a gas bucket.


    "Zhou Can!"


    Zhou Can didn''t say any more polite words this time, please take care of him in the future.


    In any department, respect is won by strength.


    Hold your breath for now, sooner or later, Dr. Cheng Gang will lick him.


    Back then, Dr. Lu in the emergency department was so bad, didn''t Zhou Can take care of him?


    Don''t look at Dr. Lu who took the initiative to invite Zhou Can to dinner again later, and made all kinds of goodwill, it was because he couldn''t suppress it.


    Zhou Can''s status in the emergency department has surpassed him.


    He had to do it in order to survive.


    It''s not that Dr. Lu has gotten better.


    The country is easy to change, but the nature is hard to change.


    Dr. Lu''s work attitude has become diligent and serious, not because he has a better heart. But in order not to be eliminated, this is the only way to work hard.


    The ability of this doctor Cheng Gang is still unclear.


    Thirty-two or three-year-old is definitely there.


    This age has not yet been promoted to the attending physician, so it must not be too bad.


    In fact, eight out of ten residents who were sent to the inpatient department to manage the beds were not doing well. They are all of average level, so the tube bed is arranged.


    But there are also great ones.


    Because the tube bed can also be regarded as a necessary process in the work experience.


    Especially good resident doctors, in fact, only experience bed management during the internship and regular training stages. In the back, it is basically a mix of operating rooms or outpatient clinics.


    That''s called compulsion.


    Zhou Can ran to the nurse''s station, but the other nurse had disappeared.


    Only the stern-faced nurse in charge was left.


    "Hello, just now I told Dr. Cheng who is in charge of the bed. He said that he will come over and fill up the doctor''s order for you when he finishes his work at hand. Now the operating room is in a hurry, and the patient should be disinfected and catheterized first. Tube."


    Zhou Can learned to be smart this time.


    Move out Dr. Cheng Gang directly.


    If the nurse named Hu Shuiling declined again, it would be ignoring Cheng Gang''s words.


    When the time comes, just let the two of them tear up B.


    After about ten seconds, she stopped typing on the computer, stood up, and walked directly to the dispensing room behind her.


    Disinfectants and urine tubes are common items.


    Always in stock.


    A plate came out quickly.


    Disinfectant cotton, clips, disinfectant, urinary catheter are all available.


    Zhou Can breathed a sigh of relief, and finally moved the female ancestor.


    There are so many things to do to disinfect a patient.


    It''s woefully inefficient.


    "etc!"


    She called out to Zhou Can, and put the plate directly on the hoarding of the nurse''s desk.


    "I can''t get away here, you go and get it."


    "Isn''t this what a nurse should do?"


    Zhou Can rolled his eyes.


    Originally, the other party''s attitude was good, so it didn''t matter if he did it.


    Now the nurse in charge looks like something, why should she help them with these tasks.


    Skin cleansing, disinfection, and urinary catheters are what nurses should do.


    He only has 3,000 yuan a month.


    The salary of the nurse in charge is at least 8,000.


    With a high salary, she just sits here pampered, knocks on the computer, and dispatches and directs.


    Little days are so beautiful.


    "Are you going to do it or not? I''ve made a deal with you, you newcomer Gui Peisheng, you''d better work hard. The patient will be late in sending to the operating room, and the surgeon must be scolding you instead of me."


    Her attitude was very bad.


    Zhou Can grinned, showing his white teeth.


    "Hey, I forgot to introduce myself just now. My name is Zhou Can. Threats are the last thing I''m afraid of. Don''t do it if you don''t want to, I don''t care!"


    The nurse in charge actually threatened him.


    Is he a scary person?


    Facing the coercion and lure of Vice President Bai, he dared to stand up. Will he be afraid of such a nurse in charge?


    To put it bluntly, no matter how awesome she is, she is also a nurse.


    Director-level nurses and head nurses need a lot.


    The status of the nurse in charge is far from being comparable to them.

 Chapter 139： Wicked people have their own grind, Lu 1 mobile phone opportunity has come

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    It must be said here that some people can''t figure out the difference between the head nurse and the chief nurse. The head nurse is equivalent to an administrative position, and the chief nurse is a professional rating.


    Larger departments often have more than two head nurses.


    They are responsible for the arrangement of nursing tasks in the department.


    In fact, the head nurse is often served by the chief nurse.


    Zhou Can didn''t want to have a deadlock with the nurse when he first arrived in the new department. But people stepped on their heads to **** and piss, and they still wanted to be a grandson, and they were submissive. In the next two months, he was going to be more angry.


    There has been a saying in Chinese military strategists since ancient times, one punch will save you a hundred punches.


    It is still necessary to show your temper appropriately so that people will think that you are not a soft guy who is easy to bully.


    It is said that when picking persimmons, you have to start with soft ones.


    Zhou Can took this female nurse, and the worst result was that she couldn''t be lazy when she was on the night shift.


    So, he is not afraid at all.


    And based on his understanding of human nature, as long as he performs very well in the following days, he will be appreciated by a senior doctor at the deputy director level. There is a high probability that the nurse in charge will bow to him and take the initiative to repair the relationship.


    At this moment, the nurse in charge stared at him with green eyes.


    She obviously didn''t expect this young new doctor to be so stubborn.


    "I will truthfully reflect your work attitude to Dr. Cheng Gang and Dr. Liu Yongquan."


    After finishing speaking, she angrily took the plate and sterilized the patient.


    This also means that her first confrontation with Zhou Can ended with her confessing.


    By the time Zhou Can arrived at the hospital bed, she had almost finished disinfecting the patient.


    Jiang Xiaohua covered her mouth and nose, and stood there watching from a distance.


    I don''t know that he is so sensitive to feces and urine, why did he choose the profession of a doctor?


    A doctor is a life-saving profession.


    Dealing with blood, feces, and pus is indispensable.


    In some patients, the wound is suppurated and infected, and the stench is more pungent than feces.


    Also, the moment the patient''s abdominal cavity is opened, the smell doesn''t work even with a mask on.


    If he can''t even accept such a small scene, it''s better to change careers as soon as possible.


    The nurse in charge named Hu Shuiling has a bad temper, cold and arrogant, but she can work quickly.


    The patient has been disinfected skillfully.


    She picked up the catheter and turned to look at Zhou Can who was standing at the end of the bed.


    If her attitude had been better before, Zhou Can would have rushed to do this job long ago.


    After all, you can get 1 point of experience value.


    Now, let her do it.


    Hu Shuiling is at least thirty years old, and should be a married woman.


    Far less shy about the male body than those little nurses.


    Besides, nurses who have been working for several years, catheterize a catheter, not hundreds of times a year, at least one or two hundred times.


    However, the male doctors in most departments are very gentlemanly.


    When catheterizing a male patient, consider the embarrassment of a female nurse. So most of them will do it smoothly.


    Hu Shuiling also knew that he had offended Zhou Can to death, and looked at Jiang Xiaohua in the distance.


    Unfortunately, Jiang Xiaohua didn''t respond at all.


    He stared in another direction, as if he didn''t notice the nurse''s help-seeking eyes at all.


    She gritted her teeth and decided not to ask for help.


    "Shouldn''t we just have a urinary catheter? My old lady still doesn''t believe it. Without the help of a doctor, I can still have fun."


    With a dark face and frowned eyebrows, she began to catheterize the patient.


    "Aww..."


    The patient screamed.


    If it weren''t for being paralyzed on the bed, it would definitely collapse.


    Sometimes, doctors choose to catheterize the patient after general anesthesia.


    Because the process does cause pain to the patient.


    Especially when encountering some unskilled operations, or the patient''s body structure is different from ordinary people.


    For example, when men reach middle-aged and old age, the prostate gland is generally enlarged, which may cause distortion and displacement of the urinary tract due to extrusion.


    "Please be patient, it will be fine soon."


    Hu Shuiling continued to operate while comforting the patient.


    It''s just that I have guided it many times, but it has not been able to operate successfully.


    The patient''s screams became more and more severe.


    The female nanny I hired couldn''t stand it anymore.


    "Comrade nurse, are you new here? Can''t you hear the patient''s screams?"


    This middle-aged aunt''s mouth is very powerful.


    Few people can resist the power of poisonous tongue.


    Hu Shuiling was already angry with Zhou Can, but now that she was being bullied by a nanny, her expression became even uglier.


    "I can hear the patient''s screams, but catheterization is a technical job, it''s not as simple as your nannies, cooking a meal and cleaning the body."


    When did the old nurse suffer?


    They have never been afraid of doctors, family members, and patients.


    At first, the female nanny was just too blind to notice, but she was scorned by Hu Shuiling insinuatingly as a reminder.


    She quit immediately.


    Sometimes, doctor-patient disputes are detonated by discord.


    "Obviously the operation is unprofessional, and the pipe has not been fixed for a long time, and you don''t like to listen to it? Have you never seen a man''s body or what''s the matter? The little girl is from every family, and she doesn''t know how to be ashamed. You can''t, you can call The doctor can do it for you! You have to do it yourself without avoiding suspicion, but after doing it for a long time, I suspect that you are deliberately taking advantage of the male patient here. Shameless."


    When it comes to swearing, whose mouth is the most poisonous?


    Definitely this kind of middle-aged and elderly women.


    Literate and educated are not listed here.


    Zhuge Liang in ancient times scolded Wang Lang to death in front of the two armies. Anyone who dares to quarrel with middle-aged and elderly women will scold you to doubt your life.


    Now, Hu Shuiling began to doubt life.


    "you you¡­"


    She was so angry that tears were about to fall out.


    "Don''t point at me. I''m old enough to be your mother. Dare to abuse the patient? I''ll call the patient''s son right now. He''s an official. You just wait to be laid off!"


    The female nanny not only has a poisonous mouth, but also has powerful tricks.


    When Hu Shuiling heard that the patient''s son was an official, he felt a little flustered.


    A small matter, because I was in a bad mood and I couldn''t control my emotions, now I''m arguing.


    It was going in a direction she didn''t even dare to think about.


    If things get serious, even if she doesn''t lose her job, there is a high probability that she will be punished.


    "Auntie, this little nurse is not sensible and can''t speak. Don''t be as knowledgeable as him. The patient''s son pays you to take care of the patient, and he also hopes that you will take good care of him. It really makes things worse, which is actually not good for the patient. .¡±


    Zhou Can can no longer let the matter develop, otherwise, the nurse Hu Shuiling will not be the only one being scolded.


    Both he and Jiang Xiaohua will be involved.


    Director Xie was worried that he would not have a chance to suppress him.


    This matter is really big, Director Xie is afraid that he will laugh out loud.


    There is a saying that you can accept it when you see it.


    Properly punished the arrogant female nurse, almost got it.


    "Let me do it!"


    Zhou Can took the initiative to take the urinary catheter from the female nurse''s hand, and under her surprised and ashamed eyes, successfully inserted the catheter easily.


    Up to the third level of implantation, if you can''t guide a urinary catheter well, isn''t it practiced?


    ¡¾Insert experience value +1.¡¿


    [Congratulations on your upgrade to the fourth level of implantation, current experience value: 1/10000. Complicated medium and high difficulty placements can be completed. ¡¿


    Zhou Can''s implantation has been practicing after get off work.


    He had already reached the critical point of upgrading, but this time the catheter earned 1 experience point, which accidentally helped him advance to the next level.


    It was a pleasant surprise.


    There are many opportunities for implantation in neurosurgery. For example, for aneurysm, it is necessary to insert the spring film into the diseased blood vessel segment, relying on the insertion technology.


    Level four, that is the attending level!


    It is not easy to advance to the fourth level of advanced medical skills.


    It also means that his foundation of endoscopic surgery has become stronger.


    "Look, it''s still the other doctor''s ability to fix it in one go. You''d better learn more, don''t say anything about it, and let the patient suffer along with it."


    The nanny''s mouth can really poison people to death.


    Hu Shuiling didn''t dare to quarrel with her this time.


    It''s really one thing and one thing.


    This female nurse was dragged like a twenty-five-eight thousand yuan in front of Zhou Can. When she met this kind of sharp-tongued female nanny who dared to scold and do anything, she had to admit defeat in the end.


    The grievance she suffered this time was a bit big, and she had nowhere to vent, so she probably could only hide in the bathroom and cry bitterly.


    Zhou Can did not sympathize with the female nurse.


    At least this conflict could have been avoided.


    "Jiang Xiaohua, come and help!"


    Zhou Can greets Jiang Xiaohua.


    The two asked the nanny to lift the patient onto the flat bed, and pushed him to the operating room.


    The total number of operations performed by Shenwai should be around 3,000 a year.


    It has only two dedicated operating rooms, namely No. 3 and No. 5. The rest, shared with cardiothoracic surgery.


    Although there are only two operating rooms in Shenwai, they are all level 100 operating rooms.


    And all have endoscopic capabilities.


    This is also a symbol of the strength of a department.


    The light in operating room 3 is green at the moment.


    "Oops!"


    Zhou Can''s heart sank slightly. The delivery of this patient was delayed for a while because of **** incontinence.


    I hope the chief knife inside didn''t have to wait too long.


    A little nervously sent the patient into the operating room, the nurse in the recovery room gave them a sympathetic look.


    "Why did you bring it here? Doctor Ou has been waiting for a long time."


    She gave the two of them a self-seeking look.


    Zhou Can hurried into the changing room to change into the surgical protective clothing.


    Jiang Xiaohua also knew that the situation was not good, and she also had a worried expression.


    The two pushed the patient into the operating room inside.


    There were two nurses and four doctors inside. Including an anesthesiologist and two resident assistants.


    The leading surgeon is a middle-aged man in his fifties.


    Wearing a hood, mask, and sterile gloves have all been changed.


    His eyes were cold, his brows were tightly wrinkled, and he looked a little scary.


    The atmosphere in the operating room is also very bad.


    Nurses, doctors, no one spoke, all of them had serious expressions.


    It''s more like he doesn''t dare to breathe out, for fear of being scolded by the chief knife.


    "28 minutes overtime, so many of us just waited dryly for the two of you to bring the patient over. Do you not know the way? Or fell asleep on the way?"


    Doctor Ou, the chief surgeon, immediately lost his temper.


    It''s better to scold.


    I''m afraid that if the chief knife doesn''t scold people, it will be even worse.


    "Doctor Ou, I''m sorry, the patient suffered from **** incontinence before he was sent for surgery, so there was a delay."


    Zhou Can could only bite the bullet and explain.


    Jiang Xiaohua was sullen, with an honest look of being unable to fight back when beaten or cursed.


    Everyone has their own way of survival.


    Jiang Xiaohua is by no means the workplace rookie she imagined.


    When someone attracts firepower, acting pitiful and reducing the sense of existence is also a good way to protect yourself.


    Scolded and scolded, the two still carried the patient onto the operating table.


    Neither the two nurses nor the two residents helped.


    He just watched indifferently the whole time.


    Zhou Can can swear that neurosurgery is the most indifferent department he has ever encountered.


    The doctors and nurses here are naturally superior, with an arrogance deep in their bones.


    Do not treat new doctors as human beings.


    It seems that the two months of regular training outside the gods, life is probably not easy!


    No wonder I often hear people say that neurosurgery doctors are difficult to deal with during training in the orthopedic and emergency departments.


    "Listen well, this time it''s your first offense, you don''t need to be punished. No matter what the reason is next time, you must send the patient outside the operating room ten minutes earlier."


    After hearing Zhou Can''s explanation, Dr. Ou''s face softened a little.


    He didn''t scold anyone anymore.


    The operation begins.


    The anesthesiologist checked the patient and found that it met the indications for anesthesia. He began to put on the patient a breathing mask and various life monitoring probes.


    He chose the prone position for the patient.


    "The anesthesia is successful, the patient''s vital signs are stable, and the respiratory exchange is weak, and the operation can be performed."


    If the patient has some minor problems, the anesthesiologist will remind the surgeon and nurse to pay extra attention during the operation.


    Dr. Ou began to operate on the patient.


    The two residents are fully assisted.


    For Zhou Can and Jiang Xiaohua, if they can get a chance to watch from the audience, it is already good.


    Get started with a workout without even thinking about it.


    "The location of the hematoma is here, so the center of the knife position is selected at this location. The incision is made from the midline of the back."


    The scalpel is like scratching silk, cutting the patient''s skin layer by layer.


    Dr. Ou''s incision level is quite good.


    Should have an excellent level of attending.


    It is really not easy to train a surgeon.


    It will take at least ten years to gain some skill.


    It is difficult to achieve something in twenty or thirty years.


    Even if Dr. Ou has a postgraduate degree, he finished it at the age of 27. In the past, the integration of the standard and the large was implemented, and he could start to enter the operating room for skin stitches at the age of 28. If you are 50 years old now, you have already worked for 22 years.


    It took 22 years of training before I had an excellent level of anatomical ability. How long would it take to be promoted to the level of deputy director?


    You know, surgical ability is more than just anatomy.


    "Remember, the length of the surgical incision should be able to expose the three lamina. If it is too long, it will cause great harm to the patient; if it is too short, it will be inconvenient for the operation."


    While operating, he explained to two residents.


    Generally speaking, doctors in the operating room are like this. The attending doctor is accompanied by the resident doctor, and the deputy director or chief physician is assigned the attending doctor.


    These two residents are assistants trained by Dr. Ou.


    Zhou Can was secretly delighted to see the level of hemostasis.


    If you''re lucky, you might be able to win a chance to show off your skills.


    "Then separate the paraspinal muscles. Be careful not to touch important blood vessels and nerves."


    Some young doctors don''t know the depth, and think that they have successfully anastomosed a few blood vessels on the tail of a white mouse, but they think it''s okay if the blood vessels are cut.


    They never imagined the horror of cutting the aorta.


    The consequences are also extremely serious.


    The older the doctor, the more cautious and timid he is when performing surgery.


    On the contrary, novice doctors are not afraid of anything.


    "Use a retractor to open the two sides, and the surgical field of view comes out."


    Doctor Ou frowned slightly after the assistant fully opened the surgical field of view. Because Kazusuke''s ability to stop bleeding was poor, a lot of blood was produced, which accumulated in the bottom layer of the wound.


    "Suck up the blood. Here, stop the two sources of bleeding quickly."


    He personally guided Yizhu to stop the bleeding.


    After a lot of effort, the electrocoagulation was finally successful in stopping the bleeding.


    Then start the most critical surgical steps.


    "Incision of the lamina should be performed with caution. Generally speaking, two or so incisions are sufficient to remove the hematoma."


    He cut off two lamina one after another and examined them carefully.


    Maybe it was not enough, so I cut another piece.


    "Okay! Next, **** the hematoma with a suction device until the dura mater is exposed."


    When the first assistant cleared the hematoma, the operation was really not good.


    It took a lot of effort, and finally it was basically sucked clean.


    At this time, the dura mater under the hematoma can already be seen.


    Bleeding is usually from the dura mater.


    "In the future, when you do this kind of operation, you must remember one principle. If the bleeding time exceeds ten days and the patient''s body has absorbed the hematoma, there is no need for surgery. As doctors, we must understand the patient and his family If you are so anxious, you must insist on only doing useful operations. Knowing that the operation will not work, but still let the patient undergo the operation, earning such ignorant money, it will only be shameful."


    "Also, any surgery is an unavoidable choice. If it can be cured without surgery, then it will not be operated. If it can be solved by minor surgery, it will not be major surgery. As long as it is surgery, it will cause harm to the patient''s body. A certain amount of damage."


    Doctor Ou seriously warned several junior doctors.


    After Zhou Can heard this, his opinion of Dr. Ou changed a lot.


    This person has a bad temper, but he has good medical ethics and a righteous mind.


    A respectable doctor.


    Dr. Xu once told Zhou Can that the purpose of surgery is not just to relieve the pain of the patient.


    It must also be considered that the benefits of surgery far outweigh the harm to the patient.


    This kind of surgery is worthy of further evaluation of surgical safety and various surgical indicators. and prognosis.


    Just imagine, the patient only had occasional stomach pains, and the patient''s stomach was cut off directly.


    The pain is indeed relieved, but the harm to the patient far outweighs the benefit of the operation.


    "Once the hematoma is removed, the active bleeding site can be searched for."


    An active bleeding point was quickly found, but not large.


    After electrocoagulation to stop the bleeding, continue to explore.


    "Doctor Ou, there seems to be a lump of blood that has coagulated here, and it can''t be cleaned up."


    Doctor Ou explained after careful examination.


    "You novices must pay attention, this is not a blood clot after blood coagulation. It''s a malformed blood vessel group. If you encounter this kind, cut it off directly."


    After he asked two assistants to take a closer look, Zhou Can and Jiang Xiaohua stretched their necks to learn more.


    Dr. Ou did not give them any care.


    Direct surgery to remove the group of malformed blood vessels.


    As soon as it was cut off, blood spurted out.


    It appears to have severed the arterial vessel. The amount of bleeding is not particularly large, and the blood vessels should be relatively small.


    The severed malformed blood vessel was clamped out and thrown on a plate.


    Zhou Can stepped forward to observe carefully.


    If you want to learn something in the operating room, you must be bold and thick-skinned.


    In the minds of superior doctors, regular training, internships, postgraduates, and advanced students are like grass on the side of the road. They don''t offer to teach you anything at all.


    During the operation, it is generally difficult to have such an opportunity to get close to the patient''s wound for observation.


    It is also impossible to take care of insignificant subordinate doctors when the chief surgeon performs the operation.


    What they think is how to complete the operation in the shortest possible time.


    So, after the diseased tissue is cut off, throw it on a plate, and go up to see what no one will say.


    As long as it doesn''t affect the main surgeon.


    Doctor Ou calmly asked Yizhu to stop the patient''s bleeding.


    "Can''t stop!"


    Kazsuke looked a little flustered and a little scared.


    Dural hemorrhage is more than scarier than epidermal hemorrhage.


    "Give me the electric coagulation knife!"


    Doctor Ou is still very calm.


    It''s just that he soon discovered that it was not that simple, and the electrocoagulation seemed to have failed.


    "What the **** is going on here?"


    Doctor Ou frowned into knots.


    Even though he is well-informed and has experienced many storms, at this moment, a trace of panic welled up in the depths of his eyes.


    The fear of the unknown is the most frightening.


    Because what I have learned in my life is useless. There is no way to find the reason why the bleeding cannot be stopped.


    "It should be bleeding under the dura mater."


    Zhou Can glanced at it twice, and couldn''t help but say.


    "You know a ball, just stay and go, don''t make trouble here!"


    Kazusuke glared at Zhou Can angrily.


    "I''m not adding to the confusion, I''m just giving my own opinion. It''s possible that Dr. Ou injured the blood vessels under the dura mater during surgery to remove the abnormal blood vessel group. It''s also possible that one tube has two splits."


    Blood vessels, like tree roots, also have forks.


    Just cut to the intersection of the bifurcation, it is normal that the electrocoagulation cannot stop the bleeding.


    Zhou Can only had such a deep understanding after he was promoted to the intermediate level of hemostasis.


    After hearing this, Dr. Ou''s eyes lightened slightly, and he began to carefully look for bleeding points under the crest dura mater.


    It''s just that the bleeding here continued, which caused great disturbance to him.


    "Give me the hemostat."


    Zhou Can looked at the equipment nurse.


    "What do you want to do? This is an important place for surgery, and you, a regular student, don''t even look at the place if you want to." After Yizhu scolded Zhou Can for the first time, it didn''t work.


    Zhou Can continued to express his opinion.


    This made him feel that his majesty had been challenged.


    Zhou Can is even more disliked.


    Out of face, he didn''t say anything.


    Unexpectedly, this Gui Peisheng, ignorant of the heights of heaven and earth, even asked the nurse for a hemostat. This obviously wants to get started!


    Isn''t this pushing your nose to your face?


    "I''m not showing off, I just want to help a group of doctors Ou." Zhou Can responded lightly.

 Chapter 140： People are young, technology is not young. The situation opens little by little

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    After hearing this, the first assistant immediately became furious.


    What do you mean?


    Isn''t it just turning a corner and laughing at him as helpless and unable to help?


    "Do you think hemostasis is that simple? Just clamp the blood vessel with a hemostat? Young man, let me tell you and actual operation are two different concepts."


    Yizhu sneered and taught Zhou Can, a novice, in an old-fashioned tone.


    I''m afraid I''m scolding in my heart, these young people always want to show their faces every day.


    I don''t even weigh how many catties I have.


    "Doctor Ou, can I try using a hemostat? It would be the best if it can help you. If it doesn''t help, the destructive power of the hemostat is controllable." Zhou Can looked at Dr. Ou.


    At this moment, Dr. Ou was very distressed.


    The patient''s blood vessels were spurting blood. He tried to directly press the blood vessels in multiple parts with his hands, but with little success.


    The current situation is extremely unfavorable.


    Basically tantamount to falling into an endless loop.


    He couldn''t stop the bleeding, and the continuous spurting of blood would block his vision, making it impossible for him to find out the real reason why he couldn''t stop the bleeding with electrocoagulation.


    What doctors are most afraid of when performing surgery is to get important nerves, unexplained bleeding, and complications.


    All three scenarios have the potential to have dire consequences.


    Nerves are involved, ranging from paralysis to immediate apnea, cardiac arrest, and death.


    Unexplained bleeding, the consequence is also death, if the bleeding cannot be stopped, the patient is in danger. Especially this internal bleeding.


    Complications may be intraoperative or postoperative.


    Why do doctors ask about allergies, high blood pressure, heart disease, diabetes, etc. before surgery? It is to fully consider whether other complications will be caused during the operation.


    Some heart patients have extremely low tolerance for surgery.


    Maybe he hadn''t been operated on yet, and just as he was carried on the operating table, he was frightened into a heart attack. Next, what the doctors have to do is not to operate, but to rescue the patients in a hurry.


    As for postoperative complications, it was not taken seriously before.


    More and more surgeons now list postoperative complications as the number one killer.


    Take spinal epidural hematoma as an example, it may be caused by the patient himself. It may also be caused by anesthesia and poor lumbar puncture during the operation.


    Couldn''t find it at the time.


    After the operation, it was found that the patient was paralyzed, and after an investigation, the epidural hematoma of the spinal cord was discovered.


    The location of the hematoma happened to be the location of the spinal anesthesia.


    This is the simplest postoperative complication.


    Not to mention postoperative lung infection, kidney failure, heart and lung failure, etc.


    Dr. Ou was at his wit''s end and was about to seek help from his superior doctor when he heard Zhou Can volunteering. For the first time, he looked at this courageous Gui Peisheng squarely.


    Zhou Can just said that the patient was bleeding profusely. It may be that he injured the blood vessel under the crest dura mater when he removed the malformed blood vessel, or he just cut at the bifurcation point of the blood vessel.


    Neither of these two ideas can be proposed by ordinary people.


    Doctor Ou took a second look at Zhou Can''s ability.


    "Chen Yue, let him try!"


    Dr. Ou said to Yisuke.


    Basically, it is the mentality of holding a dead horse as a living horse doctor.


    As Zhou Can said, the destructive force of the hemostat is extremely small. At most, the blood vessel is pinched. But if it can help him stop the bleeding, it will avoid asking the superior doctor for help.


    The face is saved, and the problem can be solved.


    Asking the superior doctor to come over to put out the fire is not just asking for it, there is a price.


    As a result, points are lost in the minds of superior doctors, the weight of surgery is reduced, and the ability of surgery is questioned.


    These will have very bad effects.


    It is often seen on the news that a certain hospital has a medical accident. The doctor involved concealed the report, avoided the serious one and ignored the minor one.


    Such low-level mistakes can be made.


    Do you think the doctor involved is stupid?


    In fact, people are very smart.


    He just had a fluke mentality, thinking he could handle it well. This was not reported to the superior doctor.


    Eventually there was an accident.


    Doctor Ou spoke, and Kazusuke could only obediently move out of his seat whether he wanted to or not.


    Zhou Can took the hemostat handed over by the nurse, and first carefully searched for the blood vessels and veins of the bleeding point.


    However, he also encountered the same problem as Dr. Ou.


    The continuous spewing of blood seriously interfered with the vision of the crista dura mater. This is useless even if it keeps sucking up the accumulated blood.


    Bleeding too fast.


    And to find the blood vessels, we must start from the location of the bleeding point.


    Zhou Can has already developed a skill.


    You can find out where the bleeding point is through the ripples of the blood. Now, the bleeding point is very clear, all he has to do is to go through the ripples of the blood, ''Looking for the Dragon and Breaking the Pulse''.


    All laws in the world are interlinked, and this is similar to the geomancy in Fengshui.


    "Bleeding blood vessels, the proximal end should be here."


    After saying that, he clamped an inconspicuous submembranous blood vessel with a hemostat.


    A miraculous scene appeared.


    The bleeding stopped immediately.


    "It''s amazing, it''s amazing!"


    Doctor Ou shouted happily.


    Kazusuke looked at the showy Zhou Can with a face full of shame.


    In the operating room, they are all real and real skills, and there is no room for falsehood.


    Zhou Can successfully stopped the bleeding, which shows that his ability to stop bleeding is indeed superior to him.


    Even stronger than Dr. Ou.


    "The blood vessel should not be clamped for too long, otherwise it will easily damage the blood vessel and crest dura mater. Electrocoagulation has been tried many times, but all failed. Do you think it can be ligated to stop the bleeding?"


    Anyway, it is a blood vessel with the terminal venous capillary network cut off, ligation to stop bleeding should be a better way.


    "Wait a minute, let me check!"


    Doctor Ou spoke more politely to Zhou Can.


    Absorb the accumulated blood first so as not to obstruct the line of sight.


    With no distractions, he quickly found the problem.


    "When I removed the malformed blood vessel, I broke the blood vessel. No wonder the electrocoagulation can''t stop the bleeding. The distortion of this blood vessel is quite severe, and it has already affected the blood vessel part under the crest dura mater."


    The reason was found.


    Dr. Ou is very happy.


    Sometimes it is like this. Before the problem is found, anything is possible. Only when the fog cleared and the real reason was found, did he suddenly realize. Oh, it turned out that the reason for the bleeding was so simple.


    "We have to continue to probe downwards, remove all the diseased and problematic blood vessels, and then ligate them. Otherwise, it will be a ticking time bomb sooner or later."


    Doctor Ou said.


    "In this case, it is already necessary to cut the dura mater and explore it to the bottom. Completely solve the hidden danger."


    According to regulations, the operation process needs to make some necessary records.


    Originally, it was only the removal of spinal epidural hematoma, but now the dura mater needs to be cut, which is equivalent to an upgrade of the operation.


    A reasonable explanation must be given.


    Typically, the surgical procedure is documented by the first assistant. After the chief surgeon read it, he signed it.


    It can also be written by the surgeon himself within 24 hours.


    Dr. Ou cut open the dura mater, and after some investigation, he found that although the blood vessel was not very thick, the disease was quite serious.


    It has been extended for nearly 3 cm, and there is distortion and hardening.


    After it was removed, according to Zhou Can''s suggestion, the end of the blood vessel was ligated.


    "Okay, you can loosen the hemostat."


    Doctor Ou said to Zhou Can.


    Zhou Can tried to loosen the hemostat slowly, and sure enough, the bleeding stopped.


    Everyone showed happy expressions.


    "By the way, what''s your name? You have outstanding ability to stop bleeding."


    Dr. Ou asked Zhou Can''s name while suturing the crest dura mater.


    If it weren''t for Zhou Can''s outstanding performance, Dr. Ou might not be able to remember his name after two months of regular training.


    May not even ask.


    Now, he felt that Zhou Can was qualified to let him remember his name.


    "My name is Zhou Can! I have just left the training program outside of God. For the next two months, I would like to ask the superior doctors to take care of me."


    Not long ago, Zhou Can had a bit of trouble with Yisuke.


    He successfully stopped the patient''s bleeding, which was equivalent to slapping Kazusuke in the face.


    Lowering your posture now can be regarded as easing the relationship between the two parties.


    Then again, he will still fight for the opportunity that should be fought for. Let him come again, and he will also find ways to show his face.


    Only by showing strength can one be treated differently by superior doctors.


    Have a chance to get started.


    Take Jiang Xiaohua as an example, he and Zhou Can are both Gui Peisheng.


    Now Zhou Can wants to take advantage of the opportunity to sew the skin, Dr. Ou will probably agree. But Jiang Xiaohua is not necessarily.


    This is the difference between showing your face and not showing your face.


    "Well, you performed well just now, work hard."


    Dr. Ou obviously had never heard of Zhou Can''s name.


    After boasting a few words, he began to concentrate on surgery.


    "Xiao Zhou, haven''t you practiced suturing surgical incisions for patients yet? Stand by and watch how Chen Yue sews incisions for patients. When you learn it and the situation permits, I will consider giving you some opportunities to practice. "


    Doctor Ou said to Zhou Can in a gentle tone.


    The higher-level doctors are basically the same, and if any regular trainee is particularly outstanding, they will train as many regular trainees as possible.


    "thank you!"


    Zhou Can quickly thanked him.


    He has already reached the excellent level of attending medical treatment in terms of skin sewing skills, and he is only short of more than a thousand experience points to be promoted to the level of deputy director.


    However, he still followed Dr. Ou''s words very low-key.


    "Look, suture has strict requirements on the selection of thread and needle size. The grip of the needle holder and the coordination of the sharp tweezers also have extremely high skills. I have practiced for many years before I have a little achievement. "


    Dr. Chen Yue lost face when he stopped the bleeding just now, and now he finally has a chance to recover.


    I saw him explaining the basic method of suturing the skin with great confidence, and at the same time began to suture the incision skin of the patient calmly.


    His suture level is not weak, and he has reached the middle level of a resident doctor.


    There is still a big gap from the excellent level of resident doctors.


    Zhou Can watched silently from the side.


    Jiang Xiaohua just glanced casually, then looked away. He seems to have been familiar with sewing skin for a long time.


    For Gui Peisheng, sewing skin is still a rare exercise opportunity.


    Even many residents are rushing to do this.


    After Zhou Can watched carefully, he found that the suturing techniques seemed to be different in different departments.


    Just like martial arts sects, even if they use the same sword, their styles are very different.


    Zhou Can''s suture technique should be inherited from the general surgery line, and later incorporated some of Dr. Xu''s style. After three months of regular training in orthopedic surgery, he incorporated some of the suturing advantages of orthopedic surgeons.


    Generally speaking, he is more like integrating the strengths of a hundred schools of thought, constantly absorbing the advantages of others, and improving sewing techniques.


    He found that no matter whether it is Dr. Ou or Dr. Chen, the suturing style tends to be delicate.


    The movements are neither too fast nor too slow, and the strength is relatively gentle. The pursuit of stitching is neat.


    It may have a lot to do with the surgical direction of the department.


    The operations performed by Shenwai are all high-precision, not as rough as orthopedic surgery. When suturing, a slight force may cause the failure of blood vessel or nerve anastomosis.


    The operation of the cranium, spine and other areas is even dancing on the tip of the knife, so we must be careful and careful.


    Director Wu Baihe is known for his precise and meticulous surgical style.


    After more than twenty minutes, Chen Yue finished sewing.


    Zhou Can watched and studied the whole process, absorbed the other party''s strengths, and then thought, how should he do the stitching?


    The self-perceived gain is still quite large.


    Chen Yue originally had a lot of opinions on Zhou Can.


    But during the sewing process, Zhou Can has been watching and studying carefully, which has benefited him a lot.


    "See clearly? That''s how skin suturing is done. It''s easy to say, but difficult to say. The higher the level of suturing, the faster the patient''s wound will heal, and there will be less ugly scars. I heard that the director-level surgeon Doctors, there are even people who can suture seamlessly. Learn hard, you are still young, and there is still a long way to go!"


    When Chen Yue said these words, although he still spoke in the tone of an old senior, his gaze towards Zhou Can was obviously not so cold.


    "Okay, thanks for the advice!"


    The corners of Zhou Can''s mouth raised slightly, is the seamless stitching very good?


    He seems to have learned it and used it many times on patients.


    Although it is not up to Dr. Xu''s level, it is quite satisfactory and the sewing looks decent.


    "Is the patient''s vital signs okay?"


    Dr. Ou looked at the anesthesiologist.


    This operation, which seems to be risky, is actually a second-level operation.


    Moderate difficulty.


    "The signs are stable, can you wake up from the anesthesia?"


    The anesthesiologist asked for instructions.


    "Push it to the recovery room for observation, there is no problem, you can transfer back to the general ward."


    Dr. Ou took off his gloves and looked at Zhou Can and Jiang Xiaohua.


    "The two of you will push the patient back later. Observe in the recovery room for about half an hour, paying special attention to the patient''s breathing and whether he is conscious. Within 24 hours after the operation, you must closely observe the patient''s condition. Sometimes secondary hematoma is prone to occur, so we must be vigilant.¡±


    After explaining the precautions, he and the two residents left one after another.


    Surgical volume is relatively small.


    Not as busy as general surgery and bone surgery.


    Three thousand a year, on average, the total number of surgeries per day in the entire department is only about eight.


    ¡­


    Forty minutes later, Zhou Can and Jiang Xiaohua pushed the patient back to bed No. 24 together.


    After all, the babysitter is a paid hireling.


    He didn''t wait outside the operating room at all, but lay on the patient''s bed to rest.


    To put it bluntly, even if the patient dies, it''s none of her business.


    If it was a family member, they would definitely wait anxiously outside the operating room. As soon as the patient leaves the operating room, family members will immediately gather around to ask about the results of the operationThe nanny is soundly asleep.


    Zhou Can had no choice but to pat her on the shoulder to wake her up.


    "Auntie, Mr. Hao has finished the operation now, and everything is going well."


    "Oh! The operation went well, right? I''ll call his son and tell him."


    The nanny took her mobile phone and went to a distance to make a call.


    Zhou Can and Jiang Xiaohua worked together to lift the patient to the bed, waited for the nanny to come back from the phone call, explained some precautions, and then left.


    The nurse had to be informed to put the patient on a drip.


    The same nurse in charge named Hu Shuiling was sitting behind the nurse''s desk.


    The nurse in charge generally does less work when someone under him is available.


    Unless some patients with serious conditions are worried that ordinary nurses will mess up, they will go to the operation in person.


    "The patient in bed 24 has been transferred back to the original bed after the operation. Has the doctor''s order come down?"


    Zhou Can asked.


    "Well, I''ll go over and put him on a drip, measure his blood pressure and heart rate."


    The arrogant female nurse looked up and saw that it was Zhou Can.


    There was a trace of warmth on the cold face.


    It seems that she still knows good and bad.


    Before, she quarreled with the female nanny. If Zhou Can hadn''t helped her in time, she would have been complained 100% of the time.


    even worse results.


    Therefore, she should be grateful to Zhou Can in her heart.


    "Two of you, one went to bed 31 to have a look. The nurse responded that the patient vomited badly just now. The other followed me to bed 22."


    Doctor Cheng hurried out of the office.


    "I''ll go to bed 22 with Dr. Cheng!"


    When Jiang Xiaohua heard the patient vomit, she frowned slightly, and immediately pushed the work to Zhou Can.

 Chapter 141： Dangerous situations occur frequently, and the family members are dealt with together

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    Zhou Can even suspected that this guy was a clean freak.


    For him, it doesn''t matter which bed he treats. Gui Peisheng himself works with the purpose of learning, and he can gain something from any illness he encounters.


    The key is to handle all kinds of emergencies well without accidents.


    Zhou Can quickly rushed to the ward where the 31st bed was located.


    Shenwai can generally be divided into three to five wards.


    The most common ones are intracranial tumors, brain trauma, functional neurosurgical diseases, and cerebrovascular diseases.


    Then, intensive care can be regarded as a comprehensive independent ward.


    Patients whose lives are hanging by a thread must live in the intensive care unit.


    That is to say, the strength of Tuya Hospital is so strong that it can establish multiple intensive care units. There is one intensive care unit in the emergency department and three in Shenwai. Cardiothoracic surgery, neurology, and chest, these departments must have built intensive care units.


    I am not familiar with obstetrics and gynecology. According to common sense, and the status of obstetrics and gynecology in Tuya, there are at least two intensive care units.


    Premature babies, critically ill pregnant women, and mothers need to be sent in to save their lives at critical moments.


    Many family members are very scared when they hear that they are going to the intensive care unit because they are burning money. A daily fee of 10,000 to 20,000 is a disaster for ordinary families.


    But the intensive care unit really has the strength to compete with Hades at critical moments.


    The patient can be snatched back from the gate of hell.


    Then stay for a few days or half a month, one or two months, and finally pass the dangerous period safely, transfer to the general ward, and slowly recover.


    Since the establishment of intensive care units in major domestic hospitals, the death rate has dropped significantly.


    Many lucky patients survived and eventually recovered.


    There are also tragedies of people and money.


    Zhou Can came to bed 31. The patient was a fairly young man, probably not more than forty years old. His wife stood beside the hospital bed with a haggard face, holding a washbasin in her hand.


    The patient still has vomiting symptoms at this moment.


    "Do you vomit a lot?"


    Zhou Can asked with concern.


    A 40-year-old man is exactly the age when the upper part is old and the lower part is young, and he is the pillar of a family.


    I can''t imagine, if this man falls, what will happen to the family behind him?


    Some experts said this, health is 1, and career is N zeros.


    If the health is gone, any more zeros after it are meaningless.


    "My husband complained of a headache not long ago, and it didn''t take long before he started to vomit." The patient''s wife relaxed her nervous expression when she saw the doctor coming.


    In the minds of patients and their families, doctors are the nemesis of diseases and the life-saving straw.


    Zhou Can took a look at the patient''s examination materials and medical records.


    "Cerebral arteriosclerosis, accompanied by cerebral aneurysms!"


    Seeing the test results, Zhou Can couldn''t help being shocked.


    Since the patient was admitted to the hospital, he must be preparing for elective surgery.


    For other diseases, vomiting may not be a serious problem.


    But vomiting from brain aneurysms is a bad omen.


    Even Gui Peisheng like Zhou Can, who has no similar experience, knows the hidden danger.


    Doesn''t Dr. Cheng Gang who manages the bed know that bed 31 is a cerebral aneurysm?


    He looked at the patient''s hospitalization date and was admitted yesterday.


    "Did the nurse tell him to fast for food and water?"


    Zhou Can asked this question because he wanted to know whether the department had made a surgical plan and time for the patient?


    "No."


    The patient''s wife shook her head.


    It seems that the doctors in the department have not yet formulated a surgical plan.


    "Where does your head hurt?"


    Zhou Can asked the patient directly.


    "Here, and here, there are bursts of severe pain... Vomit!"


    As he was speaking, the patient vomited again.


    There is some acid water spit out in the basin, and there is no food residue.


    "Has he not eaten since he was admitted to the hospital?"


    Zhou Can asked.


    If the patient ate something in the morning, what he spit out now is definitely not acid water and bile.


    "I can''t eat it. I bought bread to feed him, and I shook my head as soon as I took a bite. Not to mention the box lunch. From yesterday afternoon to now, I only drank a small glass of water. Doctor, when will my husband be scheduled for surgery?"


    The patient''s wife looked at her husband with concern.


    "According to his examination report, it should be that the aneurysm in the brain pressed the nerve, which caused anorexia, nausea, and headache. The severe vomiting now may indicate that the condition is deteriorating. I will report it to the superior doctor immediately. From now on, he should not eat or drink. If the aneurysm in his brain ruptures and bleeds, he may need emergency surgery."


    After Zhou Can finished speaking, he carefully checked some conditions of the patient.


    The main symptoms are headache and vomiting.


    In addition, the patient had significant neck stiffness in response to vomiting.


    There are indications that the patient''s cerebral aneurysm is extremely likely to rupture and bleed.


    This matter cannot be delayed. If something goes wrong, a fresh life will be lost.


    Zhou Can hurried to bed 22 to report to Dr. Cheng.


    Cheng Gang is his superior doctor, and he can only report to Cheng Gang.


    The hospital implements a three-level responsibility system.


    The director is responsible for the attending doctor, the attending doctor is responsible for the resident doctor, and the resident doctor is responsible for the regular trainees and interns.


    First level management level.


    If something goes wrong, the subordinate doctor reports it in time, and that is the responsibility of the superior doctor.


    When he came to bed 22, he saw the patient lying on the bed twitching crazily, rolling his eyes and foaming at the mouth from a long distance away, which was very scary.


    Moreover, the patient''s head was wrapped with gauze, indicating that the operation had been performed.


    Most likely craniotomy.


    But Zhou Can had just arrived, so he wasn''t too sure.


    No wonder Dr. Cheng sent Zhou Can to bed 31 to check on the patient''s condition.


    Compared with the vomiting in bed 31, the patient in bed 22 was more urgent and needed to be dealt with personally.


    Jiang Xiaohua originally thought that following Dr. Cheng could do some easy and clean work.


    At this moment, he had to frown and clean the white foam in the patient''s mouth.


    And runny nose.


    "Is this a symptom of epilepsy? It seems to be serious."


    Zhou Can asked.


    "The patient developed severe epilepsy not long after the operation," Jiang Xiaohua explained.


    As for Dr. Cheng, he directly ignored Zhou Can''s question.


    While doing various examinations for the patient, he then made a comprehensive diagnosis and came up with a treatment plan.


    He has been unable to come up with a solution for a long time, obviously a little uncertain.


    At this moment, the patient with violent convulsions suddenly fell into a coma.


    Dr. Cheng''s face changed drastically, and there was panic in his eyes. He''s just a resident after all.


    Generally speaking, a resident doctor who is qualified to manage the bed alone has at least two years of work experience.


    This work experience is not counted from the first day of regular training, but from the time of obtaining the medical practitioner certificate and successfully registering in the hospital.


    To be promoted to a doctor, undergraduates need five years of resident work experience, which is also counted from this moment.


    So, strictly speaking, after getting the certificate, you can be regarded as a resident doctor.


    "Don''t panic, the patient should be in a coma caused by epilepsy, and he will wake up soon. But you need to ask Director Wen or Director Wu for instructions." Dr. Cheng said not to panic, but when he reached out for his phone, his hand was shaking.


    The patients are all in a coma, can you not panic?


    It may be inconvenient to make a phone call in front of family members.


    After all, this patient suffered from epilepsy after surgery. Although the family members haven''t said anything yet, their faces are already gloomy and frightening.


    If any sentence is not well said, it is easy to detonate doctor-patient disputes.


    "You two watch here first, and I will report the situation to the superior doctor."


    After speaking, Dr. Cheng walked away.


    Zhou Can followed.


    "Dr. Cheng, the patient in bed 31 is vomiting violently, accompanied by neck stiffness, severe head pain and other symptoms. I suspect that the patient is bleeding from a ruptured intracranial aneurysm."


    Zhou Can had no choice but to not respond to the situation.


    Even though he knew that Dr. Cheng was a bit overwhelmed at the moment, he still bit the bullet and explained the matter clearly.


    On the first day of working in Shenwai, I encountered so many dangers.


    Zhou Can can be regarded as deeply aware of the difficulty beyond the supernatural.


    Many seniors have said that persuading people to enter the emergency department to become a doctor is like a thunderbolt. It is stupid and bad to persuade people to go into a trance.


    Which department is not easy to mix.


    As long as doctors encounter patients with complicated conditions, they will immediately feel stressed.


    "Have you had a contrast examination? The patient just vomited, and you are bluffing here, why are you so irresponsible?"


    Doctor Cheng must be in a bad mood.


    His temper has also grown a lot.


    After admonishing Zhou Can, he didn''t say how to deal with it. He left Zhou Can where he was, and walked towards the far office while making a phone call.


    "Hi Director Wen!"


    When the phone was connected, Dr. Cheng immediately changed his posture.


    Half of the shoulders collapsed.


    "I have something to report to you. The patient who underwent cerebrovascular malformation surgery last night suddenly developed epilepsy symptoms in the ward. Before I had time to deal with it, he fell into a coma. How do you think about it?"


    Cheng Gang reported carefully.


    Zhou Can stood where he was and heard clearly.


    As for what Director Wen on the other end of the phone was talking about, he didn''t know.


    "Okay, okay!"


    Cheng Gang seemed to have received the imperial decree, he was so determined that he agreed again and again.


    I thought that Cheng Gang would report the situation of bed 31 together, but I don''t know if he was afraid of being scolded or had other considerations, but he didn''t mention a word.


    After hanging up the phone, Cheng Gang turned around and saw Zhou Can still standing there.


    He directly told him, "Who, immediately send the patient in bed 22 for an EEG examination. Then tell the family members that postoperative epilepsy is a common phenomenon. You can prescribe some medicine first to see the effect of the treatment. If the effect is not Alright, let¡¯s consider a second surgery.¡±


    When Zhou Can heard this, his head grew dizzy.


    The patient had just finished the operation and had complications, and the family members must have found it difficult to accept it.


    Asking him to be a regular trainee to explain to the family members, isn''t that just to get cannon fodder to beat the family members?


    This Cheng Gang is too treacherous.


    "Doctor Cheng, I don''t have a good memory and my mouth is stupid. I''m afraid of passing on the wrong words. Why don''t you go and tell the family members yourself!"


    Zhou Can is not a fool, and will never agree to such a thing.


    Even if he was asked to clean up the patient''s excrement and urine, it would be easier for him to accept it. He would rather be scolded by Cheng Gang for this kind of thing that might be beaten by his family members than to shirk it.


    "A fool who can''t do such a thing well."


    Cheng Gang scolded him and had no choice but to explain to the family in person.


    In fact, in many departments of the hospital, there are treacherous superior doctors like Cheng Gang.


    It''s not that they are not responsible, but relying on their rich work experience, they hand over some tasks that may be scolded to lower-level doctors.


    Then when the junior doctors were scolded, they stood up and said a few words of comfort.


    During Zhou Can''s internship, he was ordered by Dr. Fang like this.


    After suffering twice, he will never do such a stupid thing again.


    Not long after, I heard the family members of the 22nd bed and Cheng Gang quarrel.


    Jiang Xiaohua was so frightened that she hid away.


    It is even more impossible for Zhou Can to be a good old man in the past.


    If Dr. Cheng didn''t use him, maybe he would go over to help him.


    Now, he doesn''t have any good feelings for Dr. Cheng.


    He is more worried about the patients in bed 31. That man is the breadwinner of a family. The intracerebral aneurysm may be ruptured, why don''t you rush for surgery and wait until there are irreversible consequences before surgery?


    Then there is no point.


    A family can also be ruined by it.


    Not to mention anything else, even if the patient''s life is saved afterwards, in case of cerebral palsy or limb paralysis, the patient will not only lose the ability to work. And for the rest of my life, I need my family to take care of me.


    This is definitely a heavy burden for the patient''s family.


    Cheng Gang''s quarrel skills are not very good, and he was quickly defeated by the patient''s family.


    He came out with a black face angrily.


    "What are you two still doing in a daze? Hurry up and take the patient for an EEG."


    He took his anger out on Zhou Can and Jiang Xiaohua.


    Do any inspection, not empty teeth. The doctor in charge must issue an application for examination, and then the family members will pay the fee. This can be done.


    This is the process.


    If it is an emergency and the family members cannot come over in time, or cannot pay the fee temporarily, you can settle the arrears first.


    It is generally very difficult for specialists to provide arrears treatment.


    Because too many patients and their families will default on medical expenses after they are cured, regardless of whether they have money or not. If the patient is not cured or dies, it is even more impossible to collect medical expenses.


    Part of this money will eventually be borne by the doctors in the department.


    Therefore, no doctors in the department are willing to do such thankless things.


    After Dr. Cheng left, Zhou Can and Jiang Xiaohua looked at each other.


    "Originally it is the family''s business to take patients for examination, we can help with it, but it is not possible to check the application form, how to do it?"


    The inspection department will not violate the rules just because the two of them are doctors.


    "How about I go to Doctor Cheng to get it!"


    Jiang Xiaohua did not cheat this time.


    I took the initiative to find Dr. Cheng and took the inspection application form.


    "Did you scold you?"


    Zhou Can asked in a low voice.


    "I''m not afraid of being scolded by him, but I''m afraid of being asked to deal with patients'' excrement and vomit."


    Jiang Xiaohua was probably scolded, but she acted like nothing happened.


    "Hehe, I''ve convinced you."


    Zhou Can smiled.


    "I went to tell the family members to ask them to pay the fee first."


    Zhou Can has always been kind.


    Against cunning people, he is more cunning than the other party. When dealing with honest people, we will never let them suffer, let alone bully honest people.


    "Let me tell you! You have taken care of me many times."


    Jiang Xiaohua bared her teeth at him, and walked towards the three sullen family members with the inspection application form.


    Zhou Can secretly smiled, it seems that Jiang Xiaohua is not an ignorant person.


    He also followed.


    I''m always ashamed to ask Jiang Xiaohua to fight alone!


    If the family members beat someone up, Zhou Can is a practicing family, at least he won''t suffer.


    "This is an application for an EEG examination prescribed by a superior doctor. Please go and pay the fee." Jiang Xiaohua looked white and clean, and she was gentle and shy, but she was not at all stage frightened when facing fierce family members.


    People should not be judged by their appearance.


    Each has its own advantages and disadvantages.


    "What? Your hospital still has the nerve to ask us to pay more? My brother has been treated like this. It''s considered polite not to ask you to pay. Don''t think we are easy to bully."


    "If something happens to my husband, I will sue your hospital."


    "This is medical malpractice!"


    "Recorded, recorded, taken to court, these are all evidence."


    The three family members are like machine guns, one more fierce than the other.


    "Dear family members, I understand your feelings and sympathize with the patient''s experience. But I want to tell you that any operation has risks, and postoperative complications are extremely common. Before the operation, I believe the surgeon has also talked to you, and after With your consent, the operation will be performed."


    Zhou Can was 1.85 meters tall, and when he stood a step forward, the natural aura of a martial arts practitioner weakened the viciousness of the three families.


    "You all signed the consent form for the operation. Besides, the patient may die if he doesn''t undergo the operation. Now there are only minor postoperative complications, so you have this attitude towards the doctor. What else will you do in the future?" A doctor dares to perform surgery?"


    In terms of negotiation skills, Zhou Can is much better than Cheng Gang.


    After all, he is a rich second generation.


    I have learned a lot from my parents since I was a child.


    The expressions of the three family members were obviously relaxed.


    Zhou Can struck while the iron was hot.


    "The earlier the patient gets an examination, the sooner the cause of the epilepsy is found out, the sooner he can receive treatment. The longer the UU reading delays, the more unfavorable it is for the patient. The examination fee is actually not much. If the patient''s treatment is delayed, that It''s a big loss."


    After being preached by Zhou Can, the three family members exchanged glances and then discussed a few words in a low voice.


    Compromises were quickly made.


    "I''ll pay the examination fee right away, and trouble the two doctors to send my husband for examination. There are too many people in your hospital, and you will have to wait in line for a long time for any examination."


    "Okay, we will pull the patient over immediately. Don''t worry, we will take the green channel for you and make it urgent."


    Zhou Can succeeded in persuading his family members, and he also breathed a sigh of relief.


    Originally, the attitude of the family members might hit the doctor at any time.


    Jiang Xiaohua blinked at him and secretly gave a thumbs up.


    To be honest, Jiang Xiaohua''s heart sank at the patient''s ferocious aura just now.


    I was very afraid of being beaten.


    The two pulled the patient to the EEG examination room, where many patients were queuing up.


    Jiang Xiaohua''s routine is quite good.


    Take the checklist and run to the window to hand it to the entry clerk.


    "The patient is already in a coma, please arrange for an urgent EEG examination immediately."


    The identity of a doctor is still very useful sometimes.


    This should be regarded as aboveboard jumping the queue.


    The key is that others are willing to buy it.


    "Done!"


    He ran back and said to Zhou Can.


    "It''s really you, I learned a trick from you again."


    Zhou Can''s words made him show a smug smile.


    While waiting for the inspection, Zhou Can faintly heard the word "Director Wu" mentioned by many people.


    It''s like saying hello.


    When he looked over, it was really the pinnacle of surgery, Wu Baihe.

 Chapter 142： Leapfrog report, everyone has grown up

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    Wu Baihe''s status outside the gods is extremely respected, and doctors and nurses rushed to say hello to him, this is nothing more than normal.


    I saw him wearing a stethoscope on his chest, holding a stack of materials in his hand, and walking in this direction.


    Beside him is Dr. Du Leng, a newly recruited returnee from surgery.


    After careful calculation, Du Leng has been working in Tuya for half a year.


    There should be a difference between doctoral students and undergraduate students.


    It is said that only two years of regular training is required for a master''s degree, and one year for a postgraduate doctoral degree.


    Du Leng''s dazzling academic qualifications made him flourish in surgery.


    At this moment, he was actually able to walk side by side with Wu Baihe, which showed his high status in surgery.


    Wu Baihe was followed by several doctors.


    One of them was Dr. Ou who had met once in the operating room.


    Compared with Du Leng, Doctor Ou, who is over fifty years old, can only walk in the third row. It shows that his status in Wu Baihe''s medical team is not high.


    Zhou Can feels that now is a good opportunity to report to the next level.


    The patient in bed 31 is in critical condition.


    The longer it is delayed, the worse it is.


    I don''t know what Cheng Gang is thinking?


    However, there are a small number of doctors who really don''t put the interests of patients in their eyes. As long as no one is killed, or the doctor''s own interests are not harmed, they sometimes behave very cold-blooded.


    Even if they watched the patient die or the condition continued to worsen, they remained unmoved.


    At this time, Wu Baihe was almost at the elevator.


    It is about ten meters away from the EEG examination room.


    Du Leng has rushed to press the up button of the elevator.


    It looks like he won''t be coming.


    The opportunity is fleeting.


    Zhou Can walked over quickly.


    Both Wu Baihe and Du Leng have noticed Zhou Can.


    After all, everyone is ''familiar''.


    Needless to say, Du Leng and Zhou Can continued to have conflicts, and the two fought openly and secretly. Du Leng has never won.


    He was jealous and hated Zhou Can.


    "Hi Director Wu!"


    Zhou Can''s eyes collided with Wu Baihe''s. Now that he has something to ask for, he doesn''t dare to ask for anything.


    What''s more, he was facing one of the two most powerful famous knives in surgery.


    It is the most basic courtesy to maintain respect for superior doctors.


    "Hello!"


    Wu Baihe was slightly surprised to see Zhou Can here.


    But he was extremely impressed with the young doctor. In addition, Director Xie mentioned Zhou Can''s name many times, and even put down his body to solicit, but then he failed to solicit, and suppressed Zhou Can again.


    Therefore, the directors of various surgical departments are no strangers to the name Zhou Can.


    "I have something to tell you, okay?"


    Zhou Can is quite familiar with Director Yin in Shennei.


    It should be the first time to formally deal with Wu Baihe.


    "you say!"


    Wu Baihe looked at him indifferently.


    Du Leng was expressionless, pretending to be paralyzed in front of Zhou Can.


    "There is a patient surnamed Luo in the 31st bed of the Shenwai Inpatient Department. He was hospitalized for a cerebral aneurysm. Not long ago, he developed severe vomiting, headache, and neck stiffness. I suspect that he may have a ruptured cerebral aneurysm. It''s gone, it should be in the bleeding stage. The patient is still very young, about 38 years old, and he is the backbone of a family. His condition is critical, can you take the time to ask yourself?"


    Zhou Can pleaded for mercy for a stranger he didn''t know, because of the trace of conscience still in his heart.


    He could have shrunk his head and ignored this matter.


    Even if the patient dies, it will not affect him in any way.


    If he did that, he would have a bad conscience for the rest of his life.


    Asking Wu Baihe to intervene in person is the quickest and most effective way.


    If Wu Baihe still doesn''t care, Zhou Can can only communicate with the family members and let the family members figure out their own solutions.


    In short, this disease must not be delayed.


    "Why didn''t you report to your superior doctor?"


    Wu Baihe asked with a slight frown.


    "Because I reported it to my superior doctor, but it was not taken seriously. I personally think that the patient''s condition is critical and must be dealt with immediately. Oh, yes, the family members reported that the patient has not eaten since yesterday."


    Zhou Can deliberately mentioned this matter, which can show that the patient''s condition is far more critical than it appears on the surface.


    At the same time, it can also create favorable conditions for arranging surgery as soon as possible.


    Without fasting food and water, which anesthesiologist would dare to give patients general anesthesia?


    No one dared to take such a risk.


    In case the patient vomits during general anesthesia and the food in the stomach regurgitates, it is easy to block the trachea and cause the patient to suffocate to death.


    "I have an important operation that needs to be performed immediately, and I don''t have time to take care of other things. But since you reported that the patient''s condition is critical, this matter cannot be delayed. Who is responsible for the patient in bed 31?"


    Wu Baihe has agreed to take care of this matter.


    "It''s me! It''s me!"


    Doctor Ou quickly answered.


    "Dr. Ou, you should immediately arrange for the 31-bed patient to undergo an intracranial angiography. If you find that the aneurysm is ruptured and bleeding, you can directly discuss with the family members whether to perform traditional craniotomy or interventional aneurysm surgery? Combine the two methods Explain the cost, advantages and disadvantages to the family members. After the family members make a choice, if my operation is not over, I will go to Director Wen."


    Wu Baihe made detailed arrangements.


    Enough to handle 31 patients in a timely manner.


    "Let''s do this for now! If you have major problems, you can report to me at any time."


    After finishing speaking, Wu Baihe took Du Leng and others into the elevator.


    Du Leng didn''t say a word the whole time.


    It may be because the last time I tried my best to belittle Zhou Can in the hospital cafeteria, but with little success. On the contrary, it made him fall behind.


    So, he learned smart this time.


    Just don''t say anything.


    Compared with Zhou Can, his advantage is already great.


    Zhou Can is still rotating one department after another for standardized training.


    Very low status.


    At least Du Leng thinks so.


    As for Du Leng himself, he has made great progress in various surgical departments, and his status can even surpass many attending physicians.


    Zhou Can watched Wu Baihe and others enter the elevator, and then the elevator door closed, leaving only Doctor Ou to stay with him.


    "Zhou Can, who did you report the situation of the patients in bed 31?"


    Dr. Ou could have participated in an important operation with Wu Baihe, gained a lot of knowledge, and learned a lot of surgical experience and skills.


    Unexpectedly, it was delayed by this sudden change.


    He must be a little unhappy.


    Zhou Can can''t be blamed for this.


    But the superior doctor who didn''t do anything must have something to worry about.


    "I reported it to Dr. Cheng Gang, and after he heard it, he scolded me instead. He said that he didn''t have an angiography test, and told me not to talk nonsense. I really have no choice but to pretend to be deaf and dumb and not report it. , the conscience is really uneasy. If the patient really has a ruptured intracranial aneurysm, every second of delay will make the patient''s situation more dangerous."


    Zhou Can was also very helpless about this matter.


    "You did the right thing. Doctors should care about their patients and pay attention to their lives, health and safety. This is also the minimum professional ethics."


    After hearing this, Dr. Ou''s face sank like water.


    Zhou Can''s behavior was affirmed.


    "Doctor Jiang, I will leave it to you to do the EEG examination. I have something to do here."


    Zhou Can shouted at Jiang Xiaohua.


    "OK."


    Jiang Xiaohua nodded at him.


    Doctor Ou asked, "What''s wrong with that patient?"


    "Postoperative complications, severe epilepsy, coma. After consulting Director Wen for instructions, Dr. Cheng arranged for the two of us to bring the patient over for an EEG examination."


    "oh!"


    Doctor Ou nodded and said nothing more.


    Take Zhou Can to the inpatient ward of Shenwai.


    Came straight to bed 31.


    The male patient was already lying on the hospital bed, and his condition worsened further. His wife needed to support him to turn his body sideways due to vomiting.


    Dr. Ou is fifty years old and has rich experience in diagnosis and treatment. He immediately realized the seriousness of the patient''s condition.


    After asking a few words, he checked the extensor and flexor muscles of the patient''s neck. When touched by hand, the patient complained of pain.


    "Immediately send it for a cerebral artery CTA. I will apply for an examination right away. This matter cannot be delayed. Doctor Zhou, come with me to get the examination application form."


    Requests for examinations are made in an office or outpatient clinic.


    "OK!"


    Zhou Can''s heart fell to the ground.


    Doctor Ou paid so much attention to it, the patient was finally treated in a timely manner.


    This matter is afraid of procrastination.


    Dr. Cheng Gang is examining a postoperative patient. Some postoperative patients need to undergo biochemical tests, and the corresponding data must be recorded after a period of time, which is very exhausting.


    From a distance, he saw Zhou Can bring Dr. Ou into the 31-bed patient''s ward.


    After thinking about it for a while, his face immediately became ugly.


    "This newcomer, Gui Peisheng, is really restless. He was asked to send the patient in bed 22 for an EEG, but Dr. Ou was called to check on the patient in bed 31. I''m not dead yet."


    With a sullen face, Dr. Cheng rushed over immediately.


    "Doctor Ou, you are here!"


    Cheng Gang first greeted Dr. Ou, and then looked at Zhou Can extremely unkindly.


    "What''s the matter with you? Didn''t you tell you to take the 22-bed patient for an EEG?"


    In his words, there is the meaning of inspiring the teacher to ask the crime.


    This is in front of the family members and Dr. Ou, otherwise it would definitely not be this attitude.


    He will definitely grab Zhou Can and yell at him.


    "I asked him to bring me here."


    Doctor Ou''s tone was cold, and his gaze towards Cheng Gang was even colder.


    This is because he is extremely dissatisfied with Cheng Gang.


    "Come with me to the office!"


    Dr. Ou walked out of the ward first.


    Cheng Gang gave Zhou Can a hard look, his face gloomy.


    "You''re really good. Playing leapfrog report, right?"


    "The patient in bed 31 is already sick like this, can''t Dr. Cheng see it?"


    Zhou Can pushed back directly.


    Not offending the superior doctor doesn''t mean that you can''t offend him.


    To be honest, he couldn''t see a doctor like Cheng Gang from the bottom of his heart.


    Don''t take patients seriously, only serve your own interests.


    "Okay, you are really capable."


    Cheng Gang had a cold face, already extremely dissatisfied with Zhou Can in his heart.


    The two entered the office one after another.


    Dr. Ou is already issuing an examination request form for the 31-bed patient.


    After opening, hand it over to Zhou Can directly.


    "Let the family members pay the fee quickly, and you assist the patient to do an imaging examination. I''ll wait for the results here."


    "OK!"


    Zhou Can took the checklist, and as soon as he left the office, he heard Dr. Ou say to Cheng Gang in a cold tone, "The patients in bed 31 have already vomited so badly, why didn''t they respond to me in time?"


    "The patient had a vomiting reaction before being admitted to the hospital. I think it was the new doctor making a big fuss. There are so many urgent patients waiting to be treated outside. I thought about finishing the urgent patients first, and then going to the 31st bed to have a look. .¡±


    Cheng Gang gave an explanation.


    The inpatients outside of Shenwai do have many acute and severe illnesses.


    However, it is impossible to stay in the general ward for really severe cases.


    Most of them were admitted to the intensive care unit.


    "Did Dr. Zhou tell you that the patient may have a ruptured cerebral aneurysm?"


    Doctor O asked.


    He''s not that good.


    It''s not something that can be dismissed with just an excuse.


    After seeing the patient in bed 31 just now, he secretly rejoiced that a conscientious and responsible doctor with a solid medical foundation came here.


    Otherwise, the patients in bed 31 may be doomed.


    Even if the patient dies, the hospital does not need to bear any responsibility as long as it fulfills its duty of rescue.


    But this is a fresh life!


    "That''s purely the speculation of this newcomer, Gui Peisheng. I have checked all the patients in beds 21 to 31 on time, and I know their conditions well. The patient in bed 31 just had an admission examination yesterday. , if the cerebral aneurysm was really going to rupture, it would have ruptured long ago."


    Cheng Gang is still making every possible sophistry.


    Most irresponsible doctors are like this.


    As long as there is something that is even slightly unfavorable to you, immediately try to get rid of it.


    People eat whole grains, and when the forest grows, there are all kinds of people.


    It would be naive to say that all of them are good doctors with noble medical ethics.


    The dean also has affairs, embezzles and accepts bribes.


    It is not uncommon for some department directors to sleep with nurses.


    ¡­


    Zhou Can took the patient for cerebral angiography.


    The technical difficulty of this inspection is very high.


    It needs to be operated by a professionally trained doctor.


    Shenwai and Sheninai share the same examination department.


    The person in charge of the operation is the doctor in Shennei.


    The test results came out soon.


    The aneurysm ruptured and the amount of bleeding was not small.


    Has spread to more than half of the brain area.


    No wonder the patient would have a severe headache and vomit.


    Bleeding causes meningeal irritation, causing intracranial hypertension, and finally a series of adverse physical reactions.


    The human body has a set of self-protection mechanisms.


    Vomiting, pain, are self-protection.


    For example, eating poisonous food often causes vomiting. This is the body''s self-protection.


    Not to mention the pain.


    Pain in a certain part of the body is a reminder that something is wrong with this part of the body.


    Just imagine, if human beings don''t feel pain, they would think it''s okay to put their hands in the oil pan and fry them. A sharp sharp weapon cut a **** **** on his body, but he still didn''t notice it.


    It''s scary just thinking about it.


    Zhou Can trotted into the doctor''s office.


    "Doctor Ou, here is the angiography report. The patient''s intracerebral aneurysm has ruptured and is bleeding continuously."


    "Notify the patient immediately, fasting and drinking, and must find a way to arrange surgery immediately."


    After Dr. Ou read the report, his face was serious.


    Continued bleeding will cause continuous increase in intracranial pressure, and drainage and decompression are required if necessary.


    The earlier the surgery the better.


    "Forgive me for taking the initiative. I have explained to the patient and his family members that the patient is fasting. And I have seen the patient''s vomit, which is full of acid and bile. After inquiry, the patient has not been admitted since yesterday. Eat."


    Zhou Can explained.


    "You did a great job!"


    Doctor Ou looked at Zhou Can with admiration.


    "Cheng Gang, now that the results are out, do you still think this young new doctor is making random assumptions?"


    He looked at Cheng Gang who was busy writing the doctor''s order over there This...he was right once. Medicine is a rigorous discipline, and I don''t see myself doing anything wrong in the way I approach it. But next time I encounter this kind of thing, I will arrange for the patient to have an examination in time. "


    Cheng Gang is a dead duck with a stubborn mouth.


    Doctor Ou was extremely disappointed and angrily scolded him.


    "Reflect on it! What would happen if this patient did not have Dr. Zhou Can''s insistence and did not have a timely examination today?"


    After speaking, Dr. Ou stood up and walked out of the office.


    "I''ll talk to the family members about the operation plan right away. Doctor Zhou, if you have nothing to do, go and listen to it with me. It will be good for you. When the operation will be performed, you can also participate together."


    Doctor Ou obviously gave Zhou Can some rewards in this way.


    The rewards that superior doctors can give are nothing more than key training, guidance, and promotion nominations.


    "I''m fine."


    Zhou Can immediately followed up.


    He had never seen brain aneurysm surgery.


    This is the most common surgery performed outside of the gods. It is said that the operation is extremely difficult and risky.


    "Why are you alright? Have you finished with the 22-bed patient?" Cheng Gang must have hated being humiliated by a junior doctor.


    Naturally, he didn''t want to see Zhou Can follow Dr. Ou to reap the benefits.


    As a senior resident doctor, he didn''t even have the chance to be trained by Dr. Ou. But now, Dr. Ou is favored by a doctor who has just been here for a day.


    "The 22-bed patient is accompanied by Dr. Jiang, so don''t worry!"


    After Zhou Can finished speaking, he followed Dr. Ou without looking back.


    Cheng Gang was so angry that he scolded at the back, "You have grown up, everyone has grown up!"

 Chapter 144： Why is the spring ring disobedient? Completed in 6 seconds, stunning the audience

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    At this moment, even fools understand that Director Wen, the strongest in their minds, has encountered a problem.


    The neck of the patient''s aneurysm is too narrow, and the elastic circle wants to be placed precisely at the target position, but it is ultimately compromised by the flexibility of the catheter.


    In front of the students and doctors from the outside team, Director Wen was already on the verge of riding a tiger.


    People need face, trees need bark.


    Sometimes burdened by false reputation, in order to save face and majesty, he can do many unimaginable things.


    Director Wen gritted his teeth and decided to be brave and give it a go.


    Put the spring yellow circle directly out of the catheter.


    After the special springy circle is placed in the target blood vessel, direct current is applied, and the springy yellow circle attracts negatively charged blood components: red blood cells, white blood cells, platelets, etc., and electrocoagulation occurs.


    Eventually a blood clot forms within the aneurysm.


    At the same time, the connecting part of the elastic ring and the stainless steel guide wire was melted due to electrolysis, and the elastic ring was released and remained in the aneurysm.


    It was not sent to the ideal target position, and the circle position was not correct, so it was released forcibly.


    The consequence is that the yellow circle doesn''t work as it should.


    You know, the patient now has an aneurysm that has ruptured and is bleeding.


    It needs to be completely blocked.


    This requires multiple spring circles to be placed.


    But the first one is not put away, what to do with the latter one?


    Director Wen''s idea is very simple, if it is not placed properly, just try to adjust the circle position.


    The GDC spring ring is extremely soft, and it has good compliance in advancing and retreating in the aneurysm. If the delivery position is not satisfactory, it can be adjusted again.


    In general, parent artery occlusion is less likely to occur.


    Then adjust slowly.


    It''s a pity that the more tuned it is, the less ideal it becomes. Director Wen''s head is getting bigger.


    "Today is really crazy, why is this yellow circle so disobedient?"


    Director Wen''s speech is quite good.


    If it were a bad-tempered chief surgeon, I''m afraid he would have started scolding his mother a long time ago.


    "Director Wen, take a break first, let me fight for a while."


    The attending physician surnamed Zou took the initiative to ask for help.


    Share Director Wen''s worries.


    "Maybe I''ve had two surgeries today, and I''m really tired. You do it first, and I''ll go to the side to catch my breath."


    Director Wen also took advantage of the **** to get off the donkey, and stepped aside at the right time.


    After Dr. Zou took over, the situation was not much better.


    After all, it depends on real skills.


    And now that the yellow circle is released from the catheter, the operation is more difficult.


    Within a few minutes, Dr. Zou was already sweating profusely.


    Half tired, half anxious.


    The operation is always poor, the patient''s intracranial hemorrhage is continuing, can he not be in a hurry?


    At this moment, the patient''s body suddenly began to tremble.


    Immediately afterwards, the life monitoring instrument issued a piercing alarm sound.


    "Not good, the patient''s blood pressure is dropping rapidly, the heartbeat is accelerating, and the brain waves are abnormal!"


    The anesthetist was originally sitting by the wall to rest, glancing at the display screen of the monitoring instrument from time to time.


    Under normal circumstances, a brain aneurysm interventional operation is only necessary, and there is almost no risk.


    Unexpectedly, this director Wen and his few students made the patient like this in a daze.


    "What happened?"


    Director Wen also ran up to check nervously.


    "It should be that the spring ring was not placed properly, and the position of the spring ring was adjusted repeatedly, which aggravated the bleeding instead."


    The anesthesiologist has rich experience and gave the reason after the inspection.


    "I, I didn''t do much!"


    Dr. Zou felt quite wronged.


    Isn''t interventional surgery claimed to be extremely risky?


    The most dangerous catheter puncture has already been done.


    There is almost no danger in inserting the spring ring. How could it cause serious problems for the patient after only a few minutes?


    What a shame.


    "If the yellow circle cannot be inserted in time to stop the bleeding, the patient may not be able to get off the operating table."


    Anesthesiologists are more depressed than anyone.


    In this case, he has no way to save him.


    The patient is suffering from intracranial hemorrhage, and the only way is to stop the bleeding.


    "Things that are not enough to succeed, but have more than enough to fail. Go down!"


    Director Wen''s eyes were extremely cold.


    The face covered under the mask must have become extremely ugly.


    So much so that he scolded Dr. Zou extremely nasty words.


    I was really anxious.


    There is a huge difference between a failed operation and a patient being put to death.


    The consequences were simply not something he could bear.


    "Before the patient entered the operating room, he had been bleeding for more than an hour. Now, due to Dr. Zou''s operation error, the bleeding has become more severe. There is no point in rescuing the craniotomy. The only way is to insert all the elastic circles in the shortest time and break them off. The blood supply to this aneurysm."


    Zhou Can couldn''t bear to watch this patient die or turn into a vegetable.


    In order to save this patient, he has paid a lot with his meager efforts.


    Wu Baihe can''t come, Director Wen''s level is just like that.


    Right now, I am afraid that only this humble little Gui Peisheng can turn the tide and bring the dead back to life.


    "It''s not for you to talk here. Everyone understands the truth."


    Doctor Zou scolded coldly.


    Zhou Can directly pointed out that it was because of his operation error that the patient''s bleeding worsened.


    The words are the truth.


    But it sounded very harsh to him, and he felt very uncomfortable.


    "I''ve had implantation surgery, can Director Wen let me try it? It doesn''t take too long, thirty seconds is enough."


    Zhou Can''s words are really shocking and endless.


    Director Wen made no progress for nearly half an hour operating the spring ring, and Dr. Zou worked it for seven or eight minutes, but not only made no progress, but also made the patient''s bleeding worse.


    This young Gui Peisheng with a tight face actually said that thirty seconds is enough for him.


    "Do you know what you''re talking about?"


    Director Wen looked at Zhou Can with cold eyes.


    It was also the first time to look at Gui Peisheng with a straight eye.


    With his status, not to mention Gui Peisheng, he is a resident doctor, not particularly outstanding, and he is not even worthy of his name to remember.


    "I said give me thirty seconds, and I can solve the problem of placing the yellow circle."


    Zhou Can''s eyes were clear and his voice was sonorous and powerful.


    This is a sign of extreme confidence.


    "Xiao Zhou, don''t be brave."


    Doctor Ou gave him a hand.


    This kid is clueless. The patient may die at any time, and he is doing it now, and he will be a perfect scapegoat when the time comes.


    Hospitals have never been the beautiful holy places imagined.


    On the contrary, under the sacred appearance, there is too much dirt and ugliness hidden.


    "If this patient is not saved, he will probably die. I can''t consider too many personal interests."


    Zhou Can said gratefully to Dr. Ou.


    After saying that, he looked at Director Wen again.


    If the chief surgeon refuses to agree, he will have no chance to get started.


    "Seeing how confident you are, I can''t do without giving you a chance. Come on, the result is already like this, and it can''t be any worse." Director Wen actually agreed.


    Zhou Can doesn''t care so much, as long as he agrees.


    He walked quickly onto the operating table and stood in the best operating position, only to see him fiddling with the thin guide wire.


    Before everyone could see clearly, he had already stopped operating.


    "alright!"


    He said calmly.


    Watching Director Wen and Dr. Zou operate just now, he felt that he could do it.


    Now that I got started, I successfully placed the spring circle at the target position.


    It took six seconds total.


    It could have been faster, mainly because it was the first official operation.


    "This, is this all right?"


    Director Wen''s eyeballs almost fell off.


    "Oh, this Gui Peisheng seems to have really straightened it up!"


    The female attending doctor exclaimed in surprise.


    "It only took five or six seconds to fix it?" Dr. Zou has done it himself, so he knows the difficulty.


    Let alone five or six seconds, fifty or sixty minutes to put the spring circle in the target position is already very good.


    Those three graduate students, and two residents, were a big eye-opener today.


    The surgical tasks that their teachers couldn''t handle, and Dr. Zou couldn''t handle, were easily handled by a regular trainee.


    Is this the legendary sweeping monk hanging and beating the martial arts master?


    Or is it the legendary pig that does not swallow dross, but only swallows dragons and tigers?


    Director Wen stared at the screen and watched it over and over again. After watching it no less than ten times, he finally confirmed that this humble kid in front of him had created a miracle. Literally a near-impossible operation done in just a few seconds.


    This aneurysm can''t be done with just a spring ring.


    You have to put in more than one to completely block it.


    Zhou Can has already stepped aside.


    And with a calm face.


    As if just doing a trivial thing.


    Such behavior made Director Wen feel ashamed.


    My family knows my own affairs.


    Don''t look at Zhou Can who easily fixed the bullet ring, but if he were to operate it, the latter bullet ring would still get stuck with a high probability.


    When the time comes, Director Wen''s face will really be slapped.


    "May I have your name?"


    Director Wen collected himself and asked Zhou Can''s name.


    Almost all senior doctors follow this routine.


    When encountering a particularly outstanding junior doctor, the first sentence must be to ask for his name.


    Just like greetings between acquaintances, the opening remarks are always a few words.


    "Have you got a meal yet?"


    "The weather is so nice today!"


    ¡­


    "My name is Zhou Can, and I am a doctor trained in our hospital who has just transferred to Neurosurgery."


    A general practitioner from our hospital should have been added.


    Think about it or forget it.


    The status and weight of general practitioners are actually higher than all other doctors.


    "Xiao Zhou, you performed very well just now. It shows that you are very talented in the field of implantation. I decided to leave the rest of the implantation to you. Young people, you need to train more and give them more exercise. Chance."


    Director Wen''s ability to speak clich¨¦s is not weak at all.


    Obviously I have no ability to operate, so I want to ask Zhou Can to complete the rest of the ring insertion. But he has to say it so high-sounding.


    "This is not good! My qualifications are low and my level is low. Why don''t I let Dr. Zou or Dr. Hou Li do it!"


    Zhou Can despises such a hypocrite the most.


    Deliberately retreating to advance, to stimulate Director Wen.


    "No, no, they still have a lot of opportunities to practice in the future. You must be allowed to operate this time."


    Director Wen would give Zhou Can this training opportunity.


    Because only Zhou Can can handle it well.


    Let Dr. Zou do the operation, even if he is killed, he will not agree. Almost killed the patient just now.


    As for Dr. Houli, his level is not as good as that of Dr. Zou.


    It is even more impossible for him to agree.


    Zhou Can just flirted with Director Wen, and when he saw Director Wen''s anxious negation, he almost burst out laughing.


    "Okay, then I won''t be polite! Thank you Director Wen for your cultivation and trust."


    Zhou Can also accepted as soon as he saw it.


    There is absolutely no benefit in offending a chief physician.


    It''s just a temporary addiction.


    He stood at the chief surgeon''s position and started the next operation.


    One after another, the spring circles were like playing in his hands. It is easy to put into the target position, and it is tightly arranged.


    Soon, the entire brain aneurysm space was filled with spring circles, and after the thrombus formed, the intracranial hemorrhage was finally stopped successfully.


    "Very good! The patient''s blood pressure, heart rate and other indications have gradually stabilized!"


    The anesthetist''s hanging heart finally fell to the ground.


    He looked at Zhou Can with extremely complicated eyes. There was appreciation, shock, and a hint of gratitude.


    If Zhou Can hadn''t acted in danger, this patient might not even be able to get off the operating table.


    "Well, the operation is not bad. However, there are still areas for improvement, such as the opening directions of these spring rings are not consistent." Director Wen made a few comments with a pretentious attitude.


    I have never heard that the opening direction of the spring ring should be consistent.


    It''s almost like picking a ''thorn'' out to maintain his authority as director.


    Through this operation, Zhou Can also thoroughly recognized Director Wen''s strength and personality.


    I don''t know about other surgical abilities. The ability of puncture and implantation can only be regarded as an average level.


    Definitely not great.


    Also, this person is very face-saving.


    Whether it was forcibly releasing the spring yellow circle out of the catheter before, or asking Zhou Can to save the scene later, the words were high-sounding. And the so-called comments at the moment. It fully shows that this person is very hypocritical.


    It seems that not every chief physician is decent and tough.


    Fortunately, the patient''s brain aneurysm interventional surgery was successfully completed.


    The patient''s life was saved.


    "Director Wen, there is a certain amount of blood accumulation in the patient''s brain, do you think it needs to be drained?"


    Zhou Can looked at the location of the brain tumor.


    As long as he is given this opportunity to puncture, he is sure to complete the puncture successfully without injuring the cerebral blood vessels, nerves, or important brain tissue. Get the blood out.


    Although the aneurysm bleeding has stopped now, the intracranial pressure must still be high because of the continuous bleeding.


    "Judging from the pictures taken by the patient, the amount of bleeding is not particularly large. Even if the bleeding increased during the operation, it is still within an acceptable range. The risk of brain puncture and drainage is too high, and there is no need to take this risk. Too much In the past few days, his body will naturally absorb the accumulated blood."


    Director Wen has experienced the previous danger.


    Be cautious at this moment and never want to take any risks.


    Successful completion of a brain aneurysm interventional operation, whether it is the income of the department or the operation commission of the chief surgeon, is quite considerable.


    It is an accumulation of surgical achievements.


    Therefore, Director Wen''s mood at the moment has reached heaven from hell.


    Surprisingly good.


    After the inspection is correct, the catheter is withdrawn and the patient is given blood coagulation medication.


    Then wake up from anesthesia.


    Unlike wake-up anesthesia for general surgery, the anesthetist did not dare to remove the vital signs monitor. Simply stop the medication through the breathing mask.


    Generally speaking, about ten to twenty minutes after the anesthetic is stopped, the patient can wake up on his own.


    There are also abnormal situations. At this time, the anesthesiologist can use some corresponding methods to wake up the patient.


    For example, antagonistic drugs are given to antagonize its sedative effect and achieve the purpose of awakening the patient.


    Director Wen did not dare to evacuate while the patient was awake.


    The main concern is that something unexpected will happen.


    Being able to be the chief doctor, they generally attach great importance to safety issues because they have experienced too many dangerous situations, and they know that some small negligence may lead to big mistakes.


    "Doctor Zhou, let me meet you. My name is Hou Li. I am an attending physician at Shenwai. I specialize in functional neurological diseases, and I am good at surgical treatment of Parkinson''s disease and intractable epilepsy."


    Hou Li smiled and greeted Zhou Can actively.


    Perhaps it was because of seeing this young Gui Peisheng showing amazing surgical potential and establishing a good relationship in advance.


    In the hospital, there are not a few skilled doctors like her.


    It would be very difficult to get to know Zhou Can after he became famous.


    Not to mention anything else, the departments of the two are different, it is a natural ditch.


    "Hi, nice to meet you!"


    Zhou Can was very polite to her.


    Facing this woman in my heart is not cold.


    She looks pretty, but she doesn''t have any real skills. At least the surgical ability displayed is not flattering.


    In contrast, Dr. Shan of the Orthopedic Surgery Department is also a young female doctor, but she is much more pragmatic than her.


    "Dude, are you really just a regular trainer? I think you''re awesome when you put the bullet ring in!"


    A graduate student couldn''t help talking.


    The combination of regulation and masters, during the postgraduate study period, followed the teacher to perform surgery in the hospital, which is equivalent to regular training.


    However, with the continuous rise of Tuya in recent years, it has developed rapidly.


    In order to improve the quality of diagnosis and treatment and the level of the doctor team, regular training has also been implemented for graduate students. It was criticized as a painful secondary training.


    For example, for postgraduates and masters, it may only take ten or twenty days of regular training in a small hospital, and after a symbolic familiarization, they can officially become a resident doctor and start receiving wages.


    But not in Tuya.


    It does not recognize.

 Chapter 145： 1 Soaring into the sky, epilepsy case consultation

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    Dr. Zou was the only one who was embarrassed to greet Zhou Can proactively.


    When operating on a patient, he stabbed a basket, and Zhou Can wiped his butt. The key point is that he also scolded Zhou Can a few words.


    Now Zhou Can successfully placed all the yellow circles, and the patient''s threat of cerebral aneurysm was relieved. Comparing him with Zhou Can, everyone can tell whether his level is high or low.


    "Who is Xiao Zhou currently training under?"


    Director Wen''s question, it is estimated that he has already started to think about this talent.


    It is not just the patent of top doctors to like excellent medical juniors. Senior doctors with weaker medical or surgical abilities have even stronger desire for these talents.


    Because as long as you recruit people, you can help a lot.


    It has high utilization value.


    "I followed Dr. Cheng Gang in the inpatient department to do some ward rounds and follow up on patients'' surgeries."


    Zhou Can told the truth.


    "Cheng Gang? Are you the resident doctor in charge of the bed?"


    It is estimated that if Cheng Gang heard this, he would be so angry that he vomited blood.


    Anyway, he is a resident doctor with the ability to manage the bed independently, but the chief physician in the same department doesn''t even remember his name.


    There are not many doctors in the neurosurgery department.


    Cheng Gang has been in this department for several years, but such a result is absolutely sad.


    Unlike regular trainees and interns, residents are serious department employees. Participate in various performance and bonus sharing. It should be a bit of an impression anyway.


    Besides, not long ago, a 22-bed patient had a postoperative complication¡ªepilepsy.


    Cheng Gang also called Director Wen to report the situation.


    Compared with other departments, the doctors in the neurosurgery department are particularly indifferent.


    There are layers of invisible and intangible barriers.


    "That''s right, Cheng Gang is in charge of the bed in the ward."


    Dr. Ou answered the question instead of Zhou Can.


    It can be seen that in Dr. Ou''s small eyes, there is a desire to curry favor with Director Wen.


    "Cheng Gang''s academic and surgical abilities are very average. If you follow him, you can only learn some basic methods of patient management. I will transfer you to my group, and follow me in surgery, consultation, management bed or something."


    As expected, Director Wen was playing Zhou Can''s idea.


    Not to mention anything else, Zhou Can''s implantation skills alone are enough to help him in many interventional surgeries.


    The key is that such talents are completely free.


    Gui Peisheng does not participate in the operation commission, and does not participate in the distribution of various bonuses in the department.


    You can''t even write your own name on doctor''s orders and medical records.


    It is equivalent to recruiting a free helper.


    To be able to take such a big advantage, it''s no wonder Director Wen didn''t rush to do it.


    "Thank you Director Wen for cultivating!"


    Zhou Can thanked with a ''happy'' smile.


    In fact, he hopes to have the opportunity to be appreciated by Wu Baihe, and hang out with Wu Baihe for two months.


    Because Director Wen''s surgery level is very average, there are really limited things he can learn.


    Right now, he has no choice but to agree to be ''happy''.


    Director Wen didn''t ask him if he agreed.


    A decision was made directly.


    If he said he disagreed at this time, Director Wen''s face would be longer than that of a donkey.


    A little Gui Peisheng doesn''t know how to praise, and the consequences are very serious.


    Zhou Can can only lower his expectations, first gain a firm foothold, and then seek development and greater progress.


    Now that I follow Director Wen, I still have a chance to be appreciated by Wu Baihe later.


    If you can''t wait for that opportunity, it''s fate.


    I can only find opportunities to study outside the gods in the future.


    "Doctor Ou, that Cheng Gang is your resident doctor, right?"


    "Yes! Usually I am responsible for him."


    Dr. Ou looked at such an excellent Gui Peisheng under his command, who was poached away on the first day of his training outside of Shenwai, and he was envious, but envious.


    He also very much hoped that Director Wen would dig him out.


    Not every attending doctor is covered by a superior doctor.


    Dr. Ou is a "wild child".


    If there is a problem with the patient under his care, he can report it to the department director and deputy chief physicians. Anyone can.


    But no one took him as an apprentice.


    Basically, I will have a third-level operation with this one today, and another one with another director tomorrow.


    The only way to make progress is with difficulty.


    "I''ll explain this to Cheng Gang later."


    Dr. Ou took the initiative to show his kindness again.


    "Well! Thank you for your hard work!" Director Wen nodded in satisfaction.


    It can be seen that he is very happy to find a good talent.


    At this time, the patient had already woken up under the call of the anesthesiologist.


    Generally speaking, after stopping the anesthesia, about ten minutes later, patting the patient''s shoulder and calling the patient''s name can wake the person up.


    General anesthesia is also considered deep sleep.


    After examination, the patient still had vomiting and headache after waking up from anesthesia, and the neck stiffness still existed.


    It does not appear that the condition has improved in any way after the operation.


    In fact, this is not the case.


    After the bleeding stops, the aneurysm will no longer receive new blood influx, and its volume will shrink appropriately.


    This process does not take too long, maybe not even 24 hours.


    At that time, the patient''s intracranial pressure will be reduced.


    In addition, the accumulation of blood in the brain will be slowly absorbed by the brain tissue, and the intracranial pressure will be further reduced.


    If nothing else, the patient''s condition will be relieved quickly.


    Various symptoms gradually disappeared.


    It is by no means that the family members think that the operation is unsuccessful or that the operation is useless.


    Many family members and patients do not understand medical expertise, and interventional operations are almost non-invasive.


    They will think that after spending more than 100,000 yuan, have they been fooled by the doctor?


    Maybe it will get better on its own in a day or two without surgery.


    Not really.


    The explanation work will be done by doctors and nurses.


    Although most family members hold a skeptical attitude, they will eventually accept the explanation given by the doctor when they see their relatives recover and leave the hospital.


    From this point of view, the credibility of a hospital is really important.


    For a well-known top provincial hospital like Tuya, patients don''t need to explain too much, patients will trust them naturally.


    ¡­


    After the operation was completed, Zhou Can followed Director Wen straight back to the doctor''s office.


    What are you doing?


    The 22-bed patient was operated by Director Wen, and now there are complications, so he must find a way to solve it.


    Call the doctors in the group to consult together, this is the most basic.


    As soon as he arrived at the corridor of the inpatient department, Cheng Gang, who came out of the ward, saw Director Wen coming with a large number of doctors from a distance.


    Immediately stood there respectfully, smiling all over his face, ready to take the initiative to say hello.


    "Hello, Director Wen! I heard that the operation on the 31-bed patient was very successful. After the patient was transferred back to the ward, the family members are very grateful to you!"


    "Haha, that''s right! It''s our doctor''s job to relieve patients'' sufferings. Tell the family members and patients to cooperate with the doctor''s requirements and take care of the postoperative care."


    Thousands of wears and thousands of wears, only flattery does not wear.


    Cheng Gang''s flattery made Director Wen smile all over his face.


    At this time, Cheng Gang''s gaze caught a glimpse of Zhou Can actually mingling with Director Wen''s team.


    His eyes fixed on Zhou Can.


    "Xiao Zhou, go to work in the ward as soon as possible after the operation. The wound of the patient in bed 27 shows signs of infection. You should take care of it."


    Cheng Gang flattered Director Wen like a pug.


    But when speaking to Zhou Can, it was in a commanding tone.


    Crushing people to death at the first level is not only applicable to officialdom.


    The same applies to work units and hospitals.


    Zhou Can looked at him with rebellious eyes.


    If I don''t listen to you, I won''t listen to you, what can I do?


    "Xiao Cheng, Zhou Can has been transferred to my group to participate in the regular training work."


    Director Wen''s words were like a bolt from the blue, blasting Cheng Gang into a mess.


    He asked in disbelief, "He, was he directly transferred to your group?"


    "What, do you have an opinion?"


    Director Wen''s tone turned cold.


    When talking to Cheng Gang, a non-existent resident doctor, Director Wen didn''t have any kind or even humorous ideas.


    "No problem, no problem, don''t get me wrong. I''m happy for him!"


    Cheng Gang found that Director Wen''s tone and expression were not right, so he was so frightened that he hurriedly explained.


    "Xiao Zhou, it''s a great opportunity to join Director Wen''s group, you know? The attending physicians and residents under Director Wen are all elites among the elite. In the future, you must be diligent with the new residents. ,do you know?"


    According to Cheng Gang''s idea, Zhou Can was lucky to be appreciated by Director Wen.


    At best, Director Wen asked one of his resident doctors to take Zhou Can.


    After all, this is the routine operation of chief doctors.


    "Dr. Zhou''s surgical ability is extremely strong, we are not qualified to take him. Instead, Director Wen will take him in person."


    The three resident doctors hurriedly clarified.


    This Cheng Gang is simply a chatterbox.


    Ba la ba la talked a lot, and the key point almost caused three residents to lie down with their guns.


    "What? Director Wen will take him personally?"


    Cheng Gang''s eyeballs almost fell out of shock.


    It is only now that he understands that Zhou Can has not hit the big luck, but has risen to the top based on his strength and soared into the sky.


    It directly won the high appreciation of Director Wen.


    Otherwise, with Director Wen''s status, not to mention a regular trainee, even the attending doctor might not be able to teach in person.


    Director Wen ignored Cheng Gang''s shocked + jealous expression at all, and directly led the doctors in the group into the office. In his heart, Cheng Gang is no different from the weeds on the roadside.


    Zhou Can just glanced at Cheng Gang indifferently.


    Not surprisingly, the days of Cheng Gang giving orders to him are completely over. In the future, when Cheng Gang meets him, he should find ways to lick him.


    After entering the office, Zhou Can was regarded as a new member of the group.


    He consciously took the last seat.


    Even further back than the seats of the three graduate students.


    Low-key is an attitude, but also a kind of self-cultivation. It can make people feel like a spring breeze, can greatly increase the favorability of others, and greatly reduce the chance of making enemies.


    The only thing that needs to be overcome is the inner vanity and showing off psychology.


    "Tang Li, first put the patient information and the latest EEG on the 22nd bed on the screen for everyone to see."


    Director Wen ordered the female attending doctor under his hand.


    "OK!"


    She projected the patient''s latest EEG on the screen.


    "This patient''s cerebrovascular malformation operation yesterday, everyone must still have an impression. It is very common to have postoperative complications. Now the patient has postoperative epilepsy and has been in a coma twice. The family members'' emotions are very intense. It¡¯s fierce. Let¡¯s take a look at the EEG and enhanced CT of the head.¡±


    Director Wen was actually very annoyed when he encountered this situation.


    Postoperative complications are, to put it mildly, common.


    But to put it bluntly, it can also be understood as the level of the doctor''s operation, the operation is not thorough, or it is not done well. caused other symptoms.


    In terms of responsibility, Director Wen certainly cannot escape.


    If it is defined as a medical malpractice and punished, it does not exist.


    After all, the operation is only performed after signing the consent form for the operation.


    And no doctor can guarantee that the operation will be successful.


    Not to mention craniotomy.


    Even if it is only a minor operation, there is a possibility of failure.


    For example, suturing traumatic wounds, is this a simple first-level minor operation? Even a barefoot doctor in a small clinic can do it.


    But after a few days of suturing, the wound became infected and suppurated.


    Who is responsible for this?


    Doctors certainly don''t want to take on this responsibility.


    In the end, the patient can only pay the bill.


    Then again, if there is a problem with the operation, should the family members make trouble?


    In fact, there is no harm in making a fuss.


    On the one hand, there is indeed a need to vent emotions. On the other hand, the hospital will pay more attention to it if it is more violent. For follow-up treatment, even if the patient pays for it himself, the treatment will be more guaranteed.


    Even the hospital will make some compromises and reduce some of the costs.


    Therefore, it is more in line with the interests of family members and patients to make trouble when it is time to make trouble.


    Talking too easily will only make people feel easy to bully, like a lamb waiting to be slaughtered, it is easy to suffer greater losses and suffer more crimes.


    Most of the doctors have seen the patient data of the 22 beds.


    And overripe as a chest.


    Before the operation, when formulating the operation plan, everyone will know the patient''s medical history, condition, examination report and other information.


    Therefore, when passing on the information at this moment, many doctors just flipped through it and passed it on to the next person.


    Zhou Can was the only doctor who hadn''t seen the data of the 22-bed patient.


    When it was passed to him, he was already the last one.


    I also looked at it intently.


    At present, his pathological diagnosis and medical skills are inferior to those of residents.


    Compared with the doctors present here, it may only be better than the three graduate students.


    The strength of the three resident doctors is not clear for the time being.


    The diagnosis level of the attending doctor is beyond doubt.


    Not to mention Director Wen''s level.


    As long as they can get a high professional title in Tuya Ping, no one is easy to be with. Director Wen''s proficiency in interventional surgery does not mean that other abilities are also bad.


    After everyone has seen the latest EEG and head CT scans, extensive discussions have begun.


    Zhou Can was not disturbed by external sounds, and concentrated on looking at the patient''s information.


    "Gao Zongyi, male, 46 years old, has symptoms of mental retardation, had a history of epilepsy before admission, and the frequency of the onset is getting faster..."


    After a long time of trouble, it turned out that the patient had a history of epilepsy before admission!


    Those family members are still making such a fuss, which shows that the family members are not fuel-efficient lamps.


    It belongs to the category that is difficult to deal with and difficult to deal with.


    Zhou Can defined the patient''s family.


    After investigation, the patient had a venous vascular malformation in his brain. But this part is very close to the internal capsule.


    Many may not know where the inner capsule is.


    The internal capsule is the name of a part through which the nerve fibers connecting the cerebral cortex with the brainstem and spinal cord pass, and is located between the basal ganglia and the thalamus.


    The motor nerve fibers and sensory nerve fibers leading to the cerebral cortex are fan-shaped and radially distributed upward through the internal capsule.


    It is not difficult to see from here that the internal capsule is equivalent to a contact point between the cerebral cortex, the brainstem, and the spinal cord.


    Its risk is second only to the brainstem in intracranial surgery.


    Generally, a knife needs to be performed near the inner capsule Even in the top tertiary hospitals with considerable strength in the local area, most of them will politely tell the family members that they cannot perform this operation.


    Because the risk is too great.


    At present, Tuya Hospital is basically able to achieve no restricted area for intracranial surgery.


    Of course, this is for external publicity, and there is a certain amount of moisture.


    If you really want to use a knife in the brain stem area, even Wu Baihe will feel terrified.


    The hypertensive pregnant woman who was in the emergency department last time was fortunately a pseudoaneurysm. Because Wu Baihe made it clear that he was not even 50% sure of the operation.


    As far as Tuya''s supernatural power is concerned, it is not particularly powerful in itself.


    Not even necessarily the strongest in the province.


    The provincial people''s hospital and a certain digital hospital are all very powerful.


    Not to mention Renhe Hospital in the imperial capital.


    In addition, the Shenwai of the two large hospitals in Shanghai are also powerful. It even surpassed Tuya, and was comparable to the benevolence and spirit of the imperial capital.


    Director Wen dared to perform this operation, which is enough to see that his level of traditional surgery is quite high.


    May not have much talent in interventional surgery.


    Zhou Can made a new evaluation and understanding of Director Wen.


    On the operation record sheet, it clearly stated that the diseased vein segment was removed.


    Now that the resection has been successful, why does the patient''s epilepsy worsen after surgery?


    Zhou Can looked up at the latest inspection report.


    Electroencephalogram, obviously abnormal discharge.


    In fact, epilepsy patients are basically caused by abnormal brain discharge.


    As for the cause of the abnormal discharge, it must be thoroughly investigated. Brain arteriovenous tumors are not the only ones that can cause them.


    Varicose veins, telangiectasia, and cavernomas can all cause abnormal electrical discharges in the brain.

 Chapter 147： Harm of 2 surgeries, good friends ask for help

    The status is obtained by fighting for a little bit of strength.


    In this group consultation, Zhou Can''s pathological diagnosis ability was even stronger than that of Dr. Zou and Tang Li. As for those residents and postgraduates, they are even more incomparable with Zhou Can.


    Even though they said a lot, adding one piece is not as good as Zhou Can''s words.


    That''s how doctors see and treat diseases.


    Some doctors don''t have any real skills, they only know how to preach science according to the script, and do science popularization in front of patients. But none of them hit the point.


    Talking too much is tantamount to farting.


    Because what patients need is to find out the focus of the disease and diagnose the cause, instead of going to the hospital to study.


    If patients want popular medical knowledge, they can search at home on Zhihu, Baidu, and Dingxiang. Websites such as Zhixin and Metz provide more professional medical knowledge.


    More professional content such as medical papers and surgical operations.


    It is difficult for ordinary people to understand.


    Zhou Can was poached by Director Wen in the operating room before, just wanting to use his implantation skills.


    As for Director Wen''s words about cultivating him well, just listen to it.


    At this moment, Director Wen found that his diagnostic ability was so outstanding, and Zhou Can''s flattery just now was very well done.


    Only then did he decide to increase the training of Zhou Can.


    In fact, it''s not a real cultivation, it''s mainly the use of Zhou Can''s value.


    Except for Director Wen himself, Director Wen''s group has no outstanding generals. Zhou Can''s diagnostic ability is strong, helping to check together can reduce the misdiagnosis rate and missed diagnosis rate of patients in the group.


    On the contrary, Dr. Shan helped him apply for a login account in the group when he was in orthopedic surgery before, which really cultivated him as his own.


    Director Wen is more like not letting the eagle see the rabbit, and the interests come first.


    In the 22-bed patient, the second focus of epilepsy was detected, and the next step was to formulate a treatment plan.


    "Now the cause of the exacerbation of epilepsy has been identified. According to the situation, the cavernous hemangioma in the patient''s brain should be removed. However, considering that the patient''s life is not endangered at present. In addition, it is only an occult vascular malformation, not a real one. tumor. In a short period of time, the risk of giving the patient a second craniotomy is extremely high.¡±


    "So I think it will be safer to elect a second craniotomy for the patient after two or three months."


    Director Wen was very cautious about the patient''s second operation.


    When the chief physicians formulate the operation plan, they are basically all cautious.


    Nothing else, I have been frightened many times, and finally became a disease.


    In the profession of doctors, one must be in awe of life, one must be both bold and timid.


    Only in this way can the trees be evergreen and reduce the accident rate.


    A cavernoma is simply a vascular malformation that lacks an arterial component.


    It generally develops slowly.


    After two or three months of surgery, the problem is not big.


    Performing a second craniotomy in a short period of time is mostly helpless.


    Mostly due to the obvious secondary intracranial hemorrhage or cerebral edema after the first craniotomy, the mass effect is prominent. If the surgical treatment is not performed in time, it may be life-threatening.


    Such a major operation, whether it is a craniotomy or not, should not be performed frequently in a short period of time.


    Unless the operation is not performed immediately, the patient''s life will be in danger.


    Because the second operation means that intravenous general anesthesia is required for endotracheal intubation.


    It has a great impact on the environment in the patient''s body and is prone to cardiopulmonary complications.


    In addition, due to the short interval between two operations, the patient may be complicated by anemia, electrolyte imbalance, hypoproteinemia and other diseases.


    The possibility of lung infection and urinary tract infection will also be greatly increased.


    Just imagine, after a major operation, the patient is already seriously injured and needs to rest and recover. A series of serious complications again, for the patient, it is tantamount to the gate of hell.


    Therefore, for the sake of safety, doctors will try their best to avoid frequent operations on patients.


    Even if it is a minor operation such as tooth extraction, if multiple teeth need to be extracted at the same time, the doctor will advise the patient to perform multiple times.


    "Tang Li, it''s still up to you to communicate with the family members, is that okay?"


    Director Wen looked at her.


    There is a female doctor in the group, which is actually pretty good.


    It can adjust the working mood of doctors, and can also share many tasks when necessary.


    "No problem, we promise to complete the task!"


    She smiled sweetly.


    Look very confident.


    "Hehe, you are quite confident!"


    In a good mood, Director Wen laughed and teased her.


    "To be honest, if the patient''s lesion cannot be detected, I will not dare to communicate with the family members anymore. I am afraid of being beaten. Now that the lesion has been detected, and it is an invisible lesion itself, it is the brilliant medical skills of our hospital. I am completely confident in talking to the family members about this matter. I believe that as long as the family members are not extremely barbaric, most of them will gladly accept the suggestion of elective surgery."


    Her explanation made everyone burst into laughter.


    The happiness of doctors is very simple. Every time they successfully treat a patient, they will feel a sense of accomplishment and be happy from the bottom of their hearts.


    ¡­


    After Zhou Can joined Director Wen''s group, his treatment also underwent some significant changes.


    During ward rounds and shift shifts, few doctors and nurses in the inpatient department dared to be cold in front of him.


    And he found that the supernatural doctors are very realistic.


    The news that I was appreciated by Director Wen has not been publicized at all.


    Like having wings, all the doctors and nurses in the inpatient department knew about it.


    From this point, it can also be seen that the doctors and nurses outside the gods have their own small circles and intricate relationships.


    All kinds of important information in some departments are shared with each other.


    At present, only Dr. Zou in the group has a somewhat indifferent attitude towards Zhou Can.


    Zhou Can also understood that Dr. Zou lost face, that''s why he did this.


    Zhou Can didn''t care about this.


    It is even more impossible to deliberately hide his clumsiness in order to please Dr. Zou.


    It is time to fight for the chance of surgery and report the situation of the patient.


    All Dr. Zou has to do is adapt.


    The first day of divine training was soon over.


    Zhou Can''s harvest is beyond imagination.


    Stand out directly from the 20 regular trainees and get the qualification to study with the chief physician.


    It may be because he was not arranged to be on duty at night because he was working outside the gods on the first day.


    You should know that interns, regular trainees, and graduate students are the key care objects on duty.


    After returning to the apartment after get off work, he continued to practice the advanced medical skills of fast knife technique and insertion, grasping, and passing.


    Jin Mingxi got off work much later than him.


    It''s almost eight o''clock in the evening before I get off work.


    As soon as he entered the apartment, he collapsed on the bed as if he had collapsed.


    "Oh, I''m exhausted. The living environment outside the gods is really bad. I don''t even think of Pearson as a human being."


    Jin Mingxi trained two departments and never complained of being tired.


    Today is the first day of regular training in Shenwai, and I am complaining here. It can be seen that the workload of Shenwai is really huge.


    Not to mention him, even Zhou Can is not much better.


    Before working under Cheng Gang, he was treated like a slave.


    Fortunately, he jumped to Director Wen''s group with his ability, which made him feel much more comfortable.


    "That''s how you want to learn technology! You have to endure hardships and hardships to become a master. Haven''t you heard of it?"


    Zhou Can turned around and said to him with a smile.


    "You say standing up and talking doesn''t hurt your back! Don''t think I don''t know. Now that you are appreciated by Director Wen, and a chief physician will take you personally, how can you know the suffering of us low-level salted fish!"


    Jin Mingxi rolled a big white eye.


    There was no envy in his tone.


    "Haha, your news is very well-informed."


    Zhou Can was able to soar into the sky and live a better life than other Gui Peisheng. If he was not proud at all, then he would be sorry for his age.


    As for humans, from infancy to old age, every life stage has its own characteristics.


    He has done so well, if he is not proud at all, he is a saint.


    "When your position is a little stronger, can you say a few words for me? The resident doctor above me is really hateful, even more hateful than Zhou Papi and Huang Shiren in ancient times. Give me all the dirty work. , After finishing, they still have to be scolded by them."


    Jin Mingxi is not a newbie in the workplace.


    Knowing Zhou Can''s current weight.


    There is a chief physician on top, whose status in the department is much higher than that of ordinary residents.


    As long as Zhou Can helps to say hello, the resident doctor above will not dare to oppress him like this again.


    "When assigning tasks, isn''t there a Gui Peisheng named Chen Hao in your second ward team? Doesn''t he have to work?"


    Zhou Can asked.


    "Don''t mention that guy. That guy is very good at business. Whenever he has the opportunity, he flatters the resident doctor above him. In just one day, he has already had a heated fight with that resident doctor. I am stupid and I can''t save face, and I can''t let go of my dignity, so I''m at a disadvantage. I''ll do all the hard work and dirty work."


    When Jin Mingxi mentioned this matter, he was full of heartache and blood and tears.


    Zhou Can laughed out loud after listening.


    Everyone''s way of life is different. Some people are good at flattering and flattering their bosses. Some people just work with their heads down.


    Honest people are bullied everywhere.


    It is actually very difficult to meet a Bole like Dr. Xu.


    "What''s the name of your senior resident doctor?"


    A good **** friend was bullied, and Zhou Can happened to have this ability, so he naturally wanted to help if he could.


    "Dave."


    Zhou Can had never heard of the name of this resident doctor.


    But he has just arrived outside the gods, and he is not familiar with personnel.


    "Do you know who the attending physician above Dai Wei is?"


    Zhou Can felt that it would be better to greet Dai Wei''s attending physician at the next level directly.


    With Zhou Can''s current status, he really has this ability.


    "It seems to be Dr. Ou Xinjin. I''m not sure. I just saw him report to Dr. Ou."


    Jin Mingxi is also not familiar with the personnel in the department.


    "Okay, I''ll do my best."


    "Hey, brother, treat me well. I knew you would agree." Jin Mingxi smiled happily.


    When the status is low, someone will give you a hand, which will indeed bring a great advantage.


    There will be many benefits as well.


    If no one greeted him, he would have to work hard outside the gods for two months, and he would not learn much about technology, but he would bear a lot of scolding.


    ¡­


    The next day, Zhou Can arrived at the hospital at only seven o''clock.


    According to regulations, they had to arrive at the department of the hospital before 7:40. Forty minutes in advance, in order to have enough time to check the cases in the group.


    He took a look, and there were three surgeries in this group today.


    Dr. Zou has one for secondary surgery, and Director Wen has two.


    Check out Dr. Zou''s second-level surgery first. This is a traumatized patient with a fractured skull requiring surgical reduction.


    After carefully checking the CT and X-rays taken by the patient, the fracture site is not large, but the condition is serious.


    A piece of skull collapsed directly into it, with a depth of more than 1cm.


    If it is other parts, such as the chest cavity and abdominal cavity, the depth of 1cm is nothing at all.


    But after the skull fracture of the head, it collapsed by one centimeter, which is very scary.


    It can directly cause hematoma, cerebral effusion, epilepsy, coma and other symptoms.


    Zhou Can watched the patient''s skull fracture repeatedly, and if he could participate in this operation, he would be willing to do so. In orthopedic surgery, fracture articulation techniques and manual reduction techniques will definitely come in handy.


    However, when he thought about the relatively stiff relationship between Dr. Zou and him at present, he finally dispelled the idea of ??following Dr. Zou''s surgery experience.


    Look at Director Wen''s two surgeries.


    One is a brain operation for a comatose patient in a car accident, which is a fourth-level major operation. The injury is serious and the condition is complicated.


    The department dared to entrust this operation to Director Wen, which showed that Director Wen might really do what Zhou Can guessed. The strength of traditional surgery is strong, but the strength of emerging interventional and endoscopic surgery is poor.


    As for the reason, it is probably because Director Wen only has traditional surgery talent, but not advanced surgery talent.


    In any case, the doctors who can be awarded the titles of Deputy Senior and Senior Professionals in Tuya Hospital are all powerful.


    They may have their own flaws and weaknesses, and they are by no means ordinary people.


    It took Zhou Can nearly half an hour to finally see all three surgical cases in the group today. With about ten minutes left, he was not idle, but began to check the cases that had not yet been operated on and those that had not been discharged after surgery.


    The doctors in the group have arrived one after another.


    He is not the only one who is diligent.


    There are two graduate students who are equally diligent.


    Instead, the three resident doctors and another graduate student hurried to the department. UU reading


    "Doctor Zhou came quite early!" Tang Li greeted him with a smile.


    "My level is already poor, and there are too many things to learn. If I don''t come sooner, I''m afraid I will be rejected by you!"


    Zhou Can responded modestly with a smile.


    cluck!


    She covers her mouth and chuckles.


    "A man''s mouth, a deceitful ghost, I don''t believe you. You performed so well yesterday, how dare you say that your level is poor?" Her level is two levels higher than Zhou Can''s, and it is somewhat ambiguous to say these words.


    But it also fits her style.


    Make full use of the advantages of women and try to build a good relationship with powerful male doctors in the group.


    Why do you say this way?


    Because Tang Li only talks to Director Wen, Dr. Zou, and Zhou Can in such a ''flirtatious'' style, or coquettish and cute style.


    This is not the attitude towards those residents and postgraduates.


    When talking to these people, she seemed quite aloof.


    Fully revealing the majesty of a senior doctor.


    "The word excellent is only suitable for you and Director Wen and others. I dare not be it."


    Zhou Can''s emotional intelligence is very high, and the word "you" has opened up the distance between the two without making her feel disgusted.


    He didn''t dare to have any ambiguity with this doctor Tang Li.


    Maybe, Director Wen felt uncomfortable when he saw it, and it''s possible to just give him a cold seat.


    Besides, he has such a beautiful and excellent girlfriend as Su Qianqian, so he really doesn''t feel much when looking at other women.


    Tang Li''s appearance can only be regarded as relatively beautiful, and she is not too young, thirty-five or sixteen years old.


    How could Zhou Can be so foolishly fascinated by her frivolous words?


    "It''s very lively! Have you two checked the house today?"


    Director Wen hurried into the office.

 Chapter 148： The first endoscopic surgery for a female patient who suffered from domestic violence

    "It hasn''t started yet!"


    Dr. Zou and Tang Li answered in unison.


    The attending doctor''s rounds are usually conducted after 7:40. However, it is not fixed and can be flexibly arranged according to the schedule of the attending physician.


    In principle, a ward round is required every morning.


    Because only the doctor on duty handles it at night.


    On the one hand, there is not enough manpower, on the other hand, the doctors on duty are often low-level, lacking in experience and level.


    This will lead to the situation that some patients'' emergencies are not handled properly.


    When the attending physician makes rounds in the morning, he can check for omissions and make up for vacancies, so as to avoid the expansion of risks.


    "Well, then hurry up and do your ward rounds. The first operation will start on time at 8:30 in the morning. You may not take a break in the middle, and finish all the two operations today in one go. I will take three graduate students to do scientific research experiments at 4:00 pm , when the time comes, it will only be left to you to stare at.¡±


    Many professors in various departments have teaching tasks.


    Or just work part-time in a hospital.


    In addition to bringing their own projects and doing scientific research, they also have to go to school to teach.


    will be very busy.


    ¡­


    The two attending physicians acted separately during ward rounds.


    Zhou Can followed Tang Li, a resident doctor, and three graduate students to make rounds.


    Dr. Zou took two senior residents to check the beds he was in charge of.


    All the beds in Shenwai are under the responsibility of doctors. Many interns only need to stare at two to three beds. Gui Peisheng generally stares at about five beds. The resident doctors who specialize in managing the beds stare at ten to fifteen beds.


    There will be more beds stared at by the attending doctor, and one person may need to be responsible for about 2,530 beds.


    It must be explained that the beds these people stared at overlapped.


    For example, Zhou Can stared at beds 21-25, and Jiang Xiaohua stared at beds 26-31.


    Cheng Gang, their superior doctor, was in charge of beds 21-31.


    Here you can find that the bed that the junior doctor is staring at, the superior doctor needs to stare at again.


    It''s just that as the level of doctors increases, the number of beds in charge also increases.


    At the level of Director Dewen, it is often necessary to be responsible for all patients in the entire group.


    At the director level, check the room once a week. Some patients who are discharged quickly may not be able to see the chief physician for ward rounds.


    "Doctor Zhou, the number of patient beds in our group is not fixed. You may not be clear when you just came here."


    Tang Li pointed Zhou Can as she walked forward.


    It is said that women have a powerful sixth sense.


    Maybe it is.


    Tang Li must think that Zhou Can has a bright future, so she will lower her figure to befriend him.


    "There are two attending physicians in our team, Dr. Zou and I. Usually, I check the ordinary beds in the group. Dr. Zou is older than me and has more experience. He checks the ICU ward."


    The attending physicians in the group conduct ward rounds with a clear division of labor, which is conducive to assigning responsibilities to individuals.


    And it can better serve patients according to the doctor''s personal ability and level.


    Dr. Zou is about five years older than Tang Li.


    Definitely more experience.


    The patients in the ICU ward are all critically ill.


    It will be safer for an experienced doctor to check the ICU ward.


    "Good morning, Doctor Tang!"


    Cheng Gang had been waiting early in the ward under his jurisdiction.


    Seeing Tang Li leading someone up to him, he immediately greeted her with a smile.


    "morning!"


    Tang Li seemed quite cold towards him, she just responded casually, and then began to check on the patient in charge.


    Cheng Gang looked at Zhou Can who was following Tang Li, and couldn''t help feeling complicated.


    It can be seen that after Zhou Can was transferred to Director Wen''s group, he received a very good salary.


    This kid is really lucky, why don''t I have such good luck?


    Cheng Gang was really envious.


    "Doctor Zhou, this patient is undergoing an operation this afternoon. Dr. Zou performed the operation. Her skull was fractured and sunken in quite deeply. Fortunately, the brain was not injured."


    Tang Li took the initiative to introduce to Zhou Can the patients who will be operated on today.


    The purpose is to let Zhou Can know what he knows in advance.


    Zhou Can found that the injured woman was in her thirties, with multiple bruises and bruises on her face and hands.


    How did you get hurt?


    It feels like being beaten by domestic violence.


    Her head wound had been bandaged with gauze. The nurse should come over two hours before the operation to shave her hair and clean the surgical site. And measure basic signs such as blood pressure.


    "How did you get hurt?"


    Zhou Can couldn''t help asking.


    "I just accidentally fell."


    The woman''s eyes dodged a little.


    "This fall is considered a blessing in misfortune, because according to the results of the examination, if you go down a little bit, it may cause serious damage to the brain tissue. The lightest is paralysis and mental retardation. If it is more serious, it may directly kill you." gone."


    Zhou Can didn''t point it out, but just told her the possible consequences.


    It is not possible to be so lucky every time.


    There are only zero and countless times of domestic violence.


    Generally speaking, it is impossible for parents and brothers to be so cruel.


    Most likely it was the woman''s husband.


    However, during Zhou Can''s internship, he was beaten up by that woman for taking care of such bad things. So, he didn''t ask too much.


    Just to the point.


    The woman is in her thirties and is an adult. Only she can make her own choice.


    After checking the woman with skull fracture, continue to check other patients in charge of this group.


    After checking in a circle, the condition of some patients is shocking.


    But I didn''t see the car accident patient who needed surgery today.


    It is estimated to live in the ICU to save his life.


    Some of the injured are so serious that they cannot meet the surgical requirements for the time being and may need to stay in the ICU for a period of time. Save your life first, then do surgery.


    In another case, the patient''s injury was extremely serious and his condition was complicated.


    To be on the safe side, doctors need to go through multi-department joint consultation. After discussion, a surgical plan will be formulated.


    After checking the room, Tang Li issued some new medical orders. The medications of some patients were also adjusted.


    After the treatment was completed, Zhou Can and others were brought into the operating room.


    At this moment, the patient has been carried onto the operating table.


    The anesthetist is carefully examining the patient.


    Dr. Zou was watching with two residents.


    "Your speed is so sluggish!"


    Tang Li smiled.


    "There are only a few patients in the ICU. After the investigation, the three of us directly brought the patients to the operating room."


    Doctor Zou shrugged.


    There are only 20 beds in the ICU, and there should not be many critically ill patients assigned to their group.


    In addition, the ICU has always had a dedicated attending physician on duty, so ward rounds are relatively a process.


    Zhou Can looked at the patient on the operating table, and saw that there were tubes inserted all over his body, and dried blood could still be seen.


    The most severely injured area should be the head.


    The patient is currently in a coma.


    At this time, Director Wen finally arrived.


    "Is the patient okay? It is estimated that this craniotomy will take at least four to eight hours. Can he bear it?"


    Director Wen''s words were obviously asking the anesthesiologist.


    "The situation is relatively ideal. His surgical tolerance is relatively low. However, if the intracranial hematoma is not removed, his life may not be saved. Therefore, I personally think it is very meaningful to perform surgery as soon as possible."


    The patient is in a coma and has not recovered until now.


    That alone is enough to illustrate the seriousness of the problem.


    ICU can only give some basic life support, but it does not mean that it can always save life.


    In the ICU ward of Tuya Hospital, patients often die.


    And most of the time, it is quite normal for three or four people to die a day.


    Of course, some deaths were due to family members insisting on extubation.


    After all, the cost of ICU for one day is too high.


    If it is an elderly person, or a patient with little hope, who spends too much money on rescue, the family members may feel that it is not worth the loss of money and life. So the hospital will be asked to extubate.


    "Get ready for the craniotomy to remove the hematoma!"


    Director Wen spoke.


    The examination report of the car accident patient indicated that the person had a severe intracranial hematoma. It shows that the intracranial hemorrhage is quite serious.


    Craniotomy to stop bleeding and remove hematoma is a very active treatment.


    The patient is very young, only in his twenties.


    It is said that he was racing with others in the middle of the night and had a tragic car accident, which is why he was seriously injured.


    Zhou Can has seen the patient''s film, and the situation is not optimistic.


    Because this person is bleeding under the curtain.


    Generally speaking, surgery is required for supratentorial hemorrhage of more than 30ml. As long as the subtentorial hemorrhage exceeds 10ml, it meets the surgical index.


    After the patient was under general anesthesia, Director Wen selected the location for the craniotomy, cut open the patient''s scalp to expose the skull, and then went directly to the chainsaw.


    Not long after the craniotomy started, the anesthesiologist hurriedly stopped.


    "Director Wen, the patient''s vital signs are declining rapidly. If he persists in the craniotomy, I''m afraid he won''t be able to get off the operating table."


    The patient''s blood pressure, respiration, body temperature, heart rate, and blood oxygen index are all dropping rapidly.


    This is a very dire omen.


    During craniotomy, the patient''s condition may be further aggravated due to various reasons.


    The patient at this time is like a candle in the wind.


    The wind that blows is slightly stronger, and the fire of life is extinguished.


    Director Wen''s face sank like water.


    The critically ill patients in the neurosurgery room are really difficult to save, not only some, but also quite a lot of mistakes.


    Doctors do their best to reduce the mortality rate as much as possible.


    Because it is related to multiple assessments, as well as personal reputation.


    Just imagine, a certain chief doctor performed a hundred operations, and seven or eight people died. Who dares to let this doctor use a knife?


    Although the hospital knew that the patients who died were extremely critically ill.


    But during the assessment, such a high death rate will still be criticized by the vice president and even the president in person at the meeting. It is possible to give a warning, or reduce the surgical authority.


    Excessive rescue mortality not only has a serious impact on the doctor himself and his team, but also has an impact on the comprehensive evaluation of the hospital.


    "It seems that the patient''s condition is more serious than I thought! This matter is a bit difficult!"


    Director Wen stared at the rapidly declining vital signs on the screen of the life monitor, feeling appalled.


    Even if the operation is stopped now and the patient is transferred back to the ICU, it will be difficult to survive.


    "The intracranial hematoma must be removed, otherwise he will not be able to survive. Traditional surgery does a lot of harm to the patient. Before the operation, I had prepared for the worst and prepared a second surgical plan."


    Director Wen actually made two-handed preparations.


    No wonder he is calm in the face of danger, when the patient is in danger, he can still be so calm.


    "Drill the hole and do endoscopic surgery! This should be the only way to save him!"


    Endoscopic surgery only needs to drill a small hole in the skull, the wound is small, and the damage to the patient is also small.


    It''s just that compared with traditional surgery, endoscopic surgery is extremely difficult to operate.


    Tuya''s neurosurgery department is actually very short of talents in this area.


    Director Wen''s talent for advanced surgery is average, which is also the main reason why he gave priority to traditional craniotomy.


    Traditional surgery pursues a large surgical field of view.


    The whole operation process is simple and direct.


    Endoscopic surgery is a test of a doctor''s manipulation skills.


    "Endoscopic surgery...is not our strong point. The patient has subcurtain hemorrhage, and the operation is extremely difficult. Will it..." Tang Li hesitated to speak.


    Not to mention her, even Dr. Zou looked worried, with a sad expression between his brows.


    "There''s nothing I can do if I''m not good at it! If it''s impossible, I can only ask Director Zhang of the Department of Obstetrics and Gynecology for help. Among the chief physicians in our hospital, she is the only one who is good at minimally invasive surgery."


    Director Wen has already figured out his way out.


    It is a routine practice for each department to seek help from other departments when they encounter critical or difficult cases.


    This time, the patient''s skull was directly drilled, the bone flap was broken, and a 1cm incision was drilled. A cross incision is then made in the dura.


    During the whole process, Director Wen was careful.


    Even if the patient''s vital signs dropped again and again, he still dared not stop.


    At this time, we must race against time to save the patient''s life.


    Fortunately, he has rich experience in surgery, and according to the CT images, the location of the hematoma is fairly accurate.


    The next step is to carry out the most critical operation.


    A 68mm diameter rigid endoscope needs to be guided into the center of the intracerebral hematoma.


    This is a test of the operating technique of the chief surgeon.


    Because the brain is full of important tissues, a slight mistake may cause serious consequences.


    Director Wen carefully manipulated the endoscope to explore inside.


    It was just getting into the hematoma center that he had difficulty with.


    Nearby is the brain stem area, which brought him great psychological pressure.


    Sweat continued to ooze from his forehead, and the nurse helped to wipe the sweat.


    Director Wen''s hands trembled uncontrollably.


    At this critical moment of racing against time, every second of delay will increase the patient''s risk of death a lot.


    The more this happened, the greater the pressure on Director Wen.


    Not to mention him as the chief surgeon, even Dr. Tang Li and Dr. Zou next to him, including several residents, are all worried. He held his breath, not even daring to let out the air.


    "Director Wen, can you let me try? I should be more than 80% sure."


    At this time, Zhou Can did not choose to sit and watch.


    Actively challenge.


    Although such behavior may appear a little arrogant and rude to outsiders.


    "Are you sure you''re 80% sure?"


    Director Wen stopped operating and turned to look at him.


    "Sure!"


    Zhou Can''s eyes are firm, full of confidence, and appear extremely calm.


    "That''s fine, try it!"


    Director Wen also knew that Zhou Can was quite skilled in minimally invasive operations. In this last resort, I decided to take the risk and let him try.


    He himself stood nervously watching, ready to stop at any time.


    Zhou Can took the joystick of the endoscope, adjusted the angle slightly, and then manipulated the endoscope to penetrate deeper.


    The whole operation process is very stable.


    And very precise.


    The long-term practice of implantation has given him a lot of help.


    "Okay! We have successfully reached the hematoma area. Do you want to draw out the accumulated blood now?"


    Zhou Can asked.


    As soon as he finished speaking, the doctors and nurses in the operating room all heaved a sigh of relief. Joyful smiles appeared on everyone''s faces.


    The most difficult hurdle was finally passed.


    "Draw it!"


    Director Wen should be the most excited person.


    Looking at Zhou Can, it was like looking at a treasure.


    Zhou Can manipulated the catheter of the endoscope to perform suction. The accumulated blood in the cranial cavity was drawn out.


    After the intracranial pressure was relieved, the patient''s vital signs improved rapidly.


    "Up, up! The patient''s vital signs are all up. Great!"


    The anesthetist is more than happy.


    The good news was announced in time.

 Chapter 149： Showing off your dual talents, are you really Gui Peisheng?

    Zhou Can was still very steady, and carefully sucked out all the blood accumulated in the patient''s brain.


    With the help of the probe of the endoscope, he began to look for the bleeding point.


    The formation of a hematoma is due to the rupture of a blood vessel, which prevents the blood from being discharged from the body after bleeding. Eventually, the blood is sealed in a certain area of ??the body, forming a hematoma.


    Usually, there are hematomas on the extremities or the epidermis of the body, and the problem is basically not serious.


    If the amount of bleeding is small, you don''t even need to go to the hospital, just apply ice on your own.


    The function of ice is to constrict blood vessels, stop bleeding or further reduce bleeding.


    After a lot of people have sprained their feet, they rub safflower oil and bruise medicine on the swollen area, which is actually incorrect. Doing so may aggravate the condition.


    Especially in the case of a fracture, it is even more impossible to do so.


    Instead, it is right to pour cold water on the swollen area.


    With the help of water temperature, the broken blood vessels are quickly contracted and the bleeding is automatically stopped. Can''t get rid of hematoma, but can''t make hematoma worse.


    To say which parts of the hematoma most harmful?


    Intracranium and spine, these places are infiltrated or compressed by hematoma, which is the most harmful.


    The patient who was being treated had a hematoma in the brain, which led to intracranial hypertension. And it compresses important brain tissues such as the brainstem, lobes, and nerves, which will lead to the patient''s coma, and even a rapid decline in various vital signs.


    Now the hemorrhage is drawn out, the intracranial pressure is reduced, and the effect of puncture and drainage in the brain is actually the same.


    "Director Wen, I found two bleeding points, do you want to use electrocoagulation to stop the bleeding?"


    After Zhou Can''s two performances yesterday and today, Director Wen''s trust is already very high.


    If electrocoagulation is performed at insignificant sites, the risk is very small.


    But in the cranium, and close to the brainstem region.


    This risk factor is very high.


    Director Wen''s gaze was fixed on Zhou Can, "Have you ever participated in electrocoagulation to stop bleeding during surgery before?"


    Zhou Can was immediately happy.


    Of all his medical skills, the level of hemostasis is the highest.


    At present, they have reached the middle level of attending.


    "I have participated in hemostasis surgery many times, and I am about 80% sure that the two bleedings will be stopped without harming other brain tissues."


    Just say 80% sure, that is really very conservative.


    This is a very good way of speaking.


    It''s like eating 80% full and making tea 70% full.


    "Okay, try it!"


    Director Wen recalled that his hands trembled when operating the endoscope before, so he simply delegated power once. Because if he did it himself, it might not be as good as Zhou Can''s operation.


    Under normal circumstances, it is impossible for the surgeon to shake his hands during any operation.


    Only when the heart is highly nervous can the hands tremble.


    This is a loyal response of the body.


    Zhou Can manipulated the endoscope for electrocoagulation to stop bleeding. Compared with ordinary electric coagulation knife, the use is slightly different.


    The main thing is to test the ability to operate the long arm.


    His hemostasis technique is already very powerful, plus the implantation technique and grasping technique are at least level three. Therefore, the whole process of hemostasis went smoothly and was completed with ease.


    "Doctor Zhou''s hemostasis is no worse than that of a senior doctor! And he has a very high talent for endoscopy, tsk tsk, it''s really enviable!"


    Director Wen stared at the endoscope display screen, watching Zhou Can''s entire process of hemostasis clearly.


    The movement is clean and neat, and the hemostasis is accurate, fast and good.


    Note that Director Wen used the word envy at the end.


    That''s because his own talent in endoscopic surgery is very ordinary.


    Seeing that Zhou Can has both traditional and endoscopic surgery talents, I felt it.


    There is really no one in a million who possesses these two surgical talents at the same time.


    At present, the cultivation of endoscopic surgery talents in China is based on traditional surgical talents. This is the basic, compulsory course.


    Especially the four basic surgical skills of surgery.


    Then wait until the traditional surgery has a certain foundation, and then select people with satisfactory endoscopic operations for further training.


    Therefore, major domestic hospitals, and even some county-level tertiary hospitals are already able to do some endoscopic surgery projects.


    But to say that they do a particularly good job, it should be rare.


    The most frightening thing is that some surgeons think that it is very simple to operate the endoscope. Maybe these doctors can also do some simple operations by manipulating the endoscope.


    Such as appendectomy, polypectomy, etc.


    When the success rate of these operations reaches more than 80%, they start to feel anxious.


    Think how amazing you are.


    Then, if tumors appear in the patient''s body, minimally invasive surgery will be strongly recommended to the patient.


    Especially women''s breast tumors, granulomas and so on.


    The incision is small, which can keep the female patient''s graceful figure to the greatest extent. Most female patients will choose more expensive minimally invasive surgery when they hear it.


    As a result, the tumor was not cut clean, and the operation was not done cleanly, resulting in recurrence and pus.


    Even caused many patients to lose the chance of second surgery.


    Such a doctor is the worst.


    For the sake of personal performance and so-called endoscopic surgery achievements, ignoring the serious consequences that patients need to bear.


    Zhou Can manipulated the endoscope to check it carefully again, and finally found another bleeding point.


    This time, I did not ask for instructions again, and directly electrocoagulated to stop the bleeding.


    Finally all done.


    After taking out the new blood accumulation, Zhou Can asked for instructions, "Director Wen, do you think it is possible to remove the endoscope now?"


    "Get out!"


    Director Wen readily agreed.


    Zhou Can carefully withdraws the endoscope.


    Insertion experience +1.]


    The first time to complete the intracranial endoscopic operation, the experience value of implantation operation +100, the experience value of grasping operation +100, and the experience value of hemostasis +100.¡¿


    Good guy, I got a reward of up to 300 experience points at once.


    This is also the highest experience reward that Zhou Can has obtained since the operation.


    Risks and benefits coexist.


    It seems that if there is an opportunity to perform in the future, we should grab it and have to grab it.


    Congratulations, your grasping technique has been upgraded to level 4, the current experience value is 60/10000, and the attending physician is at the lower level. It can complete the grasping of endoscopic curves, the precise displacement of the inserted spring ring, the operation of built-in blood vessel clips, and the auxiliary work of grasping diseased tissues in endoscopic resection. ¡¿


    Good fellow, it is said that misfortunes never come singly, but I didn''t expect good luck to come in a bunch!


    Zhou Can was as happy as drinking honey when he felt the brand-new fourth-level grasping technique.


    There is another advanced medical skill at the attending level.


    If this trend continues, it should no longer be a dream to upgrade all general medical skills to the deputy director level and advanced medical skills to the attending level within one year.


    "Does the burr hole need to be repaired?"


    "unnecessary!"


    Director Wen replied directly.


    "Does the dura need to be stitched?"


    This is the rhythm of Zhou Can''s frantic search for opportunities for surgery and exercise.


    "Theoretically, as long as you pay attention to hemostasis and postoperative infection, the dura mater actually has a certain self-repair ability. It will grow together with the temporalis muscle."


    Director Wen patiently guided Zhou Can.


    The three graduate students were frantically taking notes.


    Several residents were also taking notes. Surgical knowledge needs to be continuously accumulated.


    Because there are too many problems encountered in the operation.


    The best way for newcomers is to take more notes, have time to review more, consolidate and deepen memory.


    In this way, you can be familiar with it in the future operation process and use it flexibly.


    "Of course, if you want to repair it, it''s also possible. Usually, tension-reducing sutures are performed." Director Wen gave a supplementary conclusion after inspecting the wound.


    After Zhou Can heard this, he immediately became interested.


    "Can you leave it to me to stitch it? I promise to do my best."


    Zhou Can has practiced sewing skin too many times.


    It is the first time to suture the dura mater.


    "How is your suture technique? If you have a resident doctor with above-average suture level, I can consider entrusting you to do it." Director Wen will never dare to underestimate Zhou Can now.


    Because Zhou Can''s surgical abilities are better than each other.


    In particular, the endoscopic hemostasis ability revealed just now is really shocking.


    Even Dr. Zou, who had a good opinion of Zhou Can, had to admire Zhou Can.


    Because Zhou Can''s ability to stop bleeding is no worse than his 40-year-old attending physician.


    Now I wonder how this kid practiced?


    "The level of suturing is not bad, and the level of a resident doctor should be good." Among all the current medical skills of Zhou Can, suture and ligation have the highest experience value. All are at an excellent level.


    Just over a thousand short of being promoted to the deputy director level.


    Any resident who compares with him will definitely be tortured to the point of doubting his life.


    "Okay, try it!"


    This suture also required endoscopy.


    Because it''s under the skull.


    A hole so small that ordinary sewing crochet hooks can''t get in.


    Zhou Can manipulated the endoscope and carefully sutured under the endoscope. This is also the first time he has performed endoscopic sutures.


    His idea is also simple.


    Taking advantage of the fact that Director Xie has not implemented dimensionality reduction and suppression on him, it is one time to get a chance to practice surgery.


    In particular, this kind of endoscopic operation opportunity is difficult to obtain with other doctors.


    It just so happened that Director Wen did not have the talent for advanced surgery, which gave Zhou Can a very good development opportunity.


    As soon as Zhou Can finished his first stitch, there was a sound of breathing in the operating room.


    Dr. Zou and Tang Li all stared wide-eyed, watching Zhou Can complete the endoscopic suture in shock. They didn''t expect Zhou Can''s sewing skills to be so good.


    Leave the two of them far behind.


    "My God! Doctor Zhou''s suture level is probably no different from that of the deputy chief physician." Tang Li thought that her suture level was not bad, but compared with Zhou Can, it was not even a star.


    "This kid is powerful enough!"


    Doctor Zou muttered to himself.


    As for the next few residents and graduate students, don''t mention it.


    Their level is still very good, and they can''t see how good Zhou Can''s stitching is.


    I only know that the stitching is neat and fast.


    Director Wen stared fixedly at the screen without speaking.


    Maybe he was worried about interfering with Zhou Can''s operation.


    So dare not have any disturbance.


    He even reached out and pressed down to stop other doctors from speaking.


    Zhou Can let everyone see how good Gui Peisheng can be. It took less than five minutes to complete all the sutures.


    "Director Wen, please check."


    After he finished the stitching, he respectfully asked Director Wen to check it out.


    The first time you complete endoscopic suture, you will be rewarded with +100 suture experience and +100 ligation experience. ¡¿


    So cool.


    The first time to operate an endoscope, the reward is really rich.


    The experience value is directly increased by hundreds and hundreds.


    "No, no!"


    Director Wen shook his head repeatedly, with a serious expression, and fixed his eyes on Zhou Can.


    These words were like a basin of cold water pouring down Zhou Can''s head.


    Drenched him to the core.


    All the excitement and joy turned into a sincere attitude of humbly accepting opinions.


    "Ah... It''s my first time suturing the dura mater. I didn''t do it well. Please point it out, and I will correct it immediately."


    Zhou Can originally thought he sewed well.


    As a result, he got such a low evaluation from Director Wen, which was a big blow to him.


    "No, no, no, I''m not saying that you haven''t stitched it up. I''m just suspicious of your identity. I have worked in Tuya for more than 30 years, and I have never seen such a perverted Gui Peisheng as you. Well, it can also be understood as an outstanding talent for advanced surgery. But your hemostasis, suturing, and ligation operations have all reached the attending level. This is really a long time to see."


    Director Wen is not a fool.


    A Gui Peisheng has a high level of operation in a certain operation, which can be understood as a lot of practice.


    But the level of all kinds of surgery is so good, it is only possible to achieve it unless it is practiced in the mother''s womb.


    The training period for surgeons is extremely long, and it is difficult to make small achievements in less than ten years.


    No matter how good the talent is, it''s not so good, right?


    too exaggerated.


    "Hehe, I was taken aback. I thought it wasn''t sewn properly."


    Zhou Can heaved a sigh of relief, as long as the operation wasn''t a failure.


    "Maybe I usually like surgery very much and practice it a lot, so my foundation is a bit thicker than regular Pearson. That''s all, it''s not as exaggerated as you said!"


    The explanation he gave was far-fetched.


    It''s just that this matter is irrelevant, and no one will go into it.


    I can''t find anything if I try to check.


    Zhou Can really worked very hard, practicing surgery every day after work.


    "A while ago, I heard some directors talking about it, saying that our hospital recruited Gui Pei this year and gave birth to two evildoers, one with abnormal surgical skills, and one with theoretical knowledge who beat the directors of various departments. Seeing is believing. I used to be dubious. I totally believe it now."


    The other monster Director Wen mentioned should be Du Leng.


    Dr. Haigui is really awesome.


    However, the academic qualifications of overseas returnees are sometimes quite watery.


    Judging from the powerful strength Du Leng has shown so far, it should be the genuine one.


    "Doctor Zhou, don''t stand still, just sew up the patient''s scalp! Let me appreciate your superb suturing skills again. It''s very demeanor of Dr. Xu back then."


    Director Wen accidentally mentioned the fallen Dr. Xu.


    It shows that Dr. Xu had a great influence in surgery at that time.


    "Thank you Director Wen for your trust."


    Zhou Can didn''t talk nonsense, and directly took the needle holder and crochet needle from the equipment nurse, and started suturing.


    He found that the equipment nurses for this major operation were all experienced and highly professional.


    All kinds of coordination are in place.


    There is no need for Zhou Chanduo to say what kind of thread to use for suturing different parts and how big a thread to use.


    All are prepared early.


    Just pick it up and use it.


    And some details are done very well.


    The suturing was done under the endoscope just now, but everyone didn''t see Zhou Can''s suturing technique clearly. Now that the scalp is stitched up, everyone has completely opened their eyes.


    "His suture level is higher than mine. Today is an eye-opener."


    Dr. Zou was a little depressed.


    It was originally a level four operation.


    It turned out to be Zhou Can''s solo show.


    This is a level four surgery! Who would have thought that most of the key tasks of the surgery would be done so naturally by a Gui Peisheng.


    Zhou Can''s operation speed began to inherit Dr. Xu''s ''fast'' style.


    The head wound was quickly sutured.


    "Not bad, this suture makes me feel happy just looking at it. The patient''s current physical condition is extremely weak, and the knee joint operation will be performed by the orthopedic department after a while."


    The car accident patient injured not only the head, but also knee joints and other parts.


    The trauma has already been dealt with.


    "After the patient''s intracerebral hematoma was removed, his vital signs have actually recovered quite well. Compared with when he first entered the operating room, it is simply a world of difference. With his current state, I even suspect that he only needs to stay in the ICU for a while. You can transfer back to the general ward in a day or two."


    Anesthesiologists have confidence in their patients.


    He should be the person who knows the patient''s life situation best.


    "Haha, you can give such an optimistic evaluation, it seems that this operation is not bad. After waking up from general anesthesia, push it back to the ICU to observe!"


    Director Wen successfully completed a difficult operation and was in a good mood.


    He looked up at the clock on the wall.


    "It seems that we can go to scientific research earlier today! Compared with traditional surgery, endoscopic surgery does have advantages!"


    Originally, according to his previous estimate, it would take at least four to eight hours to perform a traditional craniotomy on a patient.


    The key is to avoid unexpected situations along the way.


    The patient''s vital signs have dropped drastically, and if necessary, the operation must be stopped~ www.novelhall.com~ Lixuan to carry out first aid.


    That would take longer.


    "Endoscopic surgery is indeed a major development trend. However, for some diseases, endoscopic surgery and minimally invasive surgery cannot be solved well. Therefore, I don''t believe that traditional surgery has been completely eliminated."


    Tang Li''s advanced surgery talent is very poor.


    She must have thought deeply about the prospect of both surgeries.


    After all, young people, everyone is most afraid of being eliminated by the times suddenly.


    "You are right. There will still be room for traditional surgery for a long time. However, we must also see the rapid development of endoscopic surgery and its various advantages. Just like our Chinese traditional medicine, in just a hundred years, I was directly squeezed by Western medicine into a state of survival."


    Director Wen is still pessimistic about the prospects of traditional surgery.


    He even took Chinese medicine as an example.


    "Our Chinese medicine in China is not bad, and my classmate studying abroad told me a strange phenomenon. At present, we do not pay attention to Chinese medicine and despise Chinese medicine. But foreign countries are just the opposite, and they have begun to vigorously develop Chinese medicine. Not only have they quietly developed more than 10,000 A variety of traditional Chinese medicine is planted, and a Chinese medicine research center has been opened, and many powerful Chinese medicine practitioners have been dug from our country."


    When Dr. Zou talked about this, he was very heartbroken.


    Chinese medicine has now become an eternal pain in the hearts of many medical practitioners.


    The market chooses everything.


    It is an indisputable fact that the market for Chinese medicine is very small.


    Some far-sighted doctors and scholars have begun to call for the protection of the inheritance of traditional Chinese medicine. Only with little effect.


    Zhou Can took a deep look at Dr. Zou, and his impression of this changed a lot following what he said just now.


    To be honest, Zhou Can''s attitude towards Chinese medicine has always been relatively neutral.


    Neither praise nor derogation.


    It is a rational and objective view.

 Chapter 150： The operation was a great success, the most difficult skull base brain tumor operation

    As Dr. Zou mentioned just now, domestic traditional Chinese medicine has declined and is squeezed by the market. Many developed countries in foreign countries have instead begun to vigorously develop Chinese medicine, recruit people, establish Chinese medicine planting bases, and conduct in-depth research on Chinese medicine.


    This gave Zhou Can a sense of crisis.


    The views on Chinese medicine have also changed a lot.


    In the future, when his status becomes higher, his economic strength becomes stronger, his medical skills reach a certain level, and he has great influence, his attitude towards Chinese medicine will definitely bring great benefits to the development of Chinese medicine.


    The operation went well, Director Wen was in a good mood.


    He sat on a chair and chatted with everyone about the future development direction of medicine.


    The atmosphere in the operating room is quite good.


    At this moment, a graduate student exclaimed, "The patient''s finger seems to have moved just now."


    More than 15 minutes have passed since the patient stopped anesthesia administration.


    Under normal circumstances, it is indeed possible for the patient to wake up.


    However, the patient had been in a coma before the operation. If he really woke up at this moment, it would be great news for the doctor and the family.


    All eyes are on the patient''s hand.


    Just at this time, the patient''s right **** moved again.


    "Wake up, really wake up!"


    Director Wen had a happy smile on his face.


    "Lin Lizhi, wake up! Lin Lizhi, wake up!"


    The anesthetist patted the patient''s shoulder and whispered in the patient''s ear.


    Human beings are in a coma, which is very similar to deep sleep. Calling the patient''s name at this time has a high chance of waking them up.


    If you can''t wake up, you are usually in a severe coma, indicating that your condition is critical.


    Now the patient''s fingers can move, indicating that the brain is active.


    This is a very good phenomenon.


    Following the call of the anesthetist, the patient''s eyelids trembled slightly, and then slowly opened his eyes.


    It just looks like a lot of work.


    His body is still very weak, and he has just recovered his life. To him, opening his eyelids may really weigh more than a thousand catties.


    After opening the eyes, the patient''s gaze was slightly dull.


    Turning slowly, looking at the people around.


    "Where am I?"


    He spoke.


    "Lin Lizhi, you had a car accident and are currently undergoing surgery in the hospital."


    After Director Wen finished answering, he fixed his eyes on the patient''s reaction.


    Generally speaking, after the patient wakes up after the operation, there are some items that must be tested.


    The first is whether you are sane.


    Then check whether the limbs are paralyzed, and finally check whether the patient''s various body functions are normal.


    Lin Lizhi fell into a brief silence.


    After a while, he seemed to remember the scene before the car accident.


    "Doctor... is my girlfriend okay?"


    He could remember that his girlfriend was also sitting in the car, indicating that the brain was not seriously damaged.


    Memory and sanity are normal.


    "I really don''t know about this! After you recover, you can ask your family." Director Wen is a chief physician, and he has too many things to do every day.


    He will not pay attention to these things that have nothing to do with the patient''s condition.


    Director Wen looked up at the anesthesiologist.


    "Your point is right. Not only has he woke up, but he is also sane. There are indications that this operation was very successful." After speaking, he looked at the patient again. "Young man, cooperate well with the treatment. I believe you will be able to recover and be discharged from the hospital in a short time. Then you will be able to find your girlfriend."


    "Good! Thank you!"


    The patient still struggled to speak.


    After waking up from anesthesia, he was observed for a few minutes, but there was nothing abnormal, and he was directly pushed out of the operating room.


    Escorting such key patients is generally escorted by anesthesiologists and doctors in person. Because of the fear of making mistakes along the way. After being sent back to the ward, there is also a handover with the bed doctor in the ward.


    "Everyone take a break, and we will continue with the second operation in half an hour."


    Hospital operating rooms are actually a very scarce resource.


    For example, the operation time of this patient was originally planned to take four to eight hours. It actually took less than two hours in total.


    That means six hours of idle time.


    At this time, if there is a patient who needs surgery but is postponed because there is no operating room, the patient can be arranged for surgery.


    More often, it is some ultra-difficult operations, which are greatly delayed, resulting in no place for operations in the back row.


    This vacant operating room can come in handy.


    ¡­


    Half an hour later, Zhou Can and the others all returned to the operating room.


    The patient is already lying on the operating table.


    It was a fairly young female patient, probably in her twenties. The hair has been completely shaved, disinfected, and the scalpel site has been drawn.


    Zhou Can has already read the information of this female patient.


    At the age of twenty-four, he had a meningioma.


    Generally speaking, meningiomas have a low chance of being malignant. Endothelial, fibrous, and vascular types are more common. There are also more mixed types.


    Meningiomas are more common in older patients.


    It is quite rare for her to have a meningioma at such a young age.


    According to the patient''s description, the head had been traumatized.


    The medical community has long recognized head trauma as a risk factor for meningiomas. Because after head trauma, intracranial cells are prone to mutations in the process of repairing the damage.


    She is currently experiencing three symptoms, diplopia, and she is always prone to double vision when looking at things. Left side of face felt numb. In daily life, many people even scolded her for facial paralysis in private.


    He also said that she has a yin and yang face.


    When laughing, there is expression on one side and no expression on the other side, which looks very weird.


    Recently, a new symptom appeared. It is always easy to choke when eating, and it is difficult to swallow food and even drink water.


    From her self-reported symptoms, it can basically be judged that it is a meningioma.


    Later, after a CT scan, it was found that there was a tumor foreign body at the base of the skull.


    This time surgical removal was required.


    Among the many meningioma surgeries, skull base meningioma should be the most difficult one to operate.


    Because skull base meningioma is closely related to normal brain nerves and blood vessels, and it is difficult to reveal during surgical resection, the operation is extremely difficult.


    In fact, none of the operations that the chief physician can perform is simple.


    Director Wen is the chief physician of Shenwai, and he faces many difficult and critical cases every day. The pressure is also far more than that of ordinary doctors.


    Surgery began shortly thereafter.


    Zhou Can''s surgical status in the group has been preliminarily established, and now he can stand behind the two attending doctors as the third assistant to observe.


    Several residents and three postgraduates were all squeezed to the back by him.


    Zhou Can stood in Sansuke''s seat, and they were all convinced.


    Because Zhou Can''s surgical ability is indeed far above them.


    "You must have seen the films and examination reports. The patient''s meningioma belongs to the sphenoid ridge meningioma. It is the most difficult type of skull base meningioma. I want to cut it all out without damaging the patient''s neurological function. , extremely difficult."


    Director Wen is teaching patients while operating on patients.


    This operation should be between the third and fourth levels, and it is extremely difficult, even surpassing many fourth-level operations.


    "The incision is generally centered on the pterional point, and the approach is from the frontotemporal. Stop the bleeding!"


    After the incision was made, blood gushed out.


    Dr. Zou acted as the first assistant. His hemostatic ability is not bad, close to the middle level of the attending physician, after all, he is a 40-year-old attending physician.


    It is weaker than Zhou Can''s ability to stop bleeding.


    But it''s okay.


    He steadily manipulated the electric coagulation knife to stop the patient''s bleeding, while Tang Li cooperated tacitly to **** up the gushing blood in time.


    "Do you know why I emphasize that the patient''s tumor diameter should not exceed 2cm?"


    Director Wen looked at the two attending physicians under him.


    "Too big to cut."


    Tang Li''s answer was a bit of a panacea.


    "I''m afraid of hurting the nerves and blood vessels." Dr. Zou answered more precisely because he was older.


    "Dr. Zou is right. The diameter of the tumor is too large, and it is almost impossible to completely remove it. Because it is very easy to damage important blood vessels and nerve tissues. So when you go to the clinic in the future, as long as you find a suspected meningioma, you must ask the patient to diagnose it early. Early treatment. When the tumor grows to a larger diameter, the difficulty of sweeping will increase geometrically."


    Director Wen gave an explanation.


    Zhou Can secretly wrote it down.


    These are very valuable surgical experiences, which are difficult to learn in books.


    Old doctors spread word of mouth and shared it with young doctors.


    "Teacher, this patient''s tumor has reached 2.1cm, so why do you still need to operate on her?" A graduate student asked.


    "Because she is still young. If we don''t operate on her, her life is likely to die. And her tumor is growing rapidly, which is a very bad phenomenon. Usually, only malignant tumors are prone to rapid growth." Growth. Benign tumors tend to grow more slowly."


    Although Director Wen wants to save face, he likes to do some superficial work.


    But from his behavior and willingness to operate on this female patient, it is enough to prove that there is a bright spot in his thinking.


    Is a respectable doctor.


    As the epidermis and subcutaneous tissue are cut layer by layer, the tumor can already be seen at this time.


    The tumor was more than 2cm in diameter.


    Zhou Can''s hands itch when he saw it.


    His separation and incision are already at the fourth level, and all of them have reached the level of attending.


    He is not sure about this big tumor, but he can try to challenge it.


    Director Wen has already begun to separate the tumor from the middle cerebral artery. He appears to be extremely careful, walking on thin ice with every cut. It was only at the end of the separation that he stopped.


    "This tumor is too tightly adhered to the artery wall. If it is forcibly separated, the blood vessel will definitely be broken. Even if it is not broken now, there will be serious problems after the operation. If it is not possible, I am afraid that only a small part of the tumor wall will be left."


    Director Wen hesitated again and again, and finally gave up the forced surgical separation.


    "Immediately take this excised tumor and send it to the pathology testing room, and let the pathology testing room expedite it. I will wait here for 20 minutes, and after the pathology results come out, I will decide whether to remove the tumor wall."


    After the arrangement, Director Wen checked around the lesion to see if there were other tumors?


    Looking at the excised tumor, Zhou Can instinctively had an ominous premonition.


    He has seen some benign tumors, and they usually look more pleasing to the eye.


    Just like us human beings, each other is born from the heart. Kind-hearted people are mostly honest and kind-hearted. Those who are vicious and savage, are mostly vicious and vicious.


    Tumors can also be distinguished through vision and touch.


    Experienced old doctors, breast cancer, lymphatic cancer and the like can be touched with their hands, and they can basically judge whether it is good or bad just by touching it.


    However, the final result is subject to pathological examination.


    Intraoperative pathological detection is the fastest one.


    Results can be obtained in twenty minutes.


    Ordinary pathological tests require queuing, and the results often take the next day.


    After about twenty-four or five minutes, the pathological test results came out.


    Vicious!


    Everyone was stunned by this result.


    This is the last outcome doctors want to face.


    Such a young girl actually got a malignant tumor.


    "However, there is good news. The pathological examination found that the tumor has clear margins, and it should not have spread to other surrounding tissues. As long as the resection is clean, the patient should be able to recover."


    Looking at the pathological test results, Director Wen made a difficult mistake.


    The remaining last layer of tumor wall is too difficult to remove.


    "Let''s all work together to see if there is a better way to solve it?"


    Director Wen asked everyone.


    Any situation encountered during the operation is possible and ever-changing.


    Before the operation, there is no way to do a pathological test, and no one knows whether it is benign or malignant.


    Now the result is out, and it is a very cruel result for the patient.


    If the operation is not done cleanly, the cancer cells will surely spread in her body very quickly.


    At that time, it is almost certain to die.


    Director Wen hesitated because it was about the life and death of this little girl.


    Save, definitely want to save.


    But how?


    Several doctors offered suggestions one after another, but Director Wen rejected them one by one.


    None of these solutions are practical.


    "Can you prepare with both hands, take a piece of venous blood vessel and prepare it for vascular anastomosis at any time. Then try to surgically separate the remaining tumor wall."


    Zhou Can has learned a lot of similar surgical knowledge from Dr. Xu.


    The solution given by a famous teacher should be one of the more feasible solutions.


    He did not propose the use of artificial blood vessels of eucalyptus. That''s because the patient is only 24 years old. Although the artificial blood vessel technology is already very good, no one knows how long it will last.


    Even if its lifespan is thirty years, it is still a huge hidden danger for this female patient.


    It is troublesome to take venous blood vessels from other parts of the patient''s body to repair the blood vessels here, but the autologous blood vessels will not have any rejection reaction. The success rate of the operation is high.


    There is no danger in the future.


    "There are many difficulties in repairing this segment of blood vessels with venous blood vessels. First, the two end surfaces need to be anastomosed, and the anastomosis time will be quite long. The ischemic tolerance time of the brain is about three minutes. Even with my anastomosis level, It takes at least 20 minutes just to anastomose the two end faces. This is still the case when the veins are prepared in advance. Secondly, there is a wealth of nerve tissue around the central cerebral artery. If you want to anastomose it, you need to separate it first. At least 3cm separation is required. The risk in this process is also extremely high.¡±


    Skull base meningioma surgery is known as one of the most difficult operations in meningioma.


    Sphenoid ridge meningioma resection is the most difficult operation in skull base meningioma surgery.


    Difficulty is not in vain.


    The entire operation is full of unpredictable and huge risks.


    "If you want to solve the blood supply problem during the period of arterial anastomosis, there is a way to solve it. That is bypass."


    Zhou Can gave another solutionAren''t you making trouble yourself? "


    Director Wen had a wry smile on his face, but he admired this kid''s audacity.


    "I have researched that the blood supply of this branch blood vessel is also intracranial. But it is more of a blood supply to the scalp. It is shunted from here and connected to this blood vessel. Even if the cerebral central artery is cut off for one or two hours It won''t be a big problem."


    The solution proposed by Zhou Can is to solve the problem of blood supply to the important tissues of the brain during the time period that coincides with the cardiovascular system in the brain.


    Drainage from the branch of that artery, although insufficiency may occur.


    But it is only for the operation time to anastomose the central artery. So as long as the brain tissue is not necrotic due to ischemia.


    Director Wen fell into deep thought.


    "Although the plan proposed by Dr. Zhou is troublesome and risky, it is feasible to a certain extent. It gives me the feeling that various layouts should be carried out first, and finally everything is ready before starting the siege battle."


    For the first time, Dr. Zou supported Zhou Can''s surgical plan.


    To be honest, he admired Zhou Can a lot.


    For a Gui Peisheng to have such a clear and precise surgical thinking, there is probably only one in Tuya.


    If he had been told that Zhou Can''s teacher was Xu Yidao, a famous "quick knife" at home and abroad, he might not think so.


    Famous teachers produce outstanding apprentices.


    Can the apprentices taught by Xu Yidao be bad?


    Dr. Xu really taught Zhou Can everything he could.


    The treatment Jin Mingxi enjoys is much worse.


    "This plan is indeed feasible. Talk to the family members. If the family members are willing to accept it, we will implement it according to this plan. If not, that''s the only way to go. When the time comes, the surgical wound will be cleaned up and sutured directly."


    Director Wen made a decision.

 Chapter 151： Dr. Zou was caught by Dr. Zou for showing his power quickly

    During the operation, it is found that the situation has changed, and the operation plan needs to be changed temporarily, or there is a better plan. It is necessary to communicate with the family members.


    Because the cost of surgery and the risk of surgery will increase, the consent of the family must be obtained before it can be implemented.


    This time, Director Wen did not send Tang Li to communicate, but came forward to communicate this matter in person.


    When it comes to changes in important surgical plans, only the chief surgeon knows the surgical thinking best.


    It will be over soon.


    The girl''s family was shocked when they heard that it was a malignant tumor. Almost without much consideration, he agreed to Director Wen''s proposal for a complete tumor removal.


    In fact, the vast majority of family members would agree.


    The word cancer has long been deeply rooted in the hearts of the people.


    In many people''s minds, cancer is no different from the death penalty.


    The doctor now proposes to try his best to eliminate the residual tumor, and the family members are naturally willing to do so.


    The next operation will proceed according to the plan proposed by Zhou Can.


    The second vascular access is first established by bypass.


    This process is relatively easy.


    Artificial blood vessels are used instead.


    A bridge is directly bypassed from a branched small artery in the neck to supply blood to the blood supply area of ??the central cerebral artery that is about to be blocked.


    With this heavy blood supply guarantee, even if there is an accident when the separated tumor remains, it can be dealt with calmly.


    Director Wen calmly tried to separate the remaining tumor remnant again.


    One knife at a time, like a craftsman is carefully crafting.


    Sweat continued to seep from Director Wen''s forehead.


    People who watched it didn''t think there was anything wrong, but the psychological pressure that Director Wen endured must have been beyond imagination. I believe every surgeon has experienced this feeling of dancing on a sharp knife.


    When the final central part was separated, Director Wen''s cutting speed became slower and slower, and his movements became more and more cautious.


    The speed of sweat oozing from his forehead is getting faster and faster.


    The nurse on tour kept wiping his sweat, with a hint of nervousness on his expression.


    She knew that Director Wen was sweating so badly that the operation must have reached the most critical part.


    And Director Wen probably wasn''t sure.


    Accidents can happen at any time.


    "No, the last piece is too tightly bonded, and it''s too difficult to separate. I''m not sure if I can continue."


    Director Wen sighed dejectedly.


    In the center of the tumor, can the adhesion not be tight?


    I guess it almost didn''t take root.


    "I''m afraid we can only separate this section of blood vessel, then cut it off, and then take the vein blood vessel to make up."


    Director Wen has a lot of experience in surgery, he knows if it will work or not.


    "Isn''t it okay to use artificial blood vessels directly? Why bother to take veins from other parts." A resident doctor expressed his "high opinion".


    "That''s a good question, I just take this opportunity to explain it to you. The artificial blood vessel has a lifespan of only 1020 years. The patient is only in his twenties now, and the blood vessel to be repaired is an extremely important central artery in the brain. Now use The artificial blood vessel cured her disease, but one day ten years later, the blood vessel burst suddenly, what should I do?"


    Director Wen questioned the resident who asked the question.


    Compared with Zhou Can, this resident doctor''s consideration is obviously too one-sided.


    "Remember, when treating a patient, you must not only consider the present, but also the future. You must truly consider the issue from the perspective of the patient''s interests. Only in this way can you become a truly good doctor."


    After Director Wen finished speaking, he looked at Zhou Can.


    "On this point, Dr. Zhou Can did a good job."


    Zhou Can didn''t want to spread hatred.


    Hurry up and say modestly, "I just happened to know this knowledge, and it''s not as good as you said." After the modesty and politeness, he asked Director Wen with a glimmer of hope.


    "This blood vessel is going to be cut off anyway, can you let me try to separate the tumor remnant?"


    Zhou Can has been practicing sharp knife for some time.


    It''s a little bit of success so far.


    His separation technique has reached the inferior level of the main treatment, which is basically enough to separate ordinary tumors or glued body tissues.


    To separate this tumor remnant, he wanted to use the sharp knife technique, combined with the separation technique, to make an attempt.


    It certainly won''t work on animals.


    The best exercise opportunity is directly on the patient.


    Director Wen hesitated and did not agree.


    Zhou Can also knows that it is extremely difficult to obtain such high-risk surgical training opportunities.


    So he quickly added, "I assure you, even if you make a mistake, it will only break this blood vessel, and will not hurt other tissues. This exercise opportunity is extremely important to me, please give me another chance."


    Zhou Can also helped Director Wen a lot in the past two days.


    With a certain foundation of trust, it is not too much to ask for this kind of operation.


    "Okay! Seeing that you are very prudent, you must be careful. In addition, when you perform the resection, I need to put gauze around it for protection."


    The mouth that eats people is soft, but the hands that grab people are short.


    In the end, Director Wen couldn''t hold back his sympathy, so he had to agree.


    Maybe Zhou Can''s eager and motivated eyes moved him.


    It is more common to put gauze around it to protect other tissues.


    "Thank you! Thank you!"


    Zhou Can won this hard-won opportunity to exercise.


    I am really grateful to Director Wen in my heart.


    If it were Dr. Xu who performed the surgery today, he might not be given the opportunity to exercise this time.


    Therefore, mixing with different superior doctors will give you different benefits.


    The key is to see how you fight for it.


    Zhou Can did not use an electric knife, but a traditional scalpel.


    The advantage of the ''cold weapon'' is that it is more flexible. When separating such tightly bonded tissues, it can separate extremely thin tissue layers.


    Just like a chainsaw, when it cuts a piece of wood, it will be directly sawn into powder with a thickness of about 0.5cm. Splitting with a sharp knife straight down the middle of the wood will lose almost no length.


    There is another reason.


    He uses a traditional scalpel for his sharp knife practice.


    This is also the request made by Dr. Xu.


    At the moment, I am definitely more accustomed to using a traditional scalpel.


    Holding the handle of the knife, he took a deep breath, held the tweezers with the other hand, and lifted up the part of the tumor tissue that had been successfully separated, exposing the adhesive part underneath.


    His eyes fixed on the parts that needed to be separated.


    The whole person slowly seemed to be possessed by a demon. In his eyes and heart, only the remaining tumor tissue and blood vessel walls that needed to be separated remained. Everything outside is invisible.


    brush!


    Without any hesitation, he slashed out directly.


    Chi!


    The sound of a knife cutting flesh.


    Director Wen didn''t expect Zhou Can to strike the knife so quickly, he couldn''t help clenching his hands in fright, and his heart almost burst out of his throat.


    He has already begun to regret agreeing to let Zhou Can do it.


    With such a high risk, why did you agree?


    But before he called to stop, Zhou Can had already stopped the operation.


    With just one cut, the operation was over.


    "Is this the end?"


    Director Wen''s eyes widened in shock.


    Not to mention the others, all of them stretched their necks, as if they were living **** in broad daylight.


    It was over before Zhou Can''s movements were clearly seen.


    "Fortunately, the tumor remnants were successfully stripped."


    On the tweezers held by Zhou Can''s left hand, the tumor remnant was clamped impressively.


    There is a confident smile on his face.


    The knife just now seemed simple and quick, but it actually contained all his background in practicing the quick knife technique, as well as the separation technique, and even the incision technique.


    Ten years off stage, one second on stage.


    All the accumulated accumulation has been integrated into the unpredictable knife just now.


    Congratulations on successfully performing the Quick Sword Technique, and comprehending a trace of its essence, you have obtained the special knife skill - Quick Sword Technique. This knife method can be applied to dissection, separation, and debridement, and can quickly cut target tissues at an extremely fast speed. ¡¿


    The surgical skills that Zhou Can usually acquires are all so-and-so, such as debridement, incision, suture and so on.


    What I got this time is called the Quick Knife Technique.


    Laws and techniques are collectively called spells. That''s what the Taoists call it.


    From a scientific point of view, it can be considered that the method and technology are combined, and the final power is stronger than the original technology.


    For example, in the separation just now, even if Director Wen''s separation technique has reached the director level, he is still unable to safely separate the tumor remnant.


    But Zhou Can did it.


    Based on what?


    It is nothing more than merging the quick knife technique into the separation technique to form a more powerful ''spell''.


    With the integration of the quick knife technique, his actual combat ability of the separation technique even surpassed the director-level separation technique.


    You know, his current separation technique is only attending the lower level.


    After integrating into the quick knife technique, it directly jumped to two great realms.


    Now, Zhou Can finally understands why Dr. Xu has gained such a great reputation.


    The combination of law and technique is definitely a top-level surgical ability.


    Quick knife method, current experience value: entry-level 1/10000, win with quickness, and correct other surgical shortcomings with quickness. Integrate into all knife-wielding surgical procedures. ¡¿


    Zhou Can looked at the newly added Quick Swordsmanship, and it actually ranked first.


    Even before the pathological diagnosis.


    This may be a personal surgical style, or call it a personal surgical idiosyncrasy.


    "I''m just an entry-level person, but when I integrate it into the separation technique, it''s already so powerful. Dr. Xu''s quick knife technique must be much higher than mine. How strong is he?"


    Being able to set the record for the fastest surgery in the world and maintain it all the time without being surpassed by others is enough to show the strength of Dr. Xu.


    "Now that the quick knife method has been officially introduced, I don''t know if I can learn other surgical styles in the future?"


    The knife just now was extremely fast, and it was a glimpse.


    Even Director Wen couldn''t solve the surgical problem, so he solved it with one knife. The pleasure of that moment is enough to increase the dopamine in the brain several times.


    After being happy, Zhou Can also felt a little worried.


    Director Yin, who is in the heart, and Director Shen, who is outside the bone, have advised him that it is best not to follow the old path of Dr. Xu.


    Now that I''m on the thief ship, can I still get off the ship?


    However, although the knife just now was extremely fast, Zhou Can''s heart was very quiet, and his thinking was very clear. There is no phenomenon that the hand is faster than the brain.


    Is it because of the calmness in my heart that suppressed the magic brought by the sharp knife?


    There is such a possibility.


    Find an opportunity to ask Dr. Xu, maybe you can get a better answer.


    After Director Wen came back to his senses, he quickly checked the patient''s central artery.


    The vessel wall was smooth without any tumor residual tissue. What is even more shocking is that the blood vessel was not damaged in any way, and the separation of this small piece was even better than him.


    Clean, smooth, incredible.


    "You, you let me see the second Xu Yidao. Really, it''s too similar. Back then, Director Xu performed all kinds of difficult operations, and he was always clean and neat. His surgical ability is simply unimaginable, as if possessed by a god. General."


    Director Wen has obviously seen Dr. Xu''s strength with his own eyes.


    Even after many years, I still remember it deeply.


    And full of respect.


    "Take this tumor remnant immediately for pathological examination. If the edge is clear, the central artery need not be moved. If tumor cells infiltrate and metastasize, the scope of surgery must be expanded."


    Director Wen said to a graduate student.


    The chores of running errands were originally undertaken by Zhou Can, a newcomer.


    Now that Zhou Can''s surgical prowess is showing, even Director Wen has to bow down. Who would dare to ask Zhou Can to run errands and do chores?


    ¡­


    Twenty minutes later, the pathological test results came out.


    The margins were well defined and no diffusion was found.


    This is very exciting news.


    There was cheers in the operating room.


    Even Director Wen smiled happily and exclaimed, "Dr. Zhou is really the lucky star of our group! After he came, good things happened one after another."


    From another perspective, after Zhou Can came, several difficult cases in their group were all solved.


    It''s not luck.


    It happened that Zhou Can had the surgical skills in this area.


    "Remove the artificial blood vessel bypassing the bridge, and then clean up the wound, and then the work can be sutured directly."


    Director Wen looked at Dr. Zou.


    "You come to remove the bypassed blood vessel, is there a problem?"


    "Guaranteed to complete the task safely."


    Dr. Zou couldn''t do his best in the previous operation, and now Director Wen took care of him and specially gave him a finishing task. He went all out.


    Otherwise, he and Director Wen will not look good in face.


    This operation was full of twists and turns, and it seemed that Zhou Can, a newcomer to the group, Gui Peisheng, was acting all the time.


    Naturally, everyone''s faces were dull.


    The operation was over quickly, and Dr. Zou''s operation can be said to be quite satisfactory.


    It can be regarded as saving a little face.


    Of course, Zhou Can must have gained the most.


    Not only did the quick knife technique directly advance to the entry level, but it also accumulated practical experience in the quick knife technique. At the same time, his status in the group has not risen by a single star.


    It is estimated that in Director Wen''s mind, Zhou Can''s status is higher than that of the two attending doctors.


    Director Wen can''t be blamed for being realistic.


    Because Zhou Can has too many skills.


    "Doctor Zhou, I have an operation this afternoon, can you help me?"


    Before leaving the operating room, Dr. Zou unexpectedly extended an invitation to Zhou Can. Zhou Can was very surprised by this.


    The relationship between the two was originally tense.


    He has no objection to Dr. Zou.


    It''s just that Dr. Zou doesn''t like him a bit. Because he performed so well, he was in the limelight.


    Old comrades, unwillingness to be surpassed by new comrades is the most common psychology.


    "Okay, I''m more than happy."


    Naturally, Zhou Can would not disrespect the other party.


    A veteran attending physician took the initiative to put down his figure, showed his favor to him, and eased the relationship between the two. This is extremely rare.


    "Hehe, is Dr. Zou arresting a strong man? Another day, if I have a separate operation, I have to learn from you and arrest Dr. Zhou as a strong man." Tang Li joked with a smile.


    He also greeted him in advance in a half-joking tone.


    She said that the next time she had an operation alone, she would also ask Zhou Can to help.


    "It''s more work for those who are capable! Dr. Zhou''s surgical ability is so strong, and everyone is in the same group. I think he won''t mind doing more."


    Doctor Zou showed a rare smile.


    His eyes were also on Zhou Can.


    "Thank you for looking up to me as a junior and taking care of me. I promise to be on call and never be lazy. I must work hard."


    Zhou Can was favored by the two attending doctors, but he didn''t dare to raise his tail.


    His humble performance of actively lowering his figure also won the favor of several superior doctors.


    ¡­


    In the afternoon, Zhou Can cooperated with Dr. Zou to operate on the woman with a fractured skull.


    I wanted to be low-key and low-key.


    As a result, Dr. Zou''s fracture articulation and bone setting were very average.


    It is also understandable that Shenwai has always looked down on orthopedic surgery, thinking that orthopedic surgery is all menial work.


    Naturally, few doctors performed well in orthopedic surgery.


    Many times when encountering fracture surgery, a doctor of orthopedic surgery has to be called to help.


    Note that it is called, not please.


    Shenwai asked the orthopedic surgeon for help, but he was never very polite.


    Zhou Can spent three months in orthopedic surgery, and he really learned something.


    Moreover, the multi-portal orthopedic surgery has been upgraded to the third level. At present, only bone grafting is slightly weak, and it is still at the standard training level.


    In this woman''s fracture operation, Zhou Can made a great effort to do the key operation properly.


    Dr. Zou called out directly, asking him to help was the right person.


    Originally, Dr. Zou didn''t know that Zhou Can''s orthopedic surgery ability was so strong. Just thinking about fracture surgery is not easy for one person to do. The residents under him are as stupid as pigs.


    In addition, the operation is performed on the brain, so safety must be ensured.


    Zhou Can is prudent in his work and has a strong ability in many surgeries. Please go over and help, at least be on the safe side.


    In the end, Zhou Can did not disappoint him.


    Even gave him a big surprise. The skull fracture surgery was completed with the cooperation of the two.


    And it''s very well done.


    At the end of the operation, the patient was still under anesthesia.


    Zhou Can said to Dr. Zou, "The injury on this woman''s body doesn''t look like she fell, but more like being violently beaten. Do you think she suffered from domestic violence?"


    "Doctor Zhou, we can''t take care of this matter. If she''s underage, we can take care of it. She''s an adult, so I believe she has her own considerations. And based on my experience, it''s easy to take care of this kind of thing. "


    Dr. Zou gave him some advice.


    "I just saw too many injuries on her body. You see, these injuries are old injuries, indicating that she has been continuously beaten violently. I really don''t understand, why not just divorce?"


    Zhou Can pointed to the woman''s shoulders, legs and other parts.


    There were bruises and hematoma everywhere, which was shocking to see.


    "Marriage is not as easy as you think. You can leave without saying anything. Children, relatives and friends, parents, common property, and feelings of constant separation. In short, when you get married in the future, you will understand .¡±


    Dr. Zou must have married a long time ago when he was forty years old.


    He just shook his head and smiled.

 Chapter 152： To support my friend, Dr. Ou came too timely

    The door of marriage is very magical. Those who stand outside want to get in, and those who stand inside want to get out.


    Zhou Can just talked about a relationship, and he really couldn''t understand many deep-seated things.


    After the female patient completed the operation, it was past the off-duty time.


    This is the case with surgery. Before the operation is completed, the doctor has to grit his teeth and persist even if he **** in his crotch.


    Zhou Can volunteered to push the patient back to the ward to recuperate together with the nurse.


    Dr. Zou left beforehand.


    "Or push her back to bed 27?"


    Zhou Can asked the female nurse.


    "if not?"


    The female nurse grinned at Zhou Can.


    In the operating room just now, Dr. Zou''s attitude towards Zhou Can was exactly the same as that of the same level. Coupled with Zhou Can''s excellent performance during the operation, the female nurse naturally looked up to him.


    Many people don''t understand why nurses like to please doctors?


    In addition to the higher status of doctors than nurses, doctors are often able to provide powerful help in matters such as job promotion and department evaluation.


    Take Qiao Yu as an example. She was originally a preparatory surgery nurse with a low status and few opportunities to exercise.


    Because the relationship with Zhou Can is very good, Zhou Can can directly appoint her as the equipment nurse when Zhou Can performs important operations. This actually helped her a lot.


    "She has just had an operation and cannot be subject to any collisions. I think if I can help her change to a quieter bed, it will definitely be good for her physical recovery."


    Zhou Can didn''t speak clearly in front of the female patient.


    In fact, she was worried that her man would go to the hospital to commit domestic violence again.


    She would be safer by putting her in a bed where the nurses could monitor her at all times.


    "Our nurses don''t have the authority to arrange beds. You have to find the attending physician." The female nurse winked at Zhou Can, implying that Zhou Can understood what he meant.


    It''s just that she can''t do anything about it.


    Beds are actually a tight resource.


    Usually only the attending physician on duty and the attending physician managing the ward are eligible to arrange.


    Residents, training students, interns, etc., all do not have this authority.


    Nurses also do not have this power.


    Zhou Can decided to send the female patient back to bed 27 first, and then talk to Dr. Zou about it when he has a chance.


    The **** of the female patient is a gray-haired old lady.


    The faces of the two are quite similar.


    The old lady who accompanied the bed was most likely the old mother of the female patient.


    The old man looked at his daughter, whose head was wrapped in white gauze, with tears in his eyes.


    "Doctor, is my daughter okay?"


    asked the old lady.


    "The operation was successful, and the fractured skull has been fused together. It''s just that she has multiple soft tissue contusions on her body. She must be taken care of, and she can''t fall again."


    Zhou Can was very sympathetic to the mother and daughter, but he couldn''t help much.


    I can only give as much notice as possible.


    It didn''t even point out that the woman''s injury was not caused by falling, but by being beaten.


    Send the woman back to the hospital bed and settle down.


    I have to talk to the doctor on duty!


    As soon as Zhou Can turned his head, he saw Jiang Xiaohua walking over.


    "Doctor Zhou, I heard that you have been appreciated by Director Wen, and you have been directly transferred to Director Wen''s group. Congratulations!"


    The relationship between Jiang Xiaohua and Zhou Can is quite good.


    When we met, we immediately greeted each other with a warm smile.


    "There''s nothing to congratulate, I''m not as comfortable as you!"


    Just listen to what Zhou Can said.


    To be appreciated by the Chief Physician is definitely a great thing that countless Gui Peisheng have dreamed of.


    "I''m still at ease. I''m about to die suddenly. I''ve been on the day shift for a whole day today, and Dr. Cheng arranged for me to be on duty at night. What a miserable life!"


    Jiang Xiaohua poured out bitter water.


    Bullying newcomers is similar everywhere.


    Cheng Gang''s Gui Peisheng is now only Jiang Xiaohua left, so naturally he is squeezing to death.


    All the dirty work is arranged on Jiang Xiaohua.


    "The daughter-in-law of many years has turned into a mother-in-law, what else can I do, let me suffer slowly. By the way, let me tell you about this patient. He just had a skull fracture operation..."


    Zhou Can explained the patient''s general situation and postoperative care requirements.


    As for the doctor''s orders given by Dr. Zou to the patients, the doctors and nurses on duty can check them on the computer.


    After explaining, Zhou Can has nothing to do and is ready to leave work.


    When passing the third ward, I heard bursts of scolding coming from inside.


    Is this a family fight or what''s going on?


    Zhou Can stretched his head curiously to look inside.


    "Shit, why is it Jin Mingxi?"


    I saw a young doctor in his mid-twenties pointing at Jin Mingcheng''s nose and cursing mercilessly.


    "How do you think you got into Gui Peisheng? The patient has a high fever of 39.2 degrees. You can''t handle such a trivial matter?"


    Don''t look at this doctor who is several years younger than Jin Mingxi, scolding Jin Mingxi in front of the patient and his family would not save any face.


    Under normal circumstances, a superior doctor scolds a subordinate doctor, and will definitely pay special attention in front of family members and patients.


    After all, it hurt the dignity of the doctor involved.


    Even if you do make a serious mistake, you will usually be called to the office to blame it.


    "I''m going to issue a doctor''s order to instill lysine 0.9g intravenously, but I can''t make up my mind, so I''m going to ask you for instructions before making a decision." Jin Mingxi was scolded like this, and had to accompany her with a low eyebrow and explain carefully.


    Probably also because he was worried about offending the superior doctor and causing more trouble.


    He took the exam for many years before he was admitted to Tuya Hospital as a regular trainee. In case the superior doctor is offended to death, all kinds of small shoes are enough for him to wear to doubt his life.


    It will be even harder then.


    Only two days have passed since Shenwai''s full two-month training period.


    The days are still long.


    Therefore, Jin Mingxi chose to endure.


    "An excuse is clearly an excuse. If I hadn''t happened to come over, would you say that?"


    The young doctor didn''t know where the hostility came from.


    He caught Jin Mingxi and scolded him non-stop.


    Zhou Can remembered that Jin Mingxi begged him for help yesterday. This young doctor who scolded so much must be Jin Mingxi''s superior doctor Dai Wei.


    Originally, I wanted to talk to Dr. Ou about this matter in a few days.


    Now that they have bumped into each other, Zhou Can will naturally not let his good brother be bullied.


    Besides, we are all in the emergency department, so we should be in a group.


    The emergency department of Tuya Hospital has no other advantages, but unity. This is especially true when faced with bullying by doctors in the operating room.


    "Old Jin, are you still off work?"


    Zhou Can walked in and greeted Jin Mingxi with a smile.


    It was done on purpose for Dr. Dai Wei to see.


    As long as this person has a little discernment, he will know what to do.


    "Here, there are still several patients in the beds that have not been dealt with, how do you get off work?"


    Jin Mingxi looked like he had eaten Coptis chinensis.


    This Dr. Dai Wei is really ruthless, he gave Jin Mingxi a lot of work to do by himself. What''s even worse is that if there is something that I didn''t do well, I immediately yelled at him.


    No matter the occasion, no mercy.


    "This patient has a high fever?"


    Zhou Can looked at the patient on the bed.


    "I''m going to prescribe a 0.9g intravenous infusion of lysine and pirin, but I''m worried about causing trouble. You came just in time, so let''s take a look together." Knowing Zhou Can''s strength, Jin Mingxi immediately asked him for help.


    Dai Wei had already started secretly looking at Zhou Can.


    The number of doctors outside the Shenwai is relatively small, only a few dozen people, working for more than a month, basically able to recognize all the doctors and nurses in the department.


    "Who is this doctor? You seem to be Gui Peisheng, who has just entered Shenwai this time, right?"


    Before Dai Wei could speak, another young doctor who came not far away stared at Zhou Can and spoke first.


    "Yes, I''m Gui Peisheng who has just rotated into God. Your memory is pretty good."


    Zhou Can admitted it frankly.


    What happened to Gui Peisheng?


    He''s probably the best Gui Peisheng in Tuya Hospital, not one of them.


    "Don''t get close to me. Do you know who this is? He is Dai Wei, a resident doctor, and Dr. Jin''s superior doctor. Heh, Dr. Jin is really interesting. Instead of asking for advice from the superior doctor, he reverses a standard training Asking for help, who is this looking down on?"


    This Gui Peisheng looked quite young, with an aquiline beak and a hooked nose, a three-point treacherous face, and a seven-point smirk.


    Hearing what he said, you knew it was a thing.


    "Dr. Chen, I don''t mean to look down on Dr. Dai. I just think we are friends with Dr. Zhou, let''s discuss it together."


    Jin Mingxi looked very weak in front of these two people, so he could only explain quickly.


    Dr. Dai''s face was cold, and he said decisively, "What''s there to discuss about a high fever? You regular students like to make a fuss over a molehill. It''s not a complicated condition. It is reasonable to give the patient medicine immediately to bring down the high fever. Don''t make a fool of yourself." Those flashy things."


    After speaking, Dr. Dai issued a doctor''s order directly.


    "The 0.9g intravenous infusion of lysine-pirin you just mentioned is also a treatment for reducing fever, but it is not suitable for this patient who has just completed the operation. Indomethacin suppository 0.05g should be used in the **** That''s the safest way."


    There are many ways to reduce fever.


    Those are the commonly used ones.


    Zhou Can personally thinks that it should be feasible to use indomethacin suppository for the **** and intravenous lysine.


    Of course, what I''m talking about is just dealing with routine high fever situations.


    The doctor''s order issued by Dr. Dai is different from the doctor''s order that Jin Mingxi intends to declare. It should also be intended to establish the authority of the superior doctor, and to show in front of everyone that his diagnosis and treatment level is better than these regular trainees.


    "What are you still doing in a daze? Hurry up and get the medicine for the patient!"


    Dai Wei instructed Jin Mingxi.


    "OK!"


    Jin Mingxi trotted to get the medicine.


    There was a trace of struggle and dissatisfaction in his eyes.


    Zhou Can did not leave, but carefully observed the patient''s complexion and some subtle symptoms.


    Dai Wei said to his family members in a more gentle tone, "High fever after surgery is a relatively common phenomenon. You don''t need to worry too much. After a while, the patient will sweat profusely. You can feed him more water and supplement Moisture."


    Zhou Can was standing at the end of the bed. He really wanted to go to the bedside to get the patient''s examination report and medical records.


    Learn about the situation.


    Only this patient was not in his group.


    Now Dr. Dai''s attitude towards him is obviously not very friendly. If he checks the patient''s information, he will easily be regarded as a dog biting a mouse and meddling in his own business.


    Not long after, Jin Mingxi came back with the medicine.


    Doctors are actually reluctant to give patients anus.


    Usually the big fish eat the small fish, and the small fish eat dried shrimps.


    The doctor at the top sends this to the doctor at the bottom.


    "Old Jin, what kind of operation did this patient undergo?"


    Zhou Can asked casually.


    "The meningioma resection in the spinal canal was performed by Director Wu himself."


    The family rushed to answer.


    "Director Wu is the strongest surgeon in the world. Ordinary doctors would not dare to perform such a difficult operation." When Zhou Can communicated with his family members, he knew what they wanted to hear.


    Intraspinal meningioma surgery is a fourth-level major surgery, and it is not an exaggeration.


    Not many doctors dare to perform this operation.


    What can be done well is even rarer.


    At least one must be a doctor at the level of the director of the Ministry of Foreign Affairs to dare to do it.


    It may also be necessary to ask a doctor of orthopedic surgery to perform joint surgery to ensure a smooth operation.


    "Hehe, that''s right. We got the chance to perform the surgery personally with Director Wu because of our relationship. Director Wu''s reputation is too great, it doesn''t matter, we can''t even get his account."


    The family immediately blew away.


    Most patients or family members have a similar mentality.


    Take pride in being connected.


    Either it is an honor to know a certain doctor or nurse in the hospital, or it is an honor to know a certain small leader or a little relationship with a higher-level department.


    As for those who are truly powerful, there is no need to brag at all.


    As soon as he was hospitalized, the leaders of the hospital had sharper noses than dogs, and they all came over to show their hospitality.


    "It''s not a small skill for you to get someone to connect with Director Wu. Can you show me the inspection report?"


    After Zhou Can had a few chats with his family members, they became a lot closer.


    Promptly ask to see the patient''s examination report.


    The family readily agreed.


    I also think that because of the mention of being connected to Director Wu through relationships, the young doctor began to take the initiative to curry favor with them.


    In any case, Zhou Can''s proposal to check the patient''s examination report at this time made the family feel very useful.


    Doctor Dai and Gui Peisheng Chen Hao stood by the bed and watched Jin Mingxi operate.


    Zhou Can was ignored.


    After receiving the patient''s examination report, Zhou Can checked it carefully.


    Soon, he finished reading.


    At this time, Jin Mingxi had also finished his medication.


    "Doctor Dai, do you think it is necessary to measure the patient''s blood pressure?"


    When Zhou Can saw the patient for the first time, he found that the patient''s face was extremely pale, even his lips were white.


    Now after reading the examination report, combine it with some subtle symptoms of the patient to make a comprehensive diagnosis.


    He faintly realized that it was not as simple as imagined for a patient to have a high fever, but there was a possibility of great danger.


    Why does the hospital require that when the doctor is on duty, when the nurse reports that the patient has some abnormal symptoms, they cannot directly issue a doctor''s order to deal with it. Instead, you should go to the ward to check in person and then deal with it.


    It is to prevent formalism from appearing and causing accidents.


    "Are you teaching us Dr. Dai how to do things? We''ve already dealt with it. You asked to measure the patient''s blood pressure to show that you are capable?"


    Chen Hao reprimanded Zhou Can very rudely.


    "Just take care of the patients you are responsible for. We don''t need you to be responsible for the patients here. If you feel free, tell me, who is your superior doctor? I will ask him to increase your workload."


    Doctor Dai''s face showed extreme displeasure.


    He is the only one who directs Gui Peisheng to do things, when will it be the turn of an outsider Gui Peisheng to point fingers in front of him?


    "I''m not meddling in my own business. It''s just out of my responsibility to the patient. Then I worry about it because Lao Jin and I are friends. This patient has a high fever. If you just simply reduce the fever now , This is dangerous and extremely irresponsible.¡±


    Zhou Can''s tone became a little more serious.


    Originally, he ran in to support Jin Mingxi.


    He still wanted to have a polite chat with Dai Weike, but he didn''t expect to overestimate his own fame.


    Dai Wei didn''t know him at all.


    The hope of using Director Wen''s relationship to support Jin Mingxi was also completely shattered.


    He had a deep understanding of the faces of Dai Wei and Chen Hao just now.


    It''s no wonder that Jin Mingxi was tired when he returned to the apartment yesterday.


    An unreasonable superior doctor, coupled with a crazy sycophantic Pearson, would make life difficult for anyone.


    "Pay attention to your words. Do you think that the relationship between doctors and patients is not tense enough and you want to create disputes between doctors and patients? I will report this to the department."


    Dai Wei''s face was already ashen.


    He really didn''t expect Zhou Can to contradict him like this in front of the patient and his family.


    The hat of being extremely irresponsible to the patient was put off, and he looked very angry after hearing this.


    At this time, Dr. Ou, who had just finished eating, came in when he heard the sound of arguing inside.


    In the ICU ward, at least one attending physician is required to be on duty at night.


    All attending physicians are required to be on rotation.


    Dr. Ou happened to be on duty in the ICU tonight.


    After having dinner in the hospital cafeteria, he hurried back to the department, ready to meet the various challenges that the ICU ward would bring.


    "You can go back to the office to discuss the patient''s condition, don''t make any noise in the ward Doctor Ou said seriously after entering the ward.


    It is normal for doctors to disagree when discussing a patient''s condition.


    But there is a principle, try not to argue in front of family members and patients.


    On the one hand, the impact is not good.


    On the other hand, it is also easy to cause misunderstandings by family members and patients.


    "Doctor Ou, you came just in time. This new Ji Peisheng doesn''t know the rules. I don''t know which group he is in. He ran into the ward I was in charge of and uttered nonsense."


    When Dai Wei saw Dr. Ou coming, he immediately filed a complaint.


    He was going to teach this new doctor how to behave today.


    Zhou Can turned his head and looked behind him, meeting Dr. Ou''s eyes.


    "Zhou, Doctor Zhou! It''s you!"


    Doctor Ou had a dark face at first, and was going to take this ignorant new doctor back to the office to teach him a lesson.


    It turned out that it was Zhou Can, and his face immediately changed dramatically.


    From the dark face of Mr. Bao, it directly turned into a friend''s face with a warm smile.


    Doctor Dai and Chen Hao were of low rank, they stayed in the ward to deal with patients, and they didn''t know Zhou Can''s ability. He knows it all.


    Not long ago, he learned from the gossip that Zhou Can had made great contributions to Director Wen''s two important operations.


    Moreover, he showed an extremely rare double surgery talent.


    Director Wen is likely to directly accept Zhou Can as an apprentice and focus on training.


    Such a potential stock, let alone offend Dr. Ou, it''s too late to curry favor.


    Besides, he and Zhou Can also have such a trace of friendship.


    He reprimanded Zhou Can with a dark face, without even thinking about it.


    Dai Wei and Chen Hao were dumbfounded. Doctor Ou is usually serious and cold. When did he treat Gui Peisheng so pleasantly?


    And that smiling face, that tone of voice, was no longer amiable, but a flattering compliment.


    What''s the origin of this kid?

 Chapter 153： Hidden shock, everything is a cloud in the face of strength

    "Doctor Ou, you came at a good time. This patient has a high fever of 39.2 degrees. After reading his examination report and other materials, I think it is impossible to simply reduce the fever!"


    Zhou Can spoke directly.


    His approach was very clever, and he didn''t hold on to Dai Wei and Chen Hao because of his power.


    I believe that Dr. Ou''s attitude just now has given the two of them some b points in their hearts.


    It''s just that he was a little puzzled. Many people in the department knew that they were appreciated by Director Wen. Don''t these two people know? Or do you only know a little bit, so you don''t take yourself seriously?


    Not to mention Zhou Can''s high status in the neurosurgery department, at least ordinary residents don''t have much confidence in front of him.


    Even Cheng Gang, who used to be extremely unfriendly to him, has lowered his eyebrows and is pleasing to the eye now.


    That is to say, he couldn''t save face, so he didn''t take the initiative to curry favor.


    Why is Dai Wei so blind?


    "Is Dr. Dai angry just because of this?" Dr. Ou looked at Dai Wei after listening to Zhou Can''s explanation.


    "Uh... I might have been in a hurry just now. I was mainly worried that what Dr. Zhou said would cause unnecessary disputes between doctors and patients." Dai Wei also acted according to the wind.


    After discovering that Dr. Ou had a very friendly attitude towards Zhou Can, he immediately turned off the engine to cool down.


    "Because he is just a training doctor, do you think his opinions are outrageous? Let me tell you, Dr. Zhou Can has made great contributions in many director-level consultations. And just today, he followed Director Wen for a consultation. A fourth-level operation, and made a great contribution. In the future, don''t underestimate the opinions of lower-level doctors."


    The relationship between Dr. Ou and Dai Wei does not seem to be bad.


    Otherwise, I would not have said these words.


    Many details about Zhou Can were exposed in public, indicating that Dr. Ou had already inquired about Zhou Can''s deeds in the emergency department.


    Whether Tuya Hospital is big or small, the personnel relationship inside is intricate.


    Maybe a certain doctor or nurse in the emergency department happened to have some personal relationship with Dr. Ou. Even classmates.


    Dr. Ou witnessed the whole process of Zhou Can being appreciated by Director Wen yesterday. Out of curiosity or other interests, he asked acquaintances to inquire.


    Obediently, it''s amazing.


    It turned out that this Gui Peisheng was so crazy.


    "He has made great achievements in the director-level consultation and the fourth-level surgical operation... Oh my God! This is really flooding the Dragon King Temple. I actually regarded Dr. Zhou as the kind of showman who has high eyesight and low power. Gui Peisheng. This is my fault, and I will correct it in the future."


    After hearing Zhou Can''s brilliant record, Dai Wei shrank his neck in fright, and quickly took remedial measures.


    It is very wise to take the initiative to apologize at the first time.


    "I''m not as powerful as Dr. Ou said. At best, I just had better luck. For this patient, I strongly recommend measuring his blood pressure. If he has symptoms of hypotension, he must be highly vigilant."


    Zhou Can''s goal has been achieved, and he just said it out.


    Then move on to business.


    It can minimize Dai Wei''s embarrassment.


    As for that flattering doctor Chen Hao, Zhou Can never took him seriously from the very beginning.


    Almost like air.


    "Xiao Chen, measure the patient''s blood pressure immediately, don''t just stand still." Dai Wei''s ability to survive in the workplace is quite strong.


    After knowing that Zhou Can is very powerful, he could only look up, not only did his attitude towards Zhou Can change a hundred and eighty degrees.


    And Zhou Can''s good friend Jin Mingxi also changed.


    The treatment of the sycophant Chen Hao fell off a cliff.


    "Isn''t Dr. Jin treating this patient?"


    Chen Hao whispered.


    Obviously some are not used to this sudden change of treatment.


    "Be quick!"


    Dai Wei''s gaze and tone were already quite cold.


    Only then did Chen Hao realize that the sky had changed. Immediately honestly fetched a sphygmomanometer and measured the patient''s blood pressure.


    Dr. Ou and others were waiting for the blood pressure results.


    "Is this sphygmomanometer broken? Why is the systolic blood pressure only 100mmhg?" Chen Hao whispered softly after taking the initial blood pressure measurement.


    "Xiao Chen, don''t dawdle, has the result come out yet? Dr. Ou and Dr. Zhou are waiting!"


    Dai Wei directly ranked Dr. Zhou at the same level as Dr. Ou. This is full of desire to survive!


    Zhou Can didn''t think there was anything wrong.


    Jin Mingxi next to him was envious.


    Jin Mingxi was about to be evaluated as a deputy senior professional title in the County People''s Hospital before, but now he is admitted to Tuya as a regular trainee. Is it considered that the more mixed the lower the position?


    Then look at Zhou Can, who is also Gui Peisheng, whose hidden status has already caught up with the attending.


    Apart from envy, Jin Mingxi was also secretly happy.


    After such a commotion just now, Dr. Dai already knew Zhou Can''s strength, and his attitude towards Zhou Can became very respectful.


    With Zhou Can''s support, Jin Mingxi believes that the future will be easier.


    When Dai Wei oppressed him, he definitely didn''t dare to be as unscrupulous as before.


    Chen Hao was sweating profusely and ran to the nurse''s station to borrow a new blood pressure monitor.


    Measure again.


    "What''s the matter, the systolic blood pressure is only 98mmhg."


    Chen Hao couldn''t believe the result.


    "Idiot, it''s not good to measure blood pressure. How could the patient''s blood pressure be so low? Let me measure it."


    Dai Wei went into battle himself.


    The result is still the same, the systolic blood pressure is only 98mmhg.


    At this moment, both Dr. Ou and Dai Wei realized the seriousness of the problem.


    Experienced doctors usually regard systolic blood pressure lower than 90mmhg as a threshold of shock blood pressure.


    The patient''s hypotension was close to the shock blood pressure, which frightened them immediately.


    "Fortunately, Dr. Zhou''s advice to measure blood pressure almost caused a catastrophe."


    Dai Wei wiped the cold sweat from his forehead, feeling scared for a while.


    He also had the first personal experience of Zhou Can''s strength.


    No wonder he was able to directly gain the appreciation of Director Wen by virtue of his status as Gui Peisheng. His skills are indeed amazing.


    At this time, the patient has begun to rave.


    Clearly deranged.


    His family calls didn''t do much either.


    The condition progresses very quickly.


    In other words, they didn''t pay attention to the abnormal state of the patient at all before.


    After all, it is normal to talk nonsense under high fever.


    "Doctor Zhou, the patients are already like this, so please tell me the rest of your diagnostic opinion! Although I am an attending physician, pathological diagnosis has always been a weakness. You can check the patient''s information, pass the patient''s high fever symptoms, It can be diagnosed that the patient has hypotension, and it is very dangerous, which means that you must have the diagnosis in your mind."


    When Dr. Ou saw that the patient he was in charge of was in danger, he couldn''t help feeling very nervous.


    Ask him to diagnose slowly, maybe he can find out the reason.


    Now that someone is more powerful than him, he doesn''t need to bother with that.


    Moreover, the patient''s condition took a turn for the worse, and the longer the delay, the more dangerous it would be.


    Only now did the family members understand that this young doctor who had an interesting chat had extremely superb medical skills.


    Their eyes were also looking at Zhou Can, full of pleading.


    "First of all, I''m just making a preliminary diagnosis based on some clues, and the result may not be accurate. I suggest taking blood for a test immediately. The patient may be in septic poisoning shock."


    Zhou Can said it modestly, not sure about the result.


    In fact, diagnosis experience points have already been earned.


    He was very sure of the diagnosis.


    "The patient is obviously not in shock yet! And isn''t the blood pressure lower than 90mmhg to be defined as shock?"


    Dr. Dai Wei was very puzzled.


    "Pedantic! Who said that the systolic blood pressure must be lower than 90mmhg in shock? Your dogmatism is unacceptable. Infected with toxic shock, you can''t blindly use the blood pressure value as the only standard."


    Dr. Ou should have taught Dai Wei as a student.


    Otherwise, I wouldn''t scold Dr. Dai for being pedantic and dogmatic.


    "Doctor Zhou, please tell him the references for infectious and toxic shock." Doctor Ou left this opportunity to show off to Zhou Can.


    Of course, you may also want to create more opportunities for the two to repair the relationship.


    "Hypotension, high fever, unconsciousness, and then you look at the patient''s neck, and the performance is extremely unnatural. It shows that there is neck stiffness. These four evidences are combined, and it is basically confirmed that it is an infection and toxic shock. However To be on the safe side, wait until the blood test results come out, basically foolproof."


    From the moment Zhou Can entered the ward, he noticed that the patient''s face and lips were extremely pale.


    Fingertips are slightly cyanotic.


    Later, it was found that the patient''s neck had ankylosis, and the rotation and stretching were extremely unnatural.


    Combining various symptoms, he boldly concluded that the patient was actually in a state of shock.


    Use indomethacin suppository to treat the anus, which is a typical treatment for headaches and feet.


    Blind, superficial, treating the symptoms but not the root cause.


    It can even be said to be the opposite.


    When we humans have a fever, as long as the fever does not exceed 39 degrees, there is basically no need to rush to cool down the fever.


    This is because the body is activating the immune mechanism to eliminate invading viruses, bacteria, etc.


    The most common fevers are inflammation and cold.


    Some people take a lot of antipyretics as soon as a child has a fever after a cold. The fever subsided, but I also missed an opportunity to rely on the body''s own immune mechanism to kill the virus.


    To put it more vividly, when our body starts to have a fever, it means that the body is preparing to fight the virus that invades the body.


    It constantly burns the body''s stored energy, raises body temperature, and begins to destroy the virus.


    At this time, people who don''t have medical knowledge take a lot of antipyretics directly, which is basically equivalent to a fatuous emperor. The general in front is leading the charge to kill the enemy, and it seems possible to win.


    As a result, the emperor directly ordered Ming Jin to withdraw his troops and retreat.


    In the end, he ordered to kill the leading general.


    Then the viruses rejoiced. When they met such a stupid emperor, who would they kill if they didn''t kill him?


    Viruses began to crazily attack more organs and tissues of the body.


    A small cold may eventually turn into a severe cold, or even death.


    Many people think that after catching a cold, drinking a lot of warm water is nonsense.


    Can water cure diseases?


    The answer is that it can cure diseases.


    Drinking plenty of water can keep your body metabolism running efficiently. Excrete a large number of viruses and harmful substances from the body through urine and other methods.


    This is actually very beneficial to the recovery of the body.


    When it comes to body temperature, there is one thing that actually deserves the vigilance of all human beings.


    Human body temperature has been dropping.


    Thousands of years ago, or even tens of thousands of years ago, what was the body temperature of our ancestors, because technology was very backward at that time, so it was impossible to know.


    Only since human beings were able to measure body temperature, the average human body temperature has dropped from 37 degrees to 36.6 degrees in two hundred years. 37 degrees has become the history of human normal temperature.


    Some people may think that the body temperature drops by 0.4 degrees, which is nothing at all.


    In fact, every time the body temperature drops by 1 degree, the immunity will drop by more than 30%.


    Conversely, when the body temperature rises by 1 degree, the immunity is enhanced by 56 times.


    So, when our body has a fever in the future, don''t rush to reduce the fever! As long as it is below 39 degrees, you can observe it, pay attention to replenish water and keep warm.


    Help our body to defeat the disease together and eliminate the virus.


    ¡­


    After Zhou Can diagnosed the patient''s cause, there was no need for him to stay here.


    "Doctor Ou, Doctor Dai, I''m leaving first! If this patient is diagnosed with toxic shock, he must not delay. Especially if such symptoms occur after surgery, it is very dangerous."


    Before leaving, Zhou Can told the two of them.


    "Understood! I will report this matter to Director Wu now." Doctor Ou''s face was serious. "Thank you very much for helping us rule out a hidden accident today. In the future, Dr. Zhou will have time. I really want to ask you to visit the ward every day and help check it together."


    Doctor Ou is very grateful to him.


    But he also knew that it would be unrealistic for Zhou Can to help with rounds every day.


    Occasionally, I can come over and help with an investigation, which is considered special care.


    "It''s easy to say, easy to say! Dr. Jin is my good brother. After work, as long as I have time, I will definitely come to see him often."


    Before Zhou Can left, he once again emphasized the relationship between Jin Mingxi and him, and his intention could not have been more obvious.


    It''s basically telling Dr. Ou and Dai Wei, please take care of my good brother.


    "Now that I know that Dr. Jin is a friend of Dr. Zhou, I will definitely focus on training him." Jiewei said in person.


    "Walking with tigers and wolves are beasts. Dr. Zhou is so powerful, and Dr. Jin must be no different. If you don''t say it, it is really possible to bury a talent. If Dr. Jin''s surgical ability is not bad, in the future I''ll take you to surgery."


    In order to curry favor with Zhou Can, Dr. Ou directly sold a huge favor.


    A big piece of pie fell from the sky and hit him on the head, which made Jin Mingxi very happy.


    "Thank you, Dr. Dai! Thank you, Dr. Ou! I have done a lot of operations in the emergency department, and I will ask Dr. Ou to help me in the future."


    Jin Mingxi is also amazing.


    Hit the snake with the stick.


    He immediately hugged Dr. Ou''s thigh.


    "Okay, I have two surgeries tomorrow, and you can just follow me into the operating room." Dr. Ou didn''t refuse.


    After speaking, he looked at Dai Wei.


    "Doctor Dai, don''t arrange some work for Dr. Jin tomorrow, let him follow me into the operating room and try."


    Dr. Ou''s character is quite straightforward.


    Say hello to Dr. Dai face to face.


    "No problem. Anyway, Xiao Chen doesn''t have much work, so I can arrange for Xiao Chen to do more."


    Dai Wei''s words almost made Chen Hao faint in the toilet.


    Who would have thought that misfortune would fall from the sky. They were flattering and filming together, but suddenly there appeared an extremely stubborn Gui Peisheng. With just one sentence, Jin Mingxi, a ''serf'', stood up and sang.


    He, who rose to power by flattering, was directly regarded as an abandoned son.


    Sure enough, strength is the real king.


    Other twists and turns, in the face of absolute strength, are all floating clouds.


    "goodbye!"


    Zhou Can waved his hand and left satisfied.


    ¡­


    Before seven o''clock, Jin Mingxi came back.


    As soon as he entered the dormitory, his face was full of joy.


    Put two big hot chicken legs directly in front of Zhou Can.


    "Zhou Can, buddy. If you hadn''t supported me to speak today, I''m afraid I would have been bullied to death by Dr. Dai and Chen Hao. Let''s not fix those fake ones, just come here with two big chicken legs to express our thanks .¡±


    Jin Mingxi''s face was full of smiles.


    For helping him so much, two chicken legs are not worth mentioning at all. But if the two are good friends, that''s different.


    Just think about it.


    In the future, if Zhou Can needs help, Jin Mingxi will spare no effort to provide help for free.


    "Haha, I won''t be polite if you have two big chicken legs!" Zhou Can went to wash his hands, UU read www. uukanshu.com While it¡¯s hot, pick up the chicken legs and enjoy them beautifully.


    "Originally, I should invite you to have a big meal. But you also know that Gui Peisheng''s salary is only so small every month. I save money every day, and after excluding expenses, I don''t owe credit card money at the end of the month. Burned high incense. Let me ask my wife to reach for it, I really have no face to say that."


    Jin Mingxi has been in the provincial capital to participate in the training for more than half a year.


    When I first came here, I was quite generous.


    Life is tight now.


    This is why most medical students complain about the training system.


    It was like being exploited in vain by the hospital for one to three years.


    A family wants to train a medical student, and the money and energy spent are extremely huge.


    After graduating from school, for one to three years of regular training, the family basically has to subsidize part of it.


    If you are a finance major, you will basically have a high annual salary after working for three years.


    Therefore, the idea of ??being a doctor in order to make money should not be there.


    "No wonder, my lord said that I seldom see you going on a tryst with that classmate named Ye Zi recently. It turns out that you have emptied your pockets. I think this is very good. I was really worried about your wife a while ago!"


    Zhou Can and Jin Mingxi are very close, so he dared to say this.


    "Don''t talk nonsense! Am I that kind of person? Besides, Ye Zi invited me out to play, not for my money at all. She has achieved financial freedom long ago."


    Jin Mingxi''s old face flushed for a while, but he still did not forget to defend his female classmate.


    Zhou Can just smiled and stopped talking about it.


    We are all adults and have the right to choose our own way of life.


    After Zhou Can gnawed the chicken leg, he continued to practice the sharp knife technique.


    Today, after experiencing the power of the quick knife technique in the operating room, he seemed to be possessed, frantically pursuing a higher realm.

 Chapter 154： Shenwais performance has skyrocketed, so I have to meet this genius in person

    If I have to generalize the usefulness of Kuai Dao, it is like the internal strength in martial arts.


    If you practice it well, use your ''internal strength'' to activate those surgical techniques that require the use of knives, and you can double, or even tenfold, your original medical skills. For example, the dissection surgery performed in the operating room today, although the attendings were only of inferior level, successfully separated the tumor remnants that Director Wen could not separate.


    And it only took one knife.


    Zhou Can''s current props for practicing quick knife are still carrots.


    However, with his great improvement in knife skills, it is no longer necessary to cut carrots into four pieces.


    Simply split down the middle and cut in half.


    The small scalpel seemed to come to life in his hand, whether it was cutting horizontally, picking up, obliquely, or sideways, it could be cut flexibly and precisely. The cut carrot slices are uniform in size and thickness.


    It has to be said that his knife skills are no worse than that of chefs in star-rated hotels.


    There is no shortcut in the practice of quick knife technique.


    Relying on his chopping carrots one by one, he steadily improved.


    Used radishes should be counted in tons, not bags.


    ¡­


    Day by day.


    In the Department of Neurosurgery, he followed Director Wen to perform operations, consultations, and ward rounds. With his rare dual surgical talent, excellent pathological diagnosis ability, unique diagnostic thinking, and serious and rigorous working attitude, he soon became Director Wen''s most dependent assistant.


    Now, whenever Director Wen performs surgery or consults difficult cases, the first thing he does is to look up to see if Zhou Can is here.


    It''s unbelievable that a chief physician should rely on such a training doctor to such an extent.


    If you have to delve into the reason, just two words, interest.


    Director Wen''s surgeries have been significantly increasing recently.


    For some ultra-difficult operations, when the patient''s physical tolerance is very weak, if traditional surgery is performed, the consultation opinion given must not recommend surgery.


    Now with the help of Zhou Can, there is often one more consultation opinion given. Traditional surgery is not recommended, and endoscopic surgery can be tried.


    If Zhou Can expresses the key part of this endoscopic surgery, he has great confidence.


    Director Wen will write "endoscopic surgery is recommended" in the consultation opinion column.


    Zhou Can''s many advanced medical skills have been upgraded to the attending level, but only anastomosis is still at the resident level.


    In the past, it was only a first-level operation, and there was almost no need for anastomosis.


    The operations performed by Director Wen are at least level 3, and many neurosurgeries involve complicated blood vessels and nerves. The demand for the use of anastomosis has increased dramatically.


    Anastomosis at the resident level is okay for ordinary blood vessels and nerves.


    But endoscopic operation, it seems dwarfed by comparison.


    In particular, some anastomotic ring mirrors are extremely complicated, surrounded by many important nerves, blood vessels, vertebrae, skulls, and brain tissue interference, and the difficulty of anastomosis is doubled.


    At present, Zhou Can''s six advanced medical skills, separation, insertion, grasping, and debridement, have all been upgraded to the fourth level, reaching the level of attending.


    Only the two advanced medical skills of anastomosis and transmission are still at the third level.


    Because I practice more after get off work, the experience value is already close to the fourth level.


    As long as you practice for another week or so, you should be able to rise to the attending level.


    This is because the teleportation technique is very rarely used for the time being, and he is not in a hurry to upgrade.


    What really worries him is the anastomosis, the current experience value is 116.8/1000 for the third level. To be promoted to level four, there is still nearly 900 experience points short.


    Anastomosis of a nerve or blood vessel can only add 1 experience point.


    Where did he get the chance to practice 900 anastomoses?


    As for using white mice to practice, it is very uneconomical.


    It takes 20 minutes to anastomose a blood vessel, and the experience value obtained is 0.2.


    He needs to anastomose five blood vessels before he can gain 1 experience point.


    In other words, it takes at least 100 minutes for him to earn 1 point of consistent experience. In practice, it would take at least two hours to anastomose five rat tail vessels.


    Because there are many preparations such as anesthesia, cutting blood vessels, and stripping in the early stage, they will take up a lot of time.


    Therefore, it is extremely uneconomical to practice anastomosis on animals.


    For two hours, he spent reading medical books or practicing quick-knife skills, and the gains were much greater.


    If you want to quickly earn experience points for anastomosis, you have to perform operations on patients.


    You only earn 1 experience point for anastomosis of a blood vessel for a patient, which is still very slow!


    Zhou Can''s mind was very bright, and he quickly thought of a way.


    When doing endoscopic surgery, he found that he could get an extra 100 experience point reward for using an endoscope for the first time to use a certain medical technique, or to perform endoscopic surgery on that organ for the first time.


    Ever since, he ran wildly on the avenue of earning experience points crazily.


    As long as he finds that there is an opportunity for anastomosis in endoscopic surgery, he will do everything possible to win it.


    Unless some matches are extremely difficult and the confidence is very small, there is no way but to give up decisively.


    Earning experience points and high rewards is important.


    But safety is more important.


    Don''t look at Director Wen''s willingness to entrust him with various high-risk surgical tasks. That''s because he built a foundation of trust step by step.


    So far, it has maintained 0 mistakes and 0 accidents.


    Zhou Can is very clear that as long as he fails once, the trust accumulated through hard work will immediately disappear.


    Therefore, we must not lose the big because of the small.


    As long as Director Wen always trusts him, there will be a steady stream of opportunities for surgery.


    It''s been like this for more than a month.


    Zhou Can''s anastomosis finally rose to level four.


    So far, his shortcomings have finally been filled. There are more surgical tasks that can be challenged.


    After the anastomosis was upgraded to the fourth level, he felt most clearly that the difficult blood vessels, nerves, tendons, and intestines that could not be anastomosed before can now be all competent.


    The patency efficiency of the anastomotic blood vessels and intestinal tubes has been greatly improved.


    In the past, for a blood vessel with an internal diameter of 2 mm, after anastomosis, the internal diameter of the anastomotic site would shrink to about 1 mm.


    Its patency efficiency has been reduced by half.


    Before the operation, 100 milliliters of blood can pass through in one minute. After the operation, only 50ml of blood can pass through in one minute. This effect is actually quite large.


    After his anastomosis was upgraded to level 4, the inner diameter of blood vessels with an inner diameter of 2 mm can be retained by about 1.5 mm after anastomosis.


    Needless to say, this is a huge improvement.


    In addition, the tightness and tension resistance after anastomosis of blood vessels or intestines are at least doubled.


    There are many doctors with poor surgical skills who anastomose intestinal tubes to patients, and intestinal leakage occurs as a result. The consequences of this can be very serious.


    After his anastomosis is upgraded to level four, the possibility of intestinal leakage or blood vessel leakage is almost zero.


    In addition to the obvious progress mentioned above, there is also the fact that when anastomosing blood vessels or nerves, most of the interference caused by the surrounding complex environment can be eliminated.


    In the end, he performed the anastomosis under the endoscope, and the operation was more skilled and easier.


    Zhou Can came to a conclusion that in order to complete various operations under endoscopy more flexibly, advanced medical skills must at least reach the attending level to be barely sufficient.


    For more than a month, Zhou Can not only performed surgery and consultation with Director Wen, but also gained a lot of experience in advanced medical skills and pathological diagnosis. When he had time, he also went to the orthopedic surgery manual reset room to help.


    Last time I sent an old ginseng to Dr. Fu Zhi''an in the manipulation restoration room, and the effect was quite good.


    As long as Zhou Can goes, Dr. Fu will be very enthusiastic and give him the opportunity to practice. He will patiently guide him in various bone-setting skills, almost teaching him everything.


    Zhou Can''s bone setting has progressed very fast.


    Now it has reached the intermediate level of resident medicine, and it is only a little bit close to being promoted to the excellent level of resident medicine.


    The various bone setting and reduction knowledge, skills, precautions, and operation methods learned are innumerable.


    With the blessing of the experience point system, he has risen unstoppably and rapidly by virtue of his diligence and hard work.


    ¡­


    In the neurosurgery director''s office, Wu Baihe stared at the summary report of last month''s surgery, and remained silent for a long time.


    Du Leng and several of Wu Baihe''s apprentices were all present.


    These people are highly valued by Wu Baihe, and he has spared no effort in cultivating them.


    These people will be brought along for various surgeries.


    Needless to say, a few apprentices, many of them are already attending or even at the level of deputy director.


    "Director Wu, is there something wrong with the summary report?"


    "I can''t even make a report, and I will have to scold them later."


    The disciples spoke out one after another.


    It is unimaginable that a strong surgical team has the right to speak and its status in the department.


    Wu Baihe is already strong enough, and no one can shake his status outside the gods.


    Now some of his apprentices have become deputy chief physicians, which also makes Wu Baihe''s status even higher, and he has more say in the department.


    "The report statistics should not be wrong. I''m just curious about how Director Wen performed so many surgeries last month? Among them were grade 3 and 4 surgeries, and endoscopic surgeries were adopted. And the success rate of surgeries is terribly high. 100 percent success rate."


    Wu Baihe looked at the data on the report, and even he himself couldn''t believe it.


    "No way?"


    Several people came forward to check it out.


    "I remember Director Wen''s talent for endoscopic surgery is very ordinary. He usually tries his best to formulate traditional surgical plans for patients. Now that he has suddenly performed a large number of endoscopic surgeries, I think there are only two possibilities. Either he has already obtained A major breakthrough, or one of his doctors has a very high talent in endoscopic surgery."


    "Advanced surgical talent is not something you can have if you want to. Director Wen had no experience in endoscopic surgery before, and his performance was mediocre. It is unlikely that he will suddenly make a major breakthrough in this area. I am more inclined to the latter Opinion. Which of his doctors has a very high talent for advanced surgery. Now that he has been trained, he can complete so many endoscopic surgeries in just one month."


    "We can also do endoscopic surgery, but the success rate is 100%, which is really scary."


    "I know the two attending physicians under Director Wen. They are very talented in endoscopy. I haven''t heard of any talents in this field!"


    Wu Baihe''s apprentices, you have a word, and I have a word.


    Or how can I say that three cobblers are worth one Zhuge Liang! It is much better for many people to make suggestions and discuss together than to think about it alone.


    "Look at the thinking behind these difficult surgeries. To be honest, even I feel sincere admiration."


    Wu Baihe pointed to some of the surgeries and said.


    As the director of the department of Shenwai, the performance of the department will be summarized to him every month.


    He can see which doctor has done what, made meritorious service or made omissions or mistakes in diagnosis and treatment.


    Of course, if the doctor below did not report it, he would definitely have no way of knowing.


    "If the teacher thinks that the performance of Director Wen''s group is too outstanding, I can find a way to recruit that person to our group."


    Du Leng''s way of thinking is as insidious as his person.


    He came up with this idea more as an expression of allegiance.


    Want to gain the deep trust of Wu Baihe.


    "Xiao Du, although you gave this idea out of good intentions, I still want to criticize you. We doctors must not be so narrow-minded. Especially the same department, that is, a family, we must unite, don''t Vicious competition. Don''t do anything that destroys unity. Understand?"


    Wu Baihe looked at Du Leng very seriously.


    "clear!"


    Du Leng agreed happily, God knows what he was thinking.


    After staying abroad for a long time, it is normal for me to become selfish and selfish under the influence of Western thought.


    The idea of ??the capital world is to put personal interests first, our side first, and not allow others to surpass me.


    "Director Wen''s team has outstanding performance last month. This is a good thing. It shows that we are growing and becoming stronger. I have to ask him another day, who is such a genius, who has experience in endoscopic surgery?" Extremely talented. There are too few such talents, so we must cultivate them well."


    Wu Baihe also has people who are good at endoscopic surgery.


    Including himself, the endoscopic surgery talent is not bad.


    But there is no one with a particularly good talent for endoscopic surgery.


    It can only be said that it is above the standard and passable.


    Discovering that a talent with outstanding endoscopic surgery talent suddenly appeared in the neurosurgery room, Wu Baihe was full of surprises, and even had extremely high expectations.


    After the neurosurgery department''s performance last month was reported according to the regulations, it soon attracted the attention of Director Xie.


    Director Xie had a smile on his face after reading it.


    "Director Wu, Shenwai may have performed so many endoscopic surgeries last month, and the success rate of the surgeries is extremely high, and the satisfaction rate of patients after discharge is also very high. It seems that you have paid great attention to quality and technology. good."


    Director Xie highly affirmed Shenwai''s performance last month.


    "To tell you the truth, it''s not because of me alone that we have made such great progress. Many difficult endoscopic operations were completed by Director Wen''s team."


    Wu Baihe is not greedy for merit.


    Whose credit is his.


    "Oh, old Wen''s endoscopic surgery?" Director Xie may not even be able to name some general surgeons. But for the chief physician and deputy chief physician of the surgery, all of them know the basics.


    "Old Wen''s endoscopic surgery has not been very good before, why did it suddenly become so good?"


    "I haven''t had time to ask him about this. But according to my speculation and that of the doctors under me, it should be that Director Wen has a talent with excellent endoscopic surgery talent."


    Wu Baihe was a straightforward person, and he didn''t hide anything from him, he said everything.


    Strictly speaking, Director Xie is his immediate boss. UU Reading


    However, among the chief physicians, everyone is a distinguished, accomplished and powerful figure, and no one will compare themselves with each other.


    There is mutual respect between each other.


    Then everyone will consciously support and respect those who have higher administrative positions than themselves.


    This is also the rule of survival in the workplace.


    "So that''s the case, I just said it! But this is a great thing, our surgery is short of talents in this field. Internal medicine, pediatrics, obstetrics and gynecology, and the oncology department of the Second Attached are all vigorously promoting endoscopic surgery and microscopic surgery." Invasive surgery is a major trend. We also need to cultivate more talents in this field in surgery, so that we can remain invincible in the competition."


    Director Xie said earnestly.


    As the director of a large department, he must take a long-term view and play a big game of chess for the entire department well.


    Otherwise, the entire department will decline rapidly in the fierce competition.


    Regardless of the various departments of Tuya Surgery, the situation is very good now. However, endoscopic surgery has really developed, and surgery has not kept up with the pace of the times. Patients will use their feet to choose treatment methods and departments that are more beneficial to them.


    "By the way, the talent under Director Wen is really good. He can complete so many difficult endoscopic operations. I have to ask in person. In the future, when other departments of surgery encounter difficult operations, they can also be invited to the joint consultation. combined surgery."


    Director Xie is short-tempered.


    After feeling that there was a lot to be done about this matter, he couldn''t hold back, and immediately went to Shenwai to find Director Wen to understand the situation.


    I''m also going to meet that super genius, give encouragement, and build a little emotional foundation.


    At this moment, Director Wen has just led Zhou Can and others to complete a four-level intracranial tumor resection.


    It''s endoscopic surgery.


    very successful.


    He is also in a great mood. This day is particularly hopeful.

 Chapter 155： Sure enough, it was him. Unscrupulous is a hero

    Like Dr. Shan in the Orthopedic Surgery Department, what Director Wen thinks most about now is how to keep Zhou Can to stay and help.


    The two-month training period is too short.


    It''s gone in the blink of an eye.


    When Zhou Can leaves, Director Wen will be beaten back to his original form.


    This is a reality that Director Wen is very unwilling to face. In fact, Director Wen also knew that once the two months were up, Zhou Can would definitely not be able to keep him.


    It is impossible for people to stay outside of God all the time.


    According to regulations, all departments related to majors must be rotated once, and it is not as simple as a simple cutscene.


    A certificate of completion of standardized training will be issued only after passing the standardized training assessment.


    I can''t keep it now, and after Zhou Can''s training is finished, digging him over to cooperate with him will become the best choice left.


    Therefore, Director Wen treats Zhou Can better and better.


    Zhou Can was not only given a lot of high-risk surgical training opportunities during the operation, but also cared for in various daily tasks.


    In addition, Peisheng Gui had to work a night shift almost every two days.


    Zhou Can is privileged in this regard.


    A total of two to three night shifts a month.


    According to what Director Wen told his subordinates, Zhou Can was assigned to be on the night shift, and Director Wen had to have no surgery the next morning, and no more than three days a month.


    Look, this kind of treatment can''t even be enjoyed by the attending physicians.


    Because Shenwai is special, there are four ICU wards, and at least one attending doctor must be on duty at night.


    Then, the number of doctors outside of Shenwai is relatively small, and the probability of attending physicians taking turns is very high.


    In addition to enjoying special care on duty, Zhou Can also enjoys some privileges in ward rounds, writing medical records, and changing medicines for patients.


    Then Zhou Can has some medical problems outside of his mind, so he can ask Director Wen for advice at any time.


    All kinds of special treatment, other doctors envy to death.


    However, they didn''t have Zhou Can''s ability, so they could only feel sour in their hearts.


    Director Wen was checking the doctor''s orders and medical records in the office, and Wu Baihe led Director Xie over.


    "Old Wen is busy!"


    Director Xie greeted with a smile.


    "Hey, Director Xie is a rare visitor! You and Director Wu are here together, there must be something to do, please sit down and talk."


    Director Wen got up and asked the two to sit down.


    Wu Baihe is the department director of Shenwai, and he can be regarded as his superior. In fact, no matter the surgical ability or the administrative rank, Wu Baihe was the one who stabilized him.


    As for Director Xie, there is no need to mention it.


    In charge of the business operations of the various departments of the entire major surgery, it is equivalent to the marshal of the surgery.


    In addition, Director Xie''s surgical and diagnostic abilities are also very strong.


    Director Xie took the position of chief director of surgery back then. Although it was a bit of a coincidence, since he became the chief director of surgery, everyone has seen his hard work and dedication for the surgery room.


    Definitely a qualified director.


    The doctors of the surgery also have a high degree of support for Director Xie.


    "Old Wen, we were classmates back then. I found that since I became the Chief of Surgery, you seldom visited me. More than five years ago, I was elected as the Chief of Surgery, you gave Qiang Li I will never forget this kindness for your support and vote. You can¡¯t be strangers because of different positions!¡±


    After Director Xie sat down, he first expressed his feelings and talked about old friendships.


    Unexpectedly, he and Director Wen still have a classmate relationship.


    And from the meaning of this, Director Xie was the chief director who was elected to the surgery department more than five years ago.


    "Isn''t it busy! Besides, you have become the chief director of surgery, and you are busier than me. You really want to connect with each other. After you retire, you can play chess together, fly birds in the park, or go fishing by the lake. There is a chance. You didn¡¯t go to see it? Bajing Lake is doing well now, and I still want to buy a small house with two bedrooms and one living room there, and live there with my wife for the elderly!¡±


    Director Wen answered with a smile while making tea for the two of them himself.


    "I also went to see Bajing Lake, and I really did a good job. It''s a good suggestion for us to organize a group to retire there after retirement. But the house price has doubled, and I think if you want to buy it, you have to start early."


    Wu Baihe also interjected at the right time.


    "That''s it. If I don''t have a meeting this Saturday, I will take time to look at the house. I just have some spare money in my hand. I bought stocks and lost money every day. When I saw the price of that stock, my blood pressure went up."


    Director Xie''s words made the other two laugh.


    "Stocks are a fire pit. Anyone who jumps will be unlucky. As long as I mention money to buy stocks, my wife will rush to me with chicken felt." Director Wen seems to be very henpecked.


    In fact, men who are afraid of their wives are seldom really afraid.


    It is to let the wife, this is the expression of love.


    "Come, try the green tea sent by my son! According to him, there are only five plants of this variety, and this year is the first one."


    Director Wen took out the green tea sent by his son to entertain two heavyweight rare guests.


    Director Xie picked it up and smelled it, his eyes lit up, "This tea is really good. The brewed tea is emerald green and pleasing to the eye, with a strong but not greasy fragrance, refreshing. Old Wen, is your son determined to devote himself to the business of traditional Chinese medicine? With his conditions, plus your network resources, wouldn''t it be better to directly get Tuya to become a doctor?"


    It is said that there are people in the court who are good officials.


    Director Wen is the Chief Physician of Tuya''s important department, so it''s really not difficult to get his son to work in the hospital.


    "Well, it''s said that children don''t follow their fathers. It''s not that you don''t know my son, he is more stubborn than me. I can''t persuade him to persuade him. Instead, he educated me, saying that Chinese medicine is We are the quintessence of China, and now foreign countries have paid special attention to Chinese medicine, but our country has lost the precious inheritance left by our ancestors. Not only did he contribute to the cultivation of Chinese medicine, but he also asked me to do Chinese medicine research after retirement. "


    Director Wen sighed.


    When talking about his son, he is both proud and helpless.


    "Haha, I see what you mean, sooner or later you have to support your son''s career."


    After Director Xie laughed, he bowed his head and sipped his tea.


    The relationship is almost done, and then it''s time to talk about business.


    "Director Wen, when I checked the performance summary of the department today, I found that you had done a lot of endoscopic surgeries last month!"


    Wu Baihe spoke first.


    "I did do some, and nothing happened, did I?"


    Director Wen''s expression tightened.


    As a doctor, I am afraid that something will happen to the patients I treat.


    "No, no, don''t be nervous. The endoscopic surgery you performed has a very high patient satisfaction rate. And the success rate is 100%. I am really happy for you to have made such great progress in the field of endoscopic surgery."


    Wu Baihe smiled and waved his hands again and again.


    "Haha, it''s good that nothing happened. The two of you came to visit together and focused on the endoscopic surgery. I was afraid that something might happen." Director Wen breathed a sigh of relief.


    The success rate of the operation was 100%, and the patient''s satisfaction rate was extremely high when they were discharged from the hospital. These two indicators filled Director Wen with joy and pride.


    It''s a pity that most of these credits belong to Gui Peisheng.


    Director Wen is purely discerning talents, boldly employing people, and then reaping a good harvest.


    It can also be said to have picked up a big bargain.


    "Old Wen, I''m a straightforward person. Don''t take it for granted if I say the wrong thing. Remember that you don''t have the talent for endoscopic surgery? Why did you suddenly improve so much?"


    Director Xie''s temper is really impatient.


    Competitive with Director Lou of the emergency department.


    He wants to know the answer now.


    "Hey, I''m afraid you won''t believe me if I tell this. Didn''t we have a new batch of Gui Peisheng last month? During an operation, I accidentally discovered that one of the Gui Peisheng''s implantation surgery was done very well. Then he was directly transferred to my group, boldly delegating power, and focusing on training. The kid was stunned. Up to now, he has completed almost the key parts of most endoscopic operations, and he has never made a mistake. "


    Director Wen didn''t hide it either.


    This matter can''t be hidden even if you want to hide it. As long as the two directors investigate, they can find it out immediately.


    Now to ask him directly, on the one hand, it is trust, on the other hand, it is also respect.


    "Gu Peisheng, the new rotation to neurosurgery?"


    Director Xie was so shocked that he couldn''t close his mouth.


    "Impossible! Even if you are talented in endoscopic surgery, it must be based on traditional surgery. A Gui Peisheng can complete so many complicated fourth-level surgeries? This is too sensational."


    Wu Baihe was also shocked.


    Both of them are senior surgeons, and they are well aware of the difficulty of various operations.


    Endoscopic surgery is more demanding than conventional surgery.


    "If I hadn''t seen it with my own eyes and experienced it myself, I wouldn''t have believed it to be true. That kid is so awesome. I have to say, talent is really important. He is so amazing that he has won many chief physicians in surgery. An achievement that is unattainable, given time, I can''t even imagine it. I dare to say that that kid will definitely lead Tuya to a higher level in the future."


    Director Wen gave Zhou Can a very high evaluation.


    In fact, this is still a very conservative statement.


    With Zhou Can''s potential, it is possible to become the top famous doctor in China and even the world in the future.


    It may even become an epoch-making medical figure.


    "Who is that Gui Peisheng? Shouldn''t his surname be Zhou?"


    Director Xie couldn''t help but see a rebellious young figure in his mind.


    That day in his chief director''s office, that Gui Peisheng gave him a hard lesson.


    "Director Xie, did you check the bottom line before coming here? Or is it a clever plan?"


    Director Wen asked with a smile.


    "neither!"


    Director Xie quickly cleared up.


    "Well, to be honest, this Gui Peisheng named Zhou Can, I have been paying attention to him since he first entered the emergency department. Director Wu and I went to Shenwai for a consultation that time, so I must be very concerned about that kid. Is it very impressive?"


    When Director Xie mentioned Zhou Can, his expression and tone were extremely complicated.


    At that time when Gui Peisheng was selected, he had won the right to be the first to be selected, and he had the opportunity to select Zhou Can to enter the surgery room.


    Considering that Zhou Can''s education is low and his surgical ability is not the strongest, Director Xie was not optimistic about Zhou Can at that time.


    Instead, he decisively chose Du Leng, who had an extremely dazzling academic record.


    With a single thought, he missed a super genius.


    In retrospect, Director Xie also had regrets.


    But let him choose again, I am afraid that Du Leng will still be the first choice.


    This is like when a man marries a wife, he would rather take a beautiful vase and keep it at home than marry a talented and capable ugly girl.


    After Du Leng entered surgery, he performed quite well.


    Especially in terms of medical knowledge, sometimes even the chief physicians in the surgery room are not as good as him.


    In just over half a year, Du Leng has already published two SCI medical papers.


    Although it was only published in District 2, and the impact factor score was low, SCI belongs to the top interdisciplinary journals. This achievement is already very dazzling.


    "It turned out to be him! I didn''t expect that he not only has outstanding diagnostic ability, but also has top-notch talents in endoscopic surgery and traditional surgery. I don''t think we should be so pedantic about sticking to his undergraduate education for this kind of evildoer."


    When Wu Baihe learned that this Gui Peisheng was Zhou Can, he was both surprised and reasonable.


    "I didn''t care about his education for a long time. It''s just that the kid is determined to enter the emergency department, and he can''t dig it out at all!"


    Director Xie looked helpless.


    "Director Xie already poached him?"


    Director Wen was surprised.


    "A while ago, the number of surgeries in the emergency department surged. You may not have been affected much by this incident. However, the two departments of general surgery and orthopedic surgery have suffered greatly. A large number of primary and secondary surgeries have been taken away by the emergency department. , and then digested it. I took advantage of the opportunity of Zhou Can to go to the Orthopedic Surgery Department for regular training, and privately wanted to dig him out. But I couldn¡¯t dig him out. To tell you the truth, I used all threats and lures, and that kid would not buy it .¡±


    "That''s fine. Later, director Lou of the emergency department heard about it for some reason. He went to the hospital office directly to stand up for Zhou Can, and the director of the hospital office beat me up. Speaking of this It''s depressing."


    When Director Xie mentioned these things, he just said two words, I''m so angry.


    A chief of surgery has a hard bone that can''t be chewed.


    His teeth were knocked out by a Gui Peisheng, and it was too embarrassing to spread the word.


    "Director Xie, speaking of this matter, I think it''s not right for you to directly suppress a Gui Peisheng. Although you are thinking of the interests of the surgery department, if you deal with a Gui Peisheng regardless of your status, this is not to provoke others. The heart of hatred!"


    Only Director Wen dared to say such things.


    After all, he and Director Xie were old classmates.


    "How do you say it? A hero is a hero who does not change his original intention. I would rather not be a hero, but a hero who uses all means for the development and growth of surgery. Although the situation of surgery is good now, but the building is collapsing, It was only for a moment. Director Lou of the emergency department is very ambitious, and you all know it."


    "Zhou Can''s surgical talent is so great. He entered the emergency department. Will the emergency department be just a triage department? The first one to die is our surgeon."


    Director Xie sat in the high position of the chief surgical director, and his vision was longer than that of Director Wen and others.


    If he is not in his position, he will not seek his own government.


    In this position, he must be responsible for the future and destiny of surgery.


    "Director Xie''s concern is not unreasonable. We have a deep understanding of the sincerity of devoting ourselves to surgery. It''s just that no matter how powerful that kid is, there is only one person in the end. It shouldn''t shake the foundation of our surgery, right? Even if he is one day Sixteen hours of surgery, how much can he do? Besides, there are specializations in the surgery industry, so he will definitely only be able to choose one or two sub-fields of surgery in the end."


    Wu Baihe was optimistic about this matter.


    He has no objection to Director Xie''s downsizing and suppressing Zhou Can.


    As the director of this neurosurgery department, sometimes he would be unscrupulous in dealing with certain matters~ www.novelhall.com~ He had too many worries to accomplish anything.


    There is a saying that goes well, kindness does not lead soldiers, righteousness does not do business.


    When you become the director of a department, you must be responsible for the future and destiny of the entire department.


    From this point of view, it''s normal for Director Wen not to understand their thoughts.


    After all, Director Wen is just a doctor.


    The thing to consider is how to cure the patients in this group, manage the doctors under him well, don''t cause trouble, and be alert to the occurrence of medical accidents.


    That''s all.


    "I think this kid must find a way to get here, or continue to suppress. We can''t let him learn too much real skills in surgery. In this way, his achievements in the field of surgery are limited, and he will eventually choose to specialize in internal medicine obediently. We will look back Worry free."


    Director Xie gave his opinion.


    "However, this time, we need to be more thoughtful and not be too obvious. What I mean is, only let him do trivial things in the ward, and at most observe first-level and second-level operations in the operating room, and resolutely prevent him from participating in major operations."


    Director Xie is in charge of the entire surgery.


    If you really want to limit Zhou Can''s development, it is really possible.


    At least he can beat Zhou Can to death in the field of surgery.


    There are not a thousand ways for a leader to wear small shoes for his subordinates, but there are hundreds of ways.


    "I support it! But it''s better not to make enemies, it should be done naturally."


    Wu Baihe is not a charitable person either.


    No one who can be the director of a department is merciful. Otherwise, you won''t be able to sit in this seat at all.


    I can''t control the doctors in a department.


    "I don''t agree. I agree with finding a way to poach him to the neurosurgery department, and I''m willing to do my best to facilitate this. But I don''t agree with what you said about restricting his development. Such a good genius, we can''t stop him for our own self-interest. improvement."


    Director Wen insisted on opposing the suppression of Zhou Can.

 Chapter 156： Snakes never know they are poisonous, deputy director-level medical skills

    "Old Wen, I''m really not talking about you. Everything else is good, but the way things are done is too pedantic. You can think clearly when you are constantly interrupted, and you will suffer from it. When the time comes, the emergency department will really seize the opportunity to grow. It has inherent advantages, it can hold back all the patients that can be treated, and digest them directly in the emergency department. At that time, the volume of surgical operations will shrink step by step, everyone''s income will be seriously affected, and you will also become a sinner in the surgical room .¡±


    Director Xie tried his best to do the work of this old classmate.


    I just hope Director Wen can cooperate and suppress Zhou Can together.


    This kind of thing can''t be put on the table in the first place, and it''s impossible to force Director Wen to order.


    The only way to do his ideological work well is to understand it with emotion and understand it with reason.


    "Hmph! Even if I really become a sinner in surgery, it''s better than becoming a sinner in Tuya Hospital or Huaxia Medical Field. Let''s not say that you can''t suppress a genius like Zhou Can, even if you really do. Do you think it''s worth it to delay his development in the field of surgery just for your so-called narrow interests?"


    Director Wen''s face was already icy cold.


    If it wasn''t for the face of his old classmate, he might have already got up to see off the guests.


    "this¡­"


    Director Xie is at a loss for words.


    Compared with the interests of surgery, the interests of Tuya Hospital and the interests of the Chinese medical community are naturally greater.


    Zhou Can is so good, as long as he grows up, he can definitely bring huge dividends to Tuya Hospital. It will make great contributions to the Chinese medical field and even the world medicine.


    "If you think about it again, after Zhou Can grows into a new generation of famous doctors, the stronger he is, the more patients will come here attracted by his name. It even creates a siphon effect, directly pushing Tuya''s reputation to a new height. To At that time, the volume of surgical diagnosis and treatment will not shrink, but will increase."


    I really didn''t expect Director Wen''s thought to be far superior to Director Xie''s.


    At least in this matter, Director Xie''s level is far behind him.


    "I, I can''t say no to you! Anyway, just one word, if you can''t get him to the surgery, will you agree to cooperate with suppressing him?"


    Director Xie argued with him and was completely defeated.


    In embarrassment, he directly used his identity as the chief director and the affection of his old classmates to force Director Wen to agree.


    Wu Baihe obviously didn''t want to get involved in this kind of dispute.


    Sitting next to him, drinking tea with his head bowed, silent.


    "Do you still need to ask? I definitely don''t agree! If you want to be Tuya''s sinner, that is your freedom. I will not be at your mercy. No matter whether Zhou Can agrees to join the surgery, I will do my best to train him and do my best. Teach him if you can. This is my freedom, you can''t stop it."


    Director Wen''s old school poor temper has come up, and nine donkeys can''t even try to pull him.


    The two looked at each other, and their eyes clashed fiercely.


    "Old Wen, with our classmate friendship and decades of friendship, there is no need to discuss this matter?"


    Director Xie''s tone softened a lot.


    "There is absolutely no room for negotiation. Whether it is Zhou Can or other geniuses in the future, as long as I meet them, I will do my best to cultivate them. For the sake of decades of old classmates, I want to advise you, Personal interests overriding the interests of the unit, or even overriding the interests of the country, will definitely bring disaster to you."


    Director Wen answered firmly.


    "After knowing that you became the chief director, why did I seldom visit you? Because you have changed. What you pursue in your eyes and heart is no longer medical skills, but the interests of the department. You don''t feel like me now. A doctor is more like a profit-seeking businessman."


    This is really harsh criticism.


    It hit the nail on the head, piercing the depths of Director Xie''s heart.


    "It''s not that I''ve changed, it''s that you don''t understand my difficulties. In my position, I must manage my own affairs and be responsible for all the medical care in the surgery. In addition to getting paid in the hospital, you and I, Director Wu, can also have teaching, lectures, etc. Tan, other incomes such as sitting in other hospitals. But what about the doctors below? They rely on the salary earned by the hospital and need to support their families."


    Director Xie''s eyes turned red when he talked about the excitement, and his voice even stopped several times.


    "Oh...forget it, I can''t understand it even if I tell you. Zhou Can digs as much as he can! I''m leaving!"


    Master Xie waved his hand in a moody manner, and left the office lonely.


    The dispute with his old classmates had a strong impact on his heart.


    He definitely needs to be alone now and think about it.


    There is no right or wrong in all things in the world. Everyone''s thinking angle and starting point are different, and eventually they form opposites.


    If you have to judge, public order and good customs may be the best reference standard.


    Just as mice never think that what they eat is stolen, snakes never know that they are poisonous.


    Thoughts are not at the same level, no one can convince anyone.


    Different values, different perspectives.


    ¡­


    In the following days, Zhou Can still followed Director Wen for surgery and consultation, and everything was as usual.


    Director Xie wanted Director Wen to suppress Zhou Can, but it never came to fruition.


    After getting a lot of surgical training opportunities, Zhou Can''s level of endoscopic surgery can be said to be improving rapidly. In particular, his anastomosis has been promoted to the attending level, and he has no shortcomings.


    The surgery performed is of high quality.


    However, because his surgical skills are all at the attending level, this also leads to some ultra-difficult operations that he dare not touch at all.


    When encountering such extremely difficult operations, they are basically handed over to the surgical team led by Wu Baihe.


    There is no doubt about Wu Baihe''s strength, including the strength of his deputy chief physician.


    As the master of neurosurgery, Wu Baihe has completed cases of extremely difficult neurosurgery by virtue of his strength.


    The surgeons at the attending level can handle some anastomosis, resection, and separation with moderate to high difficulty, all of which can be successfully completed. But in the face of some ultra-difficult delicate operations, Zhou Can can deeply feel the powerlessness.


    The feeling of inadequacy made him deeply yearn for medical skills to reach a higher level.


    In addition to Zhou Can''s rapid progress in surgical skills, his experience in pathological diagnosis has also increased a lot. A large number of new cases appear in the group every day. He reads these cases, and every time he diagnoses a case, he can add 1 point of pathological diagnosis experience.


    In the past two months, almost 400 points of experience in pathological diagnosis have been added.


    At present, his pathological diagnosis and medical skills are already at the middle level of residents.


    It''s a pity that his regular training outside the gods is coming to an end soon.


    Otherwise, if you stay for another two months, the pathological diagnosis will definitely be upgraded to the attending level.


    ¡­


    In the operating room, Zhou Can, Director Wen and others cooperated to complete a case of trigeminal neurotomy.


    The operation went fairly well.


    Only the last seams remain.


    The surgical method they chose was the suboccipital approach, which is simple and straightforward to operate from this site.


    "Director Wen, can you leave the skin sewing to me?"


    Zhou Can asked.


    "Doctor Zhou, at least give us a chance to exercise!" Several residents said dissatisfied.


    "Isn''t my divine training coming to an end soon? No matter how hard I try to rob you, I won''t be able to rob you twice."


    Zhou Can responded with a smile.


    Originally, he wouldn''t have competed so hard with several residents for the opportunity to sew skin.


    The main reason is that his suturing and ligation skills are only a dozen points away from being promoted to level five.


    In addition, the regular training for Shenwai is about to end, and he wants to make another rush to upgrade both medical skills to level five before leaving.


    The fifth level is the medical skill of the deputy director level.


    He also eagerly wanted to feel how good the deputy director''s surgical skills were.


    "Don''t compete with Zhou Can, there will be more opportunities for skin sewing in the future."


    Director Wen spoke.


    Basically, as long as Zhou Can opens his mouth to fight for training opportunities, he will usually give priority to taking care of Zhou Can.


    Director Wen naturally has a certain selfishness in doing this.


    Two months is a very short time to get along.


    Build up a relationship foundation as much as possible, and it will be easier to invite Zhou Can to join Shenwai after Zhou Can''s regular training is over in the future.


    If you don''t have any friendship, how dare you open your mouth?


    "Alright alright!"


    "We were actually just joking with Dr. Zhou."


    After hearing this, several residents gave up decisively.


    No one competed with Zhou Can for the chance to sew skin.


    Zhou Can was also polite, took the needle holder and tweezers from the equipment nurse, and began to sew up the wound for the patient.


    For every suture stitch, he can get 1 suture experience point and 1 ligation experience point.


    One stitch, two stitches, three stitches...


    Congratulations, your suture technique has been promoted to level fiveThe current experience value is 1/100000, the junior level of the deputy director. ¡¿


    To advance to level six, a full 100,000 experience points are required.


    It''s too scary.


    However, it is also understandable that the level of medical skills at the director level is not so easy to achieve.


    Many people never reach the director level in their lifetime.


    He tried to suture the remaining part of the wound for the patient using the fifth-level suture technique.


    Select the needle position, puncture, thread out, and take up the thread. The whole process is like a miracle. I can''t say it, I feel that all the actions just now, including thinking, have become a natural instinct.


    Quite a bit of a back-to-basics taste.


    Before the promotion, he will first look for a suitable needle insertion position when stitching. It''s good now, there is no need to look for it at all, the needle is inserted into the skin naturally, and then pierced out.


    It seems that there is no need to think and search at all, let alone confirmation.


    It has completely become an instinct.


    Where to insert the needle, where to thread it out, and to draw and tighten the thread all become instinctive.


    At the same time, he found that there is almost no pulling force on the wound skin during the whole suturing process, whether it is needle insertion, puncturing, piercing, or even tensioning.


    It is equivalent to the pulling force of a slight breeze blowing.


    Very gentle.


    The key is that his speed is not slow, even faster than before.


    Is this the stitching technique at the deputy director level?


    Amazing.


    It turned out that there was no earth-shattering change from the fourth-level attending level to the fifth-level deputy director level. Instead, turn all actions into instincts, just like blinking and opening eyes as you like.


    There is no need to go through complex thinking of the brain at all, let alone be careful.


    Because no matter how difficult the stitching action is, it has now become an ordinary, ordinary little thing.

 Chapter 157： Another level 5 medical skill, something went wrong

    If he is now performing some difficult endoscopic suture tasks, or ultra-difficult tissue sutures, he is sure to be competent.


    For example, some fragile meninges, peritoneum, and omentum, or some complicated nerves, blood vessels, and important tissues are sutured with full confidence.


    He had no choice but to give up when encountering such extremely difficult sutures before.


    Zhou Can sewed stitch after stitch, his movements becoming more and more casual.


    It''s like taking a walk in a garden.


    Director Wen was immediately sensitive to Zhou Can''s great progress, and he couldn''t help showing extreme shock in his eyes.


    This, this is too outrageous!


    The stitching level of the deputy director level! How did this kid practice? Under normal circumstances, it takes at least ten years for a surgeon''s suturing level to rise from the intern level to the deputy director level.


    He broke through so easily, is this still human?


    Witnessing that Zhou Can''s suturing level has been promoted from the attending to the deputy director level, the shock to Director Wen was too great, and it had a serious impact on his soul.


    In the end, he can only be described by the six words of extremely talented and evil.


    Congratulations, your ligation technique has been promoted to level five, your current experience value is 1/100000, and you are at the junior level of the deputy director. ¡¿


    The second medical skill at the deputy director level was produced.


    Zhou Can was elated for a while.


    The deputy director-level medical skills that I have been thinking about so much, I didn''t expect to be able to achieve it in less than a year after participating in the regular training.


    He is so excited.


    It was almost like a dream.


    The benefits brought to him by the experience point system are beyond imagination.


    His diligence and hard work, coupled with the help of the experience point system, made his medical skills improve rapidly like a rocket.


    It''s a great feeling to see progress through this kind of hard work.


    It also energized him.


    Like suturing, after ligation is promoted to level five, it is also a return to basics.


    When ligation is performed, it appears natural and casual, and it is as easy as lifting a weight.


    When knotting, the pulling force on the body tissues is almost zero. And it can complete various complicated knotting tasks.


    For example, knotting in the cavity, knotting near important tissues, and knotting on fragile tissues can all be done very well.


    Square knots, slip knots, and even more difficult triple knots can all be manipulated with ease.


    In addition, for the ligation at the attending level, one-handed knotting can be done better, but it seems a bit incompetent to tie the knot with an instrument. Especially when performing endoscopic surgery, the feeling of weakness is more obvious.


    At this moment, he no longer feels the effort to tie a knot with the needle holder.


    The whole operation is very smooth.


    If endoscopic surgery is performed again, he is sure to complete high-level knotting with ease. Can be done fast and well.


    Even if it is challenging to knot the sensitive part of the cavity, he still has a certain degree of confidence to do it well.


    Isn''t Jin Mingxi practicing knotting on tofu cubes every day? After practicing for more than half a year, this is based on Jin Mingxi''s more than ten years of surgical work experience, but the knots he tied are still very sloppy.


    It''s not that Jin Mingxi can''t tie a knot, but that the fragility of tofu must be taken into account.


    If the pulling force is a little stronger, the tofu cubes will be broken immediately for you to see.


    It is not only necessary to ensure the firmness and neatness of the knot, but also to take into account the pulling force when knotting and the destructive force caused by pulling and moving around. One can imagine how difficult this is.


    This is just a simple knot of hands, it is already so difficult.


    If you tie a knot with an instrument, the difficulty will definitely be doubled.


    If the knot is knotted in the cavity, the difficulty has to be doubled.


    It can be seen that the improvement of the surgeon''s surgical ability is really a step by step.


    The higher you go, the harder it is to improve.


    Much like climbing a steep, smooth cliff, the closer you get to the summit, the smoother the cliff and the more vertical the angle.


    Director Wen next to him looked straight.


    It''s more exciting than seeing a big girl''s clothes suddenly ripped.


    "No mistake, right? The knot-tying level has also been raised to the level of the deputy director?"


    Director Wen hadn''t recovered from the previous shock, and witnessed a new miracle with his own eyes.


    So much so that he wondered if there was something wrong with his brain?


    One plus one equals two.


    Two plus two makes four...nine plus nine makes eighteen.


    He secretly calculated a few arithmetic problems in his mind. Fortunately, his mind was normal and nothing went wrong.


    Afterwards, he looked at Zhou Can''s operation again.


    "That''s right, it is indeed the level of suturing and knotting at the deputy director level. This kid''s progress rate is too exaggerated, and the improvement of each medical skill is like playing."


    Director Wen regained his composure, and was about to take a closer look at Zhou Can''s operation techniques.


    It''s a pity that Zhou Can has finished sewing at this time.


    "Director Wen, please check it out!"


    "good!"


    Director Wen leaned over to examine the stitched wound carefully. You can clearly see the traces of changes after the level of stitching and knotting has been greatly improved.


    The suturing and knotting of the front part of the wound are obviously still the main treatment level.


    The next few stitches, the level of stitching is amazing.


    Dr. Zou and Tang Li next to him were very puzzled when they saw Director Wen staring at the sutured wound so carefully.


    According to their judgment standards, it can be seen at a glance that Zhou Can sews very well.


    There is no problem!


    What is Director Wen studying?


    "Director Wen, is there something wrong with Dr. Zhou''s suture?"


    Tang Li asked out of curiosity.


    "No problem, he sewed well. I''m just curious, why can he sew so well?" Director Wen failed to find Zhou Can''s rapid improvement skills after careful research.


    I can only give up.


    Everyone''s understanding, talent, and growth are different. Thousands of people have different looks, and others'' growth paths, some can be used for reference, and some cannot be imitated.


    Especially Zhou Can''s growth trajectory cannot be judged by common sense.


    "The operation went very smoothly. After waking up from the anesthesia, he was observed for about half an hour. If there is no problem, he can be sent back to the general ward to recuperate."


    Director Wen announced.


    "Doctor Zhou, if you have nothing to do after the operation, how about sitting in my office?"


    After this operation is completed, Director Wen has no surgery arrangements today.


    Thinking that Zhou Can would leave the Neurosurgery Department tomorrow, he was full of reluctance, and wanted to have a good talk with Zhou Can.


    "Thanks to the care of you and the superior doctors, I didn''t arrange too many chores and bed management tasks. I can go to your office now."


    Among all the regular trainees in the neurosurgery department, Zhou Can should be the most free one.


    Basically, it is ward rounds, surgery, and consultation.


    Then there are basic daily tasks such as writing medical records and prescribing medical orders.


    Dressing changes are rarely arranged for him.


    As for miscellaneous tasks such as taking medicine, taking checklists, and accompanying inspections, I have never done it.


    For Zhou Can, the two months in Shenwai were actually quite happy. The treatment is no worse than in the emergency department.


    Following Director Wen along the way, the two entered the office one after another.


    "sit!"


    Director Wen was very polite to him.


    Zhou Can sat down with half of his **** next to the chair, looking quite reserved.


    "Hehe, there''s no need to be so cautious here. You can be more respectful when you are in front of the dean and others."


    Director Wen also grew up from a low-level intern, and Zhou Can''s performance was all in his eyes.


    Can''t help but smile and let Zhou Can relax.


    He personally made a cup of tea for Zhou Can, which made Zhou Can stand up to take it flattered, and thanked him repeatedly.


    "This green tea was sent to me by my son. He is engaged in the planting of traditional Chinese medicine. He saw that I like drinking tea, and he was very filial, so he asked someone to buy five very good green tea trees. This batch of tea is picked for the first time. First stubble, try it."


    Director Wen sat down at the main seat at the back of the office.


    "Your son is engaged in Chinese medicine cultivation?"


    Zhou Can was born in the second generation of the rich, and he has all kinds of good tea in his family. He has tasted tea worth one hundred thousand yuan or two.


    Personally, I have little feeling for the tea ceremony.


    For those who love tea, tasting tea is like tasting wine. Just by smelling the aroma of tea, you can roughly evaluate the quality and grade of tea.


    "My family''s boy is so stubborn that he can''t be persuaded at all, so we have to let him go. Whatever you say, you should do your part to make our country''s traditional Chinese medicine flourish."


    Director Wen took the initiative to chat with him about these daily routines, and also intended to bring the relationship between the two closer.


    After all, his and Zhou Can''s identities are very different, and there is no way to get closer, and some topics are difficult to chat naturally.


    "A tiger father has no dogs. I really admire your son. There is a famous saying in traditional Chinese medicine that there is no incurable disease in the world, only the medicine that cannot be found. Nowadays, with the development and destruction of human beings, as well as crazy mining, many Precious Chinese medicinal materials are almost extinct. If it can be cultivated artificially, it will not only be very meaningful, but also have an excellent prospect."


    Zhou Can actually has a different view.


    Director Wen was slightly taken aback after hearing this, and then smiled happily and said, "Do you really think this has a future?"


    "As long as it can be done well, I am personally very optimistic about the future of traditional Chinese medicine planting. However, for breeding, planting, and pharmaceuticals, each process has high technical requirements. If you really want to do it well, the investment must be particularly large."


    Zhou Can spoke quite deeply.


    It''s not just boasting.


    After hearing this, Director Wen clapped his hands and praised, "Oh, that''s great! My son has encountered all the problems you mentioned. Not only are you extremely talented in medical skills, but you didn''t expect that for these commercial things, It¡¯s also very in-depth research. It¡¯s amazing, there are really not many young people who are as practical and knowledgeable as you nowadays.¡±


    This is how the two chatted. To be honest, they cut into a certain point in each other''s heart.


    Immediately arouses strong sympathy.


    Got a nice positive response.


    "When my son first started doing it, he called his mother every day and asked for money. I only had that little salary every month, and I wanted to save it for him to marry a wife and provide for me and my wife. His traditional Chinese medicine planting is Like a bottomless pit, I keep investing money but see no income. I feel very uneasy. He came back last year during the Chinese New Year. Looking at the black and thin man, I felt very distressed. I asked him when I had the opportunity, how is the cultivation of traditional Chinese medicine? Old money."


    "Actually, I was worried that the boy would be cheated by others, or that he would not learn well outside. Later, my son directly took our old couple over to his traditional Chinese medicine planting base, and told us where the money was sent and where Difficulties. Hey, I wandered around his planting base, and I felt quite guilty. My son has never experienced any hardships at home. To set up such a planting base in a mountainous area, not only must we often go to the ground to pull weeds, plant seedlings, and raise seedlings, but also It takes a lot of work to turn the finished medicinal materials into qualified traditional Chinese medicines that can be sold."


    "He was reluctant to spend money to hire people for a lot of things, so he did it himself. He lived in a simple workshop, and the food was very casual. Sometimes it was solved in the field with two white steamed buns and a pot of warm water."


    Director Wen couldn''t stop talking about his son''s cultivation of traditional Chinese medicine.


    From his words, it can be seen that his son has indeed made great efforts to grow Chinese medicinal materials.


    If there is no dream in the heart, few people can stick to it.


    "Your son is really amazing! I think you should support him a lot, and be a father-son soldier!"


    Zhou Can understands all kinds of hardships in the early stage of starting a business.


    Many careers can be much easier as long as they are on the right track.


    In the early stage of entrepreneurship, not only lack of experience, but also great investment.


    "In the past, I was firmly opposed to this matter. I don''t say I support it now, but within the scope of my ability, I don''t care about pensions. Almost all the savings of my wife and I have gone into it. The sales of traditional Chinese medicine are not high. Big, I''m still quite worried about this matter. The main thing is that my kid is thirty-two years old and hasn''t married yet."


    Poor parents in the world.


    Director Wen is not only worried about his son''s future, but also worried about his son not getting married.


    Unmarried at the age of 32 is indeed an older single youth.


    No wonder Director Wen was a little anxious.


    "The sales of traditional Chinese medicine are not large, that is because of the serious decline of traditional Chinese medicine. I estimate that the revival of traditional Chinese medicine still has a long way to go, and it may take decades or even hundreds of years. Therefore, I can advise your son to properly control the scale of planting , to increase the number of varieties planted. In addition, I personally feel that the market prospect of Chinese medicinal materials in terms of health preservation and nourishment is very good, and we can appropriately increase planting in this regard.¡±


    "As long as the nourishing medicinal materials make money, they can at least make up for the losses that may be caused by the cultivation of ordinary medicinal materials. This business will last for a long time, and there will be opportunities for development."


    Zhou Can put forward some relatively pertinent suggestions.


    In terms of business acumen, Director Wen''s son should be no match for Zhou Can.


    "Very well said! I am old and have a bad memory. I must write it down. I will give some of your advice to my son tonight."


    Director Wen felt very reasonable after listening to Zhou Can''s suggestion.


    I really took out the pen and paper and quickly made some simple summaries.


    After finishing writing, Director Wen looked up at Zhou Can with deep expectation in his eyes.


    "Dr. Zhou is very talented in endoscopic surgery and pathological diagnosis, and he is also very hardworking. His future achievements will not be low. I would like to ask you, after the three-year training, are you interested in going to the hospital?" Shenwai development? Compared with other departments, Shenwai will bring you a bigger stage, and it also highly matches your surgical ability."


    When he invited, the words he used were very particular.


    Ask Zhou Can if he is interested in developing outside the gods instead of working outside the gods.


    "I don''t have this consideration for the time being, but no one can say for sure what will happen in the future. After I finish the training, I plan to go back to work in the emergency department. Director Lou and Dr. Xu in the emergency department have treated me very well. I think A grateful person. Going back to the emergency department is what they look forward to, and I am grateful to them."


    Zhou Can can express many true thoughts in his heart.


    It shows that the trust in Director Wen is quite high.


    Talking with Director Wen is also very sincere.


    "It seems that it is very difficult to keep you working in Shenwai! I am just asking for your thoughts I will definitely respect your choice and wishes. It doesn''t matter if you work in the emergency department in the future, or in other places. Regardless of working in the department, even if you leave Tuya Hospital, you can still ask me anytime you have neurosurgery questions.¡±


    Compared with the narrow-mindedness of Director Wen and Director Xie, it is really a world of difference.


    "Thank you! It''s my luck to meet such a good mentor as you. In the future, it will definitely be indispensable to call or send a message to greet you during the holidays."


    Zhou Can said this because he wanted to tell Director Wen that he would never forget the kindness of taking care of and guiding him in the past two months.


    "Haha, good good good good good good good good! You child is really comforting."


    Director Wen laughed heartily.


    At this time, Director Wen''s cell phone rang.


    "I''ll answer the phone first."


    Director Wen finished greeting and connected.


    After listening to a few words, Director Wen''s face changed slightly.


    "I''ll bring someone over here right away."


    Something must have happened.


    Zhou Can''s heart tightened for a while, which patient had the accident?


    I''m leaving soon, and if something happens, it''s really depressing.


    "Doctor Zhou, immediately follow me to the operating room to participate in the rescue of patients."


    Director Wen''s face was solemn and his tone was urgent.


    "good!"


    Zhou Can got up and followed him quickly to the operating room.


    "Which patient has an accident? The patient who just had a trigeminal neurotomy?"


    "It''s not a patient in our group, but a patient in Director Wu''s group. He has had a tracheotomy and has been living in the ICU. I don''t know why it suddenly died."


    Director Wen frowned.


    All responsible doctors almost have this kind of dignified expression when they encounter critically ill patients.

 Chapter 158： Terminally ill patients may be waiting for an accident, listen to Zhou Can...

    "All those in the ICU are critically ill. Even if something happens, they won''t be taken to the operating room for emergency treatment, right?"


    Zhou Can felt that there was a mystery in this matter.


    Even if it is necessary to rescue patients, it is usually carried out in the ICU ward.


    There are various rescue facilities inside.


    Defibrillators, micro-injection pumps, ventilators, multifunctional blood purification instruments, a full set of life monitoring instruments, and even the extremely expensive ecmo. It can be said that no matter how serious the patient is in the ICU, as long as the family members do not agree to extubation, they will basically die.


    No breathing, put on a ventilator.


    My heart stopped beating and my breathing stopped. It doesn''t matter, go to ecmo.


    Modern medical technology is highly developed and has indeed created many miracles of life for human beings.


    The patient lives in the ICU, and the cost of treatment is high, but it is not for nothing. Nurses generally serve as a pair, and a doctor can manage up to three patients with one bed, and even the attending doctor sits in charge. Then wipe the excrement and urine, turn over, beat the back and other tasks, there are special nurses to do it.


    There are so many people around a patient, if the patient still can''t survive, the hospital has tried its best to rescue it, and there is no responsibility.


    Pulled to the operating room for rescue, this nature has changed.


    Based on Zhou Can''s intuition, he chose to drag the patient to the operating room when his life was dying, or to do some necessary examinations or auxiliary surgery. Either the medical staff on duty had major negligence and were responsible.


    At this time, a mistake has been made, and the best remedy is to find ways to rescue the patient.


    "I don''t know the specific situation. Director Wu happened to go to the school to give a lecture, and he won''t be able to come back in a while. The doctors in their group have always regarded themselves as high-minded, and they really want to save face. If there is no other way, they can''t easily tell me Ask for help. Let''s go and have a look, and try to help if we can."


    Director Wen''s age is not very old, he is less than sixty years old.


    Walk with the wind.


    In a short while, he rushed over with Zhou Can, Dr. Zou, and Tang Li.


    None of the residents were called.


    In this case, bringing two attending doctors to rush there can not only show that he takes this matter seriously, but also let the two attending doctors see him.


    Can you help me at critical moments.


    As for bringing Zhou Can to the past, in addition to cultivation, it is also dependent on Zhou Can.


    Zhou Can''s endoscopic surgery is very good, and his pathological diagnosis is also very good. He is completely a main force.


    The four of them were stopped by a fat middle-aged doctor before they reached the operating room.


    "Director Wen, I''ve waited for you here. That patient is dying, please take a look!" The 45-year-old male doctor seemed to have seen a savior, and pulled Director Wen forward to help .


    Zhou Can knew this male doctor, he was a deputy chief physician under Wu Baihe, and his name was Kuang Shenfeng.


    Although everyone is not in the same group, but after working in Shenwai for two months, he is basically familiar with the nurses and doctors in Shenwai.


    It is different from the humble familiarity of the interns.


    Many of the interns are senior doctors and nurses who they know in the department, but it is difficult for the senior doctors and nurses to remember the names of the interns. It''s just a slight impression.


    From this point of view, it makes sense that interns have no human rights in the hospital, not even the cleaning lady.


    Gui Peisheng''s status is much higher.


    Still limited though.


    Zhou Can is an exception.


    His status outside the gods is quite high. Needless to say, Director Wen''s group, everyone treats him as the main doctor.


    In other groups, the doctors have gradually heard or seen Zhou Can''s endoscopic surgery skills, and when they met, many of them even greeted him with a smile.


    Not to mention the nurse girls, all of them are human beings.


    Even a nurse girl from the ICU will smile and say hello when she sees Zhou Can, and it is possible to chat a few words.


    "Where is the patient?"


    Director Wen asked directly.


    It doesn''t seem to be taken to the operating room.


    "It''s right here, and I''m about to take someone for a CT scan."


    Lying on the mobile bed was a skinny male patient who described as withered, and his age should be around 40 or 50 years old.


    The urinary tube was inserted underneath, and the trachea was cut open, and the tube was also inserted.


    On a ventilator.


    Even so, you can still feel the patient''s shortness of breath and panting.


    The doctors and nurses pushing the ventilator and the hospital bed all had nervous expressions.


    "This blood pressure is a bit low! The blood oxygen index is also a bit scary... Briefly describe the cause of the disease and the basic condition of the patient."


    Director Wen looked a little more solemn after reading it.


    "Oh! It''s my fault to say it. When I was on duty, I felt a little uncomfortable in my stomach and ran to the toilet. Not long after, the nurse called me and said that the patient was short of breath and a little wheezing. I was fine when I left , this happened suddenly, so I didn¡¯t pay much attention to it. In addition, this patient often fell into a coma, stayed in bed for many days, had a tracheotomy, and stayed in the ICU all the time.¡±


    "It''s been fine for so many days, so the possibility of a sudden major change should not be great. I had a severe stomachache at the time, and I probably wouldn''t be able to go out of the toilet for a while. So I asked the patient a few things. The nurse responded that the patient did not have cyanosis of the lips. The blood oxygen saturation at the fingertips is not low. Based on the above symptoms, I diagnosed that the patient should have a lung infection."


    "The patient''s lung infection has actually been happening for some time. He had a malignant brain tumor. He underwent tumor resection and chemotherapy, but the effect was not satisfactory. The family members insisted on treatment, so they could only be placed in the ICU."


    Tracheal intubation for a long time is very prone to inflammation and infection.


    The patient already had a lung infection, so he had asthma and shortness of breath. In addition, the blood oxygen did not drop. Most doctors would think that the problem is not serious.


    At least compared with other dangerous conditions in the intensive care unit, shortness of breath is really nothing.


    "I told the nurse to **** the patient''s sputum first, turn sideways, and pat the back. If you are still a little breathless, you can perform airway nebulization."


    Deputy Chief Physician Kuang Shenfeng gave a brief introduction to the situation at that time.


    Although this handling is a bit sloppy, it is quite satisfactory and I don''t think there is anything wrong.


    "Later, the nurse didn''t call me again. I didn''t feel so anxious. An Xin went to the toilet. When she came out, her legs were so numb. She sat outside for a while before returning to the ICU. After I went in, I checked the patient''s condition and found that he was still a little short of breath, and there was no other abnormality."


    "It happened that another patient had ventricular fibrillation, so I hurried over to deal with it. Less than an hour later, the patient''s monitor suddenly sounded an alarm. I saw how the blood pressure plummeted? The heart rate and breathing were all abnormal. This Only then did I realize that what I asked the nurse to do might have been hasty."


    When Kuang Shenfeng mentioned the situation at that time, he was still full of annoyance.


    In Zhou Can''s impression, Kuang Shenfeng''s surgical ability is very strong, and among the many doctors under Wu Baihe, he is firmly in the top spot.


    He can be rated as a deputy senior professional title, which is enough to explain everything.


    So, sometimes accidents are really just a thought.


    Doctors or nurses, as long as they are negligent for a while, it is very likely that a life will wither.


    "Why not directly rescue in the ICU?"


    Director Wen believed that Kuang Shenfeng would understand the meaning of these words.


    "Because the patient has been bedridden for a long time, I seriously suspect that the patient has a pulmonary embolism. This disease is extremely dangerous. It has been delayed for more than an hour because of my misdiagnosis and negligence. I thought about taking it directly to the operating room for rescue. At least our active rescue An attitude can make it easier for family members to accept, and if something happens, the family members may make a lot of trouble."


    When Kuang Shenfeng said these words, he hesitated.


    Clearly some words were left unsaid.


    If something goes wrong and the family makes a fuss, the higher authorities will definitely investigate the cause of the patient''s death. Misdiagnosis, dereliction of duty, delay in rescue, these crimes are enough to put Kuang Shenfeng in serious crisis.


    At least it will be much better if you have a positive rescue attitude.


    "Pulmonary embolism is a real possibility. Have you been tested?"


    "Only an electrocardiogram was done for the time being. I sent it to director Wu, and he also thought that pulmonary embolism was very likely. Now I''m going to take it to the CT room for a contrast examination. After the cause is determined, see if it is direct thrombolysis or Need to intervene in thrombectomy?"


    Kuang Shenfeng replied.


    It seems that Zhou Can misunderstood and thought that Kuang Shenfeng took the patient directly to the operating room.


    It''s a bit shocking to think about it.


    At any rate, he was at the level of deputy chief physician, so no matter how flustered he was in an emergency, he could tell the seriousness of it. When doing things, there is still a sense of propriety.


    It is very correct to pull it for inspection first.


    "I have also seen the electrocardiogram, and I can basically confirm that it is a pulmonary embolism."


    Du Leng was also involved in the rescue at the scene.


    Most members of the medical team will be particularly united.


    In the face of various sudden illnesses, we must also unite in order to save the lives of patients in time.


    What he said still carries weight.


    At least from the confident tone of his voice, it can be seen that he regards himself as a character.


    The other doctors and nurses also treated him with respect.


    "Doctor Zhou, what do you think?"


    Director Wen was not in a hurry to express his opinion after learning about the situation. Instead, he turned around and asked Zhou Can behind him.


    Everyone''s eyes immediately fell on Zhou Can''s face.


    Some people even secretly compared Zhou Can with Du Leng.


    Both of them are the best of this year''s regular trainees, and they performed very well.


    During the two months of Zhou Can''s regular training in Shenwai, he didn''t meet Du Leng many times.


    Sometimes Zhou Can and Du Leng can appear on the same occasion when they consult with the department, and Wu Baihe and Director Wen perform joint surgery.


    During the consultation, Zhou Can generally does not express his opinions easily.


    Du Leng is very high-profile.


    From time to time, there will be debates with several directors.


    As for surgery, Du Leng''s surgical ability is very average. For third- and fourth-level surgeries, he can basically only watch them.


    Some key parts of endoscopic surgery are often solved by Zhou Can.


    It is also for this reason that Zhou Can and Du Leng are jokingly called surgical geniuses and theoretical geniuses by doctors and nurses in the same department.


    At this moment, Director Wen asked Zhou Can''s diagnostic opinions in public, and it was on the premise that both Wu Baihe and Du Leng had already issued their diagnostic opinions. It is enough for everyone to recognize Zhou Can''s weight in Director Wen''s mind.


    "I remember that when I first entered the regular training of the emergency department, my teacher once said to me that terminally ill patients who have been bedridden for a long time are admitted to the hospital for treatment. Maybe they are not waiting for a medical miracle. They are waiting for a medical accident. arrival."


    Zhou Can did not give a diagnostic opinion first, but said such a rebellious sentence, which may exacerbate the fallacy of the doctor-patient relationship.


    Many doctors and nurses looked at him with contempt.


    What time is it now? I am not in a hurry to rescue the patient, but here I say that the patient has ulterior motives and deliberately waits for a medical accident to come.


    If you say such **** words, there should be a thunderclap.


    "you mean?"


    Kuang Shenfeng''s tone was cold.


    He has always been arrogant, and he even looks down on several doctors under Director Wen from the bottom of his heart.


    Zhou Can''s words undoubtedly stirred his tense nerves severely.


    The four words of medical accident are definitely the four words that Kuang Zhufeng is most taboo to hear now.


    "He shouldn''t have a pulmonary embolism. If you really rescued him by lysing the embolism, it must be a medical accident." Zhou Can looked very calm, and didn''t care about the contemptuous looks of other doctors at all.


    After hearing this, Kuang Zhufeng''s face turned even colder.


    Looking at Zhou Can''s gaze is full of contempt and disgust.


    "Director Wen, let''s take the patient for CT imaging first, and ask you to help rescue the patient after we find out the nature and grade of the pulmonary embolism."


    Kuang Shenfeng obviously took Zhou Can''s diagnosis opinion as fart.


    It was only because of Director Wen''s face that it didn''t happen.


    "OK!"


    Director Wen naturally wouldn''t stop him.


    It was supposed to bring someone over to help.


    It must be based on the other party''s diagnosis and treatment opinions. To put it bluntly, if the patient really couldn''t be rescued, or there was an accident, he patted his **** and took the doctors in his group to leave.


    Will never accept any responsibility.


    "Doctor Zhou really thinks that this patient is not a pulmonary embolism?"


    Director Wen attaches great importance to Zhou Can''s opinion.


    Because during these two months, Zhou Can has a different point of view in many consultations. And the accuracy rate is as high as 100%.


    Zhou Can''s way of thinking about diagnosis is very different from that of ordinary people.


    "It should not be pulmonary embolism. Some superficial symptoms look similar, but intuitively, it may have something to do with the lungs. It is not the key cause." Zhou Can has his own identification.


    He would never blindly follow the doctor who gave the diagnosis because of his high level and authority in this medical field.


    "Let''s wait until the patient''s examination results come out! During this period of time, we can just look at the patient''s previous examination data and learn about the patient''s etiology, medical history, etc."


    Director Wen called several people into a nearby conference room, and held a consultation with the patient''s medical records and examination reports.


    At this time, it can be seen that there are still some barriers between groups.


    The four of them sat in a small meeting room to discuss the patient''s cause, while the doctors in Wu Baihe''s group sat on the other side, led by Kuang Shenfeng and Du Leng, conducting their discussion.


    Director Wen and Zhou Can are discussing what is the cause of the patient?


    Kuang Shenfeng and Du Leng were discussing how to rescue them after the pulmonary embolism test results came out.


    The risk of pulling a patient into the operating room for interventional surgery is quite high.


    This must be communicated with the family first.


    As long as the patient is helped to overcome this hurdle, the responsibility caused by Kuang Shenfeng''s negligence can also be uncovered.


    Soon, the results of the imaging examination came out.


    CT showed fluid accumulation in the lungs, and after CTA inspection, no obvious pulmonary embolism was found.


    It''s just that the patient''s blood supply is poor.


    It is normal for patients who have been bedridden for a long time to suffer from qi stagnation and blood stasis.


    This result greatly exceeded everyone''s expectations.


    At this moment, Kuang Shenfeng thought of what Zhou Can said before.


    So many doctors participated in the rescue, only Zhou Can diagnosed that the patient was not a pulmonary embolism.


    "Doctor Kuang, after the examination, the patient''s breathing became weaker. The systolic blood pressure is already lower than 110. I''m afraid he won''t last long. Do you think it''s best to send him back to the ICU first, or what?"


    In this case, it is actually not meaningful to send it back to the ICU for emergency treatment.


    If the cause cannot be found, the patient will still die.


    No matter how advanced the ICU equipment is, it is not a panacea after all.


    Faced with many situations, it is actually powerless.


    Doctors and nurses who have worked in the ICU know that patients use all kinds of expensive medical equipment, but the alarms of life monitors still keep coming and going.


    An alarm sounded from every bed, which meant that something was in danger.


    If it is not treated in time, let alone a ventilator, even if it is on ecmo, even if the most expensive medicine is used, it is still dead.


    When Kuang Shenfeng heard the bad news, it was like hearing the death knell.


    There is no longer the arrogance and calmness before.


    Cold sweat kept breaking out from his forehead, and his eyes were flustered.


    He took out his mobile phone and called Wu Baihe.


    Briefly report the situation here.


    "Teacher, what should we do if we find out that the patient is not a pulmonary embolism? The patient''s breathing is already very weak, and the systolic blood pressure has dropped below 110." Kuang Shenfeng first asked Wu Baihe for help, indicating that deep down he did not trust Director Wen.


    It''s a matter of future and destiny, he only believes in Wu Baihe.


    In his heart, Wu Baihe is like a god.


    "I heard that Dr. Zhou Can diagnosed the patient without pulmonary embolism, right?" Wu Baihe''s eyes and ears were really good, and he knew the situation at the scene.


    "Um!"


    Kuang Shenfeng responded with difficulty.


    Whether he admits it or not, reality has given him a big slap in the face.


    Zhou Can''s words were harsh, but they were all correct.


    "I''ve rushed back to the hospital ahead of time, and I''ll be there in about 20 minutes. To be honest, I might not be able to handle such a difficult condition by the side. Listen to Dr. Zhou Can, what he tells you to do, Just do what you want, maybe this is the only chance."


    Wu Baihe actually said such words, and Kuang Shenfeng was stunned when he heard it.

 Chapter 159： Its not who is weak who is right, you taught me a lesson

    Sometimes we should not deify famous doctors or experts too much.


    They do know more than ordinary people, and they are more prominent in the fields they are good at. For some diseases, they can diagnose almost exactly by listening to the symptoms.


    Some people can know whether it is malignant by touching the lump.


    But when encountering complex diseases, experts can easily become "bricks".


    They are also human beings, and like ordinary doctors, they need to make a comprehensive dialectical analysis based on the patient''s symptoms, physical examination, various examination reports, medical history, age, physical condition and other information.


    Wu Baihe''s level is definitely not a problem, it is second to none in the province''s field of supernatural powers.


    It''s just that the cause of this patient is extremely complicated. After pulmonary embolism was ruled out, Wu Baihe didn''t dare to jump to any conclusions when he was not at the scene.


    Although Zhou Can is only a regular trainee, he was able to conclude that the patient was not a pulmonary embolism before an angiography, which shows that a major discovery has been made.


    The diagnostic thinking is clearer than others.


    At this time, it should be a very wise choice for Kuang Shenfeng to follow Zhou Can''s diagnosis opinion.


    "Shenfeng, did you hear what I said to you?" Wu Baihe didn''t hear Kuang Shenfeng''s words for a long time, so he couldn''t help asking again.


    "I can hear you, I can hear you! Do you really think it''s safe to leave this matter to a supervisor?"


    Kuang Shenfeng didn''t understand why Wu Baihe made such a decision.


    The patient''s life was dying. There were so many attending physicians, deputy directors, chief physicians, and Dr. Du Leng, a returnee, but he was asked to listen to Zhou Can''s opinion.


    He was very puzzled.


    "Don''t look down on anyone. He is not an ordinary Gui Peisheng. Eight months ago, a pregnant woman went into shock in the emergency department. Tuya almost dispatched all the top doctors in internal medicine, surgery, obstetrics and gynecology for a joint consultation. Director Xie and I both I went, and Director Tan, Director Yin, and others from the Department of Internal Medicine also went. Director Zhang from the Department of Obstetrics and Gynecology also took people there personally."


    "So many heavyweight chief physicians were helpless, and Zhou Can finally successfully diagnosed the cause of the disease. It was also that time that I deeply remembered that kid. After eight months, recalling the scene at that time is still extremely shocking. If you believe me, don''t hesitate any longer, and ask him humbly for advice immediately."


    Wu Baihe would never mention this matter to others.


    Because so many chief physicians are not as good as a Gui Peisheng, it is not honorable.


    "He...is he really that powerful?"


    Kuang Shenfeng secretly glanced at Zhou Can.


    "Didn''t you just experience the lesson?"


    After Wu Baihe asked back, he hung up the phone directly.


    Kuang Shenfeng''s face changed for a while, asking him to take the initiative to ask a Gui Peisheng for advice, he really couldn''t get over his face!


    However, Zhou Can directly asserted that the patient did not have a pulmonary embolism when he did not have a CT angiography examination before, and Zhou Can was right. This incident made Kuang Shenfeng think highly of him.


    Also put away contempt.


    On the one hand, there is a patient who may raise his braids at any time, and on the other hand, is an old face that cannot be removed.


    He gritted his teeth again and again.


    In the end, he gave up his heart, stood up and walked in front of Zhou Can.


    "Doctor Zhou, I was too self-willed before and didn''t follow your diagnostic opinion. I apologize to you." He knew very well that only by apologizing to Zhou Can and obtaining forgiveness can Zhou Can fully help him rescue this patient.


    "Director Kuang''s words are serious. I''m just a small Pearson. It''s normal that the diagnostic opinions I give are not taken seriously. I didn''t take this little thing seriously."


    Zhou Can really didn''t intend to embarrass Kuang Shenfeng on purpose.


    He really didn''t care that the diagnostic opinion was not accepted.


    When something happened to the patient, it was because of Kuangshen Peak, and it had nothing to do with Zhou Can.


    "Cough...that... the patient is not diagnosed with pulmonary embolism, and Dr. Zhou has confirmed it. Can you tell me about your diagnosis? If the cause cannot be found, there is no way to rescue it. The patient''s life is hanging by a thread. urgent."


    When Kuang Shenfeng said these words, he wished he could bury his head in the sand like a hunchback.


    Because it''s too embarrassing.


    His status is almost equivalent to the chief disciple of Director Wu''s group.


    Now he has to lower his haughty head to ask an outside group of Gui Peisheng for advice. Where does this put his deputy chief physician''s face?


    In the hospital, who has the highest status?


    Not the dean, not the patient, not even family members or doctors.


    But life comes first.


    Whoever can save the patient''s life and restore the patient''s health is the boss.


    Looking at the incoherent and anxious Kuang Shenfeng, Zhou Can felt very refreshed.


    Make this guy proud, make him look down on people.


    Isn''t it still obediently begging to come to the door now?


    "Let me first talk about my diagnostic thinking. The patient has been in a coma for a long time, has been bedridden for a long time, and has had a tracheotomy. Everyone suspected that there was something wrong with the lungs. However, I first ruled out the possibility of pulmonary embolism based on some subtle symptoms of the patient and the patient''s family situation."


    "Because of pulmonary embolism, a long-term bedridden patient will have symptoms of blood clots in the veins of the legs. But this patient''s legs appear to be in normal condition."


    When Zhou Can said this, the other doctors couldn''t help but suddenly understand.


    "Oh, let me just say, the patient''s legs look pretty good no matter the blood color or the veins. How did he get pulmonary vein embolism? I was skeptical at the time."


    "Doctor Zhou Can is really talented!"


    "Don''t talk, just listen to Dr. Zhou continue to share his diagnosis ideas."


    Kuang Shenfeng turned his head and glared at the doctors in the same group as the afterthought.


    Usually, the most common people are this kind of people who are wise after the fact and who are like pigs before the event.


    Everyone is a good player when it comes to lip service.


    When something really happens, there is no one reliable.


    "I mentioned earlier that terminally ill patients who have been bedridden for a long time may not expect a medical miracle but a medical accident when they enter the hospital for treatment. This may be a bit dark, but this kind of thing may actually happen. For example, this dying patient, I think, may have long been looking forward to the arrival of this medical accident. Therefore, Director Kuang had better not be too optimistic."


    When Zhou Can mentioned this sentence again, it gave everyone a completely different feeling.


    Before the test results came out, everyone really thought he was farting.


    Listening to it now, I feel that Zhou Can''s words are true, and there must be a basis for daring to say so.


    Director Kuang''s brows could not help but look a little more sad.


    It wasn''t that he was timid and unintimidated, but that Zhou Can broke the luck in his heart with facts.


    "Judging from the patient''s treatment options in the ICU, it can be called a diet."


    Zhou Can pointed to one of the fee lists, but couldn''t see any particularly expensive treatment options. Basically, you can save if you can.


    Only the most basic life-saving treatment measures are used.


    "It shows that the patient''s family is likely to be heavily in debt and very short of money. Also, even though the patient is in a coma, there is still an imperceptible smile on his face. When he is enduring great physical pain, he is able to show his true self. The happy smile in his heart shows that the medical accident he was looking forward to finally came, so he was happy. That''s why he showed a relieved smile."


    Zhou Can''s analysis made Kuang Shenfeng feel horrified.


    I really didn''t expect that a dying patient could plot so deeply.


    I am afraid that all the doctors present will remember this lesson and be vigilant for the rest of their lives.


    Generally speaking, it is a good thing.


    They will definitely be more cautious in their work in the future.


    It is equivalent to urging them to correct their work attitude in disguise.


    "If I help you rescue the patient from hell, it will undoubtedly make the patient''s wish come true. In fact, even if he doesn''t die this time, he won''t live for long. Use the few remaining lives in exchange for a sum of compensation, so that the family Live better. It''s a bargain."


    Zhou Can did not say the diagnosis conclusion for a long time, is he really thinking about rescuing the patient, right or wrong?


    Behind this patient, there is likely to be a family heavily in debt.


    Zhou Can was almost certain that the patient just wanted to exchange the few remaining lives for a sum of compensation.


    Cutting off people''s wealth is like killing their parents.


    "Doctor Zhou, you must not only think about the patient! I am also very pitiful. Such a medical accident basically ruined my future. The hospital will bear part of the compensation, and I will definitely bear it personally. .I try my best to treat the patients and serve them, but I still have to be calculated by them. I am more pitiful than the patients.¡±


    Kuang Shenfeng was in a hurry.


    If Zhou Can doesn''t help him, who can help him at the scene?


    Du Leng, who only talks on paper? Or Director Wen with average diagnostic skills?


    None of them can help.


    Only Zhou Can can change the ending.


    "Doctor Zhou, I also feel that I can''t stand on the patient''s side in this matter. It''s not that whoever is weak is justified. Help rescue the patient first, and then find a way to help the patient raise donations, which can also alleviate the financial burden of the patient''s family. heavy burden."


    Director Wen''s proposal is the best of both worlds.


    I have to say that Director Wen''s ideological realm is really high.


    "Okay, I''ll listen to you."


    Zhou Can respected Director Wen very much, and after listening to it, he readily accepted Director Wen''s suggestion.


    "It''s agreed in advance that I need to ask Doctor Kuang to help me with the donation after the patient is rescued."


    Zhou Can looked at Kuang Shenfeng.


    Human nature is good.


    When we see vulnerable groups, we can''t help but sympathize with them from the bottom of our hearts and want to help them as much as we can.


    "No problem. This matter is easy to handle. One of my high school classmates is a media reporter. Asking him to help write a soft article to promote it should be able to attract a lot of money for this patient."


    Kuang Shenfeng didn''t think much about it, and agreed directly.


    He didn''t dare to think too long, the patient was still waiting to be rescued.


    The longer the delay, the worse it is.


    "Asthma, shortness of breath, plus lung infection, so the diagnosis only pays attention to the lungs, but ignores the heart. In this patient, I seriously suspect heart failure. And it is likely to be right heart failure."


    Zhou Can revealed the real cause of the disease.


    As for the idea of ??diagnosis, in fact, as long as the vision of thinking is not blocked by the lungs, it is easy to think about heart failure.


    "That''s right, why do we ignore the heart? Heart failure can indeed cause symptoms such as asthma and shortness of breath." After hearing Zhou Can''s diagnosis, Director Wen gave high fives.


    Diagnosing the cause is sometimes like guessing a riddle.


    After the answer to the mystery was revealed, everyone felt that it was simple.


    When guessing, I scratched my head and scratched my head, puzzled.


    "It''s actually very simple to diagnose right heart failure. Do an echocardiogram and measure the pulmonary artery pressure, and you''ll be able to draw a conclusion. However, Dr. Kuang had better be psychologically accurate. This patient is likely to have cor pulmonale. According to me As we all know, the prognosis of this disease is often very poor.¡±


    Zhou Can said to Kuang Shenfeng.


    Heart failure is a very difficult syndrome to correct.


    Ancient doctors said that medicine and stones are difficult to cure, and heart failure is one of the incurable diseases.


    "Don''t worry about it, send it for an echocardiogram right away. Pulmonary heart disease is not curable, but it shouldn''t be difficult to find a way to save the patient''s life." After Kuang Shenfeng learned the real cause of the disease, the sadness between his brows disappeared a lot. .


    Now waiting for the test results to come out.


    He had a feeling that what Zhou Can said was probably right again.


    Sure enough, the test results came out soon. The patient''s pulmonary hypertension exceeds 50 mm.


    Fortunately, the diagnosis was timely and the 70mm hadn''t broken yet.


    As long as timely and symptomatic medication is given, it should be possible to pull the patient back from the gate of death.


    "Dr. Zhou allowed me to witness what strength is, and taught me a good lesson. From now on, I must guard against arrogance and impetuosity, always keep an open mind, and listen carefully to every doctor''s diagnosis opinion."


    What Kuang Shenfeng meant by saying this was almost to bow his head to Zhou Can and admit his mistakes in public.


    And he said that he will definitely correct it I promised to help patients raise money for charity, and I will definitely fulfill my promise. Dr. Zhou, thank you. Director Wen, and Dr. Zou and Dr. Tang, thank you for lending a helping hand. "


    Kuang Shenfeng was really scared today.


    But now it''s all right, the crisis has been successfully resolved.


    He also relaxed a lot.


    "They belong to the same department, so don''t be polite. Hurry up and prescribe the medicine for the patient! Next time you are on duty in the ICU, don''t be negligent."


    Director Wen waved his hand, urging Kuang Shenfeng to quickly treat the patient.


    Otherwise, it will be extremely dangerous when the patient''s pulmonary arterial pressure rises further to more than 70 mm.


    Before Du Leng followed Kuang Shenfeng and left, he took a deep look at Zhou Can.


    The two looked at each other, Zhou Can''s eyes were very indifferent. Du Cooling is sharp.


    Du Leng lost miserably in today''s rescue.


    Zhou Can made him understand what is meant by ''false height''.


    What''s the use of just having a high degree of education and not being able to treat diseases? Writing essays all day?


    But even if you write a thesis, you have to build it on the basis of practice!


    A thesis without practical support is a castle in the air.


    "Our competition has just begun, don''t be complacent."


    Du Leng said to Zhou Can coldly.


    "Am I proud? Doctor Du should change his point of view. It''s not good to always judge the belly of a gentleman with the heart of a villain!"


    Zhou Can shrugged, and the smile on his face was clearly full of complacency and mockery.


    "You... hum! I will let you understand that the gap in education is irreplaceable, and knowledge can determine everything."


    Du Leng usually speaks in public as a hypocrite.


    At this moment, he became angry from embarrassment, which can be regarded as showing his true face.


    Being surpassed by Zhou Can many times really made him very uncomfortable.

 Chapter 160： Unique special reward, admission to the Department of Critical Care Medicine

    "Dr. Du, don''t be frightened by carrying a returnee''s doctorate degree all day long. Knowledge is only a stepping stone, and strength can determine everything!"


    Zhou Can pushed back again.


    "You... cough cough cough!"


    Du Leng held his chest and coughed violently, his face flushed.


    Obviously Zhou Can was very angry.


    "Dr. Du, don''t get excited, don''t get excited, I''m just stating the facts, and I don''t mean anything against you." Zhou Can was afraid that this guy had a heart attack, and he would be mad at him, and it would be very troublesome to file a lawsuit. .


    When Du Leng heard this, he coughed even worse.


    It''s like beating someone half to death, and then telling the other party, I''m sorry, I''m sorry, it was just an accidental injury.


    Anyone who hears this will be furious.


    "You can do it!"


    Du Leng held back for a long time and squeezed out two words, then left with a livid face.


    He fought against Zhou Can again and again, but he never seemed to win. The two have always maintained a superficial harmony, without tearing their faces.


    This time, Du Leng lost a lot of face in front of his colleagues in the group. He was afraid that he would lose face, so he moved out of his education to get back some face. As a result, he was choked instead of showing off.


    Du Leng suffered a loss and lost face, and was afraid that he would find an opportunity to wrestle with Zhou Can.


    Zhou Can had never been afraid of any challenge, ignored Du Leng''s hostile eyes, and watched Du Leng leave calmly.


    "What''s so great about Dr. Returnee? I just can''t understand his condescending and saintly face!"


    Tang Li curled her lips with contempt on her face.


    "Hey, he dared to provoke Dr. Zhou from our group. He was just looking for abuse. Well done!"


    Dr. Zou has a very good relationship with Zhou Can now.


    As for people, when their strength is not as good as others, they will naturally adjust their mentality and take the initiative to adapt to their new identities.


    At the beginning, Dr. Zou was overtaken by a newcomer everywhere, and his veteran qualifications were challenged, so he must be unhappy. But later he found that Zhou Can''s strength and talent were superior to him, so he slowly accepted it.


    Later, he wished to ask Zhou Can for help every time he had an operation.


    Because as long as Zhou Can is around, he will be very down-to-earth.


    After getting along for two months, the relationship between the two has gotten along very well.


    Du Leng took the initiative to provoke Zhou Can, which immediately provoked Dr. Zou and Tang Li to share the same hatred, and Qiqi stood on Zhou Can''s side.


    "Doctor Zhou can challenge Du Leng because he has the same potential and strength as Du Leng. But you two had better not take the initiative to provoke Du Leng. Thanks to Director Xie''s respect for Du Leng, and our surgeon As for the demand for academic talents, Du Leng¡¯s development in surgery is definitely not far behind. If you don¡¯t look up and look down, you have provoked him, so be careful that there will be no good fruit.¡±


    Director Wen persuaded the two apprentices.


    He is definitely an old man, and his judgment and foresight in various matters are not comparable to Dr. Zou and Tang Li.


    "We just can''t get used to his condescending face. He brags all day about how good his medical knowledge is from abroad, but in the end he is not compared to Dr. Zhou?"


    Tang Li is a little girlish.


    They were all talking, and they had a deep impression of Du Leng in their words.


    "Western medicine originated from the West, and the medical research in developed countries is indeed much ahead of our country. You must face this point. However, we Chinese people also have inherent advantages. One is the profound historical background, and the other is that Chinese people are diligent, intelligent, open-minded and eager to learn. I believe that in another ten years, our research on Western medicine may even go ahead of Western developed countries.¡±


    Director Wen said to the three with a straight face.


    The two most intelligent races in the world are Han Chinese and Jews.


    As for the island countries around China, they are all of Han Asian descent. Little days, Bangzi, and Mou Po are all Asians of Han blood.


    In the past, when China was strong, all nations came to court, and the whole world surrendered.


    Because they are really in awe of Huaxia.


    How excellent the Han people are, maybe many Han people themselves don''t know.


    Throughout history, since the Yanhuang period, since the Han people had inheritance, almost all the rules and regulations and various major inventions on the historical stage for thousands of years were made by the Han people.


    Han people are naturally peace-loving, and they advocate Confucianism and the doctrine of the mean.


    I can keep a low profile and treat you kindly, but that doesn''t mean I''m weaker than you.


    The Han people are not better than others in one aspect, but in all aspects.


    Engage in planting, politics, construction, invention, and war, proficient in all of them, and number one in the world in all of them.


    In the past, the core area of ??China was actually not that big.


    Surrounded by nomads and barbarians who are brave and good at fighting, they do not believe in evil and often invade the borders of China, burning, killing and looting. What was the outcome? Today, those nomads and barbarians have all become ethnic minorities who are good at singing and dancing, and are hospitable.


    History is fair and sinister.


    The Chinese nation has almost extinction three times in history, but in times of crisis, there will always be some heroes who turn the tide and save the nation.


    For example, the most serious one, Wuhuluanhua, was really only a little bit extinct.


    Not to mention in modern times, the world powers bullied China wantonly, because the Ming and Qing dynasties closed the country, China was more than a hundred years behind the world powers. All kinds of humiliation were beaten, compatriots were massacred, and women were humiliated.


    What happened in the end? The giant Huaxia stood up again.


    I believe that it won''t be long before China''s great national rejuvenation will once again stand on top of the world.


    Therefore, as a member of Huaxia, everyone should have confidence that we are the most powerful blood species in the world. none of them.


    Director Wen predicted that after 30 to 50 years, China''s research results in the field of Western medicine will overtake the West, which is already very conservative.


    The only regret is that Chinese medicine has seriously declined, and it will definitely take ten times and a hundred times of effort to pick it up again in the future.


    Many traditional Chinese medicine prescriptions, pulse methods, and acupuncture methods have been lost.


    ¡­


    When it was time to get off work, Zhou Can and the other nineteen Gui Peisheng were called to the office.


    The director of the department, Wu Baihe, was present in person.


    Today is their last day of regular training outside of God, and tomorrow they will be transferred to other departments.


    Zhou Can''s next department is the Department of Critical Care Medicine.


    In some county-level tertiary hospitals, it would be nice to have one or two ICU wards.


    However, provincial-level tertiary hospitals like Tuya have a very rich department of intensive care medicine. Including multiple intensive care units for burns, respiratory, neonatal, neurosurgery, emergency, nephrology, etc.


    Most regular trainees spend about one month in the intensive care medicine department.


    At the end of the rotation, usually the attending doctor of Guan Guipei will give a short speech. Wu Baihe, the director of the department, was present in person, which was extremely rare.


    Many regular trainees were trained outside the gods for two months, and they only saw Wu Baihe once or twice from a distance.


    Seeing this famous surgical knife from Tuya Hospital at this moment, they were very excited.


    "Sit down!"


    Wu Baihe pressed his hands together, motioning for everyone to sit down.


    "Before you know it, your two-month period of regular training in Shenwai is up. On behalf of the Department of Neurosurgery, I would like to thank you for your contributions to Shenwai in the past two months. Of course, I hope that you have learned more in Shenwai. A lot of valuable medical knowledge and surgical skills. This will be of great help to your future medical career."


    Extraordinary is indeed a compulsory course.


    Whether it is diagnosing or performing surgery on patients in the future, or even being on duty in the inpatient ward, you need to use supernatural knowledge.


    "In the past two months, everyone has performed very well. One of them must be commended especially. He has made outstanding contributions to the endoscopic surgery, ward emergency management, important consultation, and critical patient rescue."


    As soon as Wu Baihe finished speaking, some smart people subconsciously looked at Zhou Can.


    Almost all Gui Peisheng knew that Zhou Can''s performance outside the gods was amazing.


    Many people often see Director Wen and Zhou Can walking side by side, chatting like old friends.


    When they follow up the operation of the patient in charge, they will often see Zhou Can in the operating room as Gui Peisheng, standing majesticly in the position of the chief surgeon, concentrating on the operation on the patient.


    The chief physicians and attending physicians all served as his assistants, or stood by and watched.


    During the consultation, Zhou Can rarely spoke.


    But every time you speak, there must be a high opinion.


    It has been adopted by chief physicians almost every time.


    It is not an exaggeration to say that he is a legend among Gui Peisheng.


    "Please ask our doctor Zhou Can to come to the front!"


    As soon as Wu Baihe''s voice fell, everyone spontaneously applauded Zhou Can.


    There were bursts of cheers from below.


    Zhou Can actually doesn''t like this kind of scene very much, he thinks it''s too high-profile.


    Wu Baihe had already called him by name, so he couldn''t help keeping a low profile.


    Immediately stood up, and walked quickly to Wu Baihe under the eyes of everyone who were envious, admiring, or jealous.


    Wu Baihe also stood up, looking at Zhou Can with a smile on his face.


    "The patient with heart failure is out of danger. Thank you for saving our team and neurosurgery from a possible medical accident."


    That patient was operated on by Wu Baihe, and Wu Baihe''s team has always been in charge.


    If something happened, Wu Baihe''s chief disciple, Kuang Shenfeng, would probably be useless. At least in the future, if you want to be judged for a high professional title, it will be very difficult to pass the review.


    Having a medical malpractice, just like ordinary people being sentenced to prison, will always carry a background and a stain on their body.


    People who have been in prison, and even bring their children to apply for civil servants and important positions in the future, will be implicated.


    Doctors are better.


    Not as bad as the family.


    But my own future stops here, that''s for sure.


    "It''s good that the patient is safe. I''m just contributing a little bit, so you''re welcome, Director Wu."


    Many people eavesdrop with their ears pricked up.


    It seems that this monstrous Dr. Zhou has made another great contribution.


    No wonder today''s Gui Peisheng rotation is over, and Director Wu is here in person.


    This is for Zhou Can!


    "In order to thank you for your outstanding contribution to Shenwai, after discussing with the chief physicians of the department, I decided to present you with a special medal¡ªTuya Neurosurgery Department''s Best Training Doctor Award!"


    Wu Baihe hung a metal medal around Zhou Can''s neck.


    The words on it are all engraved, and it should not be easy to complete in a short time.


    This medal was likely prepared in advance.


    "This is the only training doctor medal issued by our neurosurgery department. It is engraved with your name and the date of the training. Then, your login account on Shenwai''s intranet will always be reserved for you, and It has been upgraded to the same authority as the director level. You can view all the cases of Shenwai. Anytime you have valuable diagnosis and treatment suggestions, you are welcome to tell our neurosurgery doctors."


    This reward is much higher than the specification of the cash reward.


    Directly upgrade him to the director-level intranet login authority.


    You know, he is just a regular trainee.


    Probably because of Zhou Can''s excellent diagnostic ability, I hope that Zhou Can can help check and find some omissions that the supernatural doctors failed to find.


    Or give a better surgical plan, diagnosis and treatment recommendations.


    "Thank you! I am very honored."


    Zhou Can bowed to Wu Baihe.


    "Don''t rush to thank, there is more! The door of the Department of Neurosurgery is always open for you. Whether you come to the Department of Neurosurgery for further study or want to be transferred to work in the Department of Neurosurgery, you can apply to the Department of Neurosurgery at any time."


    Good guy, Wu Baihe finally couldn''t hold back, and finally made a move to poach him.


    This reward is definitely full of temptation for other Gui Peisheng.


    The gold content is also very high.


    But for Zhou Can, it was just an extra door of convenience.


    When the regular training exam just ended, other departments chose him. Today, Zhou Can has proved to everyone his ability and strength, and he still has great potential. He is eligible to choose any department.


    Even if it is the best department of surgery, Zhou Can thinks that''s the case.


    "Thank you, Director Wu and the chief physicians at Shenwai for your kindness to me. I will definitely apply to join Shenwai when I have an idea in the future."


    What Zhou Can said was just a polite remark.


    Many people could see that he had no intention of joining the neurosurgery department at all.


    "Alright, go back to your seat!"


    Wu Baihe seems to have known this result a long time ago.


    Not disappointed.


    The only regret is that Director Xie was not the first to choose Zhou Can when he was selecting talents.


    Now a person who has led to such an evil person is determined to repay the kindness of the emergency department.


    It has to be said that this is a huge loss for neurosurgery, and even for the whole surgery.


    ¡­


    Director Wu''s speech was not too lengthy. After presenting the award to Zhou Can, he said a few words on the scene and left in a hurry.


    He is a busy man.


    Sure enough, as many Gui Peisheng guessed, Wu Baihe came here specially for Zhou Can.


    "You cow!"


    Jin Mingxi gave Zhou Can a thumbs up.


    During the two months of regular training in Shenwai, thanks to the support Zhou Can gave him, he was never made things difficult for him.


    Doctor Ou even focused on training Jin Mingxi.


    Among them, it was largely due to Zhou Can''s face.


    Zhou Can received such a high honor and award, but his face was calm, not surprised by favor or shame.


    "My next department is the Department of Critical Care Medicine, what about you?"


    Zhou Can asked Jin Mingxi.


    "Hey, I''m also in the Department of Critical Care Medicine. But this is the last department I can train with you."


    Jin Mingxi smiled smugly.


    Needless to say, if Zhou Can plays well by then, he definitely hopes that Zhou Can can cover him.


    ¡­


    The next day, Zhou Can and Jin Mingxi went to report to the office of the Department of Critical Care Medicine.


    Different from other specialties.


    The Department of Critical Care Medicine is just a general term, UU Reading its wards are not concentrated together, but scattered to various departments. At the same time, the critical care medicine talents in each department are basically arranged by their respective departments.


    A total of thirty-two Gui Peisheng came to report.


    There were regular trainees and advanced students from the college, and they crowded the small office.


    The person in charge of the Department of Critical Care Medicine asked them to fill in the information and check them one by one.


    "Who is Zhou Can?"


    he asked looking up.


    "I am!"


    Zhou Can quickly raised his hand.


    His heart tensed for a while, could he be like Director Xie again, specially suppressing him?


    "I heard that you are very famous. Vice President Ye personally explained that the hospital should focus on training you. Your intensive care medicine training plan is only one month, which is actually not enough. How about adding two months?"


    The person in charge asked Zhou Can for his opinion in public.


    Zhou Can couldn''t help touching his nose, people are afraid of being famous and pigs are afraid of being strong. Now that they are well-known, the intensity of training will probably continue to increase.


    He went in to the intensive care unit.


    The patients inside said that they would die, and they were not polite at all.


    Originally, I thought that I would only need to stay for a month and learn some basic operations and treatment methods from the superior doctors. Now let him be directly trained for three months, and he definitely wants to be in place in one step, directly training him until he can be on duty independently and deal with various sudden symptoms of critically ill patients.


    To say something out of his heart, he felt a little trembling in his heart.


    I''m afraid that if it''s not done well and someone dies, I don''t know if the future will be affected?


    "If you need more time to think about it, you can wait until tomorrow to reply to me. However, the training time you choose is different, and the arrangements I make are also different."


    The person in charge said in a gentle tone.

 Chapter 161： Goodwill from Vice President Ye, Corpse Transport Gate

    Zhou Can bowed his head in thought.


    After working in the hospital for so long, whether it is an internship or eight months of regular training, his understanding of ICU is actually very limited. Regarding Tuya''s intensive care medicine department, I believe that most doctors will think that it is a mysterious place.


    Vice President Ye personally greeted him and asked him to train in the Department of Critical Care Medicine for three months, which must have deep meaning.


    "Perhaps many people don''t know about intensive care medicine yet, so I will introduce it to you first."


    The person in charge did not urge Zhou Can.


    "The Department of Intensive Care Medicine is currently in Tuya General Hospital, and this is the only department that is serious about children. The Department of Respiratory and Critical Care Medicine can only be regarded as a sub-department, and it is not very different from the ICUs of neurosurgery, cardiology, and obstetrics. There is a big difference. I believe that you may have been lucky enough to see it in the ICU during the specialist training and internship. But I want to tell you that there is a big difference between the real intensive care medicine department and the subdivided specialist ICU.¡±


    Everyone is listening carefully.


    Tuya Hospital is like a complex big city, with various functional departments.


    Even if you are a doctor in this hospital without certain qualifications, you may know little about other departments in this hospital.


    "The specialized ICU you see, more precisely, can only be regarded as an intensive care unit. It is quite different from the real comprehensive ward of intensive care medicine. The construction of a specialized ICU is carried out according to the needs of each department. In terms of technology, Management, equipment, etc. can only be described as ''immature''. The main thing is to monitor the patient''s ECG, blood oxygen, etc., to observe changes in the condition at any time, and the rescue measures are very limited."


    This is said more cryptically.


    The meaning is to tell everyone sitting here that the specialized ICU ward belongs to the amateur level, and only the intensive care medicine department is professional.


    Zhou Can couldn''t help thinking of the goal Qiao Yu mentioned.


    She said that after working for a period of time, she will work hard to pass the assessment of the Department of Critical Care Medicine and go in for a period of experience.


    It seems that she has already had a deep understanding of Tuya''s intensive care medicine department.


    At that time, Zhou Can secretly wondered that there was an ICU ward in the emergency department, and he had never heard that it was particularly difficult to work in it!


    Thinking about it now, what she wanted to enter should be this real intensive care medicine department.


    "To apply for the regular training of the intensive care medicine department, in principle, each regular trainee has only one chance to apply, and the regular training period is one month. If you become the elite of the specialty in the future, you may have the opportunity to apply for further study here. Or you will be transferred in directly. Work in the intensive care medicine department. But the probability of this is very small. So, cherish this one-month training time! Learn as much intensive care medicine nursing, rescue knowledge, and techniques as possible.¡±


    Hearing what he said, ordinary regular trainees only have one month of regular training in the Department of Critical Care Medicine, but Zhou Can has two months more than them. This is a special treatment.


    It''s **** if you don''t take advantage of the advantages.


    Zhou Can already had calculations in his heart.


    Isn''t it more stressful and tiring? Three months is only three months, when the time comes to learn the rescue and nursing of critical illness, it will have unimaginable benefits to practice medicine in the future.


    He faintly felt that the competition among various departments in the hospital was everywhere.


    Specialist departments do not want to see the emergency department become stronger, and hope that the emergency department will always be just a transfer station for guidance.


    There is also competition between the intensive care medicine department and the specialized ICU ward.


    Each department is striving to embody its unique value.


    Otherwise, it will soon be replaced and eliminated.


    Cruel workplace rules are everywhere, forcing everyone, every department, and every company to strive to improve their competitiveness.


    This is actually a manifestation of social progress.


    "Zhou Can, how are you thinking?"


    After the person in charge introduced the difference between the intensive care unit and the specialized ICU ward, his eyes fell on Zhou Can''s face again.


    This is not clear, is the introduction just now a disguised form of doing ideological work for Zhou Can?


    "I am willing to train in the Department of Critical Care Medicine for three months. I would like to thank Vice President Ye and all the leaders for their cultivation."


    After Zhou Can understood clearly, he agreed decisively.


    The planned training time in the intensive care medicine department has been extended by two months, which also means that his regular training time in other departments has to be shortened.


    If it is replaced by ordinary Pearson, it will hardly have much impact.


    But he is different. Not only does he have to train in multiple surgical departments, but he also has to go to the internal medicine department for training.


    At present, 8 months of his 36-month regular training time have been used up, and with the addition of three months in the intensive care medicine department, nearly one-third of the time is gone.


    "Okay, great! Years from now, you''ll find that the choices you made today were very wise."


    Seeing that Zhou Can agreed, the person in charge showed a happy smile of relief.


    After Zhou Can thought for a while, he understood the mystery.


    If Vice President Ye''s personal account was not completed, he, the person in charge, would definitely lose points in Vice President Ye''s mind.


    "Let me introduce to you the sources of patients in the Department of Critical Care Medicine. They can be roughly divided into four categories: first, patients with acute reversible diseases. Such as various types of shock, after major surgery, severe trauma, severe infection, acute poisoning, cardiopulmonary After resuscitation, etc. There is a prerequisite for such patients to be admitted to the ICU, and it is clear that it can effectively reduce the mortality rate and the curative effect is certain.¡±


    Such patients should account for the majority.


    During Zhou Can''s regular training in Shenwai, he found that there are many patients who have just completed major operations. The surgeon will give special instructions and must be sent to the ICU for monitoring.


    As for patients with acute heart poisoning and serious infections, there are very few patients treated by God.


    "The second type is high-risk patients. These patients have potentially dangerous underlying diseases and may be preparing for invasive surgeries with higher risks. Such as severe pancreatitis, severe asthma, organ failure, severe obstetric diseases, etc. The principles of treating such patients can effectively prevent and treat their complications, reduce medical expenses, and shorten the length of hospital stay."


    There are many patients who do not stay in the ICU while waiting for the operation, and may never meet the standard for being on the operating table.


    At this time, it is a good choice to decisively choose to live in the ICU, first to save life, and then to elective surgery.


    Many people think that staying in the ICU ward is a waste of money, but it is actually the opposite.


    Sometimes it may actually save medical expenses.


    Just imagine, when various complications break out, the rescue cost is very staggering.


    And it will greatly prolong the discharge time.


    "The third type is patients with acute exacerbation of some chronic diseases. The intensive care unit can help them pass the acute stage and strive to help patients return to the original state of chronic diseases. For example, patients with exacerbation of chronic respiratory diseases are in this category."


    Such patients are very common.


    Money can buy life, often refers to this kind of patients.


    They live in the ICU, and they can really escape the king of Hades.


    After getting over it, they can live well again.


    "The fourth type is patients with irreversible deterioration of the disease. For example, hemorrhage that cannot be effectively stopped, or patients with malignant tumors that are dying. There are also patients who are old and waiting for natural death. The greater significance of treating such patients is to show respect for life. , reverence for life."


    The last kind of patients are mostly rich people who have too much money and no place to spend it.


    Generally speaking, as long as the family members do not allow extubation, such patients can live in the ICU for a long period of time.


    Basically, as long as there is no brain death, they can live forever.


    It is worth mentioning that after the fourth type of patients are admitted to the ICU, very few of them can survive.


    Before they entered the ICU, they already knew this ending.


    Purely just to make life last longer, nothing more.


    Of course, it must also be realized that the relatives of such patients are willing to pay expensive medical expenses, which is difficult to part with family affection.


    For example, as a child, you don¡¯t want to watch the parents who raised you die, and you are willing to give everything you have, even if it¡¯s just to let your parents stay in this world for a second.


    "The sources of patients in the intensive care medicine department generally fall into these four categories. The purpose of giving you such a detailed introduction is to let you know what to expect when you go to work. Clarify the direction and purpose of treatment for each type of patient."


    The person in charge said loudly.


    There are four types of patients, each with a different focus of treatment.


    To prepare for surgery, we must find ways to reduce complications and provide patients with better nutritional support as much as possible.


    In order to prolong life, then try every means to ensure that the patient does not die.


    After Zhou Can finished listening, he had initially felt the tense atmosphere in the Department of Critical Care Medicine.


    "When admitting patients in the intensive care medicine department, in addition to the four criteria given above, there is another very important indicator, that is, the mortality score. For example, take the acute physiology and chronic health scoring system as an example. According to the patient''s various The physiological index score is used to predict the mortality rate. The score ranges from 15 to 35 points, that is, the mortality rate is higher than 15% and lower than 85%, and it is most suitable for admission to the ICU ward.¡±


    This scoring standard is basically the gold standard for admission to ICUs.


    The mortality rate is less than 15%, and they are generally treated in specialized ICUs or general wards.


    The mortality rate is higher than 85%. Unless the family members really have mines at home, the doctor will suggest that the patient spend the last days of his life in the emergency room out of conscience.


    Of course, this standard cannot be dogmatic.


    The mortality rate of some patients is predicted to be higher than 85%, but the attending physician believes that admission to the intensive care unit can be rescued. As long as they survive the most difficult period, they may improve, so they must be admitted for treatment.


    Reducing the mortality rate of patients in this hospital is the fundamental purpose of the establishment of the Department of Critical Care Medicine.


    "Next, let''s talk about the grouping. The clinical medical group is divided into three groups, with three shifts and an eight-hour system. There are five groups in the nursing group, and the working hours are 12 hours. The intensive care department is a high-intensity job. You must do it well. Prepare mentally."


    The ratio of doctors to nurses is about one to three.


    One doctor and three nurses.


    Patients in each bed enjoy one-on-one service.


    A doctor can manage up to three hospital beds.


    This is like a battlefield, wherever there is a need, you can charge there.


    "Okay, the basic introduction of the introduction is over. If you don''t understand, you can find an opportunity to ask the superior doctor. But I must tell you that when working in the intensive care unit, it is best to talk less and do more. Your superior doctor needs to concentrate Pay attention to every sudden situation, if you ask questions at any time and interrupt their thinking, you will be scolded at least, or sent to me at worst, and let me teach you the rules."


    The person in charge first explained the rules to the thirty-two regular trainees.


    It is completely two concepts with ordinary departments.


    In specialist wards, doctors are more relaxed. Not to mention asking questions, even small talk is a common occurrence.


    "I''ll start assigning you senior doctors who will teach you. At present, you can only arrange residents to take care of you. Those who perform well will get the chance to treat the flop."


    The flop is which concubine the emperor chooses to sleep with at night.


    The meaning here is probably that after being appreciated by the attending physician, it is possible to take you personally.


    Following the indications, you will definitely learn more advanced knowledge.


    "Zhou Can, your teacher is Hu Yiba, the attending physician."


    Zhou Can was the first to announce.


    Everyone could see that this regular trainee named Zhou Can received intensive cultivation everywhere, and his treatment was completely different from theirs.


    The few Gui Peisheng who came from outside the gods together with Zhou Can are lucky. Knowing that Zhou Can''s strength and talent are far higher than ordinary Gui Peisheng, it is not unusual to have this treatment.


    People who don''t know him have already cursed in their hearts.


    Damn, this is a hard-wired accountant who came here to beat people.


    Under normal circumstances, how could a Gui Peisheng get the special care of the vice president? For many Gui Peisheng, they have not even seen whether the vice president is fat or thin, male or female.


    "Jin Mingxi, lead teacher Yuan Kun. Chen Hao, lead teacher Luo Sanzhang..."


    Different from the regular training in other departments, the treatment here seems to be one-on-one guidance.


    Everyone felt a lot more psychologically balanced.


    It is also very good to have one-on-one guidance from a resident physician.


    It''s only one level behind Zhou Can.


    Soon, all the teachers were in place. Except for Zhou Can, who is taught by an attending doctor himself, the others are all taught by residents.


    "Have you seen this roster? You can find your teaching doctor on it. If the teaching doctor is not working now, you can familiarize yourself with the regulations in the office first, or you can go home and sleep directly, and adjust the working hours to be in line with your teaching doctor. Teach physicians to agree."


    No one took it, and it is estimated that they would not be able to enter the gate of the intensive care unit.


    Zhou Can took a look at the schedule of Hu Yiba''s attending shift, which was from 8:00 am to 4:00 pm.


    The schedule here is very similar to the emergency department.


    It is also on a 24-hour shift.


    "I''m optimistic about it? Students who are scheduled for the morning shift, I will take you into the ICU ward. Remember, after entering, wash your hands first, and then change the isolation suit. The inside is under sterile management. In principle, you are not allowed to enter and exit at will. The toilet needs to drink water, so let¡¯s deal with it now. Students who are scheduled for the evening shift or night shift can go home and rest, and come back at that time.¡±


    Many people who were scheduled for the morning shift ran to the toilet or drank water.


    Zhou Can secretly counted, including himself, there are nine people in the morning shift.


    When he came back after using the toilet, some of Gui Peisheng had already left.


    Those in charge of Gui Peisheng are still waiting patiently for them.


    "Is everyone here? Come with me!"


    The person in charge gave an order, and everyone followed him out of the doctor''s office.


    "It is divided into multiple wards. If the superior doctor asks you to go over to support the rescue of a certain bed, you must do it immediately. Even if you are asked to wipe the patient''s excrement, urine and phlegm, don''t hesitate. When you get here, first What you have to put away is your squeamishness. Also, you can see farewell almost every day inside, so you must learn to control your emotions. You are not allowed to cry inside, no matter how uncomfortable you have to hold back for me."


    This should be said to the two female doctors.


    When a male doctor sees a patient die, he usually retches, feels sad, and seldom sheds tears.


    Girls have very rich emotional cells. When they encounter sad things, they can cry for you at any time The person in charge took them to the corridor outside. Ke five **** characters.


    There is a sign of a nutrient infusion demonstration ward hanging below.


    The spacious automatic metal door was tightly closed, and there was a more eye-catching reminder sign on the wall next to the door.


    "If you can''t answer your doorbell in time, please understand, we are busy with rescue. Please go to the side door of the **** waiting area!"


    I have long heard that there are several entrances and exits in the intensive care unit.


    Doctors and nurses usually go through this main entrance. Family visits require an application and are usually entered through the side door.


    There is no man on duty 24 hours a day.


    If the family members have something to give to the patient, or have made a nutritious meal, and want the nurse to feed it to the patient, they can give it to the nurse on duty here.


    However, it must be reminded that the family members want to let the patient eat better and recover faster, which is understandable.


    In fact, a lot of food is given, and the nurse may not necessarily feed it to the patient after receiving it.


    It was only accepted to avoid doctor-patient disputes.


    Sometimes patients can''t eat anything.


    For example, patients who are scheduled for surgery, or patients with tracheal incision, or other patients who need to fast, cannot eat.


    There is really no need to ask where the food I received went.


    If you ask, it is poured out or fed to the patient to eat.


    Just to clarify, the ICU does not require family members to accompany it, and everything is done by doctors, nurses, and professional nurses.


    In addition to the main entrance and the side entrance for accompanying people to enter, there is also a well-known gate called the Corpse Transport Gate.


    Dead patients are not transported through the main gate.


    One is that the effect is not good, and the other is easy to spread the germs.


    There is a special back door to transport the corpses out.

 Chapter 162： This is the real battlefield, powerless farewell

    There were many concerned family members guarding the corridor. They were either sitting, standing, or squatting on the ground.


    Without exception, these people are staying here because their relatives or friends are in the intensive care unit.


    Patients who need to be admitted to the intensive care unit are basically critically ill.


    To put it bluntly, it is still unknown whether he can come out alive.


    The person in charge rang the doorbell, and after a while, the door retracted to the left. A nurse stood inside the door.


    Those anxiously waiting family members rushed forward immediately.


    "Hey, hey, if the family members want to apply for a visit or know the situation, please go to the side door next to it. These are doctors who came to support, let them in first."


    The nurse was fierce and very loud.


    Not to mention, only she can hold back these anxious family members.


    One by one obediently get out of the way.


    Zhou Can and others followed the person in charge into the ward of the intensive care medicine department.


    If you want to enter the ward inside, there are still two doors.


    Including the person in charge of the team, there are a total of ten doctors, which is quite spectacular in number.


    After they all entered, the outermost protective door was also quietly closed. The family members outside are isolated from all noises.


    "Dr. Yu brought another batch of recruits here?"


    The female nurse greeted the person in charge with a smile.


    "Isn''t that right! Welcome to see you off, this time a total of thirty-two Gui Pei students have come, you have something to teach!"


    Doctor Yu, who was in charge of leading the team, responded with a smile.


    After a brief exchange with the nurse, he looked at the nine Gui Peisheng students.


    "Let me first introduce the main process of entering the ward. After entering the first door, wash your hands there first, and then go to the changing room to put on isolation protective clothing, including shoe covers. After coming out of the changing room, you can enter The second door. Do you see the big characters on the ground? After entering that door, pollution can still exist, so it is called a potential pollution area.¡±


    "After entering the potential pollution area, your whole body will be sterilized, mainly with ultraviolet light. Then you can enter the third door. That is the real ward. Don''t make loud noises in it, and pay attention to communicating with other people. The doctors and nurses cooperated closely and carried out various effective rescues for the patients."


    These processes are basically the same as the specialist icu.


    However, compared with the specialist ICU, the scale here is much larger.


    It needs to look more professional in every way and be much more staffed.


    Just in the polluted area inside the first gate, you can see many nurses busy.


    "Over there is the duty room, over there is the temporary meeting room, there is the material room, and there is the sewage treatment room. The patient''s feces, sucked pus, sputum and other dirt can be disposed of there."


    Through the transparent glass wall, you can see several doctors and nurses sitting around their desks in the duty room, operating computers or discussing patients'' conditions.


    Zhou Can washed his hands, changed into his isolation suit, and walked out.


    "Don''t enter the ward, just wait here. When your superior doctor is not busy, he will come out and call your names. At that time, just follow the superior doctor''s orders."


    After bringing you here, the task of the person in charge is basically completed.


    He walked to the duty room and knocked on the door.


    "A new batch of regular trainees has been pulled over for you. The list is here, and each of you will bring one."


    "Doctor Yu, Gui Peisheng will come and go one by one. When can we get a few regular ones? I just learned a little bit, and I was able to get started and help with some work, and then I ran away."


    A younger doctor complained to the person in charge.


    This problem is especially acute in the nursing department.


    It takes only three to five years to train a nurse, and it is difficult to stand alone.


    Just after being trained, the nurse resigned or changed jobs.


    Because Tuya Hospital is well-known, the treatment, status, and room for growth are not bad, and the turnover rate of nurses is much lower.


    Some small hospitals often experience labor shortages.


    "You have to report this issue to the hospital. I''m the only one who regulates Pearson, and it doesn''t work."


    Doctor Yu smiled wryly.


    "Hey, who is Zhou Can? This Gui Peisheng was taken by the attending doctor as soon as he arrived. Doctor Yu revealed to us, is he a related household?"


    Doctors will pay extra attention when dealing with related households.


    At work, I will try my best not to offend related households.


    As the saying goes, it depends on the owner to beat a dog.


    The people behind those related households can''t afford to offend them.


    "What kind of relationship households, they will be promoted based on their strength! The top students in this year''s regular training students will be cultivated by the hospital." Dr. Yu explained to them.


    "That''s awesome! All right, these people can just throw it away, we will arrange it. Go and do your work!"


    Several doctors and nurses heard that Zhou Can took the position based on his strength.


    I couldn''t help being a little more curious about him.


    After Dr. Yu left, those doctors called their names one after another. Gui Peisheng, who was called by his name, happily followed the superior doctor who was teaching him into the ward to study.


    Zhou Can was a bit miserable.


    His superior doctor was at the attending level, and he hadn''t seen him come out for a long time.


    So just stand outside and wait.


    "There is something wrong with bed 6, and your teaching doctor is busy dealing with it. If you want to go in, I can take you there."


    A young doctor in his thirties said to him friendly.


    "Okay, okay! Sorry to trouble you!"


    Zhou Can smiled gratefully at the doctor.


    "You''re welcome. When I was Gui Peisheng, I was just like you. I was very cautious. After spending a few years in the hospital, you will find that the superior doctors are actually not that difficult to deal with. They curse because the patient has something wrong. Or worry about a junior doctor messing things up."


    The doctor taught him in the tone of someone who had experienced it.


    Zhou Can followed this person into the ward, where many doctors and nurses were busy busy.


    Various machine alarms sounded one after another.


    Once inside, it feels like being on a real battlefield.


    The tense atmosphere brought Zhou Can an invisible psychological pressure.


    "That''s Dr. Hu, he already knows you, just go there."


    Zhou Can looked over and found a middle-aged doctor in his forties on bed No. 6 who was bending over to treat the patients on the bed.


    Nurses are there to help.


    The patient''s breathing was very poor, and his finger oxygen was alarmingly low.


    His nails were cyanotic, his lips were black, and his complexion, including his face, was somewhat purple and blue.


    Zhou Can walked to the hospital bed and saw that Dr. Hu was suctioning the patient carefully, so he didn''t dare to disturb him.


    "It''s Zhou Can, right?"


    Dr. Hu saw all directions and listened to all directions, and had already noticed Zhou Can''s arrival.


    "Yes!"


    Zhou Can looked very cautious.


    "You can''t help this bed for the time being, go to bed 7 to help the patient turn over. Bed 7 is for patients with gastrointestinal bleeding, and the movements should be as gentle as possible when turning over."


    Doctor Hu exhorted.


    "OK!"


    Zhou Can walked to the 7th bed behind him. This was a male patient with a thin face and a shriveled body.


    Estimated age is thirty-seven or eighteen years old.


    It looks bad.


    Dying, wearing a non-invasive non-ventilator.


    Gastrointestinal bleeding usually takes a long time to reach the hospital for treatment. Small problems eventually become big problems.


    In addition, patients with gastrointestinal bleeding also have a notable feature, unexplained weight loss and melena.


    If it is upper gastrointestinal bleeding, even vomiting blood is possible.


    Zhou Can carefully turned the patient over.


    "Uh, uh... just, defecate..."


    The patient makes a weak sound.


    Zhou Can seemed to understand.


    This man wants to shit.


    "Just use the bedpan for him!" A nurse came over, picked up the bedpan deftly, and held it for the patient.


    As soon as he opened the patient''s pants, Zhou Can felt nauseated and nauseated.


    The patient is already pulled on the body.


    Red.


    "He seems to have blood in his stool." Zhou Can was a little at a loss.


    "For a patient with gastrointestinal bleeding, hematochezia is normal. This patient''s unexplained lower gastrointestinal bleeding has lasted for a long time. It was only sent for treatment when it developed to be very serious."


    The nurse introduced the patient''s situation and handled it skillfully.


    I really admire the professionalism of the nurse sister.


    Zhou Can watched how she dealt with it, secretly remembering. It''s impossible to call other nurses to help every time, right?


    "What''s that? It''s not stool and blood, it looks like intestines."


    Zhou Can was terrified.


    When the patient defecated, the intestines were pulled out.


    In medicine, it can also be called rectal prolapse.


    It''s scary.


    On the first day of the regular training in the intensive care medicine department, he felt like he had entered a **** world.


    Every patient here has half a foot, or even more than half of his body, stepping into the gate of hell.


    In the general ward, I can''t feel this kind of severe fear of dying.


    "Don''t be afraid! When you encounter this situation, check it out. As long as there is no ulceration and bleeding, just help the patient put it back into the body."


    Seeing Zhou Can''s frightened look, the nurse couldn''t help laughing at him for being timid.


    She calmly and skillfully helped the patient deal with it, and put the intestines back into the body.


    "The treated waste cannot be left in the ward, and needs to be taken to the waste treatment room in the polluted area for timely disposal," she said to Zhou Can.


    Seeing her leaving quickly with the dirt on her back, Zhou Can was ashamed again.


    At this time, I finally had the opportunity to take a good look at this dying patient with gastrointestinal bleeding.


    Dr. Hu didn''t arrange new tasks for him for the time being, so he simply checked the patient''s examination report and other information.


    According to the doctor''s diagnosis opinion, the patient belongs to diffuse intestinal bleeding.


    This bleeding is generally very troublesome.


    If the bleeding site can be identified, and there are only one or two bleeding points, colonoscopy can be performed.


    For unexplained bleeding like this, colonoscopic surgery is of little significance.


    Traditional laparotomy and exploratory surgery are even more unnecessary.


    With a patient like this, who dares to let him go to the operating table.


    Zhou Can checked the patient''s medical history and found that the black stool had lasted for nearly half a year.


    In order to find out the cause of the ordinary postman''s bleeding, the attending doctor even performed an X-ray barium test and an angiography test for the patient. Still not much to gain.


    At present, it can only be determined that the patient has diffuse intestinal bleeding.


    The patient can survive until now because of chronic bleeding.


    "Tumors and polyps can basically be ruled out."


    With Tuya''s level of doctors and inspection equipment, tumors in the millimeter scale can be detected.


    He was only thirty-six years old, and he was in his prime. What was the cause of the intestinal bleeding?


    Zhou Can repeatedly studied the inspection report and inspection materials.


    "Xiao Zhou, come and help!"


    Dr. Hu called him over there.


    I had no choice but to put down the materials and walk over quickly.


    The patient in bed 6 seemed to be dying, and his face looked more cyanotic. It was as if an invisible hand had grabbed his neck.


    Breathing also becomes very laborious.


    It feels like pulling a bellows.


    "what happened to him?"


    Zhou Can looked at the patient with fear in his heart.


    He didn''t know if he had a sixth sense, but he felt that the patient was dying.


    "Drinking pesticides, multiple organ failure, lung fibrosis!"


    Dr. Hu was expressionless, frowning as he stared at the patient. It can be seen that he has tried his best to save the patient, but with little success.


    A nurse is already nebulizing the patient''s breath.


    The effect is also not good.


    Pulmonary fibrosis is an irreversible lesion that makes it increasingly difficult for a patient to breathe.


    Normal human lungs are composed of many alveoli.


    The total area of ??the alveoli of an adult is about the size of a house, about 100 square meters when spread out flat.


    When lung fibrosis occurs, the contraction and activity of alveoli will be seriously affected.


    It is like a balloon made of soft rubber skin, which can be easily blown up.


    But when the balloon wall becomes hard and its elasticity becomes poor, it will become difficult to blow it up or deflate it.


    "Looking at the situation, this patient may not be able to survive. Paraquat is too harmful. Few patients who drink this pesticide can be saved. Patients who drink it are like activating Pandora''s Box , the consequences are doomed and difficult to reverse."


    Dr. Hu watched the patient''s vital signs drop, and sighed.


    The doctors have worked so hard to take care of the patients day and night, all kinds of rescue, medication, and careful nursing, in order to let the patients survive the most difficult time and transfer back to the general ward from the ICU alive.


    But doctors are human beings after all, not gods. What they can do is to treat patients with the help of all kinds of professional medical equipment and medicines based on what they have learned all their lives.


    In the hearts of ordinary people, paraquat is just a herbicide.


    But in the minds of doctors, this pesticide is different from ordinary pesticides, it is synonymous with the devil, the **** of death.


    When many patients drink it, they can''t think about it for a while and act impulsively. When he entered the hospital, his relatives, wife and children were crying around the bed. He felt that his behavior was too impulsive.


    Under the persuasion of his relatives, wife and children, he was determined to live on.


    Two days before drinking paraquat, after gastric lavage, infusion and other treatments, the patient hardly felt much physical harm. Can eat and drink, and the spirit is quite good.


    Just when they thought they could recover and leave the hospital soon.


    The condition will keep getting worse.


    And it''s irreversible.


    Kidney failure, lung fibrosis, and then systemic organ failure, breathing becomes difficult, and the body is destroyed step by step.


    Gastric lavage, hemodialysis, everything the doctor could think of was used.


    But this pesticide is terrible.


    No treatment was effective. I can only watch helplessly as the patient''s condition worsens day by day and eventually dies.


    Fortunately, the country has attached great importance to pesticide safety and has banned the production of paraquat pesticide.


    "Go and inform the family members! Let the family members see the patient for the last time. He is probably going to die soon."


    When Dr. Hu said these words to the nurse, his tone was low.


    "Hmm! I''ll notify the family immediately!"


    When the patient is dying, the hospital will allow the family members to meet with the patient in consideration of humanitarianism.


    Say a dying farewell.


    "Xiao Zhou, have you ever met a patient who died of illness?"


    Doctor Hu looked at him.


    "I''ve seen it!"


    During Zhou Can''s internship, UU read www. uukanshu.com saw it in the general ward. He just stood at the door and watched from a distance. The family members wept around the hospital bed and kept calling their relatives'' names.


    He will never forget that scene.


    "That''s good! When working in the ICU in the future, we often encounter situations where our doctors are powerless. Although human medicine is already very advanced, there are too many diseases that cannot be cured. I have heard some things about you, Excellent performance in all respects.¡±


    Dr. Hu changed the topic and talked about Zhou Can himself.


    "The rumors may not be credible. At best, I am a little bit better than other Gui Peisheng in some aspects." Zhou Can is not completely humble.


    I really think so.


    At present, his various medical skills are at the deputy director level. Others are mostly at the attending level, and some are at the resident level.


    And to acquire new medical skills in the future, it is possible to upgrade from the practice level.


    Therefore, he is still far from being good enough.


    He put himself in the right place.


    "You are quite humble. During the three months of ICU training, I should basically take you. If you perform particularly well in the later stage, there may be a chief physician who is willing to take you. No matter what, the hospital will focus on training you. , this is a good thing, I hope you can always maintain an open-minded and studious attitude."


    Dr. Hu looked into his eyes and said.


    "I will." Zhou Can nodded heavily.


    "I really hope that our Tuya Hospital can train more and more excellent doctors. It is best that no patients will be admitted to the ICU forever. For all diseases, prevention is better than cure."


    Dr. Hu talked about his inner feelings and vision.


    There are so many patients admitted to the ICU, which only shows that today''s medicine is still very backward, and there are still many life and health problems that cannot be solved.

 Chapter 164： Plan ahead and search for the cause of the seven-bed patient

    The origin of ICU construction in foreign countries is not very clear. The earliest ICU construction in China was led by the Department of Anesthesiology.


    Speaking of this, I have to introduce the emergency department first.


    In the past, there was no emergency department in domestic hospitals, which belonged to a department that came into being to rescue emergency patients. Later, a series of norms and subject definitions were carried out, and finally it matched its name, and all emergency patients can call the emergency department.


    The Emergency Department cannot refuse a visit.


    Also, specialist outpatient clinics do not see a doctor at night.


    There is a doctor on duty in the emergency department 24 hours a day. Whenever you go to the hospital for emergency treatment, you are required to have a doctor to see you.


    With these two gold standards, the emergency department later added some privileges.


    For example, after a car accident patient was sent here, he had no family members. For a while, there was no way to contact the family members or the immediate family members of the patient. The patient''s life is dying. According to the rules of the hospital, the family members must sign and pay the fee before being treated.


    In this case, the emergency department has an extra privilege. During working hours, if there is no family member to sign, you can go directly to the medical department, and then the director of the emergency department will sign on your behalf.


    No one pays the fee, but if the operation or rescue is not arranged immediately, the patient will die immediately.


    Easy!


    If you are in arrears, deal with it first.


    Even today, the emergency department is still the number one department with the most bad debts in the hospital.


    In addition to these privileges, emergency examinations are generally written as urgent.


    Many can be done first without queuing.


    If you want to be hospitalized in a specialist department, you have to wait until the bed is available before you can be admitted.


    The emergency department is not so particular, if it is not possible, it is also possible to lie down in the observation room.


    Anyway, it is impossible for your doctors to watch patients die in the hospital, right?


    With many conveniences and privileges, patients like the service of the emergency department very much.


    As a result, the emergency department has become the busiest department in the hospital.


    The department directors, experts, doctors and nurses of all major departments, saw that all the patients went to the emergency department, so they naturally refused.


    So the congenitally deficient emergency department became a referral transfer station.


    Only emergency and critically ill patients are treated, and only preliminary treatment is carried out. After the patient''s condition is stable, he will be guided to the corresponding specialist to continue treatment.


    In this way, the specialist department feels at ease.


    It is equivalent to adding an extra helper who can carry out initial screening and treatment of patients.


    When it is sent to a specialist for treatment, it is enough for the specialist doctors and nurses to take their time step by step.


    The specialist found that the small days were much more comfortable than when there was no emergency department.


    Key income has not diminished.


    Because the emergency department is only for the initial treatment of patients, the medical expenses of medication, surgery, and hospitalization are the bulk of the medical expenses, and the emergency department hardly earns 10%.


    But the emergency department does more work than any other specialty.


    He also has to endure all kinds of abuse and even beatings from patients and family members.


    Emergency department work is tiring, dangerous, and poorly paid.


    Therefore, there is a saying in the medical field that advises people to go to the emergency department and be careful when thunder strikes.


    Over time, few doctors are willing to really stay in the emergency department for a long time. Especially those powerful doctors, after experience one by one, jumped to the department of authority, where they enjoyed a lot of food and drink, and their status was still high.


    Failure to retain elite doctors will inevitably lead to poor rescue levels in the emergency department.


    How to do it?


    Then came the Department of Intensive Care Medicine.


    Some critically ill patients received by the emergency department are not in time, and the doctors and nurses of the intensive care medicine department take action to save the patients'' lives.


    In terms of life support and life monitoring, doctors in the anesthesiology department are naturally well-deserved first brothers.


    This is also the early critical care medicine department in China, and the backbone doctors are basically anesthesiologists.


    Later, the nutritional support of the Department of Internal Medicine was integrated into the Department of Critical Care Medicine, and combined with the life support of the anesthesiologist. That''s pretty much perfect.


    Gradually, some critically ill patients were admitted to the ICU, instead of going in alive, they were carried out dead.


    The number of patients who survived and transferred to general wards gradually increased.


    Up to now, the Department of Critical Care Medicine has absorbed the inspection of the Medical Technology Department, the nutritional support of the Internal Medicine Department, the life monitoring and life support of the Anesthesiology Department, and the surgical operation support. Such as invasive ventilator, tracheostomy intubation, hanging urine bag and so on.


    It can be said that the current critical care medicine department represents the comprehensive strength of a hospital.


    Elite medical staff are drawn from various departments to provide patients with the best medical resources, life support, and various treatments.


    However, no matter how it develops, doctors in the anesthesiology department have the first-mover advantage, and their status in the intensive care medicine department is still very important.


    "It turns out that Dr. Shi used to be an anesthesiologist, so his reticence is understandable. Compared with the anesthesiology department, does the intensive care department have better development?"


    Zhou Can is very curious, which department is better?


    The Department of Anesthesiology and the Department of Critical Care Medicine are relatively mysterious to most doctors.


    Little is known about income and development prospects.


    "Everyone has their own way! Dr. Shi''s transition to the intensive care medicine department should be considered a very successful transition. Although he was promoted to the attending level in the anesthesiology department before, after he switched to the intensive care medicine department, his title remained the same. But he is likely to If you are awarded the title of deputy senior professional, if you are still engaged in anesthesia work, you may not be eligible for the evaluation."


    It is a hurdle for many attending doctors to evaluate the title of deputy senior professional.


    At least one topic above the provincial level and three core journal-level papers are enough to kill many people.


    As for the written test for the deputy senior professional title, it was only the easiest first hurdle.


    Dr. Shi''s age should be around 39 to 40 years old.


    Some doctors with good talent, good foundation, and good luck may be awarded the title of deputy senior professional at the age of 38. But after all, there are only a handful of them.


    Many people are already thankful for being awarded the title of deputy senior professional title before the age of 45.


    Why add a good luck?


    Because when choosing a topic for research, if you can hug the big thick legs of a certain old man, participate in a good topic, or give you a more common topic for you to host.


    It really takes luck and character.


    Dr. Shi was rated as a sub-high school at the age of 40, and it was a very successful transformation in a large hospital like Tuya with fierce competition.


    Zhou Can worked hard to inquire about this matter, just to prepare for the future evaluation of titles.


    My family knows my own affairs.


    His low education is a flaw. The higher the climb, the more obvious this flaw becomes.


    Although with his current development momentum, there is a high probability that he can solve the education problem in the workplace, but he has to prepare for the worst in everything.


    Inquiring more now can be regarded as a rainy day.


    "Xiao Zhou, go to the ICU at 8:00 tomorrow morning to take over the shift, remember to arrive about half an hour earlier."


    Before saying goodbye to Zhou Can, Dr. Hu told him.


    Today is only the first day of work, and Zhou Can mainly learns the operation of various equipment and familiarizes himself with the environment.


    Tomorrow, some tasks should be slowly added to him.


    After get off work, even though Zhou Can had dinner in the hospital cafeteria, he was still thinking about the patient in bed 7. What is the cause of lower gastrointestinal bleeding?


    The patient''s various examination reports are constantly playing back in his mind.


    Intestinal bleeding, if left untreated, is most likely to perforate. However, the patient has not been treated for half a year, and his intestines have not been perforated.


    This shouldn''t be a miracle.


    There must be unknown reasons.


    The patient has already undergone endoscopic hemostasis treatment once. If there are obvious abnormalities in the intestinal tract, the doctor will definitely be able to find them in time.


    The patient had a routine stool test plus occult blood tests.


    No obvious cause was found on the inspection report.


    An anatomical diagram of the human digestive tract emerged in Zhou Can''s mind.


    The human gut consists of the small intestine and the large intestine.


    The small intestine starts from the pylorus of the stomach and ends at the cecum of the large intestine.


    The length of the entire large intestine is about 1.5m for an adult. It is not too long, because the end can be penetrated through the intestinal door, so it is easier to detect the lesions in the large intestine.


    Zhou Can secretly thought that intestinal tumors, polyps, intestinal ulcers, and various enteritis can basically be ruled out now.


    Vascular malformations and varicose veins can also be ruled out.


    This disease is really difficult to deal with.


    The doctors in the Department of Gastrointestinal Medicine failed to find out, so I really don''t blame them.


    It is the patient''s disease that is too complicated.


    Let''s say it''s complicated, but it''s also simple.


    Because its bleeding has been basically determined, it is diffuse bleeding in the large intestine.


    The large intestine mainly includes the cecum, appendix, colon, rectum, and **** canal.


    The appendix can be ruled out first.


    There is a problem with it, and the patient will die of pain, and it will not last for half a year.


    And it will rot in the abdominal cavity.


    The **** canal can basically be ruled out.


    Then there are only three parts left: the cecum, colon, and rectum.


    Starting from these three parts, I am afraid it will be difficult to gain anything.


    His current level of pathological diagnosis is at the middle level of a resident doctor, no matter how arrogant he is, it is impossible to be more arrogant than the chief physician.


    He can make meritorious deeds repeatedly, relying on alternative diagnosis ideas.


    Looking at problems from different angles, you can see some blind spots and blind spots that other doctors can''t see.


    This is one of his advantages.


    "Could it be that there is a malignant tumor in the large intestine, and then infiltration occurs?"


    He couldn''t help but think of a possibility.


    The patient had a routine blood test, and leukemia could be ruled out.


    Generally speaking, unexplained bleeding starts with screening for leukemia and bleeding disorders.


    If there is a malignant tumor, the patient should be able to find it when he undergoes an angiographic examination.


    Zhou Can tried again to recall the angiographic examination report, and finally, he initially ruled out the possibility of malignant tumor infiltration.


    That leaves only the last inference.


    He boldly speculated that the cause of the disease would appear in the small intestine?


    The small intestine of an adult is about 7m long, and the shortest is 5m. It is the main nutrient absorption organ of the human body.


    The patient is so thin, of course, there are reasons for long-term bleeding.


    But it''s also possible that this is just a smokescreen.


    It is for this reason that the doctor''s diagnostic thinking is led by the nose. In other words, the doctor''s diagnosis fell into this almost iron-clad misunderstanding.


    When Zhou Can first learned about the patient''s condition, he heard that the patient had blood in his stool for more than half a year before he came to the hospital for medical treatment.


    It is also instinctive to think that the patient''s weight loss is caused by the delay for too long.


    It is impossible for anyone to maintain weight without losing weight if they have blood in their stools for more than half a year.


    "Yes, the small intestine should be checked."


    The more Zhou Can thought about it, the more reasonable he felt, and his thinking became clearer.


    The alternative way of diagnosis allowed him to break the inherent iron law and get out of the misunderstanding of diagnosis.


    There is a problem with the small intestine, what is the most likely cause?


    First, a condition must be met.


    Bleeding from the large intestine occurs when dirty fluid from the small intestine enters the large intestine.


    This can also well explain that the bleeding site of the large intestine is not fixed.


    Zhou Can decided to ask the patient''s attending physician about the situation.


    The attending physician who received this patient was named Xia Ping, and he was an attending physician in the Department of Gastrointestinal Medicine.


    After eating in the hospital cafeteria, it was already half past six.


    The gastroenterology clinic must have been off work long ago.


    But there will definitely be a doctor on duty in the inpatient department.


    Zhou Can has a good relationship with Director Tan and Director Yin Hua of the Department of Internal Medicine. These are all the top bosses in internal medicine.


    At this time, I went to the inpatient department of the internal medicine department to ask Dr. Xia Ping about the situation. There should be no problem.


    He is a man of action, he does what he thinks, and never lets his dreams fail.


    Walk quickly all the way to the inpatient department of Gastroenterology.


    "Hello, I''m Zhou Can, a regular training doctor in the Department of Intensive Care Medicine, and I''m looking for Dr. Xia Ping, a doctor in the Department of Gastroenterology."


    Zhou Can could only ask the girl at the nurse''s station.


    "I''m sorry, Dr. Xia is off work. If you''re not in a hurry, you can come and see him tomorrow."


    The attitude of the nurse sister is not bad.


    The reason why she is called sister nurse is because she is at least thirty years old.


    Much older than Zhou Can.


    You can only be called a nurse girl when you meet that kind of fresh and tender nurse in her twenties.


    "The matter is not particularly urgent, but it concerns the safety of a patient in the intensive care unit. I want to ask Dr. Xia about the patient''s situation right now. You can also tell me Dr. Xia''s phone number."


    Zhou Can was really worried that the patient in bed 7 would not last long.


    Because when I defecated today, the intestines were pulled out.


    Moreover, the patient''s physical condition is already extremely weak. It would be much more meaningful to find out the cause of his bleeding one day earlier.


    "We don''t have a doctor''s phone here! You can go to the doctor''s duty room and ask the doctor on duty."


    Nurses deal with a large number of family members every day.


    One by one is very slippery.


    If you want to ask something out of their mouths, unless you are a doctor in the department with a good relationship, don''t even think about it.


    Zhou Can had learned the lesson, so he stopped wasting time and went straight into the doctor''s office.


    Dongdongdong!


    The door of the office is openthe lights are on, and only one doctor is sitting with his back to the door.


    Knocking on the door is a sign of politeness.


    "Come in!"


    The doctor looked back.


    "It''s you! If you don''t work in the emergency department, why did you come to our gastroenterology department?"


    This male doctor is none other than Doctor Chi who went to the emergency department last time.


    His impression of Zhou Can should be quite deep.


    Otherwise, it is impossible to recognize it at a glance.


    "Doctor Chi, hello!"


    Zhou Can tries to respect each other as much as possible.


    Last time, Dr. Chi went to the emergency department to be extremely arrogant, and ended up in a disgraceful mess.


    Zhou Can naturally wouldn''t bring up the embarrassing things about the other party.


    "Is there something wrong?"


    Dr. Chi was a little unnatural, and probably remembered what happened last time.


    "I want to ask Dr. Xia Ping about a patient''s condition, can you tell me the phone number?"


    Zhou Can lowered his posture and asked.


    "Dr. Xia''s phone number, okay, I''ll look for it, wait a minute!"


    Dr. Chi didn''t make things difficult, and really put down what he was doing to find Zhou Can''s phone number.


    "Here, this is Dr. Xia''s mobile phone number, you can just dial it. But now it''s off-duty time, it''s hard to say if I can get in touch."


    "thank you!"


    Zhou Can called the number on the duty list.


    Fortunately, it was connected.


    He didn''t shy away from it, and asked the patient directly in the office.


    "Hello, Dr. Xia, I am Zhou Can, Gui Peisheng from the Department of Intensive Care Medicine. I would like to ask you about the situation of a patient with gastrointestinal bleeding named Guo Ziyang in bed 7. Is it convenient now?"


    Zhou Can asked.


    "Convenient, convenient, you say!"


    The voice on the other end of the phone is calm and full of magnetic voice.

 Chapter 165： The cause is found, and the medicine is difficult

    Dr. Chi didn''t pay much attention to it at first, because Zhou Can was just a trainee.


    He thought it was a doctor from the intensive care medicine department who summoned Zhou Can over to learn about the patient''s diagnosis and treatment.


    "The patient was examined and found to have intestinal bleeding, can you describe the details?"


    "At that time, angiography was performed on the patient, and the bleeding was mainly concentrated in the colonic segment of the large intestine. Multiple, diffuse bleeding." Dr. Xia Ping introduced the situation at that time.


    He is the treating doctor and the patient''s attending physician, and he knows the patient''s situation best.


    Diffuse bleeding generally occurs in the most dangerous intracranial.


    It spreads the bleeding area like smoke. Often refers to multiple points of bleeding at the same time, chronic more common. This bleeding is often associated with superficial capillary lesions or dilatations. There is sepsis, the most common.


    "What about the other intestines? Is there any bleeding?"


    Zhou Can continued to ask.


    Make this phone call, the harvest is very big.


    At least he has initially asked what he wanted to know.


    "There is almost no bleeding in the cecum, and there is a little bleeding in the rectum. There is also no bleeding in the anorectum. Later, unable to withstand the repeated pleas of the family members, I took the risk of performing a colonoscopy on the patient. Consistent with the results of angiography, the bleeding mainly concentrated In the colon segment. There is also a small amount of bleeding in the rectal segment. Treatment with thrombin, cryotherapy, the effect is not good."


    "Through observation and comparison, I also found that the position of the bleeding point found during endoscopy is different from that found during angiography. I am sure that the position of the bleeding point in patients is constantly changing."


    Dr. Xia described all his discoveries.


    After hearing this, Zhou Can was even more convinced that there was something wrong with the small intestine.


    The details learned from Xia Ping are too precious.


    "Do you think it is possible that the malignant tumor infiltrated the intestinal wall and caused bleeding?"


    Zhou Can made the final elimination.


    If malignancy can also be ruled out, he can narrow the diagnosis even further.


    "The possibility of malignant tumors is extremely small. At least colon cancer and rectal cancer can basically be ruled out."


    Xia Ping is quite conservative in speaking.


    This is also an experienced doctor who was forced to practice speaking skills during various beatings.


    Unless a doctor is really capable and has full confidence in the field he is extremely good at, he dares to speak with certainty.


    Otherwise, it is generally a skill that can retreat and advance.


    "Doctor Zhou, who is your superior doctor? Did he ask you to inquire about the patient''s condition?" Xia Ping seemed to hear something wrong, and began to question Zhou Can in turn.


    "My superior doctor is Hu Yiba from the Department of Intensive Care Medicine. Dr. Hu doesn''t know about this, but I want to know the patient''s situation, so I take the liberty to bother you."


    Zhou Can didn''t dare to talk nonsense.


    Many of the doctors in the hospital know each other, and they can tell if something is true as soon as they inquire about it.


    He dared not bear a charge of dishonesty.


    "So that''s the case! I''m busy here. If there''s nothing else, let''s stop here!" Xia Ping heard that it was Zhou Can''s own idea, and his attitude immediately became much colder.


    The superior doctor often encounters a novice like Zhou Can who asks questions.


    Like a curious baby, he always asks the superior doctor to ask various questions.


    The superior doctors may have a little patience in the face of the subordinate doctors they are in charge of teaching. This is basically the attitude towards those junior doctors who have nothing to do with them.


    "Can you tell me about the specific treatment you have done for the patient?"


    Zhou Can still wants to know more.


    Especially the treatment methods used by the treating doctor, as well as the effect after treatment, and the reaction of the patient.


    These data are very valuable and can help him better diagnose the cause of the patient.


    Why is it difficult to diagnose some intractable diseases?


    Just because the common causes were ruled out one by one. It is necessary for the doctor concerned to try it out himself like a pony crossing the river, and find out a road that no one has ever traveled.


    "You can check the medical records directly for the specific treatments you have had. I have something to do here. Goodbye."


    The words fell, without waiting for Zhou Can to say anything more.


    The other end of the phone hung up directly, and there was a busy tone to end the call.


    This doctor Xia is really realistic.


    Zhou Can was speechless for a while.


    Fortunately, a lot of key information has been asked, and the harvest of this trip is not bad.


    "It''s a good thing for novice doctors to study hard and ask questions, but they should pay attention to moderation. Our attending physicians are often very busy, and few of them are willing to spend their spare time answering some miscellaneous questions."


    What Dr. Chi said to Zhou Can was more of a warning.


    No malice.


    Just tell Zhou Can not to be so aggressive next time, it is very disgusting to disturb the superior doctor casually.


    Zhou Can didn''t argue with him.


    Instead, he thanked him and left quickly.


    Now it has been basically confirmed that the patient''s lesion is in the small intestine.


    As for the specific cause, after eliminating items one by one, a flash of light suddenly flashed in his mind.


    Could it be a parasite? And this parasite is not in the large intestine, but hiding in the small intestine.


    Pathological diagnosis experience +1.]


    The experience points have already been credited, which shows that his diagnosis is correct.


    In order to make a final diagnosis, further examinations must be performed on the patient.


    Zhou Can was excited for a while.


    The hard work paid off, and the diagnosis of this patient finally took another big step forward.


    At this moment, the cause of the disease has been basically clarified.


    There are parasites in the patient''s small intestine.


    As for the method of causing trouble, it can be further dialectical.


    The patient''s stool has been routinely tested, and if there are parasites, they can usually be detected. At least eggs can be found.


    However, no parasites or eggs were found during routine bowel movements, which means that the parasites are likely to hide in the small intestine while frantically absorbing the patient''s nutrients, and then produce substances that can make the large intestine bleed.


    It could be larvae, or it could be some kind of hormone, harmful substance that stimulates intestinal bleeding.


    Considering that the patient had diffuse bleeding, and concentrated in the colon segment.


    Zhou Can prefers that the parasites lurk in the small intestine, absorb the nutrients they need from the intestinal juice, and then excrete irritating and harmful substances that can cause bleeding in the large intestine.


    After the small intestine fluid enters the large intestine, the cecum section is very short and its function is similar to that of the small intestine. It mainly absorbs the nutrients and impurities that have not been absorbed by the small intestine.


    Those small intestinal fluids spend less time in the cecum.


    On the contrary, the colon is as long as 1.1m. When food passes through the stomach and small intestine and reaches the colon, it secretes some alkaline substances to protect the intestinal mucosa and lubricate the intestinal tract. At the same time absorb water, sodium and other electrolytes.


    After the food residue reaches the colon, it is absorbed by water and slowly forms stool.


    With the continuous peristalsis of the colon, the stool is discharged into the rectum.


    Finally, it is excreted through the anorectum and anus.


    It can be seen from here that the liquid discharged from the small intestine stays in the colon for the longest time.


    And it also has the process of turning feces from liquid to solid.


    In this process, those harmful substances that can cause intestinal wall bleeding are absorbed by the intestinal wall, thus causing telangiectasia and diffuse bleeding.


    The diagnostic thinking has reached this step, and it is already very clear and definite.


    That harmful substance can cause telangiectasia in the large intestine.


    Probably because the irritation is not particularly strong, it only causes mild chronic bleeding.


    Congratulations on successfully diagnosing a super-difficult case, the experience value of pathological diagnosis is +100. ¡¿


    At this moment, the truth is revealed to the world.


    After Zhou Can clenched his fist hard, he raised his arm.


    The heart is extremely excited.


    Not only was he rewarded with 100 pathological diagnosis experience points, but he could also save a life.


    This thing is so meaningful.


    Now that it has been confirmed that it is a parasite and it is causing trouble in the small intestine, taking anthelmintic medicine should be able to quickly stop the gastrointestinal bleeding of the 7-bed patient.


    Although the cause of the disease has been diagnosed clearly, how to convince the superior doctor is still a problem.


    The superior doctor was extremely cautious in medication, and the patient was already extremely weak. If something happened, no one would be able to bear the responsibility.


    He decided to call the superior doctor Hu Yiba first.


    When he first entered the Department of Critical Care Medicine, Zhou Can only got acquainted with Hu Yiba a little bit.


    He took out his phone, luckily he saved Hu Yiba''s phone number when he got off work.


    Dial directly.


    After two rings, the call was connected.


    "Which one?"


    It seems that Dr. Hu did not save his number.


    From this point, it can also be seen that the doctors actually look down on the "relationship households" who are greeted by someone above.


    Zhou Can is much stronger than those related households with background but no ability.


    At least because of his strength, he was cultivated by Vice President Ye.


    But in the eyes of Dr. Hu, the status is still very low.


    "Hello, Doctor Hu, I''m Zhou Can, Gui Peisheng, who was just assigned to you today."


    Zhou Can introduced his name with a very humble attitude.


    "Oh! It''s Xiao Zhou, what''s the matter?"


    Dr. Hu''s attitude is still gentle.


    "After trying hard to argue, I consulted the superior doctor, and it seemed that I found the cause of the bleeding of the patient in the seventh bed."


    Zhou Can knew that his qualifications were low, and it would be difficult for Dr. Hu to believe him if he didn''t use two unwarranted superior doctors as tiger skins.


    "Hehe, you found the cause of the bleeding so quickly? Tell me."


    Dr. Hu obviously didn''t take it seriously.


    He even felt that Zhou Can was a little eager for quick success, thinking of doing meritorious service when he first entered the intensive care medicine department.


    The 7-bed patient has been consulted by many doctors in the Department of Gastroenterology, including director-level physicians. After being admitted to the ICU, Dr. Hu, Dr. Shi, and the Chief Physician of the Department all learned about the patient''s condition.


    So many people have not found the cause of bleeding.


    On his first day in the intensive care unit, Zhou Can told him that the cause of the patient''s bleeding had been found.


    Dr. Hu only felt that this young man was naive and superficial.


    Of course, he won''t point it out in person.


    "I consulted Dr. Xia, the attending physician of this patient. The patient mainly had diffuse and widespread unexplained hemorrhage in the colon segment. Each bleeding site was different. Various common gastrointestinal bleeding diseases can be ruled out. After Dialectically, we believe that the real lesion of the patient is likely to be in the small intestine. And it is possible that the excrement of the parasite causes telangiectasia in the inner wall of the large intestine, which eventually causes bleeding..."


    Zhou Can could tell that Dr. Hu didn''t pay much attention to his diagnosis.


    He still tried his best to describe his diagnostic thinking.


    He even told Dr. Xia that he had gone to see him.


    "Well! I will pay attention to your diagnostic opinions. I am off work now. If there is any problem, let''s discuss it at work tomorrow!"


    Dr. Hu''s words are purely clich¨¦s.


    Most of them are perfunctory.


    "The patient''s condition is critical. If it can be diagnosed early and treated with drugs, it will definitely be of great significance. Do you think it can be handled today?"


    Zhou Can bit the bullet and asked.


    Judging by Dr. Hu''s tone, he definitely didn''t take it seriously.


    After finally diagnosing the cause, the superior doctor did not trust him, and the follow-up treatment could not be implemented.


    This made Zhou Can extremely unwilling.


    The rewards of the experience point system are already in place, and his diagnosis must be correct.


    I didn''t expect to be stuck at the level of the superior doctor.


    "Xiao Zhou, newbies should avoid rushing for quick success and quick profit. They must be more calm. Every patient in the ICU is dying. According to your statement, insecticides are likely to be used. All insecticides are spraying medicines. It will have a certain impact on the body. Normal people can tolerate it, and even don¡¯t notice any symptoms. But for critically ill patients, even a little adverse effect on the body may be multiplied.¡±


    "You said that parasites are causing trouble in the small intestine, you can''t just rely on inference! There must be a scientific basis for diagnosis. It is extremely irresponsible to use insecticides on critically ill patients based on inference. A doctor can bear the possible adverse consequences."


    Dr. Hu criticized him very tactfully.


    These words are all reasonable.


    This is the reason.


    But doing everything according to the rules and procedures is somewhat dogmatic.


    This arbitrary approach will definitely delay the treatment of patients.


    "Of course, your spirit of daring to explore and diligently studying is very worthy of encouragement. Let''s talk about the diagnosis and treatment of patients with 7 beds tomorrow. Now the regular departments of the hospital are off work and can''t start work. Rest early Bar!"


    After speaking, Dr. Hu hung up the phone.


    Zhou Can froze in place.


    Filled with joy and excitement, being poured with a basin of cold water.


    Taking two deep breaths and adjusting his mood, he decided not to hit the south wall and not look back.


    Go directly to the duty room of the intensive care unit to find the taciturn Doctor Shi.


    To do so requires great courage.


    Because it is very likely that things will not be done in the end, and it will be a mess.


    People need face, trees need bark.


    Being continuously rejected and criticized by superior doctors, I believe that no doctor is willing to do such thankless things.


    Zhou Can has always been a bit ''stupid'' when it comes to treating patients.


    He walked directly to the door of the intensive care unit.


    Ring the doorbell.


    The door opened quickly.


    A nurse stood inside.


    It looked familiar.


    Nurses work on a 12-hour system in the ICU. In fact, it is often necessary to work more than 13 hours.


    Zhou Can got off work, and the nurses didn''t take over.


    "Doctor Zhou, aren''t you off work? Did you forget something?"


    The nurse asked him with a smile.


    "I want to ask Dr. Shi to give some feedback about the situation of the 7-bed patient."


    Zhou Can walked in directly.


    "Doctor Shi happens to be in the duty room, just change your clothes and go find him."


    "Thanks."


    Zhou Can changed into the isolation suit and walked into the duty room.


    Several doctors and nurses were discussing the patient''s treatment and condition inside. Dr. Shi seemed to be prescribing a doctor''s order for the patient, constantly operating on the computer, frowning and thinking from time to time.


    When Zhou Can entered the duty room, he did not attract much attention from other doctors and nurses.


    "Doctor Shi, may I bother you?"


    Zhou Can walked up to Dr. Shi to say hello.


    Doctor Shi looked up at him and recognized him.


    "Aren''t you the regular trainer under Dr. Hu? What do you want from me?"


    There was no smile on his face, and his tone was quite indifferent.


    Zhou Can gritted his teeth, bit the bullet and told about the patients in the seventh bed.


    Dr. Shi has been listening silently, the expression on his face has not changed much.


    Gui Peisheng, who was sitting next to him, showed an imperceptible expression of disdain at the corner of his mouth. You may feel that Zhou Can is just looking for trouble.


    After listening to Zhou Can''s narration, Dr. Shi didn''t change much in expression.


    His eyes were still cold and his face was serious.


    Standing by the side, Zhou Can was very anxious. If Dr. Shi still didn''t pay attention to his diagnosis opinion, he might have to wait until tomorrow to find a way to persuade Dr. Hu.


    The cause of the disease has been diagnosed But treating the patient has become the biggest problem.


    No doctor would dare to take that risk.


    And there is really no basis for checking.


    Dr. Shi pondered for a moment, but didn''t say a word. Then continue to operate the computer and continue to prescribe medical orders to patients.


    Zhou Can stood there, looking very embarrassed.


    It''s not right to go, it seems more embarrassing not to go.


    It seemed to be regarded as air by Dr. Shi.


    After seven or eight minutes, Dr. Shi finally finished prescribing the doctor''s order.


    This period of waiting was really a torment for Zhou Can. Other doctors and nurses cast strange glances from time to time, which made him feel even more uncomfortable.


    It felt like a clown standing there being looked at.


    "Did you come up with these diagnoses?"


    Doctor Shi didn''t forget him, he turned slightly and looked up into Zhou Can''s eyes.


    "yes!"


    Zhou Can couldn''t lie, because the other party''s eyes seemed to be able to penetrate people''s hearts.


    It''s even more difficult if you don''t speak frankly.


    Bite the bullet and admit it is the best way.


    "As soon as I heard it, I knew it was your own reasoning. Why did you have to involve a non-existent superior doctor? Experienced superior doctors, the diagnostic thinking is step by step, and every step is based on inspection data or symptoms. Your The way of diagnosis is more like a powerful and unconstrained style, a child''s scribbles."


    Dr. Shi looked taciturn, but he didn''t expect his insight to be so perverted.


    A burst of cold sweat broke out on Zhou Can''s back.


    "However, it is your alternative thinking of breaking the rules and jumping out of the shackles that gave me a glimmer of hope. I urgently need to go in to treat patients, and I will come out in about half an hour to an hour. If you want, you can wait here Me, when the time comes, I will have a good discussion with you about the patients in bed 7."


    Doctor Shi said.

 Chapter 166： After making great contributions, Dr. Hus intestines are full of remorse

    "I''ll wait for you here!"


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


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


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


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


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


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


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


    Many people wonder why Zhou Can is sitting here?


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


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


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


    ¡­


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


    Look, the face is full of exhaustion.


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


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


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


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


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


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


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


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


    After saying a few words, Dr. Shi interrupted.


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


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


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


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


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


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


    Doctor Shi is very honest.


    It''s reassuring to hear.


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


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


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


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


    And a specialist in intensive care medicine.


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


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


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


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


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


    Zhou Can got up to say goodbye.


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


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


    Doctor Shi stopped him.


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


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


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


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


    As for his medication recommendations.


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


    Unable to prescribe medicine.


    There are also very few doctor''s orders.


    Basically has been in a trainee state.


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


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


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


    ¡­


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


    I don''t know what happened?


    "Morning, Doctor Hu!"


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


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


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


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


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


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


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


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


    Nurses work in two shifts.


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


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


    The work I do is basically nursing care and medication.


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


    "Doctor Hu is here!"


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


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


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


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


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


    "Is the condition of these patients okay?"


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


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


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


    This is also a normal handover.


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


    There was a trace of dissatisfaction in his eyes.


    Zhou Can pretended not to see it.


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


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


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


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


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


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


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


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


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


    Breathing is fairly steady.


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


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


    "Hello Director Liu!"


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


    The young doctor also looked respectful.


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


    "You are Zhou Can, right?"


    "I am!"


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


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


    People are also killed by strength.


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


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


    It''s good to know the cause.


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


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


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


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


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


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


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


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


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


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


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


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


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


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


    The ability that this parasite has evolved is truly terrifying.


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


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


    The daily testing volume of the laboratory is very huge.


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


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


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


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


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


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


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


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


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


    Zhou Can was a little embarrassed by his praise.


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


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


    sweat!


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


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


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


    Zhou Can rejected them all.


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


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


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


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


    It''s just superficially decent.


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


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


    Even be able to write a good paper.


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


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


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


    The next day, the lottery was won.


    Dr. Hu is almost in this mood now.


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


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

 Chapter 167： 1 special medical technique, the turnaround of six-bed patients

    "Just come to the office and wait for me at around 3:30 tomorrow afternoon."


    It seems that Director Liu will be on the night shift tomorrow.


    "Do you have WeChat? I will add the work group in the group later. If there is a temporary shift in the group, or other things, it will be notified in the group."


    Doctors in almost every department are divided into several medical teams.


    For example, in the group of extraskeletal and bone trauma, the doctors in this group basically study diseases in the field of bone trauma. Then a group of bones and joints. Microsurgery a group. Watch a group. One set outside the ankle. A group in spine surgery.


    Zhou Can has just entered the intensive care unit, so he doesn''t know much about the division of this department.


    Intensive care medicine is generally divided into three groups.


    It mainly includes respiratory, multiple organ dysfunction, cardiovascular and cerebrovascular and nerve, these three fields.


    To put it bluntly, it is the three major systems of internal and external circulation and nerves.


    As long as there are no problems with these three systems, a person''s life is guaranteed.


    External circulation mainly refers to breathing, including the entire respiratory system, blood oxygen exchange, synthesis, etc.


    Internal circulation mainly refers to blood transport, supply of blood and oxygen in the body, nutrient supply and excretion.


    Needless to say, the nerves are the entire nervous system with the brain stem as the center.


    After analyzing the three major systems of a person''s life support, looking at the work of an anesthesiologist, it seems that it is not so mysterious.


    If you want to make the patient lose the pain sensation, just cut off the nerve signal.


    General anesthesia and spinal anesthesia are the most commonly used methods by anesthesiologists. As for local anesthesia, this rarely bothers them.


    Considering the cost of the operation in the department, the chief surgeon generally does this together.


    "Dr. Hu, remember to drag Dr. Zhou into our working group after get off work."


    After Director Liu explained, he left without waiting for Zhou Can to say anything else.


    After Director Liu left, Dr. Hu obviously relaxed a lot.


    "In the future, it will be your young people''s world! The waves of the Yangtze River will rush forward, and each generation will be stronger than the next." Dr. Hu''s expression is very complicated.


    Looking at Zhou Can''s great achievements, it would be a lie to say that he is not bitter.


    Now, Zhou Can has won the appreciation of Director Hu, and he can be said to have hard wings.


    Dr. Hu can only accept the reality.


    Try to maintain a good colleague relationship with Zhou Can, and stop treating him as an ordinary trainee.


    At this time, the alarm on bed 6 sounded.


    The alarm sound of each machine is actually different.


    Zhou Can has been working here for a day. As soon as you hear the sound, you know that there is a problem with your blood pressure.


    I ran over and saw that the blood pressure was dropping vertically.


    The No. 6 bed may have to send another one away. When will this curse be broken!


    Dr. Hu is used to all kinds of big scenes, so he doesn''t panic.


    After checking, he said decisively, "It''s ventricular fibrillation, it must be ventricular fibrillation. Defibrillation immediately."


    Ventricular fibrillation is rapid, weak contraction or uncoordinated rapid fibrillation of the ventricles.


    No bleeding from the heart, loss of heart sounds and pulse.


    Heart, brain and other organs and surrounding tissues stop blood perfusion.


    The human heart is like a water pump, which pumps blood out through constant beating, and transports blood to major organs and tissues of the body through arteries.


    When ventricular fibrillation occurs, it is equivalent to a problem with the water pump, and the blood is pumped weakly.


    Irreversible damage occurs within three minutes of brain ischemia. Brain cells began to die one after another.


    Ventricular fibrillation is very dangerous.


    At this time, the most common rescue method is defibrillator defibrillation.


    "Xiao Zhou, I taught you defibrillation yesterday, can you operate it?"


    "meeting!"


    Zhou Can took the prepared defibrillator and didn''t talk nonsense.


    Deliver an electric shock to the patient''s chest.


    After receiving the electric shock, the patient''s body bounced up violently.


    This is a normal reaction.


    Emergency life wisdom, experience value +1.]


    Zhou Can was a little confused.


    I have never obtained this medical skill before! Why did an emergency life wisdom medical technique suddenly appear?


    He is in a hurry to rescue the patient right now, so he can''t study it carefully.


    The first time the patient was defibrillated by electric shock, the effect was not very good.


    "Come again!"


    Dr. Hu stood by and calmly directed.


    Zhou Can defibrillated the patient again.


    Emergency life wisdom, experience value +1.]


    The patient''s heart rate and blood pressure gradually returned to normal, and this fate was temporarily rescued.


    Both he and Dr. Hu breathed a sigh of relief.


    It was really scary to watch the patient''s blood pressure drop in a straight line.


    Some patients living in the ICU ward have to go around the gate of **** many times a day.


    Doctors and nurses work together to pull them back every time, and then continue various life support and treatment. Until all means were exhausted, they were successfully saved from danger and transferred out of the ICU.


    Or end up sending people away.


    There are also some special circumstances that will allow patients to be transferred out.


    For example, the family disagrees with the rule of law. Or patients with malignant tumors, or other terminally ill patients, knowing that they cannot be cured.


    In principle, such patients would have them transferred.


    Some private hospitals or small hospitals may consider the operating cost of the ICU. When there are not enough patients, it is also one of the common tricks to stay for a few more days.


    Regular doctors like Tuya and ICU patients need to get family members to sign and agree if the cost of materials exceeds 200 yuan.


    Moreover, the operating costs of icu are very high, and basically they are all at a loss.


    Let me give two examples of fees to explain that the ICU treatment fee is at least two to three thousand a day, and the highest is tens of thousands. Why do you say it will lose money?


    A thoracentesis or paracentesis for a patient costs about 90 yuan per session.


    Performing a thoracentesis requires at least two nurses.


    A senior attending doctor, plus a nurse to help.


    If the puncture goes well, it will definitely take half an hour. This is due to the excellent operating skills of the attending physician, skillful techniques, and proper cooperation of the nurses. The patient''s condition is relatively normal.


    Otherwise, various difficulties will arise in puncturing. At this time, B-ultrasound positioning must be used to complete the puncture.


    Two or three people have been busy for at least half an hour, and they have to use B-ultrasound, which is not cheap, nor is it particularly expensive. and consumables. The final fee is ninety yuan.


    Do you think the hospital is losing money?


    To give another example, I believe many people are familiar with chest compressions.


    This is often referred to as cardiopulmonary resuscitation.


    I believe anyone who has done chest compressions knows how tiring the seemingly simple chest compressions are. If the rescuer is an adult, the depth of each pressing is about 5cm, and more than 100 pressings are required per minute.


    It is best to reach about 120 times.


    For this kind of high-intensity pressing, one or two people take turns, and the time is short. For a long time, don''t even think about it.


    But the family members were unwilling to give up, and even with tears in their eyes and teeth gritted, the doctors and nurses had to continue to rescue her from exhaustion.


    Generally, this rescue process will last for several hours.


    Four or five hours is common.


    Families generally hope for a miracle of life, so that doctors can rescue their loved ones back. Therefore, the family members will not give up if they do not rescue for a few hours.


    Even press for four hours.


    Such a long time of pressing often requires four or five medical staff. The strength of the nurse is small, and it is usually the doctor who presses.


    Four or five doctors worked hard for four or five hours, how much was the final fee?


    100 bucks.


    Moreover, the hospital has a rigid rule that it must only be charged once.


    In some patients, the heart can stop beating several times a day. He is just teasing you doctors, asking you to press and rescue desperately.


    The final fee is still 100 yuan.


    Did the hospital lose or gain?


    Half a day''s salary for a doctor is not enough.


    Many family members and patients just opened their mouths and said that the ICU in the hospital is really **** bad, charging him 10,000 to 20,000 a day, and stealing money.


    It''s just that they don''t look at which expensive instruments, expensive consumables and medicines were used that day.


    Many consumables are imported.


    Why not use domestic products? I will cry if I continue. Domestic quality is hard to describe.


    Not to mention medicinal materials.


    In a large public hospital like Tuya, please don¡¯t say that the cost of ICU treatment is expensive in the future. As long as you can save your life, it''s definitely worth it.


    In case of loss of life and wealth, the doctors and nurses really did their best.


    ¡­


    Zhou Can waited until the condition of the patients in bed 6 was slightly stable, and immediately checked the new medical techniques that just popped up.


    As a result, I didn''t know if I didn''t read it, but I was very happy when I saw it.


    I don''t know when two new medical skills appeared.


    Most likely it was obtained while falling asleep last night.


    Because he returned to the apartment yesterday, he practiced sharp knife skills and checked his personal medical skills. There are no these two medical skills.


    First aid life wisdom, current experience value: primary 2/1000. Special medical skills can multiply wisdom when rescuing patients, calm the mind, and improve diagnostic thinking by 50%. ¡¿


    This is the first special medical skill he has acquired.


    Very interesting, this medical skill is only useful under the premise of rescuing patients.


    The diagnosis thinking has been improved by 50%, which is of great help to him in diagnosing the cause of the patient and finding out the focus.


    No wonder when the car accident patient was defibrillated just now, his mind was obviously clearer than usual.


    It may be that this medical skill has played a role.


    Diagnosis thinking is equivalent to problem-solving thinking, the clearer it is, the easier it is to answer questions.


    The accuracy rate will also be higher.


    Look at another new medical technique.


    Pharmacological dialectics, current experience value: Level 3 1/1000, lower level for residents. ¡¿


    This medical skill can deepen the understanding and application of pharmacology, and can dialectically apply medication to ensure the correct medication and achieve the best therapeutic effect.


    This medical skill is directly at the level of a resident doctor, which may be related to Zhou Can''s solid pharmacological foundation.


    His pharmacological basis is far better than ordinary Pearson.


    Now that he has pharmacological dialectical medical skills, Zhou Can can quickly improve his medical skills just by obtaining a licensed physician certificate and the right to prescribe.


    Pathological diagnosis is to find out the cause and clarify the pathological mechanism.


    Up to now, Zhou Can has the three major methods of diagnosis, medication, and surgery to overcome the serious illness.


    As long as these medical skills are gradually improved, he believes that more and more diseases can be treated.


    These two new medical skills must have been acquired because of the treatment of 7 patients last night.


    The dialectic of pharmacology is because he prescribed medicine to the patient, and Dr. Shi probably adopted it.


    As for the emergency medical skills, it is equivalent to giving him a compliment for his active rescue of patients.


    Or when he was rescuing patients, he would often be fascinated, as if possessed by a demon.


    In this state, the diagnostic thinking and wisdom are far beyond the normal state.


    It is equivalent to the meaning of extraordinary performance.


    In any case, the two new medical skills he acquired made Zhou Can feel like a treasure, and his heart was full of joy.


    "Xiao Zhou, Xiao Zhou!"


    Seeing Zhou Can standing there in a daze, Dr. Hu kept calling.


    "Ah... you called me?"


    After Zhou Can recovered, he felt a little embarrassed.


    "You can''t go on a errand while working here. You must always maintain a high degree of vigilance. Otherwise, a small mistake may cause the patient to be rescued in time, causing extremely serious consequences."


    Dr. Hu warned him in a more serious tone.


    "Understood! I will definitely pay attention next time."


    Zhou Can''s mind couldn''t help but see the supernatural Zhu Shenfeng. Just because of diarrhea, a moment of slack almost led to a serious medical accident.


    "You keep an eye here, I''ll go over there and help them."


    There were five or six doctors and nurses surrounding a hospital bed not far away, trying their best to rescue the critically ill patients on the bed.


    The danger of the battle can be felt from far away.


    Dr. Hu took the initiative to help, which greatly changed Zhou Can''s impression of him.


    At least in the unity of departments and the normal rescue process, Dr. Hu is a qualified and good doctor.


    He is unwilling to take the risk of giving medicine to patients, and he has his own worries and concerns.


    Not every doctor is willing to risk his future and his hard-won job.


    Any mistake could lead to loss of jobs or even lawsuits.


    Sentencing is generally rare.


    Even if the doctor has obvious faults, as long as there is no subjective malice, the most punishment is suspension of work, suspension of prescription rights, and suspension of operation authority. If it is more serious, the medical license will be revoked. The most serious thing is that the industry is banned for life.


    That is to say, he is not allowed to practice medicine for the rest of his life.


    Zhou Can picked up the patient data of 6 beds to check. The examination report showed that the intracranial hemorrhage was severe, and the leg fracture was nothing compared to the brain injury.


    "The bleeding point is close to the brain stem, and it is a large area of ??bleeding, accompanied by subarachnoid hemorrhage. The skull is fractured. The patient is deeply comatose."


    No wonder no doctor dared to operate on this patient.


    The risk is too great.


    The only way is to stay in the ICU for a few days to see if the bleeding can stop automatically?


    Wait until the patient has overcome this difficulty and the situation is a little more stable before formulating the next treatment plan.


    "If the bleeding can be stopped surgically and the intracranial congestion can be removed, at least this patient''s life should be saved."


    After reading the examination report, Zhou Can quickly thought about the patient''s treatment plan in his mind.


    The plan he thought of may not necessarily be implemented.


    But it can help him accumulate treatment experience and expand his thinking.


    The patient''s chest CT showed no particularly serious injuries. The ventricular fibrillation that occurred just now is likely to be caused by a brain problem.


    One of the most common symptoms of intracranial hemorrhage is intracranial hypertension.


    Or a hematoma occurs, compressing important brain tissue.


    What is more serious is that the bleeding site itself occurs in important brain tissue. This condition is usually accompanied by damage to important brain tissue.


    "If the patient''s condition can be stabilized, maybe an endoscopic surgery can be tried. It mainly includes hemostasis, aspiration of blood congestion, and reduction of intracranial pressure."


    After Zhou Can''s careful study and safety, the only treatment method he could think of was surgery.


    It may take a long time to do traditional craniotomy, and the patient''s physical tolerance requirements will be much higher. For minimally invasive endoscopic surgery, you should wait until tomorrow at the latest to reach the surgical target.


    Zhou Can found out that the two months of regular training outside the gods had really gained a lot.


    By diagnosing this patient at this moment, he can confidently formulate some sure surgical plans.


    Having performed so many third- and fourth-level major surgeries in Shenwai, his knowledge, experience, and prediction of the entire perioperative period are all different.


    "Brother, if you can hear me speak, you will grit your teeth and get through today. When your condition is stable, I will suggest surgery to the superior physician." Zhou Can said to the patient.


    I thought that the comatose patient would definitely not be able to hear.


    As a result, Zhou Can found tears flowing from the corners of the patient''s eyes.


    Then he found that the patient''s heart rate increased significantly, and the brain waves also had some high-sharp waves. It seems that the patient really heard what he said, and it aroused the emotional excitement of the patient.


    Can hear me speak, and can think normally, produce mood swings, it seems that the patient''s brain is awake, and the degree of coma has been reduced.


    After Zhou Can made these discoveries, he was overjoyed.


    This seemingly critically ill patient can be saved~ www.novelhall.com~ As long as he survives this hurdle and helps him perform intracranial hemostasis and hematoma removal surgery, he will survive.


    While examining the 6-bed patient, Zhou Can recorded various conditions such as central venous blood pressure and urine output.


    For patients living in the ICU, inserting a urinary catheter is not just to prevent the patient from urinating on their body or going to the toilet frequently. It is also for very accurate observation of urine volume, color, etc.


    Hematuria, proteinuria and the like can be found immediately.


    If a patient has no urine for more than two days, even if other signs are stable, it is not optimistic.


    Basically, if the patient has no urine for a long time, it means that the internal circulation is not good.


    This kind of organ failure is generally powerless.


    It is not at all that dialysis or other support can save the patient.


    Therefore, for ordinary people, eating and drinking inconspicuously every day is what critically ill patients need most.


    Some key data records are usually recorded every 15 minutes.


    After Zhou Can finished recording, the patient on the 7th bed next to him had already started making loud phlegm noises, which made him rush over to help the 7th bed **** sputum.


    The nurse is turning the 8-bed patient over to check whether he has excreted himself.


    The nurses working in the ICU are all warriors.


    Because sucking phlegm for patients, wiping feces, scrubbing perineum and lips, crushing medicines and feeding them carefully, these are just the simplest daily tasks.


    The stench from some sepsis patients is enough to make many nurses unable to eat for a day.


    However, if you work here for a long time, you will gradually adapt, and your mind will become extremely strong.


    After Zhou Can sucked the sputum of the 7-bed patient, he checked the blood pressure, respiration, urine output and other data, which showed a significant improvement. This is the most gratifying thing for him.

 Chapter 168： 1 trick fresh, eat all over the world. Zhou Can can do this

    For any disease, as long as the etiology and pathological mechanism are diagnosed, and then the symptoms are treated, basically one cure can be used.


    Unless it is a malignant disease, the medicine stone is weak.


    For example, for most cancers, even if the location of the lesion is known, once it spreads, taking drugs can only relieve pain and delay death. There is no drug that can accurately kill cancer cells.


    However, as human medical science and technology have become more and more developed, medicines have also become more and more advanced.


    The advent of a variety of anticancer drugs has given hope to the cure of cancer.


    Maybe one day, cancer will become like a small cold, which can be easily cured.


    The real cause of the disease was found for the 7-bed patient, and after targeted medication, the therapeutic effect was really visible to the naked eye.


    As long as there are no accidents, this patient will definitely be transferred out of the ICU soon.


    Zhou Can feels that the value of his medical studies has been greatly reflected.


    At this time, the doctors and nurses surrounding the 14 beds not far away began to disperse, all with serious expressions. There were tears in the eyes of two little nurses.


    It seems that the patient is already in danger.


    The family members quickly put on isolation suits and were ushered in by nurses.


    It was an elderly man who was lying on the bed for rescue, and the specific illness was not clear. The family members did not cry bitterly, and the whole farewell process was simple and silent. The time is also very short, maybe ten minutes or so at most.


    After extubation, the patient swallowed his last breath and left this wonderful but painful world forever.


    When the nurse finished handling the body of the deceased, the nurse came in with a cart, carried the body into a yellow body bag, and then pulled it out through the corpse door. A life ends here.


    This time it was an old man who died, much better than a white-haired man giving a black-haired man.


    "Well, the old man with advanced lung cancer has been in our intensive care unit for almost two months. The attending doctor has told the family that the treatment is of little significance. But the family insists on treating the old man, no matter how much money is spent No regrets. Now that he is gone, it is actually a relief for the family and the patient."


    After Dr. Hu came back, he took the initiative to tell Zhou Can the story of the 14th bed.


    After Zhou Can heard this, he couldn''t help feeling a lot of emotion.


    In the intensive care unit, you can see the truest side of the family members.


    For example, the patient who drank paraquat in bed 6 yesterday, his wife cried more than anyone else, but it is difficult for outsiders to know how sad he is.


    The family members of the 14-bed patient did not cry or make noise, and the whole farewell process seemed very peaceful.


    Seemingly indifferent, but far more filial piety than imagined.


    Knowing that the old man is old and terminally ill, he is willing to spend huge medical expenses and insists on letting the old man live in the best ICU ward to receive the best treatment.


    All that was spent was real money. Few family members were willing to spend this money when they knew they were losing money.


    "The patient didn''t know that he had cancer until he died. Otherwise, we should take the initiative to extubate."


    Dr. Hu said again.


    "For patients, if they know that they are terminally ill, they may choose to leave this world with dignity. The filial piety of family members seems to be very good, but if it is my parents who have reached this point, I will not hesitate to ask the doctor to withdraw Tubes. Lying in this dark place, believing that patients are tortured every day."


    Zhou Can expressed his opinion.


    "Hey, under the guidance of our Huaxia''s ideology of etiquette and filial piety, it is easy for you to be called unfilial." After hearing this, Dr. Hu was stunned, and looked at Zhou Can as if he had reacquainted himself.


    "My parents told me since I was a child that I don''t have to care about other people''s opinions, live my life well and stick to my heart, that''s enough! For the sake of the so-called filial piety, my parents are lying on the hospital bed in pain, never To live without dignity, it is better to free them earlier."


    Zhou Can''s thinking is indeed different from that of many people.


    He seems to have understood many life philosophies that should not belong to this age.


    Even in the eyes of the world, it looks deviant, but still doesn''t care.


    Patients in the intensive care unit have to be taken care of when they eat, drink and drink.


    For example, the patients in bed 17 are also very old. I heard that he is a retired cadre, and the official is quite big. Looking at the present, we need a ventilator to breathe, and nasal feeding to eat. Pull urine by the catheter.


    The person is awake, but the body is paralyzed and unable to move.


    Eating, drinking, lassing, turning over, raising hands and feet, all need medical help.


    Indistinguishable from a walking dead.


    But the patient insisted on treatment. He heard that he had been very strong before retirement, and his family members did not dare to disobey.


    It has been almost half a year since he was lying in the intensive care unit like this.


    It''s just a sigh of relief.


    I really don''t know what this guy is drawing? Knowing that it is death, why suffer that crime.


    "Oh! I really can''t see that you have such a deep comprehension at such a young age." Dr. Hu praised him, but his eyes and tone showed that he did not agree with Tong Can''s approach.


    Everyone thinks differently and lives differently.


    "Okay, let''s not talk about the great principles of life. Today I will continue to teach you how to use the various instruments and how to administer medicine to patients."


    Dr. Hu changed the subject and began to teach him more critical care medical technology skills.


    "First of all, I must tell you that the significance of the existence of the Department of Critical Care Medicine is not to treat patients, but to save patients'' lives."


    Zhou Can nodded in agreement with this point of view.


    The Department of Critical Care Medicine is doing everything possible to save the lives of patients. Treatment is the job of specialists.


    Because doctors have limited energy and time, it is most important to strive to do one thing well. Doctors and nurses in the intensive care medicine department spend their whole lives trying to study how to better save the lives of patients.


    "You worked hard to find a cure for the 7-bed patient yesterday. From my point of view as an intensive care doctor, I don''t agree with this. Professional things should be left to professional people. Of course, you this time If you succeed, you may feel that I say grapes are sour because I can¡¯t eat grapes. I¡¯m jealous of your meritorious service and so on.¡±


    What Dr. Hu said was not unreasonable.


    "I definitely don''t think so. Although I haven''t dealt with you for a long time, I know that you are a very good doctor."


    Zhou Can was not flattering him, but speaking the truth.


    Maybe everyone''s position is different, and the ideas are naturally different.


    "Thank you for your approval. I will continue to talk about the reasons why you don''t agree with this. For example, giving this patient medicine now seems to be a simple intravenous infusion, but do you know? The ratio and dosage of the medicine given to the patient , as well as the speed of infusion or pumping, all need to be strictly calculated over and over again, and observed and adjusted at any time."


    "A doctor who wants to learn all the first-aid skills and all kinds of medicines in the intensive care unit and use them proficiently will be difficult to achieve in less than ten years.


    higher level. Our doctors here need at least two to three years to manage the bed independently. But those resident doctors often encounter various unsolvable problems. Then turn to those of us attendings for help. "


    "Our attending physicians also have times when we are not sure. At this time, we have to ask the chief physician for help. In fact, the chief physician is not a god, and he will often encounter illnesses and rescue situations that have never been encountered before. They also need help. Keep learning, keep cultivating in this field, improve the success rate of rescue, and strive to reduce the death rate again and again.¡±


    Dr. Hu said so much to Zhou Can openly and honestly, but it was actually full of goodwill.


    "I just want to tell you that to do one thing well, a lifetime of energy is far from enough. Even the chief physicians also need to keep learning and study more in-depth in subdivided fields. For example, Director Liu, in The research in the field of respiration has already reached a very high level. But he did not turn to study other fields, but continued to cultivate deeply in the field of respiration."


    "Judging from your performance in the past two days, the talent in medicine is extremely high. But a genius like you can easily make a serious mistake. Being ambitious and thinking that everything can be the best, in the end, you can''t chew more than you can chew, and there is no one Xiang Neng can really achieve something. It''s really a pity to get to that point."


    Dr. Hu can be said to be well-intentioned.


    Try to persuade Zhou Can not to follow the development route of a general practitioner.


    lest nothing be accomplished in the end.


    There is a truth in martial arts, which is called one trick, eat it all over the world.


    It is better to master one trick than a hundred tricks.


    "Thank you for your kind words. When I choose to specialize in the future, I will definitely choose one or two fields carefully. I will not think about becoming a general-purpose doctor."


    After Zhou Can listened to Dr. Hu''s words, he solemnly thanked him.


    Dr. Xu also told him about this matter.


    "Hehe, it''s all right if you can listen carefully to my old comrade''s ramblings. As for your future career principles, I will never dare to interfere. Let me share with you some experience and insights from people who have been there!"


    Dr. Hu saw that his attitude was quite sincere, which showed that he really listened to these words.


    In this regard, Dr. Hu is very satisfied.


    I''m afraid that some geniuses are headstrong and don''t listen to the advice of their seniors at all.


    "Okay, let me explain to you the dosage, pumping speed and other techniques for 7-bed patients!"


    Next, Dr. Hu patiently explained to him the medication of critically ill patients.


    Especially some drug contraindications.


    For example, patients with asthma, what problems should be paid attention to when pumping medicine.


    Or patients with renal failure, how to operate when taking medication, which data to closely observe, etc.


    ¡­


    Zhou Can studied very seriously and even took a lot of notes.


    It''s just that there are too many things to learn, and it can''t be learned in a day.


    Now, for the three-month regular training in the intensive care medicine department of the hospital, he has deeply understood the foresight of Vice President Ye.


    Not to mention acquiring proficiency, even if it is only a basic level of mastery, three months is still very tight.


    Learning medicine from Dr. Hu today is like opening a new window for him.


    I never knew that there are so many specialties in medication.


    Time flies, working here, there is no break at noon. Even if it is a meal, it is quickly finished in just a few minutes.


    The work pressure and intensity of medical care in the intensive care unit are really too great.


    When I was busy until 4 o''clock in the afternoon, it was already time for the shift change, but the patient with 6 beds was in serious danger again.


    Even a deputy chief physician in his fifties ran over to help rescue him.


    In the end even the ice blanket was used.


    After working until after five o''clock, the patient''s condition finally stabilized again.


    "From the patient''s symptoms and the fact that the patient''s condition was under control after using the ice blanket, it can be inferred that the patient''s intracranial hemorrhage must not have stopped. There must have been a severe intracranial hemorrhage just now. And his intracranial pressure is very high. Gao, it''s really hard to say whether you can survive tonight."


    The deputy chief physician looked worried.


    "Director Yu, can we increase the amount of coagulation factors and platelets to help him stop the bleeding?"


    Dr. Hu also had a sad face.


    Yesterday, when I was in charge of the bed, I just sent one away, and today I sent another one away, then I really won the big prize.


    The patients here, after the doctors and nurses tried their best to rescue them, still couldn''t save them, so there is no responsibility.


    But the high mortality rate is definitely not good for the doctors who manage the beds.


    "At present, the patient''s intracranial blood pressure remains high. Increasing the dose of coagulation factors will not help, and it is easy to form a cerebral embolism. Also, the patient must have had an acute cerebral hemorrhage just now, which has a lot to do with the sudden increase in blood pressure. His The systolic blood pressure has exceeded 180 mm Hg, and I think that we should actively use intravenous antihypertensive drugs to intervene."


    The level of deputy chief physician Yu is obviously higher than that of Dr. Hu.


    The treatment plan given goes straight to the core of the problem.


    "You seem to have something to say? If you have any suggestions, just say it. Don''t worry about low titles and junior qualifications."


    Deputy Director Yu caught a glimpse of Zhou Can''s hesitant expression and encouraged him to speak boldly.


    "I think surgery should be the most radical solution."


    Zhou Can had a very bad premonition.


    This patient will most likely not survive tomorrow.


    For critically ill patients, the night is more difficult than the day.


    Just like many elderly people are afraid of winter. Many old people die in winter. Because of the cold temperature in winter, for the elderly with weakened blood circulation, it is more likely to become the last straw that overwhelms the camel.


    "Surgery is indeed the best way. It''s just that you have seen the patient''s condition, and it doesn''t meet the surgical criteria at all." Director Yu said helplessly.


    "What if endoscopic surgery is performed on the patient?"


    Zhou Can already had an idea.


    Dozens of difficult major surgeries have been successfully completed in Shenwai, including many intracranial surgeries. This also gave him a certain amount of judgment experience.


    Judging from the patient''s current physical signs, the endoscopic surgery is between the red lines.


    Barely doable, but very risky.


    "The risk of endoscopic surgery is still extremely high, and few doctors are willing to do it. Because this surgery requires at least a supernatural chief physician to do it, they probably won''t agree. And if it is done, tonight is more meaningful. There are only a few chief physicians in Shenwai, and they can''t make it in their schedules if they arrange major surgery temporarily."


    The deputy director Yu didn''t put on airs at all.


    Patiently explained to Zhou Can the difficulties of the operation.


    He mentioned that the operation tonight is more meaningful, which means that he has no confidence in the patient''s ability to survive tonight.


    Deputy Director Yu didn''t have that energy arrangement for this matter, but Zhou Can did. He has been trained in Shenwai for two months, and has good friendship with the two directors of Shenwai. If he personally takes the lead, it should be successful.

 Chapter 169： This is a direct call to the chief physician. With Zhou Can in hand...

    Doctors try their best to make as many friends as possible during training and further study.


    It''s not that they like to be licking dogs.


    It is so that you can consult doctors in other departments at any time when you encounter intractable diseases in related fields in the future.


    If you know doctors from other departments who are of a high enough level, you can even invite them directly for a joint consultation.


    Also, when the hospital conducts elections, the more friends the better.


    However, the vast majority of doctors can only make friends with the same level during their regular training and advanced studies. A doctor who can speak is at most one level higher than himself.


    They are completely incomparable with Zhou Can.


    Zhou Can became acquainted with the elders of many departments, and had inextricable connections or friendships. This is an intangible wealth.


    Maybe he himself didn''t realize the great benefits these contacts could bring him.


    Right now, the 6-bed patient is in urgent need of surgery.


    Craniotomy is usually done out of the blue.


    Even if Deputy Director Yu wanted to operate the 6-bed patient overnight, it was very difficult to operate. It''s almost impossible to succeed.


    Because the director of the neurosurgery room will not buy his account.


    Then, he can only follow the rules.


    First consult with the patient''s attending physician and apply for surgery. Then the attending physician communicates with the chief physician of the Department of Surgery to determine the operation plan, and the department arranges the operation.


    After this operation, the day lily is cold.


    In this case, Zhou Can knows the chief physician of Shenwai, and has a good friendship, so the effect is revealed.


    You can discuss surgery directly by calling and chatting privately.


    There is no need for the seven bends and eight windings in the middle.


    "Director Yu, if I can convince the chief physician of Shenwai to agree to operate on the patient, can the critical care department arrange it now?"


    Zhou Can''s words are really amazing.


    When the surrounding doctors heard this, they felt that it was very shocking.


    A little Gui Peisheng, his tone is louder than that of the chief physician.


    Ask the chief physician of the neurosurgery room to arrange surgery immediately, who does he think he is?


    To put it bluntly, the vice presidents dare not say that they are sure to arrange it immediately. At best, try to discuss it with the chief physician of Shenwai.


    Shenwai is one of the top departments of surgery.


    The chief physicians of this department are all proud and pedantic, and no one will buy it when they come up with a pedantic temper.


    "Are you going to convince the chief physician of Shenwai?"


    Surprise flashed in Deputy Director Yu''s eyes, but after all, he was someone who had seen the world, so he quickly regained his composure.


    "Even if you really have a way to persuade the chief physician of Shenwai to agree to operate on the patient, I can''t make the decision. The patients in bed 6 belong to your group, and you need to find Director Liu."


    When rescuing patients, everyone does not divide into which group.


    However, such a major matter as arranging surgery must be taken care of by the respective team leaders.


    You can''t do things that are done on behalf of others.


    Zhou Can looked at Dr. Hu.


    Anyway, Dr. Hu is still his superior doctor.


    "I will report the patient''s condition to Director Liu now."


    Dr. Hu did not dare to underestimate Zhou Can''s opinion this time.


    What''s more, Deputy Director Lian Yu also supports the operation on patients overnight.


    In addition, the patient''s condition is indeed not optimistic.


    Probably won''t make it through tonight.


    "Xiao Zhou, you go to the duty room with me to report this matter."


    Dr. Hu took him to the duty room outside and directly dialed Director Liu''s mobile phone.


    After briefly talking about the situation of the patient on the sixth bed, Dr. Hu went straight to the topic.


    "Just now, Dr. Zhou Can proposed to Deputy Director Yu to perform endoscopic surgery on the patient overnight. Deputy Director Yu quite agreed with this plan. Let us ask you for instructions."


    Dr. Hu pushed Zhou Can out as a shield.


    "Based on the patient''s condition you just described, he probably won''t survive tonight. Emergency surgery overnight is indeed the only way to save lives. It''s just that Shenwai may not agree. The risk of surgery is too great."


    Director Liu is well aware of the stakes.


    No chief physician would dare to wade into such muddy waters.


    It''s not that those chief physicians are indifferent, but that the domestic medical environment and rules are like this.


    "Doctor Zhou said he has a solution!"


    Dr. Hu pushed Zhou Can out again.


    In fact, he was also quite helpless.


    He is obviously an attending physician, but his weight seems to be inferior to that of Zhou Can, the regular trainee.


    Of course, it also has something to do with his conservative and cautious nature.


    If he needs to take too much risk for the patient, he will resolutely not do it.


    Zhou Can is completely different from him. He dares to rush and kill, and rarely thinks about himself.


    It''s perfectly appropriate to describe Zhou Can as a "stunned young man" with a newborn calf not afraid of tigers.


    "Doctor Zhou, please tell Director Liu."


    Dr. Hu directly handed the phone to Zhou Can.


    After taking the phone, Zhou Can felt contempt for Dr. Hu in his heart.


    "Hello Director Liu, I''m Zhou Can."


    "Xiao Zhou, I heard that you have a way to get the chief physician of Shenwai to agree to operate on the patient?"


    "I can only try to convince the chief physician of Shenwai, but I''m not sure. Before that, you need to agree to the patient''s application for surgical treatment."


    Zhou Can didn''t dare to speak too harshly.


    Just to save the patient, he was willing to have the cheek to ask Director Wen to agree to operate on the patient.


    "You are willing to work so hard to save the patient''s life. I agree with the patient''s operation plan, and I will rush to the hospital to preside over the matter immediately. You can contact the chief physician of Shenwai now , I look forward to your good news."


    Director Liu is much more refreshing than Dr. Hu.


    Not at all like Dr. Hu''s mother-in-law.


    "Okay, I''ll get in touch now."


    After hanging up the phone, Zhou Can returned the phone to Dr. Hu.


    Then he unhurriedly took out his mobile phone, and under Dr. Hu''s half-suspicious gaze, he turned to Director Wen''s number and dialed it.


    Dr. Hu did not speak, his eyes were fixed on Zhou Can.


    Let''s see which level of doctor this kid can contact.


    "Xiao Zhou, do you miss me after only two days away from Shenwai?" Director Wen''s kind voice came from the other end of the phone.


    Dr. Hu could tell that the person on the phone had a very good relationship with Zhou Can.


    Casual like an old friend.


    Hearing the voice, he is not young, so he should be at the attending level!


    A doctor who is very old should be able to get the title of attending at least. If you are over forty-five years old and have not been mixed with the title of attending, the end is usually not good.


    Either change careers, or be transferred to an administrative position, or kicked to an affiliated hospital such as the Second Attached or the Third Attached.


    Generally, after reaching 40, they will not be able to be promoted to attending treatment. Many doctors do not need to be adjusted by the hospital, and they will take the initiative to switch to a lower-level hospital to find another way out.


    After Tuya''s doctor went out, the recognition of other hospitals in the province was quite high.


    For example, the senior resident doctor who jumped out of Tuya may be the bottom one in Tuya. When you go to a lower-level hospital, as long as the doctor himself has passed the attending examination, that hospital will directly issue a letter of appointment for attending.


    It doesn''t matter if you fail the attending examination, the new hospital will help you find a solution.


    If you need a subject, you can help with the subject, and if you need surgery, you can help accumulate surgery. It is even possible to help with a thesis.


    In short, try every means to help you get promoted.


    Seeing that Zhou Can contacted a supernatural doctor at the attending level, Dr. Hu had some confidence in this matter.


    "Hehe, I really miss you. I was going to see you again in a while, but now a patient is forcing me to see you tonight."


    Zhou Can answered with a smile.


    "I know that your kid will go to the Three Treasures Hall for nothing. Tell me, what kind of patients have you encountered?"


    Director Wen scolded with a smile.


    "There is a car accident patient with extensive intracranial hemorrhage in the 6th bed of the intensive care unit, who is in a deep coma..."


    Zhou Can briefly explained the situation.


    "Do you think it is possible to perform this endoscopic surgery on the patient overnight? I will help you."


    After talking about the patient''s situation, Zhou Can put forward his ultimate goal.


    He knew very well that Director Wen''s endoscopic surgery ability was average. He took the initiative to help, which was enough to increase Director Wen''s confidence in the success of the operation several times.


    When Dr. Hu next to him heard this, his eyes straightened.


    I thought that what Zhou Can was looking for was the attending level at most, but now I realized that Zhou Can was looking for the chief physician of Shenwai.


    This kid is awesome.


    When Dr. Hu was Gui Peisheng, being able to chat with the hospital chief was enough to make him very excited. Talking casually with the chief physician of the department like an old friend, I dare not think so in my dreams.


    "In this case, we generally do not recommend surgery. The risk is too high. However, I am really touched by your great efforts to save the patient''s life. That''s it, I will discuss it with Director Wu, and then find Talk to the family members. If the family members are willing to accept the worst result, you and I can try together."


    After hesitating for a moment, Director Wen said so.


    What?


    The Chief Physician and Zhou Can join forces to try? Is this lifting Zhou Can to the same level?


    Dr. Hu''s heart set off a turbulent sea, he was so shocked.


    He vaguely realized that Zhou Can''s high status was all due to his strength.


    If he were told that Director Wen and Zhou Can were working together to perform the operation, and that Director Wen was just helping, he would be even more shocked.


    ¡­


    Less than half an hour later, Director Wen called.


    Zhou Can and Dr. Hu have been waiting in the duty room.


    During this period, Director Liu also rushed back to the hospital to prepare for the patient''s operation.


    Now all we have to do is wait for news from Shenwai.


    If the chief physician of Shenwai refuses to take this risk, this matter can only end here.


    "Xiao Zhou, I have good news for you."


    "Has the neurosurgery department agreed to operate on the patient?"


    Zhou Can is full of expectations.


    "Well, after discussing with Director Wu, I felt that it was worth taking some risks to save a life. Then I communicated urgently with the family members. After the family members learned about the patient''s situation, they expressed their gratitude to our hospital for willing to take the risk to save the patient. Currently , the family members have signed the consent form for the operation and paid the operation fee in advance."


    Director Wen really brought good news.


    The family members are the most anxious party. They are very active when they hear that the patient''s life can be saved.


    Like this special operation, the attitude of the family members is also very important.


    When encountering family members who have a lot of farts, the doctor promises that everyone will be a coward and will never take any risks.


    After all, everyone is paid.


    Saving one more patient and one less patient has really little impact on doctors.


    "Great! How about we send the patient to the operating room immediately? The patient''s condition is very bad, and the sooner the operation is, the better."


    Zhou Can was very happy.


    Dr. Hu and Director Liu next to him were equally excited.


    Even they didn''t expect that Zhou Can could really make this happen.


    The two also had a new understanding of Zhou Can''s influence outside the gods.


    "Don''t rush to be happy. You also know the patient''s condition. During the operation on the patient, we need at least one deputy director-level physician from the Department of Critical Care Medicine to help the anesthesiologist provide life support for the patient. Then, you You have to come and help me."


    Director Wen made two requests.


    "Listen to the voice, it''s Director Wen from Shenwai, right?"


    Director Liu next to him asked Zhou Can.


    "Yes, Director Wen is on the other end of the phone."


    Zhou Can nodded.


    Director Liu snatched the phone directly.


    "Hello, Director Wen, I''m Liu Xiangqing from the Department of Critical Care Medicine. Thank you to the doctors from Shenwai for taking the risk to do this operation for the patient. I can accompany the patient throughout the whole process and provide him with life support to ensure the smooth operation of the operation."


    "Haha! Director Liu is here in person, so there is nothing to say. Hurry up and send the patient to No. 1 operating room in Shenwai. The operating room has already been coordinated. Our surgical personnel have also been notified. The patient can be operated on immediately. By the way, before bringing the patient here, send it for a brain CT scan."


    These chief physicians all know each other.


    Just not necessarily friendship.


    When we meet, we will definitely say hello warmly.


    To be able to become the chief physician, all the subordinates have real skills.


    Even if it''s just a familiar face, it''s convenient to say hello in the future.


    An operation to save the sixth bed patient is quietly unfolding in the hospital.


    The patient was escorted to the neurosurgery operating room, and Director Liu personally escorted the patient. Zhou Can was an assistant designated by Shenwai, and he also went with him.


    At the same time, Dr. Hu also followed.


    This kind of operation observation opportunity is a rare learning opportunity for Dr. Hu. It just so happens that he is off duty now, so he should get off work overtime temporarily.


    In addition, there is also a deep meaning of working hard in front of Director Liu.


    Don''t think that all doctors have no desires and desires. In addition to studying medical skills and academics, they have a strong desire for professional titles and promotions.


    There are many benefits to having a good relationship with the chief physician.


    Because this is equivalent to the immediate boss.


    In the operating room, Director Wen and his subordinates Dr. Zou, Tang Li, two nurses, two residents, and three postgraduates have formed a strong lineup.


    The anesthetist is also already in place.


    After exchanging greetings with Director Liu, Director Wen checked the intracranial hemorrhage with the newly taken CT scan.


    Very bad, massive generalized hemorrhage, severe fluid accumulation in the brain.


    "Xiao Zhou, you also come to watch the film together."


    In the past two months, Director Wen and Zhou Can have established a deep trust like comrades-in-arms.


    He is used to asking Zhou Can to help with this kind of high-risk surgery.


    The expressions of Director Liu and Dr. Hu were slightly astonished.


    When I called, I knew that the relationship between Director Wen and Zhou Can was unusual.


    Now it seems that Director Wen''s cultivation of Zhou Can is really beyond imagination.


    On the contrary, Dr. Zou, Tang Li and others under Director Wen have long been familiar with the strangeness, and feel that all this is natural. Because they have all seen Zhou Can''s surgical ability.


    Zhou Can walked over to check the film together.


    He has seen all the films taken when the patient was admitted to the hospital.


    This time, another CT scan was taken before the operation, in order to grasp the latest situation of the patient''s brain.


    There are many things that cannot be seen with the naked eye.


    It is certainly not possible to infer from experience alone.


    "The effusion is so serious, it seems that the bleeding has never stopped. Do you think this is the biggest bleeding point?"


    Zhou Can compared it with the angiography and CT done at the time of admission, and then made a conclusion.


    It must be said here that angiography is also a CT examination, but it is different from a conventional CT examination.


    It generally injects a contrast agent into the vein, processes the image by computer, and then displays the intracranial vascular system in three dimensions. UU Reading www. uukanshu.com Contrast examination can observe the blood supply more intuitively and clearly.


    For the identification of bleeding points, as well as thrombus, aneurysm, etc., there are very good inspection aids.


    The choice of contrast agent is not the same for every site.


    A little more barium is used in the digestive tract, and iodine ion contrast agent is more commonly used in the brain.


    "There should be two biggest bleeding points, the point you mentioned, and this point. The bleeding point that directly poses a major threat to the patient''s life should be the point you mentioned. If surgery is required, this point can be treated first, but Other bleeding points also need to be dealt with."


    Director Wen''s surgical experience is much richer than Zhou Can''s.


    When the two discussed, he pointed out the operation plan one by one.


    Dr. Zou and Tang Li basically only listened and could not intervene. For other residents and postgraduates, that is pure observation and study.


    After much discussion, the operation began.


    Traditional craniotomy certainly won''t work.


    In the current state of the patient, the craniotomy may have to die halfway through.


    It is ideal to drill a small hole and perform endoscopic surgery.


    There is also much less harm and impact on the patient.


    Director Wen personally performed these drilling operations. As for the key part of the next operation, endoscopic hemostasis and hematoma removal required Zhou Can''s action.


    The clear division of labor in an operation can also reflect the importance of each doctor in the operation.


    Nowadays, few doctors do major surgery alone.


    It''s all team work.


    Mark the points, then cut the scalp, and use an electric drill to drill holes.


    Hard skull must use electric drill, chainsaw.


    In fact, doctors often use chainsaws when performing amputations and other operations. It''s just very different from the large chainsaw used by the murderer in the movie, far less scary.

 Chapter 170： This is strength, the lucky star in the group

    In addition to general endoscopic surgery skills, Director Wen''s traditional surgery skills are definitely above the standard.


    After some manipulations, a small hole was drilled into the skull.


    During the whole process, Director Wen''s gestures were full of mastery.


    "Okay, Xiao Zhou, the next operation will be left to you!"


    Director Wen moved away from the chief surgeon.


    Zhou Can walked to the main knife position with ease and stood still, without any formality.


    Director Liu and Dr. Hu stared blankly.


    This is Shenwai''s home court, Director Wen made the arrangement, the two dare not blindly bb.


    I can only watch in silence.


    Seeing Zhou Can standing on the chief knife position with their own eyes, the two felt both shocked and worried.


    It''s ridiculous.


    Such a large operation with such a high risk, what does Director Wen think? Actually let a regular trainee complete the most core surgical removal of hematoma and hemostasis.


    Even if you want to focus on cultivation, there is no such cultivation method!


    This is a living life!


    The supremacy of life and respect for life have penetrated into the hearts of every conscientious doctor.


    Zhou Can took over the endoscopic electric knife in a calm manner, and first made a cross incision on the dura mater.


    Director Liu next to him was apprehensive about this move.


    I was afraid that Zhou Can''s operation would be improper and the patient would belched to death.


    At this time, the patient''s vital signs fluctuated severely. Breathing, blood pressure, and heart rate all fluctuated drastically.


    "Did it cut into the brain tissue inside?"


    Director Liu asked in horror and a little angrily.


    "It''s a normal reaction for the patient to be stimulated."


    Zhou Can looked very calm.


    Director Wen took a leisurely look at Director Liu. "Be safe and don''t be impatient!"


    These words were a tenfold blow to Director Liu.


    If it weren''t for Director Wen who said this, and if it wasn''t for saving face, Director Liu would definitely angrily denounce their behavior on the spot as murder.


    At this time, Zhou Can had already completed the introduction of the endoscope.


    The patient''s blood pressure dropped severely, and his heart rate also dropped. Breathing becomes weak.


    "You guys are just messing around, killing people!"


    Director Liu was furious.


    He frantically helped the patient stabilize his vital signs.


    Director Wen''s heart sank when he saw that the patient''s condition suddenly became very bad.


    Not to mention other doctors and nurses.


    "Don''t worry!"


    Zhou Can only said three short words and continued to concentrate on the operation.


    As he pumped out the hemorrhage in the patient''s brain, the patient''s vital signs began to rise rapidly.


    "It should have been just the sudden release of the patient''s intracranial hypertension, coupled with the injury caused by the craniotomy, which caused a short-term stress phenomenon. It was not Dr. Zhou''s operation error."


    The anesthetist who had been silent all this time explained calmly.


    It''s not the first time he has gone out of his way to participate in anesthesia for surgery. I have seen Zhou Can''s surgical prowess with my own eyes many times, so I feel a little displeased with Director Liu''s fuss.


    I am even more worried that Director Liu is here to swear at others and interfere with Zhou Can''s operation.


    On the contrary, it is a dangerous behavior.


    This is also the reason why he would take the initiative to speak out to prove Zhou Can''s innocence.


    After Zhou Can took out the accumulated blood in the patient''s brain, he could clearly see the brain tissue in the patient''s brain through the endoscope. I saw him operating the endoscope a little closer to the biggest bleeding point.


    This place is very close to the brainstem area, so even Wu Baihe has to be careful when performing the surgery himself.


    "The broken blood vessel is quite big, a not too big gap. Do you think it can be repaired directly? Electrocoagulation to stop the bleeding, I am worried that it will affect the blood supply to the brain and cause sequelae to the patient."


    Zhou Can asked Director Wen for his opinion.


    Even the repair of superficial blood vessels like the extremities will be very difficult.


    Endoscopic repair of blood vessels in the cranial cavity is too difficult to imagine.


    "Are you sure? This place is very close to the life center, and the difficulty is very high. The risk is also extremely high."


    Director Wen still prefers to seek stability in his bones.


    Every doctor has his own style of doing things.


    Most doctors have the same idea as Director Wen, they don''t seek meritorious service, but seek no faults.


    Although direct electrocoagulation may cause sequelae to the patient, it does not need to take too much risk and can save the patient''s life.


    "I''m definitely not sure, more than 80%!"


    Zhou Can has always spoken very modestly.


    Director Wen knew him too well.


    Hearing that he said that he was more than 80% sure, I felt like I had taken a reassurance.


    "Okay! Let''s do it according to your plan!" Director Wen directly delegated power.


    Next, Director Liu, Dr. Hu and others thoroughly saw Zhou Can''s surgical ability on the display screen of the endoscope.


    I saw Zhou Can find the proximal end of the ruptured blood vessel, and then said to Director Wen, "I am worried about damaging the blood vessel with a blood vessel clip. The operation cost will also increase a lot. Is it okay to stop the bleeding with direct ligation?"


    "Can!"


    Director Wen nodded again.


    Zhou Can thinks of patients everywhere, and he can also see his noble medical ethics.


    All the doctors present secretly admired his medical ethics.


    In particular, Director Liu and Dr. Hu had a deeper understanding of Zhou Can.


    I saw Zhou Can quickly ligate the blood vessel with dexterous movements.


    It''s a slippery knot.


    Many surgeons don''t like slipping knots. In fact, in some special surgical occasions, square knots, slipping knots, and triple knots are all used.


    Each knot requires hard practice.


    If you are "biased", it is easy to face surgical shortcomings at critical moments, resulting in a very passive operation.


    After the blood vessel was ligated, Zhou Can began to repair the ruptured blood vessel.


    If the blood vessel wound is polluted or uneven, it needs to be cut flat before repairing the blood vessel.


    Zhou Can manipulated the endoscope and began to quickly suture the blood vessel wall.


    "Awesome stitching technique!"


    Director Liu couldn''t help but marvel.


    "This is not an ordinary suture, but an endoscopic operation. I have opened my eyes today!"


    After seeing Zhou Can''s suturing skills, Dr. Hu felt extremely ashamed.


    As an attending therapist, his suturing skills were far inferior to that of a Gui Peisheng.


    Even if he wasn''t a full-time surgeon, it still made him feel ashamed to be so far away.


    Blood vessels were quickly repaired.


    The check is correct.


    Zhou Can took the initiative to ask Director Wen for instructions, which can be regarded as taking care of Director Wen''s face.


    "Director Wen, please check it. If there is no problem, I will loosen the ligature and test the blood supply of the blood vessels."


    "The sewing is very good, let''s test the blood directly!"


    Director Wen''s face was preserved, and he liked Zhou Can even more.


    A tree has a skin, and a person has a face.


    Maintaining the face and dignity of superiors is the minimum survival skill in the workplace.


    The kind of young white in the workplace who doesn''t pay attention to what he says, doesn''t have a standard in doing things, and puts the leader''s face on the ground, will end up being severely beaten by the society. Either ''unrecognized talents'', or being scolded every day, and finally fired.


    Zhou Can loosened the slippery knot, and the blood flow resumed unimpeded, and quickly poured into the repaired blood vessel segment.


    It can be clearly seen that the blood vessels quickly become full, and the blood supply of the small blood vessels behind is restored to smooth. Vascular repair was very successful.


    "Okay, this surgery was done beautifully!"


    Director Wen laughed heartily.


    The largest bleeding point stopped the bleeding, and the blood flow resumed unimpeded. It also means that the patient''s life is basically saved.


    It is worth mentioning that the repaired vessel segment will become narrower.


    There is no way to solve this problem.


    If it is in a low-risk area with sufficient surgical field of view and easy operation, it may be possible to try to cut off the blood vessel and re-anastomose.


    However, this part of the patient''s brain is very close to the brainstem area, and it is an endoscopic operation. Cutting off the blood vessels and re-anastomosis is purely a death.


    The harm of the two rights is the lesser.


    If a single blood vessel narrows a little, the effect will not be particularly large.


    This is the best result that the current medical level can achieve.


    Next, Zhou Can began to remove the accumulated blood in other parts, and then quickly electrocoagulated some small bleeding spots to stop the bleeding. The remaining large bleeding point was repaired in the same way.


    The whole operation was carried out in a tense and orderly manner.


    Almost all the core operations were performed by Zhou Can alone.


    At this moment, Director Liu and Dr. Hu finally understood why Zhou Can, a little Gui Peisheng, could talk directly to the chief physician of Shenwai.


    If they were the chief physicians of Shenwai, their attitude would be more warm and friendly when facing such a humble and polite super genius.


    The operation lasted nearly two hours and was finally completed.


    This endoscopic operation went very smoothly, and Zhou Can also earned a lot of medical experience points.


    The biggest gain is to pull the patient back from the gate of hell.


    After the operation, the patient''s vital signs recovered and the ice blanket was removed.


    There is no need for emergency rescue from time to time.


    However, because the patient''s injuries are extremely serious, he still needs to stay in the intensive care unit for a period of time.


    After Zhou Can''s operation, he was not immersed in these achievements and glory at all.


    At this moment, he was already sitting in the dormitory, practicing the quick knife technique tirelessly.


    After practicing the quick knife technique, he chose to combine work and rest to supplement the notes he made in the intensive care unit during the day.


    For some unknown drug usage, dosage, and places that are difficult to understand, take the trouble to look up the information to understand and learn them. Do really master.


    Some doubts that need to be resolved by asking the superior doctor are marked.


    I will find an opportunity to consult the superior doctor after work tomorrow.


    ¡­


    The next day, when Zhou Can went to work, Dr. Hu saw him and greeted him enthusiastically from a long distance away.


    Zhou Can was still a little uncomfortable with this change.


    It is estimated that seeing Zhou Can''s powerful surgical skills yesterday made Dr. Hu put down completely and try to build a good relationship with Zhou Can.


    Director Liu also rushed over at this time.


    According to the agreement, Zhou Can will no longer hang out with Dr. Hu from today, but Director Liu will take him directly.


    "Doctor Hu, is the patient in bed 6 doing well after returning from surgery yesterday?"


    "Dr. Shi is in charge of the night shift. When handing over, he was still amazed that the 6-bed car accident patient not only survived the life-threatening situation, but also recovered quickly. He praised the correct and timely operation."


    Dr. Hu works the day shift.


    The night shift is Dr. Shi.


    Speaking of the situation of the 6-bed patient, Dr. Hu couldn''t help smiling.


    Every doctor will feel very happy to see the improvement of the patient''s condition.


    "When I was on duty, the patients in bed 6 not only had stable vital signs, but also showed signs of regaining consciousness. To be honest, I have never been on duty as relaxed as today. All the patients in beds 6 and 7 have improved significantly, which means There are only 8 patients who need to be taken care of from time to time. There is really nothing to do, and I also help other groups with some work. They all envy me."


    When Dr. Hu said this, he was really elated.


    Bed 6''s death spell was finally broken.


    Moreover, two extremely critically ill patients under his care have improved, which makes him feel very honored.


    "Haha, it looks like our group has a lucky star!"


    Director Liu was also very happy after hearing this.


    Turning to look at Zhou Can.


    "I can''t do these things alone. The main reason is that several senior doctors have good leadership. Rather than saying that I am a lucky star, it is better to say that I joined a very good group."


    Zhou Can hurriedly gave in.


    This kind of high EQ answer made Dr. Hu and Director Liu smile even more.


    Following Director Liu into the intensive care unit, Zhou Can checked the condition of the patients in bed 6. I saw that the patient''s pale complexion, which was originally as pale as gold paper, had returned to a rosy complexion.


    Blood pressure, blood oxygen, heart rate, and respiration all became stable.


    The patients themselves are very young, and their resilience far exceeds that of the elderly.


    It is normal for your condition to improve quickly after surgery.


    This is also the reason why young people are more likely to walk out of the hospital alive than old people with the same injuries.


    The blood circulation, cell metabolism, regeneration ability, and physical recovery speed of the elderly are all far inferior to those of the young.


    The highest mortality rate is also the elderly.


    "Everything I did for the 6-bed patient yesterday is so meaningful!"


    Zhou Can saw a flower of life that was about to fade, and it bloomed again and regained its vitality. His heart is full of a sense of accomplishment.


    The 6-bed patient has little to worry about except for sputum suction, turning over, and normal medication.


    No wonder Dr. Hu said that today was the most relaxing time ever on duty.


    Zhou Can went to bed 7 to check the patient''s condition, which was also full of gains and surprises.


    The patient in bed 7 seemed to have known for a long time that it was Zhou Can who saved him.


    Seeing Zhou Can walking to the hospital bed, he nodded vigorously at Zhou Can.


    "Don''t move, don''t move, when you get well, you can talk to me any way you want then."


    Zhou Can hurriedly comforted the patient.


    The patient is still intubated, so there is no way to communicate directly.


    "Director Liu, do you think it''s necessary for him to get nutritional injections?"


    "It depends on his family''s financial situation. However, I think that nutritional injections can quickly replenish his weak body and speed up his recovery. He can be transferred out of the intensive care unit with expensive treatment costs as soon as possible. Very good choice."


    Director Liu thought for a while and said seriously.


    At present, domestic nutritional needles are not advanced, let alone perfect.


    But for this kind of extremely weak patient who has been sick for a long time, it is a very good choice to give appropriate nutritional support.


    It must be said here that there is a saying in Chinese medicine that the deficiency cannot be supplemented.


    Patients who are chronically ill and weak should use food supplements, and they must not make a lot of supplements, but should take it step by step and take it slowly.


    Nutritional injections are generally given intravenously, and the supplement is mainly human albumin.


    I have to make complaints about the fact that domestic nutritional needles are extremely expensive, and the effect is average.


    Research in this field is still very backward, and the market is relatively monopolized, which is extremely unfavorable to the development and competition of the entire industry.


    If the status of nurses in China can be as high as that of developed countries, the field of nutritional medicine will definitely usher in a period of rapid development. At present, there are some nurses in China who switch careers to become nutritionists.


    Compared with foreign countries, it can only be regarded as a fledgling.


    Still very immature.


    When it can really provide cost-effective nutritional support for the common people, it will be perfect.


    The life expectancy of Chinese people will definitely be improved a lot, and the hospitalization period will be greatly shortened.


    This is a big cake that has not yet been developed.


    It''s a pity that facing many constraints and technical difficulties, we can only look forward to it slowly.


    "I''ll talk to your family members later, try to help you recover quickly, and transfer out from here."


    Director Liu comforted the patient after seeing the pleading eyes of the patient.


    After checking the patient in bed 7, the two went to bed 8. The patient''s condition was fairly stable.


    "Come on, let''s go to the other beds!"


    Director Liu is on duty, which is obviously different from Dr. Hu.


    It is equivalent to the team leader of the whole team and needs to patrol the patients of the whole team. If there is an emergency for patients in other groups, Director Liu also needs to rush to support.


    The higher the status, the heavier the burden on the shoulders.

 Chapter 171： Racial defect, the capable work more

    After checking bed by bed, Director Liu will take the initiative to explain to Zhou Can the symptoms of the patients and the targeted treatments given to them. Whether it is medication, respiratory support, hemofiltration, or physical cooling, decompression and other treatment methods, they are all carried out around the theme of life preservation.


    Compared with Dr. Hu, Director Liu taught him basically various treatment theories in simple terms and their application in practice.


    Dr. Hu taught him the use of various instruments and parameter adjustment settings.


    There are also the most basic critical care knowledge and routine operations such as pumping medicine, observing urine output, body temperature, breathing, etc.


    It can be understood that the rescue knowledge and skills taught by Director Liu belong to the advanced version.


    "The female patient in bed 11 is 17 years old this year and is still very young. The current symptoms are repeated low-grade fever, dyspnea, and lung infection, accompanied by cough and phlegm. The receiving doctor conducted an etiological investigation on her and initially identified it as a Caused by a little cold."


    Zhou Can looked at the dying **** the hospital bed, completely in a coma.


    A persistent low-grade fever can make you feel tired, weak, and lethargic.


    A small cold sent her to the ICU directly, and she didn''t know whether to call her unlucky or her fate.


    The humble flu actually kills many people every year.


    Even though the girl is so sick and haggard, she still looks very beautiful.


    He is tall and tall, with extremely fair skin, the kind that is rosy in pink.


    The hair is not black, but somewhat yellowish.


    I don''t know if it was dyed or not.


    Her high nose bridge is also impressive.


    This girl has the beauty of a mixed race.


    Zhou Can looked at the parameters of the ventilator.


    The tidal volume was set at 9ml/kg, and the respiratory rate was 16 breaths/minute.


    Look at the inspiratory flow rate again, 80ml/min.


    The inspiratory flow rate is significantly higher.


    Dr. Hu told him that the flow rate needs to be increased when the patient has fever, irritability, or convulsions. When sleeping peacefully, the flow rate needs to be reduced.


    "Does she have COPD?"


    Zhou Can asked curiously.


    "That''s right! That''s the disease, and it''s probably a congenital disease."


    Director Liu nodded slightly.


    Congenital cause of obstructive lung disease?


    Zhou Can frowned slightly, and picked up the patient''s examination report to check. Chronic airway inflammation, lack of antichymotrypsin in the blood.


    No wonder Director Liu said she was born with a congenital disease.


    Chronic Obstructive Pulmonary Disease is referred to as COPD. It is a chronic inflammatory disease of the airways.


    Due to the existence of chronic airway inflammation, some pathophysiological changes will occur in patients.


    The most common is airflow limitation.


    Then the patient will have clinical symptoms such as cough, sputum production, and dyspnea.


    There are many causes of COPD, and the lack of antichymotrypsin in the blood is a very rare congenital disease.


    It is said that this has something to do with race.


    People of yellow race rarely get this disease. When the gene of Caucasian people is mutated, it will cause the baby to be born with a lack of antichymotrypsin.


    No wonder the girl looked like a mixed race.


    Her father or mother, most likely Caucasian.


    Antichymotrypsin is mainly present in ¦Á1 globulin.


    Its action can inhibit a variety of enzymes. Such as trypsin, chymotrypsin, plasmin, thrombin, collagenase, leukocyte protease, elastase and other activities.


    Its deficiency can lead to the occurrence of emphysema.


    There is currently no drug that can cure the disease.


    "You are an expert in the field of the respiratory system. Is there no way to cure the lack of chymotrypsin?"


    "Currently, we humans have too many diseases that cannot be cured. Doctors are powerless in the face of many diseases." Director Liu shook his head helplessly.


    Right now, what this patient can do is to do his best to help her overcome the difficulties of life.


    Director Liu checked the records of the patient''s body temperature, number of times of sputum suction, and urine output, and told the doctor in charge of the bed, "Her sputum is obviously too much, and the lungs may be very damp, so the tidal volume must not be opened too high. .¡±


    "OK!"


    The doctor in charge of the operation is a senior resident doctor, about thirty years old, tall and not very talkative.


    Judging from the bed card records he made, he should be a very serious person.


    Director Liu took Zhou Can to continue to check other patients.


    ¡­


    The eight-hour workday flies by very quickly.


    Zhou Can followed Director Liu to inspect the patients in this group, and when patients in other groups were in danger, Director Liu took him to help. Sometimes, other doctors would anxiously ask him for help.


    After the shift was over, Director Liu checked the doctor''s order in the doctor''s duty room, and there was nothing wrong with it.


    He looked up at Zhou Can behind him.


    "Xiao Zhou, have you learned anything from studying with me for a day?"


    "I have gained a lot. I have learned a variety of medications, treatment methods and methods for critically ill patients. In addition, I have a deeper understanding of the flexible use of instruments."


    Zhou Can did learn a lot of Bao''s knowledge and methods of treating critically ill patients.


    "It''s a bit general, let''s sum it up in general terms."


    Liu Ren just tested him on purpose to see if he had studied hard.


    Zhou Can thought for a while, and then concluded, "If you have heartbeat and breathing problems at the same time, give priority to recovering the heartbeat. Because the oxygen contained in the blood can last for a while..."


    "Who asked you to say this, just to summarize what you learned today, without being so specific."


    Director Liu didn''t wait for him to finish speaking, and quickly stopped.


    It seemed that he was determined to make things difficult for Zhou Can.


    "Uh... In the process of treating patients, we must first ensure the operation of the internal and external circulation. Among them, breathing and heartbeat are the most important. After ensuring these two, we will deal with issues such as body temperature, blood pressure, and low blood oxygen. Nerves When a system problem leads to respiratory and cardiac arrest, extracorporeal double circulation should be established decisively."


    Zhou Can made a conclusive summary.


    In most cases, only brain death leads to nervous system failure, respiratory and cardiac arrest.


    At this time, the significance of saving the patient''s life is actually not great.


    However, there are many examples of vegetative people being successfully awakened.


    The fight is to hope that the miracle of life will appear.


    "Well, it''s much better this time. It seems that you have been busy all day, and it was not in vain."


    Director Liu nodded in satisfaction.


    Zhou Can is very satisfied with his learning ability, comprehension, and work attitude.


    As the chief physician, he spends a lot of time personally instructing Zhou Can. If Zhou Can learns to do nothing, or pretends to be serious, he doesn''t actually learn.


    Then Director Liu will stop teaching him.


    "Remember, we ICU doctors should have a fundamentally different way of thinking about treating patients than specialist doctors. Specialist doctors first think about curing diseases, while our ICU doctors think about saving lives first. Go back and think about it, and then Summarize what you have learned today, and tomorrow you will still go to the evening shift."


    After Director Liu finished speaking, he left in a hurry.


    Zhou Can was also about to leave, but Dr. Shi stopped him.


    "Doctor Zhou, I''m going to write a paper for the 7-bed patient, and I''ll put your name in it when the time comes. If you want, you can study with me."


    Doctor Shi always speaks so directly.


    "Thank you! As long as you don''t think I''m a burden, you can call me anytime you want to do research."


    If there is such a good thing, Zhou Can will naturally not refuse anyone who comes.


    Doctor Shi is very kind.


    There is nothing wrong with not writing Zhou Can''s name when writing a thesis.


    "Doctor Shi, Doctor Shi, the patient in bed 6 has come to life!" The nurse ran over excitedly to inform.


    "Are you awake? I''ll go and have a look right away."


    Dr. Shi walked quickly to the ICU, and Zhou Can followed.


    The 6-bed patient can wake up because of the operation he performed on the patient.


    After entering, it was found that the patient had opened his eyes and seemed to be awake.


    Because the patient''s eyes are not dull.


    "Great! It seems that there is still a lot of room for improvement in the treatment of patients in the intensive care unit!"


    Dr. Shi''s feelings are too deep.


    Just yesterday, patients still needed emergency rescue from time to time.


    After the operation, it took only one day and one night for the patient to wake up from the critically ill and coma, with stable vital signs and rapid improvement in all aspects.


    Sometimes, caring for the sick can feel like fighting a war.


    After finding the ''command post'' of the disease and defeating it, the enemy will be defeated.


    The patient''s condition will improve rapidly in a very short period of time.


    It is not a dream to be transferred out of the intensive care unit in two or three days.


    "Dr. Zhou''s warrior spirit may lead to an upgrade and reform of the treatment model in the intensive care unit. In the past, our treatment of patients was indeed too conservative. Perhaps learning to take the initiative is the correct treatment concept."


    Doctor Shi said to Zhou Can.


    The treatment of patients in the Department of Critical Care Medicine is indeed conservative. Many doctors and nurses only want to save the lives of patients, and they don''t care about other things.


    More aggressive, bolder treatments entail high risks, and few doctors are willing to take the risk.


    "Doctor Shi, the 22-bed patient needs to establish central venous pressure, but the blood vessel is difficult to puncture, can you please help me?"


    A nurse walked over quickly.


    "OK!"


    Dr. Shi himself is an anesthesiologist, and he is very familiar with the establishment of various life monitoring operations.


    Monitoring central venous pressure is an invasive monitoring method.


    A central venous catheter needs to be placed in the internal jugular vein or subclavian vein, and it is detected after indwelling at the junction of the right atrium and the superior and inferior vena cava. The process of inserting the catheter is not so easy.


    Especially when encountering some patients with thin blood vessels and invisible veins, the operation is even more difficult.


    Resident doctors who are trying to establish central venous pressure monitoring are already sweating profusely.


    "Let me try it!"


    Dr. Shi took the initiative to take over.


    It''s just that his brows were quickly wrinkled, and his expression became extremely focused.


    The disturbing alarm sound from the nearby instrument kept ringing.


    The patient''s blood oxygen saturation was alarmingly low.


    No wonder residents are eager to establish central venous pressure monitoring for their patients.


    "Damn it, this patient''s blood vessels are thin and slippery."


    After Dr. Shi missed twice, he might have lost face and cursed to himself.


    Zhou Can originally came to study with him, so he stood by and watched.


    Doctors generally don''t pay much attention to the practice of injections. It''s just an injection. Who wouldn''t?


    In particular, many medicines can be injected directly into the muscle, so it is even more random.


    "I have practiced injections, can I try?"


    Zhou Can watched anxiously for a while.


    This operation was trivial to him, but it was even more difficult for the resident doctors, including Dr. Shi, to operate it.


    The patient''s small blood vessels are indeed a reason.


    In the final analysis, it is still a doctor''s technical dish.


    "Be careful not to puncture an artery or a nerve."


    Dr. Shi was somewhat worried, but out of trust, he asked Zhou Can to give it a try.


    I saw Zhou Can take the needle and stick it casually.


    The hearts of Dr. Shi and the resident were jumping in their throats.


    Is there such a needle?


    It''s scary.


    Here is the neck!


    It''s just that when they saw dark red blood flowing out of the catheter connected to the needle, they immediately showed surprise expressions.


    The pretty little nurse next to her looked at Zhou Can with admiration.


    The new doctor Zhou is so handsome.


    The injection level is even better than the head nurse.


    Zhou Can is currently a fourth-level injection technique, and the attending physician is at an intermediate level, which is infinitely close to the attending physician''s excellent level. The average head nurse is really no match for him.


    "alright!"


    Zhou Can retreated to the side in a leisurely manner.


    "thanks, thanks!"


    The resident doctor thanked him again and again.


    After central venous pressure monitoring is established, mixed venous oxygen saturation can be measured.


    This parameter value called sov2 allows doctors to clearly grasp the blood output of the heart.


    scvo2 is now close to 40, no wonder the siren keeps going off there.


    When the blood oxygen saturation drops to this threshold, the mortality rate is very high.


    "The cardiac output is too low, give him a cardiotonic immediately!"


    Doctor Shi commanded from the side.


    After the patient was given cardiotonic agents, the blood oxygen saturation was significantly improved and began to climb.


    Everyone breathed a sigh of relief.


    A crisis is resolved.


    "I really didn''t realize that Dr. Zhou''s injection skills are so strong! In the future, when we encounter patients with thin and slippery blood vessels in the intensive care unit, we will come to you for indwelling."


    It was not easy for Dr. Shi, a man of few words, to make such a big talk.


    It was mainly Zhou Can''s injection that shocked him.


    Looking back now, I still feel scared and incredible.


    With just a casual stab, it pierced into the vein with incomparable precision. This kind of easy-to-handle and astonishing operation shows Zhou Can''s high level.


    "Okay, no problem! As long as the other doctors are not afraid of me getting into trouble!"


    Zhou Can''s words made everyone laugh.


    It was already time for him to get off work, and he left without staying too long.


    However, about his ability and some deeds have begun to spread quietly in the Department of Critical Care Medicine.


    Just three days after entering the intensive care medicine department, two critically ill patients have been rescued, and there are many other dazzling small operations.


    Capable people are always easy to be liked and admired by colleagues.


    In the next few days Zhou Can became more famous as the 6-bed and 7-bed patients were transferred out of the intensive care unit one after another.


    When he was on duty, more and more people asked him for help.


    At the beginning, the other doctors were somewhat embarrassing. After all, it was a bit embarrassing to ask a Gui Peisheng for help.


    After arriving, Zhou Can helped three high-risk critically ill patients get better quickly, and were quickly transferred out of the intensive care unit.


    This time it will be a disaster.


    No matter what face the other doctors have, unless they are terminally ill patients like cancer, they will talk to Zhou Can and ask him to take a look.


    Zhou Can is also extremely happy. He can establish good relations with other doctors, establish friendship, and earn diagnosis experience points. Why not do it?


    Sometimes if you are lucky, you can also earn some other medical skill experience points.


    In particular, the increase in the experience value of pharmacological syndrome differentiation made him feel very happy.


    As he gradually became acquainted with his colleagues in the intensive care unit, Zhou Can often took the initiative to do things like urinary catheter intubation, endotracheal intubation, and puncture.


    His placement experience has finally realized his soaring ideal in the Department of Critical Care Medicine.


    Some have dubbed him the guru of urinating, and he doesn''t give a damn.


    Urethral intubation is difficult to operate, and doctors and nurses are somewhat shy about it. Zhou Can was happy with it.


    Because inserting a urinary catheter means getting experience points for inserting at 1 point.


    His implantation technique is now level four, and he needs to earn 10,000 experience points if he wants to upgrade to level five.


    You must be diligent in order to realize this wish as soon as possible.


    As he gained more and more skills in intensive care medicine, the burden on his shoulders also continued to increase.


    In the beginning, only Director Liu gave him more weight.


    Later, the deputy chief physicians and chief physicians of other groups also took a fancy to him. As long as Zhou Can is not so busy, all kinds of calls.

 Chapter 172： Collaborate on paper writing, grand farewell

    Zhou Can goes all out every time, coupled with his solid foundation and experience in major surgery, his performance is quite good.


    In rescue and diagnosis, emergency biomedical skills also play a very important role.


    In the case of emergency rescue, this special medical skill will automatically bring him wisdom, and the diagnostic thinking is 50% clearer than usual. And it has a calming effect.


    It is inevitable for other doctors to panic and get nervous when encountering a patient in danger.


    Even the experienced director Liu once showed high tension and anxiety when encountering a patient''s serious danger. Sweat kept dripping from his forehead, his expression became extraordinarily dignified, and his tone was urgent.


    It can be seen how valuable the calm mind attached to first aid and biomedical skills is.


    The more anxious a person is, the more confused his mind is, the worse his analytical ability is, and the higher the probability of making mistakes.


    Zhou Can''s ability to make meritorious service in the rescue many times, and his performance is extremely good, is not just an advantage in one aspect.


    Instead, it has multiple advantages.


    The 32 Gui Peisheng who entered the intensive care medicine department at the same time are far behind him.


    Many of them are still simply learning the operation of various instruments, how to pump medicine, how to use hemofiltration machines, ventilators and other basic operations and relatively shallow rescue levels.


    They have absolutely no ability to use medication flexibly and deal with various emergencies.


    Zhou Can, on the other hand, is a top performer. After only one month of regular training, he can already be on duty independently like a senior resident doctor.


    Even senior residents often ask him for help.


    Of course, this does not mean that he must be better than senior residents. I haven''t learned all kinds of basic knowledge, let alone advanced knowledge.


    Therefore, he has been very humble and very hardworking.


    When encountering something that I don''t understand, I will often ask the superior doctors for advice in a timely manner.


    The detached status he gradually gained in the Department of Critical Care Medicine provided great convenience for him to ask for advice.


    In addition, Gui Peisheng consulted the residents for advice.


    Zhou Can, however, can directly consult the attending and chief physician.


    Don''t underestimate this advantage.


    Resident doctors'' understanding of many problems is far from reaching the level of attending and director. Ask the chief physician for advice, and the answers you get will be more thorough and in-depth.


    In many cases, by quoting from many sources, multiple related or similar problems can be derived from a simple small problem.


    Ask for advice once or twice, maybe the gap is not obvious.


    Zhou Can consulted more times, and his accumulation became more and more solid.


    This is also one of the reasons why he was able to really catch up with senior seniors in just one month.


    There is one more thing worth mentioning.


    Based on the 7-bed patient with gastrointestinal bleeding, Dr. Shi invited Zhou Can to do in-depth research and write a thesis.


    At present, there has been a lot of progress, and the content of the paper is constantly expanding.


    It''s a pity that this is the only example, which also leads to a lot of information to check.


    Sometimes, it seems that there are only a few short sentences, or a comparison of several sets of data, but it takes a lot of time and energy for both of them.


    In addition, the parasites infected in the patient''s body have not been found in any medical papers, magazines, or books.


    This also greatly increases the difficulty of research.


    Although the process of writing a thesis is extremely difficult, the benefits to Zhou Can are also great.


    You know, Dr. Shi regards this paper as one of the papers of the deputy chief physician. Pretty high level.


    This paper is a good basis for Zhou Can to be promoted to attending physician in the future.


    It is much more advanced than those fake papers that spend money to buy papers, or copy a paragraph from east to west.


    After the one-month regular training period ended, other regular trainees left one after another.


    Jin Mingxi went to the regular training of digestive tract surgery.


    Zhou Can is still in the Department of Critical Care Medicine to continue his studies.


    ¡­


    Time flies, the sun and the moon fly by.


    The three-month regular training life in the intensive care medicine department was full and tense, and the lost lives were bid farewell almost every day.


    Zhou Can has worked here for a long time, and his biggest feeling is powerlessness and helplessness.


    There are too many problems that doctors can''t solve.


    Sometimes watching some young lives die, he feels very uncomfortable.


    However, within these three months, he has also changed from a rookie in the intensive care unit to a man who is quick in action, decisive in taking medication, and ruthless in rescue.


    Countless patients have been rescued by him.


    Most of them were Zhou Can who pulled them back from the ghost gate again and again, and then took care of them carefully, and finally sent them out of the ICU ward safely.


    Every time a patient with such improvement is sent to the intensive care unit, the doctors and nurses will be very happy.


    I often joked that I finally sent out another live one.


    The day when Zhou Can left the intensive care unit finally came.


    After staying here for a long time, he also developed deep relationships with doctors and nurses. Every time when rescuing patients, everyone rushes up like comrades-in-arms. This kind of united atmosphere among departments is unmatched by any department.


    Includes emergency departments.


    In the Department of Critical Care Medicine, there are also various competitions and occasional intrigues, but everyone is always harmonious and united like a big family.


    There is no barrier between groups.


    Doctors and nurses are sometimes like a ''husband and wife'' working together. Think in one place with your heart, and use your strength in one place.


    Zhou Can is full of reluctance for this department.


    There is always a banquet in the world, and it is time for him to transfer to a new department for training.


    In the doctor''s office of the Department of Critical Care Medicine, Director Liu personally saw him off.


    "Xiao Zhou, although I have been your teacher for the past three months, I feel very lucky. I have learned a lot during the process of taking care of you. Especially your experience in surgery and your selfless spirit of exploration. I have benefited a lot from the fearless spirit and the ability to diagnose with clear brain circuits. In the past three months, the transfer rate of critically ill patients in the intensive care department has been increasing, and the hospitalization period has been greatly shortened. I know, thanks to you maximum."


    Director Liu looked at Zhou Can, feeling very reluctant to leave him.


    This go-getter has not only brought great vitality to the Department of Critical Care Medicine, but also achieved remarkable results.


    Zhou Can likes to repeatedly study those cases that he thinks may get better after treatment.


    When the cause of the disease is clarified, or there are some possible surgical and treatment options, he will promptly propose them to Director Liu.


    At least 70 patients were successfully escaped in three months, and all those patients were safely transferred out of the intensive care unit.


    "Being influenced and inspired by you, I realized the serious shortage of the intensive care medicine department. We were indeed too conservative before. I have already applied to the hospital to add a rotation mechanism. Neurology, cardiothoracic medicine, digestive tract medicine, gynecology, obstetrics , Neurosurgery, Cardiothoracic Surgery, Gastrointestinal Surgery and other important departments, every month a doctor above the attending level is sent to the Department of Critical Care Medicine to participate in the duty."


    "With specialization in the surgery industry and the addition of specialist doctors, the diagnosis and treatment of critically ill patients will be actively promoted. It can reduce mortality and greatly increase the recovery rate of critically ill patients."


    Director Liu also realized that it would be impossible to be a monk and strike the bell again.


    It''s like a small tree that was blown down by the wind on a stormy night, pulling out even its roots.


    The next day, Zhang San, a forest ranger in this area, saw it and ran over to help him up.


    I wanted to make a stake for it, but I was worried that it would hurt its trunk, so I just supported it like this. Been waiting for it to grow back.


    Zhang San supported it like this every day, and even had to call his wife to help him between eating and drinking.


    I have to ask my wife to water it every day.


    I just hope that the root system of this tree can re-enter the soil as soon as possible and become stable.


    The days went on like this day by day. In order to help the sapling stand up again, Zhang San took care of it day and night with his wife in every possible way. Very hard.


    A month has passed, and the tree is doing well. The roots of the tree re-entered deep into the soil, and Zhang San didn''t need to support him anymore.


    It came back to life again.


    Not long after that, another tree was blown down by the wind. Zhang San and his wife used the old method again, "foolish" support, taking care of them day and night. At this time, farmer Li Si walked by and made a suggestion after seeing it.


    You can make a tripod for the tree to support the trunk, then re-strengthen the soil at the root, and then water to help the tree tide over the difficulties.


    Zhang San was reluctant at first, for fear of hurting the tree.


    Under Li Si''s persuasion, he finally agreed to give it a try.


    As a result, it was found that after using Li Si''s method, not only did the sapling not die, but it took only half a month for the sapling to recover.


    Since then, Zhang San has never acted foolishly and recklessly.


    From this little story, it is not difficult to see that the current critical care medicine department of Tuya Hospital treats patients in the same way as the fool of forest guard Zhang San. It looks very hard, very tired.


    But it is inefficient.


    The treatment method is too conservative, which is actually not good for the patient.


    The arrival of Zhou Can is like the passing farmer Li Si, boldly proposing various surgical suggestions, or diagnosing the real cause of the disease, and actively treating the patient.


    It seems risky, but the effect is even better.


    Director Liu realized that there was a problem with the treatment model of the Department of Critical Care Medicine, and that was enough.


    As for how to solve it, Zhou Can will not care.


    In Zhou Can''s view, it may not be possible to apply for the appointment of doctors above the attending level to the major departments.


    This involves a complex relationship of interests.


    The real solution, I am afraid, is to work hard to train doctors in the department. You can let them go to the weight department for further study.


    "Xiao Zhou, what do you think after the regular training is over?"


    "I''m going back to work in the emergency department."


    "It would be great if you could come to work in the Department of Critical Care Medicine. I''m really sad that you want to leave."


    Director Liu looked at him with deep reluctance in his eyes.


    "Actually, I''m also very reluctant to part with you and other colleagues, but the search for the path of medicine is always moving forward. I may become a surgeon in the future, and I haven''t decided what area to specialize in yet."


    Zhou Can never had the idea of ??entering the intensive care medicine department.


    If there is a need in the future, it is okay to come back here for further study.


    "I know I can''t keep you. Where is the next training department?"


    Director Liu showed a wry smile.


    In the eyes of many doctors, the Department of Critical Care Medicine is a popular department. But in the eyes of Zhou Can, a super medical genius, he might really look down on him.


    "The next department to be trained is cardiothoracic surgery, then digestive tract surgery, and finally general surgery. After completing the training of these departments, I will transfer to several departments of internal medicine."


    Three years seems like a long time.


    For Zhou Can it is very compact.


    In terms of laying the foundation, the hospital is obviously cultivating him as an elite doctor in general practice.


    In the entire Tuya Hospital, there are not many doctors who can enjoy his treatment.


    "Fine! Anyway, in the past three months, you have formed a deep bond with the Department of Critical Care Medicine. If you need anything in the future, you can always come to me. After you finish your studies, you can also visit the Department of Critical Care Medicine from time to time. Help those dying patients."


    Director Liu can only settle for the next best thing.


    "Thank you for taking care of and cultivating me in the past three months. Dr. Hu, Dr. Shi, Deputy Director Yu and others have also given me a lot of help. I will remember all of these in my heart. I will definitely come to the patient''s door frequently in the future. of."


    Zhou Can is really grateful to them.


    In the past three months, he has learned a lot of extremely valuable first aid knowledge.


    This will be of great benefit to him going back and forth to work in the emergency department, and even to practice medicine all his life.


    "Haha, Doctor Zhou mentioned my name just now!"


    Deputy Director Yu walked in from the outside.


    Dr. Hu, Dr. Shi and others also entered the office one after another.


    "Some of you are on duty, and some of you are at home after get off work. Why are you all here?" Deputy Director Liu looked at these people in surprise.


    "Isn''t it because I heard that Dr. Zhou was leaving, so I was a little bit reluctant! As soon as we discussed it, we rushed over to say goodbye to him."


    Dr. Hu explained with a smile.


    "Thank you! Thank you for valuing me so much. It is my luck and fate to meet you. Even if I leave in the future, I will miss you all."


    Zhou Can put his hands together and thanked them again and again.


    It was really grand for so many people to see off a Gui Peisheng. It also shows that they take Zhou Can very seriously.


    Only if you care, will you rush over to say goodbye.

 Chapter 173： Growth can be seen, the ubiquitous sophistication of the world

    To make them rush to say goodbye to Zhou Can, even a fool would not believe it if it was purely a friendship of colleagues. The main reason is that the potential revealed by Zhou Can is too amazing, and it has the value for them to climb.


    Of course, friendship also plays a part.


    Human relations in the world are originally composed of friendship and interests.


    Friendship can make each other trust, and interest is an important link for both parties to keep in touch and help each other.


    Without a foundation of trust, there is no way to give gifts.


    No matter how poor the leader is, he will not accept a gift from a stranger. There must be a trusted acquaintance acting as a middleman to build a bridge and lead the way, so that the gift can be sent out.


    These doctors in the intensive care department, like Dr. Hu, Deputy Director Yu, and Zhou Can do not have a deep friendship.


    It is estimated that he also wanted to deepen his friendship with Zhou Can through this farewell.


    In the future, if you ask for something, you can also talk.


    After saying goodbye to them one by one, Zhou Can returned home from get off work.


    Dr. Shi chased after him.


    "Dr. Zhou went to another department, will you still write the paper together?" Dr. Shi asked. "Even if you don''t participate, I will include you when I publish."


    He added another sentence.


    Dr. Shi is a taciturn and kind person who can''t hide things on his face.


    He said it politely, but his eyes and expression clearly did not want Zhou Can to withdraw from the cooperation.


    With his own strength, he can complete the rest of the thesis.


    But it is definitely not as powerful as two people.


    "Participated, of course I did. I am extremely happy to be able to study and improve together with Dr. Shi." Zhou Can usually would not have the opportunity to be with a superior doctor.


    Dr. Shi took him to write the thesis together, which was of great help to him.


    The two have cooperated for nearly three months, and they already have a high degree of tacit understanding when doing research.


    The two are working together to check information, dialectics, calculate various data, expand and expand the ideas of the thesis, etc.


    At the beginning, Zhou Can was basically in the learning stage because he wrote few papers.


    He had only written graduation thesis before, which was considered more formal.


    The defense that I usually participate in is not a thesis at all.


    Now the papers written by Dr. Shi are going to the core journals.


    The brand and grade are not the same as the graduation thesis.


    Dr. Shi wanted to rely on this thesis to lay the foundation for the title of deputy senior professional.


    Zhou Can has a very strong learning ability and has a good foundation.


    Only memorization-related medical knowledge is a bit weak, and English is relatively poor.


    The foundation is weak, because I was lazy when I was in college, and I was not willing to spend hard work on memorizing those memorizing knowledge. Poor English, in addition to being lazy, there is also rejection of foreign languages ????in his bones.


    He always felt that there was no need to spend too much time and energy on learning the language of foreigners.


    Of course, in the end he was beaten by reality.


    His poor medical background and poor foreign language should be the main reason for his failure in the postgraduate entrance examination.


    In terms of talent, Zhou Can is really talented. Especially logic knowledge, through understanding and memory, his thinking is very quick.


    Even the teacher praised him many times.


    This is why his medical foundation is not particularly outstanding, but his pathological diagnosis is very good.


    Because he is particularly interested in the diagnosis and treatment of various cases.


    When reading a book, this kind of knowledge has a strong ability to absorb.


    It can only be said that each has its own advantages and disadvantages.


    In addition to his poor medical knowledge of memory, his surgical ability is actually not particularly good.


    If you didn''t get the experience point system before, you might not even be able to enter the top 100 in the regular training exam.


    In fact, he has always worked very hard to practice his surgical skills.


    Now, relying on the experience point system to improve all the medical skills is equivalent to making up for the original short board and turning it into the biggest advantage.


    This is also the main reason why he can become more and more evil.


    Cooperate with Dr. Shi to write the thesis, relying on Dr. Shi''s leadership from the beginning. Up to now, his contribution in the thesis has even surpassed that of Dr. Shi.


    Growth is really visible.


    It is precisely because he is very important to the completion of the thesis that Dr. Shi caught up with him and chatted privately about it.


    Dr. Shi also breathed a sigh of relief when he received Zhou Can''s statement.


    "keep in touch!"


    Dr. Shi shook the cell phone he was holding, then turned and left.


    ¡­


    The next day, Zhou Can rushed to the cardiothoracic surgery department early to report.


    In order not to be caught by the pigtails.


    Director Xie of the Department of Surgery has never been friendly to him, and his thoughts of suppressing him have always existed.


    It''s like the US emperor''s heart to destroy China is not dead, and he has been doing all kinds of bad things and suppressing.


    As long as Zhou Can doesn''t submit to the surgery department, Director Xie will have trouble sleeping and eating, and always feels that Zhou Can will pose a huge threat to the surgery department in the future. His suppression of Zhou Can will not stop.


    Cardiothoracic surgery is known as one of the four strongest departments in surgery, and it is by no means in vain.


    Any heart bypass surgery can generate 70,000 to 80,000 yuan in revenue.


    As for various heart, lung, and aortic surgeries, they are basically major surgeries. The cost is high and the technical difficulty is quite high.


    This is also the reason why doctors in cardiothoracic surgery dare to be arrogant.


    The only surgery that can compete with God at the technical level is cardiothoracic surgery.


    However, in recent years, as some large hospitals have become more and more detailed.


    Cardiovascular surgery gradually began to be listed as a separate department.


    It is equivalent to dismembering the cardiothoracic surgery department.


    This is actually quite a blow to the thoracic surgery department.


    Tuya''s cardiothoracic surgery department has not yet separated, so its strength is strong.


    In the doctor''s office, Zhou Can found that including him, there were only five new trainees in cardiothoracic surgery.


    After filling out the information form, the doctor Guan Guipei said in a sharp voice, "Do you know what the first thing you do when you enter the cardiothoracic surgery department? Learn to take out the garbage. Because there are no minor surgeries in our cardiothoracic surgery department, they are all high-risk and high-tech requirements. Surgery. You regular trainees, don¡¯t think about what you can do, what you can do is to watch more, learn more, listen more, ask less and do less.¡±


    It is said that cardiothoracic surgery has always been arrogant and arrogant.


    Zhou Can has personally learned the lesson today.


    Although Gui Peisheng does have a la carte in many aspects, he is much better than an intern. What''s more, some of the regular trainees present have been trained for more than two years.


    He had obtained his medical license long ago, and he was already regarded as an official resident doctor.


    There''s nothing wrong with being a doctor.


    When I got here, I asked people to learn how to take out the garbage, which is simply irritating.


    Just as he was talking, a young female nurse rushed into the office in a hurry.


    "Dr. Zhao, Dr. Zhao, a patient with chest pain is coming outside. The pain is very severe. Please go and have a look!"


    "Why did you come here? Tell him to register and go to the outpatient clinic first!"


    Doctor Zhao, who was speaking to Zhou Can and others, frowned.


    When patients go directly to the doctor''s office, they are usually persuaded to register first and go through the outpatient process.


    Otherwise, wouldn''t it be a mess if all the patients were doing this?


    "You say you know Director Xueyan, why don''t you go over and have a look!"


    The nurse seemed a little embarrassed.


    The relationship between doctors and nurses in the department is intricate. When encountering such patients who know the doctors in the department, the nurses generally treat them with caution.


    He knew the chief physician, so he couldn''t be rude enough to drive him away.


    In case Director Xue blamed her afterwards, the nurse''s life would be very difficult.


    Usually in the hospital, don''t watch the nurses swearing, they hate the patient''s family, and the family hates the doctor. It seems that the sky is not afraid, and the earth is not afraid.


    They are actually smart in what they do.


    If you observe carefully, you will find that the nurses are all doctors below the resident level. When I meet a senior resident doctor, even if I feel dissatisfied in my heart, such as blaming the doctor for being too slow, or leaving everything to her. I absolutely dare not say it in person, and usually say a few words behind my back.


    As for women, Sui Sui Nian is their innate skill.


    As for the doctor in charge, unless the nurse''s brain is pumped.


    Chief doctors with higher professional titles, even their chief nurses, will greet them politely when they meet.


    Some are respect in addition to respect.


    When Dr. Zhao heard that he was a relative, he didn''t dare to neglect, and walked out of the office, the patient was left at the door of the nurse''s station. Lying flat on the cart, screaming incessantly.


    Accompanied by three family members with scorched faces.


    Judging by the way these people dress, they should have a decent net worth.


    The two older men and women, who might be the patient''s parents, stood there quite imposingly.


    It is possible to be a petty official or manager in a certain unit or enterprise.


    Generally, people with a little authority like to seek connections when they go to the hospital to see a doctor, and go through the back door.


    In particular, small cadres in most public institutions almost always look for acquaintances or relationships when they go to the hospital for medical treatment.


    It may be related to their working environment.


    In many public institutions, most of the people who can be small cadres are people with background.


    "Hi doctor, this is my son. I am very familiar with Director Xue. She is undergoing surgery now. Please help me find out what is wrong with my son?"


    The older woman spoke first.


    As for the young woman lying on the flatbed cart, she was pretty and had a good temperament. She didn''t speak, but looked anxiously at the young man who kept screaming for pain.


    These four should be a family of four.


    The older men and women are the patients'' parents, and the attractive young women are the patients'' wives or girlfriends.


    "How did he do it?"


    Dr. Zhao was doing a physical examination on the patient while asking about the situation.


    "My husband said that when he was doing pull-ups, he suddenly heard the sound of clothes being torn in his chest, and then it was extremely painful." The beautiful woman replied.


    Dr. Zhao nodded, and opened the patient''s neckline to check the condition of the chest wall.


    "Where is the pain?"


    "This... ah yo..."


    The patient''s physique is still quite strong, with both pectoral muscles quite large, and there is no bulge in the abdomen.


    Usually should insist on exercising.


    "It may be a pectoral muscle tear. You need to go to the outpatient clinic to register and have a chest CT examination to see the specific situation. If it is serious, you must have an operation."


    After the examination, Dr. Zhao told the family members.


    "Doctor, if you can do something special, can you directly apply for an examination for my son?"


    "Sorry, I''m in charge of the inpatient department. You need to find an outpatient doctor for this matter."


    Dr. Zhao politely refused.


    These family members really dare to think that it is impossible for such a large hospital to operate without following the rules.


    At most, the patient or the doctor himself was injured, and he happened to be familiar with the doctor in the examination room corresponding to the medical technology department. I asked him to take a film in private. Don''t take the film, just see where the injury is and whether it is serious.


    As for what the family members mentioned, don''t even think about it.


    Many patients who came to seek medical treatment from other places are still waiting for beds.


    The family members had no choice but to take the patient to the outpatient clinic.


    When I left, I was somewhat unhappy and didn''t even say thank you.


    Dr. Zhao directly began to assign tasks to Gui Peisheng.


    The old rules, control the bed.


    Including following surgery, writing medical records, learning to prescribe medical orders, etc.


    Zhou Can manages 16-20 beds. The superior doctor is none other than Dr. Zhao.


    I don''t know if Zhou Can''s luck is good or a bit unlucky.


    As soon as the bed is in charge, patients with 17 beds need to arrange surgery.


    This patient has been examined and requires clipping of the aneurysm.


    Chest surgery and abdominal surgery are actually two concepts.


    To open the abdominal cavity, it is enough to cut the skin, muscle, and peritoneal layers.


    But to open the chest cavity, even if it is just to make a simple bypass for the heart vessels, you have to saw the sternum, and then use a chest expander to separate the bones to the two sides. After the operation, the sawed sternum was fixed with steel nails.


    All thoracotomy operations are major operations, and the risks are extremely high.


    Aortic aneurysm clipping surgery is a serious fourth-level major surgery.


    As Dr. Zhao said, there are no minor surgeries in cardiothoracic surgery, but major surgeries.


    The patient''s operation time starts at eleven o''clock in the morning. The chief surgeon was none other than Chief Physician Xueyan whom the patient knew just now.


    Fasting before surgery, the nurse has already informed. UU Reading www. uukanshu.com


    What Zhou Can has to do is to make good records of body temperature and blood pressure before the operation, and to find out whether the patient has a history of allergies and so on.


    The 19-bed patient is being discharged from the hospital, and there are many things that I don''t understand.


    From time to time, he ran over to ask questions, and Zhou Can patiently explained them one by one.


    After three months of almost devil-like exercise in the intensive care medicine department, Zhou Can only felt that it was too easy to go to the specialized inpatient department to manage the bed.


    You don''t have to be nervous all the time, and you don''t have to worry about the patient dying in the next second.


    You don''t even need to stay in front of the hospital bed all the time. You can go to the toilet whenever you want, go back to the office to write medical records, etc., and you can also be willful at any time.


    Less than an hour later, the patient with a torn chest wall came again.


    I still have the CT scan in my hand.


    The related household is really kind, and they were arranged to be put on the hospital bed so quickly.


    "Your bed is here. Director Xue has already explained that he will arrange surgery for him as soon as possible. During this period, don''t eat or drink." The nurse sister brought the patient and his family here in person.


    I directly stayed in the newly vacated bed 19.


    Then the nurse from the inpatient department came over with a tray. Create files for patients, measure body temperature, blood pressure, heart rate and other basic data. Then give the patient painkillers.


    The man who was screaming in pain finally stopped.


    Knowing people, hospitalization and surgery in the hospital can indeed get some care.


    The treatment enjoyed by this man with a torn chest wall has far exceeded that of ordinary patients. Whether it is medication, jumping in line to occupy a bed, or urgently arranging surgery, it is all a coquettish operation.


    Behind this is because they know a chief physician and can receive the utmost care.


    Zhou Can saw all these people''s sophistication in his eyes, and thought to himself, a chief physician is really powerful.

 Chapter 174： Realistic family members, excessive electrocoagulation

    , the fastest update to the latest chapter of my medical skills can add experience value!


    Of the five patients under his care, three are waiting for surgery, and two are in the recovery period after surgery. Generally speaking, it is relatively easy.


    It was rare to be so relaxed. With a learning and responsible attitude, he began to check the patient''s examination report bed by bed to understand the patient''s current symptoms and so on. Now how to communicate with family members or patients, he already has rich experience.


    After all, it has been trained for so long.


    When chatting, start from the concerns of patients or family members, and you can easily open the topic and gain their favor and trust.


    The 16-bed patient underwent thoracic duct ligation two days ago. Currently, his physical signs are stable and he is recovering well. No postoperative complications occurred.


    The patient in bed 17 was a cardiac aneurysm.


    Judging from the inspection report, the diameter of the aneurysm is quite large. There are many surgical options for treating aneurysms, such as aneurysm embolization, stent placement, blood vessel replacement, and clipping.


    If it is an ascending aneurysm, a stent cannot be placed.


    Director Xue''s treatment plan for this patient is surgical clipping of the aneurysm, which should be because the lesion site is not suitable for interventional surgery.


    "I''m afraid the clipping of the aortic aneurysm is not so easy to operate!"


    After Zhou Can read the inspection report, he thought the operation was quite difficult.


    He has not had a clipping operation for a cardiac aneurysm, but has done a clipping operation for an intracranial aneurysm.


    And did too many sets.


    For the technical difficulties of clipping hemangioma, he has rich surgical experience.


    Director Xue is the chief physician, who dared to finalize the operation, and must have made a comprehensive assessment of the risks and difficulty of the operation. It shows that she is sure.


    Zhou Can didn''t need to worry about this matter.


    The most powerful surgeon in cardiothoracic surgery should be "the most stable scalpel" - Director Hu Kan.


    Zhou Can is particularly looking forward to seeing Director Hu Kan''s surgical demeanor sometime.


    "Xiao Zhou, the department has urgently arranged an operation for bed 19, and sent the patient to the operating room at 9:50! Follow up!"


    This related household had surgery just after moving in?


    Although it''s just a simple chest muscle suture, it doesn''t work that way, does it?


    Even in the emergency department, it is very cautious to perform general anesthesia on patients.


    "Didn''t he just move in? How about fasting for 12 hours before the operation?"


    Zhou Can asked.


    General anesthesia surgery for adults often requires fasting for 12 hours before surgery and drinking for 4 hours before surgery. Otherwise, after general anesthesia is implemented, in case the patient''s stomach contents are refluxed and inhaled into the respiratory tract, it is no joke.


    "The receiving doctor has already asked, and the patient has not eaten since 5 o''clock last night."


    Doctor Zhao explained a little impatiently.


    "That''s fine!"


    Zhou Can began to follow up the operation of the 19-bed patient.


    It is very necessary to do preoperative understanding and necessary inspections. Help patients prepare for the operation and face the operation in the best condition.


    I will be sent to the operating room at 9.50, and the time is very tight.


    Zhou Can can only do this first.


    Walking directly to bed 19, three family members gathered around the bed, waiting for the man on the bed saddle-backed.


    It can be seen that this man must have been spoiled by his parents since he was a child.


    An ordinary adult man, even if he is injured and in severe pain, can''t scream like a woman.


    At this moment, the man received a painkiller injection and lay on the bed with his eyes closed.


    His beautiful wife took a small plastic stool and sat in front of the bed. Constantly playing with the phone.


    Zhou Can took a glance and fainted.


    She was actually on Baidu, asking what should I do if my chest muscle is injured?


    What I am most afraid of is this kind of patients who popularize science on the Internet by themselves. They like to use popular science knowledge on the Internet to identify whether the doctor''s operation is correct and whether there is anything tricky.


    "Hello, please show me the patient''s examination report!"


    The inspection report was in her hand, so Zhou Can could only ask her for it.


    The woman looked up at him, and asked reluctantly.


    "Is it necessary?"


    Zhou Can has been rounding the ward in front of the hospital bed, and they must have noticed him a long time ago.


    The family members of ordinary patients will respect doctors very much.


    But this family of four is not ordinary people.


    They felt that they knew the chief physician of the cardiothoracic surgery department and they had some power, so they didn''t take "handyman" doctors like Zhou Can seriously.


    "The patient will undergo surgery at 9.50, and must prepare for the operation immediately! You need to actively cooperate."


    Zhou Can said to her seriously.


    "How will the operation be performed on my husband? Who is the chief surgeon? Even if it is a pre-operative conversation, shouldn''t the chief surgeon come to talk to us in person? We are very familiar with you Director Xue!"


    After she asked a series of questions, she even brought up her relationship with Director Xue.


    Doctors and nurses are very troubled when they encounter such patients.


    Because it is not easy to deal with.


    He thinks he is familiar with the procedures and routines of the hospital, and shows off his IQ and sense of superiority everywhere.


    Of course, their original intention is to obtain better medical resources.


    "The surgical plan will be discussed with you by the chief surgeon. I am the doctor in charge of the bed, and I will be responsible for following up the operation and helping patients make the necessary preparations before the operation." Zhou Can felt a bit of a headache when asked by this woman.


    The patient''s parents stood by without saying a word, allowing their daughter-in-law to show off.


    It is estimated that this woman also wants to show her knowledge and ability in front of her parents-in-law.


    That''s why it''s so difficult.


    "Okay, okay, I know that you, a bed doctor, don''t know anything! When your chief surgeon comes, I''ll ask him to find out about the situation." The woman reluctantly reported the examination to Zhou Can.


    In the eyes and tone, the contempt for Zhou Can is really not concealed at all.


    Zhou Can made a conclusion for this woman that being beautiful does not necessarily mean having quality.


    Might be a nice skin.


    Check the inspection report carefully. At least before the operation, it is necessary to see whether the patient has done necessary examinations such as blood routine.


    There is whether the patient has infectious diseases, inflammation and so on.


    Gui Peisheng follows up a surgery, which seems simple, but there are actually many things to do.


    If there are major omissions, you will be scolded by the superior doctor and scolded by the chief surgeon.


    When he first started his internship, he was scolded many times.


    Almost every doctor has grown up like this.


    The patient''s condition was fine, and there were no contraindications to surgery.


    "You don''t have symptoms like a cold or fever right now?" Zhou Can began to ask the patient some basic information.


    Some patients may find it annoying, but these must be asked clearly.


    Before surgery, patients should avoid respiratory diseases, such as colds and inflammations.


    "No no!"


    She answered very simply.


    "Do you have a cough?"


    "There must be a normal cough, but the cold cough you mentioned is definitely not there."


    "Do you have underlying diseases such as high blood pressure and diabetes?"


    "My husband is so young, do you think there may be diseases that these old people get? Or you''d better wait for the surgeon to come here before coming here! My husband needs a good rest now."


    She was annoyed by Zhou Can''s question.


    "Don''t eat or drink before the operation! If you need to go to the toilet, you can go to the toilet in advance!"


    Zhou Can was too lazy to ask any more questions.


    If the family members do not cooperate, there is a high probability that they will be scolded if they continue to ask.


    If something really happened, the sufferer must be the patient himself.


    Doctors don''t really care that much sometimes.


    "I know all this common sense."


    The woman is obviously impatient.


    "Can you stop making noise here? Let me sleep for a while." The patient''s mood is not very good.


    The patient''s parents obviously affected their son''s rest, and their faces became ugly.


    Zhou Can didn''t say anything, and went directly to other beds to do his own business.


    Not long after, the chief surgeon came over.


    He was a short man in his mid-thirties, about the same age as Jin Mingxi.


    Suturing the pectoral muscles is a first- and second-level operation. It is hard to say whether this male doctor is a resident doctor or an attending doctor.


    "I''m Duan Shangqing, the attending physician of the Cardiothoracic Surgery Department, and also his chief surgeon. How''s it going, isn''t it so painful after the painkiller injection?" Dr. Duan went straight to the 19th bed and gently asked about the patient''s condition.


    The tone is full of concern.


    When the patient''s beautiful wife heard that the surgeon was coming, she immediately stood up and greeted with a smile on her face, "Thank you for the painkiller prescribed by Dr. Duan. My husband is much better now. Is it necessary to have an operation?"


    The patient''s parents were also full of smiles and were very polite to Dr. Duan.


    "Looking at his film, there is obviously a laceration here. Theoretically, there is a possibility of self-healing without surgery, but it may cause his left arm to move inconveniently, chest tightness and chest pain and other symptoms. If you don''t pay attention, it will expand again. The tear may even affect the functions of the esophagus, heart and lungs, etc. In addition, internal bleeding is invisible to us, so it is in the best interest of the patient to repair the wound, stop the bleeding, and suture in time."


    "This is just a simple suturing operation between the first and second grades, and the risk is very low. Unlike open chest surgery, the risk is high."


    Dr. Duan tried his best to reassure the family members and let them relax.


    "Then after the operation, my husband''s hands and esophagus won''t be affected anymore, right?"


    She was still somewhat worried.


    "As long as the operation is successful and the recovery is ideal, he can completely return to his pre-operative state."


    After listening to Dr. Duan''s answer, the woman exchanged glances with her in-laws.


    "Okay, then we will perform the operation, and please take care of me."


    The patient''s father took out a red envelope from his pocket and slipped it to Dr. Duan.


    "Doctor Duan, I''m just such a son, so I must ask you to pay more attention to it. If you are a little careful, I will treat you to a cup of tea."


    His stuffing of red envelopes scared Dr. Duan into a fright.


    The hospital gave repeated orders and repeated orders, and no kickbacks were allowed, and no gifts or red envelopes were allowed.


    In front of so many people, if he accepted the red envelope, he might not have to wait until tomorrow before the medical department would invite him to talk.


    "Don''t do this, don''t do this, I will definitely do a good job on him with my heart. If you put red envelopes again, it will hurt me."


    Doctor Duan is so small that he really can''t stop him.


    After hearing this, the patient''s father took back the red envelope embarrassingly.


    "You are really a good doctor with integrity. I will treat my son to a meal some other day when he recovers and is discharged from the hospital, and please honor him!"


    "Let''s talk about it when the time comes! If you have no other questions, please sign the surgery notice and prepay the treatment fee."


    After the family member finished signing, Dr. Duan looked at the patient.


    "Didn''t you inform the doctor in charge of the bed to follow up the operation? Why haven''t you prepared anything yet?"


    Doctor Duan was obviously displeased.


    "I just followed up with the operation to help the patient prepare for the operation. The family members said that they will wait until the chief surgeon arrives."


    Zhou Can won''t suffer from being dumb.


    Doctors and nurses help patients to prepare for the operation. If the patients do not cooperate, there is really nothing they can do.


    Healing a disease is the patient''s own business.


    The emperor is not in a hurry, and it is useless for the **** to be in a hurry.


    "Well... I asked this young doctor just now, but I didn''t know anything. I definitely asked to wait until you arrived!" After the woman finished speaking, she raised her beautiful oval face and looked arrogantly at Zhou Can. "You see, after Dr. Duan came, the chat was over very quickly. It''s not like you. Asking things are all useless questions. I think you need to study harder. You are not professional at all."


    Instead, she taught Zhou Can a lesson.


    Zhou Can''s face was blackened by her.


    Arguing with family members is stupid behavior, Zhou Can did not argue with her.


    Instead, do what needs to be done.


    It is really tiring to prepare such patients before surgery.


    The nurse came over with a plate to disinfect and clean the patient''s skin before surgery. The knife position is drawn by the master knife.


    After stumbling, the patient was finally sent to the operating room.


    The chief surgeon, Dr. Duan, the resident doctor, Dr. Zhao, a surgical nurse, and an anesthesiologist are all ready to be in place.


    Considering the cost, the medical equipment for primary and secondary surgery is often not too much.


    "Xiao Zhou, my family members told me that you are very unprofessional. In the future, you should pay attention and learn more." Dr. Zhao reprimanded him.


    "OK!"


    Zhou Can is so depressed, don''t mention it.


    This kind of grievance can only be regarded as unlucky, and you can''t care too much about it with your family members.


    Surgery began shortly after, and the patient was placed under general anesthesia and his vital signs were stable.


    I saw Dr. Duan holding a scalpel, carefully making a longitudinal incision from the center of the sternum. Then cut the skin, subcutaneous tissue, muscle.


    Regarding the choice of incision, in addition to the longitudinal incision from the center of the sternum, a transverse incision can also be made from the level of the fourth rib between the two **** and within the inframammary fold. It mainly depends on the part that needs to be sutured, as well as gender and so on.


    If it is a female patient, you need to pay attention to the perfection of the incision and try not to damage their body shape.


    When doctors operate on female patients, they take into account their postoperative lives.


    For example, after giving birth to a child, if the lower part is torn, the doctor will deliberately sew a little more when suturing. In order to ensure the harmonious life of husband and wife in the future.


    Pay attention to the protection of women''s body, the same reason.


    "Stop the bleeding!"


    What Dr. Duan said was to remind Dr. Zhao.


    I saw Dr. Zhao electrocoagulate the patient to stop the bleeding, and the operation was okay. The level of hemostasis should reach the excellent level of residents.


    Whether it is Dr. Duan, the attending physician, or Dr. Zhao, the resident physician, both of them have surgical abilities consistent with their professional titles.


    It seems that although the cardiothoracic surgery doctors are arrogant, their overall strength is quite strong.


    It does have a proud capital.


    After Dr. Zhao finished hemostasis, Dr. Duan continued the operation.


    Start free skin flap and pectoral muscle flap.


    Zhou Can looked at it very seriously, this is a good learning opportunity.


    He saw Dr. Duan''s scalpel, freeing the pectoral muscle flap a little bit from the side of the sternum to the outside.


    Whether it''s his scalpel wandering, or Dr. Zhao''s hemostasis, they are all very steady.


    The incision technique shown by Dr. Duan is not bad, but the level of attending is inferior. But his dissociation level is much worse, because it requires a powerful separation technique to support it.


    Optimistically, if Dr. Duan''s separation operation is exhausted, he can barely reach the excellent level of a resident doctor.


    Separation is very difficult to practice.


    Even Zhou Can has only reached the lower level of an attending doctor.


    When they separated, Dr. Duan might have struck a little harder, and tiny blood arrows spurted out.


    Zhou Can took a closer look, and it turned out that a thicker artery was broken during the separation process.


    Dr. Zhao immediately cooperated with tacit electrocoagulation to stop the bleeding.


    Zizizi!


    The electric coagulation knife burns blood vessels and surrounding tissues.


    The level of hemostasis has not reached the level of indications, which is basically the case. The hemostasis operation is as fierce as a tiger, which seems rough.


    Only when the level of indications is reached, can both precision and dexterity be achieved.


    Dr. Zhao''s hemostasis at the moment is more like a drastic move. If Zhou Can is allowed to stop the bleeding, it will be superficial, with butterflies piercing flowers, with both dexterity and precision.


    Any medical skill that has reached the level of attending and above, already has a very high level.


    Further up, if you want to reach the director level, it will be a qualitative leap.


    For example, Zhou Can''s current sutures and ligation are all at the deputy director''s level. Compared with the attending level, there is really a world of difference.


    Zhou Can watched Dr. Zhao''s ferocious hemostasis operation, hesitant to speak.


    If the time of electrocoagulation to stop bleeding is too long and too sharp, the surrounding tissues will be seriously damaged.


    Doctor Duan didn''t say a word, he really didn''t want to talk too much.


    His status is low, and he is new to this department. As a subordinate doctor, it is wrong to accuse the superior doctor. It is almost crazy.


    Electrocoagulation continued, and finally, the bleeding finally stopped.


    Zhou Can subconsciously looked carefully at the bleeding point. I saw that the tissue in that part had changed color slightly.


    Perhaps it was because Zhou Can''s hemostasis had reached the middle level of indications, and he had a very bad feeling in his heart.


    Dr. Duan continued the operation.


    "Here, here! Finally found the tearing part! The tear is quite large."


    Dr. Duan was very happy to find the torn muscle layer successfully.


    Don''t look at Zhou Can who is always helping Director Wen with three or four major surgeries. In fact, for many attending doctors, it is quite proud to preside over a secondary operation alone.


    "The absorbable thread should be thicker, and the tension here is relatively large."


    The invention of absorbable thread is a good news for surgical patients.


    Today, the technology is very mature.


    And the cost is not high.


    Before the invention of the internal suction thread, it was necessary to suture the subcutaneous tissue, and only ordinary sutures could be used.


    When the wound on the inside is almost grown, cut the outer skin again and remove the inner thread. Then sew the skin.


    It is conceivable how much the patient suffers.


    This kind of operation is also particularly easy to cause scar hyperplasia After the torn pectoral muscles are sutured, Dr. Duan will leave the rest of the suturing and other finishing work to Dr. Zhao.


    Zhou Can stared at the slightly discolored electrocoagulation site again.


    In order to see more clearly, he moved closer.


    "Yes, it is indeed a severe injury. If it is not repaired, it will definitely be necrotic."


    After he reconfirmed, he already had a judgment in his heart.


    Dr. Duan failed to discover this problem, indicating that he was either not good enough, or he was careless.


    It is likely that the level is not enough.


    Otherwise, Dr. Zhao should have stopped the electrocoagulation with a voice.


    To provide you with the fastest update of my medical skills that can add experience points to the great **** Jiangbian Yuweng, so that you can check the fastest update of this book next time, please be sure to save the bookmark!


    Chapter 174 Real family members, excessive electric coagulation free reading.https://

 Chapter 175： This training is unusual, autologous blood transfusion

    Pathological diagnosis experience value 1.


    After Zhou Can gained 1 diagnosis experience point, he was more sure that his judgment was correct.


    Then you must tell the two superior doctors in time.


    Congratulations, your pathological diagnosis has been upgraded to level 4, the current experience value is 110,000, and the level of attending is lower. Various complex diseases can be diagnosed, there is a certain probability of identifying hidden diseases, and there is a small probability of identifying comorbidities.


    Zhou Can did not expect that at this moment, the pathological diagnosis would be upgraded.


    Originally, his pathological diagnosis was only at the middle level of a resident doctor. It was only because of eight months of hard work in the emergency department, orthopedic surgery, and neurosurgery that it was raised from the low level of resident medicine to the middle level.


    He was able to advance to Level 4 this time, thanks to the successful diagnosis of three super-difficult cases in the Department of Intensive Care Medicine, plus several normal-difficulty cases. These include recessive cases.


    Complications are the same symptoms, and there may be multiple lesions at the same time.


    Multiple diseases are the most difficult to diagnose.


    Even senior resident doctors can easily miss the diagnosis when encountering such cases.


    "Pathological diagnosis has finally been upgraded to the level of attending. Counting the time, the one-year training period will be over, and you can apply for the licensed doctor certificate."


    According to the requirements, one year of work experience after graduation is required for the examination of medical license.


    Zhou Can has been trained for eleven months, and he is estimated to be able to pass the medical examination during the period of cardiothoracic surgery.


    At this time, the pathological diagnosis has been upgraded to level four, which will be of great help to him in his examination of the medical license.


    Then practice skills test, he is even more easy.


    Three months of regular training in the intensive care unit, coupled with surgical experience in multiple departments, is enough for him to easily pass the medical license examination.


    Examing this certificate is simply a natural barrier for many regular trainees.


    Many people fail the exam, and in the end they are forced to change careers or take up administrative positions.


    It is exactly that sentence, those who are difficult will not, and those who will meet will not be difficult.


    Zhou Can suppressed the joy of being promoted to the fourth level of pathological diagnosis, and looked at Dr. Zhao.


    "etc!"


    It is related to the safety of patients, Zhou Can must remind.


    "What''s your business?"


    Dr. Zhao just stood at the chief surgeon''s position and was interrupted when he was about to finish the finishing work, looking very unhappy.


    "You seem to be overdoing the electrocoagulation to stop the bleeding. I am worried that it will cause tissue ischemia and necrosis."


    Zhou Can bit the bullet and asked this question.


    Upon hearing this, Dr. Zhao''s face changed suddenly.


    It had been only a little cold just now, but now it was overcast and frighteningly dark.


    Even Doctor Duan didn''t say anything, this Gui Peisheng picked on him, it was too presumptuous and arrogant.


    "How did you judge that it was going to be ischemic and necrotic? You just opened your mouth. A novice like you just likes to see more things and worry about nothing." Dr. Zhao was quite annoyed.


    He almost pointed at Zhou Can''s nose and cursed.


    It is very dangerous to pick on the fault of the superior doctor.


    If Zhou Can hadn''t been really helpless, he really wouldn''t mind this kind of business.


    Doctor Duan did not express his opinion in a hurry, but stared at the patient''s wound.


    "Although the electrocoagulation technique is a bit rough, there is no obvious problem. As for the damage to a little normal tissue, this is a normal phenomenon, and there is no need to make a fuss. The principle of electrocoagulation to stop bleeding is to use the principle of high temperature to make blood vessels form. Scab formation, so as to stop the bleeding. It is inevitable that there will be improper handling during the operation, which will cause damage to the surrounding tissues. Our human body has a very strong recovery ability, and it will recover soon, so don''t worry."


    Doctor Duan''s tone was quite gentle.


    He even patiently explained the principle of electrocoagulation to stop bleeding to Zhou Can.


    He never imagined that this young man''s level of hemostasis is still higher than his.


    "However, this patient has damaged a lot of tissue, so if he just stitches it together, if there is ischemic necrosis, the consequences will be very serious."


    Zhou Can accentuated his tone.


    "Okay, okay, facts speak louder than words. After two days, when this patient is discharged from the hospital, you will understand. As doctors, we must have awe of life and be bold and careful. If you are afraid of hands If you are afraid of your feet, you can¡¯t be a good doctor.¡±


    Doctor Duan stopped Zhou Can from entangled in this topic.


    "Sew it up!"


    He directly asked Dr. Zhao to suture the wound.


    It can also be seen from this incident that the level of each doctor is different. Cognition will also be different.


    Zhou Can clearly pointed out the problem, and Dr. Duan seemed to be blind, unable to find it at all.


    On the one hand, he thought that Zhou Can was just a Gui Peisheng with no experience in surgery, and his comments were completely fussy. On the other hand, in Dr. Duan''s perception, this has always been done. It was fine before, and it will be fine this time.


    Dr. Zhao''s suturing skills are not bad, and he looks like an average resident doctor.


    It is still a little short of the excellent level of resident medicine.


    After the wound was stitched, Dr. Duan checked it and nodded with satisfaction.


    "Well, the stitches are good. After waking up from the anesthesia, you can just send it back to the ward for recuperation."


    The surgery has been done and it can be withdrawn.


    "Xiao Zhou, in order to prevent you from making a fuss next time, I punish you to stay in the operating room all day today and help the nurses clean up. It also happens to give you a little bit of insight, to see how the operation is done, so as not to make you laugh. "


    Dr. Zhao was annoyed at Zhou Can for picking on him, so he decided to punish Zhou Can a little bit to make Zhou Can remember better.


    Punish him to stay in the operating room to clean up, killing two birds with one stone.


    It can not only impose punishment, but also allow Zhou Can to observe other doctors'' operations.


    Doctor Duan didn''t care about this matter, and left without saying anything.


    Zhou Can stayed in the operating room to clean up.


    Because there is only one instrument nurse for this operation, and there are no patrol nurses and hand washing nurses, all the cleaning tasks are left to Zhou Can alone.


    After Zhou Can finished cleaning, it didn''t take long for doctors and nurses to rush the patient to the operating table.


    "Yo, why is it a male nurse?"


    The chief surgeon was a thirty-eight or nine-year-old male doctor with gray hair, a rather elegant demeanor, and a particularly energetic person.


    Seeing a strange young man standing in the operating room, he froze.


    "He''s not a nurse, he seems to be a newcomer, Gui Peisheng. Dr. Zhao asked him to stay in the operating room to clean up for a day, and watch other doctors perform operations by the way, gaining insight."


    The surgical nurse was the same as last time.


    She quickly explained a few words.


    The way the other doctors and nurses looked at Zhou Can changed immediately.


    Everyone is a human being.


    Gui Peisheng was arranged by the superior doctor to clean up the operating room, even a fool would understand that this was punishment.


    Only the anesthetist carrying the box looked at Zhou Can with a surprised expression.


    He even nodded slightly at Zhou Can as a greeting.


    "Hurry up, lift the patient to the operating table! Doctor Guan, give the patient anesthesia immediately."


    Judging by the situation, the condition is critical.


    Zhou Can also walked over to help. Anyway, it''s just an operation, and the surgeon will never mind if there is one more person to help.


    Zhou Can knew this anesthesiologist named Doctor Guan.


    Because Zhou Can has already performed many operations, and he has also performed a lot of major operations above the third level.


    General anesthesia for some major operations often sees this official doctor.


    Anesthesiologists are actually the same as ordinary doctors, divided into three levels: resident doctor, attending doctor, and director. Different anesthesia procedures require different qualifications.


    At the same time, anesthesiologists will also lead apprentices like ordinary doctors.


    Anesthesia for various operations with serious heart, brain, lung, endocrine and other system complications or for surgical anesthesia with high risks in preoperative evaluation requires the director or deputy director anesthesiologist to preside over it.


    They evaluated the risks of the entire perioperative period, and believed that the safety factor met the requirements before the surgeon could perform the operation.


    Otherwise, even Wu Baihe and Hu Kan, the leaders of the weighted department, formulated a surgical plan for the patient, and the anesthesiologist felt that the risk was too high after evaluation. Then it can only be shelved.


    Or wait until the patient meets the surgical criteria before elective surgery.


    Therefore, the status of anesthesiologists is not low.


    Moreover, they understand the human body''s breathing, nervous system, blood system, and the operation of various organs.


    All of them are hidden masters.


    The only criticism is that the anesthesiology department is a sub-department, and the treatment cannot be compared with that of doctors in weight departments.


    They seem insulated from fame.


    No matter how powerful a director-level anesthesiologist is, the most famous person in the industry knows it. As for the patients and family members, they only know the name of the surgeon who performed the surgery.


    Who the anesthetist is, they rarely care.


    Official doctors should at least be senior attending anesthesiologists. The anesthesia operation that allowed him to do it himself showed that the difficulty was not low.


    At least the stakes are high.


    What disease is this patient? It seems that the patient''s face is pale, restless, cold sweat keeps coming out of his forehead, and he has difficulty breathing, which shows that the patient is in extreme pain at this time.


    After uncovering the cloth on the patient''s body, obvious trauma can be seen between the ribs.


    Zhou Can immediately understood that the patient was likely to have pleural hemorrhage accompanied by a large amount of pleural effusion.


    This disease is very dangerous, and it is best to perform emergency surgery to stop the bleeding before the patient goes into shock.


    Doctor Guan quickly connected the life monitoring probe to the patient.


    Originally, if possible, it was even necessary to establish central venous pressure monitoring. Now the situation is urgent, just monitor heart rate, blood pressure, respiration, body temperature and so on.


    "Doctor Zhou, can you help me insert the trachea and put on the ventilator?"


    The official doctor is alone, and the patient''s condition is getting worse and worse.


    In order to save anesthesia time, he had to ask Zhou Can for help.


    Others don''t know Zhou Can''s ability, but Doctor Guan knows it very well.


    In particular, Zhou Can''s glorious deeds in the Department of Critical Care Medicine are known not only to the doctors and nurses in the Department of Critical Care Medicine. Most doctors in anesthesiology have also heard about it.


    Because many doctors in the Department of Critical Care Medicine are transformed from anesthesiologists.


    For example, Dr. Shi used to be an anesthesiologist, but later switched to life sciences. He was focused on how to provide better life support for the patient, and how to save the patient when the patient was dying.


    If there is any news, it is very easy to reach the ears of former colleagues in the anesthesiology department.


    The other doctors and nurses were all surprised when they heard that Dr. Guan asked Zhou Can to help.


    It seems that Dr. Guan is very familiar with the punished Gui Peisheng!


    Endotracheal intubation is not too difficult, but it is still a little difficult to complete quickly and accurately.


    The operation of the ventilator is relatively easy to learn, but the adjustment of the parameters is a test of a doctor''s level and experience.


    Under the suspicious eyes of everyone, Zhou Can stepped forward quickly, and then performed tracheal intubation on the patient.


    At this moment, it would have been very difficult to intubate the patient in a restless state.


    Zhou Can completed the endotracheal intubation with ease.


    Endotracheal intubation is the insertion of a special endotracheal tube through the mouth and into the trachea through the glottis. It can also be inserted through the nasal cavity, depending on the specific situation.


    The patient''s current state is more suitable for oral intubation.


    At least a little more comfortable than nasal insertion.


    The patient is already restless, and it is not easy to get him to cooperate.


    After the intubation was completed, Zhou Can began to skillfully adjust the parameters of the ventilator. The three months in the intensive care medicine department were not in vain, and now he is able to operate these instruments with ease.


    Experience is also very mature.


    For the adjustment of various parameters, it can be clearly understood.


    There is no such thing as a wasted journey in life, every step counts.


    He trained in the intensive care medicine department for three full months, and only after he came out did he realize that the benefits were huge.


    Can be used in many occasions.


    Moreover, the high level of mental tension when working in the intensive care unit was a very good tempering for his character.


    "alright!"


    Zhou Can retreated calmly to the most inconspicuous onlooker position under the operating table.


    Just now for the intubation of the patient, he earned 1 point of experience in implantation.


    As long as you stay in the operating room, you can always get some points.


    "What a cow!"


    "This Gui Peisheng''s operation just now is too coquettish!"


    "It turns out that endotracheal intubation can be so simple! I have to try again next time!"


    The other doctors and nurses were all dumbfounded.


    Zhou Can''s performance was very eye-catching, and even gave people the illusion that endotracheal intubation is particularly easy.


    "The anesthesia was successfully implemented and the operation can be performed."


    As the official doctor''s voice fell, the chief surgeon had already stood at the chief surgeon''s position and made an incision in the patient''s ribs. Then cut it layer by layer until the pleural membrane can be seen.


    There was a lot of blood in it.


    "It''s better to **** off some of the accumulated blood first. The bleeding point should be in the intercostal area."


    The chief surgeon was speaking while operating on the patient.


    He was looking for the bleeding point quickly.


    It''s just that the environment in the chest cavity is complicated, and there is residual blood accumulation, so it is not easy to find the bleeding point.


    The incision site chosen by the chief surgeon was checked before the operation, and the bleeding point was roughly locked in this position.


    It turned out that a window was opened in the chest cavity, and the bleeding point was much harder to find than expected.


    The chief surgeon was already sweating on his forehead.


    In the blink of an eye, the patient''s bleeding quickly caused a large amount of blood to accumulate in the chest cavity.


    "The patient''s blood pressure is dropping rapidly! Breathing is also giving an early warning, and the operation must be accelerated!"


    The anesthesiologist looked worried for a while.


    According to the examination results, the type of pleural hemorrhage in this patient should belong to chest wall vascular injury.


    The bleeding points of this type of injury are mostly in the intercostal arteries, veins and internal thoracic vessels.


    Because it belongs to systemic circulation and high pressure, most of them are continuous bleeding.


    There is almost no possibility of automatic hemostasis without surgery.


    Zhou Can picked up the patient''s examination report and checked it carefully. At this time, he was trying his best to rescue the patient, and no one cared about him.


    The patient underwent coronary angiography, but no bleeding points were found.


    X-ray chest examination showed pleural effusion shadow on the injured side, the mediastinum shifted to the healthy side, the combined pneumothorax showed fluid level, and even the lung collapsed.


    The incision site is on the injured side.


    Where will the bleeding point be?


    After reading the examination report, Zhou Can calmly inspected the patient''s wound.


    It has a mid-level hemostasis at the attending level, plus the bonus of 50 first-aid life wisdom, and the newly promoted pathological diagnosis at the attending level. The combination of the three medical skills doubled Zhou Can''s diagnostic ability and quick thinking.


    No bleeding is visible, but pleural effusion is rising.


    It shows that the bleeding point is relatively hidden.


    The amount of bleeding is definitely not small.


    "Doctor Long, the patient''s blood type is special, and the plasma preparation is not enough. According to the amount of bleeding, the prepared three bags of plasma are not enough."


    The assistant sends a reminder to the chief surgeon.


    This is tantamount to adding insult to injury.


    The hemp rope is specially broken at the fine point, and misfortunes never come singly.


    This operation, which was originally risk-controllable, faced a huge risk of death in an instant.


    If this kind of intrathoracic bleeding is large and the bleeding cannot be stopped in time, the patient will die soon.


    "Fuck, after doing so many thoracotomies to stop bleeding, I encountered a problem today."


    The chief doctor, Dr. Long, cursed.


    The person under the most stress during surgery is the surgeon.


    Sometimes, the chief surgeon seems to have taken gunpowder, sullenly in the operating room, scolding whoever is caught.


    Can''t blame them either.


    Because of the problem with the operation, they were under too much pressure.


    In this case, some minor mistakes made by assistants and nurses will be infinitely magnified in the eyes of the surgeon, so the phenomenon of scolding and crying people will occasionally appear.


    Many doctors and nurses who have participated in major operations say that the chief surgeon is the barometer of the operating room This is not an exaggeration at all.


    The chief surgeon is in a bad mood, and other people usually reduce their sense of presence to avoid scolding.


    "The bleeding point may be in this rib


    At the risk of being scolded, Zhou Can revealed his diagnosis.


    "You Ji Peisheng, don''t make trouble here!"


    The assistant doctor winked at Zhou Can, telling him not to scold him.


    The equipment nurse looked at Zhou Can sympathetically.


    This new doctor is really an idiot. He had already been punished for the previous operation, and now he comes out to talk a lot.


    When a superior doctor performs an operation, how can a Gui Peisheng be able to dictate?


    "The patient has a lot of bleeding, and the plasma is not prepared enough, so he can reinfuse his own blood!"


    Zhou Can made another suggestion.


    In some major bleeding operations, autologous blood can be completely reinfused if the bleeding is not contaminated.


    Tuya Hospital must have this kind of equipment.


    The blood salvage machine can collect, filter, separate, clean, and purify the blood lost by the patient during the operation, and then input it into the patient''s body. The risk of transfusion of own blood is much lower than transfusion of allogeneic blood.


    Allogeneic blood transfusion may cause hepatitis and HIV infection.


    In addition, allogeneic blood transfusion will suppress the patient''s immune function, increase the risk of wound infection after surgery, and is not conducive to the healing of body wounds.


    "Get the blood recycling machine over here immediately!"


    After hearing this, the chief doctor, Dr. Long, made a decisive decision.


    The patient was bleeding profusely and was critically ill, which made him a little dizzy.


    Zhou Can''s words really awakened the dreamer.


    "Are you sure the bleeding is on this rib


    Helping the doctor to intubate the patient and put the ventilator on the patient shows extraordinary strength.


    The autologous blood reinfusion just proposed at a critical moment is also extremely clever.

 Chapter 176： Slow down, it will kill people. rescue

    , the fastest update to the latest chapter of my medical skills can add experience value!


    It may be difficult for patients and their families to tell whether a doctor has real skills.


    But for doctors, everyone is an expert, and they can infer the other party''s strength with just a little contact.


    Zhou Can''s slightly revealed strength has already made Dr. Long, the chief surgeon, look at him with admiration.


    Never dare to treat him as an ordinary Pearson again.


    "I dare not say 100%, at least 70% sure. If you want to be 100% sure, you can push the endoscope over and find out."


    Zhou Can didn''t dare to speak too harshly.


    It''s always good to have some leeway in anything.


    Using an endoscope to detect unknown conditions in the chest cavity and cranial cavity is definitely much safer than directly opening a large surgical window.


    The temporary addition of endoscopy items during the operation means that the cost will increase.


    Endoscopy is divided into many types, electronic colonoscopy, enteroscopy, capsule endoscopy, fiberoptic bronchoscopy and so on. Among them, the most expensive examination is capsule endoscopy.


    Also, the proposal proposed by Zhou Can is also breaking the rules.


    In the case of thoracotomy, the use of endoscopy is still needed, which can easily arouse family members'' doubts.


    Doctor Long hesitated, thinking about the feasibility of Zhou Can''s suggestion.


    "If the bleeding point is really under this rib, I am afraid that this rib needs to be removed to complete the hemostasis operation. Endoscopic examination is both efficient and foolproof."


    Zhou Can watched the patient''s blood pressure drop rapidly, and was really worried for Dr. Long.


    An indecisive character is actually not suitable for being a surgeon.


    Because the situation is changing rapidly during the operation, any danger or emergency may happen.


    Saving a patient''s life may be just a minute or two of prime time. It has been delayed for a long time, and when you think of a perfect solution, I''m sorry, the patient can''t wait to leave first.


    I believe that when the patient reaches heaven, he will definitely complain in his heart. It is really bad luck for eight lifetimes. We just met such a slow-moving doctor.


    "Check the endoscopy immediately!"


    Under Zhou Can''s persuasion, Dr. Long finally stopped being a mother-in-law and made the decision he should have.


    The two assistants watched all this with extremely complicated emotions.


    It''s ridiculous that the main knife was directed by a Gui Peisheng to move forward.


    Moreover, the two also felt that it was right for the chief surgeon to follow the advice of Gui Peisheng.


    The endoscope is pushed over.


    After turning on the machine, after a series of preparations, he quickly checked for bleeding in the chest cavity.


    Dr. Long''s technique of operating the endoscope is obviously immature.


    Compared with Zhou Can, it is far behind.


    Like a baby toddler, he manipulated the probe of the endoscope to explore carefully in the chest cavity.


    Zhou Can looked depressed again.


    Fortunately, this patient''s life is hard, otherwise he would have stopped working early.


    "The bleeding point should be in this section!"


    In desperation, Zhou Can had no choice but to help Dr. Long narrow down the scope of investigation again.


    Dr. Long must not lose face.


    However, the patient''s life was already hanging on the edge of the cliff, and Dr. Long''s nerves were highly tense. At this time, Zhou Can pointed out the specific bleeding range for him, like a bright light, guiding him the way forward.


    He carefully operated the endoscope to move slowly, approaching the target position.


    There are many important organs in the chest cavity, such as the liver, heart, and lungs, and any injury to any organ may cause irreparable consequences. He has a reason to be so careful.


    It''s not entirely because of technical dishes.


    "Shua!"


    A red screen appeared on the screen.


    It looks like blood is raining down on the endoscopic probe.


    Dr. Long couldn''t help being overjoyed, "I found it, I found it! The bleeding point is here!"


    The other doctors and nurses breathed a sigh of relief, with relieved smiles on their faces.


    Only Zhou Can was relatively indifferent to this result.


    Because he had been diagnosed a long time ago, the current endoscopic examination is just to reassure the chief surgeon, Dr. Long.


    "The broken blood vessel seems to be quite serious, and I''m afraid it needs to be re-stitched."


    Zhou Can stared at the endoscope screen, and after seeing it, he made a treatment plan in his heart.


    This blood vessel is so thick, the area it supports must not be small.


    Direct and rough ligation to stop bleeding, even if there is no ischemic necrosis in the area it feeds, it will be severely malnourished.


    It is equivalent to cutting off one of the important main roots of a tree, which will definitely affect the growth of the tree.


    In fact, the human body is more complex and much more fragile than a tree.


    In terms of the tenacity of life, plants are more than ten times stronger than humans.


    "Damn it, if I knew the bleeding point was here and I needed to remove this rib, I shouldn''t have cut it here." Dr. Long scolded his mother while standardizing the bleeding point.


    Then the incision was rapidly enlarged, and the ribs were sawed off.


    It''s not as easy as you think to take this rib. It''s a delicate job to separate the rib from the surrounding tissue.


    Dr. Long''s separation technique barely touches the threshold of attending treatment, and in fact has not yet reached the level of attending treatment.


    Seeing him slowly and carefully separating the surrounding tissues, Zhou Can became anxious again.


    Even if autologous blood is reinfused, it will take time.


    It is even more impossible to input back infinitely.


    If the bleeding is not stopped in time, the patient will become more and more dangerous. The risk of postoperative complications also increases significantly.


    The human blood system is very wonderful. For example, in patients with high blood pressure, many people who do not understand medicine will naively think that high blood pressure means that there is too much blood in the blood vessels?


    If you cut a wound on the patient and bleed some of the blood, wouldn''t it return to normal?


    If you encounter a doctor who advocates this treatment method during treatment, don''t hesitate to call the police immediately. Nine times out of ten, he is a charlatan, a fake genius doctor.


    The blood of the human body accounts for about 8% of the body weight.


    A 100-jin adult has about 4000 milliliters of blood. If it is a fat man weighing 200 pounds, it is not surprising that there are 8,000 milliliters of blood in his body.


    The normal blood volume of most adults is around five or six thousand milliliters.


    Take an adult with 4000 ml of blood as an example, the blood that really participates in the circulation in his body is actually only about 70%, and at most it will not exceed 80%.


    The remaining 30% of blood will be stored in various tissue cells in the body.


    When our body is injured, it loses 500ml of blood. Do you think the blood in the blood vessels will decrease because of this?


    Won''t.


    When the body''s blood system detects that the blood in the blood vessels has decreased, it will quickly mobilize body fluids to replenish it.


    Most of our human body is water.


    The water content of newborns may even be as high as 80%, and that of adults is lower, around 60%.


    Therefore, in theory, even if the body loses 4000 ml of blood, if this process is not in a very short period of time. Our body can replenish the lost blood and maintain it at 4000 ml.


    Of course, after all, it is supplemented by body fluids, the total amount of blood has not changed, but the concentration of blood has been diluted.


    There will definitely be problems with the body.


    Red blood cells, white blood cells and platelets, albumin, globulin, coagulation factors, electrolytes, these trace elements are lost, and body fluids cannot quickly replenish them.


    This disrupts the entire circulatory system of the body.


    The consequences are dire.


    Theoretically speaking, donating about 200ml of blood each time is not harmful to the body, but beneficial. Donating more than 400ml of blood at a time may cause certain harm to the body.


    Frequent blood donation in a short period of time is also harmful.


    According to scientific judgment, it is harmless for adults to donate blood every six months or so.


    The patient on the operating table had been bleeding profusely, and he had already bleed a lot. The situation was actually quite dangerous.


    Dr. Long must have realized this too. When he was separating the tissue around the ribs, his forehead was constantly sweating.


    As time passed, even if Zhou Can had the ability to do better and faster than Dr. Long.


    But the identity of Gui Pei and the newcomer determines that he can only stand still and wait for the opportunity quietly.


    Show off in front of a superior doctor unless approved by that superior doctor. Otherwise, you will find trouble yourself.


    "The patient is dying! How long will it take to stop the bleeding?"


    Doctor Guan has remained silent.


    Seeing the patient''s vital signs getting weaker and weaker, like an oil lamp about to go out, Doctor Guan was really anxious.


    "It''s too difficult to separate this cut rib from the surrounding tissue, and I''m afraid it will damage important blood vessels and nerves. Doctor Guan will find a way to hold it for a while."


    The surgeon and the anesthesiologist are like comrades fighting side by side.


    One person is responsible for cover and one person is responsible for charge.


    "Ask the blood center again, can you still get two bags of plasma?"


    Doctor Guan said to the patrolling nurse.


    "I''ll ask right away!"


    The nurse called to urge the plasma to go.


    Sometimes when encountering some rare blood types, there is really not much plasma in stock.


    This is still a top-tier provincial hospital like Tuya. If it were a small hospital, they would have already called around to find someone to borrow it.


    After about a minute or so, Dr. Long''s expression became extremely solemn, and his movements almost completely stopped.


    Seeing this, Dr. Long almost stomped his feet in a hurry.


    The doctors and nurses next to him saw that their hearts were also tense.


    The chief doctor, Dr. Long, seems to have encountered a problem.


    If it is normal, it doesn''t matter if the operation is done slowly.


    Because slow work leads to careful work.


    But right now, the patient has a massive chest hemorrhage, time is life, and I''m afraid the patient can''t afford it.


    The doctors and nurses didn''t even dare to vent their breath, hoping that Dr. Long could quickly overcome the difficulties in the operation.


    "Damn it, the more you are afraid of something, the more you will come. The blood vessels and nerves are dense here, and the separation is too difficult. I can definitely do it successfully when I separate slowly. Now the pressure is huge, my heart is nervous, and I can''t perform at my level. I''m afraid it''s just I can ask Director Hu for help now."


    Dr. Long scolded his mother while asking himself to go down the stairs.


    A plausible explanation was given.


    Director Hu Kan is the Ding Haishen needle in the hearts of all doctors in the Department of Cardiothoracic Surgery.


    When encountering uncertainties during the operation, the first thing to do is to ask Director Hu Kan for help.


    Known as "the most stable scalpel", it has never disappointed the doctors of cardiothoracic surgery.


    "Director Hu was invited by the Department of Obstetrics and Gynecology to preside over a joint operation. I''m afraid there is no way to rush over now." The surgical nurse said.


    This news made Dr. Long feel as if he had fallen into an ice cellar.


    A heart also sank straight down.


    The better surgeons in cardiothoracic surgery have inherited Director Hu Kan''s "steady knife" feature.


    While pursuing stability, it is unavoidable that the surgical process will slow down.


    There are no perfect people and things in the world.


    Where there are advantages, there must be disadvantages.


    "I remember that Dr. Zhou seemed to do a good job of separating."


    At this critical juncture, Doctor Guan spoke again.


    Everyone looked at Zhou Can again. What is the origin of this punished Gui Peisheng?


    The anesthesiologist seemed to be very optimistic about him.


    Dissection is recognized as one of the most difficult surgical techniques to achieve.


    Incision and suture are just general surgical techniques, but separation is classified as advanced medical technique.


    Not many doctors can practice it well.


    "It would be a good chance for him to get a chance to sew the skin once for Gui Peisheng. He did a good job of separating important tissues, blood vessels, and nerves?"


    Doctor Long was full of disbelief.


    It¡¯s just that if this Gui Peisheng can successfully and safely separate the most difficult part of the rib, I will twist his head off and use it as a chamber pot for him.


    "I saw with my own eyes that he successfully completed the difficult separation of nerves and blood vessels in third- and fourth-level operations. Even near the brainstem, he was competent. Do you think he has the strength?"


    Doctor Guan never pushed Zhou Can out, it was to take care of Dr. Long''s face.


    Now that the operation has encountered a major setback, if Zhou Can is not allowed to take action, the patient will have a huge risk of death.


    So he didn''t dare to procrastinate any longer.


    "Doctor Guan, you can''t trick me!"


    Dr. Long was a little dubious.


    "It''s as if something happened to the patient, so it has nothing to do with me! Let him go now, or it will be too late."


    Doctor Guan rolled his eyes.


    In his capacity, does he need to lie?


    Besides, life is at stake in this matter, who dares to play tricks?


    "Young man, don''t be dazed, come here quickly. You first separate the tissue that is attached to the ribs and show me." Dr. Long gritted his teeth and decided to let Zhou Can try it.


    This decision is ridiculous.


    It would be unimaginable if it was changed in normal times.


    Zhou Can stepped forward, not talking nonsense, and asked the nurse to help put on the sterile gloves, took the scalpel, and began to separate directly.


    Brush!


    After two cuts, Dr. Long''s eyes were straightened.


    Damn, this is not at the level of Gui Peisheng, it is not far behind the director''s strength.


    The expressions of other doctors and nurses were even more exaggerated.


    I thought it was a rookie, but I didn''t expect it to be a bronze. When they thought Zhou Can was at the bronze level, Zhou Can showed his king-level strength at a critical moment.


    The shock it brought them was astonishing.


    After seeing Zhou Can''s stronger surgical ability, the surgical nurse couldn''t help thinking of the last operation, the patient with a torn chest wall.


    Zhou Can made it clear at the time that the patient was prone to large areas of ischemic necrosis.


    Neither Dr. Duan nor Dr. Zhao listened to him.


    Doctor Zhao was so angry that he punished Zhou Can to stay here and clean the operating room.


    She couldn''t help feeling worried for the patient. Now it seems that the level of doctors Duan and Zhao is probably not as good as that of Zhou Can, so they failed to find the problem.


    At that time, if something happened to the patient, doctors Duan and Zhao would regret it.


    Because that''s medical malpractice.


    The doctors involved should be held accountable.


    "Go on, go on! It''s been a long time, so powerful, how could it be just a regular training?"


    Dr. Long didn''t care about face or face at all.


    After seeing Zhou Can''s separation ability, all that''s left is worship and respect.


    Many people think that respecting strength is only applicable to the environment of the law of the jungle. In fact, in society, those with strength are often more likely to be respected and worshiped by colleagues.


    Zhou Can is also not polite, because the patient''s condition is critical.


    With a few knives in his hand, the tissue part that Dr. Long regarded as a "major difficulty" was easily separated by Zhou Can.


    After the ribs were removed, Zhou Can glanced at the bleeding blood vessels.


    A thick artery.


    Blood was still gurgling out.


    "Needle holder, 7-gauge wire. Pointed forceps."


    Zhou Can said to the nurse.


    When the surgical nurse looked at him now, many little stars appeared in her eyes.


    Without saying a word, he followed Zhou Can''s instructions and handed over the required equipment.


    Doctor Long didn''t intend to stop it either.


    After seeing Zhou Can''s amazing knife skills and superb separation skills, Dr. Long knew that there was a huge gap between the two.


    He wants to see what Zhou Can will do next?


    Such a thick thread is definitely not anastomotic.


    The sutures used in the operation are generally 1, 4, and 7 sizes.


    The larger the number, the bolder it is.


    Zhou Can directly ligated the proximal end of the ruptured artery after taking the thread. The whole movement is smooth and flowing, as simple as drinking water and eating.


    It seems to be a "frivolous" operation, but the effect of ligation is very good.


    Not loose or tight, just to strangle the blood vessels and prevent blood from flowing out.


    Moreover, the pulling on the surrounding tissues during knotting is almost negligible.


    Zhou Can''s separation skills are so good, they may not be able to see the depth because their own separation skills are too poor. All I know is that Zhou Can''s separation technique is more powerful than Dr. Long''s.


    Suturing and knotting is a basic skill that every surgeon must learn.


    Knotting and sewing are usually practiced the most.


    Surgery, it¡¯s all about making up for it.


    The lesion was excised, and the wound was sutured.


    So the suture is well practiced, UU reading www. You can use uukanshu.com anytime. In addition, knotting and suturing can be practiced with a variety of props. Compared with other medical skills, they generally have a higher level.


    They think that the level of knotting is already very good.


    In the end, when they compared with Zhou Can, they realized how big the gap was.


    The highest state of any surgical technique is not how gorgeous the operation is, let alone how neat the incision is, nor is it that the suture needles are arranged exactly like a computer printout.


    But just right, just right is the highest level.


    If it is too much, it is not as good as it is, and if it is worse, it is worse.


    Just right is the highest state.


    Whether it is the part of the ligation, the tightness of the knot, or the strength of the pulling, Zhou Can is just right. This kind of operation effect is the ideal state pursued by doctors, and the damage to the patient is minimal after the operation.


    To provide you with the fastest update of my medical skills that can add experience points to the great **** Jiangbian Yuweng, so that you can check the fastest update of this book next time, please be sure to save the bookmark!


    Chapter 176 Slow, it will kill people. Save the field for free reading.https://

 Chapter 177： What else cant you? Violent open chest

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    "Okay, the bleeding has stopped. If you can entrust me with the repair and anastomosis of blood vessels, I will do my best."


    Zhou Can fights for the remaining surgical tasks.


    Getting one done is one.


    Dr. Long''s trust in him has reached a considerable height.


    Taking the opportunity to get more opportunities for surgical exercises can not only help him earn experience points, but also review the past and learn new things, and review those medical skills that have not been used for a long time.


    During the three months he stayed in the ICU, he only participated in two or three surgeries.


    If you don''t do surgery for a long time, it''s easy to get raw.


    "You try it!"


    Dr. Long couldn''t save face, and finally agreed to give him a chance.


    Even though Zhou Can had performed extremely well, Dr. Long was still very cautious when Zhou Can asked to do vascular anastomosis again.


    Zhou Can cherishes this hard-won opportunity very much.


    He knows very well that as long as he does well, he can become famous in one battle. In the future, you will be able to open up the situation in cardiothoracic surgery, so you don''t have to worry about not getting opportunities to exercise.


    Dr. Long standing beside him watched nervously as he repaired the ruptured blood vessel.


    From the fear at the beginning, to the relief later.


    Doctor Long once again realized Zhou Can''s powerful strength.


    With such a high level of matching, let alone Gui Peisheng, even he, the attending doctor, would be ashamed of himself.


    At this moment, Dr. Long was no longer worried about Zhou Can''s operation, but was distracted, secretly guessing Zhou Can''s real identity.


    Gui Peisheng, whose surname is Zhou and very powerful, seems to be the only one in the entire Tuya Hospital.


    Could it be that he is Zhou Can, who is well-known in many weight departments?


    The more I think about it, the more possible it becomes.


    There is nothing worthless under a great reputation, this young man''s abilities are indeed formidable. No wonder it is as famous as Dr. Du Leng, a returnee.


    Doctor Long secretly made a comparison between the two.


    Du Leng is well-known in surgery, and all the chief doctors are very polite to him. Mainly because of Du Leng''s doctoral degree from a famous overseas school.


    In the field of surgery, Du Leng''s performance was not as good as expected.


    Dr. Long has seen Du Leng''s surgical ability before, even though the entire major surgery department is training him, nearly a year has passed, and Du Leng''s surgical skills are even lower than that of a resident doctor.


    It''s not at the same level as Zhou Can''s surgical prowess now.


    The two are too far apart.


    "The vascular anastomosis is finished, please ask Dr. Long to check it out for me! If there is no problem, I will loosen the ligated end of the blood vessel and test the blood supply."


    Zhou Can gave Dr. Long enough face.


    The rescue action just now must have hurt Dr. Long''s face.


    Now that the blood vessels have been anastomosed, it is equivalent to completing the most important part of the operation. Lower your figure and ask Dr. Long to take a look. This is to tell everyone that I am just a regular trainee. Dr. Long is my superior doctor.


    It''s a form of respect.


    "Hmm! The fit is quite good. It would be even better if the end of the thread can be left a little longer. The main reason is that the knot will not be stable, and tension will be generated after bleeding, causing the suture to loosen."


    Dr. Long commented a few words.


    I was stunned to pick a "bone" out of the egg.


    In this regard, Zhou Can accepted the opinion modestly, saying that next time he must keep the thread longer.


    He resolutely agrees, and he will still insist on his own opinion next time he has surgery, and he will never repent.


    Because he cut the end of the thread short, the length left was just right.


    Dr. Long''s suture level is not as good as his, and he has not yet reached the level of deputy director, so he doesn''t know what it means to be just right.


    The thread end is left long, and theoretically speaking, the knot is not easy to loosen.


    In fact, the looseness of the thread end has nothing to do with the length of the thread end.


    As long as the knot is tied firmly, it''s fine to cut next to each other.


    If the thread is left too long, it is easy to irritate the surrounding tissue, resulting in symptoms similar to inflammation.


    "Loosen the ligature of the blood vessel and check the blood flow!"


    Dr. Long instructed Zhou Can to remove the ligature of the blood vessel.


    The knot itself is slippery, and it is too easy to remove.


    After Zhou Can removed it, the blood immediately rushed to the anastomosis. Dry blood vessels quickly become full.


    The anastomotic blood vessel must be exhausted of the air inside, as well as the blood inside the stump, to prevent thrombus.


    Novice doctors are most likely to make this mistake.


    After the blood test, it was found that the vascular anastomosis was done very well. The blood supply is hardly affected by the injury.


    "Very good! Check again. If there are no other bleeding points, you can put the ribs back in and close the chest cavity."


    This type of thoracotomy is considered a relatively small type.


    There is also much less harm to the patient.


    If you want to put the sawn ribs back together, you need osteosynthesis in orthopedic surgery.


    It just so happened that Zhou Can had been in orthopedic surgery for three months, and performed many orthopedic surgeries with Director Shen and Dr. Shan.


    Take a rib, and he''s more than capable of it.


    "That... Rib joint and chest closure, let me do it together, okay?" Zhou Can looked at these surgery experience points and wanted to earn.


    Others like to make money, but he has a soft spot for all kinds of medical experience.


    "Rib joints, too?"


    Doctor Long was speechless.


    What else does this Gui Peisheng not know?


    The two assistants also looked at Zhou Can as if they were monsters.


    The equipment nurse smiled sweetly, and her view of Zhou Can changed from contempt and sympathy to admiration and admiration.


    Everyone is young, and capable men are always easy to make women admire.


    It has nothing to do with love, it is purely human nature.


    It cannot be said that which woman admires which man is in love with him, that is nonsense.


    "After three months of regular training in orthopedic surgery, I have also learned some techniques for splicing broken bones. I am fully confident that I can do it well when I connect this rib."


    Zhou Can''s current osteosynthesis is at the inferior level of a resident doctor.


    It''s not too advanced, it''s enough for the joint of the ribs right now.


    As for some more difficult joints of broken bones, such as joints and spines, he is not competent.


    "Okay, since you are so confident, I will leave it all to you."


    Doctor Long was happy to relax.


    At the same time, I also want to feel Zhou Can''s bottom and see how powerful he is.


    This is usually done with internal fixation.


    The operation is simple and rough, and the technical content is not too high.


    Zhou Can''s surgery is not only good, but also fast.


    I saw him three times, five times and two times, and he operated like a tiger, directly using steel nails to fix the amputated ribs back to their original positions.


    If there is no accident, Yuhe''s callus line will appear in about a month.


    A hundred days of injury.


    Young people have a strong ability to recover physically. In about three months, their ribs can heal more stably.


    "It''s okay, if there is no other problem, let''s start closing the chest cavity!"


    Dr. Long had seen Zhou Can''s suturing skills, so he was not worried at all when he entrusted Zhou Can to close the chest cavity.


    ¡­


    After nearly forty minutes, the closing of the chest cavity was finally completed.


    This is because Zhou Can''s suturing skills have reached the level of the deputy director, and his operation is very fast, so he can close the chest cavity within 40 minutes.


    Dr. Long didn''t even need to check again.


    Because Zhou Can sews better than him.


    This thoracotomy to stop the bleeding has finally been successfully completed.


    The patient was also successfully rescued from death.


    With the help of this operation, Zhou Can fought a beautiful turnaround. From a punished Gui Peisheng, he successfully gained the trust of Dr. Long, and also took the opportunity to show off his strong surgical skills.


    "Dr. Zhou worked hard today! I would like to ask, are you Dr. Zhou Can?"


    After the operation was over, Dr. Long''s heart finally fell to the ground.


    "Yes, my name is Zhou Can. How do you know?"


    Zhou Canke never regarded himself as a character.


    "Seeing that you have shown so many powerful surgical skills, I already guessed it. Among Gui Peisheng, there is such a strong surgical ability. I am afraid that there is no second one except you. At first, I wondered, Where did such an awesome young doctor come from?"


    Doctor Long''s words made Zhou Can grin.


    Others are mixed.


    Some people heard Zhou Can''s name for the first time.


    In terms of fame, among the doctors in the hospital, Du Leng is much more famous than Zhou Can.


    The Department of Surgery has now pushed Du Leng to the table, and will use it as a signature of the Department of Surgery in the future.


    Zhou Can only has a bachelor''s degree, which pales in comparison.


    Only the chief physician and some well-informed attending doctors knew that Zhou Can was very strong and talented.


    "Doctor Guan, it seems that you have known about it for a long time. No wonder you are so confident!"


    Dr. Long looked up at Dr. Guan who was busy waking up the patient from anesthesia.


    "I haven''t seen his ability with my own eyes. How can I recommend it? His ability is more than that. This kind of operation can only be regarded as an appetizer for him."


    Doctor Guan curled his lips, seeing that the patient''s vital signs became stable after the operation, his mood became very bright.


    "Is this just a part of his ability? This is too scary. How can we embarrass us, the attending doctors!" After hearing Dr. Guan''s evaluation of Zhou Can, Dr. Long felt a turmoil in his heart.


    I thought that Gui Peisheng had super diagnostic ability, many attending-level medical skills, and even director-level suture and ligation techniques, which was exaggerated enough.


    Unexpectedly, this was only part of Zhou Can''s strength.


    How strong is this Gui Peisheng?


    At this moment, Dr. Long felt that something he said was too correct.


    People must not be compared with each other.


    Otherwise, if you compare goods, you will have to throw them away, and if you compare people, you will die.


    "Doctor Zhou, may I ask, why did Dr. Zhao let you stay here to clean the operating room?"


    Dr. Long decided to take care of this matter.


    After all, Zhou Can did him a huge favor.


    This operation can be successfully completed, Zhou Can''s effort is really not a little bit.


    Thoracotomy is a secondary procedure in most cases.


    But the difficulty of this operation has far exceeded the second level.


    According to the usual way of doing things, he would have needed the chief physician of the department to come over for support.


    "When Dr. Zhao and Dr. Duan were performing an operation, I interjected a few words, which made Dr. Zhao a little angry. I thought I had never seen an operation before and made a fuss, so I was fined to clean the operating room for a day."


    Zhou Can explained the reason for the matter.


    He was sure that the patient with the torn pectoral muscle was going to have serious problems.


    But he did his best.


    In order to remind the superior doctor, he was punished here and sat on the bench.


    Ask the family members to remind them in private. Thinking of the family members'' vitriolic faces, forget it. On the first day of internship in Tuya Hospital, the teacher who led the teaching told them that doctors must first learn to protect themselves to save lives.


    Faced with such a family member, Zhou Can must be a tortoise.


    Otherwise, you are just looking for trouble.


    "I''ll talk to Dr. Zhao, there must be a misunderstanding." Dr. Long said that he wanted to intercede for Zhou Can.


    "Don''t, don''t, it''s good for me to stay here and clean up. Not only can I exercise, but I can also watch various operations, so I can learn more."


    Zhou Can felt that it would be better to stay here if he returned to the ward to manage the bed.


    Doctor Long couldn''t help smiling wryly after hearing this.


    Zhou Can already has such great strength, watching the operation is not a gain of knowledge, he is clearly staying here to save the field.


    I''m afraid it won''t be long before the cardiothoracic surgery doctors will know that there is a monster-level doctor in this operating room.


    ¡­


    Dr. Long left quickly with his staff, saying that there was another important operation to be attended in the afternoon.


    In the operating room, only Zhou Can was left to clean up.


    After cleaning the operating room, I looked up at the wall clock on the wall, and the time was past 12 noon.


    He seized the time to go to the cafeteria to fill his stomach.


    Then go back to the operating room.


    At about 1:30 in the afternoon, Zhou Can was sitting there with his eyes closed and recuperated, and finally had another operation.


    Seven or eight people came in directly this time, including nurses and doctors.


    Look at this battle, it must be a major operation.


    "Hey, why is there a doctor in the operating room?" The leading female doctor was in her forties, and she maintained a pretty good figure, as slender as a girl.


    The skin is fair, the appearance is also very beautiful, and the temperament is outstanding.


    Several doctors followed behind her.


    Among them, Zhou Can actually knew two of them, one was Dr. Zhao who was in charge of the bed, and the other was Dr. Long whom he had dealt with in the morning.


    "This is the new Dr. Guipei. He doesn''t understand the rules, so I asked him to stay in the operating room to clean up for a day. Watch and learn the operation process carefully, so as not to make trouble next time."


    Doctor Zhao hurriedly explained.


    "It looks like punishment, but it''s actually caring. This kind of education is pretty good!"


    The leading female doctor made a comment with a smile, and went straight to the operating table.


    Even Dr. Long had to stand behind her, which meant that she was probably the chief surgeon of this operation.


    Zhou Can looked at the patient, isn''t this the patient with cardiac aneurysm in bed 17?


    The operation was originally scheduled at 11 o''clock this morning, but the chief surgeon may be too busy, or the operating room schedule was late, which caused the operation to be postponed.


    Sometimes there are problems during the operation, which greatly prolongs the operation time.


    Zhou Can checked the patient''s examination report in the morning.


    Another aneurysm clipping operation that required a thoracotomy.


    Unlike the thoracotomy to stop bleeding presided over by Dr. Long, this operation is likely to be a large thoracotomy.


    That is, sawing from the middle of the sternum, and then using a chest expander to spread the bones to both sides, exposing the surgical field of view and facilitating the doctor''s operation.


    Any surgery takes its toll on the patient.


    Open thoracotomy is particularly harmful to the patient.


    Before performing an operation, doctors will make a comprehensive assessment of the risks of the operation, the patient''s injuries, and the benefits of the operation.


    Like this kind of major surgery, the patient''s benefit is often far greater than the damage.


    Cardiac aneurysms, if they are large enough and not treated in time, have the risk of rupture.


    There is even aortic dissection, which may cause a mortality rate of more than 50%.


    The patient''s aneurysm was already so large that it was like a ticking time bomb in the body. May take the patient''s life at any time.


    Timely surgical treatment is the best way.


    After the patient is on the operating table, general anesthesia is implemented, and then the thoracotomy begins.


    Zhou Can stood under the operating table and watched.


    This time more doctors and nurses participated.


    There are three nurses and a team of more than six doctors.


    Of course, there are only two or three main people who actually work.


    Dr. Zhao should have participated in this operation as a bed doctor. He punished Zhou Can to clean up in the operating room, and he had no one to call him, so he could only go to battle in person.


    Maybe he himself wants to take this opportunity to watch and learn.


    After all, there are not many opportunities to observe the fourth-level major surgery.


    For residents, the status is slightly higher than that of Gui Peisheng. Minor surgery can get some exercise opportunities, but it is very difficult to have any opportunities for such major surgery.


    Watching from a close distance can also be of great help to them.


    The growth of a doctor is a process of continuous learning and accumulation.


    See more, learn more, think more, and then participate in the simpler parts of the operation. Slowly increase the weight until you can finally complete each step of the entire operation alone, which is considered qualified.


    In order to be qualified to preside over this type of surgery alone.


    Surgeons, there are not many female doctors.


    This female doctor in her forties is already the chief doctor at such a young age, which is enough to show that she is very good. In the entire Tuya Hospital, there are not many chief doctors in their forties.


    If she guessed right, she should be Director Xue.


    The acquaintance of the patient in bed 19 with a torn chest wall muscle was exactly her.


    Zhou Can originally thought she was a very old woman, but she didn''t expect that she was quite young. Just don''t know how good the surgery is?


    At this moment, the operation has begun.


    Director Xue calmly stood on the chief surgeon''s seat, holding the knife to cut open the epidermis on the patient''s chest.


    The whole movement is extremely skillful and smooth.


    The eyes are sharp The demeanor of a master is faintly exuded.


    "Her incision technique is at least at the deputy director level, so strong!"


    Experts will know if there is one as soon as they make a move.


    Zhou Can secretly compared his lower-level incision technique with hers, and the gap was too great.


    The two sides are not on the same level at all.


    The operation continued, and the bone sawing after cutting the epidermis was more violent.


    If the family members read it, they might be scared to death.


    Saw the bone from the middle of the chest, divide it into two halves, and prop it up.


    This is one of the most violent ways to open the chest.


    To provide you with the fastest update of my medical skills that can add experience points to the great **** Jiangbian Yuweng, so that you can check the fastest update of this book next time, please be sure to save the bookmark!


    Chapter 177 What else do you not know? Violent open chest free reading.https://

 Chapter 178： Ultra-difficult clamping, sudden heart attack again

    , the fastest update to the latest chapter of my medical skills can add experience value!


    Generally speaking, choosing an incision from the intercostals, or incisions from the neck, below the sternum, and abdomen are gentler than this method.


    However, when formulating a surgical plan, doctors will fully consider all aspects.


    If the chest must be opened from the front, then it must be opened.


    The risks and possible sequelae will be clearly explained to the family members and patients before the operation.


    The diameter of this patient''s cardiac aneurysm has exceeded 5. It is an extremely dangerous type. Moreover, the surrounding organs have been severely compressed, causing great physical pain to the patient.


    It is the most direct and quickest way to go in from the center of the chest.


    Director Xue methodically commanded three assistants to open the patient''s chest. The key high-risk parts were operated by herself or guided by the first assistant. The surgical team she leads is quite strong.


    Even Dr. Long can barely get the position of the third assistant.


    Kazusuke seemed to be older than Director Yuki, with a lot of gray hair on his temples, and the gray hair had spread to the top of his head. There are fewer wrinkles.


    Being a doctor is a very stressful and high-risk profession, and premature aging has almost become a common phenomenon.


    Many people have gray hair after finishing their medical studies.


    Also, the evaluation of doctors'' professional titles never depends on age. As long as the working years can meet the assessment standards, and the academic, surgical volume, written examination, scientific research achievements and other aspects can meet the assessment requirements, they can apply for examination.


    Some talented and hard-working doctors can really be promoted to chief physician at the age of 42.


    And some people may be stuck in one aspect, or fail to meet the requirements in many aspects, and they are still staying in the attending seat at the age of nearly 60.


    This first assistant is at least five or six years older than Director Xueyan.


    It was quite frightening to watch him wobble a bit as he sawed through the breastbone.


    "Remember, because this aneurysm is close to the back of the sternum, you must swing the sternum saw skillfully when sawing the sternum to avoid tearing the aneurysm wall and causing massive bleeding."


    While Director Xue instructed the first assistant to saw the sternum, he explained the key points of the operation to other junior doctors.


    After Zhou Can heard this, he suddenly realized.


    I thought Kazusuke was too old and his hands were unsteady.


    It turned out to be a deliberate and conscious swing of the sternum saw.


    To be able to be the first assistant, and gain the high trust of Director Xue, he really has not weak strength.


    These valuable experiences are all summed up by the lessons of the predecessors.


    After opening the chest cavity, the huge aneurysm can already be seen.


    It must be explained that an aortic aneurysm is a lesion in which the normal structure of the aortic wall is damaged due to various reasons, and locally bulges outward to form a tumor-like expansion.


    rather than actual tumors.


    The nature of the two is also completely different.


    The greatest risk of an aneurysm is rupture, causing massive bleeding.


    What''s more, when it keeps growing and oppresses the surrounding organs and tissues, it will bring great pain to the patient. If it is an intracranial aneurysm, it is even more dangerous. If any important nerve, blood vessel, or brain tissue is pressed, it may cause serious problems.


    No matter benign or malignant, tumors are crazily self-replicating, destroying the immune mechanism of the human body and invading normal cells and organs throughout the body.


    Tumors also have the same problem of compressing surrounding organs.


    The largest liver tumor can even occupy more than half of the chest and abdomen.


    "Director Xue, this aneurysm is located on the brachiocephalic trunk, very close to the ascending aorta, do we need to make preparations for the establishment of extracorporeal blood circulation?"


    The anesthesiologist for this operation is still the official doctor.


    He has the integrity of an anesthesiologist, and usually keeps silent and does not interfere with the operation of the chief surgeon.


    Only when it is considered that there is a greater risk in the operation process will it issue a reminder.


    Ascending aneurysms are not suitable for interventional surgery.


    Common treatment methods are excision and replacement of artificial blood vessels.


    Director Xue chose to clamp the aneurysm instead of resecting it, probably because of the huge risks in the process of blood vessel replacement.


    Even today, the technology for replacing the ascending artery is very mature, and the mortality rate is still as high as 10%.


    If you encounter a surgeon with a technical fistula, or if some accidents occur during the operation, the mortality rate will only be higher.


    Director Xue hesitated for a moment after listening to the doctor officer''s reminder, and then said, "The establishment of extracorporeal blood circulation requires systemic heparinization first, and femoral artery and femoral vein cannulation, which will cause certain physical harm to the patient. Because only clamping The risk is relatively small, so let¡¯s not make preparations for this!¡±


    She has her own considerations.


    This is not to save trouble, but to consider from the patient''s point of view.


    The operation cost can be saved for the patient, and the injury to the patient''s body can also be avoided at the same time.


    Doctor Guan didn''t say anything more, and the operation continued.


    Zhou Can found that the location of the aneurysm was very bad, at the junction of the brachiocephalic trunk and the ascending aorta.


    How to put it, the ascending artery and the aortic arch are like a round arch, and then three important branch arteries are branched from this arch. Brachiocephalic trunk, left common carotid artery, left subclavian artery.


    The three branching arteries are interesting.


    Both the left common carotid artery and the left subclavian artery branch off directly from this circular arch.


    But the right common carotid artery and the right subclavian artery branch out from this brachiocephalic trunk.


    The right common carotid artery is slightly higher.


    It can be seen from here that the brachiocephalic trunk is equivalent to the integrated trunk of the two branch arteries on the right. It has a very large blood supply.


    It can be understood as half of the sum of blood pumped by the heart.


    Not to mention the ascending artery.


    Equivalent to the arterial assembly.


    The location of this aneurysm is very special, and it is extremely difficult to perform clipping surgery.


    Some highly skilled doctors especially like to challenge this type of surgery.


    Zhou Can still doesn''t know Dr. Xue''s specific treatment plan.


    Since it is a clipping operation, even using three clips may not be able to completely clip this special aneurysm.


    In addition, such a large aneurysm is usually accompanied by hardening of the blood vessel wall and spots.


    The most appropriate treatment is excision and replacement of artificial blood vessels.


    "Although this aneurysm is a bit special, I have successfully completed an aneurysm clipping operation at the junction of blood vessels before. Now the surgical field of view is sufficient, and the difficulty of the operation is relatively reduced. If the operation is good, two arterial clips are enough. Complete this clipping operation. Director Lu, you will use a temporary blocking clip to temporarily block this section of blood vessel later."


    While arranging, she repeatedly selected the appropriate aneurysm clip.


    The style and size of this clip are very rich, enough to meet the clipping needs of all aneurysms.


    It can be seen that Director Xueyan is very prudent in doing things.


    Not only have two most suitable aneurysm clips been selected, but three more have been prepared, which are used for rescue in case of accidents.


    "let''s start!"


    She motioned to Kazuke.


    "Doctor Guan, is it okay to block it for about a minute?"


    She asked the anesthetist for his opinion.


    "It''s absolutely possible. It''s just that the clipping operation is completed within one minute, which is quite difficult. And there is no extracorporeal blood circulation channel, so I feel somewhat uneasy."


    Doctor Guan is still full of worries.


    Experienced anesthesiologists often experience many surgical accidents.


    There are many unpredictable risks, and accidents often happen in an instant.


    He has seen too many surgeons who were full of confidence before the operation, but accidents occurred during the operation, which put the surgical patients in a state of extreme danger.


    "It''s okay, a minute will pass quickly. Don''t worry!"


    Director Xue comforted him.


    The chief surgeon had already said so, and the official doctor didn''t say any more.


    Only the eyebrows are full of worry.


    "Block it!"


    She gestured to Kazuke again.


    She was several years older than her, and she directed the surgery, which meant that Director Lu should be the deputy chief physician.


    Deputy Director Lu manipulated the temporary blocking clamp to precisely block the junction of the ascending artery and the brachiocephalic trunk.


    The difficulty of this operation is quite high, and it tests the doctor''s skills.


    He successfully completed the proximal block.


    Next, the upper end of the brachiocephalic trunk is also temporarily blocked.


    At this time, it is equivalent to framing the aneurysm so that no effective blood flow can enter.


    It is equivalent to completely cutting off the blood transfusion of this section of blood vessels to ensure that Director Xue''s clipping of the aneurysm is safer.


    The cooperation between the two sides is very tacit.


    Director Xue''s operation is also very precise.


    It took less than ten seconds to complete the clamping task of the first clip. The placement of the second aneurysm clip did not seem to go as smoothly as she had hoped.


    The site itself is rather special. If the blood supply of the entire aneurysm cannot be blocked, the therapeutic effect will not be achieved.


    So, placing the second clip is the hardest part.


    A minute is very short.


    She kept adjusting, but she still couldn''t achieve satisfactory results.


    At this moment, it is equivalent to letting the patient''s whole body blood


    There was no other way, seeing that the time was up, she could only place the second aneurysm clip first.


    "Let''s try to pass the blood first! If it doesn''t work, then adjust it!"


    Cutting off the blood supply for too long is very dangerous.


    In any part, as long as there is ischemia, cells will die rapidly. If the time is a little longer, a large area of ??irreversible tissue necrosis will appear.


    After the bleeding, everyone stared nervously at the clamped hemangioma.


    The blood pressure on the main road is very strong.


    As soon as the blood was drained, the blood recirculated at a very fast speed.


    Most of that aneurysm was clipped, but it was still missing.


    Blood was poured in, and the aneurysm seemed to be growing.


    After Director Xue saw this situation, he didn''t panic, but calmly observed the gap in the clamping position, thinking about the solution.


    "May need to use three clips!"


    She seemed to be talking to herself, but also seemed to be discussing with other doctors.


    "It is indeed safer to use three clips, and the operation will be easier. Director Xue is sometimes too kind and considers patients too much."


    Kazuke agrees with her.


    I admire her character even more.


    From what she did in this operation, it can be seen that she is always thinking about the patient. Some risks are all borne by herself.


    It is said that each other is born from the heart.


    Her temperament is so good, and she is still very beautiful in her forties, which is enough to show her kindness.


    Using less hemangioma clips can save a lot of money for patients.


    "The family burden of this patient is relatively heavy. He himself does food delivery for a living, and his wife is blind. He belongs to a vulnerable group, so he can help if he can," she said.


    The poorer the family, the more prone to some serious diseases.


    Some diseases are saved, and some diseases are caused by fatigue.


    Poverty keeps them sick, and they are reluctant to go to the hospital for examination. Some food has spoiled, and they are still reluctant to throw it away. There are also various very bad working environments, as well as hard work regardless of the body, which can easily lead to some malignant diseases.


    The world is not only beautiful, but also suffering.


    After a short rest, block the blood vessel again, and then perform the clipping operation.


    It is mentioned here that it is not necessary to block the blood vessels to perform clipping, but surgeons generally strictly follow the relevant procedures for safety reasons.


    "Dididi..."


    Not long after it was blocked, the life monitor immediately issued an alarm.


    The patient''s heart rate plummeted, accompanied by ventricular fibrillation.


    The official doctor panicked.


    "It must be the continuous blockage of blood supply, which induced the occurrence of cardiac arrest during the operation. This is a big trouble."


    It was the first time I saw Doctor Guan panic like this.


    The problem is extremely serious.


    Director Xue''s face turned pale, and deep in his eyes there was obvious anxiety and panic.


    It happened so suddenly.


    Women are not suitable to be surgeons. In addition to being inferior to men in physical strength, their psychological quality is generally much worse.


    When encountering emergencies, fear can easily make them lose their minds and lose their ability to think and judge.


    Deputy Director Lu''s brows were tightly furrowed, his expression solemn.


    The other doctors and nurses all looked nervous.


    The most feared thing in the operation is some sudden accidents. Because the consequences are often death.


    "Doctor Zhou, hurry up and help with the intubation of the extracorporeal blood circulation."


    Doctor Guan had no choice but to call Zhou Can for help again.


    Cardiothoracic surgery is often accompanied by high risks, and various dangers occur almost every day.


    What can be prevented can be prevented, and what cannot be prevented can only be resolved by the concerted efforts of doctors and nurses.


    Therefore, a strong surgical team is very important.


    They can cooperate very well in dealing with various difficult surgical parts in the operation, and help patients survive the danger together.


    "Who is Doctor Zhou?"


    Director Xue was at a loss, as there was not a doctor surnamed Zhou in his surgical team.


    Then, she saw that Gui Peisheng, who was punished by Doctor Zhao to clean up the operating room, walked quickly onto the operating table and quickly established extracorporeal blood circulation channels for the patient with very professional and skillful movements.


    Femoral arterial and venous cannulation, if Director Xue operated it himself, it would be regarded as a very good performance if it can be completed in ten minutes.


    But Zhou Can only took less than thirty seconds.


    It was so shocking.


    She seemed to see the reappearance of the legendary sweeping monk.


    "Doctor Guan, hurry up and perform pericardial compression! Otherwise, the patient''s brain will soon be ischemic and necrotic." Zhou Can urged Doctor Guan to come instead.


    In the Department of Critical Care Medicine, he followed several chief physicians to learn various rescue knowledge and techniques.


    In this emergency situation, it is immediately useful.


    "OK!"


    Doctor Guan had actually asked the nurse to put on gloves and prepare to perform pericardial compression.


    Cardiac arrest and ventricular fibrillation during thoracotomy are extremely dangerous.


    If effective and accurate rescue measures cannot be implemented immediately, the patient will die soon.


    Next, Zhou Can disregarded the extremely shocked expressions of other people who seemed to be living in a daytime, and calmly began to intubate the superior and inferior vena cava.


    Only Dr. Long, who had seen Zhou Can''s abilities, was calm.


    Because he already knew that Zhou Can''s ability was extraordinary.


    The most shocking one was Dr. Zhao.


    He really never dreamed that this Gui Peisheng, whom he looked down upon, would actually explode. Various intubation operations completely refreshed his cognition.


    "Here, who is this?"


    Deputy Director Lu asked the surrounding doctors in shock.


    His gaze first looked at Dr. Zhao.


    Because when he came in, Dr. Zhao said that he punished Zhou Can for cleaning here.


    Dr. Zhao is also a resident doctor at the bottom of the cardiothoracic surgery department, and he really doesn''t know much. How does he know what Zhou Can''s background is? He is also dumbfounded.


    Some stammered, "He, he''s a Gui Peisheng who just transferred to our cardiothoracic surgery department today."


    "How can a Gui Peisheng be so powerful?"


    Deputy Director Lu didn''t believe it at all.


    "What''s his name?"


    "It seems to be called...Zhou Can, yes, it''s called Zhou Can!"


    Dr. Zhao only remembered Zhou Can''s surname as Zhou, and it took him a long time to remember Zhou Can''s name.


    "Ah... so it''s him, no wonder he''s so awesome!"


    Deputy Director Lu is much more informed than Dr. Zhao.


    He had heard of Gui Peisheng Zhou Can''s name a long time ago.


    It is said that every time this Gui Peisheng enters a new department, he will set off a huge wave. His strength and talent are so high that even Vice President Ye and other existences are alarmed.


    Director Xie of the Department of Surgery heard that he wanted to poach Zhou Can several times, and offered all kinds of super high treatment, but Zhou Can refused.


    In the department where Zhou Can stayed, the chief doctors were full of praise for him.


    Such a powerful Gui Peisheng was fined to clean the operating room on the first day of his rotation to cardiothoracic surgery. This doctor Zhao is really ignorant.


    When Director Xueyan heard Zhou Can''s name, she subconsciously moved her eyes away from the patient''s pericardium and looked at Zhou Can.


    "Doctor Guan, should we establish extracorporeal blood circulation now?"


    "certainly!"


    Doctor Guan replied while pressing the pericardium.


    He didn''t dare to look up, didn''t dare to look away.


    Chest compressions during CPR are protected by the entire rib cage of the rib cage. During thoracotomy, the pericardium can only be pressed urgently.


    It is equivalent to pressing directly on the heart.


    The danger is self-evident.


    "I think the patient should be given vasoactive drugs immediately!"


    While operating, Zhou Can established extracorporeal circulation for the patient while making suggestions.


    "That''s right, that''s right, I almost forgot about it. Director Xue, you can arrange this right away, I can''t get out here."


    Doctor Guan is kind and kind accepts Zhou Can''s suggestions as they are ordered.


    No matter how stupid Director Xue was, she could tell that Zhou Can held an unusual position in Doctor Guan''s mind. And the strength is extremely powerful. In a very short period of time, preparations for the establishment of extracorporeal circulation have been made.


    And every suggestion is very accurate and in place.


    What is reflected is Zhou Can''s comprehensive rescue strength.


    "Fortunately, this doctor Zhou helped me today, otherwise it would be very difficult for the patient to be rescued." Director Xue''s evaluation of Zhou Can rose to an extremely high level in his heart.


    It can be regarded as seeing Zhou Can''s true ability.


    Seeing is believing, hearing is believing.


    Seeing Zhou Can''s series of extracorporeal circulation establishment operations with her own eyes, she felt that Zhou Can was even more powerful than the rumors.


    To provide you with the fastest update of my medical skills that can add experience points to the great **** Jiangbian Yuweng, so that you can check the fastest update of this book next time, please be sure to save the bookmark!


    Chapter 178 Super Difficult Clamping, Sudden Attack Again Free Read.https://

 Chapter 179： Successfully helped the patient out of danger. sorry im unprofessional

    , the fastest update to the latest chapter of my medical skills can add experience value!


    This kind of extracorporeal circulation is not artificial membrane lung, that is called ECMO, and the establishment is much more complicated.


    It is only considered to be used when the heartbeat and breathing have all stopped.


    The extracorporeal circulation established by Zhou Can for patients is a kind of life support, which can maintain blood supply to tissues and organs throughout the body during open-heart surgery.


    Its principle is to use a series of special artificial devices to draw venous blood out of the body, manually exchange gases, regulate temperature and filter, and then return it to the arterial system in the body.


    This extracorporeal circulation machine is mainly used for the pause of the heartbeat in the operation, or the pause of the heartbeat and breathing.


    It is also Director Xue who considers the operation cost too much for the patient, otherwise this extracorporeal circulation system should be established from the beginning to ensure the safety of the patient''s life.


    If Zhou Can''s operation speed was not much faster than others this time, the consequences would be hard to predict.


    Zhou Can connected the instrument, and when the temperature of the patient''s nasopharynx dropped to about 28, he blocked the ascending aorta below the innominate artery with blocking forceps, and injected cold cardioplegia into the root of the ascending aorta to arrest the heart.


    Doctor Guan could finally stop the pericardial compression at this time.


    Next, if the operation time is too long, about every 20 minutes or so, cardioplegia is continuously infused retrogradely through the coronary sinus to maintain the heart in a state of deep hypothermia.


    Just clipping an aneurysm should not take that long.


    After Zhou Can successfully established extracorporeal circulation, he breathed a sigh of relief.


    The patient''s life is temporarily guaranteed.


    "Director Xue, you can hurry up and get rid of that varicose vein now."


    Zhou Can kindly reminded.


    "okay!"


    She began to rush to clip the aneurysm.


    The extracorporeal circulation machine only simulates part of the functions of the heart. It is no problem to supply oxygen and blood to tissues and organs in a short period of time, but it will definitely not work for a long time. May cause damage to organs.


    After the establishment of the artificial membrane lung, theoretically speaking, it can replace the human heart and lung function for a long time.


    Therefore, ECMO is more advanced than extracorporeal circulation machines, and the start-up fee is also more expensive.


    Its circulatory system is more complicated to establish and requires multiple doctors and nurses to operate at the same time. It must also be technically proficient.


    If a novice does this, the probability of accidents is extremely high.


    After the patient''s life is guaranteed, Director Xue is no longer so nervous when operating. The state of mind became stable, and the progress of the clipping operation was obviously much smoother.


    It didn''t take long for her to successfully clip this relatively complicated heart aneurysm.


    It is equivalent to cutting off its blood supply, and it will naturally no longer cause harm to blood vessels.


    Some people think that after clipping an aneurysm, it will cause blood vessel narrowing, which is purely nonsense. As long as the operation is done well, it will not affect the patency of the blood vessels at all.


    After clipping the hemangioma, it is generally necessary to repeat the blood test to confirm that the aneurysm is completely clipped and the arteries are unobstructed before the chest can be closed.


    She checked it carefully several times to make sure there was nothing wrong, and then she looked at Dr. Guan.


    "Doctor Guan, the operation has been completed, but the blood test is needed to check the effect of the operation. Do you think the heart can resume beating now?"


    "Okay! I''ll try!"


    Doctor Guan began to warm up the heart.


    Gradually, the heart throbbed, and the blood circulation in the body slowly recovered.


    Fortunately, the patient''s ventricular fibrillation has long since disappeared, and the heart beats normally. The clipping of that aneurysm was also very successful.


    After bleeding, it can be confirmed that it will be completely clamped.


    And it can be confirmed that the blood of this arterial vessel is unobstructed and has not been significantly affected.


    Everyone breathed a sigh of relief, their hearts were hanging, and they fell to the ground.


    Deputy Director Lu seemed to be reborn after a catastrophe, his back was already drenched.


    After all, the patient''s heart problem was caused by blocking the blood flow of the head and arm trunk twice in a short period of time.


    "It''s finally all right, let''s close the chest cavity!"


    Director Xue was also quite frightened.


    It is estimated that she will not take such a big risk for surgery in the future.


    All doctors are similar. Before the accident, they always feel that they can do it and there will be no problems.


    Then after one or two incidents, the courage became smaller.


    Acting is also becoming more and more cautious.


    Deputy Director Lu and the second assistant worked together to close the patient''s chest.


    The sawed sternum needs to be re-fixed with steel nails.


    Zhou Can watched them operate, very envious.


    It''s just that something happened just now, and now I''m asking Director Xue for the opportunity to exercise to close the chest, I''m afraid it will be difficult to get it.


    He is not in a hurry.


    This time, he left a good impression on Director Xue, Deputy Director Lu and others, and showed some of his abilities. Are you afraid that you will not get the opportunity to exercise in the future?


    After the closure of the patient''s cavity was completed and the examination was correct, the patient was given anesthesia.


    I won''t be able to wake up for a while.


    Can only be pushed to the anesthesia recovery room, waiting for the patient to wake up on his own.


    Director Xue turned to look at Zhou Can before leaving.


    "Doctor Zhou, thank you for today! If you want, I will transfer you to my team tomorrow, and I will take you with the doctors of the team."


    Director Xue does things with the empathy of a woman.


    She didn''t take Zhou Can away directly, which was a kind of respect for Dr. Zhao.


    Although she is the chief physician, Dr. Zhao is just a resident doctor at the bottom, but she still saves enough face for Dr. Zhao.


    Leaders maintain the majesty of other leaders, not necessarily the protection of officials and officials, but a kind of self-cultivation.


    Dr. Zhao is now equivalent to Zhou Can''s leader.


    He punished Zhou Can. Director Xue wanted to intervene, but with just one word, Dr. Zhao would obediently do so.


    But what would Dr. Zhao think?


    Uncomfortable for sure.


    Maybe because of this incident, I will hate Director Xue and Zhou Can at the same time.


    Therefore, her way of handling things is very clever.


    Zhou Can is naturally willing to work with a chief physician.


    No matter which department he enters, he can learn much more than other doctors if he can be led by a director-level doctor himself.


    This is also an important reason why he left other Gui Peisheng far behind in a year.


    "I do!"


    Zhou Can decisively agreed.


    "Okay, you report to my doctor''s office tomorrow."


    Seeing that Zhou Can agreed, she was quite happy.


    Because Zhou Can''s strength lies there, taking him to do surgery together in the future is equivalent to adding a senior anesthesiologist who can provide life support for patients in the group.


    Dr. Zhao''s order to punish Zhou Can was irreversible. He looked at Zhou Can with very complicated eyes, but finally did not withdraw the order of punishment.


    ¡­


    The next day, Zhou Can went to report to Director Xueyan without mentioning it.


    In the big office, Director Xue has already helped Zhou Can make arrangements for group adjustment.


    "The patient who underwent the cardiac aneurysm clipping operation yesterday has come to life. His vital signs are stable, and the operation was successful." Director Xue must have deliberately told Zhou Can about the patient''s postoperative situation.


    The patient turned the corner, and when she mentioned this, a happy smile appeared on her face naturally.


    "I need to go to the outpatient clinic for a specialist consultation this morning, and I''m going to attend a study in the afternoon. I''m afraid I can''t take you with me. I''ve told Deputy Director Lu to take you with me."


    Director Xue has already arranged everything for Zhou Can.


    It took a lot of thought.


    "thank you!"


    Zhou Can is sincerely grateful to her.


    Generally speaking, it is good enough for the chief physician to agree to take him. How can such careful and considerate arrangements be in place?


    Zhou Can was really moved by her being so sincere to Zhou Can.


    "When you first come to this group, you can take a look at all the cases in this group. If you don''t understand anything, you can ask me or Deputy Director Lu in time. If neither of us is here, you can also ask Dr. Long and others."


    Not far away, Dr. Long quickly said, "It''s almost the same for me to ask Dr. Zhou for advice. He is much better than me."


    "Just be skinny!"


    Director Xue smiled and gave him a blank look.


    Dr. Long really wanted to tell Director Xue that Zhou Can''s abilities in all aspects are really strong.


    Even surpassed him as the attending physician.


    His lips moved, but in the end he didn''t say anything.


    Because Director Xue wouldn''t believe it.


    "The time is coming, I have to check the doctor''s orders of several important patients, and then rush to the consultation. Dr. Long, come and teach him the daily work of the department!"


    After finishing speaking, Director Xue hurriedly turned on the computer to check the important patient''s doctor''s order.


    The doctor''s orders of ordinary patients are generally in the charge of bed doctors and attending doctors.


    In the actual operation, basically the supervisor of the bed or the resident doctor will issue a doctor''s order, and then the attending doctor will take time to check it at two o''clock when commuting to and from get off work.


    Amend the unreasonable and problematic medical orders.


    The only medical orders that can be handled by the chief physician himself are those priority patients. For example, the patient is critically ill, or has just undergone major surgery, or has many underlying diseases, etc.


    Only such important patients need to be checked by the chief physician.


    It is much less difficult for other patients to prescribe medical orders. When prescribing medical orders for these key patients, all aspects must be considered, and there are very few opportunities for trial and error.


    So we must be cautious.


    "Doctor Long, I have caused you trouble!"


    Zhou Can walked to Doctor Long and asked for advice humbly.


    The daily work and focus of each department are different, so it is always right to know more about it.


    "Don''t be so polite! As a team, we should help each other. Let me give you a brief introduction to the daily life of our cardiothoracic surgeons!"


    Dr. Long was very polite to Zhou Can.


    "In the morning, it is generally required to arrive at the hospital department around 7.30, and check the medical records, examination reports, treatment methods, medications, etc. of the patients in this group through the HIS system. The review that should be reviewed and the preparation that should be prepared. You do not have separate surgical tasks now, such as For me, I need to be responsible for some patients¡¯ operations. If the condition is not complicated, I will make a surgical plan and show it directly to Director Xue or Deputy Director Lu for review. If the condition is complicated or difficult, I will take the initiative to ask them for advice and formulate the surgical plan together. "


    Basically, every department has almost such a workflow.


    This is true of all the gods and bones that Zhou Can has practiced.


    "The anesthesia for the first operation will probably be completed before 7:50, so there are surgical patients you follow up, and the scheduled operation starts around 8:00, and you have to send the patient into the operating room around 7:40."


    It was sent late, and the anesthetist seldom swears, so it was difficult to say who was the surgeon.


    If you are in a bad mood, you can scold you and bury your head in your pants.


    "A ward round at around 7:50. Director Xue will lead the ward rounds once a week, and they will check the cases in this group. Sometimes the department has a large ward round, and it may be led by Director Hu Kan himself. Follow along to learn. During the ward rounds, the attending physicians and directors will listen carefully to the patient¡¯s situation reported by the doctor in charge of the bed, so you must be well aware of the beds you manage. get ready."


    One of the most important tasks for bed doctors every day is to introduce the patient''s situation in a timely and accurate manner when the superior doctor makes ward rounds.


    "The ward round is over, around 8:10, and the doctor''s shift is over. After the shift is over, you must hurry up to issue a doctor''s order and a discharge certificate to the patient in charge. Then if you stay in the ward with the resident doctor, you will be responsible for carrying out the operation, Changing dressings and other work. If you follow into the operating room, then needless to say, cooperate with the chief surgeon to complete the operation."


    Zhou Can basically understands these daily tasks.


    "It is worth mentioning that the operation time of our cardiothoracic surgery is usually relatively long. It is common for the operation to be performed around 9 am and end at 1 pm. After the first operation, there will be a short meal break There is also the handover of ICU patients, or sometimes there is an emergency patient in a certain department who needs to be equipped with ECMO, or a CCU patient abandons treatment and asks for ECMO to be withdrawn, so we have to rush over to help. "


    The installation of ECMO is generally completed by the cooperation of surgeons and anesthesiologists.


    Zhou Can has mastered the skills of installing ECMO thanks to three months of working in the intensive care medicine department. Fully capable of cooperating with the anesthesiologist to complete.


    "In your case, you have excellent abilities in all aspects. If the doctors in the group are too busy, they may send you to the internal medicine department or the emergency department for consultation."


    This is an advance greeting.


    Cardiothoracic surgery requires a lot of consultations, and the manpower here is often tight.


    Consultation needs to send excellent doctors to participate.


    For consultations that are not too difficult, an excellent resident doctor is often sent there.


    Although Zhou Can is only Gui Peisheng, his strength lies there. Sending him there for consultation is no worse than an excellent resident doctor.


    Of course, he has just entered the cardiothoracic surgery department and has not studied for two days, so he will definitely not be sent for consultation now.


    If he made a joke and made a fool of himself, he would lose face in cardiothoracic surgery.


    After introducing the daily tasks of the day, Dr. Long helped Zhou Can log into the HIS system and taught him to check the cases in this group.


    ¡­


    Zhou Can was thirsty for knowledge, and carefully checked the medical records of the cases in this group.


    This is the fastest way to learn.


    Because each patient has the most authentic records of symptoms, etiological diagnosis, examinations done, treatment methods used, and treatment effects.


    Every time he reads a case, his pathological diagnosis experience value can increase by 1.


    Deputy Director Lu also had the task of attending clinics in the morning, and Zhou Can stayed in the inpatient department to manage the patients in his group. The morning passed quickly.


    After eating Chinese food, when he went to the ward to check the situation of the patients in the group, he heard the family members of the 19th bed patient shouting there.


    "Nurse, nurse, my son still feels pain in his chest after the operation, please help me to prescribe some painkillers!"


    "Didn''t you just take painkillers in the morning? You can''t use them all the time! Your son is a man. He woke up from the anesthesia after the operation. It''s normal to have some pain. Let him bear it!"


    Nurses do not have the right to prescribe, and a doctor with a medical license is required to prescribe medicine.


    And, as she said, painkillers can''t be used all the time.


    This is in a safe dose.


    If you really want to use it, you have to wait for the body to pass a metabolic period before asking the doctor to prescribe painkillers.


    She just didn''t tell the family members clearly to tell your son not to be so squeamish.


    After hearing this, Zhou Can glanced at the family members and patients with some sympathy.


    After waking up from the anesthesia, it is indeed normal to experience pain. But the pain in this patient may not necessarily be normal. It may be the abnormal pain caused by tissue ischemic necrosis.


    This kind of pain is like a slow knife cutting flesh, very tormenting.


    The patient''s beautiful wife kept operating with her mobile phone, checking the medical records from time to time.


    Zhou Can almost fainted.


    She is on Baidu again, popularizing science to solve problems by herself.


    Are women with **** really brainless?


    What she did was really ridiculous.


    But it would be nice to let her learn a lesson. In case you would rather trust Baidu than the doctor''s words next time.


    When Zhou Can finished checking the patients in this group, when he came out, the patient in bed 19 was in so much pain that he lost his temper.


    He is the only child in the family, and his family conditions are also very good.


    She has been spoiled and spoiled since she was a child.


    Now that he has suffered so much, it is inevitable that he will become a little manic.


    "Doctor, doctor, my son is in unbearable pain, please help me!"


    The patient''s mother saw Zhou Can passing by, as if grabbing a life-saving straw.


    The patient''s beautiful wife also seemed to realize at this time that Baidu on the Internet is unreliable and cannot solve the problem at all.


    She also stood up and was willing to cooperate with the doctor for the first time.


    Unfortunately, Zhou Can is no longer in charge of this patient.


    Moreover, this woman complained and sued at every turn, and Zhou Can was even more unwilling to provoke her.


    "I''m sorry, I''m just a training doctor, very unprofessional. I can''t handle it, and I''m not responsible for the patients in this bed. It''s okay for me to inform the nurse for you."


    Zhou Can directly refused.


    Are you kidding me, last time you told me to get out, I got out. Now you ask me to come back, sorry, I''m going away.


    If you have any problems, you can go to the bed doctor and nurse to deal with it yourself!


    "What kind of attitude do you have! My husband is in such pain, but you are prevaricating like this. Believe it or not, I will complain to you now?"


    Patient''s beautiful wife blew up.


    The word "very unprofessional" is what she said to Zhou Can when she complained to Dr. Zhao.


    Now Zhou Can is using this as a shield, she is not stupid, she naturally understands that Zhou Can is deliberately reciprocating with words so she is very angry.


    Maybe this woman usually relies on her husband''s family''s power and good financial conditions, so she acts a little arrogantly.


    Almost the vast majority of powerful people have this problem.


    When encountering things they think are "unreasonable", they always like to blow their hair.


    Zhou Can stared at her pretty face with a straight face, and then his eyes collided with her bright eyes.


    "Complaints are your right. I have other patients to deal with, bye!"


    This moment, that moment.


    Zhou Can is now appreciated by Director Xue and others, and it is true that he is not in charge of this patient. He really did it according to the procedure, and no one can fault it.


    To provide you with the fastest update of my medical skills that can add experience points to the great **** Jiangbian Yuweng, so that you can check the fastest update of this book next time, please be sure to save the bookmark!


    Chapter 179 successfully helped the patient out of danger. Sorry, I''m unprofessional Read free.https://

 Chapter 180： This thunder still exploded, Director Hu Kans order

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    "You, you... It''s outrageous! I don''t know how such an irresponsible doctor got into a famous hospital like Tuya. It''s my responsibility not to let you dismiss get out of class today."


    The woman was so angry that her branches trembled wildly, she actually took out her mobile phone and made a call.


    Her mother-in-law also had a similar attitude and wanted to teach Zhou Can a lesson.


    Only her father-in-law has the ability to perceive words and emotions, and his social experience is obviously richer than the two women. Seeing that Zhou Can was confident, he was not frightened at all.


    He quickly winked at his daughter-in-law.


    It''s a pity that the angry daughter-in-law didn''t listen to him at all.


    "Hello Director Xue, I am Chen Jinyue''s daughter-in-law, I have something to report to you..."


    Annoyed, she actually called Zhou Can on the spot to complain.


    And directly complained to Director Xue.


    It seems that the person she knows Director Xueyan is her father-in-law.


    The call ended quickly.


    After the pretty woman hung up the phone, her face became even uglier.


    Needless to say, the results she wanted were not achieved.


    "What did Director Xue say?"


    The woman''s mother-in-law asked quickly.


    "She asked us to find a bed doctor or an attending doctor." When she said this, the woman''s domineering arrogance and sense of superiority were gone.


    What is social beating?


    I believe she has felt it at this moment.


    In her mind, Zhou Can is just a training doctor, but they are familiar with Xueyan, who is at the director level. If you want to clean up a Gui Peisheng, isn''t that a matter of one sentence?


    As a result, the reality let her know what it means to be low-key.


    Just at this moment, Dr. Zhao came over.


    Which patient should be changed.


    The pretty woman''s eyes lit up, and she was about to find Dr. Zhao to complain to Zhou Can again.


    Because it was very useful to complain to Dr. Zhao last time.


    Unexpectedly, when Dr. Zhao saw Zhou Can, it was completely different from the high and cold face yesterday. Instead, he quickly squeezed out a smile and took the initiative to greet Zhou Can.


    "Do you still get used to Dr. Zhou being transferred to Director Xue''s group?"


    "good!"


    Zhou Can responded with a smile.


    "It''s good to get used to it. It''s much better to stay with Director Xue than to stay here and manage the bed. I haven''t rested all morning. No, just after eating, I have to change the dressings of 20 patients in bed. It''s all trivial things. There''s very little to learn."


    Dr. Zhao is really envious of Zhou Can.


    Coupled with seeing Zhou Can''s powerful strength yesterday, when talking to Zhou Can today, the roles of the two have been switched. He was flattering the whole time.


    Adults are just that realistic.


    "you busy!"


    Zhou Can said hello and went straight to the doctor''s office.


    The beautiful woman swallowed all the words that were about to complain to Zhou Can.


    She saw Dr. Zhao''s obsequious attitude towards Zhou Can just now.


    Obviously, in just one day, the identities of Dr. Zhao and Zhou Can have changed.


    At this time, I went to Dr. Zhao to complain to Zhou Can, unless she was mentally ill.


    She wondered to herself, what happened yesterday?


    It can make that Gui Peisheng''s status skyrocket so much.


    Seeing that Zhou Can was no longer something she could bully, she could only calm down.


    "Doctor Zhao, you came just in time! My husband''s chest hurts badly, can you prescribe some more painkillers?"


    She asked Doctor Zhao.


    "Didn''t it just start in the morning? For the safety of your husband, painkillers cannot be used continuously. After the anesthesia period after the operation, it is normal for the wound to have some pain. Think about it, the skin, subcutaneous tissue, and muscles are cut open, and then Can the suture be pain-free during the recovery process?"


    Dr. Zhao''s statement was consistent with the nurse''s.


    In fact, whether it is a doctor or a nurse, they all have high professional knowledge. Reasonable requests made by patients, as long as they can be agreed, will basically be agreed.


    "Be patient! The pain will gradually decrease. The more you are afraid of pain, the more painful it will be, so you must be strong in your willpower."


    After speaking, Dr. Zhao went to bed No. 20 next to him to change the patient''s dressing.


    This matter did not attract Dr. Zhao''s attention.


    In this way, it dragged on for another day.


    The next morning, Zhou Can rushed to work in the department and felt the atmosphere was a bit dignified.


    "Hey, why didn''t you see Director Xue and Deputy Director Lu today?"


    Zhou Can felt a little puzzled.


    "A patient has an accident!"


    Doctor Long lowered his voice and whispered.


    "Ah... the patients in our group?" Zhou Can checked the patients in this group, and several of them were high-risk and needed intensive care.


    Which patient will have the accident?


    Could it be the patient who had the cardiac aneurysm clipping operation yesterday?


    "It''s not from our group, it''s a patient from Director Le''s group. I heard that it was a patient with a torn pectoral and arm muscle. He underwent suture surgery. He had a high fever in the morning and had sepsis in his body. At present, the chief physicians of the entire department are in the hospital. Consultation on this case, if we can''t find out, I''m afraid we can only invite experts from internal medicine to come for consultation."


    Dr. Long was full of worries about this matter.


    Being able to alarm all the directors in the department at the same time shows that the patient''s condition is critical and urgent.


    After hearing this, Zhou Can was slightly taken aback.


    The 19-bed patient had an accident after all.


    In fact, there were signs yesterday.


    The patient kept complaining of chest pains and was manic, not exactly squeamish.


    Ischemic necrosis of any tissue part of the body will cause unbearable pain and discomfort.


    Just then, a nurse ran in.


    "Doctor Zhou, Doctor Zhou, just now the conference room called and told you to attend the consultation right away." The nurse girl didn''t understand that there were so many chief and deputy chief physicians for consultations, why did she have to invite a regular trainee to come over?


    "Okay, I''ll go right away!"


    While agreeing, Zhou Can stood up and walked outside.


    Only he understood what was going on.


    The day before yesterday, he reminded Dr. Zhao and Duan in the operating room that the patient''s valve had been excessively electrocoagulated, be careful of necrosis.


    But he was so soft-spoken that no one listened to him at all.


    "Didn''t you call me over?" Dr. Long asked the nurse.


    "No. Just ask Dr. Zhou Can to come over immediately for a joint consultation."


    She shook her head.


    After Dr. Long heard this, he was somewhat depressed. He is too bad as an attending doctor, even worse than Gui Peisheng.


    In fact, his level is not low, just because Zhou Can is too monstrous, and it just so happens that Zhou Can was the first to discover the danger. That''s why Zhou Can was invited to go over for a consultation.


    Zhou Can quickly came to the meeting room of the cardiothoracic surgery department.


    Usually morning meetings and consultations are held here.


    The construction area of ??the hospital is limited, and there are only one or two offices in each department, such as conference rooms, which are idle most of the time.


    The saved room will be used to place beds for patients.


    All famous hospitals have one thing in common, the beds are highly tense.


    "Winter Dongdong!"


    Zhou Can knocked on the door.


    "Come in!"


    A majestic and steady voice came from inside, with a low voice.


    After pushing open the door and walking in, I saw the elders of cardiothoracic surgery gathered together, each with serious expressions.


    The screen on the wall is playing the examination report of the patient in the 19th bed.


    Doctor Duan and Doctor Zhao both looked pale, terrified, and deeply remorseful.


    If he had listened to Zhou Can''s "harsh words" the day before yesterday, or if the patient had been more careful and patient in responding to the chest pain yesterday, he would not have fallen to this point.


    The person sitting on the main seat was Director Hu Kan who had met him once from afar.


    Still as stable as an old monk in meditation, there are not too many waves on his face.


    As soon as Zhou Can entered the consultation room, he immediately felt many pairs of eyes staring at him.


    These people are all important bosses in the department.


    Some have high attainments in the cardiovascular field, and some have achieved extremely high achievements in thoracic surgery.


    All of them have real talents and learning, and their surgical skills are extraordinary.


    "Doctor Zhou, please sit down!"


    The female nurse standing by the door asked Zhou Can to sit at the end of the conference table.


    She should just temporarily pour tea and water for these directors participating in the consultation. She is also responsible for who needs to be contacted.


    "Doctor Zhou, the patient on the 19th bed had a chest wall muscle suturing operation the day before yesterday, do you still have any memory?"


    "have!"


    Zhou Can answered very simply.


    "According to the relevant personnel who participated in the operation at that time, before the operation was about to end and the skin was about to be sewn, you reminded the two superior doctors to be careful of large areas of tissue necrosis. Can you tell everyone about the situation at that time?"


    The matter was brought up again, but Zhou Can was fine.


    Dr. Zhao was already ashamed, and Dr. Duan also lowered his head, not daring to look up at anyone.


    Mainly shameless.


    "OK!"


    Zhou Can nodded in agreement.


    Start by introducing the situation at that time.


    "During the operation, when Dr. Duan cut the pectoral muscle flap, the bleeding was very serious. A relatively thick artery was cut. Then Dr. Zhao performed electrocoagulation on the bleeding point to stop the bleeding. It may take a long time for electrocoagulation, I Standing under the operating table, I noticed a slight discoloration of the electrocoagulated body tissue. How should I put it, it looks like pork has been scalded, with oily shine and a little off-white."


    "I read it at the time, and I was a little worried about tissue ischemia and necrosis. I did remind Dr. Duan and Dr. Zhao."


    Zhou Can just stated something related to his illness.


    Dr. Zhao became furious because of this incident, and punished him for cleaning the operating room without mentioning a word.


    This also prevented Dr. Zhao from being ruined and his image and character completely destroyed.


    He didn''t even mention that after he reminded that there would be tissue ischemic necrosis, Dr. Duan checked it carefully and thought there was no problem, and then asked Dr. Zhao to sew the skin.


    A good character can sometimes bring many unexpected gains.


    To save face for Doctors Zhao and Duan, if they don''t say anything, they must be grateful in their hearts.


    "On the third day after the operation, the patient developed symptoms of high fever and sepsis. What do you think is the problem?"


    Director Hu Kan locked his eyes on Zhou Can.


    It was the first time he spoke since Zhou Can came in.


    "The possibility of necrosis of the pectoralis flap is relatively high."


    Zhou Can gave his opinion.


    "What about the treatment plan?"


    Director Hu Kan asked again.


    I don''t know why, but when he asked the question, there seemed to be invisible coercion.


    "Uh... so many department chiefs are present, it''s not appropriate for me to talk about the treatment plan as a regular trainee!" Zhou Can quietly checked, there are at least seven or eight chief and deputy chief physicians.


    The strength of cardiothoracic surgery is really powerful.


    "It''s okay, you can say it boldly. I''ve heard about your reputation a long time ago. I have the opportunity today. I also want to see what kind of apprentice Xu has taken in?"


    Director Hu Kan, like many big bosses, likes Yangmou.


    If there is any purpose, please bring it up aboveboard.


    Many little people like to play tricks, it is because their strength is weak, and they have to sneak through the enemy''s positions to make them defeat their opponents. Or get huge profits.


    The elders don''t like to play tricks, that''s because the society is becoming more and more civilized.


    Everyone is a prominent figure, after mixing to a certain level. The circle becomes very small. If you play tricks, no one wants to play with you, and you will be isolated.


    And also very cheap.


    So they prefer to delve into the conspiracy.


    Director Hu Kan has already talked about this point, so Zhou Can can''t avoid it anymore.


    "If you want me to say, re-cut the patient''s wound, debride the wound first, and then re-suture. Then give the patient various supportive treatments to prevent infection and prevent sepsis from exacerbating. Especially to prevent kidney failure, necessary In addition, in vitro renal function replacement can be established. In addition to anti-infection, organ and life support, it can be supplemented with immune conditioning therapy.¡±


    Sepsis develops rapidly and is extremely harmful.


    Early, timely and effective symptomatic treatment is very important.


    It can be roughly divided into three directions. The first is etiological diagnosis, finding out the lesion, and then removing it, and then using corresponding antibiotics to prevent infection.


    The second direction is life support therapy.


    Including circulatory resuscitation, mechanical ventilation, renal replacement, etc.


    The third direction is immune conditioning.


    The human immune system is the ultimate magic weapon to defeat all diseases, any surgery, any medicine, no matter how advanced the equipment is, nothing can compare to the immune system.


    Even the latest anti-cancer drugs developed by humans start with immunity, such as activating immune T cells and so on.


    "If this patient is dying now and you are asked to take over the treatment, would you be willing?"


    Director Hu Kan''s eyes became brighter after hearing Zhou Can''s answer.


    There was a dash of interest on Gujing Wubo''s face.


    "Of course! It is the bounden duty of a doctor to save the dying and heal the wounded. If the patient is critically ill, I should do my best to treat it."


    Zhou Can answered very decisively.


    "If something happens and you can''t save it, don''t you worry about the consequences?"


    Director Hu Kan''s soul torture, this time even a fool can see that he is testing Zhou Can.


    Maybe you want to observe Zhou Can''s abilities and qualities in all aspects.


    "I''m also a human being, so I''m sure I''ll be worried! For this kind of thing, just try your best. I really tried my best but couldn''t save the patient. I believe the family members can understand. As for the reputation and so on, I really don''t like it." Those stupid things."


    Zhou Can only cares about his strength, never about his fame.


    On the contrary, he especially likes to keep his reputation quiet and treat patients silently. In this way, people don''t have to bear too much psychological pressure, and people will live a particularly relaxed life.


    "It''s interesting! You are much better than Old Xu. If he could have realized the truth about the harm of reputation earlier, nothing would happen. I hope you can go longer and farther than Old Xu."


    Zhou Can secretly admired the broad-mindedness shown by Director Hu Kan.


    Dr. Xu and him are competitors. They have been fighting for many years. Now Dr. Xu has an accident and has become the attending physician of the emergency department. Director Hu Kan''s position is stable and higher than before.


    But he didn''t do anything to add insult to injury.


    It''s a form of respect.


    "It doesn''t matter whether you are in the regular training of cardiothoracic surgery or come to further study in the future, as long as I stay in the position of director of the department, I can guarantee how strong your ability is and provide you with a stage. Our department also Will give you the best training."


    When Director Hu Kan said this in front of the boss of the department, it was almost like saying hello to Zhou Can.


    The meaning is to tell the other directors and deputy chief physicians of the department to give Zhou Can the best guidance and cultivation.


    This is true generosity and fraternity.


    It is equivalent to helping former opponents train successors.


    Ordinary people, I am afraid it is difficult to have this kind of open-mindedness.


    "Thank you! Thank you teachers!"


    Zhou Can stood up and bowed to thank all the elders.


    He is also smart, such a thank you, the elders in the department can acquiesce.


    In the future, Zhou Can must be given the best training.


    "The patient on the 19th bed will be treated by you from now on. Dr. Duan and Dr. Zhao, both of you will assist." Director Hu Kan''s words once again shocked everyone.


    Human lives are at stake, this is no joke.


    The patient''s condition is very serious, and it is not safe to hand it over to a general chief physician for treatment.


    It would be best for director Hu Kan to take over in person.


    Now it is handed over to a regular trainee to host, it is too ridiculous.


    "Director Hu, it''s absolutely impossible! Even if you want to train Zhou Can, you can slowly give him some minor operations, and patients with mild illnesses can practice for him. As long as this patient''s condition deteriorates further, the consequences will be very serious. When the time comes...what if something really happens?"


    A forty-seven-year-old male doctor hurriedly dissuaded him.


    "You guys, keep your heart in your stomach. I have competed with Lao Xu for so many years, and I know him too well. Lao Xu''s successor is by no means a vegetarian. I can tell from this kid''s eyes, He eats meat."


    Director Hu Kan resisted all opinions and made a final decision on the matter.


    "Xiao Zhou, UU Reading just feel free to act boldly, I believe you will not discredit your teacher."


    "Thank you for your trust. I will do my best to treat that patient. If there is something beyond my ability, I will ask the chief physicians for help at that time."


    Zhou Can really did not expect Director Hu Kan to make such an arrangement.


    The patient himself had a serious problem because the operation was not done well. If it were an ordinary department director, he would definitely handle it carefully and personally.


    But he directly handed over to Zhou Can, a regular trainee, for treatment.


    It seems like a child''s play, but it actually has multiple considerations at a deep level.


    It is impossible for "the most stable scalpel" to make unsteady arrangements.


    This also shows that Director Hu Kan''s state of mind has reached a height that ordinary people can hardly achieve in a lifetime.


    To provide you with the fastest update of my medical skills that can add experience points to the great **** Jiangbian Yuweng, so that you can check the fastest update of this book next time, please be sure to save the bookmark!


    Chapter 180 This Thunderbolt Still Exploded, Director Hu Kan''s Order is free to read.https://

 Chapter 182： Discover hidden dangers, kindly remind

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    Zhou Can''s ward rounds prefer to go to the ward alone to check the patient''s condition and examination results as a bed doctor or trainee doctor.


    Follow the attending rounds, because the status is low, basically only listening.


    To see is to stand at the end of the bed and watch from afar.


    It would be even worse if the ward rounds were followed by the chief physician.


    Shouting and hugging, at least seven or eight doctors rounded the ward together, plus nurses and head nurses, a total of more than a dozen people. His little Pearson didn''t even have a place to stand.


    During the director''s ward rounds, the head nurse, responsible nurse, bed doctor, and treating doctor were all required to be present.


    Basically, it is to listen to the patient''s situation introduced by the doctor in charge of the bed, and the director will make a speech to summarize. This way of rounds is more like a catwalk.


    At least in Zhou Can''s opinion, if he wants to make rapid progress, it is best to check the wards alone.


    The 47-bed patient, who has been diagnosed with pericardial effusion of upper right lung cancer, is one of the patients who need surgery today.


    It can be seen that the patient''s willingness for surgery is very strong.


    After the nurse told me to fast and drink last night, the patient had bathed, washed, and went to the toilet early this morning, and was ready for the operation.


    "Doctor, are you operating on me this morning?"


    "Yes! The operation will start at around 9:00 a.m., and I estimate that I will take you into the operating room after 8:00 a.m. for preoperative preparation and anesthesia."


    This is a major operation, and there is no definite answer to how long it will take to complete.


    It will certainly not be short in time.


    There are also many surgeries to be done.


    Because the upper lobe of the right lung needs to be resected, the pericardial window is opened, and lymph nodes may be removed, the task is extremely heavy and the risk is very high. So he arranged for the first operation in the morning.


    Late surgery involves two areas of heart and thoracic surgery, which requires extremely high surgical ability of doctors.


    Director Xue has just been promoted to chief physician for more than a year.


    At such a young age, she has successfully been rated as a senior professional title, so academics and academic qualifications must take the lead.


    There are very few 43-year-old chief physicians in Tuya Hospital, which can be described as rare.


    Her surgical ability is definitely not comparable to those veteran cardiothoracic surgeons.


    Simultaneously challenge the two fields of heart and chest, even the veteran chief physician will feel very strenuous. Many veteran chief physicians will choose to cooperate with others and operate together.


    Because the vast majority of chief physicians in cardiothoracic surgery either specialize in thoracic surgery or cardiovascular surgery, and there are not many who are good at both fields.


    Director Xue is probably young and promising, aggressive and arrogant, that''s why he dared to challenge this difficult operation.


    Zhou Can checked the patient''s various information, and actually checked it several times on the computer in the office.


    Nothing unusual was found.


    The patient''s current physical condition also meets the surgical criteria.


    Zhou Can asked a few more questions, and then went on to check the next patient in peace.


    It hasn''t been long since joining the group, but Zhou Can is very responsible.


    The group leader, Director Xue, and other colleagues in the group treated him very well.


    This is how people are. When you perform better and have greater potential, colleagues around you will show kind faces to you. Except for a very few jealous colleagues, it is possible to speak sarcasticly.


    Zhou Can did not check all the beds, but focused on checking the patients in this group.


    When bed 53 was found, the patient in bed 54 next to him was covering his cheeks with a painful expression on his face.


    The patients in this bed were not from Zhou Can''s group. According to the rules, he didn''t have to worry about it.


    After Zhou Can examined the patients in bed 53, before leaving, he looked at the patients in bed 54 and asked, "What''s wrong with you? Do you have a toothache?"


    "That''s right! I have been suffering from toothache recently. I just had the pain last week, and it was already cured after taking the medicine. This time, because of cardiovascular problems, I needed to be hospitalized for surgery. I didn''t expect to have toothache again."


    The patient is a man in his fifties.


    "Doctor, do you have medicine for toothache in your hospital?"


    "Of course the hospital has toothache medicine to buy. I see that you have changed into your surgical gown. Are you preparing for today''s surgery?"


    Zhou Can asked the patient.


    "you do not say!"


    The patient nods.


    "It''s best not to take drugs indiscriminately before the operation to avoid danger. Bear with it for now."


    Zhou Can then asked another casual question.


    "What kind of surgery are you doing?"


    "It seems to be some kind of bridge! We rural people don''t read much and don''t know much about it. I only know that a chief physician named Le performed this operation on me. I heard that he is the descendant of Hu Kan, the most famous cardiothoracic surgeon. , the medical skills must not be bad."


    Patients and families care about these gimmicks.


    I like to believe in a certain famous doctor.


    They think that the more famous a doctor is, the more capable he is.


    In theory, yes.


    It''s just that sometimes you can''t completely believe in famous doctors. If it is in the field they are good at, the probability of mistaking it is relatively small. If that field happens to be not what he is good at, he may not be as good as a senior attending doctor.


    It''s really not to belittle experts, but everyone has areas of expertise.


    Experts are people too.


    Their energies are basically spent on areas they are good at. For other medical fields, at most, they dabble a little and know a little bit.


    "Director Le should be doing heart bypass surgery for you. This is a major surgery, so you can''t take medicine indiscriminately."


    Zhou Can casually picked up the patient''s examination materials and medical records and looked at them.


    Cardiovascular narrowing, hardening, with severe plaques.


    In order to prevent myocardial infarction, vascular bypass is a good treatment option.


    The patient''s hospitalized symptoms were chest tightness, accompanied by chest pain.


    According to the medical records, the patient stated that he has no history of underlying diseases, no history of drug allergy, no cold or fever before hospitalization, and no other drugs being taken.


    After reading it, Zhou Can told the patient a few words and left.


    After he finished his ward rounds, he returned to the office to check the medical orders of the patients in the group.


    Because he doesn''t have a medical license yet, even if he prescribes a doctor''s order, he still uses the name of the superior doctor, and he needs to take the initiative to ask the superior doctor for examination. Prevent mistakes.


    After eight o''clock, the doctor''s shift was completed, and Zhou Can assisted the doctor in charge of the bed to send the 47-bed patient to the operating room.


    If you go late, the anesthesiologist may curse.


    While sending the patient into the operating room, he also saw the 54-bed heart bypass patient being pushed into another operating room.


    Tuya has no shortage of patients, and the outpatient volume is particularly large.


    It is common for a doctor in cardiothoracic surgery to see a hundred patients a day.


    With such a large outpatient volume, even if only about 10% of patients need hospitalization and surgery, that is quite a scary figure. In fact, according to relevant statistics, the ratio of outpatient visits to inpatient visits in some departments is as high as 19%.


    Every day in the Department of Cardiothoracic Surgery, a large number of patients need hospitalization and surgical treatment, so the beds are highly stressed.


    The daily operation volume is quite abundant.


    The chief and deputy chief physicians have one or two major operations almost every day.


    There are seven or eight directors and deputy chief physicians in the entire cardiothoracic surgery department, and the operating room is very busy.


    Two days ago, I also heard colleagues in the group discussing that a Class 100 laminar flow operating room will be added in the cardiothoracic surgery department. In this way, the pressure that cannot be discharged in the operating room can be relieved.


    Zhou Can watched the 54-bed patient being pushed into the operating room, and a trace of doubt flashed in his heart.


    During the ward round, the patient said that he also suffered from toothache a week ago.


    And after taking the medicine, the pain is gone.


    What painkillers is the patient taking?


    Some drugs have a longer metabolic period in the body.


    At that time, he checked the patient''s medical records, but did not indicate the history of medication. This is actually a hidden danger.


    The patient did not necessarily hide it deliberately, but the receiving doctor did not ask about the situation, which was considered an omission. As long as there is no accident, it will lead to an accident in the operation.


    For example, when Zhou Can''s internship was about to end, the patient who was allergic to rubber.


    Sometimes patients may not even know what they are allergic to.


    Doctors never thought that disposable sterile gloves for surgery would become the "killer" of patients during surgery.


    "Doctor Zhou, what are you looking for?"


    "Oh! It''s nothing. The surgery patient in their group, I happened to see that he had a toothache during the rounds in the morning, so I asked a few more questions. He is a heart bypass surgery patient."


    Zhou Can replied absent-mindedly.


    "It can be seen that the patient is over fifty years old, and it is normal to have toothaches. Some people do not pay attention to oral health, and they are prone to dental caries. As long as the nerve roots are rotten, the pain will be terrible."


    Dr. Wu who manages the bed is a young resident doctor in his twenties or eighteen years old.


    Get along well with Zhou Can.


    The doctors in charge of the bed are basically young doctors who have worked for two or three years. Everyone is going up step by step.


    There is also a lot to learn from the tube bed.


    Including the patient''s hospitalization, surgery, rehabilitation, and discharge, the entire process of hospitalization.


    In the main process, there will be many unexpected situations.


    Tube bed doctors can learn a lot from it.


    However, it is best not to study for more than four years in the inpatient department. Most people, after getting their medical license, start to take care of the bed alone. They stay in this job for about two or three years. After they have experienced their skills, they go to further studies and return to hospital for a total of one year. Engage in projects and try to get the attending title in the fifth or sixth year.


    This is an ideal way of promotion.


    Of course, doctoral students are not included in this list. They have an innate advantage in academic qualifications and are directly promoted to attendings.


    A master''s degree is also okay, and it will be promoted to attending medicine in about two years.


    However, the competition in Tuya Hospital is extremely fierce. After passing the examination, it may not be possible to get a letter of appointment from the hospital immediately. Can only wait in line.


    Doctors are different. Anyway, they belong to the special talents of the hospital, and all aspects are given priority.


    So education is actually very important.


    For a medical student like Zhou Can who only has a bachelor''s degree, it is already very good if he can successfully obtain Tuya''s training qualification. Of course, what he got was the qualification of general trainees, which has a very high gold content.


    After the regular training is over, staying in the hospital is almost a certainty.


    It''s just that future titles and job promotions will be very passive due to the impact of academic qualifications.


    "Doctor Zhou, Doctor Zhou..."


    Dr. Wu noticed that Zhou Can was distracted, and called him repeatedly.


    "Ah... sorry, I missed you just now. What kind of medicine do you think you usually take for a toothache?"


    Zhou Can asked.


    "There should be more ibuprofen sustained-release tablets! But some patients go to small clinics or pharmacies to buy their own medicines, so it''s hard to say. I''ve seen antibiotics through intravenous drip."


    Small clinics are not necessarily black clinics that deceive people, but in order to pursue profits, they try to get patients to pay as much as possible, and then try to solicit customers in a way that they can see obvious results after taking the medicine.


    Drugs such as antibiotics are often misused.


    "If that patient really just took ibuprofen extended-release tablets, it''s better. I''m afraid he took aspirin, acetaminophen or something like that."


    Zhou Can is full of worries about this matter.


    In case the patient is taking aspirin, it cannot be operated on.


    It is not safe to stop taking this drug for a week, and it is safe to stop taking it for at least two weeks.


    Because aspirin has an anticoagulant effect in addition to anti-inflammatory and pain relief.


    Patients who have undergone heart stent surgery and cerebrovascular stent surgery need to take anticoagulant drugs for life. To prevent blood clots.


    Some patients may worry about the negative effects of long-term medication, or to save money, stop taking anticoagulant drugs after taking the medication for one or two years. This is very dangerous behavior.


    It''s very easy to get into trouble.


    Zhou Can saw a patient with cerebral infarction during his regular training in Shenwai. After a stent operation, he stopped taking anticoagulant drugs by himself in the third year. I stopped taking it for less than a year, and suddenly fell ill at night.


    When 120 was taken to the hospital, Tong''s hole was already enlarged.


    But for patients who are about to undergo surgery and are taking anticoagulant drugs, they must tell their doctors.


    Otherwise, it would be a tragedy.


    Sometimes, a blood test may not be able to detect it.


    In particular, some patients do not take it regularly, but only occasionally.


    That really makes doctors hard to guard against.


    "Patients in other groups, let''s not worry about that. Hurry up and send this lung cancer patient in! Otherwise, the anesthesiologist has waited for a long time, and the face is longer than that of a donkey."


    Dr. Wu didn''t want to meddle in his own business.


    Everyone basically sweeps the snow in front of their own houses.


    Too much control, sometimes thankless.


    Doctors who work a little longer have basically suffered from this.


    Just at this time, Director Le hurried over with his attending doctor.


    "You send the patient in first, I have to remind Dr. Le. If something happens, it will be bad for the patient and the department."


    Zhou Can has just started working in the hospital, he has a simple heart, and still maintains the kindness of a rookie at first.


    Without waiting for Dr. Wu to say anything, Zhou Can greeted the approaching Director Le.


    "Hello Director Le!"


    Zhou Can took the initiative to say hello.


    "Doctor Zhou, what''s the matter?"


    Director Le''s attitude towards him was quite polite. Because the patient who had the chest wall muscle suturing operation last time belonged to his group.


    In any case, Zhou Can cured the patient, and he did Director Le a favor.


    "The 54-bed heart bypass surgery patient who was sent in just now, it''s best to ask about it first before doing the surgery." Zhou Can said.


    "What''s wrong?"


    The surgery has been decided, how can it be canceled just by canceling it?


    Director Le must figure out the situation before making a decision.


    "When I went to the ward round in the morning, I found that the patient in bed 54 was covering his cheeks. I asked him if he had a toothache? He told me that he had a toothache again. He had a toothache just last week and took medicine by himself. cured."


    Zhou Can told what happened.


    "What''s wrong with that?"


    Director Le looked puzzled There were no other problems, but I was worried that the patient was taking aspirin, which is an anticoagulant drug. God knows when he stopped taking the medicine? Of course, I''m just talking too much to remind you, it''s up to you to decide how to arrange it. "


    After Zhou Can finished speaking, he left it alone.


    I have fulfilled my duty of reminder, if Director Le gets angry and doesn''t listen to his reminder, there is nothing he can do.


    Zhou Can went straight into the operating room. He was full of expectations for today''s lung cancer surgery, and he should be able to learn a lot.


    The possibility of hands-on exercise is relatively small.


    Director Xue''s trust in him hasn''t been fully established yet, and he has to do things like smearing and closing his mouth from time to time.


    To provide you with the fastest update of my medical skills that can add experience points to the great **** Jiangbian Yuweng, so that you can check the fastest update of this book next time, please be sure to save the bookmark!


    Chapter 182 Discover hidden dangers, kindly remind you to read for free.https://

 Chapter 183： Director Hus commendation for learning the experience of difficult and complex surgery

    , the fastest update to the latest chapter of my medical skills can add experience value!


    After entering the operating room, he found that the patient was already lying on the operating table.


    Unlike the imagined supine position, the patient is in a left 90-degree lying position.


    This supine position is based on the comprehensive consideration of the surgical field of view, site, and surgical content. It is by no means a stale supine position. Even Zhou Can once saw a manic patient undergoing general surgery. Several doctors pressed him on the operating table and forced him to wear a breathing mask to administer anesthesia.


    Later, after the operation, the patient was sent back to the ward, and his hands and feet were directly tied to the bed with gauze.


    Prevent him from going mad and hurting people.


    The doctor will let the patient choose different lying positions according to the needs of the operation.


    In the operating room, besides Zhou Can and Dr. Wu, there were three nurses and an anesthesiologist.


    An anesthetist is administering anesthesia to a patient.


    This preparation is usually carried out in advance. Nurses will enter the operating room in advance to organize items and check whether all the garbage has been disposed of. Then prepare the instruments and medicines needed for the operation, etc.


    "Is he anesthetized and intubated with a double lumen?"


    Zhou Can has never studied professional anesthesia operations. It''s just that I have seen a lot, and I can basically guess the anesthesia methods for various operations.


    Then the surgical training students need to go to the anesthesiology department for a month of training.


    At that time, I will definitely learn some advanced anesthesia knowledge and specific operation methods.


    "right!"


    The anesthesiologist is a male doctor who is nearly fifty years old, with a zombie face, and he never speaks with a smile.


    "Can I help you?"


    What Zhou Can was interested in was the two-point insertion experience of intubation.


    With the increasing number of departments he has trained, his knowledge is also increasing, and he has a clearer understanding of the future direction of medicine.


    Minimally invasive, endoscopic surgery is transitioning from new trend to mainstream.


    Forewarned is forearmed, without prejudging the waste.


    In addition to practicing traditional surgery well, Zhou Can will also spare no effort to improve advanced medical skills whenever he has the opportunity.


    "Let''s do it!"


    Anesthesiologists really cherish words like gold. In addition, there is no smile on his face, which makes it difficult to get close to him.


    Doctor Guan is much more accommodating than this person.


    Zhou Can was also polite, helping with intubation and putting on a breathing mask.


    The anesthesiologist was a little surprised to see that he was intubating the bronchi as if he was playing, and couldn''t help but look at Zhou Can more.


    Without saying anything, the two silently made all the preparations for the patient before anesthesia.


    Zhou Can stepped aside.


    Not long after, Director Xue and Deputy Director Lu rushed to the operating room with the surgical team.


    "Not bad, the patients have been anesthetized!"


    Director Xue''s personality was quite cheerful, and he boasted with a smile.


    Then let the hand-washing nurse help her put on sterile gloves, check the knife position drawn on the patient''s body, and the patient''s physical signs. After the verification is correct, the operation begins.


    "Who does routine disinfection?"


    "I!"


    The patrolling nurse replied.


    "Remember to expand the range a little next time. I think you must be a frugal girl."


    It was originally a word of criticism, but when it came out of Director Xue, people were very happy to accept it.


    The atmosphere is also very relaxed.


    The nurse girl smiled embarrassedly.


    "Before incision, it is best to spread the drape first, and then extend the right posterolateral incision."


    Director Xue patiently taught the doctors under him, and operated on the patients at the same time.


    Her movements were as steady as ever.


    Zhou Can found that the vast majority of doctors in cardiothoracic surgery, as long as they are of higher rank, have inherited Director Hu Kan''s "steadiness" in their surgical style.


    In addition to being steady, Director Xue also has the dexterity unique to female doctors.


    "When cutting, you must remember that you can''t seek speed, but you should cut layer by layer. First cut the skin layer, then cut the subcutaneous tissue layer, and then cut the muscle layer. At this time, you can see the ribs. After the fifth Just cut the ribs off."


    After finishing speaking, she motioned Deputy Director Lu to cut off the ribs.


    "Then enter the thoracic cavity through the fourth intercostal space for exploration."


    No thoracotomy is simple.


    Zhou Can stood under the operating table, watching and studying carefully.


    After the basic skills have been practiced, it is just a good foundation for surgery. If you want to complete such a major surgery independently, you still have a lot to learn.


    In particular, the surgical skills and precautions are worth studying carefully.


    Even if the same lung lobe is removed, the surgical method may be completely different.


    This requires the surgeon to be knowledgeable and to use what he has learned so that he can be flexible.


    "There are three main objectives of the investigation, to ensure that there is no adhesion between the chest wall and the lung, no pleural effusion, and the specific location of the tumor on the lung lobe."


    Each of the above three items is very important.


    Lung cancer in the middle and late stage, the lung and chest wall are prone to adhesion. At this time, if you want to operate, you must carefully separate them.


    In fact, patients who have developed to this stage no longer need surgery.


    Most have metastasized cancer cells.


    A conscientious doctor will usually tell the patient that the patient''s cancer cells have spread throughout the body, or spread widely, involving multiple organs and tissues in the chest cavity. There is no need to spend a lot of money on medical treatment, eat and drink whatever you want, hurry up. Then, if you use medicine, it is mainly for pain relief, and to improve the quality of life of patients with advanced cancer as much as possible.


    After investigation, the patient was very lucky.


    There is no adhesion between the lung and the chest wall, no pleural effusion, the tumor is in the posterior segment of the right upper lobe, and the diameter is right.


    Not particularly big.


    No tumor was found in the surrounding organs and tissues.


    This is already an ideal situation.


    During surgery, because the superficial pleura shrinks. The tumor is close to the hilum and is very close to the upper lobe trachea, so local resection cannot be done.


    In addition, the upper mediastinal lymph nodes were enlarged and involved the innominate vein, and pericardial effusion was evident.


    Basically consistent with the inspection results.


    Director Xue performed a right upper lobectomy on the patient to ensure that the cancer cells were removed to avoid recurrence.


    Looking at the removed lung lobes, the tumors on them made my scalp tingle.


    Even though doctors deal with blood and pus every day, they still feel natural fear when they see cancerous tumors.


    This is also an expression of reverence for life.


    Ordinary people will feel fear and realize that their lives are threatened only when they hold a knife on their necks.


    Doctors know much more medical knowledge than ordinary people, and they know that human life is very fragile.


    Even today, cancer is still synonymous with death.


    The main reason is that there are no obvious symptoms in the early stage of cancer. Most of the people in China are very frugal and don''t like to do physical examinations. As long as cancer is detected, it is basically in the middle and late stage.


    Developed countries are much better at this.


    Their cancer mortality is low, not because their medical skills are many times better than Huaxia, but because of early detection and early treatment.


    In the early stage of cancer, as long as it is removed and supplemented with radiotherapy and chemotherapy, satisfactory results can basically be cured.


    Just like a forest fire, when it first burns, it is easy to put out.


    When the fire grows bigger and spreads out a long line of fire, it will be difficult to extinguish it.


    Zhou Can memorized Director Xue''s skills in removing lung lobes one by one.


    "Lymph is equivalent to the body''s loyal guard. When there is inflammation and cancer cells attack, it will swell. The upper mediastinal lymph nodes are swollen like this, so it must be removed. This removal needs to be thorough. Before removing it, you can deal with pericardial effusion .¡±


    Her movements were not fast, but she advanced steadily and clearly.


    It''s like fighting a war.


    Which part of the enemy should be destroyed first, which part of the enemy should be dealt with next, and finally finish, there are certain strategies.


    After opening the pericardium, she cut off part of the pericardial wall, and then deftly released the yellow transparent effusion. Then the mediastinal pleura was cut open circularly.


    Lymph nodes in areas 10 and 11 were revealed.


    After being swept away, the veins of the right upper lobe were dissected.


    There are many application scenarios of incision, and what she performs now is basically incision.


    Next, she performed a double ligation of the proximal superior lobe vein and severed it.


    Then the pulmonary fissure was opened, and the right pulmonary artery trunk and upper lobe branches were dissected out. Reapply according to the law, after double ligation at the proximal end, cut off.


    The purpose of doing all this is to dissect the right upper lobe bronchi.


    After the right upper lobe bronchus was dissected, the bronchial stump was directly closed with a stump closure device.


    This operation is simply too complicated.


    Zhou Can even felt that his head was not enough.


    Director Xue is so young, he can stand out from thousands of troops, get a high professional title, and his surgical ability is even stronger than Zhou Can expected.


    Of course, her academics may be even stronger.


    This is a super good female doctor.


    "After removing it, the lymph nodes and mediastinal pleura in areas 1, 2, 3, 4, 7, and 8 can be cleaned. Finally, this involved bloodless vein is removed. The spread and cunning of cancer cells , concealment, all of which are far beyond imagination. If the operation cannot be done meticulously and the fish that slip through the net are missed, it is easy to relapse after the operation.¡±


    She warned everyone.


    "Once a relapse, it means the end of a life. If the patient chooses to trust us, then we must also be highly responsible, as attentive and caring as we are doing our own affairs."


    Tuya''s doctors can basically be promoted to the title of deputy director, and they are all very good in medical ethics.


    At least none of the chief physicians that Zhou Can had come into contact with took the patient''s life as a joke.


    "Finally, the lower pulmonary ligament was opened, and the lymph nodes in area 9 were removed. At this point, the operation is complete. After careful inspection, the operation can be concluded if there is no missing fish."


    The whole operation was successfully completed, and Deputy Director Lu took over the rest of the work.


    She sat beside her and rested with a contented face.


    "Director Lu, can I do the stitching?"


    Zhou Can''s hands were already itchy after watching it for so long.


    It is impossible for him to get started with those high-risk sweeps and excisions, but he is fully capable of suturing in the finishing work.


    And have the confidence to do well.


    "Your suture level is no worse than mine, I leave it to you."


    Deputy Director Lu has seen Zhou Can''s suture technique before, and his level is high enough to beat all the attending physicians.


    "thank you for your trust!"


    Zhou Can gleefully began to suture the patient.


    Deputy Director Lu was also happy to relax, and gave a few words of guidance from time to time.


    After several hours, this level four operation finally came to an end.


    Since more than nine o''clock in the morning, it is already four twenty-seven in the afternoon.


    During this period, everyone did not eat or drink water.


    They have always remained on the job.


    Whether it is a doctor or a nurse, it is a very hard job.


    "Okay, everyone go to eat first and rest for a while. After about half an hour, we will come back for the next operation."


    Director Xue had two major surgeries today.


    Whether it is this cancer patient or another patient who underwent tracheal fistula closure, it cannot be delayed.


    Surgery must be performed as soon as possible.


    No matter how hard and tired she is, she has to grit her teeth and persevere.


    Therefore, it is very important to train several successors.


    With a capable assistant, the chief surgeon can be much easier. Everyone cooperates with each other to maintain energy and physical strength well.


    The operation just now was basically performed by Director Xue, and she should be the hardest of all.


    It may be that he wants to accumulate more surgical experience while he is young, so as to prepare for promotion to the second-level director and first-level director in the future.


    It must be explained here that the third-level, second-level, and first-level directors belong to a post level set by a top-level hospital like Tuya, not a professional title. There are only four professional titles for physicians: resident physician, attending physician, deputy chief physician, and chief physician.


    On the contrary, the directors valued post level more.


    Because it is judged internally, theoretically speaking, the gold content should be higher.


    Why is the status of the attending physician far inferior to that of the deputy chief physician?


    It''s not that their levels are different, but because as long as the attendings pass the exam and have enough working years, they will be automatically promoted.


    The evaluation of deputy senior titles is much more difficult.


    As for the evaluation of the higher-level senior professional title, it is many times more difficult than the deputy senior professional title. And the current trend seems to be getting harder and harder.


    There are reasons for the serious involution, and there are also reasons for the rapid development of China''s medical technology.


    Huaxia has already caught up with international developed countries in many fields, and even surpassed them. It is estimated that it will become more and more difficult to evaluate high professional titles in the future.


    Director Xue is so young and highly rated, and his own efforts are also inseparable.


    The operation just now is enough to fully demonstrate her surgical ability.


    Everyone changed their clothes and walked out of the operating room one after another.


    A few doctors walked towards them, the leader was calm and steady, with an extremely strong aura.


    It is none other than Director Hu Kan.


    Followed by Director Le and others.


    "Director Hu, Director Le, are you going to undergo that extremely difficult major operation?" Xueyan seemed to know what operation they were undergoing.


    "That''s right! This is a rare learning opportunity. You just finished your operation, why don''t you come with us?"


    Director Le rushed to answer because he knew that Director Hu was not very talkative.


    "I can''t help it, I still have a major operation today, and it will probably be night when I finish my work."


    Director Xue was very helpless.


    The workload of each chief physician is very heavy, two major surgeries are scheduled a day, and they are basically too busy to have time for meals.


    Generally speaking, at her level, there will be teaching and scientific research tasks.


    That''s even more busy.


    "It seems that you are very busy today. It''s okay. I will make a teaching video at that time. I will put Director Hu''s operation explanation in it. If you take the time to watch the teaching video, you can also have a certain learning effect."


    Director Le comforted her.


    Female doctors, especially beautiful and temperamental female doctors, are still very popular in the department even in their forties.


    Director Le obviously had the intention of being courteous and courteous to her.


    This kind of show of favor is a kind of instinct of a man, and it doesn''t have to be an extramarital affair.


    "Thanks! Goodbye!"


    She smiled and waved.


    "This Dr. Zhou in your group is very unusual!" Director Le did not intend to end the conversation immediately.


    "What''s wrong with him? Is he young and reckless, and his words offended you or other doctors?"


    Director Xue is quite protective of his doctors.


    Even though Zhou Can has just worked in her group for a few days, she still has a strong desire to protect him.


    "No, no. He reminded me in the morning that the 54-bed heart bypass surgery patient may have taken painkillers with anticoagulant effect. Later, after I asked the patient to find out before the operation, the patient really took it five days ago Aspirin. Although coagulation screening was done before surgery, no obvious abnormalities were found."


    Director Le obviously wanted to praise Zhou Can in front of Director Hu and Director Xue.


    For Zhou Can''s kind reminder, there is a sense of gratitude in it.


    Otherwise, I would not choose to talk about it on this occasion.


    "If it wasn''t for his carefulness, neither I, the bed doctor, or the receiving doctor would have discovered this matter. It can be regarded as a safety hazard. You also know that we do some minor operations and invasive examinations, as long as the patient''s medical history does not prompt If there is obvious coagulation disorder, we will not do coagulation function test. Because screening coagulation function before minor surgery will do more harm than good."


    The blood coagulation function mainly checks platelet count and prothrombinase.


    "With Dr. Zhou''s reminder, and asking the patient to confirm that he had taken aspirin, and the interval was very short, there was a potential risk of massive bleeding during surgery. So I made preparations to prevent massive bleeding, including fresh platelets that are rarely prepared, in case."


    Director Le had a trace of joy on his face when he said this.


    "During the operation, the patient''s bleeding volume was significantly higher than normal. The prepared fresh platelets and anticoagulant drugs came in handy, which ensured the smooth completion of the operation. Dr. Zhou is really good."


    At this point, Director Le smiled gratefully at Zhou Can.


    Surgery is like fighting a war. Being prepared and not being prepared are completely different concepts. The ending could have been very different too.


    When Director Xue heard that Zhou Can had done a good deed, she couldn''t help showing a relieved smile.


    "Is the 54-bed patient under Zhou Can''s care?"


    Director Hu Kan, who has been silent all this time, asked.


    "It''s not under his control. It''s a patient in our group. He can find the problem, and he mustered up the courage to tell me specifically that he is very good at being careful, responsible, and character."


    Director Le knew what Director Hu Kan meant by asking this question.


    "Well, it is indeed very well done! Such an outstanding young man deserves to be cultivated vigorously. In the future, I will perform some important operations, and UU Kanshu can bring him along." Director Hu Kan regarded it as a great compliment.


    Being able to perform surgery with Director Hu Kan is definitely the dream of many doctors.


    There will be more things to learn.


    Especially some advanced surgical techniques and methods.


    "Thank you Director Hu! Director Le!"


    Zhou Can was secretly delighted that he had more and more opportunities in cardiothoracic surgery.


    The learning experience of these major operations will have unimaginable benefits for him to operate alone in the future.


    The rapid growth of surgical ability requires not only talent and hard work, but also opportunities.


    Watching top experts perform surgery every day is definitely different from watching ordinary directors and attending doctors perform surgery.


    To provide you with the fastest update of my medical skills that can add experience points to the great **** Jiangbian Yuweng, so that you can check the fastest update of this book next time, please be sure to save the bookmark!


    Chapter 183 Learning the Experience of Difficult and Complicated Surgery, Director Hu''s Praise for free reading.https://

 Chapter 184： Examination for medical certificate, accidental success in anesthesiology

    , the fastest update to the latest chapter of my medical skills can add experience value!


    In the following days, Zhou Can performed operations with Director Xue and Deputy Director Lu in the Department of Cardiothoracic Surgery almost every day, and there were very few opportunities to get started. Some high-risk practical operations are not allowed to touch him at all.


    Compared with other departments, the chief physician of cardiothoracic surgery is the most cautious group of surgeons that Zhou Can has come into contact with.


    Director Hu Kan would occasionally take him to do surgery together.


    Take him like two or three times a week.


    Follow these chief physicians to perform operations, and what you get is basically pulling hooks, sewing skin, closing the mouth and so on.


    Life seems to be back to the intern stage.


    Zhou Can was not in a hurry, but carefully observed the steps and skills of each operation, and learned various valuable experiences in dealing with crises.


    After the operation, he will make a summary of the operation, and ask Director Xue or Deputy Director Lu for advice in time if he does not understand.


    Although he hasn''t been able to get the opportunity to practice difficult surgery these days, his cognition and understanding of various diseases in cardiothoracic surgery, as well as various surgical plans and procedures, have made rapid progress.


    This is a kind of accumulation and also a kind of precipitation.


    Perhaps influenced by the "stable" style of cardiothoracic surgeons, Zhou Can felt that he also had a "stable" shadow when performing surgery.


    This morning, he was doing ward rounds in the ward, and he received a call from the hospital''s personnel department, saying that he had declared for the practical skills exam for licensed physicians for him. It''s the 14th of this month.


    About half a month away.


    The group of "aunts" in the personnel department really think highly of him.


    For such an important exam, at least one or two months in advance notice!


    Fortunately, Zhou Can''s surgical skills are not lower than the third level. As long as he is not extremely unlucky, he has the confidence to pass the exam.


    After Director Xue found out that he was about to take the practical skills exam for medical practitioners, the kind-hearted team leader gave him some special care.


    Focus on helping him improve the diagnosis of cardiopulmonary auscultation, imaging X-ray, CT, ultrasound and other examinations, electrocardiogram diagnosis, etc.


    She told Zhou Can that in the practice skills exam for licensed doctors, the content of the heart and soul accounted for the majority.


    In addition to including cardiopulmonary auscultation and imaging diagnosis, there are also medical history collection and case analysis. As for medical ethics, medical ethics, physical examination, and basic surgical operations, for Zhou Can, it was all about rewarding points.


    Every day during ward rounds, some key patients need to undergo a physical examination, which has also accumulated rich experience in physical examination for Zhou Can.


    Needless to say, the basic operation of surgery.


    It is estimated that he can beat the candidates in the entire examination area.


    Even if he has been practicing medicine for more than ten years, he may not be able to compare with him.


    Zhou Can found that the regular training department arranged for him by the hospital was really just right.


    Just over a month after the regular training in cardiothoracic surgery, I started to take the medical license exam.


    Practical skills test content, heart and mind accounted for a very important proportion.


    If it is said that the date is not accurate, he would not believe it if he was killed.


    The 14th is coming soon.


    With the help of Director Xue, Zhou Can has been strengthening his practical skills in cardiopulmonary auscultation, imaging diagnosis, and electrocardiogram diagnosis in a targeted manner for more than ten days.


    Going to refer to it at this moment, he looked very calm.


    With the goods in the stomach and the skills in the hands, he can handle any kind of exam questions, so naturally he doesn''t panic.


    ¡­


    After all the practical skill exams for medical practitioners were over, Zhou Can walked out of the exam room with a confident smile on his face.


    The practical exam is divided into multi-station exams.


    The content of the first test station is clinical thinking ability.


    It mainly includes cardiopulmonary auscultation, image diagnosis, electrocardiogram diagnosis, medical ethics, medical history collection, case analysis, etc. Sure enough, it was similar to what Director Xue said.


    Zhou Can did intensive study and exercise in this area before the reference, and he had a good foundation, so he passed the first test easily.


    The content of the exam at the second exam station is physical examination, which are very simple class exam items, and they are also easy to pass.


    The test content of the last test station is basic operation.


    This is Zhou Can''s strong point. The operation is as fierce as a tiger, fast and good. At that time, the examiner''s jaw almost fell.


    Perhaps they couldn''t believe that the young guy who had just taken the medical license examination was so skilled in surgical operations.


    If any examiner''s jaw really dropped from shock, Zhou Can can also show off his bone setting skills by the way, and directly help him reset his skills.


    After the exam, when he returned to the Department of Cardiothoracic Surgery of Tuya Hospital, his colleagues asked him how he was doing in the exam.


    Zhou Can smiled and said "It''s okay".


    With director Xue''s key training, coupled with Zhou Can''s strength, it would be unreasonable if he didn''t pass the test.


    After two weeks, the results came out.


    Zhou Can was changing the dressing of a patient who had just undergone surgery in the ward, and the personnel department called him.


    "Doctor Zhou, congratulations, you have passed the practical skills exam for medical practitioners! Please prepare for the comprehensive exam for medical qualifications. The first exam will be about one and a half months later, on the 20th. The exam will take two days. Please arrange it in advance. Good job handover."


    When Zhou Can took the first place in the Tuya Regulatory Training Examination, the hospital promised to help him get the certificate.


    As expected now, Zhou Can didn''t need to worry about applying for the exam.


    Make arrangements for him directly.


    Some people say the exam is difficult, while others say it is easy.


    Zhou Can''s theoretical knowledge is well known by himself, at best it is above average level.


    For a while, he might have to put aside the practice of medical skills and make up for the basics.


    Whether he can get a doctor''s qualification certificate is too important to him.


    There are many regular trainees who are forced to change careers because they failed the medical license or physician qualification examination.


    He didn''t want to go smoothly and suddenly come to Waterloo.


    In any case, he was very happy to have passed the practical skills test for medical practitioners.


    It can be regarded as a good account of the four years of university study, one year of internship, and one year of regular training. Now it''s time for the comprehensive examination for medical qualifications.


    After changing the patient''s medicine and returning to the office, his excitement and joy calmed down a little.


    "Doctor Zhou, seeing you smiling so happily, have you passed the practice exam for medical practitioners?"


    Director Xue asked him with a smile.


    "You are really good at predicting things. With your good words, the Human Resources Department called just now and told me that I have passed. I was able to pass the exam so smoothly, thanks to your help."


    Zhou Can is really grateful to her.


    "I didn''t put in much effort, it''s you who have the ability. But the next medical comprehensive exam is hell-level difficulty, you have to be mentally prepared. There are two exams, both of which are extremely difficult. From now on Starting to count, it will take about four months. I usually look at your questions and your thinking when analyzing your illness. With all due respect, your basic medical knowledge should be a shortcoming of yours. "


    Director Xue''s expression became much more serious.


    Don''t look at her usual talk and kindness, but she is very smart and knows everything.


    Just don''t say it out loud.


    "Those who know me, Director Xue! You can be rated as a senior professional title at such a young age. You must be first-class in theory and academics. Please help me."


    Zhou Can also hit the snake with the stick and hugged her thigh tightly.


    With her help, the chances of passing the comprehensive medical examination are much greater.


    More than four months, not even half a year, if you want to supplement the basic knowledge of medicine, you have to find the right direction.


    If he just reads books and writes questions without rules, it is enough for him to drown in the sea of ??books and suffocate to death in the sea of ??questions.


    What''s more, counting from now, there are only 50 days left before the first test of the comprehensive medical examination.


    Not even two months.


    If Zhou Can said that he was not in a hurry, he would be lying.


    "The examination questions of medical comprehensive not only have a wide range of knowledge, but also need to use the theoretical knowledge you have mastered flexibly. I found that what you lack is knowledge. Knowledge has not kept up?"


    Director Xue was puzzled by this.


    She has already taken up some teaching positions and has rich teaching experience.


    The students are also more accurate.


    Which student has good talent, which student is good at what, and through hard work, what achievements can be achieved at least, she has a relatively accurate prediction in her heart.


    "Oh, don''t mention it. When I was young and stubborn, I was arrogant. At that time, I thought it was very low-level to memorize a lot of boring basic medical knowledge by rote. Then, when I was in my senior year, others passed the postgraduate entrance examination one by one, but I I failed the postgraduate entrance examination. Fortunately, I was a student of Tuya Medical College, and I was lucky enough to get the opportunity to practice in Tuya General Hospital."


    Zhou Can talked about his experience, full of sadness.


    "After being severely beaten by the society, I got rid of seven social youth problems of not being angry and eight being dissatisfied. I settled down and began to practice basic surgical skills, and worked hard to learn various practical skills. In addition, I have always liked to watch various He likes reasoning and syndrome differentiation, and has some basics in this area. In the end, the internship was over and he successfully passed the regular training exam. Then he walked step by step, and I am honored to meet you."


    "You are my noble person. If you don''t help me, I''m afraid I can only suffer the second severe beating from the society, fail the comprehensive medical examination, and then change careers..."


    Zhou Can sold the misery for so long in order to arouse director Xueyan''s sympathy.


    To get her help, let''s pass the comprehensive medical examination first.


    "Hehe~!"


    "I really didn''t realize that the super-genius Doctor Zhou who is as famous as Du Leng still has such a clumsy side! But after hearing about the growth process of a genius doctor like you, whether it is for the benefit of the hospital or to prevent a genius Fallen, I have decided to help you."


    Director Xue was amused by him.


    Good student, which teacher doesn''t like it?


    Zhou Can is excellent in all aspects, but the basic knowledge of medicine is a shortcoming due to his youth and ignorance.


    She happened to have the ability to help Zhou Can, so she naturally wanted to help.


    "So, you agreed?" Zhou Can was overjoyed. "Thank you! Thank you!"


    "After work, you wait for me in the office. After I understand your basic situation, I will make a specific study plan for you. But I have something to say first, even if I help you pass the comprehensive medical exam this time, you will get it successfully. Dual certificates, but this does not mean that you will really make up for your shortcomings. Learning is a long-term accumulation process. My personal advice to you is to live and learn when you are old."


    "In the future, if you encounter a case or disease history that you don''t understand, you must check more information and pay attention to accumulating over time."


    She said to Zhou Can with a straight face.


    "clear!"


    Zhou Can began to study in this way when he was in the fourth month of his internship.


    When encountering diseases and pathological mechanisms that he doesn''t understand, he will check the information in time, or ask the superior doctor for advice.


    After a year and nine months of hard work, his basic medical knowledge has actually improved a lot compared to when he was a senior.


    This can be seen from his regular training application exam a year ago.


    He did not score badly on the theory test at the time.


    Although there are reasons for strong pathological diagnosis ability and abundant accumulation of medical cases, but some basic knowledge has been supplemented, and there are also reasons.


    After agreeing with Director Xue, Zhou Can honestly wrote the case, issued medical orders, and checked the information.


    Not to mention anything else, at least he is more motivated to study than before.


    When it was past two o''clock in the afternoon, Director Le called Zhou Can.


    "Doctor Zhou, if you have nothing to do now, come to operating room No. 1 immediately. Director Hu will perform a thymoma resection immediately. This operation is extremely difficult, and you can learn a lot of surgical experience and knowledge."


    "Okay, I''ll be right over!"


    After Zhou Can hung up the phone, he explained to the superior doctor, Dr. Long, and hurried to the No. 1 operating room.


    The interaction between people is very magical.


    He and Director Le were originally out of reach.


    Just because he cured the patient with the torn pectoral muscle that time, he kindly reminded Director Le that the heart bypass surgery patient might have taken painkillers with anticoagulant effect within a week.


    Because of these two incidents, Director Le''s favor for him increased greatly.


    Then get acquainted slowly.


    Director Le has never stopped cultivating him.


    Of course, there are two reasons why Zhou Can can be a man and has outstanding potential.


    At least it is not these two reasons that make the two become familiar from strangers.


    It is destined to meet thousands of miles away, but not to meet each other face to face.


    Sometimes it really is.


    Zhou Can rushed to operating room No. 1, but the operation hadn''t started yet.


    The patient is already lying on the operating table, and the anesthesiologist is that zombie-faced doctor again.


    At this moment, Director Le and Director Hu have not yet arrived.


    "Doctor Feng, you are in charge of anesthesia again! Is there anything I can do?"


    Zhou Can had dealt with this anesthesiologist many times.


    Every time this person presided over the anesthesia operation, it was a fourth-level major operation.


    And based on feeling, his level is still higher than the official doctor.


    In addition to his cold face, he doesn''t like to talk, and his personality is a bit weird, but his skills are really good.


    "Intubation! Put on a ventilator."


    He really cherishes words like gold, and his tone is also cold.


    Zhou Can has been used to it for a long time, with quick hands and feet, and professional movements to help out.


    All the instruments were connected in no time.


    Intubation of the urinary catheter is generally done after successful general anesthesia in order to avoid the pain of the patient.


    "You must pay attention to the dosage of this anesthetic, not too fast. If you give it too soon, it will be difficult to rescue if there is a danger. After administering the drug, you must carefully watch the various reactions of the patientface , breathing, blood pressure, heart rate, brain waves are all things that need to be focused on.¡±


    It is extremely rare that Dr. Feng even taught Zhou Can some anesthesia techniques and key points for an unprecedented time.


    And when he opened his mouth, it was all dry stuff.


    ¡¾Congratulations, you have successfully obtained anesthesia and can perform anesthesia on patients. The current experience value is 1/10 of the first level, and the interns fail the level. ¡¿


    Zhou Can never expected that there would be such a big windfall.


    Naturally, he happily accepted the medical skills given by the system.


    The anesthesia obtained at this moment is completely different from the local anesthetic given to the patient before.


    This is true anesthesia.


    Much more advanced.


    To provide you with the fastest update of my medical skills that can add experience points to the great **** Jiangbian Yuweng, so that you can check the fastest update of this book next time, please be sure to save the bookmark!


    Chapter 184 Examination for Medical License, Unexpectedly Obtained Anesthesiology Skills for free reading.https://

 Chapter 185： Anesthesiologist, another adventure of the most stable scalpel

    , the fastest update to the latest chapter of my medical skills can add experience value!


    Give the patient an anesthetic injection and implement local anesthesia. Or anesthetize the patient to a coma, which is commonly known as general anesthesia. This is just the most basic and simple job of an anesthesiologist.


    The technical content is not high.


    Anesthesiologists are truly respected as guardians of life because they can give patients various life supports.


    Various crises can be predicted in advance, so that the safety of the entire perioperative period is under their control.


    Accidents occur during the operation, the patient is allergic, cardiac arrest, respiratory failure, blood pressure plummets, blood oxygen drop... Any problems related to vital signs that the patient encounters during the operation, they need to Give the solution at the first time.


    If the patient is in cardiac arrest, CPR must be performed immediately.


    Ventricular fibrillation must be defibrillated.


    It can be seen from this that in addition to anesthesia, the work of an anesthesiologist is also responsible for whether the operation can be performed and the safety of the patient during the operation. They need to control the patient''s vital signs during the operation to ensure that the patient can successfully complete the operation under painless and safe conditions.


    If you just anesthetize the patient, you are not called an anesthesiologist, but an anesthetist in a medical aesthetic institution.


    Why do medical and aesthetic institutions often have accidents? Every now and then someone dies.


    Because they only have anesthesiologists, not anesthesiologists.


    Many people foolishly can''t tell the difference between an anesthesiologist and an anesthesiologist. After such a comparison, they should be able to clearly distinguish the difference between the two.


    In the future, if you go for plastic surgery or something, you will not easily hand over your life to a fake doctor who only knows how to use anesthetics.


    Those anesthesiologists, no matter how tall they are, how much they boast.


    They belong to technicians, not doctors.


    Anesthesiologists in regular hospitals all have medical practice certificates and physician qualification certificates, have the right to prescribe, and can participate in operations.


    Anesthesiologists are much more advanced than anesthesiologists.


    Dr. Feng looked to be in his fifties, and he was only seen every time it was a super-difficult level four major operation. Zhou Can guessed secretly that Dr. Feng was probably the chief physician in nine out of ten cases.


    He helped Dr. Feng with his work and never thought of asking for anything in return.


    Unexpectedly, Dr. Feng suddenly taught him some profound anesthesia knowledge.


    It was also a surprise.


    Zhou Can humbly listened to the anesthesia experience he taught, and even wrote down some knowledge points in his notebook.


    A good memory is not as good as a bad pen.


    Sometimes a surgery needs to memorize a lot of things, even the sutures needed to suture the viscera and peritoneum, Zhou Can writes them down in his notebook. Surgery is related to the life and safety of the patient, and a small suture can sometimes lead to the failure of the operation.


    It is by no means alarmist.


    There is no exaggeration.


    For example, when suturing some organs or tissues with high tension, thinner sutures are used.


    The patient just sneezed after the operation, not too much, right?


    Then the seamed part burst.


    If the body surface is fine and can be found in time, just sew it up again.


    If the surgical wound ruptures in the abdominal cavity and thoracic cavity, isn''t that the end?


    "Do you know what the patient''s disease is?"


    Doctor Feng asked.


    "Thymoma!"


    Zhou Can was ashamed, knowing very little about the patient''s condition. Because he belongs to Director Xueyan''s group, he is only familiar with the patients in this group.


    For patients in other groups, there is little opportunity to learn.


    "Before performing anesthesia, it is necessary to connect with the patient''s disease and physical condition, and comprehensively consider the patient''s position and anesthesia plan. For example, this patient, accompanied by myasthenia gravis, needs to be placed in a supine position before the operation, and a pad is placed on the shoulder and back. Thin pillow. For patients with myasthenia gravis, an effective therapeutic dose of anticholinesterase drugs should be formulated..."


    Although Dr. Feng has a weird personality, the valuable experience he taught Zhou Can is all dry stuff.


    Zhou Can studied with an open mind, picking key points and recording them in his notebook.


    Not long after the patient was given general anesthesia with tracheal intubation, Director Le and Director Hu Kan all came.


    Zhou Can did his part to insert a urinary catheter for a patient.


    It was done easily.


    Earned another 1 point of experience value.


    "Doctor Feng, is the patient okay?"


    Director Hu asked about the patient''s condition, and at the same time asked the nurse to help him put on sterile gloves.


    "Operation possible."


    Dr. Feng really cherishes words like gold.


    Even when dealing with the most powerful chief physician in cardiothoracic surgery, his tone was cold and indifferent, and there was no smile on his face.


    I heard that the longer anesthesiologists work, the more silent they become.


    Because their nerves are always in a state of high tension, the nature of their work does not allow them to chat with others.


    From this point of view, the importance of anesthesiologists is as important as that of surgeons.


    The annual income of anesthesiologists in the United States is the same as that of surgeons.


    But in Huaxia, anesthesiologists are facing various difficulties. The income is not low. The basic salary of an anesthesiologist at the attending level plus various performance and overtime pay is about 20,000. Coupled with the year-end bonus, it can reach more than 30,000.


    But this is what they sacrificed their lives for.


    According to statistics, among the 29 doctors who died suddenly, 14 were anesthesiologists.


    The anesthesiologists who died suddenly were all strong young men, the oldest not exceeding forty years old.


    From this death data, it can be seen that the workload of anesthesiologists is seriously overloaded.


    It is common to receive a call in the middle of the night and rush to the hospital to administer anesthesia to patients undergoing emergency surgery.


    In addition to the tiring work, it is also very difficult for anesthesiologists to be promoted. It is frighteningly difficult to rate high.


    What''s more, they basically work behind the scenes. No matter how successful a surgery is, their reputation will hardly change.


    I worked silently behind the scenes, and the pressure I undertook even exceeded that of the chief surgeon. The workload was extremely heavy, and the importance of the work was no less than that of the chief surgeon. But the treatment received is very different.


    Anyone would feel psychologically unbalanced.


    It is also all kinds of unfair treatment that lead to the perennial shortage of anesthesiologists.


    Even many medical schools do not offer anesthesiology as a major at all.


    This is a question worth pondering in the domestic medical community.


    Only by changing the status and treatment of anesthesiologists can more medical students be willing to apply for anesthesiology.


    Otherwise, the shortage of personnel in the anesthesiology department will only become more serious.


    Relying on the leaders to fool Xiaobai in the workplace into the anesthesiology department is not the solution after all.


    Director Hu Kan checked the drawn knife positions and marked tumor sites on the patient''s body, verified them one by one, and started the operation.


    The thoracotomy is completed through a midline incision of the sternum.


    Compared with the thoracotomy presided over by Xueyan, Director Hu Kan''s operation is as stable as Mount Tai, advancing step by step, giving people a particularly safe feeling.


    For so many years, Director Hu Kan has never had a safety accident, which is enough to explain everything.


    After thoracotomy, the pleural folds are pushed aside.


    At this time, the thymic tissue located in the anterior mediastinum can finally be seen.


    Zhou Can had a bad feeling just by looking at it.


    In this patient, the thymoma was ill-defined, incorrectly colored, and infiltrated by adhesions.


    It can be seen that the adjacent tissues and organs are obviously pushed by the tumor.


    "This is undoubtedly a malignant tumor!"


    Zhou Can''s heart sank slightly, the difficulty of today''s operation will increase several times.


    Malignancy often results in altered anatomical relationships.


    In the resection process, there are many uncontrollable risks.


    After director Hu Kan saw the situation of the thymus tumor clearly, he had seen countless big scenes and experienced countless difficult surgeries. At this moment, he couldn''t help feeling apprehensive.


    The disease is too powerful.


    The patient''s body has been destroyed beyond recognition.


    To completely remove the tumor, it is a test of the doctor''s experience and skills.


    "It''s fine if the fibrous connective tissue sticks like this, and it''s obviously thickened a lot. The risk of surgery is too high."


    Director Le shook his head after watching it.


    If you ask him to cut it, he will never dare to cut it.


    "No matter how high the risk is, you have to do it! We have evaluated and discussed it before the operation. You can''t see that the situation is not good, so you can sew up the chest cavity for the patient?"


    Director Hu Kan''s tone was full of helplessness.


    In his decades of surgical career, he has encountered countless difficult operations.


    Which time is there no risk?


    In the end, he managed to break through.


    This time, he believed that he would be able to successfully complete the operation. This confidence comes from his decades of successful experience and decades of hard practice.


    He trains "steady" skills every day, rain or shine, including the stability and coordination of his arms, as well as his attention.


    Long-term meditation also brought him another unexpected benefit, that is concentration and peace of mind.


    Many people think that Buddhist meditation and Taoist meditation are superstitious activities, but this is really not the case. Their respect for Buddha or Taoist ancestors is not superstition, but a kind of belief.


    Superstition and belief are actually two completely different concepts.


    If the faith of a person, a nation, or even a country collapses, it is a very terrible thing.


    There have been a hundred schools of thought contending in the history of China, but after thousands of years of verification, it has finally been proved that only Taoism can rejuvenate the country. Confucianism and Legalism can only govern the country, but cannot make a country prosperous and strong.


    In the course of history, even today, Taoism still has a profound influence on China.


    Why can''t Confucianism and Legalism work? Because legalism is a cruel law, not humane. Confucianism can only reason. In the end, Emperor Shihuang was the first to teach Confucianism to be a man. Burning books and deceiving Confucianism is not just a joke, it is real killing.


    Just talking about the truth, if the fist is not hard, can it prosper the country?


    There is a classic saying in Taoism that is still regarded as the principle of hospitality by the Chinese people. When a friend comes, there is good wine, when the jackal comes, there is a sword.


    Huaxia still adheres to the Taoist way of treating people with courtesy first and soldiers later.


    Director Hu Kan insists on sitting quietly every day, which can be regarded as both Buddhist meditation and Taoist meditation. As time went on, his heart became more and more peaceful, and his concentration became stronger and stronger.


    This is an important support for stabilizing the knife.


    It can make him as stable as an old dog, and not panic when things happen.


    As long as you keep calm and concentrate at all times, even if you encounter danger during the operation, you can calmly resolve it.


    "The thymoma has come out, let''s deal with it with all our strength. Director Le, it''s up to you to lift the lower pole of the thymoma."


    This work is entrusted to the first assistant, so that he can concentrate on separating the thymoma from the surrounding tissue.


    Zhou Can stood under the operating table, watching Director Hu Kan control the high-frequency electric knife, separating the thymoma from the surrounding fat tissue one by one. I saw him carefully separate from bottom to top.


    "Such a powerful separation method, such a stable knife."


    Zhou Can was secretly envious, if at some point he could practice separation and incision to this level, it would be amazing.


    In addition to his skillful technique and steady knife, Director Hu Kan''s concentration is also terrifying.


    If the knife is performed with spirit, the amount of separation, depth, width, and even speed of each knife, as well as the avoidance of surrounding blood vessels and nerves, are all amazing.


    Even the da Vinci robot may not have such a high accuracy.


    Although many doctors are in awe of robotic surgery, and manufacturers are desperately advocating it, the actual effect of the surgery remains to be discussed.


    Manufacturers tout robotic surgery as three-dimensional imaging, which can magnify the field of view by 6 to 10 times. The degree of freedom in the operation of the robotic arm is very high. It can rotate 540 degrees, drill into the abdominal cavity and chest cavity like a Monkey King, and cut off everything that needs to be cut.


    But in fact, in addition to its high cost, there is also a lack of tactile feedback and the risk of various accidents.


    Compared with an excellent surgeon, the gap is actually very large.


    Robotic surgery may never replace surgeons.


    On the one hand, the development of artificial intelligence is far from being perfect. On the other hand, the combination of human thinking and emotion makes surgery full of warmth, and can quickly and flexibly adjust to various rapidly changing surgical scenes.


    There is also tactile feedback.


    The human skin and nervous system constitute an extremely complex and sensitive tactile system.


    Skilled surgeons cut different tissues and get different hand feedback. When abnormalities are found, they can be noticed immediately.


    A robot is a cold machine and programmed. Although there is also a manual remote control, it cuts what should not be cut, and the remote control has no way to perceive it immediately.


    Robotic surgery, which seems to be highly accurate, flexible, and has relatively few complications, has not been accepted by patients, not just because of the high cost.


    Director Hu Kan''s movements were steady and slow, he was very attentive in performing the operation, and Zhou Can was also very attentive in watching.


    Learn from his steady knife style and take advantage of it.


    Then merge into your own sharp knife.


    Zhou Can is a person who likes to think, and likes to keep pondering. Some advantages will be opposed to his quick knife style. How to integrate it requires hard thinking, and it needs to be integrated little by little through repeated practice.


    "laugh!"


    A very slight abnormal sound came from the patient''s chest cavity.


    This is by no means the sound of a high-frequency electric knife, nor is it the sound it should have when cutting body tissue.


    Zhou Can''s heart tightened, and then he saw blood spurting out.


    The closer to the heart, the higher the pressure in the blood vessels.


    Once an artery ruptures, the effect of a water gun will appear.


    Others also became serious, staring at the patient''s chest.


    The **** in their minds must have accidentally injured an artery.


    This is not a failure of the operation, it is just an accident.


    "The thickening of the fibrous connective tissue makes it extremely difficult to distinguish it from the blood vessel, and it was accidentally injured. It''s all right, stop the bleeding quickly." Director Hu Kan spoke out to stabilize the morale of the army.


    His surgical team is also excellent.


    Second Assistant immediately clamped the broken blood vessel to stop the bleeding.


    The blood spurting that can produce the effect of a water gun, the broken blood vessel is definitely not a small blood vessel. This is already a massive hemorrhage.


    Although Director Hu Kan is very calm, if the bleeding cannot be stopped in time, it will pose a serious threat to the patient''s life.


    "Do you think we should ligate this blood vessel first, wait until the separation is complete, and then repair it, or what?"


    The strength of the second assistant is also not weak.


    From his precise forceps to stop the bleeding just now, and his unhurried, fast and accurate movements, it can be seen that his level of hemostasis is extremely high.


    Even if Zhou Can''s hemostasis has reached the middle level of attending, he is still ashamed.


    "Let''s ligate first!"


    Director Hu Kan hesitated for a moment before replying.


    Accidentally cutting such a large artery will definitely cause some psychological disturbance to Director Hu Kan.


    He didn''t say anything and didn''t show it on his face, but there were already waves in his heart.


    Strong concentration and deep stillness do not mean that you can be as calm as a mirror in everything you encounter.


    At most, just keep calm like he is now.


    Zhou Can looked at the artery, his lips moved, but he didn''t speak in the end.


    The second assistant gestured to the third assistant, and saw that the third assistant stepped forward and used skillful techniques to quickly ligate the proximal end of the artery, and the bleeding was temporarily stopped.


    As for repairing the artery, the only way to do it is to wait until the separation is over and cut off the thymoma in its entirety.


    Surgery continues.


    Less than twenty minutes later, Dr. Feng said in a very puzzled tone, "The blood oxygen saturation has dropped!"


    Take a look, isn''t it!


    Normal blood oxygen saturation is between 95% and 100%.


    Usually more than 99%.


    At this moment, the patient''s blood oxygen saturation has dropped to 91%, which is approaching the warning threshold.


    Zhou Can worked in the ICU for three months, dealing with critically ill patients in the ICU every day. So it is very sensitive to blood oxygen saturation In the intensive care unit, if a patient has not urinated for two days, that patient will probably leave.


    If the patient''s blood oxygen saturation is unstable and keeps dropping, as long as the patient is not paying attention, he may leave.


    Therefore, the blood oxygen saturation of this surgical patient has dropped to 91%, and he is very aware of the danger.


    Dr. Feng''s experience in anesthesia is extremely rich, and he must have sensed the danger, so he reminded Director Hu Kan in such a solemn tone.


    "Can adding oxygen increase the blood oxygen saturation by one liter? The separation operation is only halfway through, and it will probably take a while."


    Director Hu Kan''s tiger eyebrows have been slightly frowned, his energy is limited.


    What I want now is to cut off the thymoma as soon as possible, and then come to the arterial vessel.


    To provide you with the fastest update of my medical skills that can add experience points to the great **** Jiangbian Yuweng, so that you can check the fastest update of this book next time, please be sure to save the bookmark!


    Chapter 185 Anesthesiologist, another adventure of the most stable scalpel for free reading.https://

 Chapter 186： Accidents happen frequently and difficulties abound. The director got a heart attack

    , the fastest update to the latest chapter of my medical skills can add experience value!


    The thymus itself is very close to the heart. After a tumor occurred in this patient''s thymus, it has directly occupied part of the pericardium.


    The injured artery is now blocked by direct ligation.


    It is equivalent to cutting off the blood supply along the way.


    The entire blood supply system of the human body is very delicate. Especially the blood vessels in the chest cavity.


    Regardless of whether it is a vein or an artery, the heart is the core to form a system of blood circulation throughout the body.


    The blood supplied from the thorax goes up to the brain and down to the soles of the feet, and all the limbs and organs of a person are supplied with blood.


    Whether the patient''s blood oxygen keeps dropping is related to the broken blood vessel is still unclear.


    It¡¯s just that if the thymoma is not completely separated, there is no way to anastomose this blood vessel now!


    Director Hu Kan encountered unprecedented challenges.


    "I''ll try to increase the oxygen concentration first. But based on my feeling, the effect should not be great."


    Dr. Feng tried to increase the concentration of oxygen inhaled by the patient.


    Patients who need oxygen are often seen in the hospital. For example, pregnant women, pulmonary insufficiency or failure, chronic obstructive pulmonary disease, etc., may all need oxygen inhalation.


    Oxygen inhalation of patients is generally low-concentration oxygen inhalation. Occasionally, in special circumstances, the oxygen concentration will be slightly increased.


    But the oxygen supply concentration cannot be adjusted too high.


    Otherwise, it will backfire.


    For example, the common ones are carbon dioxide retention, pulmonary function suppression, oxygen toxicity and so on.


    Dr. Feng was very cautious when operating.


    The patient''s blood oxygen itself has a problem. If the oxygen supply concentration is too high, causing the patient''s lung function to be inhibited, it will immediately make things worse.


    Zhou Can watched silently from the side, his heart beating slightly faster.


    Because he knows that he has been in cardiothoracic surgery for almost two months, and he has not been able to get too many hands-on training opportunities. Now, the opportunity has come.


    Cardiothoracic surgery is indeed a master, and these directors and deputy chief physicians are all masters of the best.


    Even the doctors in charge, none of them included Hu, and their surgical ability crushed doctors of the same level in other surgical departments.


    But they have one biggest weakness.


    That is slow.


    Winning or losing does not matter.


    Slow down, if it is placed in other operations, it will be fine.


    Accidentally breaking an artery at this moment has already planted the root of disaster. Coupled with the slow speed of the operation, it basically means that the house leaks and it rains overnight.


    Oxygen inhalation is not a panacea for hypoxemia.


    In many cases, low blood oxygen cannot be resolved by oxygen inhalation.


    Sure enough, as Zhou Can expected, even if the oxygen concentration was increased, the patient''s blood oxygen saturation continued to drop.


    It has fallen below 90.


    "Oxygen doesn''t work!"


    Doctor Feng issued a warning.


    Director Hu Kan, who was speeding up the operation, changed slightly, afraid of something.


    This seems to be troublesome today.


    "Director Le, how long does it take to anastomose the ruptured blood vessel?"


    "It is estimated that the guard will take more than three hours."


    Director Le can be regarded as a doctor with mature skills and quick hands and feet in the surgical team.


    The time for anastomosis of larger arteries is usually half an hour to three to four hours.


    For more difficult operations, eight hours are possible.


    In the case of general arterial anastomosis and the placement of an inferior vena cava filter, the operation can usually be completed within half an hour. If it is a very difficult artery or blood vessel occlusion, corresponding drugs must be used for auxiliary treatment at this time, and the operation time will be greatly prolonged.


    Moreover, even a top surgeon like Director Hu Kan would not dare to say that it can be stitched in one go.


    If it fails, you have to re-sew.


    There are also many risks in the operation, and the variables are very large.


    "Doctor Feng, I don''t think it''s a two-handed preparation! Immediately prepare to establish extracorporeal circulation to prevent accidents."


    "good!"


    Doctor Feng agreed directly.


    "I''ll help you get it!"


    Zhou Can got a lot of advice from Dr. Feng today, and his relationship with Dr. Feng is also quietly changing.


    It''s obviously gotten a lot closer.


    The biggest difference between humans and animals should be that humans have complex emotions.


    Although animals also have feelings, such as their partners, care and protection of their young, these are expressions of affection.


    Human emotions are much more complicated.


    Zhou Can used to help Dr. Feng with things, he never said thank you, and his attitude was always indifferent.


    Until today, he suddenly taught Zhou Can anesthesiology knowledge, experience and skills.


    It can be regarded as a qualitative breakthrough in the relationship between the two.


    Just like falling in love, at the beginning, at most, we will watch a movie together, go shopping, send text messages, and make phone calls. Until the relationship heated up, one day, they suddenly held hands.


    And the woman did not refuse.


    This is a substantial breakthrough.


    Zhou Can has established extracorporeal circulation for patients many times, and he is very familiar with it, and the speed is far faster than others.


    [Insert experience value +1, +1...]


    When he performed femoral artery cannulation again, he obviously felt that the operation was easier than before.


    Checking the attributes quietly, the implantation technique has quietly risen to the middle level of indications. The current experience value is 6001/10000.


    Others rely on hard work to get rich, but he relies on hard work to quickly earn experience points to upgrade his medical skills.


    Although it is somewhat similar to immortal cultivators taking pills, there are some flaws.


    However, this kind of upgrade speed that catches up with others for ten years, or even more than ten years, still makes Zhou Can feel extremely happy.


    Experience can be accumulated slowly.


    Only by upgrading your skills can you get more opportunities to exercise.


    General surgeons who have practiced suture to the level of deputy director may not be able to succeed in twenty years. It took Zhou Can only one year to actually upgrade from the internship level to the deputy director level.


    Not one, but two medical skills of suture and ligation, both of which have been upgraded to level five.


    This kind of corner overtaking and asymmetrical competition is naturally very cool.


    Some defects caused by the rapid improvement of medical skills are nothing.


    Extracorporeal circulation was quickly established.


    However, extracorporeal circulation can only be used temporarily for emergencies, and the duration is generally about six hours.


    If the time is exceeded, ECMO will often be transferred.


    With extracorporeal circulation, the surgery continued.


    Zhou Can felt a little regretful, thinking that the opportunity had come.


    Unexpectedly, Tuya''s top weight department has many methods and complete equipment. An extracorporeal circulation temporarily solved the problem.


    "Wipe the sweat!"


    Director Hu Kan said to the nurse.


    Only then did Zhou Can realize that Director Hu Kan''s forehead was covered with fine sweat.


    The patient''s dangerous situation just now must have brought great pressure to Director Hu. It''s just that as the chief swordsman, he must stabilize the morale of the army and force himself to be calm.


    After the nurse wiped his sweat, it didn''t take long before his forehead was sweating again.


    There seemed to be something wrong with his face, and he looked a little pale.


    It''s a pity that the mask covers most of the face, so it''s hard to see clearly.


    "Director Hu''s body seems to be in trouble!"


    Zhou Can keenly noticed that Director Hu Kan was sweating coldly on his forehead, his face was pale, and his hand movements became extremely slow.


    "Wipe the sweat!"


    Less than five minutes later, he called out to the nurse again.


    At this time, other doctors also noticed Director Hu''s strangeness.


    "Director Hu, why don''t you sit by the side and rest for a while, and let me take over the rest of the operation!"


    Director Le immediately took the initiative to share the heavy responsibility.


    "Alright! The patient''s fibrous connective tissue adhesion is serious, so you must be careful during the operation."


    Director Hu Kan staggered when he backed away.


    After all, Zhou Can is a practicing family boy, with sharp eyesight and quick hands, he rushed forward and helped him up.


    "Director Hu, be careful!"


    These directors are the pillars of Tuya Hospital. If they fall off the operating table, the consequences will be serious.


    After all, they are not young.


    "Xiao Zhou, help me sit over there and have a rest!"


    Director Hu Kan still likes Zhou Can very much.


    Zhou Can supported the senior surgeon, only to find that Director Hu Kan''s body was much thinner than expected. And his body was shaking.


    This is by no means normal.


    "Do you need to go outside the operating room to drink some water and eat something to replenish your strength?"


    Zhou Can thought Director Hu was out of strength.


    "It''s okay! I''ll just sit over there and rest for a while. This operation is extremely difficult. Although Director Le has studied with me for many years, he still lacks the skills in many aspects. I am a little worried."


    Zhou Can already knew that Director Le was the apprentice of Director Hu Kan.


    To be precise, many people in the Department of Cardiothoracic Surgery are apprentices of Director Hu Kan.


    He is never stingy with giving advice to other doctors.


    Zhou Can also stayed in Neurosurgery for a few months. Wu Baihe is more famous than Director Hu Kan, but his appeal and support in the department are far less than that of Director Hu Kan.


    When imparting surgical experience and skills, Wu Baihe''s patience is much less.


    When instructing, it is often not very detailed.


    The lower-level doctors need to guess, perfect and comprehend by themselves.


    Director Hu Kan is a very good teacher and he is very patient when explaining problems. When encountering a subordinate doctor for advice, he will take the trouble to explain the main points until the subordinate doctor understands it.


    Zhou Can was originally an apprentice of Dr. Xu, and he was considered a potential competitor of Director Hu Kan''s department.


    But he has been selflessly cultivating Zhou Can.


    For example, without his approval for this operation, how could Director Le dare to call Zhou Can to study?


    Zhou Can respects such a respectable and lovely chief physician from the bottom of his heart.


    After helping Director Hu Kan to sit down on the round stool by the wall, Zhou Can let him go.


    "I''m fine, you don''t need to guard me. You stand in front of the operating table to see and learn more, such an extremely difficult operation opportunity is extremely rare." Director Hu Kan waved to Zhou Can.


    "OK!"


    Zhou Can walked towards the operating table, but he chose to stand on the other side.


    Watching Director Le perform surgery from this angle, the angle of view is a bit worse. But it is convenient for Zhou Can to check Director Hu Kan''s situation at any time.


    Intuitively, Director Hu Kan is not as simple as being exhausted.


    At this age, people are often in high-stress work conditions, and cardiovascular diseases and high blood pressure are easy to find.


    The patient was in danger just now, and Director Hu must have been greatly stimulated. Increased blood pressure or tachycardia are all possible.


    Director Le''s surgical ability is obviously much worse than that of Director Hu Kan.


    However, separation of thymoma should be completely sufficient.


    Time flies, and the patient''s condition is not good.


    Surgery is also facing great difficulties.


    Hu Kan, the chief surgeon, was forced to leave the stage due to physical discomfort.


    The combination of multiple crises made this operation even more dangerous. In the operating room, the atmosphere became more and more oppressive.


    "Speed ??up the operation as much as possible, and the patient''s blood pressure is dropping. Breathing is also weakening."


    Doctor Feng urged Director Le and the others.


    If it wasn''t for the poor condition of the patient, he couldn''t have urged the chief surgeon.


    Because this will bring a lot of psychological pressure to Director Le.


    The most feared thing about surgery is nervousness.


    "It''s too close to the great blood vessels of the heart, and the adhesion is very serious. I''m a little worried about breaking it."


    Doctors usually subconsciously avoid the words "accident" and "accident" when they talk during surgery.


    Breaking the great blood vessels of the heart will immediately cause massive bleeding.


    A blood vessel has been ruptured.


    Breaking another one, this surgery will become the worst one ever done.


    "Director Hu, Director Hu!"


    Zhou Can glanced at Director Hu Kan who was sitting against the wall from time to time.


    It was found that Director Hu''s body was tilted to one side.


    While calling, he rushed over and helped the person.


    "I... have a bit of chest pain and tightness!"


    Director Hu was short of breath, his forehead was covered with sweat, and his body was shaking very violently.


    "Does Director Hu have heart disease?"


    Zhou Can asked Director Le and others.


    Some of them have been operating with Director Hu Kan for many years, so they should know something about it.


    "Director Hu never discloses his physical condition. We don''t know." Director Le has stopped the operation at this time, and all other doctors and nurses are looking at Director Hu.


    "His symptoms are a bit like a myocardial infarction. The emotional stimulation just now may have aggravated the myocardial infarction. I will take Director Hu for an examination first. Director Le, do you think it is okay?"


    Hu Kan fell down, the highest status in the operating room was Director Le.


    "go quickly!"


    Director Le urged him.


    "Director Hu, don''t worry, we will finish this operation properly."


    After urging Zhou Can, he comforted Hu Kan again.


    All the doctors present were cardiothoracic surgeons, and Director Le was good at the cardiovascular field. After being reminded by Zhou Can, he also found out that Director Hu Kan''s situation is very serious.


    Zhou Can directly carried the person out of the operating room.


    Without changing his clothes, he rushed to the cardiothoracic surgery clinic wearing the protective clothing in the operating room.


    Along the way, many family members and doctors and nurses watched.


    They don''t know what''s wrong?


    Director Hu performed surgery on the patient, but he made himself need to be rescued instead.


    "Where is Director Xue''s clinic?"


    Zhou Can asked the guiding nurse.


    "over there!"


    The guiding nurse naturally recognized the person Zhou Can was carrying, and hurriedly led the way.


    Zhou Can carried him into the outpatient room. At this moment, Director Hu''s condition became even worse.


    Already delirious, his face was extremely scary.


    "Doctor Zhou!"


    Director Xueyan was inquiring about a patient, and she was startled when she saw Zhou Can suddenly barge in with someone behind her back.


    "During the operation, Director Hu suddenly had a problem with his body. It''s a bit like a heart attack. Please take a look!"


    Zhou Can finished speaking hastily, and then apologized to the patients and their families who were seeking treatment, "I''m sorry, our doctor''s situation is extremely critical, so cut in."


    "It''s okay, we''re chronically ill anyway, so don''t worry."


    The family members are very understanding.


    Sell ??it well to the doctor, and you can get some care for the follow-up diagnosis and treatment.


    At least that''s what family members and patients think.


    "It really looks like a heart attack. Hurry up and register for Director Hu. I''ll give him a physical examination first, and then issue an application form for the examination. Judging from the situation, I''m afraid emergency rescue is needed."


    Without registration, there is no way to enter the system.


    The doctor will not be able to issue a check request form.


    Acute myocardial infarction involves sudden acute occlusion or high-grade stenosis of at least one blood vessel, resulting in acute ischemia of the blood-supplying myocardium, followed by myocardial injury and subsequent necrosis.


    Worsening of MI is measured in minutes.


    Emergency rescue can greatly reduce the risk of death for patients.


    One of the meanings of rescue is to save the myocardium as much as possible and preserve heart function. Otherwise, even if the patient is saved, the quality of life in the second half of his life will be seriously affected.


    "I don''t have Director Hu''s ID card!"


    Zhou Can said.


    "Just write your name. Hurry up and I''ll add a number."


    Director Xue is already an expert, so her account must have long since disappeared.


    Adding an account temporarily is the benefit of having network resources.


    Zhou Can ran to find the girl at the manual registration window. She heard that Director Hu Kan had an accident during the operation, and she was very sympathetic. Without saying a word, he helped Zhou Can to settle the matter.


    Zhou Can took the number and returned to Director Xue''s outpatient room.


    At this point the physical examination is complete.


    She is already opening the inspection application form.


    "Go to the heartache center first and do an urgent electrocardiogram, and then do a chest X-ray."


    "OK!"


    When Zhou Can was doing a chest X-ray behind Director Hu Kan''s back, he once again used his "privilege" to jump in line for an examination.


    Human life is at stake, and there is nothing that other patients and family members can do if they are dissatisfied.


    In fact, the patients who see specialist outpatient clinics here are basically chronic diseases.


    If it''s really an emergency, why would you wait in line here? I had already called the emergency department and went through the emergency procedure.


    Zhou Can didn''t take director Hu Kan to the emergency department, mainly out of consideration of saving time.


    Moreover, patients with myocardial infarction like this have to be transferred back to cardiothoracic surgery for surgery. Or call a cardiothoracic surgeon to the emergency department for surgery.


    Instead of tossing back and forth, it is better to directly use the familiar relationship and go through a special process to save Director Hu Kan''s life.


    After examination, Director Hu Kan really had an acute myocardial infarction.


    After seeing the results of the examination, Director Xue immediately arranged for inpatient beds, consulted with other chief physicians in the department, and formulated a surgical plan.


    While notifying Director Hu Kan''s family members, Zhou Can hurried forward and back, playing the role of temporary family members.


    After discussion, it was finally decided to perform interventional surgery for Director Hu Kan.


    This is also a commonly used surgical plan for acute myocardial infarction Opening the occluded blood vessels in the shortest time is the key point of treating myocardial infarction.


    After Director Hu''s family members arrived, Zhou Can quietly left and returned to the operating room.


    At the moment, thymoma surgery is still going on intensely.


    "Xiao Zhou, is Director Hu okay?"


    Seeing Zhou Can come back, they asked about Director Hu''s situation.


    "The result of the diagnosis is acute myocardial infarction. A surgical plan for interventional treatment has been formulated, and an emergency operation will be performed for Director Hu soon."


    This kind of interventional surgery is not a difficult operation for the experts in cardiothoracic surgery.


    I believe that as long as Director Hu is not lucky, he will be able to turn the crisis into safety soon.


    To provide you with the fastest update of my medical skills that can add experience points to the great **** Jiangbian Yuweng, so that you can check the fastest update of this book next time, please be sure to save the bookmark!


    Chapter 186 Accidents occur frequently and difficulties abound. Director Gets Myocardial Infarction Free Reading.https://

 Chapter 187： Finally got it, 1 on 1 training

    , the fastest update to the latest chapter of my medical skills can add experience value!


    "The operation is so fast! Even if you go through the green channel of the chest pain center, it''s not so fast, is it?"


    A nurse was surprised.


    Larger hospitals have chest pain centers, which are generally composed of emergency departments, cardiology, imaging, cardiac surgery, thoracic surgery, gastroenterology, respiratory medicine and other multidisciplinary cooperation to establish a regional coordinated treatment system to provide rapid treatment for patients with acute chest pain. And accurate diagnosis.


    Patients with chest pain do not need to queue up for medical treatment and examination.


    The original intention of building the chest pain center is because chest pain patients may be acute myocardial infarction, heart disease, aortic dissection and so on.


    These diseases are critical illnesses.


    For every minute of delay, the patient''s risk of death increases significantly.


    Therefore, it is necessary to receive a consultation as soon as possible, and then a quick diagnosis by an experienced doctor to determine the next treatment plan.


    "I thought that I was on the site of cardiothoracic surgery, so there was no need to go to the emergency chest pain center. So I went directly to Director Xue for a diagnosis." Zhou Can explained.


    "wise!"


    "Director Hu is very kind to us, and he is the mentor of the entire cardiothoracic surgery department. Now that he is sick, I believe that every doctor in the cardiothoracic surgery department wants to do his best to save his life."


    "Xiao Zhou, well done!"


    Several leading doctors heard that Zhou Can directly asked Director Xue to jump in line to give Director Hu Kan a diagnosis and treatment, and they strongly agreed with Zhou Can''s approach.


    When encountering such a thing, we must do everything we can to save people first.


    If you stick to the so-called rules pedantically and don''t dare to overstep, then you are really stupid.


    Zhou Can''s approach is very suitable for them.


    "Director Hu''s safety is assured, everyone can operate with peace of mind! Making this operation beautiful is our best consolation to Director Hu."


    Director Le said to everyone.


    Needless to say, this method of boosting morale is quite effective.


    Morale, which was originally low, quickly became high.


    One by one is like being beaten with chicken blood.


    It is also enough to see that Director Hu has a very high status in their minds.


    "The patient''s condition is very bad. According to this operation speed, it is not optimistic."


    Doctor Feng poured cold water on this group of people.


    This operation can be said to have twists and turns, and many things happened.


    Now, for the doctors in Director Hu''s department, the shortcoming of slow operation speed is infinitely magnified in this operation.


    "Is the patient''s vital signs still uncontrollable after the extracorporeal circulation is established?" Director Le asked in despair.


    "According to the speed of your operation, it is basically equivalent to a death sentence for him." Dr. Feng did not turn corners when speaking. Director Le felt uncomfortable listening to these words.


    "Director Le, can I try it? My separation speed is fast, which may shorten the operation time a lot." Zhou Can just stood up and asked for a try with the idea of ??trying.


    Director Le probably won''t agree.


    "I have seen Dr. Zhou''s separation, not only fast, but also at a very high level. At least not lower than the attending level."


    The nurse on tour actually helped Zhou Can speak at this time.


    Zhou Can has some impressions of her. That time when Dr. Long performed the thoracotomy and hemostasis operation, this nurse sister also seemed to be a nurse on tour.


    In that operation, Zhou Can performed extremely brilliantly.


    Impressed all the doctors and nurses.


    Dr. Long has been polite to Zhou Can ever since that operation.


    "How do you know that his separation level is very high?" Director Le asked, staring at the nurse.


    "One time Dr. Long performed a thoracotomy to stop bleeding. Dr. Zhou''s surgical ability was so superb that even Dr. Long felt ashamed. Dr. Zhou''s suturing, ligation, and various catheter placements are so good, I believe you I¡¯ve seen it firsthand.¡±


    The nurse girl replied neither humble nor overbearing.


    She helped Zhou Can speak at this time, which made Zhou Can very grateful.


    The two looked at each other, and she blinked at Zhou Can.


    "Come here and try!"


    After a battle between heaven and man, Director Le finally decided to use Zhou Can boldly before the battle.


    Because Zhou Can''s level of leather sewing is indeed very high.


    They can be on par with his chief physician.


    Director Le decided to look at Zhou Can''s separation level first.


    "Isolate this little vessel."


    He pointed to a very thin vein on the gland to separate Zhou Can.


    Even if the vein is broken, it is easy to stop bleeding.


    With such a small vein, the risk is completely controllable.


    When Director Le asked Zhou Can to try his hands, he was extremely cautious.


    Zhou Can put on sterile gloves, stood at the main knife position, and without any nonsense, brushed and brushed, three times, five divisions, and two, and easily separated the vein.


    "The speed is fast enough!"


    Director Le carefully checked the vein and the tissue on the thymus.


    In fact, the thymus gland of an adult has the most fat on it.


    After the inspection, Director Le''s eyes lit up, and he couldn''t help being amazed.


    "This level of separation is really good. You must be careful and careful in the process of separating the thymus. If you encounter a part that is not sure, stop immediately, understand?"


    After seeing it, Director Le decided to take some risks and let Zhou Can complete the rest of the separation operation.


    As the patient''s condition deteriorated, the operation had to be expedited.


    Right now, I am afraid that only Zhou Can is capable of this task.


    Another way is to ask for help from other departments.


    But this kind of thing, unless it is absolutely necessary, I really can''t get rid of that face.


    And even if people are invited, the speed may not be so fast.


    In the entire Tuya Hospital, the person with the fastest operation speed is Dr. Xu.


    Zhou Can is the successor of Dr. Xu, and he has acquired a trace of the essence of quick knife technique, and he should be the second fastest person in surgery.


    "clear!"


    Zhou Can was about to use the knife after gaining Director Le''s initial trust.


    Nisuke and the other doctors are still full of concerns.


    "Director Le, would it be too risky for him to complete such a dangerous operation with a regular trainee?"


    Director Le was not responsible for the accident.


    They also have to follow the bad luck.


    "There is no doubt about employing people. As far as I know, he has already participated in many high-risk surgeries outside the bone and outside the nerves. Including multiple grade 4 major surgeries. I believe he will not take the lives of patients. joke."


    Director Le resisted all opinions and insisted that Zhou Can complete the most difficult separation task.


    From his words, it can be heard that he has a certain understanding of Zhou Can''s past.


    This is quite normal.


    The circle is so big. Many of the chief doctors of Tuya Hospital have established friendships across departments.


    What''s more, neurosurgery, bone surgery, and cardiothoracic surgery are all major surgeries.


    It''s like a big family.


    It is too common for the bosses in various departments to have private contact, and occasionally chat or something.


    This is why Zhou Can never dared to lie.


    If people ask casually, they will immediately get rid of it.


    Lying is basically tantamount to self-sabotage.


    "Xiao Zhou, let''s start!"


    "good!"


    Zhou Can began to quickly separate the thymus tumor.


    The reason why the separation is difficult is mainly because of the adhesion of connective tissue, and there is a lot of fat around it, and it is close to the heart.


    It is really a great trust for Director Le to let him do the surgery.


    Swipe!


    The quick knife technique and the separation technique are integrated, and his separation speed, efficiency, and accuracy are all amazing.


    Time is passing by every minute and every second.


    Every minute and every second was thrilling for the doctors present.


    Zhou Can''s operation speed has completely refreshed their cognition.


    Never thought that someone could separate so quickly.


    Director Le and the second assistant were not too surprised, because they had seen Dr. Xu''s knife skills.


    Compared with Dr. Xu, there is a big gap between Zhou Can and Dr. Xu.


    Dr. Xu''s fast-knife surgery on patients in his peak period, I believe everyone who has seen it will leave an indelible impression for a lifetime. It can only be described as amazing.


    "alright!"


    Zhou Can looked up at the time, and it took 23 minutes.


    This is the longest time he has spent separating an organization, and it usually takes at most ten minutes to complete. It even has a history of getting it done in a few seconds.


    The difficulty of separating this thymoma is too high.


    "This, is this the end?"


    The second assistant was a bit awkward in speaking.


    He had thought about what to do if Zhou Can broke a large blood vessel with a knife, and thought about how Zhou Can would separate a small part and leave the stage halfway. The tumor was completely separated.


    "Director Le, can you let me do the removal of the entire thymus and the tumor together?"


    Zhou Can made an inch of it.


    Desperately grab the chance of surgery.


    He just separated the entire thymus, including the thymoma, and he earned a lot of separation experience points.


    Not to mention anything else, the extra 100 separation experience points for the first time separating extremely difficult organs and tissues were enough to make him extremely happy.


    In the past five months, he has not experienced such a hearty operation for a long time.


    In the intensive care unit, needless to say, there are very few opportunities for surgery.


    When it came to cardiothoracic surgery, the only decent operation I had done with Dr. Long was the open chest operation to stop bleeding.


    "OK!"


    Director Le has more confidence in him.


    Even the most difficult separation of the thymus and tumor was successfully completed by Zhou Can, which was ten times easier than this, so there is nothing to say.


    Decisively let Zhou Can operate.


    Zhou Can first freed the thymus vein, and then performed ligation at the deputy director level.


    After ligating and cutting off the vein, he carefully removed the thymus and the entire tumor.


    The operation is not finished here.


    It''s just that the most core part of the operation has been completed.


    After cleaning the surrounding tissues, there were no hidden dangers, Zhou Can looked at the ruptured artery.


    "Director Le..."


    "You do it if you are sure. The separation and resection of the thymus and tumor with the highest risk are all done by you. Is the repair of this blood vessel still missing?" Director Le saw that the operation was going smoothly, and made great strides forward. The main force of the "enemy army" was wiped out.


    He was really happy in his heart.


    It''s like the emperor used a young general, but this young general named Huo Qubing turned out to be a military god. He killed the Huns with three strikes, five divisions and two, and they were defeated for thousands of miles, fleeing to the area outside Monan. From then on, there was no royal court in Monan, and the Huns'' rebellion was completely subsided.


    Director Le boldly used Zhou Can, just as successfully as Emperor Wu used Huo Qubing.


    Zhou Can first separated the broken ends of the ruptured blood vessels, then trimmed them, and then anastomosed them.


    The suture and ligation at the deputy director level is really cool.


    Even though he only had an anastomosis at a lower level, it allowed him to perform an anastomosis that was not inferior to the deputy director''s level.


    [Congratulations on your first successful anastomosis of a large artery in the heart. You will be rewarded with 100 experience points for suturing, 100 experience points for ligation, and 100 experience points for anastomosis.]


    Zhou Can was awarded a total of 300 experience points once, and he was so happy that he couldn''t close his mouth.


    After the suture and ligation skills have been upgraded to level five, one hundred thousand experience points are required to upgrade further.


    If you want to accumulate so many experience points and earn only 1 point at a time, it may take more than ten years to reach level six. It can only be said that it is too difficult to be promoted to the director level.


    No wonder some surgeons have been deputy chief physicians until they retire.


    If Zhou Can thinks of a way, like now, he will specifically challenge some difficult surgical tasks. You can get 100 experience point rewards once, and you can be promoted to the director level, which may be done in two or three years.


    After completing the arterial anastomosis, Zhou Can debrides the wound in the chest cavity and stops the bleeding.


    Then there is no problem, test whether the blood supply is smooth.


    "Good cow, the artery and blood vessel were anastomosed successfully in only one time."


    Someone couldn''t help but marvel.


    What made them even more envious was Zhou Can''s astonishingly fast operation speed.


    In the past, in their cognition, only slowness can be stable, and slow work produces meticulous work.


    Now watching Zhou Can perform the operation, their cognition has been subverted. It turns out that surgery can be done quickly and well.


    "Shut up!"


    Director Le is very satisfied with the operation results.


    Zhou Can has never completed chest closure independently. Especially this big thoracotomy.


    I''ve seen it many times.


    Since Director Le didn''t say to change people, he wasn''t polite.


    The stainless steel wire was taken from the nurse and the sternum was sutured.


    A drain is then placed behind the sternum.


    "Director Le, please check it out. If there is nothing wrong, I will suture the incision layer by layer."


    Zhou Can watched so many surgeries and took so many notes, so he knew every step by heart.


    It finally came in handy today.


    At least everything is done well, above the standard.


    For him personally, it was also a very important growth experience.


    "Excellent! Keep going!"


    Director Le and the doctors present had thoroughly seen Zhou Can''s surgical prowess today.


    The nurse girl who spoke for Zhou Can showed a smug smile.


    It was because of her recommendation that this surgery took a major turn.


    Half an hour later, Zhou Can finished suturing, and the patient''s vital signs began to rise steadily after he finished closing the chest cavity.


    At this moment, the operation is over and the patient is completely safe.


    "Doctor Feng, the patient can be awakened from anesthesia. Because of his special situation, he will be transferred to the intensive care unit for observation for a day. After the patient''s vital signs are completely stable, he will be transferred to the general ward for care."


    Director Le made safe postoperative arrangements.


    "Xiao Zhou, you performed very well today. After surgery, I can give you some chances to practice."


    "thanks, thanks!"


    Zhou Can finally found the right opportunity and opened up the situation.


    In the Department of Cardiothoracic Surgery, which is full of experts, it is really difficult for a regular trainee like him to gain important opportunities for surgical training.


    The main reason is that cardiothoracic surgery is basically a third-level or fourth-level major operation. Let alone him, even those senior residents basically help pull the hook, suture the skin, intubate and so on. .


    The high-risk practice they have done is probably chest piercing.


    After the operation, Zhou Can found that it was already 6:47 in the evening.


    Today''s situation is considered good.


    If Director Le insisted not to let him do it, it would be normal for them to perform surgery at midnight.


    Surgeons have a high income, but they often have to commute to and from get off work, earning hard-earned money.


    Back at the doctor''s office, Zhou Can thought Director Xue must have left work long ago.


    I didn''t expect that she was still in the office.


    "Doctor Zhou, did your operation go well?"


    She seemed to be waiting for Zhou Can to get off work.


    Zhou Can is not sure either.


    After all, his status is very high, and there is no certainty when Zhou Can will have the operation.


    "The operation went well. How is Director Hu?"


    Zhou Can still remembers this matter in his heart.


    Director Hu Kan''s broad mind and selfless teaching to junior doctors make people respect and like him from the bottom of their hearts.


    Now that something happened, everyone is very concerned about his safety.


    "Interventional surgery has been done, a vascular stent has been placed, and I am still living in the ICU for the time being. But the overall situation is quite optimistic." Director Xue introduced the general situation.


    After Zhou Can heard this, a happy smile appeared on his face.


    "It''s good to be safe!"


    He was really happy for Director Hu.


    The fatality rate of acute myocardial infarction is quite high. As long as the treatment is not timely, even if it is rescued, the person is basically useless.


    Many people only know that nerve cells cannot regenerate, but they do not know that cardiomyocytes are also non-renewable.


    Therefore, cardiomyocytes are very precious, and every one that dies is one less.


    Therefore, for patients with acute myocardial infarction, early opening of blood vessels is very important. The earlier the blood vessels are opened, the more cardiomyocytes can be saved, and the heart will not undergo significant remodeling.


    For patients with myocardial infarction, time is the heart muscle.


    Zhou Can discovered Director Hu Kan''s abnormal situation in time, and carried out inspections behind his back to win precious rescue time, which is a great contribution.


    I believe Director Hu will be very grateful to him when he wakes up.


    "Didn''t Dr. Zhou want to ask me about the comprehensive medical examination? If there is no other important thing now, let''s talk!"


    Director Xue really made a special trip to wait for him.


    Zhou Can didn''t say anything, but he was deeply moved in his heart.


    Hurry up and sit down, and humbly ask Director Xue for advice.


    "I have selected 30 exam questions here, you just need to answer them. If you don''t know how to answer them, you can leave them blank."


    Director Xue moved the chair and asked Zhou Can to sit in front of her work computer to answer the questions This kind of treatment made the doctors who stayed in the office on duty envious.


    To be able to receive such meticulous one-on-one training from Director Xue, as long as the foundation is not too bad, I believe that I will definitely pass the comprehensive medical examination.


    Zhou Can found that these exam questions were very targeted.


    The knowledge involved is extremely wide.


    It turned out that she had been operating the computer just now and was selecting test questions for him.


    The woman''s heart is as delicate as a hair, which is fully reflected in her body.


    Zhou Can answered every question seriously, and she just watched from the side.


    It should be to use this method to figure out Zhou Can''s shortcoming in knowledge in the shortest possible time. Then he helped Zhou Can make a short-term study plan in a targeted manner.


    To provide you with the fastest update of my medical skills that can add experience points to the great **** Jiangbian Yuweng, so that you can check the fastest update of this book next time, please be sure to save the bookmark!


    Chapter 187 I finally got it, one-on-one training is free to read.https://

 Chapter 188： Achieving Primary Freedom of Wealth, From Liu Lao’s Thoughts

    , the fastest update to the latest chapter of my medical skills can add experience value!


    She herself is in charge of teaching at the university, so she must have a deep understanding of the content of the comprehensive examination for medical qualifications.


    With her personal help in formulating the study outline, Zhou Can will definitely be able to get twice the result with half the effort.


    It took him nearly forty minutes to answer the thirty questions. Among them, six questions could not be answered, and the answers to more than a dozen questions were somewhat incapable.


    This finding made him feel ashamed.


    It turns out that under the cloak of smooth sailing, there are still so many knowledge deficiencies.


    Industry specializing in surgery.


    Director Xue''s carefully selected exam questions were indeed not easy.


    It directly allowed Zhou Can to recognize in the shortest possible time what shortcomings he had in knowledge that needed to be made up.


    "I took a look, and your medical microbiology, immunology, psychiatry, psychology, and health regulations are very serious. Others, such as infection, digestion, cardiovascular, biochemistry, etc. There are also some deficiencies. There are only about 50 days left for the first test of medical comprehensive examinations, and it is a tough battle to replenish a large amount of basic medical knowledge in such a short period of time."


    After Director Xue made a preliminary investigation of Zhou Can, his face became more serious.


    Maybe even she didn''t expect Zhou Can to be so good, but there are so many shortcomings in basic medicine.


    "Director Xue, becoming a doctor is the biggest dream of my life. No matter how difficult this test is, I am willing to throw myself into the fire and give up everything to fight with all my strength. Please help me!"


    Freezing three feet is not a day''s cold.


    Zhou Can spent a lot of time and energy in the fields of pathology, neurology, and anatomical experiments in the first four years of college. It is not surprising that today''s situation has resulted.


    Now he still remembers that all the general classes have never been missed.


    I believe that every medical student is full of awe and gratitude to the general teacher. It is because of their dedication that medical students can better understand the structure of the human body and learn anatomy more intuitively.


    Gradually get rid of the problem of partial subjects, it should start from the failure of the postgraduate entrance examination in the senior year.


    He was severely beaten by the society, which made him realize his own shortcomings, and then began a long period of tutoring and learning.


    During the one-year internship, I actually had very little free time.


    Sometimes he worked continuously for 24 hours, and he basically fell asleep when he returned to the dormitory after get off work. In addition, during the internship, the main energy and time were spent on the practice of the four basic medical skills of surgery.


    He really doesn''t have much study time to look up information.


    During the more than one year of regular training, I checked a lot of information and made up for many shortcomings in knowledge.


    However, after all, time is limited, resulting in him still having great shortcomings in the field of basic medicine.


    The debt owed must be repaid after all!


    Director Xue saw that Zhou Can''s eyes and tone were as firm as a rock. She was moved by Zhou Can''s spirit of pursuing medicine, rather than regretting death.


    "In the first two weeks, you should make up for the knowledge of immunology. Immunology is the strongest sword for the human body to defeat the disease. If you learn it well, it will be of great help to your future pathological diagnosis, pharmacology, and even surgical planning. There will be immeasurable benefits in formulating and so on. I will spare time in these two weeks to select a batch of medical comprehensive exam questions or knowledge points for you, and then you will carry out targeted learning and research."


    How precious her time is.


    In order to help Zhou Can pass the comprehensive medical examination, she needs to squeeze out a lot of personal time to help Zhou Can select the knowledge points that need to be supplemented urgently.


    This kindness is great.


    Of course, Zhou Can has always valued love and righteousness, and knows how to be grateful.


    When she needs help in the future, Zhou Can will definitely not be embarrassed.


    ¡­


    As the sun and the moon fly by, Zhou Can spends every day in a highly intense work and study. Even when his girlfriend Su Qianqian came to see him, she would read books with him in the apartment.


    Jin Mingxi had known for a long time that Zhou Can had a girlfriend, but when he found out that Zhou Can''s girlfriend turned out to be Sophie, the pure singer who has been popular in half the sky recently, he was really shocked.


    Because there are some lace news on the Internet, it is said that the son of the richest man in this province has launched a crazy pursuit of her.


    There are also many second-generation officials, second-generation rich, young and promising young rich people who admire her very much.


    Almost every time she starts broadcasting on the Douyin live broadcast platform, the son of the richest man in the province, as well as many mysterious elders above level 40, give her crazy rewards.


    This kind of popular female star was actually pursued by Zhou Can, an unknown little doctor.


    The shock to Jin Mingxi can be imagined.


    He probably never dreamed that Zhou Can was not only Su Qianqian''s boyfriend, but also one of her two bosses.


    When Li Luo and Zhou Can started the entertainment company, they gave Zhou Can 50% of the shares instead of 49%. From this point of view, it is enough to prove that Li Luo is a gentleman worthy of deep friendship.


    At least in terms of benefit distribution, I''m afraid that even his own brothers may not be able to do as well as him.


    Every time Su Qianqian came to see Zhou Can, Jin Mingxi would take the initiative to avoid, leaving space for the couple.


    It is worth mentioning that as Su Qianqian became popular on various platforms, her safety has long been Zhou Can''s top concern.


    Fortunately, he arranged ahead of time, and the girl who walked out of the mountain that he spent a lot of money to treat¡ª¡ªWei Fang, has already recovered as before.


    Now Wei Fang is dedicated to protecting Su Qianqian''s safety.


    As for the company, it also specially hired veterans and established a security team consisting of twelve people.


    Usually responsible for the company''s security issues.


    If Su Qianqian has major event arrangements, at least eight people will be dispatched each time to protect her safety.


    After Jinyu Interactive made its first pot of gold with the help of Su Qianqian, with Li Luo, an expert in the entertainment industry, taking command, the scale of Jinyu Interactive also expanded rapidly.


    A complete set of newcomer training, incubation, packaging and promotion mechanisms has been preliminarily established.


    Create different star images according to the strengths and characteristics of each contracted artist.


    At present, Jinyu Interactive Entertainment Company has begun to take shape.


    The head star is Su Qianqian, and the middle star has also successfully incubated five people. As for the bottom-level artists, there are too many. Already more than forty people.


    The bigger the stall, the bigger the expense.


    Of course, the company''s income has also become more and more terrifying.


    Zhou Can mortgaged the three houses at the beginning, and the loan money has long been paid off.


    A total of nearly 30 million dividends were received.


    It can only be said that the entertainment industry both burns money and makes money.


    According to this trend, the dividends of the two shareholders next year may exceed 100 million. That is, each person gets about 50 million yuan.


    Zhou Can has now achieved the initial freedom of wealth, and is a veritable rich and handsome man.


    At present, in this province, 20 million people with net assets belong to the primary wealth free class.


    Basically, as long as you don''t do your best to die, you can live a better life than most people with this money, even if it is stored in the bank for interest.


    Su Qianqian''s salary and performance commission are also quite impressive.


    How much, Zhou Can did not ask.


    The BMW 7 she drives now was bought with her own money.


    There are also watches, clothes, and even razors that Zhou Can usually gave to Zhou Can, all of which she bought with her own money.


    Zhou Can found out about that watch, and the market price is at least over 300,000.


    Every time Zhou Can would tell her that there is no need to buy these luxury items.


    As a result, she smiled and said "Got it", and then gave him an expensive gift next time.


    Looking at herself, except for the BMW car, the clothes and jewelry she wore were all mid-range products.


    In other words, she was very frugal with herself, but extremely generous with Zhou Can.


    He even admitted many times that Zhou Can sold the house without hesitation to save her when she was in the most difficult and lowest period. Now that she has the ability, it''s her turn to spoil him.


    What else can Zhou Can say about this.


    He is naturally happy to enjoy and accept the happy sweet days.


    ¡­


    Zhou Can''s regular training time in his heart will soon end.


    Three months, whether it is long or not, is not short.


    In the last month or so, since he showed his skills in the thymoma resection operation, it has become much easier to get hands-on training opportunities in cardiothoracic surgery.


    Director Le, Director Xue, Deputy Director Lu and the others knew about his abilities, so they delegated authority a little bit, and in the end, directly let him participate in the most core surgical tasks.


    No effort was spared in his training.


    This incident may have something to do with how Zhou Can went around behind his back to seek medical advice, do examinations, and send him to the rescue in order to save Director Hu Kan that day.


    After Director Hu Kan was transferred to the general ward, when Zhou Can went to see him, he didn''t say a word of thanks to Zhou Can.


    But looking at Zhou Can''s eyes is as kind as looking at his own son.


    Zhou Can suspects that Director Le, Director Xue and others have given him a lot of opportunities to practice surgery, and it may be that Director Hu Kan secretly confessed.


    Of course, there is no basis for this kind of thing, it can only be guessed.


    No one is sure.


    It may also be because Director Hu Kan fell down unexpectedly, and the surgical tasks of the chief physicians of the cardiothoracic surgery became heavier.


    Therefore, Zhou Can, a young and promising genius with good surgical skills, just seized this opportunity to take the position.


    It has to be said that the fastest way for surgeons to grow is to practice and operate on patients.


    Many problems can only be discovered in practice, and rapid progress can be made.


    In the last more than a month, Zhou Can''s surgical ability in the field of cardiothoracic surgery has really changed day by day.


    By the end of the regular training, he was able to complete most of the cardiothoracic surgeries below level 3 by himself. Fourth-level surgery generally requires the cooperation of multiple doctors to complete.


    He has completed no less than 20 core surgeries in level 4 surgeries.


    These achievements are the achievements of many deputy chief physicians who have worked hard for 20 or 30 years.


    In addition to the rapid improvement of surgical ability, not to mention his theory.


    For more than a month, I have not slept more than four hours a day.


    I often go to work with two big dark circles under my eyes.


    Colleagues who didn''t know about it thought he was having too much **** with his girlfriend.


    Only he himself understands how this past month has passed. As long as you get off work, you will immediately jump into the sea of ??books and questions.


    Even the practice of Kuai Dao Dao had to be temporarily suspended.


    Because time is too tight.


    If he fails the comprehensive medical examination and fails to obtain a doctor''s qualification certificate, it will have a great impact on his future.


    It will also be extremely detrimental to his future growth.


    Things are prioritized.


    The most important things must be done first.


    When he passed the exam and got the dual certificates, he would really have made it through.


    At that time, he will no longer be a doctor, but a doctor.


    With the prescription right, the remaining year of regular training will be completely different from the present.


    Now even to write a doctor''s order, you have to write the name of the superior doctor.


    The status is actually not much higher than that of an intern.


    Writing cases wants money, and wants to eat farts. Gui Peisheng originally only had a basic salary and a small amount of overtime pay. Don''t even think about the commission for the operation.


    If you fail the exam this time, you will be delayed for at least two years.


    And according to the experience shared by the seniors, if you fail the test the first time, it will be very difficult to pass the test the second time.


    Therefore, even if he gave up his old life, he had to fight hard.


    If he passed the exam, he would not disappoint Director Xue for his help.


    It took nearly two weeks to help him choose topics and knowledge points, and often guide Zhou Can on the knowledge difficulties encountered in the learning process. She helped Zhou Can too much.


    ¡­


    After completing the regular training in cardiothoracic surgery, Zhou Can entered the gastroenterology department again.


    Gastroenterology happens to be one of his weak points in knowledge, and two months of regular training in this department will definitely be of great help to him in the second exam of comprehensive medical examination.


    Maybe it''s because Zhou Can''s reputation is already very big.


    So when he reported to the gastroenterology department on the first day, he was directly transferred to his group by a chief physician surnamed Jia, and he personally took care of Zhou Can.


    Zhou Can was very happy to enjoy such special treatment.


    He entered the previous departments for regular training, and almost every time he entered a new department, he had to start from scratch.


    Try to win some opportunities to perform, and then gain the appreciation and trust of the superior doctor, and open up the situation little by little.


    This time he had digestive surgery, and a chief physician took him directly, which could save him a lot of time.


    Get into efficient learning mode from day one.


    In the office, Director Jia, who is over sixty years old, has a thin body, a clear face, bright eyes, and a kind radiance.


    This was Director Jia''s first impression of Zhou Can.


    Many of the older chief physicians are rehired by the hospital.


    The training period for doctors is too long.


    After three or four years of hard training, it just so happens that all aspects of his abilities have reached a very high level. Then came retirement age. It''s a pity.


    It is a huge loss to the hospital and to the society.


    Therefore, I don''t know who invented the re-employment system.


    After the chief physicians retire, as long as they are not too good, the hospital will generally greet them in advance. Explain that these chief physicians should not be hired by other hospitals, and the hospital should re-employ them and ask them to return to their original positions to continue working.


    Most doctors have deep feelings for the hospital where they have worked for decades, and they will basically agree.


    Director Jia called Zhou Can to the office alone, he must have something to talk about.


    "Xiao Zhou, do you know why I transferred you to my group on the first day you entered the gastroenterology department and took you personally?"


    Director Jia asked him with a smile.


    "I don''t know. Please raise your doubts!"


    Zhou Can was very respectfulBecause Deputy Director Liu of the General Surgery Department is my good friend, he greeted me personally. He said that you are a good seedling with talent in medical skills and good medical ethics. Let me train you well. "


    Director Jia''s intention to tell this matter should not be to make Zhou Can appreciate Deputy Director Liu.


    Instead, let Zhou Can cherish this hard-won training opportunity.


    "Old Liu is so kind to me! I didn''t expect that he still misses me after I left Puwai for more than a year."


    After Zhou Can heard this, he was extremely moved.


    In the team of doctors, there may be people with bad intentions, and some people may abandon their conscience and medical ethics for money and profit. But most doctors are good.


    They dedicated their lives silently to the treatment of patients.


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    Chapter 188 Realizing Primary Freedom of Wealth, from Liu Lao''s Notes for free reading.https://

 Chapter 189： The 3 elements that determine the status of a doctor, Director Jia missed it?

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    "When Director Liu was chatting with me, he mentioned you more than once. At the beginning, he promised to accept you as an apprentice and teach you personally. However, when several major departments selected general practitioners, you were selected by the emergency department. You also know that the department The competition among them is very fierce, and the interests are intertwined. Lao Liu is only the deputy chief physician, and he is in the same position, and he has no ability to get you from the emergency department."


    The personal relationship between Director Jia and Liu Lao seems to be very good.


    Otherwise, it would be impossible for the two of them to talk about these topics.


    Mr. Liu''s position in general surgery is not bad, but in the whole Tuya Hospital, he may not be ranked well.


    These days, doctors with little academic achievements, no matter how rich their experience in diagnosis and treatment, generally do not have a high status.


    The status of a doctor is determined by three key elements. First, surgical ability or diagnosis and treatment ability. Can cure diseases, can overcome some intractable diseases, and is very good at a certain field.


    Such doctors are often famous doctors and experts in a certain field.


    They have great influence and can bring a large number of patients to the hospital.


    Such a doctor belongs to the banner of the hospital and has a detached status.


    Even if the academics are not good, it still does not affect their status in the hospital and the industry.


    The second type is outstanding academic achievements.


    There are many important journals and core journal papers published, at least one of which has caused a sensation in the industry. Even lead the industry trend and create a precedent. Or the scientific research achievements are extremely outstanding.


    This kind of doctors often hold senior teaching positions in medical schools, and they basically start as third-level professors.


    The most common one is also a third-level professor.


    As for those who can be mixed into the first-level professors, they are often at the academician level.


    Not only do they have a very high status in the hospital, even in academia, they also have a high status in society.


    This is also the reason why all doctors spend a lot of time studying academics, whether they are that material or not.


    Since ancient times, there has been a law that everything is inferior, and only reading is high.


    The same applies to the profession of doctors.


    The third type is that the administrative position is high, or there are people on it.


    This does not explain.


    No matter how good a doctor is, he is still a younger brother in front of such people.


    Of course, everyone generally respects each other and lives in harmony.


    Mr. Liu''s academic achievements are hard to describe in one word, his surgical ability can only be said to be above the standard, and his rich experience in diagnosis and treatment is barely an advantage. It''s just that at the level of deputy director, which doctor doesn''t have rich experience?


    Therefore, Liu Lao''s status in the hospital is relatively poor.


    It can''t be compared with big bosses like Wu Baihe, Yin Hua, and Hu Kan at all.


    In his position, it was really powerless to want to transfer away a general practitioner who was selected by the emergency department.


    Back in the operating room, Mr. Liu just casually said that he wanted to train Zhou Can himself.


    Even Zhou Can didn''t dare to take it too seriously.


    Unexpectedly, the person who said it always remembered this promise.


    "Old Liu invited me to teach you, which can be regarded as indirectly fulfilling the promise he made to you at the beginning. I hope you can understand this."


    Director Jia said to him again.


    "I understand! Thank you Mr. Liu for always remembering me as a small person. Thank you for willing to teach me yourself."


    Zhou Can expressed his attitude very seriously.


    "From today onwards, you can follow me no matter whether I am in consultation, performing surgery on patients, or making ward rounds. As long as you have the ability, you can come at any time. If you don''t understand, you can ask me directly."


    What Director Jia meant was basically to tell Zhou Can that he would lead him with all his strength.


    And give Zhou Can the greatest freedom to develop.


    This kind of treatment is beyond the imagination of any Gui Peisheng.


    For Gui Peisheng, to be appreciated by a chief physician is already a stroke of luck, and the ancestral grave is full of smoke. The probability of being fully cultivated by the chief physician is about the same as buying a lottery ticket.


    "Winter Dongdong!"


    At this time, a rather young and beautiful female doctor stood at the door and knocked.


    "Morning, Director Jia! Is it convenient for you to go to the ward round now?"


    The female doctor asked with a smile.


    "I''ll be there right away! Qiu Hong, I have a new student, his name is Zhou Can, and he is Gui Peisheng who has just transferred to the Department of Gastroenterology. If he doesn''t understand anything in the future, please help him."


    Director Jia is obviously very familiar with this female doctor.


    After the introduction, he looked at Zhou Can again.


    "Her name is Qiuhong, and she has been studying with me for almost five years. She has achieved a lot in the fields of gastritis and ulcerative enteritis in digestive surgery. She has achieved the diagnosis of various malignant diseases and the surgical plan of digestive tract diseases. to a considerable level.¡±


    Director Jia was quite satisfied with the female student and gave her a high evaluation.


    "Hello, Senior Sister Qiu, please take care of me in the future."


    When Zhou Can should be sweet-mouthed, he is never rigid.


    A senior sister Qiu, directly exchanged for the happy smile of the female doctor.


    "Hehe, you don''t recognize students. Director Jia seldom brings regular trainees. You should be the first regular trainee he brought after his re-employment. But I have heard of your name, and it is said that it can be as famous as Dr. Du, a returnee doctor. I look forward to seeing your true strength!"


    She smiled and blinked at Zhou Can, and looked at Zhou Can with curious and probing eyes.


    Unfortunately, she was soon disappointed.


    Because Zhou Can looked a little handsome, a little handsome, and he couldn''t see any demeanor of a master.


    Dressing under the white coat is also very casual.


    The lower body is a pair of casual sports pants, and the feet are also casual shoes. Compared with Du Leng''s well-dressed clothes, the image gap is quite large.


    Du Leng dresses very formally at work every day. Suits, leather shoes, shirts, and ties are almost his standard equipment. The hair is also taken care of meticulously, properly dressed as a social elite.


    "Senior Sister Qiu, it''s better not to look forward to it, because I''m afraid of disappointing you. Just treat me as an ordinary training student who can''t be more ordinary."


    Zhou Can smiled modestly.


    "You say you are ordinary, but your performance is not ordinary! Young male doctors like you usually have a good face and strong self-esteem. They like to be praised by others, but you are the complete opposite of them. How to keep a low profile. Under Director Jia, Tibetan clumsiness has never been popular, and you must use your real skills. Only in this way, Director Jia can help you point out potential problems."


    Qiuhong didn''t buy him at all.


    This female doctor is not nice.


    "Xiao Zhou, you really don''t need to deliberately hide your clumsiness. Whether you follow my ward rounds or sit in a doctor''s office, as long as you don''t stir up disputes between doctors and patients, you can express your opinions and opinions as you like."


    Director Jia also told him that there is no need to be too low-key.


    "clear!"


    Zhou Can is very smart, when to show his skills and when to hide his clumsiness, he has never been embarrassed.


    As a newcomer to digestive surgery, as long as he has the opportunity to make contributions, he will definitely seize the opportunity and perform well.


    "Let''s go, let''s go to the ward!"


    Director Jia stood up first, and staggered towards the outside.


    Qiu Hong naturally stepped forward to help him.


    Judging by age, Director Jia must be over sixty years old. But walking needs someone''s support, which is really beyond Zhou Can''s expectation.


    For light manual laborers, even if they are old, it is difficult to tell their real age from their appearance.


    The man''s forty-one flowers are not called for nothing.


    As soon as I walked to the corridor around the corner, I saw a dozen doctors and nurses waiting there.


    Many of them are middle-aged and elderly doctors over 50 years old.


    It seems that Director Jia is quite popular in digestive surgery.


    Zhou Can actually doesn''t like this type of ward rounds, because his status is low, and following the director''s ward rounds is more like a formality.


    After entering the ward, he discovered that Director Jia''s rounds were more direct.


    He does not check ordinary beds.


    Only check key beds.


    Go straight to bed No. 3 and stand still.


    Lying on the bed was an old man with a sallow complexion, pale lips and sunken eye sockets.


    "The patient in the third bed, male, 71 years old, had a history of recurrent abdominal pain for 17 years. About three months ago, the condition began to worsen. Five days ago, the pain was so painful that he fainted many times, and finally four days later after black stools, due to acute The pain was unbearable, so I came to our hospital for treatment."


    As soon as the doctor in charge introduced the basic situation of the patient, Zhou Can became interested.


    Diagnosing various cases was his favorite.


    Pathological diagnosis and tracing, this is one of his best fields.


    The history of abdominal pain has been around for nearly 20 years, indicating that the patient must be a chronic disease.


    These diseases are generally not fatal.


    Many people take medication to relieve symptoms and live with the disease.


    In fact, more than 90% of people over the age of 30 in my country have various chronic diseases. It''s just because it doesn''t affect life, and it won''t bring particularly serious consequences, such as unbearable pain, life-threatening and so on. So many people are living with the disease, and never even received any treatment.


    Not to mention anything else, just a fungal skin infection is the most common disease among most middle-aged and elderly people.


    Such as tinea pedis, tinea capitis, genital itching, beriberi and so on.


    As for chronic gastritis, enteritis, diabetes, high blood pressure, asthma, etc., it is also very common.


    Tumors and polyps are also chronic diseases.


    This patient presented with abdominal pain and recent black stools, suggesting gastrointestinal bleeding.


    The lesion is likely to be in the stomach and intestines.


    "Six days ago, the patient experienced abdominal pain and various discomforts, nausea, and vomited the contents twice without obvious incentives. There was no coffee-like blood, no obvious abdominal distension, no obvious acid reflux, and no heartburn. Then fainted again, fell After the injury, he became **** incontinence. He passed out about 200 grams of black stool, no convulsions, no foaming at the mouth, and he woke up on his own not long after..."


    This case is confusing and challenging.


    No wonder Director Jia focused on checking this patient for the first time.


    "After that, the patient had melena again, and the stool test was positive for occult blood. It was accompanied by vomiting. The patient''s urine was not yellow. He was admitted to the hospital with duodenal ulcer and hepatosplenomegaly."


    Judging from the patient''s symptoms, it does look like a duodenal ulcer.


    Hepatosplenomegaly also needs to be added to the diagnosis.


    "When the patient had abdominal pain before, he had taken propantheline and Weishuping intermittently. The symptoms could be effectively relieved after each dose."


    Most people with chronic diseases are like this.


    Medication works. No one wants to be hospitalized.


    Buy some medicine and deal with it.


    "The patient was treated in a local hospital eleven years ago, and the diagnosis was a duodenal ulcer, combined with superficial gastritis. He was discharged after treatment."


    "The patient''s current body temperature is 36.8 degrees, pulse rate is 76/min, blood pressure is 120/80hg..."


    The doctor in charge of the bed explained the patient''s basic situation, past medical history, and treatment history.


    Zhou Can stood at the end of the bed, watching from a distance with several residents and Gui Peisheng. In fact, he really wanted to have a look at the patient''s examination report, and then make a comprehensive diagnosis.


    Now, I can only listen to Director Jia''s opinion.


    Director Jia finally diagnosed the patient with duodenal ulcer and arranged for surgery.


    For many gastrointestinal bleeding diseases, surgical treatment is the only cure.


    "The patient in the 13th bed, male, 45 years old, felt discomfort in the upper abdomen, felt nausea and stuffy, suddenly vomited a lot of blood two hours ago, accompanied by food residues in the stomach..."


    This bed patient is another dangerous case.


    Basically, those admitted to the hospital are all such acute and severe patients.


    At first glance, Zhou Can felt that this person was pale, dark yellow, and had a typical anemic appearance.


    And there is likely to be liver disease.


    Especially the palm of the patient is obviously the palm of the liver.


    This hospitalization should belong to acute upper gastrointestinal bleeding.


    The patient''s current blood pressure is very low. It should be related to vomiting blood.


    Definitely need to arrange surgery as soon as possible.


    After checking two patients in a row, Zhou Can had a general understanding of digestive surgery.


    The amount of surgery here is very large. It seems that in the next two months, as long as Director Jia is really willing to delegate power to him. You can definitely earn a lot of surgical experience points.


    You don''t have to think about presiding over the operation alone, but you can work hard to participate in an important part of the operation.


    At that time, Director Jia will be by his side to guide him, and he will be able to quickly accumulate experience in digestive surgery.


    ¡­


    After checking the ward, Director Jia gave guiding opinions to those key patients.


    For example, medication guidance, temporary treatment guidance, and then check the operation arrangements of these patients.


    For emergency patients, those whose life is in danger, priority should be given to surgery.


    I thought that Director Jia would take them into the operating room for surgery immediately, but I didn''t expect Director Jia to take Zhou Can and Qiu Hong to the outpatient clinic directly.


    Sitting with the chief physician was something Zhou Can wanted but could not have before.


    Because his dual certificates have not yet been obtained, it is impossible for the superior doctor to bring someone like him to the consultation.


    Unless he begged with a dead face, the superior doctor would consider taking him once or twice.


    It''s different now. Director Jia agreed with him in a private conversation that Zhou Can can follow him every day for consultations and operations.


    It seems that Zhou Can''s pathological diagnosis experience value can finally rise a wave.


    His pathological diagnosis is currently level 4, which is the lower level of the attending doctor.


    This level is definitely incomparable with the chief physician.


    But it is much better than the average resident doctor.


    The three of them came to the outpatient room, and they entered Room 1 of the Special Needs Specialist Clinic.


    Good guy, it seems that Director Jia''s status in digestive surgery is much higher than he imagined!


    During the ward rounds just now, listening to Director Jia''s diagnosis of those patients and the treatment plan given by him, you can also get a glimpse of Director Jia''s strength.


    When other doctors make ward rounds, they seldom use an affirmative tone when explaining treatment plans to patients.


    When Director Jia faced the patient''s inquiry, he gave an affirmative answer very confidently.


    "We can cure your disease, and the recurrence rate will not exceed 1%."


    "Your disease can be cured, don''t worry, I have done many cases, and there is no cure."


    Look, this is the confidence Director Jia showed when he spoke.


    After hearing this, the patient seemed to have taken a reassurance.


    If there is no real ability in hand, which doctor dares to say such affirmative words to patients and their families?


    "Xiao Zhou, the volume of outpatient consultations is very large. Every patient who comes to seek treatment has different demands and conditions. You must listen carefully and think carefully. I ask."


    Director Jia was afraid that he was too young and would ask all kinds of unfashionable questions when he was treating patients.


    "Okay, understand!"


    Zhou Can seemed a little absent-minded. UU reading


    Because during the rounds just now, the patient in the third bed gave him a very deep impression.


    Although he did not check the specific examination report of that patient, Zhou Can has recently supplemented his basic medical knowledge in many fields. These include immunology and digestion.


    Director Jia diagnosed the patient with duodenal ulcer, which was consistent with the diagnosis of the receiving doctor.


    However, Zhou Can felt that the patient''s disease might not be as simple as it appeared on the surface.


    This is related to Zhou Can''s three-month work in the Department of Critical Care Medicine.


    He can come into contact with a large number of terminal cancer patients every day.


    That patient gave him intuitions in many ways that it looked like cancer, not a simple ulcer.


    To provide you with the fastest update of my medical skills that can add experience points to the great **** Jiangbian Yuweng, so that you can check the fastest update of this book next time, please be sure to save the bookmark!


    Chapter 189 The three elements that determine the status of a doctor, Director Jia has gone wrong? Read for free.https://

 Chapter 190： You continue to act, so he is not acting

    , the fastest update to the latest chapter of my medical skills can add experience value!


    The ability to diagnose and diagnose hidden diseases based on naked eye observation and intuition was extremely popular in ancient times. A good doctor can almost know everything.


    It''s called visualization.


    To see a doctor, the four most basic means of diagnosis are looking, smelling, asking, and cutting.


    Inspection ranks first.


    It treats the old of the four diagnostic methods.


    By observing the patient''s complexion, skin color, nails, tongue coating, body shape, etc., give the most intuitive first diagnosis impression. In order to delineate the types of diseases, it is convenient for subsequent focus diagnosis and pathological differentiation.


    What Zhou Can gained from the three-month intensive care medicine training was beyond imagination.


    At the beginning, I thought that after entering the training of other departments, I realized that the three-month study in the Department of Critical Care Medicine was of inestimable help to my practice.


    No matter in terms of rescuing critically ill patients, or pathological diagnosis, emergencies encountered during surgery, etc., can give Bibie two points of confidence.


    Vice President Ye personally extended the training period of the Department of Critical Care Medicine for two months, which he said was well-intentioned.


    For example, following the ward rounds for a long time, the patient in the third bed, even Director Jia didn''t find the cancer, but Zhou Can did.


    Of course, this is only Zhou Can''s preliminary diagnosis.


    Also known as speculation.


    Whether the patient really has cancer needs further verification.


    Zhou Can can always tell Director Jia directly without evidence, so the patient has cancer, right?


    This is the first time the two have met, and Director Jia''s trust in him is still very limited.


    If you want Director Jia to confirm the diagnosis opinion, you must give a reliable diagnosis basis, and it is best to point directly to the area of ??the lesion.


    According to Zhou Can''s experience, diagnosing a recessive disease with a high probability can get an additional reward of 100 pathological diagnosis experience points.


    "Doctor Zhou, Guess''s girlfriend must be very beautiful! Very charming!" Qiu Hong suddenly smiled and said something to Zhou Can that made him scratch his head.


    "Why do you say that?"


    Zhou Canjie asked.


    Su Qianqian is pretty, and there is probably no girl in the world who can use beautiful words.


    "Looking at the appearance of the soul guarding the house, guess, I must be thinking of my girlfriend, right?"


    Qiuhong joked in a joking tone.


    Not malicious, but full of good intentions.


    Because Zhou Can''s answer to Director Jia just now seemed a bit perfunctory. Director Jia''s face was actually quite happy.


    Having followed Director Jia for five years, I know Director Jia''s temperament very well.


    It was intentional to help Zhou Can explain.


    Ye Xin reminded Zhou Can not to go on business.


    "Hehe, Senior Sister Qiu is really humorous. I was thinking about my girlfriend when I was on business just now, but I was thinking about the patient in the third bed. I feel that the patient looks like a simple duodenal ulcer."


    Zhou Can is also smart, and he knows what''s going on as soon as he hears it.


    Taking a peek at Director Jia''s slightly cold face, he quickly explained the reason for his distraction.


    "That patient''s duodenal ulcer is indeed very serious. They have a history of nearly 20 years. Can it be simple!"


    respond.


    "It means that the patient can still have other diseases!"


    Zhou Can could only ask his questions.


    It can make Director Jia misunderstand that he is doing nothing and concentrates on studying.


    A very small matter, seemingly insignificant.


    But it can damage Director Jia''s image.


    You may see through everything in a lifetime, but you can really underestimate one thing.


    "Other diseases? Liver cirrhosis and chronic superficial gastritis, Director Jia has already diagnosed it!"


    asked suspiciously.


    Qiu Hong just met Zhou Can, so she deliberately made excuses to explain to Director Jia the reason for her business trip just now. Also really diagnose other diseases.


    Leaning more towards one.


    He thought Zhou Can was only making excuses so as not to give Director Jia a good impression.


    After thinking about it, his perception of Zhou Can changed a lot.


    Those who like to play smart are generally liked.


    "It refers to other diseases, such as cancer!"


    Zhou Can''s true words shocked him to death.


    Even Director Jia looked at him again.


    Qiu Hong curled her lips, a hint of disdain appeared on her beautiful face. I didn''t expect Director Jia''s new students to be so flamboyant, it''s fine to just make excuses, but now, in order to sensationalize the public, he actually directly said that the patient had cancer.


    Fortunately, the family members, otherwise it is very likely to quarrel.


    "Director Jia, may I ask you for 20 minutes of leave? I want to check the examination report of that patient. If the patient really has cancer, I am afraid that the feasibility of the operation plan needs to be re-evaluated. The patient is so young and has a very high memory. Surgical risks. Look at the surgery room you set for the patient at 1 o''clock in the afternoon, and then check it again at noon, I''m afraid it will be too late."


    Zhou Can explained the reason in detail.


    The tone is sincere and the expression is sincere.


    Qiu Hong almost didn''t sneer, and said it as if it was true, it''s a pity that the new Doctor Zhou is acting.


    The favor towards Zhou Can also disappeared.


    "Bar!"


    Director Jia readily agreed.


    Zhou Can talked nonsense again, quickly returned to the inpatient department, and went to the third bed to check the patient''s examination report.


    "The patient had a history of smoking for nearly 50 years. His father died of typhoid fever in 20 years, and his mother died of a lump in her abdomen in 10 years. Because no pathological examination was done, the nature of the lump was unknown."


    In other words, the patient''s mother is likely to die of cancer.


    The patient was hospitalized for routine examinations such as X-ray barium meal examination, gastroscopy, blood and stool tests.


    In addition, a B-ultrasound examination of the liver was also done.


    "The liver borders 6 intercostal spaces, the oblique diameter of the right lobe is 13. The costal margin of the clavicular line is thick and long 1. The left lobe is thick and long with the xiphoid process thick and long.


    A B-ultrasound examination of the liver.


    Visually, rule out the possibility of liver cancer.


    Because the liver has no pain-sensing nerves, it is called the most silent organ.


    Many patients with liver cancer, once confirmed, are in the late stage.


    In short, there are almost no obvious symptoms.


    Zhou Can squinted and carefully checked Zhang''s B-ultrasound film.


    Deny, the diagnostic basis of the Western medicine system is mainly based on the comprehensive dialectical results of various examinations.


    One point, we must blow a wave of medicine.


    Experienced doctors only need to press the Cunguan ruler on the patient''s wrist, and they can quickly get a clear picture of the patient''s condition. It is comparable to Western medicine doing a full body checkup for a disease.


    Now why are ordinary people willing to go to the hospital? Once they go in, no matter if they are sick or not, they will go for a routine checkup first.


    If you are hospitalized, do more tests.


    A few hundred yuan, a thousand yuan is gone.


    As a result, there was a queue, and it was considered lucky to be able to catch the doctor''s shift and get the test results.


    Although there is also a consultation fee for medical treatment, it is often very cheap.


    Many doctors are even more noble in medical ethics. When they meet poor people to see a doctor, they even pay for the medicine themselves.


    Looking at the current Western medicine system, if you have no money, you can basically wait for death.


    Don''t really think that public hospitals are in arrears anyway, and pay after treatment.


    Those are emergencies.


    Moreover, all emergency diseases are in arrears.


    Because in case the illness and the family renege on their debts, the doctors and nurses in that department will be unlucky.


    It is difficult to see whether the patient has liver cancer only from the B-ultrasound film.


    At least with Zhou Can''s current level, after watching it, I think the patient''s chances of getting liver cancer are very high.


    Since liver cancer, then what kind of cancer?


    There are many cancers.


    Excluding liver cancer, if there are cancer tumors in other parts, the patient will feel pain and abnormality to some extent.


    Zhou Can read the patient''s symptoms again.


    Simple questions such as whether the patient has pain elsewhere are then asked.


    The patient responds to the onset of the disease, and there will be pain in the back, which should be radiating pain.


    At this point, liver cancer, abnormalities in other parts or severe pain are basically ruled out, and only the last case remains.


    The symptoms caused by the cancer site are merged into the duodenal ulcer.


    Gastroscopy has been checked, and gastric cancer is basically ruled out.


    At this time, Zhou Can suddenly realized that he might have a gallbladder problem?


    The second reason is that the liver and gallbladder are blood brothers. If the liver is hardened, the gallbladder will be more or less affected. But cirrhosis of the liver is directly related to gallbladder cancer.


    The duodenum is very close to the gallbladder, which is equivalent to the relationship between cousins.


    Gallbladder problems, there will be symptoms of abdominal pain. Jaundice is also common.


    But the patient''s liver cirrhosis also presents jaundice.


    It is equal to the very occasional high overlap of the symptoms.


    It was also a coincidence that even Director Jia, an old doctor with extremely rich experience in diagnosis and treatment, went astray.


    Zhou Can carefully checked the B-ultrasound film again, the gallbladder sound transmission was good, and there was no abnormal reflection.


    Since Zhou Can did not take a special photo of the gallbladder, Zhou Can was unable to check the condition of the cystic wall and common bile duct very clearly.


    Let the patient do another B-ultrasound, the idea is very tempting, but the family members will have doubts.


    Moreover, Zhou Can did not give patients the right to apply for examination.


    You have to go to Director Jia or the treating doctor.


    "Show the film to Director Jia for a review, and the questions will be given back in time."


    Zhou Can went to Director Jia with the patient''s B-ultrasound sheet.


    Perhaps with Director Jia''s level, it is certain that he can find the abnormality.


    At least visually, the shape of the gallbladder is slightly abnormal.


    Back in the outpatient room, Director Jia has already started seeing patients.


    Although the special-needs expert account is limited in supply, it is famous and has more patients.


    In order to prevent patients from waiting for a long time, or even find scalpers to buy high-priced numbers, they often try their best to increase a few patient numbers.


    In addition, frequent midday consultations and midday surgeries lead to very tight schedules.


    Holding the film, Zhou Can stood behind Director Jia, and waited patiently for a patient who was seeing the doctor to see the doctor before showing the B-ultrasound sheet to Director Jia.


    "Director Jia, just now the ward has carefully checked the patient''s condition. The patient has both symptoms of jaundice and abdominal pain, and he has expressed it. There is an obvious mass in the abdomen, but he has not expressed anything. It is suspected that the patient may have gallbladder disease or even cancer. It happened to coincide with the symptoms of duodenal ulcer and liver cirrhosis, so I didn¡¯t check it.¡±


    Zhou Can also dared to speak out.


    Because the basis for diagnosis is less.


    A medical diagnosis requires at least one hard diagnostic basis.


    Such as B-ultrasound, MRI, CT, blood routine, urine routine and so on.


    In the actual course of diagnosis and treatment, doctors often need more than two hard diagnostic evidences before they dare to give a preliminary diagnosis opinion.


    What is a first opinion? It''s the kind with a question mark behind the diagnosis result.


    "Gallbladder cancer?"


    Director Jia took the B-ultrasound sheet and took a serious look at it.


    Then his face became slightly dignified, he picked up the magnifying glass, and began to examine it carefully.


    Qiu Hong, a young and beautiful doctor standing next to her, was smug at the gallbladder cancer that Zhou Can said at first. Because of preconceived views, I think Zhou Can is still acting.


    When I noticed that Director Jia''s face became a little bit serious, and even took a magnifying glass to check the B-ultrasound sheet carefully, my heart began to feel like a tickle.


    Should it be a real problem?


    Difficult to regulate Pearson acting?


    "There seems to be a problem with the gallbladder. Qiu Hong, immediately call the B-ultrasound examination room to see if the B-ultrasound film of a patient is clearer than the gallbladder."


    Generally speaking, the imaging results of the examination are archived.


    And after printing it to the patient, the hospital will not keep it on file.


    In some responsible hospitals, doctors in the medical technology department can even archive multiple copies. The actual printed one for the patient can be one sheet, or only a part of it is better.


    Qiu Hong hesitated, "Is your outpatient work temporarily suspended?"


    "If the patient is really suffering from gallbladder cancer, that''s fine. It doesn''t matter if the outpatient service is delayed a little bit. Now, take a lunch break and work overtime."


    The work of a doctor is relatively active.


    When encountering a problem, the safety of the patient''s life must be the priority.


    "Okay! Ma called to ask."


    After finishing speaking, he looked up at Zhou Can.


    "Doctor Zhou, tell the guide outside, don''t call your number yet."


    Qiu Hong''s tone changed obviously, and Zhou Can could feel it.


    He opened the door, explained to the guiding nurse outside, and returned to the outpatient room.


    Medical guides are also nurses, and their status and salary are lower than those of department nurses.


    Generally, the guides get 4K for one month, and the nurses in the department get at least 5K.


    In terms of status, the guide nurses are also full of sadness.


    In fact, any unit is much worse. For example, the assistant police, the treatment status is also worse than the official staff.


    After Qiuhong contacted the B-ultrasound department of Shanzi, the other party quickly sent all the B-ultrasound films of the patient.


    Sure enough, a very clear picture of the gallbladder was taken.


    As if finding a treasure, Director Jia hurriedly checked it with excitement, and looked at it very carefully.


    "There is indeed a problem with the gallbladder, and it can be very malignant. You must immediately notify the treating doctor and communicate with your family members to see if you can do multi-slice spiral CT. If necessary, do an endoscopic ultrasonography. The patient''s operation arrangement Cancel it for now."


    Director Jia realized the seriousness of the problem.


    The patient''s condition was good, but after Zhou Can''s reminder, it was discovered that the patient could have gallbladder cancer.


    The operation must be canceled first.


    Must be reassessed.


    "The doctor who treats this patient is like Dr. Tang, let me tell you immediately." Qiu Hong called and communicated on the spot.


    After the communication, notify the outside guide to continue calling.


    Many of these diseases have taken special leave, and even traveled thousands of miles to seek medical treatment.


    Definitely a registration that can be canceled.


    What should be read, must be read in its entirety.


    Doctors should have a sense of professional ethics and responsibility.


    After this incident, Zhou Can''s status has obviously improved a lot.


    Director Jia''s eyes became more cordial.


    Qiuhong''s attitude towards her has also changed subtly.


    Strength is such a good thing to help Zhou Can quickly establish a position in the new department time and time again.


    , a young woman with a slightly pale face walked into the outpatient room.


    The registration fee for the special needs expert account is several hundred yuan. For ordinary patients, if they have difficult and miscellaneous diseases, they will choose the more economical general doctor''s consultation account for the registration account.


    The woman alone, did not accompany.


    "Hello, Mr. Jia, I heard that you are very good at treating gastrointestinal diseases, and I came to see you from other provinces."


    "Beauty, let''s sit down and talk. Director Jia will definitely help you to take a good look at it when we get here!"


    Qiuhong comforted her warmly.


    The girl looked to be in her twenties, she was quite young, and she was very stylishly dressed.


    Looks bad.


    "Thanks!"


    After sitting down, he began to talk about his illness.


    "I know what''s going on recently. Recently, I have diarrhea. Yesterday it was even worse. I vomited after eating. It was very uncomfortable. The local hospital did an examination and said that I might have enteritis. I prescribed some medicine, and it worked."


    Take the inspection list to Director Jia for review.


    Basically, the diseases that need to be treated by specialists have already been checked by other hospitals and can even be treated.


    Therefore, there is basically one common feature, and you can seek medical treatment with the inspection report from other hospitals.


    After Director Jia took it, he carefully checked each one.


    "Is diarrhea suitable for long-term use?"


    Freezing three feet is not a day''s cold.


    Some of the more serious diseases happen instantaneously. It accumulates slowly and eventually erupts like a volcano.


    The situation belongs to vomiting ~ www.novelhall.com ~ cold can also cause some symptoms.


    Experienced doctors will diagnose and treat diseases one by one.


    And a conclusion.


    The higher the level of experts, the more comprehensive their consideration. Therefore, do not question the level of experts.


    Maybe it''s just for a more comprehensive consideration.


    "I don''t have any other symptoms, but I have been constipated for a long time. It can last for more than two years. I searched on Baidu and said that I should eat more fruits and vegetables to relieve it, so I adopted diet therapy. It has indeed been relieved to a certain extent, and I have been suffering from constipation. The phenomenon."


    Speaking of constipation, somewhat embarrassing.


    After listening to Director Jia, he nodded and carefully recorded the medical records.


    Zhou Can began to think about what kind of disease the female patient had?


    To provide you with the fastest update of my medical skills that can add experience points to the great **** Jiangbian Yuweng, so that you can check the fastest update of this book next time, please be sure to save the bookmark!


    Chapter 190 You continue to act, so he is not acting for free read.https://

 Chapter 191： Brother Zhou, incurable Crohns disease

    , the fastest update to the latest chapter of my medical skills can add experience value!


    From the description, chronic ulcerative colitis can be compared.


    The risk of intestinal polyps and intestinal cancer also exists.


    Considering that she is still very young, in her twenties, at the same age as Hua''er, the risk of colon cancer is relatively low.


    In addition, local hospital diagnosis and treatment, the diagnosis was enteritis.


    But after taking the medicine, the effect is good.


    Coupled with the vomiting symptoms, even if it is really enteritis, it is an extremely dangerous type.


    "Qiu Hong, give me a physical examination first."


    Director Jia was able to consider the female patient of the other party, so he asked the female doctor Qiu Hong to do a physical examination.


    In fact, in the eyes of doctors, there is really a distinction between men and women.


    If a female patient takes an electrocardiogram, it is very likely to meet a male doctor. Also breast disease, also young male doctor consultation. For physical examination, the female patient will be asked to lift up her clothes, and then the doctor will perform palpation and visual inspection.


    According to the requirements of the hospital, there will be female nurses or female doctors.


    If it is only the case of male doctors and female patients, if the disease says that male doctors are indecent, then they will be washed away by jumping into the Yellow River.


    Also, female patients should ask their husbands or their relatives to accompany them when they go to see a doctor.


    In the outpatient room, family members enter.


    Only the operating room, examination room, and intensive care unit allow family members to enter.


    The emergency room depends on the situation. In principle, the family members are allowed to enter, but after the rescue is completed, or the doctor feels that the family members must be encouraged by the patient to stimulate the patient''s desire to survive.


    Will take the initiative to invite family members in.


    Physical examination is actually much more complicated than imagined. Including armpit body temperature measurement, calculation of respiratory rate, blood pressure measurement of the right extremity three times, observation of the patient''s complexion, development, nutrition, auscultation of bowel sounds and many other items.


    Absolutely simple pressing on the painful part of the TV can do nothing.


    While Qiuhong was giving the patient a physical examination, Zhou Can picked up the patient''s examination report to check.


    The first thing to look at is the results of routine blood tests.


    After the body has a disease, at least 70% of the disease will be more or less mapped to the blood.


    The white blood cell count of the female patient was significantly increased, while the red blood cell and hemoglobin were lower than normal. The hematocrit also decreased significantly, and the erythrocyte sedimentation rate increased rapidly. Mucin increased, and albumin decreased.


    Only blood test results are enough to confirm the disease.


    There are so many blood abnormalities, from a doctor''s professional point of view, illness will occur.


    Enteritis can only be considered a disease.


    So, what could be a more serious disease than enteritis?


    Intestinal perforation should be ruled out because intestinal perforation is often accompanied by intra-abdominal infection, which is much more severe.


    Patients also experience severe pain, high fever, and even chills.


    Zhou Can then checked the stool examination, saw red and white blood cells, and the occult blood test was positive.


    Most of the diseases are intestinal.


    On CT examination, no obvious abdominal abscess was found.


    According to these inspections, the patient was diagnosed with common enteritis. The treatment plan and diagnosis results prescribed by the local hospital are all correct.


    "Zhou Can, did you find anything?"


    Director Jia''s perception of Zhou Can''s address has changed.


    From Zhou to Zhou Can.


    I also know that considering the meaning of Zhou Dian''s respect for the sick face, and because Zhou Can discovered the hidden disease of the third bed sickness, I think Zhou Can should be given a certain amount of respect.


    All in all, a good sign.


    At least Director Jia called the beautiful doctor Qiu Hong, not Qiu, but directly by his name.


    "It''s okay to say now, the inspection data is less. It can only be inferred that the disease should occur in the intestines, can enteritis, not ordinary enteritis."


    Zhou Can gave his diagnosis opinion.


    It must be difficult to let the diagnosis result be given directly.


    It is already very wrong to be able to narrow the scope of the disease again and again.


    "It''s wrong. His diagnostic thinking is not as impetuous as many young people, but very down-to-earth. It is better than imagined."


    Director Jia also praised for the first time.


    And in front of the sick.


    It shows that he is very satisfied with Zhou Can''s performance.


    "The specific cause of the disease can only be further confirmed by a colonoscopy." Director Jia also told the patient.


    "Can I have a colonoscopy? I heard that it''s scary, I''m afraid of pain, and I''m even more afraid that the colonoscopy will pierce the intestines!" The patient is very repulsed by the colonoscopy.


    In the local hospital, the doctor may have already discussed with him and ordered a colonoscopy.


    "Colonoscopy is a little risky. If you really want to have a colonoscopy, then do a barium enema! It is recommended to do a colonoscopy to be more intuitive."


    Director Jia said to him.


    "Well... do it. A sister hospital had a colonoscopy examination, and it hurt a lot. Unless it is a painless colonoscopy, then it may be considered."


    It looks childish.


    In fact, most of these girls are kind-hearted and very self-motivated.


    At least when encountering adversity, it is more open-minded.


    The ability to withstand pressure is much stronger than that of ordinary girls.


    "Girl, I''m already sick now, do you still care about a little pain in the examination? Painless colonoscopy requires an appointment, at least half a year, and the first illness can be delayed. Also, the cost of painless colonoscopy is much more expensive ,Why bother."


    Director Jia shook his head helplessly.


    Today''s youth, specialness, and thinking are much different from those of the older generation.


    Finally, after the patient finished the physical examination, Director Jia prescribed a barium enema application.


    I dragged my weak body to pay the fee and have a checkup.


    It''s very worrying to see, the illness is so serious, but there is no parents'' house to accompany the doctor.


    I also know what kind of family is like.


    Some are young and very sensible. In order to worry their parents and increase their burden, they work hard outside, even when they are sick, and encounter serious setbacks at work, all of which are carried by themselves.


    It looks both pitiful and sad.


    ¡­


    Around ten thirty in the afternoon, Qiu Hong''s cell phone rang.


    "Doctor Tang, what''s the test result for the third patient?"


    Qiu Hong took the initiative to ask.


    The doctor who treated the patient on the third bed made a phone call.


    "Ah... really gallbladder cancer! The new Dr. Zhou in our department is amazing." His pretty face was full of shock, and he was extremely surprised that Zhou Can could discover the patient''s hidden disease without knowing it.


    [Pathological diagnosis experience value +1.]


    [Successfully diagnosed a case of difficult recessive disease, pathological diagnosis experience +100.]


    As soon as the 101 pathological diagnosis experience points were received, Zhou Canle was overwhelmed.


    Finally, I got rich rewards.


    Pathological diagnosis is four grades, attending and other levels. If you want to advance to the level of deputy chief physician, you need to earn 10,000 experience points. If you can only earn 1 point each time, you don''t know that you can upgrade your medical skills to the deputy director level in the Year of the Monkey.


    After finishing the call, the look in Zhou Can''s eyes changed completely.


    "Teacher, just now Doctor Tang called and said..." After finishing speaking, Director Jia waved his hand. "I heard it all. Zhou Canzi, you really are two sons."


    After complimenting Zhou Can, he sighed slightly.


    "Oh, gallbladder cancer is known as the king of cancers, and its prognosis is very poor. The patient''s condition is fatal, and I''m afraid he has lost the chance of surgery. Wait until the outpatient clinic is over, and then look at the MRI results!"


    Director Jia felt sorry for the patient.


    It would be great if gallbladder cancer could be detected early, and by now, it is likely to have metastasized.


    The prognosis of pancreatic cancer and gallbladder cancer is particularly poor.


    The two cancers are known as the king of cancers, and they are more dangerous than the other.


    Its common feature is that it is very easy to infiltrate the surrounding organs and tissues. And the surrounding full weight body tissue.


    If it is discovered later, it will directly cause the patient to lose the chance of surgery.


    The self-replication of cancer cells, allowing them to spread rapidly throughout the body. The operation is okay, but once the operation is done, it will grow wildly.


    The time between diagnosis and death is often very short.


    Gallbladder cancer is a malignant skin tumor with a high degree of malignancy. According to the same pathological mechanism, it can be divided into adenocarcinoma, squamous cell carcinoma, adenosquamous cell carcinoma, mesenchymal tumor, and neuroendocrine tumor.


    No matter which type, it is a narrow escape.


    The five-year survival rate for gallbladder cancer generally exceeds 10%.


    The patient is old, in his 70s, and he tried to re-evaluate the surgical plan and risks. Otherwise, conscientious doctors will basically tell the family members that if they really treat it, then they should be prepared to lose both money and money.


    "Junior Brother Zhou, I''m very curious, how did you find cancer in the third bed patient?" Qiu Hong stared at Zhou Can with her beautiful eyes.


    Zhou Can''s name has changed from the unfamiliar Doctor Zhou to Junior Brother Zhou.


    It was only at this moment that he took the initiative to accept Zhou Can''s call as Senior Sister.


    "Just observe! Check the ward and see that the patient''s complexion, eyes, hands, and face complexion are all right. I suspected cancer. Then I asked Director Jia for leave. After carefully reviewing the inspection report, we used the method of exclusion and finally locked it. gallbladder."


    Zhou Canfang shared his diagnosis experience.


    "The main patient''s cancer symptoms are just covered by liver cirrhosis and duodenal ulcer. However, it is easy to find out."


    Stealing Director Jia''s limelight will naturally give the family a higher level.


    Experts also miss or omit.


    "Qiu Hong, you know! Zhou Can''s other departments are also well-known, and those chief physicians praised him highly, and they all want to keep them in their own departments."


    Director Jia''s news is quite well-informed.


    The deeds of Zhou Can''s other departments are all known.


    It is said that Zhou Can gradually became famous, and he probably ended up training outside the gods. At that time, it had already aroused the great attention of Vice President Ye, and Yu Cai received special attention from the regular training of the Department of Critical Care Medicine.


    Up to now, with the help of director Zhou Canxueyan, she is frantically making up for the shortcomings in basic medical knowledge.


    In the past two months, initial results have been achieved.


    The gaps in knowledge in the fields of immunity and digestion have been filled a lot.


    For the first time, the cancer of the patient in the third bed can be accurately located to the gallbladder, which shows that initial results have been achieved.


    Immediately, two groups of patients walked into the consulting room together.


    The young female patient walking behind was the woman who was initially diagnosed with enteritis.


    I''ve had my barium enema done.


    "Old Jia, the inspection results are in, please help me to look again!"


    The colleague who handed over the test results to Director Jia showed an apologetic smile at another patient who was visiting the doctor.


    "The barium shadow shows a sign of jumping... the disease is troublesome!"


    Director Jia frowned after watching it.


    The disease described is very difficult to treat.


    After Zhou Can read the results of the barium dose, his heart trembled slightly. The symptoms were highly similar to enteritis, but now the barium shadow showed jumping signs, which was basically diagnosed as ulcerative colitis.


    However, combined electrolyte test results show that it is not common ulcerative colitis, but potentially fatal Crohn''s disease.


    The clues can already be seen from the CT results.


    A proliferative lesion that penetrates all layers of the bowel wall, has involved regional mesenteric lymph nodes, and is limited to both the enterocolon.


    Lesions were characterized by segmental distribution.


    It is separated from the normal intestinal segment and has a clear boundary, showing the characteristics of a jumping zone.


    All indications are already pointing to the so-called "green cancer" of Crohn''s disease.


    The disease is not a real cancer, but with the purpose of medical technology, patients need life-long medication. The cost is also quite high.


    If you use imported medicine, the cost is about 15,000 to 20,000.


    It takes about two months to get a drip.


    Such an expensive medical bill, and once every two months, is an absolute disaster for an ordinary young girl.


    "You can just say it directly, and you can bear it."


    The girl was quite brave. Seeing Director Jia''s expression and tone of voice, she already knew that the result was good.


    Director Jia pondered, organizing his words.


    Doctors communicate with patients, and most of them will try their best to take care of patients'' feelings.


    "It''s okay, tell me! There is nothing else in the family anyway. My parents divorced when I was very young, and my grandparents took care of me. Now my grandparents are already in the world. Even if I have cancer, there is nothing in the world worth cherishing. So, Any outcome is acceptable."


    I dare to imagine, these words are spoken from the mouth of a young girl in her twenties.


    Listening to the words and looking at the expression, Zhou Can felt particularly sympathetic.


    Xi''s medical skills are still very limited, and no doctor can cure Crohn''s disease until now.


    The only way is to take medicine for life.


    Western medicine has been developed for so many years, and many fields such as diagnosis, surgery, medication, and pathological mechanism have been very advanced. Doctors who have lasted for thousands of years, and witch doctors in the Western world, were directly wiped out by it.


    But many chronic diseases can be cured.


    According to statistics, at least more than 80% of chronic diseases are cured.


    Shocked to hear the result?


    Take a tumor as an example. After being cut, it will grow again.


    Medicine calls it relapse.


    Why can cancer be cured only when it is detected early? That is actually a cure, and relying on the body''s immune mechanism to overcome the disease.


    At the advanced stage of cancer, like a fire in a forest, it has shown the potential to start a prairie fire. Either the immune mechanism of the body is destroyed, or the opponent of the disease.


    So waiting for surgery, radiotherapy and chemotherapy, the final result is basically up to fate.


    Western medicine treats the symptoms and cures the root.


    The treatment principle of Chinese medicine pays attention to the balance of yin and yang. Maybe then, the whole world will highly recognize medicine, and let medicine become the mainstream medicine in the world, and western medicine become the auxiliary treatment method.


    When it really gets there, the doctor may be the strongest in China, but not the developed countries in the West.


    Because it is very aware of the value of medicine, it has already begun to lay out.


    There are many famous doctors left in China, UU Reading has already had many famous doctors directly poached by foreign countries.


    Let very helpless lost.


    Good foreign actions have attracted the attention of relevant parties, and various policies to protect and develop medical care have been launched.


    Compared with the serious decline and exclusion of doctors from the late Qing Dynasty to the modern war period, the situation of doctors is much better now.


    "Girl, the disease is called Crohn''s disease, an intestinal inflammatory disease with an obvious cause. Theoretically, it can occur in any part of the gastrointestinal tract, but it mostly occurs in the right colon of the terminal ileum. The clinical manifestations are abdominal pain, diarrhea, intestinal obstruction , accompanied by extraintestinal manifestations such as fever and nutritional disorders. Symptoms of anemia, constipation, and even vomiting after eating are all related to the disease."


    Director Jia announced the diagnosis results.


    Apparently he had never heard of this disease, so he asked in a daze, "Can that disease be cured? Is it cancer?"


    To provide you with the fastest update of my medical skills that can add experience points to the great **** Jiangbian Yuweng, so that you can check the fastest update of this book next time, please be sure to save the bookmark!


    Chapter 191 Junior Brother Zhou, Incurable Crohn''s Disease Read for free.https://

 Chapter 192： Imported drugs and domestic generic drugs, ruthless husband

    For ordinary people, the most feared thing is cancer.


    Because cancer represents death and terminal illness in many people''s minds.


    "This is a chronic intestinal inflammatory disease, not cancer. Although some people call it green cancer, it is far less terrible than cancer. However, at the current medical level, this disease requires life-long medication, and there is no way out yet Totally cured."


    Director Jia explained to her.


    After the girl finished listening, her face turned pale and her expression was a little sad.


    The result was a little better than she expected, but the word "green cancer" still brought her a lot of psychological pressure.


    Especially hearing that this disease cannot be cured, and life-long medication is a bolt from the blue for anyone.


    "Mr. Jia, please prescribe me the medicine! I thought it was cancer, but the result of this diagnosis is much better than I expected." No matter how you look at it, I think she is forcing a smile.


    Master Jia did not rush to prescribe her medicine, but continued to analyze her condition.


    "Your disease is now in an acute attack stage, with water, electrolyte, and acid-base balance disorders. However, there has been no intestinal perforation for the time being, which is something to be thankful for. In this disease, special care should be taken for transmural inflammatory lesions. It will penetrate all the layers of the intestinal wall to extraintestinal tissues or organs, forming a fistula. If you experience serious discomfort, you must come to the hospital for review in time."


    After the disease forms an internal fistula, it will lead to other intestinal segments, mesentery, bladder, ureter, peritoneum in a certain part, etc.


    If an external fistula forms, it leads to the abdominal wall or the skin around the anus.


    When the disease progresses to this stage, the cost of treatment and the degree of pain of the patient will increase greatly.


    Therefore, after any disease is discovered, one must overcome fear and receive correct treatment in time.


    There can be no delay.


    Every delay is tantamount to making the disease worse.


    For example, in chronic kidney disease, when the urine protein is abnormally elevated, treat it as soon as possible, and the treatment effect at this time will be ideal.


    If it is delayed to the late stage, the kidneys will shrink directly, and at that time, there will be no second choice except for kidney replacement and dialysis. Kidney damage is usually irreversible.


    Some people''s uremia is completely dragged out alive.


    "Obstruction, intestinal fistula, these are serious phenomena. Therefore, there is no need for surgery for the time being, and you can just take medicine directly. At present, we also have some domestically produced medicines for this disease, but the foreign research level and production process of western medicine are compared with our country. It¡¯s much better. At present, our country is full of generic drugs. If conditions permit, it¡¯s better to suggest you to take imported drugs.¡±


    When Director Jia said these words, he basically thought them over and over again.


    Maybe it''s because she''s a little girl, so young, if she is delayed because of the bad effect of the medicine, wouldn''t it be a pity?


    "Of course, if your economic conditions are not good, you can also try domestic generic drugs first."


    Director Jia also knew that this girl was helpless, and at such a young age, her financial conditions might be very limited.


    It''s just the heart of the doctor''s parents.


    Doctors always want to recommend the best treatment plan to patients.


    Many people only know that India''s generic drugs are very famous, but the level of pharmaceuticals in our country is not bad.


    It''s just that some medicines are not imitated because they are protected by intellectual property rights and patent rights.


    However, it must be admitted that whether it is medical equipment, consumables, or western medicine, there is still a big gap between our country and developed countries.


    Take consumable materials as an example, artificial blood vessels, after being put into the human body, the calcification and degradation of the domestic ones are more serious, and the patency rate is not as good as that of foreign countries. There are not small differences in service life and some subtle aspects.


    Therefore, the gap is still quite large.


    Even many surgeons, especially some critically ill patients, will give priority to using imported key consumables and drugs during the operation.


    "I came here from other provinces to see you, because I trust you. Since you strongly recommend me to use imported drugs, I will definitely give priority to using imported drugs. If it exceeds my financial ability, there is no other way."


    She is straightforward enough.


    "Imported drugs can be used for about two months once, and the cost needs to be 15,000 times. Do you think it is acceptable?"


    Seven thousand and five hundred yuan a month is quite a heavy financial burden.


    After Director Jia finished speaking, he quietly waited for the girl to make her own decision.


    "How about domestic medicine treatment? How much is it once?"


    After the girl heard the high treatment fee, it was obviously much higher than her psychological price.


    "It''s about 5,000 yuan. The price of this treatment will fluctuate, not necessarily fixed. If you use domestic medicine, you are afraid of some complications, or if you don''t control the development of the disease, it will be troublesome."


    Director Jia gave guidance.


    Doctors cannot directly decide which treatment method the patient chooses.


    Usually, the pros and cons are stated and the patient is allowed to choose for himself.


    I often encounter some patients who come to see a doctor and hear that they will be hospitalized for surgery, or have a fistula on their body, or that the treatment drugs can only achieve the effect of controlling or delaying the disease, and they will take the initiative to choose to give up treatment.


    Or after leaving, go to a Chinese medicine doctor and find folk remedies for self-treatment.


    "I''d better use imported medicine! As long as my health doesn''t break down, I can go out to set up a stall or work part-time after work. As long as my health doesn''t break down, I can go out to set up a stall or work part-time. I hope that the medical level can be more advanced. When will we develop a cure for this disease? The medicine for the disease will do the trick.¡±


    She finally chose to use imported drugs.


    Director Jia gave her a prescription and related medical orders.


    She took the bill and left.


    There are too many patients who have the same expectations as this girl. Hope to be able to develop a complete cure soon.


    After sending her away, Director Jia went on to see another patient.


    "Director Jia, please help me take a look. This is a gastroscopy I did at the local county people''s hospital."


    The patient was a woman in her forties, accompanied by her husband.


    Both of their skins were tanned, their clothes were average, their hands were rough, thick calluses could be vaguely seen.


    This is a peasant couple.


    After Zhou Can observed secretly from the side, he made a judgment on the identities of the two.


    "Oh, there is a hollow in this stomach!"


    When Director Jia saw the gastroscopy film, he sighed.


    It was as if someone had cut him with a knife and let out a cry of pain.


    The heart of doctors and parents.


    Sometimes, seeing that some patients have serious diseases, doctors usually groan like this.


    "Doctor, is my wife''s illness serious? Recently, she just feels a little heartburn, bloated stomach, and nothing else! Besides, we both do farm work and are in good health. We don''t even have a cold. "


    the man asked nervously.


    "The result of this gastroscopy is not good, and the problem may be serious."


    Director Jia shook his head and sighed.


    "When did heartburn and bloating start?"


    "About two or three months ago! Sometimes I was very hungry, but I felt full after just two bites of food. Occasionally, I would feel pain in my stomach." The woman described the symptoms.


    After some questioning and physical examination, Director Jia looked up at Zhou Can beside him.


    "Zhou Can, can you see anything?"


    "From the results of the gastroscopy and the description of her symptoms, it is very similar to the early stage of gastric cancer. If the pathology test confirms the diagnosis, there should be time for surgery."


    Zhou Can found that digestive surgery and general surgery actually have a lot of overlap.


    With the continuous expansion of Tuya Hospital, the division of departments is becoming more and more detailed.


    Previously, there was no specialized digestive surgery.


    Almost the vast majority of surgical diseases are seen in general surgery.


    Gastrointestinal surgery has only been established in recent years, and it mainly diagnoses surgical diseases of the gastrointestinal tract.


    With the needs of the construction of the department, it may be subdivided again to build a hepatobiliary surgery.


    To put it bluntly, if the hospital wants to build a department, in addition to applying to the higher-level health bureau for approval, the most important thing is to have famous doctors in this field to fight against the flag.


    Take Director Jia as an example, he has already retired, but was hired back by the hospital like a baby.


    Not for anything else, just because he can hold up half the sky of digestive surgery.


    There is no shortage of general doctors in Tuya Hospital, but there is a shortage of qualified doctors in the professional field.


    This is also after Zhou Can showed his high talent. Even though he only has a bachelor''s degree, the hospital''s training for him has far exceeded that of ordinary masters and doctors.


    Those people who are cultivated are expected to become the backbone of various departments.


    A super genius like Zhou Can is cultivated, but he may become the bully of the department.


    Since ancient times, there has been a saying that it is easy to get a thousand troops, but hard to find a general.


    Zhou Can is a general, can the hospital not cultivate it vigorously?


    "Do you also say it''s stomach cancer? After seeing the test results, the doctor at the local people''s hospital also said that it might be a malignant stomach disease. Let us do a pathological biopsy. We were afraid that the technology in the small hospital was not good, so we rushed to Tuya Hospital. gone."


    A woman''s mouth just can''t handle things.


    Everything leaks out.


    "I also suggest that you do a biopsy. If you are diagnosed, you should be hospitalized for surgery. This disease cannot be delayed, and it will not be curable if it metastasizes."


    When Director Jia said these words, he was very serious.


    He has practiced medicine for so many years, and he may have seen many patients lose the chance of surgery because of delay.


    "How much does it cost to treat this disease? If it is too expensive, I won''t treat it. My son is not married yet, and I am already this old anyway, so there is no need to drag the family down."


    The female patient looked to be in her forties, and in this modern society where the average life expectancy is more than eighty years old, she is in her prime.


    It''s hard to imagine that she would have such an idea.


    A woman, after marrying into her husband''s house, in addition to washing, cooking, cleaning, and doing various housework, she also has to follow the man to do farm work. Then they have to give birth to children for their husband''s family.


    Now that she is seriously ill, the first thing she thinks of is that she is worried that she will spend all the money, so that her son will not be able to marry a wife.


    Zhou Can really felt that it was not easy for women.


    He looked at the female patient''s husband, and saw that the man hesitated for a moment before saying to his wife, "Fen, let''s listen to what the doctor has to say first."


    Good guy, this man is really heartless and selfish.


    The meaning couldn''t be more obvious. If the treatment fee is not too high, he will choose to treat his wife. If the treatment fee is expensive, he will probably directly prepare the funeral for the woman.


    This is true human nature.


    "The treatment fee is hard to say now. If it is less, it may be more than 20,000 yuan. Even if it is more, because it is discovered early, it should not exceed 100,000 yuan."


    Director Jia is an old man, so how could he fail to hear the hidden meaning in the man''s words.


    So, he said as little as possible.


    When the time comes for surgery, no matter how unhappy the man is, he can only hold his nose and pay.


    In fact, doctors will try their best to maintain fairness and justice in many ways.


    "We can take out 20,000 yuan!"


    When the woman heard that it was only 20,000 yuan, she immediately showed a happy expression like a new life.


    "Husband, can you see it?"


    The financial power of the family may be in the hands of men.


    She asks her husband for his opinion.


    "Twenty thousand is not a lot, almost worth two cows! Doctor, can''t it be less?"


    The man actually used this place as a vegetable market to bargain with the doctor.


    Director Jia and the others couldn''t laugh or cry.


    "How much is the specific treatment cost? Each item has a charging standard. It is not set by us. It is the charging standard approved by the higher-level competent department. And if you bought the new rural medical system, you should be able to reimburse a lot of it."


    After all, Qiu Hong was a woman. In this case, she directly stood on the side of the female patient and tried her best to get the man to agree to treat his wife.


    "Husband, when I recover from my illness, I will definitely help the family work hard and try to earn back the money I spent."


    Women speak nice things to men.


    As long as there is a chance, who is willing to give up life easily?


    Zhou Can is very sympathetic to this woman who married a man with no human touch.


    "Okay, okay, then I''ll treat you! I don''t know how it happened, other people''s wives are fine, why did you get this disease!"


    There was complaint in the man''s tone.


    This also directly overturned Zhou Can''s beautiful image of a simple and honest old farmer.


    Seeing that the man agreed, the woman showed a happy smile.


    As for being buried by a man, she doesn''t care.


    Maybe I''m used to it.


    In many remote rural areas, women''s status is particularly low. The stubborn patriarchal feudal ideology still prevails.


    Even in some rural areas, if a woman marries in the past, if she fails to give birth to a boy, she will be abandoned by the man directly.


    Director Jia applied for a pathological examination for the woman, and the couple left.


    "Why is there such a man? I''m angry when I look at it."


    Qiu Hong couldn''t help cursing after the couple left.


    "This is already considered good. I''ve seen more heartless ones! There was a woman who also had cancer. After hearing this, the man left without looking back." Director Jia is well-informed, what kind of person I''ve seen it all.


    "As long as they come to me after the pathological examination, this woman will be saved. Otherwise, this woman patient will be suspended. So, you lesbians must be financially independent, and don''t think about relying on anyone .¡±


    Director Jia''s last words are to persuade Qiuhong to learn a lesson.


    "I already knew that men were unreliable, so when I was studying, I tried my best to go to college. Later, when I got a job, my family called me to go back and marry someone, but I didn''t agree."


    Her age should be approaching thirty.


    Pretty is beautiful, but a woman is easy to grow old. At this age, she should also talk about marriage.

 Chapter 193： Patient vomiting blood. Back to the emergency department, close to the hometown

    Most modern women are highly educated, and their knowledge and ability are not inferior to men. They are fully capable of earning money to support themselves.


    This greatly improved their social and family status, and made them more independent.


    It is no longer necessary to be a vassal of men like in the old society.


    "It''s not good to think like this. Men should get married at university, and women should marry at university. This is a good lesson left by our ancestors through the ages. Not all men in the world are unreliable. Most men are responsible and good men. When you meet the right one, don¡¯t miss out on a good match. Find a husband who loves you and start a family, and you will feel the happiness you have never had before.¡±


    Director Jia told her how to live a correct life based on the experience of those who have experienced it.


    Only when a woman is married to a man can she enjoy the wonderful feeling of being protected and loved by a man, can she conceive and have children, and enjoy the joy of a family.


    After listening to Director Jia''s advice, Qiu Hong turned to look at Zhou Can.


    "Junior Brother Zhou, do you have a girlfriend?"


    Zhou Can was terrified by her sudden question.


    "Yes, I have! Senior Sister Qiu is so outstanding and beautiful, I am absolutely not worthy of you."


    Zhou Can was very worried about this beautiful senior sister, and suddenly fell in love with him on a whim.


    "Hey, what are you thinking? Look at your bear, am I so scary and hate to marry? I just want to ask, how are you treating your girlfriend?" After hearing Zhou Can''s answer, she couldn''t help being a little ashamed angry.


    After realizing that Zhou Can was wrong, he hastily explained clearly.


    "Oh, so that''s the case! I can''t say that I treat my girlfriend very well, I can only say that it''s okay!"


    Zhou Can''s answer was quite modest.


    "Is your girlfriend happy with you?" she asked again.


    "You have to ask my girlfriend to get a more accurate answer. Judging from her reaction, she should be considered relatively happy! She will come to see me often, give me some gifts, and accompany me. We are together Her smile will be very bright. I can feel that her heart is very happy."


    Zhou Can thought for a while before seriously answering.


    "Senior Sister Qiu asked me this, don''t you have any good female friends around you?"


    "My circle is relatively simple. There are only two female friends who are about the same age. One of them has been divorced twice, and one of them often complains to me that after marriage, her husband does not do housework, is not self-motivated, and even occasionally She would quarrel and once broke her mobile phone. So, I am quite afraid of love and marriage."


    No wonder she is so beautiful, has a stable job, and has not found a partner in her late thirties.


    "Qiu Hong, let me tell you from the experience of someone who has been here before, that the female friend who told you about her husband''s bad things was actually just telling you the grievances and bad things she suffered when getting along with her husband. The next time you chat , you can ask her to let her leave her husband, do you think she will agree? Marriage and love are not as good as you young people think, nor are they so bad. "


    Director Jia smiled and shook his head.


    What she received happened to be bad information about love and marriage, so she developed marriage and love phobia.


    "You''re right. I''ll ask her another day."


    Qiu Hong nodded thoughtfully.


    Then he looked at Zhou Can again.


    "Do you think being in love is happy?"


    "Of course I am happy! When you are with the one you love, you will feel very sweet, peaceful and joyful. Love is one of the most beautiful things in the world, so try it boldly!"


    Zhou Can persuaded this highly educated senior sister.


    The three chatted for a while, and another patient came in.


    An elderly couple walked in with a thin middle-aged man.


    The middle-aged man staggered when he walked, his eyes were blurred, his eyes and face were red, and there were traces of blood at the corner of his mouth.


    Most of the patients who came to Director Jia for consultation were intractable diseases.


    There are very few such emergencies.


    "vomit!"


    The middle-aged man opened his mouth, and blood spit out from his mouth.


    The situation was frightening.


    The outpatient clinic can receive all kinds of patients, and both Director Jia and Qiu Hong seem very calm. Only Zhou Can, a novice, felt a little scared.


    Hematemesis may indicate upper gastrointestinal bleeding.


    Before the man came in, he must have started vomiting blood. No wonder there are traces of blood on the mouth.


    The strong smell of alcohol hits the nostrils.


    It appears that the middle-aged man vomited blood due to drinking.


    Most likely the stomach is bleeding.


    Drinking alcohol on an empty stomach, or drinking a lot of hard alcohol, is prone to stomach bleeding.


    In addition, drinking alcohol can damage the liver.


    In the process of alcohol metabolism, a large amount of reduced coenzyme I can be produced, which can change the redox state in liver cells, inhibit protein, glucose synthesis and gluconeogenesis, and also cause triglycerides to accumulate in the liver, thereby increasing the risk of fatty liver. morbidity.


    In addition, a large amount of acetaldehyde can be produced in the process of alcohol metabolism, which can combine with various proteins to form acetaldehyde protein adducts, which not only directly damages liver cells, but also causes liver cells to be attacked by immune responses. Affect the function of liver cells, and then lead to fatty degeneration of liver cells.


    In addition to causing serious damage to the liver, drinking alcohol can also damage the brain.


    People who often get drunk are prone to various lesions in their brains.


    "Director Jia, I beg you to save my son! He drank alone as usual today, and started to vomit blood while drinking. We are only a single seedling, you must find a way Save him."


    The old couple are very close to this son''s baby.


    It is roughly estimated that their son is at least thirty-seven or eighteen years old, but they still spoil him like a two- or three-year-old child.


    Habit is like killing a child.


    Their son''s turn into a drunk had a lot to do with their connivance.


    "Have you been checked?"


    Director Jia did not dare to be careless when he saw the patient vomiting blood.


    Mainly afraid of accidents.


    "I haven''t done it. We were planning to go to the emergency room. We heard that your medical skills are very good, so we bought a number from the scalper, thinking that we will be more confident in asking you for treatment."


    Judging by the clothes of the old couple, they must be from the city.


    In order to save their son, they are willing to spend money.


    They even asked scalpers to buy Director Jia''s consultation number for the day, just to have a doctor with better medical skills to treat their son.


    Of course, it is also possible that the scalper deliberately fooled the old couple in order to sell the clinic number in his hand.


    "Oh, I''m vomiting blood! The condition is so serious, I have to find a doctor immediately! Ordinary doctors may not be good at it. If you go to Director Jia of the digestive surgery department, you will definitely be able to save your son."


    Number dealers are the best at observing words and demeanor.


    The mouth is also good at speaking.


    After bluffing and frightening, they flattered Director Jia, and the old couple, eager to save their son, obediently paid for the number dealer''s scalper number.


    Scalpers hoard expert consultation numbers, and sometimes there is a certain risk.


    If you don''t sell it, won''t it be in bad hands?


    A special needs expert number is several hundred.


    So in the outpatient hall of the hospital and the front door of the hospital, you can always see some number traffickers wandering around looking for targets.


    These people are very smart.


    Knowing that the hospital cracked down on scalpers, they solicited customers around the entrance of the hospital under the banner of accommodation and meals. These people have a specialized way of surviving.


    In addition to secretly giving some benefits to hospital security and building good relationships, they will also engage in businesses such as providing temporary accommodation, meals, and car rental for patients and their families.


    It is generally difficult to get an expert account in a large hospital.


    Especially for patients who come to see a doctor from other places, if they wait an extra day, the various expenses will increase a lot. The illness itself can''t afford it.


    It became the only choice to obediently find an account dealer to buy a scalper account.


    Zhou Can saw with his own eyes a number dealer selling a plus note signed by an expert. With the plus note, the family members of the patient were successfully registered to the expert account of the day.


    It can only be said that these people have great supernatural powers.


    It is not ruled out that the experts themselves are also involved.


    Director Jia briefly asked about the patient''s condition, and then did a physical examination.


    "He should be bleeding from the upper gastrointestinal tract. I will prescribe five tests for him, blood routine, stool test, liver function, coagulation function and gastroscopy. Take the time to take him to do it. This disease cannot be delayed."


    In the patient''s condition, the possibility of hospitalization and surgical treatment is extremely high.


    Doing these necessary routine checks is also a preparation for hospitalization.


    The old couple took their precious son for an examination.


    "This patient, I think his disease is not difficult to cure, but the difficulty is to make him stop drinking. This time he is cured, and he will drink again next time."


    "If you want to blame, you can only blame his parents. They spoil their children too much."


    Qiu Hong answered.


    "Isn''t it! Being a child is like killing a child. As a parent, relying on your child for everything is tantamount to killing your child."


    Because Director Jia is famous, the patient who vomited blood had just left, and a new patient came in. It was the first time for Zhou Can to experience a consultation with an expert, and he felt what it means to be busy.


    Every patient comes with different demands. Some of the causes are complicated, while others are more clear.


    Director Jia treats every patient very seriously.


    Not only can I learn a lot of useful practical knowledge, broaden my horizons, and increase my knowledge by attending the consultation with Director Jia, but also under his influence, I will be more serious and responsible for the diagnosis and treatment work.


    Near noon, the patient who had been vomiting blood due to drinking came back from his examination.


    The examination results were esophageal and gastric varices and ruptured bleeding.


    Director Jia took a gastroscope and checked the results.


    "Oh, your blood vessels are already ruptured! Fortunately, the rupture is not too big, so you can try a more conservative treatment method first. First, let him fast for a period of time. Second, reduce the portal pressure treatment, and at the same time give him Appropriate nutritional support can improve liver function. Third, use drugs to increase blood coagulation function. For example, use thrombin or vasopressin."


    The patient''s symptoms seemed serious, but after the examination, it turned out to be better than expected.


    "Doctor, we all listen to you, please treat my son quickly!"


    the patient''s father urged.


    Director Jia had a troubled expression on his face.


    "He must be hospitalized for this disease to be considered safe. We don''t have any beds here! His condition can''t wait, why don''t you take the diagnosis results and go to other hospitals that don''t have enough beds, okay?"


    In fact, this patient should see a gastroenterologist better.


    The beds on the surgical side are too tight.


    Many surgical patients are waiting for beds to come out. As a non-surgical patient, it is difficult to arrange beds.


    This is basically the case in well-known large hospitals.


    The beds are seriously tight, and some minor illnesses can only be pushed to the outer courtyard.


    "Director Jia, I beg you to help me find a solution! My son has been vomiting blood until now, and we have to register and wait for him to go to another hospital. We are afraid of accidents!"


    The patient''s mother was about to kneel down.


    Zhou Can''s eyes were quick and his hands were quick, so he quickly helped her up.


    "Let me ask you first! If it is really not possible, the beds in the Provincial People''s Hospital are not so tight, and the medical skills there are also very good. You can go there for hospitalization."


    After Director Jia finished speaking, he asked Qiuhong to call the inpatient department.


    Qiu Hong called, "Hi, may I ask, can the inpatient department arrange a bed now? Here is a patient who vomits blood and needs to be hospitalized urgently."


    There should be an answer that there are no beds.


    Qiu Hong continued, "Can you help me find a solution? The patient''s condition is very urgent."


    Soon, she ended the call with some disappointment.


    "There are no beds in the inpatient department right now. If it is really urgent, they suggest that patients wait to see if there are any beds available tomorrow. They will call to inform them later."


    This is also the most common practice.


    There are only so many beds in the Department of Gastrointestinal Surgery, and they are already full of patients. Only when the patients are discharged, will there be vacant beds.


    Hospitals generally let these patients who need hospital treatment leave their phone numbers, and then wait in line for beds.


    It is usually in the morning to go through the discharge procedures.


    That''s why patients are asked to wait until tomorrow to see.


    "He''s been vomiting blood. It''s too risky to wait until tomorrow morning." Director Jia looked embarrassed.


    In many cases, what makes doctors difficult is not how to treat the disease, but the lack of beds.


    "Director Jia, do you think it is possible to let him go directly to the emergency department for treatment? He can stay in the observation area of ??the emergency department for one night." Zhou Can has been in the emergency department for three months and has a better understanding of the situation there.


    In fact, this patient should not be registered as an expert with special needs. It is just a common disease in itself, and even an ordinary attending physician in gastroenterology or surgery can take care of this disease.


    Also, for an emergency like his, he can often receive treatment in the shortest time by going to the emergency room.


    If you go to the outpatient clinic, just queuing up for the examination is already exhausting.


    The patient was able to complete the examination so quickly, it is estimated that his parents did not cut the queue with him.


    After all, vomiting blood is really scary to look at, which is a good excuse to jump in line.


    "Yes, yes, it is a good way to go to the emergency room."


    After listening to Director Jia, he felt that Zhou Can''s suggestion was quite good.


    "Zhou Can, are you familiar with the emergency department?"


    Director Jia knew that Zhou Can was from the emergency department.


    "I should be able to get this done by taking them there!"


    Zhou Can didn''t dare to talk too much.


    It has been more than a year since he came out of the emergency department. Because he was too busy, he almost never went back to the emergency department.


    The only way to do this is to call or send messages to Dr. Xu, Director Lou, Qiao Yu and others during the holidays to say greetings and blessings.


    Director Lou, Chief Physician Han Changqing, Dr. Xu and others will definitely buy him.


    Ordinary doctors and nurses are not so easy to say.


    Because they have been away for too long, and they don''t know about Zhou Can''s brilliant achievements in other departments. It is inevitable that people will leave the tea to cool down.


    When the family members of the patient heard that Zhou Can was able to help their son get the hospitalization, it was as if they had grasped the life-saving straw, and thanked Zhou Can a thousand times.


    Zhou Can led them to the emergency department.


    Arriving at the waiting corridor outside the emergency department, Zhou Can felt a little homely and timid.


    Once, here are all familiar people and things.


    More than a year ago, he embarked on a journey to study surgical training with the high hopes of Director Lou, Deputy Director Han, Dr. Xu and others.


    Originally, he planned to return from his studies in two years and nine months, and start a drastic career in the emergency department.


    Now it is only half of the regular training, and even the surgical training has not been completed. In fact, he does not want to go back to the emergency department at this time.


    Even if he just came here and left soon, he was unwilling.


    Deep in his bones, Zhou Can is a person with very strong self-esteem.


    He promised Director Lou, Dr. Xu and others at the beginning, and he hoped to come back after finishing his studies.


    "Wow, Doctor Zhou, it''s really you! I haven''t seen you for more than a year! I don''t usually come back to sit around."


    Ye Tingting is literally everywhere.


    Her eyes were also sharp, and she spotted Zhou Can at a glance.


    "Hello, Miss Ting! I''m busy, I don''t have time to come back and sit around! I haven''t seen you for more than a year, and you are still so beautiful, you haven''t changed at all."


    Zhou Can responded with a smile.


    Back in the emergency department, Ye Tingting had a good relationship with him.


    "You brought them this is?"


    Ye Tingting looked at the patients and their families behind Zhou Can.


    "There is no bed in the digestive surgery department. I will bring the patient here to see if he can be treated first in the observation area of ??the emergency department." Zhou Can explained with a smile.


    "Are you relative or acquaintance?"


    Ye Tingting felt that if Zhou Can could bring her here for treatment in person, it must be the kind of treatment that only relatives or acquaintances would have.


    "No, it''s just an ordinary patient in the Department of Digestive Surgery He caused esophageal and gastric varices and their rupture and bleeding because of alcohol. There is no way to wait for this disease. I volunteered to bring them here."


    "Understood. Give me the information, and I will talk to Dr. Ai Li who is in the clinic."


    Ye Tingting is quite enthusiastic.


    She is only a nurse in the observation area, and has no right to decide whether patients should be observed for treatment. This has to be done with a doctor.


    At this time, Dr. Lin in the operating room should have just returned from the cafeteria after lunch.


    Seeing Zhou Can, he hurried over to say hello.


    "Zhou Can, Dr. Zhou! I haven''t seen you for a few days. How is it going? Is it going well?" Dr. Lin enthusiastically asked about Zhou Can''s recent situation.


    "Thank you for your concern. My regular training is going well. How about you, after more than a year of development, it must be good!"


    Zhou Can remembered that when he left, the operating room of the emergency department started a competition mechanism.


    Dr. Lin, who is mediocrely talented, and Dr. Lu, who is just dawdling, are at risk of being eliminated.


    "Oh, don''t mention it. It''s not like you don''t know my talent. I haven''t slept before one o''clock in the morning this year. I''ve been practicing the basic skills of surgery every day, so I''ve stayed here for the time being."


    When Dr. Lin talked about this, his stomach was full of bitterness.


    "Hehe, if you stay, you will have a chance. I believe you will definitely develop better and better."


    Zhou Can was really happy for him.


    Although Dr. Lin has various flaws, no one is perfect. We have been together for so long, and there must be some feelings.


    "Dr. Xu should miss you very much. Whenever our operation is not making obvious progress or making mistakes, he will often say how good Zhou Can is in front of us. I will go and tell Dr. Xu, and it happens to be time for him to go to dinner. .¡±


    After Dr. Lin finished speaking, he walked quickly to the operating room without waiting for Zhou Can to agree.

 Chapter 194： My natal family is my natal family, Dr. Zhou has made great progress

    , the fastest update to the latest chapter of my medical skills can add experience value!


    While waiting for Ye Tingting to coordinate the bed with the attending physician Ai Li, a pretty figure galloped towards her from a distance.


    He didn''t take off the dark green surgical gown he was wearing.


    Quickly rushing to the other side, it was Zhou Can''s best surgery partner-Qiao Yu.


    "Hehe, I really came back! I thought Dr. Lin was lying!"


    Qiao Yu watched with a bright smile on his face.


    Seeing that he was rushing in a hurry, Zhou Can smiled secretly, worried that it would be too late, and he would leave by himself!


    "Send a patient for observation and treatment." Zhou Can explained.


    Glancing at the two family members behind Zhou Can and the patient being supported, he nodded.


    Said I got it.


    "How is it, how are you doing recently?"


    When Zhou Canyu met, he obviously wanted to say a lot, but he didn''t know where to start.


    Friends of the opposite sex.


    Zhou Can now has a girlfriend, and there are many things suitable for talking to each other.


    "The ability to assist in surgery has improved a lot. After regular training, we should cooperate more tacitly with him and be more professional in many aspects."


    Qiao Yu said expectantly.


    It was agreed between the two that after Zhou Can''s regular training, he would continue to perform surgery with his partner.


    Always put things first, and work hard for it silently, and constantly improve the professional level.


    "I found that to become a qualified surgical nurse, in addition to passing on equipment and consumables, it is not enough. Recently, I have been learning intensive care knowledge. After learning it well, in case of accidents during surgery, or encountering critical illnesses that urgently need rescue, I can help busy."


    With all my heart and mind, I put serving Zhou Can at the core.


    Zhou Can was really moved.


    "It''s quite an idea! Among the familiar nurses, the one who should be the most advanced, I believe, will definitely become a particularly good nurse. It may even be as powerful as the experts among the doctors."


    Zhou Can smiled and praised.


    "Haha! Dare to look up to the experts. Recently, I studied nursing knowledge and found that foreign nursing is far more advanced than domestic ones. If I have the opportunity, I may try my best to study abroad. After I return to my studies, there will be more places I can help."


    But Shin, it was an idea, and was able to put it into action.


    very expensive place.


    Many, just thinking, when it comes to putting it into action, encountering a little setback and difficulty, it will soon die down.


    "Hehe, looking forward to that! I believe that it will bring good news to many patients."


    After Zhou Can heard this, he was really looking forward to it.


    I don''t know why, I always feel that if I say it, I can do it.


    At present, the level of nursing in China is still quite backward.


    If you study abroad, you will be able to learn a lot of real skills if you are diligent, studious and smart, and make progress.


    "It''s just an idea, and it''s still a long way from realizing it! Speaking of other things, even getting into the intensive care medicine department is very difficult."


    Qiao Yu had long said that she wanted to work as a nurse in the Department of Critical Care Medicine for a while.


    If you only learn critical care knowledge by yourself, it will definitely work.


    Only by entering the department and practicing can we grow rapidly.


    "Have you taken the nurse professional certificate?" Zhou Can asked.


    It just so happened that the critical care medicine department was trained in March, and I got acquainted with the director and deputy director of the department.


    I also value Zhou Can very much.


    As long as the hard target has been reached, it is enough for Zhou Canbang to say hello.


    "I have already passed the vocational certificate. Do I still need three months of surgical training and three months of internal medicine training? Only the internal and surgical training in the emergency department is basically useful. You have to enter the real surgery and internal medicine departments to learn real things. Surgery. He even dared to think about the neurosurgery and cardiothoracic surgery. Even if he wanted to be transferred to general surgery training for three months, he had to wait in line."


    "I have signed up for more than two months, and there is no news at all. I am really anxious."


    I should be worried that the time has dragged on for a long time, and Zhou Can will return after his three-year training period expires.


    And she has not completed her advanced studies in the Department of Critical Care Medicine, so she has no way to be a surgical nurse for Zhou Can in time. Zhou Can used another surgical nurse, worried that he would never have another chance, so he was very anxious.


    "Shenshou cardiothoracic surgery? Help me to ask. The training in internal medicine and surgery is to prepare for entering the department of intensive care medicine. It is definitely good to enter general surgery."


    Nursing in the Department of Intensive Care Medicine involves the main areas of respiratory, nervous, and blood circulation systems.


    Some advanced nursing experience and knowledge can only be learned in cardiothoracic surgery and neurosurgery.


    One point, Canben deeply understands.


    "Surgical surgery and cardiothoracic surgery are particularly high-weight departments,...don''t ask." I want Zhou Can to feel ashamed.


    "It''s okay, thick-skinned, just think of another way if you get rejected."


    Zhou Can can speak well in both departments.


    It should be difficult to get nurses in this hospital into training.


    At least he was very happy to give Qiao Yuhuo a try for his old face.


    "week!"


    A slightly old calling sounded.


    In the emergency department, there are only a few who dare to call Zhou Can Zhou.


    Even an attending physician like Dr. Fu politely called Dr. Zhou.


    "teacher!"


    Zhou Can looked up, and sure enough Dr. Xu.


    I haven''t seen him for more than a year, and Dr. Xu seems to be getting older again.


    Almost by himself, he manages the operation room affairs of the entire emergency department, and the pressure is certain.


    Whether you are a man or a woman, you are particularly prone to aging when you are stressed.


    "Let''s eat first, remember to keep in touch on WeChat! Goodbye!"


    Qiao Yu tactfully left space for the master and apprentice.


    "Send sick for treatment?"


    Dr. Xu glanced at the patient in the distance behind Zhou Can.


    "A patient received by the digestive surgery outpatient department had esophageal and gastric varices and ruptured blood caused by drinking alcohol. The situation was particularly serious. Director Jia suggested hospitalization. There was no bed in the digestive surgery department. Yu Rang took it to the emergency department to see if he could treat it first Let the observation room stay for one night. Give treatment first, and then find a way."


    Zhou Can explained the cause and effect in detail.


    "It''s easy to handle, just hand over the patient''s information! The surgical rotation training must study hard, and you must be proud and complacent, and humbly ask the super doctor for advice, you know?"


    Dr. Xu babbled like a parent exhorting a child.


    Hearing Zhou Can''er, he felt very cordial.


    "The patient''s information was taken away by Ye Tingting, and I went to Dr. Ai Li."


    While Zhou Can was talking, Ye Tingting had already returned.


    with a smile on his face.


    "It''s done. Dr. Ai asked the patient to be placed in the observation area first, and he will give the patient medication in a while." After Ye Tingting finished speaking, she looked at her family members again. "There is an emergency number of Dr. Ai Li in the emergency department on the window, but there is no way to receive treatment or prescribe medicine."


    Only because of Zhou Can''s face, the emergency department will readily accept patients.


    Of course, it must be done according to the process.


    "The matter has been settled, so go back to the Department of Gastrointestinal Surgery! Gastrointestinal Surgery and General Surgery overlap very much. It is very wrong to study with Director Jia. We must seize the opportunity. After learning, the regular training period for General Surgery can be shortened to one month. "


    Doctor Xu urged Zhou Can to leave quickly.


    Because, I know that every minute and every second of regular training is very precious.


    It will be difficult to wait until the training is completed before thinking about studying in other departments.


    You can only apply for opportunities for advanced studies in other departments.


    And with Zhou Can''s talent, he will be the leader of at least one surgical team, which is equivalent to the core thing.


    Once the surgical team is formally formed, it will be possible to leave as soon as it is said.


    You have to be accountable to the members of the whole team.


    The core is gone, and the rest will not be able to complete the key part of the difficult operation. Very fateful.


    Therefore, it is the right way to learn as many skills as possible while taking advantage of the regular training.


    "Teacher, let''s go first! Goodbye!"


    Zhou Can waved goodbye to Dr. Xu and Ye Tingting.


    From the emergency department, I was quite emotional. My mother''s family is my mother''s family, and I feel very good when I come back.


    I just hope Ma Dao''s first comprehensive medical examination can pass smoothly.


    Only after obtaining a medical license.


    ¡­


    Back to the Department of Gastroenterology, Director Jia has finished his consultation.


    Let Zhou Can eat first, then rest for a while, enter the operating room at 1:00 noon, and perform surgery with Director Jia.


    By the time Zhou Can finished his lunch, it was almost noon.


    There was no time to rest, I went to the toilet and ran directly to the operating room.


    Digestive surgery and general surgery share several operating rooms.


    Zhou Cande was still in time, and the surgery hadn''t started yet. He directly opened the door of the operating room and walked in.


    If the operation starts, if you want to enter the operating room, you can only ring the doorbell and ask the medical staff inside to help open the door.


    The indicator light on the door will usually light up in red, and it will display words such as "Operation in progress, please do not disturb".


    After Zhou Can entered, he found that Senior Sister Qiu had arrived.


    The doctors and nurses I know a lot.


    These doctors must be doctors in the group.


    Director Jia didn''t see it during the consultation, which means that some of them are already teachers, and some of them are only general training objects.


    Qiu Hong followed Mr. Jia to sit in the clinic, and Zhong was a key training object.


    "This is Director Jia''s new student, Zhou Can, who will be transferred to our Department of Gastroenterology for a three-month training." Seeing Zhou Canjin, Qiu Hong immediately introduced him with a smile.


    "Hello!"


    Zhou Can also dared to yell, after all, he knew each other, and his identity and rank were clearer.


    Call the teacher as soon as you catch it, that''s nonsense.


    It might be normal for an intern to do something.


    It''s almost time to get a doctor with dual certificates, and calling other teachers will look particularly cheap.


    Some postgraduates and postgraduates will perform surgery with their tutors. His status and rank are at the same level as Zhou Can''s.


    The actual combat experience can be as good as Zhou Can.


    "good!"


    The attitude of several doctors is hot and cold.


    A quick answer, a quick nod, is a response.


    Yixin is just a regular student, no matter how good he is, he still has the same mind. It''s normal to be indifferent to Zhou Can.


    Not to mention, even Qiu Hong''s attitude towards Zhou Can was relatively indifferent at the beginning.


    Later, he was impressed by Zhou Can''s ability, so he took the initiative to change his name to Junior Brother Zhou.


    The patient is already lying on the operating table, and the anesthetist is busy.


    Zhou Can looked up and was delighted.


    "Doctor officer, ah!"


    He has become very familiar with many anesthesiologists. Doctor Guan and Doctor Feng are all closely related to Zhou Can.


    "Where did we meet again, Dr. Zhou and Zhenzhen are destined. It''s just right, please help!"


    Doctors are courteous at all times.


    Just call for help.


    His doctor, including the third nurse, looked at Zhou Can in astonishment.


    Anesthesiologists are usually aloof.


    Anesthesiologists at the special official level usually only talk to the chief surgeon when necessary during the operation. As for the other medical staff, there is nothing in their eyes.


    The low status of anesthesiologists is only relative.


    For example, if the attending physicians are all at the attending level, the family''s most important department, the anesthesiology department is a sub-discipline, and the cards are not as good.


    Standing together, it is certain that the status of the attending physician in the weight department is higher.


    And means that the anesthetist is heavy.


    At the level of officials and doctors, it is already considered a serious technician for hospitals.


    "What''s wrong with this patient?"


    Zhou Can saw that the patient''s eyes were still open, and the life monitoring probe hadn''t been installed yet.


    The patient is not under general anesthesia, so pay special attention to speaking.


    Of course, if it causes conflicts between doctors and patients, or causes some misunderstandings, that''s fine.


    "Adhesive intestinal obstruction requires partial bowel resection."


    The official doctor replied.


    For surgery, the anesthesiologist needs to conduct a comprehensive assessment of the patient''s condition and the surgical plan provided by the surgeon.


    So the condition of the patient is very clear.


    "Cut the intestines! A fourth-level operation!"


    Zhou Can paused when he heard about an operation.


    The emergency department has long been tired of doing first-level surgery.


    Level 2 surgery is a bit more difficult, depending on current ability.


    The third- and fourth-level surgeries are now aimed at.


    Presiding over plastic surgery, that''s all I can think about.


    You can only get the heavy part of the operation, and you will be satisfied.


    "Do laparotomy and laparoscopy?"


    Zhou Can asked.


    If laparoscopic, the chances of being involved in the heavy part are higher.


    "Traditional laparotomy! Director Jia seems to be doing endoscopic surgery."


    The official doctor said what he said.


    Almost told Zhou Can that Director Jia''s talent in endoscopic surgery is relatively poor, so he does more traditional surgery.


    Endoscopic surgery is more difficult than traditional surgery.


    Because it operates through the manipulation arm.


    In a sense, machine surgery is just to make up for the defects in aspects.


    When the doctor performs the operation, it is easy to experience hand tremors, the operation is in place, and the cutting and suturing are accurate. After installing the machine, by controlling the mechanical arm of the machine, some problems can be avoided very well.


    In addition, the viewing angle of the machine is wider, and the surgical site can be placed more than ten times to see more clearly.


    Then it can rotate flexibly, so many hospitals have begun to introduce machines.


    Zhou Can helped intubate, ventilator and so on.


    While observing the patient''s condition.


    Intestinal obstruction is often caused by vomiting, gastrointestinal decompression, and the ability to eat, resulting in an imbalance in homeostasis. The operation needs to be corrected, and the operation machine should be grasped.


    Chronic intestinal obstruction can preserve good nutrition.


    The patient was sallow and emaciated, fighting with refugees in Africa.


    Description is very likely to chronic intestinal obstruction.


    "How is your liver and kidney function?"


    Zhou Can asked Hey, see you in a while, your medical level has improved again. Don''t worry, the surgery has tested the liver and kidney function, and some treatments have been done to ensure that the surgery can be tolerated. "


    Doctor Guan''s eyes lit up when he heard the question.


    Zhou Can only asked a patient about the operation plan casually, and he was able to deduce that the patient had chronic intestinal obstruction.


    And being able to know the liver and kidney functions shows that Zhou Can''s medical level has been greatly improved compared with before.


    This kind of huge progress is only felt by the officials and doctors most obviously.


    In the case of chronic intestinal obstruction, due to water, electrolyte, acid-base disturbance and poor nutrition, liver and kidney function must be monitored and treated during surgery. Prevent surgery from aggravating damage to some organs.


    It is difficult for an experienced doctor to think so deeply.


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    Chapter 194 My natal family is my natal family. Doctor Zhou has made great progress. Read for free.https://

 Chapter 195： 1 is not gentle at all, and it surprises 4 seats

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    How can Zhou Can make progress? On the one hand, he learned a little from Dr. Feng;


    Of course, it also has a lot to do with the accumulation of time.


    Every practice study such as ward rounds, disease management, and surgical participation will make special progress over time.


    "Doctor Guan, will you place a nasogastric tube?"


    "Of course I let it go! I''ve done a better job than others, so I''ll leave it all to you!"


    Doctor Guan was very relieved.


    For partial intestinal resection, it is advisable to place a nasogastric tube for gastrointestinal decompression, which is conducive to the exposure of the operation.


    In order to prevent accidents such as suffocation due to vomiting due to anesthesia.


    Zhou Canneng considers all aspects very thoughtfully, and has many skills and knowledge that only professional anesthesiologists know.


    Doctor Guan couldn''t help being amazed.


    I also know that Dr. Feng has already started teaching Zhou Can about anesthesiology.


    Several doctors who were watching from the sidelines, two with a higher level, had already discovered that Zhou Can was not easy.


    If there is no real thing in the stomach, there is definitely no way to give some accurate surgical suggestions.


    After the patient was connected with the equipment and ready to be given general anesthesia, Director Jia finally rushed to the operating room.


    "Hey, how did Zhou Can participate in the anesthesia task?"


    Director Jia asked in surprise.


    "Junior Brother Zhou knew the anesthesiologist, so he helped him. It seems that he also knows a lot about anesthesiology, and I really admire it." Qiu Hong replied with a smile.


    "Although anesthesiology is only a sub-discipline, it involves many aspects of life knowledge and comprehensive application. In the future, when seeing anesthesiologists operating, we should also participate more."


    Director Jia said to several doctors.


    The words are almost equivalent to praising and affirming Zhou Can''s behavior.


    "Get ready for the surgery! There are two tough battles today, so we must hurry up."


    After all, Director Jia is old, so he can only participate in the core part of the operation, and he can no longer complete a surgery that requires four or five times by himself like a young guy.


    Partial bowel resection, even if only the **** is cut, usually takes about four weeks.


    The operation went well, and the surgeon''s technique was hard, so it could be completed within four hours.


    If there is a little accident during the operation, or if the operation encounters difficulties, the operation room will only be longer.


    Part of the colon to be removed in one patient.


    Surgery will be more difficult.


    Coupled with the severe intestinal adhesion of the lesion, the separation is enough to make the brain hurt.


    No wonder Director Jia called it a tough battle.


    "Doctor officer, is the patient okay?"


    "Not bad! Let''s start the operation!"


    The anesthetist will rate the patient''s physical condition on four criteria.


    Very good, bad, bad, very bad.


    Generally reach a poor level, will choose surgery carefully.


    If the anesthetist feels that the patient''s condition is poor, the anesthesiologist has the right to terminate the operation directly.


    This kind of thing happens less often, but it will.


    For example, when a patient is pushed into the operating room, all signs are not bad. As a result, after general anesthesia was implemented, the vital signs dropped off with a crash. At this time, the anesthesiologist will stop the anesthesia immediately, and then decide to continue the operation after observation.


    For the safety of the operation, the probability will stop.


    It is also a regular hospital, and anesthesia is rarely used.


    The main reason why medical and aesthetic institutions frequently explode.


    Anesthesiologists in medical aesthetic institutions are only technicians themselves, and lack a highly professional ability to predict the vital signs of patients.


    There is no way to mention the danger.


    Moreover, ten out of ten medical beauty institutions are all private hospitals, and they are pursuing the interests.


    "Plastic doctors" who have only been trained for half a month dare to give patients breast augmentation, nose augmentation, double eyelid cutting, face-lifting liposuction and so on. It''s strange.


    "The surgical marking lines are drawn, who will perform the laparotomy?"


    Director Jia looked at the deputy chief physician and attending physician in his hand. As for the resident doctors, it is very difficult to have the opportunity to practice the knife.


    "! With?"


    Zhou Can was the first to do it.


    The doctors were stunned. The son is like a hungry wolf, it is polite to grab the job.


    Just look at what''s going on?


    Thought it was leather? open belly.


    The stakes are extremely high.


    Even the average attending doctor dares to say that he is fully sure.


    It''s a brainstorm to grab a piece of Pearson.


    "Opening the stomach requires high-tech work, and Yiqi Pearson has done it. Pay it back!"


    The deputy chief physician was about forty years old.


    He is a very young deputy chief physician.


    When speaking, he is slow and calm, very like a senior.


    "Director Jia said, just grasp it, follow it with speech, and follow it with surgical tasks."


    Zhou Can argued directly with this, and looked at Director Jia.


    "Zhou Can, it''s just a joke, are you sure about it? You''re talking ugly, and you''re doing practical tasks. You only found out that you made a surgical mistake. At least three months of surgical authority will be suspended. If it is serious, it will be directly handed over to the medical department. Therefore, do what you can." Let¡¯s do it, take what you said and use it as a shield to wantonly grab the chance of surgery.¡±


    Director Jia spoke very straightforwardly.


    Say it to yourself, and go back on it.


    Just to prevent the doctor in hand from acting blindly, the punishment conditions prescribed are also extremely severe.


    "The first tenet of reverence for life, don''t worry, you will never play tricks with a knife." Zhou Can''s words were sonorous and loud.


    Also shows strong self-confidence.


    If you rush for an operation, you will definitely be timid.


    Of course, super doctors would simply entrust dangerous surgical tasks to them.


    As long as you are sure, you will be brave.


    For the vast majority of regular trainees and residents, it is enough to get a chance to have their skin closed.


    In actual operation, a novice can close the abdominal cavity by sewing one or two stitches.


    In general, the surgeon leaves the field after finishing the key part of the operation. Leave a senior attending to see the situation.


    Then Xin took the opportunity to fight for the opportunity to sew the skin.


    It''s okay to sew slowly.


    In order to prevent the senior attending physician who is watching the situation from waiting patiently.


    Plus watching from the side, you will feel nervous when sewing.


    Let me go first, or please sit next to me and rest.


    Wait until you are done sewing, and then please check.


    Just put the words beautifully, Ping Duo tried to gain the trust of the top doctor, and worked hard to build a good relationship with him. Most of the remaining attending physicians will let them suture as much as they want.


    Very cooperative before leaving the field, or leaving the operating room directly.


    Because I am very busy, I have to go all the way again.


    Naturally understand its sadness and difficulty.


    "Come on! Stop it, you must stop immediately. Also, don''t rush the operation process." Director Jia frightened Zhou Can with his words.


    I had no choice but to bite the bullet and agree.


    Knowing how strong Zhou Can''s head is and how courageous he is, he will definitely say that to Zhou Can.


    Now it''s hard to get overwhelmed, wipe away face.


    I had to let Zhou Can try.


    "Director Jia, you only train doctors! The risk of laparotomy is high..."


    The job of the deputy chief physician was taken away, which seemed a bit resigned.


    More worries.


    "Let''s try it! Watch from the side, risk control."


    Director Jia spoke with confidence, but his expression was nervous.


    His eyes were fixed on Zhou Can.


    Zhou Can was not polite at all, and stood at the chief surgeon''s seat, asked the nurse to put on sterile gloves, took the knife, and went straight away.


    Laparotomy, the first operation for a long time.


    I am now fully capable of doing it alone, and doing it very well.


    The operation area has been disinfected and the scalpel position line has been drawn. Just cut it.


    The movement I saw was extremely smooth.


    With one stroke, the cortex was cut open.


    Seeing that it was as casual as cutting pigskin, and at an extremely fast speed, Director Jia covered his heart with his hands and stared at the wound, daring to blink.


    After Zhou Can made the first cut, he hurriedly yelled to stop.


    I was almost scared to have a heart attack just now.


    "The length and depth of the surgical incision are just right. The incision is so fast, so casual, good boy, so confident, the original deep hidden!"


    Director Jia breathed a sigh of relief after seeing the surgical incision.


    Seeing Zhou Can slashing the knife so casually, I thought, it''s over, it must have cut the skin tissue layer and even the muscle layer.


    After watching the results, I realized that Zhou Can''s abilities were ten times stronger than he imagined.


    One knife, it seems to be done casually, but the actual size is just right.


    The deputy chief physician almost lost his eyeballs in shock.


    Up to now, he still has a **** shocked expression on his face.


    Senior sister Qiu Hong''s beautiful eyes were also staring.


    Several of the doctors, no matter they were attending or inpatient, were all horrified by Zhou Can''s knife skills.


    "Do you want to continue?"


    Zhou Can can''t wait to open the sick abdomen to see the condition of the colon.


    "continue!"


    Director Jia''s confidence in the company has increased several times, and his sense of trust has also increased a bit.


    Afterwards, Zhou Can opened the abdominal cavity layer by layer like a butcher dissolving an ox.


    Cutting through the muscle layer, the knife scratched a section, and obviously felt the same knife feeling, which was extremely subtle.


    Also never.


    At present, the incision is close to the level of indications, but has not yet been reached.


    It stands to reason that such a clear knife feel can only be obtained at the level of the deputy director.


    Now you can get a clear sense of the knife once you raise the level, which is often referred to as tactile feedback. Zhou Can was very happy.


    Secretly guessing, it can be integrated into the cutting relationship with the quick knife method.


    When his brain received the abnormal knife sensation, his hands stopped immediately.


    The biggest disadvantage of the quick knife method is that the hand is faster than the brain.


    Zhou Can was able to find out the problem and quickly stopped the knife, which is a very good phenomenon. It shows that so far, the tranquility can also restrain the magic of the quick knife technique.


    Will be swayed by the extreme pleasure of speed.


    "A blood vessel with a relatively thick diameter...well, a vein blood vessel, should it be cut directly?"


    After Zhou Can stopped the knife, he raised his head and asked Director Jia.


    "have a look!"


    Director Jia has rich experience in surgery. Although the assistant drew the knife position, after entering the operating room, he has already checked it secretly.


    To be sure there is no problem.


    Heavy blood vessels and nerves have been avoided.


    "Really! It doesn''t matter if you cut off a vein with a diameter of more than two millimeters. Of course, if you can cut it open and find it, the feeling of the knife is already very powerful. The cutting action is so fast, and it is even more powerful if you can stop the knife in the first place." Yes. Surgical endowment, now I have seen it with my own eyes.¡±


    Director Jia was amazed at Zhou Can''s ability to detect blood vessels with root diameters that were considered thick.


    A decent old surgeon, immersed in surgery for over forty years. It is strange to be able to find heavy tissue such as blood vessels or nerves with a keen sense of knife.


    After all, the level of cutting at the director level is there.


    If Zhou Can, a novice Gui Peisheng, could do something, it would be quite abnormal.


    In the end, Director Jia attributed it to Fu.


    To be honest, Zhou Can''s talent in traditional surgery is not good.


    At most, it is equal to the level.


    On the contrary, there are many nerve anastomoses and advanced surgical endowments.


    It is now able to show super strong traditional surgical strength, which is completely based on the comprehensive results of the quick knife method and the experience value system to help raise the basic surgical medical skills to a higher level.


    "Can it be ligated first and then cut open?"


    Zhou Can wanted to take this opportunity to show off his medical skills so that he could gain more opportunities for surgery after the abdominal cavity was opened.


    Grabbing the training opportunity, Director Jia''s assistant is very gentle and polite.


    During Zhou Can''s foreign internship, those who rushed to practice surgery were all like hungry wolves.


    That''s called fear.


    "Yes, of course!"


    Director Jia readily agreed.


    This is something that should have been a helper''s job. However, the deputy chief physician stood there indifferently relying on his status. I made it clear that I wanted to be Zhou Can''s assistant.


    Because it will make you feel cheap.


    Zhou Can quickly placed the scalpel, took the needle holder, crochet needle, and thread from the nurse, and then ligated the root vessel.


    The whole ligation action is fast and handsome, and the ligation is very good.


    "Tsk tsk, the level of ligation is conservatively estimated, and it has reached the level of the deputy director. It is scientific."


    Director Jia let out a series of exclamations.


    To save face, the deputy chief physician who offered to be Zhou Can''s assistant looked at Zhou Can, and his eyes changed.


    There has been a rare trace of respect.


    Zhou Can is so young, but he can have such a high level of incision and ligation, which is enough for people to re-examine and quickly adjust their impression of Zhou Can.


    Qiu Hong was even more amazing. She looked at Zhou Can with her beautiful eyes, showing bits and pieces of admiration.


    Although he is already an attending physician, compared with Junior Brother Zhou who is still a regular trainee, his surgical skills are far behind.


    The specific academic qualifications that are not yet known. At least all postgraduate masters.


    All doctoral students, including some excellent postgraduate masters, are academically well-equipped.


    In terms of practical operation, it is easy to say.


    After all, it takes a lot of practice to achieve results.


    The seemingly simple ligation involves many surgical skills.


    It must be explained here that a ligation is equal to a knot.


    Knot only part of the ligature.


    It''s like men belong to, but equal to all categories.


    Classes include male, female, children, and the elderly.


    Ligation often requires the skillful use of crochet needles to pierce part of the tissue. In case of injury to heavy tissue and blood vessels, the blood vessels should be bound as perfectly as possible. Then tie a knot to secure.


    The process avoids involving the surrounding tissues, and ensures that the degree of tightness and firmness of the ligation meets the requirements.


    Therefore, ligation is equal to knotting.


    Medicine has also called knotting as the four basic medical skills of surgery.


    After Zhou Can knotted the root vessel, he decisively cut it off.


    Feel the tactile feedback of cutting the vascular belt carefully again.


    Especially wonderful.


    Provide safety protection for future operations. As long as the knife touches a blood vessel, you can get a signal feedback imprinted deep in the brain. Then stop immediately.


    With the current ability, it should only be able to obtain vascular feedback of about 2 mm.


    With the continuous improvement of surgical capabilities, we may be able to capture more sensitive vascular signal feedback in the future.


    Because the root vessel was lifted and ligated, there was not much blood.


    The abdominal opening process is quick and efficient.


    After Zhou Can opened the peritoneum, the organs in the abdominal cavity were exposed.


    After seeing Zhou Can''s surgical prowess, the deputy chief physician''s attitude changed completely.


    Began to actively help stop the bleeding.


    For those blood spots, electrocoagulation was performed.


    "Open the abdominal wound to fully expose the surgical field of vision."


    Director Jia said to the resident doctor who helped one of the three.


    Sansuke Qiuhong The purpose of surgery is only to be in the position.


    The operating room, perhaps the only place to look at academic qualifications.


    Whoever is more powerful in surgery will be old.


    Academic theory, surgical practice ability.


    "Oh, my colonic disease is quite serious! If I can be treated in the hospital earlier, I will need to remove part of my intestines. Many diseases are delayed until they are very serious, so I don''t want to treat them. Fortunately, only intestinal obstruction and intestinal polyps , if it is delayed until it is dealt with, it will become malignant."


    Director Jia sighed while observing the diseased intestinal segment in the patient''s abdominal cavity.


    "In the future, you must remember to go to the clinic. After discovering the patient''s intestinal lesions, if you need to deal with it, you must explain it clearly to the patient''s family members. You can think that nothing is wrong, and then wait until it is done."


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    Chapter 195 is not gentle at all, it''s free to read.https://

 Chapter 197： For the sake of the living, high risks and rich rewards coexist

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    "Director Mu, let''s do it! You watch and learn first, anyway, there will be opportunities in the future."


    Director Jia gave Yisuke the opportunity to open his laparotomy.


    This person is also the only deputy chief physician under Director Jia. Maybe there are others who have already graduated from the teacher. With the ability to independently preside over the third and fourth level surgeries, they no longer need to learn from Director Jia.


    Deputy Director Mu successfully snatched the opportunity to exercise for laparotomy, and he seemed very happy.


    The corner of Zhou Can''s mouth raised slightly, thinking how powerful this deputy chief physician is. He was so happy to get a chance to have a laparotomy, no matter how strong the surgical ability is, there is a limit.


    Just imagine, if a multi-millionaire picked up ten yuan on the street, would he laugh with joy?


    In the same way, if Deputy Director Mu''s surgical ability was really strong, he wouldn''t take an opportunity to open his abdomen as a treasure at all.


    At least with Zhou Can''s current strength, he doesn''t think much of the opportunity to open his stomach.


    After Deputy Director Mu stood on the main knife position, everything was ready, and he couldn''t wait to pick up the knife and cut.


    Director Jia seemed very relieved of him.


    Standing by and watching with a relaxed face.


    He didn''t look at Zhou Can''s frightened look when he opened his stomach at all.


    Deputy Director Mu cut open the cortex and subcutaneous tissue of the abdomen layer by layer, that is, the fascia layer, muscle layer, and parietal peritoneum that are often referred to in medicine.


    The muscular layer involves muscles and tendons.


    When cutting, there will be a certain degree of attention.


    Theoretically speaking, the more skilled the doctor is, the less bleeding will be during the process of opening the abdominal cavity. The chance of injuring important blood vessels and nerves is almost zero.


    It''s hard to say for a novice.


    Under normal circumstances, the muscle layer can be cut open with one knife. When a novice is nervous, he may only succeed by drawing two or three knives.


    This can cause jagged cuts.


    Very detrimental to wound healing.


    Deputy Director Mu''s incision technique is not bad, it should be at the excellent level of the attending physician.


    However, whether it is the smoothness of the wound or the time to open the abdominal cavity, it is worse than Zhou Can.


    Especially the operation time, Zhou Can opened the abdominal cavity in less than five minutes. This is also because a blood vessel was ligated midway.


    It took Deputy Director Mu nearly seventeen minutes from cutting the knife to opening the abdominal cavity.


    This speed was comparable to that of the doctors in the cardiothoracic surgery department.


    It''s worrying to watch.


    In addition to the slow speed, other aspects are not bad.


    The amount of blood loss during the operation was not large, and there was no excessive incision when four layers of abdominal tissue were cut.


    Generally speaking, Deputy Director Mu''s incision technique is above the standard. Opening the abdominal cavity is completely enough.


    No wonder Director Jia was particularly reassured about him.


    After the abdominal cavity was opened, the next part of the colon was resected, which was still performed by Director Jia himself.


    Both the resection and separation of the intestine have huge risks.


    If the cut is not good, it will affect the intestinal anastomosis.


    It''s even worse if you cut too much. This is already a minor accident, but because the professional knowledge involved in the operation is extremely strong, and the doctor has great power during the operation, so no one can strictly supervise the doctor''s treatment behavior.


    Sometimes, let alone cutting a little more intestines, even if one of the patient''s kidneys is accidentally removed, it is possible to hide the matter.


    As long as the patient does not find out, no one will ever be held accountable.


    Of course, this kind of behavior is already a serious violation of surgical regulations and medical practice guidelines. As long as it is discovered, the doctor involved will definitely be severely punished.


    It is possible to revoke the medical license.


    So under normal circumstances, no doctor dares to mess around.


    Occasionally, there are novices who make trouble, and the hospital can hide the matter in order to suppress the matter.


    As for the surgical records and the doctor''s signature, this is too maneuverable.


    Not much to explain.


    "Remember, once a malignant tumor is found in the intestinal tract, it is basically difficult to cut it clean as long as it reaches the middle stage. The possibility of metastasis is very high. Theoretically, the early stage is the best. Among them, I once encountered advanced rectal cancer, and after resection, the patient''s postoperative survival time exceeded ten years."


    Director Jia''s surgery should have


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    Thousands of units.


    Very experienced.


    "When receiving a doctor or formulating a surgical plan, if a patient is found to have a malignant tumor, even if it is in the middle or late stage, as long as no obvious metastasis is found, you can still try it. The risk and the possible benefits of surgery , explain it clearly to the patients, and let them make their own decisions. In the process of practicing medicine, I usually have a principle, to save the young, not the old."


    "Anyone under the age of 40 can be considered a young patient. As long as there is a chance, we should try our best to persuade the patient to actively treat. If the patient is over 60 years old and his family situation is not very good, then don''t persuade him. We should Doctors, in addition to thinking about the patient, should also think about the patient''s family. Age itself belongs to the elderly. Knowing that the chance of cure is slim, they persuade others to use up their wealth for treatment. In the end, people and money are empty, and the living what to do?"


    Director Jia''s soul torture made every doctor fall into silence.


    For the sake of the living, this is the first time Zhou Can has received this kind of ideological education.


    Unethical, but very close to reality.


    Behind the ruthlessness lies true compassion.


    "Do you think my point of view is difficult for you to accept? It doesn''t matter. If you think my three views are not correct, you don''t have to accept it. It''s just sharing my personal point of view."


    After Director Jia finished speaking, he continued the operation.


    Tell everyone how to determine the tumor site and the extent of resection.


    This kind of practical teaching is of great help to Zhou Can.


    He listened carefully, studied hard, and even brazenly asked Director Jia to come closer to him and observe carefully, and pressed the tumor with his hands.


    "We have now confirmed that the tumor is in this section. During the resection, some normal intestinal sections were properly cut off to ensure that the tumor was cut clean."


    After the cancerous colon was removed, Director Jia''s mission was complete.


    "Who will anastomose the stumps of the intestine? This anastomosis is much more difficult than the previous operation."


    "I come!"


    Director Jia''s voice hadn''t finished yet, and Zhou Can immediately grabbed the opportunity.


    "The hungry wolf has started again."


    The other doctors looked depressed.


    They were still hesitating whether to make a move, but Zhou Can did it directly.


    This is competition.


    In fact, Director Jia was not willing to give this opportunity to Zhou Can.


    However, the doctors under his command were too late, so he could only give Zhou Can the opportunity to exercise.


    "Zhou Can! How do you plan to match?" Director Jia deliberately made things difficult for him.


    If Zhou Can answered incorrectly, Zhou Can''s training qualification could be disqualified logically. The main reason is that a longer section of the colon was cut off. The matching was too difficult, and he was afraid that Zhou Can would screw it up.


    "I''m going to perform a side-to-side anastomosis, do you think it''s okay?"


    After Zhou Can checked, he asked the other party in turn.


    "Can!"


    Just as Director Jia said yes, Zhou Can immediately answered, "This is the first time I have used this method to match, please give me some pointers!"


    After finishing speaking, he had already stood on the main knife position, and started to do it immediately.


    Fortunately, he learned side-to-side anastomosis when he crammed into the basics of medicine. This is an advanced anastomosis method in intestinal anastomosis.


    The two sections of intestines at present are very suitable for this anastomosis method.


    I saw that Zhou Can first performed purse-string sutures to close the two broken ends of the intestines.


    The specific operation method is to perform a purse-string suture along the circumference of the intestine, tighten the suture and close the stump, and then do a purse-string suture to embed the stump inward.


    This kind of suturing is not difficult to say, but it mainly requires high-level suturing and ligation medical skills to support it.


    Zhou Can was a little uncertain about the next operation, and looked at Director Jia.


    The anastomosis has already been done halfway, and it is expected that Director Jia will be too embarrassed to kick him out of the stage.


    "Your suturing and ligation are good, and the anastomosis is also on the line. Do it well! Next, after the two ends of the intestinal resection are closed, the two ends are close to each other and the weight is about 1, and the intestinal forceps are used for clamping control."


    As he spoke, Director Jia patiently instructed him on what to do and what precautions to take.


    Zhou Can''s savvy and hands-on ability are very strong, and he successfully put the two pieces of intestines together, and the length of the joint was just about ten centimeters.


    "exist


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    The distance between the anti-mesentery surface and the midline of the longitudinal axis is about 0.8-1, and the seromuscular layers of the two intestinal loops are continuously sutured with 3-0 non-absorbable sutures for about 4-4~. Intermittent sutures can also be used, but I recommend continuous sutures. "


    The most feared thing about intestinal anastomosis is leakage.


    The so-called leakage is actually leakage of feces.


    The consequences are very serious.


    Every year, patients die from peritonitis and various infections caused by feces entering the abdominal cavity.


    I believe every surgeon knows that if the wound is contaminated with **** water, it will be very difficult to heal.


    In ancient times, even concubines of Gongdou deliberately poured "golden water" on their opponent''s wounds.


    The purpose is to let the opponent die.


    In fact, in ancient times when the medical level was relatively backward, the concubine was already covered in scars after being whipped, and then she was splashed with feces. Basically tantamount to a death sentence, soon to die from infection.


    Following Director Jia''s instructions, Zhou Can sewed up the seromuscular layer of the intestines.


    "Incision along the midline of the central axis and the full-thickness of the two sections of intestinal wall directly to the intestinal lumen. Be careful when cutting, and do not try to be brave if you are not sure. The selection of the incision point, length, and attention are all paid attention to. The distance between the incision and the closed suture The stumps are designed to prevent circulatory disturbance and affect the healing of the anastomotic stoma. Too many stumps are retained, and intestinal content is prone to remain and cause symptoms.¡±


    Director Jia was unwilling to entrust this anastomosis to Zhou Can, mainly because he was worried that there would be problems when cutting the intestines.


    He must have known that Zhou Can needed to use this side-to-side anastomosis.


    Zhou Can picked up the scalpel, carefully followed Director Jia''s instructions, and cut open two sections of intestinal wall.


    Cutting through the gut wall feels completely different than cutting through the cortex of the abdomen.


    When cutting, it feels light and light, and there is no effort, but the toughness is very strong.


    This is actually very difficult to control.


    It is easy to make very large cuts.


    Fortunately, Zhou Can finally didn''t have a frame, and the incision was just right.


    [Cutting experience value +1, +1.]


    [Congratulations on successfully cutting the intestinal wall for the first time, building a docking window, cutting experience +100, matching experience +100.]


    It''s not that the system is generous, but that the broken-end construction window of this intestine is very difficult to operate.


    The difficulty and risk are even higher than the next suture.


    Fortunately, Zhou Can successfully completed this high-risk and difficult operation.


    In fact, all actual operations on patients have great risks. Especially with knives.


    With a knife in the intestines, the risk is even higher.


    "Well, the young man''s comprehension and skill are good, and he cuts well."


    Director Jia''s hanging heart fell to the ground a little bit.


    If Zhou Can messes up in this link, the patient will probably need to lose 2 intestines. The total length of the large intestine is only about 1.5 meters, and a part of the ascending colon and transverse colon has been cut off, and it is unimaginable to shorten it by 2.


    Even if this operation is finally successful, it will have a lifelong impact on the patient.


    For example, the stool is not formed, the actual function of the colon is lost, and so on.


    "Slightly trim the incisional intestinal mucosal border and ligate the active bleeding point to stop bleeding. Continuously suture two sections with absorbable sutures to incise the full thickness of the intestinal wall."


    Zhou Can trimmed the incision on the intestinal wall, which is equivalent to debridement!


    [Debridement experience +1, +1.]


    [Congratulations on completing the trimming of the intestinal mucosa for the first time, reward debridement experience +100.]


    Today, the anastomosis of the colon part can be regarded as profitable.


    However, the operation of each step is really difficult.


    Risks and rewards coexist.


    The more difficult the operation, the greater the reward.


    The key is not to make major mistakes, otherwise he will have to watch other people''s operations for his next digestive surgery training.


    "After the posterior wall is sutured, the full-thickness anterior wall can be sutured. Then, the seromuscular layer is sutured intermittently with nonabsorbable sutures."


    Director Jia was next to him, guiding Zhou Can''s operation almost hand in hand.


    Why can''t I learn many surgical steps after watching the teaching video? Because all the key parts need to be taught by the teacher. This way of teaching by precept and example is the easiest way for people to learn.


    nearly one


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    An hour later, Zhou Can completed all the operations.


    I sweated profusely and broke out several times, and the harvest was also very great.


    In particular, anastomosis, incision, and debridement have all improved by leaps and bounds.


    It''s like a soldier going to the battlefield, killing the enemy and not killing the enemy are completely two concepts. Killing one general of the enemy army is a different concept than killing two soldiers of the enemy army.


    Zhou Can used to anastomose most blood vessels with a few nerves and tendons.


    The successful anastomosis of the colon this time has achieved multiple firsts, which is equivalent to successfully slaughtering a general on the battlefield, which is of great significance.


    "That''s right! It''s the first time you''ve performed an intestinal side-to-side anastomosis. It''s very good. Your comprehension and surgical skills are the only ones I''ve ever seen in my life."


    After Director Jia praised him, he pointed out many things that were not done well, and Zhou Can remembered them all in his heart.


    After boasting, he immediately pointed out the shortcomings, probably because he was afraid of Zhou Can''s pride.


    It can also be seen from this point that Director Jia has already developed a strong love for Zhou Can and wants to train him well.


    It was really not easy to win Director Jia''s approval through two surgeries.


    "Otherwise, it''s up to you to close the cavity!"


    Director Jia''s cultivation of him has obviously increased a lot.


    "The anastomosis just now was really too difficult. My physical strength is seriously exhausted. I''m afraid of messing up. It''s better for other senior brothers to close the mouth!"


    Zhou Can cleverly found an excuse and gave up the opportunity to close his mouth.


    This ingenious way of showing weakness made other doctors feel good about him.


    The look in his eyes softened a lot.


    "I''m going to shut up!"


    Qiu Hong saw that Zhou Can could complete such a difficult side-to-side anastomosis at the regular Peisheng stage. She was greatly stimulated and directly took over the task.


    No one wants to be left behind.


    She also has to work hard to improve her surgical skills and become a veritable attending physician.


    Strive to prepare for the impact of the deputy senior title in the future.


    ¡­


    By the time the operation was finished, it was already past ten o''clock in the evening.


    This is still a smooth operation, otherwise it will be done later.


    Now I hope that this young female patient can recover soon, and it is best not to have tumor recurrence or metastasis.


    Six months after surgery is a high-risk period for recurrence.


    A tumor is like a monster. If you don''t move it, it may just develop insignificantly. Once you cut it, it bounces back with terrifying speed. If it spreads, it will grow wildly in many important organs of the body like weeds.


    At this point, it is impossible for a miracle doctor to save him.


    This is why after the patient undergoes surgical resection, as long as the patient''s physical condition permits, the doctor will advise the patient to take chemotherapy in an effort to completely kill all potential cancer cells.


    According to statistics, cancer in my country presents a high incidence and younger trend.


    In recent years, the number of new cases of cancer has reached a staggering 3.8 million people per year, which is equivalent to more than 10,000 people suffering from cancer every day. And that number is growing at an alarming rate.


    This year it has reached a frightening 4 million people/year.


    In one year, new cases surged by 200,000.


    You know, behind this is a family! In any case, it would be an unprecedented disaster for any family.


    Due to the continuous deterioration of the environment, the aggravation of air and drinking water pollution, and excessive pesticide residues, all kinds of unscrupulous and unscrupulous traders use various chemicals in food, waxing and waxing fresh-keeping and anti-corrosion on the picked fruits. If these problems cannot be effective Solved, the number of new cancer patients will continue to grow rapidly.


    Taking the country''s 1.4 billion population as an example, even if an increase of 4 million cancer patients is added every year, it is an extremely terrifying figure.


    Zhou Can feels the heavy burden on his shoulders, and he will redouble his efforts to improve his medical skills and strive to cure more patients one day.


    Through today''s operation, he also realized the usefulness of early diagnosis.


    In the future, at UU Reading , he will work **** diagnosis and find ways to improve his diagnosis ability.


    Detecting a case of cancer early can potentially save a life and save a family


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    .


    After the operation was over, he returned to the apartment after get off work. He resisted his exhaustion and wrote the summary of today''s operation.


    Then take a bath and turn on the lamp to read at night.


    There are only a dozen days until the first exam of medical comprehensive examination, and his time is very tight.


    Almost every second counts.


    This feeling of being submerged in the sea of ??questions and books made him relive the tension that only happened in the college entrance examination.


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    ""

 Chapter 198： Sister Qiu is here as a guest, the gentleman is open and frank

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    In fact, life is not only a college entrance examination, but will experience life "climbing" again and again.


    Every time you cross a peak or a hurdle, your strength will become stronger.


    It is by piling up again and again that it becomes stronger and stronger in the end.


    So, it is never too late to work hard in life.


    As long as Zhou Can passes the comprehensive medical examination this time, he can complete a transformation in his life. It can also achieve a corner overtaking, and even surpass many research masters.


    Because there are not a few postgraduate masters who fail the medical license exam.


    There are even worse ones who haven¡¯t passed the exam for two consecutive years, and then have to go to the local health bureau to take part in the study and pass the exam before they can continue to apply for the exam.


    ¡­


    Life is like this day by day, and the time is very tight every day, either working or studying. Almost even the time to eat and go to the toilet has to be squeezed.


    Zhou Can''s position in the gastroenterology department has also become more and more stable.


    Whether it''s following Director Jia''s consultation, or managing patients in the inpatient department, or participating in various operations in the operating room, his performance is extremely dazzling.


    His understanding of diseases in the digestive field, as well as their treatment methods, are rapidly improving.


    The medical exam is finally here.


    He has been notified to refer to it tomorrow.


    Although due to the rush of time, the preparation was not so sufficient, but Zhou Can was still full of confidence.


    In the past two months, I have been crazily supplementing some shortcomings in basic medical knowledge, and the results are visible.


    He has already asked Director Jia for a leave of absence, and it is estimated that the exam will last for about two days.


    Back at the apartment, not long after sitting down, I heard someone knocking on the door outside.


    It sounds that the force of the percussion is not strong, but very delicate.


    Could it be that Su Qianqian is here?


    After she came to the apartment to look for Zhou Can more times, she was already familiar with the way. Before coming, there was little notice, saying that it was to give Zhou Can some unexpected surprises.


    "Come, come, come!"


    Zhou Can hurried over to open the door.


    As soon as the door was opened, a big beautiful woman stood outside with a faint smile on her face.


    A very unique perfume smells on the nostrils. It smells nice, elegant and fragrant, and brings people a very good enjoyment.


    "Senior Sister Qiu!"


    Zhou Can was very surprised.


    How did she find Zhou Can''s apartment?


    "Why, you''re not welcome?" Qiu Hong asked him with a smile, and glanced inside, but found no one else.


    "Welcome, of course you are welcome! You are a rare visitor!"


    Zhou Can fully opened the door and invited her to sit inside.


    "Didn''t I tell you last time that I wanted to ask you about how to practice surgery? I''m here with a thick skin. I saw fresh oranges for sale on the side of the road, so I bought some. I don''t know if you like them."


    She did not come empty-handed, but with a gift.


    This is also the most basic courtesy.


    It is impolite to go to someone''s house empty-handed.


    It''s better to bring a small gift with you than to have nothing.


    "What else do you want to buy! You are my senior sister, it''s a great face for me to come to see me."


    Zhou Can took the oranges she was carrying, all of which were fresh and big.


    She has a heart.


    Girls, most of them are careful.


    Of course, there are also those who are nervous and careless.


    "It''s a bit messy in the apartment, I''m sorry. If you tell me that you will come, I will clean it up in advance."


    Zhou Can and Jin Mingxi live together, and they are very busy at work every day.


    Apart from basic hygiene, I really don''t have the spare time to keep everything in order.


    "Hehe, it''s okay, it''s already very good for your **** men''s dormitory to be so clean."


    After she sat down, she casually looked at the furnishings in the room with a pair of pretty eyes.


    The bed was nothing to look at.


    She is a girl staring at **** men''s beds, which is also very indecent. Therefore, his eyes just swept away, and finally fell on Zhou Can and Jin Mingxi''s surgery practice table.


    Jin Mingxi is relatively poor, and the instruments and props for practice are relatively simple.


    Many times, Zhou Can


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    When not practicing, Jin Mingxi would borrow those surgical instruments and instruments from Zhou Can to practice.


    "Please drink tea!"


    Zhou Can made her a cup of tea.


    There is a water dispenser in the apartment, with 24-hour boiling water.


    Just buy your own bottled water and put it on.


    There are also some medical students who are financially distressed and directly boil the tap water to drink.


    Zhou Can is not short of money, and takes great care of Jin Mingxi.


    He never asked Jin Mingxi to pay for such trivial things as buying bottled water.


    But Jin Mingxi is very stubborn and never takes advantage of him. He will be compensated in various ingenious ways.


    After getting up to take the tea and sitting down again, she smiled and said, "No wonder your surgical ability is so strong. I guess, the one on the left of the two operating tables belongs to you!"


    "Hehe, Senior Sister Qiu has sharp eyes and is very smart. She can''t hide anything from you."


    Zhou Can is quite satisfied with his operating table.


    If the sterile conditions of the operating room can be achieved, he can already use these instruments and instruments to complete many primary and secondary operations.


    "After work, do you usually practice various surgical skills in the apartment?" Qiu Hong came this time to ask Zhou Can about medical skills practice.


    Because Zhou Can''s performance in the operating room is too dazzling, not because of his outstanding surgical ability, but because of his outstanding surgical ability in all aspects.


    Even her attending physician is ashamed of herself.


    The gap between the two operations is very large.


    This also made her determined to come to find Zhou Can as soon as she got off work a little earlier today.


    "I used to practice a little more, but recently I have been busy taking medical exams, so I haven''t practiced much."


    Zhou Can really has nothing to teach her.


    It''s nothing more than a regular practice method.


    She subconsciously took a sip of tea, and suddenly said with surprise on her face, "Wow, your tea seems unusual! I went to a tutor''s house as a guest and drank it once. Later, I heard classmates whispering that this tea costs tens of thousands of dollars. One or two yuan."


    Good things never lack people who can recognize them.


    Senior Sister Qiuhong could tell the difference easily.


    "I was also given by others. If you like to drink, I will get you some."


    This tea was given to him by Mr. Cui and Yin Qin, who opened a foreign trade company. Didn''t you help them design the decoration of the living room of the villa last time? After putting it out, the effect is very good.


    Mr. Cui told him that the effect of bringing foreign clients to his home to discuss business is very significant.


    In order to thank Zhou Can for his help, Mr. Cui gave him some tea.


    As for sending money, that would be too cheesy.


    Even if rich people bribe some leaders, they generally rarely send money directly.


    Because sending money is not only vulgar, but also easy to get caught, and the other party is not easy to accept.


    Now under the strict supervision and stricter policies, giving and accepting bribes has become a technical activity. Many of them are through extremely obscure forms, through more than two or three circulations, and finally fall into the pocket in a superficially legal way.


    Some powerful bribe-takers will even find ways to pass up to ten or more transfers, and then turn them into legal income.


    At least without being dug deep by criminal investigations, accidents rarely happen.


    Zhou Can''s family is well-off, so he naturally knows that this is good tea.


    In his eyes, a gift of 10,000 to 20,000 yuan from friends is not too much.


    He went to Mr. Cui''s house as a guest, and he never went there empty-handed.


    This is basically the case in the middle and upper social circles.


    It is quite normal for friends to give tens of thousands of yuan in red envelopes when they get married, or give gifts of ten to twenty thousand yuan when they visit.


    Because everyone is basically an upper-middle class with a monthly income of more than one million, and the things they send are so poor that they may be thrown into the trash can when they turn around.


    It will also be considered as not paying attention to him.


    "Hehe, I can''t afford to drink such expensive tea! This time I came to learn from you and drank a cup, which is already a big advantage."


    She quickly refused with a smile.


    I was also a little more curious about Zhou Can''s identity in my heart.


    It''s no surprise that a handful of doctors are invisible rich.


    But in general, most doctors can only be regarded as


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    Compared with the class that has more than the lower, and the class that is less than the upper.


    There are 10,000 to 20,000 to hundreds of thousands of income per month.


    General residents are not included in this list.


    Because the income of ordinary residents may be as low as several thousand yuan.


    Some hospitals with poor efficiency have only paid basic wages for more than half a year.


    While chatting, Jin Mingxi came back from get off work.


    Standing at the door and looking around, yo, here comes a big beauty.


    He thought that Zhou Can had a new girlfriend, and although he was a little puzzled, he didn''t care about other people''s private affairs.


    Men, how many careless are there?


    "Old Jin, get off work!"


    Zhou Can greeted him.


    "This is Dr. Qiu Hong from the Department of Gastroenterology, my senior sister. This is my roommate, Dr. Jin Mingxi."


    Zhou Can introduced the two to each other.


    "Hello!"


    "Hello!"


    The two nodded politely to each other.


    "Uh...I came back to get some documents. I have to work overtime tonight, so I guess I won''t be back until very late." Jin Mingxi said absolutely, implying Zhou Can.


    Don''t worry, I won''t come back to disturb the good things of the two of you.


    When saying this, Jin Mingxi winked at Zhou Can deliberately.


    "Hey, Lao Jin, don''t go! I still have questions to ask you!" Zhou Can quickly stopped him.


    This guy was full of crooked thoughts, and when he saw Zhou Can bring a beautiful woman back, he leaned in that direction.


    Is Zhou Can like that?


    "Even if you really have to work overtime, you will leave later. Otherwise, if Qianqian comes to me, she won''t be able to clean herself up by jumping into the Yellow River."


    Zhou Can lowered his voice and whispered to him.


    "Isn''t she your new girlfriend? If I don''t leave, how do you do it?"


    Jin Mingxi asked.


    "Fuck you, am I the kind of person who is sentimental? She came to me by herself to ask me how to practice surgery. Everyone is here. I can''t drive her out, can I? You have to help me today For this favor, wait until she leaves you before going to work overtime."


    Zhou Can seems to do things very casually, but he can still tell the difference between what can be done and what can''t be done.


    The gentleman is magnanimous.


    I was alone in a room with my female colleague, and it was almost evening.


    If Su Qianqian finds out, even if she doesn''t care about her generosity, there will definitely be a thorn in her heart.


    Between husband and wife, friends, the most important thing is trust.


    Something that may shake the foundation of trust must never be done.


    "That''s all right, I''ll stay. That''s it, I don''t want to be a light bulb. If a woman is really interested, such a beautiful girl, it''s not bad for you to accept her."


    Jin Mingxi''s thoughts are really speechless.


    It seems that he and that female classmate named Ye Zi probably already have something.


    "Take your head off! I thought this was the old society!"


    After talking to him for a few words, Zhou Can walked back into the room.


    Jin Mingxi also followed in.


    A little embarrassed, he said, "Oh, I don''t remember things when I''m old, and I almost forgot that there are still materials that haven''t been sorted out. I''ll sit over there and sort out the materials, so I won''t disturb you?"


    This was naturally said to Qiu Hong.


    "No, no! I just came here to ask Junior Brother Zhou for advice on surgical skills. His surgical skills are outstanding, and I think his practice methods must be very extraordinary."


    Qiuhong is a woman with high education and high IQ. Hearing Jin Mingxi''s words, she understood everything.


    So quickly clarify, lest the other party misunderstand.


    "Hehe, when it comes to Zhou Can''s surgical skills, I won''t accept him, so I will obey him. Usually watching him practice is really hardworking and focused, but I am not lazy when I practice! Then I just watched him surpass me. , left far behind, do you think you are angry or not?"


    What Jin Mingxi said made Qiuhong amused.


    The originally somewhat awkward atmosphere also dissipated invisible.


    "Haha, it seems that I am not the only one who has lost my temper compared to Junior Brother Zhou! It seems that I have come to the right place this time, and I must learn from Junior Brother Zhou."


    Her wonderful eyes looked at Zhou Can again.


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    "Can you demonstrate how you usually practice?"


    "Yes! Of course you can. I''m afraid you will be disappointed after reading it."


    Zhou Can also doesn''t have any props like white rats or pigskins, so he can only move out the props for practicing insertion and grasping.


    After sitting down in front of the training platform, Zhou Can began to practice picking up soybeans, and then put them into the insertion points of the imitation human props.


    "Here, this is basically how I practice. I used to buy mice and pigskin to practice suturing and blood vessel anastomosis. Today, without these things, I can''t practice. As for incision, practice cutting carrots a little more When you practice hard, it''s like a snakeskin bag and a snakeskin bag."


    After Zhou Can demonstrated, he said to her.


    "I usually seldom practice advanced medical techniques such as clipping and insertion. But after reading your practice, it is indeed the most common practice method. It seems that I still have to spend a lot of money to buy more necessary surgical instruments. Some advanced practice props."


    After Qiu Hong saw it, she was a little disappointed.


    I didn''t find anything special about Zhou Can in practice.


    The methods are the most common practice methods.


    Some surgeons practiced much more tricks than Zhou Can.


    Why practice knotting on cotton or foam, practice withering flowers on rice grains, etc.


    "There are no tricks in medicine. It''s all time, energy, and real money. If you want to say that the fastest growth rate of surgical skills is to practice it on patients."


    Zhou Can shared his experience.


    He still remembers the nervousness of sewing skin on the patient for the first time.


    Later, I practiced a lot on patients, my courage became stronger, and my mentality gradually became calmer, so I was able to play freely.


    "My basic surgical skills have not improved, and I dare not take on many surgical tasks! If I mess it up, you know Director Jia''s rules, and I will really suspend my surgical authority for three months. I was suspended once by him. After that, I will never dare to rob again.¡±


    When Qiu Hong mentioned this incident, his memory was still fresh.


    No wonder the doctors under Director Jia are very "gentle" when they grab the opportunity to practice surgery.


    It turned out that he had been punished!


    Just like educating a child, if you sternly reprimand or beat and scold the child, the child will become timid and cowardly.


    "Senior Sister Qiu is still very young. She has the current surgical ability after only working with Director Jia for five years. In fact, she is already very good. There is no need to be too anxious and improve slowly. I believe that after a few years, the surgical ability will definitely become very good. powerful."


    Zhou Can comforted her.


    What people are most afraid of is comparison.


    She insisted on comparing herself with Zhou Can, she was purely looking for abuse.


    At this time, footsteps came from outside the door.


    Then, the footsteps stopped at the door.


    "Zhou Can, Miss Su is here!"


    The seat where Jin Mingxi was sitting had a better view, and he immediately saw Su Qianqian standing at the door.


    She wore a mask on her face, but that perfect figure was not something that ordinary women could possess. No matter where you stand, you can immediately attract the attention of men and become the focus.


    Especially now that Su Qianqian has become a popular quasi-first-line star and has become more confident.


    The powerful aura that emanates naturally is enough to make her charming.


    As soon as Su Qianqian arrived at the door, she saw her boyfriend having a good conversation with another beautiful young woman. She froze for a moment, a trace of jealousy rose in her heart.


    Fortunately, Zhou Can had the foresight to let Jin Mingxi stay.


    Otherwise, she would definitely turn around and leave in anger.


    "Shallow!"


    Seeing Su Qianqian coming, Zhou Can quickly smiled and got up to greet him.


    With a frank heart, this is his confidence to face Su Qianqian calmly.


    "Senior Sister Qiu, this is my girlfriend, Su Qianqian." Zhou Can said to Su Qianqian after introducing her. "She is my colleague in the Department of Digestive Surgery, Senior Sister Qiu Hong."


    Su Qianqian is not comparable to little girls in society.


    Her knowledge and experience make her very mature and wise.


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    Faced with this unexpected scene, she stepped forward gracefully, smiling and extending her hand.


    "Hello, Doctor Qiu!"


    "Hello! You are so beautiful! I have only seen a beautiful girl like you on TV. Junior brother Zhou has a tricky eye. He never flirts with other female doctors and nurses in the hospital. Now I understand the reason."


    Qiu Hong shook hands with her politely, and praised Su Qianqian by the way.


    The two beauties are both mature, intellectual, and sensible, and there is no spark-filled scene.


    Zhou Can was secretly relieved.


    "Hehe, Doctor Qiu is also very beautiful, and has a particularly outstanding temperament!" Su Qian smiled and praised her.


    "You''re over the top! Hehe, but I''m still very happy to be praised by a beautiful girl like you. I just saw that Junior Brother Zhou''s surgery skills are particularly strong. It just so happens that my surgery skills are very good. , come over and ask him for advice. Now that I have finished my consultation, I will not disturb your sweet lovers'' tryst! Goodbye!"


    Qiu Hong waved to her.


    Then he looked at Zhou Can and Jin Mingxi.


    "Junior Brother Zhou, Doctor Jin, I''ll be leaving first! Goodbye!"


    She left with a smile Zhou Can thought of something, and quickly brought her a bag of tea.


    "Qianqian and I don''t usually drink tea, Senior Sister Qiu took a pack back and tasted it." He came with a gift, how could he ask her to return empty-handed?


    She is well aware of the value of this tea.


    Compared with Zhou Can, her financial conditions are much worse.


    With a monthly income of 10,000 to 20,000, it is impossible to drink such expensive tea.


    "No, no, I dare not accept such precious tea!"


    She refused again and again.


    "What is valuable or not is only valuable in the eyes of those who like to drink it. In my hand, let it go moldy." Zhou Can forced it to her. Together with Su Qianqian, he sent her out the door.


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 Chapter 199： 1 red line drawn, skinny patient

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    As soon as Qiu Hong was sent away, Jin Mingxi came out with a notebook bag.


    "I''ve finished sorting out my materials, so I have to go to the department to be on duty quickly, or the teacher will scold me soon." After Jin Mingxi finished speaking, he waved to Su Qianqian. "I''m on the night shift today, Miss Su, I''m sorry, excuse me!"


    "Go and do your work! I stayed until after nine o''clock and then went back."


    The dialogue between Su Qianqian and Jin Mingxi is particularly interesting.


    She seemed to know that Jin Mingxi deliberately gave up her personal space to Zhou Can and her.


    That''s why Jin Mingxi was clearly told when she would leave.


    After watching Jin Mingxi leave, Su Qian smiled and said, "Your roommate is very understanding. Every time I come, he is either working overtime or working night shift."


    Zhou Can smiled, "Old Jin really has nothing to say about his friends. He is very righteous and kind. He is a person worthy of deep friendship."


    I have known Jin Mingxi for more than a year, and Zhou Can has a very high opinion of him.


    It is one of the few friends.


    "By the way, I almost forgot about my business. The company recently helped me get a chance to play the third female role in a TV series. Will you let me go?" Her eyes were full of longing.


    For any entertainer in the entertainment industry, making movies and TV series is a very rare opportunity.


    With Li Lao guarding her, it is expected that it will not be a bad movie.


    For example, some movies and TV series that sell vulgarity, kitsch, or spoofs that destroy the three views can be called bad movies.


    In the early Hong Kong films, many actresses became famous all at once.


    "You are not my string doll, why would you ask such a question?"


    Zhou Can led her into the room.


    After closing the door, it suddenly became the world of two people.


    "Isn''t it because you''re not happy? Some people don''t understand filming and feel that the actors and actresses in it are messy, especially the various kissing scenes, emotional scenes, and **** scenes, which make people feel that the actresses are dirty."


    It can be seen that she cherishes the relationship with Zhou Can very much.


    The two have walked along the way. It can be said that without Zhou Can''s help, she would not be where she is today.


    Li Luo is at best her bole, and Zhou Can is her backer.


    "I can understand the emotional drama, it''s just reading the lines according to the script. If you fall into the arms of other men so easily, it means that we have a deep relationship, and letting go in time is the best choice. At that time, I will bless you, everyone It''s easy to get together and easy to part. As for the kiss scene and bed scene, if you really want to do it, I have the same attitude, good to get together and good to part, and that''s it."


    Zhou Can spoke very calmly.


    He has always valued feelings and is very rational.


    Having been in love with Su Qianqian for more than a year, it was hard-won to be able to get to where he is today.


    Twisted melons are not sweet.


    Everyone is an adult, purely depends on how she chooses.


    Not to mention that he is not married yet, even if he is, Zhou Can is an extremely decisive person.


    When it''s time to break up, he will never be a mother-in-law. At that time, his heart will be as hard as iron.


    Su Qianqian''s face turned pale after hearing this.


    Having been with Zhou Can for so long, she knows Zhou Can''s character very well. With such a calm and rational tone, Zhou Can can practice what he says every time.


    Zhou Can almost drew a red line for her.


    If you cross the line, you will bear the consequences.


    That''s probably what it means.


    "If there are no emotional scenes, kissing scenes, or **** scenes, would you accept it? The director is interested in my innocence and beauty, and the third female lead I want to play is a female Bodhisattva."


    She asked Zhou Can''s opinion again.


    "This is acceptable."


    Zhou Can thought of the Journey to the West that he read when he was a child, and the Guanyin Bodhisattva in it. Every appearance is sacred and solemn, and there are no such things as men and women.


    If she only plays this type of role, Zhou Can will definitely support her.


    "You promised! Then I will give the company an answer tomorrow!"


    Seeing Zhou Can agree, she immediately smiled happily.


    "Well, I agree. As long as it doesn''t involve emotional scenes, kissing scenes, or bed scenes, I can basically accept it. You must know how to judge. Let me watch my woman and other men''s eyebrows


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    Looking back and forth, even embracing each other, I am not that great. "


    Zhou Can also confessed to her for the first time this time.


    Since the two met, she has always respected herself and kept herself clean.


    So Zhou Can was very relieved of her.


    Now that she wants to take her career to a higher level and start to get involved in the more chaotic film and television industry, she must make it clear what needs to be said clearly.


    "What are you talking about? It''s so ugly. The first kiss was taken away by you, a big villain. In this life, unless you don''t want me, I will always belong to you. I can''t hold it in my heart anymore. Second man."


    she scolded.


    "Human nature is actually the most untestable thing. Everyone has the right to pursue their dreams. If I have to give you a promise, that is, people will not disappoint me, and I will not disappoint others."


    Zhou Can gave her a confession.


    Since the two fell in love, there have been small conflicts, but there have never been major conflicts.


    Trust each other and love each other deeply.


    Both Zhou Can and Su Qianqian are silently guarding their love.


    "Thank you, thank you for giving me a promise of peace of mind."


    She hugged Zhou Can affectionately.


    After a long time, the two separated. Zhou Can was sitting on the bed reading a book, while she was leaning on Zhou Can''s shoulder, wearing headphones, learning more advanced music knowledge. Including pronunciation skills etc.


    This warm and romantic picture is the best memory between the two.


    Relying on each other, each working hard and studying for their careers.


    ¡­


    The next day, Zhou Can arrived at the test site around 11 am.


    One unit is tested today, and three units are tested tomorrow.


    There have been many candidates who have come here for reference.


    There are not only candidates for clinical practitioners, but also candidates for dental and public health practice certificates, as well as clinical assistants, Chinese medicine practitioners, and so on.


    Almost all the candidates are facing the enemy, some look dignified, some are full of tension, some are still sharpening their guns, frantically using their mobile phones to brush questions, or reciting some hard-to-remember knowledge points.


    After four o''clock in the afternoon, it was finally Zhou Can''s turn to enter the arena.


    It would be a lie to say I wasn''t nervous.


    But after he started answering the questions, he found that the difficulty was not as high as rumored.


    An hour and a half later, when he walked out of the examination room, his face looked relaxed.


    As expected, Director Xueyan from the Department of Cardiothoracic Surgery personally helped him formulate the study plan. Zhou Can learned almost all the exam questions.


    Director Xue''s grasp of the exam questions is really amazing.


    Some people are happy and some are sad.


    Zhou Can walked out of the examination room with a relaxed face, but there were also candidates with dejected faces, and dejected people abounded.


    Those who meet are not difficult, those who are difficult will not.


    Exams are always like this, and the weak are eliminated.


    It is like a ruthless sieve, constantly vibrating, screening out the weak and unqualified.


    After a night''s rest, I took the test solidly the next day.


    By the end of the fourth unit exam, Zhou Can''s mind was buzzing.


    Definitely not up to full marks.


    Because of some topics, he himself can feel that he has done something wrong, or he just can''t do it at all.


    However, such uncertain topics are very rare.


    Therefore, he was relatively relaxed in the four exams of the first comprehensive medical examination.


    For the test results, he is quite confident.


    Returning from the examination room to the apartment where he lives, Jin Mingxi is practicing "stabilizing skills". This is also a compulsory course for Jin Mingxi every day.


    "Come back! How did you do in the exam?"


    Jin Mingxi asked about Zhou Can''s exam situation with concern.


    "It''s not bad! There are a few questions I can''t do, and the other questions are relatively easy to answer. As long as you don''t fail at grandma''s house, you should be able to pass the first try."


    Zhou Can is full of confidence.


    "When will the results come out?"


    He asked Jin Mingxi.


    "At that time, I was able to check the results online about a month after the first test. The second test was more difficult. You must not relax, and you must continue to maintain the enthusiasm for studying in the past two months. "


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    Jin Mingxi advised him as someone who had experienced it.


    "clear!"


    Zhou Can will definitely not let up.


    After the exam today, the person he wants to thank the most is Director Xue.


    Looking at the time, Director Xue should have gone home from get off work by now. He took the initiative to send a message to Director Xue, on the one hand to thank her for her help. On the other hand, also report the situation of the exam to her in time.


    "As long as you complete the study plan I made for you, you should be able to pass the comprehensive medical examination. Come on."


    She sent Zhou Can back a message.


    It can be seen that she is very confident in the study plan that she personally tailored for Zhou Can.


    Zhou Can continued to study hard, so he didn''t mention it.


    During the day, he studied and exercised with Director Jia in digestive surgery. In the evening, I went back to the apartment and frantically studied basic medical knowledge.


    When he encounters something he doesn''t understand, he will try his best to find the answer on the Internet.


    If you can''t solve it online, you can only summarize it, and then ask Director Xue for advice.


    Even though Zhou Can has left the cardiothoracic surgery department now, she is very enthusiastic every time she asks Director Xue for advice.


    Like a big sister, she selflessly helps Zhou Can.


    The number of operations in digestive surgery is quite abundant, and Director Jia especially likes to train successors, so he is willing to delegate power.


    There is only one premise, and that is not to screw up.


    As long as you have diamonds, all kinds of porcelain live tubes are enough.


    Zhou Can can get almost all kinds of surgical opportunities.


    As the days passed, he gradually gained a certain reputation in digestive surgery. Whether it is department consultation or surgery, his participation is very high.


    As for endoscopic surgery, let alone.


    Zhou Can showed his strength during a colonoscopy operation, which surprised Director Jia very much.


    Because there are too few doctors like Zhou Can who are talented in both traditional surgery and endoscopy and minimally invasive surgery.


    Since then, Director Jia has delegated authority to Zhou Can to have more opportunities to perform endoscopic surgery.


    This allowed Zhou Can''s experience in many advanced medical skills to increase rapidly.


    Gastrointestinal surgery treats most ulcers and cancers. There are also some chronic diseases, such as intestinal obstruction, gastritis, enteritis and so on.


    Director Jia''s experience in diagnosis and treatment is extremely rich, and many difficult and miscellaneous diseases that cannot be treated by other hospitals can be effectively solved by going to him.


    At least the cause can be clarified and the right medicine can be prescribed.


    Zhou Can studied with Director Jia. In three months, he learned more than a thousand cases of various intractable diseases.


    Almost an average of more than ten cases per day.


    It would be unimaginable if this was changed to a prefecture-level hospital or a lower-level county-level hospital.


    Only a top-tier provincial head hospital like Tuya can have so many patients with difficult and miscellaneous diseases come to seek treatment. It should be known that Tuya Hospital has a total operation volume of more than 100,000 cases every year.


    Based on the 10:1 ratio of outpatient visits to surgery visits, Tuya Hospital receives more than 1 million patients a year.


    It is such a high volume of consultations that can provide opportunities for teaching and advancement to doctors at all levels.


    It is no exaggeration to say that Zhou Can may have gained so much knowledge and experience in diagnosis and treatment in the digestive surgery department for three months, which may not be possible in a lifetime of working in a county-level hospital.


    So if you want to become a famous doctor, you must work in a big hospital.


    No matter how competitive the pressure is, you have to squeeze in. As long as you enter, you will have the opportunity to embark on a broad road.


    Why is Tuya, a doctor in her thirties, or even in her twenties, going out and being recognized by hospitals at all levels outside? That''s because they really have the ability.


    Doctors trained by top hospitals, even if they are obsolete, are considered valuable if they are sent to other hospitals.


    Seeing that the end of Zhou Can''s regular training in digestive surgery is getting closer and closer, his second exam in comprehensive medicine is also approaching. His various studies became even crazier.


    This day, I went to the clinic with Director Jia again.


    It was still he and Senior Sister Qiu Hong who assisted together.


    Since Senior Sister Qiu was a guest in Zhou Can''s dormitory that time, her attitude towards Zhou Can has become more polite and friendly.


    At work, Zhou Can also provided a lot of help and guidance.


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    She is full of affection for this young and wealthy junior brother with strong medical skills.


    It is worth mentioning that she also seems to have a high talent in endoscopic surgery. Once, she won an endoscopic suture for an endoscopic surgery, which she did very well.


    Over time, her achievements will definitely not be low.


    At this time, a patient was directly carried into the consulting room by his family members.


    Zhou Can stared at the patient for a few times, and the body under the clothes managed to be weak. It feels empty when the clothes are on his body. The exposed wrists are terrifyingly thin.


    The knuckles and wrist joints are all clearly exposed.


    There is not a trace of flesh on the face.


    The whole person is completely skinny.


    This should be a child of fourteen or fifteen years old. Because of his excessive weight loss, he looks much shorter than normal children of the same age.


    His parents brought him to see a doctor together, their faces were full of sadness, showing exhaustion that could not be concealed.


    Any parent would feel worried and anxious when encountering such a situation with their child.


    "Doctor, please help me! My child is seventeen years old this year. Two years ago, he was a very healthy child. His body looks like a strong boy. For some reason, he suddenly started to have diarrhea, and his food intake continued to decrease. I lost weight day by day. We visited many hospitals, but none of them were able to treat the child¡¯s illness. Half a month ago, I saw the gastroenterology specialist of your Tuya Hospital, but the cause was not found. He suggested that we refer to a gastroenterologist. The number said that maybe you can do something."


    After the family members experienced a long journey to seek medical treatment, their hearts must be full of despair.


    For them, even if there is only one ten-thousandth hope, they must try their best to try.


    This is the selfless love of parents for their children.


    One mother raises seven children, but it is difficult for seven children to raise a mother.


    Every qualified parent is a child''s Buddha, but children may not be able to become their parents'' support.


    What Zhou Can saw the most in the hospital was that there was no filial son in front of the long-term bed.


    When parents grow old, when they are sick, children are full of complaints and dislikes.


    It even happened that a son in his thirties beat his sick father on a hospital bed, and then the nurses in the department called the police on the spot. After the son was taken away, he was released again.


    Why?


    Because the elderly in the hospital bed need to be taken care of.


    Although his son treated him badly, he was just such a son. The old man needs his son to take care of his eating and drinking. No one knows whether the money for the hospitalization was paid by the son or the pension money saved by the old man himself.


    Most of Huaxia''s parents will save a sum of pension money after helping their children start a family and start a business. So as not to drag down the children after losing the ability to work when they are old.


    This is the selfless and great love of parents for their children.


    Raising children and nurturing adults without expecting anything in return.


    The boy''s parents, in order to treat him, probably have taken him to various hospitals.


    Because there are many bags in my hand.


    Inside are the inspection reports of various hospitals.


    It must be mentioned here that some hospitals are really pitted. Obviously, the patients who came to seek medical treatment had already undergone corresponding examinations, but because he had the examination done in another hospital, when he came to see him for treatment, he asked the patients to do it again.


    Many doctors with high medical ethics, especially experts, rarely do such things.


    On the one hand, it can save the time of emergency treatment for patients, and on the other hand, it can also save unnecessary examination fees for patients. CT, MRI, etc., all have quite strong radiation, repeated in a short period of time, will cause great harm to the patient.


    Obviously, what the patient took out was also a film taken by a tertiary hospital, but the doctor who attended the consultation refused to admit it, and insisted on asking the patient to have a re-examination in this hospital.


    Patients in a disadvantaged position have no way to refuseeven if there are thousands of "grass mud horses" galloping in their hearts.


    From this point of view, many patients are keen to join the account of experts and professors, but are not interested in the account of ordinary doctors. The reason is certainly not only that experts have better medical skills, but also that ordinary doctors use chicken feathers as a leading arrow, and all kinds of unscrupulous operations make patients miserable.


    There are two professions in this world


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    It should not be tainted by money.


    One is a teacher and the other is a doctor.


    But unfortunately, these two professions are currently being tainted by money, and their professional ethics are getting weaker and weaker.


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    ""

 Chapter 200： This is pseudoenteritis, and the family members strongly request this examination

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    Decades ago, there were a lot of good teachers with selfless dedication, and teachers were very respected objects in everyone''s mind. But look at today, all kinds of disguised ways of accumulating money and charging fees. The teacher secretly investigates the parents of the students in the class, which one is rich and which one is an official, and then treats them in various ways.


    The receipt of various miscellaneous fees in some schools makes parents doubt life.


    Teachers are no longer keen on how to teach children well, but think about how to make money, actively complete the school''s charging tasks, and get promotions and evaluations. This is all worrying.


    Not to mention doctors, there are more and more mouse droppings, and there are fewer and fewer virtuous doctors.


    The Kamata Department of Hospital swept the world.


    Hospitals are bundled with marketing.


    So much so that some hospitals put up all kinds of shocking slogans, welcome to visit next time! Congratulations to a certain department for achieving new highs! Meetings dedicated to how to retain patients¡­


    In the end, the vast majority of civilians will be the victims.


    "The inspection materials are so thick, you have gone to a lot of hospitals, right?"


    While chatting with the family members, Director Jia began to give the child a simple physical examination to get closer to the doctor-patient relationship.


    "That''s right, I went to no less than twenty hospitals. But I couldn''t find any disease."


    The child''s father said with a bitter face.


    "How much food can he eat a day now?"


    "He eats two small bowls of rice a day, and he likes to eat strong, spicy and salty vegetables."


    the child''s mother replied.


    Usually, it is the mother who takes care of the children more.


    "A 17-year-old boy only eats two small bowls a day, which is indeed too little." After Director Jia finished speaking, he turned to Zhou Can and said. "Measure the patient''s body temperature, pulse and other basic data."


    Director Jia continued to ask the family members about the child''s situation.


    "Is he still having diarrhea?"


    "Hey! As long as you eat something, you will have diarrhea."


    "This disease has lasted for two years?"


    "It has been more than two years now. At that time, the child was in the third year of junior high school, about the second half of the third year of junior high school. One day the teacher called and told us that the child lost weight rapidly in a short period of time, and asked us to take the child to the hospital for an examination. Through After inquiring, we found out that the child has had diarrhea at school for more than a month, and his appetite has been decreasing.¡±


    The school is closed management.


    Many children who are far away from home may only go home once or twice a semester.


    Eating dirty things in school should be very unlikely to cause diarrhea. Otherwise, it is impossible for this child to have diarrhea, but a large number of children with diarrhea.


    And it is impossible for school meals to have problems every day.


    "After taking the child home, do you still have diarrhea after eating home food?"


    "Hey! The diarrhea still persists. After taking the antidiarrheal medicine, it had some effect at the beginning. Later, I took it more often, and the child''s body had obvious problems, so we dared not give him any more."


    Many western medicines have relatively serious side effects.


    Taking a certain western medicine for a long time is very prone to some "drug overdose".


    Because our body has to metabolize the drugs we eat, there is a cycle.


    It could be a day, it could be a week, or even longer.


    The metabolic cycle depends on the drug.


    So far, there is no drug that can remain in the body for a long time.


    This is why many diseases need to take medicine on time.


    The child''s digestive function itself had a problem, and he was constantly taking antidiarrheal medicine. One or two days is fine, but after a long time, the old drug ingredients have not been completely metabolized, and new antidiarrheal drugs are taken, which continuously causes the drug ingredients to accumulate in the body.


    When this amount reaches a certain concentration, the body will experience obvious discomfort.


    When taking western medicines, there are side effects, stop taking them immediately, and you can basically get better quickly.


    "Director Jia, the patient''s blood pressure is high, heart rate is too fast, body temperature is normal, body is extremely weak, anorectal prolapse..."


    After Zhou Can completed the basic physical examination for the patient, he showed the data to Director Jia for review.


    Now, the patient''s pre-diagnosis records, medical records, medical history and other information are all collected by the weekly


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    Can record. Director Jia is only responsible for diagnosis and asking patients for key information.


    This is also a further training for Zhou Can, laying a solid foundation for him to sit alone in the clinic in the future.


    "The high blood pressure should be related to the body being too thin. The heart rate exceeds the normal value, which should be related to the body being overloaded. The root of all symptoms should still be caused by diarrhea."


    Director Jia made a series of condition analysis.


    Many people think that only fat people will have high blood pressure, but this is actually wrong.


    Strictly speaking, both fat and thin people have the probability of getting this disease.


    It is caused by excess blood circulating in the body.


    The patient''s long-term diarrhea has led to prolapse of the anus, indicating that the patient''s diarrhea is very serious.


    Director Jia took the patient''s blood test, B-ultrasound film, X-ray examination, colonoscopy examination, electrolyte test... and checked them one by one.


    The doctors tried their best to find out the cause of the patient''s diarrhea.


    Even E. coli was checked.


    Unfortunately, the patient''s etiology is complicated and confusing, and the real cause of the disease has not been found out.


    Many diseases are particularly cunning. They are good at various camouflage and create many smoke bombs, so that doctors can never find where their "true body" is.


    Director Jia frowned tightly after going through all the patient''s examination materials carefully.


    All necessary checks have been done.


    Basically there is no need to do it again.


    There are several data abnormalities in the blood picture, but there are traces to follow, which can be linked to diarrhea.


    All tests point to one disease, enteritis.


    The patient had a colonoscopy, and indeed there was enteritis, but it was definitely not ordinary enteritis. Otherwise, the previous doctors who have diagnosed are all fake doctors.


    Moreover, some doctors have treated the patient''s disease as chronic enteritis, and the effect is not satisfactory.


    Director Jia was in a predicament for a while.


    Even though he was well-informed, it was difficult to diagnose the real cause of the disease for a while.


    The patient has become emaciated like this, and blindly prescribing the medicine without finding out the cause is tantamount to pushing the patient into the gate of hell.


    It is estimated that within a month, the patient will have to lie in the intensive care unit.


    "Qiu Hong, Zhou Can, take a look together!"


    Facing the expectant eyes of the patient''s family, Director Jia couldn''t hold back his old face, so he temporarily recruited two cobblers to make up for it.


    To ease the awkward atmosphere.


    After reading the inspection materials, Qiuhong raised several questions, all of which were rejected by Director Jia.


    Zhou Can kept silent.


    His rule is not to speak easily, and once he speaks, it is a very constructive opinion.


    Time passed by every minute and every second.


    The family members have been disappointed many times, so they seemed to have expected it when they saw Director Jia failed to say a specific result.


    The despair in my heart grew a little more.


    At this time, Zhou Can heard a slight borborygmus from the patient. He couldn''t help but move slightly, and quickly leaned over, leaning close to the patient''s abdomen to listen to the sound. When a patient suffers from a lung disease, the doctor often listens to the patient for phlegm sounds and the like.


    Diarrhea is rarely checked bowel sounds.


    "Does he have frequent bowel sounds?" Zhou Can asked the boy''s mother directly.


    Normally, his mother should take care of him more, and since women are more thoughtful, she might notice the bowel sounds.


    "It''s not bad! The closer it is to the meal, the more frequently his stomach growls. There is also a sound after eating, about half an hour later. But it''s another kind The sound is a bit like water being shaken in a bottle, making a "crash clatter" sound."


    This information provided by the patient''s mother is critical.


    Zhou Can has always been good at diagnosing the pathological mechanism of patients and diagnosing lesions with unconventional ideas.


    After asking the family members, Zhou Can didn''t have anything to say.


    Instead, he picked up the patient''s examination report to check again, showing a pensive expression from time to time.


    He accompanies Director Jia to make consultations in the Department of Gastroenterology, and has made many great achievements. Assisted in the diagnosis of nearly ten difficult cases.


    Director Jia praised him as a ghost more than once.


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    At this moment, Zhou Can showed such an almost obsessed performance, Director Jia had a glimmer of expectation instead.


    He patiently asked Zhou Can to think carefully.


    The family members secretly wondered why this expert surnamed Jia mainly focused on students?


    Usually students are mainly teachers who teach!


    Naturally, they didn''t know Zhou Can''s ability, let alone Zhou Can''s special position in digestive surgery.


    Director Jia and Qiu Hong waited patiently for Zhou Can, and the family members naturally would not rush him.


    For them, the most concerned thing is whether they can find out the cause of their son''s illness and cure it. As for who can find out, it doesn''t matter at all.


    Time keeps ticking.


    Families are increasingly hopeless.


    At this moment, Zhou Can suddenly said something that didn''t make sense.


    "His enteritis must be pseudoenteritis!"


    "What''s the meaning?"


    The family members asked puzzledly.


    "That is to say, your son may have fake enteritis." Qiu Hong helped explain.


    "False enteritis? Then what''s wrong with my son?"


    The patient''s father''s eyes brightened slightly.


    "When I took my son to another hospital for treatment, a specialist surnamed Qin also said similar things. He said that the enteritis my son had might be just a symptom, and the real cause of the diarrhea might be something else. It''s a pity he I tried my best, but still failed to find out the real cause of the disease. What the young doctor said is very similar to that expert¡¯s opinion, which shows that he has real skills.¡±


    After waiting for so long, the patient''s father thought that the name of Tuya Hospital did not match the reality.


    It doesn''t matter if the cause cannot be diagnosed, but the attending physician who is known as a super expert actually asked a young doctor to help diagnose it. And focus on the young doctor.


    It''s just ridiculous.


    At this moment, Zhou Can said that his son''s illness was pseudoenteritis, and he realized that this young doctor is not ordinary, but has real skills.


    "Director Jia, do you think the patient is not sick at all?"


    What Zhou Can said again was even more shocking than the last sentence.


    If he hadn''t diagnosed his son with pseudoenteritis, the child''s father would have stood up angrily and turned the table over.


    What the hell.


    If there is no illness, who would take the child to seek medical treatment and medicine?


    "Doctor, my son is so sick, how could he be fine?" the child''s mother asked angrily.


    "Hmm... What I said is not sick is different from what you understand. I mean, he doesn''t have any substantial lesions."


    Zhou Can explained and looked at Director Jia again.


    His eyes were persevering in keeping the real from the fake, shining with a confident and firm light.


    "you mean?"


    Director Jia''s eyes narrowed, he was thinking quickly about the meaning of Zhou Can''s words.


    Qiu Hong''s wonderful eyes stared at Zhou Can.


    She felt that the consultation with Zhou Can was completely at two levels of thinking. She can''t even touch the wind.


    I don''t know what Zhou Can''s thinking is.


    The bigger the gap, the more she admired this junior. It can even be called worship.


    "Can you do a 24-hour monitoring of the patient''s brain waves? I suspect that he may be mentally ill, causing digestive system disorders." Zhou Can gave his own diagnosis opinion.


    The family members don''t understand these professional medical terms at all, so they can only watch and listen in a daze.


    However, there was a light of hope in their eyes.


    It was the endless hope after finally seeing a glimmer of light in the endless darkness.


    They are looking forward to the exciting moment when the cause is diagnosed.


    "Nervous digestive disorder? But his symptoms are obviously not like it! I have diagnosed many cases of this disease, but I have never seen it." Director Jia has decades of experience in diagnosis and treatment, so it is impossible that he has not encountered it before. Cases of nervous digestive disorders.


    He has long been screened for similar diseases.


    "Tell me about your diagnostic basis and diagnostic thinking."


    Director Jia did not hastily agree to Zhou Can''s request for brain wave monitoring.


    he wants first


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    Let''s see if the young man''s diagnosis basis and dialectical thinking are reasonable.


    "My basis is relatively simple, which is to start with the patient''s bowel sounds, and then make inferences based on various examination data, medical history, and symptoms." Zhou Can said very straightforwardly.


    "The patient''s mother reported that the patient would send out a "cuckoo" bowel sound as a hunger signal when it was time to eat. It shows that the patient''s intestines can normally feed back the hunger signal to the body after detecting that there is no nutrient delivery. Half a meal after a meal About an hour later, his intestines will make a "crash clatter" sound again, which is a precursor to diarrhea."


    "I think it is only necessary to do two tests to diagnose whether it is a neurodigestive disorder. The first is 24-hour brain wave monitoring. Mental state. The second is to listen to the specific part of the patient¡¯s bowel sounds about half an hour after the meal. It can be indirectly inferred the speed and state of the intestinal contents in the colon before the diarrhea occurs.¡±


    Zhou Can roughly explained the way of diagnosis.


    Since the patient must have diarrhea every time he eats, it means that the food is still liquid when it is output from the colon.


    According to the bowel sounds, inferring the peristaltic speed of the colon, it can only be said that Zhou Can is worthy of the title of ghost.


    "Director Jia, please promise to do these tests for our son! We don''t care about the amount of money, even if we don''t find out the cause, we will be willing, and we won''t blame Dr. Zhou."


    The family members of the patient were the first to strongly request Director Jia to agree to do this brain wave monitoring.


    They don''t know how to treat diseases, but Zhou Can''s detailed analysis seems to make sense. UU reading


    Either way, it''s worth giving them a try.


    Examination is not like surgery, and the risk of brain wave monitoring is almost zero.


    As for spending some money, they really don''t care.


    My worst fear is not seeing hope.


    Now that there is hope, what else is there to say.


    "Don''t be impatient, I''ll make arrangements for you!"


    After listening to Zhou Can''s analysis, Director Jia felt that this novel way of diagnosis was unique, eclectic and very interesting.


    He was full of anticipation for the diagnosis result.


    If the cause is found out, it is really a neurodigestive disorder, and he should be able to write a thesis.


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    Chapter 200 This is Pseudoenteritis, and the family members strongly request this test to be read for free: https://,!


    ""

 Chapter 201： The cause is found out, it is a good thing to cry out

    , update the latest chapter as soon as possible!


    The next thing is easier to handle. Find a way to arrange 24-hour brain wave monitoring and bowel sound monitoring for patients.


    For this test, the patient needs to live in the hospital, but it does not belong to hospitalization.


    It''s just an inspection item.


    After a day of monitoring, the patient''s 24-hour brain wave data and bowel sound monitoring and positioning have been completed.


    Of course, Zhou Can didn''t need to do it himself.


    Director Jia temporarily arranged for two interns to monitor the patient''s bowel sounds and locate them.


    The monitoring of bowel sounds does not need 24 hours, it mainly focuses on about half an hour before and after meals. However, the doctor who needs to monitor draws an accurate positioning map.


    This job requires strong professional knowledge.


    At least it is necessary to clearly know which intestinal segment the bowel sound is located in.


    Using two interns to do this at the same time is also to ensure that no mistakes are made and the accuracy is maximized.


    In the digestive surgery consultation room, more than a dozen doctors sat together for consultation.


    Several chief physicians including digestive surgery were present.


    There are a total of five difficult cases and the formulation of complex surgical plans requires everyone to discuss together and gather the wisdom of many people for consultation.


    The first case to participate in the discussion and consultation was this case of pseudoenteritis.


    "This patient is 17 years old and has had diarrhea for more than two years, and his symptoms are highly similar to enteritis in all aspects."


    Director Jia first introduced the patient''s condition, and then put the patient''s examination report and other information on the public screen.


    "That''s right, this is typical enteritis!"


    A young deputy chief physician in his forties came to a conclusion after seeing it.


    "I know this disease. I was invited by the Gastroenterology Department for consultation more than half a month ago. We discussed it together for a long time, but the real cause was not found. It is basically certain that it is definitely not common enteritis. He was diagnosed and treated in the hospital, but to no avail.¡±


    The speaker this time was Director Xiao of the Department of Digestive Surgery. He was fifty-six years old and also served as the director of the Department of Digestive Surgery.


    In terms of diagnosis and treatment level and surgical ability, it is second only to Director Jia.


    The deputy chief physician who spoke first was immediately slapped in the face.


    If you are young, if you express your opinion too impulsively, you will always be easily slapped in the face.


    "It''s not common enteritis, what could it be? Is it refractory chronic enteritis similar to Crohn''s disease?" the deputy chief physician asked with a blushing face.


    In his early forties, he could be called a "young man" among doctors.


    The deputy chief physician is quite aggressive and aggressive.


    During the consultation, everyone spoke freely without any scruples.


    Not to mention anything else, the enthusiasm of the deputy chief physician is definitely worth encouraging.


    "Crohn''s disease can be ruled out, but the possibility of chronic enteritis cannot be ruled out."


    Director Xiao replied.


    "Dr. Zhou Can in this group thinks that the patient has pseudoenteritis. Yesterday, he arranged for the patient to undergo 24-hour brain wave monitoring and bowel sound monitoring. Next, Dr. Zhou will introduce the diagnosis idea to you!"


    Director Jia is not condescending at all.


    Zhou Can was pushed out directly.


    There was an uproar in the audience, and the focus of attention was on Zhou Can.


    Zhou Can stood up and introduced the diagnosis ideas to many superior doctors.


    After the introduction, without waiting for him to sit down, Director Jia then signaled to him, "Zhou Can, now that the monitoring data you want have come out, let me introduce your diagnostic conclusion to everyone."


    After listening to Zhou Can''s diagnosis ideas, the consulting doctors couldn''t help thinking deeply.


    For this Gui Peisheng who has made great achievements repeatedly, several chief physicians have long stopped treating him as a Gui Peisheng. Rather, it is raised to an equal height.


    "Through the observation and comparison of brain wave data, I found that the patient''s brain wave signal is basically the same as I predicted. Only when he fell asleep, the brain wave tended to be normal. At this time, bowel sounds no longer occur. It means that when the patient is awake during the day, The spirit should always be in a state of high tension. This further shows that the patient''s long-term diarrhea has a correlation with mental tension."


    "Also, the patient''s bowel sounds after eating can roughly infer the initial digestion of food passing through the stomach.


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    After entering the duodenum, the speed of intestinal peristalsis far exceeds the normal value. I have reason to suspect that after food enters the intestinal tract, it quickly passes through the peristalsis of the intestinal tract, is discharged to the rectum, and then is excreted from the body. The abnormal activity of the intestinal tract is likely to be interfered and manipulated by abnormal nerve signals. "


    Zhou Can spoke eloquently, based on the first-hand monitoring results.


    The disease that refers directly to the patient is neurological digestive dysfunction.


    "As we all know, gastrointestinal neurosis is actually gastrointestinal dysfunction and functional dyspepsia. It is a general term for gastrointestinal syndrome. It is the dysfunction of the autonomic nervous system caused by high-level nerve activity disorders."


    It is mainly gastrointestinal motility and secretion dysfunction, without histological organic pathological changes, and does not include gastrointestinal dysfunction caused by other systemic diseases.


    "If the patient''s condition is uncovered, it will be found to be highly similar to neurodigestive disorders."


    After Zhou Can published his diagnosis, the other doctors fell into deep thought again.


    "Although your analysis is very reasonable and supported by certain evidence, it is still impossible to diagnose the disease!" It was the "aggressive" deputy chief physician who was the first to question it.


    "It''s actually not difficult to diagnose. You can give the patient psychotropic drugs to relieve mental anxiety, and let the patient eat when the brain wave is stable. Then observe whether the patient''s intestinal peristalsis speed returns to the normal level."


    Zhou Can had long thought of further testing methods.


    If this small problem can still trouble him, the three months in the intensive care medicine department will be in vain.


    Learning the operation of the three major systems of the human body and practicing them will allow him to have a deep understanding of each system.


    "I think it''s worth a try."


    Director Xiao''s eyes were extremely bright.


    Zhou Can''s diagnostic ideas and even experimental methods are unique.


    "Prescribe it to the patient immediately and see how the treatment works."


    Director Jia directly wrote a prescription by hand, and then handed it over to Qiuhong to execute.


    ¡­


    When the consultation was about to end, Qiu Hong ran back excitedly.


    The face is full of smiles.


    "Director Jia, after administering the medicine to the patient, wait for the patient''s brain waves to stabilize, and then let him eat. Forty minutes later, the patient''s intestinal peristalsis is still in a normal state, and for the first time there is no more diarrhea. The family members are very happy, and they said that we The hospital is worthy of being the most famous hospital in the province, and I also praise you and Dr. Zhou for their superb medical skills, and they are living miracle doctors!"


    When Qiu Hong talked about this, her face was full of pride.


    After preliminary experiments, it has been basically proved that the patient''s enteritis is really related to high mental stress.


    Now no one questioned Zhou Can''s diagnosis.


    When they looked at Zhou Can, their eyes were full of admiration or admiration.


    It''s not shocking, because it''s not the first time Zhou Can has made such a great achievement.


    There have been many cases of intractable diseases "diagnosed and solved" by Zhou Can.


    "My contribution to this disease is very small, mainly due to Zhou Can''s contribution." Director Jia is very honest and never competes with his doctors for credit. "Zhou Can, it has been basically confirmed that the patient''s illness is really a mental illness. Tell me about your treatment plan! What I want to hear is to cure as much as possible, rather than relying on psychotropic drugs to control the disease for a long time."


    Director Jia can be regarded as half of his teacher.


    When making a request to him, it was exactly the tone of an elder to a junior.


    Based on Director Jia''s teaching and cultivation of Zhou Can, he really has this qualification.


    From another perspective, it can also be considered that Director Jia and Zhou Can have a close relationship.


    "If you want to be cured, you must find the cause of the patient''s high mental stress. From the description of the family members, I suspect that the patient''s high mental stress has something to do with the high school entrance examination. Because when the patient became ill, it happened to be the second half of the third year of junior high school, which was close to the time stage of the high school entrance examination. Children in this period of time, the cause of high mental stress is easier to investigate. I want to talk to the family members and patients, and then formulate a corresponding treatment plan, do you think it is okay?"


    During this period of time, Zhou Can has been supplementing the basic knowledge of psychological medicine.


    At this moment, it came in handy.


    He suspects that the cause of the patient''s high mental stress may be related to the senior high school entrance examination.


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    Even if this is not the reason, it should be relatively easy to troubleshoot.


    For example, the emotional state of the parents, or the stimulation of the child''s puppy love, or the teacher''s severe criticism of the child because of something, may cause the patient''s high mental tension.


    As long as the patient''s heart knot is untied, the disease will heal itself.


    "Hurry up, I''m looking forward to the final result!"


    Director Jia asked Zhou Can to quickly communicate with the patient and his family.


    ¡­


    Zhou Can easily found the smiling family member outside the brain wave monitoring room.


    The cause of the child was found, and the condition was preliminarily controlled after taking the medicine, which made the family members happy. Most of the sadness on his face has been swept away, replaced by a smile from the bottom of his heart.


    "Doctor Zhou, thank you for saving our son, you are the benefactor of our family!"


    When the family members saw Zhou Can approaching, they excitedly stepped forward to express their thanks to Zhou Can.


    "I am only assisting in the diagnosis and treatment of your son''s disease, and it is mainly due to my teacher, Director Jia. I am here now, just to talk to you about the specific causes of your child''s disease. I will strive to completely cure your child''s disease, not always Control the condition with medication."


    Zhou Can didn''t choose a place, so he sat down on a bench outside and chatted with his family members.


    "Before the child got sick, did you put any pressure on him about the high school entrance examination? For example, you want him to be admitted to a good high school."


    "Yes! At that time, the senior high school entrance examination was approaching, and the child''s father emphasized more than once that he hoped that the child could be admitted to the No. 1 Middle School in the county. Because the child is the only child in the family, and his academic performance is not bad, so our husband and wife have high expectations for the child. Could this also cause my son to get sick and have diarrhea?"


    The family members did not question Zhou Can.


    Rather, it felt a little unbelievable.


    No wonder they don''t understand.


    Without professional medical knowledge, who would have thought that giving a child some pressure in the senior high school entrance examination would actually cause diarrhea in the child? In their view, diarrhea may occur only after eating unclean things or when the body is sick.


    "I''m not 100% sure yet. Can your son communicate with you normally now?"


    Zhou Can had asked patients questions before when he was in the outpatient clinic, but he couldn''t communicate normally at all.


    The patient has autistic tendencies.


    At that time, it was thought that the patient''s body had a serious illness, which led to autism.


    It is only now that I understand that he may be autistic due to mental illness.


    "Yes! When I talk to my son when there are no outsiders, he can respond to me more normally. It''s just that our son has been introverted since he was a child and doesn''t like to talk much."


    The patient''s mother said.


    "As long as someone can communicate with the child normally, this is a good thing. You can try to chat with the child and tell the child that getting into a good high school is not that important. Untie his knot as much as possible and let him Get out of the mental prison you set for yourself."


    Next, Zhou Can specifically taught the patient''s mother some directions for persuasion.


    It is not difficult to provide patients with a private space that causes as little tension as possible. Pull the curtain above the monitor bed to cover the whole bed.


    According to Zhou Can''s instructions, the child''s mother went in and tried to do ideological work for the child and enlighten the child.


    If it doesn''t work, they can only take their children to do special psychological counseling.


    Less than half an hour later, I heard crying from inside.


    The child''s father had been anxiously waiting outside, but when he heard his son crying inside, he immediately wanted to rush in to find out.


    He was held back by Zhou Can.


    "It''s a good thing for a child to cry. I''m afraid that he will hide all the pressure in his heart and bear everything in silence. Also, after you see your child, you hope you can take the initiative to tell him that you don''t need him to go to a good high school. Stop putting pressure on him. Give him as much care as you can."


    For a seventeen-year-old child, crying is the initial manifestation of the psychological defense line being torn apart and the complete release of emotions and pressure.


    This cry means that the child''s heart knot is collapsing.


    is a good thing.


    Zhou Can is very busy, it is impossible to stay with him all the time


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    here.


    After a few words of advice, he went about his own business.


    It was around one o''clock in the afternoon, and he was writing medical records and checking information in the office.


    The boy''s father came.


    As soon as you enter the door, you have to kneel on the ground.


    Zhou Can was so frightened that he got up quickly to support him, and the other doctors watched all this in astonishment.


    "Dr. Zhou, thank you... My child ate half a bowl of rice and a lot of vegetables for lunch. It was the first time in more than two years that he called me out loud. Also, after eating, he didn''t have diarrhea anymore. It''s incredible. You Saving my son is equivalent to saving our family, if my son dies, my family will also be destroyed."


    The man''s voice choked several times.


    For most families, children are their hope and their lifeblood.


    "Haha, that''s great! It''s the most gratifying thing for us doctors to see the patient''s condition improve and recover. Your child''s body is very thin due to long-term malnutrition. A fat man needs to take it step by step and slowly. You must not give him all kinds of nourishment immediately, and you must increase it gradually."


    "In addition to the gradual supplementation of nutrition, we also need to help him increase the amount of exercise. After he can stand up, take him to walk more and breathe more fresh air outside. When Director Jia comes, I will help you. See if you need to prescribe medicine."


    When Zhou Can heard the good news, he was really happy from the bottom of his heart.


    Finally, he successfully treated a patient with intractable diseases who was on the verge of death.


    [Pathological diagnosis experience value +1.]


    [Congratulations on successfully diagnosing a super-difficult case, and you will be rewarded with +100 experience points for pathological diagnosis. Reward first aid life wisdom experience value +100. ¡¿


    Zhou Can received two big rewards at the same time.


    [Congratulations on your first-aid biomedical skills being promoted to the intermediate levelThe current experience value is 1/10000. When rescuing patients, you can multiply your wisdom, keep your mind highly calm, and improve your diagnostic thinking by 100%. ¡¿


    This special medical skill was successfully promoted to the intermediate level.


    Zhou Can was very happy.


    The usefulness of special medical skills is different from ordinary medical skills, it is more like spring rain moistening things silently.


    Secretly and silently improve Zhou Can''s diagnostic ability and help him maintain a calm mind. Able to see the sun through the clouds and not be confused by the manifestations of some diseases.


    The diagnostic thinking has been improved by 100%, which is equivalent to doubling.


    According to his understanding, it should double the diagnostic ability when diagnosing critically ill patients.


    Whether this is the case or not needs to be tested with a patient next time to find out.


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    Chapter 201 The cause of the disease is found out, it is a good thing to cry out for free: https://,!


    ""

 Chapter 202： Why are you still crying? the first

    This difficult case patient, through the ideological work of his parents, untie the knot, the mental pressure was greatly relieved and released, and finally healed successfully.


    There has never been loss of appetite and diarrhea after eating.


    Zhou Can showed his face again.


    His status in digestive surgery has obviously risen a lot again.


    There are two chief physicians who usually have a very cold attitude towards him. When they see him, they will smile on their faces. Even stopped for a few words.


    Even though they were talking about unnutritive things, such as, are you going to the operating room for surgery?


    Or "Dr. Zhou''s case analysis and diagnosis last time were excellent, come to our group to help out anytime!"


    Zhou Can would respond enthusiastically one by one with a smile.


    In the doctor''s office of Gastroenterology Surgery, Zhou Can has a fixed office dedicated to him, compared with regular Pearson. Other regular trainees, because most of them are rotated in various departments for one to three months.


    Therefore, no office space will be specially arranged for them.


    Generally, when they need to write medical records or something, they just sit around in those few public seats.


    The doctors in the hospital are all equal on the surface, but in fact there are still obvious differences in treatment.


    Indications and above, the treatment is relatively high.


    Residents are treated like individuals.


    Regular trainees and interns are basically worse off than migrant workers.


    In some departments, drinking interface water will be rejected by all kinds of people. Fruits and snacks are divided, and Gui Peisheng is rarely included. Of course, other doctors or nurses paid for it, and they are not given to Gui Peisheng. It is a bit irritating, but there is nothing wrong with it.


    But that kind of invisible treatment discrimination is still very uncomfortable.


    The director Jia that Zhou Can met now is a very generous and generous superior doctor.


    He usually performs operations in the operating room, and if it is time for meals, he will take the initiative to pay for meals.


    Whether it is a regular trainee, a nurse, or an intern, everyone has a share.


    It was almost time to get off work, so Zhou Can took the time to write medical records and prescribe medical orders.


    The biggest difference between following Director Jia and other doctors is that Director Jia is willing to delegate power.


    As long as the doctors under him are competent, they basically leave it to them to do.


    Zhou Can has done a lot in prescribing medical orders for some patients in the group.


    After prescribing, the general patient''s doctor''s order is to ask Senior Sister Qiu to help check it. For important patients, he will send them to Director Jia for personal review.


    It''s not good for anyone if something happens.


    At this time, his cell phone rang.


    I took it out and saw that Qiao Yu was calling.


    She seldom calls Zhou Can, and usually chats more on WeChat.


    "Beautiful Qiao, what''s the matter?"


    Zhou Can pinned his phone around his neck, and chatted with her while continuing to write medical records.


    "The neurosurgery department informed me to attend the training tomorrow. Did you help secretly?" She asked in a hoarse voice.


    She wanted to train in the general surgery room, which is the easiest place to get into surgery, but she has been dragging on for more than two months without queuing up.


    Now Shenwai suddenly informed her to go to work directly tomorrow, the surprise came too suddenly.


    "I didn''t help much! You must be very good, so Shenwai chose you."


    Zhou Can said with a smile.


    "Can you be serious? When I received this notice, I was stunned. I was so surprised. Not long ago, the head nurse Niu asked me to talk to her office in person, and asked me politely, there is such a big patient in the hospital. Energy, why didn¡¯t you say it earlier? She also said that if I go back to work in the emergency department in the future, she will definitely give me better treatment.¡±


    Qiao Yu is just a little nurse who works silently without any background.


    So much so that I was often bullied by other nurses in the emergency department.


    She is very clear, how can there be any great energy?


    After thinking about it, she thought that maybe Zhou Can was helping her secretly.


    Because Zhou Can went back to the emergency department to ask her about her condition last time, and offered to help her with the surgery and cardiothoracic surgery.


    "Isn''t that good? Don''t you want to work in the Department of Intensive Care Medicine for a year? This time I went to Shenwai, trained for a month or two, and then went to cardiothoracic surgery for a month or two. Finally, I went to internal medicine for a few months. Within a month, he has the strength to enter the intensive care medicine department."


    Zhou Can said to her.


    "Zhou Can, if you don''t tell me the truth, I''ll go to the digestive surgery department to find you right away."


    There was a hint of threat in her words, and even more coquettish reproach.


    Ever since she found out that Zhou Can had a girlfriend, whether she and Zhou Can were at work or chatting on WeChat, they mainly communicated with each other through work. Occasionally chat about interesting things in life, work, or personal thoughts.


    "Don''t! If you come to find me, rumors will be flying all over the sky, how can you marry?"


    Zhou Can knew very well that his colleagues in the Department of Gastrointestinal Surgery were all gossip geniuses.


    They can pass on rumors that are speculative.


    If Su Qianqian heard about it, even if she didn''t make trouble, she would still have a grudge in her heart.


    "Hmph, I''m not afraid! The only good colleagues I have really made friends with in Tuya Hospital are you, Tang Ling, and Li Shuangshuang, and they are unable to help me. After thinking about it, only you have the ability to help me. And You have a criminal record, you helped me, but you never told me."


    She is so smart.


    I can''t hide it from her at all.


    "Hey, the word criminal record is a derogatory term. It is inappropriate to use it on your benefactor!"


    Zhou Can protested.


    "I know it''s you, admit it! You are the only one who treats me so well, helping me but never asking for anything in return. Thank you for helping me achieve my wish. I will definitely study hard outside of God."


    Her voice became hoarse again.


    It is estimated that he was moved by Zhou Can.


    "It''s just a small matter, why are you still working hard! I believe that you will definitely become an excellent nurse in the future, and I look forward to working with you to perform surgery together!"


    What Zhou Can is worst at is how to coax girls.


    Through the phone, he could feel that Qiao Yu seemed to be moved to tears by him.


    To him, this matter was really just a trivial matter.


    I called Director Wen from Shenwai, and agreed to arrange for Zhou Can without saying a word. Director Wen also teased Zhou Can, could this female nurse be his significant other?


    Zhou Can naturally denied it.


    With Qiao Yu, the two have a close relationship, equivalent to comrades-in-arms.


    It''s a little deeper than a normal friendship.


    Qiao Yu hung up the phone directly, she seemed to be crying.


    A woman''s heart, a sea needle.


    The most miraculous creature in the world is a woman. Zhou Can didn''t know that her wish had come true. She should be happy, so why did she cry?


    This incident was just a small episode, and it did not affect Zhou Can''s regular training in digestive surgery and the second comprehensive examination of various war doctors.


    He is studying crazily every day, making up for the basic medical knowledge he owed.


    When he rotated to the general surgery department, the second exam of comprehensive medicine finally came.


    Originally thought that the difficulty of the second round of medical comprehensive examination must be **** level. Unexpectedly, when answering the questions, he wrote like a god, and he went surprisingly smoothly in the four exams in two days.


    In the first test of medical comprehensive examination, he failed to answer several questions, but he passed the test smoothly. The second test, feeling so good, he believed that the result would not be too bad.


    After the exam, the results will not come out so quickly.


    Zhou Can kept his composure and seriously participated in the regular training in the general foreign exchange.


    Deputy Director Liu directly transferred him to the group, and then took him personally.


    Zhou Can has always been deeply grateful for Mr. Liu''s many times of help. This time, he had the opportunity to conduct a two-month regular training under Mr. Liu, and he was very happy.


    Out of gratitude, Zhou Can bought two expensive old ginseng and gave them to Liu Lao privately.


    Unexpectedly, Mr. Liu is a man of high integrity, noble character and integrity, and he is determined not to accept him. In the end, Zhou Can was forced to return the old ginseng, so he gave up.


    Mr. Liu told Zhou Can that studying hard, striving to become a famous doctor of a generation in the future, and treating more patients, this is the greatest reward for him.


    In fact, most of the old famous doctors are quite good.


    Zhou Can also put it into practical actions, and followed Mr. Liu to learn various diagnosis and treatment experiences, surgical knowledge, clinical management and medication of patients in general surgery.


    Patients in general surgery generally rarely have critical cases.


    But its disease system is very complex, almost involving the entire life system of the human body. It is as small as suturing a superficial wound, as large as parathyroid autograft, allograft, or abdominal aortic aneurysm resection plus artificial vascular graft.


    There are also tumor resections of the appendix, liver, gallbladder, and pancreas.


    General surgery is the original department of surgery. Even now, hepatobiliary surgery has been separated, digestive surgery has been separated, and orthopedic surgery has its own department, not to mention neurosurgery and cardiothoracic surgery.


    Even though it has successfully hatched so many departments, it still undertakes various surgical tasks.


    The one with the largest number of surgeries per year is always general surgery, not one of them.


    Zhou Can originally planned to train in general surgery for three months. Following Dr. Xu''s suggestion, I spent one month of regular training in the Department of Gastroenterology, and then cut down the training time for General Surgery by one month.


    Day by day.


    On this day, Zhou Can received a call from Dr. Shi from the Department of Critical Care Medicine, telling him the great news.


    The paper co-written by the two was successfully included in the Journal of Infectious Diseases of Huaxia Hospital, and has now passed the preliminary review and external review. Only the final final review is still going through the process, and the chances of passing it should be very high.


    You know, Huaxia Hospital Infection Journal is already a core journal.


    Although there is still a big gap with the top SCI journals, it can only be done step by step.


    Dr. Shi told him that because the subject matter of the theory was relatively new, the parasite that infects the human body was discovered for the first time in the world. At least there is no relevant medical chapter on this parasite at home and abroad.


    Therefore, as soon as this paper was submitted, it quickly attracted the attention of the editor-in-chief of the journal.


    The prospects are also very good.


    The publication of medical theories and scientific research results requires a long period of fermentation, and we cannot expect to become famous all over the world as soon as they are published.


    Only when it is paid attention to and recognized by more and more medical colleagues can it have a great impact.


    When Dr. Shi made this call, he mainly told him two points.


    The publication of domestic core journals is basically stable. The future of this paper is very bright, with a lot of room for improvement.


    When the call was about to end, Dr. Shi also told Zhou Can that if you encounter some difficult and miscellaneous diseases and successfully cure them, you can do some research. If no one has written a treatise in this area, and it has a certain degree of medical value and influence, you can try to write a treatise by yourself.


    Or ask him for help.


    Dr. Shi has tasted the sweetness and wants to continue to cooperate with Zhou Can.


    Because Zhou Can''s ability to diagnose all kinds of difficult cases is very outstanding, and he has a lot of subjects in his hands, it is guaranteed to make money if he cooperates with him.


    Zhou Can readily agreed to Dr. Shi''s proposal.


    On the one hand, Dr. Shi is a kind person with profound medical knowledge. You can rest assured that you can cooperate with such a person to write a theory. Don''t worry about being cheated.


    On the other hand, writing a theory is far more complicated than imagined. The collection of various materials, comparison of experimental data, and unique insights related to professional fields, etc., all test the doctor''s knowledge in all aspects.


    Therefore, it is a very good choice for Zhou Can to cooperate with Dr. Shi to write more valuable papers.


    After he is thoroughly familiar with the methods and techniques of writing a theory, he can avoid many detours when he writes a theory independently.


    For example, Zhou Can learned a lot from the article on parasites of digestive tract infection that he co-wrote with Dr. Shi last time.


    "Dr. Zhou promised so simply, do you have a ready-made theme?" Doctor Shi asked.


    "There really is one. The patient is a 17-year-old child, who happened to be in the third grade of junior high school when he was 15 years old. Because of the pressure from his parents, he developed a disease similar to chronic enteritis"


    Zhou Can talked about the case in the digestive surgery not long ago.


    Right now, he has also passed his comprehensive medical exam, so he doesn''t need to try his best to supplement basic medical knowledge like before.


    Cooperating with Dr. Shi to write another paper will also create favorable conditions for his future evaluation and promotion to attending.


    "This medical case has certain value. You can send the information first. I will study it before deciding whether to write it or not. Because there are already many articles on digestive disorders caused by neurological problems. If there is nothing new, it will be very difficult to pass the review."


    Writing a paper requires sacrificing a doctor''s rest for a month or two, or even longer.


    If you can''t pass the review after writing it, it doesn''t make any sense.


    "Okay, after work, I''ll sort out the medical records and send them to you."


    Zhou Can happened to keep all the examination reports and other materials of that patient, and he only needed to sort them out a little before sending them to Dr. Shi.


    When he was about to leave work, his cell phone rang again.


    I saw that it was a call from the personnel department.


    "Doctor Zhou, congratulations on passing all the exams for your doctor''s license with excellent grades. If you want to register, you may need to do it yourself, and the hospital you''re affiliated with is our hospital."


    "thanks, thanks!"


    After Zhou Can heard the good news, he wished he could jump three feet high A major hurdle in his life and career has finally been overcome.


    Taking the medical certificate test is almost like a carp jumping over the dragon''s gate for every medical student.


    Pass the exam, you are a doctor.


    If you fail the exam, you will always be a bachelor of medicine, and you will not be able to engage in medical work normally.


    Today is really double happiness, good things happen again and again.


    With a doctor''s license and a doctor''s qualification certificate, he has the right to prescribe and can prescribe medicine to patients.


    Other rights to practice medicine will also be recognized and protected by law.


    The hard days are basically over.


    After finishing the call, Zhou Can immediately thought of sharing this good news with the most important people in his life.


    "Mom, I have passed my medical license exam! From now on, I will be a real doctor!"


    His parents provided for him to study and raised him so much. Now that he has passed the examination for a medical license, he has given his parents a satisfactory answer. It is also the best reward for them.


    "Hahaha, I know my son is the best! Is the living expenses enough? I''ll transfer you 100,000 in a while, which is a little reward for you."


    His mother''s love for him is always so real.


    50,000, 100,000 to him.


    "Mom, I have money to use. It''s not easy for you and Dad to make money. Save it to buy something you like and enjoy life. I think you and Dad are usually very frugal."


    Zhou Can doesn''t need to gnaw on the old at all now.


    "Your dad and I are just a son like you. If we earn money and don''t spend it for you? We both have good food and clothing, so you don''t have to worry about it! But your dad and I are very happy for your filial piety." .By the way, have you found a girlfriend? I have found a few secretly for you. Their family background, education background, and appearance are all good. When will you go home and meet them?"


    Mom is most concerned about his marriage.

 Chapter 203： Recognized a sister, shallow heart

    "Don''t worry about it in the future! I already have a girlfriend."


    When Zhou Can heard his mother ask him to go on a blind date, his head hurt a little.


    He doesn''t like any of the so-called famous ladies and wealthy daughters arranged.


    Many celebrities have learned the so-called aristocratic etiquette from the moment they were born. Every move, every frown and smile is like a character mask drawn in advance.


    He was obviously unhappy, but when talking with others, he still had a faint smile on his face.


    Obviously looking at the delicacies on the table and secretly swallowing saliva, but she has to maintain the so-called ladylike image and behave like a non-human being.


    Every movement and every sentence of their words is like a refined mechanical picture.


    Zhou Can would never agree to marry such a famous lady back home.


    They no longer have souls, and what they have are robot-like fake smiles, language, and movements. Marrying such a woman home is no different from buying a blow-up doll home.


    "Stinky boy, did you deliberately lie to your old lady again?"


    She obviously doesn''t believe her son has found a girlfriend.


    "I''m not going to lie to you. I was going to give you a surprise when I went home. Now that you mention this, I''ll take the initiative to confess to you." The girlfriend Zhou Can found was ten times stronger than the wealthy daughters that his mother was going to introduce. times, a hundred times.


    The appearance and ability are not comparable to those canaries raised in boudoir.


    She is self-reliant and earns money with her strength.


    And those ostentatious ladies are thinking about how to get rich husbands, and they only want to live off of men.


    The two are not comparable at all.


    "Haha, it looks like it''s true this time! When will you go home? I''ll transfer you an extra 100,000, buy the fastest air ticket and bring it home so your dad and I can see what our future daughter-in-law will look like!"


    Mom is so arrogant.


    It is actually less than six hours'' drive from the provincial capital to Zhou Can''s hometown county.


    The small county really has an airport.


    However, there seem to be very few flights from the provincial capital to the county seat. Trains, self-driving cars, and long-distance buses are all good modes of transportation.


    "Recently, I''ve been very busy at work, so I really don''t have time to go home. If I don''t have to be on duty this year, I''ll go home when I have time, is that okay?"


    Zhou Can has not been home for more than two years.


    If the parents didn''t say anything, they must be very disappointed in their hearts, and they are looking forward to their son going home to have a look.


    "That''s what you said. If you still can''t go home during the Chinese New Year this year, your father and I will drive to the provincial capital to accompany you during the New Year. You must see what your daughter-in-law looks like, and also see how you live alone in the provincial capital. OK?"


    Parents are actually very busy on weekdays, and Zhou Can has been independent since he was a child, they are actually quite at ease with their son.


    My mother passed by the provincial capital twice and wanted to see Zhou Can, but she gave up because Zhou Can was at work.


    After not seeing him for such a long time, his parents must be panicking over him.


    After all, it is such a single seedling.


    They heard that their son had found a wife, and they also wanted to take care of him.


    When a rich family like them marries a daughter-in-law, the first consideration must be the right marriage.


    If the son really likes it, and the woman''s family background is not good, but she has a high education, good character, and good looks, they can reluctantly accept it.


    If the woman''s conditions are too far behind, Zhou Can''s parents will definitely not easily agree to this marriage.


    Su Qianqian''s conditions in all aspects are particularly excellent, and the billionaires and high-ranking officials who want to marry her line up in long lines. After Zhou Can''s parents know the identity of their daughter-in-law, they will definitely agree.


    The only problem, may be her chronic kidney disease.


    Although the condition has been controlled and alleviated, it is quite difficult to cure.


    In the past year or so, Zhou Can''s medical skills have been improving rapidly.


    Also trying to find a solution.


    It''s a pity that chronic kidney disease is difficult to cure. So far, kidney transplantation is still the best cure.


    With the current wealth of Su Qianqian and Zhou Can, the money for the kidney replacement is no problem at all. What remains is the search for a kidney source, as well as the potential huge risks of the kidney transplant itself.


    Zhou Can already has a certain influence in many departments, and his status in the hospital has also improved a lot, but there is still a big gap from the senior level.


    There is still a long way to go.


    Zhou Can will definitely not tell his parents about this matter now.


    Otherwise, most of them will object.


    When it is resolved in the future, maybe you can keep it from your parents.


    After all, love is your business.


    After finishing the chat with his mother, Zhou Can sent Su Qianqian a message.


    "Qianqian, I have passed the exam for my medical license!"


    Recently, she is practicing new songs, filming TV dramas, and taking time to broadcast live. She is even busier than Zhou Can.


    There is a saying that behind every rich person there is a crime you can''t afford.


    It really makes sense.


    Su Qianqian''s income is astonishing, and even with her own strength, she has earned more than 70% of the revenue for Jinyu Interactive. Behind it is her hard work.


    Some time ago, Zhou Can didn''t have time to see her because of his comprehensive medical examination.


    In order to go on a date with Zhou Can and alleviate the pain of lovesickness, she would deliberately squeeze out three or four hours every few days to come to stay with Zhou Can.


    Stayed there until about nine o''clock in the evening.


    It was only later that Zhou Can found out that after she went back, she often worked overtime until two or three o''clock in the night.


    She never took the initiative to tell Zhou Can these things.


    Wei Fang, the personal bodyguard hired for her, secretly told Zhou Can.


    In this relationship, both of them paid a lot.


    If you want to say who loves more deeply and crazily, it should be Su Qianqian.


    The depth of her love for Zhou Can will be reflected in many details.


    For example, the female number three who participated in the filming of that TV series, in fact, she didn''t have to ask Zhou Can''s opinion at all.


    It was precisely because she cared that even if she wanted to participate again, she still asked Zhou Can''s opinion first. He agreed, and she agreed to take the play.


    What''s more, with her current strength and conditions, she is actually already full-fledged.


    Whether she leaves Zhou Can or Jinyu Interactive, she can survive well. Therefore, there is absolutely no such problem that she will lose her career if she loses Zhou Can''s support, and she will be beaten back to her original shape.


    When she first signed the contract with Jinyu Interactive, she signed a free body.


    She also learned the lesson of the previous rogue company, and she hired a special lawyer to remove some of the contents of the terms that tied artists.


    So, she wants to go, she can go anytime.


    There is no issue of compensation for huge liquidated damages.


    As for the so-called resources in the entertainment industry, with her current fame, even if she hires a Jin Ji person to do it alone, she can still get countless resources.


    She cares about Zhou Can so much because of deep love.


    On the first anniversary of their relationship, she wrote a small note to Zhou Can.


    "Choose one person to love deeply, and wait for the other person to grow old. I will love you so much that I will never recover it, and I will have no regrets in this life."


    What she meant was that in this life, she would only love Zhou Can deeply and deeply.


    Even if one day, Zhou Can betrayed her, or stopped loving her, she would still remain infatuated, and would never regret it for the rest of her life.


    It is also her devotion and love that makes Zhou Can value her even more.


    That day, he drew a red line for Su Qianqian, not domineering and forceful, but telling her clearly what can be done and what cannot be done.


    If she had clearly told her that those things could not be done, but she still did it, it was because she had given up on the relationship between the two of them.


    On the contrary, as long as she really cares about the love between the two, she will be able to withstand all kinds of temptations, keep her strength, and never cross the red line set by Zhou Can.


    Zhou Can is giving her the right to choose.


    It is also an expression of deep love for her.


    After Zhou Can shared the good news with her, there was no response.


    Probably busy.


    Zhou Can continued to send messages to several important people.


    In this comprehensive medical exam, Director Xueyan helped him a lot,


    Now that I have passed the exam, I must thank her.


    "Director Xue, thank you for spending nearly two weeks of rest to make a study plan for me. Now I want to tell you some good news. Fortunately, I have passed the medical license exam!"


    Only Zhou Can himself has the deepest understanding of how awesome the study plan she made for Zhou Can with a lot of painstaking efforts.


    The range of questions involved in the comprehensive medical exam is extremely wide, and Zhou Can''s basic medical knowledge has many shortcomings, so he would definitely fail the exam. As a result, with her help, Zhou Can was invincible when he took the medical exam.


    Many postgraduate and postgraduate students are hung up on the comprehensive medical examination.


    As for the practical skills test, it is better to pass. The pass rate is much higher than the medical comprehensive examination.


    "Hehe, that''s the best news I''ve heard today. Congratulations!"


    She responded very quickly to messages.


    Naturally, it''s not because she is free, on the contrary, she is very busy all day long.


    Based on Zhou Can''s experience, at this point, she may not be off work.


    It is likely that the doctor''s orders and medical records in the group are still being checked.


    "Thanks!"


    Not long after Zhou Can''s message was sent back, she sent another message back.


    "Passing the medical certificate examination is not the end. We must continue to keep up the momentum of learning, and strive to learn all the basic medical knowledge that is lacking, and master and use it proficiently. If you want, you can make an appointment to come to me and help me You make a long-term study plan. After you learn it, you will be able to use it in the exams for attending physicians, in the evaluation of deputy senior and senior professional titles, and in writing various theories."


    She was going to help Zhou Can, a poor student, to the end.


    Helping him pass the exam is not enough, but continue to help him store knowledge, eliminate shortcomings and pave the way for the future path of a famous doctor.


    She was awarded the title of Chief Physician when she was in her forties, and she is definitely a top student in theoretical studies.


    "Thank you, Sister Yan, please allow me to call you that, because you are so kind to me, just like my sister. When is it convenient for you? I can do it anytime during non-working hours."


    It''s not that Zhou Can has a sweet mouth, but he has already had this idea.


    She is relatively young, no matter Zhou Can is in the cardiothoracic surgery training or after she left, she has helped Zhou Can a lot.


    And keep helping.


    Calling her Sister Yan is not too much.


    "Haha, I''m very happy to have such an excellent brother like you. I only have one operation the afternoon of the day after tomorrow. If it''s still early after get off work, I''ll notify you to come over."


    Her time is very tight, and she can only use her off-duty time to help Zhou Can make a long-term study plan.


    "Okay! Waiting for your good news."


    Zhou Can offered to call her sister, which is different from calling some familiar married nurses sisters at work. For example, calling Ye Tingting in the emergency department Sister Ting is just a more intimate name.


    At this moment, he solemnly proposes to call Director Xue as Sister Yan in the future, that is to treat her as a sister in his heart.


    When she encounters something and needs help, Zhou Can will make great efforts.


    Like Ye Tingting said, it''s okay to ask Zhou Can for a small favor, but for a big favor, he will most likely refuse.


    So, the difference between the two is quite big.


    The chat with Director Xueyan ended, and Zhou Can continued to share the good news with Dr. Xu, another very important person.


    There are many senior doctors who have taught him, Director Xueyan and Director Hu Kan of Cardiothoracic Surgery, Director Wen of Shenwai, Director Shen of Bone Surgery, Dr. Shan, and Director Jia of Digestive Surgery, etc.


    These people have selflessly taught him various diagnosis and treatment experiences, surgical methods and techniques.


    But in Zhou Can''s mind, the only person who can deserve the title of master is Dr. Xu.


    "Teacher, I have passed my medical license exam."


    Zhou Can had thousands of words to say to Dr. Xu, but in the end he only sent a message in the most concise language.


    Not even a word thank you.


    Because he didn''t think it was necessary.


    He always remembered the great kindness to Dr. Xu in his heart.


    Now, with the continuous improvement of his medical skills, the time for him to repay Dr. Xu is also rapidly shortening.


    At that time, Zhou Can will definitely give Dr. Xu a big surprise.


    Who said salted fish can''t stand up?


    Dr. Xu has Zhou Can as his apprentice. Not only does he want to make Dr. Xu stand up, but he also wants to make Dr. Xu no longer a salty fish.


    "Very good! Stop arrogance and impetuosity, keep working hard!"


    Dr. Xu''s reply was equally concise, without any words of congratulations, but only with earnest instruction and encouragement.


    Strict teachers produce excellent apprentices.


    A strict teacher will teach better students.


    "I will!"


    Some time ago, Zhou Can stopped practicing the quick knife technique because of the comprehensive medical examination. As soon as the comprehensive medical examination was over, he started to practice again.


    It is Dr. Xu''s greatest expectation for him to carry forward the sharp knife technique and make this path clear.


    What should be shared has been shared in place, and Zhou Can didn''t bother others anymore.


    The joy of success is shared with the right people, and everyone is happy together. Sharing with the wrong person will only arouse the jealousy and disgust of others, and even feel that he is showing off.


    Su Qianqian never replied to his message.


    Until after eleven o''clock in the evening, almost twelve o''clock, Zhou Can was ready to go to bed, and she initiated a video chat invitation to Zhou Can.


    "Honey, I''m sorry, I''ve been live broadcasting, and I don''t have a chance to watch my phone. I just downloaded it, took out my phone and looked, and found the great news you shared with me. I feel so happy. I know my other half The best man in the world."


    She walked forward while video chatting with Zhou Can.


    Looking at the scene, it should be in Jinyu Interactive Company.


    Zhou Can, the major shareholder, rarely goes to the company, and when he has time occasionally, Li Luo always asks him to visit the company. Only been there twice.


    The company''s development is quite good, and now the entire floor of the office building has been rented out by them.


    Like some senior entertainment companies, with a whole building, they must not have that strength.


    It has only been more than a year since the first two offices were leased to the entire floor of the office building.


    Jinyu Interactive, a unicorn, is developing rapidly in its own way.


    Li Luo''s ambition is very lofty.


    He told Zhou Can more than once that he should regard his former club, Tianyu Interactive, as the goal of catching up. Strive for one day to be able to surpass Tianyu Interactive.


    If that day really comes, Zhou Can''s wealth and social energy will reach a terrifying height.


    Even far surpassing the director of Tuya Hospital.


    "It''s so late to get off work, you have to pay attention to your health, don''t get off work too hard."


    Zhou Can knew she couldn''t be persuaded, but he had to!


    Even a little effect is good.


    "I know! I want to make a lot of money, buy a big villa in the future, and enjoy the rest of my life with you." Like most women, the first thing she thinks of after making money is to have a warm and comfortable home.


    Living in a big villa is the dream of countless women.


    It''s just that due to the cruelty of reality, their husbands and themselves have limited ability to make money, so they have to bow to reality in the end.


    But this still does not affect the women''s pursuit of the villa.


    "It''s easy to live in a villa. I''ll just buy one tomorrow. Write your name."


    Zhou Can is relatively indifferent to money.


    He values ??family affection, love, and friendship more.

 Chapter 204： Not what it used to be, airborne important figures

    Big villas, many people struggle for a lifetime and may not be able to buy one. In Zhou Can''s eyes, that was the case.


    He can''t afford a villa worth hundreds of millions of dollars now.


    Ten to twenty million is no problem at all.


    No need to pay in installments, you can buy it directly in full.


    Villas in the provincial capital are cheaper at about 5 million yuan, and more expensive ones with underground swimming pools and good locations may cost close to 20 million yuan.


    The best scarce type, then expensive.


    The villas in Jiangxin Garden are basically fired to the ceiling.


    "Thank you dear! But I want to make money to buy it myself, and I don''t want to be a man''s vassal." She refused.


    It''s not that she is stupid, but that she has always been so self-reliant.


    When Zhou Can proposed to help her pay off hundreds of thousands of foreign debts, she firmly disagreed.


    Some women think that it is natural for a man to give, but some women like financial independence, which is more dignified.


    Generally speaking, a self-reliant woman has more outstanding temperament, lives a more exciting life, and looks beautiful.


    "Isn''t it good that I buy it for you! Don''t you often buy things for me?"


    Zhou Can asked puzzledly.


    At that time, she had just paid off her foreign debts, and she had a little more money, so she spent more than a month''s salary to buy a watch for Zhou Can. This affection moved Zhou Can very much.


    Later, she was never stingy in spending money for Zhou Can.


    Financially, instead of relying on Zhou Can, she gave him a lot.


    Now spend money to buy a villa for her, even if they break up in the future, Zhou Can is willing.


    "Real estate is different from clothes and watches. In the minds of us women, it represents a shelter from the wind, a place where you can heal your wounds, and a castle that you can retreat to even if you are abandoned by the whole world. There is a Set up your own real estate, even if you don''t want me in the future, I won''t be homeless."


    Her words sounded heart-rending.


    If a woman is not able to be financially independent, is old, or is abandoned by a man after the novelty has passed, she usually ends up miserable.


    Su Qianqian must have seen this kind of thing, so from the beginning of the relationship, she has been insisting on financial independence.


    "Fool, how could I not want you? All right, I respect your idea."


    Zhou Can didn''t force it anymore, but chose to respect it.


    The two chatted for a while, and it was already very late. Zhou Can urged her to wash up and go to bed.


    Currently, Su Qianqian still lives in Zhou Can''s house in Bajing Lake.


    She said the house held special meaning to her.


    It was the place where she fell in love with Zhou Can, and it was also the place where she saw the light when she was most desperate.


    Next, Zhou Can registered for a medical license according to the procedures, and became a certified doctor in Tuya Hospital.


    After obtaining the certificate, he became more confident, and his position in the hospital and department has improved a lot.


    The workload of general surgery is very heavy, but compared with cardiothoracic surgery, neurosurgery, and intensive care medicine, there are very few patients here who are particularly critical.


    The pressure is relatively small.


    He thought that after completing the medical license exam, he would finally be able to relax a bit.


    Unexpectedly, every day is still extremely tight.


    Director Xueyan has made a new semester plan for him, and he needs to spend at least two hours a day learning basic medical knowledge.


    Then, it has been decided that he will cooperate with Dr. Shi to write a new theory.


    The 17-year-old boy''s digestive disorder caused by mental stress is very representative. The idea of ??writing is to pay attention to various diseases caused by the mental pressure of young people in our country.


    Young people are the future of the country, and few people pay attention to their mental pressure.


    Therefore, this treatise has been written, which is of great significance.


    After discussions between Zhou Can and Dr. Shi, they agreed that expanding the scope of diseases caused by mental stress is a good choice.


    It is too narrow to simply write about mental stress causing digestive disorders.


    Expanding to various diseases caused by mental stress, there are many things to write about.


    The significance will be even greater.


    Just collecting such case data, and after rigorous statistics, analysis, and syndrome differentiation, and then clarifying their pathological mechanism, it requires a lot of data to be consulted.


    In some cases, it is even necessary to consult experts, scholars in related fields, and senior chief physicians in the industry.


    These things are easy to say, but difficult to do.


    Fortunately, Zhou Can has made good friends with the chief physicians of several departments, and his personal network in this hospital is already quite extensive. When it is necessary to consult the chief physicians of other departments, he is usually the one who comes forward.


    Dr. Shi is not very good at communication, but he is very down-to-earth, and likes to concentrate on studying medical skills, researching information, doing data comparison, and describing descriptions. He acts as the main force.


    Zhou Can gave full play to the advantages of strong pathological diagnosis, helping to analyze various cases and disease cases, and clarify the pathological mechanism.


    Some of the cases that have been searched are actually not entirely caused by mental stress.


    This requires a clear dialectic, otherwise it will be a joke.


    The written theory is not rigorous, and the probability of being stuck when it is submitted for review is very high.


    In addition to writing medical theories and learning basic medical knowledge, Zhou Can also needs to practice sharp knife and surgical skills after get off work. So, he is very busy.


    Many times, there is no time to date Su Qianqian.


    She was still the one who accommodated Zhou Can, and the two got tired of studying together.


    Zhou Can reads books or practices surgical skills, while she learns music knowledge, practices acting skills, recites scripts and lines, and so on.


    They are the epitome and true portrayal of many young lovers.


    Many young people enter the big city with dreams and work hard, just to take root in the big city and have a home that belongs to two people. Then work hard to run a good business.


    The only way to improve competitiveness is to keep learning.


    In fact, the knowledge learned in school is very little, and a lot of knowledge is learned slowly after entering the society, so as to open up the gap with others bit by bit.


    Unknowingly, Zhou Can has been in general surgery training for more than a month.


    Under Director Liu, he gradually became a capable general. Whether it is performing surgery on patients, or pathological diagnosis, finding out the cause and focus of the disease, he is a master.


    In the management of the ward, he has done a very good job in changing the dressing, predicting the crisis in advance, and discovering missed and misdiagnosed cases.


    Recently, I have learned a lot about medication from Director Liu and the superior doctors.


    At present, Zhou Can''s pharmacological syndrome differentiation is at the third level, which is the lower level for residents.


    This level is far from enough, and it can only deal with some common common diseases. With a slightly more complicated medication, he seemed stretched.


    Sometimes, when prescribing a doctor''s order for some difficult patients, he needs to look up information everywhere, read books, and even consult the superior doctor.


    In fact, it is far from enough to study medicine only from books.


    It also takes a lot of practice.


    There may be as many as a dozen methods of medication for the same disease. Which kind of medicine is the most suitable, how to combine it and how to determine the dosage are all very particular.


    Without the support of rich practical experience, it is difficult to use medicine freely.


    There are three difficulties for doctors to treat diseases, which are difficult to diagnose, difficult to use medicine, and difficult to operate.


    Diagnosis ranks first, medication ranks second.


    It can be seen that the weight of drug treatment is heavy.


    On this day, Zhou Can rushed to work in the general surgery department of the hospital early as usual.


    First, turn on the computer to check the operation arrangement in the group.


    Deputy Director Liu had a total of two surgeries today, both of which were grade 3 major surgeries.


    Even if the deputy chief physician has sufficient surgical ability, according to the graded surgical access system, he can only independently preside over three-level surgeries at most.


    One is cardioplasty, which can be performed in both digestive surgery and general surgery.


    Surgical arrangements are basically made in whichever department the patient visits.


    There is another factor that will also be taken into consideration.


    For example, some operations are extremely difficult, so whoever is good at them can recommend them to them.


    Another operation is choledochoscopy and stone removal.


    This operation has been done in many cases.


    Surgical experience and technology are quite mature.


    Many people do not know that the concept of minimally invasive surgery was first proposed by general surgery. Later, due to the strong market demand, it gradually became popular in various departments. Interventional surgery including internal medicine also counts.


    When Zhou Can saw an endoscopic surgery, he was secretly happy.


    He has already proved the ability of endoscopic surgery in front of Mr. Liu. As long as he fights for this surgery, he should be able to get it.


    At that time, he can earn a lot of medical experience points.


    After checking the two surgeries Mr. Liu was going to do today, Zhou Can continued to check the rest of the surgeries in the group.


    The attending physician, He Hansheng, has six units, and it is said that he is currently working hard to gain the title of deputy senior professional. So very hard.


    He Hansheng is also the strongest attending physician under Mr. Liu. He has served as the first assistant for a long time, and he has even been able to independently complete the core operation in the third-level operation.


    When Zhou Can was an intern, He Hansheng helped him out.


    After coming to Puwai this time, Zhou Can is not what he used to be, and he gets along well with He Hansheng.


    The attending physician Song Ze has three sets.


    This person is also very strong, and usually serves as the second assistant under Liu Lao.


    It''s a pity that he was always suppressed by He Hansheng.


    The general resident physician has not been seen for more than a year, and now he has been promoted to the attending physician. However, they are still waiting in line to get the appointment letter from the hospital, and the competition is quite fierce.


    There are many talents in the general surgery department, and the promotion examination for attending physicians is not difficult.


    In particular, postgraduates with a doctorate degree will be directly promoted to the attending doctor after working for one year.


    But the hospital''s employment letter needs to wait in line.


    Highly educated talents and related households are all likely to jump in the queue.


    The resident general doctor''s degree is a master''s degree, which is a relatively qualified degree.


    Because the new doctors recruited by Tuya are basically graduate students.


    If undergraduates are not particularly outstanding, it is difficult to obtain the qualifications to work in the hospital.


    Many of them finish the internship or the training, and then go to work in other county-level hospitals.


    Zhou Can was reviewing the surgical cases in his group. Dr. Fang stood at the door of the office and greeted him, "Director Xia informed all of us to have a morning meeting in the big conference room immediately, and there is something important to announce."


    General surgery doctors seldom have meetings because everyone is very busy.


    Zhou Can has been in the Department of General Surgery for more than a month, and has only participated in consultations, and has never attended the morning meeting with all the doctors in the department.


    He quickly finished the case that he hadn''t read, and then stood up and walked outside.


    "Doctor Zhou, hurry up, there are important people coming today, it''s not good to be late."


    Doctor Fang deliberately turned around to greet him.


    The current Zhou Can is no longer the little Zhou who was ordered around by Doctor Fang at will.


    Even if Dr. Fang passed the attending examination, his status was not as good as that of Zhou Can.


    "OK!"


    Zhou Can quickened his pace.


    Although his status in the department is much higher than that of ordinary regular trainees, he is not rebellious. He never misses the meeting that he should attend.


    The tasks assigned to him by the superior doctor can be completed without any compromise.


    He thought to himself, is there a big shot coming?


    What kind of big shot made such a grand occasion?


    Following Dr. Fang to the conference room, he went straight to Mr. Liu.


    There was an empty seat next to He Hansheng.


    "Doctor Zhou, sit here!"


    He Hansheng greeted him.


    Being able to sit next to the strongest attending doctor under Mr. Liu, even the attending doctor Song Ze was ranked behind Zhou Can, this is Zhou Can''s position in the group.


    As for Dr. Fang, he could only sit next to Song Ze.


    He is now a quasi attending physician.


    The status is higher than that of residents.


    Whether the hospital''s hierarchical system is strict can be clearly seen through a morning meeting.


    Physicians are particular about the order in which they sit.


    There is never a situation where a resident sits in the position of deputy director.


    "Hello, Mr. Liu!"


    Zhou Can took the initiative to say hello to Deputy Director Liu.


    "sit down!"


    Elder Liu still holds him in high regard.


    If Liu Lao hadn''t nodded, Zhou Can wouldn''t have been able to sit in the third seat.


    Before Zhou Can sat down, he smiled and nodded to Song Ze as a greeting.


    "Doctor He, I heard that an important person is coming, who is it?"


    The relationship between Zhou Can and Dr. He is quite good.


    "I don''t know too well, maybe there are powerful doctors who want to join our general surgery department."


    He Hansheng''s news is fairly well-informed.


    "Is this a direct airborne?"


    Zhou Can asked in a low voice.


    This doctor must not be an ordinary person, otherwise, the department would not have put up such a big show to welcome him.


    Zhou Can secretly speculated that it might be that the general surgery team had successfully poached an important talent from other departments or outer courtyards.


    "It should be! I don''t know which group they will be assigned to, or it is possible to set up a separate medical team." He Hansheng analyzed the possible results.


    While chatting, Xia Huai''an, the director of the general surgery department, accompanied a young doctor into the conference room.


    Tsk tsk, it''s really a great face to be accompanied by the head of the department.


    I saw that the young doctor was handsome, tall, and naturally exuded strong self-confidence.


    Some young female doctors and nurses in the general surgery department were dazzled for a while.


    When looking at the young doctor, little stars shone in his eyes.


    Men like beautiful women, women like handsome men.


    "Isn''t this Du Leng?"


    Zhou Can thought it was He Fangsheng who came, but UU Reading turned out to be Dr. Du Leng, a returnee.


    I heard that after Du Leng was recruited into the surgery department, he had already published several SCI medical treatises.


    This is a top international journal, which is a level higher than the domestic core journals.


    In terms of academics, Du Leng does have proud capital.


    Du Leng''s eyes swept across the audience, with the tendency to look down on everything.


    When he found Zhou Can sitting in the same row as Mr. Liu, he paused for about two seconds. He and Zhou Can looked at each other, and when their eyes met, Du Leng showed strong hostility.


    Because Zhou Can entered the Tuya Hospital with him, when the division of departments first started, Zhou Can seemed very dark.


    Du Leng has become a hot item in various departments, while Zhou Can has been neglected even though he got the first overall score.


    At that time, it was equivalent to Du Leng getting a good hand of cards, while Zhou Can got a bad hand.


    However, after more than a year of development, Zhou Can has created an unprecedented miracle of regular training in Tuya Hospital.


    No matter in which department the training is planned, results can be achieved quickly.


    The ability is so strong that it is really dazzling.


    As a result, gradually, there was a new situation in the hospital where two large-scale cultivation talents kept pace with each other.


    Even, Zhou Can''s status in the minds of the chief physicians of various departments has far surpassed that of Du Leng.


    No matter how high the academic qualifications are, no matter how good the academics are, they are only suitable for being a scholar, not a doctor.


    Only when you can cure the disease for the patient can you be called a real skill.


    If the chief physicians of the major departments are allowed to choose now, it is guaranteed that everyone will unanimously give priority to Zhou Can, a special talent.


    Du Leng was well aware of this.


    Because of this, his hostility towards Zhou Can became stronger.


    Facing Du Leng''s sharp and hostile eyes, Zhou Can just smiled lightly and acted calmly.


    It is strong and it is strong, and the breeze blows the hills.

 Chapter 205： Tuyas reform, achalasia treatment

    Zhou Can secretly wondered, didn''t Du Leng hang out with Wu Baihe in neurosurgery?


    Why did you come to the general surgery department?


    "I believe that without my introduction, many people have already recognized the young and promising doctor next to me. His name is Du Leng. He graduated from Johns Hopkins University and has received a doctorate degree. He has trained in neurosurgery in this hospital. One year later, he is now preparing to join the general surgery department, and we welcome Dr. Du with the warmest applause."


    Xia Huai''an, the head of the department, took the lead in applauding.


    Immediately there was warm applause from the audience.


    Zhou Can secretly wondered that although the growth cycle of neurosurgery is a bit longer, in terms of future, it is much better than general surgery. Du Leng is out of his mind, or what?


    "Please take care of me in the future! Thank you everyone!"


    After the applause subsided, Du Leng bowed to everyone.


    Being polite and courteous made everyone feel good about him.


    "Today I called everyone this morning meeting. First, we welcome Dr. Du, a super talent, to join our general surgery department. Second, we announce that from now on, the hospital will carry out general surgery, digestive surgery, and hepatobiliary surgery in consideration of strategic development. Integration. These departments will be divided into multiple medical teams to carry out diagnosis and treatment competitions. The teams with top results will have the opportunity to be qualified for the construction of sub-departments.¡±


    As soon as the news came out, the doctors of the general surgery department were in high spirits.


    Tuya has been working hard in the past ten years, reforming the hospital''s internal departments, management system, and talent introduction.


    To put it bluntly, digestive surgery is gastrointestinal surgery that is separated from general surgery.


    Hepatobiliary surgery is also a sub-department.


    At present, the development of these two separated departments is not very good.


    The structure of general surgery also urgently needs to be optimized.


    That''s why there is this reintegration and sub-department construction.


    In order to enhance the competitiveness of the department.


    It really makes Tuya Hospital a top hospital with the highest comprehensive strength.


    It''s not like it is now, not up and down, weak in all aspects.


    Tuya''s current Dean Zhu has great plans and plans, and he is determined to fulfill the great dreams of the previous deans. Build Tuya Hospital into a leading super tertiary hospital in China.


    The reform of the talent structure has achieved initial results, and many departments have been replaced with fresh blood, basically all of whom have postgraduate degrees or above.


    Those old comrades with low education and mediocre medical skills have either retired.


    Either you have already got Attachment 2 or Attachment 3.


    Tuya General Institute has realized the young and highly educated talents.


    With this foundation, the next step is to optimize the department.


    Out of prudent considerations, the weighted departments maintained the status quo first, and the general surgery department, which performed poorly, became the first reformed experimental department.


    This reform actually started seven years ago.


    Digestive surgery was separated from general surgery to treat gastrointestinal diseases. Then three years ago, another hepatobiliary surgery department was separated from the general surgery department.


    The experimental results are somewhat unsatisfactory.


    That means it''s impossible to do so.


    Not only failed to create a powerful department through reform, but seriously weakened the strength of general surgery.


    The reform plan formulated by the hospital this time should have absorbed the valuable experience of the previous two reform attempts.


    Du Leng must have sensed it. At this juncture, he chose to join the general surgery department and participate in the competition of various groups. I want to use this opportunity of department reform to climb up in one fell swoop.


    Under normal circumstances, even if he is a doctor of returnees, if he wants to climb to the position of a subject leader in a department, it will be difficult to succeed within seven or eight years.


    Because there are not a few doctoral students in Tuya Hospital.


    Even though many of those people are only domestically trained doctoral students, but in terms of educational level, there is no distinction between high and low with foreign doctoral students.


    Even if there is a difference, it is also caused by the employer''s admiration of foreigners.


    At the level of national policy, there is no difference between the two.


    "Dr. Du, you can choose from all the medical teams in this department, as well as all the medical teams including digestive surgery and hepatobiliary surgery. This is the introduction of the team leaders and the members of this team."


    There are about 130 doctors in the general surgery department, including the digestive surgery department and hepatobiliary surgery department that were separated from the family.


    Regular training and internships are not included.


    There are nearly 30 chief physicians alone, 29 associate chief physicians, and the rest are attending physicians and residents.


    It can be seen from here that chief physicians and deputy chief physicians account for nearly half.


    It''s not that it''s easy to get the titles of senior and deputy senior, but that those who can stay are senior and deputy senior. Attending physicians, residents, regular trainees, interns, and advanced students are the main force in the work.


    If these people can''t get promoted for a long time, or if they feel that their future is bleak, they may change jobs to other units.


    There are not a few people who change careers or are engaged in administrative workers.


    Being a doctor is not for everyone.


    The pressure is high, the work and rest are irregular, and the risks are extremely high. Even if you are making a baby with your wife at night, when you receive a call from the hospital to rescue a patient, you have to put on your clothes and rush over immediately, not even a minute later.


    Because every second counts to save the patient.


    There are countless invisible risks in the process of surgery, diagnosis, and treatment, and a mistake may become a hatred of all bones.


    For example, Dr. Xu is the best example.


    An operation mistake directly reduced him from a top surgeon to an unknown attending physician in the emergency department.


    If it weren''t for his inner strength, he might have given up his career as a doctor long ago.


    That kind of psychological gap is really not something ordinary people can bear.


    "I''ll just choose Director Yang Qing''s group!"


    Du Leng did not ask Director Yang, the leader of this group, whether he would agree.


    After directly choosing this group, he was full of confidence and did not need to ask Yang Qing for his opinion. The other party will not only accept him, but also should feel very happy.


    Zhou Can has also been in the regular training for more than a month, and has a little understanding of the various groups in the department.


    Director Yang Qing is extremely powerful among the many chief physicians in the general surgery department, ranking among the top three regardless of academic or surgical ability.


    In terms of comprehensive strength, Yang Qing''s group is the strongest in general surgery.


    Du Leng just casually glanced at the group list, and chose to join Yang Qing''s group. It shows that before he came, he already had a good understanding of the strength of the various teams in the general surgery department.


    "Welcome Dr. Du to join this group! Welcome!"


    Yang Qing is a young chief physician in his early fifties.


    For the vast majority of doctors in Tuya, becoming a chief physician at the age of forty-five is definitely smoke from the ancestral grave. It is still a very lucky thing to be rated as a chief physician before the age of fifty-five.


    If you are over fifty-five years old and have not yet been evaluated, the pressure will be great.


    Because most male doctors retire at the age of 60, a few experts and professors can delay their retirement until the age of 65.


    Director Yang Qing is only in his fifties and has such a strong strength, and he has great hopes of competing for the position of department leader in the future.


    In the personal introduction, Director Yang Qing specializes in the two major surgical fields of pancreas and breast.


    He is one of the few chief physicians who can focus on two fields at the same time.


    Du Leng walked over quickly and shook hands with Yang Qing.


    At the juncture of the department''s upcoming reform, Yang Qing and the members of the group are very happy to have such an outstanding talent join the group.


    Not to mention anything else, just because Du Leng can produce four or five SCI-level papers a year is enough to make him popular.


    Last year, Tuyap Surgery published 38 SCI papers.


    So many chief and deputy chief physicians have only published 38 SCI theories in total, which shows how difficult it is.


    Many chief physicians may not be able to produce a single SCI-level medical theory in a year.


    Du Leng was able to publish several SCI papers in his first year of work, and his academic strength is so strong that he stands out from the crowd in Tuya.


    This is also his biggest advantage and bright spot.


    "We take the treatment group as the unit and compete for a period of about one month. Including the correct rate of outpatient and emergency diagnosis, the length of hospital stay of inpatients in the group, the cure rate, satisfaction rate, accident rate, mortality rate and other comprehensive dimensions to score .The one with the highest ranking will have the opportunity to form a sub-department at that time."


    Department Director Xia Huaian announced the competition rules.


    The length of hospital stay is an important criterion for judging the diagnosis and treatment capabilities of the medical team. Only by quickly and accurately finding out the cause, and quickly arranging the operation, and then ensuring the success of the operation, as well as the postoperative care and medication are in place, the patient can be discharged in a very short time.


    On the contrary, poor operation, inaccurate medication, or even misdiagnosis may lead to prolonged hospitalization of patients.


    "Director Xia, the number and types of patients received are determined by the physicians in the group. Some groups will receive more patients with a single type, which will have a great advantage. It must be a big advantage for the competition. Kind of unfair."


    There was a protest.


    All fools know that as long as there is a famous doctor in this group, they will have a great advantage.


    Because many patients are registered with famous doctors.


    For example, Yang Qing is good at treating diseases of the pancreas and breast, and most of the people who see him are from these two categories.


    "There is nothing unfair. This competition is to identify in which areas each group is excellent in diagnosis and treatment. Then launch the strongest group to build the corresponding sub-department. From now on, the doctors in that group only need to devote all their energy to research The diagnosis and treatment of diseases in this field can make the department more competitive."


    The cases of general surgery are inherently complicated.


    The purpose of comprehensively building multiple sub-departments proposed this time seems to dismember the entire general surgery department.


    In fact, it proposes a new purpose, and professional things are left to professional people to do.


    Subdividing departments is not only conducive to accurate registration and consultation for patients, but also conducive to the areas of diseases that doctors are good at treating.


    "Don''t worry about unfair competition. Even if a certain group of yours has only received one patient this month, if you cure that patient, you still have a chance to win. This time, the evaluation is not only based on quantity, but also on quality .¡±


    After Xia Huai''an said this, everyone felt a lot more at ease.


    Each treatment group has its own characteristics, and everyone is full of confidence in their own strength.


    "Also, if you feel that your team is not strong enough, you can also take the initiative to apply to join other strong teams. In short, the purpose of competition is to survive the fittest and make the strong stronger. Spur weak doctors, and doctors who are fooling around Progress. If you don¡¯t make progress, you may be eliminated.¡±


    Jian Feng pointed directly at those doctors who were dawdling.


    Including some of the chief physicians and deputy chief physicians, there are many people who dawdle.


    Many doctors feel that their lives are complete after they are promoted to sub-high or full-level high, and they don''t want to work so hard anymore.


    Start lying flat.


    The efficiency of diagnosis and treatment in hospitals has also plummeted.


    This reform is to make those dawdling people have nowhere to hide.


    This will undoubtedly touch the interests of some people. Therefore, the hospital management is very cautious about this pilot reform, and it is only piloted in general surgery. If successful, advance to each department.


    It is equivalent to boiling frogs in warm water, and weed out those clinicians who dawdle.


    If all the doctors who are dawdling are attacked at the beginning, and they unite to protest, it will make it difficult to continue the reform.


    A hospital is not a hospital for a certain individual, but a relatively democratic unit.


    "The meeting is over!"


    Xia Huaian announced the competition rules and left the meeting room first.


    The other doctors did not leave in a hurry, but talked about it one after another. The formation of the group, the search for the search to rely on.


    "Director Liu, there are only a few members in our team, do you want to find a strong team to join?"


    Song Ze asked worriedly.


    Everyone knows that as long as he wins the competition this time, he may become the head of the sub-department. Other doctors in the group can also ascend to heaven with chickens and dogs.


    Director Jia is 59 years old and is about to retire soon.


    In the past few years, he has been attacking the senior professional title, but the hope is slim. It is inevitable that these doctors who follow him are worried about their future.


    "I''m quite old, even if I''m a good person, I can''t be a big house. I don''t want to be inferior to others and look at people''s faces. You are still young. If you don''t have confidence in this group, you can try to join other groups."


    Director Jia has two attending physicians and three residents.


    Including him, there are only six people in total.


    If they are regarded as interns and regular trainees, the number will be more.


    "I''m used to being with Director Jia. Taking this opportunity to fight hard, I might be able to gather strength for the title of deputy senior professional. Even if our team ranks really low in the competition, it is impossible for the hospital to fire us gone."


    He Hansheng''s position is quite firm.


    This is to prepare to follow Deputy Director Liu to the end.


    Song Ze proposed to join other groups at this time, but he was actually afraid of losing the opportunity.


    Joining in advance, that group won, and he is the hero. In the future, it will be particularly passive to wait until the sub-departments are built before joining.


    "Anyway, I was brought out by Dr. He and Director Liu I''m not going anywhere."


    A resident physician followed suit.


    Song Ze and the other two residents remained silent.


    When faced with major interest choices, human nature will become extremely realistic.


    "It''s still the same sentence, as long as you have a suitable group willing to accept, you can join other groups at any time. I don''t have any opinions."


    After Deputy Director Liu finished speaking, he left directly.


    Song Ze''s eyeballs wandered around, apparently planning to find another way out.


    Zhou Can was originally just a regular trainee, and he didn''t care about the reform of general surgery. What he wanted was to return to the emergency department to develop after the regular training.


    No matter how much noise there is here, it''s none of his business.


    Back in the doctor''s office, he continued to check the unfinished cases, and then went round with the attending physician He Hansheng.


    At 9 o''clock in the morning, Deputy Director Liu will start the first operation.


    Zhou Can took an intern to send the patient undergoing cardioplasty surgery to the operating room.


    This patient had severe dysphagia and food regurgitation. After diagnosis, it was diagnosed as achalasia.


    After the patient received medical treatment, the effect was not good.


    Then, under the doctor''s advice, go to the surgery for surgery. But he was unwilling to undergo esophageal dilatation surgery, so Deputy Director Liu prescribed cardioplasty surgery for him to treat his symptoms.


    This operation is now rarely performed.


    Because most of them are treated by esophageal muscular incision.


    Cardioplasty is generally used for achalasia of the cardia. The effect of medical treatment is not good, and the dilation and flexion of the esophagus are obvious. Or combined with other pathological changes, such as supradiaphragmatic diverticulum, hiatal hernia, or suspected cancer.


    It was Zhou Can''s first time participating in this kind of surgery, and he was quite looking forward to it.


    Learn it, and it will definitely come in handy in the future.

 Chapter 206： The impact of betrayal, provoke the main beam

    When the patient is brought into the operating room, the anesthetist and nurse are ready.


    Zhou Can helped the anesthetist to anesthetize the patient.


    "This patient is obviously malnourished and needs central venous intubation and parenteral nutrition support?" Zhou Can asked the anesthesiologist for his opinion.


    "Can!"


    Many anesthesiologists now know Zhou Can and get along well.


    "In a situation like this, dilation treatment can also be done so that it can take in liquid food through the mouth."


    He taught Zhou Can some ways to deal with this situation.


    After Zhou Can listened humbly, he began to perform various intubations on the patients.


    He works very diligently, which is one of the reasons why he is loved by many anesthesiologists.


    When the anesthesia was almost finished, He Hansheng hurried over with two resident doctors. Immediately afterwards, Deputy Director Liu led his interns and two other trained doctors into the operating room.


    Deputy Director Liu glanced at the clock on the wall, it was six past nine.


    "This is about to undergo surgery, why are there two people who haven''t arrived yet?"


    There are a total of six official doctors in his team.


    With two people missing, it immediately seemed much deserted.


    "Song Ze has joined Director Yang Qing''s team, and resident physician Hong Zhengbo has joined Director Tang''s team to manage the bed. They are too embarrassed to tell you in person, but let me tell you."


    When He Hansheng talked about this matter, he seemed cautious. He was very worried that Deputy Director Liu was old, and if it caused blood pressure to rise, heart attack, etc., it would be troublesome.


    The two doctors brought out by themselves chose to leave at this critical moment and join other groups, which was a great harm to Mr. Liu.


    Their actions are indistinguishable from betrayal.


    However, everyone has the right to choose their own future, so their behavior is not illegal except for some immorality.


    After hearing this, Mr. Liu didn''t have any expression on his face.


    After being silent for twenty or thirty seconds, he said, "Now is a very good time to join other groups. Each group needs to fight for more surgeries, and one more person can do a lot of work. If any of you want to If you want to leave, you must seize this opportunity. Otherwise, if you want to join a group with a high ranking in strength, it will be difficult to achieve in normal times."


    The more powerful the team, the more stringent the requirements for absorbing new team members.


    Without two brushes, an extremely high-ranking team like Director Yang Qing would not accept it at all.


    "Okay, let''s start the operation!"


    Deputy Director Liu looked like his mood had been greatly affected.


    People also look older.


    People under the age of sixty are like elderly people in their eighties or nineties.


    After walking to the operating table and standing still, Deputy Director Liu asked the nurse to help him put on the sterile gloves, and checked the knife position drawn on the patient.


    "When you encounter this type of surgery patient, you must check whether the patient has lung infection before the operation. If there is, then the operation cannot be performed." Deputy Director Liu shared his valuable surgical experience with everyone.


    These experiences are all exchanged for the lessons of blood.


    There are too many accidents happened to senior surgeons.


    "In addition to checking whether the lungs are infected, we should also pay attention to the patient''s esophagus. Because the food pig stays in the esophagus, the esophagus is prone to inflammation to varying degrees. Therefore, I asked the doctor to intubate the patient every night three days before the operation. The stomach tube cleans the esophagus once, and after cleaning, an antibiotic solution is injected."


    Deputy Director Liu continued to share dry goods.


    "Three days before the operation, I followed your instructions to clean the patient''s esophagus with a gastric tube. I just repeated it before anesthesia."


    Zhou Can replied.


    Do it again before anesthesia, in order to remove the accumulated secretion overnight and keep the gastric tube indwelling.


    In this category of patients, pills or tablets should not be used before surgery.


    Otherwise, it is easy to be dangerous.


    "Xiao Zhou''s work is still very reassuring."


    When Deputy Director Liu looked at Zhou Can, he finally had a gratified smile again.


    Zhou Can is the most talented of all the doctors under him.


    He is very down-to-earth in doing things, diligent and studious, and progresses very fast.


    "The incision is usually in the center of the left upper abdomen, or a point next to the left upper abdomen, and cut all the way to the xiphoid process."


    Deputy Director Liu held a knife and began to cut open the patient''s abdominal cavity.


    As soon as the knife was dropped, his body shook.


    This scared everyone.


    It''s not a joke to be operating on a patient.


    The knife in the doctor''s hand is to save lives after cutting. If it is not cut well, if it is cut sideways, or if it is cut deeply, it will become a murder.


    "Director Liu, are you okay?"


    Zhou Can and He Hansheng quickly supported him.


    The two are almost equal to Deputy Director Liu''s right-hand men.


    "Maybe I had breakfast too early in the morning, and I seem to be a little hungry now. Han Sheng, you and Xiao Zhou will cooperate to complete this operation, are you sure?"


    Deputy Director Liu looked at the two of them eagerly.


    This has never happened before. Elder Liu''s physical problems are definitely not the reason why he said he had breakfast too early.


    It was the departure of Song Ze and another resident, which deeply hurt Liu Lao''s heart.


    People are old and can''t stand stimulation.


    Both Zhou Can and He Hansheng were well aware of this, but neither of them would be foolish to tell the truth.


    "Don''t worry, I have learned cardioplasty many times with you, and with the help of Dr. Zhou, I will definitely be able to do this operation well."


    He Hansheng comforted Mr. Liu confidently.


    "Director Liu, please sit by the side and rest for a while, and help us check it out, and just give us pointers at critical moments."


    Zhou Can also said beside him.


    "Okay, okay! I, it seems that I am really old, and I should retire! The only regret is that I was not able to be evaluated as a senior professional title. This reform of the department was an opportunity for me. There is a problem. Time and fate!"


    Deputy Director Liu would never say such frustrating words in front of his doctors before.


    Seeing the painstakingly trained doctor betray him at this moment is very similar to the feudal lords fighting for hegemony. After the confidants and generals betrayed, they joined the enemy camp. The enemy is more powerful, but the own side is desolate.


    In addition, when you are old, your body will feel uncomfortable after being stimulated.


    Therefore, he inevitably gave birth to pessimism.


    "Don''t be discouraged. The competition in each group has just started, and it''s still too early to decide the male and female. The tree, in autumn, lays down its leaves and quietly accumulates strength in winter. When spring comes, it will still be young. You are not alone, there are so many of us." People will fight with you."


    Seeing that Mr. Liu was hit hard, Zhou Can felt very uncomfortable.


    He secretly made up his mind that this time he would accompany Mr. Liu to fight together.


    In the emergency department, Zhou Can once created a personal monthly operation volume of more than a thousand.


    What is this concept?


    The annual operation volume of Tuya Hospital is only over 100,000.


    If he performs more than 1,000 operations every month, he can complete 13,400 operations a year.


    This is a very scary number.


    Of course, all the operations he performed were first-level surgeries, which were relatively simple.


    Many complicated major surgeries of grade 3 or 4 often require one or more medical teams to work together for seven or eight hours, or even more than 30 hours.


    The longest operation time for a complicated operation performed by Tuya Hospital is thirty-seven hours.


    It is a very big test for doctors and patients.


    "Doctor Zhou is right, you and so many of us are fighting with you, you must not give up easily. I also want to take this opportunity to win the title of deputy senior!"


    He Hansheng agreed.


    This departmental reform is both a crisis and an opportunity.


    "It''s because my realm is behind! It''s not as good as you two juniors!"


    Deputy Director Liu sat down on the chair with a complicated expression.


    The operation continued and was completed by his two generals.


    Sometimes the chief surgeon or chief physician does not necessarily need to perform the operation himself. The same is true for the doctors who are guarding and guiding the team''s surgery.


    The chief surgeon is like the chef of a restaurant. He only needs to ensure the safety and quality of the operation, and that is enough.


    Otherwise, even if it is like Deputy Chief Physician Liu, he is only the Deputy Chief Physician. In many cases, there are as many as a dozen operations a day. He did it all by himself. I''m afraid he, the chief surgeon, would have died of exhaustion on the operating table before the patient''s operation was finished.


    "Doctor Zhou, why don''t you come to have your laparotomy?"


    He Hansheng took the initiative to give Zhou Can some opportunities to practice surgery.


    "Thank you, Dr. He, for giving me a chance! I will definitely be careful."


    Zhou Can stood at the chief operating position, took the scalpel, and performed laparotomy on the patient with a focused expression.


    The whole process was fast and steady, and there was already a trace of demeanor from a chief physician in him.


    "Excellent job! Is it safe to free the esophagus?"


    "You can try it!"


    Zhou Can''s separation technique is currently at the low level of attending, and there is still more than 400 experience points before he can be promoted to the middle level of attending.


    I saw him carefully start to free the esophagus, while the others held their breath and watched nervously.


    The trachea is fragile while the esophagus is weak.


    Free esophagus is a high-risk operation.


    Separation experience value 1.


    Congratulations, you have successfully separated the esophagus for the first time, and you will be rewarded with 100 separation experience points.


    After Zhou Can successfully freed his esophagus, he was rewarded generously.


    This kind of medical skill experience value has increased by more than one hundred, which is very refreshing.


    Only three hundred or so away, you can be promoted to the middle level of attending.


    According to this trend, it may not need to wait until the end of the month to rise above the middle level of indications.


    Because the operation volume of general surgery is quite abundant.


    With the trial reform of the department this time, the various teams will definitely rush for patients for surgery.


    Zhou Can''s operation speed is notoriously fast.


    Hehe, when the time comes, he will show the other groups the ability to spread the knife quickly.


    I heard that Dr. Xu had such a great reputation in surgery that many surgeons could only worship him. There is no desire to fight at all.


    Later, if Dr. Xu''s knife speed was not too fast and he had a medical accident, neither Director Hu Kan, the most stable scalpel, nor Wu Baihe, the peak scalpel, could compete with him.


    "It''s very well done! After freeing the esophagus, the triangular ligament of the liver must be cut. Watch it, that''s how it was cut."


    He Hansheng did not dare to ask Zhou Can to do this, so he did it himself.


    While cutting, teach Zhou Can and other doctors specific details and precautions.


    Zhou Can secretly kept the techniques and steps in his heart, and he will be able to try it next time he needs to cut the triangular ligament of the liver.


    "Next, the liver is turned side to side and the peritoneal reflexion of the cardia is incised."


    This operation was also not done by Zhou Can, but by He Hansheng himself.


    The powerful senior attending physician is really strong.


    "Pause for a moment, let me explain the next operation steps to you. This is a very difficult and critical step." Deputy Director Liu stood up and began to explain it to several junior doctors in detail.


    "Insert the finger into the mediastinum from the esophageal hiatus, then free the esophagus, and wrap a gauze belt around the cardia to pull it down, and pull the cardia and the lower end of the esophagus to the abdominal cavity"


    Deputy Director Liu didn''t do it himself, but every time he explained a step, he would signal He Hansheng to do it.


    Zhou Can has never had this kind of surgery, and his qualifications are still low, so he can only study and watch from the sidelines.


    Hold hands when necessary.


    The whole operation, whether it was longitudinal incision of the anterior wall of the muscular layer of the esophagus and cardia from the outside of the mucosa, or the shape and various sutures at the back, made Zhou Can very knowledgeable.


    The complexity of this operation is beyond imagination.


    No wonder few doctors are willing to do it now.


    Towards the end, Zhou Can did not compete with the two resident doctors when suturing the abdominal wall.


    Instead, he took the initiative to step aside.


    He is already very familiar with suturing the abdominal cavity, so there is no need to watch the resident doctor close the cavity. There is nothing to learn.


    Out of duty, He Hansheng stood by and stared.


    Zhou Can took advantage of this gap to quickly take notes on the operation steps and key points. For future review.


    After more than forty minutes, the clumsy resident finally managed to close the abdominal cavity.


    "The operation was a complete success, everyone has worked hard. You can organize the operation notes carefully. It is past lunch time. I have ordered a meal. After everyone has finished eating, you can take a rest, and then the second session will be held at about three o''clock in the afternoon. surgery."


    The operation took quite a long time, almost five hours.


    Fortunately, the surgery was a success.


    This is also a place where everyone feels gratified.


    From the beginning of receiving patients, doctors must start to pay attention to various communication with family members, as well as the management of the entire perioperative period and difficult operations.


    In the end, the patient recovered and was discharged from the hospital. This was the happiest moment for the doctors.


    At around 2:50 in the afternoon, Zhou Can and the intern in charge of the bed sent the patient to operating room No. 4.


    Endoscopic surgery is usually done in this operating room.


    As soon as he turned the corner of the corridor, he saw a large number of doctors walking towards him. All of them are dark green surgical gowns. Some even had their masks hanging on their chins.


    Looking at the situation, it should be just after surgery.


    The leading doctor was of medium height, wearing glasses, and looked about forty or fifty years old, with a very calm demeanor.


    This person is Director Yang Qing, who ranks extremely high among the many chief physicians in the general surgery department who can perform operations.


    It must be said that not every chief physician of surgery is good at performing surgery.


    There are actually very few chief physicians who can do a good job in surgery.


    Theoretically speaking, the strength of a surgical team is not just the strength of the chief surgeon alone.


    The chief surgeon plays the role of the leader.


    Director Yang Qing''s surgical team has many experts and talents.


    Du Leng is also in the surgical team, and his position is quite high.


    A doctoral degree graduated from a prestigious overseas university is really popular. In fact, he can only be regarded as a newcomer to surgery now, and his status is almost the same as that of the attending physician.


    Now he has joined the ranks of deputy chief physicians. It seems that he is highly valued in Yang Qing''s group.


    "Um?"


    Zhou Can''s eyes only stayed on Du Leng''s face for about a second and soon fell on a young male doctor walking behind the surgical team.


    That person was none other than Song Ze who had just betrayed under Deputy Director Liu.


    Compared with Du Leng''s food and drink, Song Ze''s status is far behind.


    It turns out that I can only travel with a few residents.


    And he''s walking on the tail end of the residency.


    I really don''t know what''s the point of him joining Yang Qing''s team?


    In the past under Deputy Director Liu, when Zhou Can was not here, he was number three.


    Now he has defected to director Yang Qing, but he is not even as good as a resident doctor.


    The status is only a little higher than Guipei.


    It''s really sad.


    When Song Ze saw Zhou Can, he bowed his head a little guilty.


    People, if you do something wrong, you will always feel guilty.


    Director Yang Qing glanced at the patient Zhou Can was taking with him, and looked away indifferently.


    Not to mention Zhou Can, a regular trainee, even Deputy Director Liu, Yang Qing didn''t take him seriously.


    People really have this strength and confidence.


    The two sides passed each other.


    On Zhou Can''s side, there was only him, a regular trainee, and an intern, and he seemed alone.


    On the other side, there are several chief physicians and deputy chief physicians alone.


    Not to mention attending physicians and residents.


    It can be said that the soldiers are strong and the horses are strong, and they will have more food and more food.


    The strength gap between the two sides is really not that big.


    Zhou Can took the patient and the intern, and took the initiative to step aside, letting the other party go first.


    Modesty is not only a kind of mind, but sometimes it is also a kind of calmness and self-confidence.


    When Du Leng passed by Zhou Can, a sneer of disdain appeared on his face. It came from the bottom of my heart.


    Because the team gap between the two sides is too obvious.


    Song Ze''s betrayal and joining Yang Qing''s team made Du Leng feel as if he had been beaten to death, thinking that he had the chance to win.

 Chapter 207： Another 1 place away, playing in danger

    This incident at least made Du Leng feel that the situation was going well. Zhou Can''s face was expressionless, and Song Ze''s loss would not have much impact on the surgical capabilities of Deputy Director Liu''s team. Because Song Ze usually plays the role of a second assistant in major operations, pulling hooks, doing miscellaneous things and so on. As for the ability to operate alone, Song Ze is an attending physician with relatively low qualifications, and can preside over some simple primary and secondary general surgery alone. Now that he is gone, Zhou Can happens to take over all of Song Ze''s surgeries. Watching the doctors of Yang Qing''s team leave, Zhou Can and Song Ze didn''t say a word. When Song Ze passed in front of him, he even turned his head deliberately, pretending not to see Zhou Can. "Is Yang Qing''s team really so fragrant?" I really don''t know what Song Ze thinks? I always feel that Song Ze has no dignity in Yang Qing''s team. Zhou Can didn''t care about these people anymore, and brought the biliary stone patient into the operating room with the intern. Not long after, He Hansheng, Deputy Director Liu and others entered the operating room one after another. Zhou Can''s eyes flickered, and he found that there was one less person in the team. "Director Liu, I have something to tell you. The resident doctor Cheng Gang has gone to another group to develop." He Hansheng bit the bullet and told Deputy Director Liu about it. "Is another one gone?" Liu Lao was stunned, his tone was full of loneliness, and there was sadness deep in his eyes. One doctor after another left his group at this critical moment and joined other groups. For this nearly 60-year-old man, it was tantamount to traumatizing his heart again and again. So far, the entire surgical team has only one assistant, He Hansheng, and three assistants, Wan Sanlao. After all, Zhou Can was just a regular trainee, and after finishing his rotation in this department, he left. So it''s not a regular member of the team. The other trainees and interns are useless. It can only help to do some work with low technical content and low risk. And they are leaving too. An intern still has a long way to go to become a resident doctor under Deputy Director Liu. There are also many variables. At least 90% of Tuya''s interns had to be eliminated in the end. Less than one out of ten can stay. Those who have practiced know it. Internship in a provincial tertiary hospital, I felt very proud at the beginning, and I was full of bright vision for the future. After the internship was over, I realized that it was even more difficult to obtain the qualifications for regular training in the hospital, not to mention becoming a regular in the hospital. The competition among big hospitals is too cruel. Thousands of troops and horses cross the single-plank bridge, but very few people cross it. Everyone who successfully crosses it is a hero. Three of Mr. Liu''s doctors left in just one day, and each of them had been carefully trained by him for at least two years. These people left without saying hello when they left. The coldness of human nature has been most truly reflected in the face of interests. "If you want to leave, you can''t keep it, let''s start the operation!" Old Liu sighed, and said somewhat dispiritedly. "Doctor Zhou, you are better at endoscopic surgery. Let''s work together to complete this surgery and let Director Liu rest." He Hansheng asked Zhou Can for his opinion. At this moment, Mr. Liu was under such a blow that his hands were shaking. I don''t know if it''s because I''m so angry, or if my body is seriously unwell. After all, he is old. The current state is definitely not suitable for in-person surgery. "I''m fine at all. It''s enough for Mr. Liu to guide the key operations of the operation. I''m sure to do this operation well." Zhou Can had studied the patient''s examination report long ago. There are many stones in the biliary tract, and endoscopy, cholecystectomy, and common bile duct stone removal are required. He already had surgical experience with endoscopic removal of the gallbladder. For this operation, even without the guidance of a superior doctor, it can be done with confidence. "Xiao Zhou, the previous steps are the same as laparoscopic cholecystectomy, you can just do it directly." Mr. Liu was quite assured of Zhou Can''s endoscopic surgery ability. "Okay!" Zhou Can followed the steps of laparoscopic cholecystectomy. "For this kind of laparoscopic surgery, according to whether the cystic duct is widened, two surgical methods can be adopted: transcystic duct exploration or common bile duct incision and exploration. The former is suitable for short and thick cystic ducts, generally with a diameter greater than 5mm. Consider this method. Like this patient, the stones in the bile duct are small and the number is small, and the common bile duct can be explored by incision to remove the stones and T-tube drainage." Liu Lao guides Zhou Can to perform the operation. "Understood!" Zhou Can replied, carefully dissecting the upper part of the common bile duct along the cystic duct. After processing the cystic artery, the cystic duct was freed and the anterior lobe of the hepatoduodenal ligament was dissected toward the junction of the common bile duct and the common hepatic duct. Until the blue-green bile ducts are clearly revealed. These operations require extremely high endoscopic surgical skills. In Liu Lao''s surgical team, even if Liu Lao did it himself, he might not be as good as Zhou Can. Everyone else stood by and watched quietly. Some people stared at the endoscope screen, while others stared at Zhou Can''s hands. Zhou Can carefully cut the front wall of the common bile duct. Blood vessels appeared in the anterior wall of the exposed common bile duct. He calmly lifted the anterior wall of the bile duct with curved forceps, and then electrocoagulated it. Immediately afterwards, after placing a small piece of gauze with barium sulfate thread in the Veneer''s hole, use curved micro-scissors to cut the anterior wall of the common bile duct about 1 longitudinally or obliquely. During these operations, the implantation and clamping techniques that he usually practiced so hard came in handy. After the successful operation, the experience point is directly rewarded with one hundred and one hundred. Because it is the first operation, and the difficulty is quite high. It is of great benefit to the growth of his own surgical experience and the improvement of his ability in endoscopic surgery. The system rewards 100 experience points, usually because Zhou Can has made great progress in surgery or diagnosis, or has made great gains. "That''s right, we must keep it!" Deputy Director Liu watched Zhou Can steadily advance the operation process, and he felt very relieved. Next, fiberoptic choledochoscopy was performed to remove stones from the bile duct. Zhou Can manipulated the endoscope to probe upwards to the left and right hepatic ducts. After finding the stones, he took them out with a stone removal set. Then it should be probed down to the lower end of the bile duct, and the stones should be removed in the same way. During the investigation, he found that there were many stones in the bile duct. "Old Liu, can we use the laparoscopic rotary joint grasping forceps to take out the stone first?" Zhou Can asked Liu Lao for his opinion. "Yes!" Liu Lao nodded in agreement. This method of removing stones is very convenient and practical. After capturing almost everything, Zhou Can used a choledochoscope to explore and remove the remaining stones. There are still several key surgical steps to be done. A T-tube was placed, and the bile duct incision was sutured. This step is a test of the suture technique. If bile leaks around the T-tube, it means that the suture is not in place. Fortunately, Zhou Can''s suture and ligation skills have all reached the level of deputy director. The whole operation process can be regarded as shocking but not dangerous. At this point, the gallbladder can be removed directly. After the gallbladder is cut, the surgical field of view is washed, and then the abdominal drainage tube is placed. During the operation, the abdominal drainage tube was sent into the abdominal cavity through the right anterior axillary line and placed around the T tube and the space between the liver and kidney. This step was far more difficult than imagined. Fortunately, after Zhou Can''s hard work, he finally lived up to his high expectations and successfully completed the entire operation. "Mr. Liu, I would like to ask you. During the gallbladder removal process, I found that the patient''s gallbladder showed signs of malignant transformation. In this case, do I need to send it for pathological examination?" Zhou Can asked Mr. Liu for his opinion on how to deal with it. "Generally no more testing. It can reduce the cost of treatment and save money for patients. It can also avoid the psychological pressure on patients caused by bad test results. The gallbladder has been removed, and it is impossible for it to become cancerous again, so there is no need to do it again. However, during postoperative ward rounds, tell the family members or the patient himself that your gallbladder is lucky to have been removed, because we found the possibility of malignant transformation. After hearing this, the patient and family members will be more satisfied with the surgical results." Mr. Liu pointed out How can Zhou Can skillfully communicate with patients and their families. Communication between doctors and patients is extremely important. Flooded throughout the perioperative period. Good communication can greatly enhance the trust and favor of patients in doctors. Poor communication will leave hidden dangers for doctor-patient disputes. "Of course, if an obvious tumor is found in the gallbladder, and there may even be a risk of metastasis, it must be sent for inspection. It is also necessary to pay attention to whether there are lesions in the surrounding lymph nodes and blood vessels." There is a big problem, and the lymph is the first guard. Lymphadenopathy, nodules, etc. can be found. After the operation is completed, the rest is directly handed over to the doctors and nurses in the recovery room and intensive care unit. He Xuesheng looked up at the wall clock on the wall, hesitated for a few seconds, and said in a somewhat embarrassed tone, "Director Liu, our team has a total of nine surgeries today, and the two largest ones have been completed now. There are still seven first-level and second-level surgeries." Surgery. Originally, Song Ze was responsible for part of the operation, but I should be able to finish it all until eight or nine in the evening. Now I am the only attending physician, which is a bit embarrassing." Not everyone can operate as fast as Zhou Can. In fact, most surgeons operate very slowly. Because they are very worried about getting an accident soon. After Song Ze left, the secondary surgery would definitely have to fall on He Hansheng. For first-level surgery, resident doctor Wan Sanluo can share part of it, but the sharing ability is very limited. No wonder He Hansheng was worried about this. He probably worked overtime until twelve o''clock in the evening and couldn''t finish it. In fact, doctors are not made of iron. Performing any operation requires full concentration, maintaining physical strength and energy. In the fatigue state, there is no way to perform the operation well for the patient. "You have limited ability and energy alone, so you really can''t perform so many operations. Properly push a few until tomorrow night, and try to survive these few days. In the future, we can push some of the surgical patients we receive during the consultation to other groups. " After thinking for a moment, Liu Lao said bitterly. Pushing patients to other groups is a sign of incompetence. If Mr. Liu hadn''t really run out of options, he wouldn''t have made such a decision. He Hansheng is already an attending physician and an important member of staff. He has a full schedule every day. The next two or three days will be overloaded and it will have a huge impact on him. It is one of the few good ways to ask doctors from other groups to help digest the extra surgical patients. Just doing so will cause great harm to Liu Lao''s face. The doctors in this group will also be unable to hold their heads up. It would be a shame to lose three doctors to other groups. Now begging other groups to help digestive surgery patients will only make everyone laugh at their group. In this competition, their team lost on the first day. This is the cruelest truth. "Old Liu, Dr. He, I have an unfeeling request. If you can agree, maybe the patients in our group can be accepted without reducing the dose." Zhou Can took the initiative to stand up at this critical moment. As long as you help this group win the competition, when a new sub-department is formed, more outstanding doctors can naturally be recruited to join. The most important thing is to survive the current difficulties and strive to win the competition. Their team does not need to take first place in every field. Because of the dismemberment of general surgery, many new sub-departments will be established, at least eight or nine. Anyone who wins in any general surgery or disease field will have the opportunity to be qualified as the leader of the sub-department. "Say it!" Mr. Liu, He Hansheng, and even the resident doctor Wan Sanluo, as well as a few regular trainees and interns, all looked at Zhou Can expectantly. They didn''t want to be defeated so easily. Everyone wants to have a bright future. "During the operation of the two of you, I also performed the operation alone in the same operating room. For example, if you digest the third-level major surgery, I can help digest the first-level and second-level surgery. I believe you are also aware of my surgical ability. It is the qualification for independent surgery." Zhou Can said to this extent, I believe Liu Lao and He Hansheng can understand what he means. "This is not a solution. As long as the quality of the operation performed by Dr. Zhou can be guaranteed, there will be no accidents, and the operability is very strong." He Hansheng''s eyes lit up, and some seemingly risky operations can indeed be effective. Solve puzzles. More likely to create huge benefits. For Zhou Can, he is not short of money, what he lacks is surgical experience and experience points. A large number of primary and secondary operations can allow him to quickly earn a lot of medical experience points and accumulate rich surgical experience. In the three months of regular training in the emergency department, a large number of operations have laid a solid foundation for him. Until now, he still benefited a lot. "Xiao Zhou has created miracles in the emergency department before. After more than a year, you have become stronger. I believe you will do better." Liu Lao knows Zhou Can''s heroic deeds in the emergency department. At that time, because the number of surgeries in the emergency department increased by one or two thousand a month, Director Xie of the Department of Surgery was so anxious. It even reached the level of the vice president because of this matter. "So, do you agree with this plan? It can be tried out now. I have already learned about today''s surgical cases. Only two second-level surgeries require careful guidance from superior doctors, and the others are confident that they can be completed independently." Zhou Can''s Pretty well prepared. He has learned about all surgical cases in detail, which also gave him great confidence. Speak out with confidence. "I was supposed to go to Tuya Medical College to participate in a discussion and research on a topic today. I can go there later and see your independent surgery ability." Deputy Director Liu was a little worried after all. UU reading www.uukanshu. Com any chief surgeon, under normal circumstances, would never allow an intern to operate on a patient. Gui Peisheng will only give some practical opportunities with minimal risk and can be controlled. Such as seaming, pulling hooks, and puncturing. Even if the hemostat clamps some important blood vessels, Gui Peisheng will not be allowed to do it. For fear of pinching blood vessels. When Gui Peisheng stood on the operating table, he was usually extremely nervous when he saw the **** wound. Let them pinch the blood vessels, and make sure that there is as much force as possible, as it is easy to pinch the blood vessel wall. "Thank you Mr. Liu for your trust! I will definitely do my best!" Zhou Can thanked Mr. Liu very humbly for helping the whole team solve a big problem. His humble and gentlemanly qualities made him very popular among the superior doctors. After discussing it, they changed to a large operating room and began to let Zhou Can operate independently. Mr. Liu was guiding beside him. Participating in surgery is very different from independent surgery. First of all, we must overcome psychological dependence. Then it is necessary for the surgeon to have a familiar understanding of the entire surgical procedure and process. In addition, when encountering various emergencies, it is necessary to come up with solutions immediately. Many large operating rooms have more than two, which can operate at the same time. The original intention of this design is also to take into account the huge risks of surgery, and there are very few surgeons who can take the lead. With two operating tables, the chief surgeon can lead people to perform major operations outside. The attending physicians under him, and the deputy chief physicians are independently performing sub-level operations in another room. If you have any questions, you can conveniently run over to ask the chief surgeon at any time. Surgeons in many large hospitals are trained step by step in this way. Therefore, Zhou Can''s independent operation in the emergency department was not the first. But there are examples to follow. However, the operating room in the emergency department is much simpler than the large operating room in the general surgery department. The first surgical patient was brought to Zhou Can. This is just a level one surgery patient. Subcutaneous tumor resection. The risk is low.

 Chapter 208： Turning the tide, Director Yang Qings concerns

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 Chapter 209： Surgery Crazy, Deputy Director Series Injection

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 Chapter 210： Lucky star Zhou Can, a great opportunity for general surgeons

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    If it is said that at the fourth level of injection, it can perfectly avoid important tissues such as blood vessels and nerves, and operations such as thoracic puncture and lumbar puncture can be done in one step with precision. So now that he has been promoted to level five, his operation level has been improved to a higher level, and he has touched a level that he could not imagine before.


    Now let him inject the patient, he can precisely control the absorption area of ??the body for the liquid medicine, and the flow direction of the liquid medicine in the muscles. At the same time, the harm to the body is minimized during injection.


    When piercing, he can piercing to the target position with great precision, without any deviation.


    Even if some extremely difficult punctures are performed, it is the same.


    Level 4 injection is competent for more difficult punctures. In the face of extremely difficult punctures, it seems a bit insufficient.


    At the same time, he also has a new ability.


    Before injection, it can vaguely predict the absorption effect of this part of the patient on the liquid medicine.


    For example, patients need to inject the same drug or multiple drugs every day for several days in a row, or even for a long period of time. Always injecting at one site may cause serious damage to muscles and local tissues.


    There are cases where the drug effect cannot be absorbed.


    Zhou Can can now accurately predict whether this part has reached the saturation of the medicine liquid through the reaction of pressing the skin''s rebound and skin color at a glance.


    Or roughly judge the damage of this part.


    In this way, the injection site can be changed in advance.


    This ability is quite similar to the pharmacological meridians in traditional Chinese medicine.


    His hemostasis is only 37 experience points away from being promoted to level five.


    At that time, it will become the fourth deputy director-level medical skill.


    It is worth mentioning that during the month of crazy surgery in general surgery, he also made unexpected progress in two other medical skills.


    They are occasionally used in the two orthopedic procedures of osteosynthesis and external fixation of fractures.


    Many patients with accidental injuries in general surgery are often accompanied by fractures.


    This also gave Zhou Can some room to use his skills.


    If it is too serious, it cannot be digested by general surgery, so we can only ask a bone surgeon to perform joint surgery. It is common practice to refer the patient to orthopedic surgery.


    Zhou Can found a phenomenon in each department that was particularly interesting.


    Everyone is as agreed.


    When encountering patients who are beyond the scope of the department''s ability, they can push them as soon as they can, and never "greedy".


    As a result, some patients will be particularly depressed, and they have not been able to see their illness well after being registered with five or six departments.


    ¡­


    In the large conference room of the General Surgery Department, doctors gathered together.


    Doctors from digestive surgery and hepatobiliary surgery also came.


    "Hello Director Jia! Senior Sister Qiuhong is here too!"


    Seeing the acquaintances, Zhou Can quickly got up and walked over to say hello.


    During the regular training of digestive surgery, he received a lot of care from Director Jia and Qiu Hong.


    Director Jia taught him everything.


    Now that we have met, Zhou Can is very enthusiastic.


    "Hehe, I haven''t seen you for two months, Xiao Zhou has become more energetic than before!" Director Jia praised him with a smile.


    "It''s even more handsome!"


    Qiu Hong''s beautiful eyes blinked at him, with a smile on her face.


    "Haha, thanks to the two old leaders who still love me so much after two months. I''m so embarrassed to praise you!"


    Zhou Can laughed happily.


    "Director Jia is indeed a good teacher and a good leader. He even took care of me before! It can be said that Director Jia contributed a lot to my achievements today."


    Deputy Director Liu also came over.


    He should be about ten years younger than Director Jia.


    Zhou Can always thought that Deputy Director Liu and Director Jia were good friends. But I didn''t expect that the two were in a master-student relationship.


    This is the case in larger hospitals. Many young doctors have had a mentoring relationship with the old comrades in the hospital.


    Doctors are originally professors who are in charge, so they can be passed down from generation to generation.


    Many old comrades have to teach many students in their lifetime.


    Many older doctors, even if they are only rehired by the hospital, no longer hold administrative positions, and have no room for advancement, but it does not affect their respected status in the slightest


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    .


    Not sure, the chief physicians and department directors of many important departments are all their students.


    Can people''s status not be respected?


    "Old Liu is a caring person! After so many years, I still remember the teacher-student friendship. I noticed that the two papers you published recently were published in domestic core journals, and the research direction is breast and breast surgery. The field of specialization is highly matched. How about it? There is a lot of hope to hit Zhenggao before retiring, right?"


    Director Jia seems to have been paying attention to Liu Lao''s development trend.


    Liu Lao''s other conditions are basically fine, except for his academic achievements.


    It seems that in the past year or so, he has really made some achievements in academics.


    "Speaking of which, I would like to thank you for your many times of guidance! The research paper on mammary gland granuloma, without your help, I would not have been able to produce it. Now the provincial science and technology award has also been selected, and the paper requirements have also been met. The rest is up to God¡¯s will.¡±


    When Mr. Liu mentioned the matter of being hit with a senior professional title, he had an extremely complicated expression of expectation on his face.


    After fighting for most of his life, now that half of his body is buried in the ground, there is only one goal left to achieve.


    It has become his obsession.


    There is a rigid rule in the evaluation of medical senior professional titles, which requires the third-class or higher award of the Senior Official Science and Technology Award or related honorary awards. This condition is actually quite difficult.


    Some people just can''t make it to this award, and they can only be depressed in the end.


    There is also a hard requirement, which is to publish a professional academic paper with the same research direction in a national academic journal. This needs to be published as the first author to be considered eligible.


    In fact, even if it is successfully published, there are many variables.


    Mr. Liu compiled two articles, which almost meant double insurance. After all, the age has reached the point, and if you can''t make a comment, you can only sigh.


    From these details, we can also see how strong Liu Lao''s obsession is.


    "Just try your best in everything. This reform of the department should be a very good opportunity. It can''t play a decisive role, but it can help you to a certain extent."


    Director Jia is over seventy years old, and he has personally experienced the evaluation of senior professional titles. Many of the students I lead have already successfully passed the evaluation.


    So his experience is far richer than Liu Lao.


    The reform of the general surgery room is indeed a good opportunity.


    Many doctors want to seize this opportunity and take a big step forward.


    "Take a seat first! This selection will be conducted by the leaders of the school in person, and the scores will be assessed from multiple dimensions. With Zhou Can in your group, I don''t think the results will be bad."


    Director Jia is well aware of Zhou Can''s ability.


    It can be said that which group Zhou Can is in is the blessing and luck of that group.


    "You are so insightful, nothing can escape your discerning eyes! This time our team was able to change our fate against the sky, and Xiao Zhou''s contribution exceeds the sum of all the people in our team."


    Elder Liu''s evaluation of Zhou Can was beyond imagination.


    In fact, Zhou Can has indeed made an outstanding contribution to this group.


    "I''m not surprised that you say that. I''ve never seen such an outstanding young doctor as Dr. Zhou." Qiu Hong looked at Zhou Can with her wonderful eyes, full of admiration.


    "Hey! Senior Sister Qiu believes whatever she hears. Director Liu is flattering me, you know! I''m just a small-scale trainee, and I have performed a few operations under the guidance of Mr. Liu and Dr. He, that''s all. "


    Zhou Can didn''t dare to wear such a high hat.


    His contribution alone surpassed the sum of all the people in the group. If he admitted it foolishly, even if Mr. Liu had no objection, other doctors would feel bad about it.


    Xia Huai''an, the director of the general surgery department, accompanied Vice President Ye, another elegant middle-aged man whom he didn''t know, and the director of the hospital office into the conference room.


    Zhou Can and others hurried back to their seats and sat down.


    Immediately after these four people, Director Xie from the Department of Surgery, Deputy Section Chief Hu from the Personnel Department, and several leaders of the hospital''s administrative departments appeared together.


    The implementation of departmental reform in general surgery is a major event.


    The hospital wants to expand its scope with points, and implement a comprehensive reform of Tuya Hospital like Shang Yang''s reform.


    so


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    The above attaches great importance to this matter.


    "Every doctor, please sit down! Today we deliberately chose to waste everyone''s precious time during this off-duty time period. This meeting is held in order not to affect the normal diagnosis and treatment work during the day."


    Xia Huai''an''s ability to host and manage is quite strong.


    Even though so many important leaders of the hospital attended the meeting, he still behaved very calmly.


    The return of digestive surgery and hepatobiliary surgery made him very happy.


    The general surgery department has been divided into three for so long, and finally it will become a complete department again.


    Just like a divided country, it is as happy to achieve unity.


    "Let me introduce you to the participating leaders. This is Vice President Ye, who is in charge of medical work. This is Vice President Bei, who is in charge of scientific research and teaching. This is the director of the office. This is the person from the Human Resources Department. Chief Hu. This is Director Xie from our Department of Surgery..."


    It can be seen that Director Xie''s status is quite high.


    Zhou Can was surprised that Deputy Section Chief Hu of the Personnel Department had become a full-time employee.


    There are thousands of employees in the hospital, and everyone is trying to climb up. Opportunities are everywhere. After a year or two, if you look at your colleagues around you, you will find that some have been quietly promoted to attending physicians, and some have served as team leaders of a certain medical team. Some have completed the publication of a medical paper in a national journal without knowing it...


    Promotion and salary increase, or academic and medical progress, or some important awards, etc.


    It is these upsides that tempt everyone to try to climb up.


    Every time you reach a new height, you can look back and look down on those who used to be equal to you. This sense of superiority is enough to make people feel refreshed from head to toe.


    "Welcome to the leaders!"


    After the introduction, Xia Huai''an took the lead in applauding.


    There was thunderous applause from below.


    With so many leaders sitting in front watching, who dare not applaud? Anyone with a brain and experience in the workplace will applaud desperately.


    This kind of thing is like this, if you applaud desperately, the leader may not care too much.


    If everyone else is clapping desperately, you alone don''t applaud, or lazily applaud twice.


    What will the leaders think?


    Does this guy who doesn''t applaud have a problem with me?


    It is easy to be remembered by the leader and get a bad impression in the leader''s mind.


    "It''s our honor to serve as the hospital''s pilot department for general surgery. Now, after a month of competition, the scores of each team in multiple dimensions for this month have come out. I would like to ask Vice President Ye, who is in charge of medical work, to announce The winning teams in various fields, and the specific implementation plan for the construction of sub-departments will be announced.¡±


    After Xia Huai''an finished speaking, he sat down.


    "I myself came out of general surgery back then, so I have a deeper affection for general surgery than anyone else."


    Vice President Ye''s one sentence shortened the relationship with all the doctors in the department.


    "Everyone knows that the medical industry is changing with each passing day. There are many large and small hospitals, and dragons and snakes are rising side by side. Whoever can win in the fierce modern competition will be able to become bigger and stronger. On the contrary, the hospital will go bankrupt and will eventually be destroyed by the times. eliminated."


    Every year, large and small hospitals go bankrupt and close for various reasons.


    And then new hospitals sprung up.


    In the past, if a hospital were to collapse, it would survive at least a few years.


    Now as long as the management is not good or there is a major crisis, it may not be able to last for half a year, and it will collapse directly.


    The reason is that with the rapid development of the Internet, people are getting more and more informed.


    After some negative news is magnified, it is easy to bring disastrous consequences.


    If the hospital''s safety, quality and medical ethics are not well grasped, it is very easy for big news with extremely bad influence to appear.


    There is also the effect of famous doctors, and the continuous amplification of the effect of famous hospitals has caused overcrowding in famous large hospitals and deserted doors in small hospitals.


    "Under the wise leadership of Dean Zhu, our Tuya Hospital has achieved great development in recent years, and the progress has been remarkable. However, as the basic market continues to grow, some chronic illnesses have also begun to appear. It is in line with the trend of the times. The incompatibility seriously weakened the competitiveness of our hospital.


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    General surgery is the hero department of our hospital, and it is also known as the mother of the surgery room. "


    "Department reform has actually started a few years ago. Although the performance of digestive surgery and hepatobiliary surgery separated from general surgery is somewhat unsatisfactory, it has accumulated valuable experience for our department reform. I wish the dean to organize many people in this hospital. , personally went to some excellent hospitals at home and abroad to study and inspect, and learned from their successful experience in departments. Then, after listening to the opinions of many insightful people and leaders of the competent department, a highly feasible reform plan was finally formulated. "


    As the dean, it is by no means as leisurely as it appears on the surface.


    Dean Zhu is at the helm of Tuya Hospital and needs to formulate many far-sighted development plans. And discover the problems of the hospital in time, correct or improve them.


    "General surgery will become a general term for a large department, and it will be completely differentiated into nine new sub-departments. They are liver surgery, biliary tract surgery, pancreatic surgery, gastrointestinal surgery, anorectal surgery, vascular surgery, breast surgery, thyroid surgery, Basic surgery. Some medical resources will be deployed in a unified manner, and each sub-department will strive for more high-quality medical resources based on its ability.¡±


    Hearing this, the doctors sitting below were gearing up as if they had been pumped, wishing that they could become the leaders of a sub-department right away.


    Originally, everyone shrunk to develop in the department of general surgery, and the opportunities were relatively much smaller.


    Some doctors who are excellent in a certain general field may be buried directly.


    For example, Director Yang Qing is good at pancreatic surgery, and also has good strength in other surgical fields. The patient''s registration may be aimed at his comprehensive reputation.


    Other doctors who are good at breast or liver surgery, biliary tract surgery may be buried.


    Now subdividing the departments, this kind of disadvantage can be eliminated very well.


    A high degree of subdivision of general surgery is in line with the trend of the times. The general surgery department of Tuya Hospital definitely has this capability.


    "The winners of the nine subdivisions are announced below. The team leaders of each team will be fully responsible for the formation of sub-departments. After the sub-departments are completed, the team leaders will be automatically promoted to the department directors of the sub-departments. If the team leader is the deputy chief physician, The conditions in all aspects are basically qualified, and the hospital will help him complete the evaluation of the senior professional title."


    With the help of the hospital to review the senior professional titles, not to mention a certainty, at least the success rate is several percent higher.


    For such a large hospital, there are too many resources that can be mobilized.


    Deputy Director Liu''s breathing couldn''t help but become short of breath, he was waiting for this sentence.


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    ""

 Chapter 211： The results are announced, and the results are against the sky

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    This time, his team had Zhou Can, a tentacle monster, to help with the operation, one for ten, and the operation was done quickly and well.


    If nothing else, his group has a very high probability of winning.


    "If our team gets the qualification to build a sub-department, I will most likely be able to hit the sub-high school." He Hansheng clenched his fists and his eyes shined through.


    There are quite a few doctors with similar expressions to Liu Lao and He Hansheng.


    Everyone was eagerly waiting for Vice President Ye to announce the final result.


    "Basic surgery, the winner Wang Han''s team, has completed a total of 341 basic surgery operations, with an average score of 4.1 for operation quality. The success rate of operations is 95%, and the postoperative cure rate is 91%. Among them, there are 27 difficult operations of grade 3 and 4. , and one failed. A total of 5 cases of basic surgical intractable diseases were diagnosed, and 3 cases were obviously effective or cured after treatment..."


    The success rate of the operation can reach 95%, which is already very powerful.


    Many hospitals claim that a certain department has a success rate of 100% or more than 99% for any type of operation, which is purely for publicity.


    The success of an operation does not mean that a certain organ or diseased tissue of the patient is cut.


    It also depends on the prognosis of the patient.


    For example, the patient originally had a lung tumor, and then underwent surgery to cut part of the lung lobes.


    The tumor was excised.


    After suturing, the patient recovered well.


    But not long after, the patient''s lung tumor recurred again.


    Then the operation was unsuccessful.


    To give another example, Li Si always regurgitates food after eating, and this problem still exists after surgery.


    The doctor said that the operation was very successful, but in fact the patient''s pain has not been resolved.


    This operation was also a failure.


    In addition, if there is a problem during the operation, the operation is abandoned directly, or the patient is disabled because of the operation, or even dies on the operating table, or dies after the operation due to the reason of the operation. These are all surgical failures.


    To identify whether a surgery is successful or not, in addition to the department''s quality control team, the hospital''s medical quality control department and medical department all have this qualification.


    If a medical accident occurs, the family members will even invite a third-party judicial appraisal agency to participate in the appraisal.


    This time, all the teams of the General Surgery Department participated in the competition together, and the statistical data were all participated by multiple departments of the hospital, so they should be real data.


    Wang Han''s team is excellent in both the success rate of the operation and the cure rate after the operation.


    General surgery hidden dragon crouching tiger, there are quite a lot of powerful teams.


    A total of 5 cases of difficult and miscellaneous diseases were diagnosed, but only 3 cases were successfully cured or the treatment was obviously effective.


    To be honest, this result is not good.


    In addition to the high cure rate and guaranteed quality of treatment in Tuya Hospital, difficult and miscellaneous diseases are a very important indicator.


    It can directly measure the highest medical level of a hospital in a certain field.


    If you can cure diseases that cannot be cured by other hospitals, you are better than others.


    People can''t find out the cause of the disease, but if you can find out, your level will be higher.


    Through this competition, Zhou Can roughly infers that Wang Han''s team has a high level of routine treatment and a strong overall team strength. However, the ability to tackle tough problems and the level of diagnosis and treatment of difficult and miscellaneous diseases are relatively good, and they are not particularly powerful.


    "Gastrointestinal surgery is the winner, the Schottco team. A total of 367 gastrointestinal operations have been completed, with an average score of 4.4 for operation quality. The success rate of operations is 94.2%, and the postoperative cure rate is 87%. Among them, there are 59 highly difficult third- and fourth-level operations. 7 sets failed. A total of 11 cases of gastrointestinal intractable diseases were diagnosed, and 7 cases were obviously effective or cured after treatment. The average length of hospitalization for inpatients was 2.4 days... "


    It is not difficult to see from this set of data that Director Xiao''s team is obviously stronger than Wang Han''s team.


    Director Xiao is the director and chief physician of the Department of Gastrointestinal Surgery, and his medical skills in the field of gastrointestinal tract are second only to the rehired Director Jia.


    Whether it is the number of difficult operations completed or the number of intractable diseases diagnosed, it is much higher than that of Wang Han''s team.


    It shows that the separation of digestive surgery from general surgery in recent years still has a certain effect.


    at least in


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    In this field, the level of director Xiao''s team is significantly higher than the excellent team of general surgery.


    Too much to chew.


    It is the general trend for doctors to only study one subdivision field for a lifetime.


    The length of hospital stay for inpatients, with an average of less than 3 days, is considered excellent.


    Of course, this also depends on the department.


    You can''t blindly pursue that the hospital stay should not exceed three days.


    For some patients, it takes several days to formulate a surgical plan just for the preoperative screening. There are also patients who have undergone major surgery and may not meet the discharge requirements after staying for a month.


    what to do?


    In order to pursue a short hospital stay and drive patients away? This approach is tantamount to seeking fish from a tree, and it is definitely not advisable.


    The value of the existence of the hospital is mainly to relieve or alleviate the suffering of patients.


    Curing the patient''s disease is the ultimate goal.


    Deputy Director Ye announced several winning teams one after another, but there was no such group as Zhou Can and the others. At first, Deputy Director Liu stretched his neck and listened. After that, I just kept wiping sweat.


    He is already 59 years old, and he is usually very stable. Even if the patient''s heartbeat stops suddenly during the operation, Mr. Liu can still command calmly and calmly.


    At this moment, it is like sitting on pins and needles, and the spirit is highly nervous.


    Mr. Liu is not the only one who is restless, those groups who have not yet obtained the qualification to build a sub-department are all suffering.


    Because there are only nine sub-department construction indicators in total, five have been announced now.


    There are fewer and fewer indicators left, which also means that their hopes are getting slimmer.


    "Thyroid surgery, breast surgery, Liu Qingzhi''s team won!"


    As soon as the results were announced, there was an uproar in the audience.


    Because Liu Lao''s team actually got the construction indicators of two sub-departments. This is the first case among the winning teams that have been announced.


    It is equivalent to winning double prizes at the same time.


    Elder Liu finally got the result he wanted, and was so excited that he almost fainted.


    An extremely happy smile could not be restrained on his face.


    His hands were trembling because of the excitement.


    "I''ve been chosen, I''ve been chosen, hard work has paid off, our team has finally been chosen! Haha... I''m so happy."


    He Xuesheng was also very excited, like a child who snatched a lollipop, he was incoherently happy.


    Zhou Can had a calm expression on his face.


    He was not surprised by this result.


    "It was right for me to choose to stay. Fortunately, when Dr. Song told me to go with me, I didn''t leave."


    Wansanluo also had a smile on his face.


    You still have to have a certain bottom line in life and stick to principles.


    People with good character will never have bad luck.


    Yang Qing''s team is so powerful, but they haven''t read their team''s name yet.


    What made Yang Qing even more nervous was that Mr. Liu''s team took away the qualifications for the construction of two sub-departments. Among them is breast surgery, which he is good at.


    In total, only two subdivision winners remain unannounced.


    Yang Qing was anxious, and his doctors were even more anxious.


    We are all grasshoppers on the same boat, we all prosper and we all lose.


    "Dean Ye, can I interrupt you?"


    Relying on his status as a returnee doctor, Du Leng raised his hand to ask questions.


    Liu Lao''s team won two general surgery fields, which hit Du Leng very hard.


    Especially when Zhou Can was in that group, Du was even more unconvinced.


    "Please say!"


    Vice President Ye looked up at Du Leng who was asking the question. Vice President Ye showed the greatest patience to this special talent.


    "Why can Liu Qingzhi''s team win in two fields at the same time? This is too unscientific. Their team only has three official physicians, even if each of them has three heads and six arms, it is difficult to win in two fields at the same time. I don''t question what you mean, just It doesn¡¯t make sense, so I want to clarify.¡±


    It was difficult for Du Leng to accept this result.


    Even if Liu Lao''s team only wins in one field, he can feel better.


    "I believe Dr. Du is not the only one who has this question.


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    People, let me announce the performance of Liu Qingzhi''s team for this month, and you will understand. First of all, I can clearly tell you that this review is absolutely fair. "


    Vice President Ye first emphasized that the review was very fair.


    Then he said, "Liu Qingzhi''s team completed a total of 876 surgeries last month. Thyroid surgeries totaled 211, ranking first among all groups. Breast surgeries totaled 324, also among all groups. Quantity comes first."


    Thyroid surgery is the field that Mr. Liu is best at.


    He is well-known in himself, and most thyroid patients refer to him exclusively for consultation.


    Therefore, the number of thyroid surgeries completed in this group is the largest.


    211 a month, an average of seven thyroid surgeries a day. This amount is already terrifying.


    Without Zhou Can''s diamond, Mr. Liu would not have dared to open up to accept patients from surgery.


    Because with him and He Hansheng, even with Wansanluo, they couldn''t digest so many surgeries.


    The number of breast surgeries has always occupied a large volume in general surgery.


    Because there are too many diseases of the breast.


    Many nodules, granulomas, catheter fistulas, etc., all require surgery.


    There are many general surgeons who can treat breast diseases, but few are proficient.


    Liu Lao''s level can only be regarded as upper-middle, not top-notch.


    Zhou Can has performed more than 300 breast surgeries this month, and has gained a lot.


    If there is a mammary gland specialist now, ask him to sit for a consultation.


    He touched it and knew what disease the patient had. The accuracy rate can reach at least 60%.


    Judging whether it is benign or malignant requires more experience.


    For some more difficult breast surgeries, he has initially accumulated a small amount of practical experience.


    It''s a pity that the time for regular training in general surgery is too short, and the various surgeries that he can experience here are very beneficial to his surgical ability.


    This month is also the last golden period of general foreign exchange.


    In the future, I am afraid that only the emergency department can receive surgical patients in various fields.


    After the general surgery department is subdivided into nine departments, each sub-department will only receive patients in its own field. It is no longer possible to pick up all patients like now.


    "They are only three regular doctors. They have to attend clinics and manage patients in the ward for a month. They can also perform more than 800 surgeries?"


    Du Leng''s brain convulsed.


    This amount of surgery is enough to crush any group.


    Many groups have at least five official doctors, and the total number of operations is only more than 300.


    This is already high yield.


    Zhou Can and his team had more than double the number of surgeries compared to other teams, but there were only three of them. It''s really appalling.


    "To be precise, the monthly operation volume of Liu Qingzhi''s team is close to 900, not 800."


    Vice President Ye corrected.


    "Although the volume of their surgeries is astonishing, if they are all first- and second-tier surgeries and the quality of the surgeries is poor, then it''s useless, right?" Director Yang Qing couldn''t hold back after all, and stood up to question himself.


    Because Du Leng never asked the point.


    Hit a snake and hit seven inches.


    Du Leng is always obsessed with the total number of surgeries performed by Liu Lao''s group. Isn''t this a foolish way to boost other people''s ambitions and destroy one''s own prestige?


    Quantity alone, without quality, and the lack of difficult third- and fourth-level surgical cases are the key.


    What''s the use of doing more primary and secondary surgeries?


    Even if Mr. Liu''s team completes 10,000 first- and second-level operations a month, it is not enough to set up a sub-department.


    You can often hear the phrase that the tree falls and the hozen scatter.


    Difficult third- and fourth-level major surgeries are equivalent to the branches of a big tree. It is they that prop up a department. If there is no ability to complete third- and fourth-level surgeries, those patients with first- and second-level surgeries will soon become less and less.


    Because he couldn''t do major surgery, his reputation couldn''t improve.


    Without the effect of famous doctors, the amount of diagnosis and treatment will soon shrink. Just look at those township health centers.


    They are capable of primary and secondary surgery, but patients just don''t go.


    Why not?


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    Because the patients felt that the level of its hospital was too low, and worried that its medical skills were poor, they cut people down with a single knife.


    When all the doctors in a hospital have poor medical skills, it is basically tantamount to killing people with a license.


    Which patient dares to be stupid and sent to be knifed?


    "Director Yang asked a good question! Why did Liu Qingzhi''s team win in two subdivisions at the same time? There is only quantity, no quality, and no support for difficult major operations. Surgery. This volume is considered excellent for a team supported by only one deputy chief physician.¡±


    Afterwards, the average amount of one major operation per day is indeed very good.


    Most of the other outstanding teams have at least two directors and deputy chief physicians.


    Because Mr. Liu is only the deputy chief physician, according to the surgery classification safety system, he cannot independently preside over the fourth-level major surgery.


    So all the surgeries were done at the third level.


    This is a big constraint.


    Liu Lao wanted to be promoted to chief physician, partly because he wanted to independently preside over the fourth-level major surgery.


    According to the current physician management system, he was not rated as a chief physician before retirement, and could no longer participate in the evaluation of senior professional titles after retirement. In this life, I will never have the chance to be promoted to chief physician again.


    Even if he is hired back by the hospital, he can still only work as the deputy chief physician.


    After a lifetime of surgery, who wouldn''t want to independently host a level 4 major surgery representing the pinnacle of technology?


    When Yang Qing heard that Liu''s team completed 29 tertiary operations last month, he felt a fever on his face.


    The other doctors who originally questioned Liu Lao''s team fell silent.


    "Let''s talk about the quality of surgery performed by Liu Qingzhi''s team. The average score of surgery quality is 4.8 points, the success rate of surgery is 98.4%, and the postoperative cure rate is 96. There are 29 highly difficult third-level surgeries with a 100% success rate."


    As soon as the news was announced, except Director Xie of the Department of Surgery, who was mentally prepared, the other doctors were extremely shocked.


    Why is Director Xie mentally prepared?


    Because Zhou Can performed more than a thousand surgeries a month in the emergency department, Director Xie ordered Zhong Hui from the quality control department to check the scores of all surgeries that Zhou Can participated in in the emergency department.


    As a result, he was slapped in the face.


    Not only the number of surgeries performed by Zhou Can is astonishing, but also the scores are frighteningly high.


    Patient satisfaction is extremely high.


    Therefore, Director Xie became the calmest person in the audience at the moment.


    He silently glanced at Zhou Can who was sitting there with a calm expression.


    I couldn''t help but sigh in my heart, "This monster, after all, he still couldn''t stop his rise. He has become stronger than a year ago. In the future, the surgery department may become a problem. I watched the emergency department grow rapidly under the leadership of this monster." .¡±


    It feels like being an emperor, seeing some unruly people rebelling, and sending troops to encircle and suppress them, only to make that unruly people stronger.


    "How is it? Hearing this, do you think Liu Qingzhi''s team is a bit against the sky? There are even more dazzling!"


    Vice President Ye seemed to enjoy the feeling of suppressing many objections below.


    Watching them one by one loudly oppose, question, and then throw out strong evidence, making these doubters shut up.


    This process allowed him to experience the charm and majesty of a leader very well.


    Whether it''s the vice president or the president, their existence is to calm down the doctors, nurses, and administrative staff below. Let them follow the lead of the baton.


    Among them, the doctor is the most difficult to tame.


    On several occasions, Director Xie had conflicts with Director Lou, and Deputy Director Ye never spoke seriously. They will not directly use the authority of the vice president to forcibly suppress, but mediate in the middle.


    It''s not that he doesn''t want to "chao gang arbitrariness", but that he can''t.


    The status of the vice president is very high, but it does not mean that he can do whatever he wants. To treat doctors at the director level, you must be polite.


    Treating the doctor roughly and arrogantly, the vice president will definitely not be able to do it for long.


    Director Yang Qing''s breathing was messy for a while, and his blood pressure rose.


    Liu Qingzhi''s team has already achieved such incredible results, what could be more dazzling?


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    Does this keep people alive?


    It has been known for a long time that Liu Lao''s team may become the biggest variable, and now the prophecy has come true.


    The mammary gland field was originally Yang Qing''s private land, but now it is overtaken by Liu Lao''s team. He is in a bad mood at the moment, and he wants to know exactly where he lost?


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    ""

 Chapter 212： The biggest hero is revealed, no one knows the king in one dynasty

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    Vice President Ye whetted everyone''s appetites, and then continued to announce the final results of Old Liu''s team.


    "Liu Qingzhi''s team diagnosed a total of 13 cases of difficult and miscellaneous diseases last month, and 13 cases were obviously effective or cured after treatment."


    As soon as this remark came out, there was another uproar in the audience.


    Even the extremely powerful Director Xiao''s team has only worked in the field of gastrointestinal tract for many years, and only diagnosed 11 cases of intractable diseases in the field of gastrointestinal tract. There were only 7 cases of cure or obvious effect.


    That is to say, 11 cases were diagnosed on the surface, but in terms of the treatment effect, only 7 cases were actually diagnosed.


    Moisture was present in the other 4 cases.


    For example, one thinks that the cause of the disease has been diagnosed and the pathological mechanism has been differentiated, but in fact the cause or focus of the disease has not been found out.


    If the real cause is not found, the treatment effect will naturally not be satisfactory.


    Of course, it is not ruled out that luck is a bit bad, and the cause has indeed been found out, but there is currently no specific medicine for this. Surgery cannot cure all diseases, it can only solve some diseases.


    Virtually all surgery is harmful.


    It''s just that when its damage to the body is far lower than the benefits the body can gain after surgery.


    For example, there is a tumor in the pancreas, which is one of the cancer kings with a very low survival rate.


    Many doctors in the oncology department talk about pancreatic discoloration.


    It can be seen how dangerous pancreatic cancer is.


    The patient can live by cutting off the pancreas, otherwise, if it spreads, he can only wait for death.


    May not live half a year.


    To cut or not to cut at this time?


    Cut out the pancreas, which is an important digestive organ. Although it is small, it is a gland with both endocrine and exocrine functions.


    Several digestive enzymes in the pancreatic juice secreted by the pancreas play a "protagonist" role in the process of food digestion, especially the digestion of fat.


    It can secrete many well-known important hormones such as glucagon, insulin, gastrin, and motilin.


    Regardless of Chinese medicine or Western medicine, this "little man" is regarded as the central hub for regulating the balance of human physiological functions.


    Just like the brainstem is the nerve center.


    Such an important organ, after it is cut off, will definitely have a bad effect on the body. But cutting it out can save your life.


    Ten patients guarantee that ten patients are willing to cut it off.


    For what is an organ compared with life?


    "The number of difficult cases diagnosed by Director Liu''s group is not only large, but the cure rate is as high as 100%, which is really unbelievable. Can you share the thirteen difficult cases diagnosed by his group?"


    Director Yang Qing was shocked by this data.


    Not to mention him, which of the doctors present was not shocked?


    Intractable diseases have always been regarded as the ceiling of the medical field. Diagnosing one case is enough to prove that the doctor has a very high attainment and level in related fields.


    All the difficult and miscellaneous diseases diagnosed were cured, and I dare not even think about it.


    I really don''t know how Mr. Liu''s team did it?


    "Of course it can be made public! Every diagnosis idea, treatment method, and pathological mechanism of this difficult case is worthy of everyone''s study and research."


    Vice President Ye signaled slightly, and someone immediately projected the thirteen cases diagnosed by Mr. Liu''s group on the big screen.


    The first case, a 22-year-old female patient, had obvious lumps in her left breast and armpit, accompanied by pus, and yellow fluid oozing from her breasts. Diagnosis and treatment in many hospitals in the province, even after surgery, the curative effect is not obvious. Recurrence occurs. Visited our hospital last month. First of all, the expert account of Director Yang Qing was registered. After diagnosis, it was suspected of malignant tumor, and the patient was suggested to remove the entire left breast.


    The family members hesitated considering that the patient was not yet married and had children, and was still very young.


    It happened that there were no inpatient beds in the general surgery department, and while the patient was waiting for the operation, some patients recommended to see Liu Qingzhi, the deputy chief physician.


    Later, Director Liu''s team consulted with the patient. After repeated syndrome differentiation, Dr. Zhou Can determined that it was a catheter fistula hidden behind the surgery.


    The previous hospitals did not remove the hidden lesions when performing operations on patients, which led to recurrent attacks.


    Suspected malignancy is actually pain from an abscess


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    , swelling, inflammatory response.


    Under the guidance of Director Liu, Dr. Zhou Can performed the operation on the patient.


    After the operation, the patient recovered well. He came to the hospital for a re-examination yesterday and has completely returned to normal.


    The patient also made a special phone call to the hospital department, saying that she had undergone surgery in other hospitals before and left ugly scars. During the operation, Dr. Zhou Can repaired the wound and sutured her in a humane manner.


    Currently, scars are barely visible on the surface.


    The chronic disease that had plagued the patient for many days was relieved, and the unsightly scars disappeared. The patient and his family were very satisfied.


    When the family made a pennant and sent it over, they kept asking whether Dr. Zhou Can had a girlfriend or married!


    In a word, the audience roared with laughter.


    Zhou Can also scratched his head in embarrassment. The female patient admired his superb medical skills very much, and in addition to his handsome appearance, the female patient was about the same age as him, so it was understandable to feel admiration for him.


    But he has a top-notch girlfriend like Su Qianqian, even if he doesn''t have a calm heart towards other girls, he won''t have the idea of ??hooking up.


    In this case, Zhou Can entered the room for the first time and was mentioned emphatically.


    In addition to his contribution to this case, the hospital''s attitude towards him has also undergone a fundamental change.


    In the past, Zhou Can hadn''t passed the double certificate test, no matter how good he was, only the leadership of the hospital knew.


    Now that Zhou Can has a license, it is a license to practice medicine, which is reasonable and legal.


    It never happens overnight that a hospital builds a famous doctor. Instead, it constantly promotes the achievements of young doctors with outstanding potential.


    For example, some achievements in the academic field, published influential papers, participated in important research projects, made outstanding scientific research contributions in a certain medical field, etc.


    These things are advertised.


    There is also the outstanding performance of this doctor in the diagnosis and treatment work. For example, when participating in the consultation of major cases or difficult cases, he gave constructive diagnostic opinions. Or when performing some difficult operations, the doctor is highly involved and even completes the core operation and so on.


    A glorious deed may not be able to set up a famous doctor.


    But with multiple stellar stories and constant publicity for the doctor, the packaging will work really well.


    That doctor''s fame would snowball.


    Until it finally became a signboard in a certain field of the hospital. If they were close, they could become the backbone of a certain medical field in the hospital.


    In this case, from the diagnosis of the cause to the operation, Zhou Can''s contribution is emphatically reflected.


    It is an important signal released by the hospital.


    Start packaging Zhou Can and do promotion.


    Let him go from the unknown behind the scenes to the front line.


    "This female patient actually had a catheter fistula. I really didn''t expect it! From the beginning, I was misled by the malignant tumor. I believe other doctors are the same as me."


    After reading the first case, Director Yang Qing suddenly realized, but also felt extremely complicated.


    This difficult case was registered on his account at first, but the real cause of the disease was not revealed to others. According to his diagnosis and treatment experience at that time, he felt that removing the entire left breast could cure the disease.


    And I was worried that it was a malignant tumor, and the female patient was so young, it would be a pity if the cancer cells spread and metastasized.


    Out of consideration for the patient''s life safety, he gave the treatment plan of removing the left breast to save his life.


    Ductal fistula is relatively common in breast disease.


    But it was the first time he knew about the catheter fistula hidden in his chest.


    Breast duct fistula is caused by the long-term accumulation of material in the mammary duct, causing the rupture of the duct, leading to infection of the mammary duct, resulting in the formation of an abscess under the penis. When the abscess is too large and ruptures, a small amount of pus will flow out.


    There is a sinus next to the **** or next to the breast. When the mammary duct is infected, it will spread to the sinus. After the sinus is closed, the infection will occur again, and the sinus will repeatedly rupture and bleed.


    This is the reason why catheter fistula is difficult to cure.


    Only by cleaning up the sinus can it prevent its recurrence.


    Otherwise, it will recur.


    The catheter fistula of this female patient is different from ordinary people, according to


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    There is no way to remove it with conventional surgical methods.


    As a result, even chief physicians at the level of Director Yang Qing also stumbled.


    Surgical treatment of breast diseases is a dilemma. It is difficult to distinguish the lesion from normal tissue, and it is difficult to remove the lesion accurately.


    Many irresponsible doctors, because the level is limited.


    After the patient underwent surgical treatment, he began to suspect that the patient might have malignant breast cancer because the patient had recurrent attacks. In addition, his family members and patients questioned his medical skills. In the end, I chose the one-and-done approach, and directly cut off the entire **** for the patient.


    In doing so, although it is possible to cure the patient''s disease, it will have a huge impact on the patient''s future life.


    Because many breast disease patients are women.


    How ugly would it be if a **** was cut off? They will have a huge sense of inferiority and feel that they are no longer a complete woman. More likely to be rejected by the husband.


    Therefore, responsible doctors generally consider life after surgery for patients.


    "In the second difficult case, the patient always felt uncomfortable in the stomach. After examination, it was diagnosed as gastroptosis induced by pyloric obstruction. A well-known hospital performed pyloric obstruction surgery on the patient. After the operation, the patient still felt uncomfortable in the stomach, and it seemed that it was worse than the operation. It was aggravated before, and after examination, it was diagnosed as bile reflux, and then the patient underwent a second operation to remove part of the stomach.¡±


    "After two surgeries, the patient still felt uncomfortable in his stomach and began to have trouble eating. The patient was worried that if he continued the treatment, he would die in that hospital, so he chose to go to another big hospital for treatment. After the doctor''s examination, he found that he had undergone two After the first operation, severe adhesions appeared in the abdominal cavity, so I dare not perform another operation on him.¡±


    "The patient''s family heard that Tuya Hospital''s treatment of gastrointestinal diseases is good, so they brought the patient to seek treatment. Director Xiao of the Department of Digestive Surgery failed to find out the cause of the patient. They asked Director Jia Qingfeng of the Department of Digestive Surgery to consult together, but there was still no cure. At the suggestion of Director Jia, Liu Qingzhi, Deputy Chief Physician of the Department of General Surgery, was recommended to the patient... After arduous consultation, Director Liu, Dr. Zhou Can, and attending physician He Hansheng worked together to find out the cause of the disease. It turned out that the patient The real cause of the disease was a recessive esophageal hernia. Under the guidance of Deputy Chief Physician Liu, Dr. Zhou Can performed endoscopic surgery on the patient. The patient has recovered and been discharged from the hospital, and the chronic disease that has plagued him for nearly three years has finally been cured.¡±


    In this difficult case, Zhou Can, the name of Gui Peisheng, was mentioned many times again.


    From diagnosis to surgery, there is Zhou Can.


    While the doctors present were amazed by it, they began to whisper about Zhou Can.


    The focus of eyes is also cast on Zhou Can from time to time.


    Careful people will find that "Director Liu, Dr. Zhou Can, and Dr. He Hansheng worked together to find out the cause of the disease." in front of.


    What does this mean?


    It shows that Zhou Can''s contribution is much higher than He Hansheng''s contribution in diagnosis.


    This kind of operation usually occurs, and it may also be that He Hansheng, the attending physician in the group, is gilded.


    Just like the publication of a paper, the difference between the first author and the second author is actually very big.


    Whoever ranks higher will contribute more.


    Why did Director Jia suggest that Director Xiao recommend Deputy Chief Physician Liu, who has a lower reputation and rank than him, to patients?


    There is also a mystery here.


    Because Zhou Can had been with Director Jia for three months, Director Jia was very aware of Zhou Can''s unique way of diagnosis.


    The person who thinks this intractable disease is most likely to be diagnosed is Zhou Can.


    Facts proved that Director Jia''s idea was correct. Director Liu and Zhou Can worked together to diagnose the cause.


    "This endoscopic surgery is at least level three, right? Zhou Can completed the operation under the guidance of Deputy Chief Physician Liu. What does that mean? It means that Zhou Can has the ability to complete level three endoscopic surgery. This child is extremely evil, if he can How great it would be to join our team!"


    While Yang Qing sighed, he glanced at Du Leng intentionally or unintentionally.


    I thought that with the help of this overseas doctor, he would be able to kill the Quartet and win the championship in one fell swoop.


    Unexpectedly, although Du Leng''s reputation is great, his real ability is not as good as that of Zhou, who is less famous.


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    Can.


    It''s okay not to compare, but after comparing, Yang Qing feels that Du Leng is even worse.


    Whether it is surgical ability or diagnostic ability, Zhou Can was completely defeated.


    He learned through Song Ze that Zhou Can completed 80% of Liu Lao''s group''s operations.


    Let''s look at Du Leng in his group for a month. In addition to giving advice, he also participated in simple operations in some major operations with his fists and legs. It can be said that it has achieved nothing.


    In terms of diagnosis, Du Leng''s medical knowledge is not only profound, but also very advanced and advanced in many aspects.


    It is true that they have made a lot of contributions to their group.


    But people are most afraid of competition.


    Look at Zhou Can, who diagnosed one case and cured one case. Looking at Du Leng again, although he also helped diagnose several difficult and miscellaneous diseases, the cure rate was not high.


    A diagnosis that cannot be cured or is obviously effective can basically be regarded as an invalid diagnosis.


    The symbolic meaning is greater than the actual meaning.


    ¡­


    After checking the 13 cases of intractable diseases diagnosed by Liu Qingzhi''s team, they found that Zhou Can was mentioned 8 times. Surgery participation is as high as 11 times.


    This also makes Zhou Can unintentionally a rising star in general surgery.


    If Zhou Can stays in the general surgery department, he is likely to become the leader of the general surgery department in the future.


    "Who still has doubts about Liu Qingzhi''s team''s victory in the two sub-departments of medicine?"


    Vice President Ye likes to see these arrogant doctors look deflated.


    Director Yang Qing, who was the most skeptical, also lowered his head and stopped talking at the moment.


    Like a defeated rooster.


    Du Leng''s complexion was very ugly, and it was faintly blue.


    The three doctors who betrayed Director Liu and joined other groups were so regretful that their intestines were green.


    Especially Song Ze, who was originally the second assistant in Director Liu''s team, second only to He Hansheng.


    Being smart enough to jump to the powerful Yang Qing team, not to mention being left out in the cold, it is still hard to say whether Yang Qing''s team can get the qualification to build a sub-department.


    Sometimes it''s good to be "stupid".


    If you are too shrewd, it is easy to be misled by cleverness.


    And even if Yang Qing''s team obtained the qualification to build a sub-department, his future as an outsider is also worrying.


    It would be different if he stayed in Liu Lao''s team.


    The future looks bright.


    "Dr. Zhou Can''s performance is good! Keep up the good work The hospital will try its best to provide you with a bigger stage and room for development." Vice President Ye publicly told Zhou Can in front of so many people. take a stand.


    This is a very good sign.


    It shows that the top management of Tuya Hospital has reached a certain degree of consensus, and they are going to increase the training of Zhou Can.


    Usually, the vice president expresses his opinion in public, as long as he doesn''t risk his life, he basically trains him as a famous doctor and doesn''t run away.


    Zhou Can went from being an "abandoned son" who was disliked by the directors of various departments to finally relying on his own efforts step by step, from obscurity to today''s world where no one knows the king.


    Only he himself knows the hardships, sweat and hard work in this process.


    The harder, the more fortunate.


    He successfully practiced these six words and became the lucky one among all the doctors present today.


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 Chapter 213： Liu Lao has become more energetic, opponents can be respected, traitors have no...

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    "Thank you to the hospital for your great cultivation! Thank you Dean Ye for your help and training. I will definitely cherish it and work harder." Zhou Can took this opportunity to express his gratitude to Vice President Ye.


    The last time Zhou Can was arranged to spend two months in intensive care medicine, it was Vice President Ye himself who greeted him.


    Zhou Can is just a small person, and he is really flattered to receive the personal attention and help of the vice president.


    "I like you very much, sit down!"


    Vice President Ye pressed down with one hand, signaling that he didn''t have to stand.


    "Pancreatic surgery, the winner is Yang Qing''s team! Anorectal surgery, the winner is Mi Xiaosheng''s team."


    The strength of Yang Qing''s team is actually not weak.


    Especially Yang Qing''s personal strength, both medical and academic, is quite powerful. Among the many chief physicians in general surgery, there should be no controversy.


    This time he almost lost the election, it can only be said that his luck was a bit unlucky.


    He failed to diagnose the two intractable diseases that he first diagnosed, but was diagnosed by Mr. Liu.


    And it happens to be all in the breast area.


    In one of them, Zhou Can found out the cause of the disease. The other case was diagnosed by Mr. Liu himself.


    In this way, he lost two big points in the breast field, but Liu Lao gained two big points.


    This ebb and flow led to Yang Qing''s team finally missing out on the construction of the sub-department of breast surgery.


    Fortunately, Yang Qing''s team has taken double insurance.


    Simultaneously bet on both the breast and pancreas.


    In the end, relying on its strong strength, it finally won the qualification for the construction of pancreatic surgery.


    His team has a large number of people, and just one pancreatic surgeon may not be able to support so many people.


    The popularity of Tuya Hospital in the field of pancreatic surgery has not been high, and there are not many patients with pancreatic diseases who come to seek treatment. Pancreatic tumors are the most income-generating diseases of the pancreas.


    However, in the field of tumors, the Second Affiliated Hospital of Tuya developed better and became more famous.


    Many patients with pancreatic tumors went there.


    Therefore, even if Yang Qing''s team has obtained the qualification for the construction of pancreatic surgery, the future is somewhat bleak.


    But there are no absolutes.


    If Yang Qing can lead the team to quickly become famous and attract more patients with pancreatic diseases to come to see a doctor, then they can change their lives against the sky. It is even possible to use Tuya''s brand to develop pancreatic surgery into a powerful comprehensive department in a very short period of time.


    The pancreas is a very special organ.


    Pancreatic diseases are treated only with a surgeon''s scalpel, and the survival rate of patients is very low.


    It needs to integrate medical resources in multiple fields such as internal medicine, surgery, minimally invasive, clinical management, nutritional support, etc., and build a comprehensive treatment center, so that it is possible to greatly prolong the survival time of patients.


    Pancreatic cancer is known as the king of cancers, and the five-year survival rate does not exceed 10%.


    Even with surgery, most patients with this cancer do not survive a year.


    Yang Qing''s team still has a long way to go.


    "Okay, the construction qualifications of the nine sub-departments have all been publicized. Everyone has won the construction qualifications based on their strength. It is fair and just, and they can also accurately select the best department leaders in that field. Don''t be discouraged, life is full of scenery, if you miss this station, the next one will be even more exciting. You can join sub-departments that suit your development according to your areas of expertise."


    After Vice President Ye finished his announcement, his majestic gaze swept across the audience.


    "The hospital will give all-round support to the reform and reorganization of the general surgery department this time. You need to have a quick adaptation process, and the transition time left for you is only about a week. The hospital''s registration platform will open tonight. Working overtime to get all nine sub-departments online. The original general surgery registration route will be cancelled.¡±


    "Because the time is very tight, if you want to join a new department, it is best to make a decision now. Then the heads of the respective sub-departments will count the members of the department and report to the personnel department and medical department. In principle, all attending and All of the above doctors can open outpatient numbers. At the resident level, senior residents can apply, and particularly outstanding junior residents can also apply.


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    The hospital will make a comprehensive consideration before deciding whether to agree to open a clinic number for it. "


    After opening the outpatient number, the patient can register the doctor''s number through the hospital''s registration system.


    If you want to reform, you must first start with the outpatient number.


    For example, Mr. Liu, he is now the head of two sub-departments of breast and thyroid. In the future, patients from other departments will no longer be able to register with him.


    "Dean Ye, can I make a request?"


    At this moment, Liu Lao''s face was full of red, and there was a strong joy in his brows and eyes.


    As a person, if your career develops well, you will naturally become spiritual.


    "Speaking!"


    Vice President Ye''s attitude towards him was extremely polite.


    You know, Mr. Liu will be the person in charge of the two sub-departments in the future, with a lot of status and power. Coupled with the fact that he is a powerful chief physician, his status will only be higher.


    "Our team has relatively few members. Thyroid and mammary glands are brothers and sisters. Can these two departments be merged into one and become the Department of Breast Breast?"


    Mr. Liu is very smart. By doing this, he can avoid the dispersion of talents in the department.


    Combining the two sub-departments will have an advantage over the other departments.


    And it''s an inherent advantage.


    This is extremely beneficial to the development of the department.


    "agree!"


    After discussing with several other hospital leaders, Vice President Ye agreed to Mr. Liu''s request on the spot.


    "Director Liu, congratulations! From now on, you will be the leader in the fields of thyroid and breast!"


    A slightly chubby chief physician came over to say hello.


    Although this person is the Chief Physician, half a rank higher than Liu Lao, his face is full of smiles.


    Mr. Liu is now at the top of his game.


    The hospital will definitely help him with the evaluation of the senior professional title.


    The conditions in all aspects are also sufficient, and this matter is almost a certainty.


    "Haha, Director Mo has won the award!"


    Old Liu didn''t dare to neglect him.


    "Uh... that... I''ve made some achievements in the field of thyroid, can I help you in your sub-department?"


    Director Mo is also in his fifties, and he is also a well-known figure in the general surgery department.


    At this moment, he took the initiative to ask a deputy chief physician to take him in, which was somewhat embarrassing.


    Looked a little embarrassed.


    It''s just about the future, about the fate of everyone in his group, no matter how embarrassing he is, he still has to speak up!


    "To have Director Mo join us is something we wish for. You are very welcome!"


    Old Liu laughed so hard that he couldn''t even close his mouth.


    "Thank you very much! My team also has a deputy chief physician, two attending physicians, and three residents. Can you let them join me?"


    Director Mo''s character should be good. After finishing his own affairs, he did not forget to give his doctors a future.


    With so many helpers coming at once, Mr. Liu definitely has no reason to refuse.


    What''s more, the strength of Director Mo''s group is not bad.


    "Welcome to join us! Happy cooperation!"


    Mr. Liu took the initiative to shake hands with Director Mo.


    "Happy cooperation!"


    The two sides shook hands tightly, and Director Mo waved to the doctors in the group, asking everyone to come over and get acquainted.


    In the future, everyone will become a colleague of the same department and need to cooperate sincerely.


    Director Mo and Mr. Liu finished talking about the business, and their eyes turned to Zhou Can naturally.


    "This must be Dr. Zhou Can! Sure enough, he is a dragon and a phoenix among men, and he looks so talented!"


    The dignified Chief Physician took the initiative to lower his body to get close to a Gui Peisheng, which showed that Director Mo''s emotional intelligence was extremely high.


    Zhou Can made great contributions in this group competition, and his status in this group will definitely not be low.


    A good relationship between Director Mo and Zhou Can will allow him to better integrate into Liu Lao''s team.


    "You have won the prize! On the contrary, your name is so impressive. The last case of hypothyroidism caused the patient''s immune system to weaken, resulting in a difficult case with multiple symptoms. It was really impressive. It also let me know you. That profound medical knowledge, rigorous thinking of syndrome differentiation.¡±


    Zhou Can praised people from


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    Don''t say things that sound fake.


    You are amazing! Your medical skills are so brilliant...


    These compliments not only make people feel fake, but also tend to give people the impression of hypocrisy.


    Those who face reputation must be blamed.


    People who praise others in front of them will definitely speak ill of others behind their backs.


    Refers to this kind of bottomless panacea praise.


    "Haha, I didn''t expect Dr. Zhou to remember this case! It really took a lot of effort to diagnose the cause of this case at that time. I look forward to cooperating with Dr. Zhou in the future and seeing Dr. Zhou''s progress in diagnosis, treatment and operation." All kinds of style."


    Director Mo held out his hand to him.


    "It''s my good fortune to be able to work with Director Mo, and I''m sure I can learn a lot. Please give me your advice during the work."


    Zhou Can secretly sighed in his heart, it''s a pity that his regular training in general surgery is about to end.


    I was supposed to leave the general surgery department four days ago and go to the internal medicine department to participate in the regular training.


    Considering his departure, Liu Lao''s team will be greatly affected. Only then did Zhou Can postpone the time to go to the internal medicine training.


    Internal medicine and hospitals can also understand his approach.


    Director Tan from the Department of Internal Medicine felt that Zhou Can''s actions were an expression of affection and righteousness.


    He told Zhou Can that he could go to any department of internal medicine to participate in standardized training for residents at any time. Internal medicine will provide him with the necessary convenience.


    While chatting here, another group came over and asked to join Liu Lao''s nail and breast surgery department.


    As long as the group specializes in thyroid or breast diseases, Mr. Liu will basically not refuse anyone. The specialty is really not suitable, and recruiting in will only affect the medical level of the entire department. When Mr. Liu encounters this type of doctor, he will usually tactfully persuade him to leave.


    A familiar figure walked over shyly.


    "Director Liu, congratulations on obtaining the qualification to construct two sub-departments. This is the only one in the audience!"


    The man squeezed out a flattering smile and opened his mouth first.


    All slick people like to use flattery to make way.


    In order to gain the favor of the other party as quickly as possible, they go up to flatter each other, trying to make the other party feel comfortable and happy.


    "It''s Dr. Hong Zhengbo, what''s the matter?"


    Deputy Director Liu''s tone was obviously a bit cold.


    At the beginning, the hospital just announced the competition in groups, and the attending physician Song Ze and the resident physician Hong Zhengbo were the most decisive. Directly choose to betray Liu Lao and throw himself into the arms of other groups.


    Now it''s more interesting. The old Liu team that was abandoned and looked down upon by them won, but the team they joined lost.


    Just two words, retribution.


    If you have to use four words to describe it, self-defeating is more appropriate.


    "When I left your group, it was because my brain was cramped and my heart was blinded by eating lard. Afterwards, I felt very regretful, but I never had the courage to explain it to you. Can you give me another chance? I promise, return to the group After that, I must work hard and always remember your kindness of cultivation.¡±


    Hong Zhengbo didn''t come here to admit his mistakes at all, but saw that Liu Lao''s team is now developed and has a bright future, so he wanted to join again.


    Elder Liu did not directly refuse.


    Because many people are watching.


    As the leader of the department, he is too narrow-minded, what do others think?


    In case it leaves a bad impression on those newly joined members, it will have an adverse effect on future work. It is also not conducive to the absorption of new talents.


    Elder Liu cast his eyes on Zhou Can, with a trace of asking for help and hinting.


    "I can''t make the decision on this matter. You have to ask Dr. Zhou Can for his opinion. Because our team was able to win this time, Dr. Zhou contributed a lot. We should listen to Dr. Zhou''s opinion on who to recruit into our team."


    Older gingers are more spicy.


    The betrayal of Pang Zhengbo, Song Ze and others almost made Mr. Liu overwhelmed.


    Now that this guy came back and brazenly begged to join, the bad breath in Liu Lao''s heart can be regarded as vented.


    I want to refuse, but due to my identity, I can''t respond positively.


    It is very appropriate for Zhou Can to handle it.


    Zhou Can is also happy to be this villain.


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    "Doctor Zhou, can you agree? The scenes of us operating together and managing the ward together often linger in my mind. That is the best memory. I knew you were extraordinary at the beginning, and this time it really became a blockbuster..."


    In order to return to Liu Lao''s team, Hong Zhengbo did everything he could.


    First they played the emotional card, and then frantically flattered Zhou Can.


    Unfortunately, the person he met was Zhou Can. A rich second generation who has been tempered and tempered.


    I have long seen through the darkness and shamelessness of human nature.


    Zhou Can was unmoved by Hong Zhengbo''s tricks.


    "Since Dr. Hong thinks that the memories of operating with me and managing the ward are very good, why did he go so relentlessly on the first day of the team competition and never looked back? Could it be that people who are naturally rebellious are all Do you have the ability to just walk away?"


    In a word, Hong Zhengbo''s face turned red from choking.


    "Traitors will never be forgiven, and opponents deserve respect. Therefore, it is more appropriate for you to continue to be our opponent. If you knew now, why did you do it then?"


    Zhou Can directly sentenced this guy to death.


    Make it clear that such people are not welcome to join.


    "You are just a trainee, and you are not qualified to accuse me, a senior doctor, of right or wrong!" Hong Zhengbo became a little annoyed.


    With so many people watching, being scolded by Zhou Can as a traitor would certainly be embarrassing.


    "Justice is in the hearts of the people. My teachers and parents often educate me. It doesn''t matter if a person''s knowledge is poor or skills are not good. You can study hard. If a person''s character is not good, then he is finished. He is not welcome anywhere. You were able to betray Director Liu without saying hello back then, so in the future, you can also betray others without hesitation for the sake of profit."


    Zhou Can''s high EQ doesn''t mean he won''t offend others.


    He will never be polite to this kind of stuff.


    "Just like you are now betraying the team you belong to and wanting to rejoin Director Liu''s team, this kind of profit-seeking nature has been deeply rooted in your bones. It''s not that you did something wrong, but that you are like Qin Muchu, no team will Really welcome. After all, doctors are an industry that attaches great importance to responsibility and professional ethics.¡±


    The lethality of these few words is really not smallIt is equivalent to directly opening the words, making Pang Zhengbo''s shameless behavior public.


    The bottom line, the principle, sometimes still needs to be followed.


    Otherwise it is not a man, but a beast.


    "You, you... are fine!"


    Pang Zhengbo''s face was ashen. Now Liu Lao''s team is unwilling to accept him, and there is a high probability that the original team will have opinions on him.


    His situation suddenly became very bad.


    "Give you eight words, the country is easy to change, but the nature is hard to change!"


    Zhou Can looked indifferent.


    Now that the offense is dead, there is no need to worry about it.


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 Chapter 214： Gentleman promises, four seas are light. Nail and breast surgery

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    Hong Zhengbo was so ashamed of being scolded, he gritted his teeth, and sat back to his original seat with a livid face.


    Not far away, Song Ze has been staring at this side.


    Seeing Hong Zhengbo end up like this, he suppressed the running thoughts in his heart.


    None of the three traitors did not regret it.


    A dog does not dislike a poor family, a son does not dislike a mother''s ugliness, and a people does not dislike a country''s decline.


    When Mr. Liu''s team needed them the most, they left without hesitation one by one. Now that Mr. Liu''s team has developed and has a bright future, and he wants to come back, how can there be such a good thing?


    Zhou Can scolded Hong Zhengbo, this was just a small episode.


    In the conference room, the eight teams that got the construction sub-department were all beaming and motivated to recruit and accept other team members who failed to get the qualifications.


    Liu Lao never dreamed that one day, his team would become a favorite.


    Some chief physicians and deputy chief physicians who used to be too proud to find their way in front of him brought their teams to the door and asked to join.


    It''s such a good feeling to be elated.


    He Hansheng''s face was even more excited and beaming, that kind of smile that was over the top had never been broken on his face.


    Among the many attending physicians in general surgery, He Hansheng''s strength is among the best, but his status is not satisfactory. Because the superior doctor he followed was only a deputy chief physician who was about to retire.


    Don''t look at the colleagues in a department as equal on the surface, but in fact, the status will be revealed in many ways.


    For example, in some departments, it is written on the water dispenser that regular trainees, interns, and advanced students should go to the kettle to get water.


    I believe that the regular training, interns, and advanced students in that department must feel uncomfortable.


    But no one will say it.


    Everyone accepted it silently.


    Also, when doing some dirty work, does anyone see the figure of the deputy chief physician and the chief physician?


    When arranging the operating room, everyone is a second-level operation, and the one with more complete equipment and more advanced guarantees will be given priority to the attending physician with a higher status.


    During an operation, a doctor with a high status can stand as the first assistant, and a doctor who is one level lower can only stand as the second assistant. Worse still, it would be nice to be able to stand on the operating table and give a hand.


    Not to mention that high-status physicians "passively" jump in the queue during ward rounds, managing beds, and queuing up to use certain public medical resources.


    Only at this moment did He Hansheng feel like a real attending physician in the department.


    Enjoying the flattery and flattery of other attending physicians, even some deputy chief physicians took the initiative to greet him and talk with him in a friendly and equal manner. These changes in details made him truly feel that his status had really improved.


    Among the three official physicians in Liu Lao''s team, who is the happiest?


    Resident doctor Wan Sanluo is definitely the happiest of the three.


    He knows very well that his spring has come.


    "Doctor Zhou, Doctor Zhou Can!"


    Someone ran over and called Zhou Can.


    "Hello! What''s the matter?"


    Zhou Can saw that this person ran down from the leadership platform, so naturally he didn''t dare to neglect.


    "Vice President Ye, please go over and have a chat!"


    "OK!"


    Zhou Can nodded and walked towards the leadership seat.


    The meeting room was very noisy. More than 150 doctors were looking for a new team, and there were chatter and discussions one after another.


    On the leadership platform, Vice President Ye and others did not leave in a hurry.


    It may also be considered that the establishment of multiple sub-departments for the first time is of great importance. If something happens, their leaders can adjust and deal with it on the spot to speed up the completion of the sub-departments.


    "Dean Ye, are you looking for me?"


    Zhou Can was still a little nervous when talking with the school-level leaders.


    The two vice presidents, the director of the hospital office, the head of the personnel department, and Director Xie of the Department of Surgery all sat here.


    Even Xia Huai''an, the head of the general surgery department, is only qualified to sit in the side seat at the moment.


    "It''s nothing serious, just chatting casually, don''t be nervous!"


    When Vice President Ye looked at Zhou Can, his eyes were peaceful and kind.


    The deputy dean of scientific research and teaching sitting next to him, and the deputy dean of Bei, are also looking at him.


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    With Zhou Can.


    "The implementation of departmental reform in General Surgery is a great opportunity. You have made great contributions to Liu Qingzhi''s team. Deputy Director Liu and you also have a certain relationship foundation. Have you ever thought about staying in General Surgery? Age of Deputy Director Liu It''s time, and I need someone to take charge of breast and breast surgery after retirement, and I think you are a very good candidate."


    Vice President Ye said to him.


    "If Liu Qingzhi can be rated as a senior professional title this time, he can postpone his retirement until the age of 65. There are about six years for you to grow up, and for you to get in touch with the medical team of the department. If you agree, I will personally do it for you during the six years. You solve the education problem."


    Vice President Bei answered.


    The two vice presidents have obviously discussed it.


    Otherwise, it would be impossible to cooperate so tacitly.


    "I am really flattered by the kindness of the two hospital leaders. However, my qualifications are still very low, and the internal medicine training has not yet started. Then I promised Director Lou and Dr. Xu that after the training, I will return to the emergency department to help Emergency department development. So, let you down."


    Zhou Can tactfully and sincerely rejected the kindness of the two vice presidents.


    When speaking in front of leaders, you must first be sincere.


    It is folly to play with any mind.


    To be able to become a school-level leader, which one is not killed by a crowd of human beings? With just one look or even an unnatural subtle movement, they can easily see your intentions.


    "Your surgical training has just finished. As for the internal medicine training, after losing the opportunity to live in this time, won''t there be specialized training in the future? If it doesn''t work, you can still go to the internal medicine departments for further study! Internal medicine Tan The relationship between Director Yin Hua and Director Yin Hua is very good. If you want to go to further study, as long as you arrange the work at hand, it¡¯s not a matter of one sentence? You can also find me when the time comes, and I will arrange it for you.¡±


    Vice President Ye had a clear understanding of Zhou Can''s connections.


    In the words, I especially hope that Zhou Can can agree to stay in the general surgery department.


    "Young man, you can solve the problem of academic qualifications by yourself, and there are many difficulties. Let the hospital help you solve it, at least several times easier. If you miss this village, there will be no next store!"


    Vice President Bei and Vice President Ye sang together, doing Zhou Can''s ideological work.


    There are also many benefits to promise Zhou Can.


    And he is directly designated as the next generation leader of nail and breast surgery.


    Any of these special treatment is enough to make other doctors flock to it, and agree without hesitation.


    But Zhou Can was not moved by these extremely generous conditions.


    Everyone has their own principles and their own way of living.


    Throughout the entire history of Huaxia, there are not a few people like Zhou Can who are not confused by major interests and can always stick to their original aspirations.


    Many of them eventually became the pillars of the country in that era.


    "When I was in the most embarrassing situation and needed help the most, it was Director Lou who recruited me into the emergency department. It was Dr. Xu who taught me surgical skills carefully, which made me achieve a little achievement today. Gentleman promises , the world is light. I have promised them things, and I will never waver. I also ask the two deans to understand my difficulties."


    Zhou Can rejected their kindness with a very firm tone.


    "If you refuse the request of the two of us, you are not afraid that we will give you small shoes?"


    Vice President Ye''s face became serious.


    A trace of invisible pressure pressed against Zhou Can like a mountain.


    "Don''t be afraid! I believe the two deans will not do that. Otherwise, you would not be able to become the vice dean."


    Zhou Can was very clever, and in turn took the opponent''s army.


    High hats were placed on the heads of the two vice presidents. They relied on their identities, so naturally they couldn''t shamelessly retaliate against a small-scale Pearson.


    "Haha, Lao Ye, Lao Ye, I just said that coercion and bribery don''t work on this kid, right? I have long since discovered that this young man has a golden character. You threaten him, but he is unmoved. If you lure him, he doesn''t take it seriously." I really admire him for his sincerity in adhering to principles, his determination to resist temptation, and his sincerity in keeping his promises."


    Vice President Bei was defeated by Zhou Can. Instead of being angry, he smiled happily.


    When looking at Zhou Can, there was deep appreciation and love in his eyes.


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    "It is indeed very good. Regardless of medical skills, potential, and professional ethics, they are all impeccable. Such a talent, if he is willing to stay in the general surgery department, I am sure that not only breast and breast surgery will have great development, but the entire general surgery department will be driven. This reform will also succeed.¡±


    Vice President Ye''s tone was full of regret and unwillingness.


    Thousands of troops are easy to get, but one general is hard to find.


    The hospital entrusted him with the heavy responsibility of general surgery reform this time.


    Without finding a suitable general, it will be difficult to show the effect of the reform in the short term.


    Zhou Can was the best candidate he chose after pondering for many days.


    However, this kid was so reckless that he refused.


    "Zhou Can doesn''t agree, isn''t there Du Leng? I think Du Leng is far better than Zhou Can in other aspects except for his poor surgical ability." Director Xie of the Department of Surgery may have been waiting for this interlude opportunity.


    Zhou Can''s refusal to stay in the Department of General Surgery as the "Prince Prince" who is the leader of this department falls right into Director Xie''s arms.


    You can take the opportunity to help Du Leng to the top.


    "Well... Xiao Du''s qualifications are indeed very good. Let''s study this matter further, and we are not in a hurry anyway." Vice President Ye directly took out the signature catchphrase most commonly used by leaders.


    Study and study again! Or rather, wait and see.


    Basically, it means to refuse.


    When Du Leng first entered Tuya Hospital, he was indeed highly valued by the senior leaders. But a year and a half later, Du Leng''s performance was somewhat disappointing.


    In addition to making achievements in thesis, other fields are very bad.


    Originally, doctors don''t have to be good at performing surgery. It is a good way to play academically and engage in scientific research and teaching.


    Then you can also try to develop into internal medicine.


    Internal medicine pays more attention to medical theory, pharmacological mechanism and pathological mechanism.


    Du Leng has spent more than a year and a half proving that he has no talent in the field of surgery. The correct way is to switch to internal medicine.


    I don''t know if he himself was too arrogant and vowed to hang himself on the big tree of surgery, or Director Xie was selfish and refused to let him go.


    Maybe there are two reasons.


    The choice of development route mainly depends on one''s own wishes.


    It is actually very difficult for outsiders to help.


    Mostly just a suggestion.


    "Zhou Can, don''t rush to reject this matter. After you finish the internal medicine training and even return to the emergency department for a period of time, you feel that there is still a better future for you in general surgery, so you can come to me at any time."


    After Vice President Ye rejected Director Xie''s recommendation, he looked at Zhou Can again.


    "Okay! Thank you to the two courtyard leaders for trusting me so much. I have nothing else to do, so I will go down first."


    Zhou Can did not refuse to die this time.


    It''s also good to leave a way out for yourself.


    Mr. Liu promised the doctors who came to join him, and Wan Sanluo wrote the list beside him. Seeing Zhou Can being called over by Vice President Ye, Mr. Liu has been secretly paying attention.


    Take a look every now and then.


    For Zhou Can, a student, he loves him to the bottom of his heart.


    This kid is really excellent.


    With him around, it is more useful than several chief physicians. Whether it is diagnosing difficult and miscellaneous diseases, or performing endoscopic surgery or general surgery, Zhou Can is a master.


    Seeing Zhou Can walking back with a calm face, a trace of disappointment flashed in Liu Lao''s eyes.


    Still can''t keep it!


    "Xiao Zhou, can you leave a few days later? The new sub-department will definitely face many challenges. With you here, I can feel at ease. You suddenly withdraw and leave, I am worried about chaos."


    There was a trace of pleading in Liu Lao''s tone.


    He is quite old, and he finally seized the opportunity to soar into the sky before retiring. He didn''t want to get bruised and swollen.


    There is no way to keep Zhou Can working in the general surgery department for a long time, at least a few more days to help the new sub-department transition smoothly.


    "No problem. The internal medicine department has already said hello anyway, so it doesn''t matter if you are a few days late."


    Zhou Can readily agreed.


    When he was in trouble, Liu Laoyi stood up and helped him many times without hesitation.


    In the past two months, Mr. Liu taught him everything.


    A critical part of tertiary surgery,


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    He also dared to delegate power to Zhou Can.


    It is this trust and cultivation that allowed Zhou Can''s surgical ability and surgical experience to take a big step forward.


    "Okay, okay! With your words, I feel relieved!"


    Deputy Director Liu seemed to have taken a reassurance, and his face was obviously much more relaxed.


    ¡­


    After more than an hour of free combination, the recruitment of eight sub-departments is coming to an end.


    There were originally only three formal physicians in the nail and breast surgery department, but now the number has increased to as many as twenty-nine. The lineup is quite gorgeous, including four chief physicians, five deputy chief physicians, several attending physicians and residents.


    After the team has been expanded, the next thing to do is to make a clear division of labor.


    Including Mr. Liu, there are nine deputy directors and chief physicians. The large number of high-level physicians has both advantages and disadvantages.


    The advantage is that the physician team can maintain a high level both in surgery and diagnosis.


    Moreover, many of these chief and deputy chief physicians are self-popular. As long as they attend the consultation, they basically don''t have to worry about no patients.


    The disadvantage is that the tail is too big to drop.


    When ordering these people, they must be given enough respect, and everything needs to be discussed.


    There are certain practical difficulties in mobilizing.


    If it is an attending doctor or a resident doctor, just order them to work directly.


    Overall, the pros outweigh the cons.


    "Xiao Zhou, please help me to arrange the division of labor for the members of the department."


    Mr. Liu felt a little headache looking at the big list.


    Zhou Can has a lot of ideas, a flexible mind, and quite good management skills. Ward rounds, reception, outpatient and emergency surgery, inpatient surgery, ward management, etc., Zhou Can has worked in these jobs.


    The experience has been called rich.


    Helping to arrange together can ensure more reasonable and higher work efficiency of the department.


    Zhou Can walked over, first picked up the list and checked it carefully.


    Then start scheduling these personnel together with Mr. Liu.


    "Outpatient consultations are very important. I think at least one chief physician who specializes in thyroid diseases and one chief physician who specializes in breast diseases should sit in the office during the consultation period. There are only four chief physicians in total, and one of them is engaged in scientific research and teaching. Yes, there are only three left to attend the consultation. The chief physician is very busy with work, and often needs to attend various conferences, academic seminars, and also has teaching tasks.¡±


    "Based on this calculation, the number of chief physicians is definitely not enough. We can only use the deputy chief physicians. According to the areas of expertise of these deputy chief physicians, we can make a more balanced match In addition, the operating room should also be considered arrive¡­"


    Zhou Can put forward many very good suggestions.


    After some discussion and planning, all the personnel in the team were finally arranged in place.


    Bed management, reception, surgery and many other aspects have been taken into consideration.


    Seeing that there are nearly 30 formal doctors, but when it comes to actually arranging specific tasks, I still feel a little stretched. The staff is quite tight.


    Fortunately, Zhou Can will stay in the nail and breast surgery department to help out for a few days.


    At that time, he will be like a hero, wherever he needs support, he will rush there.


    In addition to formal doctors, regular trainees, interns, and advanced students are all the main force doing basic and chores.


    In particular, tasks such as bed management, surgery, and dressing changes are basically performed by these people.


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    ""

 Chapter 215： Improving the cohesion of departments, Dr. Wu was impressed

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    "The schedule has been drawn up. You can check it out. If you have any objections, please raise them in person. If you have no objections, I will report them directly."


    The biggest official Liu used to be was leading a team and serving as the team leader.


    It''s really uncomfortable for him to manage a department now.


    "The arrangement above is obviously unfair!"


    grumbled a young female resident.


    Her voice was not loud, but Zhou Can could hear her clearly.


    Most of the above doctor schedules were worked out by Zhou Can. There is only one purpose, to ensure the efficient operation of the department.


    "What do you think is unfair?"


    Zhou Can didn''t know her name, but only knew that this female resident was in Director Mo''s group.


    "I was given all the miscellaneous tasks like case writing, bed management, and surgery, but I was given all high-end tasks such as surgery, outpatient consultation with the chief physician, etc. It''s very unfair. Tired of work , just do the chores for us, and you can do those technical tasks yourself, you can grow up quickly, we are exhausted, but it is difficult to learn useful new knowledge.¡±


    The female resident doctor was quite young, and she showed two canine teeth when she spoke.


    Coupled with her heroic appearance and beautiful appearance, it is difficult for people to feel bad for her.


    On the contrary, I think this girl is straightforward and cute.


    "Do you think it''s too much for me to take away most of the surgery that originally belonged to you?"


    Zhou Can didn''t rush to explain, but asked her back with a smile.


    "What do you mean?"


    The female resident doctor raised her eyebrows and looked at Zhou Can without showing weakness.


    "Wu Ziyu, don''t talk nonsense! Dr. Zhou is young and promising, how can you compare with him!" Director Mo Keduo was worried that his resident physician would anger Zhou Can, and there would definitely be no fruit for him.


    Because they are all just new members of the department.


    Liu Lao''s original team members are the core.


    Although Zhou Can is just Gui Peisheng, he has a very high status in this team.


    In addition, Vice President Ye and Vice President Bei all favor Zhou Can very much. How can she, an ordinary resident, be able to shake her?


    "I guess there are quite a few people who have the same idea as Dr. Wu Ziyu. They think that I have given myself all the high-end tasks and arranged all kinds of chores and basic tasks for you. Dr. Wu, thank you for speaking up."


    Zhou Can was not angry at all, but thanked her instead.


    This confused everyone.


    Is this kid a hypocrite, putting on a show in front of "the masses"?


    "Let me explain to you the reason for this arrangement. Although the hospital gave each sub-department a seven-day adaptation period, allowing everyone to handle the patients in hand within seven days. But I want our department to win at the starting line. The best The solution is to shorten this adaptation period. Try to deal with the accumulated patients in the shortest possible time, go into battle lightly, and let more manpower be devoted to the diagnosis and treatment of breast cancer patients as soon as possible.¡±


    After listening to Zhou Can''s explanation, the other doctors nodded one after another, and they no longer looked at Zhou Can with dissatisfaction.


    On the contrary, there is a little more trust.


    "I''m not going to hide it from you. My operation is relatively fast. In addition, I will soon leave breast and breast surgery and go to the internal medicine department to participate in regular training. So I want to do my last bit for this department and deal with everything I can. I will take over the patients who have undergone surgery, and I will operate on them. In this way, you can have more time and energy to welcome new breast cancer patients.¡±


    By doing this, Zhou Can not only did not "fill his own pockets", but had good intentions.


    Dr. Wu Ziyu, who questioned him, felt hot on his face.


    "If what you said is true, I will apologize to you at that time!" She said with some embarrassment.


    "Why did Dr. Zhou help us?" Another question was raised.


    People are selfish, they will first consider their own interests.


    It was hard for them to believe that Zhou Can was so great and selfless.


    "Because we are all in the same department now, a family, and our own. That''s all." Zhou Can''s words instantly made the questioner ashamed,


    The other newly joined doctors were all moved when they heard this.


    Meanwhile also


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    Feel very warm hearted.


    My own people, the three words instantly connected the hearts of more than 20 people.


    The cohesion of this new department rose instantly.


    The human heart is the most complicated.


    A scholar can die for a confidant, and a woman can tolerate a person who pleases her.


    Their ownership of this new department has now increased a lot.


    "Dr. Zhou Can''s words are very good! You used to belong to different groups or teams, and now you have joined breast and breast surgery, that is a family. Everyone is a part of this department. Think of one heart and work hard together I believe that nail and breast surgery can make achievements in the shortest possible time. I will strive to make nail and breast surgery a new brand of Tuya one day.¡±


    Liu Lao admired Zhou Can from the bottom of his heart.


    When the resident doctor named Wu Ziyu questioned Zhou Can in public, Mr. Liu felt a little displeased and even more worried.


    The department has just been established, and people''s hearts are unstable.


    Didn''t she deliberately disrupt the situation by making such a fuss?


    Liu Lao secretly scolded this girl for being ignorant in his heart.


    Fortunately, Zhou Can''s adaptability is super strong. Not only did he not quarrel with Wu Ziyu, but he expressed his gratitude to her in a very gracious manner.


    Then after some explanations, the sentence of one''s own people actually made the hearts of the new department more stable.


    A real master can take advantage of the situation in adversity and turn disadvantage into advantage.


    Zhou Can has initially possessed this kind of handling ability.


    "This kid is really my lucky star. Nail and breast surgery has his help, be happy!"


    Elder Liu also liked Zhou Can even more.


    The schedule and the list of department personnel were successfully submitted. The hospital will change the files of these people. The consultation time of the outpatient number and the department they belong to also need to be changed in the hospital''s registration system.


    ¡­


    In the operating room, a male patient in his sixties was quietly lying on the operating table.


    Liu Lao, Director Mo, Wu Ziyu, Zhou Can and others will jointly operate on this patient.


    A large tumor can be seen on the patient''s neck near the left collarbone. The diameter is larger than a sea bowl, and it looks extremely scary.


    This patient discovered a thyroid mass more than 20 years ago, but because he had no other symptoms, he did not go to the hospital for treatment. Later, symptoms of hyperthyroidism appeared, so I went to the local health center to take some medicine.


    The drug the patient is taking is methimazole, also known as methimazole.


    Recently, the thyroid mass continued to grow and began to compress the trachea, and the patient felt that he had difficulty breathing. Especially when lying on the side, the symptoms are especially obvious.


    The family members were worried that the huge thyroid tumor would threaten the patient''s life, so they sent it to Tuya Hospital, hoping for surgical treatment.


    The patient was received by Director Mo, and after queuing for several days, he finally got a bed.


    Prepare for inpatient surgery.


    Zhou Can took over the patient''s surgical task. Director Mo was a little worried, and female resident doctor Wu Ziyu wanted to see if Zhou Can''s operation was really fast.


    So Director Mo took her to participate in the operation.


    Director Mo himself also wanted to see Zhou Can''s surgical ability.


    Everyone wants to open their eyes and satisfy their curiosity.


    Zhou Can is helping the anesthesiologist to give the patient preoperative anesthesia. I saw that he quickly prepared the patients for preoperative anesthesia in a very professional way.


    Including intubation, ventilator, and some preparations to prevent accidents during the operation at any time.


    His anesthesia has grown since acquired.


    But there is one thing that makes him very depressed. Only this kind of general anesthesia or spinal anesthesia can increase experience points. Ordinary local anesthesia does not increase experience points.


    At first, I felt that the system might be convulsed.


    Later, when his anesthesia was upgraded to the second level, that is, the standard training level, he realized that this anesthesia is not another anesthesia.


    The anesthesia he obtained includes anesthesia, life support, life monitoring, and even the establishment of extracorporeal circulation and so on. It is a very advanced medical skill.


    With a local anesthetic, the system may think that an individual can do it, and there is no technical content.


    That''s why we don''t give him experience


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    value.


    His current experience in anesthesia is 98/100, an excellent level for Gui Peisheng. Adding another 2 points of experience can be promoted to the level of a resident doctor.


    It''s still hard to get promoted.


    "Can I do the anesthesia?" Zhou Can asked the anesthesiologist.


    "Okay! Don''t do it too fast, this patient is too old, I''m afraid he won''t be able to bear it."


    The anesthesiologist is none other than an old acquaintance doctor.


    He has cooperated with Zhou Can not once or twice.


    So trust is high.


    Even for high-risk operations such as anesthesia administration, he delegated authority to Zhou Can to operate.


    In addition to his willingness to delegate power, Dr. Feng is also willing to delegate power.


    At least half of Zhou Can''s 98 anesthesia experience points were earned from these two doctors.


    There are two commonly used methods of general anesthesia.


    The anesthetic drugs are inhaled through the respiratory tract and injected intravenously into the body to temporarily inhibit the central nervous system, and the patient will lose consciousness and relax skeletal muscles.


    Local anesthesia generally uses a little more intramuscular injection.


    It can also be seen from this that the risk of general anesthesia is much higher than that of local anesthesia.


    Current general anesthesia operations mostly use respiratory intubation and inhalation drug administration. It is safer than intravenous administration, and if the patient has problems during anesthesia, the drug can be stopped immediately.


    Recovery from anesthesia is also more convenient.


    This patient was administered by inhalation.


    Zhou Can adjusted the dosage of anesthetic very carefully, and let the patient inhale into the body with mechanical breathing.


    After successful inhalational general anesthesia, the patient will stop breathing, so the endotracheal tube must be connected to the anesthesia machine for mechanical ventilation.


    Overall, this operation still carries a fairly high level of risk.


    It can only be said that it is relatively safe.


    The patient slowly loses consciousness, as if falling asleep.


    There was no response when Zhou Can called the patient''s name, and there was no response when he patted the patient''s shoulder.


    He observed the patient''s vital signs, and they were generally stable.


    [Anesthesia experience +1. ¡¿


    His experience in anesthesia was only 1 point away from being promoted to the level of a resident doctor. The upgrade should be done today.


    Because he took over most of the surgical patients who were backlogged by other doctors in the department.


    Most of these are above grade II surgeries.


    In fact, first-degree surgery rarely requires hospitalization. Most of them are treated in outpatient clinics.


    Especially in a large hospital like Tuya, the anesthesia space is extremely tight. As long as the patient is assessed to have no major problems after surgery, the patient is basically not allowed to be hospitalized.


    "The anesthesia was successfully implemented, the patient''s signs were stable, and the operation was possible!"


    "Well, come over and be the swordsman!"


    Old Liu looked serious.


    For major surgery, the pressure on the superior doctors is actually great.


    Their serious expressions are also an invisible deterrent to junior doctors. It''s almost like the whole audience is reminding the subordinate doctors, be careful, don''t make any trouble for me.


    Zhou Can walked to the chief surgeon on the operating table and stood still, and the nurse put on sterile gloves for him.


    Director Mo took Wu Ziyu to watch.


    At present, Zhou Can''s intubation, proficient operation of various instruments, and anesthesia in anesthesia operations are all excellent.


    The two couldn''t help looking forward to Zhou Can''s surgical ability.


    Especially Wu Ziyu, she was somewhat shocked to see that Zhou Can was actually competent for the work of an anesthesiologist and directly established a general anesthesia channel for patients.


    Although surgeons are required to rotate to the Department of Anesthesiology for at least one month of training, many of them have only learned the superficial aspects of anesthesia.


    It is just a more detailed understanding of the entire anesthesia process.


    As for how to deal with emergencies during the anesthesia process, which anesthesia method is suitable for various major operations, what preparations should be made before the operation, and what are the contraindications. Many doctors are poorly informed.


    After all, there is a specialization in the art industry!


    Surgeons are good at holding a scalpel, and anesthesiologists need to have both internal and external training, and they need to have a solid foundation in both internal medicine and surgery.


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    An excellent anesthesiologist needs to continuously accumulate various surgical anesthesia and rescue experiences to improve the life support ability of patients throughout the perioperative period.


    It must be said here that anesthesiologists are not only responsible for the safety of patients during surgery.


    An excellent anesthesiologist will give a safety assessment to the patient throughout the perioperative period.


    Including preoperative, intraoperative, postoperative after hospitalization, until the patient is discharged safely.


    It can also be seen from this that when anesthesiologists participate in larger operations, they are never dispatched suddenly. Instead, they will participate when discussing the surgical plan before the operation.


    After Zhou Can stood still at the chief surgeon''s position, he began to play back the patient''s examination data in his mind.


    The results of the MRI examination showed that the left lobe of the patient''s thyroid was huge, with a size of 81*110*115, and part of it entered the chest cavity.


    The patient also underwent an enhanced CT of the neck, and the tumor was about the same size as the MRI, but slightly larger. The tumor boundary is clear, the plain scan density is uneven, and the central low-density area.


    Judging from the results of these examinations, although the tumor is large, it is more likely to be benign.


    The patient''s age was too old, and he had abnormal thyroid function before operation. The preoperative chest radiograph even suggested that the patient had bilateral emphysema. Operating on such patients is extremely risky.


    Zhou Can also worked hard and carefully cut from the edge of the knife.


    With just one stab, Director Mo and Wu Ziyu''s eyes widened immediately, and expressions of horror appeared on their faces.


    They have thought that Zhou Can''s surgical ability is much better than that of ordinary regular trainees.


    But I didn''t expect Zhou Can''s incision skills to be so high.


    And the cutting speed is fast and precise.


    Next, Zhou Can let the two of them thoroughly see what is called the demeanor of passing on the sword.


    I saw him incision first, exposing the tumor in the operative field, then quickly separated it, and finally performed the resection.


    Seeing Zhou Can''s three cuts, five cuts and two cuts, he successfully cut off this huge tumor with a diameter of more than 1.5 meters. During the operation, it was found that there were multiple cystic and solid nodules in the right thyroid gland with a diameter of more than 1.5 inches, Zhou Can gave them to be removed together.


    The hemostasis and ligation during the operation made them amazed even more.


    Until the end of the operation, the two still looked at each other stupidly.


    I can''t come back to my senses for a long time.


    "Surgery can do this! My God, it''s unbelievable."


    Wu Ziyu''s beautiful eyes showed extreme shock and unspeakable admiration.


    Watching Zhou Can perform surgery on patients seemed to open a new window for her.


    In the past, when I saw other senior doctors performing operations, they were all cautious, prudent and prudent, cautious and cautious. Now watching Zhou Can perform surgery, it''s like playing.


    It''s so fast that the eyes can''t keep up.


    But it still does so well. When separating, no matter it is the surrounding important blood vessels or nerves, it can be perfectly avoided. No harm will be done by mistake.


    Ligation of blood vessels in advance, or electrocoagulation to stop bleeding, every movement became very handsome in her eyes.


    The blood loss during the whole operation is very small.


    This is inseparable from Zhou Can''s superb hemostasis.


    The wound was cut very smoothly, and the suture made her mistakenly think that it was performed by a chief physician with extremely rich surgical experience and high suturing skills.


    And it was the first time she had seen Zhou Can''s suturing operation.


    After the wound was sutured, it looked very comfortable.


    It is foreseeable that the wound healing time of the patient will be greatly shortened, and the scar of the wound will be very small.


    Only now did she understand why Liu''s team performed nearly 900 surgeries last month, and the success rate of the surgeries was not lowered, but as high as 98.4%, with an average score of 4.8 for the quality of surgeries.


    With Zhou Can''s level, it is not surprising that he can achieve such a high surgical success rate and quality score.


    A surgery with a success rate of more than 90% is considered excellent.


    More than 95%, that is extremely good.


    After 95%, every increase of one percentage point is as difficult as climbing the sky.


    Zhou Cansheng has increased by 3.4 percentage points on this extremely excellent basis, which is almost an operation


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    The ceiling of the world After watching Dr. Zhou''s operation today, I realized that I was just a frog sitting at the bottom of a well. There are people beyond others, and there is a sky beyond the sky. Dr. Zhou''s superb surgical skills, and the unimaginable speed, I will never be able to match in my life. Yesterday I publicly questioned Dr. Zhou''s unfair arrangement of doctors'' work tasks, and now I solemnly apologize to you. sorry! "


    She bowed to Zhou Can.


    His words were full of shame, but his eyes were full of admiration for Zhou Can.


    "Dr. Wu is serious. It''s good that the misunderstanding is cleared up. There is no need to apologize seriously. We are all doctors in the same department, and we should trust and help each other."


    It was not easy for Zhou Can to help her.


    Because he is a lesbian.


    It''s pretty good to convince her.


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    ""

 Chapter 216： Become a teacher, the 4th level 5 medical skill

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    "Thank you! Thank you for letting me feel the warmth of the new department!" Dr. Wu Ziyu thanked Zhou Can repeatedly, with sincere words and sincere eyes. "I would like to thank Dr. Zhou for letting me understand how far I am from an excellent doctor. I will guard against arrogance and impetuosity in the future, and follow Dr. Zhou''s example to steadily improve my surgical skills and medical level."


    Today, Zhou Can taught her a good lesson.


    Her misunderstanding of Zhou Can was eliminated, and at the same time, her eyes were greatly opened.


    The matter was satisfactorily resolved.


    "Not to mention Dr. Wu, even I was extremely shocked when I saw Dr. Zhou''s surgical prowess. I never thought that a doctor who has been trained for less than two years can have such a strong surgical prowess. In this operation Some separations and resections require at least the deputy director level of surgical ability to complete. It''s really amazing!"


    Director Mo was also full of praise for Zhou Can''s surgical skills.


    "Maybe I am more courageous, and the teachers also take good care of me. They all teach me everything, so I am improving faster! In fact, my surgical skills are far from the level of deputy director. If I die, I will be at the level of attendings." .¡±


    What Zhou Can said was the truth.


    Before practicing the quick knife technique, his surgical skills were solid.


    Later, the fast knife method was promoted to the entry level. Using the fast knife method to control separation, incision, and debridement medical skills is equivalent to using internal strength to activate martial arts. Shengsheng raised the level of separation and incision medical skills to a great level.


    Obviously only at the attending level, but can display the strength of the deputy director level.


    This is exactly what makes the quick knife method so fascinating.


    Zhou Can is not sure whether "Stable Knife" and "Precise Knife Technique" also have this ability.


    Anyway, he has fallen in love with the magic of the quick knife technique.


    Every time I have an operation, I feel a hearty sense of pleasure.


    "The strength is outstanding, but he can be humble and humble at all times. The future of the young man is limitless!" Director Mo was very emotional. I am also very optimistic about Zhou Can''s future. "This operation was successfully completed, so I am relieved. To be honest, let alone me, other chief physicians have not confirmed Dr. Zhou''s surgical ability, and we are somewhat worried about entrusting those patients to you for surgery. .¡±


    Zhou Can smiled wryly after hearing this.


    The chief physicians are all mature and steady, with good medical ethics.


    Zhou Can, a junior trainee, took over the surgical patients they were treating. Although it was out of good intentions, the chief physicians were more worried that Zhou Can''s surgical skills were not enough.


    In order to be responsible to their patients, although they did not expressly object, they appointed Director Mo to the operating room to inspect Zhou Can''s surgical ability.


    Now it is confirmed that Zhou Can''s surgical ability is stronger than imagined, and Director Mo can also explain to others well.


    "Director Mo, I''m going to accompany Zhou Can to operate together in the next two days. Please pay more attention to the outpatients of the thyroid clinic. If you encounter difficult and miscellaneous diseases, you can consult with the doctors of the entire department."


    Old Liu exhorted.


    "Don''t worry, breast and breast surgery is your department, and it''s also our department. Everyone will work hard to do a solid job. We will never do things that ruin our jobs."


    Director Mo waved at Old Liu, and took Wu Ziyu to leave.


    "Director Mo, Director Liu, can I stay in the operation to help with the operation? My surgical ability is far inferior to that of Dr. Zhou, but I can do things like pulling hooks, suturing skin, and stopping bleeding."


    Seeing that Zhou Can''s surgical skills are so strong, Wu Ziyu was somewhat stimulated, and she was not willing to lag behind too much.


    Zhou Can''s surgeries are fully booked for the past two days, both big and small.


    If she followed suit, she would definitely learn a lot of surgical skills and experience.


    This will be of great benefit to her improvement of surgical skills.


    "I have no objection, it depends on whether Director Liu agrees!"


    Director Mo took care of the doctors under him to the best of his ability.


    "What kind of work has the department arranged for you these two days?" Elder Liu didn''t rush to agree.


    The department has just been built, and there are many things to do.


    Manpower is also very tight.


    Even if it is just a resident doctor, the workload assigned is very heavy.


    If she is left in the operating room, there will inevitably be some work that belongs to her.


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    The work needs to be distributed to others.


    "The task assigned to me is to manage the ward, as well as write medical records and prescribe medical orders. Don''t worry, I will not delay work. I will adjust shifts with other colleagues and work overtime at night."


    she said hastily.


    "That''s fine, you should not stay in the operating room for more than eight hours. Young people, it''s good to work hard and study hard, but you should also pay attention to rest. You need to ensure at least six hours of sleep every day."


    Old Liu couldn''t bear to reject her eager eyes.


    Finally chose to agree.


    She will be Zhou Can''s assistant.


    Originally, Mr. Liu was responsible for the more difficult work of pulling the hook and stopping the bleeding. There is no way, the manpower is insufficient, and the deputy director has to play the role of an assistant.


    While serving as the first assistant, Mr. Liu is nominally the chief surgeon, directing Zhou Can''s surgery.


    When encountering the part of the operation that Zhou Can is not yet competent for, he needs to do it himself.


    Now that there is an assistant at the resident level, Mr. Liu can relax a lot.


    After all, like the thyroid tumor removal operation just now, the two regular trainees and the three interns are absolutely incapable of being qualified for the assistant job.


    "Has Dr. Wu participated in tertiary surgery?"


    "I have participated many times, usually as the third assistant. The most completed operations are hemostasis and skin closure." She is honest enough.


    It takes at least the third year for the vast majority of residents to gradually gain some opportunities for some slightly higher-risk surgical operations.


    Just like when Zhou Can was in the emergency department back then, at the beginning, even draining a patient with an abscess was exciting for a long time.


    Surgeons grow up little by little and get over it slowly.


    "Well, the next operation is the removal of thrombosed hemorrhoids. You can try to help Dr. Zhou!"


    Liu Lao decided to try her depth first.


    Later, she will be given opportunities for surgery and exercise.


    The patient was brought in quickly.


    It was a female patient in her thirties who walked like a young girl who had just broken her melon, limping and showing pained expressions on her face from time to time.


    Hemorrhoids are soft venous masses formed by stasis, dilation and buckling of the hemorrhoidal venous plexus under the rectal mucosa and under the skin of the **** canal.


    Thrombosed hemorrhoids, if not treated in time, will cause great pain to patients. Difficulty sitting or lying down, difficult and painful bowel movements.


    The female patient''s walk has become like this, indicating that the condition has progressed to a very serious level.


    "Please lie down on the operating table!"


    Wu Ziyu took the initiative to arrange for the female patient to lie on her side.


    After all, most of the operating rooms are male doctors, and female patients will feel embarrassed.


    Wu Ziyu is also a woman, so it is easier to gain the trust of patients and relieve the embarrassment of patients.


    The actual surgeon of this operation is still Zhou Can.


    A minor surgery that does not require a specialized anesthesiologist.


    Local anesthesia can be administered directly to the patient by the surgeon.


    "Old Liu, would it be better to use caudal anesthesia in her situation?"


    Zhou Can''s first- and second-level general surgery experience is quite rich.


    In addition, he has learned a lot of anesthesia knowledge and skills from Dr. Feng, so he can easily handle local anesthesia for this second-level minor operation.


    With a little understanding of the patient''s condition, the most suitable anesthesia plan can be given accurately.


    Hemorrhoid surgery can generally use local anesthesia, caudal anesthesia, and if necessary, lumbar anesthesia can also be used.


    "Sacral anesthesia is very suitable, let''s start!"


    Old Liu gave him a look of approval.


    Being able to flexibly use the most appropriate anesthesia method shows that Zhou Can''s level of anesthesia has made considerable progress.


    Zhou Can took the anesthetic prepared by the equipment nurse and began to perform caudal anesthesia on the female patient.


    This form of anesthesia is more difficult than local anesthesia injected into the muscle.


    It involves injecting a local anesthetic into the sacral cavity through the sacral hiatus to block the sacral nerves. It is a type of epidural anesthesia, and it is mostly suitable for operations on the rectum, anus, and perineum.


    "Doctor Zhou''s injection technique is so powerful!"


    Wu Ziyu watched Zhou Can operate from the side, and couldn''t help but marvel at it.


    If it were her, let alone an easy success,


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    Even if you give her ten chances, it''s not bad if she succeeds once.


    She has only seen this kind of anesthesia two or three times.


    Because she used to follow Director Mo, and the operations she performed were basically thyroid operations.


    Zhou Can performed sacral anesthesia on the patient just now, and it seemed that he did it easily and easily. This also shows Zhou Can''s strength even more.


    She secretly made a comparison, even if Director Mo operated it himself, it would be difficult for him to be as relaxed as Zhou Can.


    "It''s nothing, you can do it easily after you practice a lot in the future."


    Zhou Can smiled indifferently.


    "Can you teach me a little bit? I''ve seen other doctors do it two or three times, but none of them are as good as you. I''ve always wanted to learn, but I haven''t."


    Seeing that he was easy-going, Wu Ziyu took the opportunity to ask him for advice.


    Normally, she would not dare to ask the deputy director and chief physician directly during the operation.


    "The most difficult step in the implementation of caudal anesthesia is the puncture of the caudal canal. The patient can be placed in a lateral or prone position. Depending on the patient''s condition, different lying positions can be adopted to minimize pain for the patient. The lateral position When lying on the back, the patient¡¯s back is bent backwards, and the knees are moved closer to the abdomen, like a curled shrimp. In the prone position, the patient¡¯s hips are placed on a small pillow, the legs are slightly separated, the toes are turned inward, and the heel is turned outward to relax the buttock muscles .¡±


    Zhou Can is very competent in teaching her the anesthesia knowledge and skills he has mastered.


    "Before the puncture, first touch the tip of the coccyx, which is this position." He pointed to the tip of the patient''s coccyx. "About 3 to 4 centimeters from the midline to the head, you can feel a V-shaped or U-shaped depression. There is a bean-sized bony protruding sacral horn on each side of it. This depression is the sacral hiatus. Find this hiatus and perform Piercing, that''s basically it."


    In Zhou Can''s eyes, it was a very simple anesthesia operation. When explaining it, he realized that being a teacher is so hard.


    He actually told her a lot.


    Recalling those superior doctors who taught him, and took the trouble to explain to him the operation skills, precautions and specific steps, he couldn''t help feeling deeply grateful.


    If you are not a teacher, you will not know the hard work of the teacher.


    If you are not a parent, it is difficult to understand the difficulty of being a parent.


    "I have basically learned how to find the sacral hiatus. Can you talk about the specific puncture? I''m a bit stupid, so don''t bother me." She said a little embarrassed.


    Seeing her thirsty eyes, it was very similar to when Zhou Can asked the superior doctor for advice.


    "You are very smart. All doctors are similar to you when they learn the actual operation. I learned this anesthesia operation, and I learned it from the teacher for a long time."


    Zhou Can told her a white lie.


    At the beginning, when Dr. Xu taught him this operation, he only learned it once.


    "First make a skin mound in the center of the sacral hiatus, and the needle passes vertically through the skin and the sacrococcygeal ligament covering the sacral hiatus. When penetrating through the ligament, there is a sense of loss as the resistance suddenly disappears. At this time, place the needle stem at a 30-degree angle to the skin Insert the needle to enter the sacral cavity.¡±


    Zhou Can gestured again.


    However, the patient was not punctured again.


    Otherwise, the patient should curse.


    "Thank you for teaching me so patiently."


    She carefully took notes, and she must be going back to study carefully.


    After successful anesthesia, the operation officially begins.


    The female patient is not lethargic or anything like that, the person is awake.


    She originally felt that such a young doctor was somewhat worried about performing an operation on herself. But after listening to Zhou Can teach Wu Ziyu, she changed her opinion.


    Being able to lead an apprentice, the medical skills will definitely not be bad.


    It is also a master.


    She waited at ease for Zhou Can to operate on her.


    "Has Dr. Wu done this kind of operation?"


    "No! This is the first time I''ve seen it!"


    She shook her head shyly.


    "Look carefully at every step of my operation. First make a radial incision at the thrombus."


    Zhou Can explained while operating on the patient.


    "After cutting the skin, you can see purple blood clots. Here, that''s it."


    Zhou Can pointed it out to her.


    "Thumbs up


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    From the bottom of the thrombus to the direction of the incision with the index finger, forcefully squeeze out all the clots. Pay attention, neither too strong nor too gentle, otherwise the blood clot will not be squeezed out or not squeezed out to achieve a good therapeutic effect. Vaseline gauze or small cotton **** dipped in styptic powder and benzocaine powder can be used to fill the wound. "


    Zhou Can performed the operation very quickly.


    As soon as the words were finished, the operation was basically completed.


    "Remember, don''t suture the wound, just let it heal gradually."


    There are many wounds that cannot be sutured.


    Hemorrhoid wound is one of them.


    Some novice surgeons have made jokes once. There are also those half-learned doctors who open clinics, because they lack the guidance and checks of superior doctors, and even have a certain degree of medical malpractice.


    This operation is relatively easy, and it will be considered complete if it is done here.


    Old Liu stood beside him without saying a word.


    Just watching Zhou Can teach Wu Ziyu to perform the operation, Liu Lao showed a gratified smile in his eyes.


    After a doctor''s skills have improved to a certain level, especially when he is a little older, he will especially hope to pass on his medical skills and teach more people.


    Watching Zhou Can teach Wu Ziyu, this is the performance passed down from generation to generation.


    So Liu Laohui felt very pleased.


    After this female patient was pushed out, new patients soon came in.


    Zhou Can continues to act as the absolute main force to perform operations on patients quickly and efficiently. Wu Ziyu helped him in some minor operations. When encountering high-risk and difficult secondary surgery, you can only be a secondary assistant.


    Liu Laohui will personally help Zhou Can.


    When Zhou Can performed the fourth operation today, his hemostasis was finally promoted to level five as he wished.


    [Hemostasis, level five, current experience value 1/100000, junior level of deputy director. ¡¿


    This is his fourth five-level operation.


    At this rate, after the three-year period of regular training, it may be possible to upgrade most of the medical skills to the level of deputy director.


    Then cow B.


    Basically all tertiary surgeries can be performed independently, and even start to challenge the core surgical part of the fourth-level surgeries.


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    ""

 Chapter 217： Coagulation awareness, changes brought about by level 3 anesthesia

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    Zhou Can carefully felt the benefits brought by the upgrade to the fifth level of hemostasis.


    At the fourth level, it is mainly reflected in the more precise and flexible electrocoagulation hemostasis, and the preliminary ability to analyze the cause of bleeding.


    At this moment, he discovered that the electrocoagulation hemostasis is not only more accurate, but also can clearly feel whether the bleeding has been controlled during the hemostasis process.


    It seems to be just a small improvement, but it can provide a layer of safety guarantee for him to perform electrocoagulation to stop bleeding on patients.


    There is no need to worry about the coagulation time is too short, the bleeding does not stop or the hemostasis is not firm, and bleeding occurs again after the operation.


    There is also no need to worry about excessive electrocoagulation, resulting in necrosis of blood vessels and surrounding tissues.


    In either case, there will be secondary harm to the patient.


    Needless to say, tissue necrosis caused by excessive electrocoagulation occurs from time to time. The wound will not heal for a long time, and the infection and suppuration are considered mild.


    It would be terrifying if it directly leads to various postoperative complications and even sepsis in patients.


    I believe that when necrosis occurs in a limb, everyone has heard of the need for immediate amputation.


    In fact, when any tissue in the body has large necrosis, it should be removed immediately.


    Otherwise, the massive absorption of necrotic toxin will often affect the loss of function of other organs. Respiratory failure, liver and kidney failure, etc., can easily take the patient''s life.


    Therefore, the improvement of the ability of electrocoagulation to stop bleeding during surgery has great benefits.


    The tragedy of tissue ischemic necrosis caused by excessive electrocoagulation will not happen.


    In addition, incomplete electrocoagulation, leading to re-bleeding after surgery is also a very big hidden danger.


    For example, a laparotomy is performed to remove a tumor in the abdomen.


    Larger blood vessels will definitely be ligated to stop bleeding. However, electrocoagulation is often used to stop bleeding in small blood vessels.


    During the operation, the medium and small bleeding points in the abdominal cavity were successfully stopped by electrocoagulation.


    The doctor closed the abdominal cavity of the patient, and the operation was very successful.


    The patients and their families were very happy after hearing this.


    But after one night, the patient''s condition suddenly became worse. The doctor was at a loss, but the operation was clearly a success! After some twists and turns, no fault was found.


    After taking the film, it was found that the patient had peritoneal effusion.


    The experienced chief doctor saw it and was terrified. Hurry to the operating room for emergency treatment. When he opened the abdominal cavity, he found that it was full of blood. After investigation, it was discovered that the hemostasis was not firm due to incomplete electrocoagulation. Postoperative intra-abdominal bleeding occurred.


    After hard work, the patient was finally rescued.


    All the doctors breathed a sigh of relief.


    In the future, they will be extra careful when encountering hemostasis in the abdominal cavity, chest cavity, and cranial cavity.


    This is just one of the most common examples.


    The patient was very lucky to be able to save his life.


    Some patients died directly from postoperative hemorrhage.


    Or due to postoperative bleeding and disability, there have been examples of turning into a vegetative state.


    This is why many high-risk operations must require the chief surgeon to be the deputy chief physician or chief physician.


    Because the doctor''s surgical operation level is above the deputy director level, it is completely different from the attending level. Only those who are above the level of the deputy director can ensure the safety of tertiary surgery.


    Zhou Can''s hemostasis has been upgraded to level 5. In addition to the improvement of electrocoagulation to stop bleeding, the analysis of bleeding causes, diagnosis, and choice of hemostasis methods have also been qualitatively improved.


    For some bleeding spots, he only needs to look at them to roughly determine the cause of the bleeding, which is a problem with that part of the blood circulation system. How to solve it?


    He has a very clear and intuitive understanding.


    Some patients may have internal bleeding, such as intracranial hemorrhage, uterine bleeding, abdominal bleeding and so on. Zhou Can used to rely on examination methods to make a diagnosis.


    Now even if the patient does not take an X-ray, he can accurately infer where the patient''s bleeding point is based on the symptoms described by the patient, the color of the local skin, whether the patient has blood in the stool, whether he vomits blood, and other symptoms.


    It can even be as large as inferring what caused the bleeding.


    In addition to improving the hemostatic ability in the above-mentioned aspects, he has a more comprehensive and profound understanding of the entire blood circulation system of the human body.


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    Many places that were difficult to understand or did not understand before are now suddenly clear.


    This should belong to the improvement of theory.


    After hemostasis was upgraded to level five, Zhou Can was not complacent about it, but continued to concentrate on operating on patients.


    It seems that it is just an upgrade of basic surgical skills, but it makes him more comfortable and comfortable in the operation.


    Surgery is to use a knife on the patient, and bleeding is a problem that must be solved during the operation.


    With powerful hemostasis, it is equivalent to having a strong security guarantee.


    This also made Zhou Can more confident and confident during the operation.


    After this operation, a more special patient was sent in soon.


    It''s a 21-year-old guy.


    There was a huge lipoma on the left face. Because it could not be treated in time, the tumor is now too large and has caused a series of serious symptoms.


    Not only did it make the young man''s left face look like a monster, but his left eye was almost blind.


    The teeth in the mouth were also severely damaged, and there were not many left.


    According to the patient''s readme, eating is a problem.


    Can''t eat some slightly chewy food. He dare not eat fish or meat with bones.


    Because this huge tumor oppresses the mouth, it is easy for him to be stabbed in the mouth by sharp food during eating, causing severe pain.


    In addition, the tumor would press on the airway while he was sleeping, making it difficult to breathe.


    He couldn''t sleep on his side, so he could only sleep on his back.


    Turning over unconsciously at night may cause great danger to him.


    Even when the young man entered the operating room, he wore a mask on his face. This tumor made his appearance extremely ugly and ferocious, causing him to have serious inferiority complex.


    "Doctor, will my face return to normal after the operation?"


    The young man asked Mr. Liu hopefully.


    "It can basically return to normal, at least it will be much better than it is now. However, your facial lipoma is particularly huge, and the risk of surgery is very high. It may bring a series of complications, even life-threatening. You need to be mentally prepared for this .¡±


    Old Liu said seriously.


    The resection of superficial lipoma is usually only a minor operation.


    This is the type of patient most junior surgical residents like to encounter. Because you can practice with them.


    Surgical removal of superficial lipomas is less difficult and carries little risk.


    The superior doctors are also happy to leave the exercise opportunities to the rookies under them.


    The current operation is an extremely difficult three-level major operation. Infinitely close to level four.


    General deputy chief physicians dare not perform such an operation.


    Mr. Liu is a veteran of the deputy chief physicians, with extremely rich surgical experience and extremely high surgical ability.


    Although the professional title is the deputy chief physician, but the surgical ability is a real director level.


    "This tumor has been with me since I was a child. At that time, because my family was poor, there was no treatment. Now I like a girl, and she also has a good impression of me. But after the girl''s family knew about my situation, they firmly disagreed with their daughter. Stay with me. I haven¡¯t made any money these years. With the help of the media and caring people donating money for me, I have the opportunity for this operation. No matter how risky the operation is, I am willing to try it. Living now is a kind of pain, life is worse than death.¡±


    After listening to the young man''s story, the doctors and nurses were deeply sympathetic.


    How many people there are whose greatest desire is nothing more than to be an ordinary human being. able to live like a normal person.


    Physical disabilities, or certain defects in the body, or chronic diseases that cannot be cured, all make patients live in pain. They need to face all kinds of discrimination, ridicule and even bullying from society.


    Studying, finding a job, and talking about a partner are much more difficult than ordinary people.


    As medicine continues to advance and technology becomes more and more advanced, the solutions to these patients'' physical defects or diseases are gradually enriched.


    People who have lost a leg, if only a low amputation, can be fitted with a prosthetic.


    After a long period of training, they are able to walk like a normal person, or


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    The patient uses a prosthetic limb to pick up objects.


    Not everyone can be born with nothing to worry about.


    Like this young man, because of his poor family, if it weren''t for the help of media reporters, he would report on his affairs. It may be difficult for him to have a chance to change his destiny in his whole life.


    "Since you have thought about it, let''s start the operation! Our doctor will definitely do our best to treat you."


    Liu Lao asked the patient to lie down on the operating table.


    An anesthetist prepares a patient for surgery under general anesthesia.


    Zhou Can''s anesthesia is only one point away from being promoted to the third level. This is a very good opportunity. He immediately went to help.


    Although this operation is only a third-level operation, the anesthesiologist is Zhou Can''s half-master, the silent and serious Doctor Feng.


    It is also enough to explain the danger of this operation.


    Generally, the anesthesia surgery that requires Dr. Feng himself is very risky.


    "Lipoma is never a simple disease. It is generally closely related to organs. During anesthesia, various risks in the operation must be considered. For example, breathing and cardiac arrest caused by accidental anesthesia, and damage to the surrounding large blood vessels during the operation, resulting in Bleeding, life-threatening, etc."


    Dr. Feng taught him some very practical dry goods knowledge.


    A truly brilliant anesthesiologist, like Dr. Feng, can not only do his job well. Moreover, there can be a comprehensive prediction of all kinds of accidents that may occur during the operation of the patient.


    Even an official doctor is much lower than Doctor Feng.


    During anesthesia surgery, doctors can only predict some common surgical risks.


    It is far from being as brilliant as Dr. Feng. When encountering any major surgery, Dr. Feng can have unique insights.


    Can provide a lot of very practical knowledge, so that Zhou Can can prevent various surgical risks in advance in future operations.


    He studies very seriously.


    Helping work is also very diligent.


    Not long after, the preparations for intubation and establishment of extracorporeal circulation channels were all completed.


    "Can I administer anesthesia to the patient?"


    "Um!"


    Dr. Feng nodded slightly and snorted, which was his agreement.


    Zhou Can has long been accustomed to his "unique" conversation style.


    Immediately and carefully administer inhalational general anesthesia to the patient.


    Fortunately, nothing happened until the patient lost consciousness. During the anesthesia process, there were no horrible events such as breathing and cardiac arrest.


    [Anesthesia experience +1.]


    [Congratulations on your promotion to the third level of anesthesia. You can independently provide general anesthesia or spinal anesthesia for ordinary patients. You can better ensure the stability of the patient''s vital signs during the anesthesia process. Special management of mechanical ventilation and critically ill patients. It can be better rescued in patients with shock, perioperative acid-base balance disorder, acute heart failure, multiple organ dysfunction syndrome, sepsis, acute renal failure, oxygen therapy, cardiac defibrillation, cardioversion and pacing operate. ¡¿


    The advancement of anesthesiologists should be the most difficult.


    Because the field involved is too broad.


    Many anesthesiologists say that promotion to attending physician is simply hell-level difficulty.


    Zhou Can is not sure how difficult it is to be promoted.


    It took nearly a year for him to rise from the practice level to the residency level.


    And up to now, he feels that he has learned very little in the field of anesthesia, and he can only be said to have learned some superficial things.


    If one wants to reach Doctor Feng''s level, it may be difficult to achieve it in less than ten or twenty years.


    Fortunately, this is just a side job, not a medical skill that must be promoted.


    So he is not in a hurry.


    The upgrade of anesthesia still brought him many unexpected benefits.


    For example, the ability to predict risks in surgery.


    At this moment, when he looked at the patient''s operation again, he felt a sense of dismay.


    I can''t say it, but I feel inexplicable psychological pressure and mental pressure.


    You know, before the anesthesia was upgraded to the third level, he was full of confidence in this operation.


    Now, instead, I feel a little embarrassed.


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    Chapter 217 Electrocoagulation perception ability, changes brought about by third-level anesthesia for free reading: https://,!


    ¡º¡», update the latest chapter as soon as possible!


    It''s not that he has become timid, but that after the upgrade of anesthesia, he has a deeper respect for life and a sharper prediction of danger.


    "If there is no problem, let''s start the operation!"


    Elder Liu obviously didn''t realize the danger, but as before, he planned to hand over this operation to Zhou Can for training. He will only act when Zhou Can encounters an uncompetent part of the operation.


    "Old Liu..."


    Zhou Can was somewhat hesitant.


    His abnormal state was also discovered by Wu Ziyu.


    Women are careful and are often very sensitive to changes in other people''s emotions and mentality.


    She just looked at Zhou Can curiously.


    I don''t understand why Dr. Zhou, who has always been full of confidence, suddenly looks like he is facing an abyss and a cliff, and seems to have a trace of fear that he dare not move forward.


    This was the first time since she came into contact with Zhou Can that Zhou Can had such emotions.


    "What''s wrong?"


    Elder Liu stared at Zhou Can with doubts in his eyes.


    "The risk of this operation is very high, please check for me more. If you encounter a part of the operation that is too risky, you may need to complete it yourself."


    Zhou Can said with some anxiety.


    "Of course. At any time during the operation, as long as you feel unsure, stop immediately and leave it to me. Safety comes first in any operation."


    Liu Lao''s words have been said to him countless times.


    Safety first is the most frequently spoken word by superior doctors.


    Because there was an accident during the operation, the person responsible was not the subordinate doctor, but the chief surgeon himself.


    For example, in this operation, the actual surgeon is Zhou Can, but the nominal surgeon is Liu Lao.


    If something goes wrong, Zhou Can will be affected to some extent, but the one who is most unlucky is Mr. Liu.


    The superior doctors are willing to give some opportunities for surgical training to the subordinate doctors, so we must cherish it at this time. Don''t be wicked and think that the superior doctor is responsible for the accident anyway.


    This trust is actually very precious. UU reading www.uukanshu. com


    Many surgeons have been residents for more than three years, but the superior doctors never let them hold the knife. At most, only give a retractor and a chance to sew the skin.


    In fact, it was not that the superior doctor had any prejudice against this person.


    It''s that this person does not perform well in his usual work, which makes the superior doctors dare not delegate power.


    Zhou Can took two deep breaths to calm down his slightly nervous mood, then asked the nurse to help him put on sterile gloves and began to operate on the patient.


    It must be mentioned here that before the operation, the doctor may need to wear sterile gloves when performing some special operations or inspections.


    If the doctor happens to be the chief surgeon, at the beginning of the operation, as long as the sterile gloves on his hands feel contaminated.


    Then it must be replaced with a new one immediately.


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    Chapter 217 Electrocoagulation perception ability, changes brought about by third-level anesthesia for free reading: https://,!


    ""

 Chapter 218： Removal of giant lipoma, Dr. Fengs reminder

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 Chapter 219： How difficult it is for medical students to ask for help

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    In the operating room, Zhou Can frantically performed operations one after another.


    The sense of crisis that inexplicably appeared during the lipoma resection operation came strangely, and it disappeared equally mysteriously. I don''t know when it disappeared automatically.


    Zhou Can didn''t care about it anymore, and devoted himself to the new operation.


    ¡­


    Zhou Can has been busy until the end of get off work, and Zhou Can has completed a total of 17 operations today. According to his speed, close to 30 surgeries can be performed in one day.


    But today''s lipoma removal operation was a tertiary operation, which took up nearly three hours.


    And the previous operation on the patient with thyroid tumor was also a tertiary operation.


    As a result, he only performed 17 operations in total.


    Two tertiary operations, fifteen first-level and second-level operations, this amount is actually quite amazing.


    Wu Ziyu had been busy all day, and the harvest must have been very great.


    It was around five o''clock in the evening, although she was reluctant to leave, because there was still bed management work to do, so she had to rush to the ward to change shifts.


    Resident physicians are already equivalent to regular employees. If they are in a more idle department, they may be responsible for less workload.


    In a department with tight staff, the workload is quite heavy.


    She is willing to work night shifts to manage the ward after working in the operating room for eight hours, which shows that she is working very hard to improve her surgical skills.


    In Tuya Hospital, there are quite a lot of hard-working doctors.


    Most doctors and nurses work very hard.


    After Zhou Can had the operation, he went to the ward to check on the patient who underwent lipoma resection.


    Currently, the patient has recovered.


    It looks a little pale, and the spirit is not very good. I feel that the patient''s spirit is a little tired.


    "Who is the doctor in charge of this patient?"


    "It''s me, it''s me! Hello, Doctor Zhou, my name is Bu Shiren, and I''m temporarily in charge of managing the patients in this ward. If you have anything to do, you can ask me to do it at any time."


    The doctor in charge of the bed is a young doctor in his 27s and 18 years old, a real resident doctor.


    He is three or four years older than Zhou Can.


    The rank is slightly higher than that of Zhou Can, a regular trainee.


    Live-accompanying students, generally after obtaining the dual certificates, as long as they register as a doctor in this hospital, they will be a resident doctor.


    It''s just that their qualifications are relatively low. Most of them have received two years of regular training and can get their medical certificates. There are also more sad reminders. If you fail the medical license exam, you can only apply for the exam next time.


    Gui Peisheng without a license will be very embarrassed after three years of work.


    Because the examination for the medical license is a national unified examination, the application time is fixed. Skill practice and theory are tested separately, which leads to a rather long test period.


    It is almost impossible for Gui Peisheng, who failed the medical license examination for the first time, to obtain a medical license at the end of the three-year training period.


    After the regular training period expires, what to do is a problem.


    Even if the hospital is willing to keep you working in the hospital and let you continue to apply for a medical license, but Gui Peisheng''s salary is pitifully low, and the consumption level in the provincial capital is very high. As a result, I have been working for four or five years, and I have to ask my family for money.


    It is not easy for a family to support an undergraduate medical student. If it is a research master, the investment will be more.


    This chapter is not finished, click [next page] to continue reading -->>


    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The vast majority of families are ordinary families, and they finally confessed you to finish college or even graduate school.


    After working for several years, I still have to ask my parents for money. Even if my parents are willing to give it, it''s not easy to say.


    I would also feel very ashamed.


    At the same time, I saw that other students who passed the exam have already started their normal career promotion path. One by one, they began to become formal residents, their salaries increased a lot, and they could also participate in the department''s performance dividends, surgery commissions, etc. There is also a year-end bonus.


    If you say you''re not jealous or jealous, who would believe it?


    Then they will face more serious problems. At this time, they are at least twenty-seven or eight years old, and it is time to find a partner.


    Girls are better. If a male medical student has no money and no career, which girl would marry you?


    At this time, the pressure will be like a mountain pressing on the body.


    There are more tragic things than the above.


    If you fail the medical license exam for the first time, the training hospital will not let you sign up as a practicing doctor. At this time, I can only go to the outside to find a hospital and spend money to sign up for the licensed doctor examination.


    Therefore, the road from a medical student to a doctor is really extremely difficult.


    It is precisely because of the difficulty that many medical students are forced to change their careers. Or engage in administrative positions, or engage in other work related to medical care.


    Passing the exam may not be smooth sailing.


    There are too many variables.


    For example, they have no talent in diagnosis and surgery, and they are not outstanding in academics. Even if they are not eliminated by the hospital after a few years, they have no future. Either continue to mess around, find a way to participate in the project, spend money to buy two papers, and work **** your own, first upgrade the indications.


    Resident physicians are promoted to attendings, and the pass rate is quite high.


    Even if you fail once, you can''t take the exam again next time. There is always a time to pass.


    After being promoted to attending physician, he stayed in the department honestly.


    As long as there are no major mistakes, it''s okay to get along until retirement.


    The ones mentioned above are the worst types.


    As for mixing well, it really has a bright future.


    Being promoted to chief physician at the age of forty is by no means the end, but a new starting point in life.


    At this level, you will definitely enter the college to participate in teaching positions. From assistant, associate professor, professor all the way up. There are thirteen levels of teaching positions in colleges and universities, and if you rise to the first level of professor, you can basically go down in history.


    In addition to academic aspects, there are also clinical and scientific research aspects that can be developed.


    The route is too broad.


    If he could be rated as an excellent youth, or even an outstanding youth in the field of scientific research, he would be in his forties at this time, and he would be in the prime of his life. It is definitely a good thing that countless medical workers dream of.


    ¡­


    Bu Shiren''s working experience is much longer than Zhou Can''s, and he is already a senior resident doctor. Under normal circumstances, he is higher than Zhou Can in terms of rank.


    However, there are too many factors that can determine the status of a doctor in a hospital.


    Bu Shiren treated Zhou Can with the same respect as he treated the chief doctor.


    Hidden status is invisible and intangible, but it really exists.


    Different from those relationship guards, Zhou Can ascends entirely by strength. Therefore, most of the residents in the department also respect him from the bottom of their hearts.


    "Just now I checked the patient''s body temperature, blood pressure and other records. Dr. Bu''s work is very meticulous."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can highly praised his work.


    All basic signs are recorded every 15 minutes. Usually, only critically ill patients are treated with drugs. It shows that Dr. Bu is very concerned about this matter.


    "These are all things I should do."


    Dr. Bu was affirmed and praised by Zhou Can, and it was obvious that he was very happy.


    Because Zhou Can''s status in the department is extremely special, as long as you help him say a few good words in front of Mr. Liu, his opportunity for development will come.


    "In the past few days, we must pay close attention to the changes in the patient''s signs. If there is any abnormality or discomfort symptoms, you can contact me or Director Liu in time."


    Zhou Can exhorted Dr. Bu.


    "clear!"


    Doctor Bu understood.


    The patients specifically assigned by the surgeon are those with extremely high risks.


    If the doctor in charge of the bed does not supervise well, it is very easy to have accidents.


    Some words are inconvenient to say in front of the patient, and the bed doctor can only understand it by himself.


    "The patient''s current blood pressure, respiration, heart rate, body temperature and other data are relatively normal. But we still can''t take it lightly. It is not necessary to measure the basic signs every 15 minutes. Instead, check it every two hours."


    After seeing the patient''s condition, Zhou Can made adjustments.


    It is already 7:26 in the evening, and it will be the night shift time in more than four hours. There will only be one doctor on duty at that time, so he will definitely be too busy.


    The patient''s physical signs are stable, and there are family members accompanying him, so any abnormalities can be found in time.


    ¡­


    After returning to the apartment where he stayed from the hospital, Zhou Can was tired all day and wanted to go to bed.


    However, he still insisted on practicing the quick knife technique for two hours, and then practiced the teleportation technique for another hour.


    At present, among the seven advanced medical skills, only anesthesia and transmission are still at the third level, and the others have all been upgraded to the fourth level.


    After reaching the fourth level, basically you can only rely on practical operations on patients to increase experience points.


    The teleportation technique is only more than 30 points away from being promoted to the fourth level.


    After practicing for an hour, the experience value of teleportation has risen to 997.5/1000. Zhou Can has obsessive-compulsive disorder when it comes to upgrading.


    Every time he sees that the experience value is not far from being promoted, he will find ways to promote it to the next level.


    He was only short of 2.5 experience points to be promoted to the fourth level, so he had to get all the 2.5 experience points.


    Zhou Can gritted his teeth and continued to practice.


    At this moment, it was a bit like the old days when I was an intern, practicing sewing and knotting frantically on a piece of pigskin in order to get the qualification to stay in the hospital.


    "In less than two years, I didn''t expect that a medical skill experience point system would directly allow me to be completely reborn, completely changing my destiny."


    Zhou Can couldn''t help feeling a little emotional.


    Now he is no longer that intern with no cards. But through his own efforts, coupled with the help of the experience value system, he was able to transform.


    All aspects of strength have been improved by leaps and bounds.


    There are so many cards in the hole that he can''t even count them.


    There are already four surgical skills at the deputy director level.


    Quick knife method and emergency life wisdom are special medical skills that ordinary doctors do not have.


    This chapter is not finished, click [next page] to continue reading -->>


    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Medical certificate, orthopedic medicine, many advanced medical skills...


    Compared with that time, Zhou Can couldn''t believe that he could really be that good.


    [Transfer technique experience value +0.1, +0.1...]


    At this moment, it feels a bit like Zhou Botong in a martial arts novel is playing left and right.


    [Congratulations on your promotion to the fourth level of teleportation, the current experience value is 1/10000. It can flexibly and accurately deliver surgical equipment such as vascular stents, metal rings, occlusal nails, and bone nails during surgery. It can also complete the transmission and docking of human tissues, such as blood vessels, kidneys, and neurons, without damage. During the operation, the left and right hands can be switched or stretched in opposite directions, which can be completed efficiently and quickly. ¡¿


    This medical technique is rarely used in traditional surgery.


    It is usually used in endoscopic surgery.


    Needless to say its role.


    At the critical moment, it cannot be done without it.


    Compared with the third level, the transmission accuracy has increased a lot, and there is an extra tissue transmission without damage.


    This is very important.


    When using instruments to clamp and pull various organs and tissues, it is very easy to damage them. The transfer technique has been upgraded to level four, and this problem has finally been successfully resolved.


    "Finally another medical skill has been promoted to the fourth level. It feels so good to keep upgrading the medical skill."


    Zhou Can is very clear that the improvement of his medical skills every day means that his strength has become stronger.


    The nine-story platform rises from the base of the earth, and the wood that embraces it grows from the end of the millet.


    The growth of a famous doctor cannot be achieved overnight. Instead, like Zhou Can, he needs to gradually improve one medical skill after another, constantly make up for his shortcomings, and become better at his areas of expertise, in order to finally become a generation of famous doctors.


    After the teleportation technique has been upgraded, Zhou Can can take a bath and sleep peacefully this time.


    After taking a shower, he sat on the bed, turned on his laptop, and first made a record of today''s surgery experience and key points.


    Then start learning the basics of medicine.


    Director Xueyan made a long-term study plan for him with a lot of painstaking efforts, and he will implement it to the end. Learning is a process of persistence and accumulation.


    Passing the medical license does not mean that you do not need to study.


    If you really want to make great progress, you must make up for the lack of medical knowledge.


    The study time of undergraduates in school is actually very limited, because they will enter the hospital for internship in the fifth year, and the study during this period is basically intermittent.


    It takes only four years to study the eight classics seriously.


    This is also the reason why many better tertiary hospitals give priority to recruiting postgraduates and postgraduates when recruiting doctors.


    Postgraduates have more profound medical knowledge, especially in their chosen professional field, and have already carried out a certain degree of deep cultivation, and with a little training, they may become independent backbone doctors.


    Under normal circumstances, it takes a longer period for a hospital to train an undergraduate student to become a backbone doctor of the department.


    If you encounter undergraduates who are slack in their studies, not only will the training cycle be longer, but it will also be difficult to become useful.


    The final result is to lower the overall medical level of the hospital.


    Zhou Can is now making efforts in all fields, and there is a tendency for a hundred flowers to bloom. The most important aspect of academics must not be too far behind, and must strive to catch up.


    The last time he crammed a lot of medical knowledge in order to take the medical certificate exam, he obviously felt the real benefits.


    This chapter is not finished, click [next page] to continue reading -->>


    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    He has enjoyed great progress brought about by the improvement of medical knowledge in many aspects such as pathological diagnosis, doctor''s prescribed medication, ward management, and surgery.


    After reading until twelve o''clock, Zhou Can turned off the lights and went to sleep.


    Jin Mingxi on the other bed had already been snoring.


    The gap between the two is also widening a little bit.


    When he just passed the training exam, Zhou Can was not as good as Jin Mingxi in terms of practical surgery. Treatment experience, surgical experience, and basic medical knowledge are all much worse than Jin Mingxi''s.


    Now, Jin Mingxi is far inferior to him.


    Therefore, diligence is very useful. It allows Zhou Can to quickly surpass one opponent after another.


    Sleeping in the lake, his cell phone rang.


    Zhou Can pressed it off casually, turned over, and continued to sleep.


    The bell rang again.


    This time he was a little more sober and realized that someone was calling.


    "Hello, is this Dr. Zhou Can?"


    A young and gentle woman''s voice came over. There was a hint of haste in his tone.


    "it''s me!"


    Zhou Can woke up most of the time from his drowsiness, and it was not the first time that he received an emergency call from the hospital in the middle of the night.


    When a patient is in danger, it is difficult for the doctor on duty to be able to deal with it. At this time, most of them will call the relevant doctors to rush to the hospital to participate in rescue and consultation.


    Zhou Can is still just a regular trainer he is not called many times.


    The chief physicians, deputy chief physicians, and interns of the hospital should belong to the serious victims of this group.


    The interns were called over so they could do chores in the rescue.


    Sending patients for examinations, obtaining examination results, taking medicines, and some basic tasks during the operation are all undertaken by interns.


    "Doctor Zhou, I''m very sorry to disturb your rest at this time. I''m a neurosurgery department. I just sent a patient from the emergency department. She was in a severe coma and had cerebral hemorrhage and urgently needed rescue. Director Wu invites you to come and participate in the consultation and rescue."


    She briefly explained the reason for it.


    "Okay, I''m going to the hospital right away!"


    Zhou Can hung up the phone, rushed out of the apartment building while getting dressed, and rushed to the hospital.


    Don''t worry that others will think he is crazy when they see it. This situation happens many times every day in this apartment building.


    As long as the doctor receives an emergency call from the hospital, it is basically in this state.


    Run all the way to save people.


    Zhou Can secretly wondered, why did the neurosurgery department suddenly think of asking him, a regular trainee, to participate in the rescue?


    He has trained in Shenwai for several months, and he knows the strength of Shenwai very well.


    In addition to Wu Baihe, the peak scalpel, there are many elite doctors in the field of neurosurgery. There are many chief physicians and deputy chief physicians alone.


    Such a powerful department specially asked him to rush to support a regular student, which made Zhou Can inevitably have some self-inflated thoughts.


    He pondered the patient''s condition in his mind.


    Definitely not a simple cerebral hemorrhage.


    (https://)


    //

 Chapter 220： Dangerous brain herniation, check the bleeding point with the help of hemorrhage

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Not long after, he rushed to the neurosurgery emergency room.


    I saw more than a dozen doctors and nurses surrounded a hospital bed in the emergency room.


    There was also a blond man suspected of being a family member standing beside the hospital bed and watching worriedly.


    "So it''s a foreign friend, no wonder the neurosurgery department attaches so much importance to it."


    It must be explained that this is not xenophobia.


    Let foreign friends feel the beauty of China as much as possible, which can attract more foreign friends to come to invest or work. This is a far-sighted strategic deployment.


    In the past, when Zhou Can saw that foreign friends were treated preferentially in China, he always felt that it was too licking.


    I despise this very much in my heart.


    Later, as his knowledge grew, his thinking became broadened, and he gradually understood the far-reaching intention of preferential treatment of foreign friends.


    If a foreign friend came, everyone would shout and kill him, scaring him back to the country within minutes.


    After they go back, they will spread the word to their relatives and friends, saying how xenophobic and terrifying Huaxia is, so don''t go there.


    Such a result will cause foreigners to dare not come to China again.


    Without foreigners coming to invest, work, and travel, it is not good for China''s development.


    Now, Huaxia has stood up again and has become a world power. When meeting foreign friends, treat them with a normal heart.


    "Doctor Zhou is here!"


    This nurse girl should be the one who called Zhou Can just now.


    Zhou Can has a little impression of her, her name is Shu Qian.


    "Director Wen, Director Wu..."


    Zhou Can walked over to greet these supernatural elders.


    There were four chief physicians alone, and seven or eight attending doctors and residents. The hospital attached great importance to this patient.


    Otherwise, it would be impossible to mobilize so many medical resources.


    "Doctor Zhou can take a look at the film and medical records first. The patient has a cerebral hemorrhage. He just arrived. He took a CT scan of the head."


    After Wu Baihe said a few words to Zhou Can, he leaned over again to carefully check the patient''s condition.


    Zhou Can took the CT film to check, and saw that there were many white spots on it, and there was a huge white spot in one place.


    White spots on brain CT usually indicate brain calcification, hemorrhage or tumor.


    The patient is in a severe coma at the moment, and there is no response to calling or patting his shoulder.


    When the eyelids are opened, the eyes are dull and blurred.


    It means her condition is very serious.


    Those small white spots should just be calcification of the pineal gland or choroid plexus. This physiological calcification does not have much impact on the patient and does not require treatment.


    The key lesion site should be the huge white spot.


    White dots on brain CT usually refer to high-density lesions, and the specific cause of formation should be comprehensively judged based on the size, location, CT value, mass effect, and pressure of surrounding brain tissue.


    Zhou Can has been trained in Shenwai for several months, and has already learned to watch brain CT, color Doppler ultrasound, X-ray and other films.


    The etiology of this patient is actually well diagnosed.


    The intracranial pressure is very high, and the brain tissue is squeezed and displaced, forming a brain herniation with a high mortality and disability rate.


    At present, the bleeding site can be roughly locked in the position under the falx cerebri.


    When the brain herniation formed at this site exceeds a certain level, it is far more dangerous than ordinary brain hernias. Such as foramen magnum hernia, generally mainly caused by respiratory failure, or respiratory arrest. Before the onset, there will be symptoms such as neck stiffness, small and large pores, and brainstem hypoxia.


    This chapter is not finished, click [next page] to continue reading -->>


    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    In general, the onset of foramen magnum hernia is gradual, leaving time for doctors to rescue.


    Right now, what this patient suffers from is likely to be a subfalcium hernia with a high rate of death and disability. A large amount of nerve tissue will be displaced or cut, and most nerves will be necrotic. The time left for the doctor to rescue is very short. .


    Many patients fail even before drilling the skull.


    "Xiao Zhou, what do you think of the patient''s condition after reading it?"


    Master Wen probably wanted to test Zhou Can.


    There are several chief physicians at the scene, and it is definitely not a problem to diagnose the cause.


    It''s not a particularly rare disease in itself.


    "It should be a subfalx hernia accompanied by intracranial hemorrhage and intracranial hypertension. The patient''s condition is extremely dangerous. When the subfalx hernia is mild, it will only cause paralysis of the lower limbs on the opposite side and difficulty urinating. This patient is already in a deep coma. It shows that the displacement of brain tissue caused by brain herniation has been extremely serious. The best way is to perform an immediate craniotomy. Judging by her current situation, the traditional craniotomy may be too late, and immediate drilling and endoscopic craniotomy may have a chance of survival.¡±


    In such an occasion, Zhou Can naturally wouldn''t play any tricks.


    Instead, state all your diagnostic opinions truthfully.


    As for whether the chief physicians adopt it, it depends on what they mean.


    "It seems that it is an extremely correct decision to invite Dr. Zhou to participate in the rescue! Your diagnosis result is basically consistent with our diagnosis result."


    Listen carefully, and you will find that what Wu Baihe said was to invite Zhou Can to come over, not to ask Zhou Can to come over to participate in the rescue.


    Being able to make the director of neurosurgery so polite is enough to show Zhou Can''s status in the minds of the chief physicians at Shenwai.


    "Immediately issue a critical illness notice! Then talk to the family members. If they agree, immediately ask the family members to sign the operation notice, and then send it to the operating room for emergency surgery."


    Wu Baihe made a decisive decision and made a series of arrangements.


    Any kind of herniation is extremely dangerous. Most of this patient''s body has already entered the gate of hell, and emergency surgery is the only hope.


    "However, the site of the intracranial hemorrhage has not yet been identified, and the operation hastily is full of too many uncertainties. This operation is inherently extremely risky, and I am worried..."


    A chief physician raised a question with a worried face.


    "The patient''s current condition can''t wait for an angiography. I have done intracranial surgery for so many years, and I know the structure of the brain well. I can only fight with experience. Let''s act!"


    Peak scalpel is not called for nothing. Wu Baihe''s understanding of the structure of the brain probably surpasses everyone else.


    Even without filming, he is certain to successfully complete this high-risk operation with the help of his rich surgical experience.


    After Wu Baihe gave the order, he personally talked to the foreign friend.


    I really didn''t see that Wu Baihe not only has the reputation of the peak scalpel, but also speaks English very fluently.


    Communication with the family went very smoothly.


    Surgery was quickly agreed.


    The nurse immediately used clippers to shave the patient''s hair and prepare the skin before surgery.


    The patient was quickly rushed to the operating room.


    Dr. Feng, the most powerful anesthesiologist in Tuya Hospital, was also temporarily called to work overtime.


    This chapter is not finished, click [next page] to continue reading -->>


    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can helped to administer anesthesia to the patient.


    Different from the anesthesia of ordinary patients, this patient''s anesthesia operation has many skills and key points, and it is required to complete the general anesthesia operation in the shortest time.


    Dr. Feng and him drove at full speed, and the two cooperated with each other with a high degree of tacit understanding. After a lot of hard work, they finally managed to give the patient general anesthesia.


    [Anesthesia experience +1.]


    [It is the first time you have completed general anesthesia for a patient with cerebral hernia, and you will be rewarded with anesthesia experience +100.]


    This is the first time that Zhou Can has received an experience point reward for anesthesia, and it is as high as 100 points.


    This surprised him very much.


    However, the implementation of this anesthesia operation is indeed full of many challenges, and it also taught him many more advanced skills.


    In particular, the protection and stabilization of the vital signs of patients in emergency situations, including preoperative medication, many of them are learning for the first time.


    "Doctor Zhou''s operation is fast, and you will cut the scalp."


    Wu Baihe didn''t invite Zhou Can over to watch the excitement.


    In addition to taking a fancy to Zhou Can''s ability in endoscopic surgery, he can act as a backup surgeon when necessary. In addition, Zhou Can''s rapid operation ability is not comparable to that of other doctors.


    There are only two quick-surgery doctors in the entire Tuya Hospital.


    That is Dr. Xu and Zhou Can.


    Unless it is absolutely necessary, Dr. Xu would not be easily asked to participate in this kind of rescue operation.


    Although it has been a long time since that incident, Dr. Xu''s identity is still highly sensitive.


    This operation also involves foreign friends, so the hospital is very cautious.


    In case the patient is not rescued, the list of surgeons is reported, and Dr. Xu is seen on the list by interested people, the trouble will be big.


    Zhou Can''s sharp knife has been taught by Dr. Xu. Although it is still far behind, it can be used.


    Standing on the main knife position, Zhou Can also lived up to his high expectations, and cut the scalp according to the drawn knife position as quickly as possible.


    Zhou Can did not dare to do the next skull drilling.


    Because of poor drilling, it is easy to cause serious damage to the patient.


    Drilling holes in the removed bone flap is something even a surgeon dares to do. However, drilling holes directly on the patient''s skull is extremely technical, and it is difficult for ordinary deputy chief physicians to complete this operation.


    Under the skull is the dura mater, and below that is the important brain tissue, brainstem, blood vessels, and nerves.


    Wherever it hurts, it will cause unpredictable damage.


    It is perfectly normal to directly cause the patient''s respiratory arrest and cardiac arrest.


    Therefore, the drilling of the skull must be done by a chief neurosurgeon with extremely rich surgical experience.


    Wu Baihe personally drilled holes in the patient''s skull and opened windows.


    Assistant Yi used the mastoid retractor to stretch the scalp so that Wu Baihe could open the bone window smoothly.


    Wu Baihe carefully drilled holes in the patient''s skull, while Zhou Can stood by and watched and studied.


    Skull openings, whether by drilling or cutting a bone flap with a chainsaw, are extremely dangerous.


    The main reason is that it is difficult to grasp the degree.


    After Wu Baihe finished opening the window, he cut open the brain''s dura mater, and used an endoscope to perform cerebral hematoma removal surgery for the victim.


    He removed the patient''s intracranial hematoma bit by bit, as if he was caring for a baby.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Fear of excessive movement and hurt the baby.


    The brain tissue in the cranium is actually more immature and fragile than that of a baby, and a little carelessness will cause irreparable and serious consequences.


    Zhou Can stood under the stage and stared at the endoscope screen from time to time, and looked at how Director Wu''s hands operated the endoscope from time to time.


    "Oops!"


    After Wu Baihe removed part of the hematoma in the patient''s skull, his complexion changed drastically, and there was a trace of solemnity and tension between his eyebrows and eyes.


    "Director Wu, what''s the matter?"


    The hearts of the doctors around were tightened.


    "After removing the blood stasis, the blood in the patient''s brain rushed out. Since there is no time to do angiography before the operation, it is not easy to find the bleeding point. If this bleeding cannot be stopped in time, the patient will die soon .¡±


    Wu Baihe originally thought that based on his rich experience, he would be able to deal with any situation.


    I didn''t expect the bleeding point to be very secretive, and I couldn''t find it after searching for it twice.


    It has been more than three and a half hours since the rescue, and the patient''s hope of resuscitation has gradually become slim.


    According to international rescue experience, emergency surgery for brain herniation takes more than four hours, and death can basically be declared.


    It has been rescued for nearly four hours now, but the bleeding point cannot be found, and the brain cells at the end of the blood supply will die due to ischemia.


    This death of brain cells and brain tissue is irreversible.


    After all, Wu Baihe was too old. He rushed to the hospital in the middle of the night for such a long operation, and his physical strength and energy were obviously exhausted.


    But for endoscopic surgery, none of the deputy chief physicians and chief physicians under him are particularly good.


    "Director Wu, why don''t you let Zhou Can replace you for a while!"


    Director Wen watched anxiously from the side.


    Although the surgical team composed of so many chief physicians and deputy chief physicians is gorgeous, they are not capable at all.


    The most is to help the anesthesiologist work together to stabilize the vital signs of the patient.


    The main output of the operation was always only Wu Baihe.


    "Is Doctor Zhou confident?"


    Wu Baihe stopped the operation, and turned to ask Zhou Can, who had long wanted to volunteer under the operating table.


    The superior doctor usually asks, are you confident? How sure are you?


    Instead of asking like family members, can the disease be cured? How many days will it be? It must be saved, right?


    Doctors are people who have performed surgery themselves and understand the hardships and uncertainties involved.


    Families and patients do not understand this.


    It is impossible to force the doctor to give an affirmative answer.


    "have!"


    Zhou Can''s answer was short and powerful.


    "Come on, give it a try and see if you can find the bleeding point! I believe you have also watched it when I was looking for it with the endoscope probe just now. Those areas that have been probed can basically be ruled out. Be careful not to hurt the brainstem And important blood vessels and nerves under the arachnoid."


    After Wu Baihe gave up the position of chief surgeon, he did not step off the operating table.


    Instead, he stood by and watched.


    Zhou Can secretly rejoiced that the hemostasis technique had just been promoted to level five not long ago, which made him dare to challenge the hemostasis task of this operation.


    He had been watching from the audience just now.


    If you guess correctly, the bleeding site is likely to be a brain hemangioma or rupture of a deformed blood vessel.


    For larger hemangiomas, Wu Baihe''s surgical experience is extremely rich, so he must have found them long ago.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    For small hemangiomas, the amount of bleeding should not be so large.


    Then there is only the last possibility, the cause of bleeding is the rupture of malformed blood vessels.


    He manipulated the endoscopic probe to carefully explore the cranial cavity.


    Different from Wu Baihe''s detection method, Zhou Can deliberately did not **** up the new bleeding in the cranial cavity. Let it form a puddle of blood.


    "Is this going to work? Why does it feel like he''s playing!"


    "It''s a bit of a joke to let a Gui Peisheng operate it."


    "Looking at it is really worrying. It''s a pity that my endoscopic operation skills are not good. Otherwise, I should be able to find the bleeding point."


    Many doctors at the scene were anxious for a while.


    They thought it was absurd to ask Zhou Can to perform this operation.


    Standing on the operating table, Zhou Can was not affected by the doubts from the outside world, but concentrated on staring at the endoscope screen. The endoscope in his hand slightly changed its angle and moved slowly.


    He didn''t know what abilities other doctors would have after their hemostasis was upgraded to level five.


    Anyway, as early as when he had raised the hemostasis to the fourth level, he was able to trace the approximate location of the bleeding point through the flow of blood and the ripples on the surface of the effusion.


    Suddenly, his eyes lit up.


    "The bleeding point was originally hidden in the right brain ball, no wonder Wu Baihe has not been able to find it."


    This location is easy to overlook.


    Even if the probe is found nearby, it is easy to remove quickly.


    "Hey, hey, how did the endoscope move in? It''s dangerous!"


    "Stop!"


    Several chief doctors were frightened to death after seeing Zhou Can''s operation.


    Zhou Can didn''t stop, but directly probed into the target position in the brain ball very firmly.


    This operation process is actually very difficult.


    Fortunately, his grasping technique and teleportation technique have been upgraded to level four It happened to come in handy when he removed some brain tissue and created a favorable space for the endoscopic inspection.


    [Gripping experience +1. ¡¿


    [For the first time to successfully grasp important brain tissue, reward grasping experience value +100.]


    [Transfer skill experience value +1.]


    [For the first time, the successful transmission and pulling of important brain tissue will reward the transfer experience +100.]


    Every difficult operation must be rewarded heavily.


    Zhou Canle blossomed.


    An even bigger surprise was yet to come, and the probe caught him an inspiring picture.


    "The bleeding point has been found! It really is a deformed blood vessel ruptured and bleeding."


    As soon as Zhou Can''s probe reached the bleeding site, he saw blood rushing out, and the blood washed onto the probe.


    The amount of bleeding is considerable.


    The artery must have burst.


    And it is not a small artery, but a cerebral artery with a relatively thick diameter.


    No wonder patients are unable to stop the bleeding with their own blood clotting ability.


    "Okay! Great! Finding the bleeding point means that the hope of the patient''s recovery is much greater!"


    Wu Baihe was extremely excited.


    Those doctors who questioned Zhou Can shut their mouths one by one, feeling ashamed of their reckless words and deeds just now.


    No one expected that Zhou Can could really find the blood vessel of the intracranial hemorrhage.


    It only took nine minutes.


    At this moment, some people even thought that it would be more beneficial for the patient if Zhou Can could replace Wu Baihe as the chief surgeon earlier.


    (https://)


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    //

 Chapter 221： 1000 doctors have 1000 ideas, when they meet...

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    No matter when, strength trumps everything.


    Before Zhou Can found the bleeding point, doubts continued. After finding it, all doubts disappeared. It was replaced by wonder, praise, and heartfelt shame.


    "Director Wu, the blood supply area of ??this blood vessel should not be small, I''m afraid it won''t work to directly ligate it to stop the bleeding?"


    Zhou Can stood on the chief surgeon''s seat, wanting to continue rubbing the operation part below.


    This difficult operation is a challenge for any chief physician. Not to mention him as a Gui Peisheng.


    "Sterilization is possible, but even if the patient is saved, he will have to sit in a wheelchair or lie in bed as a vegetable for the rest of his life." Wu Baihe is usually quite serious.


    At this moment, I may also be happy to see Zhou Can successfully find out the bleeding point, so I am humorous with him.


    "Then... can I do blood vessel repair? I''m sure it will be repaired."


    Zhou Can''s sutures and ligations have all reached the level of deputy director, and he is fully capable of repairing a blood vessel.


    For someone like him who is extremely talented in endoscopic surgery, there is not much difference between traditional surgery and endoscopic surgery. For example, suture surgery is now at the fifth level, no matter if you do traditional surgery or endoscopic surgery, you can reach the level of the deputy director.


    However, some people do not have the talent for endoscopic surgery. If they operate with a long arm, their medical skills will be greatly reduced.


    Those people either couldn''t find the familiar feel, or became powerless when operating, far below the normal level.


    "I can let you try. The ugly words are in the front, and the rescue time has exceeded four hours now, and the patient''s condition is not optimistic. If I feel that you are only barely competent, or the repair technology is not good enough, I will stop immediately."


    Wu Baihe hesitated a little, and decided to let Zhou Can try it.


    People are like this sometimes. If you can refuse because of affection, but if you don''t refuse, most of them will choose not to refuse.


    If Zhou Can hadn''t found the bleeding point in time, nothing would happen to them.


    The patient is likely to die immediately.


    "OK!"


    After Zhou Can got Wu Baihe''s approval, he was not polite, and immediately began to quickly repair the blood vessels for the patient.


    I saw him manipulating the arm of the endoscope to ligate the ruptured blood vessel precisely and quickly.


    After stopping the bleeding, start to quickly remove the accumulated congestion, and then find a way to free up the operating space and start repairing the ruptured blood vessels.


    The repair of such malformed blood vessels is much more difficult than that of ordinary blood vessels.


    Most of their blood vessel walls have been calcified.


    The serious ones are basically extremely severe atherosclerosis.


    The blood vessel wall has long lost its original elasticity and toughness. Its internal channel will also increase due to the appearance of spots, and finally become narrower and narrower.


    The operation is underway.


    Zhou Can''s operation is not to say very good, at least it is above the standard.


    Wu Baihe, who was still a little worried at first, gradually relaxed.


    It''s not the first time I watched Zhou Can perform endoscopic surgery. He has always had a good impression of Zhou Can.


    Otherwise, it would be impossible to invite a Gui Peisheng to help this time.


    [Stitch experience +1. ¡¿


    [The first time you successfully complete the suture of the artery in the right cerebral bulb, the suture experience value +100 will be rewarded. ¡¿


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    [Ligation experience +1.]


    [The first time you successfully complete the suturing and knotting of the artery wall in the right cerebral bulb, you will be rewarded with +100 ligation experience points. ¡¿


    Zhou Can had long expected that such difficult blood vessel repair would earn extra experience rewards.


    Sure enough, he didn''t expect it.


    After earning the reward, he did not drift away, but continued to concentrate on repairing ruptured blood vessels for patients.


    ¡­


    After more than an hour, he spent a lot of effort and finally successfully repaired the malformed artery.


    Before the anastomosis of blood vessels, the calcified spots in the wall of this section of blood vessels were also cleaned up.


    He is confident that after the operation, the blood vessels of this patient will be smoother than before.


    "Director Wu, I''ve finished repairing it, please help check it out!"


    Zhou Can was quite satisfied looking at the blood vessels he had repaired.


    "Well, there seems to be no problem, let''s do a blood test!"


    After so long, the most worrying thing is the cell necrosis at the end of the blood supply.


    Theoretically speaking, stopping the bleeding and restoring the blood supply of the blood vessels within three hours will achieve a satisfactory therapeutic effect.


    The longer it takes, the worse it is for patients, and the more uncertain the efficacy will be.


    When doctors rescue patients, sometimes they know that the hope is slim, but they still go all out to rescue them. It''s not that the doctors are full of food, nor are they stupid, but to create a miracle of life.


    When Zhou Can was training in the Department of Critical Care Medicine, he encountered very helpless things.


    Doctors are doing their best to save patients, and some results have been achieved. However, the family members worried about the loss of life and wealth, or could not bear the high treatment cost of 10,000 to 20,000 a day, and finally strongly urged the doctor to give up the treatment.


    In this case, even if the doctor has seen that the patient''s condition is improving, as long as the treatment is continued, there will be hope.


    But the family members asked to give up, no matter how unwilling and unwilling, the doctor had no choice but to give up the treatment.


    Then watch the patient die quickly.


    Zhou Can tried to loosen the proximal end of the ligated blood vessel and the ligature at the end of the blood supply.


    When repairing a blood vessel, experienced doctors prefer to ligate both ends of the vessel. It can effectively reduce air stagnation in blood vessels and the possibility of thrombosis.


    Ligation of the proximal end is mainly to prevent continuous bleeding. Otherwise there is no way to operate.


    After the ligatures at both ends were loosened, blood quickly poured into the repaired vessel segment.


    "It worked! The blood vessel repair was successful!"


    Wu Baihe''s operation experience is extremely rich, and he can tell that the blood vessel has been repaired with just one glance.


    "Don''t move it in a hurry, observe it for a while to see if there is bleeding, thrombosis and so on."


    [Hemostasis experience +1.]


    [It is the first time that you have successfully completed the repair and cleaning of the malopened arteries in the cerebral hemisphere, and you will be rewarded with +100 experience points for hemostasis.]


    One operation earned so many 100 experience point rewards.


    But Zhou Can was overjoyed.


    However, this is the first time for him to repair the malformed blood vessels in the brain, and he has learned a lot and accumulated a lot of valuable experience.


    "Okay, I''ll do the rest of the work!"


    After Wu Baihe took over, he first conducted a second inspection on the repaired blood vessel, and after confirming that there was nothing wrong with it, he went on to complete the final elimination of the hematoma, and then began to close the cranial cavity in an orderly manner.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Scholarly


    The operation lasted more than six hours, and the patient was pushed out of the operating room.


    Although the patient has not yet woken up, from the doctor''s point of view, the operation was a success.


    The patient was sent to the recovery room with stable signs.


    "Ah, it''s past ten o''clock in the morning. I''m treating guests. Let''s go to have breakfast together. It''s really hard for everyone today. Fortunately, the operation was a success, and our efforts were not in vain. I hope the patient can wake up, preferably not There were obvious sequelae."


    After Wu Baihe finished the operation, he looked up at the clock on the wall, and it was already past ten o''clock.


    Kang generously invited everyone to have breakfast together.


    The work of a doctor, sometimes really does not distinguish between day and night.


    The whole process of the rescue operation just now was carried out under high tension, and everyone didn''t even care about the time of day.


    Doctors and nurses came out of the operating room one after another.


    I thought it was going to the cafeteria for breakfast, but Wu Baihe had asked his assistant to order breakfast in advance, and it was placed in the small meeting room outside Shenwai.


    Everyone has been exhausted for most of the night, and now they can finally sit down and have a rest.


    The breakfast is quite rich, including buns, bread, fried dough sticks, angelica eggs, and soy milk.


    Doctors pay more attention to health preservation, and often cook angelica eggs themselves, or buy them to eat.


    Eat less fried food.


    It may be because of the taste of some young medical staff that they ordered some fritters.


    The taste of fried food is very attractive, and the health of young people is good, and there are no taboos.


    It doesn''t care whether you eat it or not, let the taste buds feel comfortable first.


    While eating breakfast, everyone chatted about the operation just now, or other topics.


    Anyway, just chatting.


    The chief physicians are usually very busy, and there are not many opportunities to sit and chat together like this.


    The meeting room was full of laughter and laughter, and the atmosphere was very harmonious.


    "Doctor Zhou''s level of blood vessel repair is good! The difficulty of the blood vessel repair in this operation just now is really not ordinary. I only heard that your endoscopic surgery was done in a slippery way. Today I saw it with my own eyes."


    A chief physician of Shenwai who seldom interacted with usually smiled and praised Zhou Can actively.


    It''s not enough to flatter.


    It''s just seeing that Zhou Can is so good, so he established a good relationship in advance.


    "I''m even more curious about how he found the bleeding point! Dr. Zhou probably didn''t **** up the accumulated blood on purpose, right?"


    Another deputy chief physician joined in.


    Zhou Can was gnawing on meat buns, two bites each, and eating them with soy milk.


    These supernatural elders suddenly took the initiative to chat with him, so he had to stop eating.


    Because it is very impolite to talk to people vaguely while chewing food.


    "That''s right! Don''t you guys never use the method of observing blood accumulation to find bleeding points when you look for bleeding points?"


    Zhou Can faintly realized that each doctor''s hemostasis is consistent in basic operations, but there are also many similarities and differences. Everyone will have their own set of experiences and techniques.


    To put it bluntly, rats have their way, and snakes have their way.


    "Sure enough, it''s about the same as I guessed. I never knew how to find the bleeding point by observing the accumulation of blood. If Dr. Zhou is willing, please share your successful experience!"


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The deputy chief physician is in his fifties and still thirsty for knowledge.


    "I''ve never heard of this method. It''s the first time I''ve heard that you can find the bleeding point by observing the accumulation of blood!" Another attending physician participated in the discussion.


    Although Wu Baihe and the others didn''t speak, but from the fact that they stopped talking and listened to Zhou Can''s share of dry goods, they probably didn''t master the technique of observing blood accumulation to find the source of bleeding.


    Everyone thinks differently and has different ways of doing things.


    For example, rushing from home to work in the hospital, some choose to walk, some hitchhike, some take a special car, some drive by themselves, and some ride a bicycle... There are too many ways.


    But they all ended up making it to the hospital in time for work.


    This is what people often say that different routes lead to the same goal.


    "Since someone asked, then I will talk about my own method, and please don''t laugh at me."


    Zhou Can does not hide his secrets, but generously shares the valuable experience he has realized.


    "When blood accumulates, there will be a flow direction, and when there is too much blood, it will form wavy fine lines..."


    He shared his skills with everyone.


    The four nurses didn''t know much about surgical skills, so they just looked at Zhou Can with admiration.


    Outside of God, many nurses in the operating room know that Zhou Can is very good. Follow Director Wen to do endoscopic surgery, and Zhou Canlai is often the chief surgeon.


    There are not a few unmarried little nurses who try to make up his mind.


    "It turns out that this method can be used to find the source of bleeding. Today I have gained some knowledge." Wu Baihe was the first to speak after listening.


    He was amazed by Zhou Can''s "earth method".


    "Isn''t it? I don''t even dare to dream of such a method. The thinking of young people is different!"


    The chief physician who was the first to ask the question followed suit.


    "This young man, Zhou Can, has different surgical thinking and diagnostic thinking. I am not surprised to be able to comprehend this ingenious surgical technique by himself."


    Director Wen knows Zhou Can''s skills very well.


    After hearing Zhou Can''s method of finding the bleeding point, he was not surprised.


    "I have seen a lot of medical geniuses. It is no exaggeration to say that there are too many medical geniuses in our neurosurgery department. Most of the people present are worthy of the title of medical genius, including myself. Only a genius like Dr. Zhou, But there are very few of them. I am afraid that only Director Wu can be called a genius."


    A young deputy chief physician praised with a smile.


    Everyone smiled, and they agreed with what the deputy chief physician said.


    It makes sense.


    There are many geniuses, but very few wizards.


    Dr. Xu, Wu Baihe, and Hu Kan can all be called geniuses.


    Everyone has their own unique abilities that ordinary people don''t have, so they can be called geniuses.


    "I don''t dare to compare myself with Director Wu in the industry. You''re flattering me too much. When I live to be sixty years old, if I can have half of Director Wu''s ability, it will be enough to make me laugh for the rest of my life."


    Zhou Can didn''t dare to wear such a high hat.


    Not to mention that he would not expand to the point of putting himself on the same level as Wu Baihe.


    Whether it''s out of humility or high EQ, he has to give in.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Doctor Zhou, don''t underestimate yourself. With the talent and strength you are showing now, I dare say that you may become the top surgeon in Tuya before you are forty."


    Wu Baihe spoke very highly of Zhou Can.


    This is not an exaggeration, but through contact with Zhou Can, understanding, and observing Zhou Can''s all-round progress in surgical ability and diagnostic ability, he made a relatively conservative prediction.


    "Haha, Director Wu''s words make people happy. When I heard this, I thought I couldn''t do it, but now I can."


    Zhou Can''s words made everyone laugh out loud.


    The atmosphere in the conference room is also more harmonious and harmonious.


    After eating breakfast, everyone prepared to devote themselves to the day''s work.


    Zhou Can walked out of the small conference room and also walked towards the elevator. It''s past ten thirty now.


    Originally, according to his work arrangement, the surgeries for these two days were all fully scheduled.


    There are still many operations waiting for him in the general surgery department.


    When passing the ward beside the corridor, Zhou Can''s eyes lightened slightly. He unexpectedly saw an acquaintance, his old partner Qiao Yu.


    I saw Qiao Yu holding a plate in front of a hospital bed, nursing the patient.


    The work is not easy.


    Standing behind her was an experienced nurse who was gesticulating and ordering her to work.


    There''s nothing wrong with that in itself.


    But when Zhou Can saw it, he felt a little unhappy.


    Immediately walked over quickly.


    "Can''t you insert a urinary catheter? How can you be a nurse? I''ve taught you several times. Not only do you have to do it well, but you also have to hurry up and make sure it''s done quickly."


    This old nurse was also an old acquaintance Zhou Can knew.


    Hu Shuiling, the nurse in charge.


    On Zhou Can''s first day of fascination, the nurse in charge was also extremely arrogant towards Zhou Can.


    Later, Zhou Can performed double meritorious service in diagnosis in the operating room and ward, and was appreciated by Director Wen, and his status quickly rose. Hu Shuiling''s attitude towards him changed 180 degrees.


    From a cold face to all kinds of flattery.


    I didn''t expect Qiao Yu to be assigned to her, and I''m afraid he has suffered a lot these days.


    (https://)


    //

 Chapter 222： Status is the cheapest high-level resource, shouldering heavy responsibilities

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Hey, Doctor Zhou, it''s you! I heard that Director Wu specially asked you to come over to help rescue a critically ill patient last night. Did the operation go well?"


    Hu Shuiling''s eyes are really sharp, she was the first to spot Zhou Can as soon as he approached.


    From a long distance, she greeted Zhou Can with flattering smiles.


    And she was very well informed.


    She actually knew about Wu Baihe asking Zhou Can to come over to help rescue the patient.


    However, it is common for these female nurses to gossip.


    "Director Wu''s medical skills are supernatural, and there are many supernatural directors and deputy chief physicians who participated in the operation. The result is not bad. The patient has been out of danger after nearly seven hours of surgery."


    Zhou Can didn''t dare to be arrogant.


    There are ears everywhere in the hospital, and some arrogant and arrogant words can easily reach the ears of the superior doctors.


    Even if the superior doctor doesn''t care about his generosity, that is quite a shame.


    Being low-key and humble is not only a kind of self-cultivation, but also a kind of self-protection.


    "Doctor Zhou is too modest! Didn''t you also put in a lot of effort in the operation? Without your help, it would be difficult to make significant progress in the key part of the operation."


    A deputy chief physician came from behind with two junior doctors.


    It was one of the deputy chief physicians who participated in the operation.


    "Haha, Doctor Xing is done eating too! The little effort I put in during the rescue operation last night was equivalent to beating the side drum. The people who really play a decisive role must be you chief and deputy chief physicians."


    Zhou Can smiled heartily and chatted happily with the other party.


    Only Gui Peisheng at the level of him and Du Leng can have an easy conversation with the deputy chief physician. Ordinary regular trainees, not to mention talking to doctors at the deputy director level, even talking to the chief resident, would be quite humble.


    This kind of multiple pressure from position, status, and strength is enough to make people feel stiff and nervous.


    Only when you have enough strength, you will have the confidence and confidence to chat easily with the deputy chief physician on an equal footing.


    "The young man has a bright future! I have to go to the ward rounds and check the doctor''s orders prescribed by those boys. Let''s talk next time!"


    Deputy Director Xing waved his hand with a smile and left quickly.


    Qiao Yu, who was nursing the patients, was a little strange at first. The nurse in charge, Hu Shuiling, kept a cold face all day long, and seldom had any good looks towards her and some ordinary nurses.


    Even those trainees and interns were all afraid of Hu Shuiling.


    Which doctor could make Hu Shuiling greet him so obsequiously from a long distance away?


    Qiao Yu heard the male doctor''s voice somewhat familiar.


    Looking up, I was suddenly surprised and happy.


    I didn''t expect to see Zhou Can here.


    And it sounds like Zhou Can has just participated in a rescue operation by Shenwai.


    She couldn''t help thinking that Zhou Can secretly greeted her, and it didn''t take long for Shenwai to recruit her to participate in nurse training. I haven''t seen him for a year and a half, how strong is Zhou Can now?


    The deputy chief physician was also very polite to Zhou Can just now!


    Qiao Yu''s bright eyes looked at Zhou Can who hadn''t seen him for a long time.


    Except for the dark circles under the eyes due to staying up late for surgery, the whole person seems to be more handsome. The strong self-confidence exuded made her heart beat even more.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Such a man is the hero in her heart.


    He is much better than those young men with little white faces, high eyesight and low hands, who can only talk big.


    "Qiao Yu, I told you to work quickly, why are you in a daze?"


    When Hu Shuiling turned her head, she saw Qiao Yu staring at Zhou Can in a daze, with a heartfelt happy smile on her face. She was suddenly out of breath.


    This newly transferred little nurse can''t do a good job, but her **** and flattery skills are top-notch.


    It''s just scolding.


    There are too many nurse girls who are trying to get Dr. Zhou''s idea, but she still wants to hook up with Dr. Zhou?


    "Urinary catheterization is usually done by male doctors, let me do it!"


    Zhou Can walked over, took the catheter from Qiao Yu''s hand naturally, and inserted the catheter for the patient with ease.


    You know, Zhou Can''s current implantation surgery is already at the middle level of indications.


    It''s not too easy to insert a urinary catheter.


    For many Gui Peisheng, catheterization is quite a laborious task.


    Especially when the catheter is inserted to the patient without anesthesia, the patient will feel particularly uncomfortable. Losing their temper and swearing at others, unwilling to cooperate, is a common occurrence.


    Therefore, as long as conditions permit, in order to take care of the patient''s feelings, the doctor will choose to insert the urinary catheter after the patient has undergone general anesthesia.


    "The First Minister of Ming Dynasty"


    "Hurry up and thank Dr. Zhou!"


    Hu Shuiling reprimanded Qiao Yu, then turned to Zhou Can with a smile and said, "I''m sorry, a new nurse is clumsy in nursing work, which made Dr. Zhou laugh."


    "Sister Hu, you''re being polite! Actually, I know her. She was my old partner in the emergency department. She has just been transferred to Shenwai for training and study, and I ask Sister Hu to help her more in the future."


    Zhou Can''s "Sister Hu" is enough to make Hu Shuiling''s heart burst into joy, and Bel feels honored.


    You know, Zhou Can''s current status is very high.


    Director Wu, Director Wen and many other chief physicians have good personal relationships with Zhou Can. Hu Shuiling is very aware of Zhou Can''s influence and weight.


    She even heard that after Zhou Can left Shenwai, he had made achievements in many departments such as intensive care medicine, cardiothoracic surgery, and general surgery. Such a person is not just young and promising, he will definitely become a man of the hour in Tuya Hospital in the future.


    Even if one day, Zhou Can became the deputy dean and dean, she would not feel any surprise.


    "Ah... so Qiao Yu and you are old partners!" Hu Shuiling opened his mouth wide in surprise, and quickly covered it with his hand. "Qiao Yu has never mentioned it to me. Don''t worry, I will do my best to help Qiao Yu''s sister in anything outside of God."


    See, that''s the benefit of status.


    This is an intangible high-level resource.


    Just one sentence can make others willingly buy your account and offer all kinds of help.


    "Haha, Sister Hu is still refreshing! Thank you!"


    After Zhou Can greeted Qiao Yu, he turned to look at Qiao Yu.


    "How about it, can you still adapt after being transferred to Shenwai? You can ask Sister Hu for help in the future. If you encounter major difficulties, you can also ask Director Wen or Director Wu for help."


    As a rookie with no foundation, it was inevitable that she would suffer some grievances when she was transferred to such an important department as Shenwai.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    At present, Tuya''s internal atmosphere is not bad.


    At least Zhou Can has never heard of the doctor''s unspoken rules for nurses.


    If there is really a doctor who wants to give her an idea, she can easily deal with it if she pursues it normally. If he uses some power at work to suppress her and force her to submit, Zhou Can will stand up and support her.


    The probability of this is very small.


    There are too many young and beautiful nurses in Tuya Hospital. When doctors meet the right ones, they will go home and be their wives. Things that are forced by means and power may exist, but it is a small probability event.


    For example, in the emergency department, Dr. Lu once stalked her.


    Excellent and beautiful girls will inevitably encounter all kinds of harassment in work and life.


    This is the price that beauty must pay.


    The big difficulty that Zhou Can refers to does not refer to this aspect, but that if she is accidentally involved in a medical accident, she can ask Director Wen and others for help if she is not at fault.


    "I''m pretty good! It''s just that there are more critically ill patients outside of God, and there is still a lot to learn in nursing. With Sister Hu and other senior nurses taking me, I believe it will get better and better."


    She looked at Zhou Can with a smile on her face.


    "It''s you, it''s really surprising! I haven''t seen you for more than a year, and you have grown to such a height. I''m afraid I can only look up!"


    When Qiao Yu was in the emergency department, although her status was incomparable to that of Zhou Can, she had the confidence to grow rapidly in the field of nursing.


    At least there will be no big gap with Zhou Can.


    Only now did she realize that Zhou Can''s growth rate was too fast.


    In less than two years, Zhou Can can easily talk to the boss at the director level, and it seems to be very effective.


    She really doesn''t know how strong Zhou Can is now?


    "Haha, this is not like the Qiao Yu I know. Doctors grow like doctors, and nurses grow like nurses. I hope you will continue to maintain your previous self-confidence, and you will surely achieve your lofty ideals in the field of nursing in the future."


    Zhou Can has an experience point system, and seized the opportunity to get the appreciation and key cultivation of many chief physicians, enjoying too many resources.


    Comparing her with Zhou Can will only make her feel more and more inferior.


    She should compare with other nurses so that she can regain her confidence.


    "The height of the station is different, and the words I speak are already philosophical! I will continue to work hard, Ann!"


    Qiao Yu subconsciously said that she is not so fragile.


    At this time, Zhou Can''s cell phone rang.


    He took it out and saw that it was Mr. Liu himself calling.


    As soon as the phone was connected, Elder Liu asked, "Xiao Zhou, are you done with Shenwai? I am taking Wu Ziyu to perform the operation arranged here, but the speed is too slow. You still have to come." "


    Elder Liu really couldn''t help it.


    A lot of surgeries have been arranged today, and these patients have to be dealt with!


    There is no way to drag it.


    I dare not drag it on.


    The development of the disease is as fierce as a tiger, changing day by day.


    The sooner surgical treatment is more beneficial.


    "I''ve just finished my work here! Director Wu invited us all to have breakfast, and I''ll rush back to the Breast Surgery Department immediately."


    After Zhou Can said goodbye to Qiao Yu and Hu Shuiling, he hurried to the newly established Nail and Breast Surgery.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The greater the ability, the heavier the burden on the shoulders.


    As Zhou Can''s strength became stronger and stronger, the workload in the department also increased.


    If the breast and breast surgery department wants to seize the opportunity, it must quickly get rid of all the surgical patients that the doctors had previously seen.


    Zhou Can can handle several surgeons by himself, and he has a proper high-speed surgical machine.


    He is now an important part of the initial stage of nail and breast surgery.


    If he loses the chain, it will be very difficult for the nail and breast surgery department to seize any opportunities. We can only free up manpower to deal with the accumulated patients first, like other departments. Then put all the manpower into the business of nail and breast surgery.


    It seems that it only takes a few days to delay, but it will have a great adverse effect on a newly built department.


    First of all, there is not enough manpower. From consultation to surgery to ward management, patients will feel that the strength of this department is weak.


    There will even be some patients who can''t wait and run away directly.


    After all, this is not the only hospital that can see a doctor.


    Secondly, a large number of people have gone to deal with the accumulated patients, which will greatly weaken the department''s ability to diagnose and operate new patients.


    To put it bluntly, there is still strength in numbers.


    There is only one chief physician at the outpatient clinic every day, and when encountering difficult cases, there is no one to consult. Diagnosis can be very difficult.


    Especially in areas where he is not good at, it is simply a disaster.


    If the reputation is ruined, it will be even more detrimental to the development of the department.


    Therefore, Zhou Can performed several surgeons by himself, and almost resisted all the previous surgeries by himself. The benefit to this new department is immeasurable for other doctors to be able to concentrate on dealing with new nail breast patients.


    If other departments do not have this strength, it will be particularly difficult to compete.


    Zhou Can hurried all the way back to the nail and breast surgery department, and went straight to the operating room where Mr. Liu was.


    "You''re back! It''s been almost a morning, and I''ve only had two surgeries. I''m one head and two big ones now." Mr. Liu couldn''t help but heaved a sigh of relief when he saw Zhou Can arrive.


    He already knew that Shenwai invited Zhou Can to participate in the rescue last night.


    For this kind of matter, the doctors in all departments of the hospital are obliged to cooperate, and it is hard for Mr. Liu to say anything.


    It''s just that there is a backlog of operations in the department, and Zhou Can is missing, which makes him feel anxious!


    As the leader of a new department, the pressure is too great.


    I''m afraid that if there is a mistake in any aspect, it will be detrimental to the development of the department.


    "Don''t mention it, the patient in Shenwai is a foreign patient. He was directly in a severe coma and suffered from a very serious brain herniation. Accompanied by intracranial hemorrhage, the operation for more than six hours was carried out under high tension. Fortunately, the result It¡¯s not bad, the person has been rescued.¡±


    Zhou Can told the story of the supernatural.


    While asking the nurse to help put on the sterile gloves, he took the initiative to stand on the main knife position.


    Wu Ziyu asked curiously, "Aren''t you Gui Peisheng from our thyroid and breast surgery department? Why did you ask you to help?"


    "Xiao Wu, don''t you know that? Zhou Can has been trained in Shenwai for several months. Director Wu and Director Wen of Shenwai are full of praise for him, and they really want to keep him working in Shenwai. It''s a pity that Zhou Can didn''t agree. The rescue this time was a very dangerous brain herniation, accompanied by severe cerebral hemorrhage. It is very likely that Zhou Can had taken a fancy to his endoscopic surgery ability in the past. If necessary, he can be used as the chief surgeon. Location."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Liu Lao and Wu Ziyu are also familiar with each other.


    That''s why he took the initiative to explain her doubts.


    While praising Zhou Can, there is also a certain glory on his face.


    After all, Zhou Can is still Gui Peisheng of nail and breast surgery.


    "Oh my God, Dr. Zhou is the one to perform such a major operation, and Dr. Zhou is too good!" Wu Ziyu was so shocked that her eyeballs almost fell out.


    Shenwai is the top surgical department.


    In her mind, supernatural strength is the ceiling of surgery.


    Such a high-tech department actually needs to invite Zhou Can to be the chief surgeon And it was Wu Baihe himself who invited him.


    I can''t even imagine it.


    "Doctor Zhou, I''ve made a decision. From now on, I''ll take you as a role model and work harder and harder to be like you."


    "Hehe, I can''t afford the title of a role model. Dr. Wu is very motivated and has excellent surgical talent. I believe that as long as he keeps improving, he will definitely achieve great achievements. There are not many female doctors in general surgery, and you are even more scarce. resources, the future is bright."


    Zhou Can was happy after hearing this.


    Wu Ziyu is a very motivated and cheerful female doctor.


    Working with her brings a lot of positive energy.


    After Zhou Can chatted with her for a few words, he stopped chatting and concentrated on performing surgery on patients.


    The patient''s ears are pointed.


    Originally, seeing a young doctor running in to operate on him, I was somewhat worried.


    After listening to the chat between Liu Lao, Wu Ziyu and Zhou Can, he was secretly happy. It turns out that this young doctor is so powerful.


    He also cooperated with peace of mind and asked Zhou Can to perform the operation on him.


    Zhou Can''s surgical prowess is there, and he lived up to his high expectations. The operation was performed quickly and well.


    When the patient was taken out of the operating room, he kept thanking Zhou Can.


    The next patient for surgery was quickly brought in again.


    Zhou Can turned on the berserk mode and started a new busy day.


    His speed was several times faster than that of Mr. Liu, and one operation patient after another was treated quickly.


    When it was almost noon, Mr. Liu received a call.


    After listening to a few words, his face was quite serious.


    But after answering the phone, he didn''t tell Zhou Can what happened.


    (https://)


    //

 Chapter 223： An unavoidable postoperative syndrome, tumors are 1 of the bodys…

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Waiting until Zhou Can finished the operation on the patient and sent the patient out of the operating room, Elder Liu said seriously, "Just now the inpatient department called me, saying that the patient who underwent lipoma surgery yesterday had a variety of abnormal symptoms! "


    Hearing this, Zhou Can''s heart skipped a beat.


    What should come cannot be avoided.


    When I operated on that patient yesterday, I felt an indescribable sense of crisis.


    At that time, Zhou Can was so scared that he was trembling during the whole operation.


    Fortunately, the surgery went well.


    After get off work yesterday, Zhou Can was still a little worried, so he went to the ward to see the patient. Except for a little pale complexion and a little lethargy, all the physical signs are normal.


    Unexpectedly, there is still a problem today.


    Zhou Can couldn''t help thinking of Dr. Feng''s reminder before he left, telling him to be careful of postoperative complications in patients.


    Surgeons are actually quite afraid of the term postoperative complications. They take various measures during the operation and practice surgical skills hard to reduce the occurrence of postoperative complications.


    "It''s already the noon break time, I''ll go check on that patient first." Zhou Can said to Liu Lao.


    "Let''s go together! The patient is likely to have postoperative complications, and it will be very difficult to deal with."


    Mr. Liu has rich experience in diagnosis and treatment.


    I know the horror of postoperative complications.


    "I''m going to buy food for the two teachers!"


    Wu Ziyu now regards Zhou Can as a teacher.


    In the past two days, Zhou Can and Liu Lao have been performing operations in the operating room, and Zhou Can has guided her a lot. It also deserves the title of teacher.


    Doctors are sometimes busy and it is very easy to miss meals.


    If you can''t order a meal, you can only eat instant noodles.


    "Okay! I''ll thank you then. Mr. Liu doesn''t like spicy food."


    Zhou Can''s words moved Mr. Liu very much.


    There was a look of relief and joy on his face, but he didn''t speak. Instead, I went into the changing room of the operating room to change clothes.


    Under normal circumstances, doctors need to wear white coats to work outside the operating room.


    Except for disposable surgical gowns that can be worn out of the operating room, normal surgical gowns are not allowed to be worn out.


    Otherwise, the sterile environment in the operating room cannot be effectively guaranteed.


    Zhou Can changed into a white coat and rushed to the inpatient ward with Liu Lao.


    I saw that the patient who underwent lipoma resection was still pale, and his spirit improved slightly.


    Dr. Bu Shiren, who was in charge of the bed, and an intern stood by the bed, looking even more nervous than the patient''s family members.


    This patient is a postoperative patient who Zhou Can specially ordered to be under intensive care. If something goes wrong, Dr. Bu can''t handle it.


    "What''s up with him?"


    Zhou Can asked Bu Shiren.


    "From about eight o''clock in the morning, the patient experienced abdominal distension, nausea, oily, and finally vomiting. After the end, the patient developed diarrhea not long ago. The basic signs of body temperature, heart rate, breathing, etc. are relatively normal. "


    Bu Shiren took the initiative to show Zhou Can the physical records of the ward to check.


    "In addition to the above symptoms, is it also accompanied by general fatigue?"


    "Yes! The patient has been weak since the operation."


    Bu Shiren''s work is fairly meticulous.


    The answer is also very fast.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    After Zhou Can learned about the patient''s situation, he first made a series of exclusions.


    Have you injured important nerves or blood vessels?


    At that time, the operation was performed very carefully, and Mr. Liu was on the sidelines to check. If an important blood vessel or nerve was injured, he would definitely be reminded in time.


    Facts have proved that Zhou Can did not make any mistakes during the operation.


    That facial subcutaneous fat aneurysm excision was done pretty well.


    Zhou Can decided to start with the symptoms of the patient''s vomiting, oily, and nausea. There are many reasons that can cause these symptoms. However, he only cut one facial lipoma, and even if there is an accidental injury during the operation, he can roughly focus on a small area for investigation.


    All important nerves and blood vessels were removed, and he couldn''t help but think to himself, did he hurt the patient''s throat?


    The tumor was indeed quite large, but the surgery did not directly affect the throat area.


    The possibility of direct injury to the throat is very small.


    There was only one last possibility, hematoma occurred in the wound, and the throat was compressed. Lead to obvious nausea, oily, and vomiting reactions in patients during eating.


    Doctors usually use a tongue depressor to press the base of the tongue, which is a relatively common way to induce vomiting.


    In fact, you can also directly press the base of the patient''s tongue with your fingers.


    However, there is a risk of being bitten.


    When the patient finds it unbearable, he tends to close his mouth reflexively. In this case, it is very easy to bite the doctor''s hand. So doctors dare not take this risk with their own fingers.


    The tongue depressor also came in handy.


    If yesterday''s operation caused a certain degree of hematoma in the mouth and irritated the throat, it may really cause the patient to feel nauseous all the time.


    At this moment, Mr. Liu was also frowning and carefully checking the monitoring records of the patient''s postoperative signs.


    Want to empirically find out the specific etiology of the patient.


    Many postoperative complications are caused by improper operation by doctors, postoperative infection, thrombosis, ischemic necrosis and other reasons.


    Can only be comprehensively diagnosed based on clues and pathological mechanisms.


    "Come on, open your mouth and let me see!"


    Zhou Can said to the patient.


    The patient opened his mouth cooperatively, Zhou Can put on a mask, took out a small flashlight from his pocket as if by magic, and irradiated the inside of the patient''s mouth.


    There is a slight blood phenomenon.


    However, this degree of hematoma is not enough to compress the patient''s throat and base of the tongue.


    Nausea and vomiting caused by hematoma can basically be ruled out.


    The patient''s larynx appeared normal without any pathological changes. Only the side oppressed by the lipoma lost a lot of teeth.


    The tongue coating is white in color with a little dull yellow.


    "Okay!"


    Zhou Can signaled the patient to shut up.


    The desired answer was not found in the mouth. He carefully removed the gauze from the wound on the patient''s face. The wound was sutured by the seamless suture method he personally implemented, and a certain degree of skin flap repair was also done.


    It doesn''t look abnormal.


    There is no redness and swelling of the wound caused by infection, and the patient''s body temperature has not risen, which is enough to show that the possibility of wound infection is very small.


    "It''s really strange. There is no problem with the wound, and there is no problem found in the mouth. What could be the problem?"


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Reminiscent of the patient''s symptoms of abdominal distension, diarrhea, and malaise, Zhou Can began to jump out of the local area of ??the wound and make a comprehensive diagnosis based on all the symptoms.


    "The Point Guard Is Here"


    There are many causes that can cause all of the above symptoms.


    For example, the most common colds and food poisoning may cause vomiting, nausea, diarrhea, and general fatigue.


    The human body is like a precision machine, and any link failure may cause serious adverse reactions to the human body.


    "What he developed should be the syndrome after lipoma resection! The incidence rate of this kind is as high as 30%. It will cause patients to have indigestion symptoms such as intractable diarrhea, abdominal distension, nausea, vomiting, and oilyness, as well as general fatigue, pale complexion, and facial expression." Symptoms of malnutrition such as burnout. There is currently no effective treatment for this syndrome.¡±


    After pondering for a long time, Mr. Liu made a diagnosis.


    "What caused it?"


    This was the first time Zhou Can encountered such a situation.


    It is not the first time that superficial lipoma has been removed, and there has been no postoperative syndrome.


    However, what was removed this time was a huge lipoma, which also occurred on the head and face, so the situation was far more complicated than the previous minor surgery.


    "The pathological mechanism is not yet clear, and it may be related to tumor cells. Surgical resection of giant lipomas, or lipomas in the brain, thoracic cavity, important organs, or nearby, is very prone to many adverse symptoms. His syndrome , can not be avoided, only some corrective treatment can be carried out."


    Mr. Liu issued some medical orders on the spot.


    And ask the nurse to draw blood and send it for examination, and do a routine blood test to avoid misdiagnosis.


    After coming out of the ward, Zhou Can and Mr. Liu went to eat together.


    It''s getting closer now.


    Doctors work very hard, and meals are often not on time. Especially the doctors in the operating room and emergency room, including anesthesiologists.


    Sometimes in order to continuously rescue patients, it is common to work continuously for more than ten hours.


    This is also a lot of doctors, who obviously studied medicine themselves, and finally diagnosed cancer at a young age, in their forties.


    Sometimes, these diseases are really caused by abuse.


    If you do not eat in time after the meal time, the stomach and intestines will not be able to bear it, and stomach problems and ulcers will easily occur. Staying up late at night to work, not having a good rest, and irregular work and rest will do more harm to the body.


    Therefore, being a doctor is a very hard and risky job.


    "Old Liu, is the condition of the lipoma patient unavoidable during the operation?"


    Zhou Can asked a little unwillingly.


    After carefully recalling it many times, there are some areas that can be improved in the operation, but no major mistakes occurred.


    How did the patient develop the syndrome?


    Finding the reason and avoiding it in the future is what Zhou Can wants to do most.


    "According to my surgical experience, as well as domestic and international case reports, this postoperative syndrome cannot be avoided. It has nothing to do with the doctor''s technique, but the symptoms caused by the tumor itself."


    Liu Lao explained to him in a calm tone.


    "Hasn''t the tumor been completely removed? Can it still cause trouble?"


    Zhou Can was even more puzzled.


    His medical knowledge is still shallow, and his experience in diagnosis and treatment is not so rich. At least compared with those old doctors with 40 or 50 years of experience in diagnosis and treatment, it is far behind.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Have you ever heard of it? Isn''t there a classic game of dominoes? If one of the dominoes is removed, there will be a chain reaction that will eventually cause all the dominoes to collapse."


    Mr. Liu gave an example to explain why some postoperative syndromes cannot be avoided.


    "The lipoma has grown for many years, and it may even be born with the patient. It has formed a delicate balance with the patient''s body, and removing it is tantamount to breaking this balance. So the patient''s body will A series of adverse reactions occurred. You have to remember that when performing any operation, do not regard the lesion as a redundant body part."


    "Just like that lipoma, you should regard it as an organ of the body. It can grow so large that it even belongs to an important body organ of the patient''s body."


    Mr. Liu''s explanation to Zhou Can made him feel refreshed.


    This kind of knowledge can only be comprehended by experienced experts in practice. You can''t learn it from books at all.


    It is impossible for any medical classics or searches to record this theoretical knowledge.


    Because it does not conform to the formal content of medicine.


    Just like official history and unofficial history, there must be a difference.


    Unofficial history allows readers to learn some interesting content that cannot be recorded in official history.


    Aged medical experts are a living unofficial history of medicine.


    Many of their theories are not found in medical books, but they have some truth.


    And it is real in practice.


    "According to what you said, a mole, a tumor, or an extra finger all belong to an organ of the body. It''s just that this organ is a unique organ that ordinary people don''t have. Is that what you mean? ?¡±


    Zhou Can had a glimmer of understanding.


    Listening to what you say is better than reading ten years of books.


    The unique theory that Mr. Liu said gave him a sudden enlightenment, and he had a new understanding of the disease.


    It''s like opening a new window.


    "Your understanding is very strong, that''s what you mean. The extra fingers, even the third hand, and the third leg are easily recognized by the doctor as an organ on the patient''s body. But a tumor, or an intradermal nevus , but it is often easily regarded by doctors as just a lesion. This is a misunderstanding in diagnosis and treatment."


    Old Liu smiled and nodded slightly.


    "When you practice medicine independently in the future, you must take this factor into consideration. Before cutting a tumor, you can consider its relationship with the surrounding organs of the body and its effect on the body. This is more important for the correct treatment of the patient''s disease. Helpful. The patient with lipoma just now, it would be better to transfer him to the internal medicine department for treatment in two days.¡±


    Internal medicine and surgery are two completely different medical departments.


    Internal medicine is far superior to surgery in terms of pathology and pharmacology. For the patient with postoperative syndrome, it would be more favorable for his condition to be transferred to internal medicine.


    It is so novel to treat a tumor as an organ.


    Zhou Can was quietly thinking about the new theory he had learned.


    After eating, the two of them took a short rest and walked into the operating room again.


    keep fighting.


    It is necessary to get rid of all the surgical patients accumulated in general surgery as soon as possible.


    The crazy operation started again.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    This is a male patient in his thirties, with pus in the ear, a mass behind the mandibular angle, increased ear secretions due to pressure, pain, fever and other symptoms after secondary infection.


    Zhou Can is still the first to come into contact with this case.


    General surgery is the most complicated department, and it is possible to receive any kind of patients.


    "His disease is called parotid fistula, and surgery is needed to clean up the fistula before it can be cured."


    Mr. Liu explained to Zhou Can, Wu Ziyu and others.


    "When diagnosing this disease, in addition to the symptoms of pus in the ear and a mass in the lower part of the mandibular angle, the patient often feels a rancid smell in the mouth. During the operation, fistulas of the second, third and fourth gill clefts will be found There is a fistula at the anterior border of the sternocleidomastoid."


    This disease is relatively rare.


    Zhou Can carefully observed the patient to understand the patient''s condition and symptoms.


    Accumulate experience for future independent consultations.


    In fact, he has read the examination data of all the patients before the operation, and learned about their conditions and causes.


    For this parotid fistula patient, he also checked a lot of information and studied it.


    "Sometimes, the fistula on the patient''s body is very thin, as thin as a needle tip or a small depression, which is easily overlooked. Even if it is not squeezed, there will often be a little secretion. This is also the reason why the patient feels that there is a bad smell in the mouth. "


    Elder Liu continued to explain to them.


    Zhou Can was still the chief surgeon, with Mr. Liu guiding beside him.


    "When performing parotid fistula surgery, in addition to being extra careful during the operation, you must also be careful of dyspnea caused by lateral pharyngeal wall edema and parapharyngeal hematoma after surgery. You should be closely observed, and do a good job of postoperative monitoring and hospital management. If you find a problem, you must Handle it in time, otherwise it will easily cause irreparable and serious consequences.¡±


    This irreversible serious consequence is actually death.


    It''s just that in front of patients, doctors often speak in a subtle way.


    It''s pretty much the same in any industry.


    It''s like asking a lawyer to help you with a lawsuit. If the lawyer listens to the reasons and says that you can try to fight the case, the chances of winning are quite high. That''s basically winning.


    If the lawyer says that the litigation period of this eucalyptus will be very long, then you have to be careful.


    Perhaps it is to remind you vaguely that the winning rate of this eucalyptus is not high. UU Reading If you really want to fight, you will probably lose.


    Doctors are more subtle than lawyers when speaking to patients.


    For example, after the physical examination, the brows are frowned tightly, "Be careful in this situation, the situation is not good, very bad." Most of them are malignant tumors or other incurable diseases.


    At this time, as long as there is still an opportunity for surgery, or if the opportunity for treatment has not been missed, then treat it as soon as possible.


    If you drag it on, it will probably be cool.


    Zhou Can is already helping anesthesiologists to perform anesthesia operations on patients.


    Soon, anesthesia was successfully implemented.


    Zhou Can earned another 1 point of experience in anesthesia.


    Compared with the reward of 100 experience points, Zhou Can was somewhat dissatisfied with earning only 1 point at a time. However, he also understands that there are not many opportunities to reward 100 experience points.


    One or two times a day is considered pretty good.


    There are very few opportunities for anesthesiologists to obtain such rewards.


    Maybe after one or two months of regular training in the anesthesiology department, if you hang out with Dr. Feng, you will have more opportunities to earn this 100-point anesthesia experience reward.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Surgeons need to go to the anesthesiology department for at least one month of training. This is to allow doctors to learn anesthesia knowledge deeply, understand the whole process of anesthesia surgery and the precautions.


    In particular, the set of practical experience of anesthesiologists in supporting and guaranteeing patients'' vital signs is worth learning.


    In terms of life support, if the Department of Critical Care Medicine really wants to trace its roots, the Department of Anesthesiology is its master.


    (https://)


    //

 Chapter 224： Received 200 experience points for the first time, is this passing on the mantle?

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    After the patient was successfully anesthetized, Zhou Can stood at the chief surgeon''s position to prepare for the operation.


    "Xiao Zhou, this is the first time you have performed this kind of operation. There are a few points that you must pay attention to." Mr. Liu said the precautions before Zhou Can performed the operation, explaining that the operation is extremely risky.


    "It is necessary to avoid damage to important anatomical structures such as the carotid artery, internal jugular vein, vagus nerve, hypoglossal nerve and accessory nerve during the operation."


    This is a normal reminder.


    Even if Liu Lao didn''t say it, Zhou Can would handle it carefully.


    "This disease will cause repeated attacks of inflammation, so it should be surgically removed as soon as the acute inflammation is controlled. If the fistula is small, with no or little secretion, or if the patient is a child under 2 years old, the operation should be postponed."


    If the surgical indicators are not met, then the surgery will not be performed.


    Otherwise, it is easy to over-medicine, and the harm outweighs the benefit.


    Zhou Can listened carefully, keeping these valuable diagnosis and treatment experiences in his heart.


    "It goes without saying that a fistula tract will be performed before the operation. This operation is likely to cause massive bleeding, so blood transfusions must be prepared."


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    Mr. Liu continued to instruct Zhou Can and the subordinate doctors on some key points of the operation.


    For this kind of fistula tractography, lipiodol is often used.


    The purpose is to find out the direction, depth and course of the fistula.


    Some fistulas may have more than one direction, and this kind of path needs to be more careful.


    If you don''t do angiography before the operation, and you have to operate rashly, even if you have rich surgical experience, you may stumble.


    "This patient should have two horizontal incisions, all fistulas in the lower third of the neck. Two horizontal incisions should be made. A lateral fusiform incision is made along the skin around the fistula in the lower Another larger transverse incision is made at the bifurcation of the artery."


    Mr. Liu had already drawn the position of the knife edge in advance.


    But still explained it to Zhou Can and others.


    "If the fistula is located at a high position, a horizontal incision can be made. The position of the incision is determined according to the examination results, and arteries, large blood vessels and important nerves should be avoided."


    Neck surgery has always been considered a high-risk area by physicians.


    Zhou Can practiced for nearly a year, and he wanted to get a chance to get a neck suture, but Mr. Liu agreed very reluctantly.


    If Zhou Can hadn''t made great achievements in that thyroid surgery, he wouldn''t have agreed at all.


    From this little incident, we can see how high the risk assessment of the neck by the superior doctors is.


    This moment, that moment.


    Now, not to mention the skin stitching on the neck, Zhou Can even dares to operate the knife.


    In the past year and a half, Zhou Can has made great progress.


    Under normal circumstances, it takes at least six years for a general surgery doctor to be able to operate a knife on a patient''s neck by himself, even if it is just the simplest incision of the epidermis and opening a wound.


    After three years of regular training and three years of resident surgery training, the superior doctor will consider giving a neck incision epidermis an exercise opportunity.


    It must also be the kind of senior resident who performed well.


    Don''t even think about those who are idle and rash.


    In fact, operations on the neck are basically major operations above the third level.


    The stakes are extremely high.


    The attending physician is only worthy of being an assistant in this kind of operation.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can carefully followed the position of the knife and made a flat incision. When cutting, Liu Lao''s nerves must have been tense, and his hands were instinctively clenched into fists. He was worried that Zhou Can''s knife was too fast and cut the patient''s neck artery.


    Plasma has long been prepared.


    In case of an accident, blood transfusions can be performed immediately.


    From this point, it can also be seen how much Liu Lao cultivated Zhou Can. Basically, you are risking your future and your job.


    [Cutting experience value +1.]


    [The first time you successfully cut the patient''s neck, you will be rewarded with an experience value of incision +100.]


    Zhou Can didn''t expect that he could earn 100 cutting experience points in this way.


    I am really happy.


    Cutting the neck was not really a big challenge for him.


    It feels no different from cutting the epidermis during abdominal or chest opening.


    After the incision was promoted to the middle level of attending, his tactile feedback on the scalpel seemed to be a little clearer. When cutting, you can know more clearly and accurately whether the cut is the epidermis, subcutaneous tissue, blood vessels, muscles, etc.


    Their tactile feedback to Zhou Can is different.


    It is also this sense of touch that allows surgeons to dissociate important tissues such as nerves and blood vessels on the sharp tip of the knife.


    After incision, it is actually difficult to clearly distinguish the fistula with the naked eye.


    This does not bother the doctors.


    They figured out a way to inject methylene blue through the fistula after cutting the neck, so that the fistula can be easily identified during the separation process.


    Immediately afterwards, Zhou Can cut the skin, subcutaneous tissue and platysma muscle along the incision design, then clamped the fusiform skin containing the fistula with hemostats, and then made a sharp separation along the fistula.


    This separation process is simple to say, but extremely difficult to operate.


    It needs to be separated gradually from bottom to top to the bifurcation of the common carotid artery.


    "Xiao Zhou, when separating along the fistula to the carotid bifurcation, the carotid sinus should be closed with 1% procaine to prevent carotid sinus syndrome."


    Liu Lao reminded Zhou Can in time during the operation.


    "clear!"


    Zhou Can quickly completed the corresponding operations, and then made a second transverse incision on this plane, and pulled the separated fistula cord tissue out of the skin through the transverse incision.


    Even though Zhou Can''s first incision on the neck proved his strength, when he made the second incision, Mr. Liu was still worried, for fear that something might happen to Zhou Can.


    After all, the risk is too great.


    Fortunately, Zhou Can was always as fast as the wind and as steady as an old dog, and he didn''t make any trouble for him.


    In the next operation, Zhou Can gave full play to that super separation technique.


    Because this fistula passes between the internal and external carotid arteries, it turns to the lateral wall of the pharynx. Undoubtedly increased the difficulty of surgery.


    Not to mention Zhou Can''s operation, even if Liu Lao came to operate it, he would not dare to be careless in the slightest.


    After Zhou Can carefully separated the fistula from the internal and external carotid arteries, he pulled the external carotid arteries forward.


    When doing the above steps, it is also necessary to pull the posterior abdomen of the digastric muscle and the hypoglossal nerve upward.


    Then continue to separate inward along the fistula, reaching the side wall of the pharynx.


    Every step of separation is extremely difficult.


    It is of great benefit to his improvement of separation medical skills.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    At this stage of separation, Mr. Liu personally helped him, pushing the side wall of the pharynx outward with his fingers to make the fistula shallow, so that Zhou Can could separate the remaining part of the fistula.


    Finally, the fistula was successfully separated by Zhou Can.


    [Separation experience +1.]


    ¡¾For the first time, you successfully separated the ultra-difficult fistula, and you will be rewarded with +200 experience points for separation.¡¿


    This is the first time in Zhou Can''s history that he has earned 200 experience points.


    Only he himself knows how difficult the whole separation process is.


    It can be described as difficult and dangerous.


    Therefore, he can take this 200 point reward with peace of mind.


    Much harder than earning two rewards of 100 experience points.


    "Pretty well done! Clean the cavity and suture it!"


    Elder Liu actually broke into a few cold sweats.


    Seeing that Zhou Can successfully separated the entire fistula, he breathed a sigh of relief, with a happy smile on his face.


    Zhou Can also won the deep trust of Liu Lao by virtue of his operation time and time again without accidents.


    So much so that such an extremely high-risk operation dared to be entrusted to him.


    After the wound cavity was flushed, the bleeding was completely stopped.


    To Zhou Can, these operations were simply pediatrics.


    Level 5 hemostasis and level 4 debridement are not free.


    Over the past month or so, he has performed more than 700 surgeries in general surgery, and his experience in debridement has also earned a lot of money. But if you want to be promoted to level five, there is still a big gap.


    The main reason is that it is rare to encounter that kind of difficult debridement, so that there are very few opportunities to earn 100 experience point rewards.


    It is too difficult to advance to level five just by earning 1 point of debridement experience each time.


    A full 10,000 debridement operations need to be performed.


    Many surgeons may not be able to perform so many operations in their lifetime.


    After debridement and hemostasis, Wu Ziyu stared at it with greedy eyes.


    "Director Liu, Doctor Zhou, can I suture it?"


    She watched Zhou Can challenge more and more advanced surgical tasks, but she couldn''t even get a more difficult suture task, and she was very anxious.


    Associating with the strong will naturally force you to improve.


    She wants to narrow the gap with Zhou Can.


    "The suturing requirements of this operation are very high, and you are not yet capable of it! Next time, I have a simpler suturing task, and I will leave it to you to practice!"


    Elder Liu couldn''t bear to dampen her enthusiasm.


    However, no superior doctor would casually delegate authority over surgery.


    Don''t look at Mr. Liu, who even dared to delegate power to Zhou Can for difficult surgical tasks such as separation and incision of the neck fistula. That''s because Zhou Can made Liu Lao believe that he has the strength and can do well through continuous accumulation.


    Wu Ziyu had only undergone surgery for less than two days in total, and in Liu Lao''s mind, the trust level was still very low.


    Moreover, her surgical ability is far from being comparable to that of Zhou Can.


    So it''s no surprise it was rejected.


    "Doctor Wu don''t need to worry too much. When the time is right, it will happen naturally." Zhou Can comforted her.


    I can understand her eagerness to improve her strength.


    Zhou Can once had it too.


    Especially at the beginning, I can''t do this, and I can''t do that. Watching other doctors operate, I feel like a cat scratching my heart.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    He was ruthlessly rejected by Dr. Xu many times.


    Now that his strength has improved, he doesn''t even need to take the initiative to speak, and the superior doctor directly delegates power to him.


    Next, he sutures the wound in layers and places rubber tube drains.


    Sandbag pressure treatment on the neck.


    At this point, the operation is considered complete.


    The postoperative care of patients is handed over to the bed doctors and nurses in the inpatient department.


    "Okay, push the patient to the recovery room! Postoperative care requires antibiotics to prevent infection. If necessary, dexamethasone can be used to reduce local edema, and nebulized inhalation is given. Depending on the situation after surgery, take it out within 24 to 48 hours Drainage strips, stitches removed 7 days after surgery."


    These are all doctor''s orders issued by Liu Lao.


    Doctors and nurses in the inpatient department are required to perform in place.


    Zhou Can checked the remaining dozen or so surgeries, feeling a lot of pressure.


    I''m afraid I have to work overtime late today!


    He worked so hard, he was doing his best for the newly built nail and breast surgery.


    In the future, nail and breast surgery developed, and these initial members of the department would be more or less affectionate. For Zhou Can, there must be a lot of benefits.


    ¡­


    Four days later, Zhou Can was exhausted and thin, and he solved all the operations accumulated by the doctors in the Nail and Breast Surgery Department.


    His surgical experience has been improved by a leap.


    I used to do surgery with Liu Lao, and the categories I came into contact with were mainly thyroid diseases.


    Although there were less than one hundred surgeries performed in these four days, they were varied and involved various medical fields. It has greatly helped Zhou Can expand his surgical knowledge.


    It is difficult for a surgeon to preside over so many fields of operations in a short period of time.


    Especially with small and large hands plus minor surgery, Zhou Can almost re-understands the structure and pathological mechanism of the human body. The benefits of learning, cognition, and surgical anatomy of all kinds of diseases in such a short period of time are incalculable.


    Much better than a hammer in the east and a stick in the west.


    The biggest benefit of coherent learning is that it facilitates more comprehensive cognition and comprehension.


    After so many surgeries, the prognosis is pretty good.


    The only thing that made Zhou Can feel a little regretful was the patient who had undergone surgery for the removal of a huge lipoma on the head and face. Because of unavoidable postoperative syndrome, after the initial wound healing, the patient had been transferred to the Department of Internal Medicine for further treatment.


    No one can guarantee what will happen to that patient in the future.


    Obviously the operation was very successful, but the result was not satisfactory.


    This matter made Zhou Can brood.


    It was also this case that made him realize that the ability of doctors is more limited than imagined, and they will appear helpless when encountering many situations that cannot be handled.


    In the office, Liu Lao looked relaxed, with a faint smile on his face.


    Zhou Can helped to deal with all the backlog of surgical patients, and the nail and breast surgery department had no worries.


    In the past four days, Mr. Liu led Zhou Can to work in the operating room, and the other chief physicians were not idle, and they all devoted themselves to their new work.


    Nail and breast surgery has initially started on the right track. For patients with nail and breast disease who come to Tuya Hospital for treatment, as long as the surgery can solve it, the nail and breast surgery has realized all the receivables and cured them.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    To ensure that no one is missed, and patients are not allowed to wait in line for several days to see a doctor.


    The medical work of the nail and breast surgery is in order.


    The experience for patients is believed to be very good.


    Doctors and nurses also quickly adapted to their new jobs from the initial discomfort. All of them worked very well, and they all worked very hard.


    The whole nail and breast surgery room showed a gratifying situation of prosperity.


    "Xiao Zhou, you have worked hard these few days! If possible, I really want to keep you in Nail and Breast Surgery to continue to help this department develop and grow."


    Old Liu knew that Zhou Can was determined to go, and he couldn''t keep it.


    One day the young eagles will grow up, and they will go outside to wander and practice constantly, and finally the eagles will hit the sky, soaring upwards, roaring proudly in the sky.


    Zhou Can still has a lot to learn.


    Just knowing how to perform surgery is not enough.


    Internal medicine is difficult, but it is a compulsory course for every famous doctor.


    "Thank you for your great love for me. After I finish my studies, I will definitely have the opportunity to help in the Department of General Surgery. The definition of disease, etiology, pathogenic mechanism, epidemiology, natural history, symptoms, symptoms, and experimental diagnosis of internal medicine , Imaging examination, differential diagnosis, diagnosis, treatment, and prognosis. These are all things I need to learn in depth. Taking advantage of my current status as a regular trainee, I want to seize the opportunity to study hard in internal medicine, paving the way for my future practice the way."


    During the three months of regular training in the Department of Critical Care Medicine, Zhou Can has already deeply realized the importance of internal medicine.


    Real medicine originated from internal medicine, not surgery.


    Internal medicine studies pathology and pharmacology, while surgery focuses on technology rather than science.


    Chinese medicine in China was first developed on the basis of medical classics such as the Yellow Emperor''s Canon of Internal Medicine and Suwen.


    Which of the two is more important, Zhou Can''s heart is as bright as a mirror.


    If you ignore the study of internal medicine because you have shown extraordinary talent in the field of surgery and have made some initial achievements, it is a waste of money. Now it''s just a small fight and I don''t think there is any big problem.


    In the future, if he is really allowed to stand alone, the disadvantages will be seriously revealed.


    There will be constraints everywhere.


    "Your idea is very good, and you didn''t lose yourself because of temporary achievements. It is extremely rare to have such a clear understanding at your age. Don''t worry, I am not selfish to that extent. This general surgery The records are some of my experience in practicing medicine for decades, as well as my surgical ideas, including some mistakes and omissions, all of which are written down in detail. You can take it back and look it up when you have time, and you may gain something from it~www .novelhall.com~ Mr. Liu has practiced medicine for more than 30 years. Although he is only the deputy chief physician in the general surgery department, he has strong surgical skills.


    The surgical experience accumulated over the years is like a treasure to a newcomer like Zhou Can.


    There are twenty or thirty bound books in a thick pile.


    It''s hard to imagine, all of this was recorded by Mr. Liu stroke by stroke.


    Zhou Can stood up, took it respectfully with both hands, picked up the top bound book and flipped through it.


    The admiration for Liu Lao came naturally.


    Every recorded operation, or omissions in diagnosis and treatment, as well as some pre-operative and post-operative changes, are clearly recorded. The handwriting is neat, and some are accompanied by pictures.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Properly is a set of medical works.


    The painstaking efforts recorded for decades were given to Zhou Can so selflessly for Zhou Can''s study and reference. Liu always regarded him as his closest successor.


    "This gift of yours is too expensive. I will take it back, make a copy of all of them, and then return the original to you."


    Zhou Can felt that the materials in front of him were more precious than a mountain of gold and silver.


    "I''m old, and I''m going to retire in a few years. These notes are useless to me. After you read it, if you think it''s valuable, you can keep it for other young doctors with potential and high medical ethics. Remember, in the future No matter how high your medical achievements are, when you pass on some core medical skills, you must not pass them on to those with bad morals."


    Elder Liu only made one unique request to him.


    (https://)


    //

 Chapter 225： Tuyas secret guardian force, the newcomer teaches the superior doctor to do...

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    It seems that before Mr. Liu chose to pass on all his life''s medical notes to Zhou Can, he must have made an assessment of Zhou Can''s character. He thought that Zhou Can was worthy of entrustment and had a good character, so he passed it on to him. "Some people''s morals are not good, but they are very talented in medicine. With the supervision of laws and hospitals, are you afraid that they will do anything wrong?" Zhou Can asked a little puzzled. No one is perfect, and some people''s moral character may not be very good, but they are very talented to study medicine. This type of person has enormous potential for growth, just by nurturing them. Zhou Can always felt that it was a waste of talents to keep them out of the core medical skills. "It is really difficult for one or two people with poor moral character to behave mischievously under the current system. But when such a person climbs to a certain high position, he will try his best to win over people who can be corrupted. At the same level, we have the ability to do anything wrong. We have no control over other hospitals, but it is not easy for Tuya Hospital to achieve what it is today, and we must not let those black apples ruin it." Liu Lao''s tone and expression were extremely serious. "Prevention is far better than cure. The best way is not to give such people a chance and prevent them from climbing to high positions. Their energy is limited, so naturally they cannot cause great harm to Tuya. I can tell you clearly, no I am the only one who has this awareness of prevention, and Tuya''s older generation basically have the same views as me." Hearing these words, Zhou Can was secretly startled. This is the first time he has heard of such a secret. I used to think that although morality is important, few people care about it. It is only now that I understand that in the dark, there is an old man who is bit Tuya who is attacking those doctors who are judged to be of bad moral character. For people of good moral character, this is a good thing. For people with bad morals, as long as they show their feet and are labeled as bad morals, it will be difficult for them to do anything in Tuya Hospital. The point is, those people didn''t know until their death that there was a large group of seniors secretly preventing him from climbing up. Tuya''s older generation is probably at least at the deputy director level! They hold important positions in various departments of the hospital, and have a very high right to speak and make decisions on many important matters. The core medical skills are also in the hands of this group of people. I can''t imagine how miserable it would be in the hospital without the support of this group of people? Either they are underappreciated and leave automatically. Or doubt life, depressed until retirement. "This matter is originally a hospital secret, and none of you will say it outright, but tacitly maintain this ''common homeland'' together. As long as you know about it, don''t publicize it. In addition, I might as well make it clear Let me tell you. The senior management of the hospital should have passed the preliminary assessment for you, as long as you continue to maintain your original intention, your future achievements will not be much worse." There is also a warning in Liu Lao''s words. Some people performed well in the early stage and have excellent moral character. But then slowly lost in money, and finally depraved. It was almost a vague reminder to Zhou Can not to go to that step. Otherwise, the future will be ruined. "Finally, I would like to make a request that is not considered a request. If you will become the core of the hospital in the future, I hope you can protect Tuya Hospital together with others. Don''t be soft-hearted when you encounter people with bad morals. Just like A tree, when it grows crooked, no matter how hard you try to correct it, it will still be crooked in the end. Unless adults wake up themselves, no one can persuade them." Liu Lao made a special request to Zhou Can . I hope Zhou Can will join the positive energy camp after being promoted to the top of the hospital in the future, and protect Tuya Hospital together with other doctors in the positive energy camp. "Guard justice, maintain public order and good customs, even if you don''t make this request, I will try my best to fulfill it. After all, people''s hearts are against each other!" Zhou Can agreed. As for what Old Liu said about not being soft-hearted towards people with bad morals, Zhou Can seems to have never softened his heart. And he wouldn''t try to wake anyone who was pretending to be asleep. ¡­When leaving Puwai, Zhou Can walked very low-key. In addition to talking with Mr. Liu in the office for more than an hour, he quietly left the general surgery department with the notes that Mr. Liu had made all his life. It can be predicted that the eight sub-departments of general surgery will still mention him from time to time long after he left. Because Zhou Can created a legend that belongs to Gui Peisheng. With his own strength, he helped Mr. Liu get the construction right of nail and breast surgery. And relying on his own strength, he helped nail and breast surgery to seize the opportunity, and developed new diagnosis and treatment services almost seamlessly. These deeds are destined to be hotly discussed by various sub-departments of general surgery. As a client, he doesn''t care what others think of him. Already carrying Liu Lao''s notes, he stayed in the apartment and read quietly. These notes are too precious. The surgical mistakes, better surgical plans, omissions, and diagnosis of difficult and miscellaneous diseases in it are of great help to Zhou Can. It can save him from detours when performing these operations in the future. It can even draw inferences from one instance and use it in other operations. There are also some wonderful surgical ideas, which make people acclaimed after reading it. After reading it, Zhou Can absorbed and digested these valuable experiences, which will come in handy when encountering similar operations in the future. It is also very beneficial to expand his surgical thinking. Just like a certain painter, he only heard about how luxurious and simple the Forbidden City was before, but he was actually unable to draw a picture of the Forbidden City. So he pooled his money and took a long-distance train to the Forbidden City. After the visit, he was asked to draw the appearance of the Forbidden City, and he had a good idea. The thick golden nanmu eyes held together by the two, the corners of the eaves carved with withered dragons and phoenixes, the antique mahogany chairs, and the six-page screen full of book fragrance...Zhou Can is now reading Liu Lao¡¯s lifelong medical notes, which is equivalent to taking a short time to absorb The medical essence of Liu Lao''s life. This growth rate is very terrifying. The next day, he hurried to the internal medicine department that he had longed for for a long time. The first stop was not the top-ranked cardiovascular medicine department, nor neurology department, but gastroenterology department, which was not very eye-catching in internal medicine department. Director Tan of the Department of Internal Medicine has maintained a good personal relationship with Zhou Can. During the holidays, Zhou Can would send messages or call to greet Director Tan. Director Tan had confessed to him a long time ago. When it comes to internal medicine training, you don¡¯t have to follow the routine process. Zhou Can can flexibly arrange the time for training in various internal medicine departments according to your own needs. This delegation of power is actually quite large. It is estimated that only Zhou Can can enjoy such treatment in the entire Tuya Hospital. Zhou Can came to the inpatient department of Gastroenterology early. Compared with surgery, the number of inpatients in internal medicine has increased unabated. Surgical patients are rarely seen here, and they basically rely on drug treatment. Zhou Can was not in a hurry to find a doctor or nurse to find out where to report. Because he is fairly familiar with gastroenterology and knows where the office is. It''s not the first time here either. A doctor is measuring the body of a thin middle-aged male patient in front of the No. 51 hospital bed. And ask the patient what is uncomfortable now? The patient''s condition looks very bad. His lips were pale, there was no trace of blood on his face, and he looked weak, lying on the bed with his eyes slightly closed. The family members watched anxiously beside the hospital bed. Zhou Can concluded at a glance that the patient had internal bleeding. This is the improvement brought about by his promotion to the fifth level of hemostasis. The patient''s complexion and some symptoms can be used to judge whether the patient has internal bleeding. He has diagnosed too many patients with gastrointestinal bleeding in the general surgery department. The various explicit symptoms of this patient are too similar. It is possible to preliminarily deduce what kind of disease a patient is suffering from just by observing with the naked eye, which is similar to the ability of inspection in ancient times. It''s just that most modern doctors have studied the Western medicine system, and their inspection ability is far from comparable to that of ancient Chinese medicine. Modern doctors generally can only diagnose some patients with typical characteristics. For example, liver palms, spider nevus, lower extremity edema accompanied by dull complexion, etc. Zhou Can saw that this patient had internal bleeding, and his inspection ability should be better than that of ordinary doctors. He relied on the rich experience he had just accumulated in general surgery, as well as five-level hemostasis and four-level pathological diagnosis. It is worth mentioning that when he read Liu Lao''s medical notes last night, he could basically increase his pathological diagnosis experience by 1 point for every case he read. The bed doctor took the patient''s temperature, measured the pulse, and gently pressed different parts of the abdomen. Zhou Can was speechless for a while. The family members have already told him that the patient had blood in his stool not long ago, and he is still here leisurely measuring the patient''s basic signs. This bed doctor is really not in a hurry. Physicians are basically like this, even if the patient is about to die, they can still carry out various operations in a leisurely manner. That is to say, only when the patient is in shock and unconscious, will various rescue operations be carried out quickly under the leadership of the superior doctor. Their behavior is sometimes very similar to the confused behavior of animals. "The patient''s internal bleeding should be quite serious. If you haven''t had a colonoscopy, it''s best to send it for a colonoscopy immediately." Zhou Can kindly reminded the 28-year-old bed doctor. Seeing that he has a pair of panda eyes, I am afraid that there were many dangerous situations last night, and he must have been very busy. On the night shift, I don''t even have time to take a nap. "The colonoscopy, gastroscopy, and capsule gastroscopy have all been checked, and no bleeding point was found! The patient has intermittent gastrointestinal bleeding... Hey, who are you?" After a few sentences, the doctor in charge of the bed may realize that the voice is unfamiliar, and turned his head Check out who is speaking behind you. In the end, it turned out to be an extremely young and unfamiliar face. He was wearing a white coat, indicating that he was a doctor. "Hello, I''m Zhou Can from Gui Peisheng, please take care of me. The patient''s condition is very bad. He has already had a colonoscopy and found no problems, so he should be sent to the interventional department for gastrointestinal angiography as soon as possible. It is recommended to focus on investigation The jejunum and ileum." Zhou Can''s ''rank'' obviously surpassed this bed doctor by a lot. It was just a few glances, and based on some information provided by the family members and the doctor in charge of the bed, it has been roughly deduced that the most likely place for bleeding to occur. He has performed too many gastrointestinal bleeding operations, and has seen almost all kinds of situations. "Xiao Zhou, right? I said you, a new student, do you understand the rules? Examination of patients is what you want to do? It must be based on the patient''s etiology, symptoms, medical history, age, and whether there is any other basis." Disease and other factors should be comprehensively evaluated. Newcomers should talk less, watch more and do more, understand?" The doctor in charge of the bed was a little unhappy and taught him a lesson. In front of the patient, a newcomer, Gui Peisheng, taught him what to do as an official resident doctor. Who does this kid think he is? A novice rookie teaching a senior doctor how to do things can really make him happy. "Don''t get me wrong, I''m just offering a personal suggestion. And the patient''s current situation is quite dangerous. If it drags on for a long time, I''m worried that there will be a big problem." Zhou Can has already said it very cryptically. The internal bleeding of this patient is quite serious, and in addition to the intermittent gastrointestinal bleeding, special attention should be paid to thrombus. If it doesn''t work, the patient''s life can be killed in minutes. Zhou Can has seen too many patients, one second was fine, the next second he went into cardiac arrest and respiratory arrest, and he died as soon as he said it, and he was not polite at all. "Doctor, my dad''s condition is indeed not very good. You have been measuring it for a while. The angiography that Dr. Zhou said can find out the cause, and we are willing to spend the money." Twenty-five-six, the patient''s son Aged, looks quite calm. Hearing Zhou Can''s words, he was somewhat nervous. It doesn''t cost much to do a checkup, but seeing that his father has blood in his stool again, and his condition is getting worse and worse, the doctor in charge of the bed has been here to measure his temperature, heart rate and so on. He is really anxious. It''s just that he didn''t dare to say it out, for fear of angering the doctor in charge of the bed. Now the new Dr. Zhou has given a recommendation for examination, which sounds quite reliable. Useful or not, it''s better than not checking at all. "You don''t have to worry. I measure body temperature, heart rate, blood pressure and other basic signs in strict accordance with the doctor''s charter. It is also to better determine whether the patient is safe and what kind of examination and treatment is needed in the next step. I have all these Consider. The patient''s current physical condition is fairly stable, far from being as dangerous as Doctor Xiao Zhou said." The doctor in charge of the bed patiently explained to the family members, and he was even more dissatisfied with Zhou Can in his heart. This kid is just here to make trouble, right? Almost provoked a doctor-patient dispute. "That Xiao Zhou, it''s okay, I don''t need you here, go to your superior doctor! I have my own arrangements for the examinations that patients should have. Tuya is a regular large hospital, and redundant and invalid examinations will never be done. It will be prescribed randomly to the patient." The doctor in charge of the bed was already a little irritable when he saw the patient''s situation. This new Ji Peisheng has no eyesight at all, so he was taught how to diagnose and treat patients when he came up, and he had never seen such a winkless Gui Peisheng. Talking without going through the brain, can you do gastrointestinal angiography if you want? Besides, the patient just had a colonoscopy not long ago, and no obvious bleeding point was found. In addition, the patient has been in the hospital for observation for three days, if it is really dangerous, it has happened long ago. This kid is purely alarmist and irresponsible at all. Zhou Can didn''t say anything, and went directly to the office to report. If I continue arguing with the doctor in charge of the bed, I will have to quarrel. After the report is over, you can mention it to the superior doctor. Wards are generally managed by at least one attending physician. The level of the attending physician is much higher than that of the resident doctor in charge of the bed, and most of them will adopt Zhou Can''s suggestion. All the way to the doctor''s office, since it''s not yet eight o''clock, there are only two or three doctors in the office here and there. Gastroenterology should have dozens of doctors in total. After all, there are quite a lot of patients with digestive tract diseases. Especially in the Department of Gastroenterology, the hospitalization period of patients is relatively long, and more doctors need to be matched to manage patients. In addition, the Department of Gastroenterology also has a special department, which is the Gastrointestinal Endoscopy Diagnosis and Treatment Center This special department can not only carry out endoscopic examinations for patients, but also carry out endoscopic surgery. Many powerful departments of internal medicine are currently developing their own interventional therapy and endoscopic diagnosis and treatment. Zhou Can stood at the door and knocked. Dongdongdong! It''s a courtesy. "Who are you looking for?" A young doctor sitting by the door turned to look at him. "I''m new to the Department of Gastroenterology to participate in the regular training. May I ask who to report to?" Zhou Can walked over and asked with a smile. "It''s the middle of the month. I haven''t heard that a new regular trainee has been transferred in! Are you sure you''re here for regular training in our gastroenterology department?" The young doctor was a little confused. In order to facilitate management, the reception rules for Gastroenterology Department of Peisheng are basically on the last day of the month or the first day of the month. And it is received in batches, not one by one. "That''s right, it''s for the regular training of the Department of Gastroenterology. My name is Zhou Can. I was supposed to come here at the beginning of the month, but something was delayed during the rotation of general foreign medicine, so I postponed the report until this time." Zhou Can explained a few sentences. "So you are Dr. Zhou Can! The director of the department has already told you to sit down for a while, and when Dr. Chi, who knows how to supervise the training, comes over, I will tell him." A thirty-two or three-year-old sitting inside When the doctor heard Zhou Can''s name, he immediately put down what he was doing and stood up with a smile on his face to greet him. Intuitively, this person may be hospitalized or something. "Drink a glass of water! Doctor Chi usually arrives at the office around eight o''clock, so it should be soon!" The person poured Zhou Can a glass of water very politely, and greeted him warmly. "By the way, my name is Luo Shengsheng. I live in the hospital every day. I am on duty regardless of day or night. If you need anything, you can call me anytime." Sure enough, it was the hospital chief. "Okay, thank you Mr. Luo!" Zhou Can got up to take the water with both hands, and nodded gratefully. From Luo Shengsheng''s enthusiastic attitude towards him, it was obvious that he knew something about him. He was thinking, should we talk about the patient with gastrointestinal bleeding?

 Chapter 227： Terrible stromal tumor, Dr. Xia was overwhelmed

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 Chapter 228： Direct Book by Director, Subverting Perceptions of Internal Medicine

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Gao Jian should have paid close attention to him. Because of the two meetings, Gao Jian was able to accurately tell Zhou Can''s recent glorious deeds. In the past, Zhou Can regarded Gao Jian as a strong competitor. Now as his strength is getting stronger and stronger, and his shortcomings in basic medical knowledge are being quickly filled, he no longer takes his opinions too seriously. In life, it is through continuous efforts to surpass each opponent and leave them far behind. While filling out the form, Dr. Xia Ping came in after finishing his work. "Doctor Chi, have Zhou Can''s admission procedures been completed?" Dr. Xia Ping was still thinking about Zhou Can. Otherwise, they wouldn''t be so enthusiastic about inquiring. "Just wait until he finishes filling out the form. I heard that the patient in the 51st bed under your care has a problem. Are you okay now?" We are all doctors in the same department, and we are fairly familiar with each other. "Don''t mention it, thanks to the young man Zhou Can, something big happened today." After Xia Ping sat down in his seat, he picked up the cup and took a sip of water to moisten his throat. "Tell me quickly! Look at your relaxed face, the matter must be resolved." Dr. Chi suddenly became interested. He also knows something about the patients in bed 51. The patient did several checks but failed to find out where the bleeding was. I only know that the patient has blood in the stool, which must be gastrointestinal bleeding. There is no way to lock the specific part. As soon as he arrived at the hospital this morning, he heard that a patient in bed 51 suddenly went into shock and was sent to the intervention room for emergency rescue. He was still worried about the patient. He was particularly curious about where the patient was bleeding? How did it work out? "You can''t imagine that the patient turned out to be bleeding caused by a small intestinal wall stromal tumor. No wonder we checked the colonoscopy and even the capsule gastroscopy, but still couldn''t find the bleeding point. How do you find it?" Xia Ping said Still a little emotional about it. "Then how did you find out? I heard that the patients were already in shock at that time, so they must have hit you in a hurry, right?" Dr. Chi heard that it was the disease, and he had a sudden realization expression on his face. Small intestinal stromal tumor is known as the ghost killer in gastrointestinal diseases, and it is very difficult to find. "Thanks to Dr. Zhou for reminding me to do an angiography of the digestive tract as soon as possible. Hey, it''s really accurate." When Xia Ping talked about this, he gave Zhou Can a grateful look. "By the way, Dr. Zhou has been helping to rescue that patient. The department didn''t record him as being late, right?" "No, Dr. Luo has already told me about it." Dr. Chi quickly clarified that he would not be such a villain. "Who...does Dr. Zhou bring it?" Xia Ping inquired about it with a wicked smile. "Haha, it turns out I''m not the only one who came up with Dr. Zhou''s idea! It''s a pity that Director Shang has already made an appointment, so you and I don''t want to think about it!" Dr. Chi smiled happily. Somewhat regained a little psychological balance. He was not the only one who failed to **** Zhou Can. "Director Shang is well-informed. I''m afraid he knew that Dr. Zhou was very good, so he made the move ahead of time. I really envy him for finding a good helper! Originally, I still have a vacancy for a tutor, so I wanted to say hello and send Zhou Can wants to come over, that''s all!" Xia Ping sighed and shook his head. After being promoted to attending doctor, you will be qualified to teach. Interns are free helpers. The powerful attending doctor has several interns to help with the work. Gui Peisheng is a little more advanced, and the work he can do will be more advanced. So, don''t look at the attending and chief physicians with sullen faces all day long, scolding and teaching the interns and regular trainees under them. But these free labors are very important to them. When the hospital assesses the teaching teacher, if violations are found, an intern under the doctor will be transferred. For those who have repeatedly violated the regulations or failed the assessment, until all the adjustments are completed. Those who are outstanding in the assessment will usually have more places to teach students. It can also be seen from this point that the number of interns and regular trainees under a doctor is equivalent to a part of the working ability. "Old Xia, aren''t you talking bad about me again?" A hearty middle-aged man''s voice sounded, and then, a middle-aged male doctor with a medium height and slightly fat body walked into the office. Round face, with a three-pointed smile, but at the same time majestic. This must be Director Shang of the Department of Gastroenterology. There are many chief physicians in a department, but there is only one department director. The director of a department is only an administrative position and does not represent the level of medical skills. In some departments, there will even be an attending physician as the department director. Management level and coordination ability, these are the key factors for being a department director. Of course, under normal circumstances, to be able to serve as a department director, the level of medical skills is not bad. "How dare I speak ill of you! I mean you are wise and far-sighted, and you booked Zhou Can in advance. You don''t know how outstanding he is today..." Dr. Xia Ping looked very arrogant in front of the junior doctor , but unexpectedly, in front of Director Shang, it looks completely different. Flattery is out of the question, but there is no shortage of flattery. This is the law of workplace survival. No matter how rebellious a character is, he will slowly learn how to survive. "Oh, it seems that the rumors are indeed true! I heard that Dr. Zhou has a custom. When he enters a new department, he will always find a way to make great achievements as an introductory ceremony. It seems that it is no exception when we transfer to the Gastroenterology Department!" Director Shang Obviously, he has some understanding of Zhou Can''s deeds. No wonder Zhou Can was booked in advance. "Hehe, the rumors are unbelievable! I happened to meet him too, so I took the lead, and I can''t say that I have made great achievements. Today''s rescue of the patient with gastrointestinal bleeding was also done by Dr. Xia, Director General Jia and others. It was completed under the guidance of the leader." Zhou Can did not dare to monopolize the great work. Low-key humility is his usual style of conduct. Fame and utilitarianism, he really doesn''t care. Rescuing patients and earning medical experience points are what he values ??most. "The young man is not arrogant or impatient, really good." Director Shang praised him, then turned to look at Xia Ping. "Lao Xia, it''s really a blessing that the patient was rescued today. You should take this incident as a warning and learn from it, so that similar safety accidents must not happen again." Director Shang said a few words seriously. That faint coercion directly frightened Xia Ping so much that he didn''t even dare to lift his head. "I will reflect deeply, draw inferences from one instance, and prevent such incidents from happening again. After the operation just now, I have already checked the patients in the group I am responsible for immediately after I came back." If you do something wrong, you must have a correct attitude of admitting mistakes. Xia Ping accepted the criticism very sincerely, and immediately corrected himself after returning from the operation. This attitude of admitting mistakes is still worthy of recognition. Director Shang''s expression relaxed a lot. "This incident is also a profound lesson for our department. Tomorrow morning, we will inform all the doctors in the department to hold a morning meeting. Vice President Ye has been emphasizing medical safety recently, and we can''t resist the wind." To be a good department Director is really not easy. The policies explained above must be implemented well, and at the same time, some opportunities must be seized to carry out warning education work within the department. More attention should be paid to the performance of the department. There are so many things to worry about. Therefore, many chief physicians are unwilling to serve as department directors, because it will take up a lot of their time and energy. Director Shang has dealt with the safety incident, and looked at Zhou Can again. "This is Dr. Zhou''s first rotation to the internal medicine department, right?" "Yes!" Zhou Can stood up and replied. "Sit, sit, if you enter our department, you are a family, so don''t be too cautious. We don''t have so many red tape rules here." Director Shang quickly raised his hand and pressed down, signaling Zhou Can not to stand and talk. Internal medicine doctors, most of them have a gentle personality. This may have something to do with the content of their work. "Do you know what''s important in internal medicine?" Director Shang asked calmly, staring at him. "Heavy pharmacology and pathology." Zhou Can replied. "To be precise, internal medicine attaches great importance to the stable operation of the body system. The respiratory and digestive systems are the primary support in the life of the human body. Many people compare the blood to the gasoline of a car, which is actually inappropriate. Because what really provides the human body with energy for survival It is oxygen and food. They are the real ''gasoline''." Every doctor has a different understanding of the human body and life. The Department of Gastroenterology attaches great importance to its own research in this field. I am also more willing to emphasize the importance of the digestive system. Director Shang''s theory is quite unique. At least Zhou Can had never heard of it before. "To be more precise, when a car''s engine burns, oxygen exists in the air alone, not as part of the gasoline. Therefore, food is the real ''gasoline'' for the human body to run." After hearing this, Zhou Can thought for a while, and then Nod in agreement. What is medical science? What makes sense and is based on facts is medical theory. Director Shang told Zhou Can that food is the ''gasoline'' for the human body to run, and there is really no way to refute it. Because what people say makes sense. "What we really need to learn in internal medicine is not pharmacology and pathology, but the human operation mechanism. When we find that there is a problem with the operation mechanism, we can use drugs or interventional surgery to help a certain system of the body to resume operation, and at the same time, we must ensure that it will not Affecting the operation of other systems is the highest level of medication." Once an expert makes a move, he will know if there is any. After listening to Director Shang''s remarks, Zhou Can took it very seriously. It seems that this decision is very correct to give up the recruitment of multiple departments of surgery and insist on coming to the internal medicine department to complete the training. Fortunately, I met a very high-level teacher as soon as I entered the Department of Gastroenterology. Director Shang''s theories gave him a new understanding of the life mechanism of the human body and the effects of drugs. In the past, didn''t he think that medicines were only used to treat diseases? I really haven''t thought deeply about the positioning and real role of drugs in treatment. "Symptomatic treatment, how do you understand these four words?" The first lesson that Director Shang taught him probably left an extremely deep impression on him. "The treatment is based on the patient''s symptoms!" Zhou Can thought to himself, is there a deeper explanation? It is said that internal medicine is the origin of medicine, and all physicians are masters in medicine and medicine. Through a brief conversation with Director Shang, he preliminarily approved this statement. The most learned thing in surgery is how to operate and how to lock the lesion according to the examination results. Internal medicine seems to be very different from what he thought. "It''s just stomach pain. Use painkillers to relieve the pain. Respiratory failure puts the patient on a ventilator to help the patient breathe. Constipation, dry stool, use Kaiselu to help the patient expel the accumulated stool?" Director Shang asked leisurely. "Yes, that''s it. Treat patients according to their symptoms." Zhou Can nodded. "Then let me tell you that symptomatic treatment in internal medicine is wrong, can you accept it?" Director Shang is about to completely overturn Zhou Can''s perception of medicine. In other words, it is necessary to smash the medical definition that Zhou Can knew before, and let him know it again. The medicine he knew before was only on the outside, now let him know the inside of medicine. "Hehe, this is a bit difficult to accept. I was in school, and the teacher often taught us symptomatic treatment. In the clinical department, practice, training, teaching teachers, superior doctors, have always taught us to treat symptomatic treatment. Now you tell me this is wrong , I am indeed a little hard to acceptZhou Can smiled and shook his head. He also wanted to see how Director Shang would subvert his medical cognition today. Instead, there was a little excitement in his heart. The palace of medicine, It turns out that there are more than one. In addition to the outer hall, there is also an inner hall. "Symptomatic treatment is actually treating the symptoms rather than the root cause, which is the set that Western medicine advocates. Our internal medicine in China benefits from traditional Chinese medicine, especially the Yellow Emperor''s Canon of Internal Medicine, which makes our country''s internal medicine somewhat different from foreign internal medicine. What I want to teach you today is that it is both correct and incorrect to treat diseases and symptoms. Director Shang ignored Zhou Can''s horrified expression, and continued. "Internal medicine advocates treating symptoms according to symptoms. First, we must differentiate the pathological mechanism to find out the real cause of the disease, and then treat a certain body system that has gone wrong." Correct it and restore it to normal operation. Symptomatic treatment is to treat head for headache and treat foot for foot pain. Treating according to the symptoms may cause a headache and cure the feet, pointing directly at the root of the pathology. Internal medicine pays attention to treating the root cause. Or treat both the symptoms and the root causes. "This brand-new treatment theory made Zhou Can feel as if he had opened a new door to medicine. The medical world he saw was different. To be more precise, he used to look forward from a low place, and what he saw It¡¯s just part of the scenery. Now that I¡¯ve been exposed to internal medicine, it¡¯s equivalent to climbing to the top of a mountain, and I can see the whole scenery. I can see farther and more comprehensively.¡± What you said clearly subverted my understanding of medicine, but it made me I think it makes sense. OMG internal medicine is amazing. "Zhou Can''s words are somewhat exaggerated. He also has the intention of enlivening the atmosphere." Haha, there are still many magical places in internal medicine! Gastroenterology is only a part of the many departments of internal medicine. The really powerful ones are neurology, cardiovascular medicine and other important departments. You can learn more when you go there. Director Shang laughed happily. The other doctors in the office also smiled.

 Chapter 229： Favorite competition, the battle for fame begins

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Of course, there are no absolutes in the world, and we can''t give up eating because of choking. Sometimes the cause is clear, but the pathological mechanism is not clear, or there are only superficial symptoms, and the cause cannot be found for the time being. At this time, symptomatic treatment is also an expedient measure. The patient is in pain, and the patient''s life can be saved as much as possible. In the process of practicing medicine, dogmatism should not be avoided."


    Director Shang might be worried about teaching Zhou Can to be an elm bump, so he added another sentence.


    Diagnosis and treatment is an extremely complex process that must be learned and used flexibly.


    People who can only be formulaic and rote are not suitable to be doctors.


    Etiology, pathogenesis, syndrome, and symptoms are the understanding and reflection of a disease from different angles. This requires doctors to flexibly use several treatment modes such as examination of causes and treatment, disease differentiation and treatment, syndrome differentiation and treatment, and symptomatic treatment.


    "clear!"


    Zhou Can nodded to show that he knew.


    He''s never been the type to do things rote, either.


    "Being Pearson under me, there are no special requirements. You just need to maintain a serious and responsible attitude. It would be even better if you can be more active and diligent on the basis of being serious and responsible."


    Director Shang''s request may not seem high, but it is actually quite high.


    It is very difficult to do well in the four words of being serious and responsible. Coupled with an initiative and hard work, it is even more difficult. It is equivalent to not only doing a good job as a regular trainee, but also taking care of the director.


    "I will open a department login account for you later, and you can check the patient information of this group at any time. If you have time, you can even check the patient information of other groups in the department. If you have any questions, you can ask me at any time."


    This treatment has basically become the standard equipment that Zhou Can can enjoy when entering a new department.


    For ordinary regular trainees, being able to catch up with the chief physician for a few words is enough to be happy for a long time.


    However, Zhou Can can consult the chief physician at any time.


    "Then tell me about your daily work schedule. For the time being, it is basically normal operations such as checking nursing records, checking test results, writing medical records, issuing doctor''s orders, and rounding the ward. You are now a Guipei student. Interns can¡¯t compare, you need to take on more work tasks. For example, if a new patient is admitted in the group, it will be randomly assigned to you regular trainees or excellent interns to manage alone.¡±


    Interns generally don''t take on much work.


    The superiors will not let them take care of patients alone casually, mainly because they are afraid of accidents.


    After all, most of the interns are undergraduate seniors who have just studied medical theory for four years at school. Medical undergraduate students usually enter the hospital for internship in the fifth year.


    Tuya College of Medical Sciences is a relatively top medical university, and Tuya Hospital itself is interdependent.


    Some of its outstanding senior students will be eligible to enter Tuya General Institute for internship.


    Those who are slightly worse may get an internship in Tuya Attached Second or other hospitals. Basically, the school arranges internship units for students.


    The interns are basically noobs when they first enter the hospital.


    The teaching teacher usually doesn''t care much about the interns under him. Some people have been intern for a year, and they don''t even know what the chief physician looks like. This is really not nonsense, but the truth.


    Most of the people in charge of interns are resident doctors, and the total number of inpatients.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    A few excellent big thick legs that can hold the attending doctor may also be covered by the attending doctor.


    In short, interns will never take care of patients alone as soon as they enter the hospital.


    Since when?


    The superior started to let you write the medical records alone, which basically indicates that you are going to manage the patients alone.


    Zhou Can is Gui Peisheng, and has already obtained a medical license, so it is necessary to take care of patients alone.


    But he has just entered the gastroenterology department, at least he needs to get used to it for two days!


    Being famous also has its downsides.


    Director Shang didn''t even ask him if he could take care of the patients, and arranged for him directly.


    And from the tone of voice, managing patients alone is only the most basic operation.


    "I have a number of trainees, interns, residents, and attending physicians under my command. If you want to get more advanced training opportunities, you need to work hard for yourself. Whoever performs well, I will give them more growth opportunities, fair and just If you want to get the opportunity to perform interventional surgery, attend clinics with you, or even participate in research projects, you need to perform well.¡±


    Fair competition is Zhou Can''s favorite.


    Ordinary interns, regular trainees, would basically lose out if they competed with him.


    It is also difficult for a resident doctor to compete with him.


    An excellent attending physician might be able to fight against him.


    At least in surgery, almost all departments are like this. Now that he''s in the internal medicine department, he doesn''t dare to say anything big.


    After opening the login account of the department, Zhou Can began to honestly check the case information in the group.


    By looking at the course of disease written by others, you can basically infer the level of the doctor.


    "Doctor Zhou, a patient who underwent radical total gastrectomy has come to bed 71. Director Shang said that you are in charge of the management."


    The nurse who greeted him was quite beautiful, with extremely fair skin and a sweet smile on her face.


    "Okay, I''ll be there right away."


    On the first day of work, the patients were assigned to him for separate management, and Director Shang probably also had the intention of testing him.


    These chief physicians are all veterans.


    It is not an easy task to gain their appreciation.


    No matter how great Zhou Can''s reputation in other departments is, if he moves to a new department or changes the chief physician, if he wants to gain trust and recognition, he must work hard.


    He already has a very high status in the minds of Director Jia, Liu Lao and others.


    But at Director Shang''s place, the treatment is a little better than that of ordinary regular trainees.


    Quickly coming to bed No. 71, Zhou Can saw three family members surrounding the bed. A gray-haired old lady, a middle-aged woman who looks somewhat similar to the old lady, and a middle-aged man with an ordinary appearance and extraordinary momentum.


    The clothes of the three family members are all of class and taste.


    It shows that the family circumstances of the patient should be very good.


    But when it comes to the hospital, no matter how good the family is, it doesn''t matter. In the face of disease, everyone is equal.


    If it is a malignant tumor, as long as it spreads, even a wealthy country cannot buy it.


    "Hi, I''m the doctor in charge of bed 71. My surname is Zhou. If the patient has any problems during the hospitalization, you can come to the doctor''s office to find me at any time. If you have any needs or new progress, you can report to me at any time."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    When Zhou Can was just an intern before, he was somewhat apprehensive when he saw his family members.


    It''s all right now, generous and confident, completely no different from those doctors who have worked for many years.


    The more unconfident you are, the less confident you are, the more your family will look down on you. This is unfavorable for the management and communication of patients during hospitalization.


    The family members believe that you are an intern doctor and will not tell you anything.


    Because he didn''t think it would work to talk to an intern.


    Therefore, they usually bypass you and directly ask the superior doctors to report the situation during their ward rounds.


    The superior doctor would think in his heart, what did the doctor in charge of the bed do? I can''t handle such a trivial matter well, and I have to make a fuss when the family members come to report to me during the ward rounds.


    In this way, the superior doctor will have a bad impression of the intern or trainee in charge of the bed.


    Zhou Can also suffered many losses, and slowly figured it out, and then learned how to deal with family members and patients.


    "Doctor Zhou, when will your hospital arrange for my dad to be treated?"


    the woman asked politely.


    "From the moment our hospital admitted the patient, we have already treated the patient. The examinations, the measurement of the basic signs during the hospitalization, and the selection of various medication options are all preparations that must be made before treatment."


    Zhou Can answered the woman''s questions one after another, picking up the patient''s information to check at any time.


    In order to be aware of it.


    "Did he have a total gastrectomy half a year ago?"


    "That''s right! It was discovered that my dad had stomach cancer unfortunately. After evaluation, the entire stomach had to be cut off to save his life."


    The woman replied.


    "Unexpectedly, after the operation, after my dad ate, the food would turn into liquid and flow out directly from the drainage tube in the abdominal cavity. My dad couldn''t eat at all, so he could only make nutritional infusions to maintain his life."


    This patient is really unfortunate.


    Total gastrectomy itself will bring some adverse effects. After the operation, food will flow out from the abdominal drainage tube, most of which is due to a problem with the anastomosis between the esophagus and the jejunum.


    "Is the patient having an anastomotic leak of the esophagus and jejunum after the operation?"


    Zhou Can made inferences based on his own experience.


    "Yes, yes, after the doctor''s examination, it was said that there was a fistula, and we don''t understand these medical terms. The general meaning is that there is a problem with the connection between the esophagus and the jejunum. Let''s observe for a while at the beginning and then take a look. After two months, there was still no improvement. We were actually very angry at the time, which meant that the operation was not done well. We also no longer trusted the technology of that hospital, so we took my dad to another famous university. The hospital did a second operation."


    When the woman mentioned this matter, she was quite sad and indignant.


    However, Zhou Can''s ability to tell her father''s illness at that time gave her a little more confidence in the medical skills of Tuya Hospital.


    Any young doctor in charge of a hospital bed can have such a high level, how can the medical level of Tuya Hospital be poor?


    But she didn''t know that the doctor in charge of the bed in front of her was one of the best among all the doctors in charge of the bed.


    Under normal circumstances, a doctor with many surgical skills has reached the level of deputy director, and his pathological diagnosis has reached the fourth level. However, it is impossible for a doctor with this kind of strength to stay in the ward and do behind-the-scenes management work.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Instead, they will be arranged by the hospital to be on the front line to engage in surgical work and consultation work.


    Any hospital is willing to push excellent doctors to the forefront, let them directly face the diseases of various patients, and use their hands to diagnose the etiology and pathological mechanism. For patients who need surgery, doctors with excellent surgical skills will be arranged to operate on the patients.


    Those doctors who are relatively ordinary in all aspects, as well as rookies with short working years, will be arranged to do management work in the ward.


    Bed check, dressing change, surgery, medical record writing, etc.


    "After the second operation, has the problem been solved? This kind of esophagus-jejunum anastomotic leakage is actually very difficult, even if it is performed a second time, it is not easy to solve."


    Zhou Can''s surgical experience was learned in digestive surgery.


    At that time, Director Jia told him that total gastrectomy is not difficult, but the difficulty is the anastomosis from the esophagus to the jejunum. Whenever something goes wrong it''s going to be tricky.


    Moreover, the more open abdominal or thoracic cavities are performed, the more severe the internal adhesions will be.


    These valuable surgical experiences are hard to learn in books.


    After Zhou Can got the guidance, he kept it firmly in his heart.


    Since then, he has had a new concept of surgery. If you can do without surgery, try not to do surgery, and if you can not open the chest and abdominal cavity, you will resolutely not open it.


    After the operation, the organs and tissues in the thoracic cavity or abdominal cavity will be seriously adhered, which will definitely have a considerable impact on the patient.


    It''s not just as simple as increasing the difficulty of surgery in the future.


    "Oh! You''re right! After my dad''s operation, not only did the anastomotic leak still exist, but he still couldn''t eat. He also had new problems. It became very difficult to swallow food. He even had to spit out his own saliva. Even I couldn¡¯t even drink water. We were about to collapse. What kind of hospitals are these? How can an operation be so difficult? The results are getting worse every time.¡±


    When the woman talked about what happened after the second operation, her tone and eyes were full of despair.


    Although the other two family members did not speak, their expressions were similar.


    With the development of medicine to this day, many technical problems have been overcome, and even kidney transplantation, liver, lung, heart and other important organs can be transplanted.


    Even head transplants have been successfully experimented abroad.


    But there are still many things that medicine cannot solve.


    The doctors were helpless about this.


    Zhou Can has seen too many medical cases that could not be solved during the nearly two years in Tuyaguipei.


    Some patients really can only watch them die, there is nothing they can do.


    What impressed him most was a very young female patient. Her child was only six months old, but she was already in the advanced stage of breast cancer. In the ward of the intensive care unit, she tearfully begged the doctors to let her live for a few more months because she wanted to hear her child call her mother.


    But the doctors tried their best, but they still couldn''t stop the crazy spread of cancer cells and the damage to her body.


    When cancer cells develop to the late stage, in addition to destroying the body''s immune system, it will also cause damage and failure of organs.


    In the end, the young mother could not wait for the day when her child learned to call mother. On a gloomy morning, she left this beautiful but suffering world with endless regrets.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    At that time, Zhou Can, a big man, felt very uncomfortable when he saw that scene.


    If medicine can improve a little bit, I believe that the mother of that child must want to live longer. She wants to hear the child call her mother, and she wants to see what the child will look like when he grows up.


    If possible, I even hope to watch the children get married and have children.


    But she could no longer see it, and closed her eyes forever.


    The patient in front of him was already in his sixties, so he was not short-lived.


    At least his children are grown and married.


    But ants are greedy for life, let alone human beings who are the spirits of all things!


    No one wants to die easily if they can live.


    "After the patient''s second operation, did the anastomotic stenosis from the esophagus to the jejunum appear?" Zhou Can actually couldn''t bear to ask when he saw her sad expression.


    "Well! You are quite right."


    She bit her lip and nodded vigorously.


    "Doctor, do you think my father''s illness can still be cured?"


    After two failed operations, each of which became more serious, she has lost confidence in the operation.


    Just looking at her father''s painful appearance, she was like a moth to a flame, and wanted to try again.


    "This depends on the results of the examination. I estimate that the operation will be very difficult. Because after such a long time, the patient''s anastomosis is likely to have formed. He can''t even drink water now. I just speculate, I was wrong. You don''t mind. I guess the patient''s anastomotic stoma may be completely blocked. It''s like two hollow steel pipes. Hollow becomes solid."


    In order to help the family members understand better, Zhou Can also made a metaphor.


    "It was right again. After the examination at the local hospital, the doctor said so. It was originally planned to undergo esophageal dilation surgery to solve the problem of inability to eat, but after the examination, it was found that the anastomosis was completely blocked. The doctor at the local hospital shook his head Sighing and telling us that there is no way to have another operation.¡±


    The woman''s face was full of bitterness, more of helplessness and deep despair.


    Sometimes family members do not take the initiative to tell the doctor the whole story, including which hospital they visited, what the result was, and so on.


    They have all kinds of ideas.


    For example, I am worried that telling the doctor that I have seen it in other hospitals and then coming here for treatment will make the doctor unhappy. Or you want to hear what the new doctor at the hospital has to say.


    It can also be used to understand the strength of this hospital.


    Zhou Can was right every time, which made the confidence of the woman and the other two family members in Tuya Hospital soar. Will definitely try it out. You don''t have to be too desperate, as long as there is a glimmer of hope, there will be endless possibilities. "


    Zhou Can reassured family members and patients so that they would not lose confidence in treatment.


    this point is very important.


    "His examination data is very little, and his medical history is not as comprehensive as you described. Are the examination and operation materials in other hospitals still available?"


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can took a rough look at the patient''s examination data and felt that it was far from enough.


    Because the patient''s current condition is very complicated.


    There is both esophagus-jejunum anastomotic leakage and anastomotic occlusion.


    The local hospital that the woman mentioned is definitely not a small hospital, at least it is a medium-sized tertiary hospital.


    It can make the doctors in that hospital dare not even perform surgery, which shows that the problem is very serious.


    Surgery can also be surprisingly difficult.


    The risks of surgery are also very high.


    "All the inspection materials are kept there. I was worried that I would need those materials for seeing a doctor here, so I happened to bring them all and put them in the car. If necessary, I will go to the underground garage to get them right away."


    She asked for Zhou Can''s opinion.


    "Bring them all! I think Director Shang will use them when discussing your father''s illness in the department."


    Zhou Can knew in his heart that Director Shang probably wanted him to be the main force in diagnosing and treating this patient.


    (/novel/)

 Chapter 231： Ruthless capitalists, cracking the problem of fistula occlusion

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Li Luo and Zhou Can are close friends.


    The two not only share a lot of common language, but also have very similar thoughts.


    They are the kind of people who don''t stick to small details, don''t like to make superficial articles, but can treat their friends with the most sincere heart.


    When Jinyu Interactive was first established, even if Li Luo only gave Zhou Can 20% of the shares, he was taking Zhou Can to make money.


    But he gave Zhou Can 50% of the shares.


    Zhou Can didn''t have the experience of running an entertainment company and all the resources. From a businessman''s point of view, Zhou Can only holds a record of Su Qianqian, which is of extremely low value.


    It is entirely possible to spend some money to buy it, and then use the excuse of helping Zhou Can''s girlfriend to sign Su Qianqian as a company artist.


    In this way, there is no need to give Zhou Can any shares.


    Zhou Can and Su Qianqian still have to be grateful to Li Luo.


    But Li Luo didn''t do that, not even the simplest calculation.


    With Li Luo''s business experience, he must know how to actually control Jinyu Interactive Company. When he first divided the shares, as long as he allocated 1% less to Zhou Can, he would own 51% of the shares, and let Zhou Can take 49% of the shares, Jinyu Interactive would be actually controlled by him alone.


    When Li Luo treated Zhou Can, he was as innocent as a baby.


    Zhou Can was equally sincere to him.


    The two have been working together to start the company for so long, Zhou Can has never checked the accounts, and he has never even read the financial report of Jinyu Interactive. Li Lao has the final say on how much dividends will be paid each quarter.


    It was this kind of foolish cooperation that made the two of them never blush, and never had any conflicts because of their interests.


    Seriously, even brothers can hardly do this.


    What are you talking about fighting tiger brothers, father and son soldiers in battle.


    Too many good friends, blood brothers, because of partnerships in business, the final distribution of benefits is uneven, leading to enemies. This is human nature.


    "Li Luo has always been sincere to me, what happened to him?"


    Zhou Can felt that there must be some misunderstanding.


    On the one hand, he is a good brother, and on the other hand, he is the closest girlfriend, both of whom are trustworthy.


    "Hu Haikun, the capital tycoon, have you heard of it?"


    Su Qianqian was not in a hurry to talk about things.


    "I know a thing or two. The Changhua Plastic Industry Group run by this person is currently a top 500 domestic enterprise. I heard that it has also invested in real estate and pig breeding. He is a very successful entrepreneur."


    Zhou Can himself is a rich second generation, and basically knows a thing or two about some very famous business leaders in this province.


    This is also a compulsory course for the rich second generation.


    His parents taught him since he was a child that he doesn''t need to curry favor with other elders, but he must never easily offend any powerful person.


    Learn more about the growth history of other big bosses, and learn their entrepreneurial spirit.


    Hu Haikun belongs to the province''s top entrepreneurs and business giants.


    Even in the whole country, he is a well-known business leader.


    "Hu Haikun approached Mr. Li a while ago and wanted to directly acquire Jinyu Interactive, but Mr. Li rejected it."


    Su Qianqian raised her bright wrist and stroked her hair on her forehead.


    Jinyu Interactive has been established for a short time, but its growth momentum is extremely astonishing. Now it is a new star in the industry and is favored by many capital parties.


    Hu Haikun has always had a good investment vision.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    I heard that all the companies he invests in are profitable.


    This is a very remarkable achievement.


    There are huge risks in investment, and no one dares to guarantee that he will make money.


    In fact, investment is very easy to lose money.


    Hu Haikun''s ability to make a profit every time he invests is enough to show that his business vision is extremely vicious.


    Even he wants to acquire Jinyu Interactive, which shows that Jinyu Interactive has a bright future.


    Li Luo is a person with ideals and feelings.


    The original intention of Jinyu Interactive was not just to make money. When he competed for the president of Tianyu Interactive Company, he obviously succeeded. But in order to take care of his sick wife, he resolutely gave up his great future and opportunity, and lived in seclusion in the villa on Jiangxin Island for several years.


    There must be regrets in my heart.


    With his pride, he doesn''t even bother to return to Tianyu Interactive to work again.


    To make Jinyu Interactive stronger than Tianyu Interactive is what he wants to achieve.


    Also, he wants to make a lot of money with Jinyu Interactive, and then invest in a drug research and development company. Strive to develop a drug that can cure his wife as soon as possible.


    How could he sell a company that carried so many of his dreams and visions?


    "I know about this matter, Li Luo talked to me about it."


    At that time, Zhou Can was in the General Surgery Department helping Liu Lao''s team to compete for the qualification to build a sub-department, and he was extremely busy. There is no time to care about this matter at all.


    Anyway, let Li Lao make his own decision.


    No matter whether to sell or keep, Zhou Can supports it.


    "In the past two days, Hu Haikun has been looking for Mr. Li to discuss cooperation again. Seeing that Jinyu Interactive cannot be acquired, Hu Haikun offered to invest in the shares. I heard the rumor that Hu Haikun is going to kick you out as an idler, and then cooperate with Mr. Li alone."


    "The Point Guard Is Here"


    Su Qianqian told Zhou Can the bad news.


    "It''s okay, Brother Luo is not that kind of person!"


    Zhou Can showed an unnatural smile.


    His face was unavoidably pale.


    "Chan, if you are not in this industry, you may not know the benefits of cooperating with Hu Haikun. The strength of the capital predators is astonishing. They have money and resources, and they are scarce resources in many aspects. As long as Mr. Li agrees to Hu Haikun''s conditions, Once you are kicked out, the development speed of Jinyu Interactive can be increased by at least two or three times immediately. In addition, there will be leaps and bounds in receiving advertisements, promoting the company''s artists, reviewing the release of records and promotional videos, holding concerts, and recruiting new artists. sexual enhancement."


    Su Qianqian is not a little girl who knows nothing.


    She has been in society for many years and has seen too many cruel realities.


    For the benefit of countless adults, turning faces is faster than turning books.


    Brothers can still kill each other, not to mention that Zhou Can and Li Luo are not related by blood. There is only less than two years of friendship.


    Compared with that huge benefit, friendship seems too weak.


    "I only invested less than five million at the beginning, and the dividends I got back have reached tens of millions. Even if I am really kicked out, I have to offer a reasonable price. With five million, in less than two years If I earn a small goal, I still earn it. I can¡¯t hide what should come, let¡¯s do whatever it takes!¡±


    After Zhou Can thought for a while, his pale face gradually returned to normal.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    His expression also became calm.


    Letting go is a relief.


    One cannot be too greedy.


    He felt that he had gained enough. Li Luo really kicked him out, and he can accept this result.


    At most, it is the loss of a true best friend.


    As for money, he has always been indifferent.


    He has had no worries about food and clothing since he was a child, and now he has earned a small goal at the age of 26, which is already better than 99.9% of his peers.


    With this money, as long as I don''t risk my life, I can live comfortably for the rest of my life.


    "If Mr. Li really kicks you out, I will resign immediately. Even if I lose my great career and become a small singer again, I will never interact with Jinyu again."


    When Su Qianqian said these words, her eyes and tone were extremely firm.


    With her stubbornness, she really can do what she can say.


    "You silly girl. Even if you really kick me, it is the right way for you to stay in Jinyu Interactive for development. Don''t be arrogant. With Hu Haikun''s entry into the game, Jinyu Interactive''s strength will soar several times immediately, and it will take a step forward." Entering a stage of high-speed development. With this shareholder wind, you can skyrocket and become a real superstar. This will have immeasurable benefits for your career and income, understand?"


    After hearing Su Qianqian''s words, Zhou Can was both moved and anxious.


    He knew Su Qianqian''s character too well.


    She really does.


    "I can''t think about that much. I only recognize people, not others. You are the only man I know in my life." Su Qian raised her head and pouted slightly.


    "Didn''t you want to buy a big villa? To become a superstar, any commercial show can cost hundreds of thousands or even more. You can quickly scrape together enough money to buy a luxury villa."


    Zhou Can can only use this incident to persuade her to regain her senses.


    It is her ideal to buy a beautiful big villa with a swimming pool in the imperial capital or magic capital.


    Villas in these places are not cheap.


    The price of hundreds of millions of dollars is simply not affordable for ordinary rich people.


    "I didn''t say that I must live in a big villa. As long as I can be with you, I will feel as happy living in a small house." Her thoughts did not waver at all.


    "But if you stay in Jinyu Interactive and continue working, we can still be together!"


    Zhou Can held her face and said seriously.


    He''s not the kind of kid who gets his way.


    Even if Li Luo kicks him out, the most is that the two are no longer good friends. When you meet, you can still say hello with a smile. Su Qianqian stayed in Jinyu to develop interactively, and Zhou Can didn''t mind at all.


    Instead, I hope she does.


    "No!"


    She was so stubborn that she couldn''t even pull back nine cows.


    Zhou Can suddenly hugged her face and kissed her red lips. Her loyalty and love for Zhou Can made him feel that meeting such a good girl in this life is really a blessing in several lifetimes.


    After a long time, the two separated, and her pretty face was flushed.


    His eyes were somewhat blurred.


    "You scoundrel! I''m leaving! I''m going to Shanghai to attend a concert tomorrow, and I''ll be on the plane at nine o''clock tonight."


    She scolded the villain, but she took the initiative to kiss Zhou Can.


    Then reluctantly got up, tidied up her clothes and hair, put on her sunglasses and hat, and went out.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can sent her downstairs, watched her get into the car and leave.


    The BMW car had already disappeared into the night, but his eyes did not look back for a long time.


    "It would be great if her kidney disease could be cured sometime."


    His medical skills have been improving rapidly, just to be able to find the best way to cure her kidney disease one day.


    This time I entered the internal medicine department, and I can learn some advanced knowledge of pathology and pharmacology, which will definitely improve the regulation of the kidneys. The understanding of kidney disease will also be clearer and more comprehensive.


    Because her kidney disease was discovered in time and controlled at the early stage of the disease, the most ideal solution is to help her return to normal through drug conditioning.


    Surgical kidney replacement is just the worst case scenario.


    All surgery has risks.


    The risk of organ transplantation is much higher than that of ordinary surgery.


    If nothing else, the rejection alone was enough to make the situation worse.


    Zhou Can believes that as long as he is given a few years, his medical skills in pharmacology and surgery can reach a very high level. At that time, he can be her attending doctor directly.


    Regardless of drug treatment or surgical treatment, he can personally preside over it.


    Security will also be higher.


    Back in the dormitory, he continued to practice quick knife skills, read Liu Lao''s notes, and learn basic medical knowledge without mentioning it.


    After entering internal medicine, basic medical knowledge becomes more important.


    We must catch up.


    ¡­


    The next day, when Zhou Can came to the hospital, the first thing he did was to go to the ward to check on the patients in bed 71.


    Fortunately, no accidents happened.


    Apart from being unable to eat and living only on nutrient infusions, the patient''s vital signs are fairly stable.


    On the contrary, the patient in bed 73 seemed to have something wrong.


    The patient was lying on the bed and humming.


    Yu Xin is responsible for the patients in this bed. As soon as he thought of the cold face of the female doctor Pei, Zhou Can gave up the idea of ??going up to ask the patient.


    When she came, she thought that Zhou Can wanted to court her or something.


    That would be silly.


    The patients in bed 73 have completed the interventional operation yesterday and are now in the recovery stage.


    Generally speaking, the hospitalization period for interventional surgery is not too long, and patients can be discharged within three to six days.


    Tuya''s beds are extremely tight, and there are assessments in the department.


    As long as the patient''s condition is under control and meets the discharge requirements, the treating doctor will urge the patient to leave the hospital.


    Calculated according to the time, the patient in bed 73 is now humming in pain, which is likely to be normal postoperative pain after the anesthesia has passed.


    Interventional surgery is minimally invasive and does little harm to the body.


    But postoperative pain is still unavoidable.


    After checking the patients in bed 71, Zhou Can went back to the doctor''s office to log in to the account of the department to check the patients in the group.


    This is also what every intern and regular trainee should do.


    You can check what examinations the patients in the group have undergone, what the examination results are, and what treatment the superior doctor has given. The curative effect after medication, as well as the changes in symptoms of patients, etc. In order to increase the experience of diagnosis and treatment, and deepen the application and understanding of theoretical knowledge.


    This is a very good learning process.


    His priority must be to check the 71-bed patient he is in charge of. All kinds of night care records and medication records can be viewed on the computer.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Yesterday, after getting the examination data and treatment data of the patient in other hospitalsZhou Can conducted a comprehensive investigation and comprehensive thinking.


    When I was having breakfast this morning, I kept thinking about how to treat this patient?


    The anastomotic stoma between the esophagus and the jejunum was completely occluded, and there was an anastomotic leak, and it was impossible to solve the problem with drug treatment.


    Both problems were caused by surgery.


    The person who tied the bell needs to be untied.


    It can only be solved by surgery.


    I dare not do conventional surgery at all. There is no way to solve these existing problems.


    After Zhou Cansi thought about it, the most likely solution was to do endoscopic surgery. The occluded anastomotic stoma was opened through endoscopic surgery. Then find the fistula and repair it.


    An anastomotic leak is equivalent to a hole in a container, and all the food eaten leaks out of the hole.


    Finding a fistula is a very difficult thing.


    But that doesn''t mean there''s no chance.


    Zhou Can''s endoscopic surgery ability is not weak in itself, coupled with the addition of the special medical skill of emergency life-saving wisdom, the probability of finding a fistula will be greatly increased.


    "It''s just an endoscopic surgery. Although you can see the occlusion of the esophagus at the end and the jejunum at the other end, but the middle part is completely blocked. It is very difficult to get through the endoscopic surgery. It was missed. , not only can¡¯t be dredged, but the jejunum or trachea will be perforated, and the situation will get worse by then.¡±


    The difficulty of this operation is too high.


    No matter how experienced a doctor is in endoscopic surgery, he dare not say that he is sure.


    (/novel/)

 Chapter 232： Director Shangs high affirmation, Dr. Yus disguised request for help

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    It''s like drilling a hole against a wall. No one can guarantee that it will be able to accurately get through to the painted point on the opposite side.


    Hitting crookedly, hitting sideways, this is nothing more than normal.


    What''s more, the anastomotic segment of the patient''s occlusion is not a little bit long.


    When occlusion occurs, if surgical treatment can be performed immediately, the difficulty will be relatively small. Now in the past few months, the blocked section has been extended a lot, and it is more difficult to get through it.


    Zhou Can thought hard about the operation plan.


    A bold surgical plan gradually took shape in his mind.


    "With the help of endoscopic ultrasonography and X-ray assistance, it may be possible to successfully open the occluded junction between the esophagus and jejunum. This requires the cooperation of a skilled nurse, and the surgeon who operates the endoscope has superb endoscopic surgery skills and puncture technique."


    Needless to say, Zhou Can''s endoscopic operation ability is extremely talented and skillful.


    Puncture and injection are actually highly similar.


    The higher the injection level, the higher the puncture level.


    Therefore, Zhou Can performed the surgery on this patient himself, and there was no technical obstacle.


    It is not difficult to find a skilled nurse to cooperate.


    First use endoscopic ultrasonography to open up the blockage, just use a thin needle to puncture from the anastomotic end of the esophagus to the end of the jejunum. Then a covered metal stent was placed to open the occluded esophagus to jejunum anastomosis.


    It went through smoothly.


    As for the resolution of esophageal anastomotic fistula, conservative treatment is generally preferred when it is not serious.


    The patient''s condition is considered very serious, surgical resection of the fistula is the first choice.


    Zhou Can went through the patient''s operation plan several times in his mind, deliberating step by step and checking for omissions. Even hand-drawn drawings of the surgical plan.


    After doing all this, all that remains is to ask Director Shang for instructions.


    If approved, communicate with family members.


    As long as the family members trust the hospital and agree to the surgical plan, it can be implemented.


    After careful consideration, he waited for Director Shang to arrive.


    The chief physician usually comes late, and most of them arrive at the department office around nine o''clock.


    Anyway, he has nothing else to do, so he is always idle.


    Start viewing other cases in the group.


    Thinking of entering the ward in the morning and seeing the patient in bed 73 moaning there, he decided to find out about the patient first.


    The patient is 51 years old, has a long-term drinking history, and has no drink every day. This time, he was admitted to the hospital for examination because of unbearable abdominal pain. Both ultrasonography and X-ray examination showed pancreatic duct stones.


    The attending physician was Director Shang, who prescribed endoscopic stone removal for the patient.


    Surgery done yesterday.


    Pancreaticobiliary sphincterotomy was performed, and the pancreatic duct was dilated to remove stones.


    The surgery went well.


    Both the surgical records and the postoperative care records showed that the patient''s operation was successful.


    The patient should be fine.


    After Zhou Can read it, he continued to check other cases in this group.


    What interests him the most are those intractable diseases.


    Every time a case of this kind is diagnosed, a reward of 100 pathological diagnosis experience points can be obtained.


    So far, his pathological diagnosis is still at the inferior level of attending.


    This medical skill is also the most difficult to upgrade among many medical skills.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Pharmacological syndrome differentiation is also difficult to improve, mainly because there was no right to prescribe before.


    Now that I have obtained a medical certificate, have the right to prescribe, and have entered a major internal medicine department that focuses on drug treatment, the experience value of pharmacological syndrome differentiation will definitely increase a wave.


    "Hey, Dr. Zhou came quite early! The early bird catches the worm. You work so hard every day, no wonder your medical level is so high."


    Hospital Chief Luo Shengsheng came back from the ward. As soon as he entered the office, he saw Zhou Can who was carefully examining and studying the cases in this group, and greeted him with a smile.


    In fact, there are two other interns and one resident in Nuoda''s office.


    Luo Shengsheng turned a blind eye to them, but greeted Zhou Can first.


    It can also be seen that this person is a bit of a follower.


    Seeing that Zhou Can has outstanding potential and is directly led by Director Shang, he has a bright future. He naturally had to look at Zhou Cangao twice.


    In his mind, Zhou Can''s status even surpassed that of ordinary residents.


    "Mr. Luo, don''t praise me! Compared with you seniors, my hard work is nothing. Besides, isn''t there a saying that goes like this, the early worm is eaten by the bird. I came early, Maybe there will be a difficult patient, and it is very possible that he will be abused and can''t find his way."


    Zhou Can responded with a smile.


    "Haha! Doctor Zhou''s way of thinking is really unusual. It''s the first time I''ve heard of this kind of reverse thinking. Speaking of difficult patients, I really met one, number 13 The patient on the bed had a few dangerous situations last night, and this morning from six o''clock until now, which almost broke me. By the way, is Dr. Chi here?"


    When Luo Shengsheng talked about the patient, he frown and looked as if he had been hit by a catastrophe.


    It makes people laugh.


    Sometimes, whether they are residents, interns, or trainees, they will try their best to avoid those difficult patients.


    Because everyone is afraid of getting into trouble.


    Luo Shengsheng is the general manager of the hospital and is on duty all year round. There is no way to avoid this kind of thing.


    However, being hospitalized is always the only way to be promoted to attending treatment.


    It can be regarded as a kind of tempering.


    It''s really a workout.


    After a year of exercise, many residents are transformed.


    The ability to stand alone, the resilience to rescue critically ill patients, and the face of various emergencies, such as the sharp decline in the patient''s physical condition, family members'' troubles, etc., can benefit them a lot.


    The difficult patient that Luo Shengsheng encountered was likely to be the patient under Dr. Chi''s care.


    Otherwise, I wouldn''t ask that question.


    "When I came, I only saw the three of them, and I didn''t see Dr. Chi." Zhou Can came very early.


    "Oh! It should arrive later. I''d better write the course of illness first!"


    Luo Shengsheng sat down in front of the computer and began to write his medical history.


    Not long after, Dr. Xia Ping and Dr. Chi walked into the office together.


    The two seemed to be in a good mood, chatting and laughing all the way into the office.


    "Doctor Chi, the patient on bed 13 almost had a serious accident this morning. Since past eleven o''clock last night, the patient''s condition has not been very good. I think you have been tired all day, as long as there is no danger that I can''t handle it To the extent that I can''t disturb you. In one night, I rescued him six times, and I didn''t close my eyes once."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Luo Shengsheng was both complaining and asking for credit.


    After working all night, he naturally wanted to let Dr. Chi know.


    "Thank you for your hard work! I''ll go over and have a look right away."


    Dr. Chi put down his bag, went into the room to change into his overalls, and rushed to the ward to check on the patient''s condition.


    As business hours approached, more and more doctors entered the office.


    Zhou Can is just a regular trainee. He has just entered the Department of Gastroenterology for one day, and his status is a little bit, not stable.


    Seeing so many doctors coming in, he was very interesting, logged out of the account, stood up, and gave up his seat.


    There are other regular trainees and interns who are as knowledgeable as him.


    Everyone is very self-aware, and no one will compete with the superior doctor for a seat.


    Some people may not realize how low the status of interns is.


    Not even a hook to hang clothes.


    As for arranging a fixed seat for interns or regular trainees in the office, that''s a fart.


    Doctors go to work in different shifts. Zhou Can was extremely puzzled by the fact that so many doctors came today and the office was crowded.


    Some family members wanted to make trouble, and the department got the news, did they call all the doctors over in advance to suppress the situation?


    No hospital can avoid family members making trouble.


    As long as there is something they think is unreasonable, he dares to make trouble.


    In some cases, family members of B, beating nurses and doctors are quite normal in their eyes.


    When encountering this kind of family members, the doctors and nurses would be lying if they said they were not angry.


    Basically dodge.


    Zhou Can saw that the senior residents in some departments had no seats to sit, so they could only stand like them.


    Those who can sit are at least above the attendance level.


    "Ha, it''s pretty early! Let me know, I''m going to have a morning meeting in the big conference room."


    When Director Shang entered the office, his aura was strong enough to crush everyone.


    The originally noisy office suddenly became quiet.


    Zhou Can slapped his forehead, and then remembered that yesterday, Dr. Xia Ping and Dr. Zhang, who was in charge of the bed, almost caused a medical accident. Director Shang mentioned at the time that a morning meeting will be held today to emphasize medical safety.


    No wonder all the doctors from the gastroenterology department are here.


    The doctors walked out of the office and went to the conference room.


    It can be seen that some nurse girls are also walking towards the meeting room in groups of three or four.


    It seems that this is a morning meeting held by the whole department.


    Tuya Hospital is still very strict in terms of medical safety.


    "Doctor Zhou, how is the patient with esophagojejunostomy leakage?"


    Director Shang called Zhou Can to stop.


    Gui Peisheng Duan Zifu and Yu Xin from the same group looked at Zhou Can together.


    There was a hint of envy in his eyes.


    Zhou Can is the only Gui Peisheng who can make Director Shang so caring.


    Neither of them received such treatment as Zhou Can.


    "The patient''s signs are fairly stable. This is a surgical plan I made. It may be immature. Please take a look if you have time."


    Zhou Can has long drawn the operation plan into the most intuitive blueprint.


    In this situation, Director Shang obviously didn''t have time to listen to his detailed report.


    It is quick and convenient to hand over the drawings to Director Shang.


    "You also drew the surgical drawings?"


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    After receiving it, Director Shang glanced twice, with a shocked expression on his face.


    "The young man''s work is not only practical, but also meticulous, which is very good. The operation plan is similar to what I expected, which shows that you really put your heart into it."


    A satisfied smile bloomed on Director Shang''s face.


    The doctors who passed by couldn''t help but look at Zhou Can more.


    We all know that there is a good training doctor in the department. But many people don''t know Zhou Can yet, nor do they understand his strength.


    Seeing Director Shang smiling and praising Zhou Can, they gave Zhou Can a high look.


    Even Yu Xin, the high-cold female training doctor, also took a serious look at Zhou Can for the first time.


    After being trained under Director Shang for so long, she knows very well how difficult it is to get the praise of Director Shang.


    "Thank you for your affirmation. I checked the patient''s previous examination data and diagnosis and treatment records in other hospitals. Although the patient had esophageal anastomotic leakage, he had no abdominal infection. But after the first operation, he ate What is leaking and what is leaking indicates that the anastomotic leakage is very serious. I think resection of the fistula is only a better solution."


    Zhou Can took the opportunity to raise his own question.


    "Hehe, this question is very in-depth! After the morning meeting, I will discuss it with you in detail. You can ask the patient''s treatment information in another hospital, and conduct in-depth and detailed research. This kind of work The attitude is very good. I am also very satisfied with your work on the first day. Go to the meeting first!"


    Director Shang looked at Zhou Can with admiration in his eyes.


    There are no worthless people under the famous name.


    Zhou Can was able to get the appreciation and love of so many chief physicians, and he really has a lot of advantages.


    "OK!"


    Zhou Can walked a few steps quickly, caught up with Duan Zifu and Yu Xin, and went to the meeting room together.


    Everyone is Gui Peisheng from the same group, so it is natural to sit together in a meeting.


    "Doctor Zhou is amazing! It took only one day of regular training, and I was highly affirmed and praised by Director Shang. You know, I have been trained for nearly a month before I got **** luck and was appreciated by Director Shang , transferred me to his subordinates."


    Gui Peisheng, who can follow the chief physician, generally has some strength.


    Duan Zifu''s strength should not be weak.


    "I don''t dare to compare with you, it''s just that I have done a solid job."


    Zhou Can said modestly.


    "I heard that Dr. Zhou is very capable in both diagnosis and surgery. Can you help Dr. Yu?" Duan Zifu changed the subject and made a small request.


    Yu Xin had no expression on her face, nor did she speak.


    Only Xiumei frowned slightly.


    It seems that this is a more difficult thing to encounter.


    "Let''s talk about it first. What''s the matter? My ability is also very limited. I may not be as good as you. I may not be able to help if I want to."


    Zhou Can did not directly refuse.


    "It''s like this. The 73-bed patient managed by Dr. Yu underwent pancreatic duct stone extraction yesterday. When I went to the ward round this morning, I found that the patient kept complaining of stomach pain. The temperature also increased. But after investigation, I couldn''t find the reason. .¡±


    Duan Zifu gave the general situation.


    "Isn''t it the normal pain of waking up from anesthesia after surgery?"


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can''s surgical experience is very rich, and the total number of surgeries he has performed is even much more than that of ordinary attending physicians. UU Reading


    He also has extensive experience in postoperative management.


    "It shouldn''t be postoperative pain. Because the painful part is not the surgical site, but the lower abdomen. In addition, the patient also has symptoms of nausea and body temperature has also increased."


    Yu Xin took the initiative to answer Zhou Can''s question.


    It seems that she is too thin-skinned to speak to Zhou Can.


    Now that Duan Zifu helped her open her mouth, she no longer maintained her so-called aloofness.


    When encountering such a difficult patient, she couldn''t help but not worry.


    If something happens because of her poor management, it will definitely affect her future.


    "Didn''t you report it to the superior doctor?"


    Zhou Can asked again.


    She hesitated for a moment, finally bit her lip, and said with some embarrassment, "There is an unwritten rule in the competition among doctors in our group. It is considered incompetent to report a trivial matter to the superior doctor. This will be done by Director Shang. Points are deducted in my heart. I want to fight for the opportunity to go to the clinic with Director Shang and have an operation. If this problem can be solved by myself, I want to solve it by myself."


    Wealth and wealth are sought in insurance.


    The competition among junior doctors is sometimes very subtle.


    Just like the patient under Zhou Can''s management, he made a complete surgical plan by himself, which must be a big plus in Director Shang''s mind.


    If the fart is a little big, report it to the superior doctor, and you will be labeled as a "giant baby".


    It is estimated that no outstanding doctor is willing to be labeled with this label.


    But she was not strong enough, she didn''t report this matter, and she was worried about accidents.


    At that time, it will not be worth the candle.


    This delicate balance can only be grasped by oneself.


    (/novel/)

 Chapter 233： This is the level, the real version of poisonous chicken soup

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


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

 Chapter 234： Save a little money and spend a lot of money, the principle of rehydration

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "But chicken soup is boiled, and it will keep boiling for a long time. It is absolutely impossible for germs to survive in chicken soup at 100 degrees Celsius."


    Yu Xin put forward her own opinion.


    Salmonella survives and reproduces in chickens and does not cause much impact on chickens.


    But once they enter the human body, they are enough to pose a fatal threat to humans.


    Under normal circumstances, 15 minutes in a high temperature environment exceeding 60 degrees is enough to kill them.


    "Under normal circumstances, it is impossible to contain live salmonella in boiled chicken soup, but there are exceptions to everything. If salmonella is hidden deep in the chicken, the chef will cut the meat too large and cannot cook it through. Four or five o''clock in the afternoon is the busiest time. At this time, there are many dishes that need to be cooked and processed before the dinner rush arrives."


    "Do you think, in this case, can the chicken soup be cooked for a long time? There are surviving salmonella in the chicken, and the family members must put the chicken soup at a suitable temperature before giving it to the patient. Under normal circumstances, forty or fifty degrees is a Appropriate temperature, neither cold nor hot. During this time period, salmonella has a chance to escape from the chicken and survive in the soup."


    Zhou Can''s social practice experience is richer than Yu Xin''s.


    Think about the problem more comprehensively.


    Hearing his analysis, Yu Xin felt that it made sense.


    "At that time... I did put the chicken soup in the warm water before serving it to my husband. But I also drank some. Why am I okay?" The questions raised by family members often occur in daily life.


    The same kind of food, some people eat it all right.


    Some people have diarrhea after eating it.


    "This is because the stomach acid of our normal people has a very strong lethality, which can kill most of the bacteria that eat into the stomach. This varies from person to person. Also, the incubation period of salmonella can be long or short. Your husband Just after the operation, plus fasting for at least 12 hours before the operation, the peristalsis of the stomach is much slower than normal people. The resistance is also weaker, and it is more vulnerable to viruses and bacteria."


    Zhou Can gave a reasonable medical explanation.


    After hesitating for two seconds, he looked at his family members and said earnestly, "I suggest you do a blood test first to see the results. Because salmonella is difficult to be completely killed by gastric acid, they can resist the body''s macrophages and other immune mechanisms. .Your physique may be relatively good, but you also drank chicken soup with germs, which is a huge hidden danger."


    Doctors can only make suggestions, and it is not up to doctors to decide whether patients and their families cooperate.


    "Well... let''s test my husband first! He is so sick now, please find a way to save him."


    The eyes of the family members flickered, obviously not prepared to follow Zhou Can''s suggestion.


    Zhou Can stopped persuading her, and looked at Yu Xin, she would definitely handle things like applying for an inspection.


    Because she is the patient she is responsible for managing.


    She still had some doubts about Zhou Can''s diagnosis.


    However, it is not difficult to apply for a routine blood test for the patient, and then take a stool sample to check for Lemonella.


    The examination is not expensive, has diagnostic value for the patient''s disease, and does not cause major harm to the patient''s body. Generally, there is no need to think too much about it.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    You can apply directly.


    ¡­


    Zhou Can didn''t care about this anymore, and went back to the office to wait to discuss the operation plan for the 71-bed patient with Director Shang.


    As long as Director Shang passes it, Zhou Can will be responsible for the follow-up operation.


    He had nothing to do anyway, so he started to study the cases in the group again.


    Patients in internal medicine and surgery have certain similarities, and many patients need surgery to solve them.


    Contrary to what he thought before, most of them rely on drugs to solve the problem.


    No wonder after the development of endoscopic surgery, surgeons bluntly said that life is getting more and more difficult. It is certain that the pressure of competition will increase.


    It was close to ten o''clock, Director Shang didn''t return to the office, and he didn''t see anyone.


    Instead, it was Dr. Yu Xin who ran into the office excitedly and took the initiative to find Zhou Can.


    "Doctor Zhou, Doctor Zhou, the results are out. It''s really an acute salmonella infection." The coldness on her face had long since disappeared, replaced by excitement and excitement.


    Finding out what''s wrong with a patient is exciting for any physician.


    Especially this kind of sudden accident.


    [Pathological diagnosis experience value +1.]


    [You have successfully diagnosed a hidden and difficult case, reward pathological diagnosis experience +10.]


    The experience point reward is not always 100.


    Sometimes the operation is more difficult, or the difficulty of disease diagnosis is not super difficult, only 10 experience points will be rewarded.


    "Poisonous chicken soup is harmful!"


    Zhou Can was not surprised by the test result.


    After hearing the result, he seemed very calm.


    As for the 10 points of pathological experience value diagnosis, he was used to the high reward of 100 points, so he didn''t feel much about it.


    "Well... do you have experience in treating this disease? Or, teach me again."


    She bit her lip and said slowly.


    There is no doubt that Zhou Can''s successful diagnosis of the patient''s cause has already gained a very high medical status in her mind.


    She is now completely in the attitude of asking the teacher for advice.


    "The treatment of Salmonella infection is nothing more than symptomatic treatment and treatment against pathogens. If it is an ordinary patient, you can prescribe a doctor''s order to deal with it. Right now, this patient has just undergone a major operation, and I think his physical condition is not good in all aspects. Well, to be on the safe side, you''d better report it to the superior doctor immediately. Anyway, the cause has been found out, so even if you report it to Director Shang, you won''t lose points."


    Zhou Can has studied with many chief physicians, and his vision, structure, knowledge, and experience far surpass that of ordinary regular trainees like Yu Xin.


    Even many residents can''t compare with Zhou Can.


    This is like a martial arts sect, how can the disciples taught by the deacon compare with the master''s direct disciples?


    The gap is very large.


    What kind of situation can be handled by himself, and what kind of situation should be reported in time, Zhou Can is more accurate in determining the heat of it.


    The patient in the 73rd bed was so sick, and Yu Xin managed it well, of course she would get extra points in the eyes of the superior doctors. But if something happens, it''s a big deal. The stakes in this are too great.


    She was in the middle of the game and couldn''t see clearly.


    Zhou Can saw it very clearly.


    "You mean, it''s very risky for me to handle it myself?" She still didn''t give up.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "The risk is extremely high. I can tell you directly that the patient may develop sepsis and sepsis at any time. Now, he has already shown the primary symptoms of typhoid fever."


    Zhou Can was very sure.


    Just because she didn''t believe in this evil, she insisted on giving it a try.


    A bright future may be ruined by this attempt.


    "Understood, I will call Director Shang immediately."


    Fortunately, she is a female doctor, and she is relatively timid.


    Hearing Zhou Can say that the situation is so serious, and the doctor Zhang who is in charge of the bed is a lesson from the past. After all, she didn''t dare to take the risk.


    The report will be finished soon.


    She also let out a long sigh of relief, and the expression on her face was obviously much more relaxed.


    "Director Shang was sent to the emergency department and pediatric consultation. He asked me to correct the patient''s water and electrolyte imbalance and rehydrate the patient first, and I will come back later to deal with it myself."


    Yu Xin took the initiative to tell Zhou Can the result after the report.


    "fine."


    Zhou Can nodded.


    "I''m worried that the effect of the rehydration solution is not good, because he vomits a lot." She said this, obviously wanting to hear Zhou Can''s opinion.


    Being able to become Gui Peisheng, and being recruited by Director Shang to teach in the group, she must be familiar with various rehydration methods.


    "If you really vomit badly, choose intravenous rehydration. It''s not that our doctors don''t save treatment costs for patients, but that the patient''s condition doesn''t allow it." Zhou Can knew what she was worried about.


    "This Star Really Wants to Retire"


    In the past, Zhou Can also paid special attention to helping patients save treatment costs during the treatment process.


    Save what you can.


    Later, there were two almost accidents, and Dr. Xu and Director Shen of the Orthopedic Surgery Department educated him about it.


    Slowly, Zhou Can also realized a truth, he must not save when he shouldn''t. Otherwise, on the surface, it saves a small amount of money for the patient, but in fact it may cause the patient to fail to achieve the desired treatment effect, and cause complications that could have been avoided, which will increase the cost.


    Saving a little money, but spending a lot of money, is not only applicable in life, but also in medical treatment.


    Since then, Zhou Can has also learned the key points of using medicine and consumables from the chief physicians.


    To treat some key diseases, imported medicines and consumables should be used instead of domestic ones.


    The bosses of some domestic pharmaceutical companies are so black-hearted that a bottle of anti-cancer drug has zero active ingredients. It also claimed how good the treatment effect is, and the price is as high as more than 3,000 yuan per bottle.


    But in developed countries, this phenomenon is almost impossible to happen.


    If it really happens, the pharmaceutical factory will be closed down.


    It can only be said that there are always some unscrupulous businesses who can take advantage of legal and regulatory loopholes, and in order to make huge profits, they can black-heartedly harvest money from poor cancer patients.


    I believe that such a black-hearted pharmaceutical factory will be punished one day.


    Faced with such a pharmaceutical company, doctors are sometimes quite helpless.


    Domestically produced medicines that stretch the hips are not just anti-cancer drugs from a black-hearted manufacturer, but also many medicines that stretch the hips. For example, domestically produced drugs for the treatment of gastrointestinal bleeding are not effective at all, and imported ones must be used.


    There are too many examples of this.


    Of course, the domestically produced drugs for gastrointestinal bleeding are ineffective, and it is not entirely due to the black heart of the manufacturers, but the domestic pharmaceutical technology is still far behind that of developed countries.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Yu Xin gave the patient a doctor''s order and went to treat the patient in time.


    Zhou Can continued to read the cases of this group leisurely in the office.


    For a newcomer, it takes two to three days to go through all the cases.


    According to Zhou Can''s practice, after finishing the cases in this group, he will start to check the cases in the entire department.


    The Department of Gastroenterology has more than 130 beds alone.


    Even if the number of hospitalized patients is calculated according to the three-day cycle, it is an extremely terrifying number.


    The patients in this group include not only inpatients, but also outpatients who receive outpatient services. Some patients who have undergone surgery and simply prescribed medicine can be recuperated at home, doctors will not allow them to be hospitalized.


    But Zhou Can also needs to study and study these cases.


    It is said that the Gastroenterology Department of Tuya Hospital has an annual outpatient volume of more than 140,000.


    Converted according to the average number, the number of consultations per day is as high as 385 or more.


    He wanted to read all the cases that the department received that day in one day, but he couldn''t do it at all.


    It can only choose key cases for study.


    Not long after, Director Shang came back from the emergency department and pediatric consultation.


    Patients in the emergency department are usually emergencies, and Director Shang must give priority to the emergency department for consultation.


    Zhou Can stayed in the emergency department for a few months. Normally, ordinary emergency patients would ask a specialist doctor for consultation. It would be a good idea to send an attending physician. This time, Director Shang personally dispatched it, indicating that the patient''s condition must be very critical.


    "Xiao Zhou, follow me to the ward."


    Director Shang hurried into the office, put down his things, and walked out immediately.


    Appeared in a great hurry.


    Zhou Can was excited when he heard Director Shang''s call. I thought Director Shang had forgotten about it.


    It does not appear to have been forgotten.


    But Director Shang is too busy.


    "I went to the emergency department today for an emergency call. Before I left, Director Lou insisted on holding me for a chat. He asked me to take you with me. I told Director Lou that you performed very well in the Department of Gastroenterology. Even if Director Lou didn''t Say hello in person, and I will take you well."


    Director Shang said as he walked.


    "thank you!"


    While Zhou Can expressed his gratitude to Director Shang, he couldn''t help being secretly grateful to Director Lou.


    This reminded him of a sentence, if you fall in love with a city, it must be because there are people you like in this city.


    His love affair with the emergency department began a year and a half ago.


    But it got deeper and deeper.


    There are many people he likes in the emergency department, such as his teacher Dr. Xu, nurses Qiao Yu, Ye Tingting, Director Lou...these people make him have a deep affection for the emergency department.


    Director Lou showed his old face to greet Director Shang and asked him to bring more things about Zhou Can. If Director Shang didn''t take the initiative to mention it, Zhou Can would never know.


    This kind of silent help is more sincere and touching.


    Following Director Shang to the ward, he saw that the patient in bed 73 had already used intravenous rehydration fluid.


    Yu Xin was taking notes beside the hospital bed, not daring to be negligent.


    "Yu Xin, how is the patient''s condition?"


    Director Shang entered the ward, and the nurse in charge, as well as the attending physician in charge of the ward, all rushed over upon hearing the news.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The status of chief physician is so awesome.


    In particular, powerful chief physicians are more respected and have a detached status in the hospital.


    This is the case with studying medicine. The period from medical students to residency is particularly difficult. There are many levels to pass.


    As long as you get through it and get promoted to attending, life will be easier.


    This is also the reason why many medical students choose combined master and doctor degree.


    It''s not that my family has a mine, nor is it that I don''t want to go to the society to earn money early to relieve the family''s financial pressure.


    But to have a better future.


    After completing a Ph.D. program, one year of work experience is all it takes to be promoted to an attending physician. The difficulty of the sub-high and high-level evaluations in the latter part is much lower than that of undergraduates.


    Therefore, as long as it is the material for studying and can endure loneliness, the higher the degree, the better.


    "The patient vomited again just now, and has had diarrhea four times. The whole person is almost in a state of collapse. The heart rate is a bit fast, and the body temperature is still in a state of fever." She has been treating the patient carefully, fearing that something might happen.


    Now that Director Shang has arrived, she no longer has to bear the pressure alone.


    The superior doctor is prestige, with high status and high income, but when something happens, the superior doctor will assume the responsibility of the director.


    No matter how intractable a patient is, he has to bite the bullet Well, the rehydration operation is not bad. When you give patients rehydration, remember that those with mild to moderate dehydration should be given oral rehydration therapy as much as possible. But like this patient, the vomiting is severe, so you must choose intravenous fluid rehydration decisively. In this regard, Dr. Yu did a very good job. "


    Director Shang briefly checked the patient''s infusion situation, and then highly affirmed Yu Xin''s approach.


    After being praised by Director Shang, Yu Xin had an unconcealable happy smile on her face.


    She couldn''t help but glance at Zhou Can gratefully.


    It was Zhou Can who gave her the idea.


    Originally, she planned to use the simplest oral rehydration solution first.


    "If you encounter a patient with severe symptoms of poisoning and circulatory failure, even if there is no vomiting, intravenous rehydration is required. If necessary, glucocorticoids should also be used for treatment."


    Director Shang explained the main points of rehydration to the two Gui Peisheng under his command.


    Zhou Can has also learned some of this knowledge in the Department of Critical Care Medicine, but I feel that what Director Shang said is more comprehensive.


    "If the patient has no complications, there is no need to use antibiotics. For the elderly, young, immunocompromised patients, and patients with typhoid, sepsis, and local suppurative infection, antibiotics must be used. And this course of treatment requires About two weeks, depending on whether the condition is effectively controlled."


    Septicemia, purulent infection, are very serious conditions.


    If antibiotics are not used at this time, the condition will deteriorate rapidly, and the patient will die soon.


    If you are injured by rusty nails, knives, or sharp objects, you must have a tetanus in time.


    In the event of sepsis, the cost will far exceed the cost of the tetanus vaccine.


    (/novel/)

 Chapter 235： The strongest treatment is autoimmunity, which makes patients cry

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "After being infected with Salmonella, rehydration alone cannot solve the problem. Some patients can fight the past with their own immunity, and some patients will die of serious illness due to various reasons. Therefore, it is necessary to use medicine when it is necessary to treat it." Director Shang said As soon as the words fell, the family members next to him were terrified. "Professor Shang, you must save my husband, our family cannot live without him." The family members probably feel regretful now. How did she know that secretly drinking a bowl of chicken soup for her husband would have such serious consequences! At the thought of her husband''s possible death, she couldn''t stop crying. "Don''t cry, don''t cry! I''m teaching my doctors to treat this disease. Although your husband''s condition looks serious, he was discovered in time and his condition is still under control. I believe that after taking the medicine, he will definitely It will get better soon." Director Shang tried his best to explain to the family members to appease their grief and panic. "Doctor Yu, I have to praise you again. Being able to detect the patient''s abnormality at the first time, and timely and accurately diagnose the patient''s salmonella infection shows that you are not only very responsible, but also your medical level has greatly improved." After appeasing the family members, Director Shang praised Yu Xin again. It is also intended to let Zhou Can understand that Gui Peisheng is not the only one under him who is capable. It was equivalent to the arrogance to kill Zhou Can. The main reason is that Zhou Can''s performance is too eye-catching, and he has made great achievements again and again. He is worried that this will encourage Zhou Can''s pride and is not conducive to his growth. Yu Xin looked embarrassed. She didn''t diagnose the patient''s salmonella infection. With her current level of diagnosis, she is simply not capable of diagnosing such a complicated cause. "I..." She gritted her teeth, ready to confess the truth. The matter of slapping a swollen face to pretend to be a fat man is ultimately false. "What''s the matter?" Director Shang looked puzzled, she was never so coy. "Professor Shang, in fact, he was the doctor who diagnosed my husband''s infection with that fungus. But this doctor Yu is also very serious and responsible, and he is very concerned about my husband''s treatment." The family members helped to tell the truth. Director Shang immediately understood after hearing this. After arguing for a long time, it was Zhou Can who made the contribution again. He also wanted to give this kid a little pressure by praising Yu Xin. This time I''m afraid it will have the opposite effect. He is also an old man who has experienced many storms. He is calm and naturally turns his head to look at Zhou Can who is standing at the end of the bed. "Isn''t Dr. Yu responsible for this patient? How did you diagnose it?" "I just gave some suggestions, and the diagnosis should coincide with Dr. Yu''s. At that time, Dr. Yu had already diagnosed the cause of the disease." , I just saw that the patient''s condition is not very good. To be on the safe side, I imitated your chief physician''s consultation model of gathering the wisdom of many people. Call me and Dr. Duan Zifu for a consultation." Zhou Can has no shortage of such things at all. Take credit. Simply relying on the beauty of an adult, he made up a kind promise and gave her all the credit. Director Shang had a happy expression on his face after hearing this. "Well, you have done a good job. With the help of collective wisdom and joint consultation, it is indeed possible to greatly avoid misdiagnosis and missed diagnosis." Yu Xin, who was standing by the side, was still thinking about how to explain it, so as to look good. Unexpectedly, Zhou Can came up with an almost perfect excuse. In this way, no matter how much Director Shang questioned her, she would not be able to shake her credit. There is no need to worry about being defrauded by Director Shang after being found out. Yu Xin looked at Zhou Can gratefully. The latter smiled and winked at her. "Does Doctor Zhou know the pathogenic mechanism of Salmonella?" Director Shang asked him. It should be to test his basic medical skills. If it was in the past, Zhou Can might really have to answer so-so. Now, his hard-earned medical knowledge was not given for nothing. "There are many types of Salmonella. They can parasitize in chickens, cats, ducks and other livestock and poultry. Chickens are the main intermediate hosts of Salmonella. They can live in peace and harmony with chickens in chickens. But they are eaten by us humans. After entering the human body, Salmonella can effectively defend against the erosion of gastric acid with its strong defense ability." "When they are baptized by gastric acid and enter the intestinal tract of the human body with the peristalsis of muscles, they immediately find a breeding ground for reproduction. They will It quickly penetrates into the cells of the intestinal wall of the human body, divides wildly, and reproduces in large numbers. It only takes about two hours for the cells infected by Salmonella to die. At this time, Salmonella will drill out of the dead cells, spread to the surroundings, and then Use the same method to crazily destroy the normal cells of the human body and multiply them in large numbers." Zhou Can also checked professional information in order to understand the pathological mechanism of Salmonella. It is clear about every destructive process after it enters the human body, as well as the response of the body''s defense mechanism. "Salmonella reproduces very quickly in the human body, and the number can increase by three to four times on average in one hour. One thousand Salmonella enters the human intestinal tract, and it only takes seven or eight hours to grow to an astonishing million or more. After another hour, that is, about nine hours, the number can reach an astonishing 4 million or more. Such a large group of bacteria crazily kills the normal cells of the human body in the intestinal tract, and at this time, the immune response mechanism of the human body will be triggered." "When the normal cells of the human body die, they will release a chemical alarm signal. At this time, the human body''s immune system receives the alarm signal, and will quickly mobilize the macrophages in the human body to fight back against the invading bacteria. Macrophages The cells can automatically catch the invading bacteria and release a deadly liquid to melt them back." After listening to Zhou Can''s detailed explanation, Director Shang showed a satisfied look on his face. Keep nodding and listen to Zhou Can continue. Dr. Yu also admired Zhou Can''s solid medical skills. "If it is an ordinary bacterium, it will be killed soon after being captured by macrophages. But Salmonella has a powerful secret weapon. It can also release a unique chemical signal, so that macrophages can''t help it. Or Said that the chemical signal they release is more like an invisibility cloak, which can make macrophages blind." "At this time, macrophages lose their function, and they will become more rampant. In humans The body continues to destroy normal cells crazily and reproduce in large numbers. As Salmonella is completely out of control in the intestinal tract, more and more normal cells die, and the alarm signal released will become stronger and stronger. At this time, the intestinal tract will produce an instinctive self Protective reaction." "This reaction is somewhat similar to enteritis reaction. The patient will feel nausea and abdominal pain. The fluid in the stomach will reflux, and the patient will feel oppressed at this time, and finally violent vomiting will occur, and part of the Salmonella bacteria will be excreted. At the same time, the intestinal tract will speed up. Peristalsis, water gathered to the bottom of the intestinal tract, and the patient suffered from violent diarrhea. Some Salmonella bacteria will also be excreted through diarrhea.¡± Zhou Can said that all the patients in the 73 beds had experienced these symptoms. "Doctor, after I vomited and had diarrhea, I excreted the germs. Will I be cured?" the patient asked weakly. "Vomiting and diarrhea are the responses of the body''s self-protection mechanism, which can only remove part of the Salmonella bacteria, but there is no way to completely clear them out. They will multiply rapidly again in the body and kill a large number of normal cells. At this time, the patient will Feel severe abdominal cramps. This also indicates that more and more normal cells are being killed in the patient''s body." "The chemical substances released by a large number of cells before dying will trigger the body''s third protection response. With those chemical substances When it enters the blood, it will quickly cause muscle tissue swelling. At this time, the body''s synergic cells sense the danger of the body and form an army to rush out to help the body deal with the invading bacteria." "However, those synergic cells will not directly kill Salmonella, Because they don''t have this ability. The synergid cells rush to the macrophages that are inactive, like blind, stupid. They produce a special chemical that helps the macrophages revive and double in size. At this time, the macrophages seem to be activated, and they will secrete some potent venom to quickly kill the Salmonella in the body." "So, in theory, the human body does not need any drugs, and it can completely rely on its own immunity. The system eliminates the invading Salmonella. But this time may last for two to three days." Zhou Can analyzed all the pathological mechanisms, including the body''s response mechanism. He looked at Director Shang. "You are just giving the patient fluid rehydration, but you are not in a hurry to use drug treatment. You want to wait and see. You want to let the patient''s immune mechanism react in the third stage, and then eliminate the salmonella, right?" Zhou Can roughly guessed It was Director Shang''s treatment idea. "Smart!" Director Shang nodded with a smile, his eyes full of admiration. "To deal with any kind of disease, whether it is medicine or surgery, all the treatment methods of doctors are not as powerful as the patient''s own immune system. I can tell you that more than 90% of the diseases in the world cannot be cured by doctors. They can really be cured The disease is caused by the body''s immune system." This is not the first time Zhou Can has heard of this treatment concept. Anyone who studies medicine knows that the cure of most diseases depends on the body''s immune system. It beats all medicines. The ancient Chinese doctors in China probably knew the mystery of the human immune system long ago. Chinese medicine emphasizes the balance of yin and yang. This is very close to the immune system regulation of modern medicine. "Professor Shang, you mean that my husband can be cured without medication, right?" Although the family members don''t understand these profound medical principles, they understand the general meaning. "It''s hard to say for the time being. First correct the dehydration and electrolyte imbalance. Then observe closely. The patient should pay attention to heat preservation and stay in bed for more rest. It would be best if you can use your own immune mechanism to eliminate the invading salmonella in your body. In case of illness If the progress is rapid, or if there is a change, I will give him medical treatment in time. Please rest assured about this." Director Shang explained the truth to the family members, so that they can feel at ease. Otherwise, people will become so sick, and the hospital will not give medicines, and family members and patients will easily feel anxious. "Doctor Yu, please pay more attention to this patient. If you have severe chills, or other major changes in signs or symptoms, please report to me in time." Director Shang told Yu Xin. From here, we can also see how important the interns and regular trainees under the chief physician are. If there is not enough manpower, the chief physician will stare at the patients by himself? They are so busy, it is obviously impossible. Now that one Gui Peisheng is specially assigned to watch over him, the chief physician can free up time to treat other patients. "Your nursing department should also give more attention to this patient, just let him spend these two days." Director Shang explained to the nurse in charge. "Please don''t worry, our nursing department will take it seriously." The status of the nurse in charge is not as good as that of the head nurse and the head nurses, and the confidence to speak is not so strong. The attitude is quite correct. "Doctor Zhou, come with me to see the patients in bed 71." Director Shang brought Zhou Can to bed 71 and asked about the patient''s current condition. Then communicate with the family about the surgical plan. Zhou Can was listening on the sidelines. The whole communication process is not long. Family members have a high degree of trust in Tuya Hospital, which is a prerequisite for smooth communication. After the conversation, the family members directly agreed to the operation plan proposed by Director Shang. The original words of the family members were that it would be good to let their father drink saliva even after the operation. Once the family agrees, all that remains is to schedule the surgery. The operation time is tentatively scheduled for tomorrow morning. Followed by Zhou Can. "I''m in the outpatient clinic at one o''clock this afternoon. Dr. Zhou can practice with me in the outpatient clinic." Director Shang took the initiative to invite Zhou Can to follow him in the outpatient clinic, indicating that he has passed the preliminary test for Zhou Can. After Zhou Can got his medical certificate, he became very interested in seeing a doctor. It is of great benefit for him to sit with the superior doctor more often in the future. You can learn how the superior doctor answers various questions from patients during the consultation process, as well as the consultation process and treatment plan for different diseases. "Okay! Thank you Director Shang!" Zhou Can smiled happily. I tried my best to check the past medical history of the 71 patients and formulate the operation plan. The hard work was not in vain. Back in the office, Zhou Can was writing medical records for the patients in bed 71, when the nurse stood at the door and called him. "Doctor Zhou, another inpatient has been assigned to you to manage, with 77 beds!" Under normal circumstances, a Gui Peisheng is in charge of at least six to eight beds. Some very capable Gui Peisheng may even be in charge of more than 20 or 30 beds. In terms of bed management, the superior doctor has always been particularly perverted, frantically squeezing Gui Peisheng''s labor force. They were not worried about accidents at all, anyway, they just took the patients in and handed them over to their subordinate Gui Peisheng to manage them. Zhou Can is still doing well, and the new 77-bed patient only manages two beds. The workload is surprisingly light. It is unknown to what extent it will increase in the future. The more tube beds there are, the sadder they are. All kinds of dressing changes, case writing, doctor''s orders, and course of disease, etc., are enough to keep people busy. There is no time to drink saliva all day long. "I''ll be there right away!" Zhou Can tapped the keyboard quickly, archived the unfinished medical records, and went to the ward to receive patients first. The hospital did not mandate that the doctor in charge of the bed must go to the ward to receive the patient as soon as possible. Anyway, the arrangement of beds is done by the attending doctor. After the patient is sent to the ward, the nurse will arrange the patient clearly. The bed doctor mainly grasps the patient''s condition, prescribes the doctor''s order in time, observes the reaction after medication, makes adjustments or reports abnormalities to the superior in time. As long as you have the ability to ensure that the patients you manage will not have accidents, it is fine to go to the ward only once a day. When Zhou Can came to the ward, he saw a very young female patient lying on the hospital bed. Her face was pale, her eyes were red and swollen, and she looked very haggard. UU Reading www. From uukanshu.com, the girl''s dress is quite shabby. At first glance, it is the kind of chronically malnourished and poor family. There is no family member beside the hospital bed. "What''s wrong with her?" Zhou Can asked the nurse. "The stomach wall tumor is stage 2, and the situation is not good." The nurse was thirty-five or six years old, with a hesitant expression. From her eyes, you can see the sympathy for this patient. "The condition is so serious, why haven''t I seen her family members? The hospital stay is probably not short!" Stomach tumors can be divided into four grades. Stage 2 can no longer be treated with surgery alone, and surgery plus radiotherapy and chemotherapy are needed to achieve better therapeutic effects. Her hospitalization cycle is definitely not a day or two. Who knew that Zhou Can would be fine if he didn''t ask, but when he asked, the patient burst into tears. Zhou Can was stunned and panicked. If I knew it earlier, I wouldn''t have asked. It is not easy to make the patient cry now. He could only look to the nurse for help. Fortunately, in the morning, he showed his face at the department''s morning meeting, and his status was much higher than the average Gui Peisheng. The nurse received his call for help, but did not stand idly by. Quickly stepped forward to help comfort the patient, "Miss Luo, we have notified your mother, she is very concerned about your safety, and said that she will rush over to accompany you as soon as possible. Don''t be sad, this is not good for the condition, you know? Stomach tumor, it I am afraid that you are happy and optimistic. As long as you maintain a good mood all day long, its progress will be very slow. If you are overly sad and anxious in your heart, your immunity will be greatly reduced. Tumors like patients like this most. Because they You can take the opportunity to develop rapidly..." Nurses have rich work experience. There is also a way of persuading people. After her persuasion efforts, the patient finally stopped crying. It just looks like the mood is still very low. Zhou Can was too frightened to speak nonsense. Instead, pick up the patient''s information to check. Understand the patient''s condition.

 Chapter 236： Female lawyer with cirrhosis, sympathy for the weak

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    In addition to gastric cancer, this female patient also had three missing teeth, multiple soft tissue contusions on her body, and a slight concussion.


    Seeing the result, Zhou Can couldn''t help sighing secretly.


    I finally understood why the woman was crying.


    She was only 22 years old, and her appearance was not bad, she could be called quite beautiful.


    The figure looks tall and slender, and the shape is quite good.


    The skin is sickly sallow. If there is no illness or malnutrition, her skin can be fair and supple even without maintenance.


    Men are afraid of entering the wrong profession, women are afraid of marrying the wrong man. This is a well-known saying through the ages.


    If she married the right person, she would definitely be a glamorous super beauty now. Married to the wrong person, she became what she is now. He was abused so badly at a young age that even his life was at stake.


    When a girl chooses a boyfriend, if she only looks at his appearance and only listens to his sweet words, she will end up swallowing all the bitterness herself.


    "Did Director Shang tell you about the treatment plan?"


    Zhou Can asked the nurses in the admission team.


    They need to be responsible for patient bed allocation, basic information input, processing of drug orders, medical order processing of expenses, etc. Nurses are relatively clear about the basic information of patients.


    It must be mentioned here that it is the nurse in charge who allocates the beds, and the nurse who makes the beds.


    It can be seen that nurses also have high and low status.


    The vital signs of the patients are measured, and the person who fills out the three test forms is also a nursing nurse.


    "Director Shang suggested that the patient be hospitalized for surgery and supplemented with chemotherapy to consolidate the curative effect. The patient''s current prepaid hospitalization fee is far from enough, and the specific treatment plan needs to be further discussed."


    The nurse looked at the female patient worriedly.


    She spoke more cryptically.


    Zhou Can is an insider in the industry, so he can understand it as soon as he hears it.


    Hospitals are not charitable institutions, and some necessary rescues can be carried out for critically ill patients who are dying. But cancer patients, if they can''t pay the medical expenses, have a high probability of waiting to die.


    Let the hospital advance money to do surgery and chemotherapy for patients, don''t even think about it.


    Zhou Can sighed secretly. He sympathized with the patient''s experience, but there was nothing he could do.


    If the family members do not pay, the patient may be urged to leave the hospital tomorrow.


    Medication will also be greatly reduced.


    It is estimated that Director Shang showed great kindness when she was admitted to the hospital.


    Tuya has a bed evaluation mechanism. If the patient''s hospitalization period is too long, or the quality of treatment is not up to standard, points will be deducted and fined. It is related to the income of the medical staff of the department, and the doctors are usually more cautious when admitting patients to the hospital.


    After reviewing the patient''s information, Zhou Can gave the patient a general check-up. She responded that apart from irregular stomach pains and inability to eat, everything else was fine.


    He returned to the office to supplement the patient''s medical record information. Before he was done, the admission nurse called him again at the door.


    "Doctor Zhou, there is a new patient in bed 79, please go and receive it."


    "Arrange another patient for me?"


    Zhou Can was a little hairy.


    After proving his strength and gaining Director Shang''s initial trust, is this going to squeeze his labor force desperately?


    He clearly agreed to ask him to go to the outpatient clinic with him in the afternoon.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    If Zhou Can had too many patients in charge, he would not be able to get away at all. How can I go to the outpatient clinic?


    "Don''t be too many! Only the powerful Gui Peisheng in our department can take care of many patients! Director Shang calls this patient to you to take care of!"


    The nurse explained with a smile.


    Zhou Can couldn''t help but smile wryly, he is not a job rookie who is easy to be fooled.


    Give some so-called honors, let him manage many patients and squeeze his labor force, he doesn''t want to agree.


    "Apocalypse"


    It''s just that Director Shang personally arranged this kind of thing, and he really couldn''t refuse.


    I followed the nurse sister to the ward to see that the original patient in bed 79 had just been urged to leave the hospital, and a new patient came in. It was also a female patient, about forty years old, with exquisite makeup and the demeanor of an urban beauty.


    Even in a sick state, the whole person still looks very capable.


    Compared with the 77-bed gastric cancer patient next to her, the treatment of this female patient is much better.


    Surrounding the bed were five family members, all of whom were well dressed.


    A middle-aged man who was about the same age as the patient, dressed in casual clothes, looked like a rich and successful person.


    The elderly couple talking with the patient around the bedside should be the patient''s parents.


    There is also a woman in her fifties, with wavy hair dyed brown, carrying an LV bag, and is very fashionable.


    Rich people seem to gather around rich and successful people.


    The poor are surrounded by poor people.


    The eight characters of gathering things together and dividing people into groups are vividly interpreted.


    This phenomenon belongs to the natural objective law of human beings.


    The strong like to be with the strong, and the weak like to be with the weak.


    When a poor man with a net worth of no more than two hundred yuan and a monthly income of less than two thousand yuan stays with a rich man with a net worth of more than ten million yuan and a monthly income of more than one hundred thousand yuan, he will naturally flee without asking anyone.


    Because the sense of oppression brought to him by the rich is too great.


    No one likes to seek abuse.


    Watching the rich eat big fish and meat, but I can only eat steamed buns, and I can''t even drink the two yuan bottle of mineral water, but can only drink cheap tap water.


    Walking together, passers-by look at the rich with respect and envy. When looking at the poor next to him, it was a look of ridicule and contempt.


    Who can stand it?


    Therefore, poor people like to be with poor people, and successful people like to be with more successful people.


    "Hello, I am Zhou Can, your bed doctor. If you have any questions during the hospitalization, you can respond to me at any time. If it is inconvenient, you can also tell me through the nurse."


    Zhou Can''s current net worth has far exceeded that of ordinary rich people.


    Facing these well-dressed family members and female patients of the white-collar beauty type, he seemed poised, and the conversation was decent and natural.


    "Hello, Doctor Zhou, I will cause you trouble during the hospitalization period!"


    She greeted Zhou Can with a very polite smile.


    "Please smoke a cigarette!"


    Her husband took out a pack of soft China and gave Zhou Can cigarettes.


    "Thank you, I don''t smoke. Also, smoking is not allowed in the ward. If you want to smoke, you can go to the special smoking area set at the end of the corridor outside."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can waved his hand, declining the other party''s kindness.


    "Let me see her examination report and medical records!"


    The family member consciously walked to the end of the bed to make room. Very cooperative with the doctor''s diagnosis and treatment work.


    It has to be said that the classes above the middle class in society are better at dealing with each other.


    Doctors also prefer this type of family.


    What I am most afraid of is that family members of B, who have a little money or are relatively poor, will have to ask questions with a cotton swab. For fear of spending more on their medical expenses.


    "It''s just a preliminary diagnosis of liver cirrhosis, and the cause has yet to be investigated, right?"


    Zhou Can asked the patient after reading the materials.


    "That''s right! Professor Shang personally saw me. After seeing the test results, he said that my liver cirrhosis was probably caused by other causes. He sent me to the hospital for further investigation."


    The female patient nodded.


    Liver cirrhosis is actually a very dangerous disease, which can be divided into compensation phase and decompensation phase.


    Under normal circumstances, timely treatment during the compensation period can achieve good therapeutic effect.


    When the disease progresses to the stage of decompensation, the liver function declines rapidly, which will cause kidney failure, and multiple organs will be seriously affected. And there may be severe ascites, enlarged spleen, gastrointestinal bleeding, hematemesis, melena and so on.


    But the liver is the most silent organ in the body, and early cirrhosis is usually difficult to detect in time.


    The female patient went to the hospital in time because of abdominal discomfort, loss of appetite, fatigue, and worry about physical problems.


    Fortunately, she has a strong sense of health.


    If it is delayed for too long, the consequences will be very serious.


    "Is it convenient to ask about your symptoms and medical history now?" Zhou Can asked the patient for his opinion.


    The nursing nurse has already measured her physical signs quickly and made a record.


    "Convenient! If you have any questions, just ask!"


    The female patient readily agreed.


    But from her frowning from time to time, it can be seen that her body is more uncomfortable now.


    When many patients feel uncomfortable, their attitude towards medical care will become very poor.


    People like her, who are obviously sick and uncomfortable, still maintain a gentle and polite attitude towards others, which is a kind of self-cultivation carved into their bones.


    "What do you do?"


    "The main job is a lawyer, and the deputy job is to act as a legal consultant for some enterprises and companies."


    She turned out to be a lawyer, no wonder she looked like an elite among white-collar beauties.


    Lawyers also earn a considerable amount of money.


    A well-known lawyer, all kinds of eucalyptus received soft hands.


    "Is there any pain in the abdomen?"


    "One thing, it''s not particularly obvious. It''s just that this area always feels a little swollen."


    She pointed to the area of ??the abdomen near the liver.


    As Zhou Can asked, he made a record of the consultation.


    Occasionally, due to the tight time schedule, the clinic physicians need to deal with many outpatients a day, so they do not ask the patients too carefully. Some doctors, when encountering some common diseases, will not talk to patients for more than three minutes.


    It is often a slight physical examination, and then a bunch of examinations are issued.


    It often takes a day for patients to wait in line to complete all the tests and examinations. It is a blessing to be able to get the test results before the doctor leaves work.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Large hospitals are relatively poor at this point.


    If the patient cannot get the test results on the same day, the nurse will often ask the patient to register again when he gets the test results the next day and then goes to the doctor.


    "When did you start feeling unwell?"


    Zhou Can continued to ask.


    Liver cirrhosis cannot be formed in a day or two, but needs to go through a long period of development.


    Our body''s immune system and protection mechanisms are very sound.


    When our body has a disease, the body will send out a distress signal as soon as possible.


    Pain is the most important part of the protection mechanism.


    Many people don''t understand how pain occurs. In fact, in most cases, a large number of cells release a large number of chemical substances before they die, which are captured by nerve endings, and this produces pain.


    Basically, the level of danger can be judged according to the degree of pain.


    Severe pain has the highest risk level.


    Mild pain is safer.


    "It''s been about two or three months. I can''t remember exactly when it started. I just know that I have no appetite for anything. I used to love braised carp. My husband, more than a month ago, On my birthday, I specially made a plate of braised carp for me to eat. As a result, after taking two bites, I felt nauseous. At that time, he thought the smell of fish was too strong, so he didn¡¯t cook it well.¡±


    She tried to remember when the illness occurred.


    A sudden change in taste is actually a signal that requires special vigilance.


    Sudden loss of sense of smell, blurry vision, double vision, and sudden change in taste may all be signs of a serious illness.


    Zhou Can then carefully asked her if she had any past medical history, underlying diseases, family liver cancer history, allergy history, etc.


    After asking about the situation, and returning to the office with the patient''s examination materials, the first thing to do is to write the medical record.


    In many cases, medical records are not written at one time, but are gradually improved.


    Because some regular trainees manage too many patients and time is tight, they will think of some ways to deal with it. For example, download some application templates directly, fill in the basic information, and others will be automatically generated.


    With a little modification, the medical record task is completed.


    No matter how many patients are managed by this method, we are not afraid. But its disadvantages are also very obvious.


    The medical records are almost the same, and the above will definitely not be too satisfied with random checks.


    Moreover, Gui Peisheng himself has not been trained.


    If you don''t learn the skills during the regular training stage, you will have to learn everything from scratch after you officially practice medicine, and you will have to explore a little bit, which will cause a serious decline in the quality of medical care.


    Zhou Can was never lazy in writing medical records and course of illness.


    Instead, write seriously.


    Tuya Hospital had never heard of any department whose superior doctors would be so stupid as to squeeze Gui Peisheng to the extreme, forcing them to use templates to complete medical records and other tasks.


    Hospital management will not allow this to happen.


    Because in the long run, it will do all harm to the training of new doctors.


    It also increases the risk of medical malpractice.


    A regular trainee manages 40 or 50 beds, so the quality can be guaranteed.


    He was sitting in the office, writing the medical records, while thinking about the real cause of the patient?


    Currently, the patient''s main symptoms are abdominal distension, accompanied by mild abdominal pain, and liver cirrhosis.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Judging from the examination results, there was no obvious abdominal effusion.


    There are not many causes of liver cirrhosis.


    Zhou Can couldn''t help checking the results of the patient''s liver function test again.


    Aspartate aminotransferase and alanine aminotransferase were elevated in varying degrees.


    The rise of these two indicators first suggested that something went wrong with the liver.


    He picked up the film and checked it. Compared with normal people, the liver was enlarged to a certain extent.


    However, this information is still not enough for him to successfully diagnose the cause of the patient.


    At this time, Zhou Can suddenly realized that he should ask the patient again if he had diarrhea.


    When I ran to the ward, it happened to be lunch time.


    The family members bought fast food for the patient.


    At this time, it is somewhat inappropriate to ask her if she has diarrhea.


    "Hey, Doctor Zhou, have you eaten yet? Do you have anything to ask me?"


    The patient deserved to be a lawyer, but she could tell at a glance that Zhou Can came to the ward to ask her something.


    "I haven''t eaten yet. I''m going to finish writing your medical records before going to eat. I suddenly remembered that there is still some information I need to know from you, so I came here directly. You eat first, and I will ask you after I finish eating." Same."


    Zhou Can didn''t dare to ask her about defecation when she was eating.


    It''s disgusting.


    She already had a poor appetite.


    Turning around and walking out of the ward, he naturally looked at the 77-bed patient under his management.


    The poor stomach cancer patient was lying on the bed, seeming to be crying silently.


    "Chen Xiaohong, is your body in pain?"


    Zhou Can asked with concern.


    He can''t see the suffering in the world the most. Especially some disadvantaged groups, people look very sad and distressedNo! "


    She bit her lip and hurriedly wiped away her tears secretly.


    But when he looked at Zhou Can, his eyes were red and the tears were still wet.


    After being diagnosed with stomach cancer, it is estimated that she has secretly cried many times. The eyes were quite red and swollen.


    "How do you deal with eating? If you don''t have family members to accompany you, you can order a fast food, or you can eat in the cafeteria of our hospital by yourself."


    Zhou Can was sure that she hadn''t eaten lunch.


    Lips were dry and bloodless.


    I am already sick like this, so what if I don¡¯t eat anymore?


    This will only make the condition worse.


    "I''m not hungry! Leave me alone!"


    She said weakly.


    "When will your mother come to the hospital? You can''t do without food. I happened to go to the cafeteria to eat, and I''ll bring you a package. What kind of food do you like to eat?"


    It is impossible for Zhou Can to pay her medical expenses in advance.


    But it''s perfectly fine to treat her to a few meals.


    Even in a humanitarian spirit, a little assistance should be provided to her.


    This woman is actually pathetic enough.


    "Thank you, Doctor Zhou, I''m really not hungry!"


    She still refuses.


    But as soon as she finished speaking, her stomach growled.


    This made her face instantly blush.


    It''s not that she''s not hungry, but that she may have no money, and she''s worried that Zhou Can will buy her food, so she won''t be able to pay Zhou Can for it.


    So lie about not being hungry.


    (/novel/)


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿

 Chapter 237： White lies, find out the cause of female lawyers

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


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

 Chapter 238： Starting from the lowest doorman, it coincides with the idea of ??the director...

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Luo Shengsheng from the Department of Gastroenterology basically responded to Zhou Can''s requests. This kind of special treatment can only be enjoyed by Zhou Can, a regular trainee. Don''t underestimate the convenience brought by invisible status, it can be of great help in many cases. Needless to say, the night shift, there are other doctors and nurses to help keep an eye on the patients, so you can rest assured to sleep in the duty room at night. Some regular trainees need to work for 36 hours. This kind of super-intensive long-term continuous work, if you don¡¯t take a few naps in the middle, even an iron man can¡¯t stand it. You can sleep for a few hours while on duty, and you will be able to revive with full blood the next day. Sudden death can also be avoided. ...He went directly to the No. 1 Special Needs Specialist Outpatient Room. Although it is not yet 1:00 p.m. for work, the corridors outside and the waiting hall outside are already crowded with patients seeking treatment. The living standards of modern people have improved, but the digestive tract diseases caused by excessive eating and drinking have also increased. In addition, because of busy work, I often miss meals and deal with them hastily. Over time, various problems will appear in the digestive tract. The most common is gastric ulcer, enteritis and so on. As everyone knows, gastric ulcers can greatly increase the risk of gastric cancer. Not to mention eating and drinking too much, it will increase the burden on the body. The risk of liver, kidney, cardiovascular and other diseases will increase significantly. Zhou Can came at just the right time. Director Shang also brought an outpatient nurse, an assistant doctor, and three graduate students. The chief physicians of the hospital, as long as they are academically strong, are basically associate professors, professor level. While practicing medicine in the hospital, he is also teaching and educating people in Tuya Medical College. Generally speaking, the assistant doctors brought by the chief physician during the consultation are generally the key training objects. It can be understood as teaching as a personal disciple. There is a saying in medicine that goes to see a doctor if you want to be cured. All diagnosis and treatment procedures are to diagnose the patient first, find out the cause, and then carry out the corresponding treatment. If you can''t even figure out what disease the patient has and where the focus is, it is very likely that one will die if one is cured, and two will die if both are cured. The hospital has its own mechanism for cultivating newcomers. Under normal circumstances, you will first practice in the ward for one year, followed by regular training for one to three years. After you have accumulated a certain amount of experience in various consultation procedures and treatment of various diseases, you can gradually follow the teacher to the outpatient clinic to learn. It must be mentioned here that doctors in the inpatient department usually only have one chance to visit the outpatient clinic once a week. That is, one day of consultation. The chief physician or the well-known attending physician, deputy chief physician, the hospital would like them to attend the consultation 24 hours a day. In fact, they are too busy with various tasks, meetings, and scientific research, and often require the hospital to set a mandatory time for them to sit for a few days a week. For example, it is stipulated that Director Shang should attend the clinic no less than two days a week, but Director Shang is very busy. The admitted patients, the attending physicians under him, and the residents who cannot handle them must be handled by him personally. They also need to engage in scientific research, go to colleges to attend classes, take care of students, perform interventional operations on patients, participate in various conferences, visit other departments or even outside hospitals, etc. He is too busy. So I can only make arrangements for a week''s itinerary. If I have time on Monday morning, I will sit in the clinic for half a day in the morning. I can squeeze out time on Tuesday afternoon, and then sit in for half a day on Tuesday afternoon. Therefore, when patients register, they often find that experts and professors seem to be fighting guerrilla warfare, attending consultations from time to time. In fact, these national treasure-level chief physicians are trying to find time to complete their outpatient tasks. Zhou Can, a regular trainee, was able to attend consultations with the chief physician, which was a reward given to him by Director Shang. It is also a recognition of his work attitude and strength. "Dr. Zhou has been waiting for a long time?" Director Shang greeted him with a kind smile. "I just arrived too. This way, the corridors and the waiting hall are full of people. I never thought that the outpatient volume of the Department of Gastroenterology is so terrifying!" Zhou Can''s purpose of chatting like this is to brighten the atmosphere. It''s not enough to chat to death. "Hehe! It''s not bad in the afternoon, and the outpatient volume in the morning is even greater. Whether a department is developing well or not can actually be reflected in the outpatient volume. Since our Department of Gastroenterology in Tuya created endoscopy and interventional surgery independently Since then, the overall satisfaction of patients with us is quite good. Word of mouth, this is the situation today." Director Shang is the leader of the Department of Gastroenterology. When it comes to the number of outpatients in the department, his face and eyes are full of pride and pride. This is the prosperity he has worked hard for many years. It is also a satisfactory answer sheet that he has led the Department of Gastroenterology to hand over these years. "Oh, by the way, let me introduce you. This is Pearson Zhou Can, who is transferred to our department. This is Huang Xinggui, the attending physician in the anorectal field of Gastroenterology. The three of them are graduate students under my supervision, Qiu Chengyu, Xie Lin, Luo Jingyin." It is said that there are quite a number of female doctors in internal medicine. Two of the three graduate students led by Director Shang are female, it seems that the rumors are true. "Hi, it''s nice to meet you, and please take care of me in the future!" Zhou Can kept his posture very low, even to the three graduate students, he was very polite. "Hello!" "Doctor Zhou is very handsome!" "In the future, if you have any difficult problems in the anorectal field, you are welcome to discuss with me at any time!" Three of the four were warm and friendly to Zhou Can. Only the male graduate student with a horse face was more indifferent to Zhou Can. Some people don''t like to talk much by nature, they are introverted and silent. Zhou Can didn''t care about it. Several people walked into the consulting room together behind Director Shang. The patients and their family members waiting in line outside the door showed joy when they saw the expert came to work. The area of ??the consulting room is not large, only about 20 square meters. A simple bed is placed against the wall, which is convenient for patients to lie down for examination. There is a circular curtain above the bed. Just pull the curtains together to create a private space. If it is necessary to check some private parts of the patient, the doctor will usually close the curtain. However, during the examination in the hospital, sometimes patients need to cooperate bravely. Be as patient as possible. For example, when Zhou Can went to the clinic with Mr. Liu, he encountered a female patient with breast disease and needed to check it, and even press the patient''s lesion with his hands. In this case, there is generally not much privacy protection. Anyway, there are only family members, patients themselves, and the attending physicians and assistant physicians in the consulting room. In special cases, an outpatient nurse will be assisted. "Dr. Huang will be my assistant doctor, and the four of you will study next to me. Xie Lin will take notes and enter the examination application and other data into the computer. For the time being, Zhou Can will pick up and drop off the patients." After taking his seat, Director Shang made a clear division of labor. . Now even township health centers can basically achieve data networking such as prescribing medicines and checking applications. Each department can directly view the corresponding information. Entering this information into the computer is mostly done by young doctors. This is also the reason why old doctors like to take students. Doing various chores requires the help of these young doctors. Teachers who teach can also get real benefits and convenience from it. Picking up and dropping off patients is a poor chore. Letting Zhou Can do it also faintly indicates that Zhou Can''s status in Director Shang''s mind is not high. At least lower than the attending physician Huang Xinggui and the three graduate students. it does not matter. What Zhou Can is best at is to quickly stand out in adversity, rise up step by step, and gain the respect of superior doctors. He has every confidence in surpassing these opponents. "Dongdongdong!" There was a knock on the door outside, Zhou Can walked over and opened the door without Director Shang''s order. Patients and their families walked into the consulting room. Zhou Can closed the door. The process of a doctor consulting a patient is generally a one-on-one service. It is impossible to fill a small clinic with patients. The patients waiting outside the door were all well-versed in the rules and training, and they didn''t rush in forcibly. They are all politely waiting outside the clinic. "Doctor, please take a look at my daughter! She has been complaining about her stomach distending recently, and she eats much less than before. Sometimes she complains of stomach pain." The family member is a middle-aged woman in her forties. , came to see a doctor with her eighteen or nineteen-year-old daughter. Generally speaking, young people are in good health. She has these abnormal conditions, indicating that something may be wrong with her body. "Have you been checked in another hospital?" "No! We came here because of your reputation. Grandma Wang from the same community praised your excellent medical skills. My colleague also said that he asked you to treat his stomach pain for many years. Okay. There is only such a child in my family, and I am particularly afraid that something will happen to her, so please be more considerate." The family members came here admiringly. Famous doctors basically accumulate fame a little bit, and the cured patients spread word of mouth. Coupled with the hospital''s publicity, and its own excellent skills in this field, it was possible to erect a plaque of famous doctors. The whole process is full of hardships. "Girl, what is the reason for the bloating? For example, do you feel bloated only after eating, or is it irregular?" Director Shang asked the patient kindly. The little girl of eighteen or nineteen seemed quite shy. "Hmm... just sometimes I feel my stomach is bloated, and I feel very bloated all the time. Sometimes it can even last from morning to afternoon, or from afternoon to night." Director Shang continued to ask while making notes. "Your mother said that you eat less than before. Is it because you have no appetite, or did you eat snacks secretly?" "No, no, I don''t eat snacks very much now. I used to eat a lot. Now when it''s time for meals, Obviously I feel very hungry, but I will feel full after I can¡¯t eat a few mouthfuls. By the way, most of the abdominal distension seems to be after eating. Sometimes I feel nauseous and belching for no reason, which is uncomfortable .¡± She described some of her symptoms. Director Shang nodded. "Luo Jingyin, take her blood pressure, body temperature, pulse and other signs." The more doctors you have, the better. Multiple people can be arranged to work at the same time, and the efficiency will be higher. "Girl, do you feel bloated now?" Director Shang continued to ask the patient. "Well, a little." "Which part?" "Here, this is it." Soon, the physical signs were measured. The basic physical examination and medical consultation have also been completed. When Zhou Can saw the column of physical examination, Director Shang gave an evaluation of malnutrition. This girl is really thin. I believe those aunts with an average weight of more than 130 catties will be very envious of the slender figure of the little girl. "Okay, the patient''s symptoms, basic signs, medical history and other information have basically been collected. The four of you talk about it, what kind of examination should the patient do next?" Director Shang obviously asked the three studies and Zhou Can. As for the attending physician, Huang Xinggui, with a faint smile on his face, he looked confident and confident. You must have already thought about what tests the patient should have. "I think a gastroscopy should be done!" Qiu Chengyu was the first to express his opinion. I thought this person was a silent man, but it seems that this is not the case. "I think it''s better to do a CT scan of the stomach first. You can see if there is a tumor in the stomach. The duodenum should also be checked." Xie Lin''s brain hole was a bit big, and the duodenum was torn. came in. This is also the most common mistake most medical students who lack practical experience make. As long as the symptoms match one or two, don''t care about the others, just take it and apply it to those diseases. The more experienced the old doctor, the less examinations need to be done. Based on the comprehensive information and symptoms of patients, they will directly exclude some diseases with similar symptoms but low occurrence probability. After seeing more patients, the doctor only needs to press the patient¡¯s abdomen for the same abdominal distension and pain, and then ask the patient¡¯s symptoms and duration, and the patient¡¯s age, gender, work, daily habits, etc. Information to screen out the most likely diseases. Then prescribe a targeted inspection. In this way, it can be achieved in the shortest time, allowing the patient to do the least examination, and successfully find the lesion. "I think to do blood routine first, and then do further examinations based on the results." Luo Jingyin is that kind of very quiet type of talented woman. The first test she ordered was blood routine. This is also the test that the hospital does the most for patients. Almost all hospitalized patients must have routine blood tests. Some hospitals are worried about accidents and require more inpatient examinations. It even often causes dissatisfaction among patients and their families, who feel that the hospital is just earning examination fees in disguise. After listening to the opinions of the three studies, Director Shang smiled without saying a word. He looked up at Zhou Can who had not spoken. "What''s Dr. Zhou''s opinion?" Compared with the three graduate students who lacked practical experience, Zhou Can seemed much calmer. "Uh... from the perspective of saving time for patients and allowing them to receive effective treatment in the shortest possible time. I will prescribe three examinations for patients: bleeding routine, Helicobacter pylori test, and gastroscopy." Zhou Can gave his own opinion Opinion. There are up to three inspection items issued. Compared with the small fights of the three graduate students, the examination he prescribed was more in line with a mature doctor. "Hehe, it seems that Dr. Zhou has not only developed a strong ability in surgery and patient management, but also has a level of consultation far beyond the average resident physician." Director Shang smiled and praised Tong Can Attending Physician Huang Xinggui also looked at Zhou Can again. This extremely young Gui Peisheng seems to have a strength far beyond that of ordinary doctors. Not to mention these three graduate students, even the senior residents under Director Shang, I am afraid that none of them can beat Zhou Can. "Xie Lin, write an application according to the examination prescribed by Dr. Zhou, and prescribe these three examinations for the patient." Director Shang instructed Xie Lin. Hearing this, the family members showed a hesitant expression on their faces. In the end, I couldn''t hold back, and said, "Director Shang, we came here in your name, and the special-needs expert number is a few hundred yuan. You can''t let these novice doctors treat my daughter! They have nothing to do With experience, I can understand how to follow you to learn how to treat diseases. But you can¡¯t let them do it!¡± She is such a daughter, and she is worried that these young doctors will not look good. In case her illness was delayed, who would she turn to? She is absolutely unwilling to take such a risk. It took a few hundred yuan and took the boss''s effort to get a special expert number. In the end, what I bought was the diagnosis and treatment service of an intern doctor, and no one would agree to it. "It''s not that I follow the diagnosis and treatment ideas of these young doctors, but that the three inspection items prescribed by Dr. Zhou coincide with the inspection items I prescribed. That''s why I praise his level of consultation. He has achieved quite a lot." Director Shang explained patiently to the family members with a smile. "Hehe, that''s how it is! I''m sorry, I''m sorry, I misunderstood you." After listening to Director Shang''s explanation, the family member''s worries disappeared, and then they showed an apologetic smile. She couldn''t help looking at Zhou Can. Her daughter is also secretly looking at Dr. Zhou, who is higher than other young doctors. Zhou Can was indifferent. For him, he has been praised too much. The vice president, the dean, all praised him strongly. After hearing all kinds of compliments, he is almost immune now. It''s nice to hear, though.

 Chapter 239： There are too many types of gastritis, the terrible Helicobacter pylori

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "You take this to pay the fee, and then after the examination, you can come here with the test results. After the examination, you don''t need to queue up, just talk to the nurse outside and you will be let in."


    Open the inspection application form and hand it to the patient.


    In the past, paying a fee required a long queue, and it took half a day to pay.


    Now with the rapid development of mobile payment, payment has become very convenient.


    Hospitals no longer see long queues to pay fees.


    "thank you!"


    After thanking the family members, they got up and walked out with their daughter.


    Zhou Can opened the door for them and sent them out.


    The next patient was ushered in again.


    Clinics are always so busy.


    Many people think that it costs hundreds of dollars to see a specialist with special needs, and at least an hour of detailed consultation is required.


    In fact, when encountering a disease that is familiar to the consultation specialist, it may take ten minutes to finish the job.


    In the case of difficult and miscellaneous diseases that cannot be diagnosed on the spot, the patient will be sent away according to the situation, or hospitalized for observation for further detailed diagnosis.


    rice ball exploration book


    Therefore, there is really no need to register as an expert for common diseases.


    Hanging up an account with a few dollars can also cure the disease.


    The examinations and treatment plans are basically the same as those of experts.


    "Director Shang, please help me take a look! I feel like I''m going to die!"


    The patient is an old man over seventy years old, with a ruddy complexion and a fatter body.


    She was wheeled into the consulting room by a 40-year-old woman.


    After the patient came in, he kept humming, with a very painful expression.


    "Don''t worry, I will definitely give you a good diagnosis and treatment when you come to my place. I''m quite full of breath when listening to you, and I don''t look like someone with any serious illness!" Director Shang comforted the patient while starting a preliminary treatment for the patient. eye examination.


    Also called inspection.


    This is the first diagnosis that all doctors must make after seeing a patient.


    "I don''t have any major problems. Recently, I have always felt stomach pain and bloating. After eating, it seems to come out of the mouth again after a while, which is very uncomfortable."


    The old man hummed and introduced his symptoms.


    The previous patient had abdominal distension and occasional mild abdominal pain, and felt full after eating a few bites.


    The patient''s symptoms did not appear in the abdomen, but directly in the stomach.


    After Zhou Can heard about the symptoms, he looked at this interesting old man.


    But his heart was beeping, this old man was full of energy, his face was rosy, and he didn''t look like a serious illness.


    But no one can say for sure, you have to do an inspection to know.


    Employees of many units do physical examinations, and such things often happen. Looking at a very healthy person, the patient himself did not have any serious symptoms, and colleagues around him thought he was in good health.


    As a result, the physical examination revealed advanced liver cancer, rectal cancer and so on.


    Zhou Can has seen many such examples.


    Therefore, it is difficult to determine whether the other party is seriously ill just by looking at it with the eyes.


    While recording the patient''s symptoms, Director Shang asked about the patient''s disease history and whether there were other symptoms.


    After understanding, in addition to bloating, stomach pain, and food regurgitation, the patient occasionally suffers from low back pain.


    As for the patient in a wheelchair, it was a work-related injury many years ago.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    At that time, an accident occurred in the factory, resulting in paralysis of the lower limbs. He has been traveling in a wheelchair since then. The old man also received a large amount of compensation. At that time, housing prices were not expensive, and the old man took the compensation money to build a front house and a house by himself.


    What I think is that I will lose the ability to work in the future, but I can earn rent by renting out the facade and housing.


    In this way, you don''t have to worry about having no money to eat in the future.


    In fact, God was very kind and took good care of this unfortunate old man.


    The location of his self-built front house has gradually become a commercial center, and he has saved a lot of money by collecting rent over the years. The house is taking advantage of the rising wind of real estate, and the market value has been rising all the way.


    In addition to bringing an annual rental income of 2.78 million to the old man, this self-built house is worth more than 7 million.


    Therefore, there is no need to worry about the old man''s financial resources at all.


    The middle-aged woman who pushed him to see a doctor was neither the old man''s daughter nor any relative.


    It was a nanny hired by the old man.


    According to the old man''s self-report, his wife has been dead for several years. Only one daughter married far away. His daughter and son-in-law''s family is very rich and they own more than a dozen supermarket chains. They wanted to pick him up to live with him, but he was unwilling.


    I feel more comfortable living alone.


    Thinking about it, a 70-year-old person hired a 40-year-old female nanny to serve her 24 hours a day, so she must have lived a very comfortable life.


    Life is guaranteed, there is no shortage of money to spend, and life is comfortable, so the old man is naturally afraid of death.


    When my body was a little troubled, I hurried to the hospital.


    This time I had stomach pain and bloating, so I directly registered a special expert account.


    Anyway, the age is here, and he is very willing to spend some money on health.


    "Director Shang, just tell me, is my disease stomach cancer? If it''s cancer, I won''t bother."


    After the old man finished explaining all about his situation, he couldn''t help becoming nervous again when he saw that Director Shang was pondering and didn''t speak.


    The female nanny leaned down and approached the old man to comfort him gently.


    "Your lucky star is shining, you will be fine, just put your heart in your stomach! Even if there is any problem, I will always stay by your side and take good care of you."


    In front of so many doctors, the nanny and the old man spoke in a particularly intimate manner. If there is no one, I''m afraid it will be even more presumptuous.


    Zhou Can has seen some similar gossip on TV and online.


    The female nanny covets the property of the male employer, strives to please the male employer, and then marries him, transforming from a nanny to a hostess. Then use various methods to get the male employer to transfer the property to her name.


    At that time, once the male employer dies, she will own the property alone.


    Even, some female nannies are more ruthless. As soon as the real estate and money are in hand, there are some who directly break up with the male employer.


    Zhou Can couldn''t help feeling worried about the old man.


    Looking at this situation, the old man is afraid that he will be sad about the beauty pass. Most of them will be deceived.


    "Huihui, it''s better for you to treat me better." The old man was very satisfied with the attitude of the female nanny.


    Director Shang didn''t test a few young doctors this time, and directly issued an examination application for the patient to go for the examination.


    After sending the patient away, he signaled Zhou Can not to let the patient in yet.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Do you know what disease that patient was suffering from just now?"


    Director Shang asked all the doctors under him.


    "Doctor Huang, tell me."


    This time, I asked the attending physician directly, which shows that the patient''s disease is difficult to diagnose.


    "It should be gastric ulcer, gastritis or something like that!" Huang Xinggui had obviously diagnosed the patient''s disease secretly.


    According to the symptoms described by the patient, it is indeed very similar to gastritis.


    "What''s your diagnostic opinion?"


    Director Shang asked several young doctors calmly.


    "I dare not jump to conclusions. I have to read the inspection report before I can make a diagnosis."


    Qiu Chengyu''s answer was basically tantamount to admitting that he could not diagnose the patient''s disease.


    In case of a wrong diagnosis, it is easy to be slapped in the face.


    It is most beneficial to use this kind of lake.


    "I think it should be gastritis!" Xie Lin''s diagnosis agreed with Huang Xinggui''s.


    "I think it may be a problem with the duodenum." Luo Jingyin can blame the duodenum for any disease, and probably had a grudge against the duodenum in her previous life.


    Zhou Can was the last to speak.


    This time it was really not that he wanted to be the last to speak, but that the old man''s disease was very difficult to diagnose.


    Just relying on some symptoms without any inspection basis, it is really difficult to draw conclusions.


    "Doctor Zhou, I believe you have already diagnosed the disease of the previous patient. The disease of the latter patient is somewhat challenging. Please tell me your diagnosis opinion!"


    Director Shang asked him with interest.


    In this case, it''s not easy for Zhou Can to spoil Director Shang''s interest.


    I had no choice but to answer bravely, "When you and Luo Jingyin were conducting a physical examination on the patient just now, I noticed that the patient had unusual eczema. Moreover, his paralyzed lower ankle was somewhat swollen. The chaotic private life of the female nanny led to eczema. I thought about it later, it should not be."


    These words made the two young female doctors blush somewhat.


    Although they are all girls in their twenties and sixteen years old, they may have been in love long ago, but they still feel embarrassed to hear such a sensitive topic.


    "Combined with the patient''s occasional lower back pain, bloating, stomach pain, food reflux and other symptoms, I suspect that the patient may have eosinophilic gastroenteritis."


    This is a fairly rare disease.


    Patients will show symptoms of various gastrointestinal diseases and experience various discomforts in the body.


    This abnormal infiltration of eosinophils can lead to an inflammation-like response in the gastrointestinal tract. But it is different from ordinary inflammation.


    Diagnosis is possible only if the diagnosis and treatment experience is extremely rich, or if the diagnostician is meticulous, has profound medical basic knowledge in this area, and has rich clinical experience.


    "The clinical manifestations of this disease include three types: mucosal type, muscular layer type, and serosal type. The patient did not experience intestinal obstruction, and the muscular layer type can be ruled out. The patient did not have a large abdomen like a drum, ascites was mild, and the serosa type It can also be ruled out. The patient mainly presented with abdominal pain, nausea, vomiting, and mild diarrhea, so I boldly speculate that he is likely to be infiltrated by the mucosa of the digestive tract, which belongs to the mucosal type.¡±


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can further diagnosed and analyzed the patient''s disease type.


    The chain is interlocking, the logic is rigorous, and the medical knowledge revealed is also extremely profound, which makes other doctors admire him very much.


    Especially the two young female graduate students, when they looked at Zhou Can, their eyes were shining brightly.


    The attending physician, Huang Xinggui, was amazed.


    At this moment, he was surprised to find that Zhou Can''s diagnosis level seemed to be better than his indication.


    At first, I thought Zhou Can''s level of diagnosis and treatment was at the level of a resident doctor.


    Now it seems that I really underestimated him.


    They didn''t know Zhou Can''s brilliant record in other departments. Especially in the last month of general surgery, it really killed the Quartet, and successfully helped Mr. Liu diagnose a number of extremely difficult and difficult cases.


    You must know that many of those cases were caused by patients who had been seen by experts and famous doctors in many hospitals, but the cause could not be found out.


    In the end, they were all diagnosed by Zhou Can.


    When he was still an intern, Zhou Can had an extraordinary talent in pathological diagnosis.


    After nearly two years of regular training and study, rich experience in clinical diagnosis and treatment, so many chief physicians have taught them all. In addition, he later frantically supplemented basic medical knowledge.


    In the end, his diagnostic level rose steadily.


    Up to now, on the surface, it is at the attending level. The actual ability is not weaker than that of the deputy chief physician.


    Even in diagnosing some difficult and miscellaneous diseases, his clear and unique diagnostic thinking is better than that of the chief physician.


    "Teacher, do you think Dr. Zhou''s diagnosis is correct? It sounds like that!"


    While Xie Lin was full of curiosity about this young Gui Peisheng, she also felt a little admiration.


    The pathology of this old man is quite complicated, but the symptoms are extremely common.


    Diagnosis is very difficult.


    She thought that the patient might have gastritis, which was the same diagnosis as the attending physician Huang Xinggui, but she was not confident at all.


    This is like looking for a job. It is obviously just an ordinary degree and very little work experience. One company said they could pay her 20,000 yuan a month. In this case, people with a slightly normal mind will put a question mark in their hearts.


    "My initial diagnosis is gastroenteritis, but after listening to Dr. Zhou Can''s analysis, I agree with Dr. Zhou''s point of view. The patient''s disease is probably really eosinophilic gastroenteritis, not a simple common disease. Gastroenteritis."


    Director Shang is honest enough.


    Even in front of the students, he didn''t cover up or put money on his face.


    Instead, he told the students frankly that his original diagnosis was only gastroenteritis, and he was not as accurate as Zhou Can.


    "Dr. Zhou''s diagnostic ability is so strong! I have to learn from you in the future."


    Xie Lin looked at him with admiration.


    When she found out that Zhou Can''s diagnosis was more accurate than that of her teacher, she was shocked beyond imagination.


    "Hey, I''m just a blind cat bumping into a dead mouse, and I happened to catch up. Besides, the final diagnosis won''t be known until the patient has finished the examination. Now it''s just a discussion."


    Zhou Can didn''t dare to steal the limelight in front of Director Shang.


    Self-effacing is the most appropriate response.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Anyway, anyway, I just think you are great. I must learn more from you in the future and ask for more advice. By the way, the teacher said that you have diagnosed the disease of the first patient. Can you tell me what the young girl got? What is the disease?"


    She took the opportunity to ask about the diagnosis of the first patient.


    This time, the other two graduate students also pricked up their ears.


    They also want to know the answer.


    "Uh... Let me first declare that my diagnosis is not necessarily correct, it is just my personal opinion. The symptoms of the first patient, combined with her existing information, are very similar to atrophic gastritis caused by Helicobacter pylori infection. "


    Zhou Can gave his own diagnosis.


    This disease is relatively common.


    Especially in a well-known hospital like Tuya, it is often possible to receive such patients.


    Helicobacter pylori is also a major killer of gastric cancer.


    "So it''s this disease, no wonder you can prescribe three inspections in one go! Oh, I suddenly realized that after studying with the teacher for so long, I still can''t do anything."


    Xie Lin patted her head lightly, with a naive look.


    It made Zhou Can and the others all laugh.


    A young girl with good looks can indeed bring a certain amount of happiness to a man when she is cute.


    The reason why this world is beautiful and makes men linger, is precisely because of the happiness that female compatriots bring to male compatriots.


    The indifference in the world, to the extreme, is nothing more than a word of love between a man and a woman.


    To this famous philosophical saying, one more sentence should be added, if there is no woman in the colorful world, there will be only the world without flowers.


    "Doctor Zhou, can you tell me how you diagnosed that young female patient with Helicobacter pylori infection?"


    Luo Jingyin has always been very quiet and shy, except for answering Director Shang''s questions, she hardly speaks.


    At this moment, I couldn''t hold back the strong curiosity in my heart, so I took the initiative to ask Zhou Can a question.


    "Maybe my nose is better! She opened her mouth and yawned. Although she blocked it with her hand, the bad smell in her mouth after Helicobacter pylori infection was still very obvious. After listening to her symptoms, I synthesized her Based on medical history and other information, it is judged that she is likely to be infected with Helicobacter pylori."


    After Zhou Can finished answering, he hesitated for a while.


    He continued, "I think her mother should also be tested for Helicobacter pylori. The smell when she speaks is worse than her daughter''s."


    This kind of thing must not be said in front of the patient.


    Because it hurts self-esteem.


    Now there are only a few of them discussing with the doctors, Zhou Can has no worries.


    Helicobacter pylori is somewhat contagious.


    Especially a family, because they eat together every day, it is easy to infect each other. Not to mention the couple. Basically, as long as one party has this disease, the other party cannot escape.


    (/novel/)

 Chapter 240： The doorman changed, weird vomiting

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Dr. Zhou just mentioned that the family members of the female patient should also be tested for Helicobacter pylori. The suggestion is good, but in the actual diagnosis and treatment process, you must pay attention to the method. It is best to wait until the female patient is checked and confirmed. Helicobacter pylori infection, and then the female patient was diagnosed and given a treatment plan, which both the family members and the female patient accepted. At this time, I will find an opportunity to remind the family members.¡±


    "If the family members feel disgusted after hearing this, don''t say more. As doctors, we must first learn to protect ourselves. Some family members have a bad temper, and he may not accept your favor. Swearing is considered good. Throwing things There is nothing wrong with the doctor."


    Director Shang, as a veteran, shared his beating experience with these young doctors.


    When you go to see a doctor, if you observe carefully, you will find that the chair the doctor sits on is the kind of black leather chair that is stable and stable. But the patients and their families are seated on plastic round stools.


    Many people think that this is discrimination against patients, but it is not.


    In the past, some hospitals also provided patients with high-quality foreskin iron round stools. As a result, the family members used this iron chair to beat the doctor who was sitting in the clinic to a fracture.


    The little nurse was even more frightened and hid under the table.


    More than once this outrageous thing happened.


    Afterwards, the family members will definitely be punished by law.


    But the doctor was injured, which is a very big loss to the hospital. Especially some well-known doctors in a certain field, he was injured, and it was a work-related injury, so he couldn''t work.


    Not only does the reception work stop, but the patients under the care of the doctor, whether it is surgery or medication, have to be handed over to other doctors.


    Change to a new doctor to take over those patients, who are not familiar with the condition of the disease, and it is good if they do not make mistakes.


    This can lead to a reduction in the quality of treatment.


    While the injured doctor was recovering from his injuries, the hospital had to pay him wages, as well as certain work-related compensation and condolences.


    It can be seen how much the hospital suffered.


    The key point is that today this doctor was beaten with a broken arm, and tomorrow that doctor was beaten with a broken brow bone and was seriously injured. Other doctors are also afraid when they come to consult!


    This will definitely affect the quality of the doctor''s diagnosis.


    Finally, the hospital leaders thought of a way. Replace all the chairs for patients in the outpatient room with plastic stools.


    In this way, even if they encounter family members who are violently flatulent, the doctor will only suffer minor injuries.


    Later, this good method swept across the country and has developed into a standard configuration in outpatient clinics.


    "Xiaoqiu, go open the door and let the next patient come in! Dr. Zhou''s diagnosis ideas are very flexible, and he has profound knowledge of basic medicine. He can be used flexibly in clinical practice. You should learn from him."


    Director Shang was full of praise for Zhou Can''s performance.


    What''s more interesting is that Zhou Can is not allowed to be the "door boy" to welcome and send him off.


    "Ah... yes!"


    Qiu Chengyu was stunned for a moment, and then a dark look appeared on his face.


    Everyone competes fairly based on their ability.


    In the first round of the contest, Zhou Can directly killed him and turned him on his back. It can be said that he suffered a crushing defeat.


    Director Shang didn''t ask him to pick up and drop off patients, so who?


    After the door of the consulting room opened, a thin 37-year-old woman came in with a middle-aged man who was much taller than her on her back.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The middle-aged man was sickly and thin.


    Looks like malnutrition.


    Generally, there are three types of malnutrition. One is to come out hungry. I usually eat a single food with no nutrition, no oil and water, and after a long time, my body will naturally become thinner.


    The second type is malignant diseases such as tumors and leukemia in the body, resulting in a sharp drop in the patient''s weight.


    The crazy growth of cancer cells will consume a lot of body nutrients, which is an important reason for the rapid weight loss of the body. At the same time, it can also cause the patient to lose appetite, do not feel hungry, and do not want to eat.


    The third is indigestion. After some patients have problems with their digestive tract, they will experience symptoms of indigestion. Either eat a full day for a full day, or the intestinal absorption capacity is weakened, and the food eaten can only absorb a small part of the nutrients.


    Everything else is excreted.


    This excretion does not only refer to excretion with stool, urine can also excrete a large amount of nutrients.


    Such as the most common urinary protein symptoms.


    "Can he sit?"


    Zhou Can saw that this "female man" was gritting her teeth with difficulty and carrying the patient forward, so he hurried forward to help.


    It''s just a small act of kindness.


    Director Shang didn''t say anything after watching it, but when he looked at Zhou Can, his eyes clearly showed admiration. On the contrary, looking at Qiu Chengyu who opened the door for the patient, his eyes became a little colder.


    The benevolence of doctors is the minimum quality of all doctors.


    A doctor without a benevolent heart cannot become a qualified doctor.


    "I can sit, but I can''t walk because of my weak body."


    The woman smiled gratefully at Zhou Can.


    "Slow down, slow down!"


    After Zhou Can helped catch the patient, he sat on the chair with support.


    The patient was at least 1.85 meters tall, and the woman was no more than 1.6 meters tall. She walked all the way with the patient on her back, and the process must have been very difficult.


    Although the man is very thin, but with such a tall frame, he must weigh more than 100 catties.


    "thank you!"


    The woman thanked Zhou Can.


    "You''re welcome. What''s wrong with him?"


    Zhou Can found that the patient''s eyes were not bright, and his hair might be shaved into a short cut for hygiene reasons. The cheekbones on the face, the collarbone on the neck, and the wrist joints on the hands are all prominent.


    Dull and yellowish skin.


    This is a typical yellow and hungry.


    The patient''s heavy breathing could be faintly heard.


    It''s like a donkey pulling a mill, exhausted.


    The patient was carried in by the woman, without taking a step. Just sitting made him feel so tired, which meant that his body was on the verge of collapse.


    Zhou Can couldn''t help feeling a little worried when he saw the patient''s condition was so bad.


    "I don''t know what the disease is? I always vomit after eating, and my food intake keeps decreasing. I took my husband to see many large and small hospitals, both Chinese and Western medicine. He also took a lot of medicine. His My weight has dropped from more than 170 jin to the current 100 jin. A lot of examinations have been done, but the cause of the disease can¡¯t be found.¡±


    The woman handed the two large white plastic bags to Zhou Can.


    I saw various inspection reports and films inside.


    This chapter is not finished, click [next page] to continue reading -->>


    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "This is Director Shang, my tutor, please ask him to take a look!"


    After Zhou Can took it, he naturally introduced Director Shang''s identity, and at the same time put the information bag on Director Shang''s desk.


    It seems to be just a simple response, but it is a test of a person''s emotional intelligence.


    Zhou Can''s performance is undoubtedly excellent.


    Such an introduction can not only show his respect for Director Shang, but also avoid embarrassment for all parties.


    Director Shang picked up a bag to check the inspection report inside.


    "Ah, you have done a lot of inspections! I see that you have done a lot of repeated inspections."


    "No way! Many hospitals don''t recognize the test results of other hospitals, so we have to do it again in their hospital. There are more hospitals that see doctors, and more and more tests are done. Just MRI has been done. three times."


    When the woman mentioned this matter, she was also full of bitterness.


    Doing these checks over and over again will not only take a lot of time to line up and wait, but also cost a lot of money.


    MRI examination, even if it is only the worst 0.5T, costs three or four hundred for one time. Some hospitals even received more than five hundred. More advanced MRI examinations are more expensive, ranging from one thousand to two thousand.


    Doctors in some hospitals are dogmatic in doing things.


    In order to generate income for the department and to complete the performance, we know that the radiation of MRI and CT examinations is very large. Doing too much is harmful to the body. Patients are always asked to repeat these tests.


    It''s really wicked.


    "How long has he been ill?"


    Director Shang asked about the patient''s medical history while checking various inspection reports.


    "It may have been more than a year since the onset of the disease. Once, my husband got very drunk because of work and entertainment, and was driven home by his colleagues in the company. He was usually drunk like this, but when he woke up Nothing happened. But that time, after he sobered up, he vomited all over the floor the next day after eating breakfast. At that time, I thought it was a normal reaction after he was drunk, so I didn''t pay much attention..."


    The woman roughly told the patient''s medical history.


    According to her, the patient was drunk a year ago because of work and entertainment. After sobering up, he began to eat and vomit since then.


    And the vomiting process is also very strange.


    At the beginning, it was not fixed to throw up every time I ate.


    Sometimes I vomit, sometimes nothing at all, that''s normal.


    At first, they thought that what they ate was too greasy and the taste was too strong.


    However, after many experiments and observations, it was found that the time of vomiting has little to do with the type of food eaten.


    When I want to vomit, I vomit no matter what I eat.


    It''s okay to eat anything normally.


    The onset is also irregular. At the beginning, only once in ten days and a half month will I vomit suddenly. Up to now, I vomit almost every day. Vomiting when drinking water.


    "Have you had a gastroscopy?"


    Attending physician Huang Xinggui asked the family members.


    In the current state of the patient, it is difficult to even catch his breath, and it is obvious that he cannot communicate normally.


    "I''ve done it! Both ordinary gastroscope and capsule gastroscope have been done. The results of the examination are all in the bag. Do you need me to find them out and show you?" The woman looked very humble when she spoke.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    In her heart, as long as she can cure her husband''s illness and let her crawl on the ground, she is willing.


    I have to say that it is the greatest luck in this life for this patient to meet such a good wife.


    It also made several young doctors believe in love.


    "No, no, you can just support him. Don''t let him fall to the ground, the stool has no armrests." Huang Xinggui waved his hands repeatedly. He took out all the inspection reports, payment slips, and photocopied medical records from the bag by himself.


    Inpatient medical records generally need to be kept in the hospital for filing.


    When the patient is discharged from the hospital, they can choose to make copies by themselves.


    Some hospitals even operate in the same way for the test results. Patients need to check the results, and they need to take the initiative to ask the hospital and copy them.


    As for some patients who say on the Internet that a certain hospital does not provide medical records or test results, this is basically impossible as long as they are treated in a regular hospital. It must be that the patient did not figure it out, or did not apply for a copy.


    Zhou Can didn''t bother to get those inspection materials to check.


    His identity is Gui Peisheng, and he has just received the initial approval and appreciation from Director Shang, so he can only do what a student should do.


    After the superior doctor finished checking it, it would be no problem to take it over and have a look.


    He stood behind Huang Xinggui and Director Shang, and when they checked the inspection report, he could follow along.


    Luo Jingyin also leaned over, stood with Zhou Can, and watched the patient''s examination report.


    This intractable disease is also the easiest to ditch the interest of medical students like them.


    Everyone wants to know what the cause of the patient is?


    After learning so many years of medical knowledge, no doctor wants to apply it in practice.


    Successfully diagnosing a patient''s disease with what they have learned can give them a sense of accomplishment and pride.


    "The gastroscope looks quite normal, Dr. Zhou, you say so!"


    Luo Jingyin brushed the messy hair on the left side with her hands, and after all, it was behind the ears, revealing a delicate and fair face.


    Zhou Can didn''t expect that the shy and quiet girl would take the initiative to talk to her.


    After being stunned for a moment, he said, "Dr. Luo has seen it, and said it is normal, it must be right!"


    "Isn''t it a lack of self-confidence? I don''t have much practical experience. I can only be sure if my judgment is correct after I ask you for advice." She explained in a low voice.


    "Hey, I''m also half-baked, let''s listen to what the teachers have to say later!"


    After Zhou Can showed her hands, her status in the heart of a graduate student rose sharply.


    Obviously I can see the inspection results accurately, but I have to ask Zhou Can to confirm my opinion before I can be sure.


    "Jing Yin, you are very accurate. The gastroscopy did not reveal any abnormalities."


    Qiu Chengyu also joined in.


    However, Zhou Can noticed a small detail. When Qiu Chengyu leaned towards Luo Jingyin, she subconsciously avoided Zhou Can.


    A girl''s thoughts are usually not written on her face.


    It is reflected in their actions.


    This small move showed that Luo Jingyin did not call Qiu Chengyu.


    "oh!"


    She responded lightly.


    Director Shang and attending physician Huang Xinggui checked the examinations done by the patients one by one, as well as various treatment records and medication results.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The patient had been hospitalized, and in more than one hospital.


    But without exception, all ended in failure.


    Later, he may not be able to bear the financial burden, so he went home for treatment.


    When Director Shang picked up an MRI film to check, Qiu Chengyu came a little closer, leaning his head towards Luo Jingyin.


    Her body was about to touch Zhou Can, and it was inevitable.


    Her beautiful eyebrows were slightly frowned, because she was shy and introverted, she obviously didn''t want to be so close to Qiu Chengyu, but she was too embarrassed to resist.


    Zhou Can can''t see this kind of sloppy and shameless man who leans on girls the most.


    If the other girl agrees, it''s a mutual agreement.


    What kind of thing is this?


    Isn''t that workplace harassment?


    "Doctor Qiu, I think your eyesight is not very good. If you can''t see clearly, you can stand beside me!" Zhou Can asked her to make a rescue.


    When Qiu Chengyu heard that he could stand on Luo Jingyin''s right, he was happy and quickly agreed.


    Immediately walked over.


    "Doctor Luo, please go over there."


    Zhou Can motioned Luo Jingyin to move over to where Xie Lin was sitting.


    Then, he stood between Qiu Chengyu and Luo Jingyin, separating them. UU reading www. uukanshu.com


    At first, Qiu Chengyu felt very happy, but when he saw Zhou Can do this, his face immediately turned a little ugly.


    Luo Jingyin smiled shyly at Zhou Can.


    A girl''s mind is usually very delicate and sensitive, she must know that Zhou Can is helping her resolve the invisible harassment brought by Qiu Chengyu.


    In the workplace, regardless of whether it is a male colleague or a male leader, harassment of a female colleague is mostly the beginning of this tentative "inadvertent" behavior.


    Many times, women can only suffer in silence.


    Because they did not do some excessive things clearly, we are all colleagues, taking into account the influence and work, we can only bear it.


    It took nearly 20 minutes for the two superior doctors to read all the patient''s examination data and treatment process.


    Huang Xinggui''s brows were furrowed, secretly identifying the cause of the patient.


    Director Shang''s face was slightly serious, and his eyes showed that he was thinking deeply.


    "Doctor Zhou, your diagnostic ability is so powerful, can you tell what kind of disease it is?"


    Luo Jingyin asked in a low voice.


    She seems to trust Zhou Can very much, and she also has a sense of unreasonable affection.


    "What''s so great about me, the first two times I just happened to meet each other. It''s a coincidence, you know!"


    Neither of the two superior doctors had commented yet.


    How dare Zhou Can express his diagnostic opinion so easily!


    Besides, the cause of this patient is extremely strange, and Zhou Can is not a miracle doctor. At least for now, it is far from reaching that level. How can he diagnose what kind of disease it is so happily?


    Even if he followed Mr. Liu to diagnose those difficult and miscellaneous diseases in the general surgery department, he still failed to diagnose many diseases.


    (/novel/)

 Chapter 241： No cause found, 1 unexpected discovery

No content

 Chapter 242： Please ask the video department to work overtime, move it

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The human nervous system is the most unpredictable, and sometimes even a small abnormal discharge can have a great impact on the patient. Epilepsy and sinus node abnormal discharge are the most common neurological abnormal discharge diseases. The vagus and sympathetic nerves of the human body are sometimes even like naughty children. When they have problems, neurological diseases will also appear. This patient underwent 24-hour EEG monitoring in another hospital, and no major abnormalities were found. And checked the brain ct, the tumor can basically be ruled out. "I''ve seen the blood routine results of the patient. The white blood cells are normal, but the eosinophils are slightly elevated." Zhou Can was not in a hurry to state his diagnosis, but began to talk about some abnormalities he found. "There are too many reasons for the increase of eosinophils! For example, common allergic diseases, bronchial asthma, urticaria, drug allergy, allergic purpura, etc., can all cause the increase of eosinophils. And skin Diseases and cancers can also cause... Wait, don''t you suspect that the patient is infected by parasites?" Director Shang suddenly realized the direction of Zhou Can''s suspicion. High eosinophils are mainly seen in allergic diseases or parasitic infections, including schistosomiasis, ascariasis, and hookworm disease. However, the patient''s eosinophils were only slightly elevated, and the patient had a stool test, and parasites had been found long ago. Therefore, not only Director Shang, but even other doctors immediately ruled out the possibility of parasitic infection after seeing the results. Furthermore, parasitic infections generally present with a variety of symptoms. Rather than simply vomiting irregularly. "I think the patient is very likely to have a parasitic infection, and it is a very scary but easily overlooked parasite. They often parasitize in snakes and frogs." Zhou Can said with a smile. He is the only Gui Peisheng who dares to talk and laugh with the chief physician like this. Even sold a small pass. "Doctor Zhou suspects sparganosis infection?" Xie Lin hurriedly asked. "That''s right, it''s the bug. Of course, I''m just having a preliminary suspicion, and I''m not sure. I''ll have to wait for further examinations to find out." Zhou Can is not completely sure, but only suspects the disease. After all, the patient had already had a CT scan of the brain, and it was possible that he really had sparganosis. "It shouldn''t be possible!" Director Shang''s expression became more serious, his brows furrowed. He has seen all the medical records and brain CTs of patients treated in other hospitals. Although he is not very good at brain diseases, based on his decades of diagnosis and treatment experience, if there is an abnormality in the brain CT, he will definitely be able to find it. "Did you notice that the patient raised his right hand and scratched his head many times? Before the patient left just now, I took a close look at it. There was a small piece of his scalp that bulged slightly and then fell back. Under normal circumstances, this kind of movement of the scalp is impossible Reminiscent of his wife saying that he had the habit of scratching his head before the accident, I particularly suspect that it is a parasite operating under the scalp." Zhou Can continued to explain his diagnosis basis. Director Shang secretly admired this kid for his meticulous attention to details. After listening, he thought for a moment and looked up at Zhou Candao, "Even if there are parasites in the patient''s brain, it may not be sparganosis. How can you conclude that it is such parasites?" Every doctor sees the problem from a different perspective. Diagnosis ideas are not the same, the final diagnosis results are also very different. There are many parasites that can infect humans. I can''t even count them. Zhou Can directly targeted the sparganosis, which made Director Shang very curious. "Uh...probably from several aspects of differentiation! The infection site is in the brain. Although parasites such as cerebral schistosomiasis, cerebral roundworm, and cerebral cysticercosis can also enter the head, the symptoms and volume they cause do not match. Only sparganosis Its latent ability is the most outstanding, and its existence is not noticed until it causes obvious symptoms. Even if there are symptoms, it is easy to be misdiagnosed as a disease such as brain glioma." Sparganum is very different from roundworms. They have very high requirements on the living environment. They don''t like to stay in the dirty intestines, but find ways to enter the host''s brain through blood and other channels. Occupying a ''high'' position, not only the living environment is clean, but it is also not easy to be found. Looking at roundworms, they are much lower-end. As long as there is a sign of trouble, the patient can immediately find eggs and larvae when he goes to the hospital to check the feces. Even sometimes there are more adult worms in the patient''s body, and the live worms can be pulled out directly when pulling the poop. This will undoubtedly greatly increase the risk of them being discovered. Sparganum is hidden in the brain, and eating, drinking and laxatives do not pass through the digestive tract at all, so the risk of being discovered is much smaller. "Furthermore, the symptoms caused by other parasites are more diverse. For example, schistosomiasis, eggs deposited in the liver, intestine or bladder and reproductive organs lead to egg granuloma and fibrosis. Adult worms can also cause weight loss, anemia, abdominal pain, liver Swelling, big belly disease, etc. These symptoms are very obvious and can be diagnosed easily. Only the sparganosis secretly hides in the human body and develops wretchedly, which is very difficult to be detected." "Finally, patients will often participate in various It is necessary to eat all kinds of delicacies. Frog and snake meat are very popular specialties. If you eat too much, the chance of getting infected will increase greatly.¡± Often walking by the river, there is no one who does not get wet shoes. Often eat frog meat and snake meat, even if it is cooked, but as long as the boiling time is too short, or if it is not cooked thoroughly, sparganosis may survive. After eating it in the stomach, don''t think that stomach acid can kill it. Almost all parasites have excellent abilities, such as high temperature resistance, acid and salt corrosion resistance, low oxygen resistance and so on. It can be said that if they do not have these excellent skills, they are not qualified to be parasites at all. Some people think about killing them with stomach acid, or thinking about eating them in the stomach and excreting them with the peristalsis of the digestive tract. It is best not to have such illusions. Their survivability and adhesion ability are super strong. "Based on the above information and comprehensive dialectics, I suspect that sparganism is causing trouble." Zhou Can''s analysis is very detailed, reasonable, and extremely practical. Director Shang and Huang Xinggui nodded repeatedly, not to mention the two female graduate students Xie Lin and Luo Jingyin. Even Qiu Chengyu, who was disturbed by Zhou Can''s "good things", had to admire Zhou Can''s diagnostic ability. It is too strong. His graduate student is hard to come by. "The examination room should not be off work yet, right?" Director Shang turned to ask Huang Xinggui. "Probably not yet, ordinary medical technology departments have to get off work at six o''clock." Huang Xinggui seemed to know Director Shang''s intentions, and he was also full of anticipation and excitement. "Director Shang, are you going to give the patient another head imaging examination now?" "That''s right! Many things can be delayed, but illness cannot be delayed. This patient''s condition is so serious, early diagnosis and early treatment." Director Shang not only has superb medical skills, but also has a benevolent heart. Thinking of finding out the cause of the patient earlier, he couldn''t wait for a moment. "Call the imaging department immediately and ask the comrades in the CT room to work overtime. After I communicate with the family members, I will immediately apply for an examination. You can also follow the dynamic examination of the brain image to increase your experience in diagnosis and treatment." Gui Peisheng usually rotates to the medical technology department for a month of training. The purpose is to increase the clinical experience of ultrasound, ct, x-ray and other items, including inspection principles, methods, skills, and key points of watching films, etc. Zhou Can has not been rotated to the medical technology department for training yet. He plans to finish the internal medicine training and then work in the medical technology department for a month. It is estimated that the 36-month training period just expired at that time. It''s just right to go straight back to the emergency department to start working. Director Shang is a vigorous and resolute person, so he immediately went to communicate with the family members. Zhou Can and the three graduate students all went together. On the one hand, it can help to find family members. I don¡¯t know if the other party is in the inpatient department now. On the other hand, when senior doctors communicate with family members, many of the conversation skills are worth learning for novices. I didn''t expect the speed of the woman to be quite fast. It may be because she has been taking her husband around for a long time to seek medical advice and medicine, and she is already familiar with various procedures in the hospital. Even if I changed to another hospital, the hospitalization procedures were completed very quickly. At this moment, under the arrangement of the nurse, her husband has been settled in the temporary hospital bed. This temporary hospital bed is the kind of folding bed that is convenient for storage. It is smaller than a normal hospital bed. Just enough room for an adult to lie on it. However, for patients, as long as they can have a bed and be admitted to the hospital, they are already very happy. I don''t care if the bed is comfortable or not. Hospitals are not hotels and hotels. The purpose of patients coming to the hospital is to treat diseases. If you go to a hotel to take your girlfriend to open a room, you must pursue enjoyment, and you need a comfortable big bed. "Is he okay?" Director Shang walked to the hospital bed and asked the woman. "Thank you for your special help. My husband''s condition is relatively good, not much different from usual. I am very grateful to you and the doctors and nurses in the inpatient department for being admitted to the hospital so quickly." The quality of the woman is very high. Sincerely thank Director Shang. Director Shang brought four young doctors to the bedside to check on her husband''s condition, which flattered her even more. "It''s not easy for you to come here from other provinces. As doctors, we can help if we can." Director Shang chatted with the family members for a while, and when the timing was almost up, the topic changed. "After you left just now, I discussed and analyzed your husband''s condition with several doctors. Finally, based on the elevated eosinophils and his constant scratching of the head, we suspected that he might be infected by parasites. If you agree, I will immediately apply for a brain CT scan to see if I can find out the real culprit." After hearing this, the woman was stunned for a moment, and then showed a happy expression. "I agree, of course I agree! I chose to take my husband here for medical treatment because I believe in you and this hospital. Thank you for caring so much about my husband''s condition, thank you!" The woman said to Director Shang and Zhou Can and others bowed. Especially when looking at Zhou Can, there was a deep sense of gratitude in his eyes. With her intelligence and rich social experience, it is not difficult to guess that Zhou Can must have contributed a lot to her husband''s diagnosis of the cause of the disease so quickly. Because when she was leaving with her husband, Zhou Can asked her husband about scratching his head. At that time, she stared at the right side of her husband''s head for a long time. At this moment, one of Director Shang''s diagnostic criteria was that the patient was always scratching his head. After the inspection application was opened, the woman paid directly by mobile phone. Zhou Can and others helped transfer the patient to the CT room. The woman was waiting for the results outside, while Director Shang brought Zhou Can and others into the CT room to watch the dynamic images of the patient''s brain. Attending Physician Huang Xinggui also has a strong learning attitude and came to watch along with him. This is a very rare accumulation of diagnostic experience. At the beginning, brain imaging showed no abnormalities. Time passed by every minute and every second. With so many people following the radiation, and mobilizing a large number of people, if it is not found out, it may make the doctors in other departments laugh. Outside the CT room, the patient''s wife was waiting anxiously. She was praying for a miracle to happen. For more than a year and more than 400 days and nights after her husband fell ill, she supported the family with her weak shoulders, and her life was very difficult. She fantasizes about miracles all the time. "It''s moving, it''s moving, look at this part, there''s something moving!" Luo Jingyin''s eyes were very sharp, and she immediately noticed the abnormality in the dynamic image of the patient''s brain. After the strip''s head moved twice, it returned to calm. "Good guy, it really is a parasite. It''s just that this guy is too cunning. It only moves after a long time. If it is lurking when the brain CT is taken, coupled with its location, it is really difficult to find it This time, we can finally give a very good explanation to the family members. I saw that woman in her thirties and took her husband to seek medical treatment, and I felt really uncomfortable." Director Shang said something from the bottom of his heart son''s words. Not to mention him, Zhou Can, Xie Lin and others, who would feel better? It''s just that everyone''s abilities are limited, and they are all mortals, no matter how uncomfortable they are, they can only be bored in their hearts. No one can diagnose the cause of the patient, let alone cure the patient. The heavy door of the CT room was opened, and Zhou Can and others pushed the patients out of the CT room, with triumphant smiles on their facesThe cause of the patient was finally diagnosed. This time it was saved. "Doctor, how''s it going? Have you found out?" The woman was full of expectations, and stepped forward nervously. "Thank you for your hard work. Congratulations. By observing the dynamic images of the patient''s brain just now, it can be basically determined that there is a high probability that he is infected by parasites. But there is no way to confirm the diagnosis. You can arrange an operation for him to remove the brain. The abnormal organisms inside, and then a biopsy can be used to confirm what kind of bug it is." Director Shang said to her. Usually, if you are infected with sparganosis, it is difficult for drugs to kill them. Surgery is performed to remove the worms, and then local injection of drugs to consolidate the curative effect and prevent recurrence is a relatively common treatment method. It can also be seen from here that the old doctor''s words are tight, and he has already found out what kind of parasite it is. But because he couldn''t make a diagnosis, Director Shang only said that it might be a parasitic infection. Never mentioning what kind of bug it is. There are no affirmative statements throughout. At the same time, it can also take into account the emotions of the family members, so that they will not be disgusted. This is very worthwhile for newcomers to learn. "Great! I knew that a miracle would happen in Tuya. It seems that my sixth sense is very accurate. Professor Shang, can I arrange an operation for my husband now?" She wished that her husband''s illness would be cured immediately. "Well... definitely not right now. We are in the Department of Gastroenterology here. We are not capable of performing this operation. We can only invite experts from general surgery or general surgery to come for joint diagnosis and treatment. In addition, we need to do anesthesia interviews and risk assessments before the operation. Wait. It will be very fast if the operation can be arranged tomorrow." Director Shang explained patiently to her. I can understand the anxiety of the family members. It''s just that the hospital has hospital regulations, and this kind of joint diagnosis and treatment involving multiple departments, Director Shang can only do his best to coordinate and request. The gentlemen in the neurosurgery room are all extremely proud, but it is not so easy to coordinate.

 Chapter 243： Controversy, the aunt who does not listen to advice will have an accident

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 Chapter 244： Tragic patient, Bian Que 3 see Cai Henggong

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The nurses in Shenwai really don''t have many people to talk to. Zhou Can trained there, and he knows the urine nature of Shenwai very well.


    As for the doctors outside of the gods, they are all eye-catching and arrogant.


    All of them are at the level of ''Long Aotian''.


    In addition, Shenwai is very busy, if you just invite a resident doctor and attending doctor to come over for joint diagnosis and treatment, it will not be a big problem. But this operation requires at least one deputy director-level supernatural surgeon to operate, which is a bit difficult.


    Please be sure to please move.


    But people put on a show, and no one can find fault after two or three days.


    After all, the patient who needed to be treated was a chronic disease, and it made sense to have the surgery a day or two later.


    Only the emergency department has the privilege of asking the chief physician for consultation at any time.


    However, the doctors and nurses in the emergency department are often frustrated when they invite people.


    "Some nurses are just of that quality, calm down." Zhou Can knew he had made a slip of the tongue, and quickly comforted Director Shang.


    "The lesion has been detected, but because the chief physician of Shenwai is not good at coordinating, the patient''s treatment time is wasted, what do you think is all this!"


    Director Shang was still furious.


    "Tomorrow, I have to talk to Director Wu of Shenwai, this little nurse who answered the phone is too annoying. I am also the director and chief physician of the Department of Gastroenterology, and I don''t even have the least respect."


    To reach the level of chief physician, even the most low-level third-level chief physician, has a very high status in the hospital.


    The weight of gastroenterology is definitely not as good as neurosurgery.


    However, Director Shang is at least equivalent to one of the princes. If he really cares about that nurse, that nurse may not have good fruit to eat.


    When there was a commotion, the hospital stood 100% on Director Shang''s side.


    Zhou Can didn''t say anything more.


    After get off work, I went to the cafeteria to eat, and delivered meals to the stomach cancer patients in bed 71, and then went back to the apartment to practice medical skills I don¡¯t want to mention it.


    After entering internal medicine, the pressure is even greater than when I was in surgery.


    Because of the initial trust of Director Shang, the patients who took over were asked to prescribe not only the doctor''s orders on admission, but also the doctor''s orders during the hospitalization process. It can only be said that Director Shang has a really big heart.


    Looking at this trend, it is estimated that the patient''s postoperative doctor''s order will also be handed over to Zhou Canlai.


    It''s pretty much standalone tube bed plus most of the decentralization.


    Many teachers who are more cautious, at most let Gui Peisheng write medical records, course of disease, discharge from hospital, and talk before surgery. More often, Gui Peisheng would accompany the patient to do the examination, get medicine, help the patient get the report, send it to the medical department to sign, and so on.


    There are even some over-the-top chief physicians who will ask Gui Peisheng to help him make tea, mop the floor, and buy meals for him.


    The teachers who lead the teaching are more intensive in cultivating regular trainees. At most, they will give oral medical orders, and then ask the students to write laboratory tests or something.


    Since Zhou Can took over the first patient yesterday, Director Shang has not taken care of him.


    Needless to say, the doctor''s order for admission, and the medication after hospitalization are also handled by Zhou Can.


    You know, except for the Department of Critical Care Medicine, all the departments that Zhou Can trained were surgery.


    According to the doctor''s order alone, I only exercised for a few days in the last month of general surgery.


    In the past, whether you were chief physicians or attending physicians, although you trusted him very much and knew that he was very capable, because Zhou Can had no medical certificate, everyone had a tacit understanding and never let him prescribe medical orders alone. .


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    One is procedural non-compliance, and the other is fear of accidents.


    If there is a problem with the prescribed doctor''s order and the patient has a problem after taking the medicine, the responsibility will be great.


    Therefore, Zhou Can was transferred to the Department of Gastroenterology this time. As soon as he entered the department, he was asked to prescribe the doctor''s orders alone and operate with full authority. He was under great pressure.


    I also deeply feel that the knowledge of pharmacology is insufficient, so I go back to the apartment after get off work every day and spend as much time as possible to read books.


    ¡­


    When Zhou Can went to work the next day, the first thing he did when he arrived at the hospital was to go to the ward to check on the four patients he was in charge of.


    As soon as I entered the ward, I saw a woman with gray hair in front of the 77th bed.


    The age should be about fifty years old.


    The crow''s feet in the corners of the eyes are very deep, the legal text is also extremely heavy, and there are also wrinkles on the forehead.


    As humans grow older, aging is simply irresistible.


    Skin wrinkles are the most easily observed signs of aging.


    As for the graying of hair, modern people''s lives are under great pressure, and many people have graying hair at a young age. This can no longer be used to judge a person''s age.


    The female patient on the hospital bed should have cried, and her eye sockets were still wet.


    It''s just that her face is full of happiness at the moment.


    If I guessed correctly, the female patient''s mother finally rushed over from other places.


    "Doctor Zhou, good morning!"


    The female patient greeted Zhou Can with a smile.


    It can be clearly felt that she has become much more cheerful. In the eyes and on the face, there is a kind of positivity that has never been seen before, which is the look of hope for the future.


    "Morning! This is your mother, right?"


    Zhou Can asked with a smile.


    "Yes, my mother arrived at the hospital at eleven o''clock last night."


    When she looked at the woman, she was full of love and a trace of regret that could not be concealed.


    In this world, only parents will treat their children unconditionally.


    Parents are the real Buddhas.


    No matter how miserable their children are outside, how flawed they are, or how rebellious they are, they always love their children unconditionally in their hearts.


    "Auntie, hello! It''s hard work coming here from other places, isn''t it?"


    Zhou Can greeted the woman friendly.


    "It''s just that it takes a long time to take the train, and the transfer was delayed for several hours. Otherwise, I should have arrived at the hospital earlier. I heard from my daughter that yesterday you paid for her meals out of your own pocket. Thank you so much. By the way, how much is it, I will give it to you now."


    The woman wanted to stand up, but Zhou Can realized that she was leaning on crutches.


    There seems to be a problem with one leg.


    No wonder it has been sitting on the pony that comes with it.


    "Auntie, it doesn''t cost much to buy food, so you don''t have to pay. I''ve already told your daughter to actively receive treatment. When she recovers, when I go to your hometown, she just treats me to a good meal. "


    "I Have a Book of Ghosts and Gods"


    Zhou Can quickly waved his hand to signal the woman that you are welcome.


    "Okay, okay! If you really go to our Shiniu County, I will definitely treat you to the most delicious local specialties." The woman agreed with a smile, and was full of gratitude when she looked at Zhou Can. "Oh, my daughter has been stubborn since she was a child. When she was only a little over one year old, I divorced and took her to live alone. Later, when she was only a little over seventeen years old, a middle-aged I was deceived by the old man''s rhetoric. He refused to listen to my advice and married that old man..."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The woman talked about her daughter''s misfortune.


    "When she got married, I said, if you want to marry, don''t call me your mother anymore. She hasn''t contacted me in these years. My legs and feet are not convenient. I want to go to see her, but I am worried. It made her husband''s family look down on her, and it will be difficult for her to live in her husband''s house. It''s just that she didn''t expect her husband''s family to be so vicious. During her pregnancy, she often didn''t give her food, and often only gave her some leftovers Fan...she is so stupid."


    The woman wiped her tears as she spoke.


    "Two days ago I received the first call from her in four years. When I heard that she had stomach cancer, I was stunned. After her husband''s family sent her to the hospital, she left directly. Now the phone call is gone. I couldn¡¯t get through, and I made it clear to her that I would not bear her medical expenses and let her fend for herself.¡±


    To put it bluntly, she was abandoned by her husband''s family.


    This girl, who is so beautiful, married an old man and ended up like this.


    It''s so miserable.


    Not to mention Zhou Can, even the other patients in the ward were filled with righteous indignation.


    Good people in this world can be very, very kind, and bad people can be vicious, wicked, and ruthless, and they can also be unimaginably bad.


    "Have you ever received a marriage certificate?"


    Zhou Can asked the girl.


    "I have received it before. Ever since I got sick, I was forced to divorce. I disagreed, so he and his family beat me to death." When she talked about these things, her voice was several times whimper.


    No wonder she has so many traumas on her body.


    This husband and his family are simply not human beings, but beasts.


    "It''s okay to leave, we are orphans and widowed mothers, and I am a disabled person, so I can''t fight against those villains. Over the years, I have saved a little money from work, which was originally intended to be used for the elderly. Now that she has this disease, As long as there is a glimmer of hope, I will ask the hospital to save her. Even if it is a waste of money, we will treat her."


    The woman said to Zhou Can.


    They are two weak women, and the woman is disabled, which already belongs to the lowest vulnerable group.


    Even though the woman hated her daughter''s ex-husband''s family deeply, she still chose not to pursue it.


    It''s not that he doesn''t want to ask for an explanation, but that he knows he can''t afford to offend him, so he can only smash his teeth and swallow his blood, and swallow this breath.


    The world of adults has too much helplessness.


    "Her current stomach tumor is still in its early stage. As long as it is operated in time and supplemented with radiotherapy and chemotherapy, it has a high probability of being cured. If you agree, I will report it to the superior doctor and arrange surgery for her as soon as possible."


    Zhou Can doesn''t comment on other people''s private affairs.


    Instead, talk only about treatment-related matters.


    This is also a practice principle taught by his teachers.


    Doctors only care about treating diseases, and don''t care about the private affairs of patients and their families. There are too many injustices in the world, and it is impossible to manage them.


    Almost all cancers should be operated as soon as possible as long as they are confirmed and there is still a chance for surgery.


    The longer the delay, the worse it is.


    The spread of cancer cells, in addition to spreading to surrounding lymph nodes, adjacent organs, and tissues, will also spread to distant parts of the body along with the blood.


    "Agreed, we agree. Please ask the hospital to arrange surgery for us as soon as possible."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Okay! I''ll see Director Shang later, report the matter to him, and arrange for you as soon as possible. The specific treatment fee is still unclear, but you have to be prepared. Before the operation, the hospital will ask for a prepayment of the treatment fee The cost of her treatment mainly includes two parts, the operation fee for resection of gastric cancer, and the chemotherapy fee after the operation. At least about 60,000 yuan should be prepared, and the total treatment fee may exceed 100,000 yuan. If you have medical insurance, you can reimburse a large part of it. .¡±


    Zhou Can told them in advance how much money to prepare.


    The most important thing in cancer treatment is money.


    Gastric cancer resection, if the tumor is small and the operation goes well, may only cost about 6,000. If the tumor is large and requires an open surgery, at least 20,000 yuan will go up.


    The girl couldn''t even get enough to eat at her husband''s house and could only eat leftovers, almost certainly not paying her medical insurance premiums.


    Without medical insurance, all treatment expenses have to be paid for by oneself.


    This is why buying health insurance is important. In case of a serious illness, unfortunately, it can be cured.


    Some serious diseases cost hundreds of thousands of treatment fees, which is really beyond the reach of ordinary families. Even if they can bear it, the family may return to poverty due to illness.


    Zhou Can checked 77 beds of gastric cancer patients and 79 beds of liver cirrhosis patients.


    Currently, the patient''s condition is similar to yesterday''s.


    There was no significant deterioration of the condition.


    I really hope Director Shang can agree to give this patient an venous angiography sooner.


    Early detection of the cause can lead to early treatment.


    The chief physician generally doesn''t care much about patients with such a mild condition.


    Because they worry about some key patients.


    Later, Zhou Can may have to take the initiative to ask Director Shang to mention the 79-bed patient for examination.


    After checking this ward, he went to the 71-bed patient ward.


    It was agreed yesterday that surgery will be arranged for the patient today.


    Zhou Can made a pre-operative explanation to his family members.


    As for the preoperative talk and signing, we will have to wait until a little later.


    Checked out the beds I managed.


    Zhou Canshun took the other two Gui Peisheng in the help group to check other beds.


    The symptoms of the patients in the 72nd bed were fairly stable, and the patients in the 73rd bed were as expected, and their condition had begun to improve significantly. There is no more continuous hum ah hum.


    It shows that the patient''s stomach is no longer so painful.


    On the contrary, it was the patient''s wife, that is, the aunt who didn''t listen to persuasion, lying on the edge of the bed, humming twice every few seconds.


    His face looked particularly frightening.


    Pale and pale, without a trace of blood.


    Even the groan was weak and weak.


    "Auntie, Auntie, are you okay?"


    Zhou Can gently pushed her.


    "Woo... I have a severe stomachache, dizziness, and intermittent chills. Doctor, can I trouble you to fetch a bottle of boiled water? I really can''t walk."


    She must have run to the toilet a lot in one night.


    And with continuous severe diarrhea, people will soon become dehydrated and lose strength.


    "Okay! It''s the water bottle, right?"


    "Hmm! Thanks..."


    Big Mom nodded weakly.


    Zhou Can fetched a bottle of boiling water for her, and poured a glass of water for the couple.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Seeing his aunt sick like this, he couldn''t help but feel worried.


    It''s not a good thing to feel cold.


    In the words of Chinese medicine, this is called cold evil entering the body, and there will be stagnation of qi and blood stasis, and the imbalance of yin and yang in the body.


    "You are so sick, you should hurry up and make an appointment! This illness cannot be delayed!"


    Zhou Can persuaded again.


    It really felt a bit like history repeating itself, Bian Que met Cai Henggong.


    The first time he died, the second time he was not cured, and the third time he was already terminally ill, and there was no cure for it.


    Under normal circumstances, salmonella infection will cause diarrhea, fatigue, nausea, vomiting and so on. But like aunt, in just over a day, people have become so sick that they can''t turn on the water by themselves, and it is difficult to even raise their heads.


    This is unimaginable.


    It also shows that her body''s defense against salmonella is likely to be completely lost.


    "It''s okay, I''m in good health, and the anti-antibody passed. Isn''t my husband much better today? I''ll definitely get better when I wait until tomorrow."


    Aunt still refused to seek medical treatment.


    Zhou Can didn''t persuade him anymore, but went directly to the corridor, and looked at the vomiting patient who was admitted yesterday evening His condition did not deteriorate further.


    But with such a big bug in the patient''s head, the sooner it is dealt with, the better.


    It has been delayed for a long time, and I am really worried that there will be a big problem.


    In the unlikely event that the bugs become agitated and move to the brainstem area, the patient may need to be sent for rescue in minutes.


    Let''s see the result of Director Shang''s coordination with Shenwai later!


    If it doesn''t work, Zhou Can will probably show his old face again and come forward to help coordinate.


    Back in the office, I just ran into Yu Xin and Duan Zifu.


    "Good morning, Doctor Zhou!"


    "Morning, everyone!"


    Zhou Can found that there were already five doctors in the office, and even Dr. Chi was greeting him with a smile.


    He can only respond in this way.


    "Doctor Yu, I went to the ward for rounds just now, and saw that the aunt in bed 73 had become so ill that she couldn''t even lift her head up. I advised her to register for a doctor''s appointment, but she refused. I think this is very dangerous. , can¡¯t delay. You have to report the situation to the deputy director of the department or director Shang. If the family member accompanying the bed dies in the hospital, it will be a big deal.¡±


    Zhou Can walked all the way from the emergency department and saw all kinds of strange things.


    The patient was fine, and the family members accompanying the bed died suddenly in the hospital for no reason. It really happened.


    There was even a doctor in the cardiothoracic surgery department persuaded a family member because he smoked in the elevator, and then the family member got very angry and scolded the doctor.


    In the end, without cursing a few words, the family members suddenly fell to the ground clutching their chests.


    Afterwards, the family members died of a heart attack.


    What''s even more ridiculous is that the relatives of that family member sued the doctor involved.


    (/novel/)

 Chapter 245： Mr. Luos problem

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    When Yu Xin heard Zhou Can speak so seriously, she suddenly became nervous.


    "I, I''ll go to the ward to have a look right away! That aunt is really serious, why doesn''t she listen to persuasion!" She lifted her foot and walked out.


    "Doctor Zhou can''t persuade you, and it''s useless if you go. Boss Luo is better at dealing with this kind of thing, you can ask him for help."


    Doctor Chi said to her.


    Hospitalization always takes care of almost everything. Dealing with various doctor-patient disputes and eliminating potential hidden dangers are all things he often does.


    Luo Shengsheng must have rich experience in dealing with this kind of family members.


    Logically speaking, Luo Shengsheng lived in the hospital on duty all day long, so he must know something about the situation of the family members in bed 73. But he didn''t care about it.


    In the final analysis, it''s none of your business, let''s hang on high.


    Even if something happened to his family, he would not be responsible.


    "Hey, say Cao Cao, Cao Cao will be here! Isn''t President Luo here?"


    I saw Luo Shengsheng walked into the office quickly, with a tired and unhappy look on his face.


    "Is there something wrong with one of the patients?" Luo Shengsheng picked up his cup and took a few big gulps.


    "The family member in bed 73 was infected with salmonella and was in a serious condition, but the family member refused to see a doctor, and kept lying on the bedside to resist. What do you think is going to happen?"


    Duan Zifu rushed to help Yu Xin explain the situation.


    Luo Shengsheng''s expression didn''t change after he finished listening. Sure enough, he already knew about this.


    Come to think of it, this is what the hospital always does.


    The Department of Gastroenterology has more than one hundred beds for patients, which bed does Luo Shengsheng not know?


    "What else can I do? Can you push the head of a 300-jin buffalo without drinking water? The family members themselves are not in a hurry. We doctors really don''t need to worry about salty carrots. When the female family member suffers If I can''t stop, I will obediently register for medical treatment."


    Luo Shengsheng said nonchalantly.


    "But...what if a family member dies in the hospital? Will it affect the doctor in charge of the bed?"


    Duan Zifu really thinks of Yu Xin everywhere.


    Ask her what worries her the most.


    "It will have a little impact, but not much. After all, as doctors, we can only advise patients to seek medical treatment as soon as possible. If the patient does not listen to advice, no one can do anything about it. You don''t need to talk to that family member, she will figure out a way by herself."


    The method Luo Shengsheng gave was just two words, lie flat.


    Just let the family members die in the hospital.


    "Mr. Luo, is there a better way?"


    Yu Xin couldn''t help asking.


    Duan Zifu''s mind was a little tricky, so he almost agreed to lie down. But she is an aspiring doctor, and she is not willing to watch her family members have accidents.


    She believed that Luo Shengsheng must have a better way.


    He just didn''t want to help her.


    "Yes, of course there are better ways than this. For example, continue to persuade family members to seek medical treatment, or find other ways to help family members correctly understand the current illness, etc."


    Luo Shengsheng said a few words briefly, drank the water, operated on the computer a few times, and then checked carefully.


    After watching for less than a minute, he got up and walked out.


    "The patient in bed 16 needs abdominal puncture, which is not going well. I have to go there and continue to fight. What''s the matter with you, try to find a way to solve it yourself, understand wave?"


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    After finishing speaking, he ignored Yu Xin and Duan Zifu, and walked to the door of the office in a few steps.


    Luo Shengsheng probably went back to the office to temporarily check the information related to the piercing on the Internet. Either learn the technique of piercing, or look at the diagram of the abdominal viscera.


    Seeing the situation, Yu Xin could only think of a way by herself.


    However, she has no good way at all.


    You can''t drag your family members to see a doctor by force, right?


    I''m afraid I have to ask Mr. Luo for help in this matter.


    "Wait a minute. Mr. Luo needs to perform abdominal puncture on the patient, right?"


    Zhou Can called Luo Shengsheng to stop.


    "Doctor Zhou also has something to ask me to solve?"


    Luo Shengsheng stopped and looked at Zhou Can.


    His attitude is much more polite than that of Yu Xin and Duan Zifu.


    "I happen to be more experienced in piercing, and I will go there with Mr. Luo to help."


    Zhou Can smiled and offered to help Luo Shengsheng.


    Usually he would not be so proactive, but this time he also wanted to help Yu Xin, a member of the same group.


    That aunt is too difficult to persuade, and only Mr. Luo can handle it.


    "This patient''s peritoneal effusion is relatively serious, but the effusion is close to the chest cavity, where the organs are dense and the puncture is extremely difficult."


    Luo Shengsheng didn''t trust Zhou Can''s puncture technique very much.


    Although Gui Peisheng must learn the four major puncture techniques, most of them end in failure when they practice it.


    After three years of regular training, many people still cannot master the puncture technique proficiently.


    Chest puncture, abdominal puncture, lumbar puncture, and bone marrow puncture, none of them are easy to operate. They are all extremely difficult, making newcomers daunting.


    Zhou Can''s puncture technique is now at the fifth level, which is two full realms higher than that of Luo Shengsheng, a resident doctor.


    Luo Shengsheng''s inability to puncture may be a trivial matter in Zhou Can''s eyes.


    "It''s okay, let''s follow Mr. Luo to have a look first. If you can''t help me, you can follow me to learn more, right?"


    Zhou Can followed Luo Shengsheng out.


    All the way to the ward, I saw an old lady with a big belly lying on the 16th bed. His body was skinny, except for his terribly big belly.


    People who didn''t know thought that the old lady had a medical miracle and became pregnant.


    At this moment, the old lady''s abdomen still has the marks after disinfection. A nurse was busy at the bedside, and the patient appeared to be in extreme pain.


    There were scars left after the puncture on the abdomen, but the bleeding stopped.


    The puncture itself is a minimal incision.


    "Doctor Luo, do you think you can help her get another puncture now? The patient has been crying and dying of pain."


    The nurse said to President Luo.


    The two family members stood by the hospital bed and watched anxiously.


    "Okay! Don''t worry, her peritoneal effusion is very special. The organs are squeezed and displaced, and the puncture is extremely difficult. I can only say that I tried my best. If any doctor came to operate, it would be difficult. This result."


    While agreeing, Luo Shengsheng began to put on sterile gloves and lightly pressed the patient''s abdomen again.


    Zhou Can took the film to check.


    The effusion is not only serious, but also close to the chest cavity. As Luo Shengsheng said, some organs were affected by the effusion, and they were squeezed and displaced.


    No wonder Luo Shengsheng said the piercing was difficult.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Luo Shengsheng, wearing sterile gloves, was always looking for a suitable puncture site. After Zhou Can watched the film, he checked the actual condition of the patient, and he already had a bottom line in his mind.


    Thinkers


    However, it would definitely not be good to directly steal Luo Shengsheng''s limelight at this time.


    Trees need bark, people need face.


    Pay special attention to protecting the dignity and face of others at all times.


    If you embarrass others and you can''t step down, even if you help the other party, you will only gain hatred.


    Zhou Can had to wait for a suitable opportunity.


    Finally, under the anxious eyes of his family members, Luo Shengsheng began to perform the puncture again. After one injection, the peritoneal effusion was successfully drawn out, and a happy smile appeared on his face immediately.


    I thought it was a success.


    The result was the same as last time, only a little effusion was drawn out and then stopped.


    The patient''s abdomen swelled so high, like a pregnant woman in labor. Only a few milliliters of effusion was induced, which had no effect on slowing down the condition.


    "Mr. Luo, can I try it? You will guide me by the side."


    Zhou Can felt that the time was almost here.


    Seeing that Luo Shengsheng''s face showed a complete loss of confidence and frustration, he only had one way to go, and he asked a senior doctor to come and help.


    If it was so good, he would have asked Dr. Chi to help him when he returned to the office just now.


    For regular trainees like Zhou Can, or interns, if the puncture fails, they can confidently ask the superior doctor for help. He is a senior resident doctor, and he has already started to attack the person in charge. He can''t even do a abdominal puncture, and it will only make people laugh if it spreads.


    The superior doctors'' impression of him will also be reduced.


    Everyone will think that his operational ability is weak.


    This is a very bad thing.


    "You... operate carefully, and don''t act too hastily."


    Luo Shengsheng hesitated for two or three seconds, and finally agreed.


    He also heard something about Zhou Can in other departments. I only know that Zhou Can is very good, and he is highly regarded by the chief physician in many departments. At present, it has become the key training object of the hospital.


    In fact, as early as when Zhou Can was transferred to the intensive care medicine department, he had already been designated as a key training object by the hospital.


    After the last rotation in general surgery ended, it was even more extraordinary.


    It has been included in the famous doctor building plan from ordinary key training objects.


    In the past, when he was transferred to the surgery room, Director Xie could do something to suppress him. Now, as long as Director Xie''s brain is not burned out, he will never do such a thing.


    It''s not that I don''t want to, but that I can''t do it.


    To suppress Zhou Can again would be to put eye drops on the senior management of the hospital. The head of a mere department of a major surgery is half a level lower than the vice president.


    Really ignorant, ignorant, being dismissed is just a matter of a seminar.


    Therefore, Director Xie has been very quiet recently.


    "Can''t you hire an experienced old doctor to do the operation? My mother has already received two injections, but the puncture was still unsuccessful. You ask an intern to do the operation, which is too disrespectful to the patient. "


    The family members protested with black faces.


    Luo Shengsheng failed two punctures, and the family members were already quite dissatisfied.


    Now he actually agreed to let a young doctor whose position is lower than Luo Shengsheng''s to perform the operation. This is obviously using the patient as a guinea pig for practice.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The family was immediately outraged.


    "This is Dr. Zhou Can who has been transferred to our department. He is not an intern, but a legal doctor with a medical license. Also, he is very famous in the field of surgery and stronger than me, so he is invited Come to puncture. As for what he said to let me guide, it is to save face for me."


    Luo Shengsheng is very good at dealing with family members.


    A few words put out the anger of the family members.


    "Doctor Zhou, please operate!"


    At this time, Luo Shengsheng was already on the verge of riding a tiger, and he only hoped that Zhou Can would not be framed.


    Otherwise, the family members will be very difficult to explain here.


    Zhou Can nodded, without hesitation, but calmly, holding the needle and stabbing at the puncture point he had chosen earlier.


    Fast and hard.


    Luo Shengsheng''s heart almost jumped out of his throat.


    It''s just too scary.


    This is not a puncture, it is clearly the injection of pigs and cattle to be so violent.


    This is human!


    Moreover, the puncture site is still close to the chest cavity, and the important organs are densely packed.


    If there is a hemorrhage in the liver, stomach bleeding or something, it will end.


    The calm expression on the face of the family members has become extremely frightening, and the anger surged on the face again.


    But before they got angry and cursed, the nurse shouted in surprise, "It''s coming out, it''s coming out, the effusion has been drawn out."


    After successful puncture, bright yellow liquid flowed out from the catheter.


    When it comes out, it is almost jet-like, which is completely different from Luo Shengsheng''s previous puncture results.


    After Luo Shengsheng''s two punctures, although bright yellow liquid could flow out of the catheter, the speed of the flow out was extremely slow.


    [Injection experience +1.]


    [You have successfully completed an ultra-difficult paracentesis, reward injection experience +100.]


    The system never seems to be stingy.


    When the reward is 100 experience points, it will never be discounted.


    "This, what kind of fairy operation is this? Is this a success?"


    Luo Shengsheng was dumbfounded, and felt that the puncture techniques he had learned before were all fake medical techniques. On the contrary, it was Zhou Can''s seemingly violent operation, but in retrospect, he was handsome and efficient.


    Could it be that the correct operation of puncture should be as vigorous as Dr. Zhou just now?


    It seems that the next time I puncture a patient, I can''t be so delicate.


    But when Luo Shengsheng calmed down and saw clearly where Zhou Can had pierced, he became uneasy again.


    At this puncture point, important organs intersect, and large blood vessels pass through.


    At that time, it wasn''t that he hadn''t thought about choosing this part for puncture, but he just gave up as soon as he considered the danger.


    Puncture at this point, if he were to operate it, let alone a tiger, even if the puncture was done carefully, it might injure organs or blood vessels.


    How did Zhou Can do it?


    What came out of the catheter was indeed fluid, not any blood. This means no organs or blood vessels were injured.


    The scariest thing about performing a paracentesis at this site is that red blood spurts out of the catheter as soon as the needle is inserted.


    When this happens, you win the lottery.


    The large blood vessel was pierced.


    This is also the practical reason why the teaching teachers are unwilling to let interns and regular trainees get started with any slightly higher risks.


    In case something goes wrong, the teacher will not even have time to cry.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Is this all right?"


    The family members also had complex expressions and were full of emotions in their hearts.


    Seeing that the doctor named Luo failed to operate twice, they also knew that the puncture must be extremely difficult. It''s just that I didn''t expect that after the seemingly younger Dr. Zhou came on stage, it would be done with one injection.


    And the speed was so fast that it was too late for people to stop.


    It happened to be successful.


    They all began to wonder if Luo Shengsheng was acting there before?


    The eyes of the family members looking at Zhou Can have changed from doubt and anger at the beginning to respect and gratitude.


    For family members, whoever can cure their relatives is their benefactor.


    "It''s the first time I''ve seen Dr. Zhou''s puncture operation so lightly! The level is so high I''m afraid it''s not inferior to those chief physicians!"


    Nursing nurses are mostly young girls.


    This female nurse is about twenty-three or twenty-four years old, very young.


    Seeing how powerful Zhou Can''s piercing skills are, she adored Zhou Can.


    He even smiled and took the initiative to chat and show his favor.


    "Hehe, the beautiful nurse has won the prize! I''m still far from the director''s level."


    Zhou Can''s current injection skills are at the level of a deputy chief physician. To be promoted to a chief physician, he needs a full 100,000 experience points. This is an extremely scary number.


    It''s still a long way to go.


    As many of his medical skills were promoted to the fifth level, the upgrade speed of these medical skills began to become very slow.


    it `s just normal.


    It takes many doctors 20 or 30 years to reach the level of chief physicians, and this refers to a very small group of excellent doctors.


    As for the kind of doctors with dull talents, they can only be at the attending level for the rest of their lives.


    "I saw the patient''s radiograph just now. Her peritoneal effusion will continue to produce fluid until the lesion is not resolved. It is best to keep this drainage tube. However, special attention must be paid during the nursing process. When drainage When no fluid flows out of the tube, the tube should be withdrawn in time to avoid abdominal infection."


    Zhou Can reminded the nurse.


    For the care of patients, the hospital has never clearly stipulated that only nurses can operate.


    Basically, doctors and nurses work together to manage patients well and ensure that patients are discharged smoothly after recovery.


    "Mr. Luo, this patient''s puncture has been completed, and the family member of the 73rd bed may have to ask you for help!" Zhou Can made a request to Luo Shengsheng.


    (/novel/)

 Chapter 246： The inch is shorter and the ruler is longer. Amazing volume of endoscopic procedures

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The two were walking side by side in the corridor at the moment. Hearing this, Luo Shengsheng stopped and turned to look at Zhou Can.


    "Isn''t the 73-bed patient under the management of Yu Xin? Doctor Zhou is a hero who is sad and beautiful. Want to help her?"


    "Hey, that''s right! But if I have the idea of ??pursuing her, I really don''t. It''s because we all belong to the same medical group, and I think the couple in bed 73 is not in a good family. It''s all suffering haha The bottom of the society. When the patient''s condition is really serious, the cost of treatment will be terrible. The key is not necessarily life-saving."


    Zhou Can has his own ideas.


    To say that he is interested in a beautiful woman is really wronging him.


    Yu Xin''s appearance is not bad, but compared with Su Qianqian, the gap is not a little bit.


    In Zhou Can''s eyes, she is at best a vulgar fan type.


    "So that''s the case. Doctor Zhou has a benevolent heart, which is admirable!"


    He gave Zhou Can a thumbs up.


    "I didn''t need you to specifically ask about this matter, and I would handle it easily. The main reason is that Yu Xin, that woman, is too aloof. She rarely greets her when they meet each other. Just ask whoever owes her twenty-five It¡¯s like 80,000, it¡¯s unpleasant to see.¡±


    Yu Xin''s character is indeed a bit too cold, it''s perfectly normal for others to criticize her.


    There are always some women who don''t know where their confidence and confidence come from. They pull their faces all day long, thinking that everyone will revolve around them.


    As a result, it is conceivable that the relationship between this kind of woman and her colleagues in the unit can maintain a superficial harmony, which is considered very good.


    When they really encountered something, there was no one to help.


    Compared with Yu Xin, Qiao Yu is much better than her.


    Qiao Yu is not only more beautiful than Yu Xin, but also has a much higher EQ.


    Even if Dr. Lu pestered her so much, even if she hated Dr. Lu so much, she never broke her face.


    "Doctor Zhou opened his mouth. I will definitely deal with this matter. It is actually a trivial matter. There are many ways to deal with this kind of family members. I will go and deal with her now."


    After seeing Zhou Can''s piercing skills, Luo Shengsheng''s attitude towards Zhou Can became more enthusiastic and friendly.


    Zhou Can returned to the office.


    Yu Xin sat there with a sad expression on her face. It seems that she went to persuade the aunt again, but the effect was not satisfactory.


    Not long after, Luo Shengsheng came back with a relaxed smile on his face.


    "The family members of bed 73 have obediently registered for treatment! The patient''s younger sister will rush to the hospital to take care of her later."


    Luo Shengsheng said to Zhou Can.


    "Mr. Luo is amazing! Such a hard-to-persuade aunt, I didn''t expect you to take care of it easily. She is so sick that if she doesn''t go to the doctor, she will turn into typhoid fever or sepsis and can''t escape. Mr. Luo also saved her life. According to Buddhism According to the family, this is a seven-level pagoda!"


    Zhou Can was shocked when he heard that Luo Shengsheng persuaded the aunt so quickly.


    "Haha, it''s not that big of a merit! But good deeds can definitely be judged."


    Luo Shengsheng laughed happily, not without complacency.


    The inch is shorter and the ruler is longer.


    Everyone has their own special skills. Luo Shengsheng''s puncture skills may be far inferior to Zhou Can''s, but his ability to persuade his family members is simply at its peak and has reached the realm of perfection.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Anyway, let Zhou Can persuade that aunt, he is the first and the second eldest.


    Not far away, Yu Jie was originally frowning, but his eyebrows were tightly furrowed.


    Now when she heard that Luo Shengsheng persuaded the family members in bed 73, she was both surprised and happy.


    After thinking about it for a while, it became clear that Zhou Can must have secretly asked Luo Shengsheng to help her. Otherwise, Luo Shengsheng would not ask Zhou Can for credit as soon as he came in.


    "Thank you Mr. Luo, thank you Dr. Zhou!"


    Yu Xin still couldn''t believe it, so she hurried to the ward to check.


    She came back soon.


    But the sadness on his face was gone.


    "That aunt really went to see a doctor, and she was really persuaded by President Luo to leave."


    "Otherwise can it be fake?"


    Luo Shengsheng raised his eyebrows in dissatisfaction and asked back.


    "Dr. Yu definitely didn''t mean to distrust you. She just felt unbelievable like me. How can such a difficult family member be so obedient in front of you, Mr. Luo? Mr. Luo taught us newcomers!"


    Zhou Can quickly smoothed things over for her.


    Otherwise, with her cold face, Luo Shengsheng might be angered before she even opened her mouth.


    After hearing Zhou Can''s explanation, Luo Shengsheng''s expression softened a lot.


    He did a really good job on this one.


    "It''s nothing to say, I just moved out of the hospital''s infection prevention and control regulations, and said some harsh words to her. I told her that if she didn''t leave the ward immediately, the consequences would be extremely serious. As a result, before I finished speaking, her husband died Urging her to register for treatment as soon as possible."


    Luo Shengsheng did not elaborate on the harsh words he had said to the aunt.


    But it is certain that those words can bring enormous psychological pressure to the patients and their families in the 73rd bed.


    The person who can decide this matter is actually her husband.


    As long as her husband''s vital interests may be seriously affected, there is no need for the doctor to say anything more, her husband will be the first to be anxious.


    "It seems that you can''t just be polite to family members! Today, I learned another trick from Mr. Luo. When dealing with difficult family members, you must pay equal attention to kindness and dignity. When you should be serious, you must never be polite to him."


    Zhou Can has always been the worst at dealing with difficult family members.


    This has something to do with his upbringing.


    Since he was a child, the people he has dealt with are basically of high quality. Even if you encounter unreasonable people, you can still deal with them with your fists.


    But being a doctor in a hospital is considered a service industry.


    You must not use your fists against family members or patients!


    If there is anything, I can only persuade patiently.


    Luo Shengsheng''s handling of this difficult aunt gave Zhou Can a lot of inspiration.


    While chatting, Director Shang appeared at the door of the office.


    He didn''t mean to come in, but stood at the door and shouted at Zhou Can, "Doctor Zhou, remember to send the patient with esophageal anastomotic leakage in bed 71 to the interventional operating room on time."


    This case is a highly difficult surgical case.


    Endoscopic surgery in gastroenterology has been done a lot, but it is still full of challenges.


    "OK!"


    Zhou Can also hoped that this patient could undergo surgery as soon as possible.


    The patient''s body has become very weak due to long-term inability to eat.


    The sooner you have surgery, the better.


    ¡­


    In the interventional operating room, the 71-bed patient was sent into the interventional operating room by Zhou Can and the nurses.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Both the family and the patient expressed their willingness to take the risk of doing this operation.


    Because the patient is in so much pain.


    The anastomotic stoma between the esophagus and the jejunum was blocked, making it impossible for the patient to swallow saliva, so a spittoon was always needed to be placed by the bedside. The degree of pain is unimaginable to ordinary people.


    After the anesthesia was administered, Director Shang performed the surgery himself.


    With the cooperation of the nurse, a thin needle less than 1mm was inserted through the patient''s esophageal anastomosis into the opposite intestinal cavity by using an endoscopic ultrasound. The whole process requires the aid of XX-ray images.


    Zhou Can stood by and stared at it for a while.


    Pity.


    What a great opportunity for surgery, if he can get started with the operation, he can earn at least 100 points of advanced medical experience rewards.


    The whole endoscopic puncture process went smoothly, and the selected nurses were also the best endoscopic surgery nurses in the department.


    Director Shang also specially called a deputy director to come over as an assistant to avoid any mistakes.


    The covered metal stent is placed next.


    Although the placement was successful in the end, Director Shang''s placement technique was not very good in terms of the proficiency of the operation technique and technique.


    If you are exhausted, you will be at the level of attending, which is about the same as Zhou Can.


    But this is already very powerful.


    There is no pure gold in gold, and no one is perfect.


    The endoscopic surgery ability of many chief physicians is not satisfactory. Director Shang is already considered a high-ranking dwarf and a master of endoscopic surgery.


    "Okay! The blocked jejunum-esophageal interface has finally been opened for him."


    Director Shang was very happy.


    The whole operation process was extremely smooth and took only one hour and five minutes.


    However, this is only to help patients solve the problem of anastomotic segment occlusion, and the problem of esophageal anastomotic leakage still exists.


    "Okay, the operation was a success, we are going to remove the endoscope and wake up from the anesthesia!"


    Director Shang directly announced the end of the operation.


    Zhou Can was stunned for a moment, he clearly proposed to Director Shang to repair the fistula before!


    Seeing the joy of the doctors and nurses, Zhou Can hesitated for a while, and decided to mention this matter.


    In order to repair the fistula, he also did a lot of homework.


    The surgery ended like this, and the patient still couldn''t eat in the future.


    "Director Shang, the patient''s fistula has not been resolved yet, can you take this opportunity to resolve it together?"


    Zhou Can really bit the bullet and made this suggestion.


    He is just a regular trainee, and his relationship with Director Shang is still very strange. It is far from being a friendship or even a deep relationship.


    If it was Mr. Liu or Dr. Xu, Zhou Can would give his opinion casually.


    As long as it is reasonable, they will readily agree.


    Director Shang was in high spirits at the moment, and Zhou Can mentioned that there was still one problem that had not been resolved, which was tantamount to spoiling his spirits.


    "It is extremely difficult to solve the anastomotic leakage of the esophagus. The second hospital where the patient underwent surgery is the same as our Tuya, which is also a top-tier provincial hospital. As a result, the problem not only failed to be solved, but caused the anastomotic occlusion. We want to solve the esophageal anastomosis. The anastomotic leakage problem must be cut off and re-anastomized. This operation is very risky, so it is not recommended.¡±


    Director Shang was a little unhappy, but because of Zhou Can''s outstanding performance yesterday, he patiently explained it to Zhou Can.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    There are many reasons for esophageal anastomotic leakage.


    Some are due to insufficient suturing, poor local blood supply, anastomotic errors, and so on. Some are due to postoperative infection, or cut tissue necrosis, or pleural effusion.


    The last situation is local infection and suppuration, or the anastomosis is too small.


    It can be seen from this that doctors with poor surgical skills kill people.


    The above-mentioned reasons are almost all caused by the poor level of surgery. If the first surgery is done for this patient, nothing will happen afterwards.


    As a result, because the first anastomosis was not in place, I suffered so much for life.


    "Can I try it? I might be able to pinpoint the fistula and close it."


    Zhou Can dare to say this based on the five-level suture and ligation technique.


    "Repair the fistula with the help of an endoscope in a narrow lumen? Zhou Can, it''s really not that I''ve broken your confidence. There is no such doctor in the world who can do it successfully."


    Director Shang himself is a master of endoscopic surgery, and has a very deep understanding of endoscopic surgery.


    "I didn''t say that the repair of the fistula should be completed in the esophagus or jejunum! My idea is to find the fistula, then open two small windows from the outside, and use the endoscope to complete the repair work."


    Zhou Canqi persevered and continued to fight for the opportunity to repair the fistula for the patient.


    "Open two small windows in the chest? How high is the risk, do you know?"


    Director Shang raised his voice a lot.


    This young regular trainee is really messing around. Do you think surgery is a child''s play house?


    If only esophageal anastomotic leaks were so easy to repair.


    "What if the fistula is in this position?"


    Zhou Can pointed to the upper left abdomen of the patient.


    "Do you think the fistula is in this position?" Director Shang''s expression became much more serious.


    "It''s not clear yet, and it''s only inferred based on the patient''s examination in another hospital and some current symptoms. At present, the patient''s anastomotic stoma has been successfully dredged by you, and you can check it with angiography."


    Zhou Can said calmly.


    Even when facing a department director, he was neither humble nor overbearing. Not to mention any fear.


    Just normal communication.


    "Okay, I''ll follow your opinion and check the fistula opening and fistula channel with angiography. The ugly thing is, if you want to open the chest, I will never agree. Even if you just open two small windows, it will never work. The patient''s age With such a large size, coupled with long-term malnutrition, it is difficult to withstand open chest surgery. Moreover, his chest organs are likely to be severely adhered."


    Director Shang has his own worries and concerns.


    The patient has undergone two surgeries, and the viscera and tissues of the thoracic and abdominal cavities will definitely adhere to a certain degree.


    This will undoubtedly increase the risk and difficulty of surgery.


    When multiple risks increase, the risk level of surgery will increase exponentially.


    For the sake of safety, neither the surgeon nor the anesthetist will agree to perform such an operation.


    "Thank you for agreeing!"


    Zhou Can successfully persuaded Director Shang and heaved a sigh of relief.


    Next, an esophagogram was performed, and it was found that the fistula was right where Zhou Can had pointed.


    The fistula is easier to find, as it is directly connected to the drainage tube.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Even if the fistula is in this position, the difficulty of repairing it is still frighteningly high. Are you sure you can complete it?" Director Shang secretly evaluated, and he is not sure at all if he is asked to do this repairing.


    "If you agree to delegate power to me to do it, I''m at least 80% sure of success."


    Zhou Can didn''t dare to speak too harshly.


    80% certainty is already very high.


    Because doctors tend to use extremely conservative estimates.


    Director Shang did not immediately agree, but lowered his head to consider the risks involved.


    "I heard that you have performed many endoscopic operations in other departments, is it true?"


    Director Shang stared firmly at Zhou Can''s eyes when he was asking.


    His gaze was breathtaking, it was to prevent Zhou Can from lying.


    "it is true."


    Zhou Can gave an affirmative answer.


    "How many cases did you fail in total?"


    Director Shang asked again.


    "Zero cases!"


    Zhou Can''s answer shocked everyone.


    The failure rate of surgery is not low, even in a large hospital like Tuya, the failure rate of surgery is still quite high.


    Any surgery has risks.


    Director Shang was also full of suspicion.


    "To be precise, there were zero cases of failure during the operation. The postoperative treatment effect did not meet expectations, and there were eleven cases in total."


    Zhou Can explained.


    "Then how many endoscopic operations have you performed in total?"


    According to ordinary people''s thinking, the failure rate is zero, and the total number of operations performed must be very small.


    It is even possible that only eleven cases were done in total.


    Although none of the eleven cases of endoscopic surgery had any problems during the operation, the postoperative results were not good, which can explain Zhou Can''s poor surgical ability in disguise.


    "There may be more than 500 endoscopic operations completed in total! I haven''t counted the specific number of cases."


    Zhou Can was really stumped by this question.


    For surgery, he can at most calculate the total number of surgeries for the day. As for the total number of surgeries performed since the training, how can he have the time to calculate this!


    If you have that time, you might as well read two more books.


    "Oh my god, there are more than 500 endoscopic operations in total! Is this really something that a regular trainer can do?"


    After hearing this, the deputy chief physician couldn''t help exclaiming.


    Others are also strongly skeptical of authenticity.


    Zhou Can''s general training time is less than two years.


    "Well, just wait a moment, I''ll make a call to find out."


    Director Shang went to the side to make a phone call.


    The matter is so important that he dare not be careless. Only after confirming that Zhou Can had really completed a large number of endoscopic surgeries would he consider asking Zhou Can to repair the fistula.


    "Is it the old bear? I''m Shang Feng from the Department of Gastroenterology. Can you check for me how many endoscopic surgeries Dr. Guipei Zhou Can has participated in?"


    "Yes, yes, I want to know the result immediately."


    ¡­


    After waiting for about a minute, the result was found on the other end of the phone.


    "What... You said that Zhou Can has participated in more than 800 endoscopic surgeries?" This number really scared Director Shang It seems that Zhou Can only reported 500 surgeries, which is already very conservative .


    "Understood! I just want to know about his endoscopic surgery ability and experience. This result really scared me. Okay, thank you old friend for your help. I''m currently undergoing surgery here, so I won''t tell you!"


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    After finishing speaking, Director Shang hung up the phone.


    I don''t know which department of the hospital this call is from? The other party probably has some power, otherwise it would be impossible to find out Zhou Can''s total number of surgeries he participated in so quickly.


    After the phone call, Director Shang already looked relaxed, with a very rare smile on his face.


    "Dr. Zhou really didn''t lie. To be honest, I''m really shocked that you participated in so many endoscopic surgeries." Participating in surgeries, if you just observe and learn, usually won''t be recorded in the surgical records.


    At least one has to be in the role of a third assistant to be eligible to be named.


    Don''t even think about being an intern doing miscellaneous hooks.


    "It is also the superior doctors in various departments who have vigorously trained me to participate in so many endoscopic operations."


    If Zhou Can told Director Shang that he was not only involved in many endoscopic operations, but also the chief surgeon, he wondered if he would scare Director Shang into a heart attack.


    "Okay! The repair of the fistula is up to you! Director Shi and I will be your assistants." Director Shang personally served as Zhou Can''s assistant, just because he was worried about any accidents during the operation.


    Just escorting Zhou Can by the side.


    (/novel/)

 Chapter 247： The finishing work is also very important, the first emergency doctors order

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "thanks, thanks!"


    Zhou Can had a flattered expression on his face, but he didn''t really feel much in his heart.


    Because it was not the first time that the Chief Physician served as his assistant.


    He is already used to it.


    I saw that he first sterilized the patient''s abdomen, and then drew the knife position for the window.


    Endoscopic surgery only requires two small incisions.


    The entire abdominal window opening process was completed by him alone.


    Internal medicine doctors, especially chief physicians, actually have certain surgical capabilities. But it certainly can''t be compared with the chief physician of surgery.


    Opening a small window in the abdominal cavity is already a high-risk and difficult operation in their view.


    Zhou Can finished it with ease.


    The surgical prowess revealed was enough to amaze Director Shang and Director Shi. Facing Zhou Can''s operation in their hearts, the two felt much relieved.


    At least you don''t have to worry about it like before.


    After the window was opened, an endoscope was inserted to operate the arm. With the help of the endoscope''s visual function, Zhou Can carefully began to perform the operation.


    Firstly, debridement of the fistula, and a certain degree of incision.


    Because after the fistula is formed, it has already formed a healing layer, and it is useless to suture it directly.


    This is one of the reasons why fistulas are difficult to repair.


    For example, catheter fistula in **, many surgeons are not good at this operation. Always lead to patient relapse.


    Zhou Can''s debridement technique is currently level four, and there is still a certain distance from level five.


    The main reason is that the debridement in most cases is normal debridement, and you can only earn 1 experience point at a time.


    The speed of upgrading will naturally become slow.


    This is the first time such an operation has been done with the help of endoscopic surgery to debride the fistula.


    According to his experience, there should be a certain amount of experience points rewarded to him.


    As for whether to give 10 points or 100 points, it is hard to say for the time being, and you will only know when you get it.


    Under Zhou Can''s careful operation, the fistula was finally successfully debrided.


    [Debridement experience +1.]


    [For the first time you complete the more difficult endoscopic surgery fistula debridement, you will be rewarded with +100 experience points.]


    Zhou Can was overjoyed to have successfully received 100 debridement experience points.


    The pay is directly proportional to the gain, and this is the best return he expects.


    After the debridement was completed and the fluid and tissue residues in the wound were sucked up, he checked the fistula carefully again to confirm that there was no problem before he began to suture.


    "Wow, what a strong suture level."


    Director Shang''s eyes widened in an instant. This was the first time he had seen Zhou Can''s suturing ability.


    To be honest, with Zhou Can''s suturing skills as the deputy director, any department of internal medicine is extremely amazing.


    It took less than 20 minutes for Zhou Can to successfully suture the fistula.


    "Director Shang, do you think it''s okay?"


    "It''s perfect! Boy, it turns out that your surgical ability is so strong that I was always on tenterhooks when I first started. I was wondering if I should let you complete the fistula repair operation!"


    Director Shang smiled openly as if he had picked up a super baby.


    Internal medicine needs to do a lot of interventional surgery.


    Especially in the Department of Gastroenterology, interventional surgery is required for the resection of various intestinal polyps and tumors.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    However, internal medicine is very short of powerful surgical personnel.


    Including chief physicians like them, the level of surgery is just that, far from being very good.


    Dealing with some routine surgical problems is also competent.


    However, in case of some emergencies, or the operation is extremely difficult, internal medicine often requires the help of a surgeon.


    Director Shang now finds out that Zhou Can''s surgical skills are so strong, and he thinks in his heart that if he encounters some difficult surgical problems in the future, he may be able to solve them without hiring someone.


    Asking for help is like swallowing a three-foot sword. Asking doctors from other departments to perform joint operations often takes some leisure.


    Gui Peisheng from his own department, of course, can do whatever he wants.


    The more he looked at Zhou Can, the more pleasing he was to his eyes, and he was extremely happy in his heart.


    Zhou Can lived up to his high expectations, cleaned up the fistula by the way, and then adjusted the drainage tube to a certain extent, then removed the endoscope and closed the two small wounds on the patient''s abdomen.


    As for the drainage tube, it can only be removed after the patient recovers after the operation and there is no more ascites or pleural effusion.


    "Doctor Zhou, just now you adjusted the drainage tube that was inserted, is there any deep meaning?"


    Luo Jingyin saw Zhou Can''s operation and was astonished.


    She didn''t know until now that this Doctor Zhou, who has stronger diagnostic ability, actually has extremely monstrous surgical ability.


    Such a genius, it''s amazing.


    When she looked at Zhou Can, countless little stars were shining in her eyes.


    The other two graduate students, Xie Lin and Qiu Chengyu, also admired Zhou Can''s ability.


    They haven''t even learned the four major punctures yet, and looking at Zhou Can, he can already open his laparotomy alone and complete difficult endoscopic surgery tasks independently. It''s really maddening to compare people to people.


    How come the gap is so big?


    "There should be a problem with the position of the drainage tube. I even suspect that the formation of an esophageal anastomotic leak after the first surgical resection of the patient''s stomach has something to do with the failure of this drainage tube."


    Zhou Can has rich experience in surgery and is familiar with thoracic, abdominal and cranial drainage.


    During the operation, he found that the drainage tube was not done properly.


    "When I was doing endoscopic surgery just now, I specifically checked the preset position of the drainage tube. When the previous doctor set it, the drainage point was set too high. If the patient can stand for a long time, it may not have much effect. But the patient has been Bed rest resulted in part of the pleural effusion being unable to be discharged. The effusion was soaked in the anastomotic end of the esophagus and jejunum, which eventually caused the wound to become infected and purulent, and could not heal well. Eventually, an esophageal anastomotic leak was formed."


    Zhou Can stated his point of view again.


    When dealing with the drainage tube, Director Shang didn''t say anything, but showed approval instead.


    It shows that his operation is completely fine.


    "So that''s how it is, I understand!"


    Luo Jingyin nodded receptively.


    "Zhou Can explained this problem very well just now, and it is also a mistake that many newbies make. I guess this drainage tube is not made by the chief surgeon. It is likely that the chief surgeon left the rest of the work to his subordinates after the operation. It happened to be a novice with no actual combat experience who buried this drainage tube. It ended up being a tragedy.¡±


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Director Shang seized the opportunity to educate the three graduate students under him.


    The three of them nodded repeatedly, expressing that they would definitely remember it.


    The surgical part of the chief surgeon has done a good job, and there are not a few medical cases where there are problems in the finishing work.


    Some surgeons are very busy. After finishing the key part of the operation, they leave it to the doctors under them. He himself left the operating room directly, or went to the next operation, or did other things.


    When the finishing touches are completed, there is a lack of supervision and some problems are prone to occur.


    "Okay, this operation has achieved a real success. If the patient''s anastomotic leak no longer occurs, the patient will become a normal person again. The problem that has plagued me for more than half a year will be gone forever. Send it to the recovery If there is no problem, they can be sent directly back to the ward for care. But the family members must follow the doctor''s instructions. There must be no more cases of Salmonella infection in patients in bed 73."


    Director Shang exhorted.


    The patient in the 73rd bed was considered lucky, otherwise he had just undergone a major operation, his vitality would be seriously injured, and his body would have wounds, so he would be very easy to die.


    "Sword Comes"


    "I''ll be extra careful."


    Zhou Can made a statement on the spot.


    He is in charge of this patient, and he will definitely do a good job in postoperative management.


    "Director Shang, the wife of the patient whose brain was infected with sparganosis asked me when I could have the operation. How do you answer them?"


    "I''ll go back to the office and then call the doctor in Shenwai to discuss it. For the family members, you just say that you will arrange it as soon as possible."


    Director Shang was going to ask for something from someone else, but he didn''t dare to say the exact time.


    "There are still 77 bed patients with gastric cancer, and their family members have already rushed to the hospital. In the morning, I talked to the family members and the patient, and they agreed to the operation. The patient''s mother said that she would save her daughter even if she was trying to save her daughter."


    The patients under his care must be reported to Director Shang in time.


    Treatment of patients should not be delayed.


    "That stomach cancer patient is a miserable woman! All right, I''ll arrange for her later. If it can be scheduled, she will have surgery tomorrow morning at the earliest. Her disease will be dangerous if it drags on for a day. It''s better to treat her as soon as possible."


    Director Shang has a lot of patients.


    Just the few Zhou Can took care of were enough to make him a little bit burnt out.


    Coupled with the tasks of sitting in clinics, teaching, and scientific research, one can imagine how busy he is.


    In addition, he also serves as the director of the department, and he also takes care of the affairs of the department.


    Fortunately, there are two deputy directors of the department to help share the worries, otherwise he must be too busy.


    ¡­


    Zhou Can went back to the office, wrote the medical records, and then studied the postoperative doctor''s order given by Director Shang to the 71-bed patient.


    He found that the medicines prescribed by internal medicine were obviously more accurate than those prescribed by surgery.


    I also learned a lot about medicine from it.


    When he finished studying the postoperative doctor''s instructions.


    ¡¾Pharmacological syndrome differentiation experience value +1.¡¿


    This is not the first time learning doctor''s orders to increase experience in pharmacological syndrome differentiation.


    His pharmacological syndrome differentiation is currently at the third level, that is, the resident physician level. Ordinary small doctor''s orders can already be issued by himself, but he can''t prescribe postoperative doctor''s orders for such complicated operations.


    Such an important medical skill must find a way to improve it.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can set a small goal for himself, and will spend the rest of the year in internal medicine anyway. I hope that the pharmacological syndrome differentiation can be successfully promoted to the fifth level.


    At that time, with the pharmacological syndrome differentiation at the deputy director level, it will be no problem for him to go back to the emergency department and set up his own team.


    Although this ideal is a bit lofty, he has confidence in himself.


    "Doctor Zhou, Doctor Zhou, the vomit patient under your care passed out just now. Go over and have a look!"


    The nurse girl ran into the doctor''s office with a panicked expression, and waved at Zhou Can.


    "Didn''t you be fine in the morning? Why did you faint suddenly?"


    Zhou Can hurriedly saved the unfinished medical records, got up and walked out.


    "How would I know! Just as he was assigned to bed 11 and was about to take his blood pressure, he suddenly rolled his eyes up and fell unconscious."


    The working hours of the nurse girl should be very short.


    When she told the story of the incident, her hands were still shaking, and she probably was quite frightened.


    "Has the patient''s temporary bed been withdrawn?" Zhou Can thought to himself, it''s a good thing to switch from a temporary bed to a formal inpatient bed!


    Could it be that the patient fainted because he was too excited?


    "Didn''t Director Shang say hello on purpose? Today, after the patient on bed 11 was discharged from the hospital, the head nurse personally arranged bed 11 for that patient first."


    Director Shang''s personal greeting was quite effective.


    Even the head nurse has to sell this face.


    It''s just that the patients have no luck!


    "Where did the patient''s head hit during the bed change?"


    When Zhou Cansi thought about it, he could only think of this reason.


    "No, absolutely not. His wife has been carrying it all the time. Sister Wang and I supported the patient on the 11th bed. It is certain that the patient did not hit anything during this period."


    The nurse''s little sister was just not sure about her immature body.


    Since the head was not hit, the possibility of disturbing the sparganosis is very small.


    As long as the parasite doesn''t penetrate deep into the patient''s brain cavity and frantically destroy the patient''s brainstem, it will be fine.


    But this accident also sounded the alarm for Zhou Can.


    The patient''s condition is very dangerous and cannot be delayed any longer.


    We must find a way to perform surgery on the patient as soon as possible to remove the parasite.


    If the patient''s illness is cured, it will be a great achievement for Zhou Can.


    When I came to the ward, I immediately saw the thin male patient lying motionless on the bed with his eyes rolled up. The patient''s wife cried very sadly as if the sky had fallen.


    "Sister, don''t cry, don''t cry! His physical condition was stable in the morning, even if he is unconscious now, it will not be a serious problem."


    Zhou Can quickly examined the patient while comforting the patient''s wife.


    At this moment, the elderly nurse named Sister Wang is measuring the data of key signs such as heart rate and respiration for the patient.


    "How''s the patient''s blood pressure?"


    Zhou Can felt the patient''s pulse, and felt that the pulse was weak and extremely weak.


    As if the lamp is about to run out of oil.


    It can be predicted that the patient''s blood pressure at this moment must be very low.


    "Systolic blood pressure 95mmHg, diastolic blood pressure 65mmHg. Low blood pressure."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The blood pressure value reported by the nurse is really not generally low.


    According to international standards, a systolic blood pressure lower than 100 is considered a serious problem.


    "Why did the blood pressure drop so badly? Did he eat anything in the morning?"


    "I drank a little water and threw up all of it. I haven''t eaten anything until now."


    The patient''s wife replied with tears in her eyes.


    Zhou Can checked the patient''s symptoms again, and saw that the patient''s forehead was sweating, and his body was shaking slightly. Seeing this, he had a bottom in his heart.


    "It doesn''t seem to be a serious problem. It should be just hypoglycemia caused by hunger. Immediately give him 50ml of 50% glucose solution intravenously."


    Zhou Can issued an oral doctor''s order.


    Having a medical license is different.


    In the past, if you encountered such a situation, you had to find a superior doctor to deal with it.


    ¡¾Pharmacological syndrome differentiation experience value +1.¡¿


    [For the first time you use a doctor''s order to save someone, you will be rewarded with +100 experience points in pharmacology syndrome differentiation.]


    Zhou Can only felt as if he had been hit by a huge happiness shell.


    Happiness came so unexpectedly.


    That''s not all, he got so many pharmacological syndrome differentiation experience rewards at once He noticed that his ability to differentiate and understand pharmacology seemed to have improved significantly.


    Looking at the attributes, it turns out that the pharmacological syndrome differentiation medical skill has been upgraded from the low level of resident medicine to the middle level of resident medicine.


    Although only a small realm has been raised, the benefits gained are real.


    The use and understanding of drugs seems to have reached a new level.


    "Great, a few more rewards like this will directly raise the pharmacological syndrome to the fourth level."


    He is too eager to advance to the fourth level of pharmacological syndrome differentiation.


    As long as you are upgraded to the attending level, you can prescribe a doctor''s order of general difficulty alone, no problem at all.


    The nurse took the glucose solution and injected 50ml into the patient.


    Everyone looked nervously at the unconscious patient.


    Whether it is a nurse or a doctor who administers medicine to such a patient who is already extremely weak, they are all worried and nervous.


    The family members also watched nervously.


    The hands unconsciously clasped together tightly.


    "Well¡­"


    The patient let out a low hum, which was tantamount to great news in the ears of the doctors and nurses.


    It shows that after using the glucose solution, the patient has improved.


    People also woke up.


    "Give him another 50ML glucose solution."


    Zhou Can calmly pointed to the nurse to save her.


    ¡¾Pharmacological syndrome differentiation experience value +1.¡¿


    This time, he was not rewarded with 100 experience points.


    But Zhou Can is very contented, taking it once is already very good.


    His eyes were fixed on the patient''s every move.


    Hope the patient can fully recover.


    (/novel/)

 Chapter 248： Acquaintances are easy to handle, this matter is really hard to explain

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Under normal circumstances, the safe dosage for adults is about 40-100ml of 50% glucose solution intravenously.


    Zhou Can had given him the maximum dose.


    If the patient eats normally, there is no need for intravenous injection at all, and sugar water, candies, biscuits, etc. can be taken directly orally.


    After treatment, the patient slowly woke up and his body returned to normal.


    It just looks very weak.


    If you don''t help him cure the vomiting disease, he will have an accident sooner or later.


    Patients cannot eat, which will lead to calorie intake lower than energy consumed by exercise and metabolism, and the stored energy substances will be continuously converted into glucose for energy by gluconeogenesis.


    However, the energy reserve in the patient''s body is limited. If no energy supplement enters the body for a long time, the stored energy will be converted into glucose due to consumption. Finally, hypoglycemia will occur in the body after there is no excessive glucose consumption.


    This type of hypoglycemia caused by starvation is extremely common.


    Some people have not been able to find a job for the time being due to their lack of money, or they are under great financial pressure, so they are reluctant to spend money on food.


    In the end, he fainted from hunger in the street.


    In this case, if there is sugar, give the patient one to keep in his mouth, and he will recover slowly.


    Then let the patient eat in time to replenish energy.


    "Give him a nutritional infusion first!"


    Zhou Can issued another doctor''s order.


    I don''t know how Director Shang is coordinating?


    All the lesions of this patient have been detected, and the operation of craniotomy to extract worms is not complicated, and it can be cured in time.


    He decided to take the initiative to go to Director Shang''s office to ask.


    This is also the responsibility of the patient.


    All the way outside Director Shang''s office, he heard a muffled "bang" sound coming from inside. It sounds like you''re hitting a table or throwing something.


    It seems that Director Shang has suffered a lot.


    Dongdongdong!


    Zhou Can hesitated outside the door for a few seconds, and finally decided to knock on the door.


    "Come in!"


    Director Shang''s calm voice sounded.


    Pushing the door open, I saw a thick book dropped to the ground.


    Zhou Can bent down to pick it up naturally, put it on the table, and then said, "Director Shang, just now the patient with parasites in the brain fainted due to hypoglycemia."


    "How is the man now? He is vomiting badly and can''t eat normally. You quickly inject him with glucose solution intravenously, first use 60 ml. Use 50% diluted glucose solution."


    Although Director Shang was still panting heavily with anger, he immediately became nervous when he heard that the patient had a problem.


    And quickly and calmly gave a treatment plan.


    "The medicine has already been used, and the patient has basically returned to normal. I am worried that the bug will burrow into his head. It would be a pity if something unexpected happened. Shenwai promised to send someone Are you here for surgery?"


    Zhou Can secretly guessed that this matter might not go well.


    Director Shang was so angry that he threw things just now, probably because the coordination of this matter was not smooth.


    "Don''t mention it! The grandsons of Shenwai are all masters of bureaucracy. I said that I wanted to find Director Wu, but he told me that Director Wu was performing an operation on a patient. Let me tell you something first." , and they will tell you when the time comes.¡±


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Director Shang got angry when he mentioned this.


    And the more he talked, the more angry he became.


    He was slapped in an official tone by a little nurse yesterday, and the person he was looking for today should be of a higher level, but in the end he was still perfunctory and procrastinated.


    "It''s really annoying. I also know your difficulties, so just wait a little longer. I prescribed a nutritional infusion for the patient just now, and I have to go to the ward to take care of it. You are busy."


    After Zhou Can came out of Director Shang''s office, he secretly thought that he had to draw a thread and build a bridge for this matter.


    Procrastination is not good for patients and for gastroenterology.


    He is fairly familiar with the chief physicians of Shenwai, and Director Wen has the closest relationship with him. Wu Baihe was also able to speak, but in the end it was a little bit worse.


    Zhou Can thought for a while, and decided to try with Director Wen first.


    As for helping Director Shang to vent his anger and clean up the nurse who answered the phone, that''s fine.


    Isn''t there an old saying that a prime minister can punt a boat in his belly, but a general can run a horse on his forehead!


    There is no one who is not angry in life.


    Zhou Can went all the way to the end of the corridor, and then dialed Director Wen''s cell phone.


    "Director Wen, hello, I''m Xiao Zhou!"


    "I know, I know, I have kept your number! A few days ago, I was still talking about your boy, and today I finally got your call. It is really not easy. How is the training recently? Is it going well?"


    Director Wen''s attitude towards him was as friendly as ever.


    full of concern.


    "Thanks to you, the regular training went smoothly. It''s just that yesterday I received a patient with parasites in the brain and needed a craniotomy to get the worms. My department of gastroenterology is not capable of doing this operation. No, I thought Calling for your help."


    Zhou Can never beat around the bush when talking to these close people.


    So as not to be scolded.


    Telling things directly is most popular with them.


    "Craniotomy to remove parasites? You are fully capable of this kind of minor surgery, and you still need to ask me to help?" Director Wen knows Zhou Can''s ability very well.


    When Zhou Can was trained in Shenwai, his surgical ability was already quite powerful.


    With Zhou Can''s progress rate, after such a long time in the past, he has rotated training in multiple departments, and his surgical ability will only become stronger.


    Not to mention the craniotomy to remove the parasites, even more difficult operations, Zhou Can is also competent.


    "Aren''t I not good enough? Craniotomy is a major surgery of the third or fourth level, at least the level of the deputy chief physician is required. If you have time to come and guide me in the operation, it will be perfect."


    Zhou Can said with a smile.


    He grows too fast, and he will also have some troubles.


    For example, because of the low professional title, there is no admission qualification for major surgery.


    Insufficient working years and qualifications, unable to apply for opening a personal clinic number, etc.


    "What kind of parasite? How long do you estimate the operation will take?"


    When Director Wen asked this question, it was obvious that he was going to help him.


    "Sparganum, currently only one can be seen through the CT of the brain. The operation time, if everything goes well, can be resolved within 20 minutes at the shortest. If the craniotomy is required, it should be resolved within three hours."


    Zhou Can estimated the operation time.


    The body of that sparganus should be very long, part of it is in the cranial cavity, and part even drilled out from the space of the skull, just under the scalp layer.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    During the operation, if it does not run away, Zhou Can can directly clamp the part of its body below the scalp layer and pull it out entirely. However, this has certain risks and needs to be operated on a case-by-case basis.


    If it would tear its body apart, it would definitely require a craniotomy to extract the worms.


    Many parasites have powerful regeneration capabilities like earthworms and leeches. Even if the body is broken into many segments, they can still regenerate multiple new lives through the residual limbs.


    Therefore, when removing parasites, doctors will try their best to remove all their bodies.


    It is impossible to let the severed body remain in the patient''s body.


    "When can the patient be operated on?"


    Director Wen asked again.


    "If you can agree to come and help, I can discuss it with the superior doctor now. It mainly depends on when it is convenient for you."


    Zhou Can sighed in his heart that connections are really important.


    If it weren''t for his close relationship with Director Wen of Shenwai, this matter would have to drag on for at least another day or two.


    It is quite difficult to coordinate the joint operation with chief physicians from other departments.


    It can be done for sure.


    But waiting for two or three days, or even longer, will undoubtedly increase the risks in all aspects. The cost of treatment for patients will also increase a lot.


    "After six o''clock this afternoon, if you can make arrangements, then send the patient to the operating room outside Shenwai. Then I will work overtime and help with the operation."


    Director Wen didn''t even ask more about the patient''s situation, out of trust and care for Zhou Can, he agreed directly.


    The time is also very short, just on the same day.


    The price is that Director Wen needs to work overtime.


    I have to say that Zhou Can''s face is really great.


    As for the arrangement of the operating room, this also needs to be coordinated by Director Wen himself.


    In a society of human affection, with the care of acquaintances, many things that were originally difficult can become simple and easy.


    "Thank you for helping me so hard! I''m really sorry to trouble you all the time."


    It''s really not the first time that Zhou Can troubled Director Wen.


    The other party readily agreed to help each time.


    "You don''t have to be polite with me. Train your medical skills in all aspects, and strive to practice them as soon as possible. We old guys are very much looking forward to the day when you officially take up the post!"


    Director Wen did him a favor and didn''t try to reciprocate.


    Instead, I hope that Zhou Can will be promising in the future and become a great doctor.


    After finishing the call, Zhou Can still felt warm in his heart.


    He is very lucky. Since he was trained in Tuya Hospital, he has met many very good superior doctors. One by one, they tried their best to help him and train him.


    The matter has been negotiated, and then just talk to Director Shang, and the patient can be arranged for surgery in the afternoon.


    I believe both Director Shang and his family members will be very happy.


    He came back to Director Shang''s office, only to find that Director Shang had left.


    It happened that Duan Zifu came from the direction of the ward.


    Zhou Can hurriedly asked, "Doctor Duan, have you seen Director Shang?"


    "I just left, and I seem to be rushing to go to school. Let''s find Deputy Director Shi first if we need anything."


    In Director Shang''s group, Deputy Director Shi is the only deputy chief physician, and his qualifications are fairly old. In the absence of the team leader, director Shi basically handles major and minor matters on his behalf.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Okay, then I''ll go to Director Shi."


    Zhou Can is much more sophisticated than Duan Zifu, but he doesn''t know how to call the deputy director Shi on the left and the deputy director Shi on the right.


    What a shock to be heard by others!


    He found Deputy Director Shi who was about to go to the outpatient clinic.


    "Director Shi, just now Shenwai agreed to operate on the patient with brain parasites, and asked us to send the patient to Shenwai''s operating room at 6 p.m.."


    Craniotomy requires some specialized equipment.


    The interventional operating room of gastroenterology is only suitable for interventional surgery.


    When doctors perform interventional operations, among other things, just wearing a lead suit weighing twenty kilograms is enough to make people uncomfortable.


    Some lead clothing weighed as much as 40 jin, and the average female doctor couldn''t wear it at all.


    Older male doctors wear them like a suit of heavy armor. In this case, surgery on the patient is much more burdensome to the body.


    Therefore, for operations that cannot be performed by internal medicine, you only need to ask for help from other departments.


    It is generally required to pull the patient over.


    No surgeon is willing to go to the interventional operating room of internal medicine to receive radiation.


    "Oh! Did Shenwai finally agree? When Director Shang left just now, he was still complaining that the doctors and nurses in Shenwai were too difficult to deal with. It seems that it is better to find the leadership of the hospital."


    Deputy Director Shi was surprised and finally agreed. He was very happy.


    Zhou Can couldn''t help being slightly startled when he heard this.


    "Could it be that Director Shang found the leadership of the hospital and complained to Shenwai?"


    The chief physician''s temper is really big.


    After being **** off by the nurses and doctors outside of the gods, she directly complained to the hospital-level leaders.


    Director Shang is not the only one who has done this kind of thing, Director Xie has also done it.


    Just like a child who has been wronged, he likes to go to the teacher, and it makes sense to go to the parents to complain.


    Sometimes, these chief physicians with extremely high status and high academic and medical skills also have a childish side.


    "The Vice President Ye who was looking for must have been scolded by God, so he quickly agreed to this matter."


    Deputy Director Shi said rather relieved.


    Zhou Can''s lips moved, but he finally swallowed back what he wanted to say.


    It seems that I am still too young.


    If I had known, I wouldn''t have called Director Wen for help.


    Now that Director Shang made such a fuss, how can he explain it in front of Director Wen?


    ¡­


    In the afternoon, Zhou Can received three new patients.


    It is equivalent to managing seven beds in total.


    Director Shang went to school for class and never came back. Deputy Director Shi is in the outpatient clinic, and he, Duan Zifu and others are busy in the inpatient department. It is equivalent to doing logistics.


    After staying up until 5:40, Zhou Can had handed over all the patients in his hands to Luo Shengsheng, the hospital chief.


    The fashion director also rushed back to the department after class.


    Zhou Can and three graduate students under Director Shang pushed the patient whose brain was infected with parasites to neurosurgery. Director Shang personally led the team. Family members are by the side.


    When a group of people came to the neurosurgery department, Zhou Can was on the road thinking about how to explain to Director Wen later.


    "Hello, we are doctors in the Department of Gastroenterology, and now we have brought the patient with a parasite infection in the brain. May I ask which operating room is the patient operated on?"


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Director Shang asked the nurse at the nurse station expressionlessly.


    "Director Wen has already made arrangements, and it''s in operating room No. 2. Dr. Zhou, do you want me to take you there?"


    Hu Shuiling, the nurse in charge, saw that Zhou Can was there, and greeted him with a smile.


    In her heart, Zhou Can''s status is much higher than that of Director Shang of Gastroenterology Department.


    Zhou Can is highly valued by many chief physicians in Shenwai. Just one word may affect her future.


    But no matter how high Director Shang''s status is, he is still only the director of the Department of Gastroenterology after all.


    For her, a supernatural nurse in charge, it''s beyond her reach.


    Therefore, she didn''t care much about Director Shang.


    Zhou Can even suspected that Director Shang called yesterday, did Hu Shuiling answer UU Reading ?


    "No, no, we can go there by ourselves. You are busy."


    Zhou Can is very familiar with Shenwai''s operating room.


    Push the patient to the operating room.


    "Hmph, it was difficult to deal with these people who are out of their minds. Now I know how to be honest. Look at their enthusiastic attitude, it''s really refreshing." Director Shang snorted.


    Seeing that everything has been arranged in the neurosurgery department, and the attitude of receiving them is quite warm, Director Shang feels very relieved.


    After the bad breath in my heart came out, I felt much more comfortable.


    He also thought that the change in Shenwai''s attitude was due to the complaint, but he didn''t know that it was the result of Zhou Can secretly asking Director Wen for help.


    The patient was quickly pushed into the operating room, and the anesthetist was already in place.


    It was the official doctor whom Zhou Can hadn''t seen for a while.


    An official doctor is enough for this level of surgery.


    Dr. Feng will personally dispatch only for major operations with extremely high risks.


    "Long time no see, Doctor Guan!"


    Zhou Can greeted with a smile, and at the same time took the initiative to help the patient perform anesthesia surgery.


    "It''s been a while. I heard that you entered the internal medicine department, and sometimes I miss you." With his help, Doctor Guan can indeed relax a lot.


    Zhou Can is almost fully capable of performing most anesthesia operations by himself.


    Either general anesthesia or spinal anesthesia.


    "When I finish my internal medicine training, I will definitely have a lot of chances in the future. I''m afraid that you will see me every day and think I''m annoying."


    As long as Zhou Can returns to the emergency department, he will definitely form a surgical team.


    At that time, it is really possible to meet with the official doctor every day.

 Chapter 249： This kids surgical ability has improved again, scary bug

No content

 Chapter 250： The symbiosis phenomenon, the sense of accomplishment of studying medicine is full

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    It''s hard to imagine such a long worm parasitic in the human head.


    The head circumference of an adult is only about 54cm, and the body of this spargan can make a full circle around the head.


    It''s hard to imagine that it has been drilling around in the patient''s head all these years, but it only caused the patient to vomit. This is also a blessing in misfortune.


    "I''m just wondering, such a long parasite grows in his head, why did he come to the hospital for treatment after being so sick?"


    Wu Baihe looked at the sparganum on the plate with a calm expression on his face.


    As the most powerful chief physician in neurosurgery, he has performed countless surgeries. There must have been many cases of surgery to remove parasites from the brain.


    Seeing a lot, naturally it will be calm.


    "It''s not that he didn''t get treatment, but that he was diagnosed and treated in many hospitals and no problem was found. It was Zhou Can who discovered the problem, and later made a CT scan of the brain. It took a long time to find the parasite. When it comes to diagnosing patients, we should not be too superstitious about CT, otherwise it is easy to fall into qualitative thinking and eventually fall into the blind spot of diagnosis.¡±


    Director Shang said quite emotionally.


    "Here, this is a CT scan of the patient''s brain that was taken in another hospital before, and there is no abnormality at all."


    Wu Baihe took the CT film and examined it carefully.


    "Hey, I really can''t see any obvious problems. There is only a little abnormality in this part of the angiography. But it is easy to be ignored."


    Talking about this matter, Wu Baihe also opened up the conversation.


    "Don''t say that CT films cannot be superstitious, and even MRI cannot be completely trusted. I made several mistakes because of my superstitious belief in MRI. Later, I felt that the diagnostic significance of color ultrasound was higher than that of MRI. So much so that I now During the consultation, patients are often asked to take a color Doppler ultrasound. Family members and patients sometimes find it difficult to understand this, and they will tell me that we have already had MRI examinations, so do we still need to take a color Doppler ultrasound? "


    The more experienced the old doctor, the more he likes the simplest examination method.


    Ultrasound examination and X-ray examination have always been the most mainstream examination in medicine.


    Later, nuclear magnetic resonance was developed and led the medical trend. In addition, during that period, Chinese people were very unconfident. Many hospitals spent a lot of money on the introduction of nuclear magnetic resonance examination equipment in order to increase their popularity.


    Because this equipment is extremely expensive, in order to quickly recover the cost, the hospital encourages doctors to do as many checks in this area as possible.


    Especially some patients who are suspected of having tumors, or the cause of which cannot be found out, are not spared.


    As long as they enter a large hospital, MRI has become a must-do inspection item for them.


    The cheapest MRI is hundreds of dollars, and the one with the highest resolution costs two to three thousand yuan.


    There is definitely a diagnostic significance, but there are a lot of patients who have not been able to find out the cause after the MRI.


    "I also deeply agree with what Director Wu said. If it weren''t for the huge interests involved, I would have set a check limit in the department. Don''t just prescribe MRI checks for patients, no one''s money is worth it." It was blown by a strong wind. To talk about the advantages of MRI, I think there are only two. One is high resolution, which can detect deep lesions. The other is that there is no radiation, which will not cause harm to the operating doctor or the patient. Radiation damage."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    NMR is different from the imaging inspection method that uses radiation for inspection. It uses an external magnetic field to scan the human body and is a relatively safe inspection method.


    For some special groups, MRI examination has indeed brought good news.


    Such as CT, X-ray, their radiation is quite powerful.


    Director Shang''s medical ethics are absolutely excellent.


    It can be seen from some of his usual behaviors towards patients.


    For example, this patient with brain parasites did not meet the admission requirements. Unable to withstand the pleas of the family members, Director Shang finally greeted the inpatient department in person and added a temporary bed.


    Also, in order to perform surgery on the patient as soon as possible, even though he was **** off by the nurses of Shenwai, he called the doctor of Shenwai to coordinate the surgery the next day.


    These are all manifestations of his wholehearted consideration for patients.


    The heart of a doctor''s parents is by no means as simple as talking about it.


    In practice, there will be many difficulties. For example, you have to save face, for example, you may be thankless, be punished by the hospital, and so on.


    "We didn''t waste sleep because of choking, we just need to tell the doctors in the department not to overdo the medical treatment."


    Wu Baihe gave his own point of view.


    Because of this common topic, the relationship between the two chief physicians unexpectedly became much closer.


    It can be regarded as a surprise harvest!


    After Zhou Can took out the sparganosis, he has been cleaning the patient''s wound, stopping the bleeding, and checking for other parasites.


    "Both directors, the found sparganosis has been taken out, and it is not clear whether there are eggs or larvae in the patient''s body. You see, the next step is to suture the wound or what to do?"


    Zhou Can asked.


    The scientific name of Sparganum mansoni is Sparganum mansoni.


    Its adults parasitize in the intestines of cats and dogs, and occasionally in the intestines of humans.


    After the eggs are excreted with the feces, the larvae hatch in the water. After being eaten by Cyclops, the larvae continue to develop into protocercariae.


    Protocercariae parasitize in the body of wild animals such as frogs and snakes.


    It can be seen from here that it needs the intermediate host Cyclops to eat its larvae in order to develop into protocercariae.


    There must be no Cyclops in the human body.


    Theoretically speaking, sparganosis generally does not cause large-scale reproduction in the human body.


    It''s just that medicine has never been absolute, and no one can tell this kind of thing.


    "I have checked the adult worm that was taken out, and the head and tail are intact, indicating that the worm body has not been pulled off."


    With the help of a magnifying glass, Wu Baihe carefully inspected the adult worms that were taken out.


    In terms of diagnosis and treatment, you still need an experienced old doctor!


    Zhou Can''s diagnosis and treatment experience in this area is obviously not as good as Wu Baihe''s.


    However, if he encountered a similar case in the future, he knew that after taking out the adult worm, he had to piece together the body of the adult worm and check whether it was complete.


    "Extreme Chaos"


    Fortunately, this bug was taken out by him at one time.


    and did not pull off.


    It saves a lot of trouble.


    With the help of a magnifying glass, Wu Baihe carefully inspected the wound.


    "No worm eggs have been found for the time being, so let''s suture the wound first! Even if there are worm eggs in the cranial cavity, we can wait until the patient''s body recovers and can withstand the craniotomy before performing craniotomy to remove the worms. If after this operation , the patient is normal in all aspects, even if it is found that there are larvae in the brain, there is no need to rush for surgery. Just let the patient observe. Our human body is actually a huge biological kingdom, which contains countless bacteria, viruses, and even Parasites will accompany us for life."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Humans and animals are actually the same.


    There are parasites, bacteria, viruses, etc. in the body, and it is not necessary to eliminate them.


    It is also possible for both sides to co-exist without affecting each other.


    "Okay, then I''ll suture the wound!"


    Zhou Can nodded and quickly sutured the patient''s wound.


    "Director Wu, thank you and Director Wen very much today. And you three surgical nurses, thank you very much for working overtime for our patients in the Department of Gastroenterology. You see, it''s already past the time for dinner. If you don''t mind, I invite everyone to have a lunch."


    Director Shang saw that the patient''s operation was successfully completed, and the stone hanging in his heart fell to the ground.


    When he thought about complaining to the neurosurgery department in the afternoon, he felt even more sorry.


    "Hmm... order some meals for the nurses! I have to go to another operation as soon as possible, and I definitely can''t take care of dinner now. It''s okay, I''m used to working overtime, and I have biscuits and other snacks in the office. Let''s deal with them first." After a few mouthfuls, after the operation is over, I will have supper and dinner together."


    Wu Baihe explained a few words and took off his mask.


    Before leaving, he said to Zhou Can, "Xiao Zhou, you can come to Shenwai often when you have time. Director Wen and I like you very much. It would be even better if you could come and help me."


    Wu Baihe is usually a very lonely person, so he wouldn''t say these words easily.


    It''s also because I value Zhou Can and appreciate his ability and character that I like him so much.


    "Yes, I will!"


    Zhou Can was sewing, but he didn''t dare to be distracted.


    He replied without raising his head.


    But he didn''t know that Wu Baihe valued and loved him so much that the three graduate students were so envious.


    This is the neurosurgery department, the pinnacle department of surgery, a department of great importance that many graduate students want to enter.


    Look at the meaning of Director Wu''s words, as long as Zhou Can wants to enter neurosurgery, he will warmly welcome him with his hands up.


    After Wu Baihe left, Director Shang''s powerful aura returned.


    He immediately ordered dinner for everyone.


    After Zhou Can''s operation was completed, not only the three miraculous surgical nurses were called, but even the official doctor from the anesthesiology department was called to get a lunch box.


    Doctors and nurses, in general, are still very hard.


    I usually don''t pay much attention to food and clothing.


    Being able to eat hot meals on time is sometimes a luxury.


    "Zhou Can, if I knew that you are so familiar with the chief physicians of Shenwai, I wouldn''t have to bother. In the future, if we have patients in the Department of Gastroenterology who need the assistance of Shenwai, you will coordinate and contact them."


    Director Shang directly assigned a task to Zhou Can.


    "This... Occasionally trouble the chief physicians of Shenwai once or twice, it''s okay. Trouble them often, I''m afraid they will take a detour when they see me in the future!"


    Zhou Can replied half-jokingly.


    After hearing this, the others all snickered.


    Qiu Chengyu almost spit out his rice from laughing, choking and coughing non-stop.


    "It''s not always necessary to invite the chief physician for joint diagnosis and treatment. Sometimes it''s the same with the attending physician outside of God. In short, I can see that you are very familiar with people outside of God, and it is much easier to deal with us. At least During the two or three months of your training in the Department of Gastroenterology, you have to undertake this liaison task."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Director Shang was really frightened by the miraculous nurses and doctors.


    To put it bluntly, I want to hand over this task to Zhou Can.


    Perhaps worried that Zhou Can would feel dissatisfied, he added, "Don''t worry, I won''t ask you to work in vain. In the future, I will guide you more carefully, including various diagnoses and treatments in pharmacology and gastroenterology."


    Although he didn''t say it clearly, the meaning of these words is basically to tell Zhou Can that he will teach Zhou Can all his money and train him with all his strength.


    Zhou Can was immediately happy after hearing this.


    He rushed to say happily, "If a gentleman says a word, it''s hard to chase a horse, so it''s settled."


    When he entered internal medicine, what he most wanted to learn was the knowledge of pathology and pharmacology.


    Many of the treatment skills and experience summed up in clinical practice cannot be learned from books.


    Director Shang taught him unreservedly, Zhou Can naturally rushed to agree to such a good thing.


    "Uh...you promised so happily, didn''t you plan it a long time ago?"


    Director Shang scolded with a smile.


    "Hey, you are the director of the Department of Gastroenterology and the professor of the school. You can set an example, and you can''t go back on your word." Zhou Can can feel that through this time, you have shown super surgical ability outside of the gods, and you have a good relationship with neurosurgery. Thanks to the deep friendship of the chief physicians, his status in Director Shang''s mind has been greatly improved.


    Sometimes, the chief physicians are quite realistic.


    Seeing that Zhou Can''s influence is strong and his potential is extremely strong, the rewards he can reap from his vigorous cultivation will be very good.


    "Dr. Zhou is really popular in our neurosurgery department! Not only the chief physicians like him, but also our nursing department has a good impression of him. It''s a pity that Director Wu, Director Wen and others tried their best to keep him working outside the department. Still can''t keep it."


    A young surgical nurse chimed in with a smile.


    Judging by her expression, she seemed to regret Zhou Can''s reluctance to stay and work outside of God.


    "Dr. Zhou is so popular, there must be many young female nurses in your neurosurgery department. Female doctors have a crush on him, right?"


    Xie Lin''s big mouth can really say whatever comes to mind.


    The nurse who had just spoken had two blushes on her face, she seemed to be caught by what Xie Lin said.


    "Hehe, there are indeed quite a lot of girls who have a crush on Dr. Zhou. It''s a pity that he has already become famous, and it makes our young nurses and female doctors who are out of their minds feel sad in secret!"


    An older nurse replied with a smile.


    "Oh! It''s a pity. I thought I could have a chat with Dr. Zhou about life and see if we could spark a spark. Unfortunately, I didn''t have the chance. But in the future, if you have medical questions, you can ask Dr. Zhou for advice. You can''t hide from me. .¡±


    Xie Lin blinked her big eyes at Zhou Can and said.


    "Cough cough cough... As long as I know the knowledge, Dr. Xie can communicate at any time."


    How could Zhou Can have thought that he would be teased by these female nurses and doctors every time he ate a meal!


    Although he was very popular with unmarried female doctors and nurses, he was not yet confident enough to be a heartthrob. This point, he is very self-aware.


    Sometimes girls'' flattery, just listen to it.


    Never take it seriously.


    After dinner, he asked Director Shang to mention the venography examination of the patient with liver cirrhosis.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    This time, Director Shang did not expect to agree directly.


    It really surprised him.


    But now it''s long past the off-duty time, so I can only apply for an inspection tomorrow.


    ¡­


    The next day, as soon as Zhou Can went to the hospital for rounds, there was good news.


    The patient with brain parasites in bed 11 had already tried to drink some rice porridge this morning after undergoing surgery, and he was in good condition, and he did not have any symptoms of vomiting.


    And the spirit of the whole person has obviously improved a lot.


    It''s just that the patient is malnourished for a long time, coupled with the inability to eat normally, there is no way to eat and drink suddenly. Can only recover slowly.


    The wound on the patient''s head is not large. Judging from the situation, he can be discharged from the hospital tomorrow at the latest.


    Zhou Can felt very happy and had a sense of accomplishment when a patient with intractable diseases was cured in this way.


    This patient is almost the whole process of diagnosis and treatment completed by him.


    The next step was the splenic venography of the female lawyer.


    Hope to be able to detect the lesion.


    In addition, the gastric cancer patient managed by Zhou Can also arranged for interventional surgery today.


    It was just this morning, and it was Director Shang''s first operation.


    This poor female patient is not entrusted with human beings. I hope the operation will go smoothly and she will recover soon.


    (/novel/)

 Chapter 252： Really stupid, Director Zhengs aftermath

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Director Shang was already alert to the diagnosis and treatment of this case, thinking that Dr. Huang Liang was only cooling down the fever, and it was inappropriate to add fluid and expand the volume.


    After all, the patient''s pain has become like this, which shows that the intra-abdominal symptoms have not been relieved, but are gradually aggravating.


    Some diseases progress very rapidly.


    Once it develops to a certain stage, it will be like a rock cracking and a landslide, unstoppable.


    The number of patients who die in Tuya Hospital every year is unknown, and many of them died after the onset of the disease and the rescue failed.


    The real death of extubation is very small.


    Director Shang heard Zhou Can speak so seriously, and his expression became serious.


    Others don''t know Zhou Can''s strength, but he has experienced it deeply.


    Zhou Can saved a medical accident on his first day in the Department of Gastroenterology. Subsequently, he made great contributions to the diagnosis and treatment of many cases.


    With such strength, the only difference is his qualifications.


    Otherwise, they are fully capable of standing alone and directly becoming the backbone of the department.


    "Director Zheng, this patient is in your group, what''s your opinion?" Director Shang looked at Zheng Hongtao.


    In terms of age, Zheng Hongtao is two years older than him.


    But in any unit, status has never been determined by age. Instead, it depends on ability, talent, contacts, education, performance, etc.


    Both Director Shang and Zhou Can chose to ignore Dr. Huang Liang, which made Huang Liang''s face turn red for a while, and then slowly turn blue.


    In front of so many doctors, nurses, family members, and patients, he must feel uncomfortable being treated as a transparent existence.


    If you want to blame, you can only blame him for being unclear.


    The patient is already so serious, and he still has a sense of personal presence. It is considered polite for Director Shang not to scold him in public.


    "Could Director Shang also support Zhou Can''s point of view?"


    Zheng Hongtao was a little hesitant.


    The patient''s condition was somewhat out of his control, and he had to admit that he lacked experience in diagnosing such patients.


    Not to mention him, even Director Shang felt the same difficulty in diagnosing this patient.


    Surgery and internal medicine, in fact, there is still a boundary.


    They are proficient in gastroenterology, and they are really not sure when encountering such symptoms that are biased towards surgery.


    "Zhou Can, tell everyone about the basis of your diagnosis."


    Director Shang turned to look at Zhou Can.


    "There are two bases for my diagnosis. First, the patient has persistent abdominal pain, and the symptoms have not been relieved after symptomatic treatment, but have worsened. This morning, the body temperature has risen and fever has begun, which shows that the symptoms are already inclined to sepsis. .When the patient did not have a cold, I think the rise in body temperature may be due to intestinal perforation, infection in the abdominal cavity, and an inflammatory response in the body."


    Zhou Can introduced the basis of his diagnosis very calmly.


    A lot of surgeries are done in surgery, and some symptoms of patients are easily ignored by other doctors, but Zhou Can can keenly judge the possible dangers.


    When everyone heard that the patient had symptoms of intestinal perforation, their nerves tensed up.


    Especially Director Zheng Hongtao, who didn''t care too much at first, has become more serious than Director Shang.


    He was responsible for this patient, if something happened, he would definitely be out of luck.


    Intestinal perforation is extremely dangerous and can easily lead to death.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Secondly, the blood leukocytes are 32.08¡Á109/L, which can also help prove that my diagnosis of intestinal perforation is probably correct. In addition, the patient has compensatory metabolic acidosis and less urine output, which further shows that These diagnostic results will only appear if the patient has not only experienced intestinal perforation, but also has had perforation for a long time. The intestinal contents contaminate the abdominal cavity and begin to cause systemic acute sepsis symptoms."


    Zhou Can''s diagnosis logic is rigorous and his thinking is clear.


    The physicians at the venue were just blindfolded before, because they were paralyzed and not familiar with the diagnosis of surgical symptoms, so they failed to discover the danger.


    After listening to Zhou Can''s analysis at this moment, they all had solemn or serious expressions.


    "Director Zheng, I think it''s better to be cautious. Immediately ask a doctor from the gastrointestinal surgery department for consultation, or send the patient directly for a second abdominal CT."


    A deputy chief physician under Zheng Hongtao persuaded.


    "I also think it should be taken seriously and rescued as soon as possible. If it is really intestinal perforation, the disease will progress very rapidly. Once shock occurs, it will be too late to rescue."


    Another chief physician agreed with Zhou Can''s diagnosis.


    "But... the patient had undergone abdominal ultrasound and abdominal CT examinations when he was admitted to the hospital, and no problems were found!"


    Huang Liang was still a little unwilling to admit defeat, and was still defending for the so-called face.


    "Stupid! The patient was hospitalized a day ago, so much time has passed, it is very possible that the patient''s intestines were perforated. You are really stupid to argue here with the examination made a day ago."


    Zheng Hongtao was the first one who couldn''t listen anymore, he didn''t need Director Shang to start scolding, he just stiffened his neck and jumped to scold Huang Liang angrily.


    Any virtuous doctor would hate to take the patient''s life seriously for the sake of so-called face.


    In front of the patient''s life, all personal vanity and interests should give way.


    The hospital allows competition and even advocates competition, but infighting is never allowed.


    From the first day of medical study, the first lesson a doctor learns is to respect life.


    Huang Liang was severely scolded by Zheng Hongtao in public, which woke him up a bit.


    After being stunned for a moment, he immediately lowered his head and said with shame on his face, "I''m the one who has painted the lake."


    No one sympathized with him, but everyone felt that Director Zheng scolded him well.


    "Doctor Zhou, what do you think the patient should do next?" Zheng Hongtao asked shamelessly, seeking Zhou Can''s opinion in public.


    This is also a little reward for Zhou Can''s success in helping him resolve a medical accident.


    In other words, it is more appropriate to highly recognize Zhou Can''s diagnostic ability.


    "According to my opinion, it is best to send for general surgery immediately. However, according to the hospital''s diagnosis and treatment procedures, it may be necessary to perform an abdominal CT to clarify the location of the intestinal perforation and the current situation in the abdominal cavity before performing surgery. "


    Zhou Can gave his opinion.


    The hospital has relevant standard procedures for diagnosis and treatment.


    It is uncertain whether this patient has intestinal perforation. If the patient''s abdominal cavity is opened and intestinal perforation is not found, it will be difficult to explain to the family members.


    Also, the human large and small intestines almost cover the entire abdominal cavity.


    Only when you know exactly where the perforation is, can you accurately select the surgical knife position for laparotomy.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Okay, send the patient for an abdominal CT right away! Huang Liang, you take two interns to send the patient there. You must be quick and explain the situation to the doctor who checked the situation directly. This patient can''t wait."


    Zheng Hongtao directly arranged for Huang Liang to accompany the patient for examination.


    In addition to the fact that this patient is under Huang Liang''s management, there is also a small intention to punish Huang Liang.


    Otherwise, the senior resident physicians who are about to be promoted to attending care would rarely do this kind of errand chores.


    Zheng Hongtao quickly issued an examination application for the patient. The family members heard that the patient''s life was in danger, and they were already anxious.


    Do what the doctor tells them to do.


    All we have to do now is save the lives of our loved ones.


    "Director Zheng, I have another immature suggestion!"


    Zhou Can was not arrogant because of his meritorious service.


    Instead, he was not surprised by favor or humiliation, and remained humble and polite.


    "Please say!"


    Zheng Hongtao''s attitude towards Zhou Can now is completely different.


    It''s not as lukewarm as it was two days ago.


    Instead, Zhou Can was directly treated as a person of the same level to talk to.


    "I estimate that the patient''s condition will progress very quickly. After the CT scan, the operation should be performed immediately. I suggest that you greet the general surgery department now, and make preparations there. As soon as the diagnosis is confirmed here, the patient will be sent there immediately for emergency treatment." .¡±


    Zhou Can suggested.


    Forewarned is forearmed, without prejudging the waste.


    Only by taking precautions can we no longer waste every minute of precious rescue time.


    "Okay, I''ll call and communicate with Director Xiao immediately."


    Zheng Hongtao agreed so easily, which shows that he has a good friendship with Director Xiao of the Department of Digestive Surgery.


    Many times, the chief physicians meet each other, try to expand their network, say hello to each other, and have various friendships. The purpose is to be able to get things done through the acquaintance relationship when something happens.


    Zheng Hongtao called and communicated with Director Xiao on the spot, and it was done in just a few words.


    The surrounding doctors looked enviously.


    It''s easy to do things with acquaintances.


    Director Zheng has a deep friendship with the newly established director of gastrointestinal surgery, which is really enviable.


    "Director Zheng is worthy of being the boss of our gastroenterology department. He has a wide network of contacts, which is really enviable."


    Director Shang stayed at the scene to watch Zheng Hongtao deal with the matter.


    If there is something wrong with Director Zheng, he will definitely help. It is absolutely impossible to watch the patient have an accident.


    "Hey, what are my connections? Director Shang knows a lot more people than me. Today, this patient is really thanks to the help of Director Shang, Dr. Zhou and others, and almost caused a catastrophe."


    tomato novel


    Zheng Hongtao was already in a cold sweat from the fright.


    He also changed his hostility towards Director Shang and Zhou Can because of this incident.


    Sometimes, people, it''s just the tone of the fight.


    An opportunity can make the two sides shake hands and make peace.


    "We are all doctors in the same department, and we should help each other. Director Zheng, please don''t be polite. In the future, some patients in my group will have problems and I can''t find them in time. Don''t I have to ask you for help?"


    Director Shang smiled.


    "You are right, we are doctors in the same department, we are a family."


    Director Zheng said that, the two sides basically settled their suspicions and shook hands to make peace.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The two strongest chief physicians in the department shook hands and made peace, which is good news for all the doctors and nurses in the department.


    Sometimes, it''s really not easy to stand in line.


    "It''s getting late, let''s continue our ward rounds."


    Director Shang led the crowd to continue rounds.


    When they found out the female lawyer with liver cirrhosis in bed 79, Zhou Can reminded Director Shang to do splenic venography for the patient.


    Without further ado, Director Shang ordered the patient to be examined on the spot.


    From this little incident, it can be seen that Zhou Can''s status in Director Shang''s heart has risen to a very high level.


    Before the ward round was over, Huang Liang, who was taking the patient for an examination, had already called.


    The results of CT examination showed that there were free gas shadows in the abdominal cavity, the intestinal tube was dilated, and the effusion between intestinal loops was serious.


    This shows that the patient really has intestinal perforation, and the perforation has been going on for some time.


    No wonder the patient is in such pain.


    For intestinal perforation, CT is generally preferred because its sensitivity is higher than traditional X-ray examination.


    There are many old doctors who especially like to use X-ray examination.


    This is not only a complex, but also a habit developed due to previous medical conditions.


    At that time, nuclear magnetic resonance had not yet come out, and CT examination equipment was also in the 1970s, and it was gradually introduced to China in the 1980s.


    Doppler ultrasonography and X-rays were the most commonly used examination methods in large hospitals in the past.


    Many older doctors grew up from that era. This also makes them have a soft spot for traditional inspection methods.


    When Director Zheng heard that the patient was really diagnosed with intestinal perforation, and the condition was extremely serious, he really felt like he would survive the catastrophe.


    Thanks to Zhou Can for discovering the danger in time.


    So many chief physicians and deputy chief physicians didn''t see the patient''s intestinal perforation, but Zhou Can, a regular trainee, did. This is because Zhou Can happens to have experience in general surgery and relatively rich clinical accumulation.


    This is why the current large hospitals, when cultivating core cutting-edge doctors, will choose from the general practitioners.


    Because doctors with clinical experience in all departments, whether they are assigned to surgery or internal medicine, their diagnostic ability is obviously stronger than that of regular recruits.


    Gui Peisheng, who was recruited to the hospital, was only familiar with diseases in that field.


    They lack awareness of diseases in other fields. After formal work, they dare not touch patients in other fields in clinical work.


    "Director Shang, I have to rush over there immediately to send the patient to the gastrointestinal surgery department for emergency surgery, so I will withdraw first."


    After Zheng Hongtao answered the phone, he hurried to the general surgery department.


    The diagnosis of the 7-bed patient also brought Zhou Can into the vision of many doctors, and everyone began to know this young and promising doctor.


    During the ward rounds, many doctors took the initiative to chat with Zhou Can and chat for a few words.


    It is enough to show that his status and popularity in gastroenterology have risen to a big level.


    ¡­


    After the house inspection, Zhou Can''s really busy day began.


    He sent 77 beds of gastric cancer patients to the interventional operating room for endoscopic surgery.


    Director Shang will be the chief surgeon.


    This female patient is currently in the advanced stage of gastric cancer.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Medical practice is to say that the disease is serious.


    In fact, her stomach cancer is still in the early stage, not really stage II stomach cancer.


    That''s why Director Shang agreed to perform endoscopic surgery on her.


    Usually, if stomach cancer develops to the severe stage of stage II, the cancer cells have metastasized severely. At this time, the opportunity for surgery was lost. More interventional therapy and chemotherapy.


    This treatment can only prolong the patient''s life.


    It has been difficult to heal.


    In the early stage of gastric cancer, surgery is performed in time. As long as the cut is clean, radiotherapy is used to consolidate the curative effect. Satisfactory results can generally be obtained.


    In the operating room, the patient has already prepared for the operation and is lying quietly on the operating table waiting for the operation.


    Director Shang brought Huang Xinggui and three graduate students to but Zhou Can was thinking in his heart that if he could get this surgery, he would be more likely to have endoscopic surgery in Director Shang''s group in the future. Easy to get your hands on.


    Gastroenterology is the department with the most endoscopic surgeries.


    Several of his surgical skills are only at the fourth level. If he can take advantage of the two or three months of regular training in the department of gastroenterology, he can upgrade them to the fifth level. This will be very beneficial to Zhou Can''s future development.


    One step first, one step at a time.


    Especially incision, separation, and anastomosis are particularly difficult to upgrade.


    Endoscopic surgery often rewards 100 experience points at every turn, which is definitely the best choice for quickly upgrading these three medical skills.


    "Director Shang, you have checked my experience in endoscopic surgery last time, can I do this surgery?"


    Zhou Can gritted his teeth, and before Director Shang took the chief surgeon position, he directly opened his mouth to grab the chance of surgery.


    Different from the position of the main surgeon in traditional surgery, in endoscopic surgery, the doctor who is the chief surgeon generally chooses a position that is easier to operate, and at the same time can easily look up to view the endoscopic screen in front.


    "Are you sure you''re serious?"


    Director Shang stared at Zhou Can, the invisible pressure still made Zhou Can quite guilty.


    However, he also understood that at this time, he had to show strong self-confidence in order for Director Shang to trust him with the operation.


    "I''m serious. If I''m not sure, I will stop in time, and I will never force the operation. I have carefully studied the patient''s film many times, and I dare to ask you for the operation only after I am sure that I have the confidence to complete the operation."


    Zhou Can''s tone was sincere and his eyes were clear.


    Dan Dan''s self-confidence was revealed.


    (/novel/)

 Chapter 253： Gastric cancer resection, the hero behind the scenes

No content

 Chapter 254： Pharmacological tropism, patients with persistent epigastric pain

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    In addition to this patient being successfully cured and discharged, the gastric cancer patient has also been discharged. However, you still need to come to the hospital for chemotherapy and review regularly.


    After the female lawyer with liver cirrhosis underwent surgical treatment, the therapeutic effect was obvious.


    He was discharged from the hospital three days ago.


    However, cirrhosis is a common clinical chronic progressive liver disease, which is diffuse liver damage caused by long-term or repeated effects of one or more causes.


    This damage is often irreversible.


    Liver and kidney have great similarities in this regard.


    Once damaged, it is difficult to recover.


    The best way is early detection and early treatment.


    However, compared with the kidney, the liver has a strong regenerative capacity. If the quality of the liver is good, even if 80% of the liver is removed, it can be restored.


    Because the liver of patients with liver cirrhosis has entered the compensatory stage of disease, the regenerative ability will definitely be affected, which is far inferior to that of a normal liver.


    If it develops to the late stage of liver cirrhosis, that is, the decompensated stage, the liver at this time is basically abolished.


    Not to mention removing part of the liver, even other operations must consider whether the patient''s body can bear it.


    The female lawyer in the 79th bed is the luckiest of misfortunes. Her liver cirrhosis is still in its early stage. After the real cause was found, after surgery, the hidden dangers were eliminated.


    In the future, she only needs to take long-term medication to protect her liver, and her life will not be greatly affected.


    Speaking of which, Zhou Can issued a doctor''s order for the female patient to be discharged from the hospital, and managed to earn a reward of 100 experience points in pharmacological syndrome differentiation!


    This is also the first time he has issued a doctor''s order for a patient with liver disease.


    His pharmacological syndrome differentiation has been successfully promoted to the fourth level, and the current experience value is 227/10000, which is the lower level of the attending physician.


    This level is insufficient compared to the upper level, but more than enough compared to the lower level.


    Not to mention being in Gui Peisheng, even if it is placed in the resident physician group, it is definitely an outstanding existence.


    All doctors know that pathological diagnosis and pharmacological syndrome differentiation are the two most difficult medical skills to be promoted, and they are comparable to the promotion of anesthesia. Many doctors study medical skills all their lives, but they always stay at the level of attending.


    It''s not just because medical papers have blocked their way to be promoted to deputy chief physicians. It''s because many doctors are more slack and lazy after work because of their limited understanding, and they don''t want to study and study as hard as they did when they were studying.


    In the end, I failed to comprehend high-level pathological diagnosis and pharmacological syndrome differentiation even after I retired.


    If it is Chinese medicine, in addition to pharmacological syndrome differentiation, there is also a more difficult medical technique called medicine effect meridian.


    It is equivalent to the advanced medical skill of taking medicine.


    After learning pharmacological syndrome differentiation, you can only treat the disease according to the disease, know which medicine to use for the disease, and accurately control the compatibility, dosage, and usage.


    But compared with the real masters of Chinese medicine or the masters of internal medicine, there is still a clear gap.


    Because they all know that the efficacy of medicine belongs to the classics of medicine.


    Also referred to as guijing.


    For example, Director Tan of the Department of Internal Medicine has studied the theory of traditional Chinese medicine, and I heard that he has also worshiped many old Chinese medicine practitioners as teachers. The purpose is to study the meridian distribution of medicinal effects in depth.


    It is not in vain that someone can become a first-level professor, be selected as an academician, and firmly sit on the top spot as the director of the internal medicine department.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Director Tan''s medical achievements in the field of internal medicine rank among the national internal medicine experts.


    It''s just that he is usually low-key and doesn''t pursue false fame, so his reputation is not as great as Wu Baihe''s.


    Even Director Yin Hua of the Department of Neurology is more famous than Director Tan.


    But Yin Hua usually respects like a student in front of Director Tan.


    Like Director Tan, after obtaining certain medical achievements, there are many scholars who specialize in studying Chinese medicine. Almost all famous internal medicine experts have followed this path. Just like all famous scientists, they finally embarked on the path of theology.


    Newton, Einstein, Edison... These people all went from scientific research to theology in their later years. No one can explain why.


    Everyone guessed that they may have believed in the existence of God because they knew too much and found that many things could not be explained by science.


    "Sword Comes"


    According to this logic, Chinese physicians began to study and study Chinese medicine in depth after they achieved certain achievements, and they also seemed to have discovered that many medical phenomena could not be explained by Western medicine theories.


    On the contrary, the answer can be found in the theory of Chinese medicine.


    Therefore, they will naturally start to explore Chinese medicine.


    Despite the rapid development of western medicine in pharmacy, western medicine still firmly suppresses traditional Chinese medicine and belongs to the mainstream of the market.


    But when it comes to returning to scriptures, foreigners shake their heads like rattles and only say NO, NO.


    Because there are no such things as meridians and acupuncture points in Western medicine.


    They don''t even understand meridians, if you talk to him about the effect of medicine on meridians, isn''t that playing the piano to the cow?


    Zhou Can''s pharmacological syndrome differentiation is currently level 4, and his understanding of pharmacology and medicinal properties has reached a new level, but compared with Director Tan of the Department of Internal Medicine and other medical veterans, his level is still far behind.


    Therefore, he is still very unfamiliar with the concept of meridian distribution of medicinal effects.


    But it is much better than foreigners, he at least knows some basic knowledge of meridians and acupuncture points.


    On this day, as usual, Zhou Can came to the ward early to check on the patients he managed.


    The number of patients assigned to him by Director Shang has increased from seven to eleven. During these seven days, some of the patients under his care have been discharged from the hospital, and some are newly admitted.


    So far, all the patients he has treated have received effective treatment, and for the time being, no intractable diseases have been encountered.


    If you need endoscopic surgery, you should do surgery, if you need interventional therapy, you should use interventional therapy, and if you need medication, you should use medication.


    Without exception, the patients he has managed can basically receive formal treatment within two days of admission.


    It is precisely because of his excellent management work that Director Shang keeps adding burdens to him.


    Zhou Can never refuses anyone who comes.


    Especially after his pharmacological syndrome differentiation and medical skills were upgraded to the fourth level, his ability to prescribe various medical orders for patients has been greatly improved. The selection, compatibility, and dosage control of drugs can be more precise.


    For example, to reduce fever, there are many kinds of drugs that can be chosen, such as ibuprofen, aspirin, acetaminophen, indomethacin, nimesulide, celecoxib and so on.


    When taking medication, his former resident medical level would only blindly pursue the effect of reducing fever.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Now that he has been promoted to the level of attending, he will consider various factors such as the patient''s age, gender, underlying diseases, and the cause of fever.


    It is obviously more thoughtful and detailed than before.


    The advantage of doing this is that it can better reduce the harmful effect of the medicine, and truly treat the disease according to the disease.


    In this respect, the prescribing levels of attending physicians and residents are really not at the same level.


    "Doctor Zhou, can you please help me see the patients in bed 65?"


    Zhou Can was doing a bed check in the ward when Yu Xin, the female coach in the group, came over.


    "What''s the matter?"


    Zhou Can turned his head and asked.


    Since he entered the Department of Gastroenterology, all the patients in his care have been effectively treated, which is a fact for all to see.


    Many people didn''t say anything, but they admired his ability very much in their hearts.


    Not to mention Yu Xin in the group.


    "The aunt who was infected with salmonella last time has just been transferred from the intensive care unit. I think her condition is still very scary. My level is limited, so I am worried about accidents. Please help check, I can rest assured."


    Yu Xin explained.


    Now she would ask Zhou Can for help whenever she encountered a patient who was uncertain, or a situation that she was not sure about.


    It is much easier to find Zhou Can, who is also at the level of regular training and more capable than the attending doctor, for help than Director Shang and Huang Xinggui.


    There is no such psychological pressure.


    "Hey, that aunt is really good. It would have been great if she had been diagnosed and treated as soon as she was infected with salmonella! It would be good if she was only willing to seek medical treatment if she was seriously ill. It would be good to save a life."


    Zhou Can shook his head and sighed.


    Follow Yu Xin to the ward where the 65th bed is located.


    Aunt''s husband has already been discharged from the hospital.


    On the contrary, it was her **** who put herself into the intensive care unit because of ignorance and luck.


    "Auntie, can you talk now?"


    Looking at the aunt who was sickly on the hospital bed and had lost a lot of weight, Zhou Can felt very complicated.


    The aunt almost shed tears when she saw him.


    "Doctor Zhou... If I had listened to your persuasion, I wouldn''t have stepped half a foot into the gate of hell. My heart is in a panic, and my intestines are full of regret. I have harmed my family..."


    The aunt''s voice whimpered, and the tears couldn''t stop flowing.


    The daughter next to her who asked for leave to take care of her hurriedly wiped her tears.


    "Money and wealth are things outside the body, and saving your life is the best result. Isn''t there a saying that if you survive a catastrophe, you will have a future blessing? I believe that you will live happily in the future. Look, your daughter is so filial. Please I took leave to take care of you at the hospital bed."


    Zhou Can is also not very good at comforting people.


    I can only say a few words of comfort to my aunt.


    "Let me measure your physical signs first. If you feel uncomfortable, you must tell us in time. Also, there is no need to worry about and regret what has happened. Keep a happy mood and you can be discharged from the hospital a few days earlier .If you feel depressed and your chest is stagnant, it will be very bad for your recovery."


    Zhou Can continued to persuade the aunt.


    There is no way, people are already so unlucky, and doctors should try to help patients as much as they can.


    "Hmm... I listen to you, this time I will no longer be self-righteous!"


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    My aunt has suffered a loss once, so she dare not be willful again.


    I really stopped crying and tried to adjust my emotions.


    Her daughter also took the opportunity to comfort her mother.


    "Mom, the doctor told you to keep your mood happy, so stop blaming yourself and worrying about this!" She sincerely hoped that her mother could live a happier life and untie her knots.


    "I have good news for you! Dad was discharged from the hospital two days ago! He is recuperating at home! He is still talking about your mother not being at home. I always feel that something is missing! My sister-in-law and I laughed that he didn''t see it. You seem to have lost your soul."


    The aunt, who was still immersed in self-blame and regret, really showed a smile on her face after hearing this.


    "He never said such nice things in front of me. When I am discharged from the hospital, I must cook a pot of chicken soup for him. Let him eat and recover soon."


    The aunt suddenly remembered that she and her husband were infected by drinking the problematic chicken soup, and hurriedly asked Zhou Can, "Doctor Zhou, can the chickens raised at home be eaten?"


    She was bitten by a snake once, was afraid of well ropes for ten years, and had psychological shadows after drinking ''poisonous chicken soup''.


    "Of course I can eat it. As long as it''s healthy chicken and it''s cooked thoroughly, there''s no problem at all. The tonic nature of chicken is mild, and it''s very suitable for nourishing the body when you recover from a serious illness."


    Zhou Can said with a smile.


    Yu Xin, who was standing beside her, couldn''t help smiling at this moment.


    This aunt also has a cute side.


    Zhou Can took the aunt''s body temperature, blood pressure, heart rate and other basic signs, and then learned about the aunt''s physical symptoms at this time.


    "Auntie''s current signs and symptoms are not bad. I believe that if she actively cooperates with the treatment, she will be able to recover and leave the hospital in a short time." Zhou Can''s words gave Yu Xin, auntie and family members reassurance.


    There were happy expressions on the faces of several people.


    It is the common pursuit of patients, family members, doctors and nurses that patients can recover and be discharged.


    "Doctor Zhou, can you help me to look at the patient''s doctor''s order again? Is there anything that needs to be revised?" Yu Xin might also be worried that Zhou Can thought she was busy, so she explained again. "Director Shang said that Duan Zifu and I are in doubt about the doctor''s order, so we can ask you for advice."


    "Director Shang really flattered me!"


    Zhou Can showed a wry smile, he was just a Gui Peisheng, not as powerful as Director Shang thought.


    Fortunately, his pharmacological syndrome differentiation has been promoted to the fourth level, as long as he does not encounter too complicated diseases, he can basically handle them.


    I read the patient''s doctor''s order carefully, and there is nothing wrong with it.


    "The doctor''s order matches her current treatment and symptoms, and she can continue to use it. However, it is still necessary to closely observe the patient''s medication response. If there is any abnormal reaction, it must be dealt with by the superior doctor as soon as possible."


    My aunt has just been transferred from the intensive care unit and is still very weak.


    According to Zhou Can''s training experience in the Department of Critical Care Medicine, such patients belong to the key nursing objects.


    Zhou Can was talking with Yu Xin when Huang Liang, a senior resident doctor under Director Zheng Hongtao, walked into the ward quickly.


    I saw him go straight to bed 67.


    It seems that the patients in this bed are under his care.


    When Huang Liang saw Zhou Can, he couldn''t help being slightly taken aback, his expression somewhat unnatural.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Because seven days ago, the patient with acute gastroenteritis almost died of his misdiagnosis and delay.


    The situation was particularly dire.


    As long as the delay in sending to the gastrointestinal surgery department is two or three hours, the patient may go into shock or even die.


    Zhou Can discovered in time that the patient might have intestinal perforation, which not only saved the patient, but also saved Dr. Huang Liang and Director Zheng Hongtao.


    It''s just that the attitudes of the two towards Zhou Can are very different.


    After Director Zheng shook hands with Director Shang to make peace, his attitude towards Zhou Can has become very warm and friendly.


    When they met, they would even greet Zhou Can with a smile on their faces.


    It shows that Director Zheng Hongtao knows how to be grateful.


    "morning!"


    Huang Liang nodded to Zhou Can and said hello.


    "morning!"


    Zhou Can knew that he was still struggling in his heart, but he didn''t have the same knowledge as him.


    Huang Liang''s status in gastroenterology is quite high, and his reputation is not small. Among the residents, he is one of the best.


    Being able to take the initiative to say hello to Zhou Can at least shows that he understands or is sensible, but he just takes his face very seriously and is arrogant, that''s why he behaves so unnaturally when he greets Zhou Can.


    To put it bluntly, I just don''t want to appear too weak in front of Zhou Can.


    But Zhou Can saved him once, this kindness is there, and after meeting his benefactor, he still can''t act like a stranger.


    At this time, an intern under Director Zheng also walked into the ward quickly.


    "Good morning, Dr. Huang! I heard that you entered the ward and came here quickly. This patient was admitted to the hospital yesterday. When he was admitted, he had unbearable pain in his upper abdomen. It was a paroxysmal severe pain that lasted for more than 10 hours. He was admitted to the emergency department. Afterwards, blood routine and B-ultrasound were performed on the patient, and anti-inflammatory treatment was given to the patient, but there was no effect. This was transferred to our Department of Gastroenterology.¡±


    The intern on duty quickly reported the patient''s condition.


    Epigastric pain, and extremely severe, the hospital will generally attach great importance to.


    At the beginning of the emergency department, it must be suspected that the patient ate unclean or irritating food, which caused gastritis or enteritis. Therefore, anti-inflammatory treatment will be given to patients.


    It now appears that the patient''s condition is more complicated than imagined.


    After Huang Liang listened carefully, he picked up the patient''s information to check.


    His brow furrowed more and more.


    It shows that the etiology of this patient is not easy to diagnose.


    (/novel/)

 Chapter 255： Blood pressure drop caused by profuse sweating, Dr. Huang Liangs surrender

    At this time, Zhou Can had already helped Yu Xin see the patients in bed 65, and he walked straight out of the ward. For the patients in Director Zheng''s group, he wouldn''t worry about it! Sometimes people are overly enthusiastic, and people may not appreciate it, and they will think that he is showing off his skills. "Doctor Yu, I''m going back to the office to write the medical records and the course of the disease. If you need anything, you can come to me at any time. After nine o''clock, you have to wait for my operation before I can help you." Zhou Can said to her. "Okay, thank you!" Yu Xin was very envious of Zhou Can''s special treatment in the Department of Gastroenterology. He can follow Director Shang or Deputy Director Shi to perform operations every day, and Director Shang must call Zhou Can to accompany him whenever he goes to the outpatient clinic. Not to mention Gui Peisheng, even resident doctors are envious of these treatments. Take Dr. Huang Liang as an example, he is already considered a leader among residents, but he still only has one day a week for outpatient training. No one took it yet, so I went to the outpatient clinic by myself. Regardless of the huge outpatient volume of the Gastroenterology Department of Tuya Hospital, but these resident physicians sit in outpatient clinics, and without exception, there are very few people. Even if the registration fee is only 8 yuan, very few patients register with these residents. Occasionally, the appointment of the expert, deputy director, and attending account has been completed, and a resident doctor''s consultation number is registered in desperation, and the patient and family members even look disgusted. They would rather scramble for the director number of tens of dollars than the cheapest resident doctor number. No one patronizes, which means that there are not many opportunities to exercise. The harvest of sitting in a clinic for a day may not be as good as Zhou Can''s diagnosis of a patient with Director Shang. Because the patients with special needs expert account are basically with complex or serious conditions. Only by treating such patients can we learn the real thing. Zhou Can returned to the office and took the time to write the medical records and course records. It is easy to write for one or two patients, but for as many as eleven patients, the workload is too great. There are many things to worry about. The doctor''s order of each bed patient must be verified repeatedly, and the room needs to be checked at least twice a day. Zhou Can has to worry about all the patients'' discharge, surgery, etiological examination, and medication. If he only took care of these eleven patients, he would be able to bear it. The key point is that he still has to spare half a day for surgery or to accompany Director Shang to the clinic. There are only twenty-four hours in a day, and the working time is eight hours. In fact, he works more than ten hours a day. Sometimes when encountering complicated endoscopic surgery, or the patient in charge of him has a condition, the off-duty time will be later. For example, there was a patient who vomited blood the day before yesterday, and he was about to leave work when he was admitted to the hospital. At that time, the patient vomited two mouthfuls of blood from time to time, and the situation looked really scary. In this case, Zhou Can, as a bed doctor, really couldn''t leave. If the cause of the patient''s illness is not found out, and the patient''s condition is not under control, he will be handed over to the doctor on duty. Out of the doctor''s sense of responsibility, when encountering such a patient, he will leave work without handling it well, and he will not feel at ease! What if the patient dies at night? While the course record was being written here, Duan Zifu ran over panting. "Doctor Zhou, Doctor Zhou, please help Yu Xin quickly! The aunt in bed 65''s blood pressure suddenly started to drop for some reason." Looking at Duan Zifu''s anxious face, Zhou Can''s mind The five words ''goddess'' licking dog'' can''t help but pop up. Duan Zifu seems to be interested in Yu Xin, and has been pursuing her. But she has always maintained aloofness towards Duan Zifu, and has never smiled at Duan Zifu. Her conversation with Duan Zifu also cherishes words like gold. But Duan Zifu didn''t care, and kept showing her all kinds of hospitality. When we meet, you are guaranteed to be the first to greet her with a smile on your face. Many times, the two work in different wards, and Duan Zifu would take the initiative to run over to find her. "Sudden drop in blood pressure? What is aunt doing?" Zhou Can immediately tensed up when he heard the patient''s blood pressure drop. The aunt herself has just been transferred from the intensive care medicine department, and her condition has deteriorated. If she is not handled properly, the patient will die if she says so. Often a drop in blood pressure is a sign of a sharp deterioration and aggravation of the condition. Zhou Can ran to the ward, and Yu Xin was nervously measuring the aunt''s blood pressure. "Doctor Zhou, the patient''s blood pressure has dropped suddenly, and it has been dropping. Please help me to take a look!" Yu Xin was so anxious that a thin layer of sweat broke out on her forehead. "The doctor''s order for medication hasn''t changed, right?" Zhou Can first suspected the problem of medication. This is also the most likely cause of the patient''s blood pressure drop. "No, there is absolutely no change. I am a patient who has just been transferred from the intensive care unit, how dare I change the doctor''s order!" Yu Xin bit her red lip and shook her head in denial. Zhou Can carefully checked the infusion bottle, on which the name of the drug was written with a black marker, and it was indeed correct. The possibility of taking the wrong drug or overdosing was ruled out. He looked at the patient, his forehead was wet with sweat. Slightly lifted the quilt and saw that the patient was covered with a thick coat. Covered with a hospital quilt. Is this sweating? "When was the coat covered?" Zhou Can asked. "It was an hour ago! What''s the matter? Is the sudden drop in my mother''s blood pressure related to Gai''s clothes?" the family members asked in confusion. "When I left, I remembered that the patient hadn''t sweated at that time. After walking for less than 40 minutes, the patient was already sweating profusely, which indicated that her blood pressure dropped just now because she lost too much water in a short period of time. Caused." After careful observation, Zhou Can made a preliminary conclusion. Patients suffering from myocardial infarction, or hypothyroidism, adrenal insufficiency and other reasons can basically be initially ruled out. This made Zhou Can even more convinced that it was caused by the patient covering his sweat. "Oh, I really made a mistake just now. Why didn''t I think of this?" After hearing Zhou Can''s explanation of the cause, Yu Xin suddenly realized. After hydrating the patient, remove the covering clothing to avoid continuing to sweat profusely. It didn''t take long for the aunt''s blood pressure to rise back. Yu Xin let out a long breath of relief. The sudden situation just now really scared her a lot. "Okay, it was just a false alarm." Zhou Can shrugged and got up to leave. The intern in charge of bed 67 walked up to him, and said respectfully and nervously to Zhou Can, "Doctor Zhou, can you please help me to see the patient in our bed? The cause of the disease has not been found out yet, the patient had diarrhea not long ago. After taking a stomachache once, the symptoms of abdominal pain are still not relieved.¡± Patients with abdominal pain, especially those with acute enteritis, usually relieve their abdominal pain symptoms after diarrhea. The patient''s stomach has been hurting for more than 14 hours, and the symptoms have not been relieved. This makes Dr. Huang Liang, who almost had an accident not long ago, very nervous. He was very afraid that the patient would have a dangerous disease such as intestinal perforation. Unlike Gui Peisheng, he is already a senior resident doctor, and he is not just managing the bed. And need to be responsible for the entire treatment process of the patient. To put it bluntly, it is a treating doctor. Zhou Can turned his head to look at bed 67, only to see Huang Liang standing there with an embarrassed face, forcing a stiff smile at him. This man is really interesting. I couldn''t bear to ask Zhou Can for help, but I ordered my interns to come over and ask Zhou Can. "My level is also very limited. I can only help you as a staff member. The opinions I give may not be correct." Zhou Can is very humble. Walking to bed 67, I began to conduct a simple face-to-face consultation with the patient. "Dr. Zhou has diagnosed many difficult cases in a row recently. Director Zheng told us to learn more from you. You are too modest! This patient''s condition continues to deteriorate. Although I have diagnosed some, I am worried about misdiagnosis, so I would like to ask Zhou Let the doctor take a look together." Huang Liang said boldly. The words had the meaning of praising Zhou Can, but he refused to lower himself too much. "I wonder if Dr. Huang can talk about the diagnosis?" Zhou Can asked him. "Based on the patient''s symptoms, I am more inclined to acute gastrointestinal perforation or acute cholecystitis." Huang Liang gave two diagnostic opinions, which shows that he has no idea at all. Just like that, he was still pretending to be a wolf with a big tail in front of Zhou Can. Zhou Can didn''t expose him either. Instead, I took the patient''s information and began to check it carefully. The patient''s abdominal b-ultrasound showed no abnormal shadows, and the abdominal plain film was also normal. The patient is in his prime, 31 years old. He drank and ate hot pot with some friends last night. After eating, he felt unbearable pain in his upper abdomen. After a few hours of pain, the symptoms did not ease, so I went to Tuya Hospital to go to the emergency department. After emergency anti-inflammatory treatment, no effect. The diagnosis and treatment capacity of the emergency department is limited, and the patient is sent to a specialist for further diagnosis and treatment. The patient had vomited several times, and the vomitus was the contents. The pain did not shift, no chest pain and tightness, no fever and chills, no urgency to urinate, no blood in the stool and hematemesis... After reading it, Zhou Can made a psychological estimate of the patient''s condition , is an emergency, but not as serious as imagined. It should be an acute lesion caused by overeating. Hot pot is generally very spicy, strong taste, and very hot. Coupled with drinking, the hidden diseases in the body are directly detonated. The patient''s wbc: 22*10 to the ninth power/l, blood sugar 15.3mmol/l. The heart rate is 85 beats/min, and there is no family history of diabetes... The patient''s myocardial enzymes are normal. Blood calcium decreased, blood sugar was high, blood lipids also increased significantly, and blood amylase also increased. Cholecystitis is indeed a possibility. However, the possibility of acute gastrointestinal perforation is unlikely. Zhou Can tried to press the patient''s abdomen, as long as the upper abdomen was pressed, the patient screamed in pain. Press other parts, the patient does not respond. "Bend your knees to your chest and try." Zhou Can said to the patient lying on the hospital bed. The patient did as he was told, with a comfortable expression on his face. "It doesn''t seem to be so painful anymore!" The patient''s pain was relieved, and he could not help but trust the young doctor''s medical skills. "Have you ever had this kind of abdominal pain before?" Zhou Can asked after temporarily relieving the patient''s pain. "No, I''ve never had such pain before." The patient shook his head. His girlfriend was accompanying him in front of the hospital bed, looking haggard. If it were anyone who accompanied the patient for one night, followed by fear, it would probably be in this state. "Smoking?" "Smoking!" "Is his face always this yellow?" "I don''t think so! It used to be quite fair." The patient''s girlfriend thought for a while before answering. "Dr. Huang, according to the patient''s symptoms and various auxiliary examination data, mild jaundice, plus abdominal B-ultrasound and plain film showed no abnormalities. My diagnosis is acute pancreatitis. I think his jaundice is very serious. It may be that the common bile duct was compressed by the enlarged head of the pancreas, which led to the mild jaundice symptoms. Elevated blood amylase is an important basis for diagnosis.¡± After seeing the patient, Zhou Can combined the inspection data with the patient¡¯s symptoms , made a preliminary diagnosis. "Isn''t it acute cholecystitis?" Huang Liang''s expression changed after hearing this. He got two diagnosis results, but unfortunately he didn''t get any of them right. "Probably not." Zhou Candan shook his head. "When I gave the patient a physical examination just now, in addition to upper abdominal tenderness, it was also accompanied by abdominal muscle tension. In addition, multiple auxiliary examination data can also indirectly prove that acute adenitis is more likely. The pathogenesis is mainly due to the zymogen in the acinus It was activated, triggering a series of chain reactions, which has a lot to do with the patient''s overeating." Zhou Can''s current pathological diagnosis level is at the low level of indications, and is moving towards the middle level of indications. He has the diagnosis bonus of the special medical skill of emergency life wisdom. Coupled with the fact that he has studied under many chief physicians, the diagnostic level is really not comparable to that of a senior resident like Huang Liang. He can directly point to the source of the lesion through the symptoms and examination data. Other doctors who are not qualified enough and have insufficient diagnostic experience will appear to be confused. "But the B-ultrasound did not detect any obvious abnormality of the pancreas!" Huang Liang still asked unwillingly. "Now check the B-ultrasound again, I believe we can find that the pancreas is obviously enlarged." Zhou Can''s tone was full of confidence. The b-ultrasound data will continue to change according to the progress of the patient''s condition. For some diseases, it is necessary to do two more b-ultrasound examinations. Of course, this kind of repeated examination in a short period of time may make patients and their families confused. Doctors need to be patient in explaining and communicating. Let patients understand that doctors are not earning black-hearted examination fees, but to help patients clarify the cause, find the focus, and relieve the patient''s pain. After hearing this, Huang Liang pondered for twenty or thirty seconds, and finally made up his mind. "You have heard what Dr. Zhou said just now. I am going to apply for another B-ultrasound examination for the patient immediately, and have another examination." Huang Liang looked at the family and the patient. This kind of repeated inspection definitely requires the understanding and consent of the family members and patients. "Okay, I believe in the level of this doctor Zhou." The patient''s mind has been in a state of sobriety, and Zhou Can''s various performances are indeed different from Huang Liang and others. UU Reading He has a calmness and confidence that only a chief physician can have. This is the demeanor of the legendary general. It can naturally convince people from the bottom of their hearts. Huang Liang prescribes abdominal B-ultrasound examination for the patient on the spot. Perhaps the patient with intestinal perforation a few days ago gave him a psychological shadow. After applying for the examination, he did not dare to delay and accompanied the patient to do the examination himself. Under normal circumstances, there is no need to queue up if there is a doctor taking the examination. Especially for some emergency patients, the examination department also has the responsibility to give priority to examination of this type of patients. For example, when patients with chest pain enter the hospital, they can directly go through the green channel of the chest pain center. Soon, the test results came out. Sure enough, as Zhou Can diagnosed, the patient had acute pancreatitis. Through this incident, Huang Liang''s attitude towards Zhou Can completely changed. He finally let go of the arrogance that remained in his heart, and was completely convinced by Zhou Can. Sometimes it may not be so easy to distinguish the level of medical level. But when the level of the two is very different, it is still easy to compare the level of one. In the two diagnoses, Huang Liang was obviously inferior to Zhou Can. This point, I believe others don''t say it, Huang Liang is also well aware of it. At this moment, Luo Jingyin, a graduate student under Director Shang, ran over, stood at the door of the office and shouted at Zhou Can. "Doctor Zhou, Director Shang asked me to ask you, have you handed over the patient at hand? The interventional operation room is about to prepare for the operation." The chief physician took the initiative to invite a Gui Peisheng to perform the operation. Very envious. At the same time, deep in my heart, I am even more convinced of Zhou Can. "Okay, okay, I''ll go there with you right away." Zhou Can has already gained experience now, and he has to hand over the patients in his hand to Luo Shengsheng, the chief resident, or other doctors in the group before 8:50 every day. Because when Director Shang, Deputy Director Shi, and Dr. Huang Xinggui perform surgery, they usually appear at nine o''clock in the morning.

 Chapter 256： Became a living Bodhisattva in gastroenterology, brotherhood

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can has strong surgical skills and is very popular in gastroenterology.


    After the superior doctors in the group recognized his surgical ability, they would take him to help whenever they had surgery.


    In more cases, Zhou Can directly helped them with the surgery.


    The operation that came out was good and fast.


    The satisfaction of patients and their families is also very high. The superior doctors were naturally more willing to ask him to help with the operation.


    ¡­


    The days in the Department of Gastroenterology are fulfilling and stressful. In addition to being busy with patients every day, his off-duty time is also occupied by reading, practicing the basic skills of quick knife, and various medical skills.


    The experience points of various medical skills are steadily increasing.


    The two medical skills of pharmacological syndrome differentiation and pathological diagnosis are growing most rapidly. If he was lucky, he would even receive up to four rewards of 100 points of pharmacological differentiation experience points a day.


    This medical skill is rapidly moving towards the middle level of attending.


    According to this momentum, it may be a month or two at most, and both pharmacological syndrome differentiation and pathological diagnosis can be raised to the middle level of indications.


    As his reputation in gastroenterology became more and more prominent, more and more doctors came to him for help.


    In the beginning, it was only interns, regular trainees, and a few resident doctors who asked him to help deal with emergencies of their patients, or asked him to diagnose difficult-to-diagnose causes.


    Later, these people tasted the sweetness and publicized it everywhere.


    No matter, no matter whether the resident doctors in the department are familiar with Zhou Can or not, whenever they encounter problems, they will not go to the superior doctor, but they will first think of Zhou Can for help.


    Because Zhou Can has no airs, and there are very few things that cannot be resolved.


    It seems to be more effective than finding a superior doctor.


    You don''t have to worry about all kinds of scolding. People who come to him only get benefits, and there is no pressure. Naturally, they will come to him next time.


    Zhou Can never tires of this.


    As long as he is busy, he can almost respond to requests.


    Unexpectedly, it was his approachable attitude, coupled with his strong problem-solving ability, that gradually made the attending physicians in the department shamelessly ask him for help.


    Especially Dr. Chi, Dr. Xia Ping, and Dr. Huang Xinggui, the three attending physicians, because they have long known that Zhou Can''s medical level is very high. Coupled with the familiarity with Zhou Can, the ''shameless'' took the lead to ask Zhou Can for help.


    In the end, Zhou Can was able to help each other.


    The other attending physicians saw it, alas, this young Gui Peisheng really has real talents and learning, and his level is extremely high.


    Then there''s nothing to be polite about, instead of having an accident, wait to be scolded by the superior doctor.


    It''s better to have the cheek to ask Zhou Can for help and see if it can be solved.


    In this way, Zhou Can became a veritable "living Bodhisattva" in the Department of Gastroenterology, responding to every request.


    When encountering some dangerous cases that are difficult to diagnose, other doctors avoid them one after another, but he is very determined. He rushed forward with a stuffy head.


    His actions were all seen by the deputy director and chief physicians of the department.


    Gradually, when discussing difficult cases in the department, he, the regular trainee, would be specially invited to attend.


    Not for anything else, just because this kid can really solve things.


    ¡­


    One day, after Zhou Can got off work, Li Lao called him.


    If I remember correctly, the two of them have had very few calls in the past two months. The number of messages and chats with each other has also dropped to a record low.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Just using busyness as an excuse is definitely not justified.


    Not long after Su Qianqian reminded Zhou Can, Li Luo''s attitude towards Zhou Can changed subtly.


    Zhou Can knew it well, but never revealed it.


    He had already prepared for the worst, parted ways, and ended the two people''s more harmonious cooperation than brothers.


    Money, enough is enough.


    Zhou Can is a very contented person. He partnered with Li Luo to open an entertainment company. Not only did he help his girlfriend Su Qianqian climb to the top of her career and became popular, but she also received tens of millions of dividends.


    How can the remaining 50% of the shares be sold for tens of millions?


    Calculated in this way, by investing in this entertainment company, he alone can make more than 100 million yuan in profit.


    From the former quasi-millionaire to the real billionaire, this is a goal that countless people want to achieve in their lifetime, but they will never be able to achieve it.


    "Brother Luo, what do you want me to do?"


    Zhou Can''s attitude towards Li Luo remains the same.


    "Recently, I have been busy with the company''s expansion and development. In addition, I have encountered several development bottlenecks and two troublesome things. I haven''t had a drink with you for a long time. If you don''t work overtime tonight, come to my house for a drink How''s the meal?"


    Li Luo was the first to explain to Zhou Can the reason for the lack of contact during this period.


    Zhou Can was actually skeptical about his explanation.


    "Okay! I haven''t seen my sister-in-law for a while. Is her health okay recently?"


    Zhou Can readily agreed.


    What is supposed to come will eventually come, and what we will eat tonight may be a breakup meal.


    I hope that if the business fails, the friendship can be preserved.


    "Your sister-in-law''s body is still the same. This disease will be difficult to cure if no new special medicine is developed. However, compared with before, she is in a very good condition now. By the way, you are the only one who comes over for dinner tonight. Can I go alone? I want to talk to you about some things, it''s best not to let Qianqian be present, after all, she is also an insider in the industry."


    When Li Luo invited Zhou Can to dinner before, he always asked Zhou Can to bring his girlfriend.


    Su Qianqian was not allowed to participate today, which means that what Zhou Can thought was just like what Zhou Can had thought was a breakup meal.


    "Okay! I see that she is so busy at work, and I really can''t bear to disturb her. What time will you be home at night?"


    Zhou Can asked.


    When Li Luo was not at home, only his sister-in-law was at home, and she herself had limited mobility. It was really bad for Zhou Can to visit her home alone at night.


    "I''m already at home now, I''ve bought the dishes and I''m preparing to cook. It depends on when you, a busy person, can come over, so I can calculate the cooking time of the dishes in advance. Many fresh ingredients are best fried and eaten right away. "


    Li Lao''s cooking skills are actually quite good.


    He is a man of many talents, with great career ability, and his cooking skills are also comparable to the top chefs of the hotel.


    In addition, Li Lao is good at playing the guzheng and playing the flute.


    The level of playing chess is on par with Zhou Can.


    You know, Zhou Can has participated in international Go and chess competitions.


    It can be seen how evil Li Luo is.


    Zhou Can is also versatile, painting, piano, martial arts...he has dabbled in many fields.


    Perhaps this is also the reason why the two hit it off and became good friends closer than brothers!


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "I just got off work, and I''m leaving right away. I can reach Jiangxin Island in about forty minutes."


    Even though Zhou Can is very rich, he still hasn''t bought a car until now.


    Mainly because there is no need for this.


    It is only a few minutes away from the hospital to the apartment every day. Driving a car to and from get off work, he would waste a lot of time just parking the car.


    I took a taxi and went straight to Jiangxin Island Villa.


    After nearly an hour, he successfully arrived at Li Lao''s house.


    Because he has come to the island more times, the security guards already know him. It''s easy to get in and out.


    Li Luo knew that he was coming, and the gate of the villa was open.


    Zhou Can went straight in.


    Because he came here today to discuss matters with Li Luo, he didn''t go over to say hello to Mr. Cui and his wife.


    As soon as he entered the gate of Li Lao''s house, Zhou Can smelled the aroma of delicious food.


    Zhou Can carried some gifts he had bought and entered the entrance door of the villa.


    "Hi sister-in-law!"


    Seeing Qiu Jie sitting in the living room, Zhou Can hurriedly greeted with a smile.


    She looked fine.


    "Dr. Zhou is here! But I haven''t seen you for some time. You are really hard working as doctors, and you are so busy at work!"


    Qiu Jie supported the chair and stood up to meet Zhou Can.


    Seeing that she was about to walk over with a cane, Zhou Can hurried forward.


    "Sister-in-law, please sit down. I often go to your house to eat with brother Cui''s house. I''m not a guest, so please don''t be too polite. Otherwise, I won''t dare to come next time."


    Zhou Can said with a smile.


    "This is a little nutritious product I bought for my sister-in-law. It is purely for strengthening Qi and cultivating energy, so you can eat it with confidence."


    It is a big taboo to go to someone else''s house empty-handed.


    Anyone who knows a little about socializing knows that some gifts should be brought to the door.


    "I''ve troubled you! You, you buy me presents every time you come here. You''re so kind!"


    Qiu Jie thanked him gratefully.


    "But don''t tell me, the nutrition you choose as a doctor is different. After I took it, I couldn''t feel anything at first. After a while, I found that my spirit improved significantly, my body became lighter, and my breathing It''s going to be smoother."


    She laughed and praised.


    He not only praised Zhou Can as a professional in the medical field, but also praised the useful gifts he bought.


    "Brother Zhou, sit down for a while, the dishes will be ready in no time. There is no one else, just the three of us, and I simply made six dishes. Don''t feel shabby."


    Li Luo poked his head out from the kitchen to say hello.


    Seeing him wearing an apron and rolling up his sleeves, it really looks like that.


    "Six dishes aren''t enough? I''m in the hospital cafeteria, and I eat two dishes for each meal. The key is the big pot dishes in the cafeteria. The taste is terrible. The dishes made by brother Luo are better than those cooked by the hotel chefs." Much tastier."


    Zhou Can and Li Luo looked at each other, and Li Luo''s eyes were the same as before.


    This made Zhou Can feel a little suspicious.


    What I want to talk about today should be to kick Zhou Can out of Jinyu Interactive, and then cooperate with the capital tycoon Hu Haikun, so that Jinyu Interactive can quickly reach a new level and become an entertainment giant that can compete with Tianyu Interactive.


    From a rational point of view, it is a bit unreasonable for Li Lao to do so.


    I''m sorry for Zhou Can''s trust.


    Then he should feel guilty. Why didn''t the eyes change at all?


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Let me do the fighting! Otherwise, I''ll be a real idler!"


    Zhou Can laughed at himself and made the two of them laugh, and then went to help.


    Soon, the delicious food was served, and the three of them sat down to eat together. Li Luo toasted Zhou Can as usual, gossiping.


    Seeing that the meal was almost finished, Li Luo just didn''t talk about business.


    After three rounds of wine and five flavors of food, Qiu Jie stood up and said, "It''s time for my favorite Korean drama to start. You two are chatting. I''ll watch TV." She is a very smart woman.


    He must know that Li Luo has something to talk to Zhou Can, and staying here will only increase the inconvenience.


    So I found a reasonable excuse to leave the table and leave space for the two of them.


    After Qiu Jie left, Li Luo toasted with Zhou Can.


    "Brother Zhou, since the two of us co-founded Jinyu Interactive Company, you have never asked about the company''s affairs. Dividends are just as much as I give you, and you have never doubted me. The development and management of the company also support me unconditionally. Every time I ask for additional investment, you always trust me and support me unconditionally. It is my luck to have such a sincere friend like you in this life."


    Li Luo talked about the pleasant cooperation between the two with the help of three points of alcohol.


    "Before I became a partner, I said that I don''t understand the management of entertainment companies, and I don''t like doing those things. I just like to study medical skills and save lives. As for trust, that''s what it should be. If you don''t trust you, why bother?" cooperate?"


    Zhou Can said calmly.


    "There is one thing that I didn''t plan to tell you, but it is related to the life and death of the company. This matter must be communicated to you. In case the company suddenly disappears one day, you can also be mentally prepared."


    There was a trace of deep sadness between Li Luo''s brows.


    Is this going to play the sad card?


    Zhou Can thought to himself.


    He asked in a slightly surprised tone, "Isn''t the company''s business booming all the time, is the situation good? Why is it suddenly so serious that it may go bankrupt at any time?"


    Li Luo took a sip of his wine and sighed, "There are too many people with pink eyes these days. Seeing that our company is developing well, I want to share a piece of the pie. I can handle ordinary people. I was offended this time." The person who died was Hu Haikun, a capital tycoon in this province. You may not know the details of this person. This person made his fortune by monopolizing the wholesale agricultural products market. In the early days, he was very close to those people who were in the society."


    "After earning the first pot of gold, he aimed at the real estate market, and made countless black gold in the real estate industry by various means. After that, he began to launder the white, but the relationship between black and white is still extremely hard."


    When mentioning Hu Haikun, Li Luo''s tone was very serious.


    "Isn''t it a legal business to be in the real estate industry? How do you earn black gold?"


    Zhou Can asked puzzledly.


    He understands the meaning of black gold, that is, the money earned is not clean.


    "The houses built by other formal real estate companies are of qualified quality, but the houses he built are all kinds of cutting corners. After the owner finds out the problem, he uses various threats and intimidation methods to force the owner to sign for it. What''s more, building a leather bag The company sells more than one house, and many owners emptied the six wallets of their parents, grandparents, and the owner''s husband and wife to buy the house. In the end, the house was not received, and they were also burdened with huge debts."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "By relying on these illegal methods, he earned countless black-hearted money. Later, he also knew that he had done a lot of such illegal things. Once he was investigated, he would be easily imprisoned, so he began to think of various ways to launder the money." In recent years, he has specifically aimed at companies with strong development potential like ours, and made formal investments through means such as shareholding and dividends."


    Zhou Can''s teeth itched with anger when Li Luo told the story of Hu Haikun''s various crimes and black history.


    This kind of scum, don''t ask him to see a doctor when you get sick one day, otherwise, Zhou Can will definitely use up all he has learned in his life and let Hu Haikun spend the rest of his life lying in a hospital bed. He will maintain justice in the world in his own way.


    "Last month, Hu Haikun took aim at our company, found me, and offered an extremely attractive offer. But I rejected it. He was not reconciled. He approached me many times after that, but was rejected in the end. At first, I I also know that this person is extremely powerful and cannot be offended. So I tried my best to mediate. Until half a month ago, he lost his patience and gave an ultimatum. If you can''t get something, no one can get it, so smash it."


    Speaking of these things, although Li Luo''s tone was calm, Zhou Can could imagine how much pressure Li Luo was under when facing Hu Haikun''s threat.


    "Why didn''t you agree to cooperate with him? Didn''t you always want to develop Jinyu Interactive into a top entertainment company like Sky Entertainment?"


    Zhou Can looked into Li Luo''s eyes and asked.


    "Huh! The terms proposed by Hu Haikun are certainly attractive. By cooperating with him, Jinyu Interactive can indeed skyrocket, but the price is that you will be kicked out. Do you think I might agree?"


    Li Luo sneered.


    Scholars have their own bones, and they value friendship and hate officials most.


    At this moment, Li Luo actually gave people a kind of arrogance, scholarly spirit, and a sense of loneliness and heroism that everything is indestructible.


    This reminded Zhou Can of Qu Yuan''s poem: "I want to do what I want, even though I died nine times, especially I have no regrets."


    For this brotherhood, even if Jinyu Interactive was suppressed to bankruptcy by Hu Haikun, he will never regret it and never waver in his original intention.


    "It''s not unacceptable that I''m out. I''ve earned enough for more than a year. I can''t help you at all. My exit can help you quickly realize your ideals. Why not do it?"


    After Zhou Can knew Li Luo''s attitude, he was more willing to voluntarily give up the 50% equity.


    Friendship is about giving to each other.


    True friendship is even stronger than love.


    "Zhou Can, you underestimate me!"


    Li Luo looked very angry.


    Almost hit the table.


    "Although we have known each other for less than two years, I have always regarded you as a brother, as the best friend in this life. Don''t talk about some wealth, just give me all the money in the world , It¡¯s only one ten-thousandth of our friendship. Love is stronger than gold, and friendship is one of the most precious things in this world.¡±


    Zhou Can''s words obviously made Li Luo feel very angry. He thought Zhou Can underestimated him too much.


    "Don''t get excited, don''t get excited, I just think it can help you realize your ideals as soon as possible, and it doesn''t matter if you quit. Since you don''t want to, then I won''t mention it again. And seeing that you value our friendship so much, I feel very special I''m happy. In this life, being able to make friends like you is not in vain."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can was really happy from the bottom of his heart.


    I believe that no one wants to be betrayed by a friend.


    If you want to see a person''s character clearly, you only need to look at his attitude towards money.


    Li Luo did not hesitate to be an enemy of capital giants like Hu Haikun, and he was unwilling to do things that were sorry for Zhou Can, which really moved Zhou Can.


    "I don''t have many friends, and there are only two or three people who really make friends with each other. To each of you, I can have a clear conscience and sincerity." Li Luo looked into Zhou Can''s eyes, and his tone was sincere.


    Under the stimulating effect of alcohol, people can become more emotional, and it is easier to say psychological words that they usually do not want to say.


    In fact, in a person''s life, it is not about how many important people he knows, but about having one or two close friends.


    "Thank you! Brother Luo, I respect you for this glass of wine!"


    Knowing that he misunderstood Li Luo, Zhou Can felt ashamed, so he poured wine for him and toasted him.

 Chapter 257： There is no bottom limit for bad guys, Doctor Chi asks for help

    "You said just now that Hu Haikun threatened to smash what you can''t get, and no one can get it. Has he already acted?" Some people are extremely greedy, vicious, and narrow-minded. Hu Haikun belongs to this kind of person. He is obviously very rich, and he can''t spend it all in a few lifetimes. When he found out that Jinyu Interactive might bring him huge profits, he had to forcibly participate in the shares regardless of whether the founder agreed or not. This person is used to stealing and plundering, and when he encounters disobedience, he immediately turns his face and uses force. "As early as half a month ago, he had already started. He deliberately sent people to make trouble at the concert to cause trouble. Fortunately, our security team was very strong, and they controlled the troublemakers in time and handed them over to the police station for further processing. Otherwise, the consequences would be unimaginable. The second time, he bought an artist from our company, spread rumors in public places and on the Internet, and discredited us.¡± Li Lao mentioned to Zhou Can that the company encountered Here comes two troublesome things. Zhou Can originally thought that Li Luo was deliberately selling out in order to kick him out. Only now did I know that Li Luo didn''t lie to him, what he said was all true. This also made Zhou Can feel a little guilty, always feeling sorry for Li Luo. At the same time, he was extremely angry at what Hu Haikun had done. You have to find a way to deal with this person. "In an entertainment company like ours, it''s not a bad thing for an artist under our company to occasionally expose a scandal, but it can increase the artist''s exposure, which is a good thing. But it''s not a good thing for an artist to smear the company''s image. This time, Hu On the Internet and in public places, Wei publicizes that our Golden Entertainment company oppresses artists, and even fabricates all kinds of out-of-the-box stories to slander Su Qianqian." When Li Luo talked about this artist named Hu Wei, he was very angry. "Want to ruin Qianqian''s reputation?" A rare gleam of coldness flashed across Zhou Can''s eyes. Don''t look at him usually being kind and amiable, he is also very tolerant to others. But if someone dares to be unfavorable to Su Qianqian, or to the relatives around him, he will never be merciful. If it can be killed, it will never be maimed, and if it can be maimed, it is not just a beating. "Hu Wei is the first batch of artists trained by our company, so he knows many things about Su Qianqian. This person was originally prepared to train and develop as an actor. Because he didn''t work hard, he trained for a year and a half. Time didn''t make any progress, but instead harassed the company''s female artists all day long. Gradually, this person was marginalized. Unexpectedly, Hu Haikun secretly bribed this person to attack and discredit our company." Point. Being bitten by this family thief was really painful. I spent a lot of effort and thought of many ways to minimize the negative impact this person had on the company." Li Lao''s words were exhausted . It is indeed a headache to meet such a rebellious boy. The people who hurt you the most are often those around you. Because only people around you know your weaknesses, so you can let go of them. "You can''t just let him be so cheap. You must make an example and deal with this traitor severely." Zhou Can said through gritted teeth. If an effective response cannot be made, there is no guarantee that other personnel in the company will not follow suit. After all, the benefactor behind the scenes is the richest man in the province. Both influence and wealth are far beyond imagination. Hu Haikun is fully capable of buying more employees to deal with Jinyu Interactive. "It''s very difficult to buy away the well-developed artists in the company. But there are also a small group of people who are eager to move. They saw that Hu Wei betrayed the company and not only did not receive any punishment, but lived a good life. It is inevitable that some people will follow suit. Hu Haikun is very capable of engaging in these crooked ways. I heard that he awarded Hu Wei a house. This will let Hu Wei work hard.¡± At the same time, it can also let the employees of Jinyu Interactive see that as long as they take refuge in Hu Haikun, they will It can be prosperous and rich, and it can be cooked endlessly. A house is nothing to a top artist like Su Qianqian. But for some dare people who don''t mix well, it definitely has a strong attraction. As long as you betray your old club and speak ill of your old club, you can get a house, which is enough to make many people follow suit. "Hu Wei spread rumors to smear the company''s image and tarnish Qianqian''s reputation. Can''t we sue him?" Zhou Can asked. "Nowadays is a legal society, and we must pay attention to evidence in everything. It is difficult to distinguish the truth from the falsehood of his rumors, and neither side can produce strong evidence. Not only is it useless to sue him, but it will enhance his reputation and fuel his arrogance. Arrogance. Therefore, our company is extremely passive in this matter. But as long as we can get conclusive evidence for this matter, it is enough to sue him for bankruptcy." It''s not that Li Luo doesn''t want to deal with this person, but he is powerless. In a society ruled by law, everything is about evidence. Hu Wei''s rumors are half-truths and half-false, even if they are sued in court, they may not be useful. "This person is really hateful. It''s really infuriating that the bad guy doesn''t get the punishment he deserves." Zhou Can hated this artist named Hu Wei very much. In his impression, Hu Wei was a handsome young man. When I went to the company, Zhou Can met several times. This person had just graduated from the Academy of Film and Television at that time, and he was running into obstacles everywhere looking for a job. If Jinyu Interactive hadn''t taken him in, it would have been impossible to survive in this big city. Now not only is he not grateful for the company''s cultivation of him, but he has betrayed his old club and killed him. This kind of ungrateful villain is especially hateful. "Although Hu Wei is still doing things to discredit our company, it has had little effect. He can only fabricate some lace news about him and Su Qianqian, which can still attract some attention. But the more he danced about this matter, The more likely we are to collect evidence and successfully bring him to justice. Now I am not worried about Hu Wei, but about Hu Haikun continuing to make trouble." Li Lao was full of fear for Hu Haikun. No one dares to underestimate the destructive power brought by a capital predator. "Qianqian is the pillar of our company, and must be the key target of Hu Haikun. You and I are like brothers, so I''ll just say something straight. You must protect Su Qianqian and not give the bad guys any chance. We must prevent her from being directly poached by Hu Haikun." Li Lao is well aware of the ugliness of human nature. Some people will do anything for money and profit. He deliberately didn''t let Zhou Can bring Su Qianqian here today, just to prevent Su Qianqian from really giving birth to a double heart. Besides, these words cannot be heard by her. "Don''t worry, Su Qianqian is my woman. If there is a problem, I will be responsible. If she really falls into Hu Haikun''s arms, I will end everything about her with my own hands. I believe that Jinyu Interactive can support her, as well as Praise other artists." When Zhou Can said these words, he looked extremely cold. It''s not that he is ruthless, but that he does have this ability. "However, so far, I still believe that Qianqian will not do anything to apologize to me. If she is really the kind of woman who has milk and is a mother, then she is not worthy of my deep love." Zhou Can''s girlfriend The requirements are actually quite high. Especially in terms of character, you absolutely don''t want that kind of fidgety, skittish woman. ... chatted with Li Luo for a long time, and it was past eleven o''clock at night when we returned to the apartment. The crisis in Jinyu Interactive still had a certain impact on Zhou Can. Lying on the bed, he quietly thought of some countermeasures. In the face of Hu Haikun''s oppression and destruction, it makes no sense for Li Luo to resist alone. Zhou Can is also the major shareholder of the company, and he takes away half of the profits every quarter. If the company is in trouble, he should naturally contribute. Instead of being beaten passively, he thought it would be better to take the initiative. The best defense is always an offense. Hu Haikun will definitely make other moves, and some dirty tricks are hard to guard against. Perhaps, Hu Wei can become a breakthrough in the counterattack. A bold plan slowly took shape in Zhou Can''s mind. When dealing with despicable people, there is no need to speak morally. As long as it is useful, it can be used. It''s just that this matter still needs to wait for an opportunity. Zhou Can concluded that the enemy would automatically come to his door. The key person in this matter is Su Qianqian, and she needs her cooperation to complete it. The next day, Zhou Can called Su Qianqian and explained a few words. After Su Qianqian heard this, out of trust in Zhou Can, she agreed without thinking. After the arrangements were made, Zhou Can continued to work normally in the hospital. His position in gastroenterology is also becoming more and more stable. On this day, he was discharging patients from the office when Dr. Chi walked in with a solemn expression. Dr. Chi first returned to his seat and sat down, drank a few sips of water, and then turned on the computer to check something. After more than ten minutes, Doctor Chi looked at Zhou Can, but didn''t speak. He quickly looked away again. In just three or four minutes, Doctor Chi peeked at Zhou Can seven or eight times. Needless to say, there must be something wrong with this situation. It''s just that these attending physicians have thin skins, and when they want to ask Zhou Can for help, they always hesitate like Dr. Chi. To put it bluntly, I just couldn''t hold back my face, afraid of being rejected by Zhou Can, afraid of being laughed at by others. After all, it is by no means honorable for an attending physician to seek help from a Gui Peisheng. Zhou Can could feel Doctor Chi''s gaze, but he didn''t say anything. Get on with your job. Finally, Dr. Chi couldn''t help standing up and walking behind Zhou Can. "Doctor Zhou is busy!" Doctor Chi greeted with a smile, with an unnatural expression. These doctors who are engaged in medical research, as long as they have some status and achievements, they all have this tone. The heart is proud and has a strong self-esteem. It''s just that the patient in hand can''t be ignored. Generally speaking, it is much easier to ask Zhou Can for help than to ask the chief physician for help. And there are many difficult and miscellaneous diseases to find the chief physician may not be effective. Often the patient is hospitalized, and then all kinds of examinations are done again. In the end, the cause is still not found, so the patient can only be sent away. It is different with Zhou Can, who can help them solve seven out of ten intractable diseases. For the remaining three, after a period of research, one or two of them can find the cause and solve them. Because of the great benefits of seeking Zhou Can, these attending physicians have to bite the bullet and seek Zhou Can despite the pressure of being ridiculed. "Not busy, not busy, what''s up with Dr. Chi?" Zhou Can asked after stopping what he was doing. Give the attending physicians the greatest respect, this is the only way he can lighten their psychological burden. "I have a patient at hand. It has been two days since I was admitted. She has positive **** occult blood, loss of appetite, weight loss, intermittent vomiting, and diarrhea that is progressively worse. However, the cause was not found out after an examination. Today I gave her another supplement. Gastrointestinal radiography showed that the small intestinal mucosa was rough and granular. I initially suspected it was small intestinal tuberculosis. But when I gave her the doctor''s prescription, I always felt a little uneasy." Dr. Chi hesitated for a moment, then continued. "Seeing that she is very young, she is only 17 years old this year. What a pity if my illness is delayed because of my misdiagnosis! Your diagnosis is always accurate, so I want you to help check it out." Dr. Chi said. When checking the three characters, his face was somewhat feverish. He was about to be judged as a deputy high-ranking person, and when he was diagnosing a patient, he actually asked a Gui Peisheng to check him in. It''s like a teacher asking his students to help him see if the answer to the question is correct. "I don''t dare to be a gatekeeper. At most, we discuss and study together." Zhou Can tried his best to save Dr. Chi as much face as possible. Seeing Zhou Can agree, Doctor Chi breathed a sigh of relief, with a happy smile on his face. "The patient''s information can be seen on the computer. The patient''s name is Tang Menghui." Zhou Can clicked on the patient list of the department. There were hundreds of patients who were being treated and waiting to be investigated for the cause. It would be a waste of time to go through them one by one, so he entered the name to check. Tang Menghui''s information popped up. "That''s right, that''s her!" Doctor Chi stood behind and pointed to the patient''s name. Zhou Can clicked to check one by one. The patient''s medical records are not perfect yet, but the information of various admission examinations and consultations are enough for Zhou Can to give a comprehensive diagnosis to this female patient. Just turned 17, exactly the same age as Hua''er. It would be a pity if the illness was delayed due to misdiagnosis. Zhou Can didn''t dare to be careless, so he was very careful and carefully checked every piece of information about the patient. "Judging from the examination results and symptoms, it does look like small intestinal tuberculosis. Is she still in the hospital?" "Yes! She lives in bed 105." Dr. Chi nodded. "I''ll go to the ward to see her, and a face-to-face consultation will give me a more intuitive judgment." When Zhou Can diagnoses these intractable diseases, he likes to observe the patient''s complexion, body shape, mental outlook, etc., and then compare the examination information and medical history. , symptoms combined to make an intuitive comprehensive diagnosis. Doctor Chi accompanied him to the ward. I saw a pale little girl lying on the 105-bed ward. She looks very handsome, with delicate features, but her figure is extremely thin, like a young lady in ancient legends, sick and weak. "Is your vomiting regular? For example, you only vomit after eating, or the time is relatively fixed." Zhou Can asked the patient. The family members next to him looked dumbfounded, what is the situation. Dr. Chi, who was in his forties, hired a young and ridiculously young doctor to help his sister. And from the looks of it, Dr. Chi seems to be dominated by this young doctor. Could this young doctor be a doctoral student who graduated from a prestigious overseas university? Family members have questions, but generally they just keep it in their hearts and don''t ask more questions. There are also individual family members with low emotional intelligence and outspokenness who will inquire about the origin of the doctor brought by the attending physician. UU Reading "The time of vomiting is not fixed. Most of the time, vomiting occurs within an hour or two after eating. But it is not absolute. Sometimes when I fall asleep in the middle of the night, I suddenly feel extremely uncomfortable, and then I vomit. Yes." The girl replied weakly. Zhou Can put his hand on her forehead with the back of his hand. It feels a little hot, it should be a low-grade fever. I checked her physical examination information in the office just now, and it was also confirmed that she had a persistent low-grade fever. This persistent low-grade fever can leave the patient feeling physically tired and listless. It can also be understood as the body is burning some stored energy, raising body temperature to enhance immunity and fight against virus invasion. Every time the body temperature rises by one degree, the immune system can be greatly improved. Fever is a self-protection of the body''s immune mechanism. Information about some diseases can also be obtained indirectly through fever. For example, a high fever in a short period of time means that the disease is very violent and it is an emergency. Such as severe cold, various viral infections and so on. If it is a persistent low-grade fever, it is likely to be a chronic disease. What I am most afraid of is intermittent low-grade fever and repeated low-grade fever. This kind of disease is generally difficult. "Can you lift up your shirt a little bit so that I can check your abdomen?" Zhou Can said as expressionlessly as possible. Sometimes when treating female patients, especially when doing palpation or tenderness tests in such more private areas, special care must be taken. When encountering family members with a bad temper, it is especially easy to cause misunderstandings and unnecessary disputes. Doctors diagnose and treat patients, and they are in a voluntary cooperative relationship with patients. If the patient does not cooperate with the doctor''s examination, he must not force it. The girl was a little shy, but finally, with her mother''s encouragement, she lifted up her blouse, revealing her smooth and flat stomach. "Just lift it here. When I press, if it hurts, you can tell me." Zhou Can said to her. The tenderness test helps the doctor to pinpoint the lesion area more precisely.

 Chapter 258： Exploratory laparotomy, why didnt you say it sooner?

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    He begins to compress multiple areas of the patient''s abdomen.


    The patient makes a muffled sound when pressed to the middle area near the right side of the upper abdomen.


    "Pain, pain!"


    She yelled hastily with a trill.


    Zhou Can did not stop the tenderness test at this point, but continued to press the surrounding area, and none of the patients responded to pain.


    After pressing, he turned back to the tender area just now. While pressing, he closed his eyes and felt carefully.


    If it weren''t for the seriousness on his face, the family members would have thought that this doctor was dishonest and was eating their daughter''s tofu.


    "Well, her lesion area can basically be located in the jejunum segment of the small intestine. This is also consistent with the results of the gastrointestinal contrast examination. Duodenal lesions are generally characterized by inflammation and ulcers. In addition to inflammation and ulcers, the ileum is also prone to Hemorrhage. Only the jejunal segment has the highest rate of malignant disease in clinical practice."


    When Dr. Chi, who is also a doctor, heard what Zhou Can said, he immediately understood.


    Sometimes, even if the cause of the patient has been found out, it is as tactful as possible to tell the patient the diagnosis. Tell the patient directly that you have a terminal illness, which can easily break the patient''s mind.


    Many patients are very nervous when they come to the hospital for diagnosis and treatment.


    In this case, more consideration should be given to their psychological endurance.


    "Doctor, what''s wrong with my daughter?"


    When the family members heard that Zhou Can''s words were wrong, their faces turned pale.


    Poor parents in the world.


    The love for children is like the flesh on the tip of one''s own heart.


    Hearing that their daughter might be seriously ill, the family members were extremely panicked.


    "It''s still just a preliminary diagnosis, and it''s too much to count. Don''t be too nervous. I think she is in good condition now, and only one part has a strong tenderness reaction. This is a good thing. It shows that the disease is in a timely manner and it is still in its early stage. stage."


    Zhou Can explained to his family.


    Now he finally understands why the monks in the temple always love to play Zen.


    Some things are told directly to the parties, and the other party cannot accept it. Let the other party understand it by themselves, but it will be more kind.


    "Doctor Chi, I suggest to do a laparotomy for the patient. Of course, if possible, we can discuss it with the family members before performing the exploratory surgery. If surgery is needed, we can do it together at that time. It can minimize the patient''s surgical injury .¡±


    Zhou Can''s next proposal, not to mention family members, even Dr. Chi was taken aback.


    Exploratory laparotomy is an invasive exploration, and laparotomy is only performed in the face of some critical and malignant diseases.


    "Isn''t it okay to have a colonoscopy?"


    Doctor Chi asked seriously.


    "I''m afraid not. If the colonoscopy can find out, her cause will not be difficult to diagnose. I personally recommend a laparotomy." Zhou Can''s resolute attitude made Dr. Chi become more serious.


    He knows Zhou Can''s ability very well.


    If he was not sure, Zhou Can would never be so firm in asking for a laparotomy.


    "Doctor Zhou, is it convenient for you to tell me the basis for this examination?" Doctor Chi will definitely not agree rashly.


    He decided to listen to Zhou Can''s inspection basis first.


    "Doctor, my daughter is still young and unmarried. If she undergoes a laparotomy, it will leave ugly scars. It will affect her future marriage and life. Please make a careful decision and avoid it as much as possible."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The family members begged weakly beside them.


    For the family members, they have no right to change the examination and treatment decisions made by the doctor.


    It is often the doctor who has the final say.


    Family members and patients are in a vulnerable position because they do not understand the medical profession.


    When you arrive at the hospital, you can basically choose to trust the doctors and nurses and give the right to life to the medical staff.


    Generally speaking, the vast majority of doctors and nurses are just, kind, and very compassionate. I believe that with the continuous improvement of the law, the supervision and crackdown on the small group of "rat shit" will become more and more severe.


    Some well-established hospitals have a large number of old comrades who spontaneously maintain the red line of medical ethics from being trampled on.


    Such is the case with Tuya Hospital.


    Those who are not good at medical ethics have little room for development in Tuya Hospital.


    "Let''s go outside to discuss, don''t affect the patient''s rest."


    Zhou Can glanced at the **** the hospital bed, and walked out first.


    "When I performed the tenderness test and palpation just now, it was clear that there might be hard nodules or tumors in her abdomen. In addition, some of her symptoms were similar to malignant tumors. In addition, I have come into contact with some similar patients in the Department of Critical Care Medicine. Many patients with the disease were discovered too late and missed the opportunity for surgery. This patient is exactly the same age as Hua, and I think life safety is far more important than leaving a scar on the abdomen.¡±


    What Zhou Can said was not only for Dr. Chi, but also for telling the family members that your sister''s disease is likely to be a malignant tumor.


    He called Dr. Chi and his family to talk outside the ward in order not to burden the patient psychologically.


    "Doctor, what disease does my daughter have? What does malignant tumor mean?"


    The girl''s mother asked nervously.


    No matter how stupid the family members are, they can still feel that the atmosphere is not right.


    At this time, they must have realized that the problem may be very serious.


    It''s just that Zhou Can is very young, and his family members have doubts about his medical skills and experience in diagnosis and treatment. The family members still have a lot of luck in their hearts, thinking that their daughter is so young that it is impossible for her to suffer from serious diseases.


    "Malignant tumors are what people often call cancer. We divide tumors into benign and malignant tumors in medicine. The risk of benign tumors is relatively low. As long as malignant tumors spread, it will almost enter the countdown to life."


    After Dr. Chi''s explanation, the girl''s mother was already pale, without a trace of blood, her body was shaking, and she almost sat down on the ground.


    Fortunately, she was supported by her husband next to her.


    "It''s just a preliminary diagnosis right now. You don''t have to be too pessimistic until the final test results come out. Besides, Dr. Zhou also said just now that your daughter went to the doctor in time. Even if the test results are really bad, it''s not the worst. that step."


    Dr. Chi quickly comforted the family members.


    "According to what you mean, my daughter must have this laparotomy? Is it dangerous to cut her belly open?"


    At critical moments, men can resist.


    Although the girl''s father was terrified by the news like a bolt from the blue, he still tried his best to keep calm and assumed the responsibility of the head of the family.


    "Any invasive operation has risks, but our hospital''s technology for laparotomy is very mature, and the probability of accidents should be one in a million. And before the exploratory operation, there will be a professional anesthesiologist to check the patient''s physical condition. Carry out a risk assessment, and only if it is considered relatively safe, will you agree to do exploratory surgery."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Dr. Chi tried his best to dispel the concerns of the family members, but at the same time, he did not say anything to death.


    In case something happens, I''m sorry, your daughter''s life is not good, and she happens to be this ''one in a million''.


    If the doctor doesn''t know how to fool around, he really won''t be able to play.


    "Isn''t the colonoscopy you said before also not good?"


    The girl''s father is still making a last-ditch effort.


    "If the tumor is in the intestinal tract, it can definitely be detected by colonoscopy. If the tumor is outside the intestinal tract, colonoscopy cannot detect it. Especially some malignant tumors are in the early stage and are extremely secretive. Because of your daughter''s condition It is more complicated, and I was worried about misdiagnosis or missed diagnosis, so I invited Dr. Zhou to come over for a consultation."


    Doctor Chi said.


    "I have something to say, please don''t mind you two doctors! Dr. Zhou looks very young, can you see it accurately? Can you ask an older doctor to come over and take a look. After all, if you want to cut my daughter''s stomach, it is always right to be cautious."


    The girl''s father finally questioned Zhou Can.


    Zhou Can is indeed very young.


    A young man in his twenties does not seem to be an age with excellent medical skills.


    "Well... that''s fine, I''ll invite an older chief physician to come over later."


    Doctor Chi agreed.


    "Doctor Zhou, thank you for coming to help today. I will ask Director Shang or Director Zheng to look at it later, and I will give you an answer. I will definitely convey your diagnosis point of view to them."


    Zhou Can was somewhat embarrassed by the family''s questioning, and Dr. Chi tried his best to eliminate this embarrassment.


    "You''re welcome. If you have any questions, Dr. Chi can come to me at any time. This patient''s illness must not be delayed. I''ll go back and get busy first. Goodbye."


    Zhou Can waved his hand, turned and left.


    Not long after he left, Dr. Chi felt that the situation was serious, and hurried to the chief physician to help with the consultation.


    Director Shang was not there, so he found Director Zheng Hongtao.


    Although the chief physicians of the department are very busy, they are very enthusiastic about the patient''s affairs.


    Zheng Hongtao personally went to the ward with Dr. Chi to examine the female patient.


    After reading the information of the female patient, Zheng Hongtao pondered for a moment.


    "I look a bit like intestinal tuberculosis. You can try the effect of anti-tuberculosis before making a further diagnosis."


    "Uh...Director Zheng, that''s it. I just invited Dr. Zhou Can to help with the consultation." Dr. Chi didn''t expect Zheng Hongtao''s diagnosis to be consistent with his own.


    He guessed that Director Zheng might have missed this time.


    So hurry up and say that Zhou Can also came to see it.


    "Oh! Doctor Zhou also came? What did he say?"


    Zheng Hongtao''s long eyebrows twitched twice, and it could be heard that he attached great importance to Zhou Can''s diagnostic point of view.


    "Dr. Zhou suggested an exploratory laparotomy to clarify the cause. He said that when he pressed the patient''s abdomen, he could feel obvious nodules or tumors. Before leaving, he specifically explained that the disease cannot be delayed."


    Dr. Chi hurriedly picked the key points.


    "Ah...why didn''t you say it earlier? Dr. Zhou''s diagnostic ability is not inferior to mine. He would not let patients undergo exploratory laparotomy easily. Let me take another look. I just took a rough look, not that detailed."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zheng Hongtao''s face changed slightly when he heard Zhou Can''s proposal to have the patient undergo an exploratory laparotomy.


    Immediately changed his tune.


    A dignified chief physician cannot be slapped in the face by a Gui Peisheng in public.


    And based on his observations of Zhou Can during this period, as long as Zhou Can thinks that the patient''s condition is very serious, it is almost 100% fulfilled.


    When the family members beside the hospital bed heard this, their expressions became complicated.


    Judging from the tone of this elderly Director Zheng, the young doctor who came to treat his daughter before seemed very unusual!


    Director Zheng just said that Dr. Zhou''s diagnostic ability is not inferior to his.


    It''s hard to imagine that such a young doctor is as good as this old chief physician.


    In the future, I really can''t judge people by their cover.


    After a while, Director Zheng''s review of the patient ended.


    "Although I didn''t find any serious problems, Dr. Zhou''s request for an exploratory laparotomy must have his reasons. Moreover, the patient''s symptoms are indeed inclined to malignant tumors. I suggest you do this examination. Of course, the decision is up to you. "


    Director Zheng is more or less graceful.


    He didn''t shamelessly say the same diagnosis as Zhou Can.


    However, he very seriously asked the family members to agree to a laparotomy.


    "Since you said so, then we agree to do this test. Please ask the hospital to arrange it for us earlier, okay?" The girl''s father became sad.


    Originally, I still had a lot of luck in my heart.


    But after really inviting Director Zheng to come for a consultation, he felt that the young Dr. Zhou was more like that.


    Before Zhou Can left, he told the girl''s father not to delay the illness, which made the girl''s father start to worry.


    I just look forward to an early checkup and early treatment.


    It is not easy to raise a daughter so big.


    How can they live if there are three ups and downs!


    "This examination requires fasting. From now on, the patient should not eat anything, preferably not even drink water. I will apply for an exploratory laparotomy for her immediately, and the anesthetist will come to talk to you later, to the patient Do a surgical risk assessment and sign a consent form."


    Dr. Chi was very happy to see the family members'' attitude so positive.


    There is no ink stain, and the examination is arranged for the patient on the spot.


    ¡­


    The next day, as soon as Zhou Can finished his ward rounds, Dr. Chi found him.


    "Doctor Zhou, the family of the female patient has agreed to undergo an exploratory laparotomy. I also communicated with the family members before the operation according to your intention. If a tumor is found, it can be removed during the exploratory operation."


    The recovery time of laparotomy is quite long, requiring more than one month.


    It is best to be able to perform the operation at one time.


    Patients can also avoid suffering twice.


    "Very good! The family members are much more enlightened than expected!"


    Zhou Can said with a smile.


    "Uh... Do you have time? In our department, you have the strongest surgical skills. Can I ask you to help with this probing technique?" Dr. Chi looked like a child who was afraid of being rejected.


    "Yes, this is completely fine. It''s just that after the inspection, I found a tumor and needed to be removed. Although I can do it, but my professional title is not enough. And we don''t have the conditions for this operation in the Department of Gastroenterology. It is safest to drag the patient to the General Surgery Department for this operation. .¡±


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can''s current surgical ability is already very strong.


    He even has the ability to perform many surgeries that can only be performed by deputy chief physicians.


    For some ultra-difficult separation and resection tasks, he can even go beyond a big realm and reach the operating level of a chief physician by relying on the blessing of the sharp knife technique.


    The only problem is that the job title is a bit low.


    He is still a resident doctor in the regular training stage, and his qualifications are very low.


    Under normal circumstances, other doctors at this stage are still happy to grab the task of skin suturing for a surgery. However, Zhou Can has been able to open his abdomen, chest and even his head independently.


    He is not at the same level as those ordinary trainees.


    "The general surgery department has been contacted. This operation will be performed in the newly built gastrointestinal surgery department. It has also been agreed there that a deputy chief physician will come to the operating room to guide the operation. But we need to send it ourselves. A competent doctor to complete the surgical task."


    Dr. Chi''s coquettish operation made Zhou Can shake his head and smile wryly.


    It seems that Dr. Chi has already targeted him.


    However, this kind of joint operation with other departments is not easy to coordinate.


    Even in the surgical department, not every surgeon performs well.


    The level of many surgeons is also half-baked.


    In order to implement this matter as soon as possible, Dr. Chi found a deputy chief physician with average surgical ability to circumvent the surgical admission system and then asked Zhou Can to be the surgeon. Although these coquettish operations are criticized, they are very practical.


    "Doctor Chi has already made up my mind! Can I still refuse?"


    Zhou Can smiled wryly.


    "Hey, who made you famous in the general surgery department? When I discussed it with the deputy chief physician of the digestive surgery department, the other party originally disagreed. But when I heard that you are the chief surgeon on our side, I immediately agreed. He also praised that you performed the operation quickly and well, and that you were particularly stable, and your strength was not inferior to that of an ordinary chief physician."


    Dr. Chi smiled, very proud.


    After Zhou Can finished listening, he rubbed his nose and smiled wryly.


    People are afraid of being famous and pigs are afraid of being strong.


    If the pig grows strong, it is easy to be targeted by the butcher. If a person is famous, more people will stare at him.


    "They really flattered me, and actually promoted me to the rank of chief physician. Are you going to have the surgery now? I need to go to the outpatient clinic with Director Shang to assist in the consultation later."


    Zhou Can is now one of the busiest doctors in the department.


    Even busier than the chief physician.


    He is too busy to sit in the clinic, go to surgery, manage patients in the ward, and participate in the consultation of difficult and difficult cases.


    "It''s over now. The patient''s side is ready for surgery, just push it over."


    Dr. Chi is quite steady in his work.


    Every time I come to ask Zhou Can for help, I always do enough preparations.


    Zhou Can followed him to push the patient to gastrointestinal surgery.


    The last battle for the right to build sub-departments of general surgery also made Zhou Can famous. The reputation in general surgery has not lost to any chief physician.


    Pushing the patient all the way, doctors and nurses greeted him from time to time.

 Chapter 259： Hidden submural lymphoma, out of the department for consultation

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 Chapter 260： Being recognized, the gastroenterology department has gained face

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Okay, I''ll go over right away! Please also tell your boss Shang that if you mess up, you can''t scold me."


    Zhou Can and Luo Jingyin are very familiar now, so they dare to joke with her.


    Graduate students mix with their tutors, and some like to call their tutors their bosses.


    In formal occasions, they generally refer to the tutor as a certain director, or a certain professor. In private, behind his back, he likes to be called the boss.


    Graduate students are more like free long-term labor for tutors.


    This is determined by the relationship between demand and demand.


    To a certain extent, the tutor decides the fate of the graduate students under him. There was once a graduate student who offended his supervisor, and that supervisor happened to be a narrow-minded person, so he refused to issue a letter of recommendation.


    Life and death delayed the future of that graduate student.


    "Hehe, if you want to avoid being scolded by Director Shang, then you have to show your skills! I believe you will shock the doctors in the Department of Vascular Medicine."


    She covered her mouth and said with a smile.


    "Aren''t you rushing ducks to the shelves! I''m such a regular trainee, how can you use me as the chief physician!" Zhou Can was speechless for a while.


    When I met a teacher like Director Shang, I put him ahead of everything and never worried about accidents.


    I don''t know if it''s lucky or unlucky.


    When it comes to educating children, Director Shang''s education method of daring to delegate power and letting students experience and grow by themselves is definitely very good. It''s just that doctors have zero chance of trial and error in clinical practice.


    In the event of an accident, not only Zhou Can will be unlucky, but Director Shang will also be unlucky.


    Why is he so relieved?


    Zhou Can bit the bullet and went to the Department of Vascular Medicine alone.


    To be more precise, it should be called Cardiovascular Medicine. It is a combination of cardiothoracic medicine and vascular medicine.


    It is estimated that as long as the experiment of setting up multiple sub-departments in the General Surgery Department is successful, the Department of Cardiovascular Medicine should be dismembered. Just one Department of Vascular Medicine can be subdivided into multiple sub-departments.


    Cardiothoracic Medicine can also be divided into Cardiology and Thoracic Medicine.


    The two most powerful departments of internal medicine are cardiovascular medicine and neurology.


    This is the first time that the Department of Cardiovascular Medicine has invited a doctor from the Department of Gastroenterology for consultation. Judging from the comprehensive strength of the departments, the Department of Cardiovascular Medicine is definitely full of masters and talents.


    Zhou Can is relatively familiar with Shennei, but he is not familiar with cardiovascular medicine.


    In his impression, the doctors in the Department of Cardiovascular Medicine are as good as the supernatural, all of them are arrogant and look down on doctors from other departments.


    Whether it was the one-month experience in the Department of Cardiovascular Medicine during the internship, or the consultation with a doctor from the Department of Cardiovascular Medicine during the emergency department training, Zhou Can did not have a good impression.


    Many doctors in the Department of Cardiovascular Medicine raise their eyes when they see doctors in other departments.


    Director Shang sent him over to attend the consultation of the Department of Cardiovascular Medicine this time, probably because Zhou Can''s hand was used to let the doctors in this department gain some insight. So as not to raise your eyes to look at people again.


    "Beauty, may I ask where your cardiology department consults?"


    Zhou Can asked the female nurse at the nurse station.


    Three female nurses sat in a row, all young and beautiful, with very pretty faces.


    "Are you also the doctor who came to attend the consultation?"


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The oval-faced female nurse sitting on the farthest side looked Zhou Can up and down, her face full of surprise.


    The other two female nurses looked up curiously at this young doctor from another department.


    "That''s right, I''m a regular training doctor in the Department of Gastroenterology." Zhou Can nodded for confirmation.


    "Where''s your teacher? Director Luo and the others have been waiting for Director Shang to come over in the consultation room." The nurses seemed to be doing some inconspicuous nursing work, but they had good eyes and ears.


    There are few things in the department that they don''t know.


    This may be related to women''s love of gossip.


    As long as there is any trouble in the department, it is guaranteed that the nurses will soon whisper in private and spread it to everyone.


    "Director Shang really couldn''t get away, so he sent me to attend the consultation instead of him."


    Zhou Can replied honestly.


    "I heard that right! That patient is a patient with cerebral infarction. Almost all the chief physicians in our Department of Cardiovascular Medicine participated in the discussion and thought that patient was very difficult, so we invited Director Shang from your Department of Gastroenterology to come over for consultation." No matter how busy he is, he must send a chief physician over!"


    The nurse looked around and lowered her voice.


    "I advise you to go back quickly and invite a chief physician to come over, otherwise Director Luo will definitely get angry. Be careful scolding you then!"


    For such a difficult patient, the Department of Gastroenterology only sent one Gui Peisheng, which was simply a joke with the patient''s life.


    It can be seen that the nurse has a good heart.


    Zhou Can said calmly, "It''s okay, I''ll go in and have a look first. If it''s beyond my ability, it''s not too late to go back and invite Director Shang." After finishing speaking, he asked directly.


    "Where is the consultation room?"


    "Here, walk in from here, the fourth room on the left. Many directors of our Cardiovascular Medicine Department are in there, please ask yourself!"


    Seeing that she couldn''t persuade him, the nurse let him go.


    "Thanks!"


    Zhou Can didn''t realize that he was about to be scolded at all, so he went straight into the consultation room.


    Dongdongdong!


    He knocked on the door.


    "Hello, directors, I am a doctor sent by the Department of Gastroenterology to participate in the consultation. My teacher, Director Shang, has something to do and really can''t get away, so he sent me to participate in the consultation."


    As soon as Zhou Can entered, all the doctors in the consultation room looked at him.


    Just took this opportunity to make a brief self-introduction.


    "Is there any mistake? Why did Director Shang send a Gui Peisheng to attend the consultation?"


    A male doctor in his forties, with a red face and eyebrows, got angry on the spot.


    "Director Jiang, don''t rush to get angry. I know this Gui Peisheng, Zhou Can who has been popular in the whole hospital recently." Someone recognized Zhou Can at a glance.


    Speak out for Zhou Can.


    "Is he the sweet potato that both internal medicine and surgery want to recruit?" Director Jiang not only spoke aggressively, but also didn''t care about Zhou Can''s feelings at all.


    He is obviously alone, how can he say that he is a sweet potato in front of Zhou Can?


    Although it is a compliment.


    It still seems a little disrespectful to Zhou Can.


    "Cough...I''m just an ordinary, ordinary Pearson, not as exaggerated as the two directors said." Zhou Canqing coughed and walked into the consultation room.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    His gaze was already looking at the plain film of the abdomen on the screen.


    The basic information of the patient is also projected on the screen.


    A 66-year-old female with diabetes and gallbladder stones was hospitalized for lacunar infarction.


    The specific treatment plan is temporarily unknown, but such elderly patients have cerebral infarction, and thrombolytic therapy is usually the first choice.


    The risk of surgical treatment is extremely high, and no doctor dares to use it lightly unless it is absolutely necessary.


    What is now displayed on the screen is a plain abdominal film, which should not have much to do with cerebral infarction.


    Zhou Can secretly guessed that the patient''s cerebral infarction should have been cured, and now complications are likely to occur, so he hurriedly invited a doctor from the Department of Gastroenterology for consultation.


    "Zhou Can, no matter how good you are, you are still just a regular trainee with very limited skills and experience. You should call Director Shang and ask him to come over in person. We not only invited a doctor from the Department of Gastroenterology this time , and invited a doctor from the Department of Endocrinology. This director Hong is from the Department of Endocrinology, and he pays more attention to it than your digestive department."


    Director Jiang''s face was full of displeasure.


    He felt that it was disrespectful to the Department of Cardiovascular Medicine to send a regular trainee from the Department of Gastroenterology.


    "Let me try it first. If I can''t do it, I''ll invite Director Shang later. He really doesn''t have time to do it now." Zhou Can said seriously.


    "Okay, next time the Department of Gastroenterology invites us to go over for a consultation, and we will also send a regular trainee there."


    Director Jiang''s face was livid with anger.


    "You want to try it, don''t you? Here, the plain X-ray of the patient''s abdomen is just shown on the screen. Tell me, what''s wrong with the patient now?"


    There are several chief physicians sitting in the consultation room, but only Director Jiang is the most angry.


    He questioned Zhou Can in a continuous angry voice.


    "If you can diagnose the specific cause just by looking at an abdominal plain film, I believe that with the strength of the directors of the Department of Cardiovascular Medicine, there is no need to invite doctors from other departments to come for consultation. I am here to help, not to be scolded Out of anger, Director Jiang is very worried about the patient''s condition, I can understand. But please give me the most basic respect."


    Zhou Can''s voice was very calm, without a trace of anger.


    But it was enough to make Director Jiang feel ashamed and blush.


    "Director Jiang, please sit down and rest for a while, and I''ll introduce the patient''s basic situation to Dr. Zhou." The chief physician who helped Zhou Can speak twice was at least in his fifties.


    He has a kind face, all white hair, and a thin figure, only his eyes are still shining with a frightening light.


    Bright as the stars in the night.


    "Please sit down, Doctor Zhou! Here are the patient''s examination materials and medical records. You can first understand the basic situation of the patient. If you don''t understand anything, you can ask me. By the way, my surname is Luo, and I am the director of this department. "


    It turned out that this was Director Luo, and he was much more approachable than expected.


    "OK, thanks!"


    After Zhou Can took the information, he read it seriously.


    The patient had a physical examination, and there was mild tenderness in the upper right quadrant, and no mass or mass was palpable. When the area where the liver is located is lightly tapped, the patient feels obvious pain.


    The patient presently presents with chills, high fever, and jaundice.


    Bilirubin was significantly elevated.


    The patient has undergone multiple examinations, including blood routine, b-ultrasound, and ct.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Considering that the patient had gallbladder stones, the doctors in the Department of Cardiovascular Medicine initially suspected that gallbladder contraction led to obstruction of the common bile duct after the gallstones were discharged into the common bile duct, which caused jaundice.


    The results of B-ultrasound for the patient indicated that the internal and external bile ducts were not dilated, the pancreatic duct was normal, and the blood amylase did not increase significantly.


    Seeing this, Zhou Can can basically line up the possibility of jaundice caused by common bile duct obstruction by virtue of what he has learned.


    For jaundice, check the gallbladder and liver.


    With all sincerity, these two organs are a pair of good brothers.


    CT showed that the patient''s lungs were normal when he was just admitted to the hospital, and there was no obvious inflammatory reaction.


    The ct review done today showed an abnormal chest image.


    Cotton-like shadows were present in both lungs.


    What does this mean?


    Zhou Can immediately suspected that a lung abscess had occurred in the patient''s lungs.


    The directors of the Department of Cardiology no longer cared about Zhou Can, but continued to discuss the patient''s condition and possible causes.


    The chief physician of the endocrinology department basically came here to make soy sauce.


    Because it does not involve the field of endocrinology that he is good at, it is impossible to provide some useful reference opinions.


    It is probably because this patient has diabetes that the doctors in the Department of Cardiovascular Medicine invited him here.


    The treatment of diabetes is often better in endocrinology.


    But the patient''s symptoms at the moment have nothing to do with diabetes.


    This made the chief physician of the endocrinology department just sit there and make soy sauce. The key is that the cause of the disease has not been found out, and everyone has not discussed a result yet, and he still has no way to leave.


    Zhou Can continued to check other examination results of the patient.


    The b-ultrasound re-examination showed that the right lobe of the liver was huge and showed a solid space-occupying lesion.


    The b-ultrasound before the patient was admitted to the hospital for cerebral infarction showed that the liver was basically normal.


    In other words, all the lesions in the patient''s lungs and liver occurred after the treatment of cerebral infarction.


    It''s not hard to understand that Director Jiang jumped in a hurry.


    For any doctor, if the patient he is treating has such a serious condition, he must be in a hurry!


    If things go wrong, the patient is particularly vulnerable to death.


    Especially for patients who are older and have multiple underlying diseases.


    "Directors, can I share my diagnostic opinion?"


    Zhou Can raised his hand and asked.


    Director Jiang looked at Zhou Can in surprise. He didn''t expect Zhou Can to have a diagnosis opinion so soon. But he didn''t hold out much hope.


    How good a diagnostic opinion can a regular trainer provide?


    Director Luo also turned to look at Zhou Can and said, "Please tell me!"


    "Just now I read all the patient''s information, and I have a few immature opinions. First, the patient has cotton wool-like shadows in both lungs. Is it considered lung abscess? I suggest taking the patient''s sputum sample for sputum Culture test. Second, the right lobe of the patient¡¯s liver is huge and has a solid space-occupying lesion. I suspect it is also an abscess. It is recommended to puncture the pus under B-ultrasound. If necessary, I can do this puncture.¡±


    Zhou Can is sure that if he does this piercing, there is a high probability that he will earn 100 experience points as a reward.


    "The patient''s sputum culture experiment is already being done, and the results are expected to come out soon. I didn''t expect Dr. Zhou to be so smart." After listening to Zhou Can''s diagnosis opinion, Director Luo couldn''t help but admire him greatly.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    None of the other chief physicians dared to underestimate this Gui Peisheng.


    "You can propose a targeted examination plan, indicating that the cause has been diagnosed to a certain extent. Tell me about your diagnosis results! There may be abscesses in the liver and lungs. We have already diagnosed these. What we want now is the cause. , Try to treat patients with precision in the shortest possible time.¡±


    Although Director Jiang''s tone was still somewhat condescending, his attitude had clearly changed.


    At least he has taken the initiative to learn about Zhou Can''s diagnosis.


    "The patient is likely to be infected with bacteria in the blood and develop sepsis. Then, because of the failure to take timely and accurate medication, it will eventually deteriorate and turn into sepsis."


    Zhou Can stated his diagnosis conclusion.


    The disease is actually not as difficult to diagnose as you might think.


    I don''t understand that so many chief physicians in the Department of Cardiovascular Medicine failed to diagnose the cause. Is it their level of dishonesty, or is there something else hidden?


    "In the beginning, I also suspected that the patient was infected due to diabetes, and then developed sepsis during the infusion of antithrombotic drugs. However, blood culture and infusion culture cultures all showed sterile growth. Therefore, we ruled out the possibility of sepsis."


    The red director of the endocrinology department was the first to raise objections.


    After Zhou Can heard this, he suddenly realized.


    No wonder so many chief physicians failed to diagnose the cause of the patient.


    This kind of disease that can be ruled out by only looking at the test results once is very harmful.


    Sometimes, there is no problem in the first inspection, and there may be problems after a day or two.


    At least Zhou Can encountered many similar cases when diagnosing some intractable diseases.


    The most feared thing about being a doctor is to stick to the rules.


    It''s easy to get blindsided.


    It is necessary to have the courage to doubt the test results and overthrow the test results with facts in order to avoid the formation of "diagnostic blind spots".


    "I have seen the inspection reports of blood culture and transfusion culture, which happened four days ago. After the patient was infused with antithrombotic fluid, he developed high fever, chills and other symptoms not long after. In fact, at this time, he may have just been infected and cannot be detected. It''s normal."


    Zhou Can stated his own point of viewSince the sputum culture experiment has been done on the patient, even if we don¡¯t invite our gastroenterology department to come for consultation this time, the cause can still be found out. "


    As long as the results of the sputum culture test confirm that the lung infection is sepsis, the patient can be diagnosed with sepsis immediately in turn.


    "Isn''t this worrying about the patient''s death? The patient''s illness has been dragging on for four days, and it''s getting worse every day. I''m as anxious as a cat scratching." Director Jiang''s attitude towards Zhou Can has completely changed.


    He even took the initiative to explain why he was so anxious to get angry.


    The red director of the Department of Endocrinology still stubbornly said, "It''s hard to say whether it''s sepsis. There are also many diseases that cause sepsis-like symptoms in the lungs and liver. The patients with liver cancer I have seen have similar symptoms." .¡±


    This kind of dead duck-mouthed refutation is actually very pale and weak.


    It''s nothing more than trying to save a little face.


    There are many old doctors like this director Hong in the hospital, and they are used to being pampered on weekdays. Being hugged by others every day, all kinds of flattery can make the ears hear cocoons.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    After a long time, it is easy to make people feel flustered.


    It''s hard to think about it after losing face.


    This red director is a typical example. Knowing that Zhou Can''s diagnosis is likely to become a fact, he still excused himself for the sake of saving face.


    "Other diseases may also have similar symptoms. Director Luo, can you perform a liver puncture on the patient and extract pus for further diagnosis?"


    Zhou Can tried his best to save Director Hong''s face.

 Chapter 262： This is a malignant tumor, sent to prison

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "The patient''s abdominal lymph nodes were enlarged, coupled with cervical lymph node tuberculosis, I think the diagnosis of concurrent splenic tuberculosis in the second hospital''s reexamination has a certain basis."


    Zhou Can thought about it and said.


    "Does Dr. Zhou also think that it is concurrent splenic tuberculosis? I also think this diagnosis is tenable, and anti-tuberculosis treatment should be continued. Because tuberculosis is a chronic disease that is difficult to treat, it takes a long time to take medication to see the effect."


    Attending physician Huang Xinggui spoke.


    The treatment cycle for many diseases is very long, and tuberculosis generally takes more than half a year to take medicine. Some patients are even seriously ill and need to take medicine for one or two years.


    "Uh... I just think that the re-examination and diagnosis results of the second hospital have a certain basis, but I don''t agree with this result. The patient''s initial examination result is very similar to tuberculosis, but the patient now reports that the bones and joints of the whole body occasionally have pain. This symptom is actually It is very worthy of vigilance. When I was in orthopedic training, I came across two cases of bone and joint pain of unknown cause, and they were finally diagnosed as malignant tumors."


    Zhou Can was trained in multiple departments, and all of them were mixed with the chief physician, and the benefits gradually began to appear.


    The so-called see a lot to know a lot.


    He followed the chief physicians to diagnose diseases, operate and treat patients together, and so many chief physicians taught him everything.


    Despite the fact that the total training time is less than two years, the accumulation of various medical knowledge and clinical experience has already been considerable.


    Especially in the diagnosis and treatment of difficult and miscellaneous diseases, the comprehensive diagnosis and treatment experience and knowledge of multiple departments make his diagnosis level far surpass that of ordinary doctors. Even many deputy chief physicians and chief physicians couldn''t compare with him in this advantage.


    This is why many chief physicians still try their best to go to other departments or even other hospitals for advanced studies after they become famous.


    Because they will obviously feel their lack of knowledge in daily diagnosis and treatment.


    In particular, the lack of medical knowledge and clinical experience in certain fields will become a shortcoming for them and seriously lower their level of diagnosis and treatment.


    "Doctor, are you saying that my disease may be a malignant tumor?"


    The patient''s nerves tense immediately.


    "This is not necessarily true. I just think it is necessary to do a CT and check the spleen area. The B-ultrasound you did in the last hospital for reexamination can show multiple solid masses. In fact, judging from the film, there should be low Echoic areas or areas of low density, it''s just less obvious."


    Zhou Can explained.


    Without the final examination basis, he would not dare to talk nonsense to the patient.


    If it is suspected that it may be a certain disease, then there is nothing wrong with it.


    When a doctor diagnoses a patient, it is to eliminate the false and preserve the truth. Suspected diseases are investigated and screened one by one, and finally the real cause is left, and then symptomatic treatment is given.


    B-ultrasound uses ultrasound for inspection and imaging, while CT uses radiation to perform multi-layer scanning tomography on the human body.


    Different tissues and organs of the human body have different degrees of absorption of X-rays, and finally can form images with different densities. CT uses this principle to examine various organs of the human body. Compared with ordinary X-ray examinations, it has a higher resolution of various organ diseases, obtains more imaging information, and has a greater role in disease diagnosis.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Many people think that CT examination is an upgraded version of X-ray examination, but it is not completely correct.


    X-ray scan is a planar projection examination of a certain part of the body, while CT is a continuous multi-layer scan of a certain part of the body. The imaging principle is different.


    To check whether there is a low-density area in this organ, CT is a very good means of examination.


    In medicine, considering the economic affordability of patients, doctors often choose B-ultrasound and CT, two low-cost examinations for clinical diagnosis. The results of the two examinations can be referred to each other, which is very meaningful for medical diagnosis.


    "Xiao Zhou''s diagnostic level is getting higher and higher! It''s basically the same as mine. This is an application for CT examination, you can use it to pay for this examination. After you get the result, you don''t have to wait in line, just come in and look for it. I''ll be fine. I''m not here in the afternoon, and if time passes, you can find me in the inpatient department of the Gastroenterology Department. If I''m absent, you can find Dr. Zhou as well."


    Director Shang, this is the rhythm that completely pushes Zhou Can to the front line.


    Such an honor, Zhou Can wanted to protest a few words, but finally moved his lips and swallowed the words back.


    Seeing the inspection application form written by Director Shang, Zhou Can realized that Director Shang had already checked it out. It is to deliberately exercise the diagnostic ability of several of their students.


    "Okay, thank you! Thank you, Dr. Zhou!"


    The family members took the inspection application form, thanked Director Shang, and thanked Zhou Can alone.


    The two families are too realistic.


    In fact, Huang Xinggui also contributed to this diagnosis, but they did not thank Huang Xinggui.


    People always only care about the things closest to their own interests.


    Director Shang said that if he was absent, the patient would have to bring the test results to Zhou Can.


    Therefore, the family members must have a good relationship with Zhou Can.


    After the patient left, Huang Xinggui was still a little puzzled and asked, "Director Shang, the patient''s symptoms and existing examination results clearly suggest that it is tuberculosis! Why do you and Zhou Can both suspect that the patient may have a tumor?"


    The other three graduate students were also quite puzzled.


    Qiu Chengyu looked at Zhou Can with complicated eyes.


    He watched Zhou Can climb from the position of ''door boy'' on the first day to the current position step by step.


    Today, Zhou Can''s status has even surpassed that of Huang Xinggui, the attending physician.


    Whether Zhou Can was sent to the Department of Cardiovascular Medicine to replace Director Shang, or if the patient could not find Director Shang just now, he could directly take the test results to Zhou Can for further diagnosis. It all shows that Zhou Can''s status in Director Shang''s heart has far surpassed that of Huang Xinggui.


    You know, before Zhou Can came, Huang Xinggui was Director Shang''s most important arm.


    Xie Lin and Luo Jingyin, two female graduate students, would consult Zhou Can in private whenever they encountered difficult problems.


    Not for anything else, just because Zhou Can is about the same age as them and easy to talk to. And every time they can help them answer their doubts.


    "Xiao Zhou, please explain to them."


    Director Shang picked up his teacup and drank tea.


    Teachers are very lazy, and they usually don''t do things that their doctors can do for them.


    Perhaps it was Zhuge Liang in ancient times who did everything by himself, and the example of being exhausted to death left a deep impression on the world.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "My diagnostic thinking has three points! First, the patient''s B-ultrasound showed a low-density area in the spleen. Although it is not obvious, it is a bad signal for tuberculosis patients and deserves vigilance. The first Second, patients occasionally report bone and joint pain throughout the body. This kind of unexplained general bone and joint pain is also dangerous, and it is often a precursor to leukemia and malignant tumors."


    Zhou Can didn''t hide it, and shared his diagnosis ideas with everyone.


    "The last point is that the bone marrow of the patient is obviously hyperplastic and active, and the grain-to-red ratio is 7 to 1. This value is slightly higher than the normal value, and it is easy to be ignored. However, many malignant diseases only develop to a severe stage, and the grain-to-red ratio will be high. Scary. Much less obvious early on."


    After saying three diagnostic points in a row, everyone was convinced.


    Huang Xinggui suddenly realized, "I see, I see. Dr. Zhou not only has solid medical knowledge, but also has a meticulous heart. He is also able to comprehensively apply medical clinical experience in multiple fields. I am convinced today."


    "Hehe, Dr. Huang''s ecstasy soup made my feet lighten a few times!"


    Excessive modesty equals pride.


    Sometimes blind humility is easy to be offensive.


    An occasional dose of humor is also quite nice.


    Some people praised Zhou Can''s solid medical knowledge, which seemed to be the first time.


    It also shows that Zhou Can has achieved good results in supplementing medical knowledge in the past two years.


    After the patient left, he continued to see new patients.


    The number given by Director Shang is basically fixed every time he visits the clinic, but there are always some patients who have great powers. After knowing that he is in the clinic, they try to find ways to add numbers.


    "The Point Guard Is Here"


    I was busy until it was almost twelve o''clock at noon, and I was ready to get off work here, and the patient with splenomegaly rushed over after the examination.


    "Professor Shang, the CT results are out, please take a look."


    This patient is really amazing, and he even queued up for the CT scan in about an hour.


    Director Shang took the film, and the CT result was much clearer than the B-ultrasound.


    Multiple low-density areas of the spleen can be seen at a glance.


    "The situation is not very good. I suggest a laparotomy for further diagnosis. It is very likely that the spleen needs to be removed to save life."


    What Director Shang said this time is very serious.


    His tone was quite serious, and his face was a bit dignified.


    At his level, it is not easy to tell a patient to have a certain organ removed. Only do it if you think it is very dangerous.


    "Professor Shang, may I ask what''s wrong with my mother-in-law?"


    The patient''s daughter-in-law seemed relatively calm, and the patient''s son was already supporting his mother nervously, looking panicked.


    "Basically, it can be concluded that there is a tumor in the spleen, and there is more than one. It is only because it is concealed and the tumor is covered up by lymphatic tuberculosis, so the previous two hospitals failed to find it. Taking advantage of the small tumor now, surgery is the best solution Life-saving method. The spleen is surrounded by important organs, and the lymph is dense, and the malignant tumor cells are very easy to transfer. Once it spreads, it will be troublesome."


    Director Shang tried his best to persuade the family and the patient to agree to the laparotomy.


    The spleen was removed directly if necessary.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    This operation will definitely have a certain impact on the patient''s body, but it is much better than dying from cancer in the future.


    Without this operation, the tumor in the spleen may spread to the whole body within two to three years at most.


    At that time, the patient will not only live in great pain, but also lose the opportunity for surgery.


    We can only use medicines as much as possible to relieve pain and improve the quality of patients in the later stages of life.


    "Isn''t my mother-in-law tuberculosis? How did it become a spleen tumor?"


    Families still find it difficult to accept this fact.


    "It is also very possible that tuberculosis has caused genetic mutations in malignant tumors. The older the patient, the more likely the gene mutation will occur. Now she has two diseases, tuberculosis, and a large number of small tumors in the spleen."


    Director Shang explained to her.


    Doctors generally do not directly say the word cancer in front of patients.


    Replace it with malignancy or bad, bad, etc.


    Oncogene mutation is an important cause of cancer.


    Cells are constantly renewed throughout a person''s life. Every time a new cell is produced, it is bound to be accompanied by the replication of DNA and the transmission of genetic information.


    We human beings newly produce more than 10 billion new cells every day, and a certain proportion of wrong cells will inevitably be produced. Some of the wrong cells died, and some of the wrong cells gained infinite life and the ability to replicate infinitely. This is the origin of "cancer cells".


    When cancer cells appear, they do not necessarily develop into cancer.


    Because our body still has a variety of protection mechanisms, the most important of which is the tumor suppressor gene.


    Only when the tumor suppressor gene is lost or disabled, can cancer cells take up camp in the human body and eventually become a tumor.


    Why are young people less likely to get cancer, while older people are at a higher risk?


    Mainly because of the weakened immunity of the elderly.


    In addition, the more times the cell is renewed, the higher the probability of error.


    When the patient''s spleen tumor appeared, no one knows. Some cancer cells can lurk quietly, develop insignificantly, and wait patiently like Sima Yi of the Three Kingdoms. It is not until the patient''s body has deficiencies in defense that they take advantage of the situation and quickly grow into malignant tumors.


    After listening to Director Shang''s explanation, the two family members finally agreed to the diagnosis and treatment plan proposed by Director Shang to investigate first, and then decide whether to remove the spleen according to the situation.


    Since surgery was involved, Director Shang directly recommended the patient to the general surgery department for further treatment.


    Under normal circumstances, for such patients who have not been admitted to the hospital, when the treatment plan exceeds the scope of the department, it is usually recommended that the patient be directly transferred to the corresponding department for treatment.


    Instead of using the medical resources of two departments, a multi-department joint operation is performed on the patient.


    ¡­


    After the consultation, Zhou Can and his colleagues went to the cafeteria for dinner.


    Compared with the busyness of surgeons, physicians, although busy, are not as busy. Surgeons often need to take turns eating, and often even miss meals.


    The scene of eating together like a physician is simply a luxury for a surgeon.


    In terms of the busiest department, surgery is not yet ranked first.


    The busiest is the Department of Critical Care Medicine, which is a department that races against life all the time, and the doctors and nurses are always under tremendous work pressure. When rescuing critically ill patients in emergencies, many doctors and nurses are often required to be busy and running.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    That busyness and that nervousness can only be understood by doctors and nurses who have personally experienced it.


    While eating, Zhou Can''s operation vibrated twice.


    His phone is usually on silent mode when he works in the hospital.


    I took it out and saw that it was a message from my girlfriend Su Qianqian.


    "Honey, Hu Wei called me just now. He asked me to meet at John''s Western Restaurant."


    After Zhou Can finished talking with Li Luo, Zhou Can looked at the negative news about Su Qianqian online. It kept popping up like mushrooms after rain, and most of the negative news was released by a person whose ID was "former employee of Jinyu Interactive".


    The rest of the rumormongers are either reposting unscrupulously or making up fabrications to gain traffic.


    Words are scary.


    Su Qianqian must have been under tremendous psychological pressure in the face of these rumors.


    But she never took the initiative to mention it to Zhou Can.


    When the two had a tryst together, she always reported good news but not bad news.


    Zhou Can knew in her heart that she was worried that telling Zhou Can those things would affect Zhou Can''s work. So she chose to bear it silently.


    Of course, in the face of these rumormongers and the fierce pressure of public opinion, Jinyu Interactive will definitely not sit idly by.


    In fact, Jinyu Interactive has already helped her secretly deal with those malicious slanders and rumors.


    As her boyfriend, Zhou Can is fully obliged to protect his woman from harm.


    Stand up when she needs it most, be her most solid backing.


    For this reason, Zhou Can specially invited her to the dormitory two days ago, and had a good talk with her in his arms.


    In addition to comforting her, Zhou Can even thought of a way to help her.


    Tell her that as long as Hu Wei, the traitor who went out of Jinyu Interactive, calls her, he will notify Zhou Can immediately.


    After waiting for so many days, Hu Wei finally couldn''t help contacting her.


    This also gave Zhou Can the opportunity to act as planned.


    He wants to play ordinary big chess, so what about Hu Haikun who is behind the scenes the richest man? The foundation is not clean, and he is still making troubles everywhere, and even wants to play dirty to kick Zhou Can out of Jinyu Interactive, and now he has Zhou Can''s girlfriend''s idea.


    Zhou Can''s policy has always been not to cause trouble and not to be afraid of trouble.


    Now that Hu Haikun has already stepped on his head to **** and piss, it is like cleaning up Mr. Qian of Beihai Wolf Star Media Company, and send this Hu Haikun to prison directly.


    This person has a criminal history of being involved in evil and gangsters, and his crimes are too numerous to record. As long as he is found out, even if he doesn''t get shot, he will have to go to jail.


    "When will you meet?"


    Zhou Can sent her a message back.


    "In my opinion, I wouldn''t meet this kind of person, but you let me be a false snake with this person, so I promised him to meet at two o''clock tomorrow afternoon."


    She has great trust in Zhou Can.


    After Zhou Can talked to her that day, she was very helpful in her heart. What woman doesn''t want her boyfriend to protect herself?


    Everything went according to Zhou Can''s plan.


    "Very good. If it''s convenient, let Wei Fang come to my place. I have something for her to do."


    "Okay! I''ll ask her to wait for you downstairs in the dormitory after get off work."


    "It''s time for her to call me. Also, when Wei Fang is not by your side, don''t leave the company! Hu Haikun does everything, so be careful."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can told her.


    In case Su Qianqian falls into the hands of such a person, he can imagine what will happen with his toes.


    (/novel/)

 Chapter 263： Director Zheng asked for help, it is not necessary to get to the bottom of the disease

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Although it is a legal society now, there are too many people who are willing to take risks for the sake of huge interests.


    There have been incidents where actresses were kidnapped by gangsters and then injured in various ways.


    Su Qianqian is like a mirror, Zhou Can will never allow her to be broken.


    "I know! I''m not a three-year-old kid, so I''ll be extra cautious. But you still care about me so much, I''m very touched and very happy!"


    After chatting with her, Zhou Can waited for Wei Fang''s arrival.


    Some people may not believe it when they say it out, but if you have money these days, if you give favors, you can really buy the loyalty of your subordinates.


    Wei Fang was so down and down that she didn''t even have money to see a doctor.


    If Zhou Can hadn''t paid a huge sum of money to help her treat her illness, her fate would have been completely different from what it is now.


    She is a woman who came out of the mountains, and she is more grateful than the women who grew up in the city.


    Now Zhou Can has given her a high-paying and stable job, so that she can honor her grandmother who raised her. Let her and her grandma experience the wonderful life of the big city.


    Her gratitude and loyalty to Zhou Can are directly reflected in her actions.


    She has devoted herself to protecting Su Qianqian for Zhou Can, and so far, there have been no mistakes.


    To deal with Hu Wei this time, Zhou Can needs Wei Fang to implement the dark link.


    ¡­


    After dinner, Zhou Can should spend the afternoon in the interventional operating room and inpatient department if there is no accident.


    Busy until after four o''clock in the afternoon, Director Shang left in a hurry.


    Zhou Can came out of the operating room and went back to the ward to deal with the twelve-bed patients in charge.


    I thought it was the limit to manage eleven patients.


    Unexpectedly, Director Shang saw that he was still able to manage so many patients with ease, so he added another bed for him.


    Moreover, the patients entrusted to him are almost all intractable disease patients or high-risk patients admitted to the group.


    What else can Zhou Can say when there is a teacher who thinks so highly of him.


    You have to resist even with tears in your eyes!


    However, for him, even if he is managing twelve inpatients at the same time, and often needs to go to the clinic and undergo surgery, he still does not find it very strenuous.


    Instead, the most time is spent on writing medical records and courses, and discharging patients from the hospital.


    As for running errands such as getting test results for patients, or sending materials to the medical department for signature, he never arranged for him.


    He had just finished examining the twelve patients under his supervision, and made appropriate adjustments to the doctor''s orders of some of them.


    Sitting in the office and preparing to take a breath, someone came to the door.


    "Doctor Zhou, are you busy now?"


    Huang Liang, who used to look down on Zhou Can, now saw him with a smile on his face.


    Strength is really a good thing, it can convince these arrogant opponents to lick him with the most flattering smiles.


    "Doctor Huang, what''s the matter?"


    Zhou Can knew that this guy would go to the Three Treasures Hall for everything, and now he came to the door with a shy face, he must be asking for something.


    "Hmm... That''s how it is. My teacher, Director Zheng, is in the outpatient clinic. When he encounters a difficult case, he is a bit uncertain. Director Shang is not in the hospital, so I want you to go over and help with the staff."


    Director Zheng is also a well-known expert in Gastroenterology.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    But in terms of fame, he is not as good as Director Shang.


    As for the level of diagnosis and treatment, the beholder sees benevolence, and the wise see wisdom.


    Being able to make Director Zheng lose his face and personally send someone over to ask Zhou Can to be a "counselor" is enough to show that Zhou Can''s status in the Department of Gastroenterology has really improved.


    Director Zheng will only take action if he feels that it is possible to help him solve the problem by inviting Zhou Can over.


    I believe Director Zheng must have considered it many times before he sent Huang Liang to invite Zhou Can.


    "I''ll go with you right away."


    Zhou Can took two sips of water, stood up and left.


    Director Zheng personally sent someone to invite him, this face must be given.


    Following Huang Liang, he went straight to the No. 2 special needs specialist outpatient room of the outpatient clinic, and the two walked in directly.


    "Hello, Director Zheng!"


    Zhou Can lowered his posture and took the initiative to say hello.


    It is said that giving a rose to others leaves a lingering fragrance in your hand.


    Even though Director Zheng invited him to help, Zhou Can still took good care of Director Zheng''s face.


    Take the initiative to say hello, this is the best respect.


    "Doctor Zhou is here, please come and sit down!"


    Director Zheng smiled and beckoned Zhou Can to sit down.


    In front of the family members and patients, Zhou Can was not polite, and sat down next to Director Zheng.


    The other two young doctors stood there watching and smiled friendlyly at Zhou Can.


    His eyes were clearly full of envy and friendship towards Zhou Can.


    "This patient had frequent abdominal pain a year ago, and the symptoms were relieved after defecation. Until a month ago, the patient suddenly had diarrhea and loose stools, and the defecation was watery. At most, he could have diarrhea more than ten times a day, and the average The number of times of diarrhea per day will not be less than five times\\/day. For more than a week, the patient has taken antidiarrheal medicine, and the symptoms have not been relieved, but have aggravated. In addition to diarrhea, thirst, excessive drinking, Polyuria, symptoms of large urine output."


    Diarrhea is the most common cause of dehydration in the body.


    Especially prolonged diarrhea, no one can resist it.


    The body is thirsty and needs to drink a lot of water, which is a very normal reaction.


    "The patient''s weight lost more than ten catties in a very short period of time, and occasionally there will be flushing on the chest, which will disappear after about ten minutes."


    According to Zhou Can''s diagnosis and treatment experience, the patient''s weight dropped by more than ten catties in a short period of time, which is a serious problem.


    It is often a sign of serious illness.


    "Is that him?"


    Zhou Can looked up at the patient sitting there. The family member should be the patient''s mother. She was a woman in her fifties, her skin was tanned, her hands had thick bones, and the skin on the back of her hands looked very rough.


    This is a miserable woman.


    "That''s right, my son is sick, please take care of the doctor." The patient''s mother was an honest woman, and she didn''t look down on Zhou Can because she was young, but she also showed respect and courtesy.


    On the contrary, the young patient himself did not seem to have placed much hope in Zhou Can.


    can understand.


    After all, Zhou Can is very young. Even younger than this patient.


    "Have you had your physical checked?"


    Zhou Can asked Director Zheng.


    The admission physical examination actually covers a lot of information. Including the patient''s treatment status, whether it was carried or walked over, as well as body shape, measurement of basic vital signs, etc.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Visually, the patient''s body was thin, but not so thin that it was scary.


    Zhou Can has seen some patients in the intensive care medicine department who are so thin that they are only skin and bones, which is really scary.


    "It has been checked. The patient''s physical examination data, as well as the chief complaint, medical history and other information are all recorded here."


    Director Zheng showed Zhou Can the medical records.


    The patient was admitted to the hospital for physical examination. He was mildly emaciated, conscious, and his blood pressure, respiration, and pulse were all normal. Cardiopulmonary abnormalities were normal, abdominal compression was soft, and no obvious mass was palpable. Abdominal shifting dullness, no edema in lower extremities.


    Some patients with severe diarrhea may have tight abdominal muscles, or abdominal distension, fluid accumulation and so on.


    When pressing, the abdomen of this type of patients is mostly hard.


    The patient''s abdominal compression was soft, and many causes could be ruled out immediately.


    Zhou Can continued to check the examinations done by the patient.


    Laboratory tests done in other hospitals include blood routine, urine routine, stool routine, and blood biochemical tests.


    There are quite a lot of investigations, but the overall data of the patient did not find any obvious abnormalities.


    Including urine sugar, protein and microscopic examination results were normal. Only the specific gravity is low, only about 1.0004.


    The patient''s stool routine, bacterial culture, and Sudan''s three staining were all negative in other hospitals.


    In the end, this large hospital gave a diagnosis of ''functional diarrhea''.


    At the same time, because of the patient''s clinical manifestations of polydipsia, polyuria, and low specific gravity urine, it was suspected that the patient had diabetes insipidus.


    When it comes to diabetes insipidus, it is divided into three types, central diabetes insipidus, nephrogenic diabetes insipidus, and psychogenic polydipsia.


    The patient''s clinical manifestations were hypokalemia, and the blood potassium test was between 2.2 and 2.8. So the diagnosis given by this big hospital is nephrogenic diabetes insipidus?


    The question mark is that it is suspected that the patient is likely to have nephrogenic diabetes insipidus caused by hypokalemia, but the receiving doctor is afraid of being slapped in the face, so he is not 100% sure.


    So putting a question mark means waiting for further verification.


    This large hospital made a statistics on the patient''s 24-hour urine output, which was as high as ml.


    This is a rather appalling amount of urine. A bottle of mineral water is 550ml, and the urine excreted by the patient in a day can fill 20 mineral water bottles.


    In order to find out the cause of the patient''s hypokalemia, this large hospital conducted a potassium balance test on the patient, and asked the patient to fast for three days, and intravenously drip potassium chloride 3g per day.


    On the third day, blood potassium, urine potassium, and **** potassium were rechecked, and blood k was 3.3mmol\\/l. Urine k14mmol\\/day, feces k32mmol\\/day.


    A day is 24 hours.


    Normal people consume 100mmol of potassium per day, and the gastrointestinal tract can almost completely absorb the ingested potassium.


    The kidney is the main organ that regulates the potassium balance in the body, and about 90% of the potassium is excreted from the kidney.


    The **** potassium of normal people is less than 10% of the intake.


    This patient obviously exceeded the standard by more than three times, which can indirectly prove that the patient has renal insufficiency.


    There are only a few reasons for hypokalemia, such as insufficient potassium intake, or excessive loss such as vomiting, or the transfer of potassium ions from the outside of the cell to the inside of the cell.


    Apart from diarrhea, this patient has no symptoms of vomiting, so this can be ruled out first.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Then the patient''s diet is basically normal, and insufficient potassium intake can also be ruled out.


    In the end, there is only the third possibility, the transfer of potassium ions from the outside to the inside of the cell.


    There are four most common causes of intracellular and extracellular potassium balance.


    One, acid-base balance. Two, insulin. Three, blood aldosterone. Fourth, sympathetic nerve activity.


    This disease is simply a big test of human body science, no wonder Director Zheng needs to invite Zhou Can to help.


    He didn''t know that Zhou Can was good at diagnosing diseases, but his medical skills were far from profound.


    That is to say, in the past two years, I have supplemented a lot of basic medical knowledge, so that I can barely bear it in this case analysis.


    In order to find out the cause of the patient''s intracellular and extracellular potassium balance, Zhou Can re-checked the patient''s multiple examination data.


    After layers of investigation, he finally diagnosed that the patient should be the first case, hypokalemia caused by acid-base balance factors.


    More precisely, it should be alkalosis.


    [Pathological diagnosis +1.]


    [For the first time you diagnose a complex pathological mechanism with strong reasoning, reward pathological diagnosis +100. ¡¿


    This is the first time he has received pathological diagnosis experience points and high experience point rewards without diagnosing the final complete cause.


    Diagnosing this case is of great benefit to Zhou Can.


    Activate all the basic medical knowledge he has learned, and use it in practice.


    "Did Doctor Zhou find out anything?"


    Director Zheng was not urging him, but worried that the family members and patients were left alone for too long, and felt dissatisfied.


    More or less let the family members see the doctors working hard to diagnose and treat.


    Instead of sleepwalking.


    "At present, it is only diagnosed that the patient is hypokalemia caused by alkalosis, and the etiology of the patient''s diabetes insipidus and diarrhea must continue to be further differentiated and discussed."


    Zhou Can handed over some very hard dry goods.


    "As expected of the youngest and most promising doctor in our Department of Gastroenterology, his strong diagnostic ability is really rare. It is amazing to find out that the patient is hypokalemia caused by alkalosis so quickly. I also spent a lot of effort and time. It took a long time to prove it to this point. It is because of your young minds that you are so powerful!"


    Zheng Hongtao couldn''t help sighing.


    "Congratulations! Since both of us identified the hypokalemia caused by alkalosis, it means that the conclusion of the previous syndrome differentiation is basically correct. As long as the cause of alkalosis is found out, I believe we can make a breakthrough."


    Zhou Can is full of enthusiasm for the diagnosis and treatment of this super difficult disease.


    It''s like attacking a city and plundering land, breaking down a strong city little by little.


    Now that an acropolis of the enemy city has basically been destroyed, further finding out the cause of the alkalosis is equivalent to tearing a hole in the defense of the main city.


    This disease has also found a breakthrough in treatment.


    Although Huang Liang is already a senior resident doctor who is about to be promoted to attending, he can''t use any strength in this level of diagnosis and treatment.


    There is only the copy of listening silently by the side.


    "During alkalosis, hydrogen ions are transferred to the outside of the cell, causing a potential difference between the inside and outside of the cell, and potassium ions are passively transferred to the cell, which leads to hypokalemia. Is there any way to correct alkalosis?"


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The first thing Zhou Can thinks about is to treat first.


    It is impossible to get to the bottom of some causes, and it is a common clinical treatment method for doctors to treat first and then investigate.


    It can also be called symptomatic treatment.


    That is, after I discover a problem, I can try to help the patient correct the problem first, and then see how the body reacts.


    Many times, the body may be just a tiny part of the whole system that goes wrong. It is also a way to correct it with drugs or other means to restore the body to normal functioning.


    Many chronic diseases are almost treated in this way.


    Patients need to take medicine for life.


    The general meaning is that the doctor knows that a subtle link in the three major systems of the patient is wrong, but he has not found the specific cause of the error. At this time, drugs are used to intervene forcibly to help them correct their mistakes, regardless of the cause of the mistakes.


    The human body is so amazing.


    With the help of medicine, even if the cause of the error can never be found and cannot be cured, it will not affect the therapeutic effect.


    People with diabetes, for example, need regular insulin injections.


    The doctor knew that there was a problem with insulin secretion, but the specific reasons were all kinds of strange, limited by the level of medicine and technology, there was no way to break the casserole and ask the bottom line.


    In the end, chronic diseases such as diabetes and hypertension require life-long medicationPatients have used routine intravenous potassium supplementation in other hospitals, but the patient¡¯s hypokalemia still cannot be corrected disease. "


    If you want to correct alkalosis, you have to start with the disease of diarrhea.


    Zhou Can began to jump back to the patient''s diarrhea problem.


    At the beginning, the patient had abdominal distension, and it took more than a month to develop severe diarrhea.


    "Director Zheng, can you do a small intestine perfusion test for the patient? It will help to find out the type and depth of the diarrhea."


    After Zhou Can thought for a moment, he gave a suggestion.


    "Your diagnosis is still based on diarrhea?"


    Zheng Hongtao''s eyes brightened slightly.


    When the answer to alkalosis cannot be found, it is also a good way to change the way of thinking and directly point to the disease itself.


    "Don''t you need someone who tied the bell to untie the bell? By looking back at the type of diarrhea and the underlying causes, it may be possible to solve this difficult case like a puzzle." Zhou Can nodded with a smile.


    "It makes sense!"


    Zheng Hongtao communicated well with the patient and his family members on the spot. This disease is difficult to diagnose. It is recommended that the patient be hospitalized for further observation so that doctors can find out the cause.


    The small intestine perfusion test needs to be arranged, and it takes a long time to observe the whole intestinal operation process.


    The patient was unable to be treated in another hospital, so he naturally understood that the disease was difficult to treat.


    Now that the two doctors have discussed it, it seems that some progress has been made. Seeing hope, the family members readily agreed to hospital treatment.


    The beds in the Department of Gastroenterology are as tight as ever.


    The patient was placed under observation first, and the small intestine perfusion test was done first, while waiting for a new bed to be vacated, and then hospitalization was arranged.

 Chapter 264： Cocoon-like diagnosis, bad luck only looks for the poor

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    After the patient left, Director Zheng got up and held Zhou Can''s hand tightly.


    "Doctor Zhou, thank you for coming to help! The diagnosis of this case is very difficult. When the results of the small intestine perfusion test come out, I will ask you to continue to help diagnose it."


    The reason why Zheng Hongtao treated Zhou Can so politely was because the diagnosis of this disease required a great deal of reliance on Zhou Can.


    There is also this kind of disease that cannot be cured by large hospitals outside. If he can crack it and cure the patient, it will be of great benefit to him.


    "Apocalypse"


    The authority and popularity of experts are built and consolidated little by little by diagnosing and treating difficult cases in related fields, as well as publishing high-level papers with high influence.


    The nine-story platform rises from the pile of soil, and the tree that embraces it grows from the end of the millet.


    Famous doctors never grow up overnight.


    Those who became popular with one or two cases and were called "miracle doctors" were mostly "miracle doctors of the rivers and lakes". Most of them are scammers, but none of them are true genius doctors.


    Patients travel thousands of miles to seek medical treatment, and what they pay is nothing more than an IQ tax.


    Of course, there is a kind of genius doctor who may have real skills. That is some Chinese medicine practitioners who are hidden from the world. They may not have a medical license, they may be cynical, and they may look more like charlatans.


    However, they have mastered some lost traditional Chinese medical skills, and they can actually relieve the suffering of patients.


    Moreover, there is an essential difference between this type of genius doctor and charlatans.


    They don''t aim to make money by treating diseases and saving lives, and charge low fees. They may even be like ancient Chinese medicine practitioners, who would not take any money from poor patients. Losing money to treat patients is just to help patients relieve their pain.


    Charlatans are all kinds of routines and deceptions, such as "making power to cure diseases", or a certain earthen prescription that can cure all diseases and so on.


    But all of these, without exception, are deceiving people to pay IQ taxes in the past.


    Even after their treatment, the patient really feels that his body seems to have improved a lot, but it is actually just a psychological effect.


    From a medical point of view, those medicines that cure all diseases, without exception, are all counterfeit medicines, health products, and medicines designed to deceive people into paying IQ taxes.


    From Zhou Can''s professional perspective, medicines that can really cure diseases have strong toxic side effects.


    They can only treat a small type of disease, not a cure-all.


    Most of these drugs are prescription drugs, and it is difficult for patients to buy them themselves.


    When a doctor prescribes medicine, he also needs to think carefully and carefully, and dare to prescribe a prescription after thorough consideration.


    After Zhou Can came back from the outpatient room, he continued to go back to the office to write medical records, medical history, and check doctor''s orders.


    As he became more and more proficient at independently prescribing medical orders, he obviously felt that his experience and knowledge reserves were not enough. In addition to increasing the frequency of consulting higher-level physicians, he has thought of many other ways to quickly improve the level of prescribing doctors.


    It is certain to read books hard every day and greedily supplement basic medical knowledge.


    There is also the use of authority to look through the past treatment cases in the department. Look at the doctor''s orders issued by Director Shang, Director Zheng, Deputy Director Shi and others, and learn from their experience in handling them.


    This method is very good.


    After reading a case, you can get 1 point of experience in pharmacological syndrome differentiation and 1 point of experience in pathological diagnosis.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    It can be said to serve multiple purposes.


    Around 6:00 p.m., the patient with diarrhea and diabetes insipidus finished the small intestine perfusion test, and the family members took the results to Director Zheng Hongtao. Then Director Zheng took the results directly to the office to find Zhou Can.


    After all, he is a chief physician, and in front of his family members, he asked Zhou Can for help again and again, somewhat embarrassing.


    So he sent his family members back and came to Zhou Can alone with the test results.


    The analysis and diagnosis of such difficult cases are inherently extremely difficult.


    He asked Zhou Can to discuss it, and the doctors didn''t laugh at him.


    Besides, there are too many doctors who ask Zhou Can for help all day long.


    Now even the little nurses in the department are asking Zhou Can for help one by one.


    For example, intubating patients, or encountering some obese patients with difficult to find blood vessels when doing intravenous indwelling, etc.


    They all came to ask Zhou Can for help.


    A pretty little nurse in her twenties was yelling at Brother Can one after another, Zhou Can couldn''t help but refuse to agree.


    Unless they are very busy, they will go to help them.


    If you can earn experience points and gain their gratitude, why not do it!


    Especially for operations such as urinary catheter insertion and endotracheal intubation, you can earn 1 insertion experience point for each operation completed. If you are lucky, you may even get an extra reward of 10 points of experience value.


    "Doctor Zhou, according to the small intestine perfusion test, it has been proved that there is a large amount of water and electrolytes secreted in the patient''s intestines, which can be preliminarily diagnosed as secretory diarrhea."


    Zheng Hongtao showed him the test results.


    The patient also had stool examination and bacterial culture, and the results were negative.


    This ruled out the possibility of chronic intestinal bacterial inflammation.


    There are four common types of diarrhea: secretory diarrhea, osmotic diarrhea, exudative diarrhea, and abnormal diarrhea caused by gastrointestinal dysfunction.


    Among them, exudative diarrhea is actually what is often called inflammatory diarrhea.


    Such as enteritis.


    Therefore, doing stool routine and bacterial culture are of great diagnostic significance. Bacterial cultures were negative, and exudative diarrhea can now be ruled out directly.


    Intestinal perfusion helps them directly target patients with secretory diarrhea.


    "The patient''s stool routine showed that the excretion of potassium, sodium, chlorine, and bicarbonate was seriously above the normal value. The highest was even 20 times higher than the standard. No wonder the patient''s body couldn''t resist it."


    Zhou Can really sympathized with this patient. After so many days, **** prolapse would have occurred for most people.


    "If it wasn''t for the fact that the young man is in his twenties, at the age when he is at his strongest, he might already be in the intensive care unit. Now that the type of diarrhea has been basically determined, the next step is to investigate the cause of the diarrhea. Does Dr. Zhou have any insight? "


    When Director Zheng and Zhou Canji discussed their illness, they were completely equal.


    This patient''s disease is difficult to treat because every diagnostic line of thought has an invisible high wall.


    For example, hypokalemia is detected and is known to be caused by alkalosis. But after finding this step, it will be difficult to make a deeper breakthrough.


    Now I have changed the direction of diagnosis, directly checked the diarrhea, did the small intestine perfusion test and stool routine, and it has been confirmed that it is secretory diarrhea. But the cause of the diarrhea is still unclear.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    There are many causes of secretory diarrhea.


    This again requires Zhou Can to clear away the layers of fog and keep the truth from the false.


    The reason why pathological diagnosis is difficult is that when encountering some complex diseases, the real cause of disease is as hidden as the answer to a problem. Only by answering it step by step will it be possible to find the correct answer in the end.


    The causes of secretory diarrhea flashed quickly in Zhou Can''s mind.


    Cholera, this is a class A infectious disease that claimed countless lives in ancient times and was notorious.


    Even today with highly developed medical technology, cholera is still a dangerous disease.


    The patient''s diarrhea continued for several days, and the symptoms were comparable to those of cholera.


    The second disease that comes to mind is pancreatic endocrine tumors. Pancreatic cancer is not called the king of cancer for nothing. The unexplained diarrhea it causes can drag a patient to the point where the **** prolapses so badly that the plug can''t fit in.


    During the regular training in the intensive care medicine department, Zhou Can had personally seen a patient whose intestines were pulled out.


    The third thing that comes to mind is carcinoid syndrome. The diarrhea caused by this disease is also related to cancer.


    It can be seen from this that if someone has diarrhea for a long time, he must go to the hospital for an examination. Because this kind of long-term diarrhea is very associated with cancer.


    All cancers are diagnosed and treated early.


    In some developed countries, the incidence of cancer is actually very high.


    But they pay great attention to physical examination, and their consumption concept is completely different from the simple and thrifty Chinese people. When they have money, they think about where to travel and buy something they are interested in.


    Consumption in advance and overdraft consumption are nothing more than a normal little thing in their eyes.


    Even if the common people in Huaxia have some pains and itches in their bodies, as long as they are not particularly serious, they usually rarely take the initiative to go to the hospital for examination.


    Because they are afraid of spending money and delaying work.


    The fourth disease Zhou Can thought of was medullary thyroid cancer. Because the patient has hypokalemia and diarrhea symptoms at the same time, these two points can be highly similar to the symptoms of medullary thyroid cancer.


    In addition to the above four diseases that can cause hypokalemia and severe diarrhea in patients, villous adenoma of the colon can also cause severe diarrhea.


    In just a moment, Zhou Can had already listed six or seven diseases that were highly similar to the patient''s symptoms, or could match them.


    What kind of disease, need further examination.


    Just doing blood routine, urine, stool routine, small intestinal perfusion test and other examinations, the diagnostic basis that can be provided is still too little.


    "Director Zheng, do you think it is possible to apply for an abdominal B-ultrasound examination for the patient?"


    Zhou Can''s diagnosis has reached this point, and he has already stopped making a diagnosis.


    "It''s no problem to apply for an abdominal ultrasound examination. What is your current diagnosis thinking?"


    Zheng Hongtao understood that every time Zhou Can put forward a new inspection application, he had intentions.


    But this time, he couldn''t understand it. He didn''t know which item Zhou Can wanted to check on the patient?


    "I want to check whether there is a tumor in the patient''s abdominal cavity. Just now I analyzed the diseases that may cause the patient''s secretory diarrhea, and several of them are related to malignant tumors. The current inspection data is still too little to further Diagnosis. Doing abdominal B-ultrasound may not necessarily make new progress.¡±


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can said truthfully.


    "It''s really possible that this evil persistent diarrhea is related to cancer. It would be good to check the abdominal cavity. I hope it''s not cancer. The young man is still so young, and he seems to be in a single-parent family. His mother raised him and raised him to be a college student. It was hard work. Entering the society and working formally, and suffering from such a disease, it really is that the hemp rope is broken at the fine point, and bad luck is only for the poor!"


    Director Zheng Hongtao sighed deeply.


    He has practiced medicine for so many years, and he has seen too many human tragedies and tragedies.


    Seeing a lot, not only did I not feel numb, but I became a bit more open-minded like a bodhisattva in a temple.


    No matter who goes to the temple to burn incense and pray for the Buddha, the Bodhisattva never speaks.


    Maybe there are no gods and Buddhas in the world, but the world still believes in them happily.


    Not for anything else, just because you are born as a human being, you will always face different sufferings and troubles in your life, and you need a belief to strengthen your belief.


    After a doctor has experienced too many occasions where he can do nothing, his mentality will change unconsciously. Full of compassion for the world, silently trying his best to help patients.


    When you really can''t help, you can only choose to look down.


    "It''s time to get off work today, and the medical technology department must be off work. We can only arrange for the patient to have an abdominal B-ultrasound examination tomorrow morning."


    Director Zheng took the results of the patient''s small intestine perfusion test and arranged for the next inspection.


    Zhou Can went to the ward and inspected the twelve patients he was in charge of. Generally speaking, they were all good. There are three patients who can go through the discharge procedures tomorrow, and another two are scheduled for interventional treatment tomorrow. Four of them are undergoing endoscopic surgery. The remaining three are in the conservation phase.


    Through these twelve patients, it is not difficult to find that even in gastroenterology, most patients are not treated with pure drugs.


    But need to do interventional, endoscopic surgery, minimally invasive surgery for treatment.


    The reason why there are relatively few patients treated with pure medication in the inpatient department is that many of these patients took the medicine and went home to take it.


    Try not to be hospitalized if you can.


    After taking the medicine for a period of time, you can come to the hospital for a review.


    After inspecting the ward and handing over, Zhou Can hurried back to the apartment where he lived without thinking about dinner.


    From a long distance, I saw Su Qianqian''s BMW parked in the parking space on the side of the road.


    "Doctor Zhou!"


    After Wei Fang has received professional security training, her observation ability is far stronger than that of ordinary people. After a long distance, she spotted Zhou Can, and quickly stepped forward to meet him.


    "Come on, follow me upstairs!"


    There was no expression on Zhou Can''s face.


    "Didn''t I tell you not to call me Dr. Zhou anymore? From now on, you can call me Brother Zhou, Brother Can, or Big Brother."


    Zhou Can is quite satisfied with Wei Fang''s work.


    She was just a bit too aggressive, allowing her to choose some more intimate names when addressing Zhou Can, but she always insisted on calling him Doctor Zhou. And with Zhou Can, they are always so respectful and reserved.


    Went upstairs and entered Zhou Can''s apartment, but Jin Mingxi hadn''t come back yet.


    Compared with Zhou Can''s relatively fixed commuting time, Jin Mingxi enjoys the treatment of ordinary Pearson, and all kinds of overtime work make him more and more busy.


    Today I want to talk about some confidential things with Wei Fang, it''s good that Jin Mingxi is not here.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Otherwise, we can only go to the car to talk about things.


    After Wei Fang entered the room, Zhou Can closed the door.


    She was alone in a room with Zhou Can, but she didn''t feel any nervousness. It seems that he is not worried about Zhou Can doing excessive things to her.


    In fact, Zhou Can''s character is indeed guaranteed.


    "sit!"


    He motioned to Wei Fang.


    "Please drink water!"


    He poured Wei Fang another glass of boiled water, which made Wei Fang very flattered, and hurriedly got up to take it.


    "I came to you today because I have a very important matter for you to do. This packet of medicinal powder is colorless and tasteless. When you meet Hu Wei tomorrow, you should find a way to put it in Hu Wei''s drink. How dare this person You must be cunning to betray Jinyu Interactive, and make so many incidents, and you must be careful when you prescribe drugs. Try not to leave any clues."


    Zhou Can cleaned up his enemies and gave full play to his advantages in studying medicine.


    "Don''t worry, this is not some kind of poison. As long as you don''t leave any clues and act carefully, there will be no legal risks. The boxes they talk to will deliberately choose unmonitored ones, but you still have to be careful. If things can''t be done, Then give up."


    Let Wei Fang do this matterZhou Can also made the decision after careful consideration.


    She is currently the only person around Qianqian who can use her and trust her.


    "My life was almost saved by you. In the past two years, you have given me a superior life that I can''t even imagine. I can do anything for you. If you or Miss Su are in danger, I can use the Your body will block bullets for you. I don¡¯t ask for anything else, if something happens to me, I just ask you to be filial for me and give my grandma a pension.¡±


    Wei Fang said something she had never said in an extremely sincere tone.


    She didn''t say anything, but Zhou Can also believed that she would really use her body to block bullets for Su Qianqian in a dangerous moment.


    She just has that loyalty.


    "You don''t have to worry about your grandma''s old age. If an accident happens to you one day, I will treat her like my own grandma. But as an employer, I must tell you seriously, not only to let you protect Qianqian, but also You should protect yourself. Your life is as important and precious as Qianqian''s, you know?"


    Zhou Can said to her very seriously.


    "Um!"


    Although there was no expression on her face, the fluctuation in her eyes showed that she was deeply moved by Zhou Can''s words.


    "There are two copies of the medicine powder, so that you can remedy it in time in case of special circumstances. After Hu Wei drinks the drink, you don''t have to be nervous. He won''t have any symptoms in a short time..."


    Zhou Can has always been young and mature in his work, steady and mature.


    Some possible accidents are taken into account.


    As long as Hu Wei takes this medicine, he will have the opportunity to control this ''rook'' in turn.


    At that time, Hu Haikun will definitely be played to the point of doubting his life.


    (/novel/)

 Chapter 265： Things tend to go for the worst, and the real culprit of the diarrhea...

    After sending Wei Fang away, Zhou Can was also full of expectations for the effect of the medicine. Whether it is really effective is still hard to say. After Hu Wei took it, it took about 72 hours to know whether it was effective. The recipe was learned from Director Wen of Neurosurgery. At that time, Director Wen was only excited, and mentioned this prescription to Zhou Can. Moreover, this prescription was not researched by Director Wen, but was passed on to Director Wen by Director Wen''s mentor before he died, so that he could continue to study it. He does not mean that. Zhou Can felt that it was very miraculous, so he wrote down the formula. After learning it, there has been no clinical trial for the time being. It''s not bad to take Hu Wei as a free drug tester. ...The next day, around ten o''clock in the morning, the patient with diarrhea and diabetes insipidus queued up for an abdominal ultrasound examination. Director Zheng has already explained that he will perform two important endoscopic surgeries in the operating room in the morning, and the patient can go directly to the inpatient department to find Zhou Can after receiving the examination results. This difficult case is really too much for ordinary people. The patient''s mother found Zhou Can with the test results. Unexpectedly, after Zhou Can took over the B-ultrasound results and read them, he remained silent for a long time. "Doctor Zhou, can my son''s illness be found out? Is his illness serious?" The family members may also feel a little panicked. This is the love of a mother for her son. It was not easy for her to raise her son alone. Her son is her lifeblood and her hope of living. Zhou Can could clearly feel her anxiety and tension. "Judging from the results of the b-ultrasound examination, the situation is not very good. The b-ultrasound indicates that there are multiple space-occupying lesions in the liver. This means that the patient is likely to have a pancreatic endocrine tumor." Before the b-ultrasound examination, Zhou Can hoped that the patient no big deal. But now it was developing in the direction he least wanted to see. Pancreatic endocrine tumors can be divided into functional and nonfunctional tumors. Nonfunctioning tumors do not produce neuroendocrine substances and do not cause specific clinical symptoms in patients. Obviously, the patient''s diarrhea is so severe, it must be a functional tumor. What kind of tumor it is is unclear. Insulinomas, gastrinomas, glucagonomas, vasoactive intestinal polypeptide-secreting tumors, somatostatinomas, etc., are all likely to occur. Pancreatic cancer is qualified to be called the cancer king, and it has its own scary features. "Tumor..." The patient''s mother had a frightened and painful expression on her face after hearing this. Immediately afterwards, he held his forehead and temples with his hands, and his body began to shake, as if he could no longer stand still. "Don''t get excited, don''t get excited. Right now, I just suspect that it might be a pancreatic endocrine tumor, and this is not the final result." Zhou Can could only say something against his will to appease his family. In fact, he was very clear that the results of the b-ultrasound had basically confirmed that the patient had a pancreatic endocrine tumor, and it was likely to have spread. At least midterm. This means that after the patient is diagnosed, it is likely that there will be no chance of surgery. Cancer King is best at not giving patients a chance to live. Do not give the doctor any chance to rescue. Even if it is just a chance to control its growth, it is not given. Zhou Can quickly stood up and helped the woman sit down on the doctor''s office chair. Then he walked to the door and waved to the nurse''s station, "Xiao Li, come and help me if you''re not busy." The nurses in the Department of Gastroenterology have asked Zhou Can for help many times, and Zhou Can is very familiar with them. In addition, Zhou Can is young and rich, and spends a lot of money. From time to time, he invites all the nurses to drink milk tea and barbecue after get off work. It must be explained that he invited the nurses to barbecue after get off work, and he would not go there himself. Instead, account for the payment of a leader, who will be reimbursed the next day. Although these female nurses in the Department of Gastroenterology are all beautiful and have a high level of education, it doesn''t affect their psychology of taking advantage of small things. Every time I hear that Zhou Can treats guests, even if I don''t go to work, I have to form a team to rush over to eat barbecue. However, their quality is still quite high, it is true that they love to take advantage of small things, and they are not greedy. After eating Zhou Can''s food, they will give something back. In addition to paying special attention to Zhou Can''s affairs at work, sometimes they will reciprocate in their own way. For example, give Zhou Can two biscuits, or put a pack of snacks in his pocket. This really made him dumbfounded. In the hearts of girls, sneaking some snacks at work is very enjoyable. It¡¯s just that for Zhou Can, he almost never eats snacks except for some fruit. On the one hand, work and study are very busy, on the other hand, there is still a big difference between men and women on this point. The female nurse named Xiaoli ran over, "Brother Zhou, what do you order?" "Here, the female family member inside almost fainted after learning that her son might have a pancreatic tumor. You can help him by the side. Just in case I fell down, or something happened, I can¡¯t tell later.¡± Zhou Can is really hard to help others as a man. Although this female family member is already fifty years old. But he has to watch the impact. Words are scary. These days, a distorted photo can easily ruin a doctor''s career. For example, in the process of rescuing patients, there was a lot of noise a while ago, and the incident of nurses playing with mobile phones. Anyone with a little brain knows that when rescuing a patient is so urgent, which doctor or nurse would dare not take the patient''s life seriously and sit by and play with a mobile phone? Afterwards, it was found out that the nurse was not playing with the mobile phone, but was trying to contact doctors in related fields to come to rescue, and used the mobile phone to coordinate the rescue supplies. But because of the death of the patient, the family members blamed the female nurse and took photos of her and exposed her on the Internet. Eventually it caused an uproar. Fortunately, the truth was found out later, and the female nurse was cleared. In reality, there are too many things that doctors and nurses sweat and cry. The female nurse is very good at comforting people. Under Xiaoli''s comfort, the family members'' emotions gradually stabilized. It''s just that there is a sad look between his eyebrows and eyes, which can''t be erased no matter what. This patient is under the responsibility of Director Zheng. Now that the diagnosis has made significant progress, Zhou Can feels that it is necessary to report to Director Zheng in time. Even if Director Zheng might be performing surgery on the patient, that''s okay. Zhou Can decisively dialed Director Zheng''s cell phone. "Doctor Zhou, has the patient with diarrhea and diabetes insipidus been found out?" "The exact cause is still unclear. However, the patient''s abdominal ultrasound has indicated multiple space-occupying lesions in the liver!" Zhou Can said the patient''s The situation was reported. "This is really terrible!" After hearing this, Director Zheng was silent for a few seconds, and then he sighed heavily. Medical predictions are sometimes as accurate as scientific predictions. The higher the level of doctors participating in the diagnosis, the more accurate the prediction results will be. Before the B-ultrasound, Zhou Can predicted that the patient''s disease was likely to be a malignant tumor. It finally came true. "It''s really distressing. Do you think it''s still necessary to do a blood plasma hormone level measurement? Although the B-ultrasound result is not very good, the final diagnosis is still two to three steps away." Zhou Can asked Director Zheng''s next diagnosis and treatment plan. "Let''s do it! You can determine the type of pancreatic tumor after you finish it." Director Zheng readily agreed. "I don''t think there is any suspense in the results of the plasma hormone level test. Now there is a last ray of hope. Further imaging examinations are needed to see if the tumor has metastasized. If there is no metastasis, or if it only metastasizes to the surrounding lymph, there may be a chance for surgery. I suggest another CT scan, focusing on the chest and abdominal cavity and the neck.¡± If the pancreatic tumor metastasizes, the neck and neck of the human body have the most abundant lymph nodes, which is the key screening object. And the viscera of the chest cavity are also very easily affected. This is like a neighbor''s house burning up, and the surrounding adjacent houses are easily affected. When a tumor occurs in a certain organ or tissue site, it is often the adjacent organs or tissues that suffer the most. "Okay! I''ll arrange for Huang Liang to issue the inspection application form and send it over immediately. I''ll take care of the communication with the family members." Zhou Can and Director Zheng have been diagnosing this patient almost all the time, and they are the only ones who care about it The patient''s condition is best understood. Huang Liang ran errands and sent an inspection application form, but it was too difficult for him to communicate with his family members. Inspection applications will be opened soon. The communication between Zhou Can and his family was also very smooth. When the results of the plasma hormone level measurement came out, Zhou Can found that the patient''s plasma vip and sst increased significantly. The VIP value, that is, the vasoactive intestinal peptide value has reached an astonishing 300-890. You must know that normal people are only about 60. The patient''s vip measured value was more than ten times higher than the normal level. The sst value is what is often referred to as somatostatin, reaching a terrifying 600-2500ng\/l, and the normal value is only about 25. It exceeded the standard by a full hundred times. Seeing this result, Zhou Can''s heart sank directly to the bottom of the valley. It would be nice if we could find him sooner. But look for him earlier, maybe he was far from the current diagnosis level at that time, and he was not able to diagnose the cause of the patient at all. Now it can basically be concluded from the plasma hormone level that the patient has a mixed tumor secreting vip and sst. Now I finally understand why the patient has more than secretory diarrhea. Vasoactive intestinal peptide widely exists in the nervous tissue of the digestive system and pancreatic endocrine cells. It has many physiological effects, including relaxation of smooth muscle, stimulation of bile sweat secretion, stimulation of intestinal secretion of water and electrolytes. The patient''s elevated vasoactive intestinal peptide is the main cause of the patient''s secretory diarrhea. As for somatostatin, it is mainly distributed in the thalamus, pancreatic d cells and small intestine. Its role is mainly to inhibit the secretion of the digestive system. The patient''s sst value exceeds the standard by a hundred times, which will cause steatorrhea. But this patient also has secretory diarrhea, which can just offset part of the secretory diarrhea. Now all the real causes of the patient''s diarrhea and diabetes insipidus have been found. It''s the truth. The only prayer is that in the next CT scan, the tumor has not metastasized significantly. Things backfired, and the CT results were quickly delivered to Zhou Can. It shows the patient''s pancreatic body space occupying lesion and liver metastatic lesion. Clinical evidence-based practice proved that the middle section of the main pancreatic duct was completely obstructed. Abnormalities were also found in supraclavicular lymph nodes. Without a pathological biopsy, Zhou Can can be sure that the patient''s tumor has metastasized to the liver and supraclavicular lymph nodes. After investigation, it was confirmed to be a metastatic neuroendocrine tumor. Seeing such a bad test result, Zhou Can''s heart was already half cold. However, he still held on to the last ray of hope and proposed to perform surgical exploration on the patient to see if there was still a chance of removal of the pancreatic tumor? A cure is out of the question. At least it can prolong the patient''s life. After surgical exploration, the patient''s pancreatic body and neck were several times larger than normal. The tumor had invaded the surrounding tissue and had metastasized to the liver. The patient completely lost the opportunity for surgery. When the patient was pushed out of the operation, the patient''s mother was already waiting anxiously outside the operating room. He greeted him immediately. "Doctor Zhou, is my son''s surgery going well?" In fact, she already had a very bad premonition in her heart. It can be seen that when she asked the question, her face was pale and her hands were shaking uncontrollably. Just like a ninety-year-old man, his body is out of control. Before the surgical exploration, Zhou Can had already told her. If it is determined that there is still a chance for surgery, she will be asked to sign a new consent form for surgery, and the tumor will be removed directly. If there is no chance of surgery, then we can only find a way to make the patient spend the last time of life as painlessly as possible. The operation ended so soon, and no one asked her to re-sign the consent form for the operation. She could already foresee the result. "You push the patient back to the ward first, and I will talk to the family about the patient''s situation." Zhou Can said to the nurse and Dr. Huang Liang. Zheng Hongtao was originally responsible for this patient. Out of responsibility and morality, Zhou Can has been working hard and busy for the patient. It''s a pity that in the end, I can only do my best and cannot resist the destiny. Facing this patient with advanced neuroendocrine tumors, Zhou Can was helpless, and Tuya Hospital was also helpless. With the current level of medicine in the world, there is no way to cure this kind of terminal cancer patients. It is difficult to even extend the life of patients. Considering the patient''s family situation, as long as a doctor with a little conscience will not let the family members continue to sell the house and empty their savings for the patient''s treatment. Because this is no longer something money can do. The end result will only be a loss of people and wealth, and there will never be any hope. When a patient is diagnosed with cancer, doctors generally do not tell the patient directly, or even avoid it intentionally. As for whether the family members tell the patient or not, that is the family''s business. Zhou Can led his family members to sit down on the row of chairs in the aisle. "After surgical exploration, your son''s tumor has metastasized to multiple places, and the cancer has reached an advanced stage, which means that he has lost the opportunity for surgery. What our hospital can do is to alleviate his pain as much as possible." After listening to the family members Finally, he tightly grasped the edge of the seat with one hand and closed his eyes with an extremely painful expression. A whimper sounded from the depths of her throat, and tears gushed out, like broken beads, sliding down her slightly rough cheeks. It can be seen that at the age of fifty, she has many wrinkles on her face. If it is a well-maintained woman, with a carefree life, a healthy lifestyle, and active exercise, she may look similar to a thirty-year-old woman. This woman''s face is aging like this, her face is haggard, and her life is too hard. Now, because her son has cancer, she will fall into a greater pain. It''s very worrying to watch. "Doctor Zhou, how long can my son live?" She tried hard to wipe away her tears, but she couldn''t. As soon as it was wiped off, it came out again. "If there are no accidents, you should be able to live for about three months. In the late stage of cancer, because cancer cells invade various tissues and organs in the body, it will cause great pain to the patient. You should try your best to let him eat and drink well! Do all kinds of hard work! Expensive treatment, I personally don¡¯t recommend it.¡± Zhou Can won¡¯t make unconscionable money, and he doesn¡¯t guarantee that other hospitals and doctors won¡¯t. In particular, some private hospitals will never give up until the last drop of blood pressure of the patient''s family is squeezed out. For a terminal cancer patient, it is too much to treat several million. A hospital is not a hospital belonging to a certain person, but a collective. As long as the family members are willing to pay, the hospital will never object to the behavior of the doctor involved. On the contrary, they will support and acquiesce. After all, any hospital needs to make money, and only when it makes money can it continue to operate stably. The performance of a department is also closely related to the doctor''s income. No doctor or nurse wants to live a good life. "Only...three months to live..." The patient''s mother almost fainted on the spot after hearing this. After a long time, she was relieved, and then covered her face and wailed loudly, sobbing endlessly. Zhou Can dared to deal with even the most difficult illness, but faced with the crying and despair of his family members, he seemed a little at a loss. The woman''s crying also attracted the attention of many people. Sitting here, Zhou Can felt even more uncomfortable. In the future, I will discuss this kind of matter with my family members, and I must be in the office. Otherwise, it''s too embarrassing. Fortunately, he was very popular, so a nurse walked over quickly. "Doctor Zhou, who is she?" "She learned that her son has reached the terminal stage of cancer and has only three months to live, and she has a nervous breakdown. Help her comfort her." Zhou Can seemed to have grasped at straws. The usual milk tea and barbecue are finally not in vain.

 Chapter 267： Fighting for life with death, extraordinary courage and courage

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 Chapter 268： The doctors sense of responsibility is better than blue

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The patient had lung cancer, which belonged to insufficient preoperative examination.


    Although the situation was urgent at that time, and the patient''s right lung was compressed by 80%, and he was accompanied by complicated diseases such as pneumothorax and severe pleural effusion, it was still a mistake in the work.


    If it is known that the patient has a tumor in the lungs before the operation, he may be more cautious in the rescue and think of using double-lumen catheterization.


    There are various objective factors in the occurrence of every accident.


    Medical staff must be careful and careful to avoid accidents.


    Now the patient''s life was saved, and a medical accident was successfully resolved by Zhou Can. However, the patient''s thoracotomy and exploratory surgery was not for nothing, but for the treatment of the disease.


    If the lung tumor is not resolved, the patient will still die.


    Just how to solve it is a problem.


    With so many chief physicians and senior physicians here, how dare Zhou Can express his opinions indiscriminately!


    To save someone just now, you can act urgently.


    Now that the patient''s vital signs have stabilized, he will never be this early bird again.


    "What I mean is to listen to your chief physicians, and do whatever you say!"


    Zhou Can''s words made everyone amused.


    The tense atmosphere in the operating room was once again diluted, and everyone could clearly feel that the discussion atmosphere became as relaxed as usual.


    Zhou Can made great achievements without being arrogant, which made everyone feel good about him.


    "Director Le, Director Liu, what''s your opinion?"


    Director Xueyan seeks other people''s opinions.


    "This operation is full of hardships, and it is not easy to save the patient''s life. Everyone can express their opinions and work together to help this patient recover."


    She gives full play to the softness and tolerance of women, and mobilizes everyone.


    Join the discussion together.


    "Then I''ll throw bricks and spark jade and express some immature opinions." Director Le''s strength is not bad, especially in the cardiovascular field, the level is quite high.


    "Personally, I think the operation plan for the patient was originally a thoracotomy for exploration. It was only a little accident during the anesthesia process of the thoracotomy, which disrupted the original operation plan. Now the chest has been opened and the cause of the disease has been found. Whether it¡¯s time for Tailai or not, we might as well communicate with the family members immediately. Take this opportunity to remove the tumor and create favorable conditions for the patient¡¯s follow-up recovery.¡±


    This solution is the best solution, but many people still have concerns.


    The main reason is that everyone recalled that the patient almost died during the general anesthesia process, and they are still worried.


    Now that the patient has finally been rescued, many doctors are holding the principle that they would rather do nothing than fail.


    According to their meaning, it is to keep the existing achievements and let the patients leave the operating room safely.


    Don''t overdo it.


    "Removing the tumor is certainly a very good plan, but everyone has seen the patient''s condition, and the patient almost died. In this case, surgery to remove the tumor, can the patient tolerate it?"


    A deputy chief physician raised objections.


    "I also think it''s better to be on the safe side. You can wait for the patient''s physical condition to improve before performing this operation."


    "Look at him like a candle in the wind, fluttering, I''m really worried that he won''t be able to get off the operating table."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Don''t seek meritorious service, but seek no faults. It''s better to be steady."


    There are quite a few conservatives.


    No one wants to be involved in a medical malpractice, let alone watch the patient die.


    "Director Liu, you are an expert in the Department of Critical Care Medicine, and you are an anesthesiologist yourself. You have a certain authority in evaluating patients'' surgical risks. Tell me!"


    Xueyan looked at Director Liu.


    When she asked this question, her opinion must be biased towards Director Le''s proposal, and she wanted to have the operation done at once.


    "Well... I don''t dare to decide on this. Judging from the patient''s tumor condition, I am afraid that the entire right lung needs to be removed, and the risk is quite high."


    Director Liu''s opinion is relatively neutral.


    Being able to be the director of the intensive care medicine department is relatively smooth in dealing with various things.


    He just came here to take part in rescuing this patient. Now that the mission is complete, he obviously doesn''t want to cause any more trouble. He just wanted to get out as soon as possible and return to his intensive care medicine department.


    "Doctor Guan, what''s your opinion?"


    Director Xue didn''t ask him the real anesthesiologist''s opinion first, but asked him last after asking others. It can also be seen that the accident in this operation has greatly reduced the status of the official doctor.


    The right to speak has subsequently declined, and it has become nothing more than a normal thing.


    Doctor Guan was still in shock and obviously out of shape.


    After hesitating for a moment, he said, "If it is decided to remove the tumor for the patient, I will apply for another anesthesiologist. Please invite Director Feng from our anesthesiology department."


    At this time, I could feel that Dr. Guan not only spoke in a weak tone, but also began to be extremely unconfident in his professional ability.


    Medical malpractice hits the doctors and nurses involved very hard.


    Enough to make them seriously doubt their professional level.


    Before that, Dr. Guan gave Zhou Can the impression of being calm, confident, and calm in situations.


    I don''t know how long it will take him to get out of the shadows after going through this incident?


    "Please ask Director Feng to come and help immediately." After she finished speaking to the patrol nurse, she turned to look at Director Le. "Director Le, is it okay for you to come forward to communicate with the family members and ask them for their opinions?"


    "no problem!"


    Director Le readily agreed.


    "Director Xue, Director Le, should you reconsider, the risk is too high!"


    An older senior deputy chief physician persuaded him full of worries.


    "It''s not that we don''t want to seek stability, but that the patient has only two options. Either take this opportunity to remove the tumor. Or close the chest immediately and treat conservatively. If you choose conservative treatment, it will take at least half a year before the second thoracotomy. At that time, The tumor has already spread. And it is hard to say whether the patient can survive for half a year."


    Director Le patiently analyzed the patient''s condition for the old comrade.


    In fact, even if I believe him, even if he doesn''t say anything, this old comrade knows the consequences of conservative treatment.


    At this time, it is a test of a doctor''s sense of responsibility.


    Taking the risk of cutting a patient''s tumor is of great benefit to the patient. For doctors, there are huge risks.


    Although the surgical consent form will be signed before the operation, there is still a lot of trouble for the patient to die on the operating table. It can negatively affect the doctor''s reputation.


    Other interests will also suffer.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    After Director Le finished his analysis in public, he didn''t speak any more.


    Soon, Dr. Feng rushed to the operating room.


    Zhou Can can be regarded as half of his apprentice, and when he saw him, he hurriedly greeted him honestly.


    Doctor Feng was cold and taciturn as usual.


    He just nodded slightly and hummed.


    Looking at Dr. Guan, "It''s normal for something to happen. There is no anesthesiologist who hasn''t died before." Unexpectedly, when we met, Dr. Feng didn''t blame Dr. Guan, but cared for him warmly. with relief.


    "That''s what I said, but when I really saw the patient almost died due to anesthesia, the psychological shadow is still difficult to dispel in a short period of time. I... really have no confidence in this operation, and dare not take any more risks."


    Dr. Guan lowered his head in shame, like a child who has done something wrong, repenting in front of his parents.


    "You have been an anesthesiologist for so many years, and it''s not like you haven''t seen patients die. As doctors, from the moment we study medicine, we should understand that this road is full of thorns, and there are countless difficulties and obstacles ahead, and cliffs are waiting for us. Go for it. It¡¯s not terrible to have an accident, the terrible thing is not to learn from the lesson and fall twice in the same pit.¡±


    Dr. Feng''s words deeply touched every doctor and nurse present.


    Yes, when I first studied medicine, where did my initial aspiration and drive go?


    Which medical student really studies medicine just to have a good job, just to make money? Being able to have a decent job and a good social status is just part of studying medicine.


    Everyone thinks more about saving lives and healing the wounded, and being an angel in this world.


    Saving the lives of patients and relieving their pain is what every medical student really wants to pursue. It is also the most simple feelings of doctors, nurses and pharmacists.


    It is a passion for the medical industry.


    "I... will reflect deeply, adjust my mentality, and strive to return to normal work as soon as possible. Please let me go home and rest for two days, and give me a time to adjust myself."


    After Dr. Guan heard this, he didn''t back down.


    At least I didn''t think about quitting the anesthesiologist industry.


    "I won''t approve this fake. Get up from wherever you fall. I can help you with the anesthesia work for this operation, but I still hope that you will preside over the anesthesia work, even including the management of the entire perioperative period." Dr. Feng Although he was a bit colder and more serious, the way he taught his apprentices was very clever.


    Whether it is teaching Zhou Can or an official doctor, they can teach students in accordance with their aptitude. Especially when the official doctor encounters a major setback, he is not like other senior doctors who don''t care about anything, just swearing all over his head. Instead, find ways to help them come out of the shadows.


    "All right!"


    Doctor Guan reluctantly agreed, but finally agreed.


    Doctor Feng has supported him like this, if he continues to back down blindly, he will really become an idiot who cannot be supported.


    "Director Xue, you can communicate well with your family members, and you can just operate directly. You don''t have to worry about the anesthesia work for this operation, our anesthesiology department will fully undertake it."


    After Dr. Feng persuaded Dr. Guan, he expressed his opinion to Director Xue.


    Do things clearly.


    "Okay, thank you. Thank you to the doctors in the anesthesiology department for escorting our high-risk operation. Director Le is communicating with the family members outside. If the family members agree to take this risky operation, we will carry it out immediately."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Director Xueyan thanked him.


    She has always been gentle with others, making people feel very comfortable like a spring breeze.


    Doctor Feng looked at Doctor Guan again.


    "Tell me, what mistakes did you make in this operation? What have you learned?"


    "There were many mistakes. Before the general anesthesia operation, according to the usual practice, I injected scopolamine to the patient, ignoring the possible risks. This is one of them. After the accident, I participated in the rescue work with Director Hu. At that time, we only focused on helping the patient recover spontaneous breathing and heartbeat as quickly as possible, but ignored the risk of blood clots in the patient''s pleural effusion, which eventually caused blood clots to block the drainage tube, resulting in the failure of the first rescue. This is the second .¡±


    Doctor Guan checked and corrected himself, and reflected on two mistakes.


    "If I encounter a patient with spontaneous hemopneumothorax in the future and undergo anesthesia after closed thoracic drainage, I will choose double-lumen endobronchial intubation instead of blindly pursuing speed. I can''t save trouble."


    Dr. Guan made a profound review and reflection.


    After listening, Dr. Feng was a little dissatisfied.


    "anything else?"


    "Others?" Doctor Guan thought for a while and shook his head slightly.


    He couldn''t think of any other mistakes.


    "Zhou Can, tell me!"


    Doctor Feng suddenly looked at Zhou Can.


    At this moment, Zhou Can is studying the patient''s lung tumor, and is drawing up a resection plan in his mind.


    Suddenly hearing Doctor Feng''s question, he turned his head and looked over.


    "Uh... I can only provide some precautions. For example, after tracheal intubation, when the mask inhales oxygen and nitrogen, the ventilation volume should not be too large. When I rushed here to participate in the rescue just now, the ventilation volume was quite large. And there is After intubation, the side-lung ventilation should be performed with low tidal volume and low pressure. Finally, when the patient is breathing spontaneously and the breathing resistance increases and the water column of the drainage tube does not fluctuate, the ventilation should be stopped immediately.¡±


    Zhou Can spoke modestly, pointing out the problems he saw after arriving.


    These are all errors in the operation of the official doctor.


    Maybe the official doctor was completely out of control at that time, which caused many mistakes.


    If the patient had a condition during the first rescue and the ventilation could be stopped immediately, the situation might be better.


    Doctor Guan did not stop the ventilation at that time, indicating that his professional knowledge was flawed.


    "Dr. Zhou''s words awakened the dreamer. After listening to it, I realized that there are still so many mistakes. Thank you for your guidance." Doctor Guan thanked him sincerely. "It was found that the patient''s breathing resistance increased, and the water column of the drainage tube did not fluctuate. Besides stopping the ventilation immediately, is there any other measure?"


    He really didn''t understand, so he took the opportunity to humbly ask Zhou Can for advice.


    "You can try to squeeze the drainage tube. If it doesn''t work, you can quickly change the patient''s position, or enter the chest for treatment."


    Zhou Can was not stingy, and shared everything he had learned.


    Doctor Feng nodded again and again, his eyes showing approval.


    "It turns out there are so many methods. My knowledge is too short on how to deal with this. In the future, I will learn more from Dr. Zhou." For the first time, Dr. Guan discovered that the gap between him and Zhou Can had widened. so big.


    [The book chasing app recommended to me by an old book friend who has known me for ten years, Yeguo Reading! It¡¯s really easy to use. I rely on reading and listening to books to pass the time while driving and before going to bed. You can download it here.yeguoyuedu¡¿


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    You know, many times in the past, he was the one who taught Zhou Can anesthesia.


    Today, Zhou Can is already better than blue, and has clearly surpassed him in some areas of knowledge.


    Feeling Zhou Can''s progress firsthand, Dr. Guan was extremely shocked.


    It also aroused his desire to learn and wanted to catch up.


    Otherwise, it would be a shame to be overtaken by a junior.


    Although Director Xueyan and the others in the operating room did not speak, their perception of Zhou Can''s strength in their hearts was quietly raised to a higher level than the original one.


    They are all medical students. It is easy to tell who has a higher level and who has a lower level.


    Unbeknownst to Zhou Can, just because of a small ''discussion'' with the official doctor, the doctors and nurses present have invisibly raised their opinion of him by a level.


    At this moment, Director Le had finished communicating with the family members and came in.


    "The family members were shocked when they learned that the patient had lung cancer. They even suspected that our doctor was lying. After much effort, they finally convinced them. The family members agreed to have the tumor removed."


    Director Le reported the hard-won progress to everyone.


    Sometimes it''s really hard to be a doctor.


    Not only do we have to find ways to find the cause of the disease and treat the patient''s disease, but we also have to do our best to communicate with the family members.


    Taking this patient as an example, the doctors could do more than do less, close the chest cavity, and tell the family members that surgical resection of the tumor is too risky. After the patient recovers, he will come back to the hospital in half a year to see if there is a chance for surgery.


    There was nothing the family could do.


    Can only follow the doctor''s arrangement.


    Now, doctors take huge risks to consider the vital interests of patients, but they still have to be questioned by family members. This makes the doctor feel very hurt and tired.


    "Let''s prepare for the operation! Can Director Le be the chief surgeon?" Director Xueyan''s surgical ability is weak Academically, she is very strong.


    She has the ability to perform tumor resection for this patient, but she feels that she will be more confident if she lets Director Le perform the surgery.


    "I can perform the surgery, but this operation is quite special. The patient''s current condition is not very good. The shorter the operation time, the better. Dr. Zhou''s operation is very good, and the speed is far better than ours. Moreover, he performs the operation, and the patient''s The amount of bleeding is the least among all the doctors I have seen. It is more beneficial for the patient to have him perform the operation."


    Director Le recommended Zhou Can as the surgeon.


    At the beginning, when Zhou Can was trained in cardiothoracic surgery, Director Le was deeply impressed by his strong surgical skills.


    Half a year has passed now, and the surgical prowess that Zhou Can showed during the chest opening just now is even more terrifying than before. That''s why he wanted Zhou Can to perform this operation.


    "Doctor Zhou, can you? You can rest assured that the risk will be borne by me."


    Director Xueyan looked at Zhou Can.


    In fact, deep down in her heart, she also preferred to let Zhou Can preside over the operation.


    Slow down, it will really kill people.


    The patient is already like this, and the sooner the operation is completed, the better.


    "I''m OK."


    Zhou Can did not refuse.


    He has a deep connection with cardiothoracic surgery, and it is his duty to contribute now.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    As for personal gains and losses, he didn''t think too much about it.


    He has studied carefully just now, and he is fully capable of removing the patient''s lung tumor.

 Chapter 270： Young elites gathered, Yang Chans changes

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Seeing life clearly is actually a kind of open-mindedness.


    He has presided over cardiothoracic surgery for many years and has been working hard to train successors. However, there are too few successors who can carry the banner.


    The comprehensive strength of cardiothoracic surgery is quite strong, and there are many talents, but there is a lack of leading figures.


    Director Xueyan is very talented, but it takes time to grow up. In particular, the training period for doctors in cardiothoracic surgery and neurosurgery far exceeds that of other general departments.


    She is now able to preside over some common third- and fourth-level operations, and can diagnose some difficult and difficult diseases.


    It will take at least a few years for her to fully grow up to preside over most of the more difficult fourth-level surgeries. If you want to grow up to preside over extremely difficult operations alone, it may even take more than ten years, or even longer.


    In addition to her, there are also a group of young chief physicians and deputy chief physicians in the cardiothoracic surgery department who are also very capable, and they also need time to grow.


    As for the veteran comrades in the cardiothoracic surgery department, many of them have already been qualified, and the room for growth is almost at the limit.


    Can only be regarded as the mainstay of the department, but cannot become a leader.


    That''s why Shangguan Yan of Tuya Attached Second got into trouble last time, and even the General Hospital had to find a way to find someone to cover him, so as to keep his reputation from being damaged. It is precisely because Shangguan Yan was selected as a leader in the subject of gastrointestinal oncology.


    Thousands of troops are easy to get, but one general is hard to find.


    This special talent is too rare.


    Not to mention sacrificing an insignificant Gui Peisheng, it is worthwhile to exchange the reputation of a few residents.


    Of course, this moment and that moment.


    At that time, Zhou Can was still very weak, which is why he was targeted by Vice President Bai.


    If it were now, Vice President Bai would never dare to make up his mind. Even try to help him. Because Vice President Bai represented the interests of the General Hospital, and Shangguan Yan represented the interests of the Second Affiliated Hospital.


    Vice President Bai must stand by Zhou Can''s side.


    Moreover, the potential shown by Zhou Can has far surpassed that of Shangguan Yan. If anyone dared to take Zhou Can''s idea, all the high-level executives of the general hospital would jump out.


    Without Zhou Can saying a word, Dean Zhu and others will clean up that person.


    Therefore, only the harder a person works, will he become stronger and luckier.


    ¡­


    After watching Director Hu Kan and coming out of the hospital, Zhou Can''s mood was quite complicated.


    Director Hu Kan has extremely high expectations for him, and seeing Director Hu Kan''s body gradually getting old and weak, he can feel that the burden on his shoulders seems to be much heavier.


    Dr. Feng from the anesthesiology department wanted to pass on his skills to him, urging him to study when he had time.


    Now Director Hu Kan of the Department of Cardiothoracic Surgery also hopes to pass on what he has learned all his life.


    In addition, in addition to his normal work every day, he also has to practice quick knife technique and other low-level surgical techniques, and he also spends part of the time every day reading books to supplement basic medical knowledge.


    Even forty-eight hours a day is not enough for him.


    Since I was sweating profusely from the operation just now, the first thing I did when I got home was to take a shower. After I changed my clothes, I felt much more comfortable.


    The phone vibrated twice, it was a message from Wei Fang.


    There are only two words, "It is done."


    Zhou Can felt happy for a while. It is still unclear whether Hu Wei can achieve the expected effect after taking the ''secret medicine'' he prepared.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    You need to wait patiently for more than three days before this medicine can gradually take effect.


    For Zhou Can, Jinyu Interaction is the weight to realize the high-level freedom of wealth. Su Qianqian is his girlfriend, and if nothing else, she will be his future wife.


    Both are very important.


    He will never allow anyone to destroy it.


    With his current strength, the only way to win against a capital predator like Hu Haikun is to use tricks.


    Hu Wei is the best breakthrough.


    ¡­


    The next day, Zhou Can arrived at the hospital at seven o''clock, and the hospital rented a bus to take them there.


    On the front ping of the hospital, a bus parked there quietly.


    Director Xin of the medical department personally took the roster and stood at the front door of the bus to count.


    Go up one, and he will tick it in the notebook.


    "Doctor Zhou only carries such a small travel bag, so it''s a light pack!"


    Xin Wanshan greeted him with a smile.


    Almost watched Zhou Can grow up step by step with his own eyes.


    He and Zhou Can still have some relationship, and the relationship between the two has always been good.


    "Anyway, it''s only been a week, so there''s nothing special to prepare. I''ll go up first!"


    Zhou Can didn''t dare to block the entrance of the car with his travel bag.


    Just chat casually with Xin Wanshan, just to make sense of it.


    "Okay! I''ll tick it off for you."


    Xin Wanshan put a tick behind his name.


    After Zhou Can got into the car, he found that many doctors and nurses were already sitting in the car.


    Some are still acquaintances.


    "Hi, see you! You also participated in this event!"


    Zhou Can and Gao Jian have always gotten along well.


    Although the two are in a competitive relationship.


    However, the two did not compete in the same department, which made them get along like old friends even more.


    "Oh, don''t mention it. Originally, I was going to be transferred to the regular training of general surgery, but Director Tan suddenly signed up for me and asked me to participate in this specialist outpatient clinic." Gao Jian looked aggrieved.


    At that time, the high opinion should be assigned to the department of neurology.


    Director Yin Hua was not seen.


    Thinking about it, how could it be possible to send the top experts in the department to support Xinxiang Maternity and Children''s Hospital?


    Tuya Hospital has to eat by itself!


    It is enough to draw one or two experts with upper-middle level from some important departments.


    It can not only help these experts expand their influence and popularity, but also help Xinxiang Maternity and Children''s Hospital, which can be said to kill two birds with one stone.


    "Haha, you''re not going to get cheap here and act good! Director Tan personally signed up for you. This is the focus of training you, understand?" Zhou Can said with a hearty smile.


    "But my going to the general surgery department to participate in the regular training has to be delayed for a week! I heard that when the sub-department of the general surgery department was established, you made great contributions and became a popular person in the general surgery department. I heard the news at the time Ah, I didn''t sleep well for two nights, but I''m so envious. I heard that the general surgery department is likely to become a benchmark for new departments!"


    To be honest, recently I have been using reading to follow up, change sources, read aloud with many timbres, and both Android and Apple can be used. ¡¿


    Gao Jian said with envy.


    It seems that everyone is well informed.


    General surgery has been divided into eight sub-departments, and the effect is not yet visible.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    But this is a development trend, a big trend.


    The wheel of history is rolling forward, and the result of not conforming to the trend of the times is decline and perdition.


    After the experiment of general surgery is successful, all major departments of Tuya Hospital will follow suit.


    At that time, it will be an unprecedented event.


    Gao Jian studied internal medicine, but tried every means to enter the training of general surgery, which was not just for learning the experience and knowledge of general surgery. It is also to feel the wave of reform in general surgery in advance, to discover its advantages and disadvantages, and to lay a solid foundation for the future reform of major internal medicine.


    His master''s status as a graduate student at Imperial Medical University is not enough to make him the only future successor of internal medicine.


    There must be a large number of successors selected by internal medicine.


    However, while he was still in the regular training period, he entered the regular training of general surgery first, learning the experience of general surgery and the method of sub-department construction. This will definitely be an advantage for him.


    In the future, when the Department of Internal Medicine wants to establish subdivided sub-departments, it will definitely give priority to selecting people who are familiar with the establishment and operation of sub-departments as the person in charge.


    At that time, Gao Jian''s chances of becoming the head of a certain sub-department will be very high.


    "What kind of celebrity am I? It''s a blessing that I didn''t get into a catastrophe in the general surgery department. Well, I won''t tell you, I''ll find a seat at the back and sit down first."


    Zhou Can saluted and walked back, otherwise the two nurse girls behind him should have urged him.


    Saw an open seat and was about to sit down.


    He suddenly found that the class leader Yang Chan was sitting next to him.


    I haven''t seen her for more than a year, and she has grown even more beautiful. Especially the change in temperament, from the previous Xiaojiabiyu, to a generous and confident young lady temperament.


    It seems that she has made great progress in this year and a half of regular training.


    "Hello, monitor!"


    Zhou Can greeted her with a smile.


    "good!"


    She still has the same lukewarm attitude towards Zhou Can as before.


    Zhou Can definitely doesn''t care about her, because this girl is very generous to help Zhou Can when he is in major difficulties.


    Owing to others, I must have a better attitude towards her.


    "Xiao Zhou, Xiao Zhou, it''s good for you to sit here! You and Yang Chan are classmates, and both of you are equally outstanding, so you need to communicate more." Director Zhang Bihua actually led the team himself, and sat on the seat on the right.


    Zhou Can only looked at Yang Chan, but really didn''t notice her existence.


    "Hi, Director Zhang! I see that your complexion is quite good, no wonder the apprentices brought out are becoming more and more temperamental!"


    Zhou Can praises others, never indiscriminately.


    "Hehe, you young man, your mouth looks like it''s been smeared with honey! Don''t stand still, sit in quickly, the people behind have to pass!" Director Zhang Bihua kept urging him.


    It is estimated that more than a year ago, Yang Chan begged Director Zhang to help Zhou Can twice, making Zhang Bihua always think that the two were affectionate and concubine.


    Yang Chan glanced at him a little shyly, but moved her body to the side without saying a word.


    The meaning couldn''t be more obvious, it means that Zhou Can can sit next to her.


    Zhou Can put the salute on the salute stand above his head and sat down.


    A faint fragrance floats into the nose.


    It seems that the squad leader never used perfume before, but now he does. People will change.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Many rural girls stay in big cities for a few years, and they will be completely indistinguishable from urban beauties.


    Fashion and beauty are what human beings naturally pursue.


    Some scientists have done experiments. When giving two flowers of different colors to babies at the same time, they will always think of grabbing the more beautiful and delicate flower.


    Love of beauty is a natural idea of ??human beings.


    No wonder she felt that she had changed a lot, she was more beautiful and temperamental than before.


    It seems that after joining the work, she was influenced by the female colleagues around her, and she gradually learned how to dress herself up more beautifully.


    "The monitor''s perfume smells really good, isn''t it imported from the United States?" Zhou Can asked with a smile.


    "You can smell it, I guess you must have given perfume to other girls." Her words were obviously tacit.


    "How do you convict someone? It''s still the same as when you were the monitor in the past. You never talk about evidence, just rely on your imagination!" Zhou Can really had a hard time, and wanted to chase after seeing a beautiful girl.


    But after he was in college, the only class monitor he liked, didn''t treat him at all.


    Later, he slowly put his mind on his studies.


    "Originally. Children from rich families like you are all philandering carrots, and have had dozens if not dozens of girlfriends." She glanced at Zhou Can and continued her point of view.


    But these words sounded like they were testing Zhou Can.


    "When I was in college, except for writing you two love letters, which you threw into the trash can after class, I never wrote love letters to other girls. Why don''t you believe it! In high school, I If you want to fall in love, you are afraid of being expelled from school."


    Zhou Can thinks of the simple life when he was studying, and still misses it very much.


    When he was in high school, the girl at the same table was the object he always wanted to pursue. But the school was so strict that he didn''t dare to write a love letter to her.


    After entering the university, because it is a clinical major, there are not many girls in the class.


    Beautiful and good-natured, there is only Yang Chan.


    "Hehe, you deserve it! Who told you not to study hard and think about those random things."


    After hearing this, Yang Chan covered her mouth and snickered.


    "Hey, I heard that you are doing very well in many departments, please tell me!"


    After she finished laughing, she raised her pretty eyebrows at Zhou Can.


    His eyes also showed the anticipation of wanting to hear the story.


    "That''s the thing, how can you believe the rumors? It''s true that I am often scolded by the teachers who teach me."


    Zhou Can never liked to show off his achievements.


    He likes to be low-key and low-key.


    Modesty is not only a kind of self-cultivation, but also a kind of self-protection.


    Children who know how to be humble can achieve higher achievements.


    "Hmph, not to mention being defeated! Now who doesn''t know that there is a top genius named Zhou Can in Gui Peisheng! Even Du Leng, a doctorate student from a famous school who returned from studying abroad, is compared to you."


    She knew quite a lot.


    "cough¡­"


    Really say Cao Cao, Cao Cao will arrive.


    Du Leng obviously heard Yang Chan''s words, boarded the car expressionlessly, and walked towards the back.


    Yang Chan stuck out her **** little embarrassment, lowered her voice and said to Zhou Can, "It seems that he heard it. But it is, you are much better than him."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    If Zhou Can hadn''t been a classmate with her for several years and knew that she had a good character, he really suspected that this beautiful chick was deliberately trying to sow hatred for him.


    Didn''t you see that Du Leng was already unhappy?


    Talking about this topic will only make Du Leng even more unhappy.


    Although her voice is very low, but Du Leng''s IQ monster, you can know what she is talking about just by looking at her expression and mouth shape.


    As a result, Du Leng''s face became even uglier.


    "Hello Director Zhang!"


    When Du Leng passed by them, he took the initiative to say hello to Zhang Bihua.


    Along the way, there are several deputy chief physicians and chief physicians. The most he greeted these people was a nod.


    Only when you see a heavyweight chief physician like Zhang Bihua, will you greet him very politely.


    Don''t be unconvinced, they do have this proud capital.


    "Dr. Du is representing the neurosurgery department this time, right?"


    Zhang Bihua asked with a smile.


    "Yes! Not long after I was promoted to attending physician, Director Xie asked me to come and learn more skills from you."


    While talking, Du Leng didn''t need anyone to take the initiative to invite him, and sat down directly behind Zhang Bihua.


    "Dr. Du has studied in a prestigious overseas medical school, and has been trained in Tuya for more than a year I believe your skills are already very powerful. The most I can do is to discuss and learn with Dr. Du. If you want to give advice, I really don¡¯t dare to take it.¡±


    Director Zhang Bihua was very polite to Du Leng.


    For Zhou Can, it was kindness and love from the heart. He was extremely polite to Du Leng, he didn''t treat Du Leng as a doctor of the same level, but as a doctor of the same level.


    There are not many doctoral students in Tuya, but Du Leng is the only doctoral student who graduated from a prestigious overseas university.


    He belongs to the top senior talents.


    The hospital attaches great importance to him.


    If there is no accident, Du Leng''s status in the future will definitely not be low. If you can be more aggressive, bring out an excellent medical team, and come up with one or two innovative projects, you can easily become the heavyweight boss of Tuya Hospital.


    This is why Du Leng just nodded when he greeted those ordinary chief physicians and deputy chief physicians.


    All the medical staff who participated in this expert outpatient activity will arrive soon.


    Except for one nurse who couldn''t go with her because of a stomachache, there were a total of 27 people, all of whom were present.


    With so many medical staff, a small hospital can be opened.


    It can also be seen that Tuya Hospital has provided considerable support to Xinxiang Maternity and Children''s Hospital.


    The bus drove out of the gate of the hospital slowly, onto the road, and sped towards Xinxiang Hospital.


    Sitting in the car, Yang Chan chatted with Zhou Can from time to time.


    Zhou Can clearly felt that she was no longer as cold as before. This is something that has never happened before.


    I don''t know if it''s because she has matured after being trained in dealing with people. It was also because of Zhou Can''s elevated status in Tuya Hospital that she felt a tinge of admiration in turn.

 Chapter 271： Cold, clean diagnosis

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 Chapter 272： This young doctor is unusual, and the obese womans breath...

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    This young doctor brought her quite a surprise. He is humble and low-key in his work, but decisive and generous. The key is that this young man has a very high level of diagnosis.


    So high that even she, a top expert in obstetrics and gynecology, couldn''t help applauding him.


    From Zhou Can walking over to giving the diagnosis result at the end, there was no urine spot in the whole process.


    It is crisp and neat, and the diagnostic thinking is extremely clear.


    I don''t know how many times stronger than those fancy ''fancy fists and legs''.


    Compared with those flamboyant and vain young doctors, Zhou Can is a breath of fresh air. It makes people feel bright.


    "I''m not sure, and it''s just an inference based on some of the patient''s conditions and my personal clinical experience. I believe that her primary lesion may be in the stomach, and I mainly demonstrate it from four aspects. First, the formation of a tumor is not a single process. Two days, but it takes a long time to conceive and break through the body''s multiple immune protection to finally grow into a tumor. Her ovarian tumors are not only large in number, but also small in size, indicating that the possibility of tumor cells spreading from it to the ovary is very high .¡±


    Zhou Can calmly explained his dialectical thinking.


    "Second, there are only a few types of ovarian tumors that are likely to occur in young women. For example, endodermal sinus tumor, dysgerminoma, and teratoma. But her ovarian tumor is not these types, and it is metastasized from other places. The odds are rising again."


    "Third, the patient''s pain area is in the stomach, and ovarian tumors generally only cause pain in the lower abdomen. According to the characteristics of tumor metastasis, it is more common to metastasize from top to bottom or parallel. Therefore, I think that after a tumor occurs in the stomach, If it is not detected in time, the possibility of eventually metastasizing to the ovary is greater. For example, Krukenberg¡¯s tumor is a metastatic tumor derived from gastrointestinal tumors.¡±


    "The last point is that the patient has symptoms such as nausea, vomiting, and reflux, which indirectly proves that there is a problem with her stomach. Stomach tumors are generally easy to be ignored by patients, with high concealment and low chance of detection. Discovery is already late."


    Zhou Can stated the basis of his conclusion one by one.


    After listening, Director Zhang Bihua would have applauded him if the occasion hadn''t been inappropriate.


    "You must have heard Dr. Zhou''s diagnosis and analysis. If you want, I will immediately order you a gastroscope to check the stomach. If the primary lesion is really in the stomach, you need to be prepared for the worst."


    Director Zhang Bihua first vaccinated family members and patients.


    Even if the worst result comes out later, they can be mentally prepared.


    "We agree to have a gastroscopy. Director Zhang, please save my daughter. She is still so young and the child has not been weaned yet..." The girl''s mother was so choked up that she couldn''t continue.


    Tears are rolling in the eyes.


    Female patients are more afraid and flustered.


    It is unbearable for this kind of disaster to happen to any patient.


    "Don''t cry, don''t cry, the disease is not terrible, as long as we are strong, optimistic, and brave, we have a chance to overcome it." Director Zhang Bihua hurriedly comforted the female patient''s mother.


    Yang Chan also took out a pack of tissues, took out one and handed it to the family.


    I made an appointment for a gastroscopy for the patient, and asked her to go for a gastroscopy immediately without mentioning it.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The Xinxiang Maternity and Children''s Hospital has shrunk sharply due to the sharp shrinkage of its diagnosis and treatment business. There are very few patients, and there is almost no need to queue up for various examinations. It can be done quickly and the inspection results can be obtained.


    At this moment, Dean Tian did not accompany the experts of Tuya Hospital in the consultation hall, but sat in an office on the second floor and observed the situation in the outpatient hall through the window.


    To be honest, he was quite uneasy when he invited the experts from Tuya Hospital to come to the outpatient clinic.


    Both nervous and looking forward to it.


    He is more afraid that the higher the expectation, the greater the disappointment.


    So far, the arrival of the experts has not brought the expected popularity. The outpatient hall is still deserted.


    For any dean, watching a good hospital become worse and worse under his own management would definitely make him feel uncomfortable.


    Dean Tian has a deep sense of guilt in his heart, and his greatest hope now is to restore the Xinxiang Women''s and Children''s Hospital to its original level. It''s just that everything is easy to do badly and difficult to do well.


    A bowl, it only takes a moment to break it.


    Dozens of processes are required to make a bowl. From selecting the mud, to preparing the ingredients of the mud, and then to making the bowl blank, firing it, then glazing it, and firing it again.


    Any process error in it may cause firing failure.


    After several generations of hard work, Xinxiang Maternity and Children''s Hospital took more than 70 years to achieve the hard-won situation. As a result, because of a medical accident, this hospital was on the verge of bankruptcy, which is really distressing.


    Dean Tian was eager to save Xinxiang Maternity and Children''s Hospital, so Zhou Can''s outstanding performance at this time attracted his attention even more.


    [In other words, currently the best app for reading and listening to books, Yeguo Reading, install the latest version of .yeguoyuedu. ¡¿


    It was like seeing a ray of light in the dark.


    "What is the background of that young doctor? It seems to be very powerful."


    The hospital assistant standing behind Dean Tian shook his head, "I don''t know this young doctor either, I only know those famous people in Tuya Hospital. And there is the returnee doctor Du Leng. The hospital that robbed Du Leng of this special talent Not a few, Du Liang plunged into Tuya Hospital headlong. He is worthy of high IQ, highly educated talents, it seems that his original choice was right. In less than two years, he has been promoted to attending physician .¡±


    Graduating from a prestigious overseas school and having a doctoral degree are enough to make Du Lengyuan more famous than ordinary medical students.


    There are not a few hospitals that pay attention to him.


    It''s just that at this moment, compared with Zhou Can, he is somewhat dwarfed by comparison.


    Zhou Can actually diagnosed a relatively difficult case, while Du Liangliang was still talking and making no substantial progress.


    Don''t look at the expressions of admiration on the faces of the patients and family members surrounding Du Leng''s table, but these people didn''t come to the hospital to listen to the doctor''s lectures. If Du Leng can''t cure their diseases, they will be abandoned soon.


    Zhou Can helped the two chief physicians diagnose the case and was about to return to his seat.


    Yang Chan stared at him, blinked and said.


    "I haven''t seen you for more than a year. I didn''t expect that your diagnostic ability has improved to such a high level. And I found that your basic medical knowledge is much more profound than before. I remember that this was your weakness before."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Being praised so much by her, Zhou Can was indifferent.


    "Illusion, it''s all your illusion, understand?"


    Zhou Can said modestly, but he was extremely happy in his heart.


    Basic medical knowledge has always been Zhou Can''s weak point, but it can be counted as a proud moment in front of her.


    Hundreds of people studied hard day and night to make up for the lack of basic medical knowledge, and the benefits gradually began to appear.


    Whether in the operating room, outpatient room, or inpatient ward, the application of basic medical knowledge is essential.


    To use any medicine casually, it must be supported by solid basic medical knowledge.


    Otherwise, the medicine prescribed may not have the desired effect. There may even be trouble.


    Yang Chan snorted and ignored him.


    But judging from her expression, she obviously didn''t believe Zhou Can''s words.


    After Zhou Can and Deputy Director Shi returned to their seats, they continued to experience the cold.


    This is how patients see a doctor, and the head effect is obvious.


    Given the choice, almost all patients will give priority to seeking treatment from reputable doctors.


    At this time, Du Leng had completed the diagnosis of two patients.


    It''s not that he must have found out the disease, but he talked about it to the patient, prescribed an examination, and asked the patient to do laboratory tests and examinations. At this time, a very obese woman walked over with difficulty accompanied by her family.


    She really felt like the ground was shaking when she walked.


    It was as if the ground was trembling slightly.


    It is conservatively estimated that this woman weighs at least two hundred and seventy-eight catties.


    It is estimated that she may not be able to see her hands even when eating, and looking down to see her toes is an extravagant wish.


    People who are so fat, regardless of gender, must first find the reason from themselves.


    Parents'' excessive pampering, self-indulgence in diet, and unwillingness to go on a diet after being overweight will eventually grow into a super fat person.


    "Finally, a patient came to see us."


    Deputy Director Shi stared at the overweight woman with a hint of expectation on his face.


    Obesity is actually a disease.


    It is easy to go from frugal to extravagant, but difficult to go from extravagant to frugal.


    It is easier for an obese person to grow from a thin person to a fat person. If you eat and drink with an open belly, and lack of exercise, you can quickly become a fat person. But if you want to change from a fat person back to a thin person, you need to pay more than ten times the effort.


    The process is very difficult.


    This is also the reason why weight loss pills on the market are so popular.


    People who take diet pills know that they are harmful to their health, but they still buy them at a high price and take them home. To change from fat to skinny.


    Especially for women, being too obese will damage their image, make them ugly, find a job, and fall in love will all suffer setbacks.


    "Dr. Du, please help our daughter. When she was sleeping, she fell asleep and stopped breathing suddenly. It was very scary." The obese woman did not go to their table, but to Du Leng''s table forward.


    This kind of disease with sudden pause of breathing is actually better to see a respiratory department.


    However, they came here for the title of Dr. Returnee, and Zhou Can and Deputy Director Shi really only envied him.


    "The name of Dr. Returnee is really popular."


    Deputy Director Shi said in a sour voice.


    "Otherwise, why do many people want to study abroad and spend money?"


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can never thought that foreign students must be good.


    He treats overseas students with a normal mind.


    People who are really admitted to prestigious schools based on their strength have studied hard overseas and obtained corresponding degrees. This kind of overseas students are really capable. Belonging to world-class top talents.


    They want to go back to China after they finish their studies, and foreign bureaucrats will be very enthusiastic to keep them.


    There is another kind, which is to spend money to go abroad for gilding, and some of them just study for a year or two, and get a postgraduate degree.


    Because it is too difficult for this type of students to take the postgraduate entrance examination in China.


    It is relatively easy to obtain a postgraduate degree through this curve-based way of increasing academic qualifications. Then go back to China to find a job, enter a big factory, a big state-owned enterprise.


    This kind of person has a lot of academic qualifications, and his ability may not be as good as that of serious undergraduates in China.


    Judging from Du Leng''s current performance, it should belong to the former.


    It is true that he has some real talents and learning, but because of his overly proud personality and his strong sense of superiority after returning to China, he is not very pragmatic.


    It feels more like a flower shelf.


    The super obese female patient glanced at the plastic stool in front of the consulting table. She hesitated.


    Standing for a long time is very exhausting for her body. After walking so far, she has long wanted to sit down and rest.


    It''s just that this thin plastic stool might not be able to withstand her ''oppression''.


    "Find a strong chair for that woman and send it. It will be a trivial matter if the stool is crushed later. If someone falls and hurts, several people may not be able to support her!"


    Dean Tian has been standing in this office on the second floor watching the situation in the outpatient hall.


    Seeing that the female patient wanted to sit on the plastic stool, he was immediately frightened.


    Fortunately, the female nurse at the scene was very clever, and quickly dissuaded the obese woman from letting her stand for a while, and immediately tried to find a chair for her.


    Soon, the hospital nurse brought an iron chair.


    Looks pretty solid.


    The obese woman sat down with support, and the people around looked worried for a while. Everyone was worried about the chair, afraid of being crushed by her.


    In fact, the chair "creaked" when she sat on it.


    It was the first time that Du Leng received treatment for such a super fat man, and he was obviously intimidated by the other party''s ''imposing manner'', and he acted a little unconfident.


    "Hi, can you tell me when did you suddenly stop breathing while falling asleep?"


    "I don''t really remember, it probably started three or four years ago! I also took her to a big hospital for a lot of examinations and took some medicine, but it didn''t work."


    The family members were a couple in their fifties. The man put the information bag in front of Du Leng.


    There are various checklists inside.


    Du Leng took it out and checked it again.


    "She experienced a sudden pause in breathing during sleep, which is probably related to her obesity, rather than neurological problems. Due to excessive obesity, the cross-sectional area of ??the pharynx will decrease and the neck circumference will increase significantly. With her Fat deposits in the neck, which can eventually cause the upper airways to become narrower and narrower


    . As she fell asleep, the tone of the muscles in the pharynx changed, causing her airway to be blocked and her breathing to stop. "


    After reading the examination materials, Du Leng gave the patient a general examination, and then gave a conclusion.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    It is undeniable that his medical knowledge is quite profound, and his level is not bad.


    The reason given was so reasonable that even the doctors and nurses around nodded their heads.


    Only this time, the family members didn''t seem to buy it.


    "Dr. Du, the reason you mentioned is what the doctors there said when we were diagnosed and treated in other hospitals. And surgery has been done to improve the airway. My daughter''s condition has improved to a certain extent, but sometimes she still suffers from apnea. UU reading ¡±


    The family said.


    "I didn''t see that there are surgery-related materials and medical records in your information bag!" Du Leng just scanned through the information in the information bag. If there were patients'' operation records, he would have seen them a long time ago.


    "Hmm... The operation has been done for more than four years, and the relevant information has long been lost."


    The woman''s mother hurriedly explained beside her.


    "That''s right! I''ll help her look again!"


    Du Leng fiddled with it for a while, but obviously couldn''t find a second cause other than obesity.


    "How about this, I will prescribe an enhanced CT and bronchoscopy for her. I will make a further diagnosis after the test results come out. It is also possible that the effect of the operation did not meet expectations, or the body continued to gain weight after the operation, causing the airway to re-open. narrowing is possible.¡±


    Out of trust in him, the family readily agreed.


    So I opened an inspection application and went to do the inspection.


    Zhou Can and Deputy Director Shi didn''t have a single patient to seek medical treatment, so they were too busy to panic. They had been watching Du Leng treat this woman just now.


    Judging from the illness described by the family members, as well as the gasping sound of the woman when she was walking, and her thick neck, Zhou Can felt that the woman''s apnea during sleep probably had little to do with the airway.


    There are many reasons that can cause this symptom. If you are only confused by the superficial obesity symptoms, it will be like holding a candle.


    When she finishes the bronchoscopy, the results will be clear.


    Whether it is the previous gastroscopy for the ovarian tumor patient or the bronchoscopy for this obese woman, you need to fast for four to six hours.


    Local anesthesia is generally used for bronchoscopy, and the risk is low.


    It is estimated that the results will not be available until the afternoon.

 Chapter 273： Ignorant mother, Director Dai is a little flustered

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 Chapter 274： The two chief physicians failed to unblock it, a godlike operation

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    While they were discussing, the condition of the sick child deteriorated again.


    The body bowed up, the hands began to scratch, and the feet kicked. His face had turned black, and his lips had turned dark purple. Nails and even fingertips turned a deep purple.


    This is a sign of severe hypoxia.


    There is no time left for doctors to discuss.


    "I can carry out rescue after tracheotomy, but I don''t have enough clinical experience in this area. The condition of the sick child can''t wait any longer, cut the trachea immediately!"


    Director Dai is one of the youngest chief physicians in Tuya Hospital. He has strong comprehensive strength, but there are also some shortcomings.


    For example, rescue the sick children with airway blockage.


    This is not as imagined to be able to operate endoscopy, or to have a certain surgical foundation.


    The younger the child, the more dangerous the operation.


    Doctors need to have extremely rich experience in surgery and rescue, as well as strong enough adaptability to ensure the success of rescue.


    Director Dai saw that the sick child was in critical condition, so he had no choice but to bite the bullet.


    At this moment, it was obviously too late to request reinforcements from Tuya Hospital. The golden rescue time for sick children is only three to five minutes.


    "Doctor Chen, please go and invite Director Zhang Bihua over immediately."


    Director Dai Shan was worried about an accident, so she decided to ask Director Zhang Bihua from the Department of Obstetrics and Gynecology to help.


    Director Zhang Bihua has rich clinical experience in rescuing babies.


    The sick child is only one and a half years old, and his vulnerability is similar to that of a baby.


    "Forget it, let me call and talk to her!"


    Director Dai may consider that many family members and patients are surrounded by the expert desks in the outpatient hall, and direct face-to-face communication will cause unnecessary panic and negative effects.


    Even if the child dies, from a legal perspective, the hospital is not responsible.


    Because the hospital has fulfilled its duty of rescue.


    But other patients and their families didn''t think so after hearing it.


    The first thing they thought of was that the Xinxiang Maternity and Children''s Hospital had just killed a pregnant woman last year, and many patients reported that there were various problems in this hospital.


    Now that another child has been put to death, who would dare to come to a hospital that specializes in killing people?


    Therefore, for any hospital, reputation is extremely important.


    If there is a major accident, it is equivalent to a person who has been sentenced, and there will be historical stains after he comes out. Almost a lifetime of blackness.


    When there is a case of theft in the jurisdiction, the first thing to check is those people who have a history of theft in the jurisdiction.


    There have been accidents in the hospital, and the reputation has become extremely fragile. Even if it is just a normal death that fails to be rescued, it may be magnified thousands of times.


    Director Dai called Director Zhang Bihua who was in the outpatient hall on the spot.


    In fact, from the moment the nurses from Xinxiang Maternity and Children''s Hospital ran to the outpatient hall to invite Director Dai to participate in the rescue, Director Zhang Bihua had been secretly paying attention to the progress of this matter.


    She personally led the team to support the expert outpatient activities of Xinxiang Maternal and Children''s Hospital.


    She is in charge.


    Something happened to her, she didn''t look good, and she was also obliged to ensure that this expert outpatient activity achieved a certain positive effect. Instead of creating a negative impact on Xinxiang Women''s and Children''s Hospital.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "I''ll go there right away!"


    Director Zhang Bihua was decisive and calm after listening to Director Dai''s report.


    He just said five words calmly, but Director Dai was given a reassurance.


    Zhang Bihua first apologized to the patients and family members who were queuing up to see her for treatment, "Patients and family members, sorry, I have to rush to the operating room to complete an emergency operation, and I can''t continue to treat you. The following is from our Tuya Hospital. Other specialists continue to provide outpatient services for everyone."


    After finishing speaking, she stood up and looked at Deputy Director Shi.


    "Director Shi, I need to borrow Dr. Zhou from you for a while. I need his help in the operating room, is that okay?"


    At this time, instead of rushing to the endoscopy room to participate in the rescue, she first asked Deputy Director Shi to borrow Zhou Can as a rescuer, which was enough to make Zhou Can famous again.


    Zhou Canzheng was flustered, and when he heard that Director Zhang asked him to help in the operating room, he was more than happy.


    "I''m fine, as long as Dr. Zhou agrees."


    Deputy Director Shi didn''t dare to be Zhou Can''s boss.


    He and Zhou Can seem to be several grades behind in professional titles. On the surface, Zhou Can is his subordinate doctor and wants to listen to him.


    In fact, in the Department of Gastroenterology, Deputy Director Shi often asked Zhou Can for help.


    Zhou Can saved him a lot of times.


    Therefore, he has extra respect for Zhou Canna.


    "Doctor Zhou, what''s your opinion?"


    Director Zhang looked at Zhou Can.


    "I am always waiting for Director Zhang''s orders and instructions."


    Zhou Can''s half-joking compliment made Zhang Bihua amused for a while. When she looked at Zhou Can, she also found it more pleasing to the eye.


    Zhang Bihua took Zhou Can and Yang Chan to the endoscopic operating room quickly.


    The child''s trachea has been cut, but the symptoms have not changed much.


    The atmosphere in the operating room was tense and solemn.


    The medical staff were busy.


    Director Dai was sweating on his forehead, trying to **** out the thick and purulent secretions in the sick child''s trachea.


    It''s just that this viscous purulent secretion is not easy to suck.


    Moreover, the sick child is very young, and the organs and tissues are very immature, which is even more difficult to operate.


    Standing by the side, Chen Jiaojiao couldn''t hold hands at all, and could only watch Director Dai operate anxiously.


    "Director Zhang is here!"


    Someone uttered a cry of joy.


    Zhang Bihua has a great reputation in the field of obstetrics and gynecology, not only a living sign of Tuya Hospital, but also famous in other hospitals. There are countless obstetricians and gynecologists who asked her to save the day, or studied under her.


    Her students are located in large and small hospitals across the province, and they are all engaged in medical work in obstetrics and gynecology.


    The essence of Xinxiang Maternity and Children''s Hospital is actually a combination of obstetrics and gynecology and pediatrics.


    It specializes in the diagnosis and treatment of maternity, gynecology, infertility, and pediatrics.


    Therefore, there are many doctors in this hospital who know Zhang Bihua well.


    "How is the sick child?"


    Zhang Bihua nodded kindly to the doctors involved in the rescue, and then looked at the sick child.


    "The situation is very bad, the breathing is almost completely gone, the heartbeat is also weakening, and the blood pressure is also dropping..."


    This is a precursor to being suffocated to death.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Often the time is very short, maybe only three to five minutes, and people will be completely gone.


    "Can''t the purulent mucus be sucked out?"


    Zhang Bihua watched Director Dai **** the bronchial secretions with worry in his eyes.


    To be honest, Director Dai''s operation is not particularly good, it can only be regarded as quite satisfactory.


    "The secretion in the trachea is too viscous, and the amount is huge, it can''t be sucked at all."


    Director Dai looked distressed.


    "Director Zhang, you are familiar with the operation in this area, can you do it?"


    She probably wanted to resign long ago.


    I was also forced to do nothing just now, so I was here to help the sick child clean the bronchi.


    "Okay, let me try it!"


    Director Zhang didn''t give in.


    After being operated by her, it is indeed a living sign of Tuya Hospital. The aura is much stronger than that of Director Dai, and the operation of all aspects is much more proficient.


    "It seems that there are scabs inside, no wonder it is so blocked!"


    After Director Zhang sucked out some purulent secretions, he couldn''t **** it anymore.


    On closer inspection, it was found that there were scabs inside.


    She tried many ways, but to no avail.


    Seeing that the child''s physical signs are getting worse and worse, multiple signs such as blood pressure, respiration, and heart rate will send out alarms.


    This also means that the **** of death has come, and the child''s life will be reaped immediately.


    "A large amount of viscous purulent secretion is attached to the glottis, bronchial wall, etc., and there are stubborn scabs that are firmly wedged on it like nails and cannot be sucked. This is really terrible!"


    Director Zhang Bihua became more and more anxious.


    The formation of scabs is actually the fact that the purulent secretions are not discharged in time, and they slowly dry up and form scabs.


    This phenomenon rarely occurs in adults, because when adults feel uncomfortable in their throats, they will cough hard or use other methods to spit out the purulent secretions in the bronchi.


    Young children who do not know how to master these self-clearing airway skills are most likely to form scabs.


    This can also further block the airway.


    The doctors at Xinxiang Women''s and Children''s Hospital were even more anxious, the child must not die.


    Once a death occurs, it will be worse for Xinxiang Maternity and Children''s Hospital.


    Many ignorant patients think that fishbone throat, diphtheria, and acute bronchial inflammation can save their lives by cutting the trachea. This is too naive.


    From the larynx to the trachea, it is an elastic tube, which has strong toughness and has the same strong elasticity as a rubber tube. Ordinary oppression, or minor problems, cannot block them.


    This can also ensure that patients will not easily die from airway suffocation.


    But when the trachea, which is not easy to be deformed and blocked, becomes diseased, it will become extremely difficult to unblock it. and full of uncertainties.


    Also, the structure of the bronchi is actually a tree.


    The main air intake duct is thick, and when it leads to the lungs, it is first divided into two, leading to the left and right lungs.


    After being divided into two, it will spread out like a tree branch after entering the lungs, forming many fine branched trachea of ??different sizes. Then it becomes thinner layer by layer and spreads wider until it spreads throughout the lungs.


    In other words,,,..version. ¡¿


    Let''s talk about the principle of lung breathing.


    It is composed of countless alveoli, like a balloon, which expands when inhaled and shrinks when exhaled, thereby completing the exchange of gases.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The only access to the outside world during gas exchange is the bronchi.


    It''s like a highway system.


    Numerous rural roads connect to county roads, and then county-level roads converge on provincial roads, and finally provincial roads converge on national roads, forming a road transportation system that can lead to the whole country.


    If there is a problem with the main bronchus, or with the secondary ''province'', it can lead to severe damage to the patient''s lung function and even stop breathing.


    At this moment, the main bronchus and the secondary main bronchus of this sick child were severely blocked, which made breathing almost completely suspended.


    The body cannot exchange oxygen, fresh oxygen cannot enter the body, and exhaust gas cannot be discharged from the body, and the patient''s major organs will quickly shut down. The first to be affected and the symptoms are extremely obvious are the heart and brain.


    If the airway cannot be cleared quickly to help the sick child resume breathing, the heart will stop beating due to hypoxia and myocardial necrosis in just a few minutes. The brain is necrotic, the whole body stops functioning due to lack of oxygen, and dies quickly.


    Just because they knew the danger, Director Zhang Bihua and the doctors of Xinxiang Women''s and Children''s Hospital were as anxious as ants on a hot pot.


    At this time, Dean Tian also rushed to the operating room after hearing the news.


    Looking at the sick child whose life was hanging by a thread, Dean Tian almost collapsed.


    Using all available human resources and spending a lot of money and energy, they finally invited the experts from Tuya Hospital.


    It was thought that the reputation and superb medical skills of these experts could be used to revive the prestige of Xinxiang Maternity and Children''s Hospital.


    I never dreamed that such a thing would happen on the first day of the consultation with the experts.


    Dean Tian couldn''t even imagine the consequences of the sick child''s death.


    In short, she will become the eternal sinner of Xinxiang Women''s and Children''s Hospital. It was also during the period when she was in charge of the hospital that Shengsheng destroyed this characteristic hospital with a history of seventy years.


    "Director Zhang, this child can''t die! Hundreds of employees of our Xinxiang Women''s and Children''s Hospital, and the hard work of several generations, are all tied to this child. Once he dies, the hospital will collapse completely. No matter how hard it is to stand Get up. Please do give us a chance to breathe."


    Dean Tian was almost begging.


    Although she also saw the situation in front of her, it might be difficult for the sick child to be rescued again.


    "I will try my best!"


    Director Zhang Bihua could only answer in this way. Anyone could hear that her tone was full of unconfidence and uncertainty.


    Just when everyone thought that the worst outcome would come soon, Zhou Can, who stood by and watched for a long time, stood up.


    "Director Zhang, Director Tian, ??can you let me try? I have seen the situation of the sick child just now. If you want to remove the scab in the trachea in the shortest time, forceps is the best way."


    Zhou Can''s grasping technique is currently level 4, and the attending physician is at an intermediate level.


    It is not a small challenge to remove the scab in the airway of young children.


    The main reason is that time is urgent, and it must be successfully taken out within a minute or two at most. Otherwise, the child will die directly.


    "I''ll give you 20 seconds to try. If you can successfully pinch out a scab, then you will be in charge of the rescue work."


    Zhang Bihua was very decisive at this critical juncture.


    She brought Zhou Can here because she knew that he was very skilled in surgery. Many chief physicians have reported to her that Zhou Can not only performs traditional surgery smoothly, but also has outstanding endoscopic surgery skills.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Before she came to participate in the rescue of sick children, she was thinking that Zhou Can might be able to help if she needed endoscopic surgery.


    That''s why Zhou Can was seconded here on purpose.


    Since she has never seen Zhou Can''s specific surgical ability, and the scab of the trachea of ??the sick child in front of her is extremely difficult and risky, the technical requirements for the operator are very high. That''s why she didn''t take the initiative to ask Zhou Can for help.


    Now that Zhou Can took the initiative to invite Ying, her demeanor and tone were full of confidence. She couldn''t help but look forward to Zhou Can a little more.


    "Will this... be a little risky?"


    Dean Tian was worried that he would go to the doctor in a hurry and cause more trouble.


    Now even if the sick child fails to be rescued, the hospital will not be subject to a lawsuit. Because everything is operating in strict accordance with the rules and regulations. The hospital and the doctors are not at fault, at most they put people to death and have a bad reputation.


    If it were replaced by this young and ridiculously young doctor, in case the child''s trachea was punctured, after the child died, the family members would ask the higher authorities to intervene in the investigation. That would be a big problem.


    The yellow mud fell into the crotch, and the **** turned into shit.


    Even if Dean Tian has eight mouths, he still can''t tell.


    "Dean Tian, ??don''t worry, Dr. Zhou Can is the youngest and most promising Pearson resident in our Tuya Hospital."


    Zhang Bihua''s comforting words not only failed to reassure Dean Tian, ??but almost scared him to death.


    "What... he, he is just a live-in companion, how can he operate it?"


    If Dean Tian hadn''t seen Zhang Bihua''s noble status, she would have wanted to scold him.


    This director Zhang is too nonsense, the sick child is already on the verge of death, and it is a critical condition. In this case, even an ordinary chief physician would have to weigh it, but she actually asked a resident Pearson to operate the core rescue project.


    So irresponsible.


    Zhou Can didn''t care about Dean Tian''s doubts, saving people was like putting out a fire. After obtaining Director Zhang Bihua''s approval, he has already taken the special long-arm forceps, carefully probed into the airway of the sick child, aimed at the largest scab, and firmly clamped one of its force-bearing points. After peeling it off the trachea by hand and foot, it was finally clipped out.


    The surface of this scab is all highly viscous viscous purulent secretions.


    Wherever it touches, it will stick there.


    That''s not the hardest part.


    It is not a hard scab as imagined, but like a rice lake.


    Clamp it a little harder and it will break into two pieces. Clamp it lightly, and it will also crack.


    The grasping technique must be extremely ingenious in order to be able to peel it off from the airway.


    In addition to the above-mentioned difficulties, it is also necessary to ensure that in the curved and narrow airway, the forceps cannot injure the airway, and at the same time, it must be ensured that the scab does not adhere to or touch the inner wall of the airway.


    All the difficulties added up are definitely **** level.


    "Director Zhang, a scab has come out."


    Zhou Can''s total operating time is eleven seconds, which is a full nine seconds shorter than the twenty seconds given by Director Zhang. And it was the largest scab.


    "Ah...so fast!"


    Director Zhang Bihua had been talking to Dean Tian just now, but Zhou Can had successfully pinched out a scab in just a few words.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Looking closely at the scab pinched out by Zhou Can again, she suddenly felt a little uneasy.


    He was dumbfounded and said, "This, this... which scab is caught? Why is it so big?"


    "The child''s breathing seems to have recovered a bit, and the blood oxygen index is also rising."


    Director Dai shouted in surprise.


    She, the chief physician of pediatrics, witnessed what is called a divine operation today.


    It was almost time to take a breath, and Zhou Can had already completed the operation that neither she nor Director Zhang Bihua had succeeded in. A very large scab was clipped from the airway of the sick child.


    The sick child''s airway, which was almost completely blocked, can only be unblocked to make such a big turnaround.


    "Oh my God, it only took you more than ten seconds to pinch out the largest scab blocking the bronchus. How did you do it?" Director Zhang Bihua, who is usually as stable as a mountain, was startled at this moment, and froze from time to time. exclaimed.

 Chapter 275： Turned the crisis into safety, the status came up

    Dean Tian, ??who was standing next to him and was about to speak out to stop Zhou Can from operating, seemed to be pinched by an invisible big hand suddenly by the neck. Shengsheng swallowed back the words that had come to his lips.


    "This live Pearson is awesome!"


    After she prevented Zhou Can from swallowing his words, she couldn''t help uttering a dialect.


    The main reason is that Zhou Can''s performance was too shocking.


    The doctors at Xinxiang Maternity and Children''s Hospital didn''t dare to do it at all. After Tuya''s two chief physicians tried to rescue her, they all ended in failure. It is enough to prove how difficult the rescue is this time.


    It is definitely a hell-level rescue difficulty.


    However, after Zhou Can got started with the operation, he directly changed the situation in just eleven seconds, turned the world around, and brought the sick child back from the death line.


    It is recommended that Yeguo Reading and Chasing Books is really easy to use, download www.yeguoyuedu here. Everyone can try it soon. ¡¿


    This kind of miraculous ability convinced Dean Tian that the meat of the buns is really not in the folds.


    It turns out that Zhu Pearson can be stronger than the chief physician.


    Although it is a bit subversive, but after witnessing it with her own eyes, she must accept this fact.


    After the shock, Dean Tian was replaced by ecstasy.


    Although the airway of the sick child has not been completely dredged, after removing the largest scab that blocked the airway, the sick child finally recovered part of his respiratory function. As long as the oxygen can be transported into the lungs, the waste gas inside can be discharged, and the exchange of blood and oxygen can be completed, the life of the sick child can be guaranteed.


    When doctors save lives, they often seek stability first, save the lives of patients, and then try to solve the lesions.


    "Doctor Zhou''s advanced surgical ability is so strong! He is really a role model for my generation." Chen Jiaojiao looked at Zhou Can, who was like a hero who saved the world, and her long and narrow eyes shone with admiration.


    "Actually, don''t be too surprised. There are quite a lot of young doctors in Tuya Hospital who are good at surgery." Yang Chan obviously said this to Chen Jiaojiao.


    She didn''t know why, but seeing Chen Jiaojiao worshiping Zhou Can, she felt an inexplicable sense of crisis in her heart.


    She didn''t want to see this phenomenon.


    "There are indeed many excellent young doctors in Tuya, but young doctors who are good at advanced surgery are very rare! Dr. Yang should also know that people with traditional surgical talents do not necessarily have advanced surgical talents. People with advanced surgical talents , It¡¯s still useless if you don¡¯t have traditional surgical talent. Because advanced surgery must be based on traditional surgery.¡±


    Chen Jiaojiao did not agree with Yang Chan''s point of view.


    "Dr. Zhou''s ability to pinch out the scabs in the bronchi so easily shows that his grasping skills are at least at the attending level. You know, he has just participated in the residency training for more than a year, not even two years. This is It¡¯s a terrible achievement. At least I can¡¯t even grip beans stably now, and if I want to reach Dr. Zhou¡¯s grasping level, I may not be able to achieve it after five years of hard work.¡±


    What she said was true.


    The training period for surgeons is much longer than imagined.


    Many surgical operations are easy to learn but difficult to master.


    Even if it is just a seemingly simple skin suture, many doctors can only reach the upper-middle level after ten years of hard work.


    If you want to achieve a very high level of suture, it is difficult to succeed without ten years of hard work.


    "Don''t deify him!" Yang Chan muttered, and didn''t discuss this matter any more.


    After Zhou Can successfully removed the first scab, he gained 101 grasping experience points as expected. Among them, one hundred points were rewarded to him by the system.


    He was not proud of it, but continued to make persistent efforts to clean up the bronchial tubes of sick children.


    The inside was actually quite blocked, and the purulent secretions accumulated deep in the trachea, so we had to patiently clean it up little by little.


    ¡­


    After nearly two hours, the operation on the sick child was completed.


    The airway was completely unblocked, and the respiratory function recovered about 90%. The cyanotic complexion slowly returned to normal, but it looked a little flushed. The nails and fingertips all returned to normal blood color. Blood pressure, heart rate, respiration and many other vital signs were restored to a relatively safe threshold.


    The sick child still has a high fever of 41 degrees.


    Zhou Can really wanted to give the sick child a postoperative doctor''s order. His condition was more complicated, and he had to use enough antibiotics to prevent the bronchitis from getting worse. At that time, the purulent secretion will easily block the bronchi of the sick child again.


    It is also necessary to find a way to reduce the fever of the sick child and avoid burning the brain.


    When a child has a high fever of 40 degrees, basically there will be a problem of insanity. A high fever of 41 degrees is already very scary. It is easy to burn out the brain and leave serious sequelae.


    Prescribing the postoperative doctor''s order for this sick child can exercise his pharmacology and pathology in practice.


    It means a lot to him.


    "Director Zhang, you can let me try to prescribe postoperative medical advice for the sick child, and then please check it out for me, is that okay?"


    Zhou Can has always been thick-skinned when rushing for surgery tasks.


    Those new doctors who are too thin-skinned may still be in the "giant baby" state after three years of training.


    In other words, there is no ability to practice medicine independently at all.


    As long as you leave the superior doctor, there will be a phenomenon of giant babies who can''t do this and can''t do that.


    "Yes! It''s really gratifying to see that you can work so hard. Yang Chan, you have to learn more from Dr. Zhou."


    Director Zhang Bihua readily agreed.


    Even the dangerous scab extraction from the bronchi was done by Zhou Can. How could she refuse a chance to prescribe a doctor''s order without any danger?


    Unexpectedly, Yang Chan was involved in this matter.


    Squad leader Yang has always been arrogant and asked her to learn from Zhou Can. From a psychological point of view, it must be difficult for her to accept.


    However, Zhou Can performed really well today.


    It also let her see Zhou Can''s true strength.


    These displayed strengths are just the tip of the iceberg. In the past two years of regular training, Zhou Can has surpassed other opponents in many fields. As he rotated to internal medicine to make up for the shortcoming of pharmacology, he has begun to show a trend of flourishing.


    Traditional surgery, endoscopic surgery, pathological diagnosis, pharmacological syndrome differentiation, critical care, all fields have reached a very high level.


    After Zhang Bihua agreed, Zhou Can gave the sick child a series of postoperative medical orders on the spot.


    Under normal circumstances, the difficulty of postoperative doctor''s order is much higher than that of admission doctor''s order and general hospitalization doctor''s order.


    Especially for patients who have just undergone tracheotomy and have undergone life-and-death rescue, there will be more factors to be considered in the postoperative doctor''s order. This patient is a toddler who is only one and a half years old, so the difficulty has to be raised to a higher level.


    Therefore, it is also a challenge for Zhou Can.


    "Bronchitis must be controlled with antibacterial drugs. Common antibacterial drugs for bronchitis include penicillins, cephalosporins, erythromycins, and quinolones. Different drugs target different pathogenic bacteria. For example, cephalosporins that people are all too familiar with Drugs are used in almost many antibacterial and anti-inflammatory treatments. Chronic bronchitis in the elderly is prone to repeated infections, and the effect of using it is better. However, cephalosporins are quite dangerous..."


    After Zhou Can got the opportunity to get the doctor''s order after surgery, he found that there were too many factors to consider just for the bronchitis medication of sick children.


    But he was already mentally prepared for this.


    Step by step careful syndrome differentiation, and then prescribe the most suitable medication.


    Twenty minutes later, he dawdled and finally wrote the postoperative doctor''s order for the sick child.


    Pharmacological Syndrome Differentiation Experience Point +1. For the first time you successfully prescribe a postoperative doctor''s order for a young child, you will be rewarded with Pharmacological Syndrome Differentiation Experience Point +100. ¡¿


    Looking at the 101 points of experience in pharmacology dialectics recorded in the account, Zhou Can smiled knowingly.


    What he cultivated and what he gained, his various medical skills were accumulated little by little, and finally improved.


    In less than two years, he was able to raise so many medical skills to the level above the attending level, and the effort he put in was several times that of others. The hardships are only clear to him.


    Zhang Bihua took Zhou Can''s doctor''s order and read it carefully, with admiration on his face.


    "Dr. Zhou has been in training for less than two years, and he can independently prescribe postoperative medical orders, and he has considered quite comprehensively. The combination of medications is appropriate, the dosage is cautious, and the method is appropriate. It is really amazing. Some places can be slightly modified, maybe because of your clinical experience in pediatrics


    Insufficient, so some medication and details refer to the dosage of adults. "


    Zhang Bihua pointed out the shortcomings to him.


    After Zhou Can heard it, he accepted it with an open mind.


    For example, the dosage of drugs and drugs with higher safety, he did refer to the dosage method of halving for adults.


    In addition, this sick child is, strictly speaking, somewhere between an infant and a toddler. The way of medication should be milder, and the tolerance of sick children must be considered.


    After the doctor''s order is revised, it can be handed over to the nurse for execution.


    Although the rescue was extremely thrilling, at the critical moment, Zhou Can unblocked part of the sick child''s airway, and finally succeeded in rescuing him.


    According to the rules of the hospital, the sick child could not be revived. It was because the doctors and nurses tried their best, and they can only express their regret. There is no fault, but if a person dies, the hospital must be dishonored.


    Now that people have been saved, that''s a big deal.


    Especially for Xinxiang Maternity and Children''s Hospital, which is half dead and urgently needs to use a few typical critical cases and difficult cases to re-establish the authority of the hospital, it must be hyped and publicized to death.


    Whether it is extremely peaceful, the haze is gone.


    Dean Tian has recovered from the previous despair at this moment.


    An adverse event that was enough to make Xinxiang Women''s and Children''s Hospital worse, has now turned into a great thing. It is really a thought of **** and a thought of heaven.


    The transformation is only in an instant.


    "Director Zhang, Doctor Zhou, and Director Dai, it''s really hard work for you to rescue this sick child. I won''t say much to thank you. When the seven-day expert clinic is over, we at Xinxiang Maternity and Children''s Hospital will definitely express it. .¡±


    Dean Tian is quite a real person, he doesn''t play with those fake things.


    It is said that it is likely to give money to the three people after the expert clinic is over.


    Sealing a red envelope is a very normal operation.


    It must be said that this kind of red envelope sealed by Xinxiang Women''s and Children''s Hospital is used to reward the contributions of the doctors who are attending the clinic, and it can be accepted openly and aboveboard. Reasonable and legal, without any risk.


    Doctors are not allowed to accept red envelopes from patients and their families, especially asking for benefits in disguise, which is simply a high-voltage line that challenges medical ethics.


    Doctors are smarter now.


    The brain-dead behavior of accepting red envelopes from family members and patients rarely happens again. However, secretly transferring benefits with medical representatives, as long as it is kept secret, it is much safer than receiving red envelopes.


    Before there were no express regulations, even if they were found out, it would not be a big deal.


    Because this is a common phenomenon in the medical industry.


    Everyone worked hard to be admitted to a medical university, studied hard for five or eight years, spent a lot of money on studying, and finally went through the two stages of labor exploitation of internship and training, and then took a job and officially made money.


    Get a little, isn''t this a normal thing?


    If it is true that after deducting the five social insurances and one housing fund every month, I only get two to three thousand yuan, which is not enough to support my family in Hukou. Who is still a doctor?


    At least that''s what everyone did before the policy was clearly stipulated.


    Prescribing medicines, using consumables, and getting some kickbacks are also a lot of income.


    After being promoted to an attending physician, I gained a bit of fame. I went to other hospitals for consultation several times a month, or cooperated with some small clinics to earn some extra money. Coupled with regular wages, life will be more nourishing.


    In addition to the above-mentioned methods of earning gray income and earning extra money, there are many ways for doctors to increase their income.


    This varies from person to person.


    In short, as long as it is not blatant to harm the patient, it is fine to cut the leeks of the patient''s family members.


    When Dean Tian thanked the three of them, he put Zhou Can in front of Director Dai, which was an interesting hint.


    Director Dai contributed the least to the rescue of this sick child, while Zhou Can contributed the most.


    But Director Zhang has the highest status and has some merits. After comprehensive consideration, Dean Tian made a simple ranking of thanks to Shunli, and Zhou Can ranked second. There is really nothing wrong with it.


    Director Dai may feel a little uncomfortable if his mind is small.


    The real society is like this, and there is no way to make everyone comfortable.


    Positioning yourself is very important.


    You can neither think too highly of yourself nor too small of others.


    "Director Zhang, I would like to ask you, isn''t the best young doctor in your Tuya Hospital Dr. Du Leng, a returnee who has just been promoted to the attending physician? I think this Dr. Zhou is stronger than Du Leng. Forgive my ignorance. Can you tell me about Dr. Zhou''s background, so that I can get to know the young and promising Dr. Zhou again!"


    Dean Tian can secure the position of dean, and his ability to climb the crowd is not weak.


    Seeing Zhou Can''s performance so eye-catching, she immediately wanted to get to know Zhou Can better and establish a little friendship first. If Zhou Can becomes famous in the future, it will be of great benefit to Xinxiang Maternity and Children''s Hospital and Director Tian himself.


    "Du Leng graduated from a prestigious overseas university and received a doctorate. He is indeed very good. But in terms of diagnostic ability and surgical ability, as far as I know, Dr. Zhou should have the potential to become a leader of the younger generation of our Tuya Hospital. Here, Dean Tian can experience it on his own."


    Director Zhang Bihua gave Zhou Can such a high evaluation that Zhou Can''s eyelids twitched in fright.


    Is this inappropriate to bring hatred to Zhou Can?


    Let him become the leader of the younger generation, and he is like a cloud of strong people, with a lot of graduates, masters and doctors in the Tuya General Academy. This also praised Zhou Can too highly.


    At least Zhou Can never has that confidence now.


    If the current speed of improvement in medical skills can be maintained, it will not be a big problem to become a leader of the new generation in five or eight years.


    Compared with a highly educated special talent like Du Leng, he actually has certain disadvantages. For example, regular training He has to be trained honestly for three years, and Du Leng will be directly promoted to attending after only one year of regular training.


    If Zhou Can wants to be promoted to attending, he needs to work for at least four years after the regular training is over.


    Undergraduates who successfully obtain the qualifications for regular training after their internships are over, at this time they belong to medical doctors, or medical students. After obtaining the medical license, he was promoted to a doctor.


    Zhou Can is now at the doctor level.


    Then the regular training is over and he is promoted to a resident doctor. After working for four years, take the examination of attendings, and if you pass, you can be promoted to attendings.


    Du Leng is a doctor of medicine, and he will be automatically promoted to attending doctor after one year.


    And the gap behind will widen.


    After a doctoral student is promoted to an intermediate professional title, that is, after being promoted to an attending physician, it only takes three years for a doctoral student to be awarded an associate senior professional title. At that time, Zhou Can was still working as a junior resident doctor.


    How do the two compare?


    Those who tout the theory that academic qualifications are useless and think that ability is better than everything else are novices who have never experienced social beatings.


    The starting points are different, and the two are not comparable at all.


    Even if the ability is as monstrous as Zhou Can''s, if he wants to overtake Du Leng, he must work **** his education. Find a way to improve your education as soon as possible.


    The most common part-time graduate student is a pathway.


    While working and taking the postgraduate entrance examination.


    That''s what most undergraduates do.


    Whether you pass the exam or not is another matter, at least an on-the-job graduate degree is better than a bachelor''s degree.


    The board should be bigger too.


    It is not difficult for Zhou Can to get a master''s degree. As long as he asks, the senior management of Tuya Hospital will probably find a way to help him solve it.


    Director Yin Hua, Director Tan and others from the Department of Internal Medicine have already greeted Zhou Can. As long as Zhou Can is willing to switch to the Department of Internal Medicine, they will help Zhou Can solve the problem of academic qualifications.


    However, Zhou Can has his own plans. He will take another path to improve his academic qualifications.

 Chapter 276： The embarrassment of being flattered by the patient who drank water

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    After listening to Director Zhang Bihua''s evaluation of Zhou Can, Dean Tian''s eyes showed understanding.


    She is also a fine person, and she knows Zhou Can''s position as soon as she hears it.


    Listening to Director Zhang''s words, Zhou Can''s status in Tuya Hospital seems to be no lower than that of Du Leng. The hospital will train Zhou Can even harder, and the expectations will be higher.


    "Doctor Zhou, if you were contemptuous before, please forgive me. Today you saved the Xinxiang Maternity and Children''s Hospital, we will definitely remember your contribution, and we can come and go frequently in the future!"


    Dean Tian took the initiative to shake hands with Zhou Can again, and proposed more contacts.


    "It''s easy to talk about."


    Zhou Can would never refuse to expand one more personal relationship.


    Don''t look at the disaster that Xinxiang Maternity and Children''s Hospital has suffered, it is deserted now. But as long as it stands up again, it will still be a heavyweight in the province''s medical community.


    There are many times when you can use it.


    "Director Zhang, Director Dai, and Doctor Zhou, it''s really not easy for this sick child to be rescued successfully. It can be said that he escaped death, which fully proves the superb medical skills of the three. I mean, Tuya just came to our hospital to conduct an expert outpatient clinic. , then came a good start and saved a sick child who was almost dying. I want to organize the publicity department of the hospital to publicize this matter. I wonder what the three of you think?"


    Dean Tian wanted to advertise with the three of them, so he naturally asked for their opinions.


    "I think it''s good! This is a good thing, and it does have certain medical and clinical significance."


    Director Zhang Bihua nodded in agreement, and Zhou Can and Director Dai naturally had no objections.


    Everyone originally ran over to endorse the platform of Xinxiang Maternal and Children''s Hospital.


    They can all understand the difficulties of Xinxiang Maternity and Children''s Hospital, as well as the extreme desire to quickly change the unfavorable situation.


    "Oh, it''s already noon. Everything is important, and eating is a big deal. Why don''t you go eat first and rest for a while, so that you can have plenty of energy to see new patients in the afternoon."


    Dean Tian raised his wrist and glanced at his watch and said.


    The sick child turned from danger to safety, everyone was happy and got along very harmoniously.


    Accompanied by Dean Tian himself, he led several people to eat Chinese food in the hospital cafeteria.


    Zhou Can is very loyal, so he called Deputy Director Shi over to eat with him. He participated in the specialist outpatient clinic this time, representing the Department of Gastroenterology. Deputy Director Shi is his nominal superior doctor.


    This performance of respecting his superiors virtually gave him extra points in the hearts of Dean Tian, ??Zhang Bihua and others.


    There is no parent who does not like filial children.


    By the same token, there is no leader who does not like people who know how to respect their superiors.


    After dinner, Dean Tian thoughtfully arranged a medium meeting room for the twenty-seven doctors and nurses from Tuya Hospital as a place for a temporary break at noon.


    Everyone was sitting in the meeting room, either swiping their phones, or closing their eyes, or chatting about work this morning.


    Some people received five or six patients in one morning, and some people encountered the embarrassment that no one cared about them.


    Du Leng''s diagnosis and treatment volume is quite outstanding, and he has received a full eight patients. He ranked first in the total number of consultations, surpassing many chief physicians, and became the champion of consultations in the morning.


    If Director Zhang Bihua hadn''t left the scene temporarily to go to the operating room to rescue the child, Director Zhang would definitely be the number one in the total number of patients.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Deputy Director Shi is the worst one, because he is not well-known, and the number of outpatients in Xinxiang Women''s and Children''s Hospital is frighteningly small, Deputy Director Shi was stunned.


    The same encounter with him was also a deputy chief physician and an attending physician.


    From this phenomenon, it can be seen that unless the doctors are very well-known and a few top-ranking doctors, other doctors are nothing if they leave the original big platform.


    Many patients seek medical treatment because of the reputation of the hospital.


    It doesn''t seem to matter all that much who the doctor who sees them is.


    According to incomplete statistics, less than 4% of the patients came for the famous doctors of the hospital. This kind of patients will have a strong purpose, and they must register with that expert, and do not consider seeing other doctors.


    The remaining 96% of patients are randomly registered according to their own needs.


    For example, when registering, they will give priority to chief physicians who are good at treating their own diseases. The professor account and expert account are gone, and they can even register for ordinary accounts.


    Du Leng was only an attending physician, and when he went to an unfamiliar environment, eight patients came to him for consultation in one morning, which was indeed a bit beyond everyone''s expectations. It also let everyone see how popular overseas doctoral degrees are.


    Even Gao Jian, a talented student of Imperial Medical University with a master''s degree, still pales in comparison to Du Leng.


    Gao Jian followed a chief physician of the Department of Neurology for a whole morning, and they only saw two patients in total.


    This kind of encounter embarrasses these experts who have some status in Tuya Hospital.


    In fact, this is a normal phenomenon.


    The types of patients served by Xinxiang Maternity and Children''s Hospital are mainly gynecology, obstetrics, and pediatrics. It is normal that no one cares about the general chief physicians and deputy chief physicians of these internal medicine and gastroenterology departments.


    To be honest, recently I have been using reading to follow up, change sources, read aloud with many timbres, and both Android and Apple can be used. ¡¿


    Because Du Leng has the highest number of consultations, and the returnees with a doctorate degree are popular, he found an unprecedented sense of superiority.


    Two young female doctors took the initiative to strike up a conversation with him one after another.


    Another beautiful and young female nurse also came forward and chatted with Du Leng for a while under the pretext of asking for nursing knowledge. This phenomenon of beautiful nurses and female doctors chasing after each other is indeed enviable.


    Despite having so many young female doctors. The female nurse chased after him, but Du Liangliang was not satisfied.


    It''s like the emperor is used to sleeping with concubines and maids in the palace, and gradually gets tired of it, and always wants to go outside the palace to find folk beauties.


    With Du Leng''s excellent conditions, if he wanted to chase an ordinary female doctor or nurse, the success rate was very high.


    But there was a woman he wanted but couldn''t get.


    That is Yang Chan.


    She has a beauty that is almost as good as Su Qianqian''s. In addition, she is self-reliant and has been trained by Director Zhang Bihua, which makes her more confident and her temperament is getting more and more outstanding.


    The unique charm exuded made Du Leng feel like a cat''s paw in his heart.


    It''s a pity that Yang Chan is a flower that grows on the top of the snow mountain, and it also has thorns. It is not easy to pick it.


    Du Leng tried to pursue Yang Chan many times, either overtly or covertly, with exhausted means, but nothing was gained except for a smack in the nose.


    It is a very good opportunity to come to Xinxiang Maternity and Children''s Hospital with Yang Chan to participate in the expert clinic.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Especially after he got the brilliant result of the total number of consultations in the morning, he gained two points of confidence.


    Du Leng stood up and walked towards Zhang Bihua and Yang Chan with a refined and confident smile on his face.


    "Director Zhang, there are two cases of doubts among the patients I received in the morning. Could you please take your precious time to give some advice?"


    he asked very politely.


    "Dr. Du, you are welcome! If you have any doubts, you can talk about it and discuss it together. You are a talented student from a famous overseas school, so you must not take it as a word of advice!"


    Zhang Bihua responded with a smile.


    It can be seen that her attitude towards Du Leng is quite friendly.


    "The first difficult case is the overweight female patient who suffered from apnea during sleep. If it is not caused by obesity, what do you think may be the cause?"


    The female patient had taken medicine and had surgery, but none of them could cure her sleep apnea.


    At that time, Du Leng sent the female patient to do enhanced CT and bronchoscopy, and estimated that it should be finished in the afternoon. At that time, I will definitely come back to him with the results.


    Ask Director Zhang for advice now, and then he will be able to know what to do and not make a fool of himself.


    "There are many factors that can cause sas disease! For example, genetics, drinking, smoking, increased pharyngeal muscle tone, etc. I think it would be better to wait for the patient to complete further examinations and then make a specific diagnosis after seeing the examination results."


    Director Zhang Bihua was obviously not particularly good at this field, and she couldn''t give Du Leng a better opinion.


    Sleep apnea syndrome is medically referred to as sas.


    It is a relatively rare disease.


    The greatest danger of this disease is to cause the patient to suffocate to death in sleep.


    This case failed to get an answer, so Du Leng continued to ask the second case.


    "There is another case that is also very strange. The patient was 32 years old. He suffered from uterine bleeding a year ago. He was hospitalized and underwent curettage and curettage. After pathological examination, the scraped thing was endometrial tissue. It started about two months ago. The female patient suddenly likes to drink a lot of cold water, drinking at least 10,000 milliliters a day. And there will be disturbance of consciousness. The patient has been diagnosed and treated in many hospitals, but the cause has not been found out. The family members have heard from others that it is likely to be neuropathy. The first time I heard that experts from our Tuya Hospital set up an expert clinic at Xinxiang Maternity and Children¡¯s Hospital, so I came here to try my luck and see if I could find out the cause of the disease.¡±


    Du Leng''s personal introduction stated that he was good at divine surgery and nail and breast surgery.


    Coupled with his outstanding academic qualifications, he won the big prize and let this patient with extremely high diagnosis difficulty come to his door.


    Without diamonds, if you insist on doing porcelain work, you will end up being slapped in the face constantly.


    Especially this kind of public large-scale expert outpatient activity.


    Smart doctors are as low-key as possible.


    Du Leng seems to have treated eight patients, but it is hard to say how many will be cured.


    "Is there any specific information about the patient? It is difficult to connect it with the patient''s polydipsia and disturbance of consciousness based on the uterine bleeding described by Dr. Du and the dilatation and curettage."


    Director Zhang is not a god, she just has rich clinical experience in the field of obstetrics and gynecology, and academic research in this field has also made quite high achievements, that''s all.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Of course, her gynecological and obstetric surgery capabilities are second to none, at least among the top ten in the province.


    "The specific examination materials have been taken away by the family members. I asked the patient to check the urine routine and blood routine first. I guess the results will be available in the afternoon. The patient had an examination in another hospital, which indicated that the pituitary stalk was thickened, and the blood prolactin elevated, a diagnosis of type 2 diabetes was made.


    Du Leng was unable to provide too detailed patient information, and could only roughly describe the patient''s main condition.


    "It''s right to check the routine urine and blood routines. Patients who drink more than 10,000 milliliters of water a day will definitely experience frequent urination, and may even have diabetes insipidus. The specific cause needs to combine all the inspection data, as well as the patient''s physical condition and other actual conditions. Let¡¯s make a comprehensive argument according to the situation. Let¡¯s talk about it after the patient has finished the basic biochemistry check!¡±


    Director Zhang is cautious in his words and deeds when diagnosing patients, and never jumps to conclusions.


    Almost all famous doctors diagnose diseases like this. Diagnosis should be as detailed and pragmatic as possible to prevent missed diagnosis and misdiagnosis.


    Du Leng consulted two difficult cases, but he didn''t get the answer he wanted, so he was not too disappointed.


    Originally, the drunkard''s intention was not to drink.


    He looked at Yang Chan naturally, "Doctor Yang, I heard that you went to rescue the sick child with a severe cold this morning. It must have been a thrilling process!"


    This is purely nonsense.


    The two chief physicians of the Department of Pediatrics and Obstetrics and Gynecology were able to alarm the experts in the outpatient clinic and participated in the rescue for more than two hours. Could the process not be thrilling?


    Yang Chan doesn''t seem to have the desire to talk too much with Du Leng.


    There was just a faint "hmm".


    Director Zhang does not interfere with this kind of private relationship between children.


    There is no way to interfere.


    Although Yang Chan is her apprentice, she will be led by Director Zhang in the hospital, but only for work. Personal feelings, even the king of heaven, I can''t force her.


    "When I was eating in the cafeteria just now, I heard the nurses from Xinxiang Women''s and Children''s Hospital discussing that the sick child was almost dead. It was Director Zhang who led a young doctor to rescue him actively. I heard After I got it, I admired that young doctor very much. I know that young doctor must be you."


    Du Leng tried his best to praise her.


    Pursuing girls, praising them for their beauty, praising them for being gentle, kind, smart, etc. are all ways to easily get closer to them.


    Du Leng is definitely an old hand at picking up girls.


    "not me!"


    She glanced faintly at Zhou Can who was studying with a mobile phone not far away.


    Compared with Du Leng''s high profile and showing off, Zhou Can''s performance in all aspects is very pragmatic.


    People are most afraid of comparison.


    Compared with this, her impression of Du Leng was even worse. The impression of Zhou Can is even better.


    "Isn''t it you? Impossible! Director Zhang only brought you a young doctor...ah, could it be him?"


    Du Leng suddenly realized that Zhang Bihua had specially seconded Zhou Can to Deputy Director Shi at that time.


    If the young doctor who helped rescue the sick child was not Yang Chan, it was probably Zhou Can.


    Originally, he wanted to come over and praise Yang Chan, so as to get closer to her, but he praised his potential love rival. Du Leng was afraid that he wanted to die.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Dr. Du guessed right, the young doctor who made great contributions is Zhou Can."


    Yang Chan''s face showed a bit of anxiety, and she shouted at Zhou Can.


    "Zhou Can!"


    "What''s up?"


    Zhou Can raised his head and looked towards Yang Chan after hearing the sound.


    "Dr. Du Leng heard about your great achievements in rescuing sick children. He said that he admired you very much and wanted to communicate with you."


    Yang Chan, a beautiful woman, is too bad.


    Knowing what Du Leng was planning, calling Zhou Can over now, Du Leng probably felt the same as eating dead flies.


    The key point is that he opened his mouth to eat this dead fly.


    "Dr. Du, you''re welcome. I''m just a small-scale trainee, and my skills and knowledge are not one-tenth of yours. Of course, if you want to communicate, you are welcome at any time."


    Zhou Can didn''t have a good impression of Du Leng, and always felt that he was a little sinister and hypocritical.


    But if there is any deep hatred between him and Du Leng, there is really no such thing.


    Anyway, promotion and competition for hospital training resources are all based on their own abilities.


    As for Du Leng being jealous of him, this is Du Leng''s own business.


    It will not cause any substantial loss to Zhou Can.


    "Cough cough cough... I will continue to sit in the clinic in the afternoon. There are still a few patients I have seen in the morning who have not found out the cause of the disease and need to check the information. I am afraid I don''t have time to communicate with Dr. Zhou today. I will see you next time."


    At this time, Du Leng ran over to talk to Zhou Can, no doubt it was a gift to Zhou Can''s face.


    He would never do such a thing as a stepping stone for a potential rival in love.


    "OK!"


    Zhou Can was too lazy to waste time with him, and continued to read with his head down.


    It is actually quite convenient to use a mobile phone to read online medical books. However, the physical book feels better in the hand, especially some larger anatomical maps. The screen of the mobile phone is too small, and you need to zoom in to see the local details.


    This affects the reading experience very much.


    Gao Jian heard that Zhou Can made great achievements in the operation of rescuing sick children in the morning, so he couldn''t help but take a deep look at Zhou Can. The two began to compete since they passed the regular training exam.


    However, the gap between him and Zhou Can seems to be getting bigger and bigger.


    Zhou Can''s reputation in Tuya General Hospital is already comparable to that of Du Leng. Even in the minds of many chief physicians, his status is much higher than that of Du Leng.


    Gao Jian has been working hard silently with his head depressed, trying to catch up.


    It''s a pity that Zhou Can was too monstrous, leaving him far behind.


    This frustrates him somewhat.


    They are all human beings. Zhou Can''s starting point was not as good as him, but now he is so outstanding, which is really enviable.


    They rested in the meeting room for half an hour, and returned to the outpatient hall on time at one o''clock in the afternoon to continue their consultation.


    Since it was the first day to open such a large-scale specialist clinic in an outer hospital, I lacked experience in many aspects.


    Director Zhang needs to keep summarizing and convening a meeting at night to make improvements.


    Take the sick child who had an accident in the morning and was in urgent need of rescue. After the expert who was sitting in the door was transferred, the patients in the outpatient clinic could not deal with it.


    The patient experience will definitely be particularly poor.


    As soon as they sat down in the outpatient hall, a patient came over with the examination materials.


    "Dr. Du, please help my wife take another look. These are the results of urine and blood tests."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    A middle-aged man led a middle-aged woman with dull eyes to Du Leng''s consultation table.


    Zhou Can''s heart moved slightly. It seemed that this woman was the female patient who drank more than 10,000 milliliters of cold water a day and had impaired consciousness.


    The diagnosis of this difficult and miscellaneous disease is Zhou Can''s favorite.


    It can not only earn 100 points of high experience value rewards, but also actually relieve the suffering of patients, killing two birds with one stone, why not do it.

 Chapter 278： The younger generations contest, you doctor paid for it, right?

    After listening to the family members'' complaints, Dean Tian began to have serious doubts about Du Leng''s ability.


    It''s just that in this kind of public occasion, she will definitely not show it.


    Right now, family members and patients must be appeased and the situation calmed down.


    It was not easy to invite Tuya''s expert team to carry out this expert consultation activity, but there were twists and turns, and troubles continued.


    Tuya Hospital didn''t know how to send some reliable young doctors over.


    Thinking of the reliable young doctor, Dean Tian couldn''t help looking at Zhou Can.


    For example, young doctors like Dr. Zhou are very reliable.


    "My family member, calm down first! Maybe your wife''s condition is really complicated. But don''t worry, we have invited many experts from Tuya Hospital this time. One expert may have limited knowledge, so we will invite more Joint consultation with experts. We must try our best to find out the cause of your wife''s illness, so that you will not run away in vain."


    Under Tian''s reassurance, the family members looked much better.


    "Director Zhang, this patient''s condition is a bit complicated. Can you discuss her cause on the spot?"


    Dean Tian is almost putting pressure on Director Zhang.


    After all, it is related to whether the expert consultation at Xinxiang Maternity and Children''s Hospital can achieve good results.


    You can''t spoil the good situation because of such a small matter.


    "Okay, after I''ve dealt with the patient in hand, I''ll immediately organize a discussion with the experts present." Director Zhang Bihua readily agreed.


    Maybe they are also worried that the family members will be impatient to wait again and feel dissatisfied.


    After scanning the other experts, she happened to catch a glimpse of Deputy Director Shi and Director Jiang, who was inside of him, being idle.


    "Director Shi and Director Jiang, one of you is good at gastroenterology and the other is good at neurology. The patient''s symptoms are related to the digestive system and the nervous system. Please help me first!"


    Zhang Bihua led the team to Xinxiang Maternity and Children to carry out expert outpatient activities. She is the captain and has the right to arrange other experts to work.


    Of course, at her level, she spoke very politely.


    He used a negotiating tone.


    Instead of using that offensive bossy tone to order other experts to work.


    "No problem! Bring the materials here, and Director Jiang and I will study together!"


    Deputy Director Shi answered more positively than anyone else.


    It caused Zhang Bihua, Dean Tian and others to look at him in surprise.


    We are all human beings. Looking at Deputy Director Shi''s positive attitude, I am afraid that I am somewhat confident!


    As everyone knows, Deputy Director Shi and Zhou Can have discussed it long ago, and even planned to take the initiative to cut off the bullshit.


    If Du Leng hadn''t quarreled with his family members, Deputy Director Shi might have offered to ''help'' a long time ago.


    The family members turned against Du Leng, and they were eager to find other experts to help his wife see a doctor.


    "Honey, let''s go, let''s find another expert to see a doctor!"


    The family members took the materials and brought their wife to Deputy Director Shi''s consultation table.


    Director Jiang also got up and walked over. Gao Jian followed closely.


    Zhou Can quickly stood up and offered to sit down.


    "Director Jiang, please sit down!"


    This kind of humility and courtesy greatly increased Director Jiang''s affection for Zhou Can.


    "Thanks!"


    Director Jiang nodded friendly to him, and sat side by side with Deputy Director Shi.


    Zhou Can and Gao Jian stood together for the first time.


    The two looked at each other and smiled, but Gao Jian''s eyes were full of fighting spirit.


    "Doctor Zhou, after nearly two years, how about we take this rare opportunity to compare?"


    "Hehe, I don''t care!"


    Zhou Can was never afraid of anyone.


    He also wanted to see what level Gao Jian''s medical level had reached after nearly two years?


    He felt that Gao Jian was much more pragmatic than Du Leng.


    The strength must be much stronger than Du Leng.


    The woman''s disease is biased towards internal medicine, and the main direction of the high-sighted training is internal medicine. Therefore, Gao Jian has an advantage over Zhou Can to a certain extent.


    Because Zhou Can spent the previous year and a half rotating in various departments of surgery.


    It has only been about two months since I officially entered the regular training of internal medicine.


    The four began to study the woman''s examination data and condition.


    The woman had uterine bleeding a year ago and had a curettage and curettage at the local county hospital. Pathology showed that the scraping was endometrial tissue. Since then, the woman has not had menstruation again.


    Less than half a year later, the woman developed obvious symptoms such as polyuria, thirst, polydipsia, and fatigue.


    Drink up to 20,000 milliliters of water a day.


    I have to get up to urinate almost every hour or two at night.


    And patients gradually like to drink cold water.


    In the Provincial People''s Hospital, a steamed bun meal test was done and the diagnosis was diabetes.


    Doctors at the Provincial People''s Hospital prescribed reggenac and acarbose to treat the patient. After taking the medicine for a period of time, the patient feels that there is no effect, so he stops the medicine on his own.


    In this way, he stayed at home for several months and did not control his diet during the period. The patient reported that there were always urea bubbles in his urine, but he did not have symptoms of urgency or painful urination.


    About a few months ago, there was genital itching and increased secretions.


    More than two months ago, there was a disturbance of consciousness, unresponsiveness, and occasional symptoms such as inability to communicate. Sometimes even urine is pulled on the body because of the disturbance of consciousness.


    The husband worried that if the delay continued, his wife''s condition would become more serious, so he hurriedly took his wife to the hospital for treatment again.


    The first thing I went to was the Provincial People''s Hospital.


    In the minds of many people, the People''s Hospital is a good hospital serving the people, with affordable prices and guaranteed medical quality.


    This time, they were linked to a urology expert number of the Provincial People''s Hospital.


    After the expert''s diagnosis, the patient was given a water deprivation test and a saddle area MRI test. It suggested that the patient''s pituitary stalk was thickened and blood prolactin increased, so he was diagnosed with type 2 diabetes and hyperprolactinemia.


    Then there was a diabetes insipidus?


    It is estimated that the expert only suspected that the patient had diabetes insipidus, and it is not easy to jump to conclusions about the specific type of diabetes insipidus.


    Experts from the Provincial People''s Hospital gave the woman rosiglitazone, acarbose, and glipizide controlled-release tablets to control blood sugar.


    At the same time, desmopressin and fentin were prescribed to control urine output.


    After the woman took desmopressin, the urine output decreased significantly, but the good times did not last long. After only a few hours, the patient reappeared the symptoms of increased urine output.


    After returning home from the Provincial People''s Hospital, the patient insisted on taking desmopressin and other drugs for treatment.


    They were all prescribed by the expert from the Provincial People''s Hospital.


    The condition has improved obviously.


    Due to taking desmopressin for a long time, the patient developed symptoms of ''gaining weight'', so he stopped the drug himself. At the suggestion of a relative, I found a local Chinese medicine doctor and switched to traditional Chinese medicine for treatment.


    Results After taking the traditional Chinese medicine, the symptoms of polyuria and polydipsia were aggravated. And feel extremely tired.


    Two days ago, the patient was talking nonsense and had a disturbance of consciousness, and even her husband couldn''t recognize her. Limb paralysis and tremor symptoms also appeared. The phenomenon of pulling urine on the body occurs frequently.


    Now I have to change her to a large diaper every once in a while.


    In desperation, the husband took his wife to Xinxiang Maternity and Children''s Hospital for treatment.


    Zhou Can realized the complexity of the condition after understanding all the condition of the female patient.


    "May I ask if your wife hasn''t had menstruation since she underwent dilatation and curettage for more than a year?" Zhou Can asked the woman''s husband.


    The female patient has become like a fool, and there is no way to communicate normally.


    "Yes!"


    The family members frowned tightly.


    At this moment, Yang Chan also came over by herself to help with the diagnosis.


    "Yang Chan, the patient hasn''t had a period for more than a year since she underwent curettage. What do you think is the most likely cause?"


    Zhou Can took the initiative to communicate with her.


    There is a specialization in surgery, and Yang Chan has already received a lot of true biography from Director Zhang Bihua for obstetrics and gynecology diseases.


    Although the study time is still short, less than two years, she must be better than Zhou Can in this field.


    "What about your doubts?"


    Yang Chan didn''t answer the question instead.


    "The patient''s imaging examination showed that the pituitary stalk occupied space, so I think the possibility of hypothalamic or pituitary lesions is the greatest."


    When Zhou Can diagnoses such difficult and miscellaneous diseases, he always looks for a breakthrough first, and then conducts comprehensive syndrome differentiation and analysis.


    He tried this diagnostic technique time and again, and it worked.


    "There are many reasons for the patient''s amenorrhea. Lesions in the uterus, hypothalamus, pituitary gland, and ovary may cause amenorrhea. She has undergone curettage and curettage, and the uterus should also be listed as a key object of investigation."


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    Yang Chan made a supplement after listening to Zhou Can''s diagnosis opinion.


    The corner of Zhou Can''s mouth twitched, this chick is deliberately establishing the authority of the monitor!


    The possibility of uterine disease is very small, and she insisted on pulling it out, just to tell Zhou Can that she is still the monitor and knows a little more than him.


    However, considering that the patient also has symptoms of diabetes insipidus, the uterus should indeed be checked.


    Zhou Can took the patient''s examination data and checked it carefully again. Soon, he ruled out the possibility of uterine disease.


    The reason is that the patient''s pituitary stalk is thickened, which may also cause diabetes insipidus.


    "Director Jiang, please tell me, is the enlarged pituitary stalk likely to cause central diabetes insipidus?" Zhou Can couldn''t help thinking of a similar case based on his experience in neurosurgery.


    That patient had a lesion in the pituitary gland, which caused central diabetes insipidus.


    "Doctor Zhou''s level is very high, no wonder Director Tan of our Department of Internal Medicine values ??you so much! I''m also doubting in this direction. Since you also brought it up, I think it is necessary to do water deprivation and pressurization for patients." Test, review sellar mri."


    Director Jiang in God was still a little uncertain.


    Hearing that Zhou Can also suspected that central diabetes insipidus was caused by pituitary disease, he immediately made up his mind to conduct an investigation on this aspect for the patient.


    "Several experts, my wife checked the saddle area at the Provincial People''s Hospital last time. Just now, Dr. Du also said that the results of the saddle area can be used. Look, can you not check it?"


    When the family members heard that they were going to be checked again, and they were still checked, they couldn''t help showing a bitter face.


    What patients and their families are most afraid of are various examinations.


    This is all caused by excessive inspections in many hospitals.


    Regardless of whether the patient is sick or not, first do the checks that should be done before talking.


    "I think it is very necessary to review it once."


    Director Jiang said seriously.


    The family member frowned and hesitated for ten seconds, and finally agreed, "Okay, I will take my wife to check again. I believe that your experts will not deliberately order more checks to earn my two check fees."


    In fact, these words already contain the meaning of warning the doctor.


    I can also feel that after being messed with by Du Lenghu, the family members have become very difficult to speak.


    Several doctors looked at each other, but did not answer.


    Director Jiang issued an examination application for the patient.


    "Go! Don''t worry, we doctors have to find a way to find out the specific cause of your wife even if we work overtime today. However, some tests and examinations, as well as the efficacy of medication, need a certain amount of time to observe. If you trust our doctors, It is necessary to be prepared for hospitalization. The ugly thing is above, her condition is extremely complicated, and it is unrealistic for us doctors to say that it will be cured. We can only assure you that we will do our best."


    Director Zhang Bihua also came over after dealing with the patient in hand.


    The affinity of female doctors is much stronger than that of male doctors.


    Especially for an elderly female doctor like her, who has rich communication experience with family members and patients, she can gain the trust of family members and patients better and faster.


    "Okay! Thank you, Director Zhang, thank you!"


    After listening to Director Zhang''s words, the family members looked much better.


    Even rarely squeezed out a grateful smile.


    A good doctor not only has superb medical skills, but also needs to have excellent communication skills with patients.


    After watching the family members take the female patient for an examination, Zhang Bihua picked up the female patient''s information and began to study it carefully.


    At this time, Du Leng seemed to have a problem again.


    "Did you spend money to buy this doctor? You can''t find out her cause, and we can''t find out the cause of the disease. It''s too late for us to waste time."


    The fat woman''s father was yelling at Du Leng.


    Du Leng was embarrassed.


    At this moment, it is estimated that there are ten thousand mud horses galloping in his heart. It''s cool for a while, but be careful with the crematorium afterwards.


    He pretended to be b all morning, earning enough attention and admiration.


    Now bad luck ensues.


    Three patients who are extremely difficult to diagnose, to be honest, he has no idea about any of them.


    At that time, I was surrounded by many patients and their family members, just wanting to have fun for a while, so I ordered a checkup for them. Coupled with the overestimation of his own strength, when the inspection results came out, he still couldn''t figure it out.


    Don''t know where the cause is?


    If it''s a regular consultation, it''s not a big problem.


    There are many cases where the cause cannot be found out.


    Especially for such intractable diseases, it is normal that they cannot be found out.


    But at this moment, he was sitting in the clinic in public, and the cause of the previous patient could not be found out, so the family had a big fight with him.


    Now there is another case where the cause cannot be found out, which is really worse.


    Du Leng has clearly noticed that many people are casting strange glances at him.


    Under such circumstances, being surrounded by people and making a fool of himself in public made him feel extremely ashamed and even a little scared.


    "Mister Don''t be angry. Bring your daughter here, and some of us doctors will diagnose her together."


    Director Zhang Bihua rushed to mediate.


    Can''t fight anymore, otherwise, what do other family members and patients look like?


    It will make the doctors and nurses of Xinxiang Maternal and Children''s Hospital laugh.


    The family members came with their super obese daughter.


    Zhou Can is very interested in this sleep apnea syndrome patient.


    This kind of disease should actually be linked to the special needs expert number of the respiratory department.


    Usually it is difficult to meet, but today there is a case, which is a rare opportunity to exercise.


    After several chief physicians had read it, Zhou Can picked up the patient''s examination data to check.


    He always felt that the patient''s neck seemed a little asymmetrical.


    The rich diagnostic experience accumulated in general surgery gave him a lot of help at this time.


    "Upper airway myxedema should be a diagnostic direction."


    After reading it, Director Zhang Bihua took the lead in giving a diagnosis opinion.


    "The enhanced CT didn''t reveal any tumors. Her upper respiratory tract edema is a bit strange. I have diagnosed many obese patients, but rarely found respiratory myxedema."


    Deputy Director Shi provided a little experience of his own.


    There are many people, and these experts gather together for joint consultations, and the advantages of combining the strengths of everyone are indeed much more obvious than fighting alone.


    "Sas disease is divided into three types, namely obstructive type, central type, and mixed type. I think she should belong to mixed type sleep apnea syndrome."


    Director Jiang was also unwilling to lose his reputation as a neurology department, and also gave some substantive opinions.


    Gao Jian, Zhou Can, and Yang Chan, three young doctors, stood behind and did not speak.


    All three of them are working hard and want to achieve something.

 Chapter 280： Experts are afraid of this disease, the real medical skill depends on the patient...

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    A common cold, unexpectedly brought great disaster to this young and beautiful girl.


    It made her sick for two years.


    With modern medical standards, even a bad cold is not a big deal. Just buy a box of medicine at the pharmacy on the side of the road, and you will be cured soon after taking it.


    But this girl has been ill since she was seventeen years old.


    The age of seventeen or eighteen is the age when the body''s resistance is strongest, with vigorous body functions and full of vitality.


    Zhou Can realized that the girl''s body must have suffered from immune decline or immunodeficiency, so a small cold overwhelmed the body''s defense system.


    Almost all intractable diseases have a common feature, the patient is still not getting better after being treated in many hospitals.


    Many difficult cases appear as minor ailments at the beginning, and they are good at disguising enough to make patients relax their vigilance. For example, low-grade fever, mild pain, or some mild symptoms of discomfort and so on.


    They are like endless weeds, more and more will be cut, and finally become a disaster, completely crushing the patient''s body and taking the patient''s life.


    Although the disease that was critically ill from the beginning was terrifying, it was easier to diagnose because of the obvious lesions.


    At most, it is difficult to treat.


    The difficulty of this kind of difficult case lies in the fact that the real cause of the disease cannot be found. Once the cause is found, it is equivalent to finding the fate of the disease, and maybe a box of medicine for a few cents can cure the disease.


    Many patients who have signed up for the special needs expert account believe that they have a deep understanding. They found a general doctor, went through various examinations, and took a basketful of expensive medicines, but their condition did not improve.


    Then I listened to someone''s introduction and hung up the number of an expert.


    Hey, the expert didn''t ask for any other tests, and after some diagnosis, he prescribed a box of medicine for fifty cents.


    The patient was bewildered, is this expert reliable?


    Could it be the brick house?


    I went home and tried to take the medicine as prescribed by the doctor. A week later, something incredible happened.


    The body feels significantly better.


    Continuing to take the medicine, half a month later, the incurable disease was cured. Since then, this patient has said that it is really nice to be an expert.


    I only regret that I didn''t call the expert at the first time when I got sick.


    So much so that I took a lot of expensive and useless medicines, and did a lot of unnecessary examinations. It was really wronged by those ordinary doctors to use them as guinea pigs for practice.


    This patient was undoubtedly lucky.


    He met specialists who happened to be good at treating his disease.


    Otherwise, it is hard to say what the final result will be.


    There are not a few unlucky patients who have been treated from mild to severe.


    It is unbelievable to say that this female patient has a small cold that has not been cured for two years.


    Zhou Can took the patient''s examination information and checked it carefully.


    The superior doctors are very happy that these young doctors are eager to learn and make progress.


    Patient''s erythrocyte sedimentation rate 39mm\\/first hour. Glutamate aminotransferase 170u\\/l, aspartate aminotransferase 137u\\/l, alkaline phosphatase reached 320u\\/l...


    After reading the checklist, Zhou Can immediately suspected that there was something wrong with the patient''s lymphatic system.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The patient used roxithromycin anti-infection treatment in the first hospital, and the effect was very poor.


    Later, bone marrow puncture and B-ultrasound examination were supplemented in an outer hospital.


    Now that these examinations were done in the outer hospital, Du Leng asked the patient to do a bone piercing again. The family members have not scolded their mothers, it is really good self-cultivation.


    Bone puncture results showed active hyperplasia.


    Abdominal b-ultrasound suggested that there were polyps in the gallbladder.


    splenomegaly.


    Hilar lymph nodes are enlarged.


    Sure enough, as Zhou Can predicted, there was a problem with the lymphatic system.


    He continued to check the patient''s examination in another hospital.


    Later, after the hilar lymph nodes were found to be swollen, the experts from the other hospital asked the girl to have a B-ultrasound of the lymph nodes.


    The results indicated that there were enlarged lymph nodes in the bilateral neck, armpits, and groin.


    Enlarged lymph nodes in so many parts indicate that it is likely to be a systemic lesion.


    The problem is more serious than expected.


    If you just get angry, it is more common to have bilateral cervical lymph node enlargement.


    Cold is divided into wind-cold and wind-heat.


    Wind-heat is getting angry and wind-evil invasion, which is a double syndrome.


    The experts from the outer hospital were not vegetarians, so they performed a biopsy of the patient''s inguinal lymph nodes following the clue of enlarged lymph nodes.


    The result was reactive hyperplasia, and immunohistochemistry showed hyperplasia in t, b, and histiocytes.


    This can basically be locked into the possibility of virus infection.


    Experts from other hospitals gave the patient liver protection and antiviral treatment.


    This is symptomatic treatment and is common in medicine.


    The patient''s condition improved after receiving treatment. It''s a pity that the good times didn''t last long. Less than ten days later, the patient had a fever again, and the fever was above 40 degrees, and he developed a cough.


    The family members urgently sent the patient to the hospital again for treatment, and they still found the same expert.


    Because the last treatment had a certain effect, the family members have a high degree of trust in that expert.


    After receiving the consultation, the expert immediately issued an application for blood routine examination to the patient.


    After the blood test RT, it was found that the proportion of lymphocytes increased to 47%, and no abnormalities were found in the bone marrow puncture. The ast was checked, 43u\\/is aspartate aminotransferase.


    If you check it, you will definitely check alp, that is, alkaline phosphatase, which has reached 141u/l.


    Immediately afterwards, the patient was checked for blood and sputum cultures. It is estimated that the expert still suspected that the patient was infected with a virus or bacteria.


    After not gaining much, the experts from the outer hospital were a little confused, and decided to apply for an abdominal CT for the patient.


    It is estimated that the expert only checked an abdominal ultrasound last time, and felt that there were certain limitations.


    The description of the examination of the lesion site is not clear enough.


    So this time a ct was done.


    The results indicated that the patient''s liver was enlarged, fatty liver appeared, the spleen was still enlarged, and there was a low-density lesion in the left adnexal area.


    Seeing this result, Zhou Can secretly sighed in his heart. If the experts were separated from the many high-tech medical examination instruments, they might be directly beaten back to the level of diagnosis and treatment in the primitive society.


    Take this female patient as an example, the experts only did abdominal B-ultrasound last time, and found no fatty liver and ovarian lesions in the patient.


    The ct results indicated that the low-density foci in the left adnexal area were actually ovarian tumors or cysts.


    This time, experts from other hospitals were afraid of being slapped in the face, so they performed a liver biopsy on the patient and sent it for pathological examination.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The examination results showed that the liver cells were mildly turbid and swollen, with small focal fatty degeneration and scattered focal necrosis.


    The portal area was slightly dilated, and more lymphocytes infiltrated.


    Mild disruption of the leaflet perimeter plate.


    Lymphocyte infiltration was also found in the hepatic sinusoid.


    The final diagnostic opinions given by experts from other hospitals were chronic hepatitis, fatty liver, and gallbladder polyps.


    The patient was given liver protection treatment and anti-infection treatment again.


    The patient was hospitalized in the hospital for nearly four months and was discharged after his condition improved.


    During this period, the patient''s fever has not been cured.


    From high fever to low fever, until discharged from the hospital is still a low fever state.


    After discharge from the hospital, hepatoprotective treatment was continued.


    After the patient went home, he often had a fever at night, even reaching 38 degrees or more.


    In this way, after another half a year, the patient had red eyes for no reason, blurred vision, buzzing in the right ear, and severe hearing loss. stuffy nose.


    The girl''s mother saw that her daughter''s condition has not been cured, and now the symptoms are much worse than the initial symptoms.


    She was worried that there would be more serious problems if she went to that specialist for treatment again, so she changed to another hospital this time.


    Unexpectedly, the doctors in that hospital failed to find out the cause of the disease after three days of investigation.


    So the girl''s mother had no choice but to find the expert from the outer courtyard again.


    This time, the experts from the outer hospital spoke very tactfully after receiving the consultation. It means that he has practiced medicine for decades and has never encountered such a difficult disease. In view of the fact that the girl''s condition has deteriorated, it is recommended that the family members go to Tuya Hospital or other large hospitals.


    This routine is too similar to Dabing Qizhi''s Golden Basin Washing Feet City.


    The expert had exhausted all his life''s knowledge, but he still couldn''t cure the girl''s disease. If it continues to be cured, lives will be spread, and signboards will be smashed for sure.


    Therefore, the expert from the outer hospital suggested that the family members take the patient to the experts from other hospitals in ''Huo Huo''.


    Many doctors have done this.


    The girl''s mother originally wanted to go to Tuya Hospital to register for an expert account, but it was very difficult to obtain an expert account.


    Just this time, I heard that there will be a large number of experts from Tuya Hospital coming to Xinxiang Maternity and Children''s Hospital, so I hurried over with my child.


    At first, the mother felt quite happy when she saw Professor Zhang Bihua from the Department of Obstetrics and Gynecology, and a doctoral student who graduated from a prestigious overseas university. I thought it was finally right.


    Unexpectedly, Du Leng prescribed multiple examinations for her daughter, and obtained a lot of professional medical knowledge about various diseases.


    In the end, I found out that this returnee doctor is a silver-like wax gun head.


    The theoretical knowledge is great, but the actual diagnostic ability is terrible.


    "Director Zhang, can my daughter''s disease be cured?"


    The girl''s mother had also heard of Zhang Bihua''s name, and at this moment, she was almost desperate for her daughter''s illness.


    "Don''t worry, no matter how difficult the disease is, as long as you find the real cause, you can get rid of it with the right medicine. We have so many experts here, and we have the strong medical strength of Tuya Hospital behind us. Even if we are here today If the experts can''t find out the cause of the disease, they will also ask the relevant experts of the General Hospital to conduct a special consultation and try their best to cure your daughter."


    Zhang Bihua gently comforted the mother who was on the verge of collapse.


    "Yang Chan, give the patient a physical examination."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Considering that the patient is a young woman, it is best for her to be examined by a female doctor.


    Yang Chan gave the patient a physical examination.


    Body temperature 38 degrees, obvious fever. The pulse was 115/min, the blood pressure was 110/80mmhg, and a soft lymph node was palpable in the right groin, which was movable. The bulbar conjunctiva of both eyes was slightly congested, the conjunctiva of the eyelids was not congested and edema, the sclera was normal, and there was no jaundice.


    The pharynx was mildly congested, the left tonsil was enlarged, there was pus moss on it, and there was gag reflex.


    The patient suffered from weakness in both lower limbs, instability in standing, and pain on both sides and soles of the feet.


    In addition, the patient has certain hearing impairment.


    "Considering that your daughter has symptoms such as unsteady standing and lower limb weakness, it is necessary to perform an electromyography for her to check the peripheral nerves of the upper and lower limbs, auditory and sympathetic nerves of the upper and lower limbs. In terms of ear and throat, Dr. Du has already prescribed sinus CT Examination showed that the right ethmoid sinus and bilateral maxillary sinus were inflamed. Head MRI showed thick mucous membranes in both maxillary sinuses and ethmoid sinus, and bilateral otitis media..."


    Director Zhang had read all the examination materials, and asked Yang Chan to perform a comprehensive physical examination on the patient before giving further diagnostic opinions.


    In fact, Du Leng basically asked the patient to do all the examinations that should be done.


    Including sinus CT, head MRI and so on.


    After Director Zhang finished speaking, he looked at the other two experts.


    "Director Jiang, Director Shi, do you have anything to add?"


    Because the patient''s condition has lasted for more than two years, it has caused many lesions in the body, and the condition has become extremely complicated.


    Zhou Can couldn''t help sighing, if it was an ordinary family, I''m afraid they would have stayed at home and taken some traditional Chinese medicine and adopted conservative treatment.


    Because many families can hardly afford the heavy medical expenses.


    After the treatment in a large hospital is ineffective, they will think that the treatment in other hospitals will have the same result.


    So I choose to resign myself to fate.


    Both chief physicians Jiang and Shi shook their heads.


    This case is too complicated and tricky, and they are really daunting at their level, and there is no way to give any constructive advice.


    "Doctor Zhou, what about you? Do you have any good advice?"


    Because of Zhou Can''s outstanding performance in two consecutive cases, Zhang Bihua attached great importance to his opinion.


    "Can I touch her neck?"


    Zhou Can made a request that did not answer the question.


    When Yang Chan was doing the physical examination for the patient just now, he had been watching from the side.


    In this case, even if he wanted to touch the patient''s neck, he had to consider the difference between men and women. It would be bad if there was a misunderstanding.


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    "It''s ok, you don''t hide your illness from the doctor! Doctor Zhou just checks my daughter."


    When the family members were diagnosed at Du Leng''s side just now, they actually secretly observed the situation at Director Zhang''s side.


    Zhou Can performed extremely well in the diagnosis of the obese woman, and his diagnostic opinions were even better than those of several experts. This made the female family members have a particularly deep impression on Zhou Can.


    I have a high degree of trust in Zhou Can in my heart.


    "Thank you for your trust and understanding!"


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can walked up to the female patient with a slightly serious expression on his face.


    "If it hurts when I touch it, you can tell me right away."


    He said to the female patient.


    "OK!"


    The voice of the female patient was very delicate, and her Qi was obviously insufficient.


    After exhorting, Zhou Can stretched out his hand to touch her slender neck. The skin is very delicate, which is more conducive for Zhou Can to feel whether there is any swelling under the skin.


    He felt from the side of the neck to the throat and surrounding area.


    "Ah... it hurts, it hurts..."


    The female patient suddenly let out a cry of pain.


    Zhou Can nodded, as if he had expected it.


    "Hold on a little bit, I''ll try to be as gentle as possible. I want to see how big the tumor is and if there''s still tumor around."


    What I touched just now was actually the pharynx.


    After some exploration, he didn''t touch other tumors or make other new discoveries.


    "Doctor Zhou suspects that she has a tumor in her pharynx?"


    Director Zhang asked in surprise.


    The female patient and her mother had a little more admiration for the young doctor''s medical skills.


    "There should be a tumor in her throat, and the size may not be large. I suggest that after further investigation, the tissue of the tumor should be taken for pathological examination. I feel that the lymphoma may be very large."


    Zhou Can said in a rather determined tone.


    Some lymphomas are extremely hidden and very difficult to detect. Especially in lymphangioma, the smallest lymphatic vessel may not even have a diameter of 1 mm. Even an MRI may not be able to detect it.


    Director Zhang looked at the family members.


    "Do you think it''s okay to do another pharyngeal tumor examination?"


    "Yes, yes. This doctor Zhou is really good. He didn''t even need any equipment to know that there may be a tumor in my daughter''s throat."


    The family members praised Zhou Can.


    For her, as long as she can find out the cause of her daughter, it doesn''t matter how many tests she does.


    Families with a good economy are never worried about how much medical expenses are spent, but whether the disease can be cured.


    In fact, the richer people are, the stronger their risk awareness~ www.novelhall.com~ They buy a full range of commercial insurance.


    In the event of a serious illness, after being reimbursed by medical insurance and commercial insurance, I can''t spend much money.


    On the contrary, it is the poor people who need to support their families in Hukou with a meager salary every month. It is normal to be stretched. There is really no extra money to buy commercial insurance that is not cheap.


    When a serious illness occurs, they often face the end of selling their house and car to see a doctor.


    Returning to poverty due to illness is not uncommon.


    The patient went for a checkup.


    "Dr. Zhou''s clinical experience and clinical diagnosis ability are very good!"


    Gao Jian said to Zhou Can full of bitterness.


    Needless to say, in the diagnosis of these difficult cases, he failed miserably.


    Zhou Can made meritorious service one after another, and had major diagnostic achievements. As a talented student of Imperial Medical University, even though he had been trained in Tuya''s internal medicine department for nearly two years, he didn''t even have a chance to speak.


    It''s not that he doesn''t want to say it, but that he has limited ability and can''t give any constructive opinions at all.


    "Doctor Gao, don''t praise me so hard. I have no other weakness, but I don''t praise myself." Zhou Can''s self-deprecating response made everyone smile.


    "Xiao Gao, let''s go. Doctor Zhou''s strength is strong, and that''s what he has learned. Let me tell you, diagnosing patients is the best way to learn."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Director Jiang said to Gao Jian.


    After he finished speaking, he also pointedly glanced at Du Leng''s table not far away, which had changed from bustling to deserted.

 Chapter 281： All come true, quack doctor kills

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Du Leng''s theory is not weak, but his diagnostic ability may be at the bottom among many attending physicians. It does not match his super high theoretical level at all.


    The reason for this is that Du Leng did not realize that true medical skills are not learned from books, but need to be learned from patients in clinical practice.


    You need to comprehend it yourself in clinical diagnosis.


    The real ability is never taught by others, but needs to be comprehended by oneself and transformed into one''s own ability.


    He has an enviable doctorate degree, and graduated from a famous overseas university, and his knowledge is also extremely profound. It''s a pity that after he entered Tuya Hospital, he has always been complacent and has a high self-esteem. He never thought of being down-to-earth and learning from the most basic clinical practice.


    Instead, he has always been keen to participate in various director-level difficult case consultations and various difficult major surgeries.


    In the end, Du Leng made a fool of himself in this expert consultation.


    Only when the sea recedes will it be known who is swimming naked.


    This time, Du Leng was dragged to the Xinxiang Women''s and Children''s Hospital for real combat, which immediately made him show his original shape.


    At this moment, his face was ashen, and his expression was dark.


    I guess I must feel bad in my heart.


    Thinking about it, he used to jump so high, but now he fell from a high place, which is naturally extremely miserable.


    But for him, it may not be a bad thing.


    As long as you find out your own problems, learn lessons, and calm down and start exercising from the most basic clinical practice after returning to Tuya Hospital. With his foundation, I believe he can become a doctor with real skills in a few years.


    Gao Jian followed Director Jiang back to their consultation table.


    Before leaving, Gao Jian gave Du Leng a sympathetic look. Compared with Du Leng, Gao Jian is very lucky.


    At least Gao Jian has been diligent and down-to-earth during the nearly two years of training. He is not as ambitious as Du Leng, and all he does is for vanity.


    "Xiao Zhou, I am optimistic about you! In the future, you should take care of Yang Chan more. Aren''t you classmates? You should help each other."


    Director Zhang Bihua also brought Yang Chan back to his consultation table.


    There are not a few patients who seek her medical treatment. Although she participates in the consultation here, there is a long queue in front of her consultation table. Under the organization of nurses, those patients and their families patiently waited in line.


    This is the face of a top famous doctor.


    Patients and families are willing to buy her account.


    When Yang Chan followed Director Zhang to leave, she glanced at Zhou Can faintly, and quickly shrank back. For the first time, Zhou Can saw the astringency on her face.


    This is not like the heroic, domineering and uninhibited squad leader of 512.


    Defeated her three times in a row and conquered her?


    Zhou Can never dared to think so.


    In his impression, Yang Chan was very proud in her heart, and had never conceded defeat. She will definitely try to win it back next time.


    After Director Jiang and Director Zhang left, their clinic table became deserted again.


    No way, the reality is so cruel. Patients and their families will never entrust their lives to an unknown ''expert''.


    Deputy Director Shi''s reputation is still too small.


    The time passed bit by bit in boredom.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    This kind of idle consultation is what Zhou Can hates the most, not one of them.


    In his opinion, it is simply a waste of life.


    It''s just that on the current occasion, if he reads with his mobile phone in his hand, the impact will be very bad.


    Fortunately, not long after, the super obese female patient came back from the examination.


    Although the family members had a good impression of Zhou Can and had a certain foundation of trust, they did not bring the test results to Zhou Can, but went to Director Zhang Bihua for further diagnosis.


    Compared with the young Zhou Can, the family still trusts Director Zhang Bihua more.


    "Doctor Zhou, Doctor Zhou, come and have a look. Your diagnosis is really accurate. The patient''s thyroid function is indeed problematic. The bone examination results show osteoporosis."


    After seeing the patient''s examination results, Zhang Bihua waved to Zhou Can excitedly.


    Both inspection results were similar to what Zhou Can predicted.


    This made Director Zhang Bihua trust Zhou Can''s diagnostic ability even more.


    "Her sleep apnea syndrome should be diagnosed as caused by endocrine and metabolic diseases. The focus is thyroid disease."


    Zhou Can was very happy when he saw the result.


    "No wonder the patient''s symptoms are very similar to mixed sas, but the real cause has not been found out! Who would have thought that it would be caused by thyroid disease! Now it is all right, symptomatic treatment should be able to cure the disease."


    Director Zhang Bihua was also very happy.


    When a difficult case is successfully diagnosed, every doctor and nurse involved will feel a special sense of accomplishment.


    "Dr. Zhou''s surgical ability is very strong, and he has rich experience in breast cancer diagnosis and treatment. Do you think she needs surgery?" Zhang Bihua was somewhat unconfident about the treatment plan he prescribed.


    Because this patient has seen many doctors, including many famous doctors in related fields in the province, but none of them could cure this patient.


    Now it can be cured with just a prescription, and she feels somewhat unreal.


    "You can use drug treatment to see the effect first, and then consider surgical treatment if it is ineffective. However, any operation will cause irreversible physical damage to the patient, so try not to do it if you can."


    Zhou Can does not recommend surgery for patients.


    Take it for a while to see the effect.


    ¡­


    Director Zhang prescribed medicine to the patient and told the patient to pay attention to weight control. It is best to keep exercising every day to lose weight.


    Excessive obesity can easily cause many diseases, and her thyroid degeneration is likely to be related to obesity.


    From a medical point of view, there are four causes of hypothyroidism. The first is inflammatory infections, including bacterial infections and autoimmune diseases. The second type is tumor. The third type, trauma, thyroidectomy and isotope radiotherapy, and even radiotherapy for nasopharyngeal carcinoma can cause thyroid damage and lead to hypothyroidism. The last is the well-known iodine deficiency.


    Adding iodine to salt is to solve the problem of insufficient sulfur intake and prevent the occurrence of big neck disease.


    This female patient''s living and eating habits are not good, coupled with excessive obesity, it is also easy to cause insufficient iodine intake and absorption.


    If she does not control her weight at a reasonable and normal level, she will increase the load on the heart, lung, liver, kidney and other organs for a long time, which will easily cause a series of serious diseases.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The treatment plan given by Director Zhang is to gradually supplement thyroxine to correct the problem of hypothyroidism. The patient is then asked to lose weight.


    [In other words, currently the best app for reading and listening to books, Yeguo Reading, install the latest version of .yeguoyuedu. ¡¿


    All are effective treatments.


    Zhou Can watched the obese patient leave, hoping that after she took the medicine, her sleep apnea syndrome would be cured.


    Not long after, the patient who had a minor cold that had not been cured for two years came back from the examination.


    Under normal circumstances, the pathological examination takes three to seven days to get the results.


    For example, tumor tissue needs to be tested by immunohistochemistry or molecular pathology, which will take a week.


    If it is just intraoperative pathology, this can be quickly checked, and the result can be obtained within 30 minutes.


    Intraoperative pathology usually refers to the rapid freezing of excised lesion tissue in a cryostat, making sections, and after processing through multiple steps such as staining and sealing, pathologists conduct pathological examination and diagnosis under a microscope.


    This young female patient was very unfortunate, and it was found that there was a mass in the left pharynx.


    Doctors from Xinxiang Women''s and Children''s Hospital took her tumor tissue from the upper part of the lateral pharynx and the upper back for pathological examination, and initially suspected non-Hodgkin''s lymphoma.


    Seeing this result, Director Zhang''s face became very serious.


    Although Zhou Can had expected it, he couldn''t help but look dark, and lamented for the young female patient in his heart.


    "Doctor Zhou, now that the examination results are out, it''s really a tumor in the throat. And it''s lymphoma, what can I do?" Director Zhang Bihua didn''t know how to deal with it, but felt sorry for the female patient.


    Based on her diagnosis and treatment experience, she was very worried that the female patient''s tumor had metastasized.


    In fact, the spread of tumors is usually divided into three ways.


    The first is to infiltrate into adjacent tissues, which is the easiest way to control. As long as it is discovered in time, all the affected tissues are excised, and then supplemented with chemotherapy to consolidate the curative effect, a satisfactory therapeutic effect can basically be achieved.


    The second is the transfer of tumor cells through the blood. This is more tricky, but a tumor cell has to take root in other places and proliferate wildly, growing into a tumor. This requires the body''s multiple immune defenses.


    It''s like a bandit who ran to a strange place and wanted to develop into a force, but the success rate was actually not high.


    If you are not familiar with the place, you may be wiped out by the local government or local organizations.


    It takes time for tumor cells to migrate to a new location through the bloodstream, successfully take root, and then develop into a second tumor.


    It is relatively easy to find out with modern medical examination methods and the diagnosis of experienced clinicians.


    It is also possible to achieve a better therapeutic effect by resecting all the primary lesions and metastatic lesions, followed by radiotherapy.


    The third type of metastatic spread of tumors is through lymph. The lymphatic tissue of the human body is an important immune organ of the body. After it is captured by tumor cells, it is equivalent to the government being infiltrated by bandits and controlled.


    It is conceivable how serious the consequences are.


    If I had to describe it, it was lawless.


    Therefore, as long as lymphoma is found to be malignant, the prognosis is often poor.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The girl''s mother learned that her daughter had lymphoma, and seeing the dignified expressions of the doctors, she almost collapsed, holding the edge of the table tightly with both hands, trembling slightly. Tears welled up in his eyes, his breathing became short, and his face was pale.


    "Doctor... I beg you to save my daughter. Her father is working hard outside in order to provide the child with a superior living environment. Now if I know such a result, how can I explain to her father... "


    The family members'' voices were choked with tears.


    That is to pretend to be strong in front of her daughter, otherwise she would have collapsed and cried.


    "Don''t worry, it''s just the results of the initial diagnosis. First, lymphoma is not necessarily malignant. Second, even if it is malignant, it can be surgically removed. The key now is to further clarify the pathological nature, and then check whether it has spread."


    Director Zhang Bihua comforted the family members.


    She looked at Zhou Can again, "Dr. Zhou, I know that you have done many surgeries in multiple surgical departments, and you must have rich experience. Which parts do you think are the key targets for investigation?"


    Director Zhang is not ashamed to ask, because he has a specialty in surgery.


    She has done a lot of obstetrics and gynecology surgery, but she has done little tumor surgery.


    When encountering cancer patients, they are usually handed over to the corresponding specialist for treatment.


    For example, breast tumors are usually handed over to doctors of nail and breast surgery. Cervical tumors, ovarian tumors, etc., the obstetrics and gynecology departments handle a little more by themselves.


    Most obstetrics and gynecology operations are cesarean section, curettage, ligation and other operations.


    Lymphoma in the throat, this kind of disease is really rare for her.


    Relevant processing experience is also less.


    "The patient is now suffering from liver disease and hearing loss. Lymphoma in the throat has now been detected. For further examination, I suggest a binaural CT and a chest CT. Ear drums and lungs are the key areas for investigation. In addition, it is best to do it again A lumbar puncture, check for hydrocephalus routine."


    Zhou Can did not refuse this time, but seriously gave further inspection suggestions.


    Director Zhang nodded slightly and looked at the family members.


    Before Director Zhang could speak, the family members bit their lips and nodded vigorously, "Yes, we will do all these tests."


    It can be seen that Zhou Can successfully diagnosed a tumor in her daughter''s throat last time, and now the examination has confirmed that her trust in Zhou Can has risen to an extremely high level.


    She accepted all the inspection suggestions given by Zhou Can.


    After Director Zhang issued an examination application for the patient, she took her daughter for the examination without mentioning it.


    After she left, Director Zhang sighed, "It would be great if the girl''s cause of disease could be found out sooner. It has been two years now, the liver has been damaged, and many lesions have been caused in the whole body. very bad."


    "Her illness has indeed been delayed."


    Zhou Can was cursing in his heart, quack doctors are hurting people!


    Some quack doctors are killing people when they treat people.


    This girl has just turned nineteen, exactly the same age as Hua. It would be great if lymphoma in the throat was detected two years ago!


    Now it has affected multiple body tissues and organs, and in all likelihood, it has spread and metastasized.


    The only thing that can be done is radiotherapy and chemotherapy.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Prognosis will be very poor.


    Like her, she might not be able to survive the five-year survival period.


    "Doctor Zhou, please tell me, have the three examination applications you prescribed for her confirmed where the tumor has metastasized?" Yang Chan watched as Zhou Can diagnosed these difficult cases one after another, and all of them were verified.


    His diagnoses were all correct.


    While secretly admiring her, she was also curious about the condition of this female patient.


    With her current level, it is natural that she cannot accurately judge whether the tumor has metastasized and where it has metastasized like Zhou Can.


    Driven by strong curiosity, she asked Zhou Can for advice.


    Zhou Can looked at her, his heart was still a little heavy, so his expression was relatively serious.


    "Basically, it has been confirmed. The hearing loss must be due to the attack of tumor cells in the eardrums, and there are lesions. There is also her liver disease, including fatty liver, which should be a superficial symptom. When lymphoma metastasizes, it is easier to attack the lungs , so I asked her to have a chest ct scan. The liver is known as the most silent organ and has no pain sensation. Its resistance is naturally stronger than other organs To put it bluntly, it has a thick defense.


    According to Zhou Can''s understanding, the liver is a warrior in heavy armor, with a high attack and a thick defense.


    For example, no organ can match the detoxification ability of the liver.


    This can be regarded as a high attack power.


    "Then why a lumbar puncture?"


    "This is simple, mainly to check the routine of hydrocephalus. Although the head is at the top of the body, it is called the head of the six yang, but the patient''s primary lesion is located in the throat of the head and neck, so it is very easy to attack. The patient''s head. And some of her symptoms also suggest that the brain, cerebellum, and nerves in the head may have been involved."


    Zhou Can patiently explained the doubts to Squad Leader Yang.


    She used to teach others when she was studying. Because she is a proper female schoolmaster.


    Zhou Can did not go to graduate school because he failed the exam.


    But she is fully capable of taking the postgraduate entrance examination, and even directly guaranteeing the postgraduate entrance examination. She voluntarily gave up and insisted on entering social work after finishing her undergraduate degree, probably because her family conditions did not allow it.


    Many girls are very sensible.


    Knowing that their family conditions are not good, they are not only frugal at school, but also try their best to earn tuition fees and get various scholarships. Then obviously you can continue your studies, but you will choose to enter social work in advance.


    Yang Chan is a girl with strong self-esteem. She never said that her family is poor in front of her classmates or teachers.


    Also, as far as Zhou Can knows, she has never applied for a poverty bursary.


    But seeing that she usually dresses very plainly, and the class holds some expensive activities, she, the class leader, never participates. There are also many small details, which let Zhou Can understand that her family must belong to a particularly poor one.

 Chapter 282： You look down on me too much, choose the team leader

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    If such a victorious and self-reliant girl hadn''t been impressed by Zhou Can''s offensive skills, she might not be able to let go of her pride and ask him for advice.


    After listening to Zhou Can''s explanation, Yang Chan nodded.


    "So that''s the case! Then do you think the female patient''s tumor is malignant?" She seemed to be unable to bear the thought that the female patient was terminally ill at a young age.


    "Although I especially hope that her tumor is benign, there are indications that it is highly likely to be malignant. And...the chance of surgery may have been lost."


    Before the test results came out, Zhou Can would definitely not say these things to the patients and their families.


    Discussions between doctors don''t need to be so serious.


    "Ah...it''s so serious! It''s such a pity." Yang Chan''s expression became dark and sad. After a while, she looked up at Zhou Can and said, "You have such a high talent in medicine, have you ever thought about conquering tumor, the most ruthless killer in the world?"


    Zhou Can froze for a moment, then smiled wryly, "There are many more talented doctors than me in the world, and I haven''t seen anyone who has conquered cancer. So far, cancer is still synonymous with terminal illness. The monitor asked me to do this." , and think highly of me too."


    He never brags.


    There are countless doctors who want to conquer cancer, and no one has succeeded so far.


    "No, I think as long as you have this determination, you will be able to do it."


    Yang Chan looked at him with a strange look.


    It was also the first time that Zhou Can took the initiative to make eye contact with Zhou Can for a long time.


    "Squad leader, if I say you are naive, you will probably scold me! To overcome a serious disease these days, it is no longer the kind of single-handed, lonely hero in ancient Chinese medicine, but a team, or even multiple Good teamwork makes it possible to succeed. Besides, I''m not gifted, really!"


    Zhou Can said very seriously.


    Yang Chan actually asked him to conquer cancer, it was simply a little girl''s whimsy.


    Many years ago, foreign countries began to study the cure of cancer. I don¡¯t know how much money was spent and how many teams¡¯ energy and time were spent. Up to now, no hospital dares to say that it can cure cancer.


    "If you are willing to do this, I can follow you unconditionally."


    She looked at Zhou Can boldly, with firm eyes and a determined face.


    It doesn''t look like she''s joking.


    Zhou Can couldn''t help but worried, "Squad leader, are you okay?" I really wondered if she was stimulated and lost her mind.


    At this moment, she feels very abnormal.


    She usually speaks in public, has always been very careful, and very intelligent.


    Du Leng tried to attack her several times, but she blocked her effortlessly, so you can see how smart she is.


    "I''m serious. I just said that I want to follow you to do this. It was not a whim, let alone stimulated by this female lymphoma patient, but a decision made after careful consideration. I started as an intern at Tuya Hospital , I have seen many patients being killed by cancer. Especially uterine cancer and breast cancer, our obstetrics and gynecology department sees such patients every day."


    "Do you know how pitiful those children who lost their mothers are? Some children are less than one year old, and their mothers died of breast cancer. There are also couples who are deeply in love. The wife has terminal uterine cancer, and the husband can only watch. Watching my beloved wife die little by little, there is nothing I can do. Every time I see that scene, I think, it would be great if someone could cure cancer! Such tragedies would not happen in the world.¡±


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    When Yang Chan talked about those painful memories, her tone was full of sadness.


    "What is the purpose of our medical studies? Isn''t it to relieve the suffering of patients? I know that I am not capable of doing this, but you continue to emerge and show extraordinary talents in many fields of medicine. Let me see I have come to hope. As long as you regard conquering cancer as your goal, I am willing to follow you and be your helper."


    When she said the word helper, she showed a shy expression.


    Zhou Can had pursued her before.


    The two are about the same age.


    As a helper, she probably still has the meaning of being a good wife.


    At least, if Zhou Can pursues her now, she will probably agree to be Zhou Can''s girlfriend.


    "This goal is too ambitious, let''s talk about it later! But I admire you for having such great feelings and ambitions."


    Zhou Can politely refused.


    They are still just regular trainees, and they still have a lot to learn!


    Not to mention conquering cancer, even conquering some difficult surgeries or difficult diseases is still not enough for qualifications.


    [In other words, currently the best app for reading and listening to books, Yeguo Reading, install the latest version of .yeguoyuedu. ¡¿


    At this point, men are more rational.


    Women are more emotional.


    Director Zhang received patients in front, and she obviously overheard the conversation between the two.


    But she didn''t say anything.


    Not long after, the female patient who had polydipsia, limp limbs, and impaired consciousness after dilatation and curettage came back from the MRI examination of the saddle region.


    The timing was just right.


    It''s almost time to get off work here, and I just came back after the inspection.


    "Professor Zhang, I have done all the inspections according to your requirements, please help my wife to look again."


    The patient''s husband put the test results on Zhang Bihua''s consultation table.


    "Wait a minute, I''ll show you the prescription after I''ve prescribed it for this patient." After Zhang Bihua finished speaking, he lowered his head and wrote the prescription seriously.


    Since it was already off-duty time, there were no patients in the outpatient hall.


    Director Zhang prescribes the prescription and asks the patient to go to the pharmacy to pay for the medicine and take the medicine as prescribed by the doctor.


    Now there is only the last "bone" that is difficult to crack.


    "Several directors, please come over and help this patient take a look, and try to help her find out the cause of the disease." Zhang Bihua greeted several other chief physicians who were attending the clinic.


    Except for Du Leng, who is at the attending level, the others are at least deputy chief physicians.


    A total of eight people, the other seven directors and deputy chief physicians gathered around Director Zhang Bihua''s table.


    Du Leng had quarreled with the patient''s husband, and he couldn''t save face, so he sat in his own seat and didn''t move.


    Zhou Can is not good at this kind of obstetrics and gynecology diseases. In addition, all the chief and deputy chief physicians gathered together to make a joint diagnosis, so he didn''t go up to join in the fun. Just listening to the diagnostic opinions of the chief physicians.


    After some discussion, considering that the patient had many bad symptoms, director Zhang was worried about the accident and decided to hospitalize the patient.


    Treatment measures such as rehydration and intravenous infusion of insulin were given first.


    Stabilize the patient''s vital signs first, then observe further, and strive to find out the cause of the patient as soon as possible.


    When the family saw that the doctor agreed to take the medicine and admitted his wife to the hospital, the resentment in their hearts disappeared a lot.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Okay, everyone has worked hard all day, let''s come here first for today''s consultation! In view of the many things that happened today, I think it is necessary to hold a short meeting to discuss some areas that need improvement in the work."


    Director Zhang Bihua''s majestic eyes swept across the audience.


    Then he looked at the person in charge of Xinxiang Maternity and Children''s Hospital who was in charge of contacting their group of experts.


    "Chief Tang, can you arrange a meeting room for us? It will take about half an hour."


    "No problem! There is a medium-sized conference room on the second floor, and I will take you there."


    The Xinxiang Maternity and Children''s Hospital represented by Section Chief Tang, and Tuya''s experts coordinated in a timely manner if there was anything to do during the consultation process.


    If it can''t be resolved, then it''s Dean Tian''s turn to come forward.


    His main task is to entertain Tuya''s experts and medical staff well, to ensure the smooth progress of the expert clinic activities.


    Everyone followed Chief Tang into the conference room on the second floor.


    The hardware facilities of Xinxiang Maternity and Children''s Hospital are quite good.


    The tables and chairs in the conference room are all high-grade, and the interior decoration is simple and luxurious. All necessary conference equipment is available.


    "Director Zhang, then you can have a meeting here first, and I''ll go to WC. I''ll take everyone to the cafeteria for dinner in half an hour." After Section Chief Tang brought them into the conference room, he may have realized that it is not appropriate to stay here, and immediately Find an excuse to leave.


    Today''s expert consultation, the two most serious things are that the sick child almost died, and Du Leng had a public quarrel with his family members.


    The child with bronchitis almost died, through no fault of the doctors and nurses.


    The sick child itself is a critical illness, and the doctor has only the duty of rescue, and no one can guarantee that the patient will not die.


    This matter, at most, is to reiterate that safety is above all else.


    Du Leng''s quarrel with his family members was more serious.


    If it weren''t for Du Leng''s special status, Director Zhang would have told him to go back to Tuya Hospital.


    "Everyone sit down! With the door closed, we are a family. This visit to Xinxiang Maternity and Children''s Hospital represents Tuya Hospital. We all prosper and we all suffer."


    Zhang Bihua raised her hand and pressed down, and everyone sat down one after another, all looking at her.


    "Overall, our work today is quite good. For example, the child with severe bronchitis suddenly stopped breathing during the examination and was once in danger. Dr. Zhou Can, Director Dai, and I managed to help the patient through hard work. The child was out of danger. Another example is that the real cause of sas disease of the super obese female patient was found out... These all show the extremely high level of medical skills of our Tuya Hospital. I believe that the leaders of Tuya Hospital will definitely would be happy."


    "Principal Tian of Xinxiang Maternity and Children''s Hospital is very satisfied with us, and is already preparing to promote it."


    Speaking of these achievements, the doctors and nurses all showed relaxed smiles on their faces.


    Feel proud and happy from the bottom of my heart.


    Many people cast their eyes on Zhou Can intentionally or unintentionally, and they basically knew that Zhou Can was responsible for the few illnesses that brought Tuya glory.


    And this credit is still very big.


    There is no doubt that Zhou Can, through today''s outer hospital consultation, is like a new superstar rising into the sky, shining in all directions.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "In addition to the good work, there are also some shortcomings. For example, the examination of the sick child was not thoughtful and the risks were not fully assessed. How the doctors of Xinxiang Maternity and Children''s Hospital carry out diagnosis and treatment work is beyond our control. But we must be stricter and stricter, and more careful. If Zhou Can hadn¡¯t pinched out the scab in the trachea of ??the sick child today, the consequences would have been unimaginable.¡±


    After talking about the merits, the next step is to reflect on one''s own mistakes.


    Zhang Bihua''s expression and tone were very serious.


    The other doctors and nurses did not dare to say anything.


    Especially Director Dai, she was the one who saw the sick child. She also opened the application for inspection, but she didn''t close it properly and didn''t realize the potential risks. This was her mistake at work.


    "There are still six days of expert outpatient activities. I hope everyone will be extremely careful. Not only must you be brave in diagnosis and treatment, but you must always remember that safety is above everything else."


    After beating everyone for a few words, Zhang Bihua changed the subject.


    "One more thing, the impact is extremely bad. Dr. Du had a dispute with his family members during the consultation process, and scolded them in public. This kind of behavior must be stopped. We must be concerned about the reasonable demands of family members and patients, and we should be able to empathize with them. Absolutely not. He is superior and disregards the life and death of patients and family members. It is even more unacceptable to perfunctory family members and patients."


    Zhang Bihua criticized Du Leng by name in public, and it was indeed because of the extremely bad influence of this incident.


    To put it bluntly, it would be an embarrassment to Tuya Hospital.


    "But what the family members said is so ugly, don''t we doctors even have the right to refute?" Du Leng said angrily.


    "Some family members have a bad temper and insult the medical staff, which really makes the doctors or nurses feel aggrieved. But if the family members are unqualified, will our doctors and nurses also be unqualified? And this matter, Dr. Du himself has some problems. What''s wrong. After you receive a doctor, you feel that the other person''s disease is beyond your ability to diagnose, so you can think of some way to make them find another doctor for diagnosis! Or just ask another expert for help."


    "But you prescribe this examination and that for the patient, and you have been talking about your medical knowledge for the patient and family members. But you have never given a clear cause and treatment method. If you compare your heart to your heart, will you be happy? ?¡±


    Zhang Bihua tortured Du Leng''s soul.


    "I... I just want to let family members and patients know more about their condition." Du Leng retorted with a blushing face.


    "There is nothing wrong with giving patients and their families some medical science education. But I personally don''t think it is necessary for you to give a long talk and do some science education that has nothing to do with the patient''s disease. The education levels of family members and patients vary, and They are not medical majors, and they may not understand a lot of medical knowledge."


    Zhang Bihua was quite polite, speaking quite tactfully.


    "Dr. Du, your profound medical knowledge should be used to diagnose the cause and treat diseases. It should not be used to educate patients and their families. They come to the hospital for treatment, not to listen to your science education."


    Director Zhang Bihua talked about it for this sake, if Du Leng still insisted on his own opinion, there would be no other way.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    As an adult, the hardest thing is to change.


    No one should try to change other people''s habits and thoughts, even if you have good intentions, but people will not only not appreciate it, but will become enemies In addition to the above-mentioned mistakes, through observation, I found that There is still room for improvement. For example, after I left temporarily for something, the consultation work at my consultation table also stopped. This greatly affects the patient experience. Personally, I mean, a team should be formed to deal with any sudden crisis at any time. If there are urgent matters such as rescue, this team can go to deal with them immediately. In this way, it will not affect the normal reception work of the expert clinic. "


    After Zhang Bihua put forward this suggestion, he immediately received responses and support from other experts.


    "To set up a crisis management team, you must have extremely strong emergency rescue capabilities and adaptability. Such people are hard to find. Even the chief physicians we are sitting here, only a few of them have this ability."


    Director Jiang put forward his opinion.


    "In fact, as long as we find a capable team leader and lead two or three excellent nurses and doctors, it is enough to deal with most dangerous situations." Director Zhang Bihua seemed to have already considered this aspect, and replied calmly.


    "It''s hard to find a team leader with such a strong ability! With all due respect, I can''t think of anyone else who can take on this important task except you. We are all only good at a certain medical field, but the patients who need emergency rescue may be Any kind of disease. For example, if I encounter a maternal haemorrhage that I am not good at, if you ask me to lead a team to rescue it, in all likelihood, one will be cured and the other will die.¡±


    Director Jiang''s words made the audience burst into laughter.


    The serious and tense atmosphere was much more relaxed.


    "Ahem... Director Jiang''s words are quite reasonable, but the team leader I want to recommend has experience in rescue in many medical fields. I believe he will be able to do a good job in this job."


    Zhang Bihua sold a trick.

 Chapter 283： Terrified directors, young woman with abdominal pain

    It is not easy to find a doctor with rescue experience in multiple departments.


    Basically, in all large hospitals, there are only two departments of emergency medicine and intensive care medicine that can have doctors with this ability.


    Even the emergency department has developed to the present, and the emergency department of many large hospitals has been subdivided into multiple sub-departments. This has led to fewer and fewer doctors who are proficient in general rescue.


    "Who is this person that Director Zhang is referring to? There seems to be no such person among the doctors present, right?" Director Jiang looked around, seeing several directors and deputy chief physicians with trepidation all over his body.


    We are all old comrades who know the basics, who is capable and who is good at which fields are clear to each other.


    The higher the level of experts, the narrower the field of specialization.


    Because if you want to become an expert, you must first choose one or two areas of specialization. General practitioner-style experts simply do not exist in this world.


    Too much to chew.


    Someone who seems to know a little bit about everything will never become an expert. It can only be a panacea.


    "It''s true that there are no such people among us directors, but isn''t Dr. Zhou Can among the younger generation a multi-disciplinary talent?" Zhang Bihua explained.


    After the other doctors heard this, their reaction was even more intense.


    Several people turned pale with shock and hurriedly spoke out to dissuade them.


    "Director Zhang, this is absolutely impossible! Dr. Zhou is indeed excellent, but he is still in the training stage, and he still lacks the ability to stand alone. Rescuing critically ill patients is like dancing on the tip of a knife. You let him be the team leader. , not only will he be harmed, but all of us will be harmed."


    Director Jiang was terrified.


    I thought Director Zhang was a very steady person, but I didn''t expect it to be such a joke. It''s nothing more than setting up a crisis management team, but he boldly proposed to let a young man be the team leader.


    It''s just nonsense.


    "I am also opposed to this proposal. No matter how good a young doctor is, his ability to respond to emergencies and his psychological endurance are limited. The experience in clinical rescue is even more pitiful. This is no joke. Once an accident occurs Even with one life, Tuya''s reputation will be ruined."


    Another chief physician objected.


    "Just because Dr. Zhou made great achievements in rescuing the sick child with bronchitis, he should not be raised to an unrealistic height. I have no objection to letting him join the crisis management team and participate in the rescue. This young man does have certain qualities." Ability and level. But it is too risky for him to be the team leader. Director Zhang please be careful."


    Director Dai of the Department of Pediatrics followed suit.


    Zhou Can''s resuscitation of the sick child is equivalent to saving her, and she is indebted to her.


    If she didn''t think Zhang Bihua''s proposal was too ridiculous, she would never object.


    In the face of everyone''s opposition, Director Zhang did not dare to act arbitrarily.


    After a moment of contemplation, he came up with a compromise.


    "That''s good. This crisis management team has just been established, and there are indeed many unknown risks and uncertainties. It is appropriate to be cautious about the selection of the team leader. The opinions you just mentioned are very good. In order to prevent risks, Shi The director serves as the team leader of the crisis management team, and Zhou Can serves as the deputy team leader. Then, an attending physician will be added. Dr. Pang, you have been trained in emergency and critical care medicine and have first-aid experience. You will join the team temporarily. member."


    Zhang Bihua ordered troops temporarily, and selected a temporary team leader and an attending physician-level team member for the crisis management team.


    "Can!"


    Dr. Pang is a thirty-seven or eighteen-year-old female doctor with a relatively ordinary appearance, but she has a very good figure. The skin is also very fair, coupled with a charming wavy shawl-length hair, it looks enough to make a man''s eyes shine.


    The temperament of being a doctor is not too bad.


    This is especially true for doctors in such large hospitals.


    This young doctor has at least a bachelor''s degree. Not to mention anything else, four years of university life is enough to transform a person into a butterfly.


    "There are two more nurses to be selected, preferably one surgical nurse."


    After confirming the candidate for the doctor, Director Zhang went on to select nurses for the crisis management team.


    Generally speaking, with three doctors and two nurses, the staffing is basically complete.


    "Chen Qingling, you are a full-time instrument nurse in our obstetrics and gynecology department. Starting tomorrow, your main job is to be ready to participate in all rescue operations of the crisis team at any time. Ji You, you have worked in the intensive care department and have a wealth of rescue assistance. Experience, you also join the crisis team."


    In one breath, I selected two very good nurses for this crisis management team.


    So far, the group has been completely formed successfully.


    Just waiting for a sudden crisis to verify its rescue ability.


    "You five, from tomorrow onwards, as long as the patients you see are in danger, they will be rescued or treated accordingly as soon as possible. The experts who sit in the clinic can continue to sit in the clinic without being affected."


    In other words,,,..version. ¡¿


    Zhang Bihua said to the five people.


    This arrangement is really good.


    With the crisis management team, it means that the experts attending the clinic have no worries.


    "If you have any other good suggestions, you can put them forward now. In a word, we must do everything possible to ensure the complete success of this expert consultation activity, at least to achieve the expected results."


    Next, everyone said a word, I said a word, and put forward a lot of suggestions for improvement.


    For example, when a difficult case occurs, everyone agrees that it can be discussed together on the spot. Gather the wisdom and expertise of all people, and try to find out the cause of the patient on the spot as much as possible.


    The positive impact would be even better.


    After more than twenty minutes, the short meeting ended.


    Section Chief Tang appeared at the right time and led everyone to the cafeteria for dinner.


    Although everyone eats dine-in, there are a variety of dishes, and you can choose your favorite taste. It can be seen that Xinxiang Maternity and Children''s Hospital has put a lot of effort into entertaining these experts.


    Originally, everyone came to help the platform, to help Xinxiang Maternity and Children''s Hospital restore its reputation as soon as possible and resume normal operations.


    After dinner, Section Chief Tang led them to the hotel to rest.


    I stayed in a three-star hotel, which is generally not bad.


    Basically double rooms.


    Of course, it is not the imaginary male doctor and female nurse living together, but two male doctors living in one room and two female nurses living in one room.


    Director Zhang lived with Yang Chan in the same room, and the two were as close as a mother and daughter, and got along harmoniously.


    It can be seen that Yang Chan is very favored in Director Zhang Bihua''s heart.


    It is really not easy for the Department of Obstetrics and Gynecology to choose a successor.


    In the past, the competition among hospitals was far less intense than it is now, and the requirements for medical experience were very low.


    As long as it can be cured.


    This has also created a large number of male doctors in obstetrics and gynecology.


    Nowadays, with the improvement of people''s living standards, patients already have a strong sense of privacy. Female patients, especially for diseases in the large field of obstetrics and gynecology, are often more willing to seek medical treatment from female doctors.


    There are also male doctors, but less and less.


    ¡­


    The next day, Zhou Can got up early and went for a morning run.


    Insisting on exercising is a good habit he has developed. He believes that a man must have a strong body.


    Just went out, did not expect that Yang Chan also came out for a run in sportswear.


    He had never seen her wear tight sportswear before, but seeing her now made Zhou Can''s eyes shine. She has exquisite curves, should be convex, and her back should be upturned. I really didn''t realize her figure is so good before.


    Zhou Can has always been impressed by her beautiful face.


    "Morning monitor!"


    Zhou Can greeted with a smile.


    Yang Chan felt a little shy when he felt the astonishing gaze cast by him. Especially yesterday, I told Zhou Can that I am willing to follow him and overcome the problem of cancer together.


    "morning!"


    Her expression was a little unnatural, and her eyes dared not look at people.


    "Women''s college has changed, and the monitor is still more beautiful in sportswear!" Zhou Can boasted that he was not stingy.


    "You want to die! A bad idea in your head!"


    She scolded with eyes widened in embarrassment.


    "Haha, the upper body of a man is self-cultivation, and the lower body is nature. It is natural for men to like to look at beautiful women. Be careful on the road, goodbye!"


    Zhou Can waved at her, ignoring her blushing face and fire-breathing eyes.


    Laughing and running away quickly.


    "You **** Zhou Can, you dare to tease even the monitor, you''re really talented!" Yang Chan stomped her feet and looked down at her clothes.


    Isn''t that what sportswear is all about?


    Only when you are young can you have such a good figure.


    If you are older, if you are not self-disciplined enough, you can''t control your diet, and you don''t insist on exercising every day, your body will soon be out of shape.


    From a medical point of view, as long as a woman is over thirty years old, she will start to decline.


    Especially women who have given birth are more prone to serious landslides.


    Therefore, those older single women in their thirties who open their mouths for hundreds of thousands of bride price should really wake up. I thought I was a young girl! After a few more years, at the age of forty, he would really become a ''leftover fighter''.


    Thinking about marrying a good family seriously, it is as difficult as climbing the sky.


    Zhou Can was in a brisk mood along the way, and he could appreciate Squad Leader Yang''s beautiful figure early in the morning, which was enough to speed up his dopamine secretion.


    According to scientific research statistics, men who like to look at beautiful women are healthier and younger, and the risk of major diseases is much lower.


    The principle is that when a man looks at a beautiful woman, the body''s various beneficial hormones will automatically accelerate the secretion. It can keep them in a happier mood and have an optimistic attitude towards life.


    This kind of man should also be more aggressive in his work.


    After running for more than half an hour in the morning, he returned to the hotel. According to the usual habits, take a shower, and then read a book for a while before going to work.


    Deputy Director Shi is much older than Zhou Can and has just woken up.


    Looking at Zhou Can, who was sweating profusely after running, he couldn''t help boasting, "I didn''t expect Dr. Zhou to be so self-disciplined besides his medical skills!" We were just colleagues and knew nothing about each other''s living habits.


    Living together this time, he had a better understanding of Zhou Can.


    "Hehe, I''m used to running in the morning, and I feel uncomfortable every morning if I don''t go out to take a few breaths of fresh air."


    Zhou Can responded with a smile.


    I took my clothes and went to the bathroom to take a quick shower. I was about to sit down and read a book when someone called me for breakfast outside.


    Follow everyone to the restaurant of the hotel, Section Chief Tang has already customized breakfast for everyone.


    He came early in the morning to take the experts back to Xinxiang Women''s and Children''s Hospital for consultation.


    The reception work is quite in place.


    At this time, there was a young couple eating breakfast at a table not far away, but the woman groaned in pain and clutched her abdomen tightly. It caught Zhou Can''s attention.


    As a doctor, I am very sensitive to sick people.


    Maybe it''s an occupational disease.


    Zhou Can observed the young girl while eating breakfast.


    Abdominal pain is the most common symptom, which may be caused by catching a cold or eating unclean things.


    Even eating too spicy food or irritating food can also cause abdominal pain.


    Generally speaking, most abdominal pain can be recovered slowly after rest and excretion.


    The safety index of abdominal pain is much higher than that of chest pain.


    Chest pain, especially persistent chest pain, is extremely dangerous.


    Larger hospitals have built special chest pain centers to open up green channels for chest pain patients in order to prevent patients from dying due to untimely rescue.


    Because the risk of abdominal pain was low, Zhou Can didn''t go there immediately, but just watched the woman''s reaction while eating breakfast.


    Time passed little by little.


    The woman''s boyfriend has been comforting her with concern. It can be seen that this young couple is very affectionate.


    Moments later, the woman''s pain symptoms did not seem to decrease, but intensified.


    Her face became pale, and cold sweat broke out on her forehead.


    The lips are also frighteningly white.


    Zhou Can''s face became more serious. Reminiscent of the fact that the young couple had a room at the hotel last night, it is very likely that there was an intimate movement. If the process is too violent, or it is the first time for the woman, it is very easy to cause massive bleeding.


    Her face was pale, which may be caused by severe pain or excessive blood loss.


    Zhou Can subconsciously looked at the woman''s pants. She was wearing jeans, but she didn''t see any obvious blood.


    Generally speaking, if the blood is showing through the pants, the bleeding must be serious.


    He had already finished his breakfast at this time, stood up and walked towards the couple.


    "Hello, I''m a doctor. Just now I noticed that your abdomen seems to be hurting. Are you okay?" Zhou Can asked kindly.


    The man looked at Zhou Can with a look of joy on his face.


    "You are a doctor, that''s great! My girlfriend didn''t know what was going on. She started to have a stomachache after getting up in the morning. She thought it was from hunger. Who knew that it still hurt after eating something in the restaurant. And she didn''t eat How much, I can''t eat at all. I keep crying about stomach pain."


    The man was about twenty years old, with a childish face.


    The woman is also about the same age, from nineteen to twenty years old, very young.


    She bit her lip and frowned tightly, obviously the abdominal pain was getting worse.


    "Have you ever had similar abdominal pain symptoms before?" Zhou Can asked the woman.


    "It happens occasionally, but it gets better soon. This time, the pain lasted for a long time, and it hurt very painfully, as if a knife was cutting inside the stomach."


    When the woman spoke, her voice trembled slightly.


    "It''s convenient for you to lean back slightly and let me press your abdomen to determine the painful area?" Zhou Can must ask for his opinion. Otherwise, in front of someone else''s boyfriend, he would directly touch the girl''s abdomen with his hands, and the chair and the plate would probably fly towards his head.


    The woman looked at her boyfriend hesitantly.


    "He''s a doctor, let him have an examination and everything will be fine." The man was generous and agreed directly.


    The woman leans back, exposing her abdomen as much as possible.


    Zhou Can lifted her coat and began to press the various areas of her abdomen step by step through the layer of clothes inside.


    Originally, it would be best to lift up the clothes inside, but considering the difference between men and women, the condition of the other party is far from extremely dangerous. Zhou Can did not do this.


    The doctor''s words and deeds must be dignified and steady.


    Otherwise, it is easy to make family members dissatisfied, and even lose the trust of patients and family members.


    Once the trust is gone, normal diagnosis and treatment work cannot be carried out.


    Because no matter what the doctor does, patients and their families will think about the bad side. UU reading www. uukanshu.com


    For example, if a doctor measures the heart rate of a female patient, she will think, is this doctor deliberately taking advantage of me?


    Doctors prescribed imported medicines to patients to ensure curative effect. When the patient saw it, the medicine was not cheap, and the doctor must deliberately not prescribe the cheap domestic medicine, and was deliberately making ignorant money.


    Just imagine, in such a state, can the doctor''s diagnosis and treatment work go on?


    It is estimated that the hospital''s complaint calls will be blown up immediately.


    Therefore, doctors must pay attention to their words and deeds. Only by establishing a positive image can they gain the trust of patients and their families and carry out various diagnosis and treatment activities smoothly.


    Sometimes, trust can even make the difference between the success or failure of treatment.


    For example, if you want to perform some high-risk operations on a patient, the patient cannot fully trust the doctor and will definitely not agree.


    There are also some patients whose diseases are very difficult to treat. The doctor has a headache when they see it, and the idea of ????giving up is born several times. However, patients have great trust in doctors and always have hope. If doctors are infected, they will continue to treat patients under pressure. In the end, the patient''s disease was cured, creating a medical miracle.


    Such cases are numerous and far from rare.


    When Zhou Can pressed on the woman''s abdomen, the area above the navel was soft, but the left abdomen, below the navel area, felt tight when pressed. There are many reasons that can cause changes in muscle tone, the most common being pain.


    Can cause muscle tightness.


    "Pain, pain..."


    The woman let out a cry of pain, and it seemed that she pressed the right place.


    "Be patient, I feel that this is not the real lesion."


    Zhou Can''s hand continued to move down.


    When the boyfriend next to him saw it, his face changed slightly. Because Zhou Can''s hand was approaching the groin, which was already close to the root of the thigh.

 Chapter 284： Its not a hernia, 1 big fish found

    Generosity belongs to generosity, but no man will really watch his girlfriend being taken advantage of by other men.


    After Zhou Can explored for a while, his expression also became more serious.


    "You seem to have a bag here!"


    His words made the young couple tense up instantly.


    "No way?"


    The woman endured the pain and began to check herself.


    It''s just that the part is a bit special, and she looks a little embarrassed.


    "It seems that there is really a big bag, and I didn''t even pay attention to it!" After she finished the self-examination, she was surprised with a bit of fear. "Doctor, is my bag important? What''s going on? I definitely didn''t have this bag before, and it probably swelled up today."


    At this time, the woman desperately wanted Zhou Can to help her answer.


    The woman''s boyfriend originally suspected that Zhou Can was taking advantage of his girlfriend, but now that Zhou Can found a swollen lump after touching it a few times, he couldn''t help admiring Zhou Can''s medical skills.


    "If it swells up in a short period of time, it may be an inguinal hernia. I can''t tell the nature of the swelling just by palpating through a layer of clothes. I suggest you go to the hospital for further examination."


    When Zhou Can touched the lump just now, it felt hard.


    Usually, the mass from an inguinal hernia is soft to the touch. Because it is actually a mass formed under the epidermis after the human abdominal tissue leaks out of the abdominal cavity.


    For example, a mass formed after soft tissues such as omentum and intestinal tube protrude from the abdominal cavity is called a hernia.


    It is soft to the touch.


    And there is another characteristic of hernia, which is often formed in a very short period of time.


    If the mass of the woman in front of me really formed overnight, it is most likely a hernia.


    However, other diseases cannot be ruled out.


    "If it''s that groin, is it serious?"


    the woman asked in pain.


    Her cheap boyfriend was also standing by nervously waiting for Zhou Can''s answer.


    "It''s an inguinal hernia, a hernia of a hernia." Zhou Can corrected her. The pronunciation of Xun and Sha is actually a little different, why can''t she tell the difference?


    "This disease is generally not serious for the first time, and it can even be retracted manually. If it is a repeat offender, or it cannot be retracted manually, it is more serious. It must be operated in time to prevent necrosis. In addition, yours is not necessarily an inguinal hernia, I just want to say There is a possibility."


    At this time, Director Zhang Bihua also came over after breakfast.


    "Girl, I''m also a doctor at Tuya Hospital, can I touch it for you?"


    Director Zhang knew that Zhou Can was a male doctor and he was not easy to touch, so he asked the patient to touch him.


    "Well! I''m sorry to trouble you!"


    The woman nodded in agreement.


    Zhang Bihua is in his fifties, and he has practiced medicine for a long time, so he really has a unique temperament that only doctors have. How should I put it, it gives people the feeling of being cold and serious, and at the same time has a bit of a doctor''s unique murderous aura.


    In other words,,,..version. ¡¿


    This is the murderous aura formed by doctors who have been giving injections and using scalpels for a long time.


    When encountering a lesion, the doctors are never relentless, and often cut it off with a single knife.


    Over time, the doctors have a daunting murderous look.


    "When I touched it just now, the mass was hard, not like a hernia. But she said it didn''t happen before, and it just appeared overnight. Could it be inflammation?"


    A mass formed in a short period of time cannot be a tumor.


    Either inflammation, hernia or hematoma.


    "It''s possible."


    Zhang Bihua reached into the patient''s pants and frowned his very thin eyebrows.


    Almost a lot of older women like to shave part of their eyebrows to make them thinner. Then draw the slender willow leaf eyebrows.


    It does look beautiful from a distance.


    But if you look closely, you still feel that natural eyebrows are more beautiful and natural.


    "The mass is not big, and the texture is slightly hard. It doesn''t look like a hernia. It feels a bit like a tumor. Girl, you need to go to the hospital for an examination to further clarify the nature of the mass."


    Director Zhang Bihua has extremely rich clinical experience.


    Even after she touched it, she felt that there was something wrong with the mass, so it must be no small matter.


    The girl looked up at her boyfriend.


    "Ah Qing, what should I do?"


    "Listen to the doctor, I will send you to the hospital for examination immediately."


    The boyfriend was still responsible, and without any further hesitation, he immediately decided to send her to the hospital.


    "Young man, the experts from Tuya Hospital who checked your girlfriend just now are going to our Xinxiang Women''s and Children''s Hospital to carry out consultation activities with experts. I suggest that you can take your girlfriend to Xinxiang Women''s and Children''s Hospital for treatment. Anyway, it is close to the hotel, which is very convenient. "


    Section Chief Tang said to the young couple with a look of ''concern''.


    "Okay, thanks for the reminder!"


    The man agreed.


    Zhou Can curled his lips subconsciously, and Xinxiang Maternity and Children''s Hospital has now been reduced to soliciting customers. And it is a section chief soliciting customers, it seems that its business situation is even worse than imagined.


    The collapse of a large hospital was due to a medical accident.


    This also reminded Zhou Can that he must always be cautious and strict with himself in the process of practicing medicine in the future.


    Otherwise, it will really harm others and harm oneself, and even the hospital where I work will be in bad luck.


    ¡­


    Zhou Can and the others had breakfast at the hotel, and Section Chief Tang was already anxious like ants on a hot pot, and secretly urged the experts several times.


    Because it was almost eight o''clock, Dean Tian must have set a task for him to ensure that the experts were invited to the scene before eight o''clock.


    Yesterday, the experts in Tuya Hospital attended consultation activities. Although there was a quarrel between Du Leng and his family members, overall it was quite good. Several difficult cases were diagnosed, all of which were extremely difficult cases that many large hospitals were helpless.


    These dazzling achievements will be used by Dean Tian as a publicity point and vigorously publicized.


    "Director Zhang, when I came this morning, I saw many patients waiting in line in the outpatient hall. You must be very busy today!"


    Section Chief Tang raised his wrist to glance at the time, and once again cryptically urged the experts to come over early.


    Most of the medical staff have already eaten.


    Only Du Leng, Director Dai, two female nurses and a young female doctor were still eating slowly.


    Look at this posture, eating for another half an hour may not be able to finish the job.


    It is estimated that Section Chief Tang has regretted making the breakfast variety too rich.


    Especially some Western-style meals have all kinds of specialties, and it takes a lot of time to eat them.


    Du Leng is a doctor who has studied abroad and has rich experience in overseas life.


    The two female nurses and a young female doctor surrounded him, learning from him how to eat Western meals. How to match.


    He may feel a sense of superiority, and the fact that he is surrounded by young women gives him the idea of ??showing off his life abroad. When teaching them, all kinds of western food etiquette, how to eat, and how to make dim sum are the best, he said it clearly and clearly.


    The two female nurses and the female doctor were all dazzled and looked at him with admiration.


    Even today, there are still many people who worship foreigners and always feel that everything about foreigners is particularly perfect.


    As a result, some women were tricked by their so-called foreign boyfriends to go to Africa and live a life that was almost primitive. There are also women who are treated as slaves after marrying men from Western developed countries.


    I really don''t know what these women think?


    It can only be said that poor people must have something to hate.


    Everything is pretty much self-inflicted.


    "It''s time to go to work, so hurry up and solve it. We went to Xinxiang Maternity and Children''s Hospital to carry out expert outpatient activities. The work and rest hours are relatively free, but we must follow the most basic working hours. If you arrive at the post after 8 o''clock in the morning, you will be late. Leaving work before 30:00 is regarded as leaving early. Leaving work in the middle will be carried out in accordance with the attendance standards at Tuya Hospital."


    Director Zhang saw that many people were so lazy, so he announced a attendance rule to the twenty-six medical staff on the spot.


    The two female nurses surrounding Du Leng immediately understood that they were warning them.


    Quickly finished the breakfast on the plate, and hurried to the outside of the hotel.


    Relying on his status, Du Leng finished eating slowly, took off his napkin and wiped the corners of his mouth before getting up.


    When he rushed to the bus waiting outside, although Director Zhang didn''t say anything, there was already a trace of displeasure on his face.


    People are most afraid of not knowing themselves.


    If you want to survive in the workplace, you need a little discernment, which is a necessary survival skill.


    The group of them rushed to Xinxiang Maternity and Children''s Hospital, just got off the car, and before entering the outpatient hall, they found media reporters taking pictures of them.


    Although some people took pictures yesterday, they were arranged by the hospital itself.


    All the photos were taken of some highlight moments for publicity.


    Such as Du Leng''s quarrel with his family members will definitely not be photographed.


    There are three groups of media reporters who came today, and their equipment looks more professional.


    Director Zhang frowned slightly, and turned to look at Section Chief Tang.


    The meaning is to ask, why did you invite the media reporters?


    And they were not consulted beforehand.


    "Don''t worry, they are all from our own family. They are friends with Dean Tian. I also heard that the results of the expert consultation yesterday were not bad. That''s why I volunteered to come over to film some scenes and post a few soft articles to help our hospital publicize."


    Section Chief Tang explained with a smile on his face.


    The embankment of a thousand miles collapses in an ant nest.


    The collapse of a levee is by no means the instant it appears on the surface. In fact, its interior has already decayed and was hollowed out by ants, and it will be washed away by the flood at a critical moment.


    In the same way, the collapse of Xinxiang Women''s and Children''s Hospital did not happen overnight, but was already riddled with holes and many bad things.


    For example, the current various commercial operation routines, it can be seen that the senior management of Xinxiang Women''s and Children''s Hospital is very keen on this.


    In fact, what we really need to do is to learn lessons deeply and pay close attention to medical style and quality.


    For any hospital, medical quality and service are the core competitiveness.


    No matter how well the publicity is done, no matter how well the advertisement is played, at most it can only help, but it is not a decisive factor.


    "Director Zhang, hello! I heard that you led the expert team of Tuya Hospital to successfully diagnose many difficult diseases and rescued a boy with severe bronchitis with a very high fatality rate yesterday. Can you tell us about the situation? "


    A very beautiful female reporter walked over holding a microphone.


    It turned out to be a reporter from a TV station, and what was written on the microphone was a certain satellite TV station. I thought it was a reporter from some small media.


    "Actually, there is nothing to say. It is our bounden duty to save lives and heal the wounded. You can contact the relevant departments of Xinxiang Maternity and Children''s Hospital for details. Some patients are still waiting for me to see and treat them. Sorry, I have to go to work."


    Director Zhang Bihua must have seen many big scenes.


    She didn''t even give the TV station female reporter any face, just said a few words, and left directly.


    The female reporter had strong adaptability, and looked at other experts, but the other chief physicians hurriedly avoided her and went to their respective posts.


    There are doctors who chase after fame and fortune, but more doctors work down-to-earth, pursue the peak of medical skills, and truly take it as their responsibility to relieve patients'' suffering.


    When the female reporter saw that the interviewing experts were not cooperating, she had an idea and looked at the team of young doctors behind.


    "Who is Dr. Du from Johns Hopkins University abroad?"


    An interview with a returnee doctor is also a great news highlight.


    "I am!"


    Du Leng was already tall, and he was extremely particular about his attire, giving him a bit of an elite feel.


    His raised hand immediately made him more eye-catching in the crowd.


    "Hello, Dr. Du, is it convenient to interview you?" The beautiful eyes of the female rememberer locked on Du Leng, and approached Du Leng holding the microphone.


    Originally, they had already gone to the front and went to Section Chief Tang, so they ran back quickly.


    Interview Du Leng, are you kidding me?


    This kid caused all kinds of troubles yesterday. If this kid becomes the main character in this news report, Dean Tian will have to take his skin off.


    Section Chief Tang hurriedly stood in front of Du Leng, and said to the female reporter, "I''m sorry, Dr. Du is going to have a consultation too, so I can''t accept your interview."


    The female reporter was stunned for a moment, and was somewhat upset when someone interrupted her interview.


    Don''t look at the arrangement for her to bring someone over for an exclusive interview and report, and gave some instructions, but as a reporter, she has considerable autonomy.


    At most, the content of the interview cannot satisfy the superiors and cannot pass the review.


    "May I ask you are?"


    She asked about the identity of Section Chief Tang.


    "My humble servant is Tang Jiuyin, the section chief of the Propaganda and Traditional Warfare Department of Xinxiang Women''s and Children''s Hospital."


    The identity of Section Chief Tang is actually the person in charge of the Propaganda and Traditional Warfare Section, which is really unexpected.


    Because under normal circumstances, the receptionist and the hospital office make overall arrangements.


    It is not ruled out that the hospital office tried to save trouble and directly arrested him.


    After all, experts from Tuya Hospital were invited to come over for consultation this time, and they had to do a good job of publicity while receiving them.


    "It turned out to be Section Chief Tang. It''s a pleasure to meet you! That''s fine, we will interview Dr. Du later, and let''s not disturb the work of the experts."


    The female reporter has a lot of eyesight. When she heard the identity of Section Chief Tang, she immediately understood that he represented the propaganda intention of Xinxiang Maternity and Children''s Hospital.


    Section Chief Tang prevented him from interviewing Dr. Du, there must be a deep meaning.


    The pace of her interview must be consistent with the propaganda intention of Xinxiang Women and Children''s Hospital.


    The consultation work of experts began soon.


    Zhou Can and Deputy Director Shi are still so busy that they don''t have a single patient to see them.


    However, compared with yesterday, the two now have an additional identity, the leader and deputy leader of the crisis management team. So the two are still calm.


    A woman who had abdominal pain in the hotel and a mass near her groin was also queuing up for treatment.


    Because of her special situation, Director Zhang also took great care of her.


    "Little girl, go to that table first, ask Director Shi to give you an inspection list, and just come to me with the results after the inspection. Don''t delay the illness."


    "Ok, thank you!"


    The young couple came to Zhou Can''s table gratefully.


    "Doctor Zhou, you have seen her condition at the hotel before, you can apply for an inspection!"


    Deputy Director Shi knew that the patient''s lesion was located in the lower abdomen near the base of the legs, so he didn''t intend to give her another physical examination.


    "OK!"


    Zhou Can readily agreed.


    The condition of this female patient is not complicated, and the lesion is obvious. It is enough to directly check the abdominal cavity and check the nature of the mass.


    He prescribed blood routine, abdominal B-ultrasound, and abdominal ct.


    A total of three inspections are required.


    The patient took the examination application form for examination.


    It was around ten o''clock in the morning. Yesterday, the 19-year-old female patient who had been treated for a cold for two years and hadn''t recovered from it came back from relevant examinations.


    The girl''s mother saw that Director Zhang was busy, so she rushed over to Zhou Can.


    After yesterday''s diagnosis, her trust in Zhou Can is already very high.


    "Doctor Zhou, can you help us take a look? All the test results have come out."


    Instead of looking for Deputy Director Shi, she looked for the younger Zhou Can for diagnosis.


    This behavior was immediately caught by the female reporter of the TV station.


    With her professional ability , she immediately realized that this seemingly ordinary young doctor might be extraordinary.


    But she didn''t rush to interview, but turned to ask the photographer.


    "Old Qin, does that young doctor look familiar to you?"


    "Which young doctor?"


    The photographer was checking whether the photos he had taken were up to standard, and upon hearing this, he raised his head and looked forward.


    "Here, it''s the seventh consultation table, the third one from the right."


    She pointed at Zhou Can''s table.


    "Isn''t he one of the three doctors in the promotional materials sent to us by Xinxiang Maternity and Children''s Hospital yesterday? Look at your memory."


    The photographer recognized Zhou Can at a glance.


    "Oh... so it''s him, no wonder I said he looks familiar! What''s his name Zhou?"


    After being reminded, she suddenly remembered.


    "Zhou Can!" The photographer rolled his eyes, implying to say, look at your bad memory.


    "That''s right, that''s right, Doctor Zhou Can. Such a young man, but he can get promotional opportunities with Director Zhang and Director Dai at the same time. This person must not be simple. Can you help me look up his information? I found that he is very Might be a big fish."


    She plays to her strengths as a pretty woman.


    Ask colleagues to help, just give a coquettish tone.


    A woman with a beautiful face, if she has culture, temperament, and brains, will indeed be very advantageous in the workplace.


    Beauty is their greatest capital, and many male colleagues can be mobilized for free to help them voluntarily.


    "He is a doctor at Tuya Hospital. If I want to check his information, I have to use my network resources. If you agree to a big meal, I will check it for you right away."


    Lao Qin made a condition.


    A big meal, nothing too much.


    After all, this requires the use of his network resources.

 Chapter 285： There are many kinds of goddesses for girls who are indifferent to life and death

    As a reporter, the most important thing is to be well-informed. Therefore, they will try their best to get to know more people, and maintain a good network of contacts to ensure that they can be used when needed.


    "make a deal!"


    The female reporter readily agreed to Lao Qin''s request.


    As long as one piece of big news can be unearthed, let alone one meal, even ten meals are worth it.


    She asked herself that her ability to know people''s profile was not bad. This young doctor named Zhou Can seems ordinary, but he is calmer and more pragmatic than that high-profile returnee doctor.


    Based on her years of experience as a reporter, she intuited that Zhou Can''s status in Tuya Hospital should not be low.


    "Old Qin, help me inquire about Zhou Can''s details first, and I''ll go and have a look. Anyway, I don''t need an interview right now." Carrying a very feminine pink backpack, she quietly came to Zhou Can''s consultation table.


    At this moment, after Zhou Can took over the patient''s information, he was carefully reviewing the patient''s examination results.


    Pathological findings of tumors in the throat, non-Hodgkin''s lymphoma.


    The data of immunohistochemistry and gene rearrangement were not satisfactory.


    Ear CT showed that the right jugular foramen was high and enlarged. A small amount of soft tissue density shadow in the left tympanic cavity. Chest ct showed high density in the right lung.


    The results of the lumbar puncture were equally bad, protein 2.1g/l, sugar 0.9mmol/l, cl127mmol/l, and a large number of immature cells were found in the effusion.


    Seeing this, Zhou Can had a sad expression on his face.


    "Doctor Zhou, is my daughter''s illness serious? Can it be cured?"


    The girl''s mother already had a premonition of bad results, but she still had the last chance of luck.


    The patient himself looked at Zhou Can nervously, waiting for the final verdict.


    It is believed that the patient is like a prisoner awaiting sentencing at this time.


    "I hope you can be mentally prepared. Her illness is not optimistic. Judging from the examination results, multiple metastases have occurred. The only way to prolong life is to go to the hematology department for chemotherapy."


    Zhou Can must tell them this cruel result.


    It would be nice if the real cause could be found earlier.


    Her illness had dragged on for two years, and it was all delayed.


    After hearing the diagnosis, the patient''s mother shook her body and covered her forehead with her right hand.


    Seeing that something was wrong, Zhou Can quickly stood up and prepared to support him.


    Unexpectedly, someone was one step faster than him, so he was supported.


    It''s the female reporter of that TV station.


    "Are you all right?"


    The female reporter asked the family members concerned.


    "I... it doesn''t matter! I was a little dizzy just now, and my eyes were dark, but I''m much better now!"


    The female family member should be about forty years old, and her body is in her prime. She was unable to stand upright just now, and her eyes turned black because the last hope in her heart was shattered.


    Some people may faint when they hear great news or extremely sad news.


    In medicine, it is also called vasoinhibitory syncope.


    Under strong mental stimulation, through the reflex of the vagus nerve, it causes transient expansion of peripheral blood vessels, decreases the return of blood to the heart, and drops in blood pressure, causing a transient decrease or interruption of cerebral blood flow, resulting in syncope.


    Therefore, sometimes some bad news should be kept from the elderly or the infirm.


    Because they are prone to danger after hearing the bad news.


    Especially the elderly, many have high blood pressure, heart disease, and cannot receive strong mental stimulation.


    "Doctor Zhou, is my disease cancer? How long can I live?"


    The patient was surprisingly calm.


    It seems that after two years of suffering from illness, she has become stronger. It is even possible that the worst outcome has already been considered.


    "My poor daughter wow... woo woo..."


    The patient''s mother hugged her daughter and wept uncontrollably.


    This kind of scene made everyone present feel uncomfortable.


    "Cancer is just a medical concept. Your lymphoma is malignant and has spread to many places in your body. In layman''s terms, it is an advanced stage of cancer. Girl, your illness has been delayed for more than two years, and it has been delayed. !"


    Zhou Can''s heart was particularly heavy.


    Every time he sees such patients, he will be very unhappy.


    It doesn''t matter if you say that he can''t see the suffering in the world, or that he has a heart of compassion. In short, he hopes that every patient who enters the hospital can leave safely.


    But in reality, there are nine out of ten unsatisfactory things in life.


    Zhou Can often sees some helpless and sad scenes. For example, the girl in front of me who is as young as a flower is already in the fourth stage of lymphoma at such a young age. With the current medical conditions, she cannot be saved at all.


    "Doctor, please, please save my daughter. We are willing to spend any money! I can''t live without her, I can''t lose my daughter..."


    The patient''s mother lost control of her emotions and had a complete inner breakdown.


    For any mother, it must be difficult for a daughter who has raised her for nineteen years to suffer from cancer.


    "Now she can only go to the hematology department for chemotherapy to prolong her life. But as long as she can maintain an optimistic heart, she may be able to create a medical miracle. Or wait until new drugs are developed and marketed, and a drug that can cure lymphoma is successfully developed, and she may cure."


    Zhou Can can only try to comfort his family and patients.


    In fact, he is very clear that the patient''s current physical condition may soon disappear.


    Cancer patients with better conditions have five years as a survival period, but she can only use half a year as a survival period at most.


    According to her current situation, if she can live for three months, it is considered very good.


    If it can be actively treated, it is very possible to survive for half a year to a year.


    "I can''t figure it out, why can other people get cured of a cold, but my daughter became cancer after just an accidental cold?" The family members asked Zhou Can for the answer in despair.


    "Your daughter''s lymphoma may not have appeared at the beginning. I saw the results of blood routine tests on her first admission two years ago, which indicated elevated liver enzymes, and chronic hepatitis should have existed at that time. From the results of other tests at that time As a supporting evidence, she should have been infected with Epstein-Barr virus at that time. Her lymphoma should be related to Epstein-Barr virus infection."


    Zhou Can sorted out and analyzed the patient''s data and the entire course of the disease.


    He highly suspected that the patient did not have lymphoma when he was first hospitalized.


    "What is EB virus?"


    the patient asked.


    She must have a lot of resentment towards life in her heart, and she wants to find out how her illness evolved from a small cold to a cancer that could take her life away?


    "The full name of eb virus is caebv virus, that is, herpes virus. The first time you have a low-grade fever and elevated liver enzymes, you are infected with this virus."


    Zhou Can found that the female reporter took out a small notebook and was quickly recording something.


    But he didn''t stop it.


    "Why can''t the virus be cured after two years of treatment? Is it because the expert''s medical skills at that time were not good enough, or is it because the virus infection can''t be cured in the first place?"


    The family members gradually calmed down at this time. She was also eager to understand her daughter''s cold. Why did it directly become a terminal cancer in two years?


    If it was because of that expert''s misdiagnosis and misjudgment that her daughter''s condition was delayed, she would definitely make that expert pay the price.


    Zhou Can is very cautious in answering such sensitive questions in such public occasions.


    Deputy Director Shi next to him was worried about his nonsense, so he kicked him quietly.


    How could Zhou Can be the kind of outspoken, ignorant person?


    Especially with journalists present.


    "The susceptible population with the highest risk of ev virus is infants, children and adolescents who have previously suffered from respiratory diseases. At present, there is no effective treatment method, and there is no effective vaccine for vaccination. Clinically, antiviral drug adjuvant treatment is often selected according to the condition. When you were first admitted to the hospital, experts from other hospitals prescribed liver protection and antiviral drug treatment, and there was nothing wrong with that."


    Although Zhou Can scolded the expert from the outer hospital as a quack doctor in his heart for delaying the girl''s condition, he kept his words for the expert from the outer hospital.


    He believed that the expert from the outer court must have tried his best.


    Just the treatment of ev virus infection itself has certain uncertain factors.


    The poor treatment effect may be related to the patient''s lifestyle and immune ability.


    Now that things have come to this point, the only way is probably to learn a lesson.


    After all, in clinical medicine, countless experiences and lessons are practiced with human life.


    Regardless of Chinese medicine or Western medicine, without a large number of clinical verifications, it is impossible to achieve any achievements, let alone become stronger and stronger.


    Western medicine can become the mainstream of the market in just over two hundred years. In addition to the fact that the Western world has become the most powerful and advanced existence in the world in the past two hundred years, the therapeutic effect of Western medicine itself is also obvious to all.


    Overall, the level of medical care is constantly improving.


    In the past, cardiac arrest, respiratory arrest, that is death, there will be no fluke.


    But in modern times, even if the heartbeat and breathing suddenly stop, the artificial extracorporeal membrane lung can still replace the cardiopulmonary function. Although ecmo cannot always replace cardiopulmonary function, for many critically ill patients, as long as it helps them survive the weakest days of their lives, they may survive.


    Every year, after intensive ICU treatment, there are not a few patients who are successfully rescued.


    So some mistakes in clinical medicine are allowed.


    It''s just that with the development of modern medicine getting better and better, clinical experience is getting richer, and the probability of making mistakes in diagnosis and treatment is getting smaller and smaller.


    "I''ll call the child''s father first. He works in Africa and entrusted his daughter to me to take care of, but now... woo woo..."


    The female family members spoke later and wept again.


    When she learned that her daughter''s cancer was terminal, she felt like the sky was falling.


    "Xiaoya, sit here for a while, and mother will call your father to discuss how to treat her in the future."


    "Mom, don''t be too sad. I haven''t seen you smile again since I was sick. I hope to see you happy. If one day I really leave this world, my greatest hope is that you and Dad will be peaceful. An An, live happily."


    What the girl said made Zhou Can turn his head away.


    This nineteen-year-old girl is too sensible.


    And it seems that he has already seen through life and death. After she learned that she was terminally ill, she has been very calm.


    Perhaps after suffering from illness for more than two years, she has longed for relief.


    Zhou Can was very sad at the moment. He only hated that his medical skills were not good enough to cure the girl''s illness.


    With the current medical technology, let alone him, there is no hospital in the world that can cure patients with stage IV lymphoma. The only cure is chemotherapy.


    "It would be great if there was a special medicine for cancer!"


    Zhou Can shouted in his heart.


    Yesterday, Yang Chan told him that he hoped that he could make conquering cancer a goal. At that time, he felt that this goal was too ambitious and difficult to achieve.


    I also felt daunting, so I refused without even thinking about it.


    But at this moment, the seed of finding a way to overcome cancer quietly germinated in his heart.


    The patient''s family members went outside the outpatient hall to make a phone call.


    The female reporter did not leave, but chatted with the female patient.


    Learn about her illness and treatment process.


    Naturally, Zhou Can had no right to interfere. He was bored while sitting. He picked up the patient''s past diagnosis and treatment information and studied it again, carefully sorting out the whole course of the girl''s illness.


    About half an hour later, the female family member returned from the phone call.


    His eyes were so red and swollen that he probably cried a lot.


    There were still unwiped tears on her face, her hair was messy, and she couldn''t take care of it.


    "Doctor Zhou, just now I called my child''s father, and he asked me to take my daughter to Tuya Second Affiliated Hospital for treatment. It is very famous for treating all kinds of tumors there. Thank you for helping my daughter find out the real cause of the disease. ,Thanks!"


    The female family members bowed to Zhou Can.


    Her heart is like a bright mirror, although Zhou Can is so young, his status is not as good as those experts.


    The diagnosis of her daughter''s illness is due to Zhou Can''s greatest contribution.


    "You are welcome! It is really good to choose to go to Tuya Fuer II for treatment. I wish your daughter can overcome the disease and recover soon." Zhou Can looked at the sick girl after speaking to the female family members. "Any disease is strong if you are weak, and weak if you are strong. Therefore, it is very important to maintain a firm belief in the treatment process and face the serious disease with a strong heart. I believe that you will be able to create medical miracles and overcome the serious illness. come on!"


    "Thank you for your encouragement. I will be strong and brave to face the serious illness, for my parents who love me, and for everyone who cares about me in this world."


    The girl nodded vigorously, her eyes determined.


    The family quickly took her away.


    After the patient left, the beautiful female reporter flicked her wavy hair and sat down at Zhou Can''s desk.


    When Deputy Director Shi saw this posture, he felt a little nervous.


    "Little girl, we are working hours now, and we are not accepting any interviews."


    "I won''t interfere with your work. When some patients come over, I will get out of the way. The female patient''s illness lasted for two years, and the real cause of the disease has not been found out, but it was found out here. Yes. And as far as I know, Dr. Zhou Can¡¯s diagnostic suggestions during the diagnosis process are the most critical.¡±


    She has a strong aura, with the thick-skinned spirit of a media person.


    A pair of bright eyes like Qiushui Qiutong boldly looked at Zhou Can.


    "Doctor Zhou, can I meet you?"


    "We''re acquainted now. If nothing else, you may return to your old place."


    Zhou Can is not the kind of man who can''t move his legs or move his eyes when he sees a beautiful woman.


    With Su Qianqian, a super beautiful and excellent girlfriend, he is extremely immune to all kinds of beauties.


    "Don''t you think it''s cruel to reject a beautiful girl like this?"


    The more she got rejected, the more she wanted to finish the interview.


    Chatting with the sick girl just now, she learned that the girl had sought treatment in many hospitals, even a well-known expert from a large hospital, but failed to find out her real cause of disease.


    Explain that the etiology of girls is extremely difficult to diagnose.


    But this unremarkable young doctor in front of him has diagnosed the cause of the disease. How did he do it?


    The female reporter couldn''t help but want to break the casserole and ask the bottom line.


    And based on her professional experience, she can be sure that as long as she can complete the entire interview process, understand the medical principles in it, and write a report, it will definitely become a high-quality news.


    "Does this lady think that you have a beautiful appearance, and UU Reading should be the goddess in the hearts of all men?" Zhou Can asked without answering.


    Thinking that she has some beauty and enjoys privileges in front of him, she really chose the wrong partner.


    "Isn''t beauty what you men like?" She bickered with Zhou Can playfully.


    "Then do you know what kind of goddesses there are?"


    Zhou Can stared at her playfully.


    This little girl is really in heaven, dare to play with him.


    Back then, he was also a playboy. When you see a beautiful woman, you want to own one. It''s just that I haven''t been able to put it into action, but have been stuck in the idea stage.


    "I know! Temperament-type goddesses, academic-type goddesses, intellectual-type goddesses, elegant-type goddesses...there are too many! Hehe, let me boast cheekily that I belong to the beautiful-type goddess."


    She snapped her white fingers like green onions and replied.


    "In fact, besides what you said, there is another kind."


    The corners of Zhou Can''s mouth were slightly raised, staring at her flamboyantly fair and pretty face.


    "What kind?"


    Not to be outdone, she looked at Zhou Can.


    "Female nerve!"


    As soon as Zhou Can''s words fell, Deputy Director Shi next to him didn''t hold back, and burst out laughing.


    The female reporter has a black line on her face.


    "Hey, why are you so hurtful! People just want to interview you, why are you so nervous? Besides, citizens are obliged to cooperate with our reporters to complete the interview!"


    She was scolded by Zhou Can, with a look of embarrassment on her face, she refuted a few words coquettishly.


    But he didn''t turn his back on Zhou Can and scold him.


    I have to say that this woman is very experienced in interviewing. Even though Zhou Can hurt her like this, he still couldn''t persuade her to leave.


    Instead, she gave full play to her advantages as a beautiful woman, and half-coquettishly resolved Zhou Can''s derogatory language.

 Chapter 287： My girlfriend of 4 years is a boy, so hurry up

    After the interview, she took advantage of the opportunity to make such a ''small request'', which Zhou Can expected would not refuse.


    That''s what''s so clever about her.


    Without rich experience in asking for phone numbers, it is certainly not possible to do this so skillfully.


    "This is my mobile phone number. Reporter Mu has medical matters, so you can call me at any time. If you don''t answer the phone, it means I''m busy rescuing patients, and I will call you back later."


    Zhou Can quickly wrote down the phone number and handed it to her.


    Accepting this interview not only publicized the prevention and treatment of lymphoma and eb virus infection, but also allowed him to earn generous rewards for pathological diagnosis and a special medical skill. The harvest is huge, beyond imagination.


    Therefore, Zhou Can''s support for this press release is also very strong.


    "Okay, I''m leaving! Goodbye!"


    She waved at Zhou Can and Deputy Director Shi.


    Deputy Director Shi sat by the side making soy sauce the whole time, and hardly had anything to do with him.


    After the female reporter left, Deputy Director Shi frowned at Zhou Can, and said in a low voice, "Doctor Zhou is lucky! This female reporter seems to be interested in you."


    When it comes to men and women, there are very few men who are serious.


    A man can only be honest if he hangs on the wall.


    Deputy Director Shi has a good relationship with Zhou Can, and Zhou Can has a special position in the Department of Gastroenterology, so he usually talks with Zhou Can on an equal footing. That''s why I''m joking with Zhou Can at this moment.


    "Don''t talk nonsense! They just asked me for an interview!"


    Zhou Can had no such idea at all.


    He had never discovered another side of Deputy Director Shi.


    Therefore, if people want to have a deeper understanding between people, they need to stay together for a few days.


    Usually in Tuya Hospital, apart from the normal greetings, he and Deputy Director Shi talked about work. All chats are formal.


    Everyone is very busy.


    He always thought that Deputy Director Shi was a decent person, but he was an old and dishonest person.


    "Believe it or not, I''m also a young man here, and I have a little experience in the affairs of men and women. The female reporter looked at you with a strange look in her eyes, with faint glances, definitely not the way she should look at a stranger."


    Deputy Director Shi continued his point of view in a serious manner.


    "I really didn''t see it. Director Shi not only knows how to cure diseases, but also has a deep research on the relationship between men and women! Presumably Director Shi dated a lot of girls when he was young?"


    Zhou Can changed the subject with a smile.


    He didn''t believe that the female reporter was interested in him!


    Today''s young and beautiful girls are as smart as ghosts. It is not an easy task to impress their hearts.


    They are very picky when it comes to choosing a partner.


    "Hehe, to tell you the truth, my conditions were not bad when I was young. I was tall and handsome, and I was admitted to a prestigious school. I have been in love since my freshman year. Later, I participated in I got a job, entered Tuya Hospital as a doctor, and had more than this number of girlfriends.¡±


    He stretched out his fat hands.


    Hearing that Zhou Can almost rolled his eyes out, Deputy Director Shi had dated more than two-digit girlfriends when he was young.


    "It''s really true that people can''t be judged by their appearance, and sea water can''t be measured. You are awesome! Admire it!"


    Zhou Can gave a thumbs up.


    The two were chatting, and the girl with abdominal pain and lump came back from the examination.


    This young couple is young and looks a little green.


    The girl''s boyfriend handed the test results to Deputy Director Shi.


    "Doctor, we have finished the examination, please see what disease my girlfriend has?"


    After taking over the examination, Deputy Director Shi couldn''t help frowning and said, "It''s definitely not a hernia, it''s a bit like a tumor. This disease should be checked by a gastrointestinal surgeon, and surgery is definitely needed."


    He seemed to remember that Zhou Can had worked in general surgery and performed very well.


    "Doctor Zhou, look at the nature of this lump! And her abdominal X-ray is also very strange, no contrast of the uterus can be seen."


    Zhou Can''s ability to watch movies is not particularly good. But he has a lot of surgical experience. After seeing the film, I was also a little puzzled, "It is really rare to have a tumor in this part. And the size of the tumor is also very strange."


    If it is a malignant tumor, abnormalities may be found in the blood routine.


    He also read the blood routine from beginning to end.


    Especially several key data.


    "It doesn''t look like a tumor either! Tumors usually grow in the uterus, and they are more common in the ovaries. There are also intestinal tumors, but they certainly won''t bulge out from under the skin of the thighs."


    Also, the size of the tumor is not counted, nor is it large.


    Everywhere is weird.


    Zhou Can involuntarily stared at the woman, his eyes were clear, his hair half covered his face, and his brows were furrowed because of the continuous pain. It''s really the Xiaojiabiyu I saw You Lian.


    "Are you sure this lump grew overnight?"


    Zhou Can looked at her with a serious expression.


    Doctors are most afraid of patients not telling the truth, which can easily lead to misdiagnosis.


    "I''m sure." She replied in a very positive tone.


    Look at her frankly and cleanly, not like lying.


    Zhou Can hesitated for a moment, and then asked, "Did you have **** last night?"


    "Um!"


    The woman blushed, lowered her head and hummed softly.


    "Is this your first time having sex?"


    "No! We''ve been friends for nearly four years!"


    The man saw that his girlfriend was ashamed to answer these sensitive questions, so he directly answered on her behalf.


    "Yang Chan, can you take a look at the abdominal film of this patient? I don''t seem to have a uterus, and the features of her bilateral ovaries and gonads are not obvious. The nature of her mass is also very strange."


    Zhou Can decided to ask a doctor from the obstetrics and gynecology department to help.


    Director Zhang is busy at the moment, and asked her apprentice to take a look first.


    Yang Chan walked over quickly.


    After taking a look at the film, his expression also became strange.


    "There is really no uterus! Her abdominal film feels a little masculine, which is quite different from the image of an ordinary woman''s abdomen. Also, there is a tube connected to this mass, which is a bit like a vas deferens."


    When the female patient heard this, she was suddenly at a loss.


    How can I suddenly lose my uterus?


    "Excuse me, have you ever been on your period?"


    Yang Chan asked the woman.


    "Never come!"


    The woman shook her head.


    "That''s right, your illness is likely to be androgen insensitivity syndrome. After my teacher finishes her work, I''ll ask her to take a look." After all, Yang Chan is a senior student of Director Zhang of the Department of Obstetrics and Gynecology. The woman''s disease was quickly diagnosed.


    When Zhou Can heard about Androgen Insensitivity Syndrome, a sudden realization appeared on his face.


    When he looked at the woman again, his eyes were more curious and sympathetic.


    "Doctor, what exactly is Androgen Insensitivity Syndrome? We don''t understand this professional medical term."


    the woman''s boyfriend asked.


    "If your girlfriend really suffers from this disease, then you probably can''t be husband and wife with her, you can only be brothers." Deputy Director Shi replied.


    This disease is very rare.


    The probability of occurrence is one in tens of thousands, and the main reason is gene mutation.


    Some women eat this and that during pregnancy, and they are not taboo at all. There are also some ignorant mothers-in-law, under the influence of patriarchal thinking, make some so-called homemade recipes for giving birth to boys for their pregnant daughter-in-law.


    May cause this disease in the unborn baby.


    And there are many babies who are not much different from ordinary people when they are young. As they grow older, secondary sexual characteristics begin to develop. At this time, patients will obviously feel different physiological phenomena from normal men or women.


    For example, this woman has never had her period.


    Under normal circumstances, girls will have menarche around the age of thirteen.


    Zhou Can picked up the woman''s imaging test results again and looked at it. There was indeed an inconspicuous small tube connecting the mass. Zhou Can followed the upper pipe, and his expression became even weirder.


    Did he vaguely understand what this lump was?


    If I''m not mistaken, it should be a shrunken testicle.


    She should belong to a clinically manifested xy karyotype individual developing into a seemingly normal but sterile female, with testes usually staying in the abdominal cavity and no spermatogenic process.


    This young couple has been dating for four years and has lived together for a long time, but no abnormalities have been found.


    It shows that the other physiological structures of women are not much different from normal women.


    Such as breast development, lower body shape, etc.


    At this time, Director Zhang had already diagnosed the patient in his hand, so Yang Chan hurriedly showed her the results of the examination.


    "Teacher, look at the test results of this patient. There is no uterus, which is very similar to androgen insensitivity syndrome."


    Director Zhang took the girl to a small room at the back to give her a physical examination.


    Yang Chan also went in together.


    It should be to check the physiological structure and development of the woman.


    Not long after, the three of them came out.


    The woman''s boyfriend hurried forward to help her girlfriend. But I can see that the woman seems to be a little bit resistant.


    "Doctor, what''s the matter with my girlfriend''s illness?"


    The boyfriend felt a little flustered when he felt the change in his girlfriend''s attitude.


    Although he had heard some explanations from the doctors before, he had already prepared himself a little bit, but after the diagnosis was made, all his luck was shattered. He will face difficult choices.


    Female patients themselves need to overcome huge psychological and physical obstacles, choose an acceptable result, and then live a new life.


    "Her disease is called complete androgen insensitivity syndrome. Generally, patients with this disease live as women since childhood, and some patients may see a doctor because of vaginal or groin mass during infancy. Sometimes in the clinic During hernia repair, it was found that the content of the hernia was a testicle. Her mass was probably not a tumor, but a shrunken testicle."


    When Director Zhang said this, he paused for a moment, giving the young couple some time to digest.


    "Just now I checked the patient''s body, and there are a few parts that are not so obviously developed, and the rest are no different from women. In addition, her testicles have shrunk. I suggest that she undergo surgery to completely become a woman. But because there is no uterus, lifelong infertility."


    For women, having children is a very important ability.


    Unable to have children, married life will face great challenges.


    "Of course, in essence, you should be a man. If you want to become a man through surgery, it is also possible. It may be a bit difficult to make a decision. You can think about it in the hospital for a day or two, and then do it after thinking clearly Make a choice. For such a big matter, it is best to fully communicate with your parents. I believe that no matter what choice you make, your parents will choose to understand you and support you."


    Although Zhang Bihua didn''t say it explicitly, he was basically implying the female patient.


    This kind of thing happened, let alone not married yet.


    Even if you are married, a man may not be reliable.


    The most reliable ones are parents.


    No matter what happens to the child and how it becomes, parents are the most caring people in the world for their children.


    "Xiaoyan, no matter what, I will be by your side." The boyfriend reached out to support the female patient''s shoulder, but she subconsciously avoided it.


    After she learned that she was actually a man, she was hit hard psychologically.


    It takes a while to get used to.


    "Doctor, how much will my surgery cost?" The girl was thinking about the surgery fee.


    "It''s hard to say. Generally, it should be around 10,000 yuan. If you just remove the shrunken testicle, a few thousand yuan is enough. If you need to restore a male body, the operation is more complicated and the cost may be higher. And there will be no childbirth. ability."


    Director Zhang estimated the treatment cost for her.


    Androgen insensitivity syndrome, some people''s gender is male, can repair hypospadias and reconstruct male urethra through repair surgery.


    To be honest, recently I have been using reading to follow up, change sources, read aloud with many timbres, and both Android and Apple can be used. ¡¿


    But there will be no fertility.


    And that aspect doesn''t function properly either.


    In medicine, it is generally recommended to become a woman directly after surgery. Except for infertility, other aspects are very similar to women. It is most beneficial to the patient''s future life.


    "I don''t have enough money now. I''ll call my mother first. Is it okay to collect enough money and then be hospitalized?"


    "Of course you can. This decision is related to the rest of your life. You don''t need to rush to make a decision. Think about it yourself, and then communicate with your parents more, and then do the surgery after making sure."


    Director Zhang said to her gently.


    "Xiaoyan, I''ll pay for how much the surgery costs." Her boyfriend said beside her.


    "I need to calm down, please don''t bother me for a while, okay?" The female patient''s attitude towards her boyfriend was very indifferent.


    Zhou Can wondered in his heart, does this patient want to restore his male body through surgery?


    This is the patient''s own choice, and no one has the right to interfere.


    He actually received such a patient today, which can be regarded as a long experience.


    After seeing off the ''female'' patient, Zhou Can became in a leisurely state with nothing to do. There is no way, to carry out this kind of expert consultation, Deputy Director Shi''s reputation is not obvious, and his level is not strong enough to kill the world and amaze the patients and their families. It is normal to sit on the bench.


    At the base of the wall more than ten meters away on the opposite side, the female reporter Mu Bi successfully dug up a good piece of news, and she was in a good mood.


    This time the superior sent her to do a special report. She understood that the main purpose was to help the Xinxiang Maternity and Children''s Hospital to publicize.


    The case of the lymphoma patient is a good publicity point.


    She finds it very alarming.


    "Old Qin, I asked you to inquire about the details of that Dr. Zhou, have you heard about it?" Mu Li asked the photographer.


    "When did you give me a discount on what you told me to do? Here, I''ve found all of them. I''ll send it directly to your phone, so take your time and read it yourself!" Lao Qin added while operating the phone. "Mu Li, I really admire your eyesight, it''s too vicious. I also checked the information of Dr. Du by the way, and guess what?"


    "Don''t be too tight-lipped, hurry up and say it!"


    Twilight urged impolitely.


    "I was thinking of blackmailing you for supper again. Forget it. We are old partners. I just buy one and get one free for my news. Why do I say I admire your sharp eyesight? Because the returnee doctor I heard that his performance in Tuya Hospital is not as good as expected. That is to say, he is more valued by the hospital than ordinary young doctors because of his reputation as a doctor from a famous overseas school. But he is not useless, and he is very good at writing medical papers I have been working in Tuya Hospital for less than two years, and I have published many SCI medical papers, including a discussion on digital surgical medicine, which is quite influential."


    With one brain, Lao Qin told all the news about Du Leng that he had inquired about.


    "That is to say, this person''s talent is not bad, but he is more academically inclined, right!"


    After hearing this, Twilight summed it up.


    "That''s almost what it means. I also heard that he quarreled with his family members when he was here yesterday. Several patients were diagnosed without the cause, and they were always asked to do various tests. The family members finally quit. Call him a fake doctor, bought a certificate."


    Old Qin said in a low voice.


    "There is such a thing! No wonder I wanted to interview Dr. Du before, but was blocked by Section Chief Tang of Xinxiang Maternity and Children''s Hospital Mu Li showed a sudden realization expression.


    When she looked at Du Leng again, the previous admiration was gone from her face.


    People are like this, they are very easily influenced by other people''s words, and they can change the impression of another person.


    Otherwise, how can we say that rumors are terrible!


    The ancients said that it is better to offend a gentleman than to offend a villain.


    Because you offend the villain, he will speak ill of you everywhere, which will seriously affect your social interaction.


    Especially in the unit or in a certain industry, the circle itself is small. The consequences of being splashed with sewage by the other party can be imagined.


    Without a bit of great wisdom and means, he is really no match for those villains.


    Moreover, the villain''s ability to stab people in the back is first-rate, making it hard to guard against.


    "There is even more breaking news! The doctor Zhou Can you saw is really amazing. Two of the difficult cases that Du Leng failed to diagnose yesterday were diagnosed by Dr. Zhou. And yesterday''s Xinxiang women and children The hospital sent us a case of a child with bronchitis who was successfully rescued, according to gossip, it was Dr. Zhou Can who pinched out the scab in the trachea at a critical moment to save the child.¡±


    Lao Qin''s ability to inquire about news is really awesome.


    In a very short period of time, he actually found out so much inside information.


    "So that''s it. I just said, how can a little Gui Peisheng be listed alongside the two chief physicians in the promotional materials? At that time, I thought this guy was a second-generation official, or the son of the dean. Looking at it now , is a young doctor with real skills."


    Mu Jie couldn''t help being more interested in Zhou Can.


    "Hey, do you think that''s all he has accomplished? It''s far more than that!"


    Old Qin smiled proudly.


    "Hurry up, hurry up, you''re always a secret, and be careful not to treat you to a big meal." She urged again.

 Chapter 288： The glorious past has been dug out, the pregnant woman who was injured

    "Come on, I said it''s not enough! This Doctor Zhou first entered Tuya Hospital for a 36-month standardized residency training with the highest score in the regular training examination. But because his education was only a bachelor''s degree, he Got picked into the worst emergency department."


    When Mu Tie heard this, she couldn''t help feeling sorry for Zhou Can and said, "The HR at Tuya Hospital is really good. Education doesn''t mean everything. A bachelor''s degree isn''t too low either!"


    Lao Qin took a meaningful look at the pouting, indignant Mu Jie.


    "Reporter Mu seems to have a good impression of Dr. Zhou!"


    "That''s what it is. The era when academic qualifications represent everything is long gone. Educational qualifications are just a stepping stone. Work ability, learning ability, work attitude, and communication and coordination skills are the core competitiveness."


    She is still angry about what happened to Zhou Can.


    Keep helping Zhou Can speak the truth.


    "You are so right! Dr. Zhou made a huge contribution on the first day he entered the emergency department. I heard that the daughter of a high-ranking official fell into a coma accidentally. That woman was an elderly pregnant woman. After the accident, Tuya All the chief physicians from multiple important departments of the hospital were present to participate in the rescue. But guess what?"


    Lao Qin is very fond of showing off.


    Meeting Mu Que''s cold eyes, he immediately went on speaking intelligently.


    "As a result, so many chief physicians were helpless, and Dr. Zhou Can found the cause of the disease. It is said that the diagnosis at that time was comparable to the extremely difficult criminal investigation. Dr. Zhou became famous because of this. The next thing is even more serious, After that, during his three months of regular training in the emergency department, the total number of surgeries in the emergency department increased by more than a thousand per month."


    "Not only did he perform operations quickly, but he also performed many operations, and the quality of the key points was frighteningly high. It is said that the quality of operations is not inferior to those top chief physicians."


    Lao Qin dug out all the information about Zhou Can in Tuya Hospital.


    I don''t know which acquaintance I was looking for.


    If Zhou Can heard these conversations between Lao Qin and Mu Jie, he would definitely scold Lao Qin''s acquaintance as a ''bad woman''.


    "Look, am I right? Gold shines everywhere, and education doesn''t mean everything. This Dr. Zhou is really amazing!"


    When Mu Tie heard that Zhou Can had completed a counterattack in adversity and became the best Gui Peisheng, she seemed happier than herself.


    "He is not only amazing, he is simply the reincarnation of the **** of medicine. Since then, he has rotated through many departments. From the beginning, no one cares about him, and later the chief physician and department director of each department are rushing to keep him. It is said that every time he arrives at a Every new department will set off a wave and write his own legend and chapter.¡±


    "What I admire most is his love and righteousness. When he was down and down, the worst emergency department chose him. Now that he is famous, all departments are scrambling to find him, promising all kinds of favorable conditions, but he has never wavered. , insisting on returning to work in the emergency department after the training is over. This person is a real man, and I, Lao Qin, will obey this kind of person."


    Lao Qin finished Zhou Can''s brilliant achievements in one breath.


    Hearing Mu Zhi''s heart shake, his understanding of Zhou Can changed from unfamiliar to familiar and in-depth.


    Her eyes flickered, and she looked at Zhou Can who was not far away.


    A bright smile appeared on her face.


    "It''s really a big fish! During the interviews these days, I''ll keep an eye on him more, maybe I can dig out some good news."


    The more she looked at Zhou Can, the more she felt that he was different.


    "Ah... I''ve been staring at him for a small Pearson interview for the past few days? The mission given to us is to interview the wonderful moments of experts'' diagnosis or the successful diagnosis of some difficult cases, and make more positive reports. Keep an eye on him A Gui Peisheng is definitely not suitable."


    Lao Qin protested.


    Women do things emotionally.


    No matter how good that Gui Peisheng is, he can''t stare at him alone!


    "What I said was to keep an eye on him. I didn''t say to only interview him. Other experts, please pay more attention to me. If there is any important news, call me immediately. Now I have to sort out the news I just interviewed."


    After hearing Zhou Can''s deeds, she felt that it was of great significance to report the story of this girl with lymphoma.


    Write the manuscript as soon as possible and send it back to the TV station. After the leader has read it, if she approves, she can increase the intensity of interviews and have higher autonomy.


    As Lao Qin said, it is inappropriate to only focus on an interview with Gui Peisheng.


    But if the superiors approve it, it''s different.


    At least she focused on interviewing Zhou Can, digging up a few more news related to Zhou Can, no problem at all.


    ¡­


    As Xinxiang Women''s and Children''s Hospital increased its publicity efforts and the word-of-mouth of those patients yesterday, the number of patients who came to Xinxiang Women''s and Children''s Hospital to see specialist clinics today was significantly more than yesterday.


    "Give way, please make way!"


    A pregnant woman with a swollen belly was quickly carried into the outpatient hall by two family members on a simple stretcher.


    The patients and family members in front of them quickly moved out of the way.


    The clinic hall is actually not crowded.


    The pregnant woman on the stretcher groaned in pain.


    I don''t know what''s wrong?


    I thought that the family members would carry the pregnant woman to the emergency department to see the emergency department, but I didn''t expect to come directly to the specialist''s clinic.


    "Doctor, doctor, please save my daughter-in-law. She was more than five months pregnant, and she accidentally fell the day before yesterday, and her buttocks hurt. I thought it was nothing serious, but today I started to feel difficult to breathe, and my chest seemed to be pressed. Big stone. We sought treatment at the local health center, and the doctor told us to rush to the county people''s hospital after seeing it. The county hospital told us to transfer to a bigger hospital immediately, saying that my daughter-in-law''s condition was very dangerous. Delay, my lord Children can''t keep it."


    Among the men carrying the stretcher was a man in his mid-thirties who was the husband of a pregnant woman.


    The one behind is a little older, and should be the father-in-law of the pregnant woman. He is about sixty years old, and his body is quite tough.


    These three people all have the obvious characteristics of rural people, with dark and rough skin, and very plain clothes. The Jiefang shoes on the feet are covered with mud, and it is rare to see people wearing such shoes in the city.


    Jiefang shoes are very popular in rural areas because they are cheap and durable.


    It is very good for farmers to wear it to do farm work in the field, or go to the mountains to cut wood and firewood.


    The pregnant woman was injured the day before yesterday, and she was sent to a big hospital for treatment. Most rural people are like this, and they will fight as long as they can.


    I couldn''t stand it anymore, so I went to the hospital.


    "This is a specialist clinic. Your daughter-in-law''s condition is critical. You should take her to the emergency department as soon as possible."


    Section Chief Tang has been watching the scene at the scene.


    Now seeing these two family members lift the seriously injured pregnant woman into the outpatient hall, it is very easy to cause panic. It will also affect the order of seeing a doctor in the outpatient hall.


    He quickly persuaded the family members to take him away.


    "If it weren''t for the fact that you have experts hanging out for free consultations, we wouldn''t come here! How can an ordinary doctor be as good as an expert? We don''t go anywhere, so we ask the on-site experts to help my daughter-in-law see a doctor."


    The man poked his neck in response.


    Some farmers from remote mountainous areas do hard work on weekdays because of their low level of education. The way you handle things is rude, and you won''t be able to reason with you at all.


    Section Chief Tang is a scholar who meets a soldier, and he can''t explain why.


    "Who is Professor Zhang Bihua?"


    The man''s eyes looked at several experts sitting in the clinic.


    "I am!"


    Director Zhang Bihua responded calmly, with a gentle tone.


    "Professor Zhang, please save my wife and the child in my stomach, please, I will kowtow to you!"


    In other words,,,..version. ¡¿


    As he spoke, the man thumped and knelt down in front of Zhang Bihua''s examination table and kowtowed.


    He didn''t play tricks at all, there was a real sound when his forehead hit the ground.


    "Get up, get up, you go and register with me first. I will give you a preliminary physical examination for your daughter-in-law first."


    Under such circumstances, Director Zhang Bihua had no way to refuse.


    The reporter''s camera was facing her.


    There are countless pairs of eyes watching, and some people take pictures and videos here.


    These days, self-media is highly developed, and anyone can post random photos and videos to the Internet.


    At this moment, if the doctor refuses to save him, the spittle will be enough to drown Director Zhang after the public opinion is fermented. Even all the doctors and nurses present will be unlucky.


    "Thank you Professor Zhang, thank you!"


    Seeing that Zhang Bihua agreed, the man happily got up and hurried to register.


    Because this expert consultation activity is to increase the popularity of Xinxiang Maternity and Children''s Hospital, restore the lost reputation, and in order to attract more patients to come to see a doctor, there is no charge for registration.


    All expenses will be borne by Xinxiang Maternity and Children''s Hospital.


    But the diagnosis and treatment procedures must be followed.


    If you don¡¯t register, you can¡¯t enter the system, and the doctors involved can¡¯t apply for examinations, prescribe prescriptions, arrange surgeries, etc.


    Also, apart from the free registration, the treatment fee is still charged as usual.


    This is also the drainage routine of almost all hospitals. Advertisements for free medical treatment are actually free of registration fees. Take the opportunity to gain popularity and earn money for medicine, treatment, hospitalization, examination and so on.


    Zhang Bihua had already squatted down and began to conduct a preliminary examination for the pregnant woman on the stretcher.


    Yang Chan also followed to help.


    "Please don''t get too close, and try to give pregnant women enough breathing space."


    Zhou Can and Deputy Director Shi are the principal and deputy leaders of the crisis management team, and they have already stepped forward and started to play a role.


    Pregnant women already have difficulty breathing. If the surrounding crowd is airtight, it will undoubtedly make it more difficult for the patient to breathe.


    At this moment, the face, lips, and nails of the pregnant woman can already be seen to be cyanotic and purple, which is a unique symptom of hypoxemia.


    Patients with chest tightness and chest pain are high-risk patients in the eyes of doctors.


    It may turn into a critical illness at any time, or even directly cause death, and it is too late to be rescued.


    "Hello, can you still talk now?"


    "Can!"


    The pregnant woman responded weakly in plastic Mandarin.


    "Where do you feel uncomfortable now? Stomach pain?"


    Zhang Bihua didn''t dare to disturb the pregnant woman, especially the pregnant woman who was injured by the fall. The situation is unknown, and it is even more inappropriate to move.


    "I don''t have a stomachache, but a pain in my butt, and I can''t move my right foot at all."


    As the pregnant woman spoke, she tried to move her right leg, but she couldn''t move it at all.


    And she had a pained look on her face.


    Seeing this scene, Zhang Bihua hurriedly pressed down on the pregnant woman''s body to keep her still.


    "Don''t move, just tell me which parts of your body are painful and uncomfortable."


    "Only the right buttock is particularly painful, and the palm of the hand is a little bruised. Since about last night, I have felt that my chest is very tight and my breathing is very difficult, as if there is a big stone pressing on my chest."


    The pregnant woman said a few words and already opened her mouth to pant.


    It looked pretty scary.


    "Any other symptoms?"


    Zhang Bihua''s expression became much more serious.


    She has treated pregnant women, there are too many pregnant women, and she has rich experience.


    It must have been discovered that the pregnant woman was in serious condition.


    "Hmm... I still feel that my heart is beating much faster than before, beating wildly, like a runaway horse!" She thought for a while, and provided another symptom.


    Difficulty breathing, severe pain in the right buttock, and a tachycardia were her symptoms at the moment.


    That is to say, the rural women''s bodies are strong, and the children in their stomachs are not seriously injured after falling so badly.


    If it is a pregnant woman who is engaged in white-collar work in the city, sometimes even lifting a heavy object may cause a miscarriage.


    But it also has something to do with her pregnancy.


    Miscarriage is most likely to occur during the first three months of pregnancy and about two months after labor.


    During this time, try to avoid living a married life.


    The pregnancy period of this pregnant woman is five months, which is the period when the fetus is relatively stable.


    It is also a blessing in misfortune.


    It''s just that her current situation is probably very bad, let alone the child in her stomach, it''s hard to say whether the life of an adult can be saved.


    The hospital''s principle of rescuing pregnant women has always been to protect the older ones first and then the younger ones.


    Sometimes under the strong request of pregnant women and their families, they will take a compromise approach and try some risky behaviors.


    That is, to protect adults and children at the same time.


    The final result can easily lead to the death of adults, or the death of all big and small.


    Therefore, to be a doctor must have a strong psychological quality.


    I believe that any doctor will feel very uncomfortable when seeing such a scene.


    When Zhou Can rotates in various departments, he can often see some novice doctors or female nurses hiding somewhere crying, vomiting, etc. when a patient dies.


    He himself has had this experience.


    The first time I saw the death of a patient in tube, I couldn''t eat that day. I always feel like a sinner, and I feel very uncomfortable in my heart.


    "The body temperature is still normal, the blood pressure is a bit low, and the heart rate is too fast..."


    Yang Chan has quickly measured several basic signs of the patient.


    "First do an examination to see the chest image, and take an x-ray of the femoral head on the right side. I suspect that the femoral head may have been broken. Take blood for a routine blood test to check the blood picture and blood type. It is estimated that it may need emergency Operation."


    These examinations prescribed by Zhang Bihua are already very streamlined It is estimated that the pregnant woman''s condition is dangerous, and she dare not waste time.


    At this time, it is best to be able to find out the cause of the disease and treat it immediately.


    At this time, the husband of the pregnant woman had already registered and came back. Zhang Bihua handed him the opened inspection application form.


    "Your wife''s condition is very dangerous. Hurry up and pay for the examination. I will ask our doctor to accompany you for the examination. Don''t go in line, otherwise it will be delayed."


    Director Zhang Bihua put it more tactfully.


    Usually, doctors speak in this tone. The words will be as tactful as possible to prevent the family members from being unacceptable.


    "Director Tang, please arrange for a nurse who is familiar with the examination process to take the patient for examination. Our expert team will be accompanied by Dr. Zhou."


    They are newcomers, and they are not familiar with the personnel of Xinxiang Maternal and Children''s Hospital, as well as the locations of the examination departments.


    It must be led by someone from the hospital.


    "That''s no problem. I''m fine anyway. Just accompany me to the inspection."


    Section Chief Tang saw that the patient''s condition was not good, and he was particularly worried about killing people.


    So go and coordinate in person.


    Several people lifted the patient together with a simple stretcher onto a flatbed truck and sent it quickly for examination.


    This patient also experienced advanced medical services.


    The nurse took the initiative to draw her blood for a routine blood test.


    Originally, a tachycardia like hers should have been sent for an electrocardiogram. Director Zhang may have considered that the inspection time was too long and there was no time for rescue, so there was no ECG examination item.


    Zhou Can was sent to go together. On the surface, only one Gui Peisheng was sent, but in fact it was a general.


    Zhang Bihua knew very well that among these people, Zhou Can''s rescue ability was definitely one of the best.

 Chapter 289： The relationship between fall injury and lung infiltration

    As the number one expert and the general manager of the expert group, it is impossible for her to accompany the patient for the examination.


    But she was worried about sending someone else.


    Only by sending Zhou Can to accompany the pregnant woman for an examination can she feel more at ease.


    With Zhou Can''s excellent rescue ability, if a pregnant woman is really in danger, she can be rescued immediately.


    "Can I go with you?"


    The female reporter Mu Tie seemed to have sensed the smell and followed her.


    "Non-medical personnel, it''s best not to go, because it may interfere with the normal rescue work. If you want to interview, you can do it afterwards."


    Section Chief Tang said it politely, but in fact he told the female reporter explicitly that he couldn''t do it.


    The situation of this pregnant woman is scary to look at. If she dies, God knows how these media reporters will report.


    As the chief of the Propaganda and Traditional Warfare Section, he must guard against potential propaganda risks.


    "Oh well!"


    Even though Mu Ge was unwilling, she had no choice but to give up.


    ¡­


    Pregnant women''s inspections are expedited throughout the process, and they take the green channel.


    She is already like this, and no one dares to let her line up for examination like ordinary patients.


    After the X-ray was taken, the pregnant woman kept crying that she couldn''t breathe, which was very uncomfortable.


    Fortunately, the chest X-rays and femoral head x-rays have been checked.


    However, it will take a while for the X-ray inspection results to be printed out on the self-service printer.


    "Let''s inhale oxygen through one nose first! The concentration is 28%, and the oxygen flow rate is 1.6l/min!" Zhou Can saw that the blood oxygen of the pregnant woman has been very low.


    Give the pregnant woman oxygen through one nose first, keep it up for a while, wait until the X-ray examination results come out, and then consult Director Zhang Bihua for diagnosis.


    While waiting for the results, he took the patient''s chest X-ray to check.


    There were diffuse infiltrating shadows in both lungs of the patient, but no obvious lesions were found in other parts.


    Usually, when a diffuse infiltrating shadow is detected in the lung, the first consideration is infection.


    such as bacterial and fungal infections.


    The pregnant woman had difficulty breathing the day after the fall. There may be an infection, but it is relatively small.


    Tumors can also cause diffuse infiltrating shadows in the lungs, such as patients with advanced lung cancer.


    Zhou Can''s experience is limited, and after watching the film, he can''t give an accurate answer.


    Because there are too many causes that can cause diffuse infiltrates in both lungs.


    Lung infections caused by viruses, fungi, and bacteria, lung tumors, cancerous lymphangitis, diffuse lung injury... What is the specific cause, not to mention Zhou Can, even the experienced director Zhang Bihua may not be able to diagnosed.


    Now it is only determined that there is a problem with the lungs. What is the cause of the lung lesions needs to be further checked.


    After waiting for more than ten minutes, the X-ray examination results were finally printed out.


    The right femoral head fracture was obvious.


    This is consistent with Director Zhang''s prediction. No wonder the patient can no longer stand and walk, the femoral head has been broken, how can he stand and walk?


    I really admire this pregnant woman, who actually resisted at home all night after the fall.


    "Go get the blood test results for this patient and send them directly to Director Zhang Bihua."


    Zhou Can said to a nurse accompanying him.


    "OK!"


    The nurses that Tuya brought over could be regarded as her own family.


    Zhou Can''s orders were well executed.


    "Doctor Zhou, what are you going to do next?"


    Chief Tang asked.


    "I''m going to push it directly to the outpatient hall to ask Director Zhang to diagnose her cause."


    Zhou Can would never dare to diagnose such a high-risk pregnant woman by himself.


    He doesn''t have the ability, and he can''t afford the responsibility.


    "I''m just a little worried that pushing her over will affect the normal order of diagnosis and treatment in the consultation hall."


    Section Chief Tang is obviously not willing to push pregnant women to the outpatient hall.


    Zhou Can understands his worries.


    "If you think it is better to push her directly to the emergency room, I have no objection. However, I think that pushing her directly to Director Zhang can make a rapid diagnosis of her with the experience of many experts in our Tuya Hospital. This is the most economical way of time."


    What Zhou Can considers is the safety of the patients, but Section Chief Tang considers the prevention of the negative impact of the hospital.


    He was afraid that patients would have accidents in the outpatient hall.


    I am even more worried that the cause of the disease will not be found out, and many Tuya experts have become nothing in front of the media.


    The best way is to send the patient to the emergency room.


    It''s just that the cause of the disease is unknown now, and sending it directly to the emergency room will undoubtedly make pregnant women wait for a long time before they can get a diagnosis. Because she looks scary now, but her physical condition is still stable.


    The on-site experts discussed it yesterday, and the crisis team will handle any crisis situations.


    It is absolutely impossible for the experts to stop their work and run to the emergency room to diagnose the pregnant woman.


    "The doctors in the emergency room can actually make a diagnosis." Section Chief Tang was still deadlocked.


    Zhou Can couldn''t refute him face to face, so he looked at the patient''s husband and father-in-law, and winked quietly.


    Although the husband of the pregnant woman is a barbarian, he is not stupid, and has a bit of cunning and cleverness unique to farmers. During the War of Resistance Against Japan, the peasant brothers made the Japanese army suffer a lot.


    There are many brave farmers who act as good citizens on the surface, but secretly drug and stab the Japanese soldiers stationed in the town.


    "Can a general doctor be the same as an expert? My daughter-in-law has an expert account, so I must let an expert treat her disease!"


    Saying that, the husband of the pregnant woman pushed the flatbed cart to the outpatient hall.


    Section Chief Tang was able to ''discuss'' with Zhou Can, but he had nothing to do with the family members.


    I can only watch helplessly as the patient is pushed into the outpatient hall.


    At this time, the nurse Ji You had already received the patient''s blood test report and arrived.


    "Director Zhang, the femoral head of this pregnant woman was broken as you expected. The chest X-ray showed diffuse infiltrates in both lungs."


    Afraid of delaying the patient''s condition, Zhou Can hurriedly reported to Director Zhang.


    "Is the heart okay?"


    After hearing this, Director Zhang immediately took over the inspection report and checked it.


    "My level is still low, and I haven''t found any problems for the time being." After Zhou Can answered, he took the opportunity to look at the blood test report. There were no abnormal white blood cells, indicating that the possibility of lung infection with bacteria and viruses is relatively low.


    This shows that the patient''s lung disease is likely to be related to the fall.


    He wondered to himself, could it be that the pregnant woman already had lung cancer, and this fall just showed up?


    This is true in clinical practice.


    Some patients have very strong tolerance, even if they feel unwell, they still endure silently.


    I didn''t think about going to the hospital until I was completely overwhelmed by other diseases such as a cold or a fall, and I couldn''t afford it.


    "Have you ever had trouble breathing or trouble with your lungs before?"


    Zhou Can asked the patient.


    As the deputy leader of the crisis management team, he must play his due role.


    Help the attending experts to find the cause of the patient together, and try to avoid the tragedy as much as possible.


    "No... yes! I feel the baby is moving constantly, is it okay?"


    Abnormal fetal movement occurs after the pregnant woman inhales oxygen.


    Usually, you can feel the obvious fetal movement at three months of pregnancy, and at five months, the fetal movement is already quite obvious.


    "Yang Chan, measure her fetal heart rate!"


    Director Zhang was still frowning and thinking about the reason for the diffuse infiltrate in the lungs.


    This is the main cause of breathing difficulties in pregnant women.


    Only by finding the cause of the lung disease can it be solved.


    Zhou Can stood by and watched.


    When Yang Chan lifted the pregnant woman''s clothes, Zhou Can found that there were bruises everywhere on the pregnant woman''s abdomen. Not just in one place, but everywhere.


    At first, he thought that the pregnant woman had suffered domestic violence and was beaten like this.


    After careful inspection, it was found that these ecchymosis were irregular in size and shape.


    And spread all over the upper body.


    "Let me see if there is any abnormality in your back!"


    After Zhou Can explained, she pulled up the collar of her clothes to check the patient''s back.


    The result was the same as the chest and abdomen, with ecchymosis everywhere.


    Seeing this situation, he was immediately on high alert.


    At this moment, Yang Chan had already measured the fetal heart rate.


    "The fetal heart rate is generally quite normal."


    Her words also made everyone a little relieved.


    The child is fine.


    The fetus in the womb is actually not as fragile as we imagined. Sometimes, even if the abdomen of a pregnant woman is accidentally hit or other accidents occur, the fetus will be safe and sound.


    There was even a pregnant woman who was hit by a car accident and was knocked five or six meters away.


    By the time the paramedics arrived, the pregnant woman was seriously injured. He was pulled back to the hospital for emergency treatment, but failed to be rescued. The doctor detected that the fetal heart rate of the pregnant woman was still there, but it was a little weak, so he quickly performed a cesarean section.


    A premature baby was taken out, and after examination, everything was normal.


    After living in the incubator for nearly a month, the baby survived smoothly.


    It can be seen from this that the fetus is actually very safe in the mother''s womb.


    With the cushion of the mother''s abdominal fat layer and the protection of amniotic fluid, the fetus can be like wearing two thick cotton coats.


    "Squad leader, check her armpits and chest to see if there are bruises like this!"


    It is inconvenient for Zhou Can to check it directly, so he can only ask Yang Chan to do it for him.


    After looking at it, she confirmed, "There are bruises in both places. Especially the underarms."


    "OK!"


    Zhou Can''s discovery has also attracted Zhang Bihua''s attention, and she also went to the patient to examine it carefully.


    At this time, the condition of the pregnant woman is deteriorating.


    Even though the single-nasal oxygen supply has been implemented, her breathing is still as heavy as a bellows.


    It looks very worrying.


    To put it bluntly, in this situation, as long as you can''t breathe, it is very likely that you will die.


    "Come on, open your mouth and let me see the oral mucosa."


    Zhou Can put on the mask and asked the pregnant woman to open her mouth.


    Her reaction was a little sluggish, and Zhou Can said it several times before she slowly opened her mouth.


    Because the mouth was not wide enough, Zhou Can could only shine a small flashlight into the mouth to check the situation inside.


    "The oral mucosa also has similar ecchymosis."


    Zhou Can reported to Director Zhang.


    Suddenly thinking of something, he subconsciously looked at the patient''s eyelids.


    "There are also bruises on the conjunctiva."


    There is no external injury in these places, and it is certainly not caused by domestic violence.


    Then her ecchymosis is a major diagnostic direction.


    "Could it be aspiration pneumonia?" Yang Chan offered her own diagnosis opinion.


    "It''s possible. But her consciousness seems to be a little blurry. This is a very bad sign. It shows that the disease is progressing extremely rapidly. If the cause cannot be found as soon as possible, the person may die in an instant."


    Director Zhang''s expression was particularly dignified.


    Deputy Director Shi, the leader of the crisis management team, has also come over to help with the diagnosis.


    He is only good at diseases in the field of gastroenterology, and he is a little helpless about the pregnant woman''s illness.


    After diagnosing the patient in hand, two more experts joined the consultation camp.


    Experts from Tuya Hospital carry out expert outpatient activities here, and everyone is prosperous and all is hurt.


    When you meet a patient whose cause cannot be found by an expert, let''s go together side by side.


    Unity is very important at this moment.


    "Director Zhang, just give the patient a chest X-ray, isn''t that too little?"


    Deputy Director Shi saw that the patient was already taking in more air than exhaling less, and he was as anxious as an ant on a hot pan.


    The leader of this crisis management team is not so easy to be.


    Maybe, on the first day of taking office, a patient will die in his hands.


    "Lung x-rays show blizzard-like changes in the lungs. This must be vigilant, and it can easily lead to death."


    Another expert commented.


    "There are so many bruises on the body, which means that the subcutaneous spotting is serious."


    An expert in obstetrics and gynecology is not to be outdone.


    At this time, Director Jiang leaned forward and focused on checking the patient''s consciousness and head, and then looked at all the checks.


    The book chasing app recommended to me by an old book friend who has known me for ten years! It¡¯s really easy to use. I rely on reading and listening to books to pass the time while driving and before going to bed. You can download it here..¡¿


    "Her head was not obviously injured, but she had some neurological symptoms such as chest tightness and palpitation. The direction of diagnosis should focus on the heart and lungs. The possibility of brain problems is extremely low."


    Director Jiang is a doctor of neurology, and he has certain authority in the diagnosis of neurology.


    A number of experts gathered together, discussing what you said and what you said.


    A few reporters, like flies smelling the smell, all gathered together, taking pictures and so on.


    Section Chief Tang''s face darkened for a while, and he had already said that patients should not be brought to the outpatient hall. If something happened now, how would it end?


    While the experts were anxiously making a joint diagnosis, Zhou Can picked up the patient''s blood test report to check again.


    The white blood cell count is normal, but the blood test results show that there are many abnormal indicators.


    Now there is subcutaneous spotting, and the blood picture is also an important reference.


    "Her blood test results indicated that the platelets were reduced, which may be related to subcutaneous spotting and bruises on the upper body. I checked her legs and there were no bruises. It is likely to be mainly concentrated on the upper body."


    Zhou Can, the deputy team leader, is also working hard to contribute his strength.


    "In addition, the patient''s serum lipase was significantly elevated. I think blood free fat should be checked. It is best to do a urine test to check urine fat."


    At this time, Zhou Can obviously had a major diagnostic breakthrough.


    He has the diagnostic bonus of the special medical skill of emergency life wisdom, which is especially useful when rescuing some critically ill patients.


    It can make his brain extremely clear, and his thinking is unprecedentedly flexible.


    "Doctor Zhou suspects what is the cause of the patient?"


    Director Zhang''s eyes brightened slightly after listening to Zhou Can''s diagnosis opinion.


    "Judging from the patient''s various symptoms and the current examination data, I am personally more inclined to the disease of fat embolism syndrome. When I was in orthopedic training, I was fortunate to hear a superior doctor once said that traumatic fractures should be especially vigilant about this disease. .The patient happened to have a femoral head fracture due to a fall, and the onset time was within 48 hours."


    "In general, the likelihood of developing fat embolism syndrome is highest within 72 hours after a traumatic fracture occurs."


    Every time Zhou Can enters a department, he can learn from one or more chief physicians, and perform consultations and operations together.


    And he can be appreciated by those chief physicians and teach him everything.


    This gave him a practical knowledge that ordinary doctors can hardly match.


    To put it bluntly, these are valuable clinical experiences summed up by predecessors.


    "Immediately give the patient a blood free fat test! Then draw urine for emergency testing."


    The current situation of pregnant women is that they are no longer able to urinate independently.


    Consciousness almost fell into a coma.


    Take off her pants here and get a catheter, the family members will be the first to agree. It is impossible for a doctor to do such a thing that disregards the patient''s privacy.


    "Send her to the emergency room first, insert a catheter to take a urine sample and send it for testing immediately. Tell the laboratory to give priority to urine fat inspection."


    In fact, the current examinations are all analyzed by highly intelligent automated instruments, and the results of urine tests and blood tests can be released quickly.


    It''s just that there are often many patients queuing up for the examination, so it feels that the time is very long.


    "Director Zhang, is it a bit hasty to confirm that the patient has fat embolism syndrome?"


    Du Leng didn''t know what the wind was.


    He also enthusiastically ran over to help with the diagnosis.


    It''s a pity that I couldn''t make it work.


    He had two quarrels with his family members yesterday, and he was obviously affected a lot during his consultation today. Although the new patient today did not know that he was a silver-like wax gun head, he was afraid of being slapped in the face again during the consultation process. As long as there were cases that were slightly difficult to diagnose, he would immediately push them to other doctors.


    The consequence of this is that fewer and fewer patients seek him for medical treatment.


    Everyone is not stupid, standing there waiting in line, watching Du Leng diagnose and treat the patients in front. This can''t be cured, and that can''t be found out either. They immediately understood in their hearts that the returnee doctor was just like that.


    In addition to gimmicks, the ability to diagnose diseases is far worse than other real experts.


    As a result, some patients who had originally signed up for Du Leng''s clinic quietly changed to other specialists'' clinic numbers.


    Anyway, registration is free.


    They don''t want to put their lives in the hands of a pompous returnee doctor. For patients and their families, titles such as doctors and professors are very attractive, but what they really need is someone who can cure them.


    This is the most important.

 Chapter 290： If you dont die, you wont die, tricky fracture

    After the critically ill pregnant woman was brought over, Du Leng found that media reporters were interviewing her, and he probably thought it was an opportunity to show his face.


    In addition, there was no patient at his consultation table, so he also came forward to participate in the consultation.


    It was nothing.


    But after he participated in the consultation, the sad discovery was the same as the high opinion, and he couldn''t say anything.


    Not to mention giving constructive advice.


    Not to mention him, even old comrades like Deputy Director Shi had to force their way to express a little opinion.


    Without any dry goods accumulated in clinical practice, no matter how much theoretical knowledge you learn, it is useless.


    Optics is not enough, you have to apply what you have learned to be considered a real skill.


    Throughout the ages, how many nerds have done well?


    Du Leng is not a nerd, but he is a bit ambitious and always thinks of flying to the sky to do big things, which is why he is in the current embarrassing situation. To put it bluntly, it means high-sightedness and low-handedness.


    To use a popular saying in the society, big money cannot be earned, small money is not rare, seven people are not angry, eight people are not convinced, and they are nothing.


    He participated in the consultation of this pregnant woman because he wanted to show his face in front of the media reporters, so he could save face when he returned to Tuya Hospital. It is also of great benefit to future career development.


    With his innate condition, as long as he has some ability, Tuya Hospital is very willing to help him to the throne of famous doctor.


    He knows that very well.


    But in fact, Tuya Hospital is currently supporting Zhou Can. The various treatments given to Zhou Can are also getting better and better. Du Leng doesn''t say anything, but he is like a bright mirror in his heart.


    If he said in his heart that he was not in a hurry, it would be a lie.


    Seeing Zhou Can''s great achievements again at this moment, Du Leng was both jealous and anxious. Under the chaos, he was stunned and openly questioned Director Zhang''s diagnosis and treatment behavior in front of so many people.


    Perhaps in his opinion, what he questioned was Zhou Can''s diagnosis, but he didn''t think about whether it was a bit hasty to ask Director Zhang''s diagnosis in front of so many media reporters, family members, patients, and doctors and nurses from two hospitals.


    This is simply to die.


    Director Zhang Bihua, who is that? He is the head of the obstetrics and gynecology department of Tuya General Hospital, the department director and top experts, and is the authority of obstetrics and gynecology.


    Not to mention Du Leng, even Dean Zhu had to be polite when talking to Zhang Bihua.


    This is really not an exaggeration. As for the leader of a department, can the weight be low?


    Just look at how good Director Xie of the Department of Surgery is.


    He dealt with Zhou Can several times, what was the result?


    At best, the top management of the hospital would tell him not to do it again. Director Xie has never been given any substantive punishment, let alone harsh words.


    Now, Du Leng, a newcomer, relying on his dazzling resume as a doctor of returnees, has taken the courage to question Zhang Bihua''s hasty diagnosis in public.


    This is not to die what is it?


    Director Zhang usually speaks to Du Leng with a three-point smile. At this moment, the smile on Director Zhang''s face is still the same, but his eyes have become extremely cold. invisible pressure.


    "Dr. Du thinks that Dr. Zhou Can and I''s diagnosis is too hasty, so I want to ask you, can you clearly diagnose the cause of this pregnant woman?"


    ..."I...I need time and more tests! I believe that as long as all the tests that should be done are done in place, the diagnosis of the cause will be much more accurate."


    Facing Director Zhang''s questioning, Du Leng was at a loss.


    "You need time is a very good saying. But have you ever thought that this pregnant woman is in a critical condition, and every minute and every second is extremely precious. Waiting for you to put a lot of unnecessary or unimportant checks After everything is done, at this time, the patient may have missed the best time for rescue, and even a tragedy that no one wants to see will happen directly."


    Director Zhang Bihua speaks quite well.


    Even though he was extremely angry in his heart, he didn''t point at Du Leng''s nose and scold. When talking about the possible situation of the patient, he tried to avoid words like death.


    "Dr. Du, you are also a medical doctor who graduated from a prestigious overseas university. I don''t need to teach you the truth. As a veteran doctor with more than 30 years of medical experience, I advise you that practicing medicine is not about writing articles. Those flashy superficial things can save you a lot of money. To save the life of a patient, what you should do is to race against time, avoid dogmatism, let alone stick to the form, engage in formalism, and ignore the patient''s life. This pregnant woman is now in a critical condition, and the least and fastest examination is needed Find ways to find out her cause of disease and give correct rescue, this is the correct way of rescue."


    "Judging from your words and deeds, you haven''t learned a lesson from what happened yesterday. I hope you can listen to it and truly respect life and put patients first."


    Ginger is definitely old and spicy.


    Director Zhang Bihua criticized Du Leng to the point of preaching.


    At the same time won the applause.


    During the period when she criticized Du Leng, the patient had already been sent to the emergency room to insert a urinary catheter and take urine samples for testing.


    It is delusional that he also wants to challenge Director Zhang Bihua''s status and authority.


    No one will pay attention to his doubts at all.


    Du Leng''s face turned red, white, and blue.


    If it is said that the reason for the embarrassment yesterday was because the family members were not good at it, then it is purely self-inflicted to be ashamed in public today.


    Sometimes, no matter how smart a person is, it is possible to come up with some stupid tricks.


    This is a typical case of cleverness being mistaken by cleverness.


    "I will listen carefully to your teachings, reflect deeply, and strive to do better in the future."


    After Du Leng said a scene, he sat back at his consulting table in a daze.


    At this moment, he was afraid that he wanted to die.


    Faced with countless pairs of strange gazes, as well as photos taken by media reporters, he felt shame, shame, and anger in his heart.


    Not long after, bad news came from the emergency room.


    "Chief Tang, it''s not good. The pregnant woman who was sent to the rescue just now had a sudden drop in blood pressure, difficulty breathing, and fell into a coma."


    Hearing the bad news, Section Chief Tang almost collapsed on the ground.


    I''m really afraid of something.


    Now the entire process of the pregnant woman''s consultation has been recorded by the media, and there are many family members who took pictures on the spot.


    What if something goes wrong?


    Holding this expert consultation activity is simply a double-edged sword.


    .... Yesterday, a life was almost lost, and today this kind of thrilling drama is staged again.


    It''s really difficult for him, the head of the Publicity Combat Section.


    "Director Zhang, you are an authoritative expert in this field, please bring someone over there to find a solution."


    Section Chief Tang could only ask Director Zhang Bihua for help.


    The strength of Xinxiang Women''s and Children''s Hospital is actually not weak, and the emergency room has its chief physician sitting in charge. If it weren''t for help, they would definitely not ask Section Chief Tang for help.


    "Members of the crisis management team will go to the rescue room with me!"


    Zhang Bihua had no choice but to bite the bullet.


    Plans can''t keep up with changes.


    Originally, according to her idea yesterday, if such a need for rescue happened, the crisis management team and the doctors and nurses of Xinxiang Women''s and Children''s Hospital would be able to rescue the patient together.


    But the current situation is special, she is the receiving doctor, and the patient is pregnant, so she cannot refuse.


    "Remind me about the laboratory test results. The cause of the pregnant woman is unknown, which is extremely detrimental to the rescue work."


    Director Zhang Bihua is well aware of the danger involved.


    Only by finding the cause can the correct rescue measures be given.


    At this time, Chief Tang''s cell phone rang again.


    "I''m Tang Jiuyin, please tell me!"


    Section Chief Tang was in a state of desperation, so his tone was naturally not very good.


    But soon, he shouted in great surprise, "Okay, your test results came too soon." After hanging up the phone, Section Chief Tang shouted to Director Zhang Bihua, who had already led the team to the emergency room, " Director Zhang, the test results are back, the blood free fat droplet is positive, and the urine fat droplet is positive.¡±


    At this critical moment, the test results came out, which greatly encouraged Director Zhang, Zhou Can and others.


    "The possibility of fat embolism is already very high. The disease is extremely dangerous and the fatality rate is extremely high. I hope there is still time to rescue." Director Zhang Bihua rushed to the emergency room with Zhou Can and others, and immediately implemented various rescue measures for the patient .


    Because it is difficult to pinpoint the specific location of embolism, there are no special treatment measures for this disease.


    Nothing more than starting from three aspects, breathing support, generally giving priority to non-invasive ventilators. In severe or special cases, invasive ventilator support is required.


    Protection and monitoring of brain function, including intracranial pressure monitoring, prevention of cerebral edema, etc.


    Circulatory support, mainly central venous pressure monitoring, pulmonary artery floating catheter for hemodynamic monitoring. Because of the timely diagnosis, the pregnant woman was still in the early stage of the disease. After discussing with Director Zhang, Zhou Can also used fluid resuscitation and vasoactive drugs on her to help her survive the difficulties of life.


    ¡­


    More than three hours later, the vital signs of the pregnant woman have stabilized after a series of rescue efforts.


    "Director Shi, Zhou Can, I will leave this to you."


    Director Zhang said to the two chief and deputy team leaders with a tired face.


    The whole process of rescuing the pregnant woman was extremely dangerous, ordinary medical staff were just busy, but Director Zhang, Deputy Director Shi, and Zhou Can were under enormous pressure.


    Fortunately, Zhou Can is a good hand in rescue. Whether it is invasive intubation, such as invasive ventilator, establishment of central venous pressure monitoring, etc., Zhou Can is all in charge.


    ¡­. There are also some important rescue measures formulated, and Zhou Can also made great contributions.


    On the contrary, it was Deputy Director Shi, who ostensibly served as the leader of the crisis management team, but actually spent most of his time standing by and making soy sauce.


    "Go and do your work, we will take good care of her. If you encounter a situation that cannot be handled, please come and help me." Deputy Director Shi quickly expressed his opinion.


    Director Zhang Bihua criticized Du Leng in public, and the invisible authority established was enough to make Deputy Director Shi and others feel sorry for him.


    It can be clearly felt that Deputy Director Shi''s attitude towards Director Zhang has become very awed.


    On the contrary, Zhou Can didn''t feel much.


    It is also possible that he and Zhang Bihua had a close relationship in the first place.


    In his opinion, Du Leng is looking for scolding on his own.


    I really can''t blame Director Zhang for being strict.


    "Now the patient''s condition has stabilized, and you take turns to eat. Doctors and nurses are human too, and they are not made of iron. You should also take care of your health."


    Zhang Bihua is strict, and he is also very concerned about the health of the medical staff.


    "I have asked the chef in the cafeteria to prepare hot meals and hot dishes, and I will call to arrange for someone to deliver them. Oh, I have worked hard today, everyone. If it weren''t for everyone''s hard work, this pregnant woman might have died a long time ago."


    Section Chief Tang was also very happy to see that the pregnant woman turned from danger to safety.


    During the entire rescue process, the two most frightened were not Director Zhang and Zhou Can, but Section Chief Tang and Dean Tian.


    Although Dean Tian didn''t show up, calling every fifteen minutes to inquire about the progress of the rescue is enough to show that Dean Tian sitting in the office is more anxious and anxious than anyone else.


    Now that the danger is saved, everyone is happy.


    This group of doctors and nurses who rescued pregnant women are all heroes.


    Nature should be well rewarded.


    As soon as Director Zhang walked out of the door of the emergency room, several reporters immediately surrounded him.


    "Director Zhang, how is the situation of the pregnant woman?" These reporters are more concerned about the safety of the pregnant woman than the family members, which is really dumbfounding.


    All I can say is that they are very dedicated.


    It is estimated that when they were in the outpatient hall before, they had already taken photos and picked up news materials, and now they are only waiting for one result before they can finish writing the press release first.


    "Thank you for your concern. After the joint rescue of many medical staff from our Tuya Hospital and Xinxiang Maternal and Children''s Hospital, the pregnant woman has been saved for the time being. Director Zhang has been busy rescuing patients, and he hasn''t eaten yet. Please step aside."


    Section Chief Tang directly blocked the group of reporters for Director Zhang.


    "Excuse me, why didn''t the medical staff involved in the rescue come out?"


    Mu Bi misses Zhou Can.


    She didn''t see Zhou Can coming out, so she naturally thought that there was still something going on inside.


    Maybe the patient is still being rescued.


    After all, Section Chief Tang, a propagandist, shouldn''t take what he said too seriously.


    "The rest of the medical staff are still guarding the pregnant woman to ensure the safety of the pregnant woman and the fetus. Our medical staff are working very hard. Please do not interfere with their work as much as possible."


    These reporters were not so easy to dismiss.


    Guard at the door and refuse to leave.


    On the contrary, the family members of the pregnant woman couldn''t help being overjoyed when they heard that the pregnant woman had turned the corner.


    ... After a while, the hospital cafeteria sent someone to deliver food.


    The medical staff in the emergency room came out to eat in turn.


    In fact, after the vital signs of pregnant women become stable, they can be observed for a while. If there are no major problems, they can be hospitalized and transferred to the general ward for follow-up treatment.


    Most cases of fat embolism syndrome recover fully with treatment.


    At present, as long as the condition of this pregnant woman does not deteriorate further, her life will definitely be saved.


    It is estimated that after staying in the emergency room for about three or four days, the ventilator is expected to be removed.


    In general, fat embolism syndrome is much less malignant than amniotic fluid embolism.


    However, even if the pregnant woman survives the current difficulties safely, she is still not optimistic. Her femoral head fell to the point of fracture. I am afraid that no doctor would dare to operate on her.


    But wait until after she gave birth to the operation, the callus has already formed, and there may even be a malunion.


    These are very difficult questions.


    Zhou Can took the X-ray film of the femoral head of the pregnant woman and studied it carefully.


    Her fractures were serious, and when surgery was inoperable, external fixation could only be given as much as possible to help the fracture site heal in situ.


    But the structure of the femoral head is one of the most complicated bones and joints in the whole body.


    Even with surgery, sometimes it cannot be cured, and the entire hip joint needs to be replaced.


    Now if you want to fix it without surgery, it is a test of the doctor''s fracture external fixation skills and level.


    Zhou Can¡¯s fracture external fixation is currently at the third level, and the resident doctor¡¯s level is medium.


    This is also because after the end of the orthopedic surgery training, I can occasionally get an opportunity to earn experience points in fracture external fixation in operations in multiple departments. ???..


    Otherwise, he should still be at the lower level of a resident doctor now.


    "Doctor Zhou, we''ve finished our meal, you and Ji You should go eat quickly!"


    Deputy Director Shi came back after eating with other medical staff.


    Zhou Can and nurse Ji You went to eat instead.


    Ji You has worked in the Department of Critical Care Medicine and has rich experience in rescue assistance. He performed very well in today''s rescue. Moreover, she has a gentle personality, never pushes back and forth in doing things, and has a high professional level in intensive care and rescue.


    There are not many gentle and capable nurses, and Zhou Can is very satisfied with her.


    However, the two were just assigned to this newly established crisis management team yesterday, so they were far from familiar.


    "Doctor Zhou is gone! You want to study the fracture treatment plan for pregnant women, and you can come back to study after eating! You forget to eat and sleep when you work, which is very unfriendly to your body!"


    She greeted Zhou Can with a smile let''s go, let''s eat! "


    Zhou Can quite enjoyed the feeling of being cared about.


    Put down the x-rays.


    "Director Shi, I will entrust the situation here to you for the time being. Be sure to closely monitor her central venous pressure and blood oxygen index, and call me if you have any questions. Don''t worry that I haven''t finished my meal."


    Before Zhou Can left, he was still a little worried.


    There is great variability in all vascular embolic types of disease.


    Sometimes things really change quickly.


    Just like the battlefield, it looked peaceful yesterday, but suddenly there was a fierce exchange of fire the next day, and the side that was in a good situation was defeated.


    The pregnant woman was temporarily out of danger after hard work, but there is still a possibility of a rebound.


    Deputy Director Shi''s rescue skills are actually far inferior to Zhou Can''s.


    Director Shi himself knew this very well.


    "Don''t worry, I''m watching! Go eat!"


    Deputy Director Shi urged him.


    Zhou Can and Ji You walked out of the emergency room, and the female reporter Mu Que who had been squatting at the door immediately greeted them.


    Others don''t know Zhou Can''s strength and hidden status, but she knows it very well.


    Wanting to know the specific condition of the pregnant woman, Director Zhang refused to accept interviews, and it was difficult to get accurate information from other medical staff. So, the other reporters left, but she stayed here.


    Zhou Can was her target.


    Especially seeing that other medical staff came out of the emergency room to eat, only Zhou Can never showed up, she was even more sure of her guess.


    "Hi! Doctor Zhou, can I ask you about the condition of that pregnant woman?"


    Mu Bi waved to Zhou Can to say hello, with a slight smile on his face.


    My medical skills can add experience points.


    Jiangbian Yuweng reminds you: remember to collect after reading

 Chapter 291： 2 To choose the lesser harm, you have to invite Zhou Can

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "I''m just a small-scale Pearson. Reporter Mu can ask Director Zhang, Deputy Director Shi and others if you have any questions." Zhou Can felt a little headache when he saw this female reporter.


    Quickly try to evade.


    "Hmph, don''t think I don''t know anything, Deputy Team Leader Zhou!"


    She snorted twice proudly, and directly stated Zhou Can''s temporary position.


    It means to tell Zhou Can not to mess with her.


    "I''m just a fake job, and I was caught by the superior doctor to make up for it." Zhou Can continued to argue that he was really afraid of being entangled by this female reporter.


    "Tuya Hospital''s overall score in the regular training recruitment exam is number one. Is it also made up? When you were in the emergency department for regular training, did you also make up the number when the total number of surgeries increased by more than a thousand in a month? You are..."


    She stared at Zhou Can''s determined expression.


    "stop!"


    Zhou Can quickly stopped.


    "You investigate me?"


    He stared angrily at Mu Que''s seductive face that could bring disaster to the country and the people. If it were anyone else, no one would be happy if the old man was picked out.


    "Every one of us reporters has the potential to be an Ouchi 001 agent. It''s not that I want to investigate you, but that you are too good. Like a bright light in the dark, it is very difficult for others not to pay attention to you Woolen cloth!"


    She justified herself confidently.


    "Don''t worry, I won''t hold up Dr. Zhou for too long. For the sake of the little girl waiting for you for nearly four hours, please answer my simple interview questions during meal time, okay?"


    Seeing Zhou Can''s expression of hesitation, she once again took advantage of the unique advantages of beautiful women.


    "Please, please! If the interview task cannot be completed, the leaders in the station will scold me."


    She looked at Zhou Can with a pitiful expression.


    "Just let your leader scold me. Just tell him that I don''t want to cooperate with your interview." Zhou Can didn''t mean to let go.


    If you think she is a beautiful woman, you can take him down by acting like a baby in front of him, and begging with soft words.


    That would have underestimated him too much.


    Seeing that Zhou Can didn''t show any affection, he and the female nurse Ji You left her and walked straight to a small room not far away.


    She bit her thin red lips, which were painted with lip gloss, and chased after her.


    "What''s wrong with that pregnant woman?"


    No one answered her.


    "We reporters are not bad people. The purpose of the interview is to report the truth of the matter to the public. Besides, hasn''t this pregnant woman turned from danger to safety? Reporting it is beneficial to the experts of Tuya Hospital and Xinxiang Maternity and Children''s Hospital! You really didn''t You must guard me like a thief, I am a serious TV reporter."


    She still lingers on Zhou Can.


    Fortunately, at this time, Chief Tang came out of the room after eating.


    Seeing the female reporter pestering Zhou Can, he immediately stopped Mu Tie, and said politely, "Reporter Mu, please ask me any questions, and don''t pester Dr. Zhou anymore. She is so busy trying to save patients that she hasn''t had lunch yet." , please measure it."


    Mu Jie knew that there was no way to interview Zhou Can alone.


    She was a little depressed, but helpless.


    "Then I will interview Dr. Zhou when he is free next time. Goodbye, Chief Tang."


    She is decisive enough.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Finding that Zhou Can could not be interviewed, he turned around and left.


    Let her interview Section Chief Tang, thank God if she can tell the truth in ten sentences.


    ¡­


    In the room, Zhou Can and Ji You found that the food was packed in an incubator.


    The cuisine is not bad, three dishes and one soup, obviously not the big pot dishes in the cafeteria.


    "I didn''t expect Dr. Zhou''s resistance to beauties is quite strong! That female reporter is very beautiful, and she can act like a baby. It is difficult for ordinary men to resist her request. You will refuse so cleanly, it really makes me cry." I was quite surprised."


    Ji You also took this opportunity to chat with Zhou Can.


    Want to increase a little familiarity with each other.


    After all, there are still more than five days to work together to rescue all kinds of endangered patients and deal with emergencies.


    "Could it be that in Ji Meimei''s cognition, men should see that the beauty can''t walk, and the lower body determines the brain?"


    Zhou Can raised his eyebrows.


    "Well... the heroes from ancient times must be saddened by beauty!" She probably didn''t expect Zhou Can to speak so directly, with a little vulgarity, her face was slightly smoky, and she quickly changed the subject. "Doctor Zhou thinks how should the femoral head fracture of the pregnant woman be treated?"


    "Surgery is definitely not possible, so we can only find a way to do external fixation of the fracture. Judging from the X-ray films she took, external fixation can only ensure that the two largest fractures can be corrected as much as possible, and the other three are more serious. I am afraid that there is no way to take care of minor fractures."


    Zhou Can has also been thinking about external fixation.


    After much deliberation, we can only choose the lesser of two harms.


    Try to ensure that the main part of the femoral head heals in situ. As for the other three corner fractures and minor fractures, they can only be allowed to heal on their own. At least one of them will have a malunion.


    It may affect the motor function of the lower limbs of the patient after rehabilitation.


    Zhou Can''s idea is to wait until after the pregnant woman gives birth, and then elective surgery to correct and repair the malunion.


    After the two of them finished their meal, they went back to the emergency room and continued to stare at the pregnant woman without mentioning it.


    About ten minutes past two o''clock in the afternoon, Deputy Director Shi''s cell phone rang.


    "Hello, Director Zhang!"


    "Is the condition of the pregnant woman stable?"


    "So far so good."


    "I have treated a patient in his fifties. Examination revealed peritoneal effusion and liver cirrhosis. During digital **** examination, he found a tumor on the front wall of the **** with a diameter of at least five centimeters. I always feel that this case It''s not as simple as it looks on the surface. She was treated in an outside hospital, and the diagnosis of the outside hospital was rectal cancer, and surgery and radiotherapy were performed."


    Radiation therapy is radiation therapy, which uses some special high-tech rays to kill cancer cells.


    Can effectively prevent postoperative cancer recurrence.


    Especially for some tumors that cannot be removed cleanly, radiotherapy is of great significance. It can completely destroy the remaining tumor cells.


    Here we must explain why some cancer patients are found to be cancer, but the doctor is not in a hurry to perform surgery on the patient, but prescribes a radiotherapy plan.


    Many patients may not understand it, and think that doctors are deliberately increasing treatment items, tossing patients, and earning ignorant money.


    Patients are more worried that the tumor will metastasize if it is delayed for a long time, and the best opportunity for surgical treatment will be missed.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    In fact, the doctor is well-intentioned. The purpose of preoperative radiotherapy is to reduce the spread of cancer cells, reduce the rate of lymphatic metastasis, and expand the chance of resection of recurrent tumors.


    Therefore, whether it is preoperative radiotherapy or postoperative radiotherapy, doctors have their own comprehensive considerations, and it is by no means making black-hearted money as imagined by patients and their families.


    As for chemotherapy, it means the use of chemical drugs to treat cancer.


    This treatment can have serious side effects such as hair loss, puffiness, etc.


    Chemotherapy is a treatment method that kills one thousand enemies and harms eight hundred.


    Some patients'' immunity itself has been badly damaged by cancer cells, and then given chemotherapy, the patient''s health is deteriorating. Many are empty of money and people.


    Chemotherapy may become obsolete in the near future with the advent of new drugs for cancer treatment.


    Currently, chemotherapy is still one of the most effective means of treating cancer.


    Radiotherapy, chemotherapy, and surgical treatment are known as the three tricks to deal with cancer.


    After all these three tricks have been used, they still do not work, and the patient is basically sentenced to death.


    In fact, many patients simply cannot survive the last course of chemotherapy.


    If Director Zhang was only treating a patient with rectal cancer, there was no need to discuss it with Deputy Director Shi.


    I heard her continue to say on the other end of the phone, "This patient relapsed within a short period of time after receiving surgery and radiotherapy in another hospital. The patient just asked me if I should just cut off the entire **** and make a **** fistula." It¡¯s okay if you change the route? I suspect it¡¯s not that simple, so I¡¯d like to invite you over for a consultation.¡±


    Gastroenterology finally has its place.


    Deputy Director Shi was very excited, and quickly responded, "All right, all right, I''ll be right over!"


    After hanging up the phone, Deputy Director Shi still looked excited.


    "Xiao Zhou, keep an eye here. Director Zhang has picked up a patient with rectal cancer. Please ask me to come over for a consultation. I''ll be back when I''m done."


    "OK!"


    Zhou Can readily agreed.


    The pregnant woman is still stable, but he dare not walk away at all. The doctors and nurses of Xinxiang Maternity and Children''s Hospital have a lazy working attitude. Compared with the doctors of Tuya Hospital, the gap is very obvious.


    Even the medical staff in the emergency room are so slack, one can imagine what kind of work attitude the medical staff in other departments will have?


    It''s unacceptable for such a hospital to have no accidents.


    When a major accident occurs in a hospital, it should face up to itself, strictly control the work style, and ensure safety.


    However, the practice of Xinxiang Maternity and Children''s Hospital is to send a large number of top doctors from the hospital to study, and they don''t care about the doctors and nurses in the hospital.


    Now even if experts from Tuya Hospital are invited to come over to build momentum and stand on the platform, it may cause trouble sooner or later.


    The laws of market competition are very fair and cruel.


    Hospitals with major flaws are ultimately doomed to be eliminated.


    It is precisely because the doctors and nurses at Xinxiang Maternity and Children''s Hospital have developed a lordly style and are relatively indifferent to the lives of patients, Zhou Can is even more afraid to leave this pregnant woman.


    Because she is still in a dangerous period.


    About twenty minutes later, Deputy Director Shi called.


    "Doctor Zhou, the cause of this patient is a bit difficult to diagnose, why don''t you come over and help?"


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Deputy Director Shi lowered his voice and spoke over there.


    It is estimated that it is a bit embarrassing to ask for reinforcements temporarily.


    "What about the pregnant woman?"


    Zhou Can was a little worried.


    "I asked Dr. Pang to go over and watch, and everything will be fine."


    Deputy Director Shi said.


    "That''s fine! I''ll wait until Dr. Pang arrives before going there!"


    After Zhou Can hung up the phone, he looked at the two nurses Ji You and Chen Qingling.


    There are five people in their crisis management team. Chen Qingling is an equipment nurse. At critical moments, patients need to perform surgery or invasive respiratory support, which requires her assistance.


    "I have to leave for a while, and Dr. Pang will come over later. But for the safety of this pregnant woman, I still need you two to be more careful and keep an eye on it."


    Zhou Can told the two of them.


    "clear!"


    The two nodded in agreement.


    Chen Qingling is older, at least close to forty years old, and she behaves fairly prudently. Ji You is relatively young, in his twenties, serious and responsible in his work, and his professional level is quite good.


    With these two people watching, plus Dr. Pang at the attending level, there shouldn''t be any trouble.


    Not long after, Dr. Pang from the Department of Obstetrics and Gynecology rushed over.


    After Zhou Can handed over, he rushed to the outpatient hall to help diagnose difficult cases together.


    When he arrived, several doctors were discussing together.


    Deputy Director Shi looked around frequently, longing for Zhou Can''s arrival.


    Seeing Zhou Can present at this moment, he also quietly breathed a sigh of relief.


    It was a bit embarrassing to say it, so Director Zhang invited him to participate in the consultation. The opportunity he had thought to show his skills finally came. Because the patient had rectal cancer, even if there were other conditions, it was mostly a digestive system lesion.


    As a result, after knowing the patient''s condition in detail, he found that this case was far from easy to diagnose as imagined.


    It also made him realize that the Department of Gastroenterology has made a lot of achievements regardless of the previous diagnosis of difficult cases. But without Zhou Can, he is nothing as the deputy chief physician.


    "Doctor Zhou, here is the patient''s examination data, you can take a look first."


    Deputy Director Shi seemed to have found a savior.


    After this scene, in the eyes of other doctors, no one said anything, but when they looked at Deputy Director Shi and Zhou Can, there was something strange in their eyes.


    The all-pervasive reporter Mu was also staring at this side not far away.


    Especially after Zhou Can arrived, her gaze was like an eagle, and she never moved away from Zhou Can.


    Seeing that Deputy Director Shi stuffed the patient''s examination materials into Zhou Can''s hands, showing a relaxed expression as if a savior had come, she couldn''t help but twitched the corners of her mouth.


    "It''s been a long time seeing Gui Peisheng, who is stronger than the chief physician!"


    She muttered in a low voice, and she was more interested in Zhou Can, a regular student.


    Zhou Can took the examination materials, and Director Zhang said to him in a timely manner, "Our current consensus is that the patient''s rectal cancer is considered to be caused by metastatic cancer. Ascites is the best proof."


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    Indeed, rectal cancer should not cause ascites if it is the primary lesion.


    "Did you check the peritoneal effusion? For example, whether there are cancer cells in it."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Modern medical technology is advanced, and there are many inspection methods.


    In this case, direct examination of the composition of the peritoneal effusion also has a certain probability of finding the primary lesion.


    "I''ve checked it! Here, this is the one. The results suggest that well-differentiated signet ring-like cells were found in the peritoneal effusion."


    After Director Zhang saw Zhou Can''s ability, he no longer regarded him as a regular trainee, but directly promoted him to the rank of chief physician.


    During the discussion, she directly answered Zhou Can''s questions.


    This invisible reliance was enough to make Gao Jian and Du Leng present feel extremely jealous. Because Yang Chan and Zhou Can are classmates, she doesn''t feel jealous, but feels the pressure of competition.


    Holding back all his energy, he will definitely redouble his efforts in the future to try to catch up with Zhou Can.


    Now, the gap between her and Zhou Can is very large.


    She can clearly feel this point herself, and UU Reading also realized it.


    "Signet ring-like cells, you should check the stomach! You can consider the possibility of gastrointestinal cancer metastasis."


    Zhou Can spent three months in the digestive surgery department, which was not for nothing.


    For various cancers of the digestive system, he can count the treasures and has a deep understanding of them.


    A gleam of appreciation flashed in Director Zhang''s eyes.


    This kid is indeed a bit capable, and every step of the diagnosis is consistent with the diagnosis results they discussed together.


    You know, it took a long time for this group of experts to determine that the possibility of stomach metastasis is very high. Zhou Can pointed directly at his stomach with ease, this is the level!


    "Gastrointestinal imaging showed a tumor in the greater curvature of the stomach, and tumor metastasis in the anterior wall of the **** and peritoneum."


    Director Zhang continued.


    Zhou Can read the corresponding inspection materials.


    "Her primary cancer was most likely in the ovaries."


    Not long ago, a patient with ovarian cancer was diagnosed, and he was very impressed with the disease.


    Ovarian cancer is even more insidious and deceitful than lymphoma, making it very difficult to diagnose.


    They all have a common feature, the primary lesion does not show much symptoms, but the symptoms of the metastatic lesion are obvious. It is equivalent to Mingxiu plank road in Thirty-six Strategies, crossing Chencang secretly.


    There is also a taste of slapstick.


    This cancer is really as cunning as a wolf.


    "But the patient had an abdominal CT scan in another hospital, and no obvious ovarian lesions were found!" Director Zhang said.


    "Ovarian cancer is very good at disguising, and there is a fastest way to diagnose it. Directly check the pathology of gastric cancer, and you can find out whether it is ovarian cancer metastasis." Zhou Can provided a solution.

 Chapter 292： Do you dare to take a step and try, Director Zhangs request for help

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Can Dr. Zhou share the basis for the diagnosis?"


    Yang Chan still felt a little unbelievable.


    The patient''s symptoms were clearly rectal cancer, and the experts determined that the patient may have gastrointestinal cancer in the previous discussion and analysis. She can accept these arguments.


    Because one of the biggest characteristics of gastrointestinal tumors is that the tumor is easy to metastasize downward.


    For example, esophageal cancer, if it is not detected in time, it is likely to metastasize, and patients will develop gastric cancer, intestinal cancer and so on.


    The ovaries are not part of the digestive system and are located in the female pelvic cavity, approximately behind the anterior superior iliac spine.


    Although it is adjacent to the rectum, the pathology of the two is really different.


    Even if the patient''s primary tumor is an ovarian tumor, the uterus is most likely to be involved if it wants to metastasize.


    "Well... the diagnosis of this case is mainly based on the combination of symptoms and clinical experience! The examination data only played an auxiliary role in the diagnosis. For example, the patient had abdominal distension for nearly five months, and had difficulty defecating, and there was abdominal pain. Symptoms such as effusion, behind these symptoms represent that one or more organs have lesions."


    "Abdominal distension and difficulty in defecation. After first ruling out the possibility of colonic lesions, I reasoned in two ways based on clinical experience. Tumors in the **** can cause difficulty in defecation and abdominal distension. But when I learned that the peritoneal effusion was found to be like a signet ring After receiving the cells, I immediately suspected that the **** must not be the only one affected, and the stomach should also have lesions."


    "After the examination, it was confirmed that there was a tumor in the greater curvature of the stomach. According to the conventional diagnosis, gastric cancer metastasizes to the **** and rectal cancer occurs. This idea is feasible. But if you are more careful, you will find that the rectal tumor is quite large. The tumor in the greater curvature of the stomach is relatively small. In addition, the patient reported stomach discomfort in the last one or two months. I boldly believe that the tumor in the stomach occurs later than in the rectum."


    Zhou Can gave her a detailed analysis of the diagnostic thinking.


    All the other experts nodded their heads.


    The eyes Yang Chan looked at him were also shining with splendor.


    She really didn''t expect to be able to make a diagnosis in this way.


    "It is more common for gastric cancer to metastasize to the rectum, but it is relatively rare for rectal cancer to metastasize to the stomach. Therefore, I believe that stomach tumors are still not the primary lesion. As for why I suspect ovarian tumors, I rely on my personal clinical experience and some clues of pathology. Evidence. For women after the age of 40, the risk of ovarian lesions increases significantly. It happened that I have received three cases of ovarian cancer metastasis, which is why I made this bold determination."


    Zhou Can went on to state some of his diagnosis basis.


    Not to mention the experts present and Yang Chan, even the family members nodded in approval.


    "Teacher, do you think this patient''s abdominal and pelvic tomography and tomographic imaging can detect ovarian tumors?" Yang Chan now has no doubts about Zhou Can''s diagnostic thinking, but she still has doubts about the diagnosis results.


    "The ovary is a gonadal organ. Tumors occur in it, and the diagnosis is more difficult than that of pancreatic cancer. There is a certain probability that CT scans will find lesions, but there is also a possibility that the lesions will not be visible. Not to mention CT, even MRI has missed diagnoses, Possibility of misdiagnosis. Directly taking suspicious tissue for pathological examination is the gold standard for diagnosing the disease. Dr. Zhou Can is right, you can take part of the tissue through surgery for pathological biopsy.¡±


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhang Bihua has so much diagnostic experience that it is difficult to diagnose with ordinary examination.


    Suffice it to say how difficult it is to detect ovarian cancer.


    After communicating with the patient and his family, the other party agreed to remove part of the tissue for biopsy.


    There is no need for Tuya''s experts to operate the surgery themselves, and the operating room of Xinxiang Women''s and Children''s Hospital is fully capable of this operation.


    If there is no such surgical ability, it is impossible to become a powerful top three specialized hospital.


    Zhou Can has performed extremely well many times in a row, and his status in the eyes of experts has also risen sharply. Experts who didn''t know him before all looked at him with admiration.


    Xinxiang Maternity and Children''s Hospital has also begun to focus on this talented doctor.


    The reporters have also discovered that this young doctor is unusual, much better than that returnee doctor. Consciously or unintentionally, they all began to stare at Zhou Can.


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    Mu Jie was the reporter who first discovered that Zhou Can was a big fish.


    What worries me at the moment is how to quickly establish a good relationship with Zhou Can, so that Zhou Can is willing to accept her interview.


    It''s a pity that her beauty and coquettishness, which have been tried and tested in front of other men, seem to have no effect on Zhou Can.


    This bothered her a lot.


    Zhou Can ignored those envious or admiring eyes at all, and after helping to diagnose the patient, he returned to the emergency room again.


    The pregnant woman, who was pregnant with her five-month-old baby, touched his heart deeply.


    After the patient''s signs stabilize, the first six hours are the critical period.


    "Doctor Pang, is there anything unusual about her condition?"


    Zhou Can asked politely.


    He was not familiar with Dr. Pang, so he couldn''t speak as casually as he did with Deputy Director Shi.


    "good!"


    Dr. Pang''s tone was a little cold, and there was no smile on his face.


    Zhou Can had long noticed that something was wrong with her mood.


    For example, the pregnant woman was rescued in the morning. She is also a member of the crisis management team. She should have followed Zhou Can as an assistant, but she didn''t. During the rescue, she did what she did, without any intention of focusing on Zhou Can.


    After the pregnant woman''s signs stabilized, Dr. Pang did not stay with Deputy Director Shi and Zhou Can to guard the pregnant woman, but evacuated directly with Director Zhang and others.


    Until later, the patient with rectal cancer treated by Director Zhang had a complicated etiology and was difficult to diagnose, so Zhou Can had to rush over to participate in the consultation.


    Deputy Director Shi came forward to invite Dr. Pang over.


    After Dr. Pang came, when Zhou Can handed over to her, her attitude was as cold as it is now.


    There is no obvious confrontation with Zhou Can.


    It is lukewarm, love to take care of the attitude.


    Although Zhou Can felt a little unhappy, he didn''t say much.


    She is an attending physician in the Department of Obstetrics and Gynecology. Compared with Zhou Can, a young and trained doctor, she is considered an experienced doctor.


    "If there''s nothing else, I''ll go first."


    Dr. Pang left a sentence and walked directly outside the emergency room.


    The two nurses looked at it with weird expressions, but they didn''t speak.


    Nurses never get involved in conflicts between doctors.


    The status of the two is different, and there is no way to mix them.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Wait! Director Shi stays in the outpatient hall for consultation. I am the only doctor here to guard the pregnant woman. In case of an emergency, I will be caught off guard. If Dr. Pang is not urgent, please stay and take care of the pregnant woman with me." A pregnant woman. The first six hours of fat embolism is an extremely dangerous period, and accidents may happen at any time."


    Zhou Can spent several months in the Department of Critical Care Medicine and knows how fragile human life is.


    Say no and be gone.


    "I also need my help in the outpatient clinic! I don''t think there is anything wrong here. Doctor Zhou can handle it anyway."


    Even though Zhou Can asked her to stay, she still refused.


    And the words are a bit weird.


    Zhou Can is not stupid, he knows why she has such an attitude?


    It was nothing more than the fact that the deputy team leader didn''t choose her, and was chosen by Zhou Can, a rookie whose rank was not as good as hers. Now it is equivalent to letting her, an old comrade with a higher rank, listen to Zhou Can''s orders, and she feels unhappy.


    "If Dr. Pang insists on going to the clinic and something happens to the pregnant woman, who will bear the consequences?"


    The smile on Zhou Can''s face disappeared.


    If you are shameless, then you can''t blame him for using his status to oppress others.


    High emotional intelligence doesn''t mean you can''t offend others.


    Rescuing patients requires the full cooperation of the entire medical team. If Dr. Pang is not subdued, if she plays with her temper during the rescue process, it is no joke.


    "Ha, Dr. Zhou brought people here to rescue, should others bear the consequences? Besides, as long as the doctor fulfills his duty of rescue, where does he have any responsibility?"


    Physician Pang smiled.


    "In the case of this pregnant woman, she is already relying on a ventilator to support her life. In case of a dangerous situation, does Dr. Pang think that only one person can handle it?"


    Zhou Can stared at her and asked.


    The tone this time was no longer polite, but the tone of a superior questioning a subordinate.


    It will definitely make Dr. Pang feel uncomfortable, so there is no way.


    When she was happy, Zhou Can couldn''t.


    "If the rescue is not effective because of your absence, and the higher-ups will hold you accountable, who do you think should be held accountable? That''s all. If Dr. Pang feels that the future doesn''t matter, just leave. As long as you dare not get me as the deputy team leader With permission, take half a step out of the emergency room, and I will tell you how to be a doctor."


    Zhou Can pressed her directly with harsh words.


    I still don''t believe in this evil today, let''s see if she has the guts?


    There is an old saying that evil does not suppress justice, but there is a premise that the righteous party must be brave and fearless.


    Otherwise, the more honest you are, the evil side will only think you are easy to bully.


    Dr. Pang was so threatened by a junior doctor. In addition to Tuya''s two nurses, there were also doctors and nurses from Xinxiang Women''s and Children''s Hospital.


    Her face turned red with anger, and her eyes became extremely fierce.


    Zhou Can just looked at her with cold eyes, but his face was calm.


    The eyes of the two met and confronted.


    "Go if you have the guts, don''t hesitate!"


    Zhou Can has already seen flinching from the depths of her eyes.


    A woman who is close to forty years old, a stable job is too important to her. She saw strong confidence and fearlessness in Zhou Can''s eyes.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "What can you do if I leave?"


    She was still a little unwilling, and tested Zhou Can''s reality at the end.


    There is a blatant conflict with Zhou Can today, and it is certain to lose face.


    If she could win, not only would she be able to vent her anger, but she would also be able to save her so-called face.


    So, she is testing.


    "My deputy team leader asks you to stay at the scene and be ready to rescue the pregnant woman at any time. If you insist on leaving, you will not listen to the order of the superior. I will report your work attitude to Director Zhang immediately. It is her responsibility to deal with Director Zhang. Maybe you think you are an old comrade and have some contacts in Tuya Hospital, but this is not enough to save you. Even, you may not even be able to keep your job."


    Zhou Can spoke very straightforwardly.


    It''s really not to scare her, but he really has this strength.


    The attending physician who is nearly forty years old has limited potential no matter how strong he is. Compared with a monster like Zhou Can, it''s really not even a star.


    "Can''t I go out and go to the toilet? Hehe, I was just joking with Dr. Zhou just now!"


    After a few seconds of fighting between heaven and man, she forced a smile on her face and decisively confessed.


    As Zhou Can decided, she couldn''t afford to gamble.


    And she''s completely unreasonable.


    "It''s okay to go to the toilet. I know Dr. Pang is joking, but I didn''t take it seriously."


    Zhou Can talks nonsense when he sees people, and talks nonsense when he sees ghosts.


    The originally tense atmosphere suddenly warmed up. Both of them reconciled as if they had never had a quarrel.


    Of course, this is just the surface.


    Reconciliation is so easy, but it is too difficult as before.


    With this quarrel and confrontation, it is estimated that Dr. Pang probably hated Zhou Canji in his heart.


    So what?


    Just like when Zhou Can was working in the emergency department, he beat Dr. Lu to death. Finally, when he was strong enough, Dr. Lu took the initiative to bow his head and repair the relationship between the two.


    Today''s Zhou Can is countless times stronger than before. Dr. Pang bowed his head to him, and it would only be faster to take the initiative to find him to repair the relationship.


    For adults, what is face? Benefits are the most important.


    Offending Zhou Can will affect her promotion and evaluation in Tuya, and even affect her deputy senior evaluation, so ask her if she can stand it?


    After Dr. Pang left, the older nurse Chen Qingling didn''t say anything.


    After all, Ji You was younger, and said to Zhou Can in a low voice, "It''s Dr. Zhou who is very good, and he calmed her down. She is usually in the obstetrics and gynecology department." Ji You wanted to go on, and Chen Qingling pushed her quietly.


    In the unit, it is most taboo to speak ill of colleagues behind their backs.


    It is very easy to cause trouble.


    She subconsciously glanced at Chen Qingling, who gave her a wink, so she didn''t say any more.


    From Ji You''s words, it''s not difficult to hear that Dr. Pang must be domineering in his daily actions.


    "You''re not afraid of being heard by her if you speak ill of her?"


    Zhou Can asked Ji You with a smile.


    "I''m not afraid! Doctors and nurses are two systems, and she has no control over me."


    She said she was not afraid, but there was a bit of fear in her eyes.


    Doctors at the attending level have the ability to deal with any nurses they want.


    Not long after, Dr. Pang came back after using the ''toilet''.


    His complexion looks much better than before.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    It''s not like before Eyes are not eyes, nose is not nose.


    A forty-year-old woman is much more powerful than a twenty-year-old girl. The temper can be contained or released.


    ¡­


    Around three o''clock in the afternoon, Zhou Can''s cell phone rang.


    This time, Director Zhang Bihua actually called.


    "Hello, Director Zhang, what instructions do you have?"


    Zhou Can greeted him respectfully.


    Physician Pang next to him heard the call from Director Zhang, and immediately pricked up his ears to eavesdrop.


    It could be seen that she was somewhat nervous.


    Afraid that Zhou Can would make a small report on her.


    "Xiao Zhou, how is the situation there?"


    "The signs of the pregnant woman have been stable, but the blood pressure still fluctuates a bit, and I dare not take it lightly." Zhou Can replied truthfully.


    "Can I smoke for a while? The diabetic patient who drank too much yesterday has improved after treatment. But this is only a temporary treatment. To cure her disease, I am afraid that all the experts will have to do a test on her together. Consultation, sort out the condition and find out the real cause."


    Director Zhang also saw Zhou Can''s ability, so he relied so much on him.


    "Are you going to your place now?"


    Zhou Can asked.


    "Well, the family member is in the outpatient hall now. He told me that the patient''s condition has improved, and he is very happy. He also told me that his family is quite difficult, and he hopes to use this opportunity of expert consultation to completely cure his wife''s illness. good."


    Director Zhang Bihua is very kind-hearted, and like most chief physicians, he always thinks of patients from the bottom of his heart.

 Chapter 293： Ultra-difficult case diagnosis, Du Leng picking peaches

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Okay, I''ll come right over."


    Zhou Can answered very simply. He waited until Director Zhang hung up the phone before he moved the phone away from his ear.


    It is the most basic courtesy to wait for the other party to hang up first when talking on the phone with elders, teachers, or leaders.


    Some newcomers in the workplace are used to being careless. When talking to their leaders, they are ''informal'', rushing to hang up the phone, or rushing to talk to the leaders. These are taboos.


    If you don''t pay attention to these details, it''s easy to see that other colleagues who joined the company are obviously not as capable as yourself, but they are getting better every two years.


    But he was still standing still.


    Human accidents are equally important as work ability and business level.


    Dr. Pang, who was standing next to him, watched Zhou Can hang up the phone and secretly breathed a sigh of relief. She could hear clearly just now that director Zhang Bihua relied heavily on Zhou Can, and he treated Zhou Can as an equal when talking.


    She was particularly afraid of Zhou Can suing her.


    Fortunately, Zhou Can has the generosity of a man, and acts aboveboard.


    And did not clean her up.


    "Doctor Pang, I would like to trouble you and the two nurses to take care of her for a while. I will go to the outpatient hall and I should be back soon. In case of any emergencies, please call me as soon as possible."


    Zhou Can left quickly after instructing the three of them.


    Dr. Pang watched Zhou Can leave and felt a chill down his back.


    It was only then that she discovered that Director Zhang had spoken to Zhou Can just now, which scared her into a cold sweat.


    When Zhou Can rushed to the outpatient hall, he found that yesterday''s female patient with polydipsia, diabetes insipidus, and impaired consciousness was sitting at Director Zhang Bihua''s desk for diagnosis. She looks much better than yesterday.


    Yesterday he looked demented, with a bent body and sickly.


    After a day of hospital treatment, she now looks like a completely different person. My mind is much clearer, and my eyes have a gleam of light.


    "Doctor Zhou, I''m just waiting for you to come over and help with the consultation!"


    A deputy chief physician of the obstetrics and gynecology department greeted Zhou Can with a smile for the first time.


    "Ah... me? I''m just a little Pearson, you''re flattering me too much! Director Luo''s words are not putting gold on my face, but putting a bucket of gold on my head."


    Naturally, Zhou Can would not foolishly acquiesce in other people''s flattery.


    This director Luo had never even looked at him before, but now he suddenly became so enthusiastic, just two words ''snobbish''.


    "Doctor Zhou has working experience in rotations in multiple departments, so maybe he can give some constructive diagnostic advice on this case!" Zhang Bihua took over the conversation.


    "After the patient was treated with measures such as fluid replacement and intravenous infusion of insulin, her blood sugar and blood sodium have dropped a lot, and her mind has become much clearer. However, she still has poor appetite, poor mental state, and poor sleep. At the same time, she drinks a lot. Urine and other symptoms still exist.¡±


    When Zhang Bihua said this, Zhou Can understood what it meant.


    Although the patient''s condition improved greatly after treatment, it was just a temporary solution.


    At present, only the patient''s diabetes is in remission.


    Zhou Can looked at the patient.


    "Are you having normal bowel movements now?"


    "once a day."


    Patients have been able to communicate directly with Zhou Can.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    This made Zhou Can very happy.


    "Have you checked the patient''s menstrual and marriage history?" Zhou Can turned to ask Director Zhang.


    "Just now, I asked her when she was sober. She had menarche at the age of 14, and each menstrual cycle is about 50 days. It looks like five days of menstruation, and the amount of menstrual blood is heavy. She got married at the age of 21 and gave birth to a child."


    Director Zhang briefly introduced the patient''s situation.


    A normal woman''s menstrual cycle is between 28 and 35 days, but this patient''s menstrual cycle is as long as 50 days, which is obviously abnormal.


    But from another perspective, a 50-day menstrual cycle may not be a bad thing.


    Because women ovulate about 400-500 times in their lifetime. In fact, most women only ovulate around 400 times in total.


    [In other words, currently the best app for reading and listening to books, Yeguo Reading, install the latest version of .yeguoyuedu. ¡¿


    A 28-day menstrual cycle means that the eggs in the body will be discharged in a shorter period of time.


    At this time, women will stop menstruating and menopause will come.


    Some women stop menstruating in their forties, and menopause comes later, which is not a good thing.


    Because according to scientific research, the later a woman''s menopause age, the slower her aging process, and the body''s immunity can always be maintained at a high level.


    This patient had a menstruation every 50 days, almost twice as long as the average woman.


    It also means that she stops menstruating later than the average woman and menopause comes later.


    "What about her current physical condition?"


    "Body temperature is 37.7 degrees, heart rate is 83/min, respiration is 24/min, blood pressure is 116/75mmhg." Yang Chan replied next to her.


    She is responsible for every physical examination of patients.


    It is equivalent to laying hands on Director Zhang.


    Body temperature is low-grade fever, blood pressure and heart rate are basically normal.


    Zhou Can walked around to the patient to check her neck.


    "It has been checked, and the pharynx is slightly red and swollen, the tonsils are obviously enlarged, and the thyroid gland is normal. There is no obvious edema in the lower limbs. The breathing is normal and there is no noise."


    Yang Chan''s work is quite meticulous.


    Zhou Can smiled and gave her a thumbs up.


    "It''s worthy of being a famous teacher who produces a talented student. The monitor''s physical examination work is really good!" In one sentence, both Director Zhang and Yang Chan were praised.


    Both of them had a smile on their faces.


    There are very few women who don''t like being praised.


    "Have you tested the patient''s urine?"


    "Here, this is the latest urine test report." Yang Chan took the initiative to hand over the results of the urine routine test to Zhou Can.


    After taking it, Zhou Can took it and looked at it, and then checked the patient''s other biochemical examination data.


    "The urine ketone body is positive, and the blood gas indicates metabolic acidosis, so she must be ketoacidosis!"


    Zhou Can made a conclusion after reading it.


    "The diagnosis result was given by Director Zhang and other experts just now."


    Yang Chan replied.


    "What we need to consider now is why the patient will experience disturbance of consciousness or even coma after stopping the drug and switching to traditional Chinese medicine?" Director Zhang pointed out the problem to be solved to Zhou Can.


    The experts have just discussed, and there should be some conclusions.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    It''s just that there may be some differences of opinion.


    "From the analysis of the patient''s symptoms and examination data, I think her disease should be treated separately. The cause of disturbance of consciousness and even coma is not necessarily related to taking traditional Chinese medicine. She should be in hyperosmotic coma."


    Zhou Can found that during the diagnosis process, his mind was exceptionally clear and his thinking was clear.


    "Hyperosmolar coma often occurs in elderly patients, but she is only in her thirties, still very young. Personally, I think the possibility of hyperosmolarity is unlikely."


    Director Luo, who was somewhat snobby, disagreed with Zhou Can''s diagnosis.


    "There are no absolutes in the world, and this patient''s situation is quite special. My diagnosis is as follows. The patient had been taking Mining before, and only when she stopped taking the medicine did the diabetes insipidus worsen and her body became dehydrated. Then she also The hypoglycemic drugs were also stopped, and Chinese medicine was used instead. This will lead to an increase in blood sugar levels, and dehydration will inevitably increase, eventually leading to hyperosmolar coma. Ketoacidosis is also caused by the discontinuation of hypoglycemic drugs."


    Zhou Can made a detailed analysis of the patient''s pathological mechanism and its pharmacological mechanism.


    ¡¾Pathological diagnosis experience value +1, pharmacological syndrome differentiation experience value +1. If you successfully diagnose a difficult case, the experience points of pathology and pharmacology will each be rewarded with 100 meridians. ¡¿


    The experience points have already been credited, which shows that Zhou Can''s diagnosis is completely correct.


    The diagnosis of this disease in five days is not difficult at all.


    The main reason is that there are multiple and complex diseases, like a bundle of hemp. If you want to diagnose the pathology correctly, you must straighten them out one by one.


    Zhou Can diagnoses and treats amenorrhea, polydipsia, disturbance of consciousness and other diseases separately, which greatly reduces the difficulty of diagnosis.


    And can not be interfered by other pathological mechanisms.


    "Well said! I think the diagnosis opinion of the patient in hyperosmolar coma is completely correct." Director Zhang firmly supported his diagnosis conclusion after listening to Zhou Can''s analysis.


    "Well, even if the patient''s disturbance of consciousness is a hyperosmolar coma, what about her polyuria?"


    Director Luo compromised.


    Forced to agree with Zhou Can''s diagnosis, she asked a new question.


    "Don''t worry, let''s treat them one by one. The patient''s polyuria and polydipsia, based on the analysis of the test data and her actual condition, can basically be diagnosed as diabetes insipidus. And it belongs to central diabetes insipidus."


    Zhou Can''s split-and-attack style of play has also refreshed many doctors.


    Because many doctors are accustomed to a fixed thinking, thinking that although patients have many symptoms, there is usually only one cause. Find the cause of the disease and treat it symptomatically, and the disease will be cured.


    In fact, it does.


    But there is also the possibility of multiple diseases or multiple diseases.


    The most common clinical situation is that a patient suffers from multiple underlying diseases at the same time, for example, a patient suffers from hypertension, diabetes, and nephritis at the same time, which is extremely common in clinical practice.


    But this common underlying condition is very easy to diagnose.


    High blood pressure, blood pressure was checked out.


    If you have diabetes, check your blood sugar and urine routine. Even for more complicated diabetes, a supplementary liver and kidney function test, blood lipid, and islet function test can also confirm the diagnosis.


    The above-mentioned diseases basically have gold standards for diagnosis, so they are easy to detect.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The cause of this patient is complicated and confusing. Type 2 diabetes is only one cause on the surface, but because the patient listened to his relatives and stopped taking western medicine and taking traditional Chinese medicine, which made the disease worse, it is obvious that there is more than one cause.


    Under such circumstances, if the diagnosis and treatment of diabetes are still carried out, it will definitely be like the doctors in the previous hospitals, unable to cure the disease at all.


    "Judging from the results of the patient''s water deprivation-vasopressin test, the diagnosis of central diabetes insipidus is tenable." Director Jiang of the Neurology Department supported Zhou Can''s diagnostic point of view.


    So many experts at the scene jointly diagnosed the woman, attracting many family members and patients to watch.


    In addition to being surprised, they also wanted to take the opportunity to see which of these experts was more powerful.


    At the same time, you can also see how the experts diagnose the disease?


    The water deprivation-vasopressin test of this audio-visual teacher showed that desmopressin was stopped twice. After eight hours of water deprivation, the blood osmotic pressure was 330mosm\\/l, and the urine osmotic pressure was 103mosm\\ /l, after the injection of vasopressin, the urine osmotic pressure rose to 590mosm\\/l.


    The MRI detection of the sellar area revealed that the pituitary stalk was thickened, and the high signal in the posterior lobe of the pituitary disappeared.


    Zhou Can determined that the patient had central diabetes insipidus based on the key data of these examinations.


    "Then what causes central diabetes insipidus? Is it caused by type 2 diabetes?" Yang Chan really didn''t understand and asked, since Zhou Can was her classmate anyway.


    "I think it should be caused by pituitary stalk disease."


    Zhou Can was very confident about the diagnosis.


    Yang Chan didn''t need to actively ask, he went on to explain, "Pituitary stalk lesions, germ cell tumors can easily cause this disease in the clinical process. And it usually occurs in children. This patient is in his thirties, basically The possibility of germ cell tumor can be ruled out. From the analysis of her examination data and symptoms, lymphocytic hypophysitis may be more likely."


    After Yang Chan finished listening, she pondered for more than ten seconds, then nodded half understanding.


    "Now I just suspect that the probability of lymphocytic hypophysitis is high, but there is no way to diagnose it!"


    She was able to put forward this opinion, which shows that she really thought about it, and she has a certain understanding of Zhou Can''s diagnostic thinking and the pathological analysis in it.


    Zhang Bihua couldn''t help showing a satisfied smile when he saw the obvious progress of his lover.


    First he looked at Yang Chan, and then at Zhou Can. There seemed to be a trace of expectation in his eyes, and he hoped that the two young people could communicate and cooperate more.


    More precisely, she hoped that Yang Chan could learn from Zhou Canduo.


    "The best way to diagnose this disease is to take tissue samples for biopsy, but the surgery is very difficult."


    Zhou Can''s current surgical ability is not bad.


    It has even been comparable to many chief physicians in surgery.


    Even he said that the operation is difficult, which means that sampling for pathological biopsy is basically impossible.


    No doctor would dare to take such a risk.


    Especially the patient''s current physical condition is extremely poor, and the ability to tolerate surgery is enough to make any surgeon daunting.


    "Then is there any other way?" Yang Chan asked.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "There must be a way! For example, direct radiation therapy instead of pathological biopsy." Zhou Can looked at the family members and patients.


    When many family members hear about radiotherapy, they can''t help but associate it with cancer and strong side effects.


    In fact, radiation therapy does cause some harm to the body.


    Such as hair loss, sore throat, nausea and vomiting, headache, fatigue and so on.


    "We won''t do it, we won''t do it!"


    The family members directly shook their heads and refused.


    "Actually, radiation therapy is not as scary as imagined. I suggest you try it once and see the effect of the treatment before deciding whether to continue radiation therapy."


    Director Zhang Bihua spoke at this time.


    She directly helped Zhou Can with the ideological work of his family members and patients, which showed that she recognized Zhou Can''s diagnosis result.


    "Thank you, Director Zhang, for your kindness. We don''t do this treatment. Because we had a relative who died after radiotherapy, and someone in our village also suffered from radiotherapy, and his health deteriorated day by day, and finally died."


    The family members were extremely resistant to radiotherapy and were full of fear.


    Doctors only have the right to make suggestions, and if family members and patients disagree, there is no way to implement them.


    Seeing that Zhang Bihua couldn''t be persuaded, he rolled his eyes and thought of a new idea.


    She looked at Zhou Can.


    "What does Dr. Zhou think is the cause of the patient''s amenorrhea?"


    Zhou Can and Director Zhang looked at each other and understood her deep meaning in seconds.


    It seems that Director Zhang has already diagnosed the cause of the patient.


    Maybe he was not sure, or he wanted to train the juniors, so he was called to help with the consultation.


    "I don''t think the cause of the patient''s secondary amenorrhea was caused by dilatation and curettage, but by pituitary lesions. It is not difficult to diagnose this, just do a functional test of each thalamus-pituitary axis."


    Zhou Can determined that the patient''s central diabetes insipidus and amenorrhea were all related to pituitary lesions.


    "What are the opinions of the experts?"


    Zhang Bihua also knew that Zhou Can was young and had little qualifications. His family members and patients might not be convinced by what he said.


    This requires other experts to support Zhou Can''s argument.


    "I think Dr. Zhou''s diagnosis should be correct." Director Jiang was the first to support Zhou Can''s point of view.


    "It''s a good idea to do a functional test of the thalamus-pituitary axis. As long as the results come out, it will be clear whether the cause of amenorrhea is caused by pituitary lesions."


    Surprisingly, Du Leng stood up to support Zhou Can''s inspection plan.


    Facing Zhou Can''s gaze, Du Leng immediately looked away.


    He, a returnee Ph.D., must perform well, right?


    You can''t just watch Zhou Can make a splash by himself!


    Mystery is just what he is good at He has been listening carefully to Zhou Can''s analysis just now. After analyzing it, although he is not convinced on his face, he agrees with Zhou Can''s diagnosis ideas and opinions in his heart.


    Jumping out to support Zhou Can now can not only show his generosity, but also show his face once.


    It is equivalent to Zhou Can planting peach trees, and he picks peaches.


    "Would you like to do this test?"


    Director Zhang looked at the family members and patients.


    The patient belongs to the kind of woman who has no independent opinions, and everything is based on the opinions of her husband. She looked at her husband beside her.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "As long as we don''t do that radiotherapy, we are all willing to do it."


    The family members agreed to do this inspection.


    Director Zhang issued an inspection application for them and asked them to hurry up and do it.


    After the family members and patients left, Zhang Bihua looked at Zhou Can.


    "How does Dr. Zhou think this patient''s blood sugar should be controlled?"


    Finding ways to control the patient''s blood sugar should be a top priority.


    I have already used the medicine yesterday, and I must continue the treatment today.


    Everyone knows that the treatment of diabetes only needs to use insulin.


    Director Zhang deliberately tested him, and naturally asked about specific medications.


    "I think the regular administration of insulin glargine, followed by intensive therapy with insulin aspart before meals, should bring this patient''s blood sugar under control fairly quickly."


    Zhou Can gave the answer.


    In his mind, he was thinking about how to treat the patient''s pituitary lesions.

 Chapter 294： The helplessness of the doctor, Dr. Pang survived a catastrophe

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Well, very good! In addition to controlling blood sugar, what other treatment measures do you think this patient should take?" Zhang Bihua was very satisfied with Zhou Can''s answer.


    Then test him.


    "Although the patient''s condition is currently improving, there is still the possibility of rebound. We should continue to replenish fluids, correct dehydration, and continue to supplement small doses of insulin intravenously to try to correct the patient''s electrolyte imbalance. If the patient''s pituitary disease persists and refuses to undergo chemotherapy, surgery may be a The only way."


    After thinking for a long time, Zhou Can felt that if the patient''s pituitary lesions were not treated effectively, and only diabetes was treated, it would definitely not get better.


    Diabetes insipidus and amenorrhea are all caused by pituitary lesions.


    If these two problems are left alone, the patient''s treatment will be anticlimactic.


    Because actively controlling the patient''s diabetic hyperosmolar coma and ketoacidosis can only save the patient''s life.


    "At that time, I will find a way to persuade the family members." Director Zhang Bihua has a high probability of not being able to persuade the family members, and this matter may have to be considered in the worst direction.


    ¡­


    When it was almost time to get off work, Zhou Can got the news that the patient''s thalamus-pituitary axis function test had results, and the acth was 18.1pg\\/ml, which was significantly lower than the normal value of 46pg\\/ml.


    [Recommended, Yeguo Reading and Chasing Books is really easy to use, download .yeguoyuedu here, everyone can try it quickly. ¡¿


    Hemoglobin f16.12ug\\/ml, this is within the normal range.


    e2167.59pmol\\/l, t1.0nmol\\/l...


    After viewing a series of evaluation results of the patient, it can be confirmed that the central amenorrhea is caused by pituitary lesions.


    Now I hope Director Zhang Bihua can persuade the family members to accept radiation therapy.


    When I got off work in the evening, the family members still did not agree to receive radiation therapy, and their attitude was firm.


    In this regard, Zhou Can was also helpless.


    Obviously the cause was found out, but the family members refused to treat it, and the doctor was a little distressed.


    Xinxiang Maternity and Children''s Hospital also seemed to want to publicize this case as a typical case, and specially sent people to do ideological work for family members and patients.


    The pregnant woman in the rescue room finally passed the most dangerous first six hours safely.


    After get off work, Director Zhang rushed to the emergency room to check the condition of the pregnant woman.


    After checking, she was very satisfied with the work of the crisis management team.


    "It''s not easy to rescue this pregnant woman from the clutches of death. Thank you for your hard work."


    Director Zhang affirmed their work.


    "Director Zhang, I want to stay on duty at night."


    The medical staff of Xinxiang Women''s and Children''s Hospital were a little derelict, and it was difficult to reassure Zhou Can.


    He voluntarily stays in the duty room of the hospital at night, so that he can be rescued in time if there is any emergency.


    Director Zhang was stunned for a moment, and then he glanced at several medical staff of Xinxiang Women''s and Children''s Hospital as if realizing something. Whether it was the doctors or nurses in the emergency room, they were laughing and sloppy at work, which made her frown.


    But she just came here temporarily for a few days, which is equivalent to a guest.


    It''s not easy to manage other people''s housework.


    The pregnant woman was rescued with great difficulty and was handed over to the medical staff of Xinxiang Maternity and Children''s Hospital. There were indeed many unstable factors.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    It''s just that Zhou Cannai is a general, and he stays on the night shift at night. Even though he only needs to take care of one patient, he is still very exhausted. If he doesn''t rest well at night, his work status tomorrow will definitely be greatly affected.


    "Although Dr. Zhou is the deputy team leader of our crisis management team, he actually assumes the work of the team leader. If he is only allowed to work the night shift alone, it will definitely affect his work the next day. I would like to stay with Dr. Zhou Take turns."


    Ji You took the initiative to stand up at this moment.


    Doctors and nurses work together, which is the most efficient solution.


    "Okay! If there are two people on the night shift, the situation will be much better. I''ll talk to Section Chief Tang and get a special duty room for you. It is estimated that other doctors in our hospital will also be able to use it in the future."


    Director Zhang obviously knew that the medical staff of Xinxiang Women''s and Children''s Hospital were unreliable.


    It''s easy to talk to such an ''old Jianghu''.


    After communicating with Section Chief Tang, a small room was temporarily vacated for them not far from the emergency room. This is a small room for bedding and sheets. After a little cleaning, put a simple folding bed, a small wooden table, and a chair.


    A simple temporary duty room was set up.


    "Doctor Zhou, the conditions are a little rough, please be more forgiving and let it go."


    Section Chief Tang smiled and apologized to Zhou Can.


    "It would be great to have a place to lie down and sleep at night. We are the ones who have caused trouble for your hospital."


    Although Zhou Can is a rich second generation, he has no arrogance and extravagance.


    They don''t pay much attention to food, clothing and housing.


    He can eat a high-end meal for 10,000 yuan, or a boxed meal for 10 yuan. As long as the living environment is not noisy and there is a bed, it is enough.


    "Thank you, Dr. Zhou, for your understanding! If you need anything, you can ask me anytime." Director Tang took out a business card as if by magic. "This is my business card, if you need anything, you can directly call my mobile phone number."


    Anyone can see that Section Chief Tang''s attitude towards Zhou Can is very unusual.


    Not only polite, but also extremely enthusiastic.


    Director Zhang and the others saw it, but didn''t think much about it. Because Zhou Can did perform very well, it is quite normal that Zhou Can has a high hidden status in the mind of Section Chief Tang.


    Whether it is rescuing the sick child or the pregnant woman, Zhou Can is the main force and the most important hero.


    The senior officials of Xinxiang Maternity and Children''s Hospital didn''t say anything, but they must look up to Zhou Can in their hearts.


    ¡­


    After dinner, Zhou Can went back to the hotel to take a shower, and brought a medical book by the way.


    On duty at night, you must stay next to the bed of the pregnant woman.


    You don''t need to stare at those monitoring instruments all the time, you only need to look at them occasionally. Because the monitoring instrument will send out an alarm as long as it detects a major change in the patient''s vital signs.


    In addition, changing the intravenous infusion, adjusting the parameters of the ventilator, etc., all need to be operated by Zhou Can himself.


    As a result, before he could walk out of the hospital, his cell phone rang.


    It turned out that the number was an unfamiliar phone number.


    "Hello, who is it?"


    Zhou Can connected.


    "Doctor Zhou, Doctor Zhou, I''m Doctor Pang! The patient''s blood oxygen level suddenly dropped, please come over quickly."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    There was a hint of nervousness and panic in Dr. Pang''s voice.


    After all, he is an attending physician and has experience working in the intensive care unit, so he was so scared by the sudden drop in blood oxygen?


    Zhou Can quickly turned around and rushed to the emergency room, but he was thinking secretly.


    Dr. Pang''s professional level is not bad. There are only two possibilities for scaring her like this. Either she neglected her duties and had an accident, or she took measures after the patient''s blood oxygen dropped, but to no avail.


    Rushing into the emergency room, Zhou Can saw that Dr. Pang and nurse Chen Qingling were rescuing patients.


    Three doctors and nurses from Xinxiang Maternity and Children''s Hospital stood by and watched.


    "Isn''t it fine when I went to eat? Why did the patient''s blood oxygen drop so badly?"


    Zhou Can calmly observed the patient''s vital signs, and the blood pressure did not drop significantly.


    The situation is not as bad as imagined.


    The patient''s breathing was short and heavy, and his face was cyanotic.


    Diffuse infiltrates were detected in her lungs after the fat embolism, and her lung function is definitely not as good as normal.


    But after being put on a ventilator, the situation has stabilized.


    Sudden deterioration, what''s going on?


    In order to save the pregnant woman, Zhou Can has led someone to guard her for a whole day.


    Never want to fall short.


    "I went to the bathroom at that time, and when I came back, I found that the patient''s blood oxygen index was dropping." Chen Qingling replied.


    Patient care in the intensive care unit is often one-to-one with nurses and one-to-three with doctors.


    What does that mean?


    That is, a bed has at least one nurse to provide one-on-one care to patients. A doctor can manage up to three beds at the same time.


    In fact, it is most appropriate for this pregnant woman to be sent to the intensive care unit. It is only because of the consideration of the patient''s family''s economic conditions and the fact that the pregnant woman has not passed the dangerous period that Zhou Can is so dedicated to providing high-quality four-to-one services.


    The crisis management team consisted of five medical staff, and Deputy Director Shi just put up a sign.


    Only Zhou Can, Dr. Pang, and two nurses actually worked.


    Since Zhou Can and Ji You will be on night shift tonight, Dr. Pang and Chen Qingling will be on duty for the time being.


    People have three urgencies, Chen Qingling went to the toilet during the duty, no one can say anything about her.


    At that time, Dr. Pang was present alone.


    Zhou Can looked at Dr. Pang.


    "I, I have been staying at the bedside. The patient''s blood oxygen index has dropped. I immediately took a series of emergency measures after I found out."


    Her eyes dodge a little.


    Obviously not telling the truth.


    This Dr. Pang was just dissatisfied with Zhou Can as the deputy team leader. Now that he is still so slack in his work, Zhou Can suddenly became a little angry.


    "You called me as soon as you noticed that the blood oxygen index had dropped. Can the patient''s blood oxygen saturation drop below 70%?" Zhou Can''s voice was full of anger.


    A nurse from the Xinxiang Maternity and Children''s Hospital next to her muttered softly, "I see she seems to be on the phone all the time!"


    Dr. Pang saw that he couldn''t make sophistry, so he had to tell the truth.


    "Just now I was standing next to the hospital bed. My home called. My mother has been bedridden. I was a little worried, so I chatted a few more words. At that time, I may have focused on chatting with my mother. In addition, the pregnant woman was not in any danger for a day, so I really relaxed my vigilance. When the nurse Chen Qingling came back from the toilet, she found that the patient''s blood oxygen saturation had dropped to 85%, and the instrument was alarming, so she hurriedly called me."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Dr. Pang also knew that it was wrong, so his attitude was not bad.


    Now is not the time to pursue responsibility, find out the problem quickly, and rescue the patients is the most important thing.


    "How long has it been since you found the patient''s blood oxygen alarm and you called me?"


    "It''s probably less than five minutes later. Dr. Pang didn''t get better after taking some emergency measures, but the blood oxygen dropped even faster. She called you immediately."


    Chen Qingling said from the side.


    "In just a few minutes, blood oxygen dropped so badly, what first aid measures did you take?"


    Zhou Can asked Dr. Pang while looking for the reason.


    "I increased the oxygen concentration and increased the oxygen flow..."


    Dr. Pang explained his rescue measures.


    Zhou Can originally suspected that there was something wrong with Dr. Pang''s rescue measures. After listening to it, he carefully checked the parameters of the ventilator and suddenly realized.


    Quickly try to reduce the atomization and adjust several parameters of the ventilator.


    Then check again whether there is a problem with the patient''s intubation.


    The blood oxygen saturation, which had dropped rapidly, slowly stabilized, and then rose up little by little.


    About 20 minutes later, the patient''s blood oxygen saturation rose above 95%, and the alarm was lifted.


    The pregnant woman''s originally cyanotic face also returned to normal.


    It''s just that the fingertips are still a little cyanotic.


    Dr. Pang breathed a long sigh of relief as if he had survived a life-and-death catastrophe, and his originally gloomy and tense face finally turned bloody. A hint of joy for the rest of her life appeared on her face, and the fear in her eyes disappeared.


    If something happened to the pregnant woman just now, Dr. Pang would probably need to bear some responsibility.


    With Tuya Hospital''s strict approach to medical safety, her future was basically ruined. If he can continue to stay in Tuya Hospital and stay in the attending physician''s position until he retires, then he will burn a high incense.


    "Doctor Zhou, why did you adjust the parameters of the ventilator so that the patient''s blood oxygen saturation can stabilize and then go back up?"


    Dr. Pang, an attending physician, used an honorific title for Zhou Can, a Gui Peisheng, for the first time.


    It is not only out of gratitude, but also admiration for Zhou Can''s ability from the bottom of his heart.


    "From the very beginning, it is not correct for you to be eager to increase the oxygen concentration and oxygen flow. Haste makes waste, have you heard of it? When Dr. Pang rescues this kind of patient in the future, it is best to combine the patient''s condition. Then, you Seeing that increasing the oxygen concentration and oxygen flow is not effective, blindly administering nebulized inhalation to patients, this is even worse for patients.¡±


    "The specific principle is that her respiratory tract is already flooded, and if you make another wave of artificial heavy rain, won''t it block her respiratory tract?"


    Zhou Can did not hide his secrets, but patiently explained the principles to Dr. Pang She may understand these principles, or she may only have a half-knowledge.


    At that time, because she was only on the phone, the blood oxygen of the patient dropped to 85%, and she realized that she must be very flustered out of instinct.


    When people are in a hurry or panic, they tend to lose their sense of proportion, and the decisions they make are very error-prone.


    Emergency treatment is not only applicable to patients, but also applicable to doctors.


    After listening to Zhou Can''s explanation, Dr. Pang carefully comprehended it and deduced the pathological and physiological mechanisms. It took seven or eight minutes before he suddenly understood.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "So that''s the case... Oh, it''s all my fault for being in a hurry! I almost made a big mistake."


    After she understood the pathological mechanism, she repeatedly patted her forehead.


    "Thank you, Doctor Zhou, for your advice, thank you!"


    She thanked Zhou Can this time, it was a surrender and gratitude from the heart.


    On the contrary, it made Zhou Can a little uncomfortable to deal with her. Originally, he was thinking of reporting this matter to Director Zhang and giving her a severe lesson. Seeing that she is not young anymore, she is middle-aged, and there is an old mother who is bedridden at home.


    It would seem a little cruel to really wipe out her job.


    "I don''t need to thank you. The most important thing in medical work is safety. Being able to rescue the patient this time does not mean that he will be so lucky in the next accident. I sincerely hope that Dr. Pang can cherish his job as a doctor. Life is entrusted to us, what kind of trust is this? Don''t you think so?"


    Zhou Can didn''t say harsh words, just beat her a few words.

 Chapter 295： Dr. Zhous benevolence, Xinxiang women and children want to poach someone

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    It is estimated that after this lesson, she will definitely be more careful in her future work.


    "Yes, yes, Dr. Zhou is right to criticize, and I sincerely accept the criticism. I really didn''t expect such a big thing to happen just by making a phone call. Fortunately, the patient was rescued, otherwise this incident will become a stain on my life .¡±


    She admitted her mistake with a smiling face, with an expression of concern for the rest of the season.


    "Okay, the patient''s signs have stabilized. I''ll go back to the hotel to take a shower, and I''ll be back in about an hour. Don''t be careless this time."


    Zhou Can believes that the general signs of the pregnant woman have stabilized.


    Just now, the oxygen saturation of the pregnant woman''s blood dropped so badly, it was entirely because Dr. Pang''s rescue measures were wrong. It had the opposite effect.


    After explaining, he left quickly.


    After this incident, the attitudes of nurse Chen Qingling and Dr. Pang towards him have quietly changed.


    Including the Xinxiang Maternity and Children''s Hospital, the three medical staff who were in the emergency room just now admired Zhou Can''s ability from the bottom of their hearts.


    ¡­


    At around seven o''clock, Zhou Can walked into the emergency room with one of the medical handbooks given to him by Mr. Liu.


    Tonight, I need to be on duty with Ji You, and it would be too difficult to sit here and accompany the patient. Books are the spiritual food of human beings. With this medical handbook of Liu Lao in hand, Zhou Can will not have to worry about time.


    "Hey, Ji You came quite early!"


    Zhou Can found that Ji You was already in the rescue room.


    Chatting with Chen Qingling.


    Physician Pang had a little bit of a psychological shadow because of the accident that happened not long ago. Sitting obediently by the hospital bed, guarding the pregnant woman like a family member accompanying the bed.


    "It''s okay anyway, I rushed over after taking a shower and calling home." Ji You replied with a smile.


    Doctors and nurses are very busy in the hospital, and it is normal to sweat a few times a day.


    Therefore, most doctors and nurses like to take a bath every day.


    The profession itself has certain requirements for hygiene and image. Just imagine, if the whole body is smelly, what will the patient feel after smelling it?


    "You need to stay here for a week. You must miss your husband and children, right?" Zhou Can could feel homesickness.


    "Hehe, I''m only twenty-five years old this year. Where do I get my husband and children? The family has arranged several blind dates, but those men are either boastful or machismo, and there are ordinary men and straight men. You I don¡¯t know, after a few blind dates, I began to doubt my life.¡±


    Ji You''s words amused several people.


    It''s really not easy to have a blind date these days.


    Either the man is unreliable, or the woman is unreliable.


    It is very rare for a man and a woman to see each other at the same time.


    "Marriage is about fate, don''t worry, when fate comes, it will happen naturally." Zhou Can comforted her with a smile. "Where is your family? It''s only been a week since you were on a business trip, and you''re always thinking about your family. You''re such a filial child."


    Intuitively, she should be from another place.


    "I''m from the north! Does Tuyuan City know?"


    She is indeed from another place, and she is still very far away from here.


    "I know. I heard that the cave dwellings there are very famous. They are warm in winter and cool in summer." Zhou Can has never been to this city, but he has heard of it.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Hehe! Cave dwellings are usually in rural areas. Now Tuyuan City is already full of high-rise buildings, and cave dwellings can no longer be found in cities."


    Her hometown is just a microcosm of the many cities in Huaxia.


    Many small counties on the fifth and sixth lines are already full of high-rise buildings, and there is a modern atmosphere everywhere.


    "Dr. Pang and Nurse Chen, you should evacuate first! If possible, come over at around 7:30 tomorrow morning to take over. I will take time to go back to the hotel to wash up."


    Zhou Can said to the two of them.


    "Okay, goodbye, Doctor Zhou!"


    The two waved to Zhou Can and left quickly.


    Zhou Can looked at Ji You, "Let''s take turns on duty. Why don''t you go to the duty room and rest, and I''ll call you in the middle of the night?"


    Two people are on night shift together and can take turns to rest.


    Basically, it will not have much impact on the working status of the next day.


    The situation of this pregnant woman is quite special. She should be on duty for two nights, and she will be able to turn the crisis into safety.


    "Okay! Call me if you need something!"


    She readily agreed.


    "Doctor Zhou, can I ask you a question?"


    "Just ask!"


    Zhou Can nodded.


    "Why not transfer this pregnant woman to the intensive care unit? Then we don''t need to guard her day and night at all."


    It is estimated that not only she thinks so, but Dr. Pang and others also have this idea.


    The experts from Tuya Hospital came to Xinxiang Maternity and Children''s Hospital for consultations. They were only responsible for diagnosing diseases and giving treatment plans. The experts could not be responsible for inpatient care.


    Under normal circumstances, inpatient care does not require a particularly high professional level of medical care.


    "After rescuing this pregnant woman during the day, when we took turns going out to eat, do you know what I saw?"


    Zhou Can asked her.


    "I don''t know!" She shook her head.


    "I saw the pregnant woman''s husband squatting in the corner outside the emergency room, eating steamed corn buns. Look at the color and size, you shouldn''t be able to buy them here. I suspect that he probably brought them from home. He has Two points deeply moved me, first point, when begging Director Zhang to save his wife, he knelt and kowtowed in public without hesitation. A man has gold under his knees, so who wants to kneel down in public so easily?"


    The pregnant woman was carried into the hospital by her husband and father-in-law on a simple stretcher.


    After the rescue, Zhou Can didn''t see the pregnant father-in-law when he went out.


    All I saw was her husband squatting in the corner eating cornbread.


    Judging from the clothes and skin color of the pregnant women and their families, it is likely that they are poor farmers from remote villages.


    "Secondly, her husband was wearing buns and didn''t eat them all the time. He didn''t eat until he learned that his wife had been rescued and was temporarily out of danger. It shows that he really cares about his wife''s safety and is a man who attaches great importance to emotions. .As a doctor, I am not a savior. I can''t help them too much. Avoid sending this pregnant woman to an expensive ICU. This is the only thing I can do for them."


    Zhou Can would not have said these words to anyone.


    At this moment, when Ji You asked, he explained the reason.


    After all, we are colleagues in the same team.


    Being on the night shift at night will somewhat cause complaints from the doctors and nurses in the same group.


    Deputy Director Shi was actually quite indifferent when it came to this kind of matter. As the leader of the crisis management team, even if it''s just a name, he should come and see this pregnant woman.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    However, since the pregnant woman was rescued and out of danger, Deputy Director Shi has been staying in the outpatient hall for consultation and never came again.


    Even after get off work, he never came again.


    Zhou Can knew that Deputy Director Shi was thinking carefully. He was just worried that he would come to the emergency room and be on duty with him.


    There are many doctors, especially the deputy chief physicians and chief physicians with higher status, they have a sense of superiority in their hearts. I can''t tell you the specifics, but it''s mainly reflected in some details.


    For example, few chief physicians are willing to do some dirty and tiring work in the process of treating patients.


    Almost ten out of ten are commanding subordinate doctors to do it.


    Attending physicians with a little status also have the same tone.


    Big fish eat small fish, and small fish eat dried shrimps.


    Attending physicians offload the dirty work to their residents.


    If it is dirty work with low risk, the resident doctor will leave it to the following regular trainees and interns.


    This invisible class system is real in any hospital.


    Ji You fell silent after listening to Zhou Can''s explanation.


    "The patient''s family is in financial difficulties. If we send the pregnant woman to the ICU again, it will be worse for the family. I hope that the pregnant woman can withdraw the ventilator as soon as possible, otherwise the invasive ventilator will last for a long time. There will be a series of complications, and the cost of treatment will rise sharply. Her condition will also deteriorate, and the result is unpredictable."


    If the ventilator is used for too long, airway infection is the most likely to occur.


    Then there are complications such as bronchitis and pneumonia.


    In addition, using a ventilator for a long time is also very detrimental to the recovery of patients. It is easy to become dependent, and it will take longer for her to adapt after extubation.


    "Doctor Zhou, you are a good man! Good man! Good doctor!"


    After speaking, Ji You turned and left.


    The lesson that Zhou Can taught her today will have a profound impact on her future career path.


    In a department or a medical team, the behavior style of the leading doctors will directly affect the working attitude and style of the entire medical team.


    In any case, Zhou Can put himself in the shoes of his family and patients, and this kindness deeply infected Ji You.


    She will probably silently learn Zhou Can''s way of doing things in her diagnosis and treatment work in the future.


    If you can help patients and their families, you will secretly help.


    After she left, Zhou Can sat by the pregnant woman''s hospital bed and read a book without mentioning it.


    The doctors and nurses of Xinxiang Maternity and Children''s Hospital obviously have an invisible boundary with the doctors and nurses from Tuya Hospital. They only do their own thing and don''t disturb each other with Zhou Can.


    It was around nine o''clock in the evening, and the emergency room of the hospital had become quite quiet.


    Occasionally, doctors and nurses come in to attend to the sick.


    The patients entering the emergency room are not necessarily all critically ill patients, and many patients are relatively stable. It is only after the doctor''s assessment that he feels that there is a high potential risk that he will be sent to the emergency room for observation or active treatment.


    "Hello, Doctor Zhou!"


    Section Chief Tang walked into the emergency room with a smile and went straight to Zhou Can.


    When he arrived near, he greeted Zhou Can with a smile on his face.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Is Section Chief Tang not off work so late?"


    Zhou Can closed the book, stood up and talked with Section Chief Tang.


    "You have also seen the recent situation of our Xinxiang Maternal and Children''s Hospital. It is not easy to be the management of our administrative positions!" Section Chief Tang sighed slightly. "No wonder Dr. Zhou is so good! Today I saw your hard work with my own eyes. I don''t want to waste time at all. I try my best to read and study. There are not many people who can persist in doing this. Let me take myself as an example. , I often bought a bunch of books, thinking to study hard when I bought them, but after I bought them, I couldn¡¯t turn a few pages and just threw them there to collect ashes.¡±


    When Section Chief Tang talked with Zhou Can, he was as approachable and friendly as a friend.


    The chief of the Propaganda Combat Section is not low in status.


    This position has developed well, and it is easy to enter the hospital office.


    Generally speaking, entering the hospital office from a general department is considered a promotion. Since it was a promotion, it was at least a transfer at the same level. In other words, he was originally the section chief, and after entering the hospital office, his position would not be lower than that of the section chief.


    There are not many senior positions in the hospital.


    If he really wants to be able to enter the hospital, he usually starts with the deputy director of the office. Many of them were directly promoted to director after one or two years of adaptation.


    Therefore, Section Chief Tang''s status is much higher than imagined.


    This time he received the experts from Tuya Hospital, as long as he managed the consultation activities for experts and helped Xinxiang Maternity and Children''s Hospital through this crisis, he would be a great contributor.


    With this achievement, promotion to the hospital office is almost a certainty.


    The future is pretty bright.


    It is no wonder that Section Chief Tang works so hard in the coordination and communication between the reception work and the consultation with experts. Only when there are benefits, will there be motivation and enthusiasm.


    "I just feel that I am bored on duty at night, so I take a book and flip through it casually."


    Zhou Can said modestly.


    It stands to reason that when the two chatted here, it was time for a friendly farewell.


    But Section Chief Tang didn''t intend to leave. Instead, he moved a stool over and motioned for Zhou Can to sit and talk.


    "Doctor Zhou is already so powerful, is he still just a regular trainee in Tuya Hospital?"


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    "Where am I strong? Here, this is my work permit, but I am a serious live-in companion. I got my medical license a few months ago, so I can be considered a doctor now!"


    Those with a certificate are called doctors, and those without a certificate are called medical doctors, or doctors.


    The difference is still quite big.


    "I think that although Dr. Zhou is young, he is extremely powerful in terms of pathological diagnosis, surgical ability, and rescue ability. How about it, have you ever thought about moving? Our Xinxiang Maternity and Children''s Hospital is recruiting talents, and we need talents like you. Such a young and promising doctor."


    Section Chief Tang originally came here for this matter.


    No wonder you still don''t get off work at nine o''clock in the evening, so you come here to chat with him!


    Renjia Tuya Hospital sent a team of experts to help Xinxiang Maternal and Children''s Hospital stand and restore its reputation. But this hospital secretly poached Tuya''s corner, and got Zhou Can''s idea.


    Is this the real-life story of the farmer and the snake?


    In the world of adults, interests are above everything else.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    What morality, emotion, that is false.


    "I''m fine at Tuya Hospital, and I never thought about leaving."


    Zhou Can is not the kind of ruthless villain.


    Tuya Hospital trained him very well, and so many chief physicians taught him everything. I just hope that he will become a talent in the future and lead Tuya Hospital to greater glory.


    If he turned around and ran to Xinxiang Maternity and Children''s Hospital, the chief physicians who taught him would be extremely disappointed.


    Even Dr. Xu will feel sad.


    How could Zhou Can do such a thing?


    People, the most important thing is not necessarily wealth. The meaning of human life is more because of the existence of friendship, love, and family affection. If it is more advanced, it is to create value for this society.


    "I know that you are highly regarded in Tuya Hospital, and your status is quite good. If you switch to our Xinxiang Maternity and Children''s Hospital, we promise to give you a higher status. In terms of annual income, it is many times that of Tuya Hospital. You Now it is the stage of regular training. Tuya Hospital will give you two or three thousand a month at most. But we promise that as long as you come here, you will be given 30,000 a month. If you do a good job, there will be performance commissions and bonuses. "


    Section Chief Tang is just a section chief of the Propaganda Combat Section, recruiting people and offering high salaries, he certainly does not have such great power.


    So who is he speaking for?


    After Zhou Can thought for a while, he understood a little bit.


    Section Chief Tang was just the one who came forward, and it was Dean Tian and the management of Xinxiang Women''s and Children''s Hospital who wanted to poach Zhou Can behind the scenes.


    But poaching people is inherently disgraceful, and it is absolutely impossible for Dean Tian to come forward in person.


    She will talk to Zhou Can in person only after the negotiation is settled.


    The basic salary of 30,000 a month is indeed very attractive.


    Even in such a first-tier city, it is already a high salary.


    Coupled with performance commissions and bonuses, the annual income should not be less than 500,000.


    Unfortunately, Zhou Can is not short of money.


    He never became a doctor for money Hehe, with such a high salary to recruit me as a regular trainee, your hospital really thinks highly of me. Thank you for your kindness, I never thought about leaving Tuya Hospital. "


    Zhou Can refused without batting an eyelid.


    In the eyes of Section Chief Tang, such performances were misunderstood as another meaning. He thinks that Zhou Can''s salary is too low.


    Thinking about it, with Zhou Can''s super excellence, he will become a very famous doctor in Tuya Hospital in just a few years. Whether it is position, academics, status, income, all aspects of the future are very good.


    30,000 a month to dig out such a super genius, the asking price is indeed a bit low.


    "What is the purpose of everyone''s hard work? Isn''t it to earn more money so that your family and yourself can live a better life? If Dr. Zhou thinks that 30,000 a month is too little, we can add more. As long as you are good Come on, we promise that your monthly income will not be less than 50,000, how about it?"


    Section Chief Tang increased the price tag.


    However, there is a clear difference between this 50,000 yuan and the previous 30,000 yuan basic salary.


    If you want to get 50,000 a month, there is one prerequisite, and that is to work hard.


    "Would you believe me if I said that I became a doctor not for money?" Zhou Can raised his eyebrows.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "This... I really don''t believe it. Who is not for the money? I don''t know what the price is in Dr. Zhou''s heart?" Section Chief Tang has limited power, and he can''t get Zhou Can according to the price given by his superiors. He is going to inquire about Zhou Can Can''s psychological price.


    Then report to your superiors and discuss it again.

 Chapter 296： Best wishes, all-around surgeon

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    For ordinary people, three meals a day are what they work all day long.


    Making more money and living the high-quality life of the rich is what they dream of.


    People are always pursuing a better life and things that cannot be obtained. It is this pursuit that promotes social development and competition. Section Chief Tang judges others by himself, thinking that Zhou Can is the same as him.


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    "Chief Tang, you don''t have to worry about it anymore. I won''t leave Tuya Hospital. It doesn''t matter how high the price you charge me."


    Zhou Can said bluntly.


    Section Chief Tang stared at him seriously, and found that Zhou Can didn''t seem to be joking, his eyes were sincere, and his tone was firm.


    "Today I''ve learned a lot! Some people don''t work for money. It''s understandable. Some people love fame, some seek profit, and some like power. I have observed Dr. Zhou for the past two days, and he doesn''t seem to care about fame. You can also see money. No, do you like power?"


    Zhou Can''s indifference to fame and wealth is directly reflected in his words and deeds.


    Anyone with a little experience can basically see it.


    "Power is indeed a good thing, and no man doesn''t like it. It''s just that I don''t think being a doctor is for gaining higher power."


    Zhou Can never thought of becoming a high official.


    As for the normal promotion of the position and position in the hospital, he would definitely not refuse anyone who came, and he would gladly accept it.


    "Then what are you drawing?" Chief Tang couldn''t figure it out.


    Suddenly, his eyes light up slightly.


    "Ah...haha, I see. Doctor Zhou is young and full of energy, and his needs must be extremely strong. Young people don''t love fame and wealth, they don''t love power, they only love beauties, and they understand."


    Section Chief Tang really didn''t know what was pretending in his mind.


    According to his understanding, what a man strives for all his life is fame, fortune, power, and beauty.


    "Your thinking is... special! Actually, I already have a girlfriend." Zhou Can originally wanted to say that his thinking was weird, but when he thought it would be easy to offend people, he changed his words on the spot.


    "Family flowers are not as fragrant as wild flowers. Once you have a girlfriend, you can make new love again!" Section Chief Tang continued his logic.


    "Hehe, although wild flowers are fragrant, they are not as warm and beautiful as domestic flowers. Moreover, domestic flowers have always belonged to you, and wild flowers belong to nature or others after all. Has Section Chief Tang heard a word?"


    Zhou Can asked himself that he was very loyal to love, and he really never thought of doing something that would make Su Qianqian feel sorry for him.


    "What words?"


    "What a man is most proud of is not how many girlfriends he has dated in his life, but having a woman who is willing to follow you for the rest of his life."


    Zhou Can said calmly.


    "Uh... this sentence is rich in profound philosophy. I didn''t expect Dr. Zhou to be so young, but his level of thought is extremely high. I admire him." Section Chief Tang smiled sarcastically, already a little ashamed in front of Zhou Can. "Doctor Zhou, to put it bluntly, you may not know the importance of money when you are young. In this life, food and clothing, human accidents, everything is inseparable from money. You stay in Tuya Hospital to work, Of course you can have a good future. But if you want to make money, at least you need to wait for you to be promoted to the sub-high level."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "With a bachelor''s degree, the youngest deputy senior in Tuya Hospital is also 38 years old. This means that Dr. Zhou will have to work hard for more than ten years before he can start to achieve an annual income of more than 500,000 yuan. Based on what I know about Tuya, the total The attending physicians in the hospital only get a few thousand yuan a month for less, and no more than 20,000 yuan for more. Are you twenty-five now? Marrying a wife, having children, buying a car and a house, what do you want without money?"


    It''s really not easy for men these days.


    Marrying a wife at every turn with hundreds of thousands of bride price is enough to crush many people.


    Nowadays, there are more men than women, and many women require the man to have a car and a house. At least one house in the city is also required. A house in a small city costs hundreds of thousands more, and it is even more terrifying in a big city. House prices in many first-tier cities are several million.


    But everyone''s salary level, a monthly salary of 10,000 yuan is considered high.


    Many people are already burdened with debts after they get married.


    Life is tight, and the husband and wife have transitioned from the initial sweet period to daily necessities. Because of lack of money, various conflicts naturally erupted. For this reason, many young couples who were newly married for one or two years separated from Lao Yan and eventually ended in divorce.


    After all, lack of money is the original sin.


    Section Chief Tang told Zhou Can to make more money, which was kind of good.


    It''s just that if he knew that Zhou Can was worth hundreds of millions, he probably wouldn''t have said that.


    "Doctor Zhou can think about it again. If you feel that the price for poaching you is too low, you can discuss it again! You don''t have to rush to answer me. I can understand your worries and concerns if you want to. Well, you can contact me at any time, anyway, you have a phone number."


    After Section Chief Tang finished speaking, he stood up.


    "I won''t disturb Dr. Zhou''s work. Goodbye! By the way, I am worried that you will be hungry at night, so I specially ordered a supper for you, and someone will deliver it around 12 o''clock in the evening. You can pick it up then."


    In the rescue room, idlers are not allowed to enter.


    Those who deliver food and supper can only deliver food outside.


    "You bothered! Thank you!"


    Zhou Can did not refuse.


    Tang Ke has already refused to poach him, and he has even refused someone''s kindly late-night snack, which will only make Chief Tang think too much.


    It is the correct way to deal with people by focusing on principles in major matters and flexibility in minor matters.


    After sending Section Chief Tang away, Zhou Can continued to read.


    At night, pregnant women need to hang two bottles of intravenous drip, and he will watch by the side.


    For patients like this who are on invasive ventilators, the immunity of pregnant women is much lower than that of ordinary people. Anti-infection and anti-thrombosis are the two key directions of medication.


    If there are other diseases, corresponding drug treatment also needs to be considered.


    The dose, administration method, and timing all have very strict requirements.


    It was about twelve o''clock in the evening, and sure enough a man in his fifties brought a midnight snack.


    The money has already been paid by Chief Tang.


    The supper is one snail, one flavored crayfish, two hot dogs, a few strings of flavored tofu skin, and a stick of milk flavored boiled corn.


    In addition to boiled corn, the other four are common supper food.


    Section Chief Tang specially ordered a piece of corn, probably because he was afraid that he would not be full. Really painstaking.


    After receiving the supper, it was impossible for Zhou Can to bring it into the emergency room.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    He carried it directly to the small duty room specially set up for him.


    At this moment, nurse Ji You should be sleeping inside.


    "Winter Dongdong!"


    Zhou Can definitely couldn''t just push the door open and walk in.


    A gentleman does not bully a dark room, and a female nurse sleeps in it, and he barges in without warning, what does that sound like?


    "Who is it?"


    A lazy and slightly lost voice sounded from inside.


    "Ji You, it''s me! Zhou Can!"


    "It''s Doctor Zhou, open the door right away!"


    Ji You turned on the light in the house, walked to the door and opened it from the inside.


    She only wore a round neck t-shirt when she slept, and now she was wearing a nurse''s uniform on her body, making her look extraordinarily enchanting and charming.


    Zhou Can''s eyes didn''t even dare to look more.


    This kind of performance fell into Ji You''s eyes, but instead she covered her mouth and giggled.


    "Oh, it''s twelve o''clock in the evening! Leave it to me in the second half of the night. Doctor Zhou has a good rest."


    She raised her wrist and glanced at the delicate and small pink watch.


    "Don''t worry, don''t worry, someone sent me a midnight snack, see if there is something that suits your taste?" Zhou Can put the midnight snacks on the small table and opened them one by one.


    "Wow, there are snails! Oh my god, there are also delicious shrimps...Doctor Zhou, can you really give me some?"


    There are very few women who are not foodies.


    Seeing so many delicacies made her mouth water.


    "Hehe, as long as you like it. I still have so many things to worry about. If I can''t finish it, it will be wasted. You just leave this corn to me, and I''ll give you the rest."


    Zhou Can pays more attention to health preservation and health.


    Most of the night snacks are spicy or other heavy-tasting foods, which he seldom eats.


    Seeing these suppers, Ji You was so happy, which made Zhou Can feel very interesting.


    He prefers to get along with this kind of real woman who is not delicate and artificial.


    She likes to eat, so it happens to be rewarded to her, which can be regarded as making the best use of everything.


    "Is it really all for me?" She was overjoyed.


    "Of course it''s true! After eating in a while, remember to come to the emergency room to pick up my shift."


    Zhou Can didn''t dare to leave the emergency room for too long.


    After all, Dr. Pang''s lessons learned happened during the day.


    Back in the rescue room, he waited for about half an hour, when Ji You came in small steps.


    Her lips were flushed red from the heat, and she looked a little seductive.


    "I''m sorry, the supper is too delicious, so I came here now. You go to bed, and leave it to me in the second half of the night. I will be on duty seriously, don''t worry."


    Ji You had a joyful smile on his face.


    It seems that this supper made her very satisfied.


    "There is no need for medication in the second half of the night. It is necessary to observe the urine output of the catheter, and the patient''s blood oxygen, blood pressure, and respiration are still the three most important monitoring signs. To deal with it, you must call me immediately. Just call me directly."


    Zhou Can gave a warning before leaving the emergency room.


    As soon as he went out, his eyes were slightly fixed, only a middle-aged man was lying on a bench not far away.


    It is the husband of the pregnant woman.


    Many family members are reluctant to stay in a hotel, and spend the night directly in the corridors and corridors of the hospital, or lying on the side of the hospital bed.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can didn''t bother that elder brother, went to the toilet first, and then returned to the duty room.


    He ate part of the supper, corn, hot dogs, and tofu skin, all put together for him, and locked in a big plastic bag to keep warm.


    She ate all the snails, leaving a small part of the taste crayfish.


    Ji You, a foodie, looks so good, but he didn''t expect to be quite edible.


    "Huh!"


    When Zhou Can opened the bag, he accidentally found a note under it.


    On the note paper that the doctor carried with him, there was a line of "beautiful" written in small characters.


    "Thank you for the supper! The bed is still warm, I wish you a sweet dream!"


    The handwriting is quite sloppy and crooked.


    I really didn''t expect that such a beautiful girl, with a high education background, could write so sloppily.


    The content of the note made people easily daydream. After reading it, Zhou Can couldn''t help feeling a little strange.


    He ate the remaining lobster and corn on the cob. He wanted to clean up the remaining delicacies, but he suddenly remembered the elder brother who ate the cornbread.


    Carrying the remaining bean curds and hot dogs, he went straight to the bench opposite the emergency room.


    "Brother, I bought too much for late-night snacks. If you don''t mind, you can eat some." Zhou Can gently pushed the pregnant woman''s husband.


    Only then did I realize that the big brother had a lot of white hair on his head.


    "No, no, no..." The man waved his hands repeatedly to refuse.


    The man at this moment exuded the simplicity, self-respect and self-improvement unique to countrymen.


    Even if you are very hungry, you will not easily accept other people''s things.


    "Eat some! It''s a waste to throw it away, it''s still hot now, just don''t dislike it."


    Zhou Can stuffed the food into the elder brother''s hand, turned and left.


    "Thank you, thank you!"


    The eldest brother watched Zhou Can''s back disappear, and then looked down at the food in the box.


    One day, he only ate two corn buns, and he was already starving.


    How could he enjoy the food in the city?


    After tasting, one hundred thousand taste buds all bloomed, and they began to chew the delicious food with big mouthfuls.


    In the duty room, Zhou Can had already thrown away the food waste.


    However, because the ventilation in the room is relatively poor, the fragrance of supper is still very strong.


    He closed the door without locking it.


    There is nothing to be afraid of when a big man sleeps. However, thieves sometimes sneak into the hospital, waiting for an opportunity to steal the property of patients and family members at night.


    Doctors have also been stolen, but this kind of thing happens relatively rarely.


    The quilt is the most commonly used in the hospital, but he was replaced with a clean quilt cover.


    Get into the bed, it is still warm inside.


    A faint fragrance hits the nose, this is the fragrance of Ji You''s body.


    Lying on the bed, some thoughts popped up in his mind, but he was soon suppressed by sleepiness, and finally fell into a deep sleep.


    I slept very soundly that night, and maybe I was too tired.


    It was around 7:30 the next morning when Ji You came to wake him up.


    "Doctor Pang and Sister Chen have come to take over. They asked us to go back to the hotel to wash up, and said that Section Chief Tang specially told the hotel to leave breakfast for us."


    Ji You had a faint smile on his face.


    She was on the night shift all night, but she was still full of energy and radiant. I really admire her.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Section Chief Tang thoughtfully left breakfast for the two of them, and Ji You knew in his heart that this was due to Zhou Can''s favor.


    Otherwise, how could she get special care from Section Chief Tang when she was a young nurse?


    Zhou Can went back to the hotel to wash up and eat breakfast, so he didn''t mention it.


    After he finished his breakfast and returned to Xinxiang Maternity and Children''s Hospital, Director Zhang called him directly to the outpatient hall.


    "Doctor Zhou seems to be in a good state of mind. It seems that he had a good rest last night! Just now I went to see the condition of the pregnant woman. The signs are stable and the urine output is normal. Maybe the pregnant woman is a rural woman who often does farm work and has a good physique. Not bad, so the recovery speed is much faster than ordinary people. According to her current gratifying trend, it is estimated that the ventilator will be removed tomorrow morning."


    Director Zhang first discussed the situation of pregnant women with Zhou Can.


    "Her recovery speed is really gratifying. It''s just her femoral head fracture. After thinking about it for a long time, the only treatment option is probably external fixation."


    After the pregnant woman has passed the danger of life caused by fat embolism, the next thing to consider is the treatment of fractures.


    Surgery is out of the question.


    No doctor would dare to perform such fracture surgery on a five-month pregnant mother.


    And even if the external fixation of the fracture is performed, special care must be taken.


    Because the injured part is very close to the pelvic cavity.


    In case of miscarriage, no doctor can bear the responsibility.


    "External fixation of fractures is a good treatment plan. There are no doctors who are good at orthopedic surgery at Xinxiang Maternity and Children''s Hospital. UU Reading may have to invite an orthopedic surgeon from our Tuya Hospital."


    Zhang Bihua very much agrees with Zhou Can''s treatment plan.


    "If Director Zhang is willing to delegate power to me, I can try to perform external fixation of her fracture." Zhou Can is almost an all-round doctor in the field of surgery.


    Orthopedic surgery, he can do most of the operations.


    "Oh! Doctor Zhou can even perform orthopedic surgery?" Zhang Bihua looked at him in surprise. "That''s a good thing, so I don''t need to apply for an orthopedic surgeon from Tuya again, we can finish it directly. Her fracture external fixation can be done tomorrow. I will assist you by then to ensure the safety of mother and baby."


    Hearing that Zhou Can can do this external fixation, she immediately delegated power.


    He didn''t ask Zhou Can any more at all.


    This is the trust that Zhou Can has built up in Director Zhang''s mind.


    It is very good for a junior doctor to establish a good foundation of trust in the mind of the superior doctor.


    It''s a pity that many Gui Peisheng only want to get more opportunities to exercise and improve their abilities.


    But ignore the problem of their own lack of strength.


    A single mistake would likely destroy the trust that had been hard-won in the minds of the superior doctors.


    It will be difficult to fight for the opportunity to exercise next time.


    In fact, this is a typical haste makes waste.


    "That''s good! Her fracture has occurred for several days, and it really can''t be delayed for too long. Moreover, the fat embolism itself is also related to the femoral fracture, so this fracture should be dealt with as soon as possible."


    Zhou Can was also very happy after hearing this.


    Seeing the patients being cured little by little gave him a sense of accomplishment. So every day is full of anticipation.

 Chapter 297： Catch the ducks on the shelves, strength is different

    "Young Master, get up quickly, it''s our turn to patrol."


    "Where am I?"


    Qin Hu sat up in a daze, feeling his body was cold, and there was still a strong wind blowing outside, and suddenly felt strange.


    "Oh, young master, why are you confused? We are in the barracks. It''s our turn to stand guard at this time. No matter what, the military law will deal with it. Now the old master can''t protect you anymore."


    "What?"


    Qin Hu opened his eyes and saw that he was staying in a tent right now, and in front of him was a soldier in leather armor.


    Just when he was about to open his mouth to ask something, he suddenly had a splitting headache, and a huge flow of information rushed into his mind. After a few seconds, he knew that he had crossed.


    He has transmigrated from a modern special soldier to a young master named Qin Hu, who is the head of the seven villains in the capital!


    And this era called the Dayu Dynasty never existed in history.


    Qin Hu''s ancestor was one of the twenty-eight marquises of the four founders of Dayu. Three months ago, his father died of illness, and Qin Hu became the new champion marquis.


    Qin Hu was spoiled by his parents since he was a child. He didn''t like reading or practicing martial arts.


    When he grew up, the family wanted him to take care of him, so they arranged a marriage. The woman was the eldest lady of Chen Guogong''s family, named Chen Ruoli, a well-known lady, beautiful and intelligent.


    This Qin Hu is vicious and vicious towards others, but he regards this beautiful and beautiful fiancee as a treasure.


    But the incident happened to this childhood sweetheart, Miss Chen.


    According to Qin Hu''s memory, that day he brought his fianc¨¦e into the palace to pay homage to Princess Chang''an. The princess and Chen Ruoli had been friends since they were young, so they arranged a banquet.


    But then Qin Hu drank the fragments, and when he woke up, he had already arrived at the prison of the inner guard. He was told that he was drunk and flirted with the princess with the intention of doing something wrong.


    What''s even more strange is that Chen Ruoli actually wrote a letter to impeach her fianc¨¦ Qin Hu for seventy-two crimes, all of which are well-founded.


    Qin Hu was like five thunderbolts, he couldn''t believe his ears...


    The imperial decree came down soon, saying that because of Qin Hu''s ancestor''s meritorious service, the death penalty can be avoided, and the living crime cannot be escaped.


    But after arriving in Youzhou, he was quickly arranged to be on the front line¡ªthe front line of the Pioneer Tent.


    After going through these things in Qin Hu''s mind, he basically figured it out. This should be a trap.


    Because Chen Guogong had long wanted to divorce him.


    The Qin family and the Chen family were originally a political marriage, and they both wanted to become stronger and bigger. However, the later Qin Hu was almost useless except for being a dandy, and it can be said that he completely disgraced the champion Hou''s family.


    You must know that the champions of all generations are heroes and have unparalleled influence in the army, but in this generation, there is a waste who has never been on the battlefield.


    https://


    When the old Hou Ye was alive, Chen Guogong returned face, but when the old Hou Ye died, Chen Guogong turned his face ruthlessly, and even staged a scene of retiring from the mourning hall.


    But Qin Hu loves Chen Ruoli deeply, and refuses to allow him to live or die, but Chen Ruoli has long hated him as a wicked young man.


    So a catastrophe came!


    As for Princess Chang''an, it''s even simpler. She is the cousin of Qin Hu''s cousin. As long as Qin Hu dies, the huge family property of the Champion Hou''s Mansion will naturally fall to this cousin.


    These several forces, each taking what they need, are colluding together, so they quickly united...


    Sure enough, once he entered the Hou family, it was as deep as the sea, and there were so many people who wanted him to die.


    "Qin An, do you think we should find a place to carry our backs?"


    Under the bright moonlight, the rough north wind with harsh whistling whistled across the open field, extinguishing several torches, like countless flying knives cutting people''s skin.


    "No way, Young Master, you will be dealt with by military law."


    Qin Hu and Qin An shrank their heads and feet against the wind, ran out of the camp, and ran forward stepping on the thick snow.


    The thin Qin An was thrown over by the strong wind without paying attention.


    Seeing them coming out, the two sentinels who changed defense looked at each other and smiled slyly. They took two handfuls of snow and put out the bonfire for heating, and then got into the tent.


    Damn, even the little soldiers were bribed, trying to freeze me to death!


    This is a small camp with about twenty tents, surrounded by horse-drawn carriages, not even the antlers of horses and antlers lined up on the outside, and the surrounding area is even more flat, with no danger to defend.


    According to the memories of Qin Hu''s previous life, about two hundred people were stationed here, they were the vanguard battalion of Li Qin, General of the Yu Dynasty.


    The target of Li Qin''s 20,000 troops this time is Liaodong Kingdom, Yu Dynasty''s old enemy on the border.


    "Ahem, young master, do you think we can go back alive?" Qin An curled up on the snow, his lips and face were blue, and he spoke weakly, as if he would die at any moment.


    Qin Hu sighed in his heart, Qin An was purely implicated by himself, and if things continued like this, the two of them would surely die.


    Those who wanted him to die didn''t beat him to death in court, but beat him to death in the barracks.


    But Qin Hu is definitely not someone who just sits and waits to die. This is clearly a matter of being framed, and he can''t let it go.


    Life is an endless struggle to survive Just wait, I will not only survive, but also return to the capital to settle accounts with you.


    "Qin An, how many bank notes did we bring when we went out?"


    "I don''t have any banknotes anymore. I only have twenty taels of silver on me. The imperial decree says that we will be exiled and distributed, and our property will be banned."


    Qin An is only 16 years old this year. He is Qin Hu''s close bookboy.


    In fact, Qin Hu was not much better. The Pioneer Battalion marched 30 miles a day for the past few days. The job they did was to open roads and build bridges when encountering water, chop firewood, dig ditches and carry water, and build camps.


    And what would it be like for these two thin-skinned and tender-skinned guys to stay with hundreds of big and three thick Qiu Ba every day?


    It must be the most tiring job, the worst meal, the worst beating, and the most angry...


    Qin Hu estimated that his predecessor might have been tortured to death.


    It can be regarded as what he deserved.


    It''s just this suffering, he must bear it now, if he can''t bear it, he will die too.


    "Give me."


    Qin Hu thought it over, he must try to save Qin An''s life first, and then think of other ways.


    In fact, it is not difficult to save one''s life. The easiest way is to bribe people. As the saying goes, wealth can lead to magic. Although this method is primitive, it will always work.


    But in this situation, it is impossible for him to bribe senior officials, because no one dares to get involved with him. Besides, there is no money.


    So he thought of a person in his mind, Centurion Li Xiaokun.


    That is, the current leader of the Pioneer Battalion. https://Want to read the latest chapters, please download the Haoyue Novel app, and read the latest chapters for free without ads. The website no longer updates the latest chapter content, and the latest chapter content has been updated on the Haoyue Novel app.

 Chapter 298： Easily cured, the patient who was kicked

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    With such a small child, parents are most worried about the huge risks brought by the surgery and the unsightly scars left. I am more worried about whether the arm can return to normal motor function after treatment.


    Some falls are severe enough to disable a child.


    "Judging from the pictures taken, the child''s right shoulder joint is seriously dislocated. I can try to reset him manually. If the reset is successful, he only needs to recuperate for about a month to recover. If the manual reset cannot be performed, surgical reduction may need to be considered. .¡±


    Zhou Can has been with the chief physicians for many consultations.


    Although this is the first time to sit in the clinic independently, he is easily competent enough to answer some questions from family members and patients.


    It is a basic principle for doctors to communicate with patients not to talk dead, but to give answers with room for maneuver as much as possible.


    The progression of many conditions is rapid.


    Some patients seem to have mild symptoms when they are first diagnosed, and they may disappear after an hour or two.


    The most common, such as cerebral infarction, sudden cardiac death.


    "Is it really only necessary to perform manual reset? Great! Can Dr. Zhou perform this manual reset?" After hearing the treatment plan, the boy''s mother had a strong desire for the doctor to perform manual reset on her son.


    It is economical and the children suffer less.


    "I can try!"


    After Zhou Can finished speaking, he stood up and walked in front of the boy, still letting the boy''s father hold him.


    "It hurts a bit when the technique is reset, children have to be brave!" Zhou Can comforted the child, while beckoning the child''s father to cooperate.


    He grasped the child''s right arm and put his other hand on the child''s right shoulder.


    The boy immediately showed a painful expression.


    Zhou Can gently swung the boy''s right arm, looking for a suitable joint reset point.


    "Woo..."


    The boy whimpered softly, and the pain was still within his tolerance.


    His eyes were fixed on Zhou Can, with a trace of horror in his eyes.


    Not to mention the parents of the children.


    Their hearts also hung high with the swing of Zhou Can''s right hand, and their expressions were extremely nervous.


    Suddenly, Zhou Can''s eyes turned cold, and he pushed and pressed slightly upwards.


    "Crack!"


    The sound of bones and joints resetting came out, and the boy burst into tears because of the momentary pain.


    The heart of the child''s parents almost jumped out of their throats.


    "Doctor Zhou, how is my son?"


    The boy''s mother asked first.


    I''m not a professional, and I can''t see the injury at all from the outside.


    "Is that a lollipop in your hand?" Zhou Can asked the child''s mother without answering.


    "That''s right! The child cried a lot on the way here. I bought two candies to coax him."


    The boy''s mother didn''t know why Zhou Can asked this?


    "Come on, let me use it."


    Zhou Can asked for the candy in her hand, and shook it in front of the crying boy. Needless to say, this trick has special effects.


    When a child cries, it is actually to make adults coax him and care about him.


    Don''t look at the boy crying sadly, in fact, with a small slit in his eyes, he has been secretly observing the adult''s reaction.


    For children, sweets have an irresistible allure.


    "Want to eat?"


    Zhou Can didn''t even want to say half a superfluous word, and went straight to the point.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu"


    The little boy was only three years old, and he didn''t have the scheming of an adult at all.


    Children''s thinking is very simple.


    Seeing his favorite food, he wants to eat it very much.


    "for you!"


    Zhou Can handed it to him.


    The boy immediately picked it up with his left hand, but Zhou Can shook his head.


    "Use that hand!"


    The boy hesitated for a while, but finally couldn''t resist the temptation of sweets, and tried to take it with his right hand.


    "Ah... oh my god, it''s alright, it''s really alright! My cub''s arm is connected!"


    The boy''s mother covered her mouth in disbelief, with a look of surprise on her face, she was really excited.


    "Haha, an expert is an expert, and he just took my son''s arm back in a joke! Today is really an eye-opener!"


    The boy''s father was also very happy.


    Zhou Can seemed to know that it was done a long time ago, with a calm face and a faint smile.


    Looking at the family of three immersed in joy.


    After the boy got the candy, the crying stopped long ago.


    But maybe crying a little sadly, still sobbing twice from time to time.


    "Doctor Zhou, is this enough for my son? Do you want to take medicine?"


    "The child is only three years old, so the medicine is not prescribed for him. After all, the medicine is three-point poisonous! However, after a person''s joint dislocation is not paid attention to in a short period of time, it is very easy to have a second dislocation. So I need to do it for him. A bandage, hang your right hand around your neck and keep it for about a month. Then you can give your child more calcium-supplementing food. I will also prescribe a bottle of calcium tablets for children here.¡±


    Zhou Can gave the follow-up treatment plan.


    Dislocation is not a big problem, but the joint capsule will loosen due to dislocation, which will make it much easier to dislocate the joint again.


    I saw people performing acrobatics on the street dislocating and dislocating their arms without any external force. It is because they have made the joint capsule very loose through a lot of practice, so the dislocation becomes extremely easy.


    After the doctor resets the dislocated patient, he usually puts a plaster cast on it or hangs it around the neck, and allows the patient to maintain it for about a month.


    At the same time, prescribe calcium tablets to strengthen the patient''s bone strength.


    "Okay! We all listen to you!"


    The boy''s parents witnessed Zhou Can''s healing of their son with their own eyes, and they admired Zhou Can''s medical skills in their hearts.


    The two people''s trust in Zhou Can also reached a new height.


    They accepted all the treatment plans prescribed by Zhou Can.


    "This is the bill of payment. Please go and pay the fee first. I can also get materials for the child to tie his arms."


    The fee is not expensive, just a manual reset fee, consumables, and the purchase fee of two bottles of calcium tablets.


    Many people think that the medicine in the hospital is more expensive than the medicine outside, but it is completely the opposite.


    Medicines that can really cure diseases are cheaper in hospitals, and many of them can be reimbursed by medical insurance.


    The medicine prescribed by the doctor to be bought in an outside pharmacy is likely to be much more expensive than the medicine in the hospital.


    To put it bluntly, it is to avoid legal risks and get kickbacks.


    As for the usual sayings of this type of doctors, it is nothing more than that our hospital does not have this kind of medicine, and the medicine from a certain pharmacy outside has better curative effect.


    After the child''s mother paid the fee, Ji You brought Beng over.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can tied the bandages on the sick children skillfully, and then asked the family members to go to the pharmacy to get calcium tablets. After exhorting some precautions, the sick child will be cured.


    Thanks a lot, the family took the child and left.


    After the little boy''s arm was reconnected and bandaged, he was able to walk freely.


    With the lollipop in his mouth, the pain in his hand was gone, and the smile reappeared on his face. Children''s happiness is always so simple.


    "Doctor Zhou, I let the photographer take pictures of your handsome and heroic appearance just now! Excuse me for a few minutes and accept an interview!"


    [Recommended, Yeguo Reading and Chasing Books is really easy to use, download .yeguoyuedu here, everyone can try it quickly. ¡¿


    Mu Tie was really determined, and as soon as he found an opportunity, he set his sights on Zhou Can again.


    Seeing Zhou Can sitting in the outpatient hall today made her very happy.


    At that time, he squeezed his fist and said to himself, "Where are you going this time?"


    In the end, she really got her wish.


    Successfully photographed the whole process of Zhou Can treating the boy.


    In her opinion, it was quite shocking to easily heal a child with a broken arm in a very short period of time.


    This is the real thing.


    "Sorry, we don''t accept interviews while we''re at work!"


    Zhou Can ruthlessly refused.


    "Aren''t you without patients now?" She winked at Zhou Can.


    Compared with other doctors, Zhou Can''s consultation desk was extremely deserted.


    At this moment, Du Leng not far away was also quietly observing Zhou Can''s every move. When he saw Zhou Can show his skills and connect a child''s severed arm, it would be a lie if he said he wasn''t jealous.


    But it''s useless to be jealous, because Zhou Can has this ability, but Du Cooling doesn''t.


    Resetting the technique looks simple, but it is extremely difficult to do.


    There are some orthopedic surgeons who can perform manual reduction in orthopedic surgery, but very few orthopedic surgeons with good reduction techniques.


    Du Leng is also treating a child at the moment.


    This child is more than 8 years old, with vomiting, diarrhea, low-grade fever, frequent urination, and a lot of symptoms. The condition is extremely complicated.


    I have been to two hospitals, but no improvement.


    Even provincial-level tertiary hospitals such as the Provincial Children''s Hospital failed to cure the child.


    After Du Leng received the doctor, he found that the child had done all the checks that should be done, and also did a lot of things that didn''t need to be done.


    Some inspections are done very recently and are repeated.


    Learning from the lesson of being pointed and scolded by family members the day before yesterday, Du Leng no longer dares to apply for examinations indiscriminately.


    He flipped through the patient''s examination materials several times, his face pondered, and he could not give a diagnosis opinion for a long time.


    The family asked, "Dr. Du, what disease does my child have?"


    "Uh... well! It''s hard to say, his condition is very complicated, you should have checked it at the Provincial Children''s Hospital and the County Maternal and Children''s Hospital. Or, you can ask Director Dai of the Department of Pediatrics!"


    Du Leng blushed and pushed the patient away.


    Overall, he''s making progress.


    At least he likes to talk, and the exaggerated problem of giving family members a lot of irrelevant medical knowledge has been corrected. The family members'' scolding was like a whip, forcing him to change it.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Otherwise, there will be new family members pointing at his nose and scolding him.


    A total of seven days of sitting in the clinic and being scolded by family members for seven days is unimaginable.


    Some people think that society is the best university, and they are not wrong. Before stepping into the society, I always felt that I was full of classics and knowledgeable. As a result, as soon as he entered the society and was severely beaten by the society, he realized that he was useless.


    Then start to work hard, keep learning, become mature and steady, become practical, and slowly adapt to this cruel real society.


    When Director Dai heard that Du Leng pushed the patient to her again, he suddenly felt bitter.


    In the morning, Du Leng had dumped three difficult cases for her.


    Unfortunately, none of the three difficult cases were cured. Now throwing another one to her, Director Dai has hundreds of millions of grass and mud horses galloping in his heart. This little Du is trying to pull her back!


    Media reporters and so many family members and patients were watching.


    She, a pediatrician, can''t diagnose the cause of this disease, and can''t cure that one. In the eyes of others, the expert becomes a brick.


    Du Leng is already lying flat and rotten, what are you doing now if you don''t want to smash her as a pediatrician?


    "Xiao Du, I''m busy here! You can also refer the patient to other experts for diagnosis!" Director Dai could only find a plausible excuse to decline.


    When Du Leng received the child just now, she was only separated by a consultation table, but she could hear clearly.


    A lot of diseases make people''s brain hurt just by listening to them.


    Not to mention that this child has already been diagnosed and treated in two hospitals, but nothing has worked. Such patients must be extremely difficult cases.


    Director Dai is self-aware, and she may be able to handle cases of intermediate and advanced difficulty.


    As long as this kind of extremely difficult case is received, other than being slapped in the face, there will never be any other illusions.


    One or two cases a day with no cause can be found, that''s nothing.


    But receiving four cases in one morning is really a smashing sign.


    "Oh... I''m sorry, I''m sorry, I didn''t pay attention to your situation." Du Leng''s EQ is not low. Seeing Director Dai''s ugly face, he immediately understood what was going on.


    Because there are more children patients admitted this morning.


    When I encountered something that I couldn''t handle, I subconsciously pushed it to Director Dai. It seems that this is pushing her too much, which makes people feel disgusted.


    "You can find other experts to see! Director Dai has a lot of patients waiting for treatment, and he can''t see it." Du Leng said to his family.


    "OK, thanks!"


    The eyes of the family members swept across the numerous expert seats, and finally fell on Zhou Can''s table.


    "Honey, just now I saw that young doctor seemed to be very clever. A child with a broken arm was cured without surgery or surgery. Why don''t we go to him and have a look!"


    The two family members discussed.


    "That''s amazing! I hope to meet a doctor with excellent medical skills and cure my son''s illness. It''s just that the doctor is also very young like Dr. Du!"


    The woman obviously meant something.


    This Dr. Du is unreliable, and that Dr. Zhou looks younger, so I''m afraid he is also unreliable.


    It''s just that they have come, and her husband has seen with his own eyes that the young doctor is very capable, so she still decides to try her luck in the past.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    When they walked over with their children, Mu Li happened to be pestering Zhou Can, wanting to interview him.


    "Doctor, can you treat emergencies here, right?"


    "Um!"


    Zhou Can looked up at the four people who came over. Two kids, two adults.


    Who is sick?


    After taking a look at the expressions of the four of them, his eyes immediately locked on the eight or nine-year-old boy. He looked pale, slightly bluish and dark. Sunken eye sockets.


    It seems that the sick person is this child.


    "Reporter Mu, can you please stop staring at me for interviews? There are so many experts and famous doctors worthy of your interviews, there is really no need to stare at me, a small-scale Pearson."


    Zhou Can finally had another patient, who just happened to be able to drive Mu Jie away in a fair and honest manner.


    The two family members are quite young. Even if they don''t know what Gui Peisheng does, they can tell that they are probably similar to interns. Their faces changed.


    "Other experts are not as capable as you. If any of them can put back the broken arm of the injured with a light push like you, I will interview them."


    Mu Jie''s words restored the trust of the two family members in Zhou Can.


    "It''s okay, I''m fine anyway. I''ll just wait by the side, just in time to watch you treat new patients." After Mu Bi finished speaking, she looked at the two family members with a smile. "Hello, I''m a TV reporter from Satellite TV. Can I interview Dr. Zhou''s treatment process for your child?"


    Her beauty and strong affinity are enough to make her family members feel good about her.


    What''s more, she still has the status of a TV reporter, which is definitely a very honorable status in the eyes of ordinary people.


    "The interview is completely fine. It''s just that my child is still young. I hope you can code your face when you report, so as not to have a bad influence on my child."


    The child''s father was the first to agree.


    Men tend to soften their hearts when faced with the requests of beautiful women.


    The child''s mother seemed a little jealous and glared at her husband. But in front of outsiders, she still saved enough face for her husband.


    Didn''t say much.


    "Doctor, after my son fell ill a few days ago, he has been treated in the local county Maternity and Children''s Hospital and the Provincial Children''s Hospital, but he has not improved. Please help." The child''s father spoke very skillfully.


    Under normal circumstances, family members will deliberately conceal the medical treatment in other hospitals.


    As soon as he came up, he told Zhou Can that he had been treated in two hospitals but he was not cured.


    The subconscious meaning is almost to let Zhou Can weigh it by himself.


    If it can be cured, it will be cured. If it cannot be cured, it is best not to try your best.


    After Zhou Can heard this, his face was calm, and he just nodded calmly.


    "Let''s take a look at the examination data and treatment in the outer hospital first!"


    After taking the information bag from the family members, he began to carefully check the condition of the sick child.


    This 8-year-old boy, because of vomiting, diarrhea, fever, and urinating many times a day, did not improve after several days, so the family members took the child to the hospital for treatment.


    I thought it was caused by a cold and cold, but I didn''t expect that the child''s cause was because he ate a small live fish.

 Chapter 299： County-level hospitals are not necessarily weak, experts have not been recruited

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Eating raw meat and drinking blood like hair is the way of life of primitive humans.


    After millions of years of evolution, humans have already adapted to eating cooked food and drinking boiled water. Although foreigners eat steak and barbecue, they often only eat medium rare, and even eat some raw fish. In fact, their food is fundamentally different from wild meat.


    For example, the beef they eat will undergo a series of tests before it is sold on the market.


    It is necessary to ensure that many tests such as hormones, bacteria, viruses, and parasites meet the standards before they are allowed to be sold on the market.


    Just like the white mice used for medical experiments, they are expensive because of the strict quality requirements in all aspects.


    This eight-year-old boy was too naughty to eat a small fish raw.


    "Little friend, what kind of fish did you eat at that time?"


    "It''s a goldfish bought from the market! At that time, I made a bet with my good friend, but I lost. A man, a real man, must do what he says! So I ate a live little goldfish as agreed."


    The boy seemed weak when he spoke.


    But it also amused Zhou Can and others.


    It''s amazing that such a young child knows how to keep promises.


    "Little man, where did you get that goldfish?"


    Zhou Can asked with a smile.


    "We caught them with nets when we went to the park! We caught six in total, and I ate one, and my good friend and I took the rest home to raise them. But they all died within two days."


    When the boy mentioned that all the goldfish were dead, he showed a regretful expression.


    "Oh! Then when you eat goldfish, do you chew it up and swallow it, or just swallow it alive?" Zhou Can continued to ask.


    [The book chasing app recommended to me by an old book friend who has known me for ten years, Yeguo Reading! It¡¯s really easy to use. I rely on reading and listening to books to pass the time while driving and before going to bed. You can download it here.yeguoyuedu¡¿


    In fact, no matter which way, the goldfish will not survive.


    The purpose of the inquiry is to further judge the problem of parasitic infection.


    The oral environment is completely different from the gastric environment.


    The mouth is a breeding ground for bacteria, but the stomach is a crematorium for killing all kinds of bacteria. It is almost impossible for viruses and bacteria to escape the killing of gastric juice. Most parasites also cannot survive in the stomach.


    But there are exceptions.


    Such as sparganosis, tapeworms, roundworms and so on.


    If he chews the goldfish first and then swallows them, the parasites may take the opportunity to hide between the teeth, etc., and then quietly invade the head along the nasal cavity, or invade the lungs along the bronchi.


    Parasites are highly survivable and very cunning, quick to grab any chance of survival.


    "I... was afraid of it jumping around in my stomach, so I chewed it up and swallowed it with my eyes closed. It felt very fishy and had a bitter taste." He still felt uncomfortable when he recalled eating the fish .


    The bitter taste he tasted probably broke the fish gallbladder.


    Bile is bitter.


    There is also the possibility that fish feces may be bitter.


    Zhou Can finished asking what should be asked, and continued to look down at the information.


    The patient reported nausea and vomiting repeatedly after eating the goldfish alive. It often occurs within seven or eight hours after eating, and diarrhea will also occur at the same time. I have diarrhea four or five times a day.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The first hospital he visited was the local County Maternity and Children''s Hospital.


    The hospital tested the patient''s vomit and confirmed it was stomach contents. Diarrhea is yellow watery stool.


    The results of the first blood routine showed that wbc2.2*10 to the 9th power\\/l, eos%12.3%.


    These two indicators of the blood test are an important reference for doctors.


    If the white blood cells are abnormally high, it means that the possibility of infection with viruses and bacteria increases. Eosinophils are an important indicator of parasitic infection.


    The County Maternal and Children''s Hospital performed a gastroscopy on the patient, which showed mild reflux esophagitis.


    It seems that the county maternity and children''s hospital is not bad.


    Hospitals that can perform gastroscopy and colonoscopy are all capable.


    At least for a county-level hospital, it is quite good.


    Abdominal Doppler ultrasonography revealed a small amount of fluid in the peritoneal cavity.


    Zhou Can looked at the B-ultrasound examination report, and there was indeed a small amount of peritoneal effusion.


    At the same time, the patient''s spleen can also be seen to be enlarged.


    Generally, the spleen is enlarged, either enlarged or with a tumor in the spleen.


    However, if there is a tumor, it can be judged by low and high density images.


    The density of most tumors is different from that of normal organs.


    Continue to look down, the urine routine results show urine protein.


    This means that the patient''s urine protein is strongly positive, that is, there is a large amount of protein in the urine, indicating that the patient''s kidneys have serious damage.


    These were the examinations done by the County Maternal and Children''s Hospital. The patient was given treatment such as protecting the gastric mucosa and antiemetic. The patient''s condition improved and he was discharged.


    But less than a month later, the patient relapsed, vomiting, low-grade fever, and diarrhea.


    The family members may be worried about the limited medical skills of the County Maternal and Children''s Hospital, so they dare not take their children to see a doctor again. Instead, he decisively took the child to the Provincial Children''s Hospital for treatment.


    In fact, judging from the examination, treatment methods and other information of this county-level maternal and child hospital, its strength is not bad.


    Many people think that county-level hospitals must be worse than provincial and municipal hospitals. This is actually a wrong perception.


    Every hospital has its own characteristics.


    If a certain county-level hospital has a doctor with good medical skills, then bring together a team to specialize in a certain medical field. Perhaps the strength of this hospital in this medical field is no worse than that of provincial hospitals.


    Inversions are also common.


    Zhou Can has seen a township-level orthopedic specialty hospital, which is better than a provincial hospital. Patients from all over the country come to seek medical treatment. Its treatment costs are low, and the level of treatment in the field of orthopedics is very good.


    Bone injuries that cannot be cured in many large hospitals, or those that require conservative treatment, can be treated there.


    Although there are not many such sky-defying township hospitals and county-level hospitals, there are still some across the country. They have built their reputations on their solid merits.


    Zhou Can then looked at the examination report and treatment plan of the second hospital.


    After the provincial children''s hospital received the patient, he first checked the patient''s urine routine, which showed that the urine protein was still 3 plus.


    Such severe proteinuria is usually caused by diseases such as lupus nephritis, glomerulonephritis, and nephrotic syndrome. This actually requires a high degree of vigilance. But the doctors at the first Maternity and Children''s Hospital didn''t know whether it was a misjudgment or what was going on, and they didn''t seem to pay much attention to the test results.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The second Provincial Children''s Hospital has significantly more experience in diagnosis and treatment.


    After finding 3 plus urine protein, the patient was directly checked for ana, and the result was negative.


    ANA is an antinuclear antibody, a general term for a complex mixture of autoantibodies.


    In medicine, it is mainly used to screen rheumatic diseases.


    Such as systemic lupus erythematosus, scleroderma, Sjogren''s syndrome, rheumatoid arthritis.


    The test result was negative, and the possibility of wind-heat disease can basically be ruled out.


    The experts from the Provincial Children''s Hospital are quite powerful. After this ruled out, they immediately checked the patient''s kidney B-ultrasound again. Estimates have begun to suspect kidney disease.


    It''s just a pity that after the B-ultrasound, no obvious abnormalities were found in the kidneys.


    The experts from the Provincial Children''s Hospital checked one by one, and checked the patient with a gastroscopy.


    I guess I feel a little bit of contempt for that county-level Maternity and Children''s Hospital in my heart. I don''t believe in the gastroscopy technology of county-level hospitals.


    Gastric mucosal biopsy was taken directly during gastroscopy, and the result was mild gastritis with occasional eosinophil infiltration.


    As expected of the provincial hospital, they also do gastroscopy, and its inspection direction should be more in-depth and more targeted.


    Zhou Can found it quite interesting to check the patient''s treatment process in other hospitals, as well as the diagnostic thinking of experts in other hospitals. You can gain an in-depth understanding of the diagnosis ideas of other experts, and help Zhou Can improve his diagnosis level with the help of their diagnostic experience.


    The receiving doctor of the Provincial Children''s Hospital is definitely a very high-level expert.


    You can see it by looking at his diagnostic thinking.


    Each inspection has a very strong purpose.


    It is not as imagined to check all the inspections first. But every inspection has a deep meaning.


    Without a thorough knowledge of pathology and rich diagnostic experience, it would be impossible to achieve this step.


    Only when Zhou Can''s diagnostic level has improved can he see the level of other doctors through the examinations done by other doctors. In the past, as long as he saw other doctors repeatedly doing various examinations, he would first scold in his heart that this black doctor is here to make money.


    It is obvious that the patient has just finished the examination for a few days, and it still has medical reference significance, so why do you have to do it again?


    In fact, not every doctor is a black doctor.


    It is not ruled out that a doctor like Du Leng who only understands theory and has no actual combat experience will do all kinds of examinations on patients. There is no purpose, just to check.


    Specifically, whether it is the former or the latter, after Zhou Can''s current diagnosis level has improved, he can basically tell at a glance.


    For example, the doctor at the Provincial Children''s Hospital is 100% a very high-level expert.


    After checking the gastroscopy, the experts checked the patient with a colonoscopy.


    The results indicated that there was no abnormality.


    Experts tried to give nutritional support to patients, but the results were very poor.


    After about a week or so, the expert found that the patient''s treatment was ineffective, and may have invited other experts from the hospital to help with the consultation.


    It''s very interesting in the end.


    After consulting with the experts from the Provincial Children''s Hospital, they even gave the patient another renal B-ultrasound.


    Zhou Can wondered, didn''t he just check it more than a week ago and found nothing abnormal? Why do experts check again after consultation?


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Hey, don''t tell me, this time the kidney B-ultrasound examination unexpectedly found a problem.


    If it wasn''t for the provincial children''s hospital, Zhou Can would have thought it was a money-losing black hospital.


    Because there was no problem in the last inspection, the problem was found again in the past few days. Are you talking nonsense?


    The second b-ultrasound results showed that the patient''s kidneys were slightly dilated, the bladder was not filled, the pelvic fluid was 2.6 cm deep, the rectal wall was thickened, and a suspicious mass was found on the right side.


    There is such a big difference in the results of the two renal ultrasound examinations.


    There is only one possibility, the doctor who did the kidney ultrasound for the first time was a related family, and the test was a fake certificate.


    The medical technology department of a large hospital is the hardest hit area for related households.


    That kind of ''amateur'' personnel really exists.


    Any patient who encounters such an unprofessional examiner can only consider himself unlucky.


    Who would have thought that a provincial hospital would have unprofessional doctors after a B-ultrasound check?


    In itself, the requirements for professional knowledge in medical imaging examination are not particularly high. That kind of half-baked dandy can basically be competent as long as he puts a little effort into it when he was in college.


    Of course, it is not only more professional, but also more likely to detect hidden lesions, if a doctor with dry goods in his stomach performs imaging examinations on patients.


    During this examination, it was found that there was a mass in the right area of ??the patient''s kidney.


    I believe the experts are very excited.


    The patient underwent laparoscopic surgery directly, and the suspected tumor mass was removed.


    Pathological examination was teratoma.


    The experts from the Provincial Children''s Hospital were full of expectations, thinking that the cause of the disease was finally found this time, and the tumor was surgically removed. The child''s illness should be cured, right?


    According to Murphy''s Law, things tend to tend to develop in the worst direction.


    The child''s mass was removed, and the results of pathological biopsy suggested that it was indeed a tumor. But the child''s symptoms did not improve, the vomiting was still vomiting, and the diarrhea was still diarrhea.


    It is probably the first time this expert from the Provincial Children''s Hospital has encountered such a wicked thing.


    How to do it?


    Zhou Can admired the leader of the provincial children''s hospital expert very much, and he was not discouraged by this. Continue to treat the patient.


    Shortly after the operation, the patient developed symptoms such as urgency, frequent urination, painful urination, and waist pain.


    This means that the operation to remove the tumor not only did not cure the child''s illness, but created a bunch of new symptoms.


    The condition has obviously worsened, and the number of symptoms has increased.


    The family members must have retreated in their hearts. Can this expert do it?


    It is estimated that the family members may even suspect that the excised tumor is really a tumor? Could it be that the experts in the hospital couldn''t communicate with each other, so they deliberately created a tumor to deceive people?


    Although this is a large provincial hospital and it is a public hospital, it still makes the family members suspicious.


    However, for family members, there seems to be no better choice than trusting doctors.


    What''s more, this expert still gritted his teeth and continued to treat their children.


    The expert checked the child''s abdomen for another plain film.


    This time, it was found that there was a level of Qi and liquid in the patient''s abdomen, and the expert gave the patient sesame oil, and the condition actually improved.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    After such a long period of diagnosis and treatment, there was finally some effect.


    In other words, after giving the patient a bunch of new symptoms after the operation, the symptoms were relieved. The enthusiasm of the experts has increased, and their confidence has returned a lot.


    The expert began to change the way of diagnosis.


    Considering that the sick child ate a live fish, and it was eaten raw, the possibility of parasite infection is relatively high.


    Eosinophils in the patient itself were also elevated.


    Therefore, experts from the Provincial Children''s Hospital checked the patient''s stool again, looking for parasites.


    Patients with intractable diarrhea like this, as long as they are admitted to the hospital, they must have been checked and they will be routine.


    This time, the experts specifically asked the laboratory to check whether there are parasites in the patient''s stool Such as eggs, dead bodies of parasites, and even live bodies and larvae.


    Unfortunately, the parasite was not found after exhausting all means.


    Diagnosis is in trouble.


    The means that this expert should use have basically been exhausted, and if the investigation continues, it is estimated that there will still be no results.


    And during this period, the patient''s condition deteriorated again.


    Urinary protein still exists, and knee joint and elbow joint pain also began to appear, frequent urination and urgency became more serious. I have to urinate hundreds of times a day, and when I urinate a few drops, it will not exceed 30ml when it is too much.


    Symptoms such as vomiting and diarrhea still exist.


    At the same time, the patient continued to have a low-grade fever.


    What is even more frightening is that the patient has already developed symptoms such as shortness of breath and palpitation due to long-term treatment and aggravated condition.


    This means that the disease has affected cardiorespiratory function.


    If the treatment continues, most patients will have to walk into the hospital, wrap them in a body bag, and carry them away.


    The experts at the Provincial Children''s Hospital were at their wit''s end and couldn''t think of a better way.


    It is a large provincial hospital itself, and it is also a famous expert. It is really embarrassing to say such words directly to persuade patients to transfer to another hospital.


    However, a large hospital like this has a lot of means to deal with various difficult problems.


    For example, ask the doctor to pretend to be a family member or a relative of the patient in the same ward, pretend to be concerned about the patient''s condition, and then enthusiastically tell the family member that your disease should not be treated here! You have to go to such and such a hospital, they specialize in treating this disease.


    After hearing this, the family members must have been moved.


    There is no need for the hospital to ask, and the family members themselves will directly ask for transfer.

 Chapter 300： 1 twists and turns, pathological diagnosis promoted to level 5

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The medical care has evolved a long time ago, and it is no longer the foolishness of the past, guarding the outpatient hall like a pimp, pulling people at the entrance and exit. Because the news reports about Yituo cheating patients into small hospitals, private clinics for treatment, and cheating money have already been deeply rooted in the hearts of the people.


    Ordinary people are not fools.


    When encountering the kind of chatting up for no reason, enthusiastic introduction of ''miracle doctor'', medical care from cheap hospitals, one will immediately be wary.


    In order to increase the success rate, Yituo has long learned various disguises.


    It can not only avoid the attack of hospital security, but also better defraud the trust of patients and their families.


    No one knows whether the family member requested the transfer by himself or was transferred under the persuasion of others. Zhou Can will not inquire about these privacy of patients.


    What he has to do now is to straighten out the entire progress of the patient''s disease from the onset to the present, and what treatments he has undergone. What are the symptoms now?


    "I noticed that he looks very thin now, was he fat before he got sick?"


    "It''s okay! Before my son got sick, he must have been fatter than now. He used to be close to seventy catties, but now he''s only fifty-nine catties."


    The family replied.


    I lost eleven catties in just over two months, which is another very bad signal.


    A persistent low-grade fever also indicates that there is a major problem with the patient''s body.


    For example, the most common leukemia and most cancers basically appear with persistent low-grade fever.


    Zhou Can read the patient''s various examination materials from beginning to end again, and formed a complete pathological mechanism in his mind.


    "Little friend, uncle will give you a physical examination first, be good!"


    Zhou Can stood up and took Ji You to do a physical examination on the patient. He wants to challenge the case that others have headaches just by looking at it.


    Du Leng just looked at the examination data and pushed the patient out.


    Zhou Can could not do such a thing.


    First carefully follow the consultation process, give the patient a physical examination, and improve the medical record information.


    Blood pressure and heart rate are fine.


    The body is thin, the fever is 37.9 degrees, and the legs tremble uncontrollably when standing. It should not be caused by the pain of the knee joints, but may be caused by the patient''s weakness or even a problem with the nervous system.


    Nerves do not simply refer to brain neurons narrowly, but all kinds of nerves around the body. Including motor nerves, pain sensory nerves, sympathetic nerves, etc.


    "Is there pain or swelling in these areas of the neck?"


    Zhou Can asked the patient while touching.


    Palpation is one of the most basic physical examination skills.


    "No!"


    The patient shakes his head.


    Zhou Can did not feel a lump on his neck. With a rigorous attitude of not letting go of any details, he touched one armpit of the patient.


    "Um?"


    His eyes lit up slightly.


    But the patient was so itchy that he couldn''t stand it, he giggled and avoided his hand.


    "Don''t move, just be patient, I seem to have touched a lump."


    Zhou Can has a serious face.


    After palpation, he found that the patient''s bilateral armpits had different degrees of nodular masses. Many people only know that the neck is rich in lymph, but they don''t know that the armpits are also rich in lymph.


    If you guessed right, the patient''s bilateral axillary lymph nodes have been enlarged.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    This is a new and important discovery.


    3 plus urine protein, swollen axillary lymph nodes, weight loss of more than ten kilograms, persistent low-grade fever... These symptoms combined are by no means the power that ordinary diseases can have.


    Zhou Can diagnoses diseases for patients. He never uses conventional thinking to differentiate syndromes, but likes to jump out and look at problems from some special angles.


    Although there was no examination data to show that the patient had a malignant disease, he directly labeled the patient as a patient with a malignant disease in his heart.


    It must be serious diseases such as leukemia and cancer.


    Of course, this kind of thinking must not be told to the family members until it is clarified. Otherwise, the family members think they are cursing their son and will definitely curse him.


    "Check out the CT of the chest, abdomen and pelvis! Judging from his current symptoms, the situation is not optimistic."


    Zhou Can looked at his family members.


    "Can!"


    The family members just want to find out the cause of the son as soon as possible and do more tests, they are not against it.


    Not long after, the patient came back from the CT scan.


    Zhou Can checked the inspection results, and sure enough, he made a new major discovery.


    The patient had bilateral axillary lymphadenopathy and bilateral pleural effusions.


    Splenomegaly.


    In fact, the patient has always had an enlarged spleen. This was the result of the first examination at the County Maternal and Children''s Hospital.


    Thick bladder wall, double renal pelvis, bilateral dilated ureters.


    There was also pelvic effusion and left colon wall thickening.


    Seeing that the patient had so many lesions and the lesions were serious, Zhou Can was worried that the patient''s heart also had problems. For the safety of the patient, the family members were asked to take the patient for an echocardiogram.


    This examination uses the special physical characteristics of short-wave ultrasound to examine the anatomical structure and functional status of the heart and great blood vessels.


    It is a noninvasive test.


    It belongs to an advanced inspection technology.


    Xinxiang Maternity and Children''s Hospital can do these tests, which is enough to show that its foundation is very solid.


    It''s just that the strength of a hospital has never been enough to have complete hardware facilities. No matter which hospital, the most important thing is still talent. To put it bluntly, the level of doctors directly determines the level of diagnosis and treatment of a hospital.


    Echocardiography showed lvef48%, pulmonary artery pressure 34mmhg.


    The pulmonary artery pressure was significantly higher than the normal value of 12-20mmhg.


    Now that everything that needs to be investigated has been investigated, it is time to diagnose the specific cause of the disease and the location of the lesion.


    Regardless of the fact that the patient already has a whole body of illnesses, Zhou Can knows in his heart that there is probably only one cause. And it is a major malignant disease among chronic diseases.


    Ureteral dilatation, urinary protein, weakened heart function and pulmonary hypertension, these newly detected symptoms were combined, and the first thing that popped up in his mind was urinary tuberculosis.


    In addition, the patient has always had urgency and frequent urination, which made him even more suspicious in this regard.


    He took the patient''s urine routine examination results in another hospital and checked them carefully.


    pro0.3g\\/l.


    The blood wbc is only 2.2*10 to the 9th power per liter, which is obviously low. Under normal circumstances, the white blood cells of an adult should be above 4.0*10 to the 9th power per liter.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    eos.1%, the eosinophil value was significantly higher than the normal value.


    The data of hb and plt are normal.


    Looking at these examination data, Zhou Can''s diagnosis thinking at the moment is also like the expert from the Provincial Children''s Hospital, entering a pitted thinking.


    Urinary tuberculosis?


    Parasitic infection?


    These two diseases were coiled in his mind.


    "Doctor Zhou, may I ask what disease my son has?"


    The boy''s father seemed to be losing his patience.


    A lot of examinations have been done, and Zhou Can is so young, but the diagnosis result has not come out yet.


    The family''s trust in Zhou Can is decreasing little by little.


    His situation is very similar to the day when Du Leng was pointed at his nose and scolded by his family members.


    "Wait a minute, our doctor Zhou is diagnosing your son! The diagnosis of this extremely difficult and difficult disease is very difficult, and the factors and medical principles that require reasoning, syndrome differentiation, and consideration are extremely complicated. Please wait patiently and try your best. Don''t interrupt Dr. Zhou''s diagnostic train of thought."


    Sitting next to Zhou Can, Ji You gave full play to the role of a ''virtuous housemate''.


    He explained a few sentences for Zhou Can to calm the emotions of the family members.


    It is much better for her to stand up and explain than Zhou Can himself.


    If Du Leng had such a caring nurse to help him, he wouldn''t be scolded **** by his family members.


    After comforting the family members, Zhou Can immersed himself in the diagnosis without any worries.


    I saw him frowning tightly, his eyes were deep, and his eyeballs occasionally rolled a few times, showing that he was thinking deeply.


    Diagnosing patients is more mentally draining than solving word problems.


    Especially the answer to this kind of difficult case is even more exhausting.


    "Check the urine acid fast stain again!"


    Zhou Can thought for a long time, and put forward a new examination application for the patient.


    The family members were a little emotional this time.


    "Haven''t the urine routine been checked several times? Why do you need to check again?"


    The family members began to question the examination prescribed by the doctor, which is not a good sign.


    It means that if Zhou Can does not make significant progress in the next diagnosis, he will completely lose the trust and cooperation of his family members. The patient''s disease basically cannot be diagnosed and treated further.


    Because it is only a diagnosis, family members have already raised doubts.


    Family members will be even more uncooperative when prescribing medicines or proposing surgical plans to patients.


    The doctor himself is paid for his salary, so he will feel a little uncomfortable when he meets such family members. It really doesn''t matter to doctors whether to treat one more or less.


    The final result is to send away family members and patients.


    "The test I prescribed for your son is the urine sediment test, which is two different inspection items from the routine urine test! The causes are also different. The routine urine test is just an ordinary routine test, mainly to check the red blood cells, protein, Glucose, nitrite, white blood cells and other indicators. Urine sediment detection is a method of centrifuging urine with a centrifuge and checking urine sediment with a microscope. It is mainly used to diagnose diseases of the urinary system.¡±


    "After careful analysis and further diagnosis just now, I think that your son''s disease needs to be checked for urinary tuberculosis."


    Zhou Can patiently explained and communicated to the family members.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    In communication, his eyes are sincere, his attitude is friendly and sincere.


    This undoubtedly increased the favorability of the family members.


    "I''m sorry, we misunderstood you! You can prescribe this examination for me, and we will pay for it right away."


    The patient''s mother quickly stepped forward to smooth things over.


    Although the boy''s father didn''t speak, he already had an apologetic expression on his face.


    People can feel each other''s sincerity when they communicate and talk with each other with their heart.


    Zhou Can''s sincerity moved the family members, making them feel ashamed and guilty naturally.


    Soon, the urine sediment came out.


    wbc118.1\\/ul, number of epithelial cells 72\\/ul, number of bacteria 8317.6\\/ul¡­


    Undeterred, Zhou Can gave the patient a ppd skin test and a blood tb-ab test, all of which were negative.


    At this point, urinary tuberculosis can basically be ruled out.


    What kind of disease could it be?


    He couldn''t help picking up the patient''s CT film to check again.


    A tumor was discovered at the Provincial Children''s Hospital and surgically removed.


    However, this does not rule out the possibility that there are other malignant tumors lurking in the patient''s body.


    Many cancer tumors are less than 5 mm in size when they first occur, and it is generally difficult to detect them.


    In medicine, tumors less than 1 cm in diameter are called micro tumors. The doctor''s attitude towards tiny tumors is somewhat similar to that of ants on the ground, but they don''t pay much attention to them.


    It involves human nature and a lot of medical clinical experience.


    The harm of malignant tumors in the early stage is very small and controllable. Only when it increases to a certain extent, will it obviously cause adverse effects on the body.


    A tumor that is too small can be difficult to determine whether it is benign or malignant.


    Need to do biopsy to be clear.


    The doctor''s approach is generally to tell the patient to have regular checkups and pay close attention to the growth of the tumor.


    Why does it involve humanity?


    After all, the tumor did not occur on the doctor himself. When the tumor is still small, it is completely in line with the medical rules to observe whether it continues to deteriorate. But in the case of unclear nature, it was cut.


    What if it is found to be a pseudotumor after surgery?


    In addition, pathological biopsy means sampling, which will definitely stimulate the tumor.


    Some tumors are inherently difficult to sample.


    Let doctors take great risks to do this, and the final result may be thankless. Naturally, no doctor is willing to do it.


    Zhou Can frowned, thinking hard.


    Diagnosis reached here, in fact, has reached a deadlock.


    At this time, Director Zhang finished dealing with the patient in his hand, stood up and walked over.


    She had been secretly paying attention to Zhou Can''s side.


    I also know that what Zhou Can encountered was a super-difficult and difficult disease that was kicked by Dr. Du and Director Dai.


    Zhou Can dares to take responsibility and is not afraid of being ashamed if he cannot be diagnosed. This kind of adventurous spirit and courage in order to treat patients is very valuable.


    "Doctor Zhou, if this patient''s disease is really difficult to diagnose, he can be admitted to the hospital for observation before diagnosing, maybe it will be rewarding! After all, this patient has been treated in the Provincial Children''s Hospital for a long time. A disease that experts can''t cure must be hell-level."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhang Bihua not only has the intention of helping Zhou Can say good things, but also tells Zhou Can not to worry when encountering such patients.


    It can be treated in the hospital first, and it can be solved slowly.


    Haste makes waste.


    Even in the most awesome hospital, it is impossible to say that the cause of all the patients admitted can be found out in the outpatient clinic.


    Many difficult cases that cannot be detected are first arranged to be hospitalized for observation. It is best to find out, if not, then we can only tell the family and patients, we try our best.


    "Thank you, Director Zhang, for your concern. I''ll try again. If I can''t find out, I''ll discuss with the family members about the hospital observation." Zhou Can nodded gratefully to Zhang Bihua.


    He stood up and showed the inspection documents to Zhang Bihua for review.


    Director Zhang came over, of course to help him with the consultation.


    This kind of thing doesn''t need to be said at all.


    "At first I thought the patient had urinary tuberculosis, but after extensive screening, the disease can basically be ruled out. The possibility of parasitic infection is also basically ruled out."


    Zhou Can told Director Zhang about his thinking on diagnosis.


    Director Zhang read all the examination materials, combined with Zhou Can''s diagnosis ideas, pointed Zhou Can and said, "The cause of this child is complicated and confusing, and it is indeed extremely difficult to diagnose. You can try to start with the patient''s vomiting and diarrhea, the two most initial symptoms, so that the patient can get a better diagnosis. The patient is hospitalized first."


    Being able to hold the top position in the Department of Obstetrics and Gynecology of Tuya Hospital, Zhang Bihua''s diagnostic level is naturally unquestionable.


    Her words made Zhou Can''s eyes light up.


    That''s right, I''m used to taking a slanted sword and not following conventional diagnostic thinking. Why did you ignore the first two symptoms?


    From the avenue to the simplicity.


    Martial arts masters often say that there are tricks to win without tricks.


    All laws in the world are interlinked, and the truth is the same.


    The medical diagnosis is also the same as the practice of martial arts moves. At the beginning, I followed the gourd and painted the gourd. After learning other people''s moves, practiced them, and mastered them, I can start to incorporate my own things and be flexible.


    In diagnosis, Zhou Can often takes a slant and uses different diagnostic angles and ideas to diagnose cases, which is almost equivalent to the second stage in martial arts.


    After you are proficient and proficient, start to incorporate your own things.


    Finally, there are unique diagnostic methods and distinctive diagnostic thinking.


    Now, Director Zhang''s words awakened the dreamer, giving him a feeling of enlightenment.


    It was as if suddenly there was a greater realization.


    It is not the accumulation of diagnostic experience, nor a deeper understanding of a certain disease, but a major breakthrough in diagnostic thinking and methodsThis is an improvement in realm.


    His pathological diagnosis and medical skills have taken the first step towards the "road to simplicity".


    [Your pathological diagnosis thinking and method have undergone a qualitative leap, pathological diagnosis experience +, congratulations on your pathological diagnosis being promoted to level five. The current experience value is level 5 1\\/, and the deputy chief physician is at the junior level. ¡¿


    The last time he received a reward of 1000 experience points, he felt that it was a precedent in history.


    Because in many cases, the reward for medical skill experience is at most 100 once.


    Unexpectedly, the upper limit of the reward was broken by him again.


    The fundamental improvement of his diagnostic thinking actually directly promoted his pathological diagnosis technique to a level.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    This should be an unprecedented promotion of medical skills.


    Despite his diagnostic experience, and medical knowledge may not be up to level five. But the system has forced him to level five.


    This kind of epiphany is rare.


    It should be difficult to have next time.


    Zhou Can believes that medical skills and martial arts are really more and more similar, and they have a lot in common. Many ancient Chinese medicine practitioners came from martial arts families.


    Martial arts are divided into moves and mental methods.


    His diagnostic thinking has achieved a major breakthrough, which is somewhat similar to the understanding of martial arts mentality that has reached a new level.


    After the pathological diagnosis was promoted to the fifth level, Zhou Can found that he had a different experience when diagnosing the child''s disease. Looking back at the patient''s disease, some things that were originally obscure became suddenly clear.

 Chapter 301： Happy to be scolded, stubborn family members figured it out

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    I also understand Director Zhang''s diagnostic thinking and intentions.


    The pathological diagnosis and medical skills at the deputy director level are already at the same level as many experts present.


    "Director Zhang, what you mean is to hospitalize the patient, then fast water, replenish fluids, suppress acid, decompress the gastrointestinal tract, and strive to control the patient''s vomiting and diarrhea symptoms, right?"


    Zhou Can asked her to verify whether his diagnostic level had really risen to the deputy director level.


    "exactly!"


    Director Zhang nodded in relief. She felt very happy to watch the younger generation grow up rapidly and understand her intentions.


    "Do you know why symptomatic treatment is needed to control the two initial symptoms of the patient''s diarrhea and vomiting?"


    Director Zhang wants to further test Zhou Can''s diagnostic thinking.


    Many novice doctors, watching the superior doctors prescribe various examinations, or do some experiments and measurements on patients, do not understand why the superior doctors do this?


    Because their diagnosis level is not at the same level as that of the superior doctors, it is really impossible to understand the deep meaning.


    It''s like playing chess. People seem to make a move here and a move there in a seemingly random way. Because you are not good enough, you don''t even know what formation the opponent is playing.


    It wasn''t until the opponent''s murderous intentions were revealed and the net was tightened step by step that he realized the brilliance of it.


    Zhou Can is just a training doctor, and Director Zhang required his diagnostic thinking to be at the same level as the director''s, which is a bit too harsh.


    In the past, it would have been difficult for Zhou Can to give a satisfactory answer.


    At this moment, his pathological diagnosis is also at the director level, even though it is only at the deputy director level, it is also at the level of a serious director-level medical skill.


    The deputy high and the high are both senior professional titles.


    It is a rating of professional level.


    Zhou Can pondered for a moment, and said calmly, "Your diagnosis should be a bit like pretending to be fake."


    Falsification is a derogatory term. Zhou Can used this term to describe Director Zhang Bihua''s diagnostic thinking. Isn''t this just cursing her?


    Yang Chan, who was standing behind Director Zhang, and Ji You, who was standing next to Zhou Can, were all sweating for Zhou Can.


    The day before yesterday, Du Leng criticized Director Zhang in public, but he was criticized for nothing.


    Still sitting on the bench until now.


    Doctor Zhou is usually very clever, why did he scold Director Zhang today? Isn''t this self-inflicted?


    Just when they thought that Zhang Bihua was going to scold Zhou Can with a cold face, they didn''t expect a happy smile to appear on Zhang Bihua''s face.


    Being scolded by Zhou Can, still smiling so happily?


    Yang Chan was confused, what happened today? Zhou Can, who has a high EQ, scolded Director Zhang in public. But the latter still showed a happy smile with enjoyment on his face.


    It''s so magical.


    "The word "falsification" is very vivid, so go on!"


    Director Zhang''s mere smile didn''t seem to be enough to express her inner joy. Then he praised Zhou Can again, which made him feel comfortable.


    "The patient''s symptoms are very numerous and complex, involving multiple organs and tissue systems. If you want to force the real lesion to appear, you must clear away the obstacles that may be hidden. As long as the vomiting and diarrhea are under control Two initial symptoms, the real cause can be identified by observing whether other symptoms of the patient also change."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can explained it according to his own understanding.


    Hearing this, the family members, Yang Chan and others were all very surprised.


    I have never seen the use of this method to find the cause. These experts are indeed experts, with many means and methods.


    "That''s right! Doctor Zhou can have such a high level of diagnosis now, and his future achievements will definitely be far higher than mine. I can''t even imagine what kind of height you will reach in the future."


    Director Zhang was full of praise for Zhou Canna.


    To become an excellent young famous doctor, both hard work and talent are indispensable. It also takes a little luck and chance.


    "Teacher, I still don''t understand it well. Why is it called the method of diagnosis with fake eyes?"


    Yang Chan stroked her hair submissively.


    It is said that long hair has short knowledge.


    Her hair isn''t long either, it''s shoulder-length. After being tied into a ponytail, it hasn''t reached the shoulders yet.


    But with a ponytail, she looks capable and youthful.


    The youthful vigor that comes out naturally, paired with a ponytail, reveals a vigorous beauty.


    "This patient has more than a dozen symptoms, and it is very difficult to find out the real cause. Because the real cause may be covered up or hidden. It''s like two fish eyes mixed in a big pot of pearls. I think To find the fish eyes, it is very difficult to search directly. Because the pearl is very dazzling, its precious light will interfere with people''s sight, making it difficult for people to find the two fish eyes mixed in."


    "At this time, if you want to find the fish eyes, you have to change your thinking. Instead of looking for the fish eyes directly, you have to pick out the pearls inside. By then, all the pearls will be picked out, and the rest will be fish eyes, right? ?In fact, you only need to pick out a part of the pearls, and the fish eyes will be exposed automatically."


    "If the patient''s diarrhea and vomiting are under control, the hidden cause will be highlighted. It will be much easier to find out the cause then."


    Zhang Bihua patiently taught his lover.


    She cultivated Yang Chan just like her own daughter, almost in every possible way.


    "Doctor Zhou, Professor Zhang, after listening to your discussion just now, I am more confident. We are right this time, and I believe my son can be cured here."


    When the boy''s father thought of all the doubts he had made about Zhou Can, he immediately felt ashamed.


    This young doctor is much more capable than he imagined.


    Even this Professor Zhang is full of praise for him.


    And listening to the two discussing their son''s condition, the young Dr. Zhou did not lose the slightest bit. The diagnostic thinking is clear and the direction is clear, which allows him to see the hope of his son''s cure.


    The patient''s subsequent hospitalization is not mentioned.


    ¡­


    The day of diagnosis is quickly over.


    Zhou Can went to the clinic independently on the first day, and gained a lot. Especially the training of the ability to stand alone has been greatly improved.


    He received a total of seven patients a day, except for one extremely difficult and difficult case that needed to be hospitalized for observation and further diagnosis. The other six cases either went with the treatment or were hospitalized for surgery.


    During the diagnosis process, he also discovered many shortcomings of himself.


    Both knowledgeable and inexperienced.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    It''s a great thing to be able to help him discover his flaws.


    After this expert outpatient clinic, he can learn more targetedly when he returns to the internal medicine department to continue the regular training.


    After get off work, the first thing Zhou Can did was to visit the pregnant woman in the emergency room.


    The situation is not bad, the signs have become more stable.


    Blood pressure has risen, and spontaneous breathing function has recovered a lot. It can be judged by the sound of her breathing that her lung function is recovering rapidly.


    People who exercise regularly recover much faster than those who don''t.


    In clinical practice, Zhou Can has discovered this phenomenon long ago.


    With the same degree of pneumonia, some people recovered within a few days after taking medication and symptomatic treatment. Some people''s condition continued to deteriorate due to poor physical fitness, and eventually developed into severe pneumonia.


    "Ji You and I will be on the night shift tonight. I guess we will guard her for another night, and we should be able to consider withdrawing the ventilator tomorrow."


    Seeing the condition of the pregnant woman getting better, Zhou Can was very happy.


    "Ji You, can you work hard one more night?"


    He turned his head to look at Ji You who followed him to the rescue room.


    "completely fine."


    She gladly accepted the night duty.


    Yesterday, I accompanied Zhou Can on the night shift and had a supper, which was very useful to her.


    ¡­


    The next day, after a preliminary assessment, Zhou Can believed that the pregnant woman could try to remove the ventilator and rely entirely on spontaneous breathing.


    One thing that needs to be done before the ventilator is removed is external fixation of her femur.


    This is in consideration of the sudden removal of the ventilator, and her respiratory function cannot be restored to normal immediately.


    If external fixation of the femur is performed immediately after the ventilator is removed, it will definitely cause great stimulation and impact on her body. This is very prone to danger, which is called stress response in medicine.


    For example, if a patient has two parts that need to be operated on at the same time, for the sake of safety, the doctor generally recommends two elective operations. rather than a one-off solution.


    After Dr. Pang came to take over the shift, Zhou Can went back to the hotel to wash up first, without mentioning breakfast.


    When having breakfast, Director Zhang happened to be in the restaurant on the first floor of the hotel.


    Zhou Can went over to chat with her about the treatment of pregnant women.


    "Since you have evaluated and formulated a treatment plan, let''s go to the emergency room now and help her perform femoral external fixation together. Then check her condition at noon break. If there is nothing abnormal, you can consider it." The ventilator was removed and transferred to the general ward for further treatment."


    Director Zhang gave a relatively safe treatment process.


    These chief physicians are very cautious and prudent in their work.


    "This is very good. It will basically not affect the normal consultation, and it can give the pregnant woman a good buffer to adapt."


    Zhou Can very much agrees with the operation process formulated by Director Zhang.


    After breakfast, he and Director Zhang came to the rescue room. Director Zhang first assessed the patient''s condition and confirmed that the fetus in the womb would not be in danger, and only then did he prepare for the next step of external fixation of the fracture.


    "Xiao Zhou, you will be responsible for the external fixation of the fracture site, and I will be responsible for the safety of the pregnant woman and the fetus during this period." Director Zhang basically helped him out and let him do whatever he wants without any worries.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    How to implement external fixation for pregnant women, Zhou Can has studied many times.


    Now you can do it directly.


    "Ji You, after I raise the patient''s right foot, you can put her foot on it, and then keep the height and angle of the foot unchanged." All the items for external fixation of the fracture have already been prepared.


    It must be operated successfully by multiple people.


    "OK!"


    Ji You never discounted Zhou Can''s instructions.


    After working the night shift together for two nights, the relationship between her and Zhou Can is much closer than before.


    "Chen Qingling, you will assist me when the time comes, and you will be responsible for passing the corresponding equipment to me." He only has two nurses under his command, and they all came in handy.


    "no problem!"


    Chen Qingling is an old nurse, she does things neatly, and she is extremely skilled in cooperating and assisting in all aspects.


    After the arrangements were made, Zhou Can began to implement the operation. Straighten the patient''s right leg and lift it up a little. According to the fracture image of the X-ray film, the broken ends of the fracture should be closed as much as possible.


    "Ah yo... um..."


    The pregnant woman made a painful sound, and her blood pressure dropped instantly.


    Zhou Can was so frightened that he stopped quickly, but fortunately, his blood pressure rose back soon. The severe pain should have stimulated her just now.


    After more than an hour of hard work, with the cooperation of several people, the femur fracture external fixation of the pregnant woman was finally completed.


    Zhou Can checked it again and was quite satisfied.


    Definitely not perfect.


    [You successfully performed a difficult fracture external fixation operation, experience value +1, reward experience value +100.]


    Earning 101 experience points of external fixation of fractures at once made Zhou Can laugh from ear to ear.


    However, after experiencing the reward of the highest experience point, this 100-point experience point reward brought him much less joy than before.


    The human heart is the hardest thing to satisfy.


    There is an ancient poem that fully embodies the greed of human nature.


    "Running around all day is just for hunger, and I just think about clothes when I am full. I have enough food and clothing, and I want a beautiful wife. Marry a beautiful wife and give birth to children. I hate having no land and no roots. The farmland is so vast, and there is no boat to go in and out. Less horses to ride."


    It is not difficult to see from the poem that people''s needs are constantly improving.


    Just like the fisherman and the goldfish in the fable, if you get what you want, you will have greater desires. Human greed can never be satisfied.


    Even if you have the most wealth, the greatest power, the most respected status, and the most beauties in the world, you will still not be satisfied. The next thing I think about is how to live forever.


    Many emperors in ancient times have fully proved this point.


    The number of emperors who have sought the magic of immortality cannot be counted.


    After Zhou Can successfully performed external fixation of the fracture, Director Zhang did not leave immediately.


    Instead, the fetal heart rate of the fetus and the vital signs of pregnant women are closely monitored.


    After half an hour, no abnormality was found, and she was relieved.


    "There is no problem for the time being. Dr. Pang, this patient is entrusted to you to monitor. You must always maintain a high degree of vigilance and make no mistakes."


    Zhang Bihua told her seriously.


    Xinxiang Maternity and Children''s Hospital has decided to publicize the case of this pregnant woman as a model. Now it is equivalent to knocking down the country, as long as it is defended.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    At this critical moment, Director Zhang and Xinxiang Women and Children''s Hospital do not want any accidents to happen.


    Xinxiang Maternity and Children''s Hospital needs to use some typical difficult cases to increase its popularity. The pregnant woman''s illness has a high publicity value, and has long been listed as the focus of publicity.


    Director Zhang led a team to carry out expert consultation activities this time, which also requires performance.


    Three days have passed, and this is the fourth day.


    Every difficult case is very difficult from diagnosis to treatment. She naturally does not allow accidents in the nursing process.


    [The book chasing app recommended to me by an old book friend who has known me for ten years, Yeguo Reading! It¡¯s really easy to use. I rely on reading and listening to books to pass the time while driving and before going to bed. You can download it here.yeguoyuedu¡¿


    "Don''t worry, I will take good care of the patients!"


    While Dr. Pang made a firm statement, he also gave Zhou Can a guilty look.


    What happened the day before yesterday kept Dr. Pang in fear. I was afraid that Zhou Can would sue Director Zhang.


    Fortunately, so far, Director Zhang''s side has been calm.


    It seems that Zhou Can helped her hide this matter.


    For this, Dr. Pang is naturally grateful.


    "Xiao Zhou, the results of your consultation were quite good yesterday, continue today." After making arrangements for Dr. Pang, Director Zhang looked at Zhou Can.


    "I''m OK."


    Zhou Can readily agreed.


    Everything is difficult at the beginning, and he has successfully taken the first step yesterday, and he has overcome the fear in his heart. Now I have a little more expectation for sitting alone.


    This is true independent diagnosis and treatment.


    It is very helpful to improve the ability of personal diagnosis and treatment. It also laid a solid foundation for him to formally practice medicine in the future.


    Several people walked out of the emergency room, Director Zhang took Zhou Can and Yang Chan to the ward for rounds.


    The patients admitted by the expert team are all concentrated in one ward, which is convenient for the doctors of Tuya Hospital to diagnose and treat them. The daily management is in the charge of the medical staff of Xinxiang Maternity and Children''s Hospital.


    "Hi Professor Zhang!"


    From time to time, patients greeted Zhang Bihua. UU Reading


    It can also be seen from this point that Zhang Bihua''s popularity is very high. Among the patients admitted, most of them were diagnosed by Director Zhang himself, and then admitted to the hospital.


    "Hello, Professor Zhang! Hello, Dr. Zhou!"


    When they reached the sixth bed, the family members took the initiative to greet Director Zhang and Zhou Can with a smile.


    Zhou Can took a look, isn''t this the husband of the diabetic who drank too much and had diabetes insipidus? Seeing his happy face, could it be that his wife''s illness has improved significantly?


    Subconsciously looking at the female patient on the hospital bed, she obviously looked much better.


    "How is your wife''s illness? Has it improved?" Director Zhang asked.


    "Yes, yes! Didn''t you and Dr. Zhou suggest my wife to have radiation therapy that day? We were very afraid of radiation therapy at the time and did not dare to accept this kind of treatment. Later, the doctors of Xinxiang Maternity and Children''s Hospital did ideological work for us and taught us the science of radiation therapy. It even took me to watch the radiation treatment process of other patients."


    "Later, I inquired privately with those patients who had been treated, and found out that some of them had controlled their disease through radiotherapy. Some were cured directly and could be discharged from the hospital immediately. After discussing it with my wife, I decided to give it a try. Hey, I didn''t expect my condition to improve the day after the radiotherapy."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    When the patient''s husband talked about it, he was elated.


    For the family members, the happiest thing is to see their relatives get better after treatment.

 Chapter 302： The newborn calf is brave, the importance of fame to a doctor

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can and Director Zhang were also very happy to hear that the family member had finally figured it out and let his wife receive radiotherapy.


    Many people are terrified of the word radiotherapy, and hearing it is like hearing a reminder.


    As everyone knows, radiotherapy is still one of the most effective means to deal with cancer so far.


    Chemotherapy has the strongest side effects. While using chemical drugs to kill cancer cells, it will also damage normal cells. A typical kill is 800 enemies and 1,000 self-defeating.


    "After this patient received radiotherapy, he urinated from hundreds of times a day to more than 30 times. The amount of water he drank also decreased from ml to about 7000ml."


    The doctor in charge of the bed reported the patient''s condition to Director Zhang.


    It seems that Zhou Can''s diagnosis is correct. The real cause of this female patient is the thalamus-pituitary disease.


    It is very good to have a very significant effect of just one radiation therapy.


    I believe that if you persist in radiotherapy several times, after a full course of treatment, you should be able to achieve satisfactory curative effect.


    Director Zhang nodded in satisfaction after listening to the bed doctor''s report.


    She personally checked the patient''s recent nursing records, including signs, frequency and interval of urination, and so on. Zhou Can stood by and secretly studied her seriousness and meticulousness.


    Wards rounds are by no means a process, but should be implemented like Director Zhang.


    "I see that her condition has improved significantly in all aspects, and she will continue to insist on two aspects of treatment, one is blood sugar control, and the other is radiotherapy." Director Zhang gave guidance.


    They continued to search for other beds.


    Zhou Can was full of expectations when he found the little boy who ate live fish.


    The boy has been given fasting water, rehydration, gastrointestinal decompression and other treatments.


    "Doctor Zhou, Director Zhang!"


    When the family members saw Zhou Can and Director Zhang, they immediately greeted them warmly.


    At this moment, only the boy''s father is accompanying him in front of the hospital bed.


    Yesterday, I saw them dragging their families to the hospital for medical treatment. It is likely that they bought real estate in the provincial capital. Or there are relatives in the provincial capital who can borrow them.


    "How is the child doing today?"


    "It has improved. The symptoms of vomiting and diarrhea have been significantly reduced."


    The child''s father was very satisfied when he saw that the treatment had achieved certain results.


    Ordinary people do not understand medical expertise. For them, as long as their symptoms are relieved, they think there is hope for a cure. As everyone knows, this is just some experimental methods adopted by doctors, and it cannot be implemented for a long time.


    Just like a car running out of fuel, it can still drive with the fuel in the auxiliary fuel tank turned on, but the problem of running out of fuel in the main fuel tank is not solved, this problem always exists.


    If the disease is to be cured, the real cause must be found.


    In fact, the treatment plans of many hospitals are now beginning to be modeled. Sometimes it is impossible to find out the cause of the disease, so we simply do not compare the truth. Instead, symptomatic treatment is used to control the development of the patient''s condition and improve the patient''s symptoms. Allow patients to live with the disease for a long time.


    This kind of lazy diagnosis and treatment thinking has almost become the mainstream in clinical practice in the medical field.


    As the saying goes, it is better to live than to die.


    It is also a compromise strategy to try to alleviate the suffering of patients and prolong the life of patients through drugs or other treatment methods.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Doctors at least agree with this model from top to bottom.


    Preserving life first and then treating illnesses is the first principle Zhou Can learned after engaging in clinical studies.


    "The body temperature has also dropped a little, the highest level is 7.1 degrees."


    Zhou Can looked through the hospital records, and compared with the patient''s temperature of 38 degrees yesterday, it has dropped significantly.


    At this moment, the sound of tearing a plastic bag came from the next bed.


    The child looked at the bed next to him.


    The family members are feeding the patient biscuits.


    The little boy had been fasting for more than twelve hours and must be starving. Seeing people eating, children, it is inevitable to show a greedy expression.


    He swallowed quietly.


    "Ahem..."


    He seemed to be choking on saliva, and suddenly coughed violently. The boy''s father hurriedly patted his son''s back lightly.


    Under normal circumstances, choking is only possible when drinking water.


    Choking on swallowing saliva rarely occurs.


    Incidental accidents are also not ruled out.


    After the child stopped coughing, his face turned red from the severe coughing.


    Originally, this matter did not attract Zhou Can''s attention.


    Unexpectedly, after a while, the little boy coughed violently again.


    This time, Zhou Can paid more attention to it.


    After the boy stopped coughing, Zhou Can asked the family members, "Has your son always been choked so easily?"


    "No! Even from this morning, I told him to be careful when swallowing his saliva." The boy''s father was very helpless about this, but also puzzled.


    Okay, why is it so easy to choke on saliva all of a sudden?


    Director Zhang obviously noticed this problem and was also thinking about it.


    "Will his choking cough be related to gastrointestinal decompression?" Yang Chan asked bluntly.


    "It''s possible."


    Zhang Bihua nodded slightly.


    "The patient''s gastrointestinal tract, urinary system, heart, lungs, etc. are involved in many places, and there are not many diseases that can cause so many systems to be involved at the same time. After the malignant tumor is excluded, it seems that there are only a few known diseases left. ana The test is negative, and lupus can basically be ruled out.¡±


    Director Zhang''s diagnosis was the same as Zhou Can''s, and he was also in a predicament.


    Zhou Can, however, stared at the sick child for a while before boldly inferring, "Do you think his systemic lupus erythematosus is recessive? If the negative ana is not regarded as the gold standard for veto, his disease progresses, And all the symptoms are highly consistent with systemic lupus erythematosus."


    How bold people are, how productive the land is.


    A novice doctor like Zhou Can is not as cautious as an old doctor like Director Zhang.


    In the diagnosis, he dared to overthrow some iron laws.


    "Teacher, I also think this child''s symptoms are too similar to systemic lupus erythematosus. When I was practicing in pediatrics, I once met a six-year-old patient. She was a very cute and sensible girl. She At the beginning, it was similar to cold symptoms, but the treatment in many hospitals did not work, but the treatment got worse. Various symptoms sprung up like mushrooms after rain.¡±


    "After a diagnosis, it was diagnosed as systemic lupus erythematosus. However, the ana of this patient was found to be positive."


    Yang Chan also supported Zhou Can''s diagnosis speculation.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    She thought she could at least give it a try.


    "You young people, all of you are newborn calves who are not afraid of tigers! How can the diagnosis of a disease be so hasty? But you are not limited to some so-called gold standards, bold doubts and assumptions, which are very worthy of recognition. In this way Alright, let¡¯s check his ana again, in the laboratory of Xinxiang Women¡¯s and Children¡¯s Hospital and in the laboratory of Tuya General Hospital.¡±


    Director Zhang made this decision with deep meaning.


    In front of the doctors and nurses of Xinxiang Maternity and Children''s Hospital, there are some things that cannot be said clearly.


    In terms of laboratory construction, Tuya Hospital is already recognized as the first in the province. For various biochemical tests and specimen inspections, Tuya''s technical strength is obviously higher than that of other hospitals.


    Ana, also known as the antinuclear antibody profile, examines a series of autoantibodies in serum components. These antibodies usually, antinuclear antibody if high titer positive, often suggest the presence of connective tissue disease.


    It''s not a particularly sophisticated laboratory test, but the patient''s ana has been checked several times, and all of them are negative.


    It is a very wise choice to send another blood sample to Tuya Hospital for another check.


    The possibility of missed detection due to insufficient equipment and technology can be largely ruled out.


    The family members now trust Zhou Can and Director Zhang, and readily accept all the inspection plans proposed by them.


    In the first three days, a total of eleven patients were admitted, including two surgery patients, which made Zhou Can''s eyes thirsty for a while. Since he entered the internal medicine training, he has rarely had the opportunity to practice surgery.


    One is the removal of uterine fibroids, and the other is the removal of chest granulomas, both of which are quite challenging operations.


    If Zhou Can can be allowed to perform the operation, it will be very beneficial to his increase in surgical experience.


    The most important thing is that his surgical skills need to be practiced frequently, otherwise he will regress after a long time of neglect.


    According to Director Zhang, the operations of these two patients may need to be scheduled until evening. Director Zhang performed the operation himself, and worked overtime at night to perform operations on patients. This will not delay the consultation during the day.


    After the ward inspection, Zhou Can and Director Zhang went back to the outpatient hall for consultation without mentioning it.


    Although Zhou Can had already shown his skills in his first consultation yesterday, showing his face twice, and the patients who came to see him also achieved satisfactory treatment results. But the accumulation and improvement of fame is far more difficult than he imagined.


    I went to the clinic again today, almost starting from scratch again.


    At his consultation desk, it was deserted, and no patients came to consult him.


    Compared with yesterday, the number of patients seeking treatment today has increased significantly.


    There are more people seeing a doctor, but there is no increase in the number of people signing up for him. This is an embarrassing period that every novice doctor needs to go through.


    Some young doctors rely on the big hospitals behind them, which is equivalent to having a traffic platform and reputation endorsement guarantee, so they can get some patients for treatment.


    After all, many patients and their families don''t see doctors, but come to famous hospitals.


    When the expert number is emptied, they can accept a general clinic number.


    The situation of Zhou Can''s consultation at the moment is different.


    Xinxiang Maternity and Children''s Hospital itself has encountered a serious reputation crisis, and there is no way to endorse him.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Although he was able to rely on the golden signboard of Tuya Hospital to a certain extent, he also had the blessing of an expert group. But after all, they are too young, and patients have a lot of options.


    [In other words, currently the best app for reading and listening to books, Yeguo Reading, install the latest version of .yeguoyuedu. ¡¿


    It is human nature that they would not want to entrust their lives to a young doctor who seemed inexperienced.


    Du Leng''s situation is much better than his.


    The status of a doctor of medicine graduated from a famous overseas school is the best sign. The patients and family members who sought medical treatment did not know the details, and seeing that he was a medical doctor of returnees, their trust gradually increased.


    There are quite a few people looking for Du Leng to see a doctor.


    Who says education is not important?


    In addition to being a stepping stone to job hunting, academic qualifications are also a golden signboard in your resume. It can make your starting point much higher than others.


    In this way, Zhou Can sat in the clinic for a day in a deserted manner.


    A total of seven patients were caught yesterday, but today only two patients came to see him.


    And with a look of disgust and distrust.


    There was a patient who saw that Zhou Can had prescribed a CT scan for him, and left cursing. The other patient just had a common cold, but his parents felt extremely distressed. The words "baby" on the left and "baby" on the right made Zhou Can''s goosebumps pop up.


    Suppressing the discomfort, he saw the doctor and prescribed medicine for their child.


    As a result, people didn''t believe it, so they ran to Director Dai at the next table to read it again.


    Today is Zhou Can''s most injured day ever.


    He obviously has a whole body of skills, but because of lack of popularity, high education and outstanding achievements, he is unknown and not trusted by patients and their families. not recognized.


    When it was time for dinner, Ji You diligently ordered food for him.


    "Doctor Zhou, I don''t know if it suits your taste?"


    "With the meals you made for me, even plain rice is delicious. These dishes are very suitable for my taste! Thank you!" The kindness is hard to come by, Zhou Can is really not used to being served like an emperor.


    "Hehe, as long as you like it. I didn''t expect Dr. Zhou to be so serious at work, and he is very good at saying things that please girls!" She glanced at Zhou Can with a little shyness, quickly lowered her head, and ate from the plate. meals.


    Zhou Can didn''t react at first.


    But he, who has been in love, has already been there.


    The way Ji You looked at him just now clearly felt that her heart was being pried.


    Thinking carefully about what he just said, he pinched himself.


    It seems that she didn''t pay attention when speaking, which caused her misunderstanding.


    "Haha, I must have been forced to talk to girls. When I was pursuing my current girlfriend, I didn''t practice less." Zhou Can didn''t want this misunderstanding to ferment.


    The best way is to speak clearly and solve this misunderstanding.


    It''s the best way to let Ji You know that he has a girlfriend.


    When Qiao Yu first found out that he had a girlfriend, her sad expression and lonely eyes left a deep impression on him.


    So, now that he''s learned to be smart, he finds a hint of it, and quickly declares that he has a master, and cuts off the girl''s thoughts.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Cackling ~!"


    She smiled exaggeratedly, covered her mouth, and shook her body.


    After learning that Zhou Can had a girlfriend, she could clearly see a trace of loss in the depths of her eyes.


    However, she is still in the stage of liking Zhou Can, far from entering the stage of love so there is no injury. At most it''s just a little lost.


    "For a man as good as you, I knew that he must have had a girlfriend long ago! It is said that falling in love can make people mature. Dr. Zhou''s skill in dating is to make girls happy!"


    She made fun of Zhou Can.


    "It''s impossible not to exercise this ability, otherwise I''m afraid that my girlfriend will be snatched away by other men." Zhou Can touched his nose and replied.


    "You are so good, other men are no match for you! But if you practice your words better, you will be more competitive. All creatures on the earth are trying to evolve, and we humans are the fastest evolving species. Our Evolution is not the body, but the brain, thinking, and consciousness."


    She spoke highly of Zhou Can.


    "I didn''t expect Meimei Ji to speak so philosophically. You are really outstanding if you have good looks, talent, and inner quality."


    After Zhou Can chatted with her for a few words, his mood, which had deteriorated due to the cold during the daytime consultation, gradually improved.


    The two chatted while eating.


    "I saw that you were depressed when you got off work just now, are you feeling better now?" Ji You asked him in a low voice when he was almost finished eating.


    "With you, a beautiful woman, making me happy, I''m not depressed anymore. Your observations are quite careful." Zhou Can was a little moved. It is a blessing to be cared for.


    "I''ve been with you in the clinic, so naturally I feel the same way! In fact, I think it''s gold, and it will shine sooner or later. Your strength is so strong, what you lack is only opportunities and fame. As long as you accumulate slowly, the number of people who see you will definitely increase. Come more and more. Your reputation will gradually rise."


    She enlightened Zhou Can gently.


    Give him encouragement.

 Chapter 303： Poor people get 10 papers and their clothes will vibrate, this is really effective...

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "thanks for your encouragement!"


    Zhou Can smiled gratefully at her.


    Today''s consultation made him realize once again the importance of fame.


    The smell of wine is also afraid of deep alleys.


    He has no outstanding academic qualifications, low qualifications, too young, and low popularity. These are the obstacles he needs to overcome at present.


    Du Leng today should be the happiest day in a few days.


    He had long regarded Zhou Can as a competitor. Seeing that Zhou Can has repeatedly made great achievements in the diagnosis of difficult diseases, and he, a returnee doctor, has a lot of medical knowledge but has no achievements, he is very anxious.


    I am very eager to change this situation of being beaten by a domestic undergraduate.


    Fortunately, God is very fair.


    Zhou Can was proud of himself for three consecutive days, but today Zhou Can suffered the worst Waterloo in history.


    During the whole day''s consultation, only two patients were seen in total.


    One of them released Zhou Can as a pigeon, and ran away with the inspection application form that had been opened. This kind of thing is quite rare in the hospital.


    If this wasn''t too bad, another patient took the prescribed prescription and went directly to Director Dai to register for another number without paying the fee. Director Dai was asked to make a diagnosis and treatment again.


    This clearly shows distrust of Zhou Can''s medical skills.


    Although Director Dai later prescribed the medicine and the diagnosis result was the same as that of Zhou Can. But who knows if Director Dai did this on purpose to protect Zhou Can''s face?


    Zhou Can was in misery, but Du Liangliang''s bad luck was gone, and good luck came to him.


    He received a total of fourteen patients today. Except for two difficult patients who could not be dealt with, they were kicked to other experts, and Du Leng took care of the rest.


    Compared with Zhou Can, he has achieved a lot.


    No wonder he was so happy.


    Anyone would be happy to see their greatest competitor suffer.


    Du Leng managed to elevate his eyebrows once, and just kept silent like this, that was definitely not his style.


    When the poor get rich and get ten coins, they will vibrate their clothes.


    For three days in a row, he was either criticized or made no achievements, and he was already aggrieved and panicked in his heart.


    Today was a successful start with brilliant results, just as Zhou Can encountered an unprecedented ''cold winter'', if he didn''t run in front of Zhou Can to give him a fright, he would definitely not be able to sleep when he returned to the hotel at night.


    I saw Du Leng walking over briskly with a plate of rice in his hand.


    "Doctor Zhou is very popular with women! All the beauties, whether they are doctors or nurses, like to be close to you. It is really enviable."


    Du Leng and Zhou Can are not at odds at ordinary times, and they seldom have any formal conversations.


    At this moment, I have nothing to say.


    In his opinion, Zhou Can''s popularity with women is indeed enviable. The beauties who appeared next to Zhou Can were not only good-looking, but also upright and full of inner quality.


    "Oh! In the eyes of different people, the result will be different. In the eyes of people who only think about work, see me communicating with female nurses and female doctors, staying together, they see What we see is that we are working hard and doing our best to save patients. But in the eyes of Dr. Du and other romantic talents, what they see is that they are very popular with women, and they envy me for having the opportunity to stay with so many beauties."


    Zhou Can didn''t answer him directly.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Instead, an example was used to fight back.


    Thinking differently, seeing problems will be completely different.


    Some people keep seeing ghosts because they have ghosts in their hearts. The ancients said that if you don''t do anything wrong in your life, you won''t be afraid of ghosts knocking on your door in the middle of the night.


    The real interpretation of this sentence is that different people have completely different conclusions when looking at the same thing.


    Blind men and elephants are different.


    "Everyone is a mortal, and they are sexually inclined! Doctor Zhou actually doesn''t need to pretend to be a gentleman. Young people fall in love and try to have a few different girlfriends. This is really a normal thing in foreign countries. No Talented people will only have one girlfriend in their life, or even not get a girlfriend!"


    Du Leng''s IQ is super high, and his bickering skills are no worse than Zhou Can''s.


    After replying, he changed his subject.


    "During the consultation today, I saw Dr. Zhou sitting there bored. I felt very uncomfortable. Dr. Zhou''s medical skills are so powerful, but few people care about them. It''s really sympathetic."


    Isn''t it clear that the cat is crying and the mouse is pretending to be merciful?


    Zhou Can rolled his eyelids, feeling sick for a while.


    "If necessary, I can send a few patients to Dr. Zhou tomorrow. Sigh! You don''t know, when they see that I am a doctor of medicine studying abroad, they rush to register my number, and even prefer to wait in line. I really don''t know." I''m a little too busy!"


    Du Leng''s purpose was to run up to Zhou Can to get a little frightened.


    If he really wanted to help and care about Zhou Can, he would be so kind.


    When did Zhou Can fall to the point of needing charity from others? It''s just a joke.


    A silver-like wax gun head is also matched in front of him, barking?


    "Thank you, Dr. Du, for your kindness. You have given quite a lot of patients to other experts. Didn''t you just give me the little boy who swallowed live fish yesterday? When I went to the ward round today, the patient''s family members still I''m talking about you, why can''t a doctor of returnees diagnose his child''s disease? I was quite angry when I heard that, this family member spoke too much. Doctors of returnees are also human, they just went abroad to study for two more years Why do you have to be able to diagnose all diseases?"


    Zhou Can''s greatest pleasure is to choke such a shameless person to death.


    A piece of garbage, who actually has the nerve to show off to him. Don''t you love to show off? Then just talk about how you keep kicking difficult patients to other doctors.


    Hit a snake to hit seven inches, trample on people and trample on their faces.


    If Du Leng doesn''t come to provoke Zhou Can, it''s nothing at all.


    If it comes to your door, then you will not be happy.


    After hearing these words, Du Leng''s face turned blue a little bit, and his smile was completely rigid.


    Look at this expression, it''s worse than swallowing a dead fly.


    "Xiao Zhou, come here! Let me tell you some good news. Just now the laboratory at Tuya Hospital called and told me good news. The boy''s ana test was weakly positive. It was exactly as you boldly assumed, The patient most likely had systemic lupus erythematosus."


    Director Zhang had just finished answering a phone call, and he told Zhou Can the good news across several tables with an excited face.


    Because she was so excited.


    The boy''s aetiology was extremely complicated and obscure.


    Now a successful diagnosis is enough to make her feel very excited. Immediately, I couldn''t wait to tell Zhou Can the news.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Because Zhou Can was the first to put forward a bold hypothesis.


    "Great, the cause of the disease has been found, and the child can be saved." Zhou Can''s depressed mood during the daytime consultation was completely swept away after hearing this. "This disease is very scary. Although it cannot be cured, as long as it is discovered early and the disease is controlled in time, the child''s life can be saved."


    Tuya Hospital successfully found that the patient''s ana was weakly positive, which shows that the testing capabilities of each hospital are different.


    Xinxiang Women''s and Children''s Hospital, even the Provincial Children''s Hospital and the county''s Maternity and Children''s Hospital, have all done this test, but the results have always been negative.


    Undoubtedly, it seriously misled the doctors who were diagnosed and treated, and let everyone rule out the possibility of systemic lupus erythematosus in the first place.


    In clinical practice, there are many such examples.


    It is really Xiao He who succeeds, and Xiao He who loses.


    Some gold standards for diagnosing a certain disease not only help doctors boldly diagnose the disease, but also allow doctors to instinctively rule out the disease under fixed thinking because the test results of this gold standard are normal.


    Ultimately resulting in missed diagnosis, misdiagnosis, delaying the best time for treatment of patients.


    Such cases are by no means one or two, but very many.


    "Doctor Zhou, not bad!"


    Yang Chan smiled and gave him a thumbs up.


    Praising him in front of so many people probably saw that the villain Du Leng flinched in front of Zhou Can and humiliated Zhou Can, so he deliberately magnified Zhou Can''s strengths and achievements.


    Squad leader Yang dislikes the bullying of his classmates the most.


    Even if Zhou Can was bullied by Vice President Bai or Director Xie of the Department of Surgery, she would never take it seriously. Ask Director Zhang directly for help to support Zhou Can.


    "Didn''t the squad leader also boldly assume the diagnosis at the time? How about we compliment each other?" Zhou Can smiled and winked at her.


    "Hate!"


    She glared at Zhou Can, no matter how she heard it, she sounded like she was being coquettish.


    It is completely different from the attitude when dealing with other men.


    Du Leng felt jealous for a while, he pursued Yang Chan many times but failed. Unexpectedly, Zhou Can didn''t need to pursue at all, and Yang Chan directly maintained a very close relationship with Zhou Can.


    Any fool can see that Yang Chan regards Zhou Can as a good friend and Du Leng as a ''guest''.


    The so-called "guest" does not refer to the guest, but a polite stranger.


    "Dr. Zhou''s popularity with women is really good! Dr. Yang Chan is the most beautiful and coldest flower in our obstetrics and gynecology department. She never pretends to men, but she only takes special care of Dr. Zhou."


    Ji You laughed and teased Zhou Can.


    "She is my college classmate and my class monitor, how can she treat me the same!"


    After Zhou Can finished answering, he ignored Du Leng, who was turning blue, and walked quickly to Zhang Bihua''s table.


    "Director Zhang, since the cause of the disease has been found out, should the child be given medicine overnight?"


    He couldn''t wait to see the child''s condition improve significantly after treatment.


    Because the ana test result is only weakly positive, whether it is systemic lupus erythematosus is still not very sure. Only after medical treatment is the only way to test the truth.


    "Yang Chan, tell Xiao Zhou how to treat this disease?"


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Director Zhang did not forget to cultivate his lover while taking Zhou Can''s exam.


    Her cultivation of Yang Chan is really teaching by precept and example.


    "Hmm... Considering that he has always had 3+ proteinuria, restrict protein diet, give angiotensin 2 receptor antagonist drug treatment, and avoid ultraviolet radiation!"


    Yang Chan answered first.


    The treatment plan given is more appropriate to the actual situation of the boy.


    "Xiao Zhou, what''s your opinion on treatment?"


    Although Director Zhang did not express his opinion, he was obviously not very satisfied with the treatment plan given by Yang Chan.


    "I think the use of estrogen-containing drugs should be avoided. According to the patient''s current symptoms, as well as the affected organs and tissue systems, anti-infection therapy should be difficult to be effective. If methylprednisolone pulse therapy can be used, intravenous immunoglobulin therapy , should be better."


    Zhou Can''s pharmacological syndrome differentiation is currently at an inferior level, and the treatment advice given may not be perfect.


    But compared with Yang Chan, they are obviously not at the same level.


    The treatment method given by Yang Chan is the textbook style, which is almost equivalent to following the scriptures. The treatment plan given by Zhou Can already has the valuable experience of clinical combat integrated into it.


    The difference between the two is quite large.


    "Well, the treatment plans for both of you are advisable. According to the actual situation, the shock treatment proposed by Xiao Zhou is the preferred treatment plan. For medication, it is no problem to use methylprednisolone and immunoglobulin first, but the treatment lasts for five to seven days. Finally, it is definitely necessary to change the medication according to the actual situation of the patient."


    Director Zhang made a concluding speech.


    Save some face for Yang Chan. The final treatment plan was basically the same as that given by Zhou Can.


    Director Zhang Bihua was also a resolute person. He found out the cause of the disease, determined the treatment plan, rushed to the ward on the spot to check the condition of the sick child, and prescribed medication.


    It is worth mentioning that she does not preempt Zhou Can''s function.


    The doctor''s order was handed over to Zhou Can, and she was only guiding and checking in the back.


    This is an opportunity to show young people as much as possible.


    Many veteran comrades try their best to take the benefits and credit to themselves. Director Zhang''s selfless performance of vigorously cultivating newcomers also made her image extraordinarily tall.


    Zhou Can didn''t say anything, but he was full of respect for her in his heart.


    Especially after experiencing "the smell of wine is also afraid of deep alleys" during the day, Zhou Can has become much more active in accumulating fame than before.


    He will not want glory that does not belong to him.


    But this patient himself was treated by him, and in the diagnosis, his contribution was very large. Basically, he has always been the attending doctor, and Zhang Bihua is just tutoring from the sidelines.


    It is reasonable to ask him to prescribe this treatment order.


    After the doctor''s order is issued, what is expected is the result after the medication. Need to wait until tomorrow to have the result feedback.


    Any treatment takes time.


    The treatment of systemic lupus erythematosus is a long cycle. Usually, it needs to take medicine for life like hypertension, diabetes, and chronic pulmonary obstruction, and it cannot be cured.


    Coming out of the ward, Zhou Can knew that Zhang Bihua would work overtime to operate on two patients tonight.


    He volunteered to participate and followed the operation.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    It just so happened that the pregnant woman was successfully removed from the ventilator while eating at noon. After an afternoon of monitoring, her signs were all normal. Spontaneous breathing also recovered quite well.


    Can be transferred to general ward care.


    With Zhou Can free, he can devote his energy and time to other studies.


    Surgery has always been his strong point, and it is also a path of medicine that he intends to stick to.


    Even the current internal medicine training is only to lay the foundation for the future path of surgery.


    Director Zhang liked him very much, so he readily agreed to such a small matter.


    However, it is almost impossible for Zhou Can to get important surgical tasks as soon as he enters the operating room.


    [To be honest, I have recently followed up, changed sources, and have many voices for reading aloud, .yeguoyuedu Android and Apple are both available. ¡¿


    Every chief physician has to prove himself little by little if he wants to gain their recognition and trust.


    For all the treatments that need to be performed on the patient, the superior doctor will be very cautious when delegating power to the lower doctor. If you use a knife, it will be identified as a high-risk project in practice.


    Not to mention Gui Peisheng, it is normal for many residents to work for two or three years without touching a knife in the operating room.


    ¡­


    The next day, Zhou Can had breakfast at the hotel and rushed to Xinxiang Maternity and Children''s Hospital with the experts.


    Most of the seven-day expert outpatient clinic activities have passed, and today is the fifth day, which is coming to an end soon.


    Zhou Can felt that the total harvest of the first four days was greater than his one-month training in Tuya Hospital. This time, Director Shang of the Department of Gastroenterology forcibly apportioned it, and it was the right time to let him attend the specialist clinic with him.


    Life is like this, if you don''t go out, you will never know how wonderful tomorrow will be.


    If he didn''t sit in the clinic alone, he would never realize how important fame is to a doctor. I sat in the clinic all day yesterday, watching other experts see many patients one by one, there was a long queue in front of Zhang Bihua''s consultation table, but Zhou Can''s side was empty He was very special feel bad.


    It was this experience that made him know what to strive for in the future.


    Just like many rich second generations, when their parents are here, they spend their money anyway, so they don''t feel bad at all. I never know the hard work of making money.


    It wasn''t until my family fell behind that I didn''t understand the importance of money.


    If you can understand this truth earlier, don''t be so willful and prodigal when you have money, even if you keep a hundred and eighty thousand, you won''t even have to eat.


    The importance of cognition sometimes surpasses everything else.


    The first thing Zhou Can did when he arrived at the hospital was to rush to the ward to check on the child''s condition.


    After taking the medicine, the patient''s body temperature dropped further, and it has already returned to a normal level. Symptoms such as coughing, vomiting, and abdominal pain were greatly relieved, and the stool changed from watery to yellow-brown loose stool.


    Diarrhea has been reduced from ten to twenty times a day to five times.


    In addition, the child''s father happily told Zhou Can that the child ate two steamed buns and drank a cup of porridge in the morning, indicating that the child''s food intake had increased significantly.


    All signs indicated that the boy had systemic lupus erythematosus, and everything was moving in a good direction.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The improvement of the condition this time is completely different from the improvement of the condition after the treatment of fasting water, gastrointestinal decompression, rehydration, and acid suppression the day before yesterday.


    Now after finding the right cause, we can get real effective treatment.


    The slight improvement in the condition the day before yesterday was just an illusion, temporary.

 Chapter 304： Everyone has his own aspirations, the first step of a famous doctor begins

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    It can be predicted that as long as the boy insists on this correct treatment for a period of time, he will be able to turn the crisis into safety.


    Systemic lupus erythematosus is a malignant disease. As the disease continues to progress, it can involve multiple organs and tissues throughout the body, and eventually cause serious consequences for the death of the patient.


    The child''s condition has actually progressed to a severe stage.


    Fortunately, it was diagnosed by Zhou Can and director Zhang Bihua.


    Otherwise, if it is delayed, the patient''s life will definitely be in danger.


    Another patient was successfully cured, and Zhou Can was very happy as if drinking honey. This sense of accomplishment and social contribution is difficult to give by other things.


    After telling the family members a few precautions, he went to another ward to check on the condition of the pregnant woman.


    The pregnant woman was unable to move her lower body and had a fractured femur. She needed to recuperate for at least two months before she could consider getting out of bed for some rehabilitation training. Definitely need crutches.


    Two months later, she was seven months pregnant.


    At that time, my stomach was already very big, and the burden on my body would be very heavy. This is actually not conducive to rehabilitation training.


    And if you fall down during training, or use too much force when using crutches, it is easy to cause miscarriage.


    Considering the safety risks, doctors will definitely only recommend pregnant women to do some simple rehabilitation actions. If she wants to fully recover motor function, I am afraid she will have to wait until after giving birth.


    It is not easy for the mother to conceive in October.


    "Doctor Zhou, you are here!"


    The pregnant woman''s husband is an honest man from the country, and Zhou Can gave him some food that night, which made him very grateful.


    Most of the country people are like this, a little favor is enough to make them grateful.


    "How is your wife doing today? Is she better?"


    After Zhou Can''s questioning, he already looked at the pregnant woman on the hospital bed.


    "It''s much better." The man also looked at his wife on the hospital bed with a relieved smile.


    After several days of treatment, his wife was able to escape from death, which made him very happy.


    When the pregnant woman was carried over that day, the situation was very dangerous.


    When the doctor issued a critical illness notice to his family, he was filled with fear and anxiety, and could not sleep all night.


    The thought of losing his wife and unborn child forever filled him with grief and fear.


    Many things are only experienced, to know how to cherish.


    After experiencing the test of life and death with his wife, he cherishes the person in front of him very much.


    "Doctor Zhou, can my wife eat now? After she woke up last night, she kept telling me that she was hungry. Director Zhang explained that we need to fast for a while, so we didn''t dare to feed her."


    He followed the doctor''s advice and carefully cared for his wife who had escaped death.


    "I''ll check her body temperature, blood pressure, and airway first!"


    Zhou Can first picked up the bed card and looked at the nursing records. The body temperature is normal, and the blood pressure is slightly high. The blood pressure of pregnant women is not stable, and it is normal to fluctuate within a certain range. I checked her respiratory tract and the condition of the fractured external fixation plate, and there was nothing wrong with it.


    The pregnant woman is conscious, breathing normally, and can talk normally.


    "Give her some warm water first, and some liquid food! When she is recovering from a serious illness, don''t overdo it. Ordinary rice porridge is fine. I''m really worried that your wife''s body nutrition can''t keep up, so you can feed her some meat porridge, eight-treasure porridge, or milk. "


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can gave guidance.


    When the patient has just recovered, it is most appropriate to feed some liquid food that is easy to digest and absorb.


    "Okay! Thank you, Dr. Zhou!"


    After the man asked Zhou Can, he was relieved this time.


    After checking the room, Zhou Can went all the way to the outpatient hall for consultation.


    Only two patients were seen all day yesterday, and they were still the kind of patients who didn''t trust him, which made him already have some psychological shadows.


    It''s just that what should be faced has to be faced!


    It seems that there are many more patients who come to see a doctor today. It seems that this expert outpatient activity still has a good effect.


    Director Zhang and others have cured many patients who came to seek treatment with their strong strength, coupled with the advertising of Xinxiang Maternity and Children''s Hospital, gradually produced a siphon effect.


    According to this trend, there will definitely be more and more patients.


    The foundation of Xinxiang Maternity and Children''s Hospital itself is quite solid, and experts from Tuya Hospital were invited to endorse it on the platform, which can somewhat dilute some adverse effects.


    However, it will take a long time to return to its previous heyday.


    In addition, the senior management of Xinxiang Maternity and Children''s Hospital should not play tricks and pay more attention to the management and medical quality of the hospital. If something happened again, the hospital would probably be left alone.


    Zhou Can raised his eyes to look over, and saw Zhang Bihua, Director Dai, Director Luo, Du Leng and others had already lined up in front of the consultation desks. Especially in front of Director Zhang Bihua''s consultation table, there are nearly 30 female patients waiting in line at least visually.


    Experts pay attention to excellence and pursue quality rather than quantity when they see a doctor.


    Therefore, Director Zhang''s expert clinic number has been restricted.


    For experts, the income is already well guaranteed, and the diagnosis and treatment experience is already very rich, so there is no need to accumulate experience through a large number of cases like young doctors.


    Experts belong to the hospital''s signboard, and ensuring reputation is the most important thing.


    Otherwise, if an expert encounters an accident during the diagnosis and treatment process or is slapped in the face by a misdiagnosis, it is not the expert who loses. The loss of the hospital behind it was equally huge.


    First of all, the hospital will do its best to prevent such incidents from happening.


    In addition, experts often undertake scientific research and teaching tasks in addition to seeing a doctor and presiding over operations. They are very busy.


    As a result, almost all experts adopt a limited number of consultations, at least half a day a week, which has almost become the standard for top experts.


    Seeing fewer doctors can minimize the probability of misdiagnosis.


    Director Zhang Bihua probably only sees 30 patients a day at most.


    Looking at the long queue, it can only be said that the patients are too enthusiastic.


    Du Leng''s real ability is not very good, but there are more than ten patients lined up in front of his consultation table, which is really enviable.


    Zhou Can looked at his own consultation table again, what a miserable word.


    It was empty, and there was not even a single patient seeking treatment.


    Deputy Director Shi''s condition today is not bad, there are five patients queuing up in front of his consultation table.


    Du Leng glanced at Zhou Can, the corners of his mouth slightly raised, with a smug smile.


    However, he didn''t gain the upper hand in the quarrel with Zhou Can yesterday, so he suffered a small loss, so he learned to be good today. He didn''t speak, just taunted Zhou Can with his eyes.


    "Doctor Zhou, how about I become a guiding nurse!"


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Ji You saw Zhou Can sitting here coldly, without a single patient, she felt sorry for what happened to Zhou Can.


    Want to take the initiative to help find a way.


    "There''s no need for that. Anyway, we''ll go back after three more days. Let me realize my own shortcomings, and it may not be a bad thing to stay awake all the time."


    Zhou Can understood what she meant.


    She went to work as a guide nurse, and whenever a patient asked her about registration, she would strongly recommend Zhou Can to the patient.


    But Zhou Can has his own self-esteem, he doesn''t want to rely on a woman to help solicit customers.


    Call him pedantic or stubborn, but he just can''t accept it.


    Everyone has his own aspirations.


    Some people would rather starve to death than eat cheap food.


    This experience in the Xinxiang Women''s and Children''s Hospital will be remembered forever by him. In the future, no matter how high your achievements are, you will not drift, and you will always be alert.


    For him, it may not be a bad thing.


    "hello!"


    The female reporter, Mu Tie, is wearing a short white jacket, light blue jeans, and a pink lace jacket today, coupled with her natural vixen face, which makes any man''s eyes shine when he sees it.


    "I''ve already told you, I don''t accept interviews, I don''t accept interviews, understand?" Zhou Can was annoyed when this female reporter came to pester him again, naturally he didn''t look good.


    "Hmph, you are biting Lu Dongbin like a dog, and you don''t know a good heart. He came here specially to tell you good news, but you put on such a cold face. Don''t you always treat ladies like this? ?"


    Mu Tie snorted softly, but there was not much embarrassment on her face.


    She knew Zhou Can''s temper, so she didn''t really care.


    What''s more, as a reporter, there are many interviewees who have a worse temper than Zhou Can.


    Zhou Can was already very polite to her.


    Of course, far from being a gentleman.


    "If you don''t come to interview me, this is the best news." Zhou Can continued to spray her.


    Compassion and pity never seemed to apply in his rules of conduct.


    "You, you, you... Are you angry with me? OK, I''ll go!"


    After all, she is a TV reporter, and she is beautiful, so she has both talent and looks.


    There are more promising young men pursuing her.


    I have never met a man like Zhou Can.


    Even if you are not close to women, you are more Liu Xiahui than Liu Xiahui, at least you should give some respect to a young and beautiful lady! Her job is to be a reporter, and it is her duty to interview people or things she deems newsworthy.


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    Seeing Mu Que walk away angrily, Zhou Can didn''t have any intention of chasing after him and apologizing.


    On the contrary, he felt that he finally got rid of the female reporter in anger, and would not bother him again in the future.


    Ji You whispered, "You are so cruel to this female reporter!"


    If she hadn''t been with Zhou Can for a few days and knew that Zhou Can was a kind-hearted, honest and warm man, she would have mistakenly thought that Zhou Can was a straight man made of steel.


    Such a beautiful female reporter was stunned and left.


    "If her face is not dark and her heart is not cruel, she will still pester her endlessly."


    Zhou Can''s heart is very bright, and his understanding of human nature is also very clear.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    As time passed, the outpatient hall became more lively. New patients are still coming in.


    There should be two to three hundred outpatient visits.


    Although not all of these patients came to the specialist clinic, compared with the desertedness of the first day, today''s outpatient service has obviously improved.


    At this time, the advertising screen in the outpatient hall suddenly switched to the live broadcast of the satellite TV station.


    "The following is a piece of news about the medical industry. In order to respond to the call of the superiors, to promote the development of medical civilization and improve the quality of medical services for citizens, Tuya Hospital sent an expert medical team composed of 27 people to the city''s Xinxiang women and children. The hospital launched free consultation activities for experts..."


    There are generally only two types of news reports about medical treatment.


    Either it''s bad news, because of the negligence of doctors or nurses, people died, or over-medication, or doctors prescribe medicines and get kickbacks. There are also fraudulent hospitals carrying out illegal medical activities. Patients who are not sick are tricked into going in for an examination and claiming to be sick, temporarily increasing the price on the operating table, etc.


    There is also a kind of positive energy news that responds to the call of the state or relevant departments to improve the quality of medical care and reduce the cost of medical treatment for the people.


    Tuya and Xinxiang Women''s and Children''s Hospital can win reputations from this news report and belong to the beneficiaries.


    The screen rotated, and the scene of director Zhang Bihua rescuing patients began to appear.


    "Doctor Zhou, Doctor Zhou, you are on TV!"


    In addition to focusing on director Zhang Bihua in the news screen, Zhou Can also gave several close-ups. These pictures are pictures of rescuing the sick child in the operating room.


    Xinxiang Maternity and Children''s Hospital seems to be well prepared.


    Otherwise, how were these photos taken?


    In the rescue of this child with severe bronchitis, Zhou Can contributed the most. But the report is mainly based on Director Zhang Bihua. This is the rules and regulations.


    It is impossible for the hospital to focus on how powerful a Gui Peisheng is, but ignore the top expert Director Zhang Bihua.


    If you really do that, you have no distinction between primary and secondary.


    The effect of publicity will be unsatisfactory.


    It may even have a certain negative impact on Director Zhang Bihua.


    Think about it, the top chief physician of obstetrics and gynecology at Tuya Hospital was on the scene. She failed to save the patient, but let a regular trainer save the patient. What will the public think after reading this news report?


    Therefore, many positive energy news will beautify as much as possible while pursuing the truth.


    Journalism is also an extremely complex professional discipline.


    In the treatment of this sick child, Zhou Can was nominated as a key point and gave a close-up, which is the biggest publicity for him.


    It can be seen that after Tuya Hospital selected Zhou Can as a candidate for famous doctor training, it has already started to package and promote him to a certain extent. Putting him on TV this time should be equivalent to ''testing the waters''.


    No wonder the number of patients who came to see a doctor in the past two days is increasing day by day.


    Being on a satellite TV station with a high ratings, the influence cannot be underestimated.


    After reading the news, Zhou Can couldn''t help but suddenly realized. Finally, he understood what the good news that the female reporter, Mu Tie, ran over excitedly to tell him was just now.


    He couldn''t help but look at Mu Ge far away with some guilt.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    After noticing Zhou Can''s gaze, she immediately turned to look at it. It seems that this time it really **** her off.


    Thinking about it, the female reporter saw that there were no patients at his consultation table, worried that Zhou Can would be sad, so she came here to tell him the good news, and was going to comfort him.


    Unexpectedly, as soon as she came up, Zhou Can sneered at her and slapped her face.


    Anyone would feel wronged.


    "Doctor Zhou, Doctor Zhou, look at the big screen, it''s an exclusive interview about you!"


    Ji You excitedly pushed Zhou Can''s shoulder.


    He looked up again at the huge advertising screen.


    In the picture, he was treating the broken right arm of the three-year-old boy with a relaxed and calm face.


    "In the team of experts sent by Tuya Hospital this time, there are not only many older experts, but also excellent young doctors from the hospital. This is Dr. Zhou Can from the Emergency Department of Tuya Hospital. He is treating a three-year-old The boy treated the broken arm, no surgery and no hospitalization, just a little push, and the boy''s broken arm was brought back..."


    In the screen Zhou Can took the boy''s arm, and used the candy to guide the boy to use his broken right hand to pick up the candy, which is enough to make every audience who saw it marvel at Zhou Can''s Excellent medical skills.


    This news report shows everywhere that Mu Jie has put a lot of thought into helping Zhou Can publicize.


    Whether it is the selection of the treatment screen or the simple and powerful words, it is enough to make the audience deeply impressed by Zhou Can.


    It is of course one aspect that the hospital''s senior management intends to promote Zhou Can and build momentum for him.


    But Mu Tie''s special care and help to Zhou Can is also indelible.


    "It turned out that the surprise she was talking about was not the previous news, but the interview with this case. She had a heart. It was me who misunderstood her."


    After Zhou Can watched it, while he was happy that he was on the TV promotion for the first time, he felt more guilty.


    The theme of this case interview is not to publicize him, but to publicize that young doctors are taking on the burden of medical care and to provide patients with efficient, fast and affordable medical services.


    But reading between the lines, she really spent a lot of effort in helping Zhou Can publicize.


    This also made Zhou Can feel more guilty towards her.


    At this moment, his attitude towards Mu Jie also changed drastically. I had always wanted to avoid her and not accept her interview.


    Now I really want to find a quiet place, treat her to a meal, punish myself with three cups, apologize to her, and get her understanding.


    Getting along with people is sometimes so wonderful.


    Otherwise, how can you say that good fortune tricks people?


    Zhou Can once again looked apologetically at the female reporter Mu Bi. He had already turned around, leaving only a beautiful side face and pretty silhouette for him.

 Chapter 305： Turn around, watch out for small injuries to children

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    It is said that women are the most careful human beings in the world, and my predecessors do not deceive me.


    Zhou Can offended her to death, and now he wants to repair the relationship between the two and apologize to her, I''m afraid it will not be an easy task.


    As the news was broadcast on the large advertising screen, some family members and patients discovered Zhou Can.


    "Look, isn''t that young doctor the same Dr. Zhou that was just reported on the news?"


    "He seems to be quite free now! Husband, let''s register our daughter quickly and go see a doctor with Dr. Zhou!"


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    A well-dressed young couple left directly from Du Leng''s waiting line after reading the news report.


    Then he quickly ran to the registration window and registered Zhou Can''s consultation number.


    Anyway, it is free to register an expert account, and changing the account will not affect them at all.


    "Is it true that the child''s broken arm was easily healed without surgery or hospitalization?" An old man who took his grandson for treatment looked up at the big advertising screen, hesitating in his heart.


    After ten seconds of fighting between heaven and man, he decisively carried his grandson to the window and hung up Zhou Can''s number.


    Zhou Can was originally ignored by no one, but under the aura of news reports, the situation changed immediately.


    One after another, patients have begun to take the initiative to register his number and seek medical treatment from him.


    Looking back and thinking about it, no one had registered with him before this, mainly because there was no clear field of medical expertise.


    His personal introduction only wrote that he is good at emergency and miscellaneous disease treatment.


    This introduction is very general, and it lacks a clear and clear identification for patients and family members seeking treatment. When there are better options, family members will definitely consider registering with other experts first.


    For example, if a pregnant woman suffers from a severe stomachache after catching a cold, her illness is not only an emergency, but also an obstetrics and gynecology disease.


    Then she went to Xinxiang Maternity and Children''s Hospital to have a look. Among the experts attending the consultation, Director Zhang Bihua''s introduction said that he was good at treating gynecological and obstetrical diseases.


    The patient immediately thought that she was pregnant with a baby, which must be an obstetric disease.


    She will subconsciously ignore that this is an emergency.


    In addition, Director Zhang is nearly sixty years old, so he looks like an experienced old expert. Look at Zhou Can again, a young frizzy guy, this must be a novice doctor, don''t even think about it.


    So she immediately hung up Director Zhang''s account decisively, even if she waited in a long line.


    Being cold during the consultation forced Zhou Can to think about these issues.


    He is still in the regular training stage now, and it will be over a year before the regular training is over and he will become a formal resident doctor. At that time, you will definitely need to face an independent consultation.


    Having one or two areas of specialization helps him create a personal calling card.


    "Hello, Doctor Zhou, can you please take a look at my daughter?"


    "Please sit down! What''s the matter with her?"


    Seeing that a patient had finally arrived, Zhou Can hurriedly put up all his energy to deal with it.


    "My daughter has been not very energetic since last week. Later, she developed a fever and was always shivering. She complained of leg pain and hand pain." The family member gave a general description of the girl''s symptoms.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Looking at the little girl who is only two years old, her eyes are closed, her face is flushed, her breathing is heavy and short, and she looks sick.


    Pediatrics are called dumb.


    Because most children behave silently when they are sick, and they will not tell their symptoms and the course of the disease.


    Basically, the doctor needs to guess by himself.


    This will undoubtedly increase the difficulty of diagnosis for doctors.


    "I got sick last week, and it has been several days now, why didn''t I take her to the hospital for treatment in time?"


    Judging from the couple''s economic situation, it should not be bad.


    It is too irresponsible to bring her to see a doctor when the child is so ill.


    "We thought it was just a common cold at first. We read in parenting science books that children should not rush to take their children for injections and infusions if they have a common cold. This will cause the child to become dependent on drugs, and it will also cause the child to lose a boost of immunity. She had a cold before, and we fed her some brown sugar and **** juice, asked her to drink plenty of warm water, keep warm and rest, and she will get better soon."


    "I didn''t expect to be so sick this time. And her condition progressed very quickly. Two days ago, she only had a little fever. In the middle of the night, she suddenly cried out for cold, clenched her teeth, and shivered. We took her to the community health station overnight. I went to see a doctor. After the doctor saw it, he also said it was a cold, and prescribed a box of cold medicine for children."


    "I went home and took medicine, but it still didn''t improve after a day. We took the child to a big hospital for treatment. I happened to watch TV and said that Xinxiang Maternity and Children''s Hospital launched a free consultation with experts, so I came here."


    After listening to the family members'' description, Zhou Can said nothing more.


    Start to do some necessary checks for your child.


    Ji You helped measure the child''s body temperature, heart rate, blood pressure and other physical signs.


    Zhou Can found that the little girl''s hands and feet were extremely cold, and her face was slightly cyanotic. These most superficial symptoms all indicated that the child was suffering from an acute illness. It''s no ordinary cold.


    "What kind of medicine did you give the child?"


    "Here, we brought it specially, it''s this little Chai Gui antipyretic granule."


    This medicine belongs to Chinese patent medicine and has less side effects.


    The doctor at the community health station may want to help the patient get rid of the fever first.


    In fact, the level of the hospital basically determines the level of the doctor. Just like hard-working and gifted children who can be admitted to key universities for further study, children who do not study hard or have poor talents fail in the high school entrance examination and college entrance examination, and are eventually shunted to vocational schools, junior colleges, third-rate universities, or even pheasant universities. .


    Hospitals are more stringent in the selection of talents.


    Those with poor education or mediocre medical skills will work in township health centers, community health service stations, and private clinics.


    It''s not that they don''t want to work in big hospitals, it''s that they can''t.


    The child''s condition will worsen, and the doctor at the community health station is actually responsible. If it can be discovered in time that the child''s disease is not a common cold, enough attention can be paid to it, and the child may be able to receive effective treatment in time.


    At least the family members can be advised to take the child to a big hospital for examination and tests to find out the cause.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Doctor Zhou, can children take this medicine?"


    Family members obviously trust doctors in big hospitals more, and they worry that the medicines prescribed by doctors in community health stations will not work.


    "Under normal circumstances, if it is this type of cold, you can take this medicine. But judging from your child''s current symptoms, it is probably not a common cold."


    Zhou Can''s words shocked the family members'' hearts.


    The woman''s face turned pale on the spot.


    "Doctor, what disease is my daughter suffering from? Will it be all right?" She was very afraid that there might be some serious problem with her child.


    "The specific cause of the disease needs to be further investigated. You can carefully look at her face and fingers. They all have a certain degree of cyanosis, which shows that the child is likely to have a certain degree of hypoxia."


    Cyanosis of complexion and fingertips are usually the most direct manifestations of hypoxia.


    When the blood oxygen concentration is lower than 90%, typical symptoms of hypoxia such as cyanosis of the face, lips, and nails will appear.


    After being reminded by Zhou Can, the young couple stared at the child carefully, right?


    The child''s face and nails were indeed somewhat cyanotic.


    They couldn''t help but panic even more.


    "Doctor, please save my child!" Women''s psychological endurance is often worse than that of men, and the child''s mother is already crying. She was so frightened that she lost her mind and panicked.


    "Don''t worry, she is only progressing towards a serious condition, and the situation has not reached a very bad level. As long as the cause is found out in time and the symptoms are treated, there will be no major problems."


    While comforting the family members, Zhou Can continued to examine the child.


    "Doctor Zhou, there seems to be induration and lumps in the child''s armpits!" Ji You took the child''s temperature and found abnormalities.


    Children take their body temperature. Old doctors like to measure their **** body temperature.


    It is not hygienic, and the child will feel a certain degree of discomfort. It is not easy to cooperate with the doctor''s examination.


    Today''s pediatricians are smart enough to measure the body temperature of the child''s armpits.


    There is a lot of quantitative data, and there is not much difference between the medical reference significance and the direct measurement of the anus.


    Due to the difficult conditions of the older generation of doctors, the inspection methods at that time were far less abundant and advanced than they are now, so the requirements are stricter. Measuring **** body temperature is more accurate.


    Sometimes even a difference of only 0.1 degrees can have a great impact on the doctor''s diagnosis.


    Low heat and high heat are two completely different concepts.


    Zhou Can reached out and touched it, then raised the child''s arm for visual inspection.


    "Her axillary lymph nodes are swollen."


    Zhou Can gave a conclusion.


    Faced with the signs of pathological changes that were detected one after another, the parents of the children became more panicked.


    "High fever of 40.3 degrees."


    Ji You read out the result of the child''s temperature measurement.


    In order to avoid errors, it is necessary to measure body temperature at least twice. Usually a responsible nurse or doctor will measure the body temperature three times.


    It must be mentioned here that measuring the body temperature of the **** is not so troublesome, just one time is enough.


    In fact, measuring oral temperature can also get very accurate results.


    Just put the thermometer into the child''s mouth, and the family members will reject it first. Definitely felt unhygienic. The doctor''s thermometer is reused. After putting it in the mouth of one child, it is put in another child''s mouth. Even if there is disinfection and cleaning in between, people still extremely reject this method of measuring body temperature.


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    Another point, if the child bites the thermometer, the mercury in it is poisonous.


    The risk is too great.


    Therefore, considering various factors, doctors and nurses now basically measure the child''s armpit temperature uniformly.


    I would rather work harder and measure twice more.


    "Is the child''s bowel movement normal in the past two days?" Zhou Can continued to ask for some key information.


    "The stool seems to be relatively normal, but I haven''t urinated much in the past two days. Especially today, the child hasn''t urinated yet." The child''s mother''s answer made Zhou Can''s face change.


    This is an extremely bad signal.


    In the intensive care unit, as long as a patient does not urinate for two days, the family members can basically be notified to prepare for the funeral.


    "Give her a blood test first! The child''s condition is serious, so hurry up!"


    After Zhou Can inquired about some basic information, he ordered the most common inspection.


    Unlike many novice doctors, as long as he can meet the above inspection items, he will not miss any of them, and he will prescribe them all for the patients.


    It can not only generate income for hospitals and departments, but also avoid unnecessary troubles as much as possible.


    To put it bluntly, it saves trouble and avoids many risks.


    It is just the opposite when experts open inspection applications.


    The higher the level of experts, the more streamlined the application for inspection. Very targeted.


    In many cases, one or two items are checked first, and a new examination is prescribed after further diagnosis based on the results.


    Starting from regular training, Zhou Can basically followed the chief physician, and he was the most senior chief physician in the department. In terms of applying for inspections, he has inherited the characteristics of chief physicians very well.


    Never prescribe inspection items indiscriminately, make patients suffer as little as possible, save patients these unnecessary expenses, and shorten the time for patients to see a doctor to the greatest extent.


    If a lot of examinations are prescribed to the patient in a lazy manner, it may take a day or two for the patient to do all the examinations.


    This is really not an exaggeration.


    Large hospitals do most of the examinations are queuing.


    why? Because there are many patients seeking medical treatment, there are also many doctors who prescribe a lot of examinations indiscriminately.


    "Doctor Zhou... Let me first declare that I am not questioning your level! Is my child just taking a blood test?" The family members saw that Zhou Can only prescribed one test, which was the simplest blood routine, and they felt very uncomfortable.


    "Otherwise? Give her a lot of checks? Electrocardiogram, urination and bowel routine, chest and abdomen B-ultrasound... check all the checks that can last?"


    Zhou Can raised his eyebrows.


    "Ah...hehe, I''m just asking jokingly, please don''t take offense." After hearing this, the child''s father turned bitter, and quickly admitted his cowardice with a smiling face.


    The two family members took their children to draw blood for examination.


    "Doctor, my grandson''s ankle is sprained, can it be cured?"


    The grandfather who took his grandson to see a doctor also sat at Zhou Can''s consultation table after registering.


    "Let me see!"


    Zhou Can stood up, walked in front of the child, squatted down and carefully inspected the child''s feet.


    The little boy''s right ankle was swollen several times, with bruises and purple subcutaneous plaques. This is a hematoma.


    "Go and take an X-ray first! If there is no serious fracture, the problem will not be serious. However, because he has subcutaneous hematoma and bleeding, the specific injury will not be known until the examination results come out. Now try to Maybe don''t touch his injured part, let alone rub it."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    While prescribing the examination for the child, Zhou Can told the precautions.


    Many people don''t understand medicine, and they heard from the older generation that if there is swelling anywhere, just massage for a while can quickly reduce the swelling.


    This method is actually not desirable.


    Ordinary hematoma massage can indeed activate the muscles and bones, help the hematoma part to accelerate blood circulation, so as to achieve the purpose of quickly reducing swelling and relieving pain.


    But if there is a fracture in this kind of sprained foot, random massage at this time will aggravate the injury.


    Originally, it was only a minor fracture, but after some vigorous massage, it directly caused a serious fracture, which was not worth the candle.


    Also, if the hematoma occurs on the head, especially some children are particularly prone to bruises and injuries to the head because they are active and naughty. It is quite normal to have a big swelling on the head.


    According to some folk methods, it is like to smear oil or white wine on the swelling, and then rub the swelling hard.


    Doing so is very dangerous.


    Children''s blood vessels are very delicate, and the walls of the capillaries are also very thin.


    In the case of a hematoma, massaging the area vigorously will further squeeze the congested blood vessels, which will only aggravate the bleeding. It even causes further rupture of the blood vessel wall, resulting in serious consequences of intracranial hemorrhage.


    After applying for the child''s examination, several patients came to Zhou Can''s consultation table one after another.


    It seems that the broadcast of the TV program has been of great help to him.


    Especially when the news interview about him was broadcast on the big advertising screen in the outpatient hall, this kind of publicity was enough to push him to a high position.


    Zhou Can diagnoses every patient seriously.


    Today''s luck is not bad. So far, a total of five patients have been treated, and the symptoms are relatively clear and not particularly complicated.


    At this time, the first child who had a blood test came back with the results.


    "Doctor Zhou, UU Kanshu has finished the blood test, please take the trouble to take a look."


    The brows of the family members are full of worry.


    "White blood cells are elevated, the proportion of neutrophils is also elevated, but the number of platelets is decreasing... Has she been scratched by a rusty nail or metal recently?"


    When Zhou Can saw the results of the routine blood test, he was also taken aback.


    "No! The child has always been fine, and I have never heard of any injuries!" The child''s mother shook her head and said.


    "Who usually takes care of this child?"


    Zhou Can asked.


    He noticed that the child''s mother said that she hadn''t heard of the child''s injury, not that she hadn''t seen the child injured.


    It means that she is definitely not the only one with children.


    "My husband and I usually have to go to work. During the day, the child''s grandma usually takes care of the child. After get off work, and on Saturdays and Sundays, we take care of the child."


    Young people in cities are stressed and need to work hard to earn money.


    It is indeed much better to have the elderly to help you with children.


    The couple can work to earn money, thereby increasing the income of a family.


    "Can you call and ask if the child has been pricked by a rusty object recently?"


    Zhou Can has already begun to examine the child''s extremities and other exposed parts.


    Soon, he made a discovery.


    There is a light red mark on the palm of the child''s left hand. Young children have a strong healing ability and a strong vitality. Even with skin trauma, it can heal quickly.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    This area is likely to have been injured.

 Chapter 306： Terrible weight loss method, black face and red heart

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Probably not! The child''s grandma never said this, and we see the child almost every day, and we have never seen the child get hurt." The man is still not convinced that the child was stabbed by a rusty sharp object Pass.


    This is also out of trust in the elderly.


    After all, it is his mother who takes care of the child at home.


    "Husband, call Mom and ask Mom! The doctor will definitely not talk nonsense!"


    The woman has already begun to persuade her husband.


    The man believes in his mother, and the daughter-in-law is separated by a layer after all, and it is already very good to be able to get along well.


    Now that this kind of thing happened, she dared to be suspicious of her mother-in-law.


    After hesitating for a few seconds, the man met his wife''s gaze and finally took out his mobile phone to make a call.


    The child himself was already very ill.


    Finding out early will help the doctor''s diagnosis.


    "Mom, you are at home!"


    ¡­


    "We are in the hospital with Xiangxiang! I would like to ask you something, has Xiangxiang been hurt by anything recently? The doctor asked us to ask if the child has ever been hurt by a rusty object."


    Afraid of causing the old man''s displeasure, he explained again.


    After hearing a few words, the man''s face changed slightly.


    "Ah... I was really hurt by a rusty angle iron! Okay, I know. I have to call the doctor here, so I won''t tell you! We won''t be back at noon, you don''t have to wait Let''s just eat by ourselves!"


    It can be seen that the man is not very old, twenty-seven or eighteen years old, but he is very filial.


    Zhou Can could already hear it clearly by the side, so there was no need for him to repeat it.


    A second checklist was issued directly.


    "I initially suspect that the child has sepsis, which is more dangerous. You should check the procalcitonin first. After the results come out, I will formulate a corresponding treatment plan for the child according to the situation."


    Zhou Can saw that the child''s mother''s face was very ugly, and wanted to tell the family members to be more careful with the child in the future, and it is best to put nails, knives and other sharp objects away.


    There are also some tranquilizers and blood pressure lowering drugs that adults take, and they should also be kept out of the reach of children.


    [The book chasing app recommended to me by an old book friend who has known me for ten years, Yeguo Reading! It¡¯s really easy to use. I rely on reading and listening to books to pass the time while driving and before going to bed. You can download it here.yeguoyuedu¡¿


    Children are full of curiosity and exploration about everything in the outside world.


    The first sensory organ that babies use to explore the outside world is not the hands, but the tongue. For all animals, eating is an instinct from the moment of birth.


    When babies eat, they first use their tongues to lick the taste of objects.


    It''s the taste they like, that''s what **** and swallows.


    Therefore, the tongue is the earliest organ used by humans to explore external things, not the hands.


    Human hands and feet were originally organs used for crawling.


    Even in adulthood, the main function of the hand is not to perceive things in the outside world, but to grasp objects.


    Children under the age of three have almost no ability to distinguish, and they will instinctively stuff everything they think they can eat into their mouths. The little girl only scratched her hand with a sharp rusty object, which is luck among misfortunes.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    At least leave the chance of treatment to the doctor.


    Seeing the little girl''s parents anxiously holding the child for examination, Zhou Can was already thinking about the next treatment plan in his mind.


    Let the patient do a second check, just to confirm the diagnosis.


    In fact, based on his experience and medical knowledge, he was 80% sure that the child had sepsis.


    "Dr. Zhou looked young, but he didn''t expect that the level of diagnosis was so high! That little girl was stabbed by a rusty sharp object. Even his parents didn''t know, but you just looked at the blood test results and inferred It¡¯s really amazing! I¡¯ve learned a lot today!¡±


    A woman with a very bad complexion but an extremely obese body sat down at Zhou Can''s consultation table.


    When looking at Zhou Can, he was full of admiration.


    Not only her, but also the family members and patients who watched the excitement just now admired Zhou Can very much.


    He has the news of the interview to bless him, and his image of an ''expert'' has gradually increased.


    It''s just that this kind of fame promotion has certain limitations, and the scope is very small.


    Only the dozen or so patients and family members who were onlookers at the scene knew that he was capable.


    It is really not easy to accumulate a famous doctor.


    All beginnings are hard.


    Other famous doctors are like him, accumulating popularity little by little, and eventually become very well-known medical experts.


    In addition, in addition to relying on the way of treating patients to enhance their reputation, famous doctors have a certain bonus effect in publishing scientific research results and academic papers. Then there are senior honorary titles such as senior professional titles, excellent youths, outstanding youths, Changjiang Scholars, academicians, etc., which have a greater added effect.


    As for the titles of professor and expert, in the eyes of industry insiders, they belong to bad street titles.


    Chief physicians who do well can basically reach the professor level in medical schools.


    "You have won the prize! Is there something wrong with your body?"


    Zhou Can looked the obese woman up and down, and asked about her condition straight to the point.


    Judging by her complexion, there must be something wrong with her body.


    After she sat down, she conveniently placed the registration note in front of Zhou Can.


    "I just feel a little heartburn, I can''t eat, I keep vomiting, and it hurts when I eat!" The woman described her symptoms.


    Zhou Can glanced at Deputy Director Shi at the desk next to him.


    The symptoms described by this woman should belong to digestive tract diseases.


    At this moment, Deputy Director Shi was reviewing the examination data of a patient repeatedly, frowning tightly. Looking at this situation, most of them have encountered difficult cases.


    It''s fine if he doesn''t ask Zhou Can for help.


    If Zhou Can pushes another patient over, it is estimated that Deputy Director Shi will definitely be angry.


    Zhou Can regained his composure. He has been trained in the Department of Gastroenterology for more than two months, and he can easily deal with general digestive tract diseases. Even if it is a difficult digestive tract disease, as long as it doesn''t happen to touch the short board of his knowledge, he can probably diagnose it.


    "How long has this symptom lasted?"


    "It''s been almost a month!"


    "Did it appear suddenly, or did it appear slowly?"


    "It slowly emerged after I used a special weight loss method online."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    She bowed her head in embarrassment and replied.


    "What kind of special law?"


    Zhou Can asked.


    There are various ways to lose weight online, many of which are fabricated and packaged by unscrupulous businesses. Some of them are figured out by non-professionals. They may be effective for the parties concerned, but they are not suitable for everyone.


    There are also some methods that can only be written by the magic sticks after they have become obsessed.


    For example, do not eat whole grains, and only eat a little water and low-calorie food to maintain basic life.


    Others are even more exaggerated, talking about bigu, the food eaten is gradually reduced day by day, and finally reaches the so-called Qi therapy. This set was learned from a Taoist priest, swallowing purple qi in the morning and swallowing xia in the evening.


    Normal people certainly don''t believe this.


    However, there are some obese people who go to the doctor in a hurry, and they really believe what they say.


    After a lot of tossing, he almost killed himself, and was finally carried by his family to the hospital for emergency treatment.


    Zhou Can has received similar cases in both gastroenterology and surgery.


    What kind of weight loss method did this woman use?


    Seeing her weak and seriously ill, I''m afraid she must have been tossing a lot.


    "Me, I used a special medical weight-loss device called fairy tube to lose weight. When I bought fairy tube online, the seller''s service was very good. I also invited a special medical expert to give lectures, teach us how to operate, and tell us In this way, you don¡¯t have to worry about all kinds of side effects after taking diet pills to lose weight.¡±


    I saw the woman hesitated and took out a plastic bag from her satchel, which contained a transparent plastic tube with an astonishing diameter.


    Its length is at least half a meter or more by visual inspection.


    The inner diameter of the pipe wall should be no smaller than a penny.


    How to lose weight with such a thick tube?


    "How do you usually operate? You don''t need to demonstrate, just explain it."


    Zhou Can asked himself that he is also a professional, and he has never heard that a plastic tube can lose weight.


    "After about half an hour after eating the food, extend the tube from the mouth into the esophagus, push it all the way in, until it reaches the stomach, and then lean over to **** out the food in the stomach."


    She even explained it with gestures.


    After listening, Zhou Can couldn''t help stroking his forehead with one hand. What kind of people dare to be called medical experts these days.


    Doctors perform gastroscopy on patients, are they absolute professionals? All patients have to be fasted in advance, make adequate preparations, and be more careful during the gastroscopy process, and all kinds of protective measures are in place.


    I can''t imagine that the patient directly pokes such a thick plastic tube into the stomach, which is simply too scary.


    Aren''t those unscrupulous merchants afraid of killing people?


    For money, criminals really dare to do anything. As long as you eat food that won''t kill you, they will dare to sell it, regardless of whether you have excessive pesticide residues or the risk of cancer if the food deteriorates, anyway, that is the consumer''s own business.


    "How many times have you used this tube?"


    "I can''t remember exactly, but it should have happened twenty or thirty times!"


    "Now, from the standpoint of a professional doctor, I am very responsible to tell you that this method of weight loss should never be used in the future. It is very easy to damage the esophageal mucosa and your stomach wall during the operation. It may also cause Bacterial infection can cause tracheitis and bronchitis. In more serious cases, food that causes regurgitation enters the trachea, and suffocation and death may occur.¡±


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    "Using this extreme method to spit out food is also very harmful to the body. The contents of the stomach contain a lot of gastric acid, which will severely burn the esophagus, trachea, throat, vocal cords, etc. when regurgitated."


    Zhou Can could only persuade her earnestly.


    As for people not listening, there is no way.


    Doctors have no way to limit patients'' thoughts and behaviors, they can only fulfill their duty of persuasion.


    "Let''s prescribe two tests for you to see the specific situation in the esophagus and stomach! Judging from your symptoms, the esophagus and stomach may have been damaged to a certain extent. And hearing your voice is rough and hoarse, I''m afraid the vocal cords were also injured."


    Zhou Can applied for an examination for her and asked her to make an appointment for a gastroscopy examination first.


    "I really don''t understand, since you care so much about your figure, why don''t you control your diet and exercise more?" Ji You looked at the back of the obese woman leaving, and sighed deeply.


    "In the final analysis, there are two reasons. I want to be greedy for my tongue, and I want to eat delicious food when I see it. I don''t want to exercise and exercise more. At the same time, I want to have a slender body. How can there be such three people in the world? All good things?"


    Zhou Can can see clearly.


    The unscrupulous merchants just seized on the patient''s desire for pleasure and the idea of ??having a beautiful body.


    At this time, the little boy with a sprained foot came back after taking the X-ray film.


    "Doctor Zhou, this is the picture just taken, please take a look."


    The little boy''s grandfather sat down with the child in his arms.


    After receiving the film, Zhou Can found that the child''s right navicular bone had an obvious fracture line, and the fracture line could not be seen on the front or side of the talus.


    The boy suffered only minor fractures.


    Hematoma in the ankle area, this is not a problem. There will be some pain for a while, but it will disappear after a couple of days.


    The self-healing ability of the human body, as well as the absorption ability of this local hematoma, are very powerful.


    "His sprained ankle is quite serious! Look, the navicular bone has been fractured."


    Zhou Can showed the film to his family members.


    Theoretically speaking, the scaphoid, talus, first and second cuneiform bones are all prone to fracture during sprains.


    However, the navicular bone is the most prone to fracture.


    related to its location.


    It is an important link connecting the heel to the toe. When sprained, often this part bears the most violent external force.


    Moreover, the vast majority of sprained feet are sprained to the outside.


    When the foot hits the ground, the center of gravity is unstable, and the foot skims toward the outside of the foot. In this case, the body''s own body weight plus the superposition of the unbalanced force can easily exceed the bearing range of the bones.


    resulting in a fracture.


    Zhou Can has seen the most serious, direct comminuted fracture.


    There is no way for external fixation and reduction at all, and the only option is surgery.


    And even with surgery, it is difficult for patients to return to their previous athletic ability.


    "Then, what should we do? His father and mother have left, and his father is working outside. His grandma and I are bringing our grandson. Doctor, you need to help us find a way!"


    Grandpa didn''t expect his grandson to be injured so badly, so he became anxious when he heard it.


    The first reaction of many family members at this time is to cry miserably.


    Zhou Can is also used to it.


    "Don''t worry, I''ll try to put a plaster cast on him and perform external fixation and reduction treatment. But you must follow the doctor''s advice, and you must not let the child''s temper. If the recovery is not good, causing walking disabilities, then it''s okay It''s easy."


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    There is a certain amount of scaring in these words.


    Zhou Can also had good intentions, his face was black, but his heart was red.


    The little boy''s parents are divorced, his father is not at home, and his grandparents live with him. Under normal circumstances, it is difficult for grandparents to control their grandchildren. All kinds of pampering since childhood are the most true portrayal.


    Zhou Can is now performing external fixation on the fracture of the little boy, but the little boy is naughty and took it apart within two days.


    Then the therapeutic effect of correction cannot be achieved.


    It''s really possible to be disabled.


    After recovery, you can walk. But will limp.


    "All right, all right, we will definitely listen to you!" Grandpa couldn''t help but use the honorific address for Zhou Can. As soon as he lowered his head, he glared at his grandson again and said fiercely, "Boy, did you hear what the doctor said? If you don''t obey this time, your legs will be disabled."


    The mouth is fierce, but the eyes are full of kindness.


    "Yeah! I''m obedient!"


    The little boy promised very simply, but it is not clear whether he can really do it.


    Zhou Can performed external fixation of the fracture on the little boy.


    To put it bluntly, it is a plaster cast.


    When he was done, he checked it carefully. After observing for more than ten minutes, I didn''t find that the bandage was too tight to block the blood flow, so I was relieved.


    Applying plaster seems to be a very simple matter, but novice doctors often tie the bandage too tightly or too loosely because of nervousness.


    If it is too loose, the ideal fixing effect cannot be achieved.


    If it is too tight, it is easy to cause ischemic necrosis of the patient''s lower limbs.


    This kind of thing has never happened in a big hospital like Tuya, but he heard it from his colleagues in the orthopedic surgery department. Some patients were treated with plaster in small clinics because of foot fractures, greedy for cheap. Later, because the bandage was wrapped too tightly, the blood supply of the lower limbs was blocked, which directly led to necrosis of the lower limbs.


    When she was sent to Tuya Hospital, her limbs had to be amputated to save her life.


    Many seemingly simple operations in large hospitals often lead to medical accidents and even fatalities in small hospitals or clinics.


    This is because large hospitals have inheritance and a three-level responsibility mechanism.


    Many blood lessons have been passed down from generation to generation. Therefore, the probability of accidents in large hospitals is much lower.


    Zhou Can gave some precautions and sent the grandfather and grandson away.


    There are very few patients looking for him to see a doctor.


    There were also people who came to him with the results after the examination.


    After more than an hour, the little girl whose palm was scratched by the rusty angle iron came back after checking the procalcitonin. Sure enough, as Zhou Can expected, the test result was abnormally high.


    Now the patient has basically been diagnosed as sepsis.


    Since the patient reported anuria and oliguria, Zhou Can deduced that there must be something wrong with the patient''s renal function.


    Now that the cause of the disease has been diagnosed, it is the process of admission to the hospital.


    Before that, kidney function must be checked.


    The urine test is one of the important tests. The patient had no oliguria, so he could only ask the child to drink more water. In the end, he just squeezed out a urine sample and sent it for testing.


    In addition to this method, doctors have other methods for patients who are really anuric.


    Like inserting a catheter.


    If it fails, it means that there is no urine in the bladder, and the situation is serious. At this time, CT, ultrasound and other examinations can be done to further clarify the condition of the kidneys.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Some patients with kidney failure may even experience severe atrophy of the kidneys, and the kidneys can hardly be seen on imaging examinations.


    The little girl clearly hadn''t made it that far.


    After a series of examinations, the little girl was finally diagnosed with sepsis and acute renal failure. Zhou Can admitted her to the hospital for emergency treatment.


    It was also the first patient he admitted to the hospital alone.

 Chapter 307： Pregnancy with syndrome, carry it and go

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The prognosis of sepsis is not as optimistic as ordinary people imagine, especially for the elderly and young children, where the fatality rate is as high as 40%. In actual clinical treatment, the case fatality rate as high as 50% has occurred.


    The earlier the disease is detected the better.


    The key is to completely eradicate primary and migratory lesions as soon as possible, and to eliminate the source of pathogenic bacteria.


    Then carry out regular antibacterial and anti-infective treatment.


    If other complications occur, such as pneumonia, acute renal failure, etc., corresponding symptomatic treatment is also required.


    If you are injured by rusty iron, iron nails, or scratched by animals, you need to be vaccinated against tetanus in time.


    This is also the most effective and affordable way to prevent sepsis.


    A shot of the vaccine only costs a few tens of dollars. The little girl''s condition is quite serious now, and it''s not bad to be able to save a life. The cost of treatment must have been a staggering figure.


    If the condition worsens or serious complications occur after hospitalization, you will definitely need to be admitted to the ICU, and the cost of treatment will be even more terrifying.


    Spending money is secondary, saving her life is the most important thing.


    Although the current level of medical treatment seems to be very good, many diseases can be cured. But there are also many situations that doctors are helpless.


    Tuya Hospital transports the dead to funeral parlors every day.


    Just as the hospitalization order was issued for the little girl, a middle-aged couple came over.


    Seeing that the woman is about thirty years old, she is very fashionable.


    The belly bulge is high.


    Zhou Can didn''t dare to guess randomly. Some women have a particularly obvious small belly due to lack of exercise.


    Even more exaggerated, some women''s bellies are as big as pregnant women who are pregnant with Liujia. If you dare to say that she is pregnant, she will be impatient with you.


    These days, beer belly is no longer a man''s patent. Older women, if they are not self-disciplined and do not pay enough attention to body maintenance, it is very easy to grow a pregnant belly.


    "Doctor, can I see if a man is pregnant?"


    The man was a little embarrassed, and it was the woman who asked the question.


    "The man is pregnant?"


    Zhou Can was dumbfounded when he heard that, the patient who used a plastic tube to **** out the food in his stomach was already weird enough. Unexpectedly, another more wonderful patient came.


    If a man can conceive, a rooster can lay eggs.


    "It''s like this. I''ve been pregnant for more than six months. I''m fine, but my husband doesn''t know what''s going on. He has morning sickness, his stomach is getting bigger day by day, and there are growths on his thighs and stomach. Stretch marks. At first we thought it was a coincidence, but it wasn''t until recently that I got stretch marks that I was sure that my husband might be pregnant."


    When the woman said these things, her husband sat awkwardly opposite Zhou Can, lowering his head and not daring to look at anyone.


    It is an anecdote for a man to become pregnant.


    It is normal for the patient himself to feel ashamed.


    "Have you had an examination in another hospital?" Zhou Can kept a serious expression as much as possible, so as to minimize the embarrassment of the patient.


    Ji You had been a nurse for so long, and this was the first time he heard of such a rare thing.


    She looked at the male patient curiously.


    Even though the man was wearing a loose coat, he still couldn''t hide his swollen belly.


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    "I did it once. At that time, I didn''t have the nerve to tell the doctor the truth. I just said that my stomach was uncomfortable, so the doctor took a B-ultrasound. After the examination, everything was normal."


    The man summoned up his courage and looked up at Zhou Can.


    "Since when did this happen to you?" Zhou Can asked again.


    "About two or three months after my wife was pregnant, I experienced nausea and vomiting from eating greasy food, physical fatigue and other symptoms. I later learned that all my symptoms were highly similar to women''s early pregnancy reactions. At that time Still can''t believe I''m a big man and I''m pregnant. But as the days go by, my belly is getting bigger."


    When the man talked about these absurd things, even he himself felt a little unbelievable.


    It is full of distress.


    "It''s even more terrifying recently. My stomach has grown bigger, and I have stretch marks on my abdomen and thighs. Also, I never ate sour food before, but now I especially like sour food."


    The man lifted his clothes up, didn''t he!


    I saw purple-brown stripes all over his stomach.


    "The world is so big, there are no surprises. Let me give you a physical examination first."


    Zhou Can checked the man and found that there was almost no difference between the man''s abdomen and the pregnant woman''s.


    After the examination, he gave the man an abdominal ultrasound, blood routine, and urine routine.


    These three checks can further find out whether a man is pregnant.


    Whether a woman is pregnant can be found out with a urine test. Zhou Can believed that the man was definitely not pregnant, but worried that there was a tumor growing in his abdomen.


    So I opened a b-ultrasound to check.


    Not long after, the man returned from the inspection.


    Zhou Can first checked the B-ultrasound image, which was consistent with the examination results of the previous hospital. No fetus or tumor was found, and everything was normal.


    Urine test results, also not pregnant.


    Urine test to check for pregnancy, in fact, is to determine whether you are pregnant by detecting the content of human chorionic gonadotropin in the urine.


    Looking at the results of the blood test, several hormones were abnormally elevated.


    Zhou Can couldn''t help flashing a disease that he had only seen in medical books¡ªpregnancy syndrome.


    At this moment, he was basically sure that this man had this disease.


    In the first two or three months of pregnancy, most women have some "sickness", manifested as nausea, dizziness, fatigue, and loss of appetite.


    [In other words, currently the best app for reading and listening to books, Yeguo Reading, install the latest version of .yeguoyuedu. ¡¿


    This is a normal physiological reaction after pregnancy.


    However, some husbands will also suffer from similar ''mischievous fever'' when their wives experience pregnancy reactions.


    When the wife''s pregnancy reaction passed, the husband''s illness also recovered.


    This strange phenomenon in which the wife is pregnant and the husband is sick is called "pregnancy accompanying syndrome" in medicine.


    To put it bluntly, this is the neurological symptoms caused by the man''s mental illness.


    Such as excessive anxiety, worry, tension and so on.


    "Mr. Mo, first of all, I would like to congratulate you. After the examination, it was not found that you have any signs of pregnancy. Multiple medical examinations can prove this."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can told the patient the result of the examination with a serious face.


    "But why do I have a bigger stomach, stretch marks, nausea and vomiting in the past few months, and suddenly like to eat sour food? How can this be explained?"


    The patient clearly did not believe the test results.


    In addition, Zhou Can was too young, which aggravated the patient''s distrust.


    "There are two reasons for your illness. The first is psychological factors. Many men experience great psychological changes after learning that their wives are pregnant. Especially new fathers, they will feel joyful, overwhelmed, anxious, etc. A variety of emotions. Especially when you see your wife is uncomfortable, you will have the feeling of wanting to help her share, and the combination of various emotions will cause psychological changes. "


    "The second factor is physiological changes. I just took your blood for a test and found that some of your hormones are out of balance. This will cause changes in the hormones in your body, which will cause physiological changes and false pregnancy reactions. For example, stomach Getting bigger, throwing up, etc. I can prescribe you some anxiety medication to help you overcome your psychological barriers."


    Zhou Can analyzed his etiology from two aspects.


    "If you can let go of the psychological baggage, this disease will not cure itself. If you are still nervous and anxious because you love your wife too much, and you are excited about being a father, it is difficult to control yourself. After your wife gives birth, you The disease will heal naturally."


    This disease is mainly caused by psychological factors.


    The person who tied the bell needs to be untied.


    What doctors can do is to help patients relieve anxiety and untie their knots as much as possible.


    Some patients are very stubborn and don''t trust doctors, but only themselves. Naturally, he would not listen to the doctor''s advice.


    "What is my disease called?"


    After listening to Zhou Can''s explanation, the man seemed to believe a little.


    But judging by his expression, he definitely wants to check it out himself.


    "Your condition is medically called pregnancy-associated syndrome."


    Zhou Can replied while prescribing medicine for him.


    The man held his mobile phone and lowered his head to operate it, probably searching the Internet.


    During this period, Zhou Can finished prescribing the medicine and writing the doctor''s order, but he didn''t rush the man.


    I just patiently waited for the man to popularize science on the Internet with a calm face.


    "Honey, I checked the Internet just now, and it seems that I really have this disease! And the symptoms are also highly similar to mine. It seems that what the doctor said is true."


    After the man finished the investigation, he raised his head and immediately reported the results to his wife.


    Zhou Can felt very speechless.


    Look at what the doctor said, if what the doctor said is not true, can it still be false?


    The patient questioned the doctor and kept checking the truth by himself, which sometimes made the doctor feel very helpless.


    But no matter how helpless the doctor is, he can only accept it. Because this is a common phenomenon.


    "After returning home, try to focus on study and work as much as possible. When you feel nervous and anxious, you can do some interesting things to divert your attention. Such as playing chess, fishing, drawing, writing and so on."


    Zhou Can took this opportunity to further comfort the patient.


    Help patients overcome psychological barriers to the greatest extent.


    Many adult men like to play mahjong, cards, online games, etc. As a doctor, it is impossible to persuade patients to do these things that endanger their families and physical and mental health.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Okay! Thank you doctor!"


    The man''s attitude is quite sincere. It seems that after popularizing science online, he agrees with the diagnosis result given by Zhou Can.


    Take the prescription to pay and get the medicine.


    Taking care of another patient, Zhou Can picked up the water glass, unscrewed the lid and took a few sips of water to moisten his throat.


    Going to the clinic was not as easy as imagined.


    When there is no patient, look forward to the patient. Now the number of patients seeing him has increased, and he feels quite tired.


    I am like working on an assembly line, I can''t stop at all.


    As long as there are patients coming, they must be consulted.


    However, he thinks it is quite meaningful to be able to personally help these patients relieve their suffering.


    ¡­


    A day passed without knowing it.


    Thanks to the news interview Mu Tie gave him, Zhou Can finally did not have the embarrassing situation where no patients came to his door. After surviving a busy day, Ji You helped him do the calculations and saw a total of 17 patients.


    This is a historic breakthrough.


    The patients he received were of all kinds, and there were all kinds of them. It was also the first time for him to truly experience the difficulty of being an independent doctor.


    During the consultation two days ago, because there were not many patients received, I did not feel these problems at all.


    After get off work, Zhou Can was not in a hurry to go to the cafeteria to have dinner with other experts, but looked at the female reporter Mu Bi who was packing up notebooks and other items there and was about to retreat home.


    "Ji You, go eat first! I''ll find that female reporter to apologize!"


    He didn''t hide it from Ji You.


    "Well, okay! Do you need me to cook for you?" She asked with concern.


    "No, no, you can just eat it yourself. I can''t tell, I have some blood today, and I will treat her to a big meal."


    Zhou Can''s words made Ji You cover her mouth and chuckle.


    In fact, for Zhou Can, a billionaire, eating a big meal is really nothing.


    He walked to Mu Que and stopped two meters away.


    Mu Jie, who was packing up her things, had already sensed Zhou Can''s arrival. She just lowered her head, expressionless, and packed her things by herself.


    Obviously, Zhou Can was very angry in the morning.


    It''s not over yet.


    The photographer, Lao Qin, took a look at Zhou Can, and said with a little anger, "Boy, do you know how much painstaking efforts and grievances our Mu beauty has put in to help you?"


    "Old Qin, don''t talk about it. They don''t care about our efforts."


    Mu Li coldly stopped Lao Qin from continuing.


    "If you don''t tell him, this kid has no idea how much you have paid for him. I can''t continue to scold him."


    Lao Qin fights for Mu Ge.


    Seeing his beautiful female colleague being wronged and bullied, he felt quite angry.


    "Musa, I''m sorry, I didn''t pay attention to what I said in the morning, which hurt your heart. But I didn''t mean anything malicious, I just did that to prevent you from continuing to stare at me for interviews."


    Zhou Can sincerely apologized to her.


    And from what the photographer said just now, she seemed to have suffered additional grievances in order to help Zhou Can publicize.


    Zhou Can didn''t understand anything about the news either.


    Judging by the photographer''s angry expression and tone, she must have been wronged a lot.


    "I don''t need your apology! Also, I won''t interview you again, let alone stare at you alone."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Twilight''s tone was extremely cold.


    That charming and beautiful face was so long that it was so cold that it could drop ice scum.


    "That... I really know I was wrong! Otherwise, you see, it''s time for dinner, so call your colleagues and have a meal together! Didn''t it make you angry? You can kill me any way you want. It''s expensive , you can order something."


    Zhou Can felt deeply guilty towards her.


    After all, he is an emotional person, and he can''t look down on everything like those old rivers and lakes, and be indifferent to human feelings.


    At this moment, I especially hope to make up for my mistakes and obtain the understanding of the female reporter Mu Jie.


    "Do not care!"


    She answered three words coldly.


    "Don''t, give me a chance! You see, I know I was wrong now. I never owe others favors, otherwise I won''t be able to sleep at night."


    Zhou Can said good things to her with a smiling face.


    An apology has to be sincere.


    The angrier she gets, the better things are going.


    On the contrary, if her attitude is lukewarm, it means that she really doesn''t care.


    Zhou Can would stop torturing her and insisted on apologizing to her.


    And will think of other ways to make up for it.


    For example, discuss with Li Luo, and when casting an advertisement, ask her TV station to vote. Then credit the advertising business to her.


    Regardless of the superiority of TV stations, advertising is almost their main source of income.


    Small advertisers, TV stations look down on them.


    A powerful advertiser, the attitude of the TV station is absolutely enthusiastic. It is common for important leaders in Taiwan to accompany them.


    "Musa, I remember that the dishes at Xiya Hotel are quite good, and the expensive ones cost more than 18,000 per table. There is also a bottle of good wine in that hotel, which is 70,000 to 80,000 per bottle. This Doctor Zhou is quite sincere. , let''s not reluctantly agree to him once. Otherwise, he won''t be able to sleep at night and will have to scold you for not giving him a chance to apologize. "


    Old Qin said seriously.


    Mu Ge looked at Lao Qin, who winked at her.


    "Doctor Zhou, do you think it''s okay? To apologize, you have to be sincere." Old Qin Ming pretended to let Zhou Can retreat.


    Not to mention that Zhou Can is just a trained doctor, even the top chief physician of Tuya Hospital, with an astonishing annual income, can''t afford to be slaughtered like this.


    No one''s money comes from the wind.


    Who can afford to be slaughtered for nearly 100,000 yuan for apologizing for a trivial matter?


    Zhou Can said without batting an eyelid, "That''s it! I''ll help you move things, and now it''s time for dinner, let''s go there right away."


    Originally, Lao Qin was just trying to scare Zhou Can, telling him to retreat in spite of difficulties.


    Unexpectedly, the seemingly ordinary Zhou Can agreed very readily. This actually stunned Lao Qin.


    He stared carefully at Zhou Can''s face, and found that this kid didn''t look like he was acting.


    Lao Qin was startled suddenly, what is the background of this kid? A meal of 100,000 yuan is really not something ordinary people can afford.


    "Hey, hey, give me back the bag!"


    Twilight chased after him.


    The laptop is what she eats. Various materials and news preparations are stored in it.


    Zhou Can walked like the wind, walking ahead.


    She had to trot and chase after him.


    "Damn it, this is real!" Lao Qin also quickly packed up the camera, tripod and other items, and chased out with the tool bag on his shoulders.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    When he chased outside, he found that Mu Que had stopped Zhou Can.


    "Give me back the bag!"


    "Go eat this meal first, promise to forgive me, and then return it to you."


    Zhou Can carried the bag on his shoulder and refused to give it to her.


    Her bag is not heavy.


    In addition to the laptop, it should also contain the professional equipment of the reporter, such as microphones and other items.

 Chapter 308： Women have to be coaxed, the joint consultation of the 2 hospitals

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    She raised her face, staring at Zhou Can with her **** and bright eyes.


    "Do you really want to apologize?"


    "Do you think my attitude seems to be acting?"


    Zhou Can''s eyes didn''t flicker or avoid, and he looked at her.


    Eyes are the window to the soul. When talking, daring to look directly into each other''s eyes and keep calm is enough to prove his sincerity.


    "It''s fine to go to the Xi Ya Hotel for dinner. I can''t afford that foreign crime, and the cost is too high. If you are serious, you should know what I want!"


    She glanced at Zhou Can faintly, but her tone softened first.


    Zhou Can naturally doesn''t think that what she wants is to associate with him like Pu Xinnan.


    "You want news material?"


    he asked tentatively.


    "Valuable news material." She ate this bowl of rice, and what she wanted most was indeed this thing.


    "Is there a type limit?"


    he asked.


    "No limit. As long as you have clues about this, you can tell me at any time." Her request is not high.


    It seemed that her anger was just hanging on her face, coaxing her, the relationship between the two of them really improved.


    At least I won''t ignore him with a hanging face.


    "Deal! I''ll keep an eye out for it. As long as I have any clues about this, I''ll report it to reporter Mu Da as soon as possible!" Zhou Can returned the kit to her. "Thank you for silently doing everything for me!"


    Zhou Can bowed to her.


    This sudden move startled her a lot.


    "goodbye!"


    In the next second, Zhou Can''s transformation was too fast, he turned around and walked back without delay.


    Since he refused to invite her to dinner, he could only find a way to find valuable and important news for her.


    It''s not Zhou Can''s style to stay here and chat with her.


    "Who wants you to thank me! Really!"


    She was muttering behind, but there was a smile on her face, she was not as cold as before.


    Apparently, Zhou Can''s sincere apology and thanks made her feel relieved.


    Thinking about it, she has worked so hard to help Zhou Can, a little-known Gui Peisheng, do publicity. Because the well-written press release carried private goods to help Zhou Can publicize, the leaders in the station must understand it at a glance.


    Card her that is a very normal thing.


    Combined with the words of the photographer Lao Qin, she said that she had suffered a lot for helping Zhou Can.


    It is not difficult to infer that in order to maximize Zhou Can''s reputation, when the leader asked her to revise the press release, she paid a certain price and fought hard, and then it was approved.


    As a result, in the morning, she was happy to tell Zhou Can the good news, but she was treated like that by Zhou Can.


    One can imagine how bad her mood will be.


    Now Zhou Can lowered his posture to admit his mistake to her, coaxed her, let her let out a breath of sullenness in her chest, and this beam was naturally untied.


    Lao Qin looked at the back of Zhou Can leaving, and said with regret, "Just forgive him like this? This is not like your style of acting as a big reporter. The last time the sponsor Mr. Wang invited you to dinner, didn''t you just open a bottle of eight?" Wando¡¯s red wine?¡±


    Originally, I thought that I would have a good meal tonight, but I didn''t expect Mu Jie to let Zhou Can go.


    "That Mr. Wang is full of bad ideas about me. Can he be compared with Dr. Zhou? Dr. Zhou is a gentleman, and I don''t have the heart to kill him. Besides, how much does Dr. Guipei cost a year? Really let him hire a doctor?" How can he live with a meal worth tens of thousands of yuan?"


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Twilight retorted.


    "Hey! I found out that you have been intoxicated by that kid? How can you help him talk and think about him? I don''t see you being wronged, and I want to help you vent your anger!"


    Lao Qin and her are colleagues, and he has seen all these changes in her eyes.


    "This is kindness, understand Bo!"


    She justifies her actions.


    "I think your worry is superfluous. Before I asked that kid to invite us to dinner at the hotel, no matter whether I quoted 18,100 for a meal or 70,000 to 80,000 for a bottle of foreign wine, that kid''s expression remained the same, his eyes closed. Without even blinking. Based on my experience, that kid might be an invisible rich man."


    Lao Qin has his own opinion on this matter.


    "You''re still a rich man! I think you''ve watched too many novels and TV series! After leaving, I have to go home to catch up on the press release. Remember to send me the pictures and videos taken today!"


    She waved her white-haired and tender right hand, revealing the colorful bracelet and a section of tender lotus root arm.


    "Hey, you can''t just tell the horse to run and not feed the horse! I haven''t had dinner yet!" Lao Qin shouted at her from behind.


    "Solve it yourself!"


    After throwing down a word, she left without looking back.


    Judging by her brisk steps, she must be in a good mood.


    Zhou Can didn''t mention it when he went back to the hospital cafeteria to eat.


    He came a bit late, Director Zhang and the others were almost finished eating.


    "Doctor Zhou, do you need me to cook for you?"


    Ji You was eating gracefully, when she saw Zhou Can approaching, she quickly stood up to say hello.


    "No, no, you sit and eat! I''ll just go cook myself."


    Zhou Can is not like those officials.


    He went to the window to eat, brought it over and sat opposite Ji You.


    Nurse Chen Qingling and Dr. Pang were also there, greeting Zhou Can with friendly smiles.


    In particular, Dr. Pang''s attitude towards Zhou Can is completely different from his previous self-reliance and lukewarmness.


    It should be from the time she was guarding a pregnant woman in the emergency room and almost had a big accident. Later, Zhou Can helped her hide it. Since then, her attitude towards Zhou Can has become more enthusiastic and respectful.


    "Doctor Zhou only eats this little!"


    Doctor Pang looked at him with concern.


    "I usually don''t eat too much for dinner. In case of a big belly, I have difficulty moving." Zhou Can responded with a smile.


    "Haha! I thought we women were the only ones who were afraid of getting too fat! Dr. Zhou is our deputy team leader and takes on the role of the leader. Eat more. Only in this way can we have the strength to deal with sudden rescue missions."


    When middle-aged women speak, most of them are more scheming.


    It seemed like a small talk, but it was indirectly complimenting Zhou Can on his status as the team leader.


    "I can''t rely on me alone for the rescue mission. It depends on everyone. The three of you should eat more!" In fact, it was quite peaceful today, and there was no emergency rescue incident.


    Just a few mouthfuls here, Director Zhang has already put down the fast food.


    "I know that everyone is very tired these days, and we have admitted more patients. For this reason, we have specially assigned a few people to be responsible for the management of the ward. The general outpatient department of Xinxiang Maternity and Children''s Hospital received a difficult patient today. At present, it is only under observation and has not yet been admitted for treatment. But according to the report of the receiving doctor, the cause of this patient is extremely difficult to diagnose, so I would like to invite us to help with the consultation after dinner."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    After Director Zhang finished speaking, he immediately got a response from the experts present.


    "Then let''s go to the meeting room now, don''t make people wait too long." Director Zhang seemed to have known that everyone would agree.


    This kind of thing, as long as the emotional intelligence is not extremely low, will generally agree.


    Helpful or not, it''s always good to sit and listen.


    It can not only gain the gratitude of the other party, but also take the opportunity to learn.


    "Xiao Zhou, hurry up and come to the meeting room after eating! Let''s go there first." Director Zhang regarded him very highly, and he didn''t forget to tell him specifically before leaving.


    Zhou Can is the absolute main force in diagnosing various difficult cases.


    Even Director Zhang Bihua is ashamed of the key diagnostic ideas provided sometimes.


    "Okay, I''ll be there later!"


    Zhou Can accelerated the speed of eliminating food.


    As a doctor, sometimes I know that it is not good to eat too fast, I know that it is not good to stay up late, and it is not good to eat irregularly, but I can''t do anything about it. All for the patient.


    Working overtime is the norm.


    Especially when working in the intensive care unit or operating room, eating is like fighting a war.


    After he finished his meal, he rushed to the meeting room, where there were already many doctors from Xinxiang Maternity and Children''s Hospital and Tuya. Many are director level.


    They were already discussing the patient''s condition.


    When Zhou Can entered the conference room, he did not attract the attention of the chief physicians of Xinxiang Maternity and Children''s Hospital.


    Many people glanced at him inadvertently and then looked away.


    "Xiao Zhou, sit next to me, there is a seat reserved for you!" Director Zhang Bihua thought highly of him so much that he even reserved a seat beside him.


    Zhou Can, who originally wanted to slip low-key and sit in the back, could only walk over with a wry smile.


    "I think Director Zhang seems to be very unusual to this young doctor, is he?"


    A rather stocky female doctor in her sixties should be a very high-ranking heavyweight expert in Xinxiang Maternity and Children''s Hospital.


    Because she sat at the same position as Zhang Bihua, at the top of the front row.


    China has always been a country of etiquette, with strict etiquette and laws.


    People with high status and strength sit in front.


    "Come on, let me introduce you to each other. This is Zhou Can, an excellent training doctor from Tuya Medical."


    Zhou Can bowed slightly to salute the large number of doctors in Xinxiang Women''s and Children''s Hospital in a sensible way.


    "Students at the end of the school, please give me your advice, seniors."


    He put his posture very low, which is also his way of being a man.


    Be humble and studious.


    "Xiao Zhou, this is Professor Hu Wanjun, Chief Physician of the Department of Gynecology at Xinxiang Maternity and Children''s Hospital. Not only is she good at treating various gynecological diseases, she has the reputation of being a master of gynecology, and she is also good at rheumatoid treatment."


    To be able to make such a grand introduction by Director Zhang, this gray-haired old lady must be extremely impressive in terms of identity and strength.


    "Haha, I don''t dare to take the highest honor of being a gynecologist. It''s just a joke of the patients, and it can''t be taken seriously. Dr. Zhou, please sit down! The discussion of this case is of great learning significance to you young people. You can take it seriously. listen."


    Everyone likes to carry people in flowery sedan chairs.


    A few words of praise from Director Zhang Bihua made Professor Hu Wanjun laugh until the corners of his eyes were covered with wrinkles.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    She obviously didn''t understand Zhou Can''s strength, and thought that Zhou Can was just a key cultivation target of Director Zhang.


    If it wasn''t for Zhou Can''s special seat, she wouldn''t even bother to waste time talking to him.


    There were a total of six doctors at the Xinxiang Women''s and Children''s Hospital who were at least 40 years old and sat in the front row.


    There are ten people sitting in the front row of Tuya Hospital.


    It happened to be ten people sitting alone, including Du Leng and Zhou Can.


    It can also be seen from this point that Zhou Can''s status has risen.


    People like Gao Jian and Yang Chan entered Tuya Hospital for regular training together with him. In terms of congenital conditions, Gao Jian has an advantage over Zhou Can. Moreover, he also received new self-training from Director Tan of Internal Medicine.


    Yang Chan also received key cultivation from director Zhang Bihua and other big bosses.


    Both of them are not qualified to sit in the front row, but can only sit in the second row. This is the difference in status.


    "Xiao Zhou, you can look at the patient''s basic situation and examination results first."


    After Zhou Can sat down, Director Zhang handed him some materials.


    The patient, female, 38 years old, was a farmer in the countryside in her early years, mainly engaged in farming, washing and cooking. After getting married and having children, at the age of 27, she and her husband went to the city to work together.


    Because they only had a junior high school education and no special skills, they could only do the simplest jobs.


    The husband works on a construction site and she washes dishes in a restaurant.


    Since then, she has changed several workplaces, all washing dishes and serving dishes, and working as a waiter.


    About two months ago, the patient felt pain in the left calf muscle without any obvious trigger. This kind of soreness is not severe. It is especially obvious when you stand up after sitting or squatting on the ground for a long time.


    I thought it was due to fatigue, so I didn''t care.


    Less than a week later, the patient once had difficulty walking when standing up and broke a stack of bowls, so he decided to go to the hospital to see a doctor.


    First of all, I didn''t go to a big hospital, but chose a small clinic in my place of residence.


    After three days of injections, I felt that my symptoms had improved, so I went back to the hotel and continued to work.


    Unexpectedly, within a few days, the condition worsened again.


    In severe cases, it is even impossible to walk.


    However, the patient found that when the left leg was raised, the soreness symptoms were significantly reduced.


    The patient''s condition has seriously affected her work and life, so she changed to another clinic this time. Under the introduction of a friend, I found a Chinese medicine doctor who prescribed the medicine and went home to recuperate.


    After taking the traditional Chinese medicine, the condition improved obviously.


    However, she felt that traditional Chinese medicine was very expensive, so she stopped taking it within two weeks. It happened again 10 days ago, and this time not only the left calf was sore, but also the right calf also had sore symptoms.


    The patient himself was afraid that it was a serious illness, so after seeing an advertisement saying that there were experts in Xinxiang Maternity and Children''s Hospital for free consultations, he asked for sick leave to come to see a doctor.


    I don''t know why the patient didn''t sign up for a free expert account, and finally chose to sign up for a paid general clinic account.


    This may involve the secret game between Xinxiang Women''s and Children''s Hospital and Tuya experts.


    Xinxiang Maternity and Children''s Hospital is not stupid, and it will certainly not treat all patients with experts from Tuya Hospital. Most of the patients whose purpose of registration is not clear, or whose condition is not particularly difficult, they will guide the patients to register with the doctor''s consultation number of Xinxiang Maternity and Children''s Hospital.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The patient suffers from severe pain and restlessness, especially the pain in both lower limbs is extremely obvious.


    According to the normal admission process, the patient has been checked for b-ultrasound, blood routine, and urine routine. These three examinations basically belong to Cheng Yaojin''s three tricks of ordinary doctors.


    "At the beginning, the patient had soreness in the left lower limb, and then the right lower limb also started to hurt. Now it is severe pain in both lower limbs, which is described as sharp pain, burning pain, UU reading Needle pricking pain, which often occurs when moving the lower limbs Stretching pain. When the doctor examined her, she had nerve tenderness..."


    After Zhou Can read all the examination materials, he naturally constructed a picture of the progress of the patient''s condition in his mind.


    Step by step, the scope is constantly expanding.


    From the b-ultrasound image, it can be seen that there are abnormal shadows in the blood vessels.


    He hardly thought about it, and immediately concluded that the patient was likely to have a venous thrombosis.


    He has seen a lot of venous thrombosis in the lower extremities.


    After a thrombus occurs, if it is not treated in time, the thrombus may migrate in the blood vessel and cause more trouble.


    Although the female patient didn''t know what the Chinese medicine doctor prescribed for her, she was certain that since taking it had a certain effect, it was probably a thrombolytic Chinese medicine.


    [Recommended, Yeguo Reading and Chasing Books is really easy to use, download .yeguoyuedu here, everyone can try it quickly. ¡¿


    The treatment of thrombus has never been the patent of Western medicine.


    Chinese medicine is no worse than Western medicine in this respect. For example, the legendary Yinzhen Tongmai, and some thrombolytic prescriptions that many Chinese medicine practitioners know.


    It''s a pity that this female patient stopped the medicine without authorization because of poor economic conditions and disliked the cost of traditional Chinese medicine.


    Maybe two or three courses of treatment are taken continuously, and it may not be possible to be cured.


    Normally, venous thrombosis is much milder than arterial thrombosis. Arterial thrombosis, whether it is cerebral infarction or myocardial infarction, kills people every minute. Sometimes doctors are not even given a chance to rescue them.


    In addition, she was treated with infusion in a small clinic, and her symptoms also improved. This is not the real treatment that has worked.


    Instead, the analgesic and antibiotics in the infusion produced a certain analgesic effect.

 Chapter 309： The diagnostic method of exclusion method, everyone wants face

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can was a little puzzled. The diagnosis of this case is not difficult. Why did you invite experts from the two hospitals together to discuss this case?


    Even at his half-level level, he could easily diagnose that the patient''s disease was likely to be venous thrombosis. He didn''t believe that the experts at Xinxiang Women''s and Children''s Hospital would be so good at it.


    "Director Zhang, what do you think is the cause of this patient?" Professor Hu Wanjun asked.


    "Uh... this patient''s illness seems to be related to blood vessels, and I specialize in surgery. I''m not very good at this field." Zhang Bihua said unclearly, and then turned to look at a male doctor in the expert team. "Director Shen Tu, you are an expert in cardiovascular medicine, and you should be good at diseases in this area. Do you have any good suggestions?"


    Zhou Can clearly felt that the atmosphere at the scene was a bit weird.


    Whether it is Professor Hu Wanjun or Director Zhang Bihua, they must be able to diagnose the cause of this patient at a glance.


    But both of them are doing Tai Chi here.


    Zhou Can is a rich second generation after all, and his knowledge and mind are much more mature than ordinary people.


    After noticing that the atmosphere was abnormal, he just watched his nose and nose and his heart, and never spoke indiscriminately.


    Xinxiang Maternity and Children''s Hospital has always had a lot of drama.


    That day, Section Chief Tang was sent directly to dig him up in the emergency room, so you can see what kind of style this hospital is.


    If a doctor only knows how to see a doctor, no matter how skilled he is, it will be difficult for him to accomplish much.


    It''s even possible that you won''t be able to get along in this industry.


    In addition to facing complex interpersonal relationships, the ability to deal with various situations is equally important.


    For example, during the treatment of a patient, the doctor did not pierce the middle vein with a single needle. At this time, a second injection is definitely needed. How to explain to the patient or family tactfully is a test of the doctor''s resilience.


    After explaining it, the patient smiled generously, and even thought that he had a special constitution.


    For example, some patients are too fat and the fat layer is too thick, so it is really difficult to find veins.


    Some patients are born with small blood vessels, which are not easy to find.


    If the doctor misses the middle vein with one injection, then just gives another injection without explaining to the patient, the patient will definitely scold in his heart without scolding his mother.


    If the doctor has low EQ and poor adaptability, he blindly emphasizes "I have had injections for so many years, and I have never seen a patient like you, who can''t even grow a blood vessel."


    It is estimated that after the patient heard this, he would immediately jump up and use old fists to preach to the doctor.


    Right now, Xinxiang Maternity and Children''s Hospital has invited these experts to participate in the consultation, and the cases are not difficult. The atmosphere is still so weird, whoever talks nonsense is afraid that he will be unlucky.


    Director Shentu is here on behalf of the Department of Cardiovascular Medicine of Tuya Hospital.


    He is in his fifties, wears black-rimmed glasses, and looks serious. He is also very serious when he sees patients. Zhou Can secretly observed that Director Shentu never smiled when he diagnosed patients.


    No matter what kind of patient he is, he frowns tightly and speaks in a rigid manner.


    "Then I''ll throw bricks to attract jade and talk about my personal opinion!"


    Director Shentu did not refuse.


    Shentu is actually a compound surname, his full name is Shentu Bao. People who didn''t know thought he was the younger brother of the ancient **** Shen Gongbao.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "The initial symptom of this patient was pain in the left lower extremity, which later developed into pain in both lower extremities. Pain in the extremities can be caused by lesions in the skin, muscles, nerves, blood vessels, joints, and bones. I have even seen kidneys enter the decompensation period. Patients with severe pain in the posterior limbs. There are also malignant tumors that are particularly prone to cause unknown pain in various parts of the body."


    Director Shentu''s commentary is as meticulous as his personality.


    "Nerve pain should conform to the distribution area of ??the nerve. It is often spontaneous and characterized by sharp pain, needle pricking pain, burning pain or pulling pain. Nerve tenderness may even appear during physical examination. At the same time, it will also be accompanied by numbness and weakness of the limbs, etc. Symptoms appear. Some of the pain symptoms in this patient are consistent with neuropathic pain."


    "However, the patient''s main complaint is muscle pain. In clinical medicine, muscle pain is often located in the sarcolemma, non-localized and spontaneous, and the nature of the pain is mostly dull pain, which is aggravated during exercise. At the same time, muscle pain, muscle weakness, Even muscle atrophy. This patient¡¯s pain is not dull pain, and the relationship between pain and movement is not clear. She has been sitting for a long time or squatting for too long, and she suddenly has severe pain when she stands.¡±


    "In addition, after the patient was admitted to the hospital for observation, the latest ck, electromyography, and muscle biopsy results showed no typical muscle damage. Therefore, the common causes of muscle pain include cramps, myolysis, myositis, hook Leptospirosis, dermatomyositis, polymyalgia rheumatica, and fibromyalgia syndrome all ruled out."


    Every doctor''s approach to diagnosis is different.


    Director Shentu''s diagnosis was as rigorous and meticulous as his personality. The method of exclusion is used for various etiologies.


    In clinical practice, his diagnostic method is time-consuming and laborious, but the probability of error is small.


    It was Zhou Canlai''s diagnosis, but it was another way of diagnosis. Based on the patient''s symptoms, B-ultrasound results, and his own clinical experience, he could directly diagnose the patient''s vascular disease. And it can be locked as a venous thrombosis.


    In terms of efficiency, Zhou Can''s diagnosis method must be more efficient.


    Moreover, Zhou Can''s diagnosis does not mean that if he is fast, he will definitely make mistakes. So far, he has not been misdiagnosed.


    As for missed diagnosis, due to the lack of personal medical knowledge and limited clinical experience, missed diagnosis is inevitable.


    With Director Shen Tu''s diagnosis method, the probability of missed diagnosis is lower, but there is still the possibility of missed diagnosis.


    As long as he encounters a patient with multiple lesions, it is guaranteed that he will have to pick and choose for a long time, one head and two big ones.


    Therefore, there is no one who has a good method and who has a poor diagnostic method.


    Whether it is a black cat or a white cat, it is a good cat if it catches mice.


    "According to the patient''s auxiliary examination, especially the results of b-ultrasound examination, the possibility of deep vein thrombosis is extremely high. Therefore, pain caused by vascular disease is considered. This type of disease includes acute arterial blockage, arterial stenosis caused by atherosclerosis, Thrombophlebitis, deep vein thrombosis, thromboangiitis obliterans, Raynaud syndrome, etc.¡±


    "If it is the patient''s arterial disease, intermittent claudication of the affected limb will occur, and then develop into rest pain. If the artery is acutely and completely occluded, the patient''s affected limb will experience severe pain, white skin, low skin temperature, and continuous pain , there is no possibility of remission. And there will be gangrene of limbs..."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Director Shentu could really say that a venous embolism would be the end of the matter, so he talked a lot.


    And they are all symptoms and diseases related to the disease.


    Some people like the elimination method, but Zhou Can finds it very tiring.


    However, it also showed Director Shentu''s profound medical knowledge and extremely rich experience in clinical diagnosis.


    People who don''t have anything in their stomachs really can''t analyze the disease like him.


    At least Zhou Can asked themselves, absolutely impossible.


    Maybe in another ten or twenty years, he will be able to use extensive references like Director Shentu to investigate the causes one by one. But he definitely won''t do it, he''s too tired. There is really no need for this.


    "Deep vein thrombosis of the lower extremities can cause pain and edema in the limbs, sometimes without any symptoms. It can be intermittent pain. The symptoms of this patient are more consistent with deep vein thrombosis, but the diagnosis cannot be confirmed. I think further inspections are needed, first of all. A vascular color ultrasound can clearly diagnose whether there is disease in the arteries and veins."


    After Director Shen Tu ruled out a bunch of cases, even though he found the possibility of deep vein thrombosis was very high, he still couldn''t draw a conclusion easily.


    Instead, ask for further inspection.


    Zhou Can is also very supportive of asking the patient to have a color Doppler ultrasound.


    B-ultrasound and color Doppler ultrasound both belong to ultrasonic examination, but their functions are not the same.


    Many patients do not understand the principle of the examination, and think that the doctor is making black-hearted money, first prescribing a B-ultrasound and then a color Doppler ultrasound. Isn''t it obvious to see how much money the patient has?


    Really not.


    B-ultrasound is a two-dimensional sonographic examination method, which has very good examination results for the investigation of tumors, organ tissue displacement, atrophy, etc. It can accurately display the size, shape and location of tissues and organs.


    Color Doppler ultrasound is based on the two-dimensional sonogram, using color to display the direction of blood flow and the relative speed of blood flow in real time. It has very good diagnostic support for doctors to observe the blood flow of human diseased tissues and the speed and direction of tissue movement.


    Check the blood circulation, and even many doctors believe that the effect of color Doppler ultrasound is more efficient than expensive MRI and CT imaging.


    However, the inspection of some deep arteries still relies on angiography, which is a shortcoming of color Doppler ultrasound.


    In short, in clinical diagnosis, doctors prescribe B-ultrasound and color Doppler-ultrasound at the same time, which has a certain meaning.


    As long as the doctor has a little medical ethics, he is not making black-hearted money, but really wants to diagnose the patient''s lesions in a cheaper way.


    It is actually quite difficult for doctors sometimes, not only to ensure the accuracy of diagnosis results, without misdiagnosis and missed diagnosis, but also to find ways to reduce the examination costs of patients as much as possible.


    But sometimes patients and family members do not understand, all kinds of abuse and even beat doctors.


    In Zhou Can''s view, those who choose to work as doctors and nurses have great love in their hearts.


    If you don¡¯t believe me, just look at the heroic appearance of thousands of angels in white clothes retrograde when the epidemic comes. They abandoned their small family and rushed to the forefront in order to stop the spread and raging of the disease.


    Whose life is not precious if you can?


    Who doesn''t want to stay at home with his wife and children and enjoy the warmth of the family?


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    When the motherland is in need and the people are in need, many of them sign up spontaneously. This kind of great love is really not something ordinary people can have.


    "Please ask the medical technology department to work overtime and give that patient a color ultrasound examination immediately."


    Professor Hu Wanjun gave the order.


    Regarding Director Shentu''s diagnosis, she seemed very calm, as if she had known it for a long time.


    Zhou Can had a panoramic view of everything, and he was even more sure that Xinxiang Maternity and Children''s Hospital was fully capable of diagnosing this patient''s disease.


    Since he has the ability to diagnose the cause of this patient, why did he invite Tuya''s experts over for consultation? It is not a glorious thing to ask a doctor from another hospital for help.


    What is their purpose in doing this?


    Zhou Can quietly waited for the other party to show his fox tail.


    He remained calm, and Director Zhang Bihua sitting next to him was even more so.


    Even Du Leng, who is usually high-profile and shows off, felt a little strange at this moment, lowered his head, and fiddled with his slender fingers like a woman, and his long nails.


    Du Leng''s IQ and EQ are actually not low.


    It is because of the smooth sailing from childhood, the smooth sailing on the road to study, and the academic achievements that ordinary people can hardly achieve in their lifetimes at a young age. So his heart is extremely proud.


    Pride makes people regress, and sometimes makes people do some stupid things.


    In addition, he has been hanged and beaten by Zhou Can, and he feels aggrieved in his heart, and wants to feel proud. So confronting Zhou Can **** for tat became a perfectly normal thing.


    In addition, Yang Chan maintained a very close relationship with Zhou Can, but always maintained a polite manner towards Du Leng, which made Du Leng very uncomfortable.


    How could a genius like him be suppressed like this?


    What''s more, the opponent who suppressed him was an undergraduate with a much lower education than him.


    In addition, those who can study abroad for a few years are generally not too poor.


    Because tuition fees and living expenses abroad are not small expenses.


    Hundreds of thousands of annual tuition fees are really beyond the reach of ordinary families.


    A kid from a rich family, whose academic achievements have reached the pinnacle of his life, his inner arrogance is even greater than that of ordinary geniuses.


    The duel between him and Zhou Can will definitely happen again.


    After many setbacks, he should sum up his experience and lessons, and find ways to maximize his strengths and avoid his weaknesses, instead of continuing to fight with Zhou Can in some fields that he is not very good at.


    "Director Zhang, with the help of Director Shen Tu of your hospital, this patient with sore lower limbs was basically diagnosed. The experts in Tuya Hospital really deserve their reputation!"


    Professor Hu Wanjun smiled and praised Tuya''s experts.


    "You''re too proud! The doctors at Xinxiang Women''s and Children''s Hospital are not bad either, they just have their own strengths."


    Director Zhang Bihua handled it carefully.


    "I guess it will take a while for the patient''s color Doppler ultrasound results to come out. We happen to have a few difficult cases here. Can we also take this opportunity to invite experts from your hospital to help us make a diagnosis?"


    Professor Hu Wanjun finally showed her fox tail.


    The previous case should be just a bait to invite the experts from Tuya Hospital. The latter cases are the ones who really need help.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    I can understand their half-concealed way of coquettish operation.


    People, the poorer they are, the more inferior they become.


    The Xinxiang Maternity and Children''s Hospital suffered accidents one after another, and its reputation was notorious, and the reputation built up over decades also plummeted.


    At this time, Xinxiang Maternity and Children''s Hospital, from top to bottom, has a deep inferiority complex.


    Doctors are the core of a hospital. To put it bluntly, doctors are equivalent to technicians in a large factory.


    Those who engage in technology must be full of pride in their research field.


    Let an old man like Hu Wanjun come straight to the point and come up with a lot of difficult cases and ask the doctors of Xinxiang Women''s and Children''s Hospital for help, she can''t get rid of this face. But Dean Tian and the hospital management put pressure on them to take this opportunity to solve the backlog of difficult cases.


    In order to improve the quality of diagnosis and treatment, enhance the reputation.


    They had no choice, and finally thought of a way that they thought was less embarrassing.


    There was a smile in Zhang Bihua''s eyes, "It''s ok, anyway, we''re just sitting here and waiting, and we can consult other cases along the way, that''s good."


    As expected of the helm of the Department of Obstetrics and Gynecology of Tuya Hospital, Zhou Can admires Director Zhang''s demeanor and demeanor.


    Knowing the opponent''s little tricks, but not revealing them, instead trying to protect the opponent''s face as much as possible.


    This is true maturity.


    Some people don''t know how to understand the world, and they help others, but they don''t show mercy to them, or even expose their faults in person. This is a big taboo.


    Also, when the other party wants something, it is also very unwise to take advantage of the danger to raise conditions.


    Either don''t do this favor, or help more generously.


    Just look at Han Xin in ancient times, and you will know how miserable his end was.


    When Liu Bang and Xiang Yu faced each other, Liu Bang couldn''t beat Xiang Yu, and he was in danger of being wiped out. He asked Han Xin for help, but Han Xin took the opportunity to raise conditions, to divide the land and rule, and to be king.


    At that time, Liu Bang was so angry that he almost lifted the table and slapped the table hard, intending to greet the eighteenth generation of Han Xin''s ancestors. The counselor Xiao He next to him kicked Liu Bang in an emergency and winked wildly at Liu Bang.


    In the end, Liu Bang couldn''t bear it, so he had an idea, and the table had already been taken away, and he couldn''t take it back.


    How to do it?


    He laughed a few times and told Han Xin that the conditions you raised are too shabby. You have helped me so much, and you only want such a little benefit. Isn''t that looking down on me, Liu?


    Liu Bang promised Han Xin a larger fief and reward on the spot.


    Later, with the help of Han Xin, he defeated Xiang Yu, and Liu Bang also gradually removed obstacles and hostile forces, and secured his throne. At this time, it was his turn to settle accounts with Han Xin.


    People in the world only know that Han Xin was killed by Liu Bang''s wife, Empress Lv but they don''t know that the real reason is that at the critical moment when Liu Bang and Xiang Yu entered the final duel, Han Xin claimed that he was ill and would not go to court and not send troops, so he was invited by Liu Bang After coming here, he took the opportunity to raise conditions, which violated the taboo of the monarch and ministers, and only then did he plant the disaster of killing himself.


    Compared with ancient times, modern competition is actually more intense.


    People who can sit in a certain high position will not be far behind in their breadth of mind, EQ and IQ.


    Director Zhang Bihua showed affection to the doctors of Xinxiang Maternity and Children''s Hospital, which is the truest portrayal.


    "Director Zhang, and Tuya experts and doctors, please look, this pregnant woman has a particularly serious respiratory infection. After being admitted to the hospital, she was given anti-inflammatory drugs. weaken."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    When Professor Hu Wanjun introduced the patient''s situation, he had a serious expression and a dignified tone.


    It is quite different from the case of the previous patient discussed.


    As soon as Zhou Can heard it, he knew that the situation of this pregnant woman must be very serious and especially difficult.


    "She has been pregnant for 37 weeks! With such a big fetus, the mother has a serious respiratory infection, which is very dangerous!" Zhang Bihua took the information and looked at it, but her brows became more and more wrinkled.


    "Isn''t it? It''s only been two days since she was admitted to the hospital, and her fetal heart rate has been weakening. We are very afraid of the occurrence of stillbirth. Do you think there is any good way?"


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    Professor Hu Wanjun humbly asked for advice.

 Chapter 310： If you read a lot, you may not be able to see a doctor, Yang Chan is beautiful

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Pregnant women belong to a special group of patients, and what they are most afraid of is infection.


    Whether it is infection during pregnancy or postpartum infection, it is very fatal.


    I''m 37 weeks pregnant, and I''m only a few months away from giving birth. At this time, a severe respiratory infection appeared, but it was more difficult to treat.


    After Director Zhang read the information, he passed it on to other experts for review.


    After everyone read it, the information was passed back to Professor Hu Wanjun.


    "Experts from Tuya Hospital, do you have any good suggestions?"


    Professor Hu Wanjun was the first to lose his composure and asked everyone.


    "The patient has a high fever and a severe cough. I think it is safe to use acetaminophen drugs to lower the body temperature of the pregnant woman, and then use antibacterial drugs to control the infection. It is safer to recover slowly with the help of her own immunity."


    Director Luo from the Department of Obstetrics and Gynecology took the lead in speaking.


    "Well, this treatment plan is good. It''s just how to treat the fetus in the pregnant woman''s womb? Also, the upper respiratory tract infection of the pregnant woman seems to be spreading to the lower respiratory tract."


    Severe respiratory infections in pregnant women are just one of them.


    The fetal heart rate is getting weaker and weaker, which is also a serious problem.


    If you don''t pay attention, it is easy to die in the womb.


    In addition, the spread of infection to the lower respiratory tract is also very tricky.


    The lower respiratory tract mainly refers to the parts below the larynx, trachea, bronchi, and lungs, the most serious of which is lung infection. That is often said that the occurrence of pneumonia in pregnant women.


    In fact, the infection in this pregnant woman was so severe that lower respiratory tract involvement was inevitable.


    Pregnant women have a severe cough phenomenon is the best proof.


    Medication for pregnant women is very strict, not only the history of allergies must be considered, but also the safety of the fetus. Drugs that may cause fetal malformation, death, disability and other problems cannot be used.


    "It''s best for us to actually check the condition of the pregnant woman first and then formulate a corresponding treatment plan." Zhang Bihua stopped Director Luo from continuing.


    "The patient is in the ward, why don''t I take the experts over there now?"


    Professor Hu Wanjun was particularly positive about this matter, indicating that the patient''s condition may be worse than imagined.


    A group of people came to the ward in a mighty manner, and it was close to 6:40 in the evening. Usually, most of the doctors are off work at this time.


    As many as twenty doctors entered the ward, and the two pregnant women and their accompanying family members in this ward were particularly surprised.


    There are four beds in this ward, but only two pregnant women are hospitalized.


    It also indirectly reflects the poor operating conditions of Xinxiang Maternal and Children''s Hospital.


    Half of the beds are empty, which is unimaginable in Tuya Hospital. On Tuya''s side, it''s hard to find a bed in every department. The beds in the obstetrics department are even more serious.


    Many pregnant women are still unable to be admitted to the hospital for treatment. They can only stay in a hotel near the hospital, or go home and wait until the ten fingers are opened before sending them to the hospital for delivery.


    No way, the bed is really tight.


    There have also been many cases of puerpera falsely claiming to have high blood pressure and heart disease in order to be admitted to the hospital.


    I don''t know if I learned this trick from a doctor?


    Doctors sometimes speak of the seriousness of the condition to frighten family members and patients. Those pregnant women are learning and using it flexibly, which in turn frightens doctors and nurses.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    It doesn''t matter if you don''t take me to the hospital, let me tell you, I have high blood pressure, and if I have any problems, I will call you.


    Most of the mothers have a little high blood pressure, and this trick is really easy to use at the beginning.


    Almost time-tested.


    Later, the obstetrics department held a special meeting on this matter. Pregnant women who claimed to have high blood pressure or heart disease needed to provide proof of past medical history. In the end, this unhealthy trend was restrained.


    Zhou Can''s qualifications are relatively low, so he consciously stands near the door of the ward at the moment.


    He just quietly watched Director Zhang and others ask about the condition of the pregnant woman and check the pregnant woman.


    Even at a distance of seven or eight meters, he could see an abnormal color on the skin of the pregnant woman''s neck and abdomen. Can''t tell, it''s kind of dark brown.


    Armpits, groin, he couldn''t go up and ask to see them.


    However, the same is expected to happen.


    "Squad leader!"


    Zhou Can turned to look at Yang Chan who was also standing at the door.


    "what?"


    Her tone was a little fierce.


    "Did you notice that the pregnant woman''s neck skin is dark and brown?" Zhou Can said.


    "Isn''t it normal for pregnant women to become ugly due to changes in hormone levels in their bodies?" She didn''t know what Zhou Can''s intention was.


    "You are a lesbian, can you check her armpits and groin for skin discoloration before going to the hospital bed?" Zhou Can could only ask her to help.


    "Why don''t you go by yourself. You are an expert, and I''m just a second-line assistant doctor." She seemed a little dissatisfied that Zhou Can was better than her and had surpassed her in status.


    "I''m a man. I ran up to check other people''s groin and armpits. Others thought I was a pervert." Zhou Can looked depressed. If he could do something, he wouldn''t ask her for help!


    "Wait!"


    She pushed forward.


    This is a promise.


    In fact, as long as Zhou Can puts forward a valid reason, she almost responds to every request.


    Du Leng, who was standing not far away, had been secretly watching Zhou Can. Seeing that Zhou Can was so interested in the skin changes in the neck and groin of pregnant women, he secretly pondered the pathology.


    Zhou Can stole the limelight every time he diagnosed such difficult cases and made great contributions. Today, in front of the doctors of the two hospitals, his reputation as a returnee doctor can no longer be weakened.


    "What is the use of this clue discovered by the surname Zhou?"


    Du Leng frowned, thinking carefully.


    It''s just that even if he scratched his head, he couldn''t think of any relationship between the darkening of the neck skin of pregnant women and the respiratory tract infection and weakening of the fetal heart rate of pregnant women.


    In the final analysis, doctors are not those who have read more books.


    Lightbond has to apply what it has learned and has rich experience in clinical diagnosis in order to guarantee its level.


    Yang Chan is Zhang Bihua''s lover, and with this kind of relationship, no one really dared to say anything about her when she squeezed in front of the hospital bed.


    After whispering a few words with Director Zhang, she asked the patient for his opinion.


    With consent, the curtain was drawn to help the pregnant woman check.


    Not long after, the bed curtain was drawn.


    Director Zhang was very happy with Yang Chan''s active learning attitude and gave Yang Chan the greatest support.


    She completed the task assigned by Zhou Can and came back.


    "Looked at it just now, the groin is darker. The armpits are darker than the neck."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Okay, thank you for your hard work."


    Zhou Can got an affirmative answer, and thinking about some of the symptoms of pregnant women, he already had some ideas for diagnosis.


    "Have you discovered something already? Share your diagnosis ideas!"


    The only symptom she can see so far is respiratory tract infection, and the body temperature of the pregnant woman has basically been controlled. From high fever to low fever. It shows that Xinxiang Maternity and Children''s Hospital has already used medicine after admitting the patient.


    It is undeniable that in terms of diagnosis, Zhou Can is indeed much better than her.


    Zhou Can was about to share his diagnosis ideas with Yang Chan, when he caught a glimpse of Du Leng standing in front of him listening with his ears up, he couldn''t help but smile. He pointed to the phone at Yang Chan.


    Then quickly enter text on the phone screen.


    Du Leng, who was waiting to eavesdrop, suddenly heard nothing.


    He felt a little strange, subconsciously looked back.


    After discovering that Zhou Can was exchanging private messages with Yang Chan on his mobile phone, he couldn''t help but secretly scolded Zhou Can for being stingy. Isn''t it just a diagnostic idea? Still need to hide it?


    "Dr. Du seems to be very interested in our conversation! Do you want to join us?"


    Yang Chan is also a smart person.


    Seeing Du Leng''s expression, and thinking of Zhou Can suddenly communicating with her on his mobile phone, he immediately understood.


    She could not help but smile and run on Du Leng.


    "Ahem... no, thank you!"


    How could someone as proud as Du Leng lower his figure to ''discuss'' with Zhou Can?


    "Dr. Du is a talented student from a famous overseas school. His diagnosis is much better than ours. He doesn''t bother to discuss it with regular students like us!"


    Zhou Can used words to lift Du Leng to a higher place.


    As long as there is a chance, he doesn''t mind killing Du Leng''s arrogance. Not for anything else, just to see this uncomfortable.


    With the name of an overseas doctor, he is as proud as a rooster all day long, why bother?


    "No no!"


    Du Leng smiled awkwardly and turned his head back.


    Zhou Can and Yang Chan looked at each other and smiled, their positions on this matter were surprisingly consistent.


    At this time, Zhou Can had already finished typing out his diagnosis ideas.


    Send it directly to Yang Chan.


    "Mysterious, I want to see what your diagnosis is?" Yang Chan muttered, checking WeChat information.


    After reading it, she couldn''t help but widen her eyes.


    "Your... brain circuit is too tortuous! She checked this item when she was admitted to the hospital, and the result was normal!" Yang Chan said in disbelief.


    Du Leng, who was standing in front, was a little absent-minded.


    Because he found that the knowledge he had learned was completely useless, like a three-year-old child who had a house full of thermal weapons, but he couldn''t use them to deal with the approaching wolves.


    Du Leng eavesdropped on every word of the conversation between Yang Chan and Zhou Can.


    Which item was checked at the time of admission?


    Du Leng couldn''t help thinking about it.


    Also, what is the diagnosis that Zhou Can told Yang Chan?


    The more he couldn''t figure it out, the more curious Du Leng was.


    Zhou Can, however, smiled confidently at Yang Chan and said, "Only you can speak in front of Director Zhang. You can mention it to Director Zhang, and then give the patient another examination of this item. I believe there will be major discoveries." of."


    "Trust you once! But you have to promise me that you must teach me the way of diagnosis after the fact."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    When she said that, she basically admitted that Zhou Can was stronger than her.


    "No problem. We are old classmates. As long as you want, you can exchange various cases on WeChat at any time."


    Zhou Can and Qiao Yu often discuss medical issues on WeChat, but they rarely talk to Yang Chan, an old classmate.


    In Zhou Can''s impression, she was aloof.


    Zhou Can didn''t dare to harass her if there was no important matter.


    So as not to be fed soft nails by her.


    But this moment, that moment.


    Zhou Can''s current strength is much stronger than her. It''s her turn to ask Zhou Can for advice. No matter what, her attitude will be much better than before.


    Yang Chan squeezed to the front again and asked Zhang Bihua for inspection suggestions.


    At this moment, the chief physicians have already discussed it almost.


    However, no definite conclusions were drawn.


    When discussing obstetric cases, there are only a few experts such as Director Zhang Bihua and Director Luo who can make great efforts on the spot.


    Those like Deputy Director Shi of the Department of Gastroenterology, Director Jiang of Shennei, etc., are really helpless in the diagnosis of obstetrical diseases.


    That is to follow to gain a little knowledge.


    "Teacher, can you check this patient''s blood sugar?" Yang Chan made a suggestion to Director Zhang at the right time.


    "The patient''s blood sugar was checked when he was admitted to the hospital, and it was normal! Did you find anything new?" Zhang Bihua was very happy to see her lover actively participating in the consultation and discussion.


    "I suspect that the patient is likely to have diabetic ketoacidosis!"


    Yang Chan boldly continued to follow the diagnosis ideas provided by Zhou Can in the message.


    "The patient has no history of diabetes!" Professor Hu Wanjun looked at Yang Chan in confusion.


    The other doctors had similar expressions.


    "Didn''t I close the curtain on purpose to do a physical examination on the patient just now? Her armpits and groin had obvious skin color changes, dark and brown. One of the symptoms of diabetes is the change of skin color. Also, the patient recently took When drinking water from the cup, it was empty at first, indicating that there was something wrong with her eyesight. This is also one of the symptoms of diabetes.¡±


    Yang Chan didn''t even know how Zhou Can''s observation skills were more detailed than women''s.


    When the pregnant woman took the water glass just now, I believe someone must have noticed that she was empty for the first time. But everyone thinks that it was caused by her serious condition and frail body.


    Only Zhou Can keenly judged that the eyesight of the pregnant woman was blurry.


    "Can you read the words on this paper clearly?"


    Zhang Bihua obviously still didn''t believe it. He took a checklist and placed it one meter away from the pregnant woman to let her identify the words on it.


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    "Can''t see clearly!"


    The pregnant woman shakes her head.


    Director Zhang moved the paper closer, but the pregnant woman still shook her head.


    "Those words and patterns look very vague. I can''t see clearly."


    "Have you ever been nearsighted?"


    "No!"


    This time, everyone finally believed that there was a real problem with the vision of pregnant women.


    "If Dr. Yang Chan''s diagnosis is correct, the baby in the patient''s womb will be in danger. Diabetic ketoacidosis not only endangers the patient''s life, but also seriously endangers the life of the fetus. Her current symptoms are not obvious, and there should be time. Check it out quickly. Take a look at your blood sugar."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Director Zhang Bihua has rich clinical experience and immediately realized that pregnant women and fetuses were in danger.


    However, further investigation is required to clarify.


    Typically, diabetic ketoacidosis presents with nausea and vomiting. However, for pregnant women with severe respiratory infections like this, even if symptoms of vomiting and nausea occur, it is very easy to be ignored.


    The nurse took a blood sample for the pregnant woman on the spot.


    "Come on, give me the specimen. Human life is at stake. We must hurry up the laboratory." Section Chief Tang took the specimen and ran the trip himself.


    It can be seen that the senior management of Xinxiang Women''s and Children''s Hospital is also secretly paying attention to the consultation between the two hospitals.


    As long as there is a need, we will do our best to mobilize all medical resources to treat patients immediately.


    Less than eight minutes later, Section Chief Tang directly called Professor Hu Wanjun''s cell phone.


    As soon as the connection was made, Hu Wanjun''s face changed drastically after hearing a few sentences.


    "News came from the laboratory that the patient''s blood sugar was as high as 17.2mmol\\/l." After Professor Hu Wanjun said this, it was like a bolt from the blue, which made many doctors present tremble.


    This is very bad news.


    "Obviously, the blood sugar was normal when I was admitted to the hospital. It has only been two days. Why did the blood sugar suddenly rise so fast? It''s too evil." Although Professor Hu Wanjun is only a gynecologist, he has also treated many obstetric cases.


    She has never encountered such a thing.


    "It''s a good thing that the problem was found. If it hadn''t been found, the patient''s blood sugar was already so high. I''m afraid that after tonight, her fetus might not be able to survive. Even adults would be in danger. I hope it''s still too late. .¡±


    After hearing the blood sugar results, Zhang Bihua quickly calmed down from the initial shock and fear.


    We must race against time to correct the patient''s blood sugar immediately.


    The next treatment became simple. Among the experts present were endocrinologists. Correcting the blood sugar of pregnant women was just a trivial matter for them The most common treatment method is to be filled with saline, and then Insulin was added to saline for continuous intravenous infusion to lower blood sugar.


    "It''s enough to leave some of our obstetrics and gynecology doctors and nurses here. You have worked hard all day, and you still need to go to the clinic tomorrow. Go back to the hotel and rest first!"


    Zhang Bihua looked at the other experts.


    "Wait! Director Zhang, experts, there are still a few cases that I would like to ask you to help discuss together. If possible, please go to the conference room to rest for a while, we will be there soon."


    It will take a little time for this pregnant woman to correct her blood sugar.


    Hu Wanjun was worried and left right away, reckoning that she would be able to see the effect after staying in the ward for about 20 minutes at most.


    Intravenous infusion is considered to be a treatment with a faster onset of effect.


    "Then you all go to the conference room to rest first!" Director Zhang said to everyone, his eyes turned and fell on Yang Chan''s pure face that was so beautiful. "Yang Chan, you performed well! You really impressed me today!"


    Seeing his apprentice perform so well, Director Zhang Bihua not only felt that his face was bright, but he was also very happy and gratified in his heart.


    Teachers expect their students to succeed.


    Yang Chan''s face blushed immediately after being praised by her in public.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    It is undeniable that she was quite the show just now. Numerous experts, doctors, nurses, and even family members and patients looked at her with admiration.


    Because she discovered the patient''s blood sugar problem and saved two lives.

 Chapter 311： Incisive pathological analysis, latecomers are ahead

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Teacher, I..."


    She enjoyed this feeling of being under the spotlight very much. Since entering Tuya Hospital, she had never been so honored like this moment.


    It is only in school that I have enjoyed this feeling of being admired and admired by everyone.


    It''s just the integrity in her heart and her strong self-esteem spurring her, making her involuntarily muster up the courage to clarify all this.


    Because the person who really diagnosed the possibility of diabetic ketoacidosis in pregnant women was Zhou Can.


    "You are easy to be shy! You did a great job today, you should be praised, and you don''t have to feel embarrassed." Director Zhang looked at his lover with kind eyes.


    Parents always think that their children are the best and best, and masters also think that their apprentices are the best.


    Zhang Bihua never expected that this patient was not diagnosed by his apprentice.


    "Teacher, actually Zhou Can was the one who diagnosed this patient with abnormal blood sugar, not me!" Yang Chan gritted her teeth and finally mustered up the courage to tell the truth.


    Not only does she look clean, but her heart is also extremely pure.


    She resolutely doesn''t want what doesn''t belong to her.


    Although she knew that even if she did not tell the truth, Zhou Can would not say anything.


    However, her backbone and arrogance did not allow her to do so.


    To test a person''s character, just look at his attitude towards money. But to test whether a person''s soul is clean, it must be seen whether he can withstand the test and not waver in the face of temptation.


    "Zhou Can again?"


    Zhang Bihua was only slightly surprised by this result.


    "You can be as good as you are not."


    After complimenting Yang Chan, Director Zhang looked at Zhou Can who was standing at the door.


    This kid always likes to sit in a corner and make a high profile silently.


    "Xiao Zhou, come here and share your diagnosis ideas with everyone! The diagnosis of this patient has a very high learning value, and let these young doctors learn your diagnosis methods."


    [To be honest, I have recently followed up, changed sources, and have many voices for reading aloud, .yeguoyuedu Android and Apple are both available. ¡¿


    Zhang Bihua wasn''t unhappy because he was upstaged by a junior.


    The inch is shorter and the ruler is longer.


    Everyone has their own strengths and weaknesses. Medicine is so vast that it is too extensive to learn in a lifetime. In addition, each doctor''s diagnostic thinking, knowledge, experience, and understanding of diseases are different, and the ability displayed when diagnosing different diseases is naturally very different.


    No matter how powerful an expert is, even in his field of expertise, there are still shortcomings and blind spots.


    Just like the diagnosis of this pregnant woman, even Director Zhang Bihua did not expect that the patient had diabetic ketoacidosis.


    She was particularly shocked when she heard the results from the lab.


    Facing the excellence of her juniors, she was very calm.


    "Doctor Zhou is too strong!"


    Gao Jian watched Zhou Can once again shine in all directions and made great achievements. It would be a lie to say that his heart is not sour.


    It''s just that ability is not something you can have if you want it.


    For now, Gao Jian has to admit that his diagnostic ability and diagnostic thinking are not as good as Zhou Can''s. It seems that the diagnosis experience is far from that of Zhou Can.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Pretend to be a good letter!"


    Du Leng snorted, his face was rather ugly.


    Unexpectedly, Zhou Can made great contributions under his nose again.


    When Zhou Can asked Yang Chan to help check whether the patient''s armpit and groin skin had changed color, he had been trying to figure out Zhou Can''s diagnostic thinking. It''s a pity that I couldn''t figure it out after digging my brain.


    It wasn''t until Yang Chan suggested that Director Zhang check the patient''s blood sugar that Du Leng belatedly understood Zhou Can''s diagnostic thinking.


    Unfortunately, it was too late to say anything at that time.


    Under the watchful eyes of everyone, Zhou Can could only bite the bullet and walk to Zhang Bihua''s side. He glanced at Yang Chan with some embarrassment, "Why did you drag me out!"


    "Hurry up and share your diagnosis ideas with everyone! How could I take over your credit?" She had a clear conscience, and she was naturally confident when she responded to Zhou Can.


    She is still the proud monitor.


    "Tuya Hospital is really well-deserved of its reputation. Not only are there many famous doctors from the older generation, but also the doctors from the younger generation. Is this Dr. Zhou really just a regular doctor?"


    Hu Wanjun somewhat couldn''t believe it.


    Not to mention regular training doctors, it is difficult for resident doctors to have such a high level of diagnosis.


    Ordinary people watch the fun, but as a senior expert, Hu Wanjun, who is nearly 60 years old, is watching the doorway.


    She knew how difficult it would be to diagnose diabetic ketoacidosis in this pregnant woman. A seemingly simple diagnosis results, in the absence of obvious symptoms, lack of testing basis, and the blood sugar was checked before the patient was admitted to the hospital, showing that the blood sugar level was normal. In this case, to diagnose a patient''s blood sugar problem requires not only extraordinary courage, but also profound medical knowledge, rich clinical experience, and extraordinary thinking ability.


    All four are indispensable.


    Professor Hu Wanjun seldom praises others, but at this moment he highly appreciates Zhou Can.


    "It''s true! In fact, I''m not as good as you think. I''m just an ordinary doctor. In Tuya Hospital, there are countless young doctors who are better than me."


    When Zhou Can faced this top expert from Xinxiang Maternity and Children''s Hospital, he was neither humble nor overbearing, modest but would not destroy the prestige of Tuya Hospital.


    "The patient just had a check-up two days ago, why did you assume that there was something wrong with her blood sugar?"


    Hu Wanjun was not ashamed to ask.


    She really wanted to know Zhou Can''s thinking about diagnosis.


    Other doctors are also waiting for Zhou Can to share.


    "It''s actually not complicated. I have treated many diabetic patients, so I have a deep impression on some of the physical symptoms of the disease. For example, the skin is dark and brown, and even obvious skin diseases appear. In clinical diagnosis, If the skin on the neck, armpits, etc. is only dark, even if it is scary dark, it cannot be diagnosed as diabetes."


    "Only when the condition was present in a pregnant woman did it increase the chances of being diagnosed with diabetes. And the older the month of pregnancy, the more likely the patient was to develop diabetes."


    The diagnosis of the etiology is far more complicated than imagined.


    A single disease, it is difficult to determine what disease.


    For example, stomach pain may be enteritis, uterine fibroids, or femoral hernia.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Dull and brown skin in multiple places, coupled with 37 weeks of pregnancy, the combination of the two may be related to diabetic ketoacidosis.


    "Later, the patient picked up the water glass to drink water and emptied it. I immediately realized that she might also have vision problems. After observing her words and deeds, I was even more sure of this. By now, it was basically confirmed that she Diabetic ketoacidosis occurred."


    Zhou Can''s diagnostic method is obviously much more efficient than the exclusion method.


    The combination of the two symptoms and the special condition of the third trimester allowed him to directly identify the cause.


    "It''s clear that the blood sugar was checked two days ago, so why did it suddenly go wrong?" Du Leng finally couldn''t hold back the strong curiosity in his heart, and blurted out.


    As soon as he asked, Du Leng immediately realized that he had exposed his shortcomings.


    However, many people wanted to know the answer to the question he asked, so instead of staring at him, everyone focused on Zhou Can.


    "The patient developed a severe upper respiratory tract infection on the fifth day before admission. This acute infection is a stressful state for the patient. When the patient is stressed, the insulin in the body will become insufficient. And Insulin in turn regulates the increase of hormones and the release of glycogen, which eventually leads to severe hyperglycemia in patients. If the patient is hospitalized for two days in order to cooperate with the examination, eating and drinking are restricted, which will further aggravate the condition."


    "The above is the entire pathological mechanism of my dialectics. There may be omissions, please correct me."


    After Zhou Can finished speaking, the audience fell silent.


    Many doctors were immersed in his analysis.


    "Dr. Zhou''s analysis is incisive and wonderful, which is completely in line with the pathological mechanism of human endocrinology."


    A doctor from Xinxiang Women''s and Children''s Hospital couldn''t help but praise.


    "This case is very meaningful for learning. Let us take their stress status into consideration when diagnosing pregnant patients in the future." Hu Wanjun, a 60-year-old veteran expert and professor, is well-informed.


    But this rare case is the first time we have encountered it.


    Of course, it also has something to do with her specialty being gynecology, not obstetrics.


    "Young people are awesome! In the future, this world will belong to you young people!" Director Zhang Bihua expressed his feelings.


    Her field of specialization involves obstetrics, and she did not expect that in this case, she was not as good as a regular doctor.


    As she said, there are talents from generation to generation, and the world is dominated by young people.


    After all, the older generation has an end.


    "I''m actually a blind cat bumping into a dead mouse. I just happen to have a certain understanding of this kind of cases." Zhou Can dare not ride on the heads of these chief physicians.


    All the elders present, none of them were simple.


    ¡­


    After the infusion, the blood sugar of the pregnant woman dropped to about 14mmol\\/l, and the fetal heart rate became stronger obviously.


    Everyone breathed a sigh of relief.


    Director Zhang Bihua asked the nurse to replace the normal saline with 5% glucose sodium chloride.


    The purpose of doing this is to increase the patient''s calorie, which is conducive to faster correction of ketone bodies.


    At this point in the treatment, it has basically turned the corner. A big stone that weighed on the hearts of Professor Hu Wanjun and others was removed.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Their expressions relaxed a little.


    The group returned to the conference room to discuss the backlog of several difficult and critical cases again.


    This time, Zhou Can''s status has been significantly improved, and no doctor at Xinxiang Maternity and Children''s Hospital dares to underestimate him.


    As for Tuya Hospital, everyone has seen Zhou Can''s ability for a long time, and now they just admire him even more.


    At this time, the patient with sore lower limbs and venous thrombosis also finished the examination.


    It can be basically confirmed that her cause is deep vein thrombosis of the lower extremities. Moreover, multiple embolisms occurred, accompanied by varicose veins of the lower extremities. Considering that the patient''s family is relatively poor, and the patient''s own poor surgical conditions, the experts formulated a treatment plan for her on the spot with drug thrombolysis.


    If the effect is not good, it can only be hospitalized for elective surgery.


    The diagnosis of this patient was just an episode, and it wasn''t particularly difficult in the first place.


    At least for the experts present, this kind of deep vein thrombosis of the lower extremities is nothing.


    A total of seven difficult or critical cases were backlogged, and everyone discussed them one by one. The atmosphere in the conference room gradually became active, and everyone spoke enthusiastically.


    The doctors of the two hospitals have gradually become more harmonious from the initial separation.


    "This hospital admitted a patient, a 63-year-old female patient. The results of the CT scan showed that the upper lobe of the left lung occupied space. Considering the possibility of lung cancer, please ask the experts present to see if it can be operated on?"


    Professor Hu Wanjun signaled the assistant to play the ppt film on the screen, so that the patient''s CT examination image could be clearly seen.


    "This should still belong to the early stage of lung cancer, which is completely in line with the indications for surgery."


    "I think the patients are too old, and traditional thoracotomy should be avoided as much as possible."


    "Thoracoscopic surgery is a good choice!"


    You say a word, I say a word.


    Many of the doctors present were actually physicians, not good at surgery.


    That is to say, in recent years, with the rapid development of endoscopic surgery, coupled with the market pressure, internal medicine has to develop interventional surgery and endoscopic surgery in order to survive.


    This allows physicians to have a little say in surgery.


    In terms of professionalism, doctors in cardiothoracic surgery must be more professional.


    "The difficulty of this operation should be quite high. There are a lot of lymph nodes to be removed, and a left upper lobectomy is required. Director He Miao of the Department of Cardiothoracic Surgery at Xinxiang Women''s and Children''s Hospital happened to go abroad for further training. Zhang Director, do you think it is possible to ask Tuya Hospital to send a powerful surgeon over to support me?"


    The lung cancer patient was left for the last discussion. The Xinxiang Maternity and Children''s Hospital must have made up their minds to ask for reinforcements.


    It''s just that the two hospitals are cooperating for the first time, and both are for mutual benefit needs. It is not an easy task to ask someone else''s surgical team to come and help.


    Although surgeons are always despised by internal medicine in hospitals, many diseases cannot be treated without surgery.


    And there is a big difference between surgery and internal medicine.


    Internal medicine can often be fought alone, and individual heroes abound.


    Surgery requires a team with a high degree of tacit cooperation and excellent professional quality.


    Ask a physician for consultation, and just go alone.


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    To ask a surgeon to perform the operation, especially for such a major operation, requires a team.


    Not to mention the Xinxiang Maternity and Children''s Hospital, even the No. 2 and No. 3 sub-hospitals attached to Tuya are facing many difficulties if they want to second the surgical team from the General Hospital. The hospital has never been a monopoly of anyone, but an interest group composed of multiple departments.


    It''s more like a country.


    Each department is like each province of the country, and a slightly larger decision-making needs to be discussed by everyone.


    Cardiothoracic surgery is a very busy department, and there are only a few surgeons who can preside over major surgeries above grade 3.


    Xinxiang Maternity and Children''s Hospital wants to invite a team to help it cure this lung cancer patient, but Tuya will definitely not agree.


    "Director Hu, I really can''t decide on this matter. If your hospital really needs this, you can directly contact the senior management of Tuya Hospital or the Department of Cardiothoracic Surgery. Or refer patients to Tuya Hospital for this operation. Nice plan."


    Zhang Bihua reminded the other party tactfully.


    Without that ability, but still thinking about eating meat, how can there be such a good thing in the world.


    The best way to do things is to do what you can.


    "Okay then! I will report this matter to Dean Tian before making a decision. Thank you for your hard work today, experts, doctors, and nurses for taking time out of their busy schedules to help us solve these difficult cases. On behalf of Xinxiang Maternity and Children''s Hospital Say thank you to you guys."


    Professor Hu Wanjun stood up and bowed to the doctors and nurses at Tuya Hospital to thank them.


    One by one difficult cases were solved, and their expressions were obviously much more relaxed.


    Back at the hotel, the Xinxiang Maternity and Children''s Hospital is very sensible. They have specially ordered fruits and midnight snacks for each doctor and nurse, and delivered them to the room. The service is quite attentive.


    The next day, Zhou Can and the experts went to the outpatient hall of the hospital for consultation.


    Seeing a long queue formed in front of his consultation desk, there were more than 20 patients. He thought he was dazzled.


    Rubbing his eyes, yes, it was indeed Dr. Zhou Can''s desk.


    With such a big sign, it is impossible for these patients to recognize the wrong table.


    Du Leng''s consultation desk was still the same as the previous two days, with a small queue of eleven or two people lined up.


    "Doctor Zhou, what did you do last night? It seems that your consultation table is going to be overwhelmed!" Deputy Director Shi asked in surprise.


    "I''m a little worried, did they line up the wrong table?"


    What Zhou Can said made his colleagues laugh out loud.


    "It may have something to do with the two news reports yesterday. After all, it is a news program on satellite TV. Although it is of an advertising nature, it is enough to attract many patients. Our seven-day expert outpatient activity, Doctor Zhou is the biggest winner! Doctor Zhou, after the event, you have to treat me."


    Director Jiang also laughed and teased him.


    "It''s okay to treat guests. You have the final say on what to eat." Zhou Can has always been super generous when it comes to money.


    But he never takes advantage of it.


    All the money is spent on what he thinks is worth it I''ll be good, two pieces of news directly made an ordinary doctor''s reputation soar, and he became a famous doctor, which is too exaggerated. Could it be that you bribed the reporter of the TV station in private to give you a little trouble? "


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    A middle-aged doctor in his forties asked sourly.


    "Haha, I really have this idea. Everyone, please don''t wake me up, let me keep this dream going. The day before yesterday, I saw two patients in a whole day, which is really sad."


    Zhou Can was very happy to see so many patients queuing up for treatment.


    He took Ji You and strode over.


    Sit down at the desk.


    "Doctor Zhou is here!"


    The family members and patients who lined up were excited and showed happy expressions.


    It seems that they didn''t recognize the wrong diagnosis table, they came here for themselves.


    Zhou Can suddenly seemed to have taken a reassurance, and the smile on his face was more calm and confident.


    It was the first time that so many patients lined up to see him for treatment.


    At this moment, he looks like a lucky guy who suddenly became rich overnight.


    The effect of being on TV news is really scary.


    Now that he has a little fame, he also cherishes this hard-won situation. He subconsciously looked up at the opposite corner of the wall, but he didn''t see the TV reporter and cameraman.


    If there is a chance, I have to provide a piece of big news to Mu Jie, and return the favor.


    She really helped Zhou Can a lot.

 Chapter 312： Hairy hand deformities, the poor are not easy

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Everyone, don''t be in a hurry, don''t squeeze, fill out the medical records, and I will call you one by one." Ji You was trying to maintain order.


    She is a very qualified nurse.


    The standard of a good woman is to be able to go to the hall and go to the kitchen.


    An excellent nurse must not only be proficient in the operation of injections and dressings, but also communicate with patients and maintain the order of the on-site clinic.


    "Doctor Zhou, my son''s left hand has been injured, please help."


    The young mother holds the child distressedly and takes the first place.


    Look at this little boy, who is only two or three years old at most, with teary eyes and wet tears on his face. It seems that I have just cried not long ago.


    After a physical examination, Zhou Can found that a mild hematoma had occurred on the boy''s left wrist.


    Moreover, his left hand seemed to have no strength at all, and he dared not even move it.


    "How did this happen?"


    "During breakfast in the morning, he rolled a hard-boiled egg on the dining table for fun. As a result, he accidentally fell off the chair while chasing the egg."


    The ones who are prone to falls seem to be little boys, because boys are more naughty than girls.


    Courage is also greater.


    The probability of getting into trouble is naturally much higher.


    "You didn''t hit your head, did you?"


    "Probably not! I was eating with my head down, and when I heard the noise, he had already fallen to the ground."


    After Zhou Can asked the parents, he still didn''t dare to be careless.


    Injury to the hand is only a trivial matter. Children''s bones are very flexible, and generally dislocations, joint displacements and the like are the most common. Fractures rarely occur.


    Head injuries are the most dangerous.


    Many children''s skulls need to be one or two years old to close, which is what we often call the brine door.


    There is a gap in the head of a newborn baby, which is called a lomen. This is caused by the incomplete growth of the brain and skull. It can usually be divided into an anterior and a posterior halo. Generally, the anterior halo is located on the top of the head and is in the shape of a rhombus.


    The posterior brine door is close to the occipital and is triangular in shape.


    The surface of the newborn''s blotch is only the scalp, and the inside contains meninges, cerebrospinal fluid and brain. If you gently place your hand on the blotch, you can clearly feel the beating sensation.


    If the child is over two years old and the halogen door is still not closed, it is likely that the child has a physical problem. For example, calcium deficiency, or developmental delay, etc., at this time, you must take your child to the hospital to see a doctor.


    Zhou Can was still worried that the child''s head would be injured, because he was afraid of intracranial hemorrhage.


    The little boy was carefully checked, and there were no obvious bruises or hematomas on the head. When touched, the little boy did not show any pain, so it is estimated that there is nothing serious.


    "I''ll apply for an X-ray examination first, and you take him to take a picture. Be careful not to touch the injured part of his wrist as much as possible. Because no one knows whether the bones inside are broken or not."


    Zhou Can told her again, and the woman took the list and took the child for an examination.


    The second one turned out to be another child.


    A little older than the previous little boy, it was a five-year-old boy.


    "Doctor Zhou, we saw on TV that you are very good at treating children''s hand diseases. Please see if my doll''s hands can be cured?"


    The family member is a young man who is not more than two years older than Zhou Can, and it is estimated that he is at most twenty-six or seven years old.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Unexpectedly, the children of the family can already make soy sauce.


    Zhou Can somewhat understood the feelings of his parents who kept urging him to get married. When the parents watched people who were about Zhou Can''s age get married and have children one by one, they were naturally anxious.


    "Yo, is this hand born?"


    Zhou Can found that the little boy was a little embarrassed and did not dare to stretch out his hand.


    The father who was still a little boy grabbed his hand and put it on the examination table. It can be clearly seen that the fingers of the child''s hands cannot be straightened, and they are hooked like chicken feet.


    [In other words, currently the best app for reading and listening to books, Yeguo Reading, install the latest version of .yeguoyuedu. ¡¿


    The thumb can be extended, but not fully abducted.


    The child''s grasping function will definitely be greatly affected.


    "A few days after the child got his hands, I found that his hands were different from ordinary people''s hands. His fingers could not be straightened, and his fingers were slanted. Later, when he grew up, he had more serious problems when holding things with his hands. Because of this I quarreled with his mother many times about it, and finally he left when he was three years old and never came back."


    When the man talked about this incident, he looked very sad and full of regret.


    "Doctor Zhou, if you can cure my son''s hands, I can find a way to bring him back to his mother."


    Under normal circumstances, family members will not easily tell the doctor about these family scandals.


    The man may indeed regret it and think about how to get his wife back.


    It is easier to persuade the child to come back after curing the child''s illness and then going to the child''s mother.


    "The child without a mother is the most pitiful! Regardless of whether the child''s hands can be cured, you should find the child''s mother. The child is innocent, and it is very unfortunate that the hands are born with disabilities. If you can give him a warm and complete It will be of great benefit to the growth of children.¡±


    Zhou Can seldom takes care of patients'' family affairs.


    This time is an exception.


    Because children born with such disabilities are more prone to low self-esteem, more fragile in heart, and need the joint care of mother''s love and father''s love more.


    "You''re right. I was too young to cherish it. I always blamed her for being born with disabled hands. Now that I think about it, I regret it. How can I blame her? I haven''t looked for it in the past two years. She, it''s just that she has been unwilling to forgive me. So, this time, I made up my mind to take the child and heal my hands, only in this way can she change her mind."


    When the man told about the situation of these families, the little boy just lowered his head, looked at the table, and did not speak.


    The child seemed particularly autistic.


    It''s very distressing to watch.


    "Kid, don''t be afraid. After uncle examines you, maybe he can find a way to cure you!"


    Zhou Can comforted the little boy.


    Started to give him a serious physical examination.


    While checking, ask family members for relevant medical history information.


    "Do any members of your family have such deformities of hands and feet?"


    "No! My siblings, parents, grandparents, and I are all normal."


    "Where is the child''s mother''s line?",


    "I asked her at that time, her brothers and sisters, parents, grandparents, are also able-bodied."


    "Are you and your wife consanguineous?"


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "no."


    "Did the child''s mother take any medicines when she was pregnant with this child?"


    "We were very careful at that time. When we caught a cold, we just boiled some **** and brown sugar water by ourselves, and didn''t dare to take medicine."


    Family genetic history, marriage of close relatives, and drug harm caused by taking medicine during pregnancy can basically be ruled out.


    "What kind of work did the child''s mother do at that time? Did she come into contact with radioactive or toxic substances?"


    "She and I work in a food factory, so there should be no contact with these things."


    "Okay, take the child for a blood test and take an X-ray. Then I will look at the bones of the child''s hand. He probably needs surgery to correct it. If the joint has a particularly serious problem, I''m afraid there is no way Surgery. In short, as long as there is a glimmer of hope, I will do my best to help him heal, please rest assured."


    Zhou Can also knows that this family is very special.


    Healing the child''s hands not only opened a window of hope for a child whose life was in darkness, but also saved the family.


    ¡­


    About an hour later, the little boy who broke his wrist came back after taking the photo.


    Zhou Can took a look at the film, and a smile appeared on his face.


    "Your son is very lucky, the wrist is only a skin trauma, and no bones are injured."


    "Really! That''s great!"


    The little boy''s mother was as happy as if she had won five million in the lottery.


    "The child''s recovery ability is very strong. Buy him a bottle of safflower oil and other medicines, rub it at home, and he will be fine in a few days." Zhou Can said to his family.


    "Thank you, thank you! Well, do the hospitals have this kind of medicine? Your doctors are more professional, and the medicines you prescribe will be better. The medicines in big hospitals are more secure."


    The little boy''s mother trusted Zhou Can very much.


    "That''s fine, I''ll prescribe some medicine for him, and you can just pay the fee and go to the pharmacy to get it. You can wipe it several times a day, and watch the child carefully so that he doesn''t get it in his mouth."


    Zhou Can prescribed a bottle of the most commonly used medicine for removing stasis and promoting blood circulation for the child.


    For external use, it is relatively safe.


    The only thing to pay attention to is to prevent children from being greedy and licking with their tongues.


    After the treatment of this child, the child with deformed hands also came back after the examination.


    First looked at the blood test report, very normal.


    Look at the x-ray of the patient''s hand.


    Good guy, I saw that the metacarpophalangeal joints of the patient''s fingers were ulnar deviation, and the metacarpophalangeal joints were flexed. The side X-ray of the left hand looks like a hook, and the side of the right hand looks even more terrifying, a proper bird''s claw.


    With both hands in the right position, the shape of the patient''s hand bones is also scary.


    After Zhou Can finished watching the X-rays, he re-examined the shape of the patient''s hands.


    I saw that the skin on the palm side of the patient was short and tight. If surgical correction is done, it may be necessary to stretch the skin. The thumb is adducted, unable to abduct, and the tiger''s mouth is narrow.


    Try to break it with a little force, and you may maintain this adducted posture for a long time. The extensibility of the tiger''s mouth skin is extremely poor.


    And the thumb joint is very stiff.


    The patient''s thenar is affected and visibly stunted, giving it the appearance of a severely malnourished lean fish.


    The name of a disease related to congenital deformities of the hands could not help appearing in his mind.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Congenital hand deformity.


    It means that the wind is blowing that way, and the hand is tilted to that side. The disease was first officially discovered and named in France in 1897. The French have always been romantic, even when naming diseases.


    According to the records of medical journals that Zhou Can has read, congenital hand deformity has three notable features.


    That is, the ulnar deviation of the metacarpophalangeal joints of the palm, the flexion of the metacarpophalangeal joints, and the adduction of the thumb accompanied by contraction of the tiger''s mouth.


    Ulnar deviation and flexion of the fingers at the metacarpophalangeal joints are most obvious in appearance, but in fact, thumb adduction and twitching have the greatest impact on hand function.


    As far as Zhou Can knows, in addition to the typical triad, the disease also has the characteristics of congenital vertical talus and short stature.


    After careful study of the patient''s X-rays, Zhou Can worked hard to find the cause of the disease and possible surgical options.


    Abnormalities of the Dupuytren''s fascia, metacarpal ligament, and interdigital web ligament are all causes of hand deformities.


    At the same time, the ulnar deviation of the fingers at the metacarpophalangeal joints, as well as the muscle strength imbalance between the normal flexor tendons and abnormal extensor tendons, will also exacerbate the loss of flexion and extension of the fingers.


    Even the patient''s left hand has already flexed the wrist joint, which will definitely affect and limit the movement of the shoulder and elbow joints.


    Surgical correction is very difficult for patients.


    After all, Zhou Can had only been trained in orthopedic surgery for three months, and spent the last month in the manipulation reduction room. It is not easy to preside over the operation of this patient alone.


    "Doctor Zhou, can my son''s hand still be cured?"


    The child''s father looked at Zhou Can expectantly.


    For Zhou Can, it is just a case in his career, but for patients and their families, it affects his whole life.


    "I can''t guarantee that it will be cured, but after seeing the film, I think I can try multiple surgical corrections, and I should be able to achieve a satisfactory therapeutic effect."


    Zhou Can thought for a while before answering the family''s question.


    With such a serious hand deformity, it is impossible to correct it in one operation.


    Even with multiple operations, we can only try our best, and no doctor dares to say that it will be cured.


    "How much will the treatment cost?"


    When the family members heard Zhou Can say that it can be cured, they immediately showed a gleam of joy.


    However, for the poor, there is also the issue of treatment costs that need to be considered.


    In the corridors of the intensive care department of the hospital and outside the wards, family members of different ages squatted on the ground with their heads in their arms and cried every day. Because of the high cost of treatment, they are like a mountain, overwhelming them.


    On the one hand, there is the constant family affection, and on the other hand, the unaffordable medical expenses. This is the cruelest world for adults.


    "The specific cost depends on the actual treatment, but according to your son''s condition, it is conservatively estimated that the treatment cost will be 70,000 to 90,000." Zhou Can can only give a rough estimate.


    Surgical treatment will have very large cost fluctuations according to the actual treatment situation, as well as each person''s physique, whether there is infection, whether the operation is successful, etc.


    The treatment price for a single hand deformity is about 30,000 to 45,000.


    If the effect of correcting hand bones or skin grafting is not satisfactory, the cost of surgery will increase. Infection, or bone collapse, avascular necrosis and other extreme cases during osteotomy orthopedic surgery, the cost will increase exponentially.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "It''s so much!" The expressions on the faces of the family members became a little nonchalant.


    "Because the operation is not completed all at once, it will be divided into multiple stages. The time span will be relatively long. If you can raise about 70,000 yuan, I think you can start applying for the operation. This kind of congenital hand deformity correction , Theoretically speaking, the sooner the treatment is more beneficial, the cost will be lower, and postoperative rehabilitation and hand function training can achieve satisfactory results.¡±


    Zhou Can''s idea is quite simple, if the family members can raise 70,000 yuan to operate on the little boy, then they really can''t afford the money, UU Reading www.uukanshu. It is no problem for him to donate around 20,000 yuan.


    It mainly depends on the attitude of the family.


    If the family members are not willing to work hard, Zhou Can will naturally not be the savior.


    His code of conduct is to only help those who can be helped.


    Blindly lying flat, passive-willed, and only thinking of relying on others to save him, that kind of person would even give the government a headache.


    The family member thought about it for a minute or two, during which time he even took out a rather old mobile phone as a calculator, calculating how much money he could scrape together.


    Zhou Can could see clearly that the first thing the man entered was, this should be his deposit.


    Then keep inputting numbers one by one to add in.


    "70,000 yuan is no problem, I calculated it, and I can get it all together. But if it is not enough at that time, I want to ask the hospital to let me owe it first, and I can save 30,000 to 40,000 yuan by working part-time for a year to get rid of food and expenses. At that time, I can try to repay it together with the interest."


    The man said sincerely to Zhou Can.


    "I will report your situation to the hospital, and try to reduce the expenses that can be reduced. In addition, it is only the preliminary treatment plan and estimated cost that I told you. The specific operation plan needs to be discussed with the orthopedic surgeon. Make it first. Do you live in this city?"


    Zhou Can asked.


    "Yes, I work in a food factory, so I live in the dormitory with my son."


    The man answered this way, most likely he did not have housing in the city.


    "Wait a minute, I''ll ask Director Zhang."


    Zhou Can stood up and walked to Director Zhang Bihua, and briefly explained the patient''s condition in a low voice.


    "Director Zhang, do you think that the child''s corrective surgery can be recommended to Tuya Hospital?" Zhou Can mainly asked about this matter.

 Chapter 314： Each others hearts, the family members who jumped in line

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 Chapter 315： Unaccustomed to win the house

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "My husband often visits your hospitals for work checks!" Seeing that Zhou Can didn''t seem to buy it, the woman was suddenly added next to her.


    People with a bit of power tend to have this tune.


    Maybe he has restrained himself, but his family and employees are hard to say.


    So many patients and family members are queuing up, and countless pairs of eyes are watching.


    Zhou Can has encountered a non-medical problem since his consultation. If you refuse, you will definitely offend people.


    Many seniors have taught him that no matter how good a doctor''s medical skills are, he must always tell himself that he is just an ordinary doctor. Never offend those who cannot afford to offend.


    Some talented and gifted medical students offended their leaders because of unreasonable accidents, and were eventually put on little shoes. It is not uncommon to see mediocre life.


    His parents also taught him that he can be upright and full of justice in his heart, and he must not be dead-headed.


    If Zhou Can accepts the queue jumping from Ju Yang''s family, it will be tantamount to self-destructing the rules. In full view, the order of queuing will be trampled on.


    Really big people often pay attention to their image.


    It''s really rare to jump in line so grandiosely.


    After all, self-media is now highly developed, and it is easy to be videotaped and photographed by others, and posted on the Internet, so as to spread widely. In the end, it will cause public opinion to ferment, and small things will become major events with bad influence.


    Get out of class easily.


    If it is serious, he will be suspended and investigated.


    "May I ask who you are as a child?"


    Zhou Can looked at the aggressive middle-aged man. Listening to this person''s words, I knew that he and the middle-aged woman were definitely not husband and wife.


    But he took the child to see a doctor again, working harder than his biological father.


    "I''m Bureau Yang''s driver!"


    The man replied vigorously.


    This is really ''the dog''s power'', even if it''s just a sweeper, in a better unit, he always speaks with a rough voice when talking to others. A superior face.


    After making trouble for a long time, he was just a driver, and those who didn''t know the situation thought he was Bureau Yang''s deputy.


    At least it has to be a secretary or something.


    Zhou Can quickly calculated in his mind that to have a full-time driver, the power must be high.


    I heard from this woman just now that her husband often comes here for checkups.


    The status of the hospital is actually quite low. Basically, as long as the unit is nearby, they can come to check.


    The National Health and Medical Commission, the Medical Insurance Bureau, the Centers for Disease Control and Prevention, the Food and Drug Administration... even the fire department and the environmental protection department can come to check.


    "First of all, I have to tell you clearly that jumping in line is definitely wrong. It is very easy to set a bad example for children. A sprained ankle is not a serious trauma. If you are in a hurry to see a doctor, you can call an orthopedic surgeon. Because of your trust and support for me, if you want to see a doctor here, I''m afraid you have to go to the back to queue up."


    Zhou Can persuaded the two of them in a tactful tone.


    Do not offend the other party as much as possible, civilized persuasion is the most ideal ending.


    "Don''t tell us these big truths. The child is in such pain now. What''s the matter with you first? Don''t your doctors be anxious for the patient? I saw on TV that you reconnected the child''s broken arm in less than a minute. Go up. If you have such a long time, help us see the disease. Hurry up! Otherwise, we will waste more time."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The driver gives full play to his eagle-dog image.


    The tone was stronger than before.


    And with the taste of scolding his subordinates.


    After Zhou Can heard this, the anger in his heart rose up slowly. A small driver, showing off his power and domineering in front of him, is really a great official authority.


    With Zhou Can''s strength, let alone a small driver, even if the one behind him comes, he may not be afraid.


    "I''m very sorry, many things can indeed be accommodated and accommodated, but I can''t accommodate you for this kind of principled issue. Otherwise, it would be unfair to the patients who waited in line for a long time. Your children are in unbearable pain. Among the patients waiting in line, which one is not suffering from pain?"


    As soon as Zhou Can''s words fell, the patients in the queue felt that the words had reached their hearts.


    Moreover, Zhou Can is not afraid of power, stands on the side of their vulnerable groups, and speaks out for them, which makes them admire and move.


    I don''t know who took the lead, and there was warm applause at the scene.


    "You don''t know how to flatter, do you?" The driver''s face turned green, and he pointed at Zhou Can angrily.


    "Xiao Xu, let''s go, let''s find another doctor to treat the child! This arrogant man surnamed Zhou, who can''t be a man, will have his good fruit to eat." The woman tugged on the driver''s clothes, half-covered her face, ashamed Slippery away.


    It is estimated that there are too many people watching, and the influence will be bad.


    Zhou Can naturally wouldn''t take this kind of episode to heart.


    Continue to see other patients.


    "Doctor Zhou, my daughter accidentally sprained her waist, can you please take a look?"


    The slightly gray man at the temples looked at his daughter distressedly.


    This is a twelve or thirteen-year-old girl, her body has begun to develop, her purse is just out, she is in the Mood for Love like a flower bone.


    She sat there with a pained face.


    The upper body is also slanted at an unnatural angle.


    "Which side hurts?"


    "this¡­"


    The little girl pointed at her right waist in pain.


    Zhou Can gently pressed her waist and performed a preliminary physical examination and palpation.


    "Ouch... it hurts, it hurts..."


    She cried out in pain immediately.


    At the same time, because the waist was touched by a stranger, it was a little itchy, so he dodged subconsciously. It exacerbated the pain in the waist injury.


    "Go and take a film first. According to experience, as long as there is no fracture, it should be possible to reset it manually."


    Zhou Can applied for an inspection for her, and the child''s father took her there for the inspection.


    Nearly an hour later, the girl came back from the inspection.


    Zhou Can carefully studied the film and found that the patient''s injury was only caused by a slight displacement of the lumbar spine and the spinous process was skewed, which caused the patient to feel severe pain in the waist.


    The lumbar spine is composed of lumbar intervertebral discs.


    It has certain mobility.


    It can be bent to a certain extent and twisted to a certain extent. If you exercise too vigorously, or use too much force, or you are too old, misalignment is prone to occur.


    [Recommended, Yeguo Reading and Chasing Books is really easy to use, download www here, everyone can try it soon. ¡¿


    In many cases, conservative treatment and bed rest can be used.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    When encountering a better orthopedic surgeon, if conditions permit, manual reduction can also be performed.


    After Zhou Can finished researching the girl''s injury, he already had a bottom line in his mind.


    "Ji You, push a flat bed over here, it''s better to be firmer."


    Soon, a flat bed rolled over.


    Zhou Can locked the wheel, and then said to the patient, "Come on, lie down."


    With the support of Ji You and Zhou Can, the girl lay sideways on the flat bed.


    "Let me explain in advance that her lumbar spine dislocation is serious, and I can''t guarantee the success of the manual reduction. But I am willing to try my best, because she is so young, and surgery is not only extremely risky, but also expensive."


    Zhou Can really cares about patients.


    "Doctor Zhou, you can do whatever you want. We must believe in your medical skills, so we came to see you." The girl''s father gave him a high degree of trust, which also gave Zhou Can the confidence to try it.


    In addition to the on-site publicity of performing the bone-setting reset technique for the girl in public, it is also considered that the venue here is spacious and convenient to perform.


    For four weeks, many family members, patients, and even medical staff were watching this extraordinary treatment.


    Zhou Can let the girl lie down first, and then began to press her hip joint with one hand and her waist with the other. Slowly lock the joints that need to be reset.


    "Relax, relax!"


    When he waited for the girl to relax, he suddenly pressed down hard.


    "Click!"


    A relatively dull sound of bone groan came out, and the girl let out a scream, which made everyone present tense.


    Zhou Can, on the other hand, had a relaxed and happy smile on his face.


    [Osteopathic experience +1. It is the first time for you to complete the difficult lumbar disc bone setting reduction, and the bone setting experience value +100 will be rewarded.]


    [Congratulations on your successful promotion to the fourth level of bone setting, the current experience value is 1/10000, and the attending physician is at the lower level. ¡¿


    What a double blessing.


    Not to mention the first time he received such a high bone setting experience value reward, this medical skill was even promoted to the fourth level in one fell swoop.


    This is the real indication level.


    It is really not easy to be promoted to the fourth level of osteopathy. Many orthopedic surgeons may die at the level of residents in their lifetime.


    This is really no exaggeration.


    There are not many patients with bone setting, and they are basically joint displacement and dislocation. For an ordinary orthopedic surgeon, it is considered very good to be able to reset 20 patients a year.


    To reach the fourth level, at least more than 1,100 bone setting patients are required.


    One can imagine how difficult it is.


    Zhou Can is an exception. In addition to the bonuses and rewards of the experience point system, he also has the opportunity to practice medicine alone because of his special status. Coupled with news reports, family members and patients trust him, so he has more opportunities to exercise.


    In addition, during the regular training of orthopedic surgery, because of his excellent performance, he was appreciated by the superior doctors and gained a lot of opportunities to exercise. Physician Fu Zhi''an taught him almost hand in hand and taught him everything, coupled with Zhou Can''s strong learning ability, he was able to quickly learn and practice bone setting.


    Zhou Can''s success is not replicable.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    It would be impossible for any doctor to advance to the fourth level of bone setting so quickly.


    After being promoted, he found that he had a new and deeper understanding of the structure and connection of bone joints and bones. For example, the connection and structure between the upper articular process, lamina, spinous process, pedicle, vertebral body, and intervertebral disc of the lumbar spine, as well as the specific coordination of these parts during the movement of the human waist, all became in his mind. clear.


    This can help him diagnose lumbar cases more quickly and accurately in the future.


    Needless to say, the bone-setting method is used for reduction.


    He now has the ability to challenge some difficult joint resets.


    For example, the wrist and ankle joints are recognized as very complicated.


    When joint displacement occurs in these two parts, in many cases, doctors can only choose to perform surgery because of their limited skills. And there is no way to reset it.


    Zhou Can''s bone setting has been promoted to the fourth level, and he is now confident in completing this complicated joint reset operation.


    "Girl, come on, stand up and try!"


    Zhou Can smiled confidently and said to the little girl who was still lying down.


    The girl''s father watched nervously.


    To be honest, Zhou Can used the reset technique just now, and suddenly used the weight of his whole body to press down on her waist, almost scaring the souls of the family members.


    This is the lumbar spine of the human body, if it is broken or injured, the consequences will be unimaginable.


    In particular, there was a muffled clicking sound, which sounded like a bone being crushed.


    "I... can sit up by myself now?" The little girl was only over twelve years old after all, and she was too frightened just now, and still hasn''t recovered.


    She desperately wants the doctor or her father to lift her out of bed now.


    "You can do it, be brave!" Zhou Can looked at her with encouraging eyes.


    Feeling the encouraging eyes of the doctor, the girl felt a little more confident in her heart. Gritting her teeth, she tried to get up slowly.


    Under the expectant eyes of everyone, she actually sat up by herself.


    Then get out of bed and try to walk on the ground.


    "Okay, it''s really good! The upper body is no longer crooked, and I no longer need help when walking."


    The girl''s father shouted happily, but he didn''t know when his eyes were red.


    For a father, he is the saddest person when he sees his daughter''s lumbar spine injury seriously. He is more anxious than anyone else.


    Now seeing that Zhou Can is more powerful than the news propaganda, just pressing and pushing like this, her daughter''s injured lumbar spine was healed. His hands were shaking slightly with excitement.


    "A miracle doctor! What a miracle doctor! This trip is the right one!"


    The girl''s father muttered to himself, his face flushed red from being too happy.


    "I''ll give you two boxes of calcium tablets to strengthen your bones." After Zhou Can finished speaking, he turned to look at the girl''s father. "It''s time to grow your body. Normally, you should pay more attention to your child''s nutritional balance. Give your child more calcium-enriched food. In addition to stewed pork rib soup, milk, goat''s milk, beans, fish and shrimp are all very good. "


    Zhou Can believes that calcium supplementation should be based on food supplements and physical exercise, and calcium tablets are only suitable for some people to take during special periods of time.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    It is not advisable to rely solely on taking calcium tablets to achieve long-term calcium supplementation.


    The onlookers cast admiring glances at Zhou Can one after another. They could be seen as witnessing Dr. Zhou''s bone-setting skills.


    Some people took small videos on the spot, which will probably be posted online.


    At that time, Zhou Can''s influence will be further expanded.


    But Zhou Can didn''t know that the official''s wife who wanted to jump in line because her husband was an official, happened to take her child to the blood draw window to line up for blood draw, and she saw the whole process of Zhou Can''s healing of the little girl''s lumbar spine dislocation. inside.


    She couldn''t help but recognize Zhou Can''s medical skills in her heart.


    "No wonder it''s on the news, it really has real skills."


    She thought again that her son had just sprained his ankle, and after the pediatric orthopedic surgeon warmly received them, he ordered a number of examinations.


    I don''t think there is anything more than that.


    Compared with this, she felt that Zhou Can''s medical skills were superior.


    The girl only had one X-ray examination in the whole process, and now she has been cured and left. And her son is still waiting in line here to have blood drawn for a biochemical test.


    "Xiao Xu, you said that my son sprained his ankle. Why did he have blood tests, CT scans, X-rays, and various examinations. No matter how you look at it, it seems like an over-examination, which is a waste of time."


    She complained to the driver.


    "At least the doctor who received us was very enthusiastic and had a very good attitude~ www.novelhall.com~ The doctor may have his own purpose for doing these checks! I think he knows that our identities are special, so he won''t randomly prescribe check items. I It can be seen that this doctor is very respectful to you when he sees you."


    The driver Xiao Xu tried his best to smooth things over.


    In fact, Xiao Xu also saw Zhou Can''s whole process of treating that patient just now.


    It''s just that he had a falling out with Zhou Can in public, and Zhou Can didn''t buy into him, and now there is no way for him to say good things about Zhou Can.


    "We brought Xiaobao to see a doctor, and we didn''t want to be complimented. I don''t think it''s going to work, so I''d better go back and see that doctor Zhou. He is an expert in Tuya Hospital, and he really has nothing to say about his medical skills."


    After weighing it over, Mrs. Guan somewhat regretted her impulsiveness.


    At that time, we shouldn''t have blatantly jumped the queue and made things so rigid.


    The safer way is for her to line up behind with her child, and then let the driver Xiao Xu go to the front for an interview to get in touch with Dr. Zhou, the effect may be better.


    She is used to privileges, and there are indeed very few people who don''t buy it, which is why she has developed a bad habit.


    No matter what you do, you must take priority and enjoy privileges.


    So much so that she didn''t think there was anything wrong with jumping in line to see a doctor in a domineering way.


    Even if she backed down later, it was because she didn''t want to be exposed in full view.


    "I think it''s just a minor ailment of a sprained ankle. Any doctor should be the same! Xinxiang Maternity and Children''s Hospital is a third-class hospital anyway, so it''s not bad. There''s no need for us to go back and suffer from the idleness of that surnamed Zhou."


    The driver Xiao Xu has his own opinion.


    He has to be tough to the end, face is more important than anything else.


    (/novel/)

 Chapter 316： Be honest this time, super difficult method reset

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 Chapter 317： The "discussion" of the surgical plan, Director Yous enthusiastic help

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 Chapter 318： Road paved for surgical correction, saves drowning

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 Chapter 319： The game among high-level executives, unconventional promotion

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 Chapter 320： Biggest Winner, Pediatric Invitation

    Doctors are a very special industry. Whether it is the evaluation of ranks or the promotion of positions, they all pay great attention to qualifications and working years. Why does a chief physician in his forties feel very young in the industry? It is because this profession must endure. Many young doctors present looked at Zhou Can with envy. All fools knew that Zhou Can had taken a big step forward through this expert appointment. Different from the hidden promotion of his status in a certain department in the past, this time at the public meeting, he was personally named and promoted by the dean. This kind of status promotion belongs to the status promotion in the hospital. It''s like a yamen servant in ancient times, because he was very good at judging eucalyptus, he was a big celebrity around the county magistrate. As long as there is a new eucalyptus in the area under management, he must be asked to help. This yamen servant relied on this relationship, and no one dared to provoke him among the other yamen servants in the county government, and they all scrambled to curry favor with him. But as soon as he walked out of the county government office, he immediately became an ordinary government servant again. Because others don''t know that he is a big celebrity around the county magistrate! Only the officials in the county government know. It is even possible that only a small group of well-informed officials knew about his relationship with the county magistrate. Later, this yamen servant made many meritorious deeds, and the county magistrate thought he was loyal and meritorious, so he reported the yamen servant''s credit to the superior government office once when he reported his work. After hearing this, the superior magistrate decided to reward this person. Officials were sent to beat gongs and drums, carry the plaque given, and bring the award documents, and spread the award documents and plaques to the person''s home along the way. It would be very awesome to publicize it in public and rise to the official level to show off. Everyone knew that this yamen servant was great, and his official status was no longer that of an ordinary yamen servant. It''s a high-ranking yamen servant who has been commended by the magistrate. In the future, when other yamen servants see him, they will immediately become shorter. Even the headhunters at the higher level and Liufang Book Office will greet him politely when they finally meet him. Now that Zhou Can has been praised and promoted by Dean Zhu in public, no one dares to treat him as a regular doctor. "Have you passed Xiao Zhou''s medical license exam?" Dean Zhu didn''t just open his mouth to promote him. Rather, it must be well-founded and comply with relevant procedures. "It''s over." Zhou Can replied honestly. "Well, it''s not a doctor but a doctor who has a license to work! Your residency training should be over for more than a year, right?" Dean Zhu nodded happily, with kind eyes. "That''s right! I didn''t expect you to take care of everything and still remember the regular training time of me, an unknown person!" Zhou Can showed a flattered and moved expression just right. Life is like a play, and whether you get along well or not depends entirely on your acting skills. Now is the critical moment for him to be promoted to a noble, and he has to be careful. Some young whites in the workplace, because their self-esteem is too strong, feel that showing a smile and saying a few nice words to the leader is like insulting his personality. In fact, this is very undesirable. Leaders are also human beings with emotions and desires. Some necessary pleasant communication is very necessary. It would be even better if a little friendship could be established, or a good impression could be left in the mind of the leader. Only in this way, when there is something good, the leader will think of you. "Haha, do you think that the dean must be high above the top and won''t pay attention to the medical staff at the bottom? For an excellent new doctor like you, I and other hospital leaders pay special attention to it. The life and work of ordinary medical staff are of great concern to us. I will also pay attention, but it is impossible to remember everyone. I pay more attention to them." Dean Zhu is obviously satisfied with Zhou Can''s reaction. He laughed happily twice. Zhou Can noticed that even if Dean Zhu just explained such a small matter, he was very sincere. It''s not imaginative rhetoric, let alone bureaucratic. This gave Zhou Can a little more respect and affection for him. "Xiao Zhou! The hospital is going to give you some commendations and rewards this time. In terms of promotion, we are planning to open a personal outpatient account for you. You can sit in the outpatient clinic like a senior resident doctor or above. Since you are still a resident stage, in order not to affect the effect of your residency training, and to give you the greatest freedom, you can freely choose the consultation department and consultation time." This is very awesome. The competition in Tuya Hospital is extremely fierce. I don''t know how many postgraduates with master''s degrees want to open a clinic number after the regular training is over, but they can''t get it. Still waiting in line. For a clinician, not being able to enter the operating room is at best a slight impact on his development. For example, for the same two surgeons, if the other conditions are equal, the doctor who performed the surgery has a higher weight and status. Even if a certain doctor does not perform surgery for the rest of his life, he will still be rated highly. Being a director will have some impact on his future, but it will not be too great. But if a doctor can''t open the outpatient number, it will be sad. Basically, until retirement, if you are exhausted, it is the indication. And it is the kind of indication with a very low status. Doing logistics, or doing odd jobs, if you are lucky, you may be transferred to teaching and scientific research. However, even if they engage in teaching and scientific research, they are still at the bottom of the list. It''s not alarmist talk. As long as you look at the doctors around you who are still in their 40s and 50s and clock in to work in the department on time, many of them are in this category. It''s not that they don''t want to make progress, but that the competition is too fierce. Can''t get in line. In the end, I will resign to my fate, and I am getting older, so I can settle down until I retire. This is the best ending. This kind of person also has an advantage, as long as you are careful, it is generally not easy to get into an accident. When it comes to going to the outpatient clinic, I believe that many doctors have heard a saying that going to college is to teach you how to turn books. Before the Physician Law was promulgated, any medical student would dare to go to the outpatient clinic for a few days of work. Especially in some small and medium-sized hospitals, the requirements are very loose. I have just been working for a few days, and it is common to encounter diseases that I don¡¯t know how to deal with in the process of seeing patients. How to do it? This does not bother the doctors. Put a few clinical medical books in the next room or in the inner room. If you encounter a disease that you don¡¯t know how to deal with, ask the patient to wait outside for a while, and the doctor will go inside and look through the books temporarily. After finding out, I will use what I have learned, and then I will go back to the front outpatient room to deal with the patients according to the procedure. Up to now, resident doctors need at least three years of work experience to open an outpatient account. That is to say, senior resident physicians are the only ones who are eligible for this application. Note that it is only enough to apply for eligibility. In order to ensure the quality of outpatient clinics in a large hospital like Tuya, many excellent attending physicians did not open outpatient clinics. [To be honest, I have recently followed up, changed sources, and have many voices for reading aloud, .yeguoyuedu Android and Apple are both available. ] Not to mention the residents. It is estimated that the threshold will be further raised in the future, and at least the associate chief physician or above will be allowed to open the clinic number. Zhou Can has only been in regular training for less than two years now, and with a wave of his hand, the dean Zhu directly opened the outpatient number for him, giving him the qualification to sit in the clinic. The strength of this extraordinary promotion is really not ordinary. It is extremely beneficial to his own development. With the qualification of outpatient consultation, it means that you can go from behind the scenes to the front desk, and you can start to accumulate popularity and fame. These two things are invisible and intangible, but they are more attractive than salary increases. "Doctor Zhou, I have an unfeeling request. You are reporting on the news this time to treat a child with a bone-resetting manipulation for a dislocated arm. Judging from your consultation situation in the last few days at Xinxiang Maternal and Children''s Hospital, the patient is also Mainly children patients. Do you think it is possible to sit in our pediatrics department?" Tang Fei, the director of the pediatrics department, sent out an invitation in a timely manner. The cooperation between the directors of these departments and the leaders of the hospital is very tacit. "Xiao Zhou, I think it''s a good choice to go to the pediatric department for a period of time to get used to it. Anyway, your regular training is still in our internal medicine department. Take a day or so every week to go to the pediatric department for consultation, which can help you grow better. and progress." Director Tan also has a good relationship with him and is very optimistic about him, so he will give him some hints at this moment. Training is based on learning. Zhou Can''s current diagnostic skills have reached level five, which is equivalent to the level of a deputy chief physician. Can also be competent in internal medicine. However, the regular training stage needs to be rotated in multiple departments. It is not good for the accumulation of popularity to sit in this department for a month or two, and then go to the next department for consultation. Zhou Can became an instant hit this time, and he is also famous in the field of pediatrics. Therefore, it is most advantageous for him to go to the pediatric department for consultation. Otherwise, the internal medicine consultation is likely to encounter cold again. And it will cause the popularity of pediatrics to slowly fade away. "Thank you, Director Tan, for your suggestion, and thank you, Director Tang, for your trust. I am willing to be a pediatrician." Zhou Can also has his own considerations. He readily accepted Director Tang Fei''s invitation on the spot. "Okay! This matter is settled like this. Xiao Zhou and others will submit the information to the outpatient clinic, and there will be a special person to connect with them. I will open the outpatient number for you tonight. You can go to the clinic tomorrow." Dean Zhu personally arranged this matter. It will fall to the ground at an astonishing speed. For other doctors to apply for a clinic number, it will take several months just to review the information. For him, this matter can be regarded as a special matter. Dean Zhu is so eager to open an outpatient account for him, naturally he hopes to strike while the iron is hot, so as to retain his popularity in the pediatrics department. "Little Du!" Dean Zhu finished arranging Zhou Can''s affairs, and turned his gaze to Du Leng. "I''m here, I''m here!" Du Leng stood up quickly, with a very respectful expression. If he didn''t have this bit of EQ, his doctorate would be in vain. He was facing the most powerful person in Tuya Hospital. I can''t be more respectful. "As far as I know, your performance in Xinxiang Maternity and Children''s Hospital this time is not satisfactory, and it is not satisfactory. You have a dazzling degree from a prestigious overseas school, which is a good thing and your advantage. Clinical studies. When I was young, I also had a youthful and frivolous time. At that time, I always thought that I had learned a little knowledge and stepped on the whole world." "Later I realized that it was not I who stomped the world under my feet." , but when my eyes are high and my hands are low, I can¡¯t do this, and I can¡¯t do that. I am sadly trampled under the feet of the world. I am very grateful to my teacher, who woke me up by scolding me. This is how I am. Today." Dean Zhu did not hesitate to expose embarrassing things in his youth to remind Du Leng, which shows that he has very high expectations for Du Leng. Such special talents are very precious to the current Tuya Hospital. He also gave Du Leng the greatest tolerance. And leave plenty of time and space for growth. "Thank you for your teachings. I will learn the lessons seriously, learn basic clinical practice knowledge down-to-earth, and strive to live up to the high expectations of you, Director Xie, and all the leaders." Du Leng expressed his sincere attitude. "It''s very good that you realize your own shortcomings. Come on!" After Dean Zhu finished speaking, he raised his hand and pressed down on him. "Sit down!" He looked at Gao Jian, Yang Chan, Chen Jiaojiao and others. "Although there are some deficiencies in your performance this time, you can''t hide your flaws. Generally speaking, it is still very good. You all work hard and strive to become the pillars of Tuya Hospital as soon as possible. Xiao Gao, and Xiao Chen, the two of you The training period will be almost two years?" Dean Zhu looked at Gao Jian and Chen Jiaojiao. "Thank you for your concern, our residency period will be up soon!" Both of them have a master''s degree. The training period is one year shorter than that of Zhou Can, an undergraduate student. In fact, it is very popular now to study undergraduate, master, and doctoral programs in an eight-year system. After he came out, he was exempted from regular training, and he was directly promoted to attending after working for one year. Everyone has their own good fortune, education is not everything. Gao Jian and Chen Jiaojiao are both high-achieving students of Imperial Medical University, and their performance in all aspects is very good, so they are quite concerned by their superiors. "One Department of Internal Medicine and one Department of Pediatrics are both very good departments. Work hard. Tuya has implemented the talent reform this time, and you guys have caught up. As long as you work hard, I believe you will be able to achieve rapid advancement in life and make a great show." Great plans." After listening to Dean Zhu''s encouragement, both of them beamed with joy. Strength is very important, and opportunities are also very important. They really caught up this time. "Okay, everyone is exhausted, so I won''t waste your time. I will give you 27 people a half-day vacation. You can go home to see your family and have a rest. Then go back to work in the hospital." Doctors and nurses are very busy, Half-day vacation is also very tempting. Many young people cheered. After the leaders withdrew, everyone went home with their luggage. Zhou Can became the biggest winner. "Doctor Zhou, is it convenient to come to the pediatrics department tomorrow?" Director Tang Fei asked him. "I''ll ask Director Shang of the Department of Gastroenterology for instructions. If he agrees, I''ll send you a confirmation letter. Do you think it''s okay?" Zhou Can is still a regular student in the Department of Gastroenterology. Dare to drift too far to find the north. Those who should ask for instructions must ask for instructions. This is respect for leadership. "Ask Director Shang for instructions. This is the right thing to do. UU Kanshu , please write down my phone number and write back to me when the time comes. I can also arrange outpatient rooms here." Unlike small hospitals, large hospitals Hospital clinics are scarce resources. Only one doctor can sit in a clinic. There are only so many outpatient rooms, and they must be scheduled in advance like operating rooms. Otherwise, it is easy for doctors to ''fight''. Zhou Can saved her phone number and returned to the dormitory with a salute. Back at the apartment, the first thing I did was to call Director Shang. After asking for instructions, Director Shang first congratulated him, and then readily agreed. After all, Zhou Can has won honor for the Department of Gastroenterology this time, coupled with the promotion of his status, Director Shang will try his best to take care of him and form a good relationship. After obtaining Director Shang''s consent, Zhou Can wrote back to Director Tang Fei. Even if this matter is implemented. Throw the dirty clothes into the washing machine to wash. In order to save people in the morning, the wet clothes that were changed in the morning and the sportswear for running have not been washed. The middle-aged man who was rescued by him didn''t know the identity? Looking at that muscular figure, as well as the scars on his forehead and face, I''m afraid it''s not a kind person. But let him choose again, he will still choose to save people. In the eyes of doctors, even if the heinous person is in danger, he will still help him. This is the reverence for life, and it is also the duty of a doctor. What a bad man, he deserves to be punished by law. Just then, his cell phone rang. "Excuse me, is this Dr. Zhou?" "Yes!" "I''m an information officer at the outpatient clinic. Do you think it''s convenient to get your ID card, medical certificate, qualification certificate, and academic certificate...Come over here to register the outpatient doctor number? "The girl''s voice is very soft and cute. "Okay, I''ll be right over. May I ask who I''m calling when I go there?" "My name is Yan Lele. Just call me when you get here! If you can''t find it, you can call me directly." She was very respectful to Zhou Can.

 Chapter 321： A good start and a good end, some subtle changes

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 Chapter 322： Invite the chief surgeon, the first outpatient visit

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 Chapter 323： The good words of the predecessors, macrodactyly

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    While Zhou Can was chatting with Director Dai, several outpatient doctors rushed over to work.


    In addition to the white-haired old doctors, there are also young doctors in their thirties and forties.


    Both men and women.


    "Morning Director Dai!"


    "I heard that you went to Xinxiang Women''s and Children''s Hospital for consultation for a week. How is it? Isn''t it good?"


    "Director Tang even praised you yesterday! He said it was for the pediatrics department of our Tuya Hospital. Don''t say it, I feel that there seem to be more patients in the emergency department in the past two days. Alas, this is an authentic increase in the number of patients." No price increase! If you do more work, your income may not increase.¡±


    These pediatric doctors usually have a good relationship.


    When we met, chatting was also very casual.


    "This must be Doctor Zhou, right?"


    Finally, someone''s eyes rested on Zhou Can.


    "My name is Zhou Can. I''m new here. Please give me your advice!"


    Zhou Can kept his posture very low, and greeted several outpatient doctors with a smile.


    "Hehe, it looks quite modest! Pediatric outpatient clinics are very dangerous. You have to pay attention to the faces of your family members. If something is wrong, change your words quickly and put peace first!"


    A short-haired female doctor in her thirties reminded him with a smile.


    "Dr. Wuqin''s words are not scaremongering. When Dr. Zhou sees unreasonable family members, he must be careful. Our pediatric doctors and nurses are the most likely to be beaten up by family members. As for being scolded, it is commonplace and we are used to it now." Don¡¯t share common knowledge with family members, lest you get sick from anger.¡±


    Director Dai also echoed from the side.


    She was mainly worried that Zhou Can had just arrived in the pediatrics department and didn''t know how deep he was.


    In addition to being called the mute department, pediatrics is difficult to ask patients for medical history, etiology, symptoms and other information they need. It is also known as the most dangerous department because of the high probability of being beaten and scolded.


    If the risk index of the emergency department is four stars, then the risk index of pediatrics can definitely reach five stars.


    Many doctors and nurses tried to escape because they couldn''t bear the wrangling environment of pediatrics.


    The pediatricians and nurses who can stay are patient, caring, and have high emotional intelligence.


    "You guys are exaggerating! I was a little terrified when I heard it."


    Zhou Can said he was afraid, but how could he be really afraid.


    The family member really hit someone, and he didn''t mind acting in self-defense in front of the other child''s face.


    The social atmosphere these days is getting more and more evil.


    Teachers dare not criticize students, and even get beaten and scolded by students instead. When a doctor sees a doctor, in addition to thinking about how to diagnose and treat the patient''s disease, he must always beware of family members'' old fists and big shoes of size 43 flying over.


    "Young man, doctors shouldn''t be afraid of their family members. You''ve heard that evil does not suppress good, right? As long as we are doctors, as long as we are upright, no matter how unreasonable our family members are, he will be afraid of us. Besides, something unpleasant happened. , I will teach you a few ways to deal with it. First protect yourself, then call the security of the hospital, and finally call the police. I have practiced medicine for so many years, and a family member directly poured water on my face. Later, the family member was detained for three days and told me Apologize."


    The oldest doctor spoke.


    Her age looked at least sixty and upwards. She has not retired at such an age, and other doctors respect her very much, so this old doctor must have a high status.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Thank you for your advice. I will keep all those methods firmly in my heart. Any family member who dares to do something will definitely punish him by law."


    Zhou Can didn''t know what to call this old doctor.


    That''s all I can say.


    "Director Yan is the treasure of our pediatrics department. Her experience is definitely useful. Because no matter how arrogant the family members are in front of Director Yan, they will become silent and lose their vicious power."


    Director Dai vaguely introduced Director Yan''s identity.


    That is to say, Zhou Can doesn''t like to try his luck very much. If it were another doctor, he would probably have already figured out all the chief physicians in the Department of Pediatrics.


    "Director Yan? The top expert who allows all children to breathe freely is you! Sorry, sorry."


    Zhou Can had really heard of the name of Director Yan.


    Although she has the same surname as King Yama, what she does is completely opposite to King Yama.


    Yan Wang only takes human lives, but Director Yan only treats various respiratory diseases of children. Including congenital airway narrowing, pulmonary insufficiency, no nose, acquired bronchial infection, pneumonia and so on.


    As long as it is a respiratory disease, she can cure it.


    Respiratory diseases in young children are the most difficult to treat and have a very high mortality rate.


    She has been cultivating in this most difficult field for many years and has become a top expert, which is enough to prove her extraordinaryness.


    "It''s all a false name, if it''s true, you lose! The time is almost up, let''s go into the outpatient room and prepare for the consultation! Get the consultation early, maybe you can see one or two more patients!"


    [In other words, currently the best app for reading and listening to books, Yeguo Reading, www to install the latest version. ¡¿


    Director Yan''s body is still very strong.


    When walking, the footsteps are like the wind.


    Everyone entered the corresponding outpatient room. Some people bring students with them, while others are alone.


    Even chief physicians like Director Dai do not have assistants.


    Director Yan has two assistants who are more likely to be her students.


    A man and a woman. The man is estimated to be close to forty years old. He is slightly fat and looks ordinary. But looking at the hands of the male doctor, he feels that he should perform operations frequently. People who play the piano, coders, programmers, information entry personnel, and surgeons, these people''s hands are far more flexible than ordinary people.


    Zhou Can himself is a very skilled surgeon, so he can distinguish the same kind at a glance.


    There was already a long queue in the aisle outside the outpatient room, and thick medical records were piled up on the desks of the guides.


    "Everyone, don''t squeeze, you can fill in the basic information of the medical record first, and then hand it over to me. Those who haven''t got a number first go to the number machine to get a number..."


    The job task of the guide nurse is to maintain the order of the patients.


    Avoid fights and accidents.


    To fully guarantee the medical treatment of vulnerable groups. For example, the disabled and seriously ill patients need to be taken care of.


    Help them get the number on the number machine, fill in the medical records, and if someone needs rescue or is in critical condition, notify the outpatient doctor or emergency department in time.


    In addition, if the patient does not know where to get the examination, or the diagnosis information written by the doctor cannot be understood, the guiding nurse is obliged to explain it clearly to the patient.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Basically, all the prescriptions prescribed by doctors and the inspection application items written by them are full of flamboyance.


    Ordinary people may not be able to understand it.


    Zhou Can walked to the No. 17 clinic. The guiding nurse didn''t know him, but when he saw him open the door and entered the No. 17 clinic, he immediately knew who he was. These nurses are very well informed.


    They can find out which doctor''s dog or pet cat has given birth.


    Even the troubles in the hospital could not escape their whispering and whispering.


    Don''t see so many patients queuing up on the road, but after Zhou Can''s clinic opened, it was deserted.


    After more than half an hour, the first patient finally came.


    "Doctor Zhou, can my daughter sprain her right foot during dance practice in the morning, can it be cured?"


    A mother in her thirties walked in with a little girl of six or seven. Little girl in ballerina trousers and skirt.


    Walking is completely dependent on her mother''s support.


    "Please sit down! I''ll check for her first!"


    He was very happy when a patient who was looking for him seriously came to see him.


    Even though it was just a patient with a sprained right foot.


    "Is this your first sprain?"


    Zhou Can began to ask a doctor.


    Children who practice dancing are particularly prone to strains, sprains, etc., and some old injuries recur. This is more difficult to treat.


    "It''s the second time. The last time I sprained my left foot, I was very unlucky." The little girl was very courageous, and she spoke like an adult.


    "Hehe, the road to success must be full of thorns and challenges! It is because of the difficulties that those who can make it through are better than others. Uncle believes that your efforts will definitely be rewarded."


    Zhou Can was amused by this child.


    "Come on, try to raise your toes!"


    "Ugh... it hurts, it hurts, I can''t lift my toes!" she said after trying.


    Through visual inspection, Zhou Can judged that a hematoma should have occurred in her right ankle. Just wearing white body socks, there is no way to check the specific situation.


    "Can the child take off the socks? They will definitely have to take off the socks when the X-ray is taken later." Zhou Can looked at the child''s mother.


    He has always kept in mind the advice of those seniors in pediatrics.


    In order to avoid conflicts between doctors and patients, even if the other party is just a little girl, ask her to take off her socks and still ask for the opinion of the child''s mother first.


    The mother of the child will definitely not beat someone, and it will be very troublesome if she complains.


    "OK!"


    The child''s mother was very cooperative and took the initiative to help her take off her pantyhose.


    "We also watched the TV news and knew that you are very good at treating children''s bone injuries, so we came here to find you. First, we rushed to the Xinxiang Maternity and Children''s Hospital to find you, and found that the expert team had left, so we ran to Tuya The hospital is here."


    Zhou Can was quite moved after hearing the story of the family members.


    Another fan gained through TV news.


    "You guys support me so sincerely and trust me. You must pay more attention to treating the child to be worthy of this trust." Zhou Can responded while observing the little girl''s right foot. "The hematoma isn''t particularly serious, but she can''t even lift her toes up, so she''s afraid of hurting her bones. Let''s take a picture first."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    He issued an application for examination to the patient.


    After the family left with the child, the clinic was quiet again. When the family members left, they thoughtfully closed the door behind him.


    Dongdongdong!


    Not long after, there was a knock on the door.


    "Come in!"


    Zhou Can secretly wondered, the family members brought the child back so soon? To take an X-ray, even if you are lucky and don''t have to wait in line, it will take at least 20 minutes to go back and forth, including picking up the film.


    After the door was pushed open, it was still family members with children who came in.


    This is a woman in the clothes of a sanitation worker, estimated to be in her fifties, with rough hands and dirty, old cheap sneakers on her feet. With a little boy about three years old.


    Zhou Can was a little uncertain, wondering if this woman is the little boy''s mother or grandma?


    These days, there are not a few women who give birth at an advanced age.


    Especially some couples who have lost their only child and second-married couples, when they get older, they are more eager to have a common child.


    "Hello, Doctor Zhou! I brought my grandson to see you after watching the TV news."


    Another patient who came over after watching TV news, the influence of TV news is too great.


    Zhou Can couldn''t help being deeply grateful to the female reporter Mu Tie once again.


    People will meet all kinds of noble people in their life.


    Mu Jie is the noble person in Zhou Can''s life.


    It has been of great help to his career.


    "Please sit down! What''s wrong with him?" Zhou Can didn''t see anything wrong with the child, but the little boy was a little shy and kept his head down. Put your hands in your trouser pockets.


    "Lele, show your hand to Dr. Zhou!"


    The child''s grandmother said to the little boy.


    He lowered his head and refused to take it out.


    It turned out that there was a problem with the hand. Looking at the situation, it was probably a deformity of the hand.


    "Good boy! Uncle is a doctor who specializes in treating diseases for you, take it out and have a look!"


    It''s really not used to him coaxing children like this.


    But there is no way, as a doctor, what you eat is this bowl of rice, no matter whether you are fit or not, you have to be a good doctor. This is also the most basic professionalism.


    The child''s grandma coaxed and pulled him to take out his right hand.


    A three-year-old child already has a strong self-esteem.


    When the little boy took out his right hand, Zhou Can''s eyes narrowed. It was the first time he was diagnosed with this disease.


    I saw that the little boy''s right index finger was extremely huge, at least three times thicker than ordinary fingers. The **** next to it is also obviously thicker, and it is bent to the other side.


    He tried his best to calm himself down. Although it was the first time he was diagnosed with this disease, he had seen similar cases in books.


    The disease is called macrodactyly. If it is not treated, it can be like cancer, hepatitis, and kidney disease. The disease will continue to progress and the situation will get worse.


    Surgery before the age of three is the only treatment option.


    There are many reasons for this.


    Basically, abnormal fingers appear at birth. As the child grows up, macrodactyly will become more and more obvious.


    Affected fingers will become thicker and thicker, and the length is much longer than ordinary fingers.


    Usually, the affected finger cannot be flexed and remains in an extended position.


    The affected fingers next to it will become thicker and longer, but they can be bent.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Is the other hand normal?"


    After Zhou Can saw it, he asked his family members.


    "The other one is normal! Can this disease be cured?"


    "It can be cured! Satisfactory results can be achieved through surgery."


    "What is the cause of this? When the child was born, the palm of the right hand was a bit thick, and then it grew thicker and thicker. Even the **** next to it has changed. Now the child is almost three years old. Going to kindergarten. His father unfortunately had a car accident two years ago and left..." At this point, the old man began to wipe his tears.


    Misfortune only looks for the poor, and the hemp rope is only picked at the fine point.


    Fate sometimes seems particularly unfair to some people.


    However, the poorer the family, because of backward ideas, low education level, coupled with poverty, many of their practices are themselves the root of disaster.


    For example, overnight dishes and moldy rice were reluctant to be thrown away, and there was nothing wrong with eating them.


    After a while, the tumor grows.


    Moldy rice, corn, and peanuts contain a large amount of aflatoxin, which is frighteningly carcinogenic. What cigarettes, liquor, such carcinogens are not even grandchildren in front of it.


    Aflatoxins are immunosuppressive, mutagenic, carcinogenic, and teratogenic.


    As a highly toxic substance, its carcinogenicity is only the tip of the iceberg.


    Short-term intake of large amounts of aflatoxin can cause acute aflatoxin poisoning, including acute hepatitis, hemorrhagic necrosis of liver tissue and other liver damage.


    Even if it is only a small amount of aflatoxin, chronic poisoning symptoms such as liver fibrosis, growth retardation, infertility, and fetal malformation will occur if it is ingested for a long time.


    Therefore, when you encounter moldy rice and corn, as well as peanuts and melon seeds that taste bitter in your mouth, you must spit them out in time.


    What should be thrown must be thrown away.


    Otherwise, the price to pay will be extremely heavy. A bag of rice costs only one or two hundred yuan, and the most you can lose if you throw it away is one or two hundred yuan.


    If after eating, even if it does not cause cancer, but only acute hepatitis, the treatment cost will start at W. Severe acute hepatitis requires at least 40,000 to 50,000 yuan for treatment.


    The lesser of two evils.


    Whichever is more important, I believe that as long as you are a normal person, you will choose to throw away moldy food. Don''t make fun of your own life.


    "My daughter-in-law is a very filial woman After my son died in a car accident, she took the child to a age of more than one year old, and then went out to work. Now I have saved a little money and let me take my grandson Come to the hospital to see a doctor."


    When the old man mentioned his daughter-in-law, his eyes were full of happiness and emotion.


    People''s hearts are made of flesh.


    The relationship between mother-in-law and daughter-in-law is the most difficult. Mutual hatred and tension are almost universal. But there are also families with a good relationship between daughter-in-law and mother-in-law like this.


    Just less.


    Zhou Can sighed in his heart that every family has its own story. There is sadness and happiness behind every patient.


    Every family has scriptures that are difficult to recite!


    "In this way, I will prescribe a few tests for your grandson first, and you will come to me with the results after the checks. Then I will formulate a corresponding treatment plan according to the situation. Like this macrodactyly, there are many types, Neurofibromas are relatively common. The earlier the surgical treatment, the better the effect. Fortunately, you brought your child to the hospital this time. Before the age of three is the best treatment period. If it is over three years old, it may affect the growth and development of the child. Psychological and many other adverse effects."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can was a little worried that his family members would not take the disease seriously, so he told him the dangers of the disease and the best time for treatment.


    Some family members just register and see a doctor.


    Then after the doctor prescribed the inspection items, the family members saw that there were many inspection items and the cost was not low, so they gave up the inspection and left.


    (https://)


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 Chapter 324： Derelict parents, its not a cold

    Falling in love with you reading network, my medical skills can add experience points


    Especially some less serious chronic diseases.


    The willingness of family members and patients to treat is sometimes very low, which belongs to the mentality that it can be cured or not cured.


    The family economic situation of this sanitation worker is definitely not very good. If he had money, he would have given it to the child for treatment. There is no need to wait until the child''s mother has worked outside the home for more than a year to save enough treatment expenses before taking the child to see a doctor.


    The child''s father died in a car accident and may not have received any compensation.


    Or the compensation is only enough to cover rescue and funeral expenses.


    For a family with a very poor economic situation, some diseases can be delayed.


    Today, two patients have been seen, and they are all by name, rushing to Zhou Can for consultation. It made him feel a little fulfilled.


    You should know that in the pediatric outpatient system, there are five levels of doctors who attend consultations.


    They are special needs experts, well-known experts, chief physicians, deputy chief physicians, and general outpatient clinics.


    Unfortunately, he is the last general outpatient physician.


    Even so, he still has the glory of many attending physicians.


    In Tuya Hospital, it is extremely difficult for residents to open a clinic number. Only a few exceptionally lucky ones like him are eligible for this. Although there are no explicit regulations, but the minimum level of attendings is required to apply for outpatient qualifications. This is an unspoken rule that all doctors in the hospital know.


    Because the vast majority of senior resident physicians have been queuing up after applying for outpatient consultation qualifications.


    Even some resident physicians who performed quite well had to wait in line for three or four years before they were promoted to attending physicians before they were opened.


    In addition, opening the outpatient clinic qualification does not mean that you will be able to sit in the clinic.


    The hospital will evaluate the doctors themselves, and the quality of outpatient services is not good, and the rate of bad reviews is relatively high, which is a bit unfortunate. The outpatient number will not drop you, but you will find that the appointment registration column is gray.


    This is basically the key to falling into the cold palace.


    I heard that if you don''t "pick up customers" for more than a year, your name will disappear. However, the name can still be found in the doctor''s file in the outpatient system.


    As for when it will be released next time, many people say it is a mystery.


    Zhou Can was promoted this time out of the ordinary, and directly qualified him as an outpatient clinic. In addition to his excellent performance, he also had reasons for appearing on TV news.


    The top management of the hospital must put interests first.


    It is impossible to let this opportunity of drainage and realization go to waste.


    Maximizing the benefits is one of the important reasons why Dean Zhu decided to make an exception and open a clinic number for Zhou Can.


    And it can also be used to reward Zhou Can, the hospital does not need to pay any cash or give Zhou Can additional rewards such as promotion.


    It can be said to serve multiple purposes.


    The kid with macrodactyly had just left when someone pushed the door in again.


    Zhou Can was overjoyed for a while, it seems that today will not be too miserable.


    Right now the momentum is good.


    "Doctor, please help my child. I don''t know why he has a fever all the time, and he keeps complaining of chest pain." A couple came in. The man''s hair was fluffy and messy like a bird''s nest, his jeans were full of dirt, and his The white short T-shirt is even more unappetizing to look at.


    His hands are fairer, and his nails are as long as those of Lafayette in the costume drama.


    When he opened his mouth to speak, his mouth was full of yellow teeth.


    The woman also looked a bit sloppy, her hair was just tied in a casual bun and coiled on the back of her head. A lot of messy hair leaked everywhere, but she didn''t care. In addition, the woman''s feet were wearing a pair of slippers, which were dirty and looked a little ridiculous.


    Generally, women who don''t pay attention to their image will dress more or less neatly in public.


    After the two came in, they sat down without needing Zhou Can''s greeting.


    "How old is the child?"


    Zhou Can asked while observing the child''s body shape and expression.


    "More than three years old, it seems to be almost four years old!"


    The man turned his head to look at the woman uncertainly.


    As a biological father, he didn''t know how old his son was.


    The woman rolled her eyes and thought about it seriously, then nodded and said, "It looks like three years and seven months old!"


    "Does the child usually drink milk?"


    "We never drink those!"


    The man rushed to answer.


    "Is it normal for the child to eat?"


    Zhou Can continued to ask.


    Without assistants and nurses, he can only record the consultation information by himself while asking.


    "It''s okay. It''s still guaranteed to eat two meals a day." The man''s words made Zhou Can a little angry. But the couple didn''t look like serious people at first sight, and he wasn''t going to meddle in their own business.


    Just gently persuaded, "The child is still so young, it is not enough to eat only two meals a day. You see that he is so thin, you have to let him eat more. If possible, you can cook some dishes that the child likes to eat, the best nutritional combination Be more balanced. Meat, fish, eggs, beans, and fresh vegetables can all be prepared in different ways for children to eat!"


    He said this to the child''s mother.


    Usually it''s the women who cook.


    "Okay, okay, we will pay attention. Please ask the doctor to show my son what''s wrong! There''s still something to do in a while!" The man urged impatiently.


    Zhou Can began to measure basic data such as body temperature for the child.


    "How long has the child had a fever?"


    "For more than two years, it seems that I have been having a fever since weaning. When it is severe, my face will be flushed."


    "Have you seen a doctor?"


    "Who goes to see a doctor if there is nothing wrong! Once you enter the hospital, you will be paid."


    The men all grunted.


    It''s a bit speechless to meet such parents.


    "Oh, the fever is quite severe. It''s 39 degrees 8, and it''s almost 40 degrees." After Zhou Can took the child''s temperature, he couldn''t help but feel worried about the child''s condition.


    According to his clinical experience, a long-term fever, whether it is a low-grade fever or a high-grade fever, is basically a serious disease.


    It is really heart-wrenching to see severe and serious diseases befalling such a young child.


    "Isn''t it a bad fever, do I need to go to the hospital to see you? Register a number, and the cheapest one costs ten yuan. It''s really easy for you to make money."


    The man was quite polite when he first came in.


    After getting in touch with him for a while, I immediately discovered the inferiority of this person carved in his bones.


    "Little friend, let uncle see where your chest hurts!"


    Zhou Can lifted the little boy''s clothes, only to find that the child''s abdomen was obviously abnormal.


    He was obviously skinny, with all his ribs showing.


    But the child''s abdomen is swollen, especially the upper abdomen is extremely obvious.


    This part belongs to the liver area.


    Reminiscent of a little boy with chest pain symptoms that lasted for a long time. Zhou Can reacted almost instinctively, thinking that something might be wrong with the patient''s liver.


    "My son hasn''t eaten for two days."


    The woman suddenly said something.


    "drink water?"


    Zhou Can''s heart tightened when he heard this, what kind of witch mothers are these! The child has not eaten for two days, has had a fever for two years, and still has chest pains. He has never taken the child to see a doctor.


    Register a number, ten yuan is too expensive.


    The general outpatient numbers of large hospitals are basically at this price now. It is also the lowest price.


    The deputy chief physician number at the head starts with a minimum of 50 yuan. Ordinary ones are half the price, only 25 yuan.


    But the market is so evil, the cheaper it is, the less you want it. For the registration fee of 50, all appointments within three days are gone.


    "Drinking water is fine. On the way to the hospital just now, I saw other children drinking yogurt, and he asked for it! I bought him a bottle and drank it all up."


    The woman replied nonchalantly.


    "Take your child to have a routine blood test first, and then a B-ultrasound of the chest and abdomen."


    Zhou Can gave them two inspections.


    Originally, other inspections were required, but I didn''t dare to do more. Look at the irresponsible attitude of this pair of parents. If you drive too much, it may scare people away.


    "Where do we pay the fee?"


    "On the hospital''s APP, or take the receipt to the manual billing window, and swipe the ID card on the self-service payment machine, it''s all fine." Zhou Can patiently guided them to pay.


    The man took out his mobile phone to operate it, and then shouted like someone had dug a piece of his meat, "It costs one hundred and twenty yuan, why is it so expensive?"


    A black line appeared on Zhou Can''s forehead, which is already very cheap.


    Thoracoabdominal combined CT has not been opened yet.


    After checking the B-ultrasound, check the situation. If the situation is not good, you must have a CT scan. At that time, it will cost several hundred yuan for the inspection fee, and this man is afraid that he will smash the table.


    Sure enough, the seniors in pediatrics didn''t lie to him. On the first day of his independent consultation, he met two such wonderful family members.


    "All diagnosis and treatment fees are set by the higher authorities, and every charge in our hospital is clear and transparent. After you take your child for the examination, remember to come back to me with the results."


    Zhou Can felt that he was not suitable to deal with such difficult family members.


    It feels like people have to live a few years less.


    ¡°Too expensive to charge!¡±


    The man cursed and seemed to still be operating the phone to hand over the money.


    It was just the expression on his face when he handed over the money, as if he was cutting his flesh.


    "You little prodigal son, you just spent one hundred and thirty yuan for me, don''t you know?" The man yelled at his son after paying the money.


    At this time, his cell phone rang.


    Looking at the number, the man became excited.


    "Hello! Three missing one, right? Okay, okay, I''m taking my son to see a doctor in the hospital, come here right away. Wait for me, wait for me!" The man hung up the phone and looked at the woman. "I''m leaving first, you take your child to see a doctor! The examination fee has been paid."


    After speaking, he left without looking back.


    The woman stamped her feet and called him from behind, but ignored him.


    In the end, the woman took the child for an examination alone. While walking, he scolded the child, "You bastard, you are a villain..."


    Zhou Can''s teeth hurt when he heard it. It''s really hateful for this pair of parents to be fathers and mothers in vain.


    Take a deep breath and calm your inner anger.


    Without a strong heart, you really can''t be a doctor.


    At this time, another family member came in with the patient through the door.


    "Doctor Zhou, my granddaughter suddenly vomited after eating in the past two days. She has no strength and is dizzy. Please show me!" The old lady who came in was very well-dressed, and her hair should have been dyed.


    Because the old lady has deep crow''s feet and age spots on her face, and the skin on the back of her hands is even more wrinkled, but her hair is black and shiny.


    Not a single gray hair could be found.


    Under normal circumstances, people may grow gray hair when they are over thirty years old.


    Especially the life pressure of modern people, staying up late and working overtime, all kinds of anxiety, it is easy for people to grow gray hair.


    Zhou Can looked at the little girl, who looked seven or eight years old, her face was pale and bloodless, her lips were also pale, and her eyes were dull, like someone who hadn''t woken up.


    "Little girl, do you remember exactly when you started feeling uncomfortable?"


    Zhou Can deliberately talked to the patient.


    This has multiple purposes, such as diagnosing whether the patient is conscious, listening to whether the patient''s voice is hoarse, lack of breath, and some patients may even cough if they have a disease such as a respiratory infection.


    Doctors sometimes inadvertently make some small actions, but they are already secretly diagnosing patients.


    "Uh... probably since I woke up the morning before yesterday, I felt a little dizzy and afraid of the cold, and then I felt even more uncomfortable at night. I always felt like motion sickness and seasickness, and my chest was congested. When it was time for dinner, I was even more uncomfortable I finally vomited it out. After I vomited, I felt better, but I didn¡¯t want to eat. I just wanted to hide in the bed and lie down. Grandma brought the food to the bedside to feed me, and I vomited again after a few mouthfuls. .¡±


    The little girl described the course of her illness.


    "Later, my grandma went to the pharmacy overnight and bought me cold medicine. After taking it, I lay on the bed and slept. I slept until midnight, remembering that I hadn''t finished my homework. I wanted to get up to do my homework, but I couldn''t get up. Get up. I felt a little scared at the time, worried that I would die, so I started crying. Later, grandma came over and sat by the bed with me all night..."


    I feel so lucky for this little girl to have such a wonderful grandmother.


    It is more than a hundred times stronger than the previous couple of gambling ghosts.


    "You are more caring as a grandmother than as a mother!" Zhou Can praised the old lady with a smile.


    "Oh! That can''t be helped. Her parents are very busy and often travel all over the country. I happen to be retired, so I will help take care of it! But my granddaughter has been very sensible since she was a child. Adults worry about it. If there is any delicious food at school or outside, she is reluctant to eat it herself, so she will keep it and bring it home for me to eat."


    When the old lady talked about her granddaughter, she smiled all over her face.


    Anyone with such a well-behaved and sensible child would be as virtuous as the old lady.


    The little girl was so sick that she still wanted to get up to do her homework in the middle of the night.


    It''s really touching.


    "Your granddaughter is a typical child of other people''s family! I''m so envious!" Zhou Can had a pleasant communication with his family.


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    He began to take the little girl''s temperature, blood pressure, breath count and so on.


    It is also necessary to pay attention to whether there is phlegm sound when the patient breathes, other abnormal noises in the chest and abdomen, etc.


    Some patients make a sound like rubbing ground glass with nails when breathing, or there are abnormal noises in the chest cavity, etc.


    These all require vigilance.


    In the eyes of patients, a cold is just a minor illness. But in the eyes of doctors, a cold is just the name of a syndrome, and the danger of many colds is not inferior to serious diseases such as cancer and leukemia.


    Influenza kills more than 90,000 people every year in China alone.


    For 1.4 billion people, 90,000 people are nothing.


    But for any one family, 90,000 people die from colds, which means an unbearable disaster for 90,000 families.


    The death of some children, in particular, can be almost devastating to a family.


    Zhou Can found that the patient''s body temperature was 38.7 degrees, which was already a fever. And it''s medium heat.


    In medicine, fever is usually divided into four grades. Low fever is between 37.1-38 degrees, moderate fever is between 38.1-39 degrees, and high fever is mainly between 39.1-41 degrees If the body temperature exceeds 41 degrees, it is considered ultra-high fever.


    As long as you are a high fever patient, you must find a way to protect your head. It is more common to use physical cooling.


    Mainly to prevent burning the brain.


    Due to negligence or neglect of their children''s fever, many parents do not take effective measures until their children have a high fever of 41 degrees or more. Or because your child''s fever usually occurs at night, you may want to wait until the next day before taking your child to the doctor.


    These are very dangerous behaviors.


    Some children turned from a smart and lively child to a fool because of a cold and fever.


    What a pity.


    Experienced parents usually put a wet towel on the child''s forehead to cool down. This method is one of the effective methods commonly used in physical cooling.


    But you must pay attention to changing a towel after a while.


    Because the time of application is too long, even if the towel is wet, it will be heated to a certain temperature by body temperature. Its cooling effect will be greatly reduced.


    The safest way is to send the child to the hospital in time and ask professional doctors and nurses to deal with it.


    The little girl had symptoms of fever, vomiting, chills, dizziness, and fatigue, which were highly similar to those of a cold. But she took cold medicine and it didn''t work, so she went to the hospital for treatment.


    Zhou Can realized that the patient''s symptoms seemed to be similar to a cold, but it was probably not a cold.


    The old lady''s eyes were red and swollen, as if formed after crying sadly.


    It is estimated that seeing his granddaughter become so sick, he was too worried, so he secretly cried behind his back and his eyes swollen.

 Chapter 325： Perfectly cured 1 neurofibroma and café au lait spot

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 Chapter 326： Everyone has a different way of life, what to be afraid of, Dr. Zhou...

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 Chapter 327： Differing diagnostic opinions, underlying sorrow

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    It doesn''t look like Xiao Chuan from this situation.


    Zhou Can frowned and pondered, for a while, he really couldn''t diagnose what disease the old lady had. Is it a cerebral hemorrhage?


    However, the patient''s blood pressure is quite normal. Logically speaking, even if there is a brain aneurysm, it shouldn''t rupture after a little stimulation! Besides, the human body is not as fragile as imagined.


    At this time, other doctors and nurses from the Department of Pediatrics rushed over to provide support.


    When a patient needs to be rescued, the medical staff are often very united. It doesn''t matter which department you''re in.


    There is only one exception.


    There are great risks in rescuing patients.


    For example, it is possible to be blackmailed by family members, or the patient is more difficult to deal with, and even has some reckless behavior before the need for rescue.


    Doctors and nurses are also human beings. They know that taking the initiative to rescue them may cause big troubles, so they must avoid disasters and act according to the situation.


    Kidnapping medical staff with the standards of a saint is overthinking.


    "Doctor Zhou, do you know what''s wrong with her?"


    "I just don''t know! Before she fainted, she said that she had high blood pressure, but she took the medicine on time. I measured the blood pressure to be normal, and the heart rate was a little too fast, but the situation was not bad. She heard that her granddaughter''s condition was serious. It was only after she felt unwell. She said that she had no strength in her body, headache, and chest tightness. By the way, she was still sweating coldly before she fainted."


    Zhou Can couldn''t find out the cause of the woman for a while, so he described the patient''s symptoms and the course of the attack.


    "Director Yan is here, let Director Yan have a look!"


    In such occasions where patients are in urgent need of rescue, the weight and prestige of top experts is even more important.


    Because there is no way for everyone to find out the cause of the patient in a very short period of time, naturally it is impossible to treat the symptoms. For many fatal diseases, even if the symptoms are rescued one second in advance, the person may be saved.


    Director Yan leaned forward, leaned over and listened to the patient''s breathing, observed the patient''s mouth and nose, and finally opened the patient''s eyelids.


    "Her breathing looks scary, but it''s not fatal. I felt her forehead was a little hot, did you take her temperature?"


    Top experts are really extraordinary.


    With this shot, just the strong aura that naturally emanates, as well as the concentration, are enough to stabilize the scene. Let the medical staff present feel at ease.


    "I haven''t taken my temperature yet!"


    At that time, Zhou Can only thought about ruling out the two diseases with the highest risks of high blood pressure and heart disease, but he never thought about taking his body temperature.


    Some nurses have sharp eyesight and quick hands, and clamped the thermometer into the patient''s armpit.


    During this period, Director Yan began to learn more about the patient''s course of illness from Zhou Can.


    After listening, she calmly said, "There shouldn''t be too much danger. I observed that her eyes were red and swollen, as if she had cried many times. It may be due to overwork, plus she is too old, and she is worried about her granddaughter." The illness, the granddaughter was seriously ill, and was stimulated, which caused the abnormal discharge of the nerves, and finally fainted."


    After hearing Director Yan''s deduction, the other doctors nodded repeatedly.


    This explanation is indeed very realistic and in line with medical logic.


    In addition, Director Yan has always been highly respected in pediatrics, and his medical skills are also extremely high, not to mention his experience in diagnosis and treatment.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Has your temperature been taken?"


    Director Yan looked at the nurse who was taking the temperature.


    All kinds of adoring gazes, and everyone agreeing with her diagnosis opinion, she has long been accustomed to such beautiful scenes.


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    So there is not much change in expression.


    "37.3, seems to have a low-grade fever." The nurse replied after checking the temperature.


    37.1 degrees is considered a low-grade fever, and only more than 0.2 degrees. In clinical practice, doctors will judge it according to the patient''s syndrome, and in most cases it will be regarded as normal body temperature.


    "It should be similar to my judgment. It''s just that the nerves discharge abnormally after being stimulated. After being frightened, it''s normal for the heart rate to go too fast. Let the patient rest for a while, and he should be able to recover soon."


    Director Yan made a diagnosis after knowing the patient''s temperature.


    "Maybe...the old lady is sick too."


    Zhou Can has been frowning and thinking hard. He seems to have grasped something, but he is not too sure.


    Until the nurse read the patient''s temperature, he realized that the patient''s temperature was probably a real low-grade fever.


    "Why does Doctor Zhou think so?"


    As soon as Director Yan came to a conclusion, Zhou Can overturned his point of view. Isn''t this slapping her in the face?


    But she wasn''t angry.


    Instead, I want to hear the basis for Zhou Can''s rebuttal.


    "Because the old lady''s granddaughter also has symptoms such as fever and chest tightness. The two of them live and live together, and their symptoms have many similarities. I think it is likely to be an infectious disease."


    Zhou Can''s diagnosis became clearer and clearer.


    "Yes, it must be! Grandma and granddaughter may have the same disease."


    After hearing Zhou Can''s judgment, a doctor hurriedly said, "Headache, fever, these kinds of infectious diseases are not common. Could it be a cold?"


    "A cold can basically be ruled out! This little girl''s symptoms are highly similar to a cold, but the results of the blood test and urine test all indicate that it is not a cold." Zhou Can has his own judgment.


    If the disease were so easy to diagnose, he would have diagnosed it long ago.


    "White blood cells and platelets are so low? And her urine protein is 4+. Could it be nephrotic syndrome?" Director Yan checked the little girl''s examination results, and the first thing he suspected was that the little girl had kidney disease.


    These similar symptoms often appear in the precursor of uremia.


    In fact, the little girl''s symptoms were more consistent with leukemia, but the urine test results of leukemia generally showed increased uric acid concentration and excretion of uric acid in urine.


    She had symptoms of proteinuria, so leukemia can basically be ruled out.


    Kidney disease is very likely.


    Director Yan has a lot of experience in diagnosis and treatment, and the first thing that comes to mind is this disease, which has its own reasons.


    Zhou Can relied on his intuition that the patient''s disease should not be kidney disease.


    "I am more inclined to another diagnosis, which is kidney failure and lesions caused by a serious disease. It may even cause systemic organ failure."


    Zhou Can expressed his judgment.


    Director Yan''s diagnostic opinion was contradicted again, and when the other doctors looked at Zhou Can, their eyes were somewhat strange.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    They felt that this young man was too arrogant and self-righteous.


    "The possibility that Dr. Zhou said does exist. This old lady should not be life-threatening and does not need emergency treatment. She can be sent to the observation area to wait for her to recover on her own. However, it is still necessary to pay close attention to changes in her signs to avoid accidents."


    Director Yan gave guidance.


    Her status is the highest on the scene, and no one has any objections to her commanding.


    "I''ll leave this little girl''s diagnosis to Dr. Zhou! If you can''t solve it, you can save it for discussion at the meeting tomorrow morning. There are still many patients waiting at my side, so let''s go first."


    She was somewhat displeased when the diagnostic opinions were rejected twice in a row.


    It''s just that she has reached her level and has a broad mind, so she won''t care too much about Zhou Can. She came here mainly to help rescue the old lady, and now that it''s over, she won''t be nosy anymore.


    The hospital has always implemented the first-diagnosis system. Whoever is the first doctor to see a patient will be in charge of the patient to that doctor.


    She asked the old lady to be taken to the observation area, and obviously did not agree with Zhou Can''s conclusion that the old lady and the little girl had an infectious disease.


    "Uncle, please save my grandma, please!"


    The little girl begged Zhou Can while wiping her tears.


    Maybe she had been in contact with Zhou Can for a long time, and it was Zhou Can who she came to the hospital for. Now that something happened to her grandmother, she instinctively trusts and relies on Zhou Can.


    "Don''t cry, don''t cry! This is the most powerful doctor among all of us. She has diagnosed your grandma just now, and her life will not be in danger. Don''t worry, uncle is a doctor, and he will definitely not ignore you."


    While comforting the little girl, Zhou Can watched the nurse and other doctors work together to get the old lady onto the flat bed pushed over.


    This flat trolley is a common tool used by hospitals to transport comatose patients.


    "Director Yan, I''m still a little worried that the patient has an infectious disease. The observation area is full of children, even newborn babies, and mothers who accompany their children. These are susceptible people. For safety reasons, you can see Is it possible to arrange this old lady and her granddaughter into a relatively closed environment?"


    Zhou Can has a strong sense of security.


    The main thing is the heart of the doctor''s parents!


    If the two people really have an infectious disease, it can be transmitted through the air, saliva droplets, etc., and the consequences will be disastrous.


    Hearing Zhou Can emphasize twice that the patient may have an infectious disease, the doctors and nurses who had just carried the old lady were somewhat worried. Doctors and nurses are high-risk occupations, and various diseases have happened from time to time.


    Everyone is afraid that they will be recruited unfortunately.


    "Doctor Zhou''s concern is not unreasonable. Arrange them to Ward 0 first! Wait until the specific cause of the patient is found out before making the next step."


    Although Director Yan was dealing with Zhou Can for the first time, he had heard some of Zhou Can''s deeds.


    It''s not easy to know what this young man is capable of.


    She didn''t dare to underestimate Zhou Can''s diagnosis opinion too much.


    Ward 0, some large hospitals have this special ward. Some hospitals also call it isolation wards.


    For example, AIDS patients, hepatitis B patients, potential rabies patients, etc., if they need to be hospitalized for observation, in order to avoid threatening the safety of other patients and their families, they often enjoy the special treatment of being admitted to ward 0.


    This chapter is not finished, click [next page] to continue reading -->>


    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Some hospitals will also directly stipulate that patients with infectious diseases should be transferred to the infectious disease ward for treatment.


    Each hospital has different rules.


    Tuya Hospital was first founded by foreign friends, and Ward 0 has always existed.


    It is not a specific ward, and departments will be temporarily changed according to actual needs.


    "Little girl, you obediently stay by your grandmother''s side, you know? I''ll arrange for the nurse sister to collect blood samples for you and send them for biochemical examination, so as to find out the cause of you and your grandmother as soon as possible."


    Zhou Can said to the little girl gently.


    After speaking, he looked at the nurse who was taking the temperature of the old lady.


    "Beauty, can you please collect a blood sample for her? She is actually very sick, and now her grandmother doesn''t know when she will wake up. I have completed the application for examination and sent her blood sample for examination. It is estimated that the results will be available around two o''clock in the afternoon at the latest."


    It was almost twelve o''clock at noon, and Zhou Can was very worried about delaying the little girl''s illness.


    She has been sick for two days and looks very weak now.


    This little girl is very sensible, and she is full of sympathy.


    As long as he can help, Zhou Can will deliberately do his best to help a group of grandparents and grandchildren.


    "Yes!"


    The female nurse readily agreed.


    Many female nurses are very kind-hearted, and they sympathize with the weak.


    Zhou Can issued an examination application form, and after the nurse brought tools to collect blood samples from the little girl, he, a doctor, ran errands for the patient himself. First, take the list to the window to pay the fee.


    There is no way, the old lady is in a coma, and it is impossible to look for her ID card in her bag.


    Window payment is the only shortcut.


    After paying the fee, then submit for inspection.


    The outpatient room is closed at noon.


    Go to work at one o''clock in the afternoon.


    Doctors eat for about half an hour, and they can rest for half an hour.


    ¡­


    When it was time to go to work in the afternoon, Zhou Canji was concerned about the results of the little girl''s test, so he went over to take a look, but the results of the biochemical test hadn''t come out yet.


    Tuya Hospital had too many patients undergoing biochemical tests. Even though the laboratory was well staffed and the testing speed was fast, it still took an hour or two for the results to come out.


    Some biochemical testing items are relatively time-consuming in themselves.


    He had just entered the outpatient room No. 17, and before he could sit down, the mother of the rotten gambler came in with her son.


    "Doctor Zhou, I have called all over the phone, but I can''t borrow any money. Can you prescribe some medicine for my son?" Her eye circles were a little red, and the traces of crying could still be seen on her eyelashes.


    It seems that she couldn''t borrow money by calling, which made her a little broken and cried.


    When a person reaches middle age, it is very sad if he does not have certain credit.


    Not to mention anything else, when something happens, no one will believe you if you want to borrow money.


    This woman should have deeply experienced what it means to be helpless.


    That feeling of being abandoned must be uncomfortable.


    "Register the names and addresses of you and your child first! Our hospital will also help you figure out a way." Zhou Can didn''t tell her directly, but would ask the street to do it.


    Because if she said that, she was so scared that she would definitely not cooperate with the registration.


    After registering, he asked for the woman''s ID card and checked it carefully.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Only after looking at her ID card did she know that this woman is already thirty-eight years old.


    In truth she was grieved.


    The most pitiful thing is her son.


    He is only three years old, and no one cares about his illness.


    "Is the child''s father still unwilling to pay for his medical treatment?"


    "Call him, say he lost money, and in turn scold us mother and son. I don''t dare to call him anymore. The child''s father has a bad temper. If I bother him about this matter again, Likely to hit someone."


    The woman seemed terrified of the child''s father.


    "Okay, our hospital will find a way to do this. You take the child home first."


    Zhou Can sent the mother and son away.


    The woman hesitated for a moment, and finally took the child away.


    She may want to ask how the hospital can help her.


    (https://)


    //

 Chapter 328： Rats have rat ways, finally found out

    Zhou Can looked at the back of the mother and son leaving, moved his lips, and finally swallowed the words back to his stomach. Sigh instead. The only thing in this world that can get something for nothing is poverty. She and her husband slept on the poker table all day long, lazing about work, which is doomed to the current result. This kind of lazy thinking has been deeply rooted in the couple''s bones. The only way to make them hardworking and motivated is to be whipped by society and persuaded by relatives and friends. Their children are the hope of saving the family. If the child''s illness is cured, he will go to school and get three good students every year, which will be enough for the couple to see a bright hope. They feel that after they have a bright future in life, they should think about finding a job. Zhou Can sent the mother and child''s name, address and other information to director Tang Fei. "Okay!" She just replied with one expression. It is estimated that he is very busy, after all, he is the director of a large department. The workload is much greater than that of ordinary chief physicians. Zhou Can just sent a message to Director Tang, and a new patient came in to see the doctor. He is like a spinning top that has been whipped, and he devotes himself to the diagnosis and treatment work. I thought there would be fewer patients in the afternoon, but I didn''t expect that there would be an endless stream of patients, one after another. At about three o''clock, he had already seen sixteen or seventeen new patients. I really didn''t expect that there would be such a large number of consultations on the first day of the official consultation. Fortunately, I am quite lucky, most of the patients I see are common diseases. So far, only the little girl whose symptoms are similar to a cold but not a cold has not yet been diagnosed. After seeing the patient in his hand, Zhou Can stood up and walked to the door. "Are you busy now?" He asked the guiding nurse. "If you have anything to do, just ask Dr. Zhou, no matter how busy you are, it''s not as important as yours!" Most of the guide nurses are older and belong to the marginalized group. Many of them are social recruitment, graduates from technical schools and so on. Their wages are low and their status is low. Even the most ordinary resident doctor is the object they need to curry favor with. The invisible hierarchical relationship of hospitals is actually very similar to the ancient feudal kingdom. Those with low status will think of currying favor with those with high status in order to obtain convenience and care at work. At least, I have a good relationship with you, so you won''t make things difficult for me at work. This is the truest thought of most people. "Can you help me check if the patient who fainted in the morning is awake?" Zhou Can was somewhat worried about the grandparent and grandson. "Ward 0, right? I''ll just call you and ask the nurse there. What''s the patient''s name?" The guiding nurse seemed to be familiar with the nurse in the inpatient department. Snakes have snake paths, rats have rat paths. Even a very low-status guide nurse has her own network of contacts. What exists is reasonable. They can survive in the highly competitive hospital and have their own way of survival. "I really didn''t ask the old lady''s name. I only know that her granddaughter''s name is Chen Ziya." At that time, the old lady fainted immediately, and Zhou Can had no chance to ask her name. "It''s okay, I''ll call the nurse over there and I''ll be sure to find out." The guiding nurse smiled and took out her mobile phone and began to look up the phone number. "Then it''s hard work for you!" Zhou Can had a good impression of this guiding nurse, she handled things quickly and had a good attitude. "Come on, whose turn is it to see the doctor next? Come in!" Zhou Can looked at the patient waiting in the corridor. "It''s my turn, it''s my turn!" A woman holding a child stood up and followed Zhou Can into the consulting room. "Please sit down!" Zhou Can beckoned the woman to sit down, her eyes naturally fell on the child she was holding. The people who come to see a doctor here are all children, and occasionally there will be babies who are a few months old, but such patients generally do not seek medical treatment from young doctors like Zhou Can, at least they will use the name of the deputy director. Unless there is really no number, then a general outpatient number will be registered. The child held in the woman''s arms looked thin and small, and buried his head in his mother''s arms, not moving much. When Zhou Can saw the purple skin on the little boy''s neck and other places, his boy''s pores shrank. He was about to sit down, but stood up quickly. "What''s the problem with this child?" "It''s just that he doesn''t like to move very much, and he eats very little." The child''s mother seemed very calm. "Has his skin always been this color?" The child''s whole body''s skin was a little cyanotic, and Zhou Can first felt that the child''s body lacked oxygen. But the child''s mother is very calm, indicating that this situation is no longer a day or two. "That''s right! My son was born with reddish-purple skin. Later, as he grew up, the color seemed to get darker. Many friends and elders joked that my son was born with precious life, and Ziwei Xing came into the world! ¡¯ the woman replied with a smile. Zhou Can was speechless for a while, really ignorant and fearless. The cyanosis of the skin has become like this, which is obviously caused by hypoxia. How could it be that life is precious? "His breathing seems a bit heavy!" Zhou Can heard the boy panting loudly. Explain that the boy needs to inhale hard to maintain his body''s oxygen needs. In fact, this is also a manifestation of hypoxia. When normal people do some strenuous exercise, because the oxygen in the blood is rapidly consumed, the body''s demand for oxygen increases, so they will instinctively "huh" and pant. "My friends said that my son has a strong lung capacity, which is why he breathes so heavily. My son is naturally extraordinary!" The child''s mother praised her son with a little pride. Zhou Can was speechless again. What is self-confidence? This woman is probably a good example of that. When her friends saw the child, they would definitely say something nice. Did they just say that there was something wrong with her child? I believe that there are no people with such low emotional intelligence. Others flattered her, but she took it seriously. "The reason why I came to see the doctor this time is because the child doesn''t like to move and eats less, isn''t it?" Zhou Can asked about the condition while measuring the child''s physical signs. "Yes! There are only these two small problems. Doctor, do you think my son is born with a noble personality, so he will be like the emperor on TV, pampered and not active every day?" The woman''s logic It''s really convincing. Simply amazing. "Well, there is such a possibility." Zhou Can actually nodded cooperatively. This kind of person must not argue with her, otherwise it will be easy to quarrel. According to her words, this is a more sensible approach. The purpose of a doctor is to cure the disease, not to correct some views of the family members. In fact, the thinking of every adult is extremely stubborn, so don''t try to change it. Otherwise, not only will they not be able to change the other party, but they will also become enemies. "Then tell me, my son doesn''t like to eat, is it because he was born with the emperor''s life?" This woman really has a strange mind. "Why do you say that?" Zhou Can asked her back. "Think about it! The emperor eats delicacies from mountains and seas every day, so ordinary food can''t whet his appetite at all." The woman replied seriously. "Yes, you are right. You can get more delicacies for your son in the future. You see, he is too thin. From the perspective of our doctors, this is called malnutrition." Zhou Can from Persuading the young mother from the side. Looking at the age of thirty, it should be almost the same, so why are you still so childish and naive? I really wonder if she has watched too many TV shows. [To be honest, I have recently followed up, changed sources, and have many voices for reading aloud, .yeguoyuedu Android and Apple are both available. ¡¿After a preliminary physical examination, Zhou Can found that the little boy was stunted, malnourished, severely cyanotic, clubbed fingers, screaming sound was heard between the ribs when breathing, low blood pressure, weak pulse... This child has a large body question. "Has the child had a physical examination?" "Did it once. The young doctor who did the physical examination at the community medical service station was talking nonsense, saying that my child might have a serious illness, and I scolded him. Since then, I have never I took my son for a physical examination. My son is so good, how could he be seriously ill? Some doctors like to scare people, just trying to trick patients into buying more medicine." The woman was still indignant when she mentioned this matter. Zhou Can couldn''t help wiping the cold sweat from his forehead. Fortunately, I didn''t argue with the woman just now. Otherwise, he would be the next person to quarrel with this woman. "When I was measuring your child''s heart rate just now, I heard a screaming sound. I will give him an echocardiogram first, and you take him to have a two-dimensional echocardiogram." Zhou Can said to the family. "Okay! Then do you think my son''s problem is serious?" The woman had a pleasant conversation with Zhou Can before, so she agreed very readily. "It''s hard to say, let''s see if there is any problem with the heart first!" Zhou Can felt that the child must have a serious problem, but the doctor at the community medical service station was scolded **** for telling the truth. How dare Zhou Can tell the truth again! We will wait until the test results come out. At that time, with the support of inspection data, no matter how big the truth is, I will be confident. After the mother and son were sent away, another new patient came into the consulting room. "Please sit down and wait for a while. I''ll check the results of a patient''s examination in the morning." After Zhou Can greeted the family and the patient, he directly searched for the little girl named Chen Ziya in the consultation system. . Tuya Hospital has now realized the information network. After the test results come out, the laboratory will transmit them to the hospital intranet, and patients or family members can print them with their ID card information. It is much more convenient than having to rummage through a large pile of information in the window before. The receiving doctor can directly view all the examination results of the patient in the system. It''s just that many doctors will wait for the patient to come with a paper examination report before checking it. On the one hand, doctors are very busy with their work and don''t have time to see them one by one. In addition, if the patient is not present, even if the doctor diagnoses the cause, he still has to wait for the patient to come and have a face-to-face conversation. It is definitely not the cold and lazy doctor that the family thinks. Zhou Can quickly found Chen Ziya''s name. After clicking on it, he found that the little girl''s biochemical test results had finally come out. The data of ldh, ck, ast, and alt are all higher than the normal value. Among them, the value of aspartate aminotransferase is even more frighteningly high. "What kind of disease could it be?" After reading the results of the biochemical test, he quickly screened the possible diseases in his mind. But he racked his brains and still couldn''t find a disease that matched these symptoms. At this moment, he really hated the book when it was time to use it. Basic medical knowledge is vast, and it is almost impossible to learn all of it. The main reason is that a doctor''s energy and time are limited. Learning is a long process. He still insists on reading every day, and is trying to catch up on basic medical knowledge every day. This can''t be rushed, it can only accumulate over time. Otherwise, why do doctors become more popular as they get older? Because some doctors really live to learn. Well-informed and experienced, their diagnostic efficiency is indeed much higher than that of young doctors. There is a much lower chance of misdiagnosis and missed diagnosis. "White blood cells and platelets are reduced, and urine protein is also present. Now the aspartate aminotransferase is also frighteningly high. Is it poisoning?" There is such a possibility. Because symptoms similar to those of the little girl have also begun to appear in the little girl''s grandmother. The grandparent and grandson ate poisonous food and were poisoned. This possibility is real. At this time, the door of the consulting room was pushed open, and the receiving nurse poked her head in. "Doctor Zhou, I have already asked what you asked me to ask. The old lady has woken up and her symptoms have been relieved. She is worried about her granddaughter''s condition and asked to come to you." It is good that people have woken up. "Tell that old lady that you don''t need to come here. I am diagnosing her granddaughter. When the cause is found out, I will take the initiative to find her." Zhou Can is still a little worried about what kind of infectious disease the grandfather and grandson have. If transmission occurs at that time, it will cause serious harm to other patients and their families. Besides, the little girl''s illness has not been found out yet, so it''s useless to come to him. If it is really poisoning, infectious diseases can be ruled out. "If it wasn''t poisoning, then what could be the reason?" Zhou Can couldn''t help but brighten his eyes after thinking hard. How did you forget about this? If there is no food poisoning, there is another possibility, that is viral infection. As long as one of the grandparents and grandchildren is infected with the virus, it is possible to infect the other. The more I think about it, the more it makes sense. Either way, it''s always a good idea to check first. Serological testing is a more efficient way to screen for virus infection. He immediately issued an inspection application form, and then gave the patient a serological test. After treatment, continue to see other patients. When it was close to half past four, he took the time to look at the results of Sun Ziya''s serum test. Fortunately, the result has come out. Igm antibody and IgG antibody were positive. These two data are elevated, and the antibody is positive, which means that the patient is likely to be really infected with a certain virus drug. Under normal circumstances, after the patient is infected with pathogenic microorganisms, the body will produce specific antibodies against the pathogenic microorganisms, and igm and igg will be positive. Zhou Can couldn''t help being excited. Now that the diagnosis can be basically confirmed, the patient is very likely to have a virus infection. A cold is usually an infection of the influenza virus, which is also a viral infection. But Zhou Can directly ruled out the influenza virus infection. UU Reading Because the patient''s test data obviously does not match the flu. Elevated igm can be seen in macroglobulinemia and primary biliary cholangitis. Igg significantly increased, is common in autoimmune diseases. Both monoclonal increases, and other immune blood proteins decreased significantly, it is likely to be multiple myeloma. Zhou Can insisted on his own direction of diagnosis, that is, he determined that the patient was likely to be infected with a virus. And it''s a relatively rare virus. If it was a common viral infection, it wouldn''t bother him at all, it was diagnosed 800 years ago. "I''m afraid I have to check the information!" After he couldn''t figure out which virus the patient was infected with, he decided to learn from his predecessors. Didn''t Director Dai also bring the Children''s Clinical Handbook with him when he first came to the clinic, and secretly flipped through the book when he encountered an undiagnosed disease? What he encountered now was an extremely difficult case, and there was no shame in checking the information. Thanks to the rapid development of smart phones and the Internet, doctors no longer need to sneak into the outpatient room with thick medical books to check information. Just use your mobile phone to find relevant information on the Internet. However, there is a lot of medical knowledge, and it is still faster and more convenient to look up some specialized medical classics. After some searching, a relatively rare disease name came into his vision. Novel bunyavirus. Patients infected with this virus will experience various symptoms in their bodies. These include fever and thrombocytopenia syndrome. "It should be that the disease is right! If an etiology test can be done, the diagnosis result will be more accurate." Looking at the time, Zhou Can suppressed his urgency to tell the patient the diagnosis, and then applied for an etiology test to the laboratory. In fact, this is also a blood test. Only this time the new bunyavirus was isolated directly from serum.

 Chapter 329： Mima, it is possible to save a family

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 Chapter 331： Convinced Professor Hu, agent model and super doctor...

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Okay, okay, the person in charge this time is Dr. Zhou, so the selection of the incision should be made by Dr. Zhou. Director Hu can discuss it with Dr. Zhou after the operation is over."


    Chief Tang intervened in the mediation, which was very effective, and Hu Wanjun stopped arguing with Zhou Can.


    But also because of this incident, she had a lot of complaints about Zhou Can.


    The operation will officially begin soon.


    Endoscopic surgery generally requires at least two windows, and under normal circumstances, three windows are opened. That''s three holes. Playing five holes is also more common.


    For example, laparoscopic surgery often has five holes.


    The specific number of holes to be drilled and where to choose the wound will be comprehensively considered by the doctor according to the actual situation.


    "Disinfectant cotton!"


    Because Zhou Can did not know the surgical capabilities of other doctors, he did not dare to pretend to be others. He decided that as long as he could operate, he would operate it all by himself.


    Select the knife position and disinfect the skin surface for the second time.


    "Scalpel!"


    Zhou Can deliberately wanted to see the professional level of the equipment nurses and their tacit cooperation.


    There are different types of blades for common scalpels.


    Different blades have different uses.


    Usually, No. 10 and No. 20-24 blades are used to cut skin, subcutaneous, muscle, periosteum and other tissues.


    The No. 11 blade is used to cut blood vessels, nerves, gastrointestinal tract and heart tissue.


    The No. 12 blade is used for knee and facial surgery.


    The No. 15 blade is used for cutting deep tissues and tissues such as ophthalmology and coronary artery bypass grafting.


    The shape of the scalpel also has many styles.


    Surgeons naturally know the purpose of every scalpel and blade. Sometimes some equipment nurses whose professional level is not up to standard are easy to confuse.


    Fortunately, the equipment nurse''s level is on the line, and the scalpels and blades handed over are normal and accurate.


    Zhou Can took the scalpel, and before Director Hu Wanjun could react, he had already cut through the epidermis, subcutaneous tissue, and muscle layer...with lightning speed, he successfully opened the first wound.


    This is also his intention to show some strength for everyone to see.


    Section Chief Tang invited him to be the chief surgeon to perform this operation. Although he had some knowledge of Zhou Can''s surgical ability, he must be a little worried.


    Now that he has seen Zhou Can''s surgical ability, he has more confidence in Zhou Can.


    "So strong!"


    A young doctor should learn from it. After seeing Zhou Can''s skillful technique and precise knife skills, he couldn''t help showing admiration in his eyes.


    The level of surgery has always been reflected in the details.


    For example, if the first layer of epidermis is cut, the level is not enough, the cut is too shallow, and a second cut is required. This will definitely create jagged cuts. Cut too deep and it becomes a typical one-size-fits-all.


    When the superior doctor sees a one-size-fits-all situation, he usually jumps up and scolds his mother in a hurry.


    Because this knife goes down, it is very easy to have an accident.


    Zhou Can''s every knife is just right, income is free, and actions are controlled by heart. This is an extremely high level of performance.


    What''s even more frightening is that he cut all the way to the chest cavity, and the amount of bleeding was still pitifully small.


    This means that when Zhou Can chose the incision, he perfectly avoided the slightly larger blood vessels.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Without a solid medical foundation and rich surgical experience, it is difficult to do this.


    Immediately afterwards, Zhou Can''s electrocoagulation to stop the bleeding once again let everyone see what it means to stop at one point. Those bleeding points were more obedient than kindergarten children in front of the electric coagulation knife.


    Wherever Zhou Can clicked, the bleeding stopped immediately.


    In the blink of an eye, he opened three windows.


    Next, the endoscope is inserted, and the most important operation begins, which is to perform endoscopic surgery on the lung cancer lesion.


    "Uh... is this really an endoscopic surgery? Why is it as simple as a traditional open surgery in the hands of this young man?" Professor Hu Wanjun knows how difficult endoscopic surgery is.


    Operating with the arm lever is like holding something with a clipper. The surgical skills in it can only be understood, not described in words.


    Only doctors who have operated endoscopy can understand the difficulty of endoscopic surgery.


    In particular, the operation on this lung cancer patient required the removal of part of the lung and the removal of lymph nodes. It even includes free and involved blood vessels, and the separation and removal of cancerous lymph from important organs and large blood vessels.


    A little careless operation, immediately a medical accident.


    Breaking a large blood vessel during endoscopic surgery is absolutely a disaster. Especially the aortic vessels close to the pericardium can kill people.


    Even Section Chief Tang, a half-baked guy, was terrified when he stood by and watched.


    Forty minutes later, Zhou Can had resected all the lesions, and all the affected lymph nodes and blood vessels had been removed. Some of the difficult operations allowed every doctor present to fully understand what is called a god-like technique.


    [In other words, currently the best app for reading and listening to books, Yeguo Reading, www to install the latest version. ¡¿


    "Okay, the cancerous part and related affected tissues have been cleaned up, please ask Director Hu to check it!" Zhou Can said with a relaxed face.


    "Good! Very good! I have been watching from the sidelines, and I don''t need to check again. I watched Dr. Zhou''s operation today, and I was completely convinced. To be honest, such a brilliant operation technique, skillful knife skills, hemostasis, suturing, and ligation And other skills, even if Director Meng Chun is here, I am afraid that he will not be better than you."


    Before the operation, Hu Wanjun had a dispute with Zhou Can because of the position of the knife.


    Now that Zhou Can successfully completed the operation, and it only took 40 minutes, she is convinced.


    Even she, the chief physician, is convinced, let alone others.


    Several young doctors and nurses looked at Zhou Can with admiration and admiration in their eyes.


    In the operating room, strength is the most respected.


    Whoever has strength can win the respect and admiration of others.


    "Since there is no problem, I will suture the wound!"


    Although the wound is small, the suture must not be sloppy.


    "Can Dr. Zhou give me the chance to suture the wound?"


    A young doctor in his mid-twenties fought hard for the opportunity to participate in this operation.


    Zhou Can also grew up from a rookie, so he naturally understands the novice''s desire for every exercise opportunity.


    "I will sew up this wound myself, and leave the remaining two wounds to you!"


    While talking, Zhou Can has already stitched up the wound under his armpit.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    If this part is not sutured properly, it is easy to form unsightly scars, which will have a certain impact on the patient''s future life. Women, in particular, have special requirements for beauty.


    "Okay, let''s try it!"


    Zhou Can didn''t understand this person''s suturing skills, and he didn''t dare to speak too harshly.


    The young male doctor happily stepped forward and began to sew up the patient. Seeing his clumsy and nervous operation, Zhou Can couldn''t help showing a smile.


    It was as if he saw himself sutured on the patient for the first time.


    "When you place the needle, the selection of this needle position is very important. The wound is small and the tension is small. You can choose a position closer to the incision edge. And when you tie a knot, because it is a wound on the body surface, try not to use a slip knot..."


    He is very friendly to newcomers and gives some guidance as much as possible.


    Director Hu Wanjun, Section Chief Tang and others saw this small performance, and they couldn''t help showing more respect and love for Zhou Can from the bottom of their hearts. This young man not only has strong surgical ability, but also has excellent moral character.


    He has the mind to be modest and forgiving to others, and he also has the "goodness and generosity" to tolerate and help others.


    This quality is extremely precious in a young person.


    "Just leave the finishing work to them. Doctor Zhou, how about coming to my office?" Section Chief Tang sent out an invitation.


    "OK!"


    Zhou Can did not refuse.


    In front of so many people, there is no way to refuse.


    Otherwise, it will embarrass Section Chief Tang.


    Under the leadership of Section Chief Tang, they came all the way to the office.


    "Dean Tian is so late and still hasn''t got off work!"


    Zhou Can was very surprised that Dean Tian was also in this office at the moment.


    Obviously, Chief Tang''s invitation had other intentions.


    He must have known that Dean Tian was here, and it was even possible that Dean Tian wanted to see Zhou Can.


    "Our Dean Tian worked hard day and night for the prosperity of the hospital, which can definitely be called dedication. I have always regarded Dean Tian as a role model to learn from."


    Chief Tang showed off his flattering skills.


    But he said it with a very natural expression and a very sincere tone, which made people believe that this was what he thought in his heart.


    The highest level of flattering is to flatter others without making people aware of it.


    Zhou Can has a new understanding of Section Chief Tang''s communication skills.


    Section Chief Tang was able to gain the respect of Dean Tian, ??and he made great progress with the help of the last expert consultation activity, and he has his own extraordinary ability to survive in the workplace.


    "Oh! I''m ashamed to say it! The harder I work, the worse the business of Xinxiang Maternity and Children''s Hospital. Now it''s on the verge of bankruptcy."


    Dean Tian sighed.


    "Doctor Zhou, Section Chief Tang, please sit down!"


    She got up and made tea for the two of them herself. Panicked, Section Chief Tang hurried over to help.


    If she can make tea herself, it is naturally Zhou Can, a distinguished guest, who will entertain her.


    "Dr. Zhou is the best young doctor I have ever seen. Whether it is diagnostic ability or surgical ability, he is excellent. In fact, I have wanted to see you alone for a long time. It is better to wait for a doctor today. This is why I took the liberty to ask Section Chief Tang to invite you here. The last time the experts visited your hospital, there were many people and mixed eyes. I was worried that it would have some bad influence on you, so I didn''t invite you alone chat."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Dean Tian looked at him very sincerely, as if he was chatting with a friend.


    No airs, no scheming.


    be honest and open.


    In fact, all high-level officials hate conspiracies, they like upright schemes.


    When dealing with high-level leaders, it is best to put away your scheming, otherwise you will only fall behind. Be underestimated by them.


    "Thank you, Dean Tian, ??for being so considerate of such a small person as me! Thank you!" Zhou Can clasped his hands together in gratitude.


    "You''re welcome. It''s what we should do not to cause trouble to others. Section Chief Tang must have invited you to join my Xinxiang Women''s and Children''s Hospital. If you don''t think it''s serious enough, I''ll invite you in person now. You can be open and honest if you have any conditions." As long as it can be satisfied, we will do our best to satisfy it.¡±


    Dean Tian''s straightforward approach made Zhou Can not know how to answer for a while.


    The lung cancer surgery just now is very important to Xinxiang Maternity and Children''s Hospital. Dean Tian probably has been secretly watching the progress of the operation. Now that Zhou Can''s surgical ability is simply against the sky, she made up her mind to dig this special talent.


    If you were an ordinary young doctor, you might be really excited.


    Zhou Can''s heart was like still water, without any waves.


    "Thank you for your great love. Tuya has raised me and treated me very well, so I have no intention of moving away for now." Zhou Can has always been a grateful person.


    Although the competition mechanism of Tuya Hospital was cruel, he was really grateful for the great efforts in his training.


    Especially after he came to prominence, Tuya directly classified him as a reserve famous doctor under key training, and the resources in all aspects were tilted, which was enough for Zhou Can to remember in his heart.


    "Dr. Zhou refuses to join Xinxiang Maternity and Childhood now, I can understand. Because our Xinxiang Maternity Childhood seems to be a mess now and may go bankrupt at any time."


    There was a trace of strangeness in Dean Tian''s expression, she revealed that she was short-sighted, and she did this while poaching people, I believe she must not be stupid.


    Zhou Can was about to say a few words to ease her embarrassment. Dean Tian waved his hand to stop him.


    "My family knows about my own affairs. The situation of Xinxiang Maternity and Children''s Hospital is not good. There is no need to hide this matter. But what I can promise you is that you will be able to obtain medical and academic status in Tuya Hospital in the future. , fame, income, we at Xinxiang Maternity and Children''s Hospital can guarantee that it will only get better. I can see from your eyes that you are a person with ambition."


    "In the future, you will definitely want to build your own medical team. We, Xinxiang Women and Children, can help you accomplish this better. As long as your abilities match, we can help you build what kind of team you want. Yes. Whether it is a surgical team, a medical team, a nursing team, or a service team, we can help you set up.¡±


    When Dean Tian said these words, he was extremely confident.


    The eyes are sincere and the words are sincere.


    Zhou Can secretly wondered, where did she get her strong self-confidence?


    And according to what she said, the status of Xinxiang Maternity and Children''s Hospital is likely to surpass that of Tuya Hospital in the future.


    How to surpass?


    Xinxiang Maternity and Children''s Hospital is a specialized hospital, and this alone limits its development.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    You know, Tuya is a large comprehensive hospital that can treat any disease and treat all types of patients.


    Xinxiang Maternity and Children is mainly divided into two major sections: maternity and childbirth, and pediatrics.


    Moreover, its pediatric department has nothing outstanding in terms of medical skills except for its considerate service.


    On the contrary, the medical skills of the Provincial Children''s Hospital are really strong.


    "Does Doctor Zhou know the current medical development trend in developed countries?" Dean Tian continued to ask.


    "I just know a little bit about it. For example, endoscopic surgery and minimally invasive surgery in Japan are gradually becoming the mainstream. Also, Japanese pharmaceuticals are now vigorously developing Chinese medicine decoctions in China. For the decoction and prescription, I also dug out a lot of powerful Chinese medicine practitioners from China."


    Zhou Can really doesn''t know much about the medical situation abroad.


    "Hehe, if you have a chance, Dr. Zhou can go abroad and learn more about the medical development trends in many developed countries abroad. What you said is only a small part. It can only be regarded as a development trend in medical technology."


    Dean Tian is obviously someone who has seen the world.


    From her confident expression, it can be seen that she has a deep understanding of the development trend of medicine in foreign countries I will definitely go abroad to see it in the future, and I probably won¡¯t be able to go in the past few years. I also ask Dean Tian to enlighten me now! "


    Zhou Can really wanted to gain some knowledge.


    "Take the island country you just mentioned as an example. Its medical development is moving towards two extremes. The poor can''t see the doctor, and all they get is ordinary treatment. The rich and powerful enjoy top-notch medical services with excellence. Ordinary doctors The income of nurses and nurses is relatively low, but the kind of elite doctors and nurses have now begun to break away from the hospital-bound model, have a team of brokers, can pick up jobs everywhere, and the fees are extremely high. But the quality is also guaranteed.¡±


    Zhou Can was shocked by Dean Tian''s words.


    It seems that a new window has been opened for him, and he has seen a different world.


    He has always wanted to form his own medical team, and what he wanted was to wait until the team was strong enough to be free from the constraints of the hospital. Can act more freely.


    This brokerage service model in Japan has shown him a good direction for reference.


    "Compared with the United States, Japan''s medical development is considered backward. The most powerful country in the world, its medical development has another model. You must have heard of the major medical centers in the United States. Its medical centers are It is composed of teams. And each team needs to work **** scientific research and improve technology, so as to win more financial support."


    "As a result, super doctors have gradually appeared in some medical fields in the United States. What kind of super doctor? It''s not as simple as the first-level chief physician we imagined."


    Dean Tian continued to provide Zhou Can with new insights.


    (/novel/)

 Chapter 332： Huge medical fees, family members making trouble?

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "The top super doctors in foreign countries usually form a very complete medical team with themselves as the core. Take a super doctor I know who specializes in blood medicine as an example. He has More than a dozen research teams have served it, including blood immunology, genetics, blood sugar and blood lipids, etiology, tumor markers, internal circulation and metabolism, heart and liver, hematopoietic stem cells and bone marrow, etc."


    Just one super doctor in the hematology department has more than a dozen research teams under him, which is really shocking.


    You know, to feed so many top biologists, scientists, doctors, and nurses, the funds needed are absolutely astronomical.


    The construction of the laboratory alone is enough to discourage a large provincial hospital like Tuya.


    Not to mention that it is almost impossible to bring together so many talents from various fields.


    The domestic hematology department is still at the most primitive stage.


    In the past, only the Department of Cardiovascular Medicine was doing research on blood diseases. Cardiac and great vessel surgery basically does not study blood, but only studies the pathological mechanism and surgical methods of the heart and great vessels.


    Even ten years ago, heart bypass surgery and heart stent surgery were among the most cutting-edge surgeries in China.


    It can be seen that the gap between domestic and foreign countries is still quite large.


    "Because of the existence of this super doctor, that medical center has directly supported half of the sky in the field of blood diseases. Almost all the elites in the world know that this medical center is the strongest in treating blood diseases. The rich and powerful specially charter planes to go to that medical center for treatment. At present, the team led by this super doctor has at least 1,500 researches in the field of blood diseases and is in the leading position in the world. It is even 50 or 60 ahead of other countries more than a year."


    Dean Tian looked like a woman in her fifties, but she didn''t expect her to be so knowledgeable.


    To be honest, Zhou Can always thought she was a ''garbage dean'' before.


    Under her leadership, Xinxiang Women''s and Children''s Hospital went from being a top five specialized hospital in the province to being on the verge of bankruptcy in less than two years.


    Her management ability and leadership ability are all questionable.


    Then, Zhou Can saw with his own eyes at Xinxiang Maternity and Children''s Hospital a few days ago that the medical staff in this hospital were lazy and extremely irresponsible.


    His impression of Dean Tian was even worse.


    It wasn''t until now, the first in-depth conversation with Dean Tian, ??that I realized that this woman is not simple.


    How can a woman with such insight be a mediocrity?


    "Doctor Zhou, please forgive me for my shallow words. In you, I see the shadow of a super doctor. If you are willing to join our Xinxiang Maternity and Children''s Hospital, I will do my best to make you the first super doctor in China." Doctors. There are no real super doctors in our country yet, but we can already see the embryonic form of super doctors in some large hospitals. The team they lead is deeply involved in a certain medical field, and they are catching up with super doctors abroad."


    Dean Tian stared at Zhou Can with hopeful eyes.


    I have to admire her for her good painting skills.


    At least, the cake she drew made Zhou Can''s heart skip a beat after hearing it.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Thank you for your kindness and love. I have no intention of leaving Tuya for the time being. It''s getting late, and I have to go to work tomorrow. I have nothing else to do, so I will leave first."


    Zhou Can was worried that if he continued to talk, he might not be able to resist the big cake drawn by Dean Tian, ??and eventually his head became hot, and he plunged into the arms of Xinxiang Maternity and Children''s Hospital.


    This made him think of Liu Bei in the Three Kingdoms period, the absolute fool king.


    Look at Guan Yu, Zhang Fei, Zhao Zilong, Zhuge Liang, Wei Yan...all civil servants and military generals were fooled by Liu Bei and swore allegiance to him to the death.


    Dean Tian also has potential in this regard.


    "The door of Xinxiang Maternity and Children''s Hospital will always be open for Dr. Zhou. If things go wrong in Tuya one day, or the development of Xinxiang Maternity and Children''s Hospital surpasses Tuya Hospital in the future, Dr. Zhou can come here at any time as long as he wants. The promise you make will always be valid."


    She didn''t hold back, but stood up to see off the guests.


    She can take it in and out freely, she can''t do anything when she sees it, and she will never force it. This woman is too powerful.


    "Okay, thank you for your kindness! Goodbye!"


    Zhou Can waved his hand, opened the door and walked out.


    "I''ll send Dr. Zhou off!"


    Section Chief Tang chased him out and sent Zhou Can all the way to Qianping of the hospital.


    "It''s so late, I''m afraid it''s inconvenient to take a taxi, why don''t I drive Dr. Zhou back!"


    Even though Zhou Can rejected the offer from Xinxiang Maternity and Children''s Hospital many times, he still treats Zhou Can warmly and friendly.


    "It''s okay, I''ve already called a car on the car-hailing software. Section Chief Tang, please stay!"


    Zhou Can directly refused.


    Let Section Chief Tang send him back to the apartment, what will the colleagues in Tuya Hospital think when they see it?


    When the news reaches the ears of the hospital''s senior management, they still don''t know what will happen.


    "Anyway, I don''t have anything to do at night. It''s okay to stay a little longer! By the way, this is a little bit of hard work for Dr. Zhou''s visit tonight. Don''t think it''s too little, just treat it as earning some tea."


    Section Chief Tang stuffed an envelope over.


    After Zhou Can declined twice, he accepted the offer. It feels quite thick in the hand, and the number of red envelopes may not be small.


    Xinxiang Maternity and Children''s Hospital has always been generous.


    In the last expert consultation activity, Zhou Can received two red envelopes, one for consultation, and the other for surgery and treatment.


    It adds up to seven thousand and two.


    He didn''t know how much the other experts got, and it probably wouldn''t be less.


    After all, it was only the third day that Zhou Can started seeing patients, and the number of patients received in the first two days was not very good. Xinxiang Women''s and Children''s Hospital is not a charity organization, and the red envelopes must be calculated based on Zhou Can''s number of patients and the benefits created for the hospital.


    At this time, the car called by Zhou Can came over.


    "Section Chief Tang, hurry back! Goodbye!"


    "Bon voyage! Goodbye!"


    Section Chief Tang bent down and waved goodbye to Zhou Can in the car window, and watched Zhou Can''s car leave before turning around and entering the hospital.


    Zhou Can returned to the dormitory, took out the money in the envelope and counted it, it was 3,000 yuan.


    The outpatient fee given is too generous.


    It''s just an endoscopic surgery. Under normal circumstances, the operation is done by a team, and the chief surgeon gets a little more. But it is impossible to get 3,000 yuan for surgery.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    [Recommended, Yeguo Reading and Chasing Books is really easy to use, download www here, everyone can try it soon. ¡¿


    Even giving Zhou Can a red envelope of 1,000 yuan is considered too much.


    "This money is really hot! Next time you ask me to preside over the operation, you have to mention it."


    Zhou Can knows that some money is not easy to get.


    There is also a possibility that Xinxiang Maternity and Children''s Hospital is putting a long line to catch big fish.


    Deliberately let Zhou Can taste the sweetness, and then took the initiative to change jobs to Xinxiang Women and Children''s Hospital.


    It''s just that they underestimated Zhou Can too much.


    I am a rich second generation, and I have a strong resistance to money and a clear understanding of money since I was a child. Now, Zhou Can even has his own company with an annual income of tens of millions.


    There was no way he would be impressed by that.


    ¡­


    The next day, Zhou Can went to work in the Department of Gastroenterology early in the morning. There is no way, director Shang personally called him, saying that there are two interventional operations to be done today.


    Among them, there is a common bile duct stone operation, which requires ERCP surgery to remove the stone from the patient.


    It involves placement, and the use of airbags.


    The specific principle is to first pass the guide wire into the common bile duct, and then insert the balloon tube along the guide wire. When the air sac tube reaches the back of the gallstone, the air sac is inflated, and then the guide wire is pulled back to bring out the stone in the common bile duct.


    Don''t underestimate the use of this small air bag technology, whether it is used to remove common bile duct stones or to clear thrombus, the effect is very good.


    It can be said to be immediate.


    However, this kind of endoscopic surgery has very high requirements for the doctor''s operation skills.


    Director Shang also took a fancy to Zhou Can''s endoscopic surgery ability, so he asked him to come to the department early to help.


    After he arrived at the department, he made rounds as usual and helped the department clear up some difficult cases, so he didn''t mention it.


    At around 8:30, Director Shang asked him to help in the intervention room.


    Needless to say, with Zhou Can''s help, the two interventional operations went extremely smoothly. It was done before eleven o''clock. Director Shang was also very happy.


    Zhou Can felt that today''s two operations were not too difficult, and somewhat unsatisfying.


    It''s a pity that there are few operations in internal medicine, and there are also such relatively simple interventional operations. It''s really a difficult operation, and the doctors in the internal medicine department are clever! directly to surgery.


    "Xiao Zhou, go out for a few days to sit in the clinic, not only has the skill not weakened, but it has improved!"


    After walking out of the operating room, Director Shang couldn''t help but praise.


    "I also think Dr. Zhou''s endoscopic surgery is getting more and more handsome!"


    Xie Lin has a cheerful personality, and she is quite familiar with Zhou Can now.


    When complimenting him, some of the words used are more provocative.


    Under normal circumstances, to praise others for their well-done surgery is generally to say that the surgery is well done and beautifully done. It is really rare to use the word handsome.


    "I have to go to Tuya Medical University to take a class in the morning. You should pay more attention to the things in the group. If you have something in the department, you also have to take care of it. After all, those who are able work harder!"


    Director Shang gave Zhou Can some tasks without waiting for him to speak.


    "You really think highly of me! The affairs in the group are taken care of by Deputy Director Shi, and the affairs in the department are presided over by an elder like Director Zheng Hongtao. What''s the matter with me?"


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can said with a wry smile.


    "Come on! Don''t think I don''t know. Director Shi has asked you for help. Director Zheng even praises you every time he sees me. No matter how much I squeeze you, there are only a few days left."


    Director Shang would not believe Zhou Can''s rhetoric.


    Now in the department, almost everyone knows that Zhou Can is notoriously humble.


    "I didn''t expect to leave so soon! I''m really sad!" Zhou Can seemed to have been in the Department of Gastroenterology for more than two months, less than three months.


    The study of internal medicine is more difficult than that of surgery, because the knowledge involved is too wide.


    The learning cycle is longer.


    More than two months, which is the most important department of gastroenterology, the time is actually a bit short.


    But there is no way, more than half of Zhou Can''s three-year training period has passed, and he still has many internal medicine departments that need to participate in standardized training and learning.


    The training stage is to learn some of the most basic knowledge of clinical practice.


    If you want to study in depth, I am afraid you can only wait until you find an opportunity to participate in specialized training in the future.


    "It''s not willing to leave, that''s easy! Stay and train for another two months!" Director Shang said with a curled lip.


    "It''s actually good for Dr. Zhou to stay for two months of regular training. The three of us can also learn more clinical knowledge and skills from Dr. Zhou." The relationship between Luo Jingyin and Zhou Can has always been good.


    She was really reluctant to leave Zhou Can.


    Of the three graduate students under Director Shang, only Qiu Chengyu and Zhou Can were a little distant. From the first day they met, there were some small frictions.


    The main reason is that Qiu Chengyu felt that Zhou Can''s limelight was too strong, which seriously affected his position under Director Shang.


    So there is a certain amount of hostility towards Zhou Can.


    In addition, the two female graduate students became more and more intimate with Zhou Can, which made Qiu Chengyu feel even more uncomfortable.


    This is the case between people, what matters is fate. The first impression is not good, coupled with certain conflicts of interest, the relationship will not be good even if you think about it.


    The most is to maintain the surface harmony.


    "I would like to stay, but there is no way to complete the regular training tasks! I only have thirty-six months of regular training time, and now I don''t have much time left."


    In fact, Zhou Can has lost his feelings in many departments.


    Even after leaving, I kept in touch with my colleagues in the original department.


    Occasionally go back to drop by, that is a common thing.


    "You, you just didn''t mean what you said. The time is coming, I have to take the three of them there quickly. Remember to watch more in the department, and sit with me in the afternoon. I want to see you go to Xinxiang Women''s and Children''s Hospital to participate After seven days of expert outpatient activities, have you made any progress?"


    Director Shang explained a few words and left in a hurry.


    Judging from his conversation with Zhou Can, it is obvious that he no longer speaks in an imperative tone as before.


    Instead, like Yi Zai, half-jokingly raised Zhou Can to a certain level.


    Strength is indeed a good thing, allowing Zhou Can to rise steadily, his status has far surpassed that of Qiu Chengyu, even much higher than that of ordinary residents.


    Watching Director Shang leave, Zhou Can returned to the office before his **** was hot, and the pediatric department called.


    "Doctor Zhou, I''m Director Dai of the Department of Pediatrics!"


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Hello, Director Dai!"


    "May I ask, did you see a four-year-old boy with cyanotic skin yesterday?"


    "Yeah, what''s the matter?"


    "The child suddenly fell into a coma this morning. After examination at the Provincial Children''s Hospital, he was diagnosed with congenital heart disease and severe hypoxia. Now the boy''s parents, grandparents are all here, and they want to find you."


    "Why are you looking for me? I told the child''s mother yesterday that the boy had a congenital heart disease. She called me nonsense and left angrily. Now that something happened to the child, I don''t take the responsibility."


    When Zhou Can thought of the fanciful and confident mother, he felt a little headache.


    Any doctor who encounters that mother will have a headache.


    The whole family is here now, obviously looking for trouble.


    "The family members insist on seeing you, or you can come here for a while! The security guards in the hospital are already in place, and nothing will happen."


    Director Dai lowered his voice.


    Family members make trouble in the hospital. Out of the protection of doctors, the hospital usually chooses to let other medical staff in the department come forward. Even the medical department came forward to solve it directly.


    The doctor involved may not show up at all.


    The main purpose is to prevent some family members from getting emotional and hurting the doctor involved.


    "Okay, okay, I''ll be right there! Are you in the pediatric clinic?"


    "Yes! In the aisle outside Clinic Room 17!"


    Director Dai also breathed a sigh of relief when Zhou Can agreed to go over.


    Family members brought their children to make trouble in the outpatient clinic, which had a very bad impact.


    (/novel/)

 Chapter 333： Dont play by the routine! Neonatal Specialist

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The hospital is definitely not willing to let the family members continue to quarrel, and find a way to calm the incident as soon as possible. This is the most common method.


    Zhou Can had no fault in this matter, so he was very calm in his heart.


    The days when family members pulled up two banners and made a fuss in the outpatient hall of the hospital to force the hospital to pay money have long passed.


    Not to mention a provincial tertiary hospital of Tuya''s level, even a county-level hospital, as long as there is no fault, they are not afraid of family members making trouble at all. Especially after the relevant departments cracked down on professional medical troubles, the hospital''s back became straighter.


    Not long after, he came to the outpatient corridor of the pediatrics department.


    As soon as I got out of the corner of the elevator, I saw people surrounded at one end of the corridor.


    That location happened to be the location of the No. 17 outpatient room. Needless to say, the troublemakers must be there. People who eat melons are not afraid of big troubles, and the more troublesome they are, the more they like it.


    The security guards of Tuya Hospital have been transferred a lot, and they are working hard to maintain order at the scene.


    "Give way, everyone, please make way!"


    Zhou Can squeezed in.


    "Doctor Zhou is here!"


    Someone yelled, and the patients and family members who were watching at the scene all turned their attention to Zhou Can.


    "He is the receiving doctor that day, he looks so young!"


    "It is because you are young that accidents are prone to accidents. Let me tell you, don''t seek medical treatment from young doctors, it is right to seek medical treatment from older doctors."


    "That child is so pitiful, his whole body is purple, it''s really scary to look at! Wouldn''t he be treated like that by Dr. Zhou?"


    "It must be Dr. Zhou who cured his child! Otherwise, could he come here to make trouble?"


    Everyone speaks gold.


    The power of saliva stars is not inferior to that of knives. It can completely drown people.


    A word from you, a word from me, spread more and more evil.


    Zhou Can was only diagnosing that boy, and now he directly cured him. If it was a doctor with poor psychological quality, he would be **** to death on the spot.


    "It''s him, the doctor who saw him yesterday is him!"


    The boy''s mother was extremely excited when she saw Zhou Can approaching.


    The other three family members stood up at the same time, which was quite scary.


    Zhou Can did not change his face, and walked in front of the family members and the sick child who was inhaling oxygen and his body was purple.


    "Why are you here today?"


    Zhou Can''s tone was a bit cold.


    Even if the whole family is mobilized to make trouble, he will never admit cowardice.


    "Doctor Zhou, I blamed me for not listening to your diagnosis yesterday. My child suddenly fell into a coma today. I went to the Provincial Children''s Hospital for an examination, and the diagnosis was consistent with your diagnosis. It was indeed a congenital heart disease. The Provincial Children''s Hospital immediately put him in a critical condition. Notice, please, save my son!"


    The confident mother burst into tears and knelt down at Zhou Can''s feet with a plop.


    "Where did you come up with? This has confused me!"


    Looking at the mother of the child kneeling in front of him, Zhou Can was really at a loss.


    Didn''t she bring other family members to make trouble and make trouble? Now the plot is messed up, I didn''t follow the original course!


    He admitted his mistake in public and knelt down to beg Zhou Can to save his son''s life. This change was too fast.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Even if the provincial children''s hospital issued a critical illness notice, there was no need to run back and beg him for a young doctor!


    However, there must be something wrong with this woman''s spirit, which cannot be solved with common sense.


    The onlookers eating melons were even more in an uproar.


    They all thought that Zhou Can treated the other''s child for an accident, but now they realized that it was the child''s mother who did not follow Zhou Can''s diagnosis opinion.


    "Let me just say, the doctors in Tuya Hospital are still very good!"


    "This Doctor Zhou is not bad at all!"


    "Is there such a doctor in the Pediatrics Department of Tuya Hospital? Why didn''t I see it when I registered?"


    "Yes! Here, isn''t this the clinic number of Dr. Zhou? But it seems that he only visits on Wednesdays."


    "It''s only one day a week, so little!"


    The onlookers'' impression of Zhou Can also changed 180 degrees directly. This is public opinion. One second, everyone was criticizing Zhou Can, and the next second they were flattering and praising Zhou Can.


    The outlet of public opinion has always been so fickle.


    Some people say that if you do good deeds all your life, and finally do one bad deed, you will be labeled as a bad person. And some people have done bad things all their lives, and finally did a good thing, but they are called prodigal sons who turn around and change their minds.


    "Get up first, you get up first and then talk!"


    It was also difficult for Zhou Can to help her, so he could only stretch out his hand to support her.


    "Help her up quickly!"


    Zhou Can shouted to several family members.


    The family members will not help, they now need Zhou Can''s promise to save the child''s life.


    "If Doctor Zhou doesn''t agree to save my baby, we''ll kneel down for you too." The woman''s father-in-law looked at a man in his sixties with pale hair.


    Zhou Can couldn''t stand such an old man kneeling in public.


    Even though he knew that people might say that on purpose to put a little more pressure on him and force him to agree. But Zhou Can still couldn''t afford to gamble.


    "We, Dr. Zhou, will definitely try our best to treat your child, but you are forcing Dr. Zhou to say in public that you will definitely be able to cure your child. This is a bit unrealistic. Doctors are human beings, not gods. Get up first, and ask Dr. Zhou to help you see Look at the child''s condition, so that we can hurry up for treatment! If you kneel like this, the influence will be bad, and the time will be delayed!"


    The guide nurse Zhou Yanqing stepped forward to help at this time.


    She came forward to persuade the family members, and she helped the child''s mother up.


    Zhou Can breathed a sigh of relief.


    When I ran over, I thought I was going to argue with the family members, but I didn''t expect the family members to not play the cards according to the routine. Now I can only find a way to treat the child.


    However, in the face of such a matter, the family members must be very careful.


    Don''t look at how easily his family members kneeled down for him just now, the more this kind of person, the less valuable his knees are. He had seen it a long time ago when he was planning training in other departments.


    The patient''s treatment went well, everything is easy to say. If the patient''s treatment does not go well, or even dies in the end, the family members say that they can turn their faces.


    "Director Dai, have you seen the child''s condition?"


    Zhou Can set his sights on Director Dai, who had the highest status on the scene.


    The family members have been arguing here for so long, yet only Chief Physician Dai, the Chief Physician, came forward to deal with it. The other Chief Physicians were afraid of getting into trouble, so they all stayed away.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    This man, he always seeks good luck and avoids bad luck.


    It is estimated that Director Dai was unlucky enough to meet him, and he couldn''t escape. Or maybe she happened to be on duty at the outpatient clinic.


    "I just took a look, and the situation is very bad. The child''s lung function is very poor now, and I don''t know if I can get off the operating table after the operation. Moreover, the operation on this child is very complicated and difficult."


    Director Dai looked embarrassed, obviously he was not willing to accept this hot potato.


    "Why don''t you treat them at the Provincial Children''s Hospital? The medical skills there are not bad! Wouldn''t it be better to operate directly there?"


    Zhou Can asked the family members.


    "The experts at the Provincial Children''s Hospital said that even if you have an operation, you are close to death, and the risk of the operation is extremely high. Let us be mentally prepared for the worst. When I took my son to you for treatment yesterday, you didn''t tell me this. It seems Still relatively calm. I just thought that you must be much more sure, after discussing with your family, I decided to bring the child back to you for treatment."


    The child''s mother originally thought so, and it seems that there is no mental problem.


    At least people''s thinking is clear.


    After comprehensive consideration, she thought that Tuya''s side was more likely to save the child, so she came back for treatment.


    Zhou Can glanced at Director Dai with some understanding.


    It seems that on this matter, Director Dai could have dealt with it directly, but he insisted on calling Zhou Can over. The purpose may be to avoid responsibility. She was playing tricks once.


    But Zhou Can must have seen through it without telling him, and he has a certain understanding of Director Dai''s personality.


    It''s not that Director Dai''s character is bad, but that she is more selfish in the face of interests.


    "Doctor Zhou, we didn''t know you before. It was my dad who saw reports about you on the TV news. After inquiring about you, I realized that although you are young, you are very skilled in medicine. I beg you to save me The doll of my family. It is not easy to give birth to this son in three generations of my family.¡±


    The child''s father followed suit and said good things.


    On TV news, the force is much higher than Zhou Can imagined.


    The influence is even greater.


    Now he finally understands why the censorship of TV programs and news figures is so strict.


    If the review is not strict enough, it is easy to cause adverse effects and even bring down the social atmosphere. Or endorse the platform of criminals and become an accomplice.


    "After the child fell into a coma, did you do any treatment at the Provincial Children''s Hospital?"


    Zhou Can lowered his head and began to look at the sick child lying on the flat bed.


    Even though he was inhaling oxygen through one nostril, the skin all over his body was still severely cyanotic, which made him look very scary.


    Especially the sick child''s face is as terrifying as a person who has been strangled by someone for a minute or two and is about to suffocate to death. The whole face is purple.


    "Only a pulmonary angiography was done, followed by oxygen therapy."


    The family members took the child to the Provincial Children''s Hospital for diagnosis and treatment, and the inspection items done in Tuya will definitely be useful.


    After seeing the doctor who received the treatment, he had a certain understanding of the condition.


    Pulmonary angiography is performed to clarify the condition of blood vessels and prepare for further treatment.


    Zhou Can took the radiography inspection report and checked it carefully.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    It was discovered that the Provincial Children''s Hospital actually performed aortography on the sick children. Then through the patent ductus arteriosus, a pulmonary angiography was performed.


    The results showed that the diameters of the left and right pulmonary arteries at the hilum were 7mm and 9mm respectively, the diameter of the descending aorta at the level of the diaphragm muscle was 9mm, and the mean pulmonary artery pressure measured by cardiac catheterization was 1.9kpa.


    After seeing the patient''s aorta and pulmonary angiography, Zhou Can began to think about the operation plan.


    He is just a trained doctor. Even though he is now qualified to be a doctor, this kind of extremely high-risk congenital heart surgery is not something he can make a decision at all.


    This matter must be presided over by the chief physician.


    Not to mention anything else, the level of surgery is already a level four major surgery.


    Moreover, the child''s condition seemed to be in critical condition, so we must immediately find a way to establish extracorporeal circulation for the child, and then perform total cavopulmonary artery connection.


    Zhou Can has been trained in cardiothoracic surgery for several months, and has participated in many major surgeries, so he has a relatively clear idea of ??diagnosis and treatment.


    "Director Dai, I''m afraid we must ask you to come forward to treat this patient!"


    What Zhou Can said was very straightforward.


    Because he knew that Director Dai was a bit slippery, he tried not to leave room for the other party to dodge as much as possible.


    "I''m not good at treating congenital heart disease. I think it''s more appropriate for you to report this matter directly to Director Tang. Human life is at stake. Doctors who are good at treating congenital heart disease must be able to give the most professional treatment."


    Ginger is old and spicy.


    Director Dai shied away immediately.


    And it''s hard to fault.


    "Don''t worry, I''ll call Director Tang immediately to report the matter. This child looks a little scary, but in fact, his life should not be in danger in a short time. But he must be kept in the hospital to prevent accidents."


    Zhou Can finally added another sentence.


    The main worry is that this self-confident mother will bring the child home again.


    Seeing the anxious faces of the family, Zhou Can hurriedly called Director Tang.


    He took out his mobile phone, walked to the window of the elevator shaft, and dialed Director Tang''s number.


    "Director Tang, I have a patient here that I need to report to you!"


    "Are you still in pediatrics today?"


    Director Tang Fei said in surprise after hearing this.


    "I''m back to work in the Department of Gastroenterology. But yesterday I saw a four-year-old boy with cyanosis all over his body..." Zhou Can briefly described what happened.


    "Who are the chief physicians at the scene?"


    After Tang Fei listened, she was ready to assign work.


    "Director Dai took care of it on the spot, but she said that she is not good at treating congenital heart disease, and she needs to find a professional chief physician to treat this disease." Zhou Can is really not a small report to beat Director Dai.


    Just tell the truth.


    "Okay, I see. You calm down the emotions of the family first, and I will find a way to send a chief physician to deal with it." Tang Fei hung up the phone after finishing speaking.


    Zhou Can waited honestly.


    During this period, he did not sit idle, but took the examination report of the sick child for careful study.


    Since the congenital heart disease of the child is very complicated, the difficulty of the operation is indeed very high. After research, Zhou Can thought it would be safer to perform two surgeries.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Gradually, the operation plan took shape in his mind, and became clearer and better.


    "Who is Dr. Zhou Can?"


    "I am I am!"


    Zhou Can looked up and saw a male doctor in his fifties coming over, with a long head, a typical horse face, and a thin body.


    Don''t look at this person''s appearance, but his eyes are extremely clear and his aura is full.


    "My name is Zhuang Sheng. I am the chief physician of the Neonatology Department. Director Tang Fei asked me to come over to treat this patient. I have heard Dr. Zhou''s name for a long time. I met you today and found that you are more handsome than I imagined!"


    The atmosphere at the scene was a bit depressing The occasion was also very serious.


    The director Zhuang suddenly praised Zhou Can for being handsome, which immediately made the atmosphere a lot easier.


    "Hehe, hello, hello! Nice to meet you!"


    Zhou Can smiled and shook hands with the other party.


    After meeting a chief physician, he said that he had admired his name for a long time, which really flattered Zhou Can.


    I must be happy to hear that.


    "A specialist has come, and I can finally breathe a sigh of relief. This is the examination report of the child, please see what to do with it?" Zhou Can handed over the examination report.


    The condition of the child needs no introduction at all, because it is clear at a glance.


    Director Zhuang is the chief physician of the neonatology department, and he should be very good at all kinds of diseases of newborn babies. Congenital heart disease is a rare disease for the general public.


    But in the Neonatal Department of Tuya Hospital, such cases are often seen.


    Director Zhuang carefully read the child''s examination report, and then checked the actual situation of the child.


    "Basically all the examinations that should be done have already been done, but there is no need to do it again. This can save time to the greatest extent so that the children can receive treatment as soon as possible."


    He looked up at the people around him, "Who is the child''s family?"


    "I am, we all are!"


    All four family members gathered around and answered in response.


    "Hey, the whole family is here, it''s quite lively! It''s said that children are the emperors of the family, and everything we do as adults is for children. You are definitely the pacesetters in this regard."


    Director Zhuang praised the family members, which obviously won the favor of the family members.

 Chapter 334： Give up the shopkeeper, seek help from cardiothoracic surgery

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    , my medical skills can add experience points


    "Let me tell you, this doll''s congenital heart disease will definitely require surgery, and his surgery is very complicated and the risk is extremely high. If you are willing, we will first find a way to admit the child to the hospital. The specific surgical plan will definitely require It can only come out after a multi-party risk assessment and discussion."


    [Recommended, Yeguo Reading and Chasing Books is really easy to use, download it here and try it quickly. ¡¿


    Director Zhuang must have understood that this case of congenital heart disease is not curable after watching the film.


    He mentioned that it needs to be evaluated and discussed by multiple parties. If he guessed correctly, it is very likely that a doctor from cardiothoracic surgery should be invited for a joint consultation.


    "Yes, we are willing!"


    The family members were worried that something might happen to their child, and they no longer dared to confront the doctor.


    Even the mother of the child is honest.


    "Doctor Zhou, this patient is treated by you. I''m afraid I have to ask you to stand to the end and continue to follow up. The formulation of the operation plan, the linkage of various departments, and the consultation all need you to be responsible."


    After Director Zhuang settled the matter with his family, Zhou Can was dumbfounded by one sentence.


    "This, this is not appropriate! I''m just training, such a major operation must be performed by you, the chief physician!" Zhou Can would have cursed if he hadn''t been intimidated by the other party''s identity.


    Director Shang of the Department of Gastroenterology is enough to exploit people.


    All kinds of things are directly on him.


    Now, as soon as Director Zhuang came up, he directly pressed a child with congenital heart disease to him. This is a level four major surgery, it''s too scary.


    Although Zhou Can has a tiger running in his heart, he feels that if he can invite Director Hu Kan from the Department of Cardiothoracic Surgery to guide him later, maybe it is not impossible to challenge this operation.


    "I will do my best to assist you! You young people are full of drive, and you are at the age where you should break through and fight hard. That''s it."


    In front of the patient''s family, Director Zhuang shamelessly assigned the task to Zhou Can.


    The official level crushes people to death.


    He is the chief physician, and he was authorized by Tang Fei, the director of pediatrics. Zhou Can really wanted to cry without tears.


    At this time, Zhou Can could only look to his family members for help.


    Winking at the children''s parents and grandparents.


    I hope these family members will come forward to help and say something.


    Finally someone understood Zhou Can''s meaning.


    The child''s grandmother said in a sharp voice, "Director Zhuang, my wife has a lot of mouths, so don''t take offense!"


    "Elder Sister, if you have anything to say, just say it!" Director Zhuang is about ten years younger than the child''s grandmother, so it''s perfectly fine to call him Eldest Sister.


    "You can see that although Dr. Zhou is very good, he is too young and lacks experience. My grandson has a serious congenital heart disease. Experts from the Provincial Children''s Hospital said that the operation is close to death. In order to increase the success rate of the operation, It¡¯s definitely safer for you to preside over it yourself.¡±


    Old people don''t speak as aggressively as young people.


    Quite tactful.


    After hearing this, Director Zhuang explained in a serious manner, "I didn''t say to ignore this matter, it''s just that Dr. Zhou took the lead. This approach is also in line with the first visit system of our hospital. Besides, Dr. Zhou looks young, His surgical experience is not necessarily less than mine. There is a saying that old people are not age, but state of mind. Age does not represent everything. Especially in our doctor industry, technology is changing with each passing day, and outstanding young doctors are better than us in many ways. These older doctors have an advantage."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Not to mention anything else, the physical strength required for an operation is beyond your imagination. Let me tell you another secret, this kind of large-scale operation has never been done by one person, but by a whole surgical team, so you Don''t have any worries."


    After Mr. Zhuang''s explanation, the family had no objection.


    Zhou Can couldn''t ask others for help this time.


    He will be responsible for this patient to the end.


    First of all, find a way to coordinate a bed for the child. If the child is transferred to cardiothoracic surgery for treatment, the pediatric department will definitely not agree.


    The benefits of a congenital heart disease operation are considerable.


    Even the simplest congenital heart disease treatment costs more than 10,000 yuan. The condition of this child is so serious, the operation is extremely complicated, and the cost of operation and treatment is likely to exceed 120,000 yuan.


    There is no way to estimate the specific cost for the time being, and a more accurate cost result can only be obtained after the surgical plan comes out.


    Although the cost of the operation is high, for a family, as long as the child can be saved, it is estimated that selling a car or building will be treated.


    "Director Zhuang, how would you like to arrange this child directly to your neonatal department? They won''t agree to let him live in another department!"


    Zhou Can''s arrangement has a deep meaning.


    Didn''t Director Zhuang ask him to preside over the treatment of this child? no problem. But if the person is arranged to live in the neonatal ward where Director Zhuang is, Director Zhuang will not be able to be the shopkeeper.


    "Can!"


    Director Zhuang and Zhou Can looked at each other and agreed readily.


    "You should at least make sure to do the ward rounds once a day!"


    He added one more condition.


    "no problem!"


    Zhou Can also readily agreed.


    Both of them are smart people, and they easily understood each other''s intentions.


    After the discussion is over, the patient will be admitted to the hospital. Director Zhuang will naturally coordinate the matter of lack of beds. Zhou Can arranged for the child to be admitted to the neonatology department, but it was not for nothing.


    Moreover, Director Zhuang also had to watch over the bed every day.


    ¡­


    Back at the Department of Gastroenterology, it was only two minutes before twelve o''clock at noon.


    Director Shang also told Zhou Can to help the Department of Gastroenterology more, but ended up staying in the Pediatrics Department for more than an hour. After a while, Director Shang knew about it, so he might have to talk about it.


    Zhou Can simply went to the cafeteria to have lunch, and then returned to work in the Department of Gastroenterology.


    Around one o''clock in the afternoon, Director Shang came.


    He was very happy to see that Zhou Can was treating the patients in his group.


    "Xiao Zhou, it''s not bad! After finishing this case in a while, hurry to the outpatient clinic to sit with me. It''s almost one o''clock, and I will take them to the outpatient clinic first."


    Zhou Can was secretly happy that this level has passed.


    But the child with congenital heart disease had to find a way to work out the operation plan.


    He made up his mind, got off work, and went to the cardiothoracic surgery department to ask Director Hu Kan for help.


    ¡­


    The afternoon consultation passed quickly, and I learned a lot of useful knowledge with Director Shang.


    Director Shang is strict with his doctors, but he is also very patient when teaching them. Zhou Can has also benefited a lot from sharing his valuable experience in diagnosis and treatment with them.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    After work, Zhou Can went straight to the cardiothoracic surgery department.


    The same building, the same busy scene, but he clearly felt some changes.


    I can''t say it, but the atmosphere of this department seems to be no longer the familiar one.


    After all, it has been more than a year since I left cardiothoracic surgery.


    "Doctor Zhou is here! Long time no see!"


    A passing doctor greeted him with a warm smile.


    "Hehe, it''s been a while since I''ve been here. There''s nothing I can do about it. I''m so busy every day. Is Director Hu Kan off work? I''m here to ask him about medical issues."


    Zhou Can asked.


    "Director Hu''s health has deteriorated recently, and he seldom performs surgery himself. But as long as his health permits, he will come to the department to work every day. Either he is in the outpatient clinic, or he guides other doctors to perform operations in the operating room. You don''t know, We didn¡¯t do well in the operation, as long as you are scolded, Director Hu will mention your name.¡±


    Zhou Can couldn''t help feeling worried when he heard that Director Hu Kan was in poor health.


    Director Hu Kan''s age is actually not very old, at least in this good era when the average life expectancy is 78 years old, around 60 years old is really not considered old. Many well-maintained men are still as good as boys at the age of 60.


    Doctors are the people who know how to preserve health best in the world, but they are also the group of people who are the least able to preserve health in this world.


    Especially for surgeons, it often takes seven or eight hours, or even more than ten hours, to perform an operation. By the time the busy work was over, it was already past meal time.


    There is also the problem of drinking water. No matter how thirsty you are in the operating room, you can''t drink water.


    Then rest is also irregular. At three o''clock in the middle of the night, no matter how soundly you sleep, when you hear the phone ringing, you will immediately feel nervous. I''m afraid that something will happen to the patients in the department.


    It is not uncommon to run back to the hospital in the middle of the night to rescue patients.


    According to statistics, the average life expectancy of a doctor is only 54 years old. This is a very scary statistic.


    If it is announced, it is estimated that many teenagers will give up the idea of ??studying medicine.


    "What are you mentioning me for?"


    Zhou Can didn''t understand what other doctors'' scolding had anything to do with him.


    "Praise you for your high talent in surgery, and your rapid progress in your studies! Director Hu also said that it is a very happy thing to have an apprentice like you. Oh, by the way, you are lucky today. Director Hu is still in the office, but after listening According to the conclusions of the doctors, it is estimated that they are about to get off work. Hurry up and go there!"


    "Okay, thank you! Goodbye!"


    Zhou Can walked quickly to the doctor''s office.


    The door was ajar, and the sounds of doctors discussing cases came from inside.


    In many practical departments, it is never the kind of formal reports and speeches that make the summary, but the simplest case discussion.


    Sometimes they even get red-faced and red-faced, just like arguing.


    Dongdongdong!


    Zhou Can knocked on the door politely.


    Although he is familiar with many doctors in cardiothoracic surgery, he must have the proper courtesy.


    "Come in!"


    A slightly old but calm voice came.


    It was Director Hu Kan''s voice.


    Pushing the door open and walking into the office, I saw Director Xueyan and others showing surprise expressions.


    "Wow, Doctor Zhou is here!"


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Hi Director Hu! Director Xue, Director Le..."


    Zhou Can smiled and greeted these old acquaintances one by one.


    In private, he called Director Xueyan Sister Yan. The relationship between the two is very close. The basic medical knowledge that Zhou Can learns every day was formulated for him by Director Xueyan.


    When encountering difficult problems, he will often consult Director Xueyan for advice.


    "But I haven''t seen Xiao Zhou for some days. I don''t need to guess to know that he must have come to ask us for help." Director Hu Kan looked very pale, but his mental state was not bad.


    In particular, the arrival of Zhou Can added joy and made him very happy.


    "Hey, Director Hu is still so predictable, I can''t hide anything from you. I tried to see a day in the pediatric department yesterday, and I saw a boy with congenital heart disease, less than four years old. The child''s condition is very serious. Seriously, now the skin of the whole body is severely cyanotic, and even a hypoxic coma has occurred. The family members have agreed to be hospitalized for surgery. There is a solution, I can only go here to find the teachers to learn from."


    Zhou Can can feel that many old acquaintances in cardiothoracic surgery still treat him the same.


    The look in his eyes is also very friendly.


    It''s such a great feeling to have this friendship.


    "You kid is still acting like a good boy here! What are you trying to do? All the young doctors sitting here are eager to have the opportunity of you. Tsk tsk, Director Tang Fei of the Department of Pediatrics is really willing to give me the opportunity to exercise. When it comes to you, even the simplest congenital heart disease operation is a major operation. The risks involved are huge, and if something goes wrong, it¡¯s not your turn to be responsible for it. Be content, kid.¡±


    Director Hu Kan couldn''t help scolding him with a smile after hearing this.


    "I''m sure I''m content! It''s just that I''m quite terrified. If I mess it up, Director Tang Fei and others will be so sad! Fortunately, there are teachers from the Department of Cardiothoracic Surgery behind me to help me, so I don''t feel so panicked. "


    Zhou Can replied with a smile.


    How could he be so clueless?


    Don''t look at Director Zhuang''s desire to be the hands-off shopkeeper, it seems that he is lazy and a little irresponsible. In fact, as director Hu Kan said, Zhou Can is just a regular trainee, and if something happened, it must be the tall man who took the lead.


    Director Zhuang and Director Tang Fei are the main persons responsible for this operation.


    Their pressure is probably much greater than that of Zhou Can.


    "Did you bring the materials? Just because everyone is present, let''s discuss together!" Director Hu Kan looked at the bag Zhou Can held in his hand.


    "Bring it! Everything comes on a first-come, first-served basis. I''ll wait for you to finish discussing the work before asking you to help me solve the problem."


    Zhou Can didn''t dare to overwhelm the host.


    "We''ve finished our discussion just now. Doctor Zhou, bring out the information!" Director Le spoke for him.


    "What are you talking about, hurry up!"


    Director Hu has already started urging.


    "Then I won''t be polite!"


    Zhou Can took out the patient''s information and first handed it over to Director Hu Kan for review.


    Then spread to several chief physicians.


    As for the other attending and resident physicians, they gathered around their senior physicians and watched together.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Definitely need to maximize time savings.


    Learning is even more about being proactive.


    "Everyone has basically read the inspection report, please don''t express your opinions, let me see if Xiao Zhou has made any progress!"


    Director Hu Kan locked his eyes on Zhou Can.


    "Let''s talk about your surgical thinking and plan first."


    Zhou Can didn''t hide it, and directly stated his operation plan.


    "I''m going to establish extracorporeal circulation for the patient first, and then do the total caval-pulmonary artery connection... After the first stage of surgery, about 24 hours later, I will perform another operation, remove the tunnel baffle in the atrium, and retain the Superior vena cava-right pulmonary artery anastomosis, sealing the roof of the right atrium..."


    After listening to Zhou Can''s operation plan, the whole office was so quiet that a needle could be heard.


    Director Le looked at him with an extremely exaggerated adoration expression.


    Director Xueyan showed a knowing smile. Zhou Can''s surgery plan today is so clever, which involves a lot of basic medical knowledge, which shows that he is not lazy at ordinary times. The study plan she helped Zhou Can formulate, he must have been studying pragmatically.


    After digesting and thinking deeply, the two high-level attending physicians looked at Zhou Can with exaggerated expressions of shock.


    "This kid is amazing. Although this surgical plan is not perfect, it tests all aspects of surgical skills, basic medical knowledge, and even some advanced medical knowledge. What''s more frightening is that knowing these knowledge and skills is not enough. It needs to be integrated into practice.¡±


    so amazing.

 Chapter 335： Director Hus request, Jin Mingxis great opportunity

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    As for the remaining general-level attending doctors and residents, they basically couldn''t understand Zhou Can''s surgical thinking. Don''t blame them. When the level is high enough, listening to these difficult surgical plans is indeed like listening to heavenly scriptures.


    The purpose of many surgical procedures, they cannot understand because of their insufficient level.


    Not to mention the regular trainees and interns present.


    "Is Doctor Zhou really here to ask for advice? Why do I feel like I''m here to show off my skills?" An attending physician who has a good relationship with Zhou Can asked him with a wry smile.


    This question touched the hearts of many people.


    The surgical plan given by Zhou Can just now is already very clever, and the level is not inferior to that of the chief physician present. They are so powerful that many of the attending physicians present feel ashamed.


    Even some deputy chief physicians may not have the same surgical ideas as him.


    It''s almost the same for them to learn from Zhou Can in turn.


    "Doctor Long, don''t make fun of me. How dare I show off my skills in front of the teachers at my half level! Come here sincerely and ask the teachers for guidance!"


    Zhou Can has never done anything like showing off.


    Low-key is his norm.


    "I have to say that Xiao Zhou has made great progress. Many of you young doctors have to learn from him. I don''t know if you have such an experience? You will be surprised when you see Xiao Zhou every once in a while. It is found that his medical skills have improved a lot. It is the same almost every time, without exception. This is actually a very good state, which shows that he is always studying hard and improving his medical skills."


    Director Hu Kan expressed the aspirations of many directors and deputy chief physicians present.


    They also feel the same way.


    Almost every time I saw Zhou Can in the operating room, I was surprised to find that Zhou Can''s medical skills had improved again.


    "Xiao Zhou, the operation plan you gave just now is quite good. However, there are still some areas that can be improved or further improved. For example, the interval between the second operations you mentioned, twenty-four hours is a bit too long. According to my operation According to my experience, if a patient experiences a low cardiac output state after the first operation, as long as the drug is given in time and correctly, the shortest waiting time is 16 hours before the second operation can be performed.¡±


    Director Hu Kan deserves to be the top expert in cardiothoracic surgery.


    He was able to give such accurate suggestions for improvement, and it was obvious that he had a deep understanding of the surgical plan proposed by Zhou Can.


    This shows that his level is far above Zhou Can.


    Only in this way can we evaluate the deficiencies.


    The attending physicians and residents present, not to mention pointing out the deficiencies, it is already very difficult to understand Zhou Can''s surgical thinking. In fact, they did not fully understand some of the surgical steps.


    I only know the general purpose of doing so.


    Some of the advanced intentions, because their level is not enough, they have no way to comprehend.


    "Director Hu, if the patient has a low cardiac output state, what kind of medicine should be used?" Zhou Can is still weak in pharmacological syndrome differentiation after all. At least it needs to be upgraded to the fifth level in order to deal with some difficult diseases more calmly.


    The state of low cardiac output often occurs after heart surgery, which is quite dangerous.


    However, as long as the drug is given in time and correctly, the prognosis is generally good.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "How do you think the medicine should be used?" Director Hu Kan asked without answering.


    Director Xueyan also stared closely at Zhou Can, wanting to see how much progress he had made in pharmacology.


    "The postoperative low cardiac output status indicates myocardial weakness. First, consider the application of positive inotropic drugs, such as dopamine, milrinone, and prostaglandins. If necessary, inhalation of nitric oxide can be considered for the patient."


    As for the medicine to correct the state of low cardiac output, Zhou Can can only think of these.


    "Your medication is basically correct. But you must find out the cause of low cardiac output before taking medication. Low cardiac output syndrome is generally caused by left ventricular dysplasia or some diseases. In addition, incomplete correction of the pulmonary artery can also cause low cardiac output. The disease mostly occurs during surgery. The use of dopamine, etc. you just mentioned to enhance myocardial contractility, relax blood vessels, reduce vascular resistance, and increase cardiac output is a good way.¡±


    "Regulation of cardiac preload, blood transfusion and fluid replacement to increase blood volume, thereby increasing ventricular filling pressure, also have good effects. Reducing left ventricular afterload has also been verified in clinical practice to have a good therapeutic effect."


    Director Hu Kan''s level is really not underestimated.


    The guidance given is not only accurate, but also much more complete than Zhou Can''s treatment advice.


    Afterwards, he successively commented on the surgical plan given by Zhou Can, and gave suggestions for improvement.


    Zhou Can listened carefully one by one and took notes.


    When you encounter something you don''t understand, ask for advice in person.


    This kind of earnest learning attitude makes Director Hu Kan value him even more.


    After discussing the operation plan, Zhou Can was more than 80% sure about this congenital heart disease operation.


    At least in theory, there are no more obstacles.


    An operation includes two parts, theory and practice. To put it bluntly, the actual operation is technology and surgical operation skills.


    Zhou Can''s current basic surgical skills are only a little weaker in incision, which is currently at the middle level of attending, close to the excellent level of attending.


    Several other medical skills have reached the level of deputy chief physicians, which is completely sufficient to complete this congenital heart disease operation.


    "Director Hu, when the time comes for my operation, can you please go over and help me stand on the platform and sweep the battle? With you here, I will feel at ease in my heart."


    Zhou Can always likes to prepare for the worst.


    Invite Director Hu Kan over to Luezhen, and in case of danger, Director Hu Kan can be asked to rescue him immediately.


    If Director Hu Kan is temporarily invited from the cardiothoracic surgery department to rush to the pediatric department for rescue, it is very likely that the child is already cold.


    "Tell me in advance when the time comes, I''ll go there no problem."


    Director Hu Kan did not refuse.


    Zhou Can was his savior, so he was too embarrassed to refuse a small request.


    The purpose of this trip has been achieved, and he got up to leave.


    "Xiao Zhou, come with me to the office and have a few words!" Director Hu Kan stood up while supporting the table.


    It seems that there is something to chat with Zhou Can privately.


    "Slow down!"


    Zhou Can hurried over to support him.


    While walking, he could feel Director Hu Kan''s body trembling slightly.


    In this state, the most stable scalpel might exist in name only. Even the simplest surgery can''t be done.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can sighed in his heart. Director Hu had practiced "Stable Kung Fu" for so many years. Who would have thought that due to physical reasons, he would not be able to complete even the simplest surgery.


    The fate of life is impermanent, and no one knows which will come first, tomorrow or the accident.


    Entering the office, he helped Director Hu Kan to sit down.


    "Close the door!"


    He said to Zhou Can.


    After Zhou Can closed the door, he called Zhou Can to sit down and talk.


    "You have also seen my body, and now I can no longer hold a scalpel. I really didn''t expect this day to come so soon, so that I was not prepared at all. The most lacking in cardiothoracic surgery is a coach who can take the lead. Don''t It can be seen that the chief physicians are not weak, but they can only deal with moderately difficult major operations of the third and fourth grades. Some high-difficulty cardiothoracic operations can no longer be performed in our hospital."


    Director Hu Kan told Zhou Can frankly the difficulties faced by the cardiothoracic surgery department.


    Because of the sudden fall of director Hu Kan, the cultivation of top surgical talents has not kept up, which has caused the current predicament.


    Talent reserve has always been the core of every department.


    It''s a pity that thousands of troops are easy to get, but one general is hard to find.


    Leading talents who can truly resist the flag are too rare to meet but not to seek.


    In addition, the training period for cardiothoracic surgery personnel is extremely long, and it takes at least ten years to become a talent, which further exacerbates the shortage of personnel.


    "Don''t worry, I believe that the doctors of cardiothoracic surgery will accelerate their growth and will soon be able to raise the banner of the department. The most important thing for you now is to take good care of your body, and then you can return to the operating table. "


    Zhou Can tried to comfort Director Hu.


    "Oh! I''m afraid my body won''t get better! I have been a doctor all my life. Although doctors don''t treat themselves, I am very clear about my physical condition. Take good care of me. I will live another eight or ten years without any problem. Want to It''s almost impossible not to shake your body."


    Director Hu Kan shook his head, his face full of loneliness and unwillingness.


    For the elderly in their eighties and nineties, it is more common to have tremors in their hands and feet. Because when people get old, there will be many problems in the body, such as calcium deficiency, muscle movement imbalance, nerve control problems and so on.


    The most common are Parkinson''s disease, hyperthyroidism, and hypoglycemia that cause body tremors.


    But he is only sixty years old, and all the above-mentioned diseases should be ruled out.


    The main reason was heart problems. After all, he had undergone two major operations and there were certain sequelae.


    "Xiao Zhou, how about being my successor in cardiothoracic surgery? With your monstrous talent, I am confident that you will be able to stir up the banner of cardiothoracic surgery in a year or two."


    This is not the first time this idea has been proposed to Zhou Can.


    It''s just that this time the situation is a little special.


    In the past, Director Hu hadn''t fallen down yet. This time, Director Hu''s pillar of optimism has fallen, and there is a talent gap in cardiothoracic surgery.


    This will definitely have a negative impact on the important department of a top hospital.


    In a short period of time, you can still eat your money and basically maintain it.


    Over time, the business of cardiothoracic surgery will shrink.


    Patients would throw away Tuya Hospital like a rag.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    For patients, which hospital has better medical skills will definitely give priority to which hospital to go to for treatment.


    "You know, I''m Dr. Xu''s quick-witted successor, and I can''t switch to someone else''s sect." Zhou Can could only cruelly reject his request.


    Facing the hopeful eyes of a fallen chief physician, he felt somewhat unbearable.


    "By the way, I can recommend a talent to you. He is very talented in the field of ''stable knife''."


    At this moment, Zhou Can suddenly thought of Jin Mingxi in the same dormitory.


    Jin Mingxi has no talent for practicing fast swords, but he has shown amazing talent for steady swords.


    "Did you deliberately perfunctory me?"


    Director Hu Kan asked angrily.


    "How dare I! You have always been one of the most admired people in my heart. I can only be honest with you, and there is no perfunctory. I will call him over, and you will find out after examining it yourself."


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    Zhou Can is very confident about this matter.


    Jin Mingxi has been practicing ''Steady Kung Fu'' for nearly two years, and I believe he has already achieved a certain degree.


    "Is there really such a person?"


    Director Hu Kan saw that Zhou Can didn''t look like a liar, so he couldn''t help but look forward to it.


    "Can you call someone over now so I can see you?"


    "I''ll call right away!"


    Zhou Can didn''t talk nonsense, and directly took out his mobile phone to call Jin Mingxi.


    "Old Jin, I''ll introduce you to a great opportunity. Hurry up and come to the office of the chief of cardiothoracic surgery."


    "I''m working overtime here!"


    Jin Mingxi didn''t know what opportunity Zhou Can was talking about.


    He is still in the regular training period, and there are endless overtime classes every day. The transferred departments are also the major departments of surgery. In addition, anesthesiology and imaging are compulsory departments.


    Surgeons generally choose to study in the radiology department for one month in the fourth-to-last month when the training is about to end, and then return to the department of their choice to complete the last three months of training and work as a formal resident doctor. Pave the way.


    Compared with Zhou Can''s generous treatment, Jin Mingxi''s treatment is far worse.


    It is commonplace to be on the night shift.


    "Aren''t you going to ask for a vacation? Hurry up, don''t hesitate, if you miss this kind of opportunity, you won''t have it again."


    Zhou Can really convinced Jin Mingxi, this is an opportunity for Director Hu Kan to be his heir! I don''t know how many excellent doctors are rushing to get it.


    "It''s mysterious, what kind of chance is it? Alright, alright, I''ll come over right away!"


    Not long after Jin Mingxi hung up the phone, she arrived panting.


    Knocking on the door, he found that it was Zhou Can who opened the door for him.


    Sitting inside is Director Hu who I admire the most in my heart.


    "Hu, Director Hu, hello!"


    Jin Mingxi looked extremely nervous and stuttered. I don''t know where to put my hands.


    "Is that him?"


    Director Hu Kan stared at Jin Mingxi and frowned.


    Not to mention the older age, the psychological quality is far worse than Zhou Can''s calm atmosphere.


    This chapter is not finished, click [next page] to continue reading -->>


    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "That''s right, it''s him! Maybe because he hasn''t seen any big scenes, and he has always regarded you as the person he admires the most, so he is a little excited."


    Zhou Can quickly helped Jin Mingxi speak well.


    After explaining to Director Hu Kan, he turned to look at Jin Mingxi.


    "You are so nervous!"


    While winking at Jin Mingxi, he scolded him in a low voice.


    "Behave well, you will pass Director Hu''s test in a while, and you can realize your ultimate dream!"


    Jin Mingxi was almost thirty-seven years old anyway, and he heard the deep meaning in Zhou Can''s words. He pinched himself twice with his hands, and used the pain to relieve the tension in his heart.


    "Director Hu, I made you laugh! After I saw your demeanor at a morning meeting, I have always regarded you as an idol in my heart. I didn''t expect to see you when I came in. So I was a little excited and nervous."


    After Jin Mingxi recovered, his performance gradually returned to normal.


    If nothing else, his explanation was pretty good.


    The tone is sincere and the eyes are calm.


    "Everyone has two nostrils, two eyes and one mouth. You don''t have to be nervous. Sit down!"


    Director Hu Kan''s expression softened slightly, and he motioned for Jin Mingxi to sit down and talk.


    This is a good beginning.


    At least it shows that his impression of Jin Mingxi has changed a lot. When Jin Mingxi first came in, seeing Director Hu Kan''s tone and expression, it was definitely a sign that he was going to kick him out directly.


    "Xiao Zhou recommended it to me, saying that your talent for stabilizing skills is good."


    "Not bad, I don''t dare to say it, but I really like to practice your stability skills. UU Reading " Jin Mingxi replied very frankly.


    "Oh! Have you been practicing steady work?" Director Hu Kan''s eyes lit up slightly.


    "I''ve been practicing for almost two years. At that morning meeting, I saw your demeanor of practicing steady kung fu, so I begged Dr. Xu to teach me, and I gradually got into it."


    Jin Mingxi originally wanted to take the fast knife route back then, but unfortunately he didn''t have the talent in this area.


    After changing to steady work, it seems that I have found the right way.


    It has to be said that everyone has their own opportunities and fortunes.


    The east window is not bright, the west window is bright, there is always a development path that suits you.


    "Come here and draw a line that is exactly the same as the line I drew."


    Director Hu Kan took a pen and randomly drew a long crooked line on a piece of white paper.


    His hands were already trembling, and the lines he drew were simply natural waves.


    It is quite difficult to imitate and draw an identical line.


    This way of imitating drawing lines is often used by people who learn painting to practice basic skills.


    At this moment, Director Hu Kan is using it to test whether Jin Mingxi is really steady.


    Jin Mingxi walked to the table, picked up the pen, took a deep breath, and began to imitate Director Hu Kan''s handwriting and draw an identical line.


    Although there are some discrepancies, his hands are very steady.


    Experts will know if there is one as soon as they make a move.


    Director Hu Kan has practiced stabilizing kung fu all his life, so he can tell at a glance that Jin Mingxi has achieved a certain level of stability in kung fu.


    "It''s ok! Look at your chirality, you can''t get it out of it after only one or two years of practice. At least you have seven or eight years of skill." Director Hu Kan showed a rare smile on his face.

 Chapter 336： The level of paper cutting is high or low, and the defect of fast knife is corrected

    Falling in love with you reading network, my medical skills can add experience points


    "The person recommended by Xiao Zhou is really reliable!"


    Director Hu Kan already had great trust in Zhou Can, and now he has a preliminary inspection of Jin Mingxi''s knife stability skills, and he seems quite pleasantly surprised.


    "Ever held a scalpel on stage?"


    "I''ve taken it! It''s just that all the first- and second-level minor operations are performed." Jin Mingxi replied honestly.


    "Well, it''s good!"


    Director Hu Kan nodded slightly, and saw that he took out a piece of A4 paper with trembling hands, and then folded it in half twice.


    He took out a brand new scalpel and a pack of blades from the desk drawer.


    "Put on the knife head and try your knife skills."


    It is rare to use A4 paper to test knife skills.


    Jin Mingxi looked at Director Hu Kan after installing the knife head.


    "Xiao Zhou, draw a straight line 5cm long for him."


    Director Hu Kan''s hands trembled badly. If he were to draw a line, it would definitely be an irregular wavy line. It is estimated that no first-level chief physician can meet such high incision requirements.


    Zhou Can drew a straight line about 5cm.


    He has practiced drawing, and the straight lines he draws are the same as those drawn by leaning on a ruler.


    "Okay, let''s start cutting. Just cut the first layer of paper, and the length is the length of the line."


    Director Hu Kan''s request is quite harsh, but in the eyes of a top cardiothoracic surgeon like him, this is just elementary knife skills.


    After hearing the request, Jin Mingxi couldn''t help showing embarrassment.


    "Old Jin, just let go and do what you want. Aren''t you practicing sword stability every day? It''s enough to perform normally." Zhou Can cheered him up.


    If you don''t find a successor for Director Hu Kan, I''m afraid it will be difficult to get out today.


    It can not only solve the problem of Director Hu''s successor, but also help a good friend get a big opportunity, killing two birds with one stone.


    Jin Mingxi gritted his teeth, and after taking two deep breaths, he sank down and immediately held the scalpel, his eyes became sharper little by little. I saw that he pressed the knife surface onto the paper, then dragged the knife backwards, and slashed along the straight line Zhou Can drew.


    The speed is neither fast nor slow, quite calm.


    Not to mention supernormal performance this time, at least it was normal performance.


    When you reach the end of the straight line, raise your wrist to retract the knife.


    "Uncover the first layer of paper!"


    Director Hu Kan ordered indifferently.


    Uncovering the folded first layer of paper, you can see that there are faint knife marks left on the second layer. It''s in good shape though, at least it didn''t tear the second layer of paper.


    "good!"


    Director Hu Kan''s tone didn''t sound particularly satisfactory.


    "Xiao Zhou, draw another 4cm straight line for him."


    It seems that this is to further test Jin Mingxi.


    Zhou Can followed his advice.


    "Cut two layers of paper this time!"


    Director Hu Kan said to Jin Mingxi.


    Jin Mingxi passed the first level by luck and barely passed. Now to increase the difficulty, let him cut two layers of paper, his face can''t help showing fear.


    It''s like looking at a series of steep cliffs. If you don''t have the ability to climb up, anyone will be terrified.


    Cutting two layers is much more difficult than cutting one.


    Jin Mingxi didn''t have that ability, so he was naturally afraid.


    "Old Jin, be bold and careful!" Zhou Can caught a glimpse of Director Hu Kan''s face with a hint of displeasure, and quickly reminded Jin Mingxi.


    To be a surgeon, you have to be bold and timid like a woman, which is definitely a taboo.


    No matter which superior doctor saw it, he would shake his head and feel disappointed.


    Director Hu Kan has extremely high requirements in choosing successors, and Jin Mingxi''s performance is a bit unsatisfactory. Today''s matter is probably very close.


    Fortunately, Jin Mingxi''s social experience is quite rich, and he has a bit of insight.


    Sensing that something was wrong, he mustered up his courage, held the scalpel and cut to the straight line again.


    This time the force of the knife was obviously heavier.


    It must be heavy, otherwise the second layer cannot be cut. It''s just that the grasp of the strength is very delicate, and it is a test of a doctor''s knife skills.


    "Open it! If I heard correctly, you have already cut to the third floor."


    Director Hu Kan is so awesome, you can tell which floor you have cut to just by listening to the sound.


    Jin Mingxi didn''t believe it, so he opened the paper layer by layer.


    Suddenly, his face became hot.


    Not only the third layer was cut, but the starting part of the second layer was not cut in place. The finishing part is cut too hard, directly cutting through the third layer of paper, and even touching the fourth layer can see clear knife marks.


    If this were to use a knife on a patient, there would have been an accident.


    Many medical students do not understand why the dissection must be dissected layer by layer during the general class, and they cannot be fast. Only when you actually practice on the operating table can you understand the hard work of the general teacher.


    In fact, it is not just the general teachers of the school who will ask the students to cut them open layer by layer during anatomy, but also the superior doctors of the hospital.


    If it is found that someone does not listen to persuasion, the operation authority will be suspended immediately.


    "There is no need to conduct the subsequent tests. Your sword skills should be good, but unfortunately your sword skills and psychological quality are a bit ridiculous. With your current performance, you are not qualified to be my successor at all. But judging by Xiao Zhou''s In terms of affection, I can give you a training opportunity. If you are willing, starting tomorrow, you can go directly to the cardiothoracic surgery department to learn surgery from me."


    Director Hu Kan commented on him.


    Jin Mingxi lacks the guidance of a famous teacher, and basically relies on his own hard training. Therefore, the skill of sword skills is not bad, but some advanced sword skills and experience are not good.


    As for the psychological quality, this can only be exercised in practice, there is no other shortcut.


    "I am willing, I am willing! Thank you Director Hu for giving me this precious opportunity!"


    Jin Mingxi and Zhou Can are like brothers in love, and he is not in a hurry to thank Zhou Can for his favor.


    A true friend never says thank you, but returns the favor when the other person needs help.


    "Lao Jin is actually a very hardworking person, but he lacks some opportunities. I believe that with Director Hu''s careful cultivation of him, he will definitely grow up quickly and will not let you down."


    Zhou Can helped Jin Mingxi speak beside him.


    "Your kid''s mouth is like honey, but there is no real action. Is it so difficult to agree to be my heir?"


    Director Hu Kan has completely different attitudes towards Jin Mingxi and Zhou Can.


    To treat Jin Mingxi, that is the aloof and dignified chief physician.


    Treating Zhou Can as both a teacher and a friend is obviously much more casual.


    And when looking at Zhou Can, the love in his eyes is enough to make countless people jealous.


    "I''d better forget it! The steady knife method doesn''t seem to suit me. Besides, Dr. Xu won''t agree."


    Zhou Can shook his head.


    "Your level is much better than this young man surnamed Jin. If you don''t believe me, let''s do a test." Director Hu Kan didn''t believe Zhou Can''s words at all.


    "I don''t want it anymore, my poor sword skills are purely embarrassing."


    Zhou Can waved his hands again and again, refusing to take this test.


    "Don''t worry, I just want to know your strength. No matter how good you are, if you don''t agree to be my successor, I can''t force you to stay. Besides, my original intention is just to see your strength." What are the deficiencies in the sword technique, I will correct you one or two, and make you better."


    When Director Hu Kan said this, Zhou Can could no longer refuse.


    Immediately he had no choice but to nod in agreement.


    "You draw two straight lines yourself."


    Director Hu Kan said to Zhou Can.


    Zhou Can drew a 5cm and a 4cm straight line according to his words.


    "Is it right to cut one layer and two layers?"


    He asked Director Hu Kan.


    "Um!"


    Director Hu nodded.


    After getting an affirmative answer, Zhou Can held the scalpel, his figure sank slightly, and his whole person''s aura became very different. Like the legendary **** of war possessed.


    This kind of powerful aura of human beings with swords, people borrowing the power of swords, and the power of swords to help others can only appear in very outstanding chief surgeons.


    It also shows that Zhou Can''s sword skills are no longer entry-level, and may have touched the threshold of the next level.


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    Otherwise, it is impossible to achieve the realm of the unity of human and sword.


    Zhou Can didn''t hold his bowels like Jin Mingxi, or prepare for the execution ground. Directly draw a knife casually, seemingly simple and commonplace, but it cuts the whole straight line just right. split into two.


    This is obviously much better than Jin Mingxi.


    You must know that when Jin Mingxi cut the straight line, it was not uniform, and there was a small distortion in the cutting path. Some lines are thicker on the left and some are thicker on the right. Some places are even close to the edge of the line.


    Therefore, it seems that surgical skills are like using a knife, but there is a world of difference in their level.


    Laymen watch the excitement, and only professionals can see the way.


    After cutting the first straight line with a length of 5 cm, Zhou Can cut the second straight line with a length of 4 cm without any preparation.


    "This...is it all right?"


    Jin Mingxi''s eyeballs almost fell out of shock.


    Watching Zhou Can return to the dormitory every day, that is, chopping radishes and pigskins as usual, he did not expect that the strength gap between the two sides has become so large.


    I really don''t know how this guy practiced?


    Could it be that talent is really more important than imagined?


    Jin Mingxi really couldn''t figure it out, and in the end he could only blame it on talent.


    Because he thought he worked as hard as Zhou Can when practicing sword skills. It''s just that Zhou Can''s financial resources are not as good as Zhou Can''s, and he can''t bear the two bags of radishes every day.


    So when practicing, there will be some frugal behavior.


    Shrinking clothes and dieting is an experience that most medical students have had. Although there are state subsidies for regular training, and the hospital will also pay basic wages, life is still tight.


    In recent years, why are there so many voices calling for the abolition of the residential training system?


    A family worked hard to support a medical student, and finally entered the society to work, but was exploited by the hospital for three years.


    Who can stand this?


    The hospital is also able to operate normally by relying on the two cheap labor groups of interns and regular trainees.


    Therefore, this involves a multi-party game.


    But the most important thing is to ensure the safety of patients. A medical student who has not received standardized training will see a doctor and perform an operation on a patient directly. It is estimated that countless patients will become victims.


    No patient wants to be the guinea pig for a medical student.


    Originally, it was just a hemorrhoid cut, but an experienced and highly skilled general surgeon might be able to complete the operation in ten minutes. If it were a medical student who had just graduated from school, he would have dried up the patient''s chrysanthemum with a single stroke.


    It''s scary to think about it.


    There are also prescription drugs, which can be prescribed directly by medical students, and patients with minor ailments can become serious illnesses, and even die directly after taking the medicine.


    Just ask which patient and family member are not afraid?


    At that time, will anyone dare to go to the hospital to see a doctor?


    "Young man, take the paper off and have a look."


    Hu Kan said to Jin Mingxi.


    It is to deliberately let Jin Mingxi know how far he is from others.


    Jin Mingxi tried to uncover the first layer of the paper to check the 5cm straight line.


    "It didn''t cut to the second sheet of paper, not even a very shallow imprint. But the first layer doesn''t seem to be cut!" When he found that Zhou Can didn''t cut the first layer of paper, he found some balance in his heart feel.


    It seems that there is not much difference between the two!


    "Look carefully!"


    Director Hu Kan seemed to know the result a long time ago, so he just looked at Jin Mingxi playfully.


    Not to mention Zhou Can himself.


    Now when he dissects patients, he already has a very strong sense of the knife, and he can clearly feel how deep the scalpel cuts and what kind of tissue it cuts.


    For example, when the blade touches the wall of a blood vessel, you can immediately feel it.


    Therefore, it is basically impossible for him to operate on patients and cut other organs or important tissues.


    This kind of ability is actually much more powerful than that of ordinary attending physicians.


    Jin Mingxi slightly bent the paper in doubt, and an incredible scene appeared. The seemingly uncut places were neatly separated, revealing gaps.


    hiss!


    He couldn''t help but gasp.


    "So strong!"


    Only now did he realize how big the gap with Zhou Can was.


    It''s completely the difference between heaven and earth, not at all what he thought before.


    "The really powerful knife technique is the one that looks unchanged to the naked eye after cutting. In fact, the human tissue has been successfully cut. Although this is just a piece of paper, it is enough to see Xiao Zhou''s knife technique It has already entered the school and has reached a considerable height."


    Director Hu Kan''s explanations are actually for Jin Mingxi.


    It is to guide Jin Mingxi to let him understand what kind of effect a powerful sword technique should achieve.


    "Look at the second 4cm long thread."


    Jin Mingxi tried to check, and saw that the cutting of the second thread was also extremely neat, just splitting into two from the middle of the thread. And without bending the paper thread, the naked eye can''t see that the paper has been cut.


    He bent the first layer of paper, and the entire line was just cut. Then bend the second layer of paper, and do the same.


    Then check whether there are knife marks on the third layer of paper.


    Very faint knife marks can be seen, which are almost imperceptible to the naked eye.


    "Do you know the gap between you and Xiao Zhou now?"


    "Understood! His sword skills are so strong that I am at least several years behind him." Jin Mingxi lowered his head in shame.


    "It''s a good thing to be able to recognize the gap between yourself and others. Only when you know your shame can you be brave. Only in this way can you improve." Director Hu Kan nodded slightly. He looked at Zhou Can again. "Xiao Zhou, how about adding more difficulty and trying to cut three layers?"


    "At my current level, I can only cut two layers at a time~ www.novelhall.com~ Cutting three layers may be successful, but I absolutely dare not use it in surgery." Zhou Can''s current level, cutting the third layer, the probability of success very high.


    Basically, the fourth layer will not be damaged.


    But even if there was only a 1% chance of failure, he would never try it on a patient.


    "The apprentices taught by Dr. Xu are different. The red line of safety is guarded more tightly than anyone else." Director Hu Kan couldn''t help being envious. "Okay! You kid has always liked to hide your clumsiness, so it doesn''t make much sense to test it again. Your saber technique is already quite good, but I saw you use the saber just now, there are still some areas worth improving. For example, when you retract the saber, you have to delay Knife habit, it''s not good."


    When Zhou Can retracted the knife, because the speed was too fast, he naturally developed the habit of dragging the knife.


    For example, when cutting a length of 4cm, he will retract the knife when he cuts to 3.7cm, and then drag the knife by 0.3cm. If you grasp it well, there will generally be no accidents, but there must be risks.


    A quick knife must be fast, but also accurate, without flaws.


    In fact, whether it is a fast knife, a slow knife, or a precise knife technique, each knife technique has its own disadvantages and advantages.


    Zhou Can''s pursuit is to control the shortcomings within a certain range as much as possible and not cause accidental harm to patients.


    "This habit is really bad. Do you have any good ways to help me correct it?"


    Zhou Can humbly asked for advice.


    It would be better if these shortcomings could be solved.


    "To completely get rid of this problem is extremely difficult for you, a quick-witted person like you. But there are some ways to correct it." Director Hu Kan said.

 Chapter 337： Water and fire coexist, two big brothers untie the knot

    "How to fix it?"


    Zhou Can is naturally very eager to solve these major hidden dangers.


    "The method is very simple, I''m afraid you won''t learn it." Director Hu Kan smiled like an old fox.


    "Learn your steady knife technique?"


    Zhou Can is not stupid, and immediately understood Director Hu Kan''s intentions.


    "Smart! If you want to correct this major defect of the fast knife technique, you can only achieve it by practicing the steady knife technique. You can ask Xu Chen about this." Director Hu Kan saw that the fish had been hooked, and he began to sit firmly on the Diaoyutai.


    Although Tuya Hospital is full of talents, there are very few talents who can catch his eyes.


    To say that he loves Zhou Can the most.


    In his eyes, no one can compare with Zhou Can.


    Whether it is traditional surgery talent, or endoscopic surgery talent, or psychological quality, character, learning ability, growth speed, there is almost no other person who can match Zhou Can.


    In addition, from an emotional point of view, Zhou Can saved him twice, and the relationship between the two is naturally closer than ordinary people.


    In addition, Zhou Can knows how to be grateful, and treats teachers with great respect on weekdays. These behaviors are also very popular with Director Hu Kan.


    So he really wanted Zhou Can to be his successor.


    When teaching, I will definitely teach everything.


    "Forget it, after a long circle, you still want me to be your successor. I really can''t agree to this matter."


    Zhou Can gave up on his own initiative.


    "Don''t rush to block your way! You can call Xu Chen now and ask his opinion." Director Hu Kan showed great resilience. No matter how Zhou Can refused, he just didn''t give up. Don''t give up.


    Obviously there are countless outstanding young doctors begging to be his successor, but he dismissed them.


    Zhou Can refused to be his successor, but he was determined not to give up.


    "Actually, Dr. Xu told me a long time ago that you can only choose one of the three, fast knife technique, steady knife technique, and precise knife technique. Shark''s fin and bear''s paw cannot have both."


    Zhou Can explained.


    "It''s okay, if you call Xu Chen, he will give you a different answer. The so-called one moment and another moment, what he taught you before is too one-sided."


    Director Hu Kan still insisted that he call Dr. Xu.


    Zhou Can had nothing to do with this stubborn old man, so he could only call Dr. Xu on the spot.


    The phone was connected, and Dr. Xu''s calm voice came from the other end, "Xiao Zhou, did you have a fistula?"


    There were other people present, so they asked just like that. Although it was out of concern, it made Zhou Can''s face feel hot.


    Usually, when troubles arise, Dr. Xu will help him wipe his ass.


    "No! I''m here with Director Hu of the Department of Cardiothoracic Surgery! There is something that Director Hu insists on calling me to ask you!"


    "Director Hu? Are you and him the only two present?"


    "And Jin Mingxi!"


    "You turn on the speakerphone and let''s talk together."


    Dr. Xu is an old man who seems to know what director Hu Kan is up to.


    Zhou Can turned on the speakerphone according to his words, but Director Hu Kan was the first to greet Dr. Xu.


    "Old Xu, let''s discuss something!"


    "There is no need to discuss, don''t you just want to rob my apprentice?"


    Doctor Xu said angrily.


    Jin Mingxi heard that the two of them seemed to be at odds, and quickly got up and said to Director Hu Kan, "Director Hu, there are still patients on my side that have not been dealt with, so let''s go first. I will report to you tomorrow. And , I need your help to say hello to the procedure of my transfer."


    As a small Pearson, he can only work with his tail between his legs and his head down.


    It''s not like he can adjust the subject if he wants to.


    At least it needs to be completed after the regular training period of the current department is over, and then the next department will be found to accept it, and the personnel side will agree.


    "Go!"


    Director Hu Kan waved his hand.


    Immediately, only Zhou Can and Director Hu Kan were left in the office.


    "Old Xu, this is not called robbing. Your old thinking needs to be changed. Let''s teach Xiao Zhou well and make him better, shall we?"


    Director Hu Kan would never talk to Dr. Xu in such a low voice.


    At this moment, in order to be able to find a pillar for the cardiothoracic surgery department, he is also working hard.


    "Tell me what you think!"


    After a few seconds of silence, Dr. Xu spoke.


    "Just now I asked Xiao Zhou to do a paper cutting test. He has already touched the threshold of the unity of human and knife, and there is no problem in cutting two layers of paper. However, the biggest holdback of your quick knife technique is that there is a dragging knife when closing the knife. Fault, this is a huge security risk."


    After Director Hu Kan finished speaking, he deliberately stayed for a few seconds, waiting for Dr. Xu to think.


    "The serious medical accident you had back then, you may still think that it was caused by the speed of the knife, and the hands were faster than the brain. I also know that you have been working hard in the emergency department these years, sharpening your mind, and trying to let The heart becomes tranquil, and the demonic nature of the sharp knife is suppressed with tranquility. But I can tell you clearly, this method is absolutely impossible to overcome the disadvantages of dragging the knife.¡±


    Dr. Xu remained silent on the other end of the phone.


    It shows that Director Hu Kan''s words are very reasonable, and he has no way to refute them.


    "The country is easy to change, but the nature is hard to change. It is impossible to get rid of the shortcoming of the quick knife method of dragging the knife when retracting the knife, otherwise it would violate the logic of physics. Of course, your accident back then had something to do with the fact that your hands are faster than your brain, but after I thought about it over and over again, The real cause of the accident was dragging the knife. That is to say, no matter how strong your concentration and calmness are, and you overcome the impetuousness and demonic nature of the quick knife, there is still a possibility of an accident next time."


    When director Hu Kan spoke, although his body was trembling, his eyes were full of infinite wisdom.


    In terms of concentration and calmness, I am afraid that no one can compare to him, the number one person in the country who is stable in swordsmanship.


    From tranquility to wisdom, people can only produce wisdom when their hearts are quiet and they have enough concentration. An impatient person has limited wisdom.


    "It is undeniable that there is some truth in what you say. You go on."


    Dr. Xu''s voice was full of vicissitudes and depression.


    After so many years of hard work, he has been polishing his static skills, and his surgical skills have improved greatly compared to before.


    I thought that as long as the shackles on my body were gone, I could go back to the operating table and mess up the situation. Now, after listening to Director Hu''s analysis, he realized that there is more than one real root cause of the quick knife technique.


    Just relying on static support to overcome its magic, but there is no way to solve the disadvantage of dragging the knife.


    "My steady knife method can correct this major flaw."


    Director Hu Kan saw that he had already done his part, so he struck while the iron was hot and added another fire.


    "Fast knife and steady knife cannot be combined, they are like water and fire." Dr. Xu said decisively.


    "I used to think so too. Later, in the process of practicing steady work, I realized something based on the principles of Tai Chi. Maybe there is a way to integrate steady and fast like yin and yang. At least, I think it is possible to make Xiao Zhou Give it a try. Maybe he will be able to blaze a wider and longer path than you and me in the future."


    When director Hu Kan said these two sentences, his eyes shone with excitement, and the expression on his face couldn''t conceal the urgency in his heart.


    Zhou Can listened to the discussion of two elders in the field of surgery, and felt that it was so mysterious.


    I don''t understand at all.


    But he knows the combination of yin and yang in Tai Chi.


    On the other end of the phone, Doctor Xu''s breathing seemed to become short of breath, and the sound of heavy and short breathing could be heard here.


    "Tai Chi? Lao Hu, you really have it. If your theory can really work, Xiao Zhou''s achievements in the future will definitely surpass you and me. In the past few years, I have worked hard to practice fast sword skills and work hard. Reduce its flaws. I thought that if you improve your skills, you should be able to surpass you. I didn''t expect that you are still better than me."


    Doctor Xu sighed.


    He admits when he loses, which is fair and aboveboard.


    I just worked silently for several years, always thinking about surpassing Director Hu Kan and winning the round. Unexpectedly, even though Director Hu Kan collapsed due to physical reasons, Dr. Xu still lost.


    In terms of wisdom, he is not as good as Director Hu Kan.


    Think about it too.


    Director Hu Kan meditates like an old monk meditating every time he practices steady kung fu. After long-term training, his wisdom is probably no worse than that of the old monks in the temple.


    With the help of Tai Chi theory, the combination of the fast knife method and the steady knife method in medicine is really beyond the imagination of ordinary people.


    "Old Xu, you are wrong again!"


    Director Hu Kan said.


    "Uh... Where did I go wrong again?" Dr. Xu''s words were mixed with a trace of anger.


    He''s probably scolding, this old Hu is really kicking his nose.


    Is it wrong to praise him?


    "You, you''ve lived most of your life, why don''t you understand a truth? You can''t compare people. If you compare goods, you have to throw them away, and if you compare people, you have to die. You regarded me as a competitor a long time ago, and you only thought about it. Try to compete with me. In fact, you were wrong from the very beginning. Don¡¯t compare yourself with others. If you want to compare, compare yourself. As long as you improve from your past self, that¡¯s enough.¡±


    Director Hu Kan''s words to teach Dr. Xu a lesson, although very blunt, are very reasonable.


    Doctor Xu was silent again.


    "Haha... I''m convinced! I''ve been compared with you, old Hu, for a lifetime, and I''m convinced today. Wait, I''ll come and find you right away."


    After a while, Dr. Xu seemed to have figured out something.


    Or understand some truths in life.


    Let go of the heavy burden in your heart.


    After being scolded by Director Hu, he not only didn''t get angry, but laughed happily, saying that he would come to find Director Hu Kan immediately.


    You know, usually the two don''t say hello even if they meet each other.


    It''s quite a bit of a rivalry.


    Now it seems that the ice has been broken, and the relationship has obviously eased.


    Looking at the meaning of Dr. Xu''s words, I am afraid that he wants to come over to meet Director Hu Kan for a drink, as if he was going to get drunk.


    Looking at Director Hu Kan''s body, Zhou Can couldn''t help feeling worried.


    If it was in the past, Director Hu Kan would definitely be fine after a drink or two.


    Now, his health is not as good as before, and he is just recovering from a serious illness. A meal of wine may send him away directly.


    "Doctor Xu is probably here to ask you for a drink, but you must not agree."


    Zhou Can couldn''t imagine what would happen to the cardiothoracic surgery department if Director Hu Kan died?


    Now, even if Director Hu Kan can no longer operate on patients himself, at least his reputation is still there. As long as people are still alive, they can keep this signboard alive for the time being.


    What cardiothoracic surgery needs most now is time.


    Before the birth of a new ace doctor, it is necessary for Director Hu Kan to continue to support the famous brand and help this once powerful department that has created countless brilliance to tide over the difficulties.


    "It''s okay, I know what''s on my mind."


    Director Hu Kan had a smile on his face.


    After convincing Dr. Xu, the matter of accepting Zhou Can as his heir became clear. As long as this matter is done, he no longer has to worry about the fact that this important department does not have a pillar to support it.


    Before a house needs to change its pillars, it must be supported by a new pillar.


    Otherwise, the house will collapse.


    Doctor Xu rushed over quickly. It looked like his face was glowing red and full of joy.


    It seems that he is very happy to let go of the burdens in his heart for many years and untie the knots in his heart.


    "Old Hu, listening to Jun''s words today is really better than the books I have read all my life! I invite you to find a barbecue stall on the side of the road, and order some of your favorite lamb skewers, peanuts, and a few bottles of wine. How about a drink or two?"


    As expected, Dr. Xu hurried over to find Director Hu Kan for a drink.


    Men express their feelings differently than women.


    Dr. Xu actually knew what kind of food Director Hu Kan likes to eat, which means that the two of them probably sat together and drank wine before.


    "Haha, it''s been so many years, I never thought you would still remember what happened when we were young. It''s been more than 30 years since we sat together, drank and chatted, right?"


    Director Hu Kan also laughed happily after hearing this.


    "I haven''t sat down to eat together for thirty-two years. I used to be blamed for being competitive and too small-minded. Thinking about it now, even if you beat me back then, so what? Because I lost the game, I didn¡¯t talk to you again, it¡¯s really a bit too much.¡±


    Dr. Xu came to apologize.


    The long dusty past between the two of them came to mind.


    It is really not easy to untie the knot now and shake hands to make peace.


    Zhou Can was also very happy to see his teacher reconcile with the respected Director Hu. Happy for both of them.


    [In other words, currently the best app for reading and listening to books,,]


    "A slap can''t be slapped. If I hadn''t stimulated you with words after I won, you wouldn''t have made you hate me for more than 30 years. Later, whenever I think of this, I feel like Full of remorse. It was also when I was young and frivolous, and didn¡¯t know the principles of life. Think back to those days, after work, we sat together in the alley behind the hospital, ordered some barbecue, and two bottles of beer. Those days were really good! "


    Director Hu Kan is also full of memories of the good times when he was young.


    "The lights are on, and the night is falling. Now is the right time. Let''s go! It''s still the same place, Qingshi Lane, how about it?"


    Dr. Xu can''t wait to relive his youth.


    "Walk!"


    Director Hu Kan supported the table and stood up.


    Zhou Can hurried over to help.


    "Can your body still work?"


    At this time, Dr. Xu also realized that Director Hu Kan''s body was far from what it was when he was young.


    "Who do you look down on? Men can''t say no."


    Director Hu Kan stared, and with Zhou Can''s support, he left the office.


    The three of them came all the way to Qingshi Lane at the back door of the hospital.


    At this moment, the night market stalls in this alley have been set up.


    It was only at night, when the urban management had a rest, that small vendors appeared on the street in droves.


    "It''s Fatty Wang''s BBQ. It''s been more than 30 years, I didn''t think it still exists, it''s great." Director Hu Kan pointed to a barbecue stall not far away.


    "In these years, every time I pass by this alley, I will take a look at Fatty Wang''s BBQ restaurant. I just haven''t eaten there again."


    Doctor Xu is also very sad.


    Life is short, and decades go by in the blink of an eye.


    The two elders in the field of surgery have worked hard in the medical industry all their lives. Director Hu Kan''s body has become like this, and Dr. Xu is in a state of complete distress. He is still practicing medicine with invisible shackles.

 Chapter 338： Heiner 0 Sichuan-like tolerance, the first real chief surgeon level 4...

    Falling in love with you reading network, my medical skills can add experience points


    The three came to Fatty Wang''s barbecue stand, and a young woman greeted them with a smile on her face.


    "You three, please sit down wherever you want! You can call me anytime you need anything!"


    "Give us a plate of kebabs, a plate of peanuts, and a case of beer!" Dr. Xu ordered the dishes, all of which were Director Hu''s favorite foods.


    The number of kebabs in a plate is fifty skewers, which should be enough for three people.


    After he finished ordering, he seemed to realize that Director Hu Kan was not in good health, so he changed his mind and said, "How about three bottles of beer and a bottle of fruit juice!"


    "Alright! The three of you, please sit down for a while, and I''ll send you over right away!"


    The woman''s dress and temperament are not bad, so she should not be a waiter.


    Most likely the proprietress here.


    "Girl, do you have fermented bean curd? Bring us some." Director Hu Kan said to the woman.


    "Well... sorry, there''s really no such thing." The woman shook her head apologetically.


    Barbecue is usually served with alcohol, and not many customers order peanuts.


    She thought the guests at this table were strange.


    If she hadn''t seen the extraordinary clothes and demeanor of the three of them, she would really have wondered if the three of them were here to make trouble on purpose? After all, at the barbecue stalls in the night market, there are often some street scumbags and social people drinking and making trouble.


    "Xiao Zhou, go to the neighborhood and buy a bottle! Your master just wants this one!"


    Director Hu Kan said to Zhou Can.


    "After so many years, Lao Hu still remembers that I like to eat fermented bean curd! We brothers, think about it these years, I really shouldn''t!" Dr. Xu must have been touched, and took the initiative to hold Director Hu Kan''s hand, taking advantage of the opportunity to give him Hold on.


    "Teacher, then I''ll go buy fermented bean curd first."


    Zhou Can let go of his hand cleverly, turned and ran to the supermarket not far away.


    Leave a chance to be alone for the two, so that the relationship between the two will be further melted and warmed up.


    He is very familiar with the terrain around the hospital. This supermarket has bottled Laoganma, bean paste, and moldy tofu.


    After Zhou Can bought fermented bean curd and returned to the barbecue stand, he found that Dr. Xu and Director Hu Kan had become much closer.


    "Teacher, I wonder if this brand of fermented bean curd suits your taste?"


    Zhou Can handed the fermented bean curd to Dr. Xu.


    "Haha, you really have a good eye, this brand is exactly what I like." Doctor Xu boasted with a smile after seeing it.


    "Hey, what Director Hu mentioned is that you liked to eat fermented bean curd thirty-two years ago. I guess you must like the taste before. I asked the owner of the supermarket, and he said that this old brand of Chen granny tofu is an old brand. chose it."


    Zhou Can explained.


    "Sit down! Let''s sit down and eat together! The mutton kebabs at this barbecue stand are the most authentic. The taste is still the same as it was more than 30 years ago. The management has changed, but the meat quality and taste have not changed."


    Dr. Xu praised him and invited him to sit down and taste the delicious food.


    At this moment, a large plate of mutton skewers is placed on the table.


    The lady proprietress came over with two bottles of beer and a bottle of fruit juice, just in time to hear Dr. Xu''s words, and said happily, "I didn''t expect you to be a regular customer of our shop thirty years ago, what a disrespect! It used to be my father-in-law and My mother-in-law is running the business, and now they are getting older, so my husband and I will take over the business of the barbecue stall."


    "It''s good. We old customers come back. In fact, what we eat is a memory. Your barbecue stall has also developed from a small stall to a barbecue restaurant."


    Doctor Xu said with emotion.


    "Thank you for your support for decades. I will give you a 10% discount for this table today. Please eat and drink well!" The proprietress put down the drink and went to the next table with light steps.


    It can be seen that she was very happy to meet a table of regular customers from thirty years ago.


    The three of them ate and chatted. After Dr. Xu and Director Hu finished their relationship, they brought the topic back to medical skills.


    "Old Hu, talk about the compatibility of fast knife and steady knife! I still think this is a bit mysterious."


    Dr. Xu has studied the quick knife technique all his life and set the record for the fastest operation in the world. His understanding and comprehension of the quick knife technique is probably unmatched.


    He agrees with Director Hu''s point of dragging the knife, but he does not believe that the steady knife and fast knife methods are compatible with each other.


    Fire and water are incompatible, which is the law of nature.


    "Whether it is compatible or not, I am currently only in the conception stage. If there is no problem with my body, maybe I can further explore and verify it in practice. Now I can only let Xiao Zhou complete this matter for me."


    Director Hu Kan turned his gaze to Zhou Can.


    Dr. Xu hadn''t nodded his head to agree to this matter, but Zhou Can didn''t dare to agree.


    So, he just lowered his head and gnawed on the mutton skewers.


    Needless to say, the taste is really good. No wonder many people know that eating barbecue is harmful to their health, but they still enjoy it.


    Life is inherently short, and having fun in time is what most people think about.


    "The fast knife pursues the ultimate speed of the knife, while the stable knife pursues stability and stability to ensure no mistakes to the greatest extent. The two seem to be like water and fire, two extremes, but the yin and yang in Tai Chi, soft and rigid, And why not two extremes? Tai Chi can achieve the combination of yin and yang, and equal emphasis on hardness and softness. I believe that the fast sword and the steady sword can also find a balance point."


    "Besides, I did an experiment before I got sick. Seeking speed in stability will be a hindrance, but it is not incompatible with fire and water as I imagined. On the contrary, as long as the steady knife technique is strong enough, it can well tolerate the negative effects of seeking speed. .It feels like the sea is open to all rivers. Whether it is a clear trickle, dirty water, or even all kinds of garbage, the sea can tolerate it."


    When Director Hu Kan talked about his discovery, his eyes were bright, not at all like the eyes that old people should have.


    People with pursuit and faith will always have bright eyes because they have light in their hearts.


    "tolerate?"


    Dr. Xu''s eyes light up slightly. The biggest difference between him and Director Hu Kan is that his pursuit of medical skills is more narrow. This can also be seen from his successors. So far, he has only accepted Zhou Can as an apprentice.


    Director Hu Kan is full of peaches and plums. The entire cardiothoracic surgery department, and even some doctors who have been trained or specialized in cardiothoracic surgery, may have learned the steady knife technique from him.


    Just look at the cardiothoracic surgeons performing operations.


    Basically, it''s all about stability.


    But it''s also true that they''re **** slow in their operations.


    "That''s right, it''s tolerance. To be more precise, it should be compatible with both. For example, if my steady sword technique is strong to a certain extent, I can try to have certain characteristics of fast sword at the same time. Similarly, if your fast sword technique is strong, you can also You can try to have a certain level of steady knife technique. If you have to quantify it, if your quick knife technique has reached level 10, then you should be able to have level 5 or even level 6 stable knife technique at the same time. Tolerance is great, as long as My original ability is strong enough to be compatible with other sword techniques, seeking common ground while reserving differences."


    Director Hu Kan explained his feelings and ideas in a very confident tone.


    Zhou Can listened quietly by the side, already having an answer in his heart.


    Because Director Hu''s description of the advanced state of these surgical techniques, although obscure, makes people feel reasonable upon hearing it.


    All laws in the world are interlinked, and the avenue is as clear as it is simple.


    "It is undeniable that the idea you mentioned is a good way." Dr. Xu drank the beer in his glass in one gulp. "In terms of medical innovation, I must admit that I am not as good as you."


    Losing to Director Hu Kan again, it can be seen that Dr. Xu is a little depressed.


    "I don''t have any objection to Xiao Zhou learning the steady knife technique from you."


    Dr. Xu finally opened his heart, let go of the zero-sum thinking, and was willing to let the only successor learn the steady knife technique from Director Hu Kan. This also means that he tacitly allows Zhou Can to become Director Hu Kan''s successor.


    For some people with deep-rooted sect ideas, it is not easy to make this decision.


    "Haha, I knew you would agree. Come, I respect you with this cup."


    Director Hu Kan managed Dr. Xu''s ideological work, and he was as happy as a child.


    Being able to make Zhou Can his successor has almost become an obsession in his heart. The main reason is that in a short period of time, it is really impossible to find a second successor as excellent as Zhou Can.


    No matter how good a young doctor is, compared with Zhou Can, who has a medical experience point system, it is also a comparison between people and goods.


    "You''d better drink juice! Otherwise, something will happen if you drink it, how will you teach Xiao Zhou in the future?"


    Dr. Xu poured out the beer in Director Hu''s glass and replaced it with fruit juice.


    "Thanks!"


    Director Hu Kan picked up the wine glass, toasted Dr. Xu, and the two clinked glasses.


    "Xiao Zhou, pick up the cup! Blame me for not asking for your opinion? I have already asked for your opinion, and now Xu Chen agrees, so you should follow suit!"


    Director Hu Kan is really happy today, his face is flushed, and the smile on his face seems to have never been broken.


    Zhou Can is able to learn the knife stabilizing technique from director Hu Kan, and at the same time has the strengths of the two, so he is naturally very willing.


    Clink glasses with the two teachers.


    "I respect the two mentors! Thank you for your willingness to cultivate me and help me grow. There is nothing to repay, and I will do it first!"


    Zhou Can raised his neck and drank to the end.


    "Haha, this kid is a man who does great things. Even a glass of wine shows such courage." Director Hu Kan now sees him with eyes full of love.


    Dr. Xu also seemed to be in a good mood.


    Years of knots were untied, reconciled with Director Hu Kan, and then watched as the apprentice might break out a new path.


    Everything is great news for him.


    "Xiao Zhou, as long as you have time, you can come to the cardiothoracic surgery department to learn how to stabilize the knife with me. At the same time, I will teach you all the advanced medical skills in the cardiothoracic surgery department. If you are too busy at work, you can also come to me after get off work, but you must You must stick to it every day, because my physical condition is very bad, and I am very worried that I will close my eyes without teaching you."


    Director Hu Kan''s physical condition is indeed very worrying.


    The terrible thing about heart disease is that it can take away people''s life at any time.


    Especially a patient like Director Hu Kan who has undergone two heart surgeries is even more dangerous.


    ¡­


    The next day, Zhou Can first went to the pediatrics department to check the condition of the child with congenital heart disease. Then I found Director Zhuang Sheng to discuss the patient''s surgical plan.


    Because he had already discussed it with the chief doctors in the cardiothoracic surgery department, and was supervised by Director Hu Kan, Director Zhuang only glanced at the operation plan he proposed, and then nodded immediately.


    With Director Zhuang''s level, it is natural to see that this surgical plan is extremely clever and comprehensive.


    Even the consideration of some details, as well as the handling of potential dangers, have perfect plans.


    The next step is simple, schedule the operation time, and prepare the patient for the operation.


    Anesthesiologists assess the surgical risk of the patient and sign an anesthesia risk consent form.


    Director Zhuang directly threw it to Zhou Can when the chief surgeon talked to his family members. He also told Zhou Can confidently that this congenital heart disease operation will be performed by Zhou Can, and he should naturally be the one to talk to the family members.


    Zhou Can had talked with the family members before, and this was the first time he had formally talked with the family members as the chief surgeon.


    Fortunately, after the family members were "beaten by society" once, their trust in him has risen to a certain level.


    The whole conversation went smoothly.


    Specific preoperative preparations will be followed up by nurses and bed doctors. The arrangement of the operating room is the unified scheduling of the hospital.


    ¡­


    In the operating room, Zhou Can was wearing a dark blue surgical gown, and for the first time officially stood in the position of the chief surgeon.


    Director Hu Kan has already been invited by him, and he is sitting next to the wall.


    You can give him some guidance and help at critical moments. It was also one of the reasons why he dared to preside over this operation.


    Director Zhuang is willing to be his first assistant.


    Zhou Can is the center of the entire surgical team.


    In the past, Zhou Can was very envious when he watched other chief physicians performing the surgery. I long for the day when I can preside over a decent major surgery as the chief surgeon.


    At this moment when this dream was really realized, he realized that the responsibility on his shoulders was like an invisible mountain pressing down on him.


    He was not as complacent as he had imagined, and the soles of his feet were fluttering.


    Perhaps the only difference is that everyone in the operating room revolves around his baton.


    After the patient is successfully anesthetized, the operation officially begins.


    Zhou Can successfully completed the establishment of extracorporeal circulation and total caval-pulmonary artery connection. The following thoracotomy and heart surgery are also ideal.


    Half of the operation was completed, and there was no mistake, Zhou Can also breathed a sigh of relief.


    The preliminary operation has been completed, try to stop the machine to see the effect.


    As a result, as soon as the machine was shut down, the patient''s arterial blood pressure dropped rapidly and could not be maintained at all. Central venous pressure showed a high pressure rise.


    Seeing this situation, Zhou Can felt a little flustered.


    Whoever would be the chief surgeon would have to panic.


    Because the risk of heart surgery is extremely high, and the arterial blood pressure cannot be maintained, the patient can show it to you if it is cold.


    "Xiao Zhou, don''t panic! You will often encounter such sudden and unexpected situations in the future." Director Hu sat there with a calm tone.


    This also gave Zhou Can some motivation to keep calm.


    It''s like when we climb a rock wall, whether we have a safety rope on our body or not, those are completely two kinds of psychological feelings.


    With a rope tied to your body, you can feel more at ease.


    When Director Hu Kan was the chief surgeon, he also felt a little bit unable to bear the pressure when encountering emergencies. But compared to Zhou Canlai, his psychological quality must be much stronger.


    After all, he is a veteran who has fought on the operating table for decades.


    After Zhou Can calmed down, he began to seriously look for the reason.


    Why does the patient''s arterial pressure drop when the machine is turned off? He decided to start with central venous hypertension.


    Time is life, and it is definitely a huge challenge for him to find the cause of the disease in such a state of extreme urgency and high inner pressure.


    After careful measurement, he found that there was no significant pressure gradient between the superior and inferior vena cava and the pulmonary artery.


    From this point, surgical anastomotic stricture can be ruled out.


    Is it pulmonary vascular resistance?


    This possibility is very high.


    Zhou Can quickly thought about the method of testing in his mind. Now it is only suspected that the pulmonary vascular resistance is too high. Whether it is really because of this reason needs to be verified by some experiments.


    Opening a window in the atrial baffle can relieve venous hypertension and increase cardiac output.


    He tried fenestration in the atrium baffle and pulmonary vasodilators, but the problem was not resolved.


    This issue has actually been discussed in the cardiothoracic surgery department, and he also has pre-planning preparations in this regard. It was only after the implementation that the symptoms of low cardiac output were not resolved at all.


    Seeing that the child''s condition was getting more and more dangerous, Zhou Can had no choice but to remove the baffle connecting the inferior vena cava-pulmonary artery.


    At this point, the operation will immediately face failure.


    Director Zhuang''s forehead was already dripping with sweat. The rest of the surgical team also felt badThe atmosphere became tense and depressing.


    At this critical moment, director Hu Kan made a move.


    "This operation is on the verge of failure. The main reason is that the child''s pulmonary vessels are not well developed and the resistance of the pulmonary vessels is too high. Come on, follow my method..."


    Director Hu Kan is like a needle for calming the sea, pointing out to Zhou Can the reason for the failure of the operation at a critical moment, and giving a solution.


    [To be honest, I have been using Yeguo to read and read books recently, change sources and switch, read aloud with many timbres, and both Android and Apple can be used. ¡¿


    ¡­


    After more than three hours, Zhou Can was so tired that he was close to collapse, and the child was pulled back from the death line several times.


    The operation was finally completed successfully.


    At this moment, the blood pressure of the child has returned to normal, the heartbeat is strong, and the respiratory function of the child has reached an unprecedented good state. Almost at a speed visible to the naked eye, the cyanosis all over the body is fading little by little.


    Zhou Can was summarizing and reflecting after the operation.


    The child''s problem is far more serious than he imagined, except that the pulmonary blood vessels are not well developed, which leads to excessive pulmonary vascular resistance. The child also had tricuspid atresia.


    If it weren''t for Director Hu Kan, a top cardiothoracic surgery expert, to direct the scene, the patient would have given up ten lives.


    Zhou Can felt as if he had survived a life-and-death catastrophe. During the operation just now, his nerves were tense, and all he could think about was how to operate. Now that the operation is completed, in addition to gaining a lot of super high medical experience rewards, he also really experienced the taste of presiding over a major operation for the first time.


    Just four words, extremely sour.

 Chapter 339： The pennant is here, right and left

No content

 Chapter 340： Uneasy, keep out the wind and rain for my parents

    Falling in love with you reading network, my medical skills can add experience points


    The Department of Pediatrics is Director Tang Fei''s territory, and she has good eyes and ears.


    Zhou Can just came over for a walk, and she knew it.


    "Are you a graduate student or an intern?" Zhou Can asked as she followed her towards Director Tang''s office.


    "Internship! The postgraduate entrance examination is too difficult. I am going to work directly after graduation." The female intern looked a little shy and introverted, with her head bowed.


    "It will be difficult for an undergraduate to become a doctor! If you have the conditions, it is best to take a postgraduate entrance examination and then work in a hospital." Zhou Can warned her as someone who had experienced it.


    Because of his low education, Zhou Can suffered a lot and suffered a lot of grievances.


    Even now, he is already very good, but compared with Du Leng, who is studying abroad with a doctorate, he is still at a disadvantage.


    Du Leng is now an attending physician, while Zhou Can is still working as a doctor in Guipei. This is the gap caused by education.


    In some things, the gap in academic qualifications can be made up by redoubled efforts. Some are useless no matter how much effort is put in.


    "I just can''t pass the exam! Besides, Senior Brother Zhou has set an example for all our undergraduates. Many juniors and juniors in the school use you as an example! We believe that as long as we work hard, we will be able to succeed, not inferior to those graduate students. .¡±


    She looked up at Zhou Can bravely this time.


    The admiration in his eyes made Zhou Can feel very embarrassed.


    "You are also a student of Tuya Academy?" Zhou Can looked at her in surprise.


    By visual estimation, he is 1.58 meters tall, with shoulder-length short hair, wearing a pair of brown glasses, and his eyes are quite agile.


    "That''s right, I''m two years younger than you, and I''m a fifth year junior. I''m your junior and alumni." She smiled brightly.


    Zhou Can was in a daze for a while, and he had graduated from school for two years before he knew it.


    He became an idol in the hearts of his juniors and younger sisters, which was unexpected.


    The vast majority of people are like him. After graduation, they are so busy with work that they have no time to pay attention to the affairs of their alma mater.


    "Looking at your youthful smile, I seem to see my former self. Since you call me a senior, I must tell you seriously as a teacher that education is not everything, but education is very important. As long as you can take the postgraduate entrance examination , I strongly recommend that you take the postgraduate entrance examination. Even if I am a little more stable in work and have more time and energy, I will definitely embark on the on-the-job postgraduate entrance examination.¡±


    [To be honest, I have been using Yeguo to read and read books recently, change sources and switch, read aloud with many timbres, and both Android and Apple can be used. ¡¿


    Because of his special status, he has many chief physicians from hospitals to **** him. At that time, it will be much less difficult for him to take the postgraduate entrance examination than ordinary people.


    In his senior year, he really failed the exam.


    Just because he has this kind of opportunity after working, it doesn''t mean that other people also have it.


    This school girl did not take the postgraduate entrance examination when she was studying, and it will only be more difficult if she wants to take the postgraduate entrance examination after work.


    "Alright then! I will seriously consider this matter." She nodded seriously.


    It''s just that the postgraduate entrance examination is difficult on the one hand, and the financial pressure on the other is also very high. She must consider carefully such a major event.


    At this time, Zhou Can had arrived at the office of the director of the department.


    Knock on the door politely.


    Dongdongdong!


    "Come in!"


    Director Tang was looking down at the file. As the head of the department and the leader of the department, she has too many things to take care of.


    "Director Tang, are you looking for me?"


    "Doctor Zhou, please sit down!" She treated Zhou Can very politely. "I heard that Dr. Zhou won the pennant of his family, right?"


    "The patient who was infected with the new type of bunya virus last time insisted on sending me a pennant after he recovered and was discharged from the hospital." Zhou Can raised the pennant wrapped in his hand.


    "This is a good thing! I came here to discuss this matter. You are still in the regular training stage and need to rotate in multiple departments. I suggest you hang the pennant directly in the No. 17 outpatient room. Anyway, every week On Wednesdays, you will be in that outpatient room. Hanging a pennant can increase the trust of your family members and patients."


    She made a good suggestion to Zhou Can.


    At present, Zhou Can has visited the pediatric department twice, and the results are not bad.


    The number of patients who specifically registered with other accounts basically remained at more than ten per day.


    "Your suggestion is very good, but if you just hang the pennant there, will it affect other doctors?" Zhou Can is well aware of the ugliness of human nature.


    Some people just can''t see the good in others.


    He hung his pennant specially in the outpatient room No. 17, for fear that someone would suffer from pink eye.


    "Not only does it have no effect on other doctors, but it only benefits. Give me the pennant, and I''ll arrange someone to hang it later." Director Tang Fei made a domineering decision, alleviating Zhou Can''s worries.


    The director of the department personally told people to hang up, who dares to make small moves?


    Outpatient clinic No. 17 is just a general consultation room, and the doctors attending the consultation are basically of this level.


    I believe that no doctor who does not open his eyes would dare to apply eye drops to Director Tang Fei.


    At this time, Zhou Can''s cell phone rang.


    I took it out and looked down, it was my mother calling.


    "Director Tang, if there is nothing else, I won''t bother you!"


    "Hehe, this is a call from your girlfriend, right? You go and answer the phone. The patients in your charge remember to check the ward every day and report any problems in time." She smiled and warned.


    "OK!"


    Zhou Can didn''t explain much, walked out of the office, and closed the door for her.


    Line connected.


    "Mom, why are you calling me at this time all of a sudden?" He was worried about any accidents at home.


    "Everything is fine at home, don''t worry! I transferred 50,000 yuan to you just now, so save some money. Recently, the family needs funds to turn around a big business, and I may not be able to give you pocket money for a long time. Take good care of yourself outside, and take good care of that girl named Qianqian."


    Listening to his mother''s words, Zhou Can faintly felt something was wrong.


    Usually my mother would chatter endlessly when she called him, but today it always feels weird.


    "Mom, Chinese New Year is coming soon, I should be able to take a few days of annual leave here, and I will come back with Qianqian to see you and Dad." Zhou Can said tentatively.


    His mother has been urging him to take his girlfriend home for the New Year. Zhou Can has been transferred to the Department of Endocrinology this time, so he should be able to take a few days off.


    "Well... your dad and I are very busy recently, and I''m afraid we won''t be able to get away during the Chinese New Year. Why don''t we wait until we''re not so busy, and then bring Miss Qianqian back!"


    After all, she still hasn''t learned to lie in front of her son.


    The excuse he made was too perfunctory, but with Zhou Can''s wisdom, he knew something must have happened at home as soon as he heard it.


    What can happen to a good food processing plant?


    In the past two years, I can often hear my mother showing off to him and doing business abroad.


    It stands to reason that the business should grow bigger.


    "Mom, is something wrong at home?"


    "Nonsense! Your dad and I are busy in the factory every day, what can happen at home?"


    Mom pretended to be calm and scolded him.


    "Oh, just be safe. I''ll take your future daughter-in-law home in a few days. It doesn''t matter how busy you and dad are, we can also go to the factory to help you!"


    Zhou Can deliberately tried again.


    "The factory is so dirty, don''t scare the girl. If you go home, remember to call me in advance, so I can pick you up then."


    Mom didn''t refuse him to go home this time.


    However, Zhou Can could hear the far-fetchedness.


    "Mom, I''m working here, so I won''t tell you. Remember to take care of yourself, and I''ll go home to see you and Dad when I''m free."


    "OK!"


    Mom hung up the phone.


    Zhou Can looked through the records, only to find that he hadn''t contacted his family for more than three months. He suddenly felt a little sorry for his parents. Usually it is the mother who takes the initiative to contact his son, but he rarely takes the initiative to contact his family.


    He seems to be used to his parents'' concern and pocket money given on time.


    Only now did I realize that I cared too little for my parents.


    Whether it is family affection or love, it should never be one-way, but two-way.


    Zhou Can was almost certain that something must have happened at home.


    Mom didn''t tell him, she had her own way to find out.


    Zhou Can directly dialed Fa Xiaocheng Dazhuang''s phone number.


    "Ah Can, it''s really not easy to receive a phone call from you! I thought you were so successful now, and you forgot about my brother from the past!"


    As soon as the phone was connected, Cheng Dazhuang complained to him.


    "Haha, how is that possible! Am I that kind of person?" Zhou Can is really not the kind of powerful person who dislikes the poor and loves the rich.


    There is no dislike for Dazhuang not doing well in the process.


    "Da Zhuang, I want to ask you something!"


    "Ask! As long as I know, even if you ask me what color my underpants are, I will tell you."


    Cheng Dazhuang was still so humorous.


    "Doctor Cheng Dazhuang, please pay attention to your image, and be careful of complaints from patients or family members." Zhou Can warned him with a dark face. When the two were together when they were young, they fought back and forth like this, and they grew up playing around.


    "Do you think that our County People''s Hospital is as crowded as your Tuya Hospital? We can''t see many patients a day, and the department I work in is an unpopular department. I sit in the office and yawn every day."


    Cheng Dazhuang yawned as he spoke.


    Zhou Can frowned, and could imagine what Cheng Dazhuang''s working status would be like.


    He couldn''t help but think of the children who didn''t pass the high school entrance examination, and after entering the vocational technical school, they were laughing and joking about their reading status. And the state of being admitted to high school and studying hard day and night in order to sprint for the college entrance examination.


    Cheng Dazhuang sits in the office and dozes off every day, but Zhou Can often practices medicine or reads until one or two in the evening.


    During the day, Zhou Can was as busy as a spinning top.


    The gap between the two of them is probably already very different.


    With Zhou Can''s current strength, if he went to the county people''s hospital in his hometown, he might be able to instantly kill the general chief physician.


    "Da Zhuang, you are in a bad state. When you are free, you can read medical books and study cases. Over time, you will gradually become stronger than other doctors."


    Zhou Can advised him not to waste his time.


    As long as adults are over thirty-five years old, if they don''t have a certain level of strength, it will be difficult to make progress.


    "What''s the use of learning? There are not many patients, and they are basically common ailments. Ah Can, you should quickly tell me what you can ask me!"


    Cheng Dazhuang didn''t want to dwell on this topic any longer.


    "I want to ask, do you know what happened to my family?" Zhou Can secretly sighed, the fate is actually in his own hands, if he doesn''t work hard and doesn''t make progress, then he can''t blame the cruel society.


    "I didn''t hear what happened to your house! What''s the matter?" Cheng Dazhuang asked back.


    "My mother called me just now, and she always felt weird. You get off work at night and go to find out what''s going on in my house, okay? Don''t disturb my parents, just tell me the truth."


    Zhou Can can rest assured that this matter will be handed over to Fa Xiao.


    Although Cheng Dazhuang has many flaws, he is very loyal and caring.


    "Okay, I''ll be there in a while, don''t worry too much! I guess there''s nothing wrong, it''s probably because you''re thinking too much."


    ¡­


    When it was past five o''clock in the evening, Zhou Can received a call from Cheng Dazhuang.


    "Ah Can, you haven''t operated on the patient yet, have you?"


    "What do you mean? Didn''t I ask you to inquire about my family''s situation?"


    Zhou Can was extremely depressed.


    Has the child''s head been exposed to too much rain and water has entered it?


    "I''m afraid that after hearing about your family''s situation, you will be too emotional. If there is a medical accident, won''t you be killed?" Cheng Dazhuang explained.


    "Damn! So it''s because of this. Tell me, I''m following the tutor. I answered the phone just now, but I''ve already gone outside." Zhou Can''s heart sank.


    It seems that something really happened at home.


    As long as the parents are safe, a little money is nothing.


    Anyway, Zhou Can now has a net worth of nearly 100 million yuan, and the family''s living security is completely sufficient.


    If they can beat Hu Haikun, the capital tycoon, his and Su Qianqian''s careers should last for many years, and their wealth will continue to increase.


    "You can sit with the teacher and go out to answer questions, you are awesome!"


    Cheng Dazhuang just didn''t talk about business, and Zhou Can was so anxious that he wanted to pinch him.


    For Zhou Can, let alone going out to answer a phone call, if something really happened, asking for leave and leaving get off work early is not a big deal.


    His status is still so high.


    The department of endocrine medicine can only be regarded as a small department in Tuya, and the director of the department is warm and friendly to him.


    "I asked someone. Your family''s villa in the county seat seems to have been seized by the court. It seems that the factory is also surrounded by a large number of cargo owners to collect debts. The situation is very bad."


    This news was like a thunderbolt from the blue, and Zhou Can was hit hard.


    He never thought that the family''s good business suddenly became so miserable?


    "Da Zhuang, are you sure you didn''t make a mistake?"


    "It shouldn''t be wrong. Although my medical skills are not very good, I have established some contacts in the county. For the specific situation, I also specifically asked my classmates who work in the court. It seems that your family has produced a large number of medicines according to the requirements of foreign customers. Foreign trade food. The other party only paid a small deposit, and then played the game of disappearing from the world. The raw materials your parents collected from the owner at a high price could not be sold after processing, and the capital chain was broken. This is what happened."


    Cheng Dazhuang told what happened.


    "Are my parents okay now?"


    Zhou Can only has a superficial understanding of business matters .


    Because he is not here.


    My biggest concern right now is the safety of my parents.


    "Your parents are trying to find a way to borrow money. When the bank got the news, they first applied for property preservation and seized your villa. Then there is the payment from the owner of the goods. The workers seem to be worried about not getting their wages now. Get paid."


    The wall fell and everyone pushed.


    There was a problem with Zhou Can¡¯s family¡¯s business. The cargo directors were worried that the payment would not be received, the workers were worried about their wages, and the bank was worried that the loan would not be recovered. All together, one can imagine how much pressure parents will bear.


    But even in such a difficult situation, his mother still gave him 50,000 yuan in pocket money.


    Suddenly, he realized that his mother had already predicted that the factory would go bankrupt, and all the savings of the family''s years of hard work would be wiped out. As a mother, I just want to help my son one last time.


    This is great maternal love.


    "Mom and Dad, my son has grown up now. You have always cared for me, protected me, and supported me. This time, let my son withstand the wind and rain for you!"


    Zhou Can didn''t know how much his family owed, but he reckoned that his tens of millions of savings should be able to help his parents tide over the difficulties.


    It''s just his money, some invested in stocks, some bought funds, and even some private equity funds recommended by Li Luo. It may not be easy to turn it into cash in a short period of time.


    Zhou Can doesn''t understand this kind of business matters. Mr. Cui and his wife happen to be engaged in foreign trade business, so it might be beneficial to ask them for advice.

 Chapter 341： Yiqins advice, go home

    Falling in love with you reading network, my medical skills can add experience points


    After finally getting off work, he called Mr. Cui.


    "Brother Zhou, why did you think of calling my old brother? I have long wanted to get together with you!" Mr. Cui and Zhou Can have always had a good relationship.


    In addition, Zhou Can saved his life, so he has a more intimate relationship with Zhou Can.


    "I really want to ask Brother Cui for advice! Are you free today?"


    Zhou Can has nothing important to do, so he usually doesn''t bother these friends.


    It is a normal social activity to get together occasionally to have a drink, have a meal, and connect with each other.


    Like Zhou Can, Mr. Cui is a busy man.


    But at night, I usually stay at home with my family and enjoy a comfortable life.


    "Yes! I am free every day. As long as you are free, you can come and drink tea with me anytime!" Mr. Cui asked immediately after finishing speaking. "What time will you be here? I''ll make tea at home and wait for you."


    "About fifty minutes! I just got off work, and it''s rush hour now, so I''m afraid of traffic jams on the road."


    Zhou Can had already walked to the road in front of the hospital and stopped a taxi.


    "Wait for you!"


    Mr. Cui really didn''t say a word of superfluous nonsense.


    An hour later, Zhou Can arrived at Mr. Cui''s villa.


    The classical Chinese living room was designed and decorated by Zhou Can. Once a person walks in, it seems that he has traveled to the ancient world and is personally on the scene.


    As expected, Mr. Cui kept his word and was sitting in the tea room making tea.


    The water has boiled and is emitting white mist.


    "Brother Zhou, the tea is ready, please take a seat!"


    Mr. Cui stood up to greet him.


    "I''ll wash some fruit for you, and bring some refreshments." Yin Qin belongs to the kind of virtuous wife who works in the hall and in the kitchen.


    "Sister-in-law, don''t be so troublesome, just sit and rest for a while! Anyway, I am a regular visitor, and I often come to your house to eat and drink!" Every time Zhou Can came, Mr. Cui and his wife treated him very warmly.


    "What''s the trouble! You can come and sit at home, we feel that this family is a little more angry. If your hospital is not too far away, your brother Cui and I would want you to come home for dinner every night!"


    Yin Qin smiled gently and flitted across the black hair on her forehead.


    Brother Cui''s foreign trade company is basically run and managed by her. She is a veritable strong woman and a female president.


    However, compared with the strong women in TV dramas, she is a little less domineering with an iron fist, and more gentle and soft that a woman should have. She''s also more grounded, more real.


    "Meeting brother Cui and sister-in-law is a blessing I have cultivated in several lifetimes. I think it is impossible to come to your house for dinner every day, but the nature of the job is special and I am so busy every day."


    Zhou Can felt that Brother Cui and his sister-in-law seemed a little lonely because their son was abroad.


    "Come, try the new Maojian!"


    Mr. Cui poured him tea.


    Although Zhou Can is very worried about his parents in his hometown, he knows very well that the more urgent things are, the more calm he should be.


    Be calm, this is a compulsory course for every elder.


    Almost all elders have a common feature, that is, Mount Tai collapsed in front of them, but their expressions did not change.


    Tasting five cups of tea, sister-in-law Yin Qin also washed the fruits and put them on the tea eucalyptus.


    There are also exquisite snacks.


    "I made these mung bean cakes yesterday, Doctor Zhou, try them!"


    "My sister-in-law made it herself, so I''m welcome. Last time I ate the coarse grain biscuits made by my sister-in-law. It tasted really good."


    Zhou Can picked up a piece of mung bean cake and put it in his mouth. It was sweet but not greasy, and it melted in the mouth. The unique fragrance of mung bean made the taste buds bloom.


    "This kind of delicious snack with zero additives, eating it in your mouth is really the ultimate enjoyment in your life."


    "Haha, your boasting is too obvious! If you like it, I''ll get you some later, so you can save it when you work overtime or have long-term surgery. But because it is zero additives, the shelf life cannot exceed three months." Oh my God!"


    Yin Qin cared about him like an elder sister treats her younger brother.


    Zhou Can kept this gratitude in his heart.


    "Thank you sister-in-law!"


    He didn''t refuse.


    Whether it is with Mr. Cui and his wife, or Li Lao and his wife, because the relationship between them is indeed very good and they are very familiar with each other. Too much politeness, but it seems hypocritical and hypocritical.


    "Brother Cui, sister-in-law, I came here this time to ask you a question about business. To be honest, something happened to my family recently. My parents run a food processing factory, you already know. Today my mother Calling me, I always felt that her tone and words were a bit abnormal. So I entrusted a friend from my hometown to check secretly..."


    Zhou Can told the story of his parents being put together, the villa being sealed off, and being embattled on all sides.


    After listening, Mr. Cui said bluntly, "Your parents have encountered malicious competition from competitors. It is also possible that they have offended someone in the business field, and they are going to kill your family, so they took advantage of this small amount of deposit. , asking for processing and rushing to make a large number of specially-made products to harm your family."


    Mr. Cui is worthy of being an expert in the business field, and he judged the situation after only listening to a rough idea.


    "Now even if we know that they intentionally entrap my parents, so what? They don''t want a deposit, and it''s useless to sue them. I hope to minimize the loss of my parents as much as possible. There is no way to take those bad guys .¡±


    Zhou Can knows that now is a legal society.


    They dug a hole on purpose and let Zhou Can''s parents jump into it, so what?


    It''s useless to call the police, and you can''t win a lawsuit.


    From the very beginning, these bad guys wanted to lose the deposit, and they lost a hundred of them and killed ten thousand of their enemies. Directly bring down Zhou Can''s food processing factory.


    This is their real purpose.


    "Doctor Zhou, don''t worry. These people can use a small deposit to get your parents into the pit, which shows that they are very familiar with business operations. Since the other party has an expert, they must not only destroy your family. Processing plants. In order to maximize their profits, they will definitely have a second move. For example, in order to repay the debt, they sold the assets at a low price, and they bought them at a low price. They can directly annex your family¡¯s factory and yours with very little money. Parents accumulated wealth for half their lives."


    Yin Qin''s business acumen seems to be stronger than that of Mr. Cui.


    No wonder Yin Qin has always been in charge of their family''s business matters.


    "I will never let these bad guys get what they want. I will pay for the debts owed by my parents, and at least find a way to help them keep the factory."


    Zhou Can has borrowed money from the bank before, and he knows how terrible it is to sell assets at a low price.


    A set of one million yuan equipment may be disposed of for two to three hundred thousand yuan, or even tens of thousands of yuan. A villa worth 3 million yuan may enter the foreclosure process of 17.8 million yuan.


    Even if he put all the tens of millions he earned in the past two years into it, he would never let those villains succeed in their schemes.


    Business is so cruel.


    Knowing that he was ruined by the other party, he can only watch helplessly as the other party picks up the leak at a very low price.


    "If I''m not wrong, this group of people induced your parents to produce a large number of their special food. There is a lot of content in it. First of all, these special food are difficult to sell in the domestic market because they do not meet the taste of Chinese people. Only Only in this way can you force your parents to have nowhere to go."


    Yin Qin calmly helped him analyze the mystery.


    "Your parents can''t sell those special foods, but they probably have a way to sell them. Therefore, they will definitely buy those processed special foods at a very low price. According to my experience in foreign trade over the years , Processed food generally needs zero additives if it wants to be sold abroad. This will lead to a short shelf life of the food.¡±


    "This group of people will seize this point and will definitely lower the price severely. At that time, your parents will only have two choices, either sell it at a very low price or keep it rotten in their hands."


    Yin Qin gave Zhou Can a step-by-step analysis, which made him shiver all over.


    The calculations of these people are terrible.


    It''s really skin cramping, sucking marrow and eating meat. It is necessary to squeeze out all the wealth of Zhou Can''s parents and collect it at a very small price.


    In the end, they not only made back all the lost deposit, but also made a lot of money.


    "Sister-in-law, is there a way to break the serial poisonous tricks of this group?"


    "Yes! And as long as the operation is done properly, a beautiful counterattack can be done." Yin Qin''s phoenix eyes shone with the light of wisdom.


    "Please sister-in-law teach me!"


    Zhou Can was overjoyed after hearing this.


    He is good at curing diseases and saving lives. He is not proficient in business matters at all.


    "Don''t worry, you saved my husband and are good friends with us. Now that your parents have been scammed, and you begged for help, we will naturally not sit idly by. The specific countermeasures are quite simple..."


    Yin Qin told him the whole counterattack plan.


    After hearing this, Zhou Can was overjoyed, and admired this business-minded sister-in-law so much.


    "Sister-in-law, you are definitely a genius among geniuses. That group of people is already powerful enough, but you have plotted them to death everywhere. This anti-killing plan is really great. I am very much looking forward to that group of people crying and shouting." Like jumping off a building."


    "In less than half a month, you will surely get your wish!"


    She had a confident smile on her face.


    Zhou Can got the scriptures here, and he was in a good mood.


    After returning home from Mr. Cui, he couldn''t wait for a moment. Start arranging now.


    First, it cost 10,000 yuan and hired two foreign friends as extras. Another top luxury car was rented.


    The purpose of these two gangs is only one. When the bad guys buy the processed special food, these two foreign friends come forward and pretend to be foreign businessmen to step in, with the purpose of raising the purchase price.


    In addition, Yin Qin and Mr. Cui still have means to take care of those bad guys.


    It is estimated that those people never dreamed that there would be a day when they would be counter-calculated.


    The next day, Zhou Can took five days off from the hospital.


    If it was an ordinary Pearson, it would be good to ask for one day of personal leave at most. Zhou Can originally thought that he might need to ask Vice President Ye for leave approval. Unexpectedly, the director of the department of internal medicine is very powerful.


    Hearing that something happened at home, he agreed directly.


    Doing this is also selling Zhou Can a favor.


    The hospital is a small society. The director of the department sells it to Zhou Can now. When he needs help in the future, is Zhou Can embarrassed to refuse?


    After asking for leave, Zhou Can specially bought some nutritional supplements to take home to honor his parents.


    Before, there was nothing lacking in the house.


    Parents are very generous to his son, but they are quite frugal. Sometimes, my mother has to hesitate for a long time to buy a piece of clothing worth more than 1,000 yuan. Give Zhou Can pocket money, 50,000 yuan, without batting an eyelid.


    As soon as he went downstairs, he saw Su Qianqian''s BMW parked downstairs.


    "Boss, this way!"


    Wei Fang greeted him.


    As soon as Zhou Can walked to the front of the car, Su Qianqian, who was sitting in the back seat, helped him open the door of the back seat from the inside.


    "Chan, sit here!"


    Zhou Can got into the back seat of the car and closed the door.


    "Have you asked the company for leave?"


    "Please! Mr. Li knew that he would follow you home to meet his parents, so he agreed without saying a word." Su Qianqian is the pillar of the company. She will leave the company for five days, which will definitely affect the company''s business.


    "Honey, is this dress okay for me?"


    "Very decent and beautiful."


    After Zhou Can looked at it, he nodded seriously.


    In fact, a stunning beauty like Su Qianqian looks good in any clothes.


    Wearing coarse clothes, she is a village girl. Wearing haute couture, she is a superstar admired by all.


    "I bought some gifts and put them in the trunk. I wonder if my uncle and aunt will like them?"


    The new daughter-in-law passed the sedan chair, and for the first time, she seemed a little nervous.


    Fear of not doing well enough, or being rude, leaving a bad impression on future parents-in-law. This is also because she cares too much about Zhou Can.


    [Recommended, Yeguo Reading and Chasing Books is really easy to use, download it here and try it quickly. ¡¿


    Only after passing the test of her father-in-law and mother-in-law can her marriage with Zhou Can be freed from a major obstacle.


    "My parents will definitely like the gift my daughter-in-law bought, so don''t worry!"


    Zhou Can held her in his arms and thanked her for her efforts.


    "Wei Fang, the location coordinates have been sent to your phone, just navigate to the destination directly."


    "Okay, boss!"


    After Wei Fang called him the boss once, he never changed his mind.


    As expected, people are born once and familiarized the second time. After the first time, it will be more natural for the second time.


    ¡­


    Xinhai City, although there is a city in its name, is actually a county seat. The scale is not small, with a population of more than 1.4 million, and the permanent population in the county is more than 500,000.


    The county''s economy is not bad, at least it is one of the top 100 economically powerful counties in the country.


    Zhou Can saw that the gate of his villa had been sealed by the court, and it was closed When he really saw that his house was sealed, he felt very uncomfortable. Mainly for my parents.


    The house has been sealed off, and the pressure on the parents must have been beyond imagination, but they have been keeping Zhou Can from it. All the suffering and pressure are borne by them.


    I really don''t know how parents survive these days.


    He asked Wei Fang to turn the car around and drive to his family''s food processing factory.


    When I arrived, I found that there were banners in front of the factory gate. There are banners for workers asking for wages, and banners for suppliers demanding payment.


    It is conceivable that the miserable appearance of the parents besieged on all sides.


    He dialed his mother''s phone.


    "Mom, where are you now?"


    "I''m at the factory, what''s wrong?"


    After my mother answered the phone, it was very noisy on the other end.


    Even heard someone yelling and swearing.


    "It''s okay, don''t you want to see your daughter-in-law? I''m going to take it home for you and Dad to see!"


    Zhou Can said.


    "Ah...today? Your dad and I are busy, don''t come back today! Why don''t you go to another day! At that time, your dad and I can go to the provincial capital to see you."


    Mom looked a little flustered.


    Zhou Can motioned Wei Fang and Su Qianqian to wait in the car, and he got off and walked towards the factory.


    "Mom, I have already seen your figure."


    There was no one on duty at the security booth at the factory gate, so Zhou Can easily walked into the factory.


    Then I saw a lot of people surrounded in front of the office building. My mother took the mobile phone and went to a secluded corner to answer the phone.

 Chapter 342： The method of the young master, the old mountain is old

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Hearing Zhou Can''s words, her body trembled suddenly, as if struck by lightning. Then turn around slowly, look back, and check the way into the factory.


    Sure enough, he saw a handsome and tall figure.


    It is her most beloved son.


    At this moment, she knew she couldn''t hide anything.


    "mom!"


    Zhou Can ran over quickly and saw his mother, a very strong person, and tears kept gushing from his eyes at this moment.


    "Why didn''t you tell me about such a big thing happening at home?"


    Zhou Can hugged his mother tightly.


    He suddenly discovered that after nearly three years of absence, his mother''s temples were already full of wrinkles. The body is also significantly thinner.


    This made Zhou Can feel extremely distressed.


    "Didn''t I tell you not to come back? You child, why don''t you listen!" Her voice was hoarse and weeping.


    "You and Dad protected me when I was young, let me protect you when you grow old! Your son has grown up and can protect you from the wind and rain!"


    Zhou Can said confidently and emotionally.


    His parents'' love for him since he was a child made him feel the warmth of the family and had a happy and healthy childhood. In his mind, the status of parents and family is extremely important.


    Now that he is back, he will naturally do his best to keep the family and protect his parents.


    "Son, you are very sensible, and my mother is very pleased. However, the crisis our family has encountered this time is too great. Not only will you get involved, it will not help us, but it will also make you go bankrupt. Your father and I have discussed it a long time ago. It doesn¡¯t matter if the factory is gone, the villa, or the property is gone. We will go back to our hometown in the countryside to live. You are an independent debtor, and you won¡¯t be affected if you don¡¯t get involved, you know?¡±


    Mom lowered her voice and taught him how to do it.


    "My father, as long as he sees you safe and sound and living happily with that girl named Qianqian, we will be satisfied."


    It is not difficult to hear from her words that she has already prepared for the worst.


    That group of people is too bad, too professional, and their parents have little education, they just start from scratch, relying on hard work and some of their own wisdom and integrity to make a fortune. They are not at all the professional opponents who understand modern business science.


    Under the calculations of this gang of villains, he suffered a crushing defeat and returned to before liberation.


    And possibly even huge debts.


    There are very few factories without bank loans. Their family is now facing pressure from the bank for loans, a run on the owner''s payment, and a run on the wages of the workers. The specialty foods produced and processed cannot be sold domestically and cannot be realized quickly.


    Under multiple pressures, the moderately wealthy families in this county directly collapsed and returned to poverty.


    The reasons for this situation are of course the parents'' risk-taking behavior and greed, but the most important thing is that the bad guys are too bad and their calculations are too professional.


    Commercial wars have always been **** wars where no gunpowder can be seen.


    More cruel and violent than the real battlefield.


    kill without spilling blood.


    "Mom, don''t worry, just leave this matter to me. Where''s Dad?"


    Zhou Can asked.


    "Aren''t these suppliers and workers stuck here to ask for debts? Your father has no choice but to go out and find someone to borrow money to repay the debt. It''s just that after many friends found out about our family''s situation, they hid from you and me like a plague god. Dad, I can''t borrow much money at all. And the fund gap is very large, borrowing ten to twenty thousand is like a drop in the bucket, and it won''t help at all."


    This chapter is not finished, click [next page] to continue reading -->>


    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Speaking of the debts owed, my mother looked sad.


    "Hi, Jiang Wenhui, your son is back, did he bring the money?"


    Someone recognized Zhou Can.


    These suppliers are all good people in the society. Even if they don''t recognize Zhou Can from Yake.com, they probably know what''s going on when they see the mother and son hugging each other and the mother crying.


    "I really came back with the money! It''s only right and proper to pay off the father''s debt."


    Zhou Can walked towards the crowd of debt collectors and salary collectors.


    Looking around, there are at least a hundred people. And that''s not all. Some people haven''t come over yet and are waiting for news.


    "Hey, you young man is quite reasonable! Your family owes me 270,000 yuan, so please settle my money first! I promise to get the money and leave immediately."


    A vendor in his fifties grinned.


    He was the first to meet Zhou Can.


    When the others heard that Zhou Can had returned with the money, they also rushed forward, demanding to pay the debt.


    "Everyone, don''t worry, don''t worry, how much my family owes you, my mother has the account book in her hand, and she knows everything. You will not lose a penny of what is due. Thank you for your support and trust in my family for many years, not only The arrears will not be less than you, and the interest that should be paid will not be less.¡±


    Zhou Can was very generous, and what he said was very proud.


    People''s hearts are made of flesh.


    Playing an emotional card first, reminiscing about old feelings, will help ease the tense relationship between the two parties.


    "Young Master''s words are open and clear, which makes us feel very comfortable. Can we pay the money now?"


    The leading supplier was still talking to Zhou Can.


    "After all, payment for goods is not a small amount. My family is selling property to pay off the debt. I think everyone has seen it. I promise everyone that all the payment for goods will be paid within seven days at the latest, and all workers'' wages will be paid within three days."


    After Zhou Can finished speaking, the debt collectors talked a lot.


    "After a long time, it turns out that you are just talking about beautiful scenes! We still can''t get the money!"


    "If we don''t get the money today, we are determined not to leave!"


    "Maybe this kid came back to pick up his parents and run away. Everyone has to watch him closely."


    Two or three people booed in the crowd.


    Zhou Can had secretly remembered these three people.


    These people may be bad in their bones, or they may have taken black money from that group of people and deliberately made things worse. Of course, it is not ruled out that he is really worried that the money will not come back, so he said those words.


    "I just counted you the loudest! Yes, yes, I was talking about you, don''t hide!"


    Zhou Can pointed at one of the men with a roe-headed mouse and yelled.


    "What''s wrong with talking loudly? I''m asking for my salary, it''s legal and reasonable, and I won''t be afraid when the king of heaven comes." Seeing that he couldn''t hide, the man simply stood up with a dark face.


    "Mom, what''s this man''s name?"


    Zhou Can ignored the man''s arrogance, but turned to ask his mother.


    "His name is He Zhiqiang. He has been in our factory for about half a year and is a new employee."


    "Okay, this person is here to confuse people and deliberately make trouble. Then he will be the last one to pay his salary." Zhou Can knows that people seek advantages and avoid disadvantages.


    Only by grasping the most immediate interests of these people can they be subdued obediently.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Killing one to warn others is the most commonly used method to deal with thorns and suppress riots.


    "Why? Is it wrong for me to ask for my own salary?" He Zhiqiang asked angrily, with his neck stuck.


    "Everyone, look at how domineering this young master''s approach is! I think he deliberately used this method to scare us and make us submit obediently. We will never compromise!"


    Someone stepped forward to help He Zhiqiang speak.


    "Yes, you must not be manipulated by this kid. You must get the money today, otherwise everything will be nonsense."


    Another voice cheered.


    Gathering a crowd to make trouble is difficult for one person to accomplish.


    It often takes two or three people to cooperate with each other to form momentum, arouse everyone''s emotions, and achieve the effect of causing trouble.


    It''s these three people again.


    Zhou Can had the bottom line in his mind, it seemed that these people were deliberately making trouble and making noise.


    "You two also come out and take a few steps! Yes, we are talking about you two!" Zhou Can pointed at the two supporters.


    "Mom, who are these two?"


    Zhou Can asked his mother.


    "The tall one is Wei Min, who has been in our factory for less than five months. The other is a supplier named Tang Xiaoli, who has been cooperating with our company for three years. This time, he owes him about 110,000 yuan in payment. "


    "Write down the names of these two people in the notebook, and also pay them at the end."


    Zhou Can said loudly with iron blood and ruthlessness on his face.


    There is no turning back when you open the bow.


    I already packed one, so it''s not too late to add two more.


    "My family''s factory has entered the liquidation process. Those who settle the bill first will definitely get the payment or wages in full. As for the person who settles the bill last, hmph, it depends on fate! Of course, my parents and I are both honest people. The debt will definitely be paid off, as for when it will be paid off, it¡¯s hard to say.¡±


    Zhou Can made it clear that he was threatening the three troublemakers with words in public. It is not clear when you will pay back your debts.


    Who told you to have fun.


    "Why? Kid, can you be the master of the house?"


    The supplier Tang Xiaoli became impatient when he heard that Zhou Can put the robbed account in the final settlement.


    One hundred and ten thousand yuan, this is not a small amount of money.


    At this moment, Zhou Can used three people in succession to stand up, and even calmed down some scenes. No one dared to jump out to confront him blatantly. This is human nature.


    Whoever takes the lead means that the arrears will be settled in the final settlement.


    At that time, I can only watch others settle the payment or wages, but I am far away.


    Only a fool would do this kind of thing that hurts oneself and benefits others.


    Tang Xiaoli questioned Zhou Can in public whether he could be the master, and this move hit Zhou Can''s vital point.


    After all, he is just a young master, and it is difficult to convince the public to dictate here.


    "My son can''t be the master, so who can be the master?"


    A calm and powerful voice sounded.


    I saw a man in his fifties walking over with a black satchel on his back.


    It was Zhou Can''s father who came back to collect the bill.


    Just judging from his furrowed brows, it might not be smooth to collect the bill. Not to mention borrowing money. The more difficult the family is, the harder it is to borrow money.


    Because the borrower is afraid that you will not be able to pay it back, no one is willing to borrow it.


    "dad!"


    Zhou Can saw that his father, who was always as tall as a mountain in his heart, was cold and majestic, now his head was covered with white hair and his back was hunched a lot. The heavy debts of the family weighed down his back.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Boss Zhou is back!"


    "Director Zhou said that his son can call the shots, and everyone heard it."


    In an instant, everyone''s emotions were mobilized, and Zhou Can''s position was stabilized because of his father''s words.


    "Director Zhou, just now your son gave us a promise to settle all suppliers'' payments within seven days and workers'' wages within three days."


    Some people have cooperated with him for decades, and they can be regarded as absolute old friends.


    If the food processing factory hadn''t reached the point of bankruptcy, they wouldn''t have come to press for the debt.


    Director Zhou looked at his son, cursing inwardly, this kid still has little social experience after all. The debt owed by the family is not a small amount, how can the date of repaying the debt be set to death?


    Doesn''t this cut off your retreat?


    When doing business, the most taboo is to talk deadly and do things absolutely. You must leave yourself a way to survive. This is called tact.


    "Yes, that''s right, that''s what I said. A man who spits is a nail, so he will do what he says." Zhou Can was very stubborn.


    This made the director Zhou and his wife below stomp their feet anxiously.


    "Everyone, everyone, you are either my partners or my workers. I owe you money. I will definitely give you an explanation. My son just came home and I don''t know much about the situation yet. Let me discuss it with him first. , I¡¯ll reply to everyone later. But everyone must have seen my son¡¯s determination to repay everyone¡¯s money in a hurry. Please stay calm.¡±


    How dare Director Zhou take this sentence!


    The wages of the workers have not yet been paid, let alone all the suppliers'' payments have been paid within seven days.


    If you can''t make up the money, what can you pay for it?


    The son is young and knows no depth, so he must close the door and talk to his son.


    "Director Zhou, we have been business partners for several years. Your son just said a few words because of me and wants to settle my account at the end. You should just forget about it!"


    Tang Xiaoli pulled Factory Manager Zhou to speak nicely.


    He was the first bird just now, who knew Zhou Can would dare to use a knife on him! Seeing that the payment for the goods was placed in the final settlement, he was anxious! One hundred and ten thousand yuan, if he can''t get it back, how can he pay back the farmers'' money?


    "Knowing that you are a business partner who has been working together for several years, you still take the lead in making trouble? It is only right to ask for the payment normally. My son has already made a promise, and you are still messing around with the new employees of these two factories, so I will ask Let me ask you, what is An''s heart? To say something you don''t like to hear, just to transfer your payment to the last liquidation, is already showing mercy. "


    Although Factory Director Zhou is full of white hair, and his back is a little hunched, but when he raised his power, the invisible momentum was like a mountain oppressing him.


    Tang Xiaoli was rendered speechless by his scolding.


    "Everyone, my son''s decision is my decision. Whoever collects the debts, whose arrears should naturally be settled first. Otherwise, I am sorry for your support and trust in me! But if someone is like these three people, deliberately booing It doesn''t matter if you make trouble, you can make trouble, I hate this kind of despicable person who makes trouble, so I want to put his arrears in the final settlement."


    Smooth does not mean no edge.


    Factory Manager Zhou recruited a large number of people, and then dealt with the three joyous troublemakers to death.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The methods and intentions of the father and son are exactly the same.


    "Honey, it''s time for dinner here soon. You buy some food and let the chef in the kitchen prepare the food for everyone. They come all the way to collect the bills and ask for salary. You can''t make them hungry. As long as I, Zhou Qishun, have a little bit of ability , I will entertain them well."


    Lo and behold, this is the means.


    To buy people''s hearts, sometimes a small thing can be done.


    The hand is short for holding people, but the mouth is soft for eating people.


    These people have eaten the meal of Director Zhou, and they will be more or less sympathetic when collecting debts, so as not to do radical things.


    The kind of people who pick up the bowl to eat and put down the bowl to smash the bowl and scold their mothers are still in the minority after all.


    "Boy, come with me to the office!"


    Director Zhou walked into the office building first.


    Zhou Can followed.


    The father and son walked into the factory director''s office one after another, and Zhou Can closed the door behind him.


    The atmosphere is a bit eerie. UU reading www.uukanshu. com


    This is also the first time the father and son have met in three years.


    "When you were outside just now, other things were doing well, but you shouldn''t make a promise to them to settle the arrears in seven days. The money owed by the factory is not a little bit, but as high as more than 37 million .Including a large amount of money owed, as well as money from the bank to buy equipment and land to expand the factory building. The wages of the workers are currently in arrears for three months. There are about 120 suppliers, and many owe more There are more than 700,000."


    After hearing the arrears reported by his father, Zhou Can was taken aback.


    More than 37 million yuan is an absolute huge sum of money.


    No wonder the mortgage on the villa at home is not enough.


    Not only is it not enough, it is simply not enough.


    "Haven''t you always been steady and steady? I remember that the vice president of the bank came to lend you money and was rejected by you. Why did you suddenly owe such a huge sum of money this time?"


    In Zhou Can''s impression, his father was a very cautious and stable person.


    He was taught from an early age not to consume ahead of schedule, and not to borrow other people''s money to buy things he couldn''t afford. Especially bank money cannot be borrowed.


    This time, the family owed huge debts, including bank loans.


    How did the father''s ideas change?


    "Ah! In the final analysis, it still comes from the word greed. The fish sees the bait but not the hook, and sees the benefit but not the harm. I have been hunting eagles all my life, but this time I was blinded by the eagles."


    Director Zhou sighed deeply, the hero was short of breath, and he looked extremely depressed.


    This is also the first time he has shown his weak side in front of his son.


    In the past, in Zhou Can''s mind, his father had always been the image of an omnipotent strongman.

 Chapter 343： Its all a pack of tigers and wolves, and the fish are already hooked

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    A penny beats a hero.


    In the past, the high-spirited and ambitious father, when he was burdened with huge debts, would inevitably become short-tempered and lose his ambition.


    "Hasn''t our family opened up foreign markets in the past two years? We have cooperated with a foreigner named Stephen for more than two years, and the business is getting bigger and bigger. The foreign boss of Stephen''s orders are also very handy. It''s getting bigger and bigger, and the payment for the goods is very punctual every time. About half a year ago, he gave our family a super large order. My mother and I calculated the accounts, and we can earn a full 1,200 by completing this transaction Ten thousand."


    For a food processing factory of their level, an order with a profit of more than one million is considered a big order.


    I can''t take two orders a year.


    Suddenly receiving a huge order with a profit of more than 12 million, it is no wonder that the parents lost their minds and made some extremely risky moves.


    "When signing the single contract, Stetson put forward two conditions. The delivery needs to be made within three months. Our factory''s production capacity is insufficient. In order to complete the order, the only way is to acquire land and expand the factory. Just expanding the factory building is not enough. To use it, we had to buy new processing equipment. At that time, after acquiring the land and building the factory building, the cash flow in hand was running out.¡±


    "I had no choice but to find a bank loan of 7 million yuan, plus my and your mother''s remaining savings of more than 2 million yuan, to purchase a set of imported assembly line processing equipment. At that time, I bought the equipment from a foreign manufacturer that Stephen helped to contact. .¡±


    This Stetson is an absolute profiteer, recommending his family to buy this food processing equipment, I am afraid that they will not lose money in the middle.


    "After buying the equipment and building the factory, the rest is to purchase raw materials for processing. I have worked hard in this industry for many years, have extensive contacts, and know many suppliers. I will discuss with them, and the payment will be made after the finished product is sold. Settle the settlement with them. According to past experience, as long as I produce it here, the finished product can be sent abroad in a container immediately."


    "Who knows, when I produced it according to Steven''s requirements, he suddenly said that due to policy changes, he could not perform the contract. He also voluntarily paid us the deposit. At that time, because of trust and being an old customer, it was just like A security deposit of 200,000 yuan was collected..."


    Factory Manager Zhou closed his eyes and sighed after saying this.


    "Oh, I shouldn''t be greedy. You must remember how much you can do in the future, and you must never repeat my mistakes."


    Thirty-seven million, Zhou Can can get it together.


    The debt owed by the family is much more than he expected.


    But the factory buildings, equipment, and processed food are still there. As long as we stand up to the current multi-party run and find a way to sell this batch of special food, the crisis will be easily resolved.


    Their factory can also take the opportunity to reach a new level.


    "Okay, that''s basically what happened. I know you have four houses in the provincial capital, and the total value should be more than eight million yuan. But even if you sell the house and pour all the money in, you still can''t save this house. A factory. You don¡¯t need to worry about this matter anymore. It will go through bankruptcy and liquidation procedures. You have a stable job as a doctor. What''s up with you."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Director Zhou advised his son not to get involved.


    As parents, you can devote yourself wholeheartedly to your children without expecting anything in return. When they are seriously ill or in trouble, they are unwilling to burden their children. The greatest love in the world is the love of parents for their children.


    "Dad, what if I say I can help our family''s factory tide over the difficulties?"


    Zhou Can has been listening silently.


    When his father talks, he usually doesn''t have the opportunity to intervene.


    "Stop joking! Do you think it''s a small matter of hundreds of thousands? More than 37 million, how can you help?"


    Director Zhou didn''t believe his son had this ability at all.


    Just treat your son as young and frivolous, talking beyond words.


    "I asked the hospital for five days off this time, and I brought my girlfriend back with me. I will be the factory manager for these five days, and I will handle the affairs of the factory. Do you think it''s okay?"


    Zhou Can decided to speak directly with actions.


    "Yes! But until the factory''s debts are settled, I will never let you become the legal person of the processing factory."


    Director Zhou agreed to his son''s request.


    Worried about implicating his son, he refused to change the legal person of the factory to his son.


    Zhou Can didn''t come home this time to take over the family business at all, he just brought Su Qianqian to meet his parents, and helped them resolve the crisis by the way.


    At this time, Director Zhou''s phone rang.


    "I''ll answer the phone first!"


    He seems to have more respect for his son now, and he will say hello in advance when he answers the phone.


    "Hello, Mr. Chen!"


    "Haha, Mr. Zhou, Mr. Zhou! I heard that your plant and equipment need to be disposed of?"


    Mr. Chen on the other end of the phone smiled happily.


    Judging by the voice, he should be a middle-aged man in his forties, not too old.


    "It''s going to be transferred! Mr. Chen is interested?"


    "The location of your factory is pretty good. I heard that you just bought the equipment. I believe I''m not the only one who is interested." Mr. Chen paused and asked straight to the point. "Buy it in a pack, how many w do you prepare?"


    "The total investment in my plant and equipment exceeds 50 million. Can Mr. Chen eat it all?"


    Zhou Can''s parents have worked hard for most of their lives, and the total investment in the processing plant will never be less than 50 million.


    "Mr. Zhou is not thinking of selling 50 million in a package, right? You are in a hurry to cash in now, so you must get a discount."


    "20% off, 40 million packaged for sale. Even if I collect rent for my factory land in the future, I can charge 15.6 million a year. There is a huge room for appreciation. The newly purchased imported equipment is still within the warranty period, plus The two production lines purchased before are worth more than 20 million yuan."


    It is not easy to get land for building a factory.


    The Zhou family also spent a lot of money to get the current factory land.


    Especially this expansion, the cost is quite high.


    "Under normal circumstances, it may be possible for Mr. Zhou to sell for 40 million yuan. Now, if you are in a hurry to make a move, there are really not many bosses in the county who dare to take over. How about I quote a price, and if Mr. Zhou feels that it is not to your liking? do not be angry."


    "What do you think!"


    "Plant and equipment, buy it in a package, I will pay five million."


    "Not for sale!"


    Director Zhou was so angry that he hung up the phone.


    Plants and equipment with a market value of 50 million are only sold at a price of 10%, which is impossible for anyone to accept. Even if it uses the auction method, it can sell at least 27 to 8 million.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "What the hell, five million is going to buy my factory and equipment, thanks to him daring to think about it."


    Director Zhou hung up the phone and was still very angry.


    "Who is this person?"


    Zhou Can basically knows all the wealthy bosses in the county.


    "It''s Chen Zhongyi, the owner of Fatty Chen Food Factory!"


    "The size of his food factory is only about 500,000 yuan, right? Even he dared to buy our factory. This is really all the monsters."


    After Zhou Can heard this, he felt that it was extremely absurd.


    It felt as ridiculous as if an intern in Tuya Hospital wanted to challenge Director Hu Kan''s authority in the field of cardiothoracic surgery.


    "However, he was able to come up with five million in cash, which shows that he still made a lot of money."


    "Didn''t he buy two villas a few years ago? Now the villas are soaring, and he earns more than three million yuan. Then his food processing factory takes advantage of other people''s enthusiasm to process mustard and sauerkraut, making a lot of money. "


    Everyone has their own destiny and opportunities.


    Some small companies have become large companies after doing so, while others have gradually delisted and disappeared.


    Fatty Chen Food Factory should be doing well.


    But compared with Zhou''s factory, it''s far behind.


    At this time, Director Zhou''s cell phone rang again.


    "Damn it, this Chen Zhongyi still doesn''t give up?"


    Director Zhou scolded and picked up his phone to look at it.


    "not him!"


    Then, he got on the phone.


    "Hello, who are you looking for?"


    "Hello, Boss Zhou, I heard that you have a batch of export-quality food for sale?"


    "Yes, yes! May I ask who you are?"


    When Director Zhou heard that someone wanted to buy that batch of worrying special food, his waist immediately dropped a little.


    As long as this batch of food can be sold for money, the company will be saved.


    He is willing to sell even at a loss.


    "I am Jiang Shan, the purchasing manager of Meida Foreign Trade Co., Ltd. I saw the product information released by your factory on the Internet, and I am quite interested in this batch of goods."


    "Hello, Mr. Jiang, welcome to negotiate and purchase."


    "I have a basic understanding of your factory''s product information, and your inventory is quite amazing. This kind of special food is only popular in a very small number of foreign countries, and the price may be a bit low. I wonder if you can accept it?"


    "Tell me first!"


    "The purchase price given by our company may only be 1,200 yuan per ton."


    "Are you kidding? The price of purchasing raw materials is far more than this price. We usually sell at least 35,000 tons."


    "Boss Zhou, don''t be angry. The price of this kind of special food fluctuates a lot. One thousand two hundred yuan per ton is considered a high price for our company. The shelf life of your batch of food is very short. You can¡¯t sell them all. At that time, you will have to pay a garbage disposal fee. I suggest that you stop losses decisively...¡±


    Before the purchasing manager surnamed Chen could finish speaking, Director Zhou was so angry that he hung up the phone again.


    He clutched his chest, panting heavily.


    "Damn it, it''s either a tiger or a wolf. All of them are beasts that eat people and don''t spit out their bones. The purchase price of 30,000 to 41,000 tons of finished food is only more than 1,000 yuan per ton, which is not even enough for logistics and storage fees."


    Looking at the situation, if Director Zhou answered a few more similar calls, he might be overwhelmed immediately.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Dad, leave the affairs of the factory to me to handle!"


    Zhou Can has Mr. Cui and his wife behind him, so he doesn''t panic at all. Before returning home, Yin Qin had already taught him how to operate it, and promised to help his family deal with those special foreign trade foods.


    He was not angry at all when he saw those people jumping out one by one, wanting to eat the Zhou family''s flesh and drink the Zhou family''s blood.


    Instead, it feels like cat and mouse.


    In a few days, he really wanted to see these people being disappointed and scolding their mothers.


    ¡­


    Four days passed in the blink of an eye, and Zhou Can assumed the role of factory manager, took over the burden of his parents, and began to deal with the affairs of the factory.


    In fact, there is not much that needs to be done.


    The factory is currently in a state of shutdown, and it is his main job to appease the suppliers and workers who come to collect debts and pay.


    As for selling the factory, he was not in a hurry.


    When someone called, he chatted with him about the price. No matter how low the asking price is, you will not be angry.


    He may only spend about an hour a day in the factory.


    Every day, I come here for a walk, meet with suppliers and workers, and tell them that I haven''t run away yet. Then he went out to accompany his future wife on a tour of mountains and rivers.


    Because the family''s villa was sealed up by the court and they couldn''t get in.


    Her parents lived in the factory these days, and they refused to let Su Qianqian live in the factory. Even though money was tight, my mother still offered Su Qianqian a room in a three-star hotel in the county seat.


    It is said that the future daughter-in-law cannot be wronged.


    In fact, Zhou Can understood very well.


    The mother is worried that the factory will be blocked by people, and the scene of those people collecting debts will scare away the daughter-in-law who has not yet entered the door.


    In the hotel room, Zhou Can and Su Qianqian were together.


    The two are usually very busy with work, and rarely have the opportunity to stay together for a long time. In the past few days, Zhou Can accompanied her to play around in the county. If those debt collectors saw her heartless appearance, he would be **** to death.


    "Chan, I see that you just make phone calls every day, aren''t you in a hurry about the affairs of your factory?"


    Su Qianqian asked curiously.


    "Haste makes waste! The more urgent things are, the less you can rush. The results should come out today, just wait and see! I hope my villa will be unsealed tomorrow, and I will bring you back. I have no chance to meet my parents formally. You know the situation of my family, they are mainly worried about scaring you away."


    Zhou Can explained with a smile.


    "I won''t run away! No matter how difficult your family is, I''m still willing to marry you. I''m not interested in your property, but in you. Besides, even if your family really goes bankrupt this time, I can still make money to support you!"


    She looked into Zhou Can''s eyes and said seriously.


    It is really a blessing to have such a female star wife with super earning power.


    If you want to blow soft rice, you can eat soft rice.


    "That''s great! Why don''t we do something we should do!"


    Zhou Can hugged her, his hands began to be dishonest.


    Her heart had long belonged to Zhou Can, and she didn''t resist too much. Especially this time taking her back to her hometown to meet her parents let her see Zhou Can''s sincerity in marrying her.


    At this time, Zhou Can''s cell phone rang untimely.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Telephone, answer the phone!"


    She pushed Zhou Can away, stood up and straightened her clothes and hair quickly. Pretty face is red.


    "Which one?"


    Zhou Can''s good business was interrupted, and he almost didn''t pay attention to the thirty-six generations of this person''s ancestors.


    "Mr. Zhou, hello, I''m Jack! What you entrusted us to do has been completely done just now."


    "Well, very good! I will pay you the remaining half of the salary when you return to the provincial capital. Now, you can drive that luxury car back to the provincial capital."


    The actors that Zhou Canhua hired at a high price are not bad.


    Not long after hanging up the phone here, Yin Qin also called to report the victory.


    "Doctor Zhou, congratulations! The fish have been hooked, and I have signed a contract with them. It is estimated that soon someone will take the initiative to buy the special food in stock at your house. At that time, you can bid higher. Regardless of whether the other party buys it or not, he will lose, and your family''s revenge can be regarded as revenge."


    The good news from Yin Qin made Zhou Can hug Su Qianqian happily and took a bite.


    "Thank you, thank you sister-in-law and Brother Cui."


    "What are you being polite about? Brother Cui and I are very happy to be able to help you. Besides, this foreigner from Stephenson came to our country to make black-hearted money. If he is not dealt with, I am really sorry for the 1.4 billion Chinese people. .¡±


    Unexpectedly, Yin Qin still has a deep feeling for family and country.

 Chapter 344： Director Zhous excitement, prodigal son

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Stison is the one behind the scenes?"


    Zhou Can was shocked.


    The person who signed the order with Zhou''s food processing factory was Stevenson, and the person who broke the contract was also the same person. Now it is still Stetson who comes out to buy those customized foods.


    No matter how stupid he was, he understood who was behind the scenes.


    "According to the information I have, it is a foreign trade company named Meida that signed the contract with my company. And this foreign trade company of Meida is actually just a leather bag company, and the real controller is Steve. Sen. Therefore, it is very likely that he is the one who wants to embezzle your factory. It is not ruled out that there are other people involved, and it will definitely surface at that time."


    Yin Qin said confidently.


    Perhaps that Stevenson would never have dreamed that the son of Director Zhou knew such an expert as Yin Qin, and then set up a trap with Yin Qin, waiting for him to jump into it.


    Zhou''s factory and Yin Qin''s foreign trade company jointly set up a layout. No matter how powerful Stevenson is, he must be recruited.


    Unless he sees through it, he gives up swallowing the fat of Zhou''s factory.


    Human greed makes it impossible for him to give up.


    After doing so much preparation work, how could you not eat the fat meat?


    When Zhou Can hung up the phone, Su Qianqian looked at him shyly.


    "Why are you so happy? Next time you are on the phone with someone else, I won''t allow you to mess around again. How embarrassing it is for people to know!"


    She was talking about being bitten by Zhou Can just now. She has a thin skin, and some intimate actions, in front of outsiders, especially in front of Zhou Can''s friends, make her very shy.


    Since getting acquainted with Zhou Can, Zhou Can has been very calm.


    It was the first time she saw Zhou Can so excited and lost his composure.


    "Haha, you are my wife, people will not laugh at you. I have good news for you. The crisis in my factory will be resolved soon! Just wait for my triumphant return!"


    After speaking, Zhou Can hugged her and took another bite.


    Provoking her to protest with a powder fist.


    "Then I''ll wait for your good news at the hotel."


    She is also full of expectations for this matter.


    Because the Zhou family''s crisis has been resolved, her marriage with Zhou Can is likely to be formally put on the agenda.


    Marriage is a big event, and there are multiple hurdles for both men and women.


    The first hurdle she has to pass is Zhou Can''s parents.


    She has been in Zhou Can''s hometown for four days, and she hasn''t formally met the man''s parents, so she must be feeling uneasy.


    Before Zhou Can arrived at the factory, his father had already called.


    "Son, good news, someone came to buy the customized food in our warehouse!" Director Zhou''s voice seemed very excited.


    "Dad, you promised to let me handle the affairs of the factory, you must keep your word."


    What Zhou Can was most worried about was that his father could not hold back and sold the batch of customized food.


    "Haha, you are a real kid. It''s no problem for you to inherit the factory now. Your mother and I are looking forward to relaxing." Director Zhou obviously misunderstood his son''s meaning.


    Thought that Zhou Can took over the factory for a few days, he was addicted and wanted to take over the family business.


    "Then you must not decide to sell that batch of customized food. Just leave it to me to handle it." Zhou Can urged.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    .... Director Zhou has been worrying about how to sell that batch of customized food these days.


    Now suddenly there is a buyer coming to buy it sincerely, and I am afraid that they will agree to sell it to the other party at a break point.


    How could he know that all the turning points were the result of his son hiring an expert to work behind the scenes.


    If Zhou Can didn''t take action, those customized foods might not be sold if they rotted.


    Ten minutes later, Zhou Can arrived at the factory.


    He went straight to the warehouse.


    My father told me on the phone just now that he was taking a customer to look at the goods in the warehouse.


    From a long distance, I saw a man with a parted hair in the middle and wearing a dark purple suit, holding a black briefcase and shiny leather shoes. Followed by a protruding female secretary, blond, fair skin, a well-rounded beauty.


    Director Zhou and his wife accompanied them to see the goods.


    It can be seen that the factory director Zhou and his wife gave this customer a high-standard reception.


    "Dad, Mom!"


    After Zhou Can greeted his parents, he looked at the young man and the secretary naturally.


    "Hello!"


    He nodded to the two of them.


    If you guessed right, this person is the fish Yin Qin mentioned.


    The two customers were quite cold and just nodded slightly in response.


    "Let me introduce to you. This is Jiang Shan, the purchasing manager of Meida Foreign Trade Company, and this is Miss Vinia, the secretary of Manager Jiang." After the introduction to his son, the factory director introduced to the two customers "This is my son Zhou Can, who is in charge of the factory''s affairs."


    In a word, Zhou Can''s status soared in an instant.


    "Then who do we talk to about buying these foods?" Jiang Shan asked with a frown.


    "Naturally talk to me!"


    Zhou Can took the conversation.


    Looking at his father''s humble appearance, if he doesn''t speak again, the factory manager Zhou will probably say something to curry favor with the other party.


    "Just now your parents took us to look at the food in stock. To be honest, this kind of food with zero additives has a very short shelf life. Moreover, all the food has special flavors, and the sales area is very narrow. However, your stock is so large that even With the strength of our company, we cannot guarantee that we can sell them in a short period of time.¡±


    Jiang Shan began to pick on various problems, which was a prelude to lowering the price.


    Zhou Can''s face was calm, and he didn''t answer at all.


    Director Zhou and his wife originally thought that their son had never done business and was not good at dealing with customers.


    Just as he was about to say a few words for his son, Zhou Can turned around and gave them a wink.


    It means to tell them not to talk, just leave it to him.


    Director Zhou and his wife understood, and directly put on a posture of their son as the leader.


    After Jiang Shan picked out a lot of faults in the products, he didn''t expect Zhou Can to hold his breath and not make a sound. He couldn''t help but look at Zhou Can in surprise.


    It was also the first time to look at Zhou Can with a straight eye.


    "Your shipment must have been pressed for many days, right?"


    Jiang Shan decided to take the initiative again.


    "Well, it''s been a few days."


    Zhou Can admitted it frankly.


    This kind of performance made Director Zhou and his wife worry again. In shopping mall negotiations, being too honest is not good, as it is easy to be manipulated by others. After all, the son is still too immature and lacks business experience.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    ... "Look, what does it mean that it can''t be sold after so many days? It means that this kind of special food can''t be sold at all, and the market is very small." Jiang Shan continued to belittle these customized foods.


    He was secretly happy, it seemed that the young boss who was in charge was a noob.


    Negotiating prices with such an opponent is not easy at all.


    "It doesn''t matter that the market is small, look, didn''t you take the initiative to come to buy it?" Zhou Can said calmly.


    "Well...we happen to be doing this business. There are very few people doing this business in China." Jiang Shan found that this young owner seemed not as stupid as he imagined. "Mr. Zhou, to be honest, there may only be one or two companies in China doing this business."


    Emphasizing that there are very few people doing this business, that is to tell Zhou Can indirectly that this batch of goods will not be sold to them, but no one will buy it.


    "That''s right! That''s a coincidence. Yesterday, two foreign customers came to me and wanted to buy this batch of goods. You are in the same business. You must know those two people, right? They drove a Ten-million-class Rolls There are Phantoms, one is a white man with yellow hair, tall, and the other is black, who claims to be the assistant of Mr. Smit."


    When Zhou Can introduced the images of these two people, he kept observing the expressions of Jiang Shan and the female secretary.


    It was obvious that Jiang Shan''s expression had changed.


    "Manager Jiang, do you know these two people? Is their company strong? When those two people talked to me, they said in a very loud tone, saying that they would leave this batch of goods to them and buy them at a high price."


    Zhou Can deliberately asked Jiang Shan about the details of the two men.


    Jiang Shan''s expression was a little unnatural, "I only know that those two people are really doing this business. I don''t know how strong they are. Mr. Zhou, let''s not talk about that, let''s talk about the purchase price of these foods first."


    What Jiang Shan wants to do now is to get this batch of special food at the lowest price.


    "Alright, tell me what price you can offer?" Zhou Can asked the other party.


    "The last time I said it was 1,200 yuan per ton, which is indeed a little low. This time, I will add a little more, and it will be 1,500 yuan per ton." Jiang Shan gave a high price with a Kang expression.


    "It seems that Manager Jiang didn''t come to buy food in good faith. Please go back, both of you!" Zhou Can directly issued an order to evict the customer.


    This can make the parents behind look anxious for a while.


    However, the price offered by the other party was indeed too low, so they didn''t speak.


    "Mr. Zhou, don''t be angry! Our Manager Jiang just made a joke with you. We are willing to pay 15,000 yuan per ton to buy this batch of food from you. As long as you agree, we can sign the contract today. We will directly Call a car to take the goods away."


    The female secretary hurriedly stood up to smooth things over.


    The price she gave was directly increased by ten times.


    Zhou Changchang and his wife burst into joy. After selling it for so many days, no one cares about it, and now someone is willing to pay a high price of 15,000. This is already a very good result.


    If you sell it at this price, you will definitely lose money, but it is much better than being rotten and unable to sell.


    "Miss Vinia''s price is more or less sincere, but I''m very sorry, but I still can''t agree. Because this price is not even enough for the cost."


    Zhou Can shook his head and refused.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    ..."Mr. Zhou, don''t forget, you can''t sell this batch of food at all. If you want to sell it for a price now that we are willing to buy it, then I have to remind you that if you miss this village, be careful not to go home shop."


    Jiang Shan continued to sing black faces.


    The female secretary sang red faces.


    "Thank you, Manager Jiang, for reminding me that this price is not negotiable. I still have something to do, so I won''t send the two of you out. Please feel free." Zhou Can ordered the eviction again.


    "Mr. Zhou, we also understand your difficulty. Otherwise, I''ll call the president of our East Asia region and see if we can increase the price." The female secretary looked for a reason to increase the price again.


    "If it''s just a little more, Miss Vinia doesn''t need to fight, it''s not necessary."


    Zhou Can''s such a strong performance made Director Zhou stomp his feet anxiously.


    The price of 15,000 per ton is already very good, people are willing to add a little more, why do you want to be so stubborn? After a while, if someone leaves, there is no place to cry.


    "What price does Mr. Zhou want to sell?" the female secretary asked with a smile.


    "Less than 120,000 tons, no need to discuss." The price quoted by Zhou Can directly frightened Director Zhou into a fool. The female secretary and Jiang Shan were equally frightened.


    "Mr. Zhou is not mistaken, right? 120,000 tons, who will buy it at such a high price? I''m afraid the retail price can''t be sold at 120,000 tons!" She didn''t realize until then that the factory manager''s son He is a master negotiator.


    It is much more difficult to handle than the old factory manager and his wife.


    "I can tell you with certainty that it will not be sold if it is less than 120,000 tons." Zhou Can said very stiffly.


    "Crazy, I think you are crazy. With such a high price, you can keep it and sell it slowly! I can guarantee that there will be only one of them in the end, and all of them will rot in the warehouse."


    Jiang Shan was so angry that he ran away.


    Director Zhou also felt that his son''s offer was too much. His psychological price is that if he can sell 35,100 tons, he can barely protect his capital. If you can sell 41,000 tons, you can make a small profit. 120,000 tons, that''s crazy. This is just an ordinary food, not a health product or a life-saving medicine.


    Where did such a high profit come from?


    "Mr. Zhou, your quotation is too high, we can''t accept it. Thirty-one thousand tons, do you think it''s okay? This is the highest price we can offer. If you still want to quote such a scary price, then we I¡¯m afraid we can only cooperate in the future.¡±


    The female secretary is quite fluent in Chinese.


    Moreover, she speaks very calmly and gently, Zhou Can suspects that she is the real caller.


    This manager Jiang might just be a pawn.


    The other party has already delivered 30,000 tons per ton, which made Director Zhou and his wife excited for a while. This price is already very good. Selling to the other party, the loss is only 5,100 tons, which is completely acceptable.


    Moreover, if it is sold, the factory can be revived immediately, and the broken capital chain will quickly return to blood.


    Director Zhou wanted to agree very much, but he was a father, and he had promised his son that he would hand over all the power to his son, so he had to keep his promise.


    He and his wife looked at each other with smiles on their faces.


    For his son''s performance, from the sigh at the beginning to the unpredictable and profound now. If it weren''t for the son''s insistence not to sell it, the other party could sell it at 30,000 per ton?


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    ¡­.They might have sold it when it reached 15,000.


    Now that the price has doubled, they look at their son with admiration.


    "Turn right when you go out, so you don''t have to leave!"


    Zhou Can made a gesture of please.


    Factory Manager Zhou was still praising his son for his ability and calmness just a second ago. Unexpectedly, in the next second, I was so anxious that I almost didn''t cry. This customer has sold 30,000 tons per ton, which is very sincere.


    Even if you still want to ask for more price, it can be negotiated easily.


    This brat immediately issued an order to evict the guest, and he turned his back on him without discussing it.


    If you miss this village, there is really no next store.


    "In that case, Manager Jiang, let''s go!"


    The female secretary seemed really angry this time.


    Pulling a face, called Manager Jiang and left. From this point, it further confirmed that she was the real speaker, and Manager Jiang was just a pawn.


    "You will regret it."


    Before Manager Jiang shook his sleeves and left, he still didn''t forget to say a harsh word.


    "Hey..."


    Factory Manager Zhou panicked when he saw that he was really leaving, and immediately wanted to come forward and say good things to keep this important customer.


    Zhou Can grabbed his father.


    "Let them go!"


    "Aren''t you a fool...they already paid 30,000 per ton, at most, let them add more. Why are you driving people away?"


    Director Zhou''s eyes widened, and he cursed at his son in a low voice.


    "You promised to let me have full control, so I can''t interfere. Even if this batch of goods rots in the warehouse, it''s still my business."


    Zhou Can did not back down.


    This is also the first time he has confronted his father head-on.


    Even he himself didn''t realize that with the growth of his strength, when speaking in front of his father, he no longer flinched and feared before, but was sunny and confident, and argued hard.


    "You, you bastard, if you want to be a black sheep, at least let the factory get through this difficulty, pay off the money of the workers and suppliers! This batch of goods is rotten in the warehouse, what are you going to pay for it? ? Thirty-one tons, and it¡¯s a full 24 million if you sell it! If you don¡¯t sell it, all 800 tons will rot in the warehouse, and you have to pay for the garbage disposal.¡±


    Director Zhou was so angry that he beat his chest and stamped his feet, and almost vomited blood.


    Collecting the raw materials and going through a series of processing took countless painstaking efforts and sweat from him and the workers.


    Seeing the food rotting in the warehouse was worse than killing him.


    "Dad, let me ask you, how much is the purchase price per ton that Stephen agreed with you?"


    "51,000 tons! However, the price given by Mr. Stetson is much higher than the market purchase price. Under normal circumstances, it is not bad to be able to sell 42,100 tons. This is some food, not gold. .It was so expensive that no one bought it.¡±


    Director Zhou thought he could see things more clearly than his son.


    "Just wait, we won''t sell anything below 51,000 tons."


    Zhou Can has this confidence.


    Yin Qin gave him the bottom line. If she didn''t sell it, she could buy it for 45,100 tons and help the Zhou family clear out the inventory.


    .


    Jiangbian Yuweng reminds you: After finishing the coma, Shi Yu suddenly got up from the bed. If you want to read the latest chapters, please download the Star Reading app, and read the latest chapters for free without ads. The website has not updated the latest chapter content, and the Star Reading Novel APP has updated the latest chapter content.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    He took a big gulp of fresh air, his chest trembling.


    Confused, puzzled, all kinds of emotions came to my mind.


    Where is this?


    Afterwards, Shi Yu subconsciously observed his surroundings, and then became even more at a loss.


    A single dormitory?


    Even if he was successfully rescued, he should be in the ward now.


    And my own body...how could there be no injuries at all.


    With doubts Shi Yu''s eyes quickly swept across the room, and finally his eyes stayed on a mirror beside the bed.


    The mirror reflected his current appearance, he was about seventeen or eighteen years old, and he was very handsome.


    But the problem is, it''s not him! Download the Star Reading app and read the latest chapter content without ads for free


    My previous self was a handsome young man in his twenties who had been working for a while.


    But now, no matter how you look at it, this appearance is only the age of a high school student...


    This change left Shi Yu in a daze for a long time.


    Don''t tell him that the operation was a success...


    The body and appearance have changed. This is not a question of whether to have surgery or not, but a fairy art.


    He turned into a completely different person!


    Could it be... that he crossed over by himself?


    In addition to the mirror on the bedside which was obviously placed in a bad feng shui position, Shi Yu also found three books beside it.


    Shi Yu picked it up and took a look, the title instantly silenced him.


    "Necessary Beast Breeding Handbook for Novice Breeders"


    "Postpartum Care of Pet Animals"


    "Guidelines for Evaluation of Alien Beast Ear Girls"


    Shi Yu:? ? ?


    The titles of the first two books are quite normal, what''s the matter with you in the last one?


    "cough."


    Shi Yu''s eyes were serious, and he stretched out his hand, but soon his arm stiffened.


    Just when he was about to open the third book to see what it was, his brain suddenly felt a sharp pain, and a large amount of memories flooded in like a flood.


    Icefield City.


    Pet breeding base.


    Trainee pet keeper. The website will be closed soon, download the Star Reading app to provide you with the experience value of my medical skills of Yuweng by the great **** Jiangbian

 Chapter 345： It was sold at a sky-high price, and my father was convinced this time

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Manager Jiang and the female secretary got into the car and left. Director Zhou was so anxious that he almost vomited blood.


    "Husband, I think my son is very confident about this matter, so let him handle it! The price that Manager Jiang ruthlessly suppressed just now was only 1,500 yuan per ton at the beginning. We only talked about the high price of 30,000. If you were talking about this business with me, you would have agreed to sell it at 15,000."


    Zhou Can''s mother comforted her husband.


    Knowing a child is like a mother.


    She is quite optimistic about her son''s performance this time.


    "My son can''t help my father, that''s all, let you handle it! It''s messed up, and your mother and I may not be able to pay off the debt in our lifetime." Director Zhou can only accept the reality.


    Compromising with his son also means that he indirectly admits that his son has grown up and has the power to handle major family affairs.


    This kind of power transition and handover happened most often in the ancient royal family and big families.


    In ancient times, emperors and those in power of big families were generally unwilling to hand over power until they breathed their last breath.


    In modern times, due to fiercer competition, society and the times are progressing, many business leaders will choose to retreat behind the scenes when they get older.


    Just as Director Zhou was upset, he heard the sound of a car engine coming from outside. He looked up, and a smile appeared on his face immediately.


    "They''re back!"


    "Do you believe in our son''s ability this time?" His wife smiled beside him.


    "Hey, this brat has indeed grown up, and he really has some skills."


    Director Zhou had to admit his son''s excellence.


    The car door opened, Manager Jiang and the female secretary got out of the car and walked straight towards the office building.


    Zhou Can is comforting the debt collector at the moment.


    The wages of the workers have been fully settled on the third day. The wages of the workers are only a small part of the wages, and he settles it with just a little money.


    Now the debt collectors are mainly suppliers, and banks are much more ruthless than suppliers.


    It only sent people to the door to discuss twice, and then directly gave a repayment deadline. No, it''s okay, see you in court.


    Moreover, when you go to a bank for a loan, you need asset collateral or someone to guarantee the loan. They are not afraid of the creditor running away at all. Just auction off the assets mortgaged by the creditor directly, or take the guarantor to court.


    The supplier and the Zhou family are just a cooperative relationship. The factory director and his wife ran away, and the supplier could only cry without tears.


    Even if it goes to court, the workers and the bank will get the money from the sale of the assets first.


    The last remaining will be distributed to these suppliers.


    "Mr. Zhou, just now I called the president of the East Asia region to ask for instructions. The price can still be discussed."


    The female secretary said to Zhou Can with a smile.


    After hearing this, the smart suppliers showed joy.


    It seems that the recovery of the payment is expected.


    "Please come to the office for tea!"


    Zhou Can also smiled and gestured please to her and Manager Jiang.


    The three of them entered the office, and Zhou Can personally made tea for the two of them. After sitting down, the female secretary couldn''t hold back, and went straight to the point to negotiate the price with him.


    "Mr. Zhou, we are willing to offer a purchase price of 35,100 tons. Do you think it is okay? This is already the greatest sincerity we have given!"


    "Of course not! I''m going to sell 121,000 tons."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can refused without batting an eyelid.


    "You, don''t push yourself too far. One hundred and twenty thousand tons, sell it as gold!"


    Manager Jiang blushed with anger.


    "The price of gold is more than 121,000 tons. The current market price of gold is close to 401,000 kilograms."


    Zhou Can choked him expressionlessly.


    "Let''s add more, thirty-six thousand, no more." The female secretary began to bargain with Zhou Can.


    "There''s nothing to talk about!" Zhou Can knew their background and cards, and sat firmly on the Diaoyutai.


    In business negotiations, it is the saddest thing for the other party to know their cards.


    Basically, ten out of ten will be handled to death.


    ¡­


    After some bargaining between the two parties, the deal was finally concluded at a sky-high price of 62,000 per ton.


    The profit of food is generally about 30% to 40%, and the price of 62,000 per ton is already an absolute sky-high price. Zhou Can asked for a price of 120,000 yuan, which was actually a wild asking price, just sitting on the ground and waiting for the other party to counter-offer.


    This batch, no matter if Stetson buys it or not, will jump into the pit.


    "Miss Vinia, the purchase price has been set. However, to sign the purchase contract, I am afraid that the legal representative of your company needs to appear in person, or authorize it!"


    Zhou Can is quite satisfied with the price.


    Basically talked about the limit that the other party can accept.


    He doesn''t talk to Manager Jiang now. Because Manager Jiang has no right to speak.


    "To be honest, I am the legal representative of Meida Foreign Trade Co., Ltd. I have brought the official seal and financial seal, and the contract can be signed now."


    She finally admitted her identity frankly.


    Maybe he also knows that Zhou Can has already seen it, and there is really no need to hide it.


    "Haha, I really didn''t expect this! Disrespect, disrespect!"


    Zhou Can smiled and shook hands with her again.


    "Our factory is a small business. As you can see, many suppliers are waiting to settle their bills! The rule we follow is that we don''t pay on credit, and we pay the money and deliver the goods, and the money and the goods are cleared."


    The biggest advantage of a seller''s market is that you don''t sell on credit.


    "Don''t worry, Mr. Zhou, our company is strong, and there is no problem with cash delivery."


    She readily agreed.


    "I asked my mother to sign the contract. She is the legal representative. The two of you will sit down and drink tea first."


    After Zhou Can finished speaking, he walked out of the office.


    Director Zhou and his wife are waiting anxiously outside. But the son has an account, don''t let them go in and disturb, so as not to cause bad things.


    No matter how anxious the two were, they could only wait.


    Seeing Zhou Can come out of the office now, the two immediately stood up and asked about the result of the negotiation.


    "Boy, is the price negotiated yet?"


    "The other party is only willing to pay 60,000 per ton. I didn''t agree. It''s yellow."


    Zhou Can concluded the business and was in a good mood.


    Decided to play a joke on my parents.


    "What? You didn''t agree to the price of 60,000 tons? You, are you trying to **** me off?"


    Director Zhou couldn''t help but want to rush into the office.


    This time, the son didn''t agree, he had to agree to whatever he said.


    Can''t bet anymore.


    "Haha, look, I''m in a hurry. The buyer has agreed to purchase at a price of 62,000 per ton, and now I asked my mother to go in and sign the contract. I also made a request, cash delivery, no credit."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can smiled and told his parents the great news.


    "real?"


    Director Zhou couldn''t believe his ears.


    "When have I lied to you?" Zhou Can smiled all over his face.


    "Haha, that''s great. Wife, hurry up and sign the contract with the chapter. This batch of goods has finally been sold, and at an unimaginably high price. It''s too magical. Am I really dreaming?"


    Director Zhou smiled from ear to ear.


    He pinched himself, grinning his teeth in pain and sucking in air, but his heart was sweet.


    Soon, the two parties signed a formal sales contract, and the other party was very proud and paid for it on the spot. 62,000 per ton, a total of 800 tons, and a full payment of 49.6 million yuan was paid to the company''s account.


    After Zhou Can''s mother received the notification that the money had been credited to her account, her smile became like a flower, and the wrinkles on her forehead and the corners of her eyes were reduced a lot.


    Meida Foreign Trade Co., Ltd. seemed to be in a hurry. Just after signing the contract, it directly called the convoy to take away all 800 tons of food. So far, both parties have settled their money and goods.


    In the office, Director Zhou and his wife were all smiling, and the sorrow accumulated on their faces for many days was wiped away.


    Instead, there was unconcealable inner joy.


    "Son, you are so amazing! I can''t believe it''s true until now. You don''t know, in the past month or so, your dad and I couldn''t sleep all night, and the pressure was too great. Think I tried many ways to sell this batch of food, but I couldn¡¯t sell them. I didn¡¯t expect that you would successfully sell them in just a few days after taking over, and the price was beyond imagination.¡±


    "The stinky boy has indeed developed a lot of skills. It''s just that I''m still curious, can Meida Foreign Trade Company make money by purchasing this batch of food at such a high price?"


    Director Zhou has worked in this industry for many years and has a good understanding of the market conditions.


    It is difficult to sell 62,100 tons at a retail price. How does Meida Foreign Trade Company make money?


    Look at their enthusiasm for acquisitions, they will definitely make a lot of money.


    "Dad, don''t worry about this matter. By the way, the total sales this time is 49.6 million, and 800,000 will be given to others, which can be regarded as a sales commission!" Zhou Can said to his parents.


    "No problem, don''t say 800,000, I''m willing to give it even 8 million."


    Zhou Can''s mother''s family status is quite high.


    With regard to financial matters, she is fully in charge.


    "Son, I knew it was you who thought of a way to sell this batch of unsalable food. Tell me quickly, how did you do it?"


    Mom is very interested in this matter.


    His father also pricked up his ears, waiting for Zhou Can to share his legendary sales experience.


    He has been in business all his life, but he really can''t figure out the secret of sales.


    "Don''t inquire about this matter! You can''t learn it. If you want to know the details, it''s a good word. Mom, I''ll write you an account number, and I will transfer 800,000 yuan to this account in a while. .By the way, just write two words in the message, thank you."


    Zhou Can took out his mobile phone, wrote a bank account and handed it to his mother.


    The 800,000 yuan was not a sales commission at all, but a liquidated damages for Yin Qin who helped dig a hole for Steven to jump into, and then repaid him in his own way.


    The company that signed the contract with Stephen is Yin Qin''s company, and she will also pay the liquidated damages for breaking the contract.


    This chapter is not finished, click [next page] to continue reading -->>


    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    She has helped so much, it is naturally impossible for Zhou Can to let her contribute both effort and money.


    The liquidated damages of 800,000 may seem high, but compared with the sales of more than 49 million, it is nothing at all.


    This time, it might be Stephen''s turn to cry and faint in the toilet.


    "Okay, now that the factory has the funds, I believe you can bring it back to life. I will officially return the management rights of the factory to you now."


    Zhou Can helped his family resolve the bankruptcy crisis, retired after success, and became his rich second generation and doctor again.


    "Your dad and I are both old. This time, because of backward concepts and weak sense of crisis, we almost went bankrupt and incurred huge debts. Can''t you stop being a doctor and come back to take over the family''s factory business?"


    After my mother saw her son''s means and abilities, she especially hoped that Zhou Can would come back to take over the family business.


    "You brat, stay here! Now is the time for you young people!"


    Director Zhou also tried his best to persuade him to stay.


    "If you really feel old and want to relax, it is also a good way to find a professional manager. Almost all family businesses operate like this in the end. Professional things should be done by professional people. I believe it will be better than your hard work in managing the factory every day."


    Zhou Can has her own pursuit and ideal.


    It is not bad to be a rich second generation and take over the family business.


    But there is still a way to get the best of both worlds, to distribute some shares or interests to others, hire a professional manager to formulate a set of strict and reasonable management mechanism for the factory, and just count the money behind the scenes.


    Because the power of the company is still in their own hands, and they still have decision-making power on key issues.


    If a professional manager does not do a good job, just replace them.


    Only in this way can the business be made bigger and the family business last forever.


    "Is it safe to hand over the management of the factory to others?"


    Director Zhou''s thinking is still stuck in a relatively backward concept. Do you feel that handing over the factory to others is not the same as handing over the industry?


    "Dad, what age is it now! With a sound legal system, professional managers can only honestly work for our family, and they dare not have any bad intentions. And even if he has bad thoughts, you can fire him at any time He, get a better new manager."


    Zhou Can came back once in a while, so he just took this opportunity to instill some new business ideas into his parents.


    He started the company with Li Luo and learned a lot.


    For the management and operation of the company, I have a little understanding of it.


    "Is the law still so useful now?"


    Director Zhou''s eyes lit up after hearing this.


    "That''s right! There are many listed companies and large enterprises, all of which are professional managers working. The chairman is responsible for vacationing abroad and enjoying life around the world on a cruise ship."


    Zhou Can urged his parents to hire professional managers to manage the factory.


    At least let the idea plant a seed in their heads first. In the future, they will start to understand these advanced management systems, and then everything will come to fruition.


    "That''s great! When the time comes, I''ll take your mother to see around the world Factory Manager Zhou can start from scratch and become a rich generation, so he naturally has extraordinary courage and courage.


    This chapter is not finished, click [next page] to continue reading -->>


    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    What is missing is just some advanced concepts and knowledge.


    After going through this incident, he has almost blind trust in his son, which can even be called worship. He really believed what Zhou Can said.


    It''s not unreasonable for successful people to fart.


    If Zhou Can failed to help his family solve this bankruptcy crisis, Director Zhou would only treat him as farting when he said these words.


    "Hehe, we are quite old now, where are we going? I will be satisfied to see my son marry a daughter-in-law and give me two grandchildren!"


    My mother said that she didn''t want to travel, but she was very sweet in her heart.


    The happy expression on his face almost didn''t overflow.


    There are some small quarrels between the parents on weekdays, but the relationship has always been very good and stable.


    Both of them are loyal to love and family, and never mess around outside.


    This also set a good example for Zhou Can.


    Otherwise, with Zhou Can''s current conditions, he really can do whatever he wants.


    And all the beauties who throw themselves into their arms are high-quality, highly educated beauties. Each one is the dream of men in the world.


    "Dad, Mom, I don''t have anything to do here. I went with Qianqian. She followed me back to my hometown for four days. We will leave tomorrow. I have to take her around again to make her like my hometown. "


    Zhou Can left his personal space to his parents in a timely manner.

 Chapter 346： See patients with small hair and abdominal pain

    "Go, go! You must treat her well. These days, the factory has become like this, and the family''s villa has also been seized. She really didn''t treat her well. You must explain to her girl well. I will tell you later Go to the bank, repay the loan, and ask the court to unseal our family quickly."


    Now with this nearly 50 million sales proceeds, all the family''s debts can be cleared.


    Factories will also be able to get back up and running quickly.


    And because of the expansion of the factory building and the addition of imported new equipment, the production capacity will be stronger.


    Competitiveness will also be stronger.


    His family''s business can definitely be bigger.


    This is how business is like, wealth and wealth are sought after insurance. This huge adventure almost bankrupted the Zhou family''s factory. After breaking through, the harvest is also beyond imagination.


    My mother is most concerned about her daughter-in-law. As a parent, who doesn''t look forward to their children getting married and starting a career!


    Hearing that her son was going to accompany his future daughter-in-law, she naturally agreed with it.


    After Zhou Can came out of the factory, he first called Yin Qin.


    "Sister-in-law, Steven did not escape from your grasp. He still sent someone to take down this batch of food. I bought it at a price of 62,000 a ton. I really admire his courage."


    "Hehe, this person is notoriously greedy and cunning, and he has a bad reputation in the foreign trade industry. Many people in the country have been tricked by him, and everyone hates him, but there is nothing they can do about him. This time, he may not be dreaming. It occurred to me that I would have contact with a food factory in a small county town. And we dug a hole for him with internal and external cooperation."


    Yin Qin felt particularly relieved when she heard that Stevenson had entered the pit.


    "In order to avenge my family, you and Brother Cui did not hesitate to damage the company''s reputation. This is too great a relationship." Zhou Can thanked her very gratefully.


    The 800,000 liquidated damages are nothing to Zhou Can or Mr. Cui and his wife.


    However, Yin Qin broke the contract directly after signing the contract with Stephen, which would have a very bad impact on her company''s reputation. People cannot stand without trust, and the reputation of a big company is more important than life.


    Yin Qin didn''t tell Mr. Cui, but he couldn''t pretend not to know.


    It must be brought up.


    "This is really not as serious as you think. We are cheating on Stephen, and the compatriots in China will only applaud. As for Stephen''s company, it doesn''t matter if they don''t do business with our company in the future. There is no relationship with his company. Too much cooperation. In addition, the reason I found for breaking the contract is justified, and the liquidated damages paid are quite a bit. It is completely in accordance with the rules. Foreigners do business differently from us, and they respect the rules. So, to me companies have very little impact.¡±


    Yin Qin didn''t care about this matter at all.


    "However, although Stephen has suffered losses this time, this amount of money is just a drizzle for him. It is far from the point where he is hurt. It will be good if there are bigger corporate giants to clean him up. My company With limited ability, you can only lightly injure him once."


    A lot of foreign capital has made a lot of money in China.


    A **** company like Stetson makes even more money. Although he received that batch of goods at a price of 62,000 per ton, he would lose less than 20 million if he died, which is completely affordable for him.


    "It''s good to be able to deal with him once, at least let him know that we Chinese people are not easy to bully. It can make him restrain himself."


    Zhou Can has been in the hospital for a long time, and he knows that he can only do his best in many things.


    After talking on the phone with Yin Qin, he rushed to the hotel and took Su Qianqian to his hometown in the county without mentioning it.


    After playing until after five o''clock in the afternoon, Su Qianqian cried out that she was tired.


    Zhou Can took her back to the hotel to rest.


    It was past six o''clock after dinner, the daylight hours in winter were short, and the sky outside was completely dark.


    After drinking and eating enough, Zhou Can wanted to take her back to the room to improve his relationship.


    After all, returning to their hometown this time, the relationship between the two has further grown.


    Marriage matters are basically on the horizon.


    His cell phone rang at this moment.


    At first glance, it was from Fa Xiaocheng Dazhuang.


    After returning to his hometown for four days, Zhou Can hadn''t had time to meet Fa Xiao, so he really valued **** over friends.


    However, the factory affairs kept him busy, and his family owed huge debts, so he was unwilling to contact his classmates and friends in the county under such circumstances.


    It is easy to make people mistakenly think that he came to the door to borrow money.


    When the time comes to be coldly refused to meet, isn''t that just looking for abuse?


    Human nature is the worst thing that can stand the test.


    "Ah Can, I heard that you have returned to the county seat?"


    "It''s back."


    "If I didn''t see a post in your circle of friends today, I wouldn''t even know you''re back. I haven''t seen you in a few years, let''s get together!"


    "Don''t be afraid that I will ask you to borrow money, I will go there."


    Zhou Can joked.


    "You also know the situation of my family. After losing money in business a few years ago, it has been in a slump. But as long as you come here, let alone more, fifty or sixty thousand is still no problem."


    Cheng Dazhuang should still be a regular trainee now, and his income is pitifully low.


    It might not be an easy task to scrape together 50,000 yuan to lend to Zhou Can.


    "Haha, then I''m really here."


    "Come on! I''m on the night shift today, just to accompany me. The doctor''s office on the third floor of the inpatient building of the County People''s Hospital."


    After Cheng Dazhuang hung up the phone, he sent him a coordinate location.


    "Qianqian, my friend told me to go over and get together, you and Wei Fang can have a good rest in the hotel!"


    "Well! Be careful!"


    After Su Qianqian finished speaking, she took the car key from Wei Fang and handed it to him.


    "I don''t think my BMW is low-grade. I''ll embarrass you, so I''ll just drive it! It''s inconvenient to take a taxi at night, and it''s safer for you to drive yourself."


    For ordinary people, hundreds of thousands of BMW cars are considered a sign of successful people.


    It has face wherever it goes.


    But Su Qianqian knew that Zhou Can''s economic strength, the hundreds of thousands of cars, was really not worthy of Zhou Can''s status as an invisible rich man.


    "What face does BMW lose? This car is already very ostentatious in my opinion."


    In the past few days, they went out to play, and Wei Fang was a full-time driver.


    Zhou Can drove a BMW to the County People''s Hospital.


    Go straight to the doctor''s office on the third floor of the inpatient department.


    At night, the county hospital looked quite deserted, only the dim aisle lights were on.


    Compared with Tuya, the County People''s Hospital is quite poor.


    The building of the inpatient department is a whole.


    Tuya is divided into several large departments. For example, the obstetrics and gynecology department directly has an entire complex.


    The county hospital is limited by the small scale of inpatients, so it can only centralize the management of patients admitted to all departments in this building. Even so, there are still many vacant beds in the inpatient department.


    "Who are you looking for?"


    After Zhou Can went up to the third floor, he looked left and right, which immediately aroused the vigilance of the nurse on duty at the nurse station.


    Facing the scrutinizing eyes of the little nurse, Zhou Can was really innocent.


    Conscience, does he look like a criminal?


    "I want to find a doctor named Cheng Dazhuang, I am his friend."


    Zhou Can quickly introduced his identity.


    "So it''s Dr. Cheng''s friend! He''s in that office, just go and find him."


    The nurse''s tone instantly became more friendly.


    The county hospital itself is not very big, and the number of doctors may be only one or two hundred. If it is larger, it will generally not exceed three hundred.


    Compared with Tuya''s doctor, Cheng Dazhuang might not be anything. But in the County People''s Hospital, at least he is a doctor who has been trained for more than two years, and he will soon be converted to a formal resident doctor.


    Status somewhat.


    Zhou Can is his friend, and the nurse''s attitude towards Zhou Can has changed, which is human nature.


    The light in the doctor''s office was on, but the door was not closed.


    There were two male doctors sitting inside, one of them was Cheng Dazhuang.


    "Big strong!"


    Zhou Can said hello.


    "Haha, it''s finally here! I haven''t seen you for a few years. Please take a seat!" Cheng Dazhuang was extremely surprised to see Zhou Can.


    Hastily got up to greet him, pulled out a chair and asked him to sit down.


    Another male doctor on duty looked up at Zhou Can.


    He didn''t speak, and quickly lowered his head to check the information.


    "This kind of thing happened to your family, and I have limited ability, so I can''t help much. Just now I collected 50,000 yuan. If it''s not too little, I''ll transfer it to you from Alipay."


    Cheng Dazhuang didn''t beat around the bush, but just spoke directly.


    "Brother, I thank you for your kindness! I don''t need this money."


    Zhou Can hurriedly stopped Cheng Dazhuang from transferring the money.


    "Is it too little? The 50,000 yuan may indeed be a drop in the bucket for your family''s plight, but it can help a little bit! Don''t worry, you can pay it back if you have the ability. If you don''t, then I will give it to you." .¡±


    Cheng Dazhuang thinks of flirting, which is quite healthy.


    However, it is the uncle who borrows money these days, and the grandson is the one who collects the debt.


    If you lend money to others, you must be prepared not to get it back.


    "How can you think it''s too little! In a difficult time, even if you lend me a dollar, it''s a timely help. My family''s crisis has been resolved, so you should keep the money to marry a wife!"


    Zhou Can didn''t hide it from him.


    The news that the Zhou family''s processing factory got out of the predicament will spread soon. At that time, Cheng Dazhuang will still know.


    "Real or fake? I asked a friend in the court. Your family is facing a very serious predicament. It only took a few days to solve it?" Cheng Dazhuang couldn''t believe it.


    "Maybe my family is lucky! The batch of customized food was sold, and the debt crisis was resolved."


    Zhou Can doesn''t want to talk too much about family business.


    "How''s your working situation here? It''s not okay to see you yawning that day."


    Zhou Can asked with concern.


    "What else can I do? I''m just messing around. I didn''t pass the exam for the medical license, so I can only take the exam again next year. I heard from many seniors that if they failed the exam the first time, it would be even more difficult the second time."


    Cheng Dazhuang''s mood was particularly negative.


    There is no positive and enterprising spirit of young people working hard and making progress.


    This made Zhou Can feel even more worried about him.


    "It''s not good to dawdle. Which one did you fail? I can help you."


    Zhou Can''s current level is definitely no worse than that of Tuya''s attending physician.


    He really has the ability to lead students.


    Whether it is clinical practice or theoretical study, he has very good experience.


    "Hey! I''m bad at everything, neither in theory nor in practical skills. According to the rules of the hospital, after my training expires next year, I will either transfer to an administrative position or leave."


    Cheng Dazhuang was a little frustrated.


    Even if it is only in the county people''s hospital, the competition is quite fierce.


    If you don''t work hard, you can''t blame this society for being too cruel.


    The less motivated you are, the easier it is to sink.


    Compare Cheng Dazhuang with Zhou Can. Zhou Can is now making great strides and has a very bright future. Cheng Dazhuang got worse and worse, and eventually lost his qualifications to be a doctor in the county.


    "What about you? You are so good, you should have passed the exam, right?" Cheng Dazhuang asked about Zhou Can''s situation.


    "I passed the exam by luck."


    Zhou Can''s good grades, using the word "lucky" is purely to take care of Cheng Dazhuang''s feelings.


    "Da Zhuang, don''t give up. As long as you are willing to work hard, I will do my best to help you get a medical license." Zhou Can persuaded him very sincerely.


    "I want to pass the exam too, but it''s too difficult, and financially it doesn''t allow me to keep taking two or three thousand a month." He felt bitter.


    "As long as you work hard, I can help you both financially and technically. If the conditions for studying here are too bad, go to the provincial capital and I will help you find a way at Tuya Hospital."


    Zhou Can said seriously.


    It is unrealistic to get Cheng Dazhuang into Tuya Hospital, but it should be possible to give him the status of a trainee.


    After all, with Zhou Can''s current status, he can go directly to the vice president through the back door.


    Hearing the word Tuya, the thirty-six or seven-year-old doctor looked up again.


    In the province, the word Tuya is a golden signboard in the medical industry and holds great weight.


    "Doctor Cheng, is your friend a doctor from Tuya Hospital?"


    Zhou Can has been in for so long, and this person doesn''t even say hello. Now that I heard that Zhou Can came from Tuya Hospital, I immediately took the initiative to talk to him. Adults are so realistic.


    "That''s right! His name is Zhou Can, and he works as a trainee in Tuya Hospital, isn''t it awesome?" Cheng Dazhuang introduced Zhou Can''s identity very proudly. "Ah Can, this is my colleague, Dr. Luo Jian, who is currently at the attending level and is quite outstanding in the field of general surgery in our hospital."


    "Hello!"


    Zhou Can nodded to Doctor Luo Jian.


    That''s because of Cheng Dazhuang''s face. Otherwise, let alone an attending physician of the County People''s Hospital, even if the director came, Zhou Can could ignore him.


    "Hello!"


    Physician Luo Jian didn''t push him any further, but also nodded in response.


    "Dr. Zhou is indeed very good to be admitted to Tuya''s regular training qualification. But as far as I know, the competition for Tuya''s regular training doctors is extremely fierce, and less than 20% of the regular trainees can be retained. It must be very difficult for you?"


    [In other words, currently the best app for reading and listening to books,,]


    He was looking into Zhou Can''s details.


    "It''s not just difficult! It''s simply too difficult!" Zhou Can really followed the other party''s words.


    "Hehe, every hospital is very hot. But Dr. Zhou is so good, he will definitely be able to stay and become a regular!"


    Doctor Luo continued to probe with a smile.


    "That''s not necessarily Tuya Hospital attracts the top medical talents in the country, and undergraduates like me are really nothing." Zhou Can said something the other party liked to hear.


    Sure enough, after Dr. Luo heard this, his enthusiasm for him decreased significantly.


    "Bachelor''s degree is indeed a bit low in a provincial tertiary hospital, but Dr. Zhou is still very good. If you fail to obtain the qualification for regularization, it should be a good choice to work in a municipal first-level hospital."


    Indeed, as long as you pass the recruitment examination of Tuya Hospital, after three years of regular training, even if you can''t stay in the hospital and become a regular student, your future is still much better than that of ordinary medical students.


    The hospitals in the province, large and small, recognized the doctors trained by Tuya very much.


    Obtaining Tuya''s regular training certificate has a very high gold content. If you are engaged in the profession of a doctor, the gold content even exceeds the general undergraduate degree.


    "Doctor Luo, don''t you have a patient with a stomachache? You can ask Zhou Can to take a look. He is from Tuya. Maybe he can give you some useful advice!"


    Cheng Dazhuang enthusiastically suggested.


    "This...isn''t that good! How troublesome!" Dr. Luo hesitated. According to his thinking, a Gui Peisheng has not even learned how to hold a scalpel and how to prescribe doctor''s orders. Even if it is from Tuya Hospital, it is useless.


    "It''s okay, it''s okay. Zhou Can is my brother. He was enthusiastic since he was a child. At that time, he often helped the elderly cross the road."


    Cheng Dazhuang''s words made Dr. Luo laugh out loud.


    Zhou Can also smiled embarrassedly.


    "Doctor Luo, that patient is complaining of stomach pain again, so he insists on asking the doctor to check it out." The nurse ran in and shouted.


    The beds where patients are hospitalized are generally equipped with alarm bells for help.


    Just one click, and the nurse''s station picks it up, and sends someone over to check right away.


    "I''ll be there right away." Doctor Luo Jian closed the book, stood up and walked outside.

 Chapter 347： Hurry up, doctor Luo panicked

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Cheng Dazhuang got up and greeted Zhou Can, "Ah Can, why don''t we follow along to have a look."


    "OK!"


    Zhou Can stood up in agreement, and subconsciously checked what book Dr. Luo Jian was reading?


    103 cases of abdominal pain in general surgery.


    Judging by the yellowed cover of that medical book, it should be quite old. Probably medical books from forty or fifty years ago.


    Doctors like to refer to old books for this kind of case analysis medical books.


    Because the conditions were very difficult decades ago, most of the doctors studied their medical skills carefully. The work attitude is also meticulous, and the written medical records and medical cases are extremely rigorous, and the value of reference and learning is very high.


    In modern times, with the rapid development of the economy, the values ??of many doctors have been materialized.


    Plagiarism is a common practice in the papers written, and there are even fewer good doctors who are willing to spend time writing medical cases for future generations to learn from. Some doctors may have this kind of heart, but their level is limited, and they dare not write because they are afraid of being scolded.


    There was a hint of a smile in Zhou Can''s eyes. It seemed that Dr. Luo had encountered an unresolved illness, so he cramped his feet temporarily, hid in the office and flipped through books, trying to find treatment experience for reference.


    It''s the same in any hospital. When doctors encounter uncertain cases, as long as they are not acute and severe patients, they usually turn to the book first. If they are really uncertain, they will ask the superior doctor for advice.


    This is especially true when you are on duty at night.


    When you are on duty, if you call and ask the superior doctor about trivial matters, even if you don''t scold you face to face, the chief physician will have a very bad impression of you.


    If something good happens in the department in the future, those with a bad impression will naturally be in the back row.


    Maybe, because of your poor impression, some of your minor ailments and mistakes will be magnified in the eyes of the chief physician, and you will be scolded every day.


    Therefore, a man must grasp the size.


    A little stunned, he always asks the superior doctor about everything, no matter whether he is going to work or rest at home after get off work, he is harassed by phone calls at night, and flies around the chief doctor like a fly during the day. The most frightening thing is that such people often don''t know it, and think that asking frequently can impress the chief physician as a love of learning.


    As everyone knows, they have already blocked you in their hearts.


    It''s just that it''s hard to say clearly out of face.


    "Ah Can, hurry up! Let me tell you, this case is quite difficult, and it is a very good learning opportunity. It''s really good time for you to come today."


    Cheng Dazhuang urged in front with some excitement.


    It seems that he is not unmotivated, but lacks learning opportunities.


    Coupled with the fact that the working environment is not good and everyone is lazy, he also degenerates.


    The two came outside a ward, and before entering the door, they heard the patient''s painful groans from inside.


    Entering the ward, there are only two beds in the ward of at least 30 square meters, and all kinds of facilities are complete. The inpatient environment of the County People''s Hospital is quite good, even better than that of Tuya Hospital.


    In Tuya Hospital, it is unimaginable that there are only two beds in such a large ward.


    The nurse I met at the nurse''s station before was also in the ward at the moment, looking nervously at the patient who was clutching his stomach and screaming for pain.


    The patient looked about forty years old, male, with wrinkles on his forehead.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Because of the pain, he clenched his teeth, his cheeks protruded high, and the expression on his face was extremely painful.


    Zhou Can secretly observed the patient.


    This is also the doctor''s first reaction after seeing a patient. The inspection of Chinese medicine has been well "referenced" by Western medicine.


    "This patient was admitted at around five o''clock this afternoon. He had abdominal pain for no apparent reason. And it was labor pain. Now that the pain is so severe, it probably happened again."


    Cheng Dazhuang whispered beside him describing the patient''s condition.


    The attending physician, Luo Jian, was examining the patient in front of the bed.


    "Do you have pain in this area?"


    He pressed the patient''s abdomen and kept asking.


    "Yes! Ouch, ouch...it hurts me to death!"


    The patient was in severe pain, his face was pale, and sweat appeared on his forehead.


    "Did the stomachache start today?"


    "Yes, yes, yes! Doctor, hurry up and find a way for me, the pain is too much for me!"


    The patient gasped hissingly, hoping that the doctor would recover quickly and relieve his pain.


    Almost all patients think so.


    After they were admitted to the hospital, they thought they could be saved this time. There is a natural trust in doctors and nurses.


    In fact, sometimes doctors and nurses panic.


    It''s okay to encounter diseases they can treat. If it is like the current situation, when encountering a patient with abdominal pain of unknown cause, the doctors and nurses may be more panicked than the patient.


    "Take his temperature and blood pressure!"


    Dr. Luo frowned, thinking hard about the cause of the patient''s abdominal pain.


    Zhou Can walked to the bedside, picked up the examination done by the patient, and checked the medical record information.


    I took an abdominal ultrasound, even a CT scan, and did blood routine, stool, and urine routine examinations. However, because the submission of the specimens was too late, the blood routine examination results have not yet been released.


    The urine and stool examination results were basically normal, with no urine protein or occult blood in the stool.


    The doctor''s main investigation direction may be acute appendicitis, acute cholecystitis, acute pancreatitis, acute enteritis, gastric ulcer and other common abdominal pain diseases.


    Unfortunately, after the investigation, no obvious lesions were found in the patient''s abdomen for the time being.


    "The medical history of the chief complaint says that you have had stomach pain for more than ten hours? Did you come to the hospital after suffering pain at home for a long time?"


    Zhou Can was not prepared to meddle in other people''s business.


    Otherwise, people would think that he was deliberately showing off.


    But when he saw the patient''s chief complaint history, he had had abdominal pain for more than ten hours. The patient had abdominal pain after working, not continuous abdominal pain, but labor pain.


    After resting for a while, the stomach pain stopped.


    But after a while it started to hurt again.


    This situation is often a warning sign of danger.


    "I''ve had stomach pains before, and it''s fine if I go to the toilet or rest for a while. This time the pain is a bit different from the past. The pain comes and goes, and the pain gets worse. I couldn''t take it anymore, so I came to see it. doctor."


    When the patient explained, his wife was silent by the bedside.


    It can be seen that the wife usually has no status at home.


    "Most ordinary people think the same as you. They are afraid of spending money to go to the hospital! Is the stomach pain a dull pain or a tingling pain? The stinging pain is like being pierced with needles."


    This chapter is not finished, click [next page] to continue reading -->>


    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can took advantage of the opportunity to chat with him.


    "It seems to be a dull pain! Anyway, it hurts very much, intermittently, as if someone is pulling the flesh inside."


    The patient answered truthfully.


    "Inhale slightly, and I will press your stomach to see if the pain eases."


    Zhou Can asked the patient to inhale.


    However, seeing his young age, the patients seemed to have little confidence in his medical skills.


    "This is a doctor from Tuya Hospital, you must do what he says." Cheng Dazhuang was helping his buddies to speak.


    Doctor Luo didn''t say anything.


    It is estimated that Zhou Can''s medical skills are also not very optimistic.


    "Husband, just listen to the doctor!" The family members advised the patient beside him.


    Only then did he inhale cooperatively, and Zhou Can pressed his stomach.


    "It hurts, my stomach still hurts, and there is no relief! Little doctor, your method doesn''t work, it doesn''t work!" Under the severe pain, the patient''s temper was much more irritable than normal.


    After cooperating with Zhou Can''s method, it didn''t work at all, and he seemed quite annoyed.


    Doctor Luo Jian raised the corners of his mouth slightly, probably thinking in his heart that Tuya''s doctors are nothing more than that.


    "The appendix is ??fine, enteritis can basically be ruled out, and there is no obvious tumor in the abdominal cavity. It is recommended to take an electrocardiogram or have a color ultrasound of the heart." Zhou Can said in a very serious tone.


    "Doctor, although I don''t know much about medicine, my stomach hurts. What does it have to do with my heart? You can''t let us people waste money." After hearing this, the patient resisted the pain and retorted.


    "Abdominal pain caused by heart disease is really unheard of."


    Doctor Luo Jian disagreed with Zhou Can''s opinion.


    Basically, it''s almost the same as dismantling Zhou Can''s stage.


    It''s just that he has no idea how good this young Gui Peisheng is.


    In Tuya Hospital, he is often invited by chief physicians to diagnose difficult cases and participate in various consultations.


    Cheng Dazhuang felt that Zhou Can came at the right time, and he could have another chance to learn and practice.


    In fact, they should be glad that they met Zhou Can, a powerful doctor, who was promoted to the grassroots level.


    "Dr. Luo hasn''t heard of it, which doesn''t mean he doesn''t have it. The patient''s condition is not optimistic. I suggest doing an electrocardiogram or cardiac color Doppler ultrasound immediately, or reporting to the chief physician immediately. Just tell me what I said, the patient may have a heart problem."


    Zhou Can''s tone was dignified and serious.


    A life was passing away quickly in front of his eyes. Out of his sense of responsibility as a doctor, he felt that he had to fulfill his duty of reminder.


    "It''s not as serious as you said, is it?"


    Dr. Luo saw that he didn''t seem to be joking, and felt a little uneasy in his heart.


    "Ah Can, why don''t you and Dr. Luo go to the office to have a chat!" Cheng Dazhuang smoothed things over for the two of them.


    In front of family members and patients, many things are hard to say.


    It is even more unacceptable for two doctors to argue.


    The nurse who took the patient''s blood pressure also looked at Zhou Can with a rather repulsive look. This young doctor is really naive, so what if he is from Tuya Hospital? Such a young person who is either an intern or regular trainee, who has only been studying medicine for a few days, dares to speak to Dr. Luo in this tone.


    It''s simply too ignorant.


    "If Dr. Luo doesn''t believe my diagnosis, there is a simple and direct way. Just measure the blood pressure of the patient''s left arm and right arm."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can ignored the female nurse''s strangely hostile eyes, and also ignored Dr. Luo''s ugly face.


    What he has to do now is to get the patients treated as quickly as possible.


    "The nurse has already measured the blood pressure of the left arm just now, and it is enough to measure the blood pressure of the right arm."


    Zhou Can said to the nurse.


    "According to my more than four years of nursing experience, the blood pressure of the left arm and the right arm are the same, and there is no need to measure it." The nurse is not as easy to talk as expected.


    I don''t buy Zhou Can''s account at all.


    This is also normal. When facing doctors from other hospitals, the medical staff of this hospital will instinctively stand aside and unite as one.


    "It won''t take long for you to measure it. Maybe it will allow you to learn different clinical knowledge?" Zhou Can said calmly.


    His realm and level are all there, so he won''t care about a little nurse.


    "Tutu, just measure the blood pressure on your right arm, and let us see if Tuya''s doctor is really different!"


    Doctor Luo Jian spoke, and the nurse immediately measured the blood pressure of the patient''s right arm.


    Everyone is quietly waiting for her results.


    Gradually, the female nurse with a slightly cold face began to show a surprised expression.


    Shock and astonishment grew thicker on her face.


    "Tutu, how''s your blood pressure?"


    When Dr. Luo Jian saw this situation, he immediately felt bad.


    But he is more nervous about the patient''s condition.


    If what the doctor from Tuya said was true, the patient had been suffering from abdominal pain for more than ten hours. The situation is probably extremely dangerous.


    Because under normal circumstances, continuous chest pain for more than 40 minutes should cause vigilance.


    Why can patients with chest pain not queue up when they go to the hospital for medical treatment? Go directly to the green channel of the chest pain center and sudden cardiac arrest. It is because once it is a heart attack, the patient will die soon.


    "What he said... turned out to be correct. The blood pressure difference between the two arms was nearly 30. This is incredible. I have been a nurse for several years, and this is the first time I have encountered such a strange situation."


    There was a fever on the female nurse''s face.


    More shock, but also a trace of shame, and even a trace of inferiority complex.


    She did not expect that there would be such a big gap with the doctors at Tuya Hospital.


    It turned out that she was sitting in a well watching the sky.


    "It is recommended to send it to the emergency room for a color ultrasound immediately. What I am most worried about now is that the discovery is a bit late, and the chance of rescue is gone!"


    Zhou Can has worked in Tuya''s emergency department, cardiothoracic surgery department, and intensive care department.


    The experience is not comparable to the attending physicians and nurses in these county-level people''s hospitals. Some patients looked fine one second, but their condition deteriorated rapidly the next second. The medical staff tried their best to rescue them, but in the end they still failed to save the patient.


    He has seen this kind of scene too many times.


    "Send the patient to the emergency center immediately, and contact Director Wang from the Department of Cardiothoracic Surgery to come to the hospital! Tell head nurse Liu Bin to come! Cheng Dazhuang, help send the patient to the emergency room!"


    Dr. Luo Jian was already frantically lifting the buckles of the hospital bed, and then pushed the bed straight to the emergency department.


    Being able to become an attending physician requires some experience.


    After discovering that Zhou Can''s diagnosis was true, he immediately became highly vigilant.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Doctor, UU Reading My husband just has a stomachache, is it really that dangerous?" The family members obviously still find it difficult to accept this result. Even skeptical about hospitals.


    "He seems to have a stomachache, but it''s actually a heart problem. You''ll know when the test results come out. According to my clinical rescue experience, if he really has a heart problem, the prognosis will be very poor. You should contact him immediately. Go there, there will definitely be a lot of places for you to sign in a while, but don''t waste any more time."


    Zhou Can can only say so much.


    If you want him to directly tell the family members in an affirmative tone that your husband is in critical condition and may not be saved, he is not that stupid.


    Afraid of being beaten by family members.


    Zhou Can didn''t follow him to the emergency center, he was just a guest, and came here to catch up on the old days.


    It is definitely not appropriate to follow the doctors of the County People''s Hospital to participate in emergency work.


    Unless the other party invites him, that''s another matter.


    Otherwise, it is not showing off one''s ability, but overpowering others and meddling in other people''s business.


    He didn''t go back to the doctor''s office either, there was no one there, and it was even more inappropriate for him to stay in there alone.


    Under the melon field, there are some things that can only be taken care of by yourself.


    Cultivation is self-awareness without reminders.


    Only a small number of lights were turned on in the corridor at night, which was quite dim. Only the nurse''s station was relatively bright. Zhou Can sat down on the row of chairs to rest, and took out his phone to check the information.


    "That... Doctor Zhou, can you go over and help rescue the patient just now?"


    After less than thirty minutes, the nurse ran over anxiously.

 Chapter 348： The little nurse bowed her head, she was really just a regular trainer.

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can looked up at the other party, it was the female nurse named Tutu.


    The two looked at each other, and the female nurse was somewhat embarrassed.


    Especially when she thought of how she mocked Zhou Can not long ago in the ward, she was even more ashamed.


    "I''m just a regular trainee, so I can''t really help you much!"


    Zhou Can didn''t want to wade into this muddy water.


    The patient has been sent to the emergency center for more than half an hour. If the situation is ideal, the medical level of the county people''s hospital can completely save the patient.


    Now ask him to help in the past, explaining that the patient''s condition is deteriorating.


    Zhou Can told his family very early on that the prognosis might be very bad.


    He has neither prestige nor familiarity with this hospital, so it is really meaningless to participate in the rescue.


    Unless all the medical staff listen to him, and even if the person is not rescued, he is not required to take responsibility, maybe it can be considered.


    "Director Wang said it himself, let me come over and invite you to have a consultation together, please don''t make it difficult for me?" She is just a small nurse, and she will definitely be scolded if she fails to do what the director told her.


    If it is not done well, the work will be affected.


    "Your director is sure that your weeping appearance has invincible lethality. All right, I''ll just go over and have a look. But the ugly words are ahead, I can only do my best."


    Seeing mist rising in the little nurse''s eyes, Zhou Can had no choice but to agree.


    I really want to make the little girl cry, and the influence is not good.


    He also couldn''t bear it.


    "Thank you! Thank you!"


    The female nurse smiled through tears.


    "Your mood change is too fast! Could it be that you graduated from the Imperial Film and Television Academy?" Zhou Can teased her with a smile.


    "That''s not it! I''m a serious undergraduate nursing major."


    She found that Zhou Can was not as cold as she had imagined, so she couldn''t help giving him a bold look.


    "Are Tuya''s doctors as good as you?"


    "I never thought I was so powerful. But it is true that Tuya Hospital has many very high-level doctors."


    Zhou Can, this is a big truth.


    There are many top experts in Tuya, many of whom are heavyweights in a certain medical field.


    His level is not low, but after all, his growth time is too short, so he never dares to **** his tail.


    "I think you are amazing! You can tell that the patient has a heart problem just by looking at it casually. At that time, you said that the blood pressure of the patient''s two arms was different. I didn''t believe it at all. After the measurement, I found out what you said That''s right, I was so shocked at the time. It just overturned my cognition, you know?"


    Her small mouth is quite capable of speaking.


    Fortunately, the county people''s hospital is not big, and there are only a few buildings in total. The two soon came to the emergency center.


    Outside the emergency room, the patient''s wife was already crying.


    Looking at the situation, the critical illness notice must have been signed.


    Each of the medical staff had solemn expressions, and hurriedly entered and exited the emergency room. Emergency rescue work should be underway inside.


    Zhou Can followed the female nurse named Tutu into the emergency room, and saw the patient lying on the emergency bed at a glance.


    People who were fine half an hour ago are now unconscious.


    Dr. Luo, Cheng Dazhuang, and many medical staff were at the scene rushing to save the patient''s life.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Director Wang, I have invited Dr. Zhou over."


    "Hey, what a young doctor! Doctor Zhou, hello!" Director Wang is a middle-aged man in his fifties, bald, without glasses, but with severe bags under his eyes.


    Older men and women, especially those who have frequent intercourse, often have heavy eye bags.


    And unlike the bags under the eyes of young people, the bags under the eyes of middle-aged and elderly people will hardly disappear, but will only continue to precipitate and aggravate.


    The work of doctors is special, and they often do not get timely rest.


    It is common to be called to the hospital in the middle of the night to rescue patients, so poor sleep quality can easily lead to the appearance of large bags under the eyes.


    "Hello!"


    Zhou Can shook hands with the other party.


    "It''s against my will to invite you here. I heard that you were the one who diagnosed this patient. The doctors in Tuya Hospital really deserve their reputation! The patient''s current condition is very serious, and the prognosis may be extremely poor. What else can you see?" Is there a good way?"


    Director Wang showed the results of the new color Doppler ultrasound to Zhou Can.


    "Oh, this man''s cardiovascular is so blocked, it would be great if he found out earlier."


    Zhou Can felt very sorry after reading it.


    "When the patient was admitted to the hospital, the main symptom was abdominal pain. He really did not expect it to be a heart disease. Now he is treated with thrombolytic drugs, but the effect is not good." Director Wang admitted his mistake with some shame. "The patient is in his forties, and he is the pillar of the family. There are old ones and young ones at the bottom. If Dr. Zhou has a good way, even if it is a little risky, I think it is worth trying."


    The level of doctors in the County People''s Hospital is like this. If Zhou Can can''t do anything, he will have to continue the routine rescue, and when the time comes, he will directly announce to the family that the patient died because the rescue was ineffective.


    "From the color Doppler ultrasound results, there must be arterial embolism in this area. The best way is naturally to do a cardiac angiography, and then insert a guide wire from the femoral artery of the thigh to remove the thrombus, place a stent, and put the blood vessel in place. dredge."


    Zhou Can gave a treatment plan.


    It is definitely too late to do traditional thoracotomy. If detected earlier, there may be a chance.


    After hearing this, Director Wang sighed, "Oh! I also know that interventional therapy is the best way, but our hospital''s technical level is limited. Whether it is arteriography or thrombectomy and stent placement, there is no way to do it in a very short time. completed in time."


    Cardiac arterial angiography seems to be a very common operation in a large hospital like Tuya, but it is a very difficult operation in the County People''s Hospital.


    Especially in this emergency state, the operation time left to the doctor is very short.


    Whether it is anesthesia or cardiac catheterization, there are certain technical difficulties.


    To put it bluntly, even for routine operations such as lumbar puncture, most county people''s hospitals have immature and inaccurate techniques. Puncture failure is commonplace.


    The technical barriers between county hospitals and provincial tertiary hospitals are invisible, intangible, but real.


    If it is said that the provincial tertiary hospital has blocked the technology and does not spread it to the outside world, then there is really no such thing.


    Many core medical skills are kept secret, that''s for sure.


    Everyone has to have a good meal and pass on the core technology. Patients can be treated directly in the local county. How can large hospitals survive?


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    In addition, many difficult operations and treatments require a complete and powerful team.


    Anesthesiologists, equipment nurses, assisting hand washing nurses, stage patrol nurses, nutrition nurses for postoperative care, rehabilitation nurses, nursing nurses, first, second, and even third and fourth assistants who help the surgeon and surgery together. There are also some operations that require two surgeons to fight at the same time.


    It is very difficult for the county people''s hospital to gather these supporting top talents.


    Even if there is an occasional talented doctor or nurse in a county-level hospital, they will either leave because of the bad environment. Or end up being mediocre and becoming one of the mediocre masses.


    Even with an excellent team, hardware and software facilities are also a hurdle.


    A set of tens of millions of medical equipment and inspection equipment, even the provincial tertiary hospitals have to be cautious when purchasing, and they have to hold many meetings to study before making a decision. Not to mention county-level hospitals with limited scale and capacity.


    Hospital leaders must consider whether they can pay back the cost.


    In addition to the above-mentioned strong team and hardware and software facilities that cannot meet the requirements, the biochemical laboratory sometimes also fails to meet the requirements. Only some routine biochemical tests can be done, and advanced ones can only be sent to big hospitals.


    Director Wang looked at the dying patient and sighed, looking helpless, which is understandable.


    "It means that there are imaging equipment and interventional therapy equipment, right?"


    Zhou Can asked.


    "Of course there is! We are a third-class hospital here!" Director Wang straightened his back, and he couldn''t weaken the prestige of the hospital.


    "Are there any nurses who are skilled in assisting?"


    Zhou Can nodded and asked again.


    "I can assist!"


    A female nurse about forty years old raised her hand.


    "This is Liu Bin, the head nurse of our hospital''s cardiothoracic surgery department. She has studied in Tuya Hospital and is excellent in all kinds of auxiliary operations." Director Wang added the identity and strength of the female nurse.


    He had some expectation that this young doctor from Tuya would probably take over the task of rescuing this patient.


    With the technical level of this hospital, it is very difficult to save this patient''s life.


    We can only see if this young doctor from Tuya can bring about a miracle.


    Zhou Can''s ability to easily diagnose the cause of the patient made Director Wang look at him with admiration and trust him a bit.


    "Hello, Head Nurse Liu!"


    Zhou Can nodded to her.


    Hearing that the female head nurse had studied in Tuya, Zhou Can still felt very kind.


    It''s a bit like encountering a fellow countryman in a foreign country.


    "It''s a great honor to know Dr. Zhou! It''s not easy to be a doctor in Tuya Hospital! Dr. Zhou is young and promising, which is admirable!" She smiled and extended her hand to Zhou Can.


    Zhou Can shook hands with her gentlemanly.


    "Thank you! I''m just an ordinary doctor in Tuya." Zhou Can finished modestly and looked at Director Wang. "If Director Wang and Head Nurse Liu can trust me, I can try angiography, interventional thrombectomy, and stent placement."


    Interventional surgery and endoscopic surgery are Zhou Can''s strong points.


    Not to mention piercing.


    His injection level is even better than that of the chief nurse who has worked for decades.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "In order to save the patient''s life, Dr. Zhou is able to take the initiative to help, which is very good. But you also know that the current medical environment is not very good. I would like to ask, can Dr. Zhou be more than 30% sure?"


    Generally speaking, whether it is surgery or other treatments, doctors will divide them into several levels.


    If you tell your family members that there is no more than 10% chance of treating this disease, it is basically close to death. If the confidence is higher than 30%, it is worth a try. If the doctor says it is between five and five, then congratulations, the success rate of the treatment is at least 90%.


    In the last one, the doctor told the family members that we have had many successful cases of this kind of operation, and we are still very sure. This kind of speaking is basically equal to a 99.9% success rate.


    In the unfortunate event that the operation fails, it can only be said that fate is like this.


    "It should be 30% sure."


    Zhou Can said calmly.


    "Then there is Dr. Lao Zhou! Immediately talk to the family members and ask the family members to sign. Here, the patient will be sent to the intervention room for further rescue."


    Director Wang is not a mother-in-law either. Hearing that Zhou Can said that he was more than 30% sure, he felt that he could give it a try.


    Dr. Luo Jian pulled Director Wang aside and said in a low voice, "This Dr. Zhou is just Gui Peisheng. Wouldn''t it be too risky for him to operate?"


    "Any operation has risks. We have no better way now. Interventional therapy is the only way to save the patient''s life in a very short period of time. Prepare to assist with all your strength!"


    After Director Wang made up his mind, he was extremely decisive.


    Don''t be swayed by Dr. Luo''s persuasion.


    Intervening in the operating room, Zhou Can was already standing on the chief surgeon''s seat in a lead suit.


    The other medical staff are centered on him and are ready to provide various assistance at any time. Including Director Wang also put down his figure and became his assistant, just to save the patient''s life.


    The vast majority of medical staff can be in awe of life.


    The kind of doctors and nurses who make fun of patients'' lives for their own self-interest are, after all, only a minority.


    "2ml lidocaine!"


    Zhou Can looked extremely calm.


    Cardiac angiography is usually performed under local anesthesia, and the patient is awake.


    Lidocaine is often injected subcutaneously.


    "Nurse Liu''s skin preparation and indwelling trocar are well done!"


    Zhou Can looked very relaxed, completely in a state of ease.


    "Thank you! I usually do a lot of these things, so I''m already proficient."


    A smile appeared on her face.


    "I''m relieved that your assistance is in place. Let''s start piercing!"


    Zhou Can began to puncture the patient.


    Usually the right radial artery is punctured.


    I saw that Zhou Can easily completed the puncture, and the blood returned successfully. Head Nurse Liu and Director Wang, who were watching from the sidelines, saw his skillful and precise operation, and their hearts dropped a lot.


    This young man really has two skills.


    Cheng Dazhuang looked enviously at Faxiao skillfully completing operations that he couldn''t even imagine.


    Doctor Luo Jian''s expression changed slightly, and he watched quietly.


    "Ready to implant guides, catheters, guide wires!"


    In fact, Zhou Can didn''t need to remind him, head nurse Liu had already prepared for him.


    After receiving it, he manipulated the catheter retrograde along the descending aorta to the root of the ascending aorta, and then inserted it into the left and right coronary ostia respectively. The whole operation process is not only smooth, but also extremely fast.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    It was all done in less than ten seconds.


    Director Wang, Head Nurse Liu and others were dumbfounded by such miraculous operations.


    "Is this... really a cardiac angiography? Why do you feel that Dr. Zhou is playing with it?"


    "Such a high level of operation, is it really Gui Peisheng? I wouldn''t believe it if I was killed."


    If Director Wang wasn''t worried about interfering with Zhou Can''s operations I really want to ask right away, what level is Zhou Can? With such a high level, it is absolutely impossible to be Gui Peisheng.


    "Head nurse Liu, don''t be dazed, contrast agent!"


    Zhou Can turned her head and found that head nurse Liu was in a state of extreme shock, so she could only remind her aloud.


    "Oh... good, good!"


    She quickly agreed to hand over the prepared contrast medium.


    After injecting the contrast agent into the three blood vessels respectively, the screen starts to develop.


    Which segment of the blood vessel is narrowed and where it is blocked can be easily found.


    "It turns out that something went wrong here. Is the thrombectomy equipment ready?"


    After Zhou Can read it, he already had a bottom line in his heart.


    Speed ??up, and this patient''s life should be able to be saved.


    But after all, blood vessel blockage has occurred for such a long time, and it will definitely affect the patient. Necrotic myocardium is irreversible. This part of the myocardium loses its vitality and will affect the patient''s heart function.


    Director Wang and others were completely convinced by the subsequent thrombectomy and stent placement.


    Zhou Can was simply astonished.


    If the previous angiography was only a little difficult, then the thrombectomy and stent placement were definitely extremely difficult.


    But in Zhou Can''s hands, without exception, the operation is always so simple and clear.


    Easy finish without compromise.


    Really fast and good.


    This is the level.


    "Tuya Hospital has such a great reputation, it really deserves its reputation! In this life, if I have the opportunity to study in Tuya, even if it is only for a month or two, I will die without regret."


    Director Wang is in his fifties, and he is rarely considered for advanced training opportunities in hospitals.

 Chapter 349： The body organs are connected to each other, Cheng Dazhuangs opportunity

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Opportunities for advanced studies are generally given to young doctors in their 30s and 40s, because they have great growth potential and will make great contributions to the hospital after returning from their studies.


    After seeing Zhou Can''s superb operation, Director Wang really admired it from the bottom of his heart.


    It is even more eager to obtain Zhou Can''s ability.


    He thought to himself, even one of Tuya''s regular trainees could be so good, if he, the chief physician, went to Tuya to study for a few months, he would definitely be better than Zhou Can!


    But he never imagined that although Zhou Can is just a regular trainer, he is a unique existence.


    Zhou Can''s strength, not to mention the general training, even the general deputy chief physician would be ashamed of himself.


    Director Wang, the chief physician of the County People''s Hospital, might not even be able to make a fuss in the past.


    "Director Wang, Doctor Zhou, the patient''s heartbeat has returned to normal!"


    Head nurse Liu exclaimed in surprise.


    After the blocked blood vessels are unblocked, the blood supply returns to normal, the blood circulation of the heart recovers, and the beating naturally follows. The beating of the heart is a complex and delicate process.


    The sinoatrial node cells at the junction of the right atrium and the superior vena cava have the highest self-discipline, so the sinoatrial node starts to be excited, becomes a pacemaker, sends out excitement, and then moves to the atrioventricular node, atrioventricular bundle, and finally the left and right Ventricular muscle, which completes one heart beat. Disorders in any part of this series of conduction systems can lead to serious arrhythmias or cardiac arrest.


    Rather than the simple contraction of the myocardium as ordinary people think, it is as simple as the nerve signal controlling the discharge.


    Even the heart is closely related to the operation of every organ in the body.


    For example, we all know the kidney, which is the body''s fluid organ. It also includes the filtration of blood.


    When our heart feels a little tired and wants to relax, it can send a signal to the kidneys, "brother kidney, brother, my side works 24 hours a day, the master doesn''t care about me at all, and he is greedy for food I ate a lot of high-salt food, which caused my blood to thicken and greatly increased my workload. I am too tired, so please help me find a way, otherwise I will fall down and you will all suffer.¡±


    After the kidneys received the distress signal from the heart, they couldn''t help trembling, feeling very nervous.


    Big Brother Heart can''t fall down, once it stops, we all have to finish the game.


    As a result, the kidneys began to regulate the ''pump'' mechanism, and began to increase the pumping of sodium to accurately excrete a large amount of sodium with the urine.


    In this way, the viscosity of the blood decreases and gradually returns to normal, and the work of the heart is also relieved.


    It can be seen from this that each organ of the body has its unique function and is closely related to other organs.


    However, no matter which organ of the body, although it has a strong self-regulation ability, it can tolerate the owner''s misbehavior and indulgence. But there is a degree.


    Eating high-salt food, or high-sugar food, or fried food for a long time, they may all be tired.


    As long as one of the organs lies down, the other organs will be affected accordingly.


    At this time, the body also collapsed.


    The owner of the body will feel obvious discomfort and develop various bad symptoms. That''s when you''re sick.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Chinese medicine often says that diseases come from the mouth, which is really not farting.


    Many diseases are caused by eating.


    ¡­


    The heart patient was successfully rescued after emergency interventional surgery, thrombectomy and stent placement.


    "Doctor Zhou, thank you so much today! Our County People''s Hospital can do interventional surgery, but it is far behind you. If it is possible, I will learn more from you in the future!"


    Director Wang looked very happy.


    The patient was successfully rescued, and I believe that every medical staff feels joy from the bottom of their hearts.


    "I don''t dare to learn from the experience! I can communicate with each other when I have the opportunity."


    Zhou Can feels that it is a good thing to help the people''s hospital in his hometown to improve the medical level. As long as he has time, he is quite happy to give advice to the doctors in these county people''s hospitals.


    "Dr. Zhou is young and promising, today really opened my eyes! When I saw you had the angiography operation, I cried out in my heart, my God, this is an angiography of the heart arteries, how could it be so simple La?"


    Head nurse Liu Bin''s words made everyone burst into laughter.


    "Later, I found out that I was still too young! Because Dr. Zhou performed the heart artery thrombectomy and stent surgery, it only took less than seven minutes, and the key is that he did it so well, all of which were a success. This is subversive My understanding of heart stent surgery. The chief physician of our hospital performs heart stent surgery, and it takes more than half an hour just to insert the catheter. It takes at least two to three hours to complete a whole operation.¡±


    The fast operation speed is indeed Zhou Can''s major advantage.


    "Head nurse Liu, haven''t you studied in Tuya? Even Dr. Zhou can do it so fast, isn''t it even more exaggerated by other attending and chief physicians? Could it be that Tuya''s chief physician can complete a heart in a minute or two?" Stent surgery?"


    Director Wang asked curiously.


    Heart stent surgery has many technical difficulties, and it is unimaginable to complete the operation in a minute or two.


    It''s just that after seeing Zhou Can''s terrifying speed, even if he was told now that Tuya''s chief physician performs a heart stent operation every minute, he would dare to believe it.


    "Uh... It doesn''t seem to be true. I remember Tuya''s Department of Cardiothoracic Surgery at that time. The most skilled doctor was Chief Physician Hu Kan, but Director Hu''s operation speed was very slow. It seems that the doctors in the entire Department of Cardiothoracic Surgery were a bit slow in performing operations. They are mainly stable. The surgical accident rate is very low.¡±


    The department head nurse Liu chose to study should be cardiothoracic surgery.


    And it is likely to get the opportunity to study in the operating room.


    "Then tell me, how long does it take for Tuya''s general doctor to perform a heart stent operation?"


    Director Wang didn''t give up and continued to interrogate.


    "It seems to take two or three hours! In a difficult situation, it may even take seven or eight hours." Head nurse Liu answered after thinking carefully.


    "It will take so long! It''s not much faster than our hospital!" Director Wang nodded, relieved a lot.


    Suddenly realizing something, he turned to look at Zhou Can.


    "Dr. Zhou, in this case, your operation is only fast! Are you really Gui Pei? In my impression, when Dr. Gui Pei is exhausted, he will sew up the skin, pull a hook, or run errands to get the test sheet. It is impossible for Gui Peisheng to do this kind of extremely risky operation. But you are too skilled in making heart stents. You must not be Gui Peisheng!"


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Not to mention Director Wang, other people have already begun to doubt Zhou Can''s true identity.


    "Dr. Zhou and I are Fa Xiao. We are in contact with each other. I''m sure he is really Dr. Gui Pei, and he never lied to you." Cheng Dazhuang looked at Fa Xiao with complicated eyes.


    He really didn''t expect that Zhou Can graduated from university in the same year as him, and he was still an intern two years ago, but now there is such a huge difference in medical skills.


    The heart stent surgery ability that Zhou Can showed just now is enough to beat Director Wang and others in their hospital.


    It takes two years to train a medical student who has only practiced for one year to such an excellent level. Tuya Hospital is simply a temple for training top medical talents.


    No wonder there are so many medical students and social doctors trying to get the training qualification of Tuya Hospital.


    With such a big benefit, it is worthwhile to spend a lot of money to squeeze in.


    "My surgical ability is really nothing. I was just a trainee in Tuya, and I never deceived you." Zhou Can showed a wry smile.


    Being too good is not a good thing!


    It is easy to be suspicious of identity.


    The explanation alone gave Zhou Can a headache.


    "How can there be such a powerful Gui Peisheng? I have to ask Tuya''s teachers about your background. Dr. Zhou is so amazing at performing cardiac angiography and cardiac stent surgery, he must be working in the cardiothoracic surgery department, right?"


    Head nurse Liu became more and more curious about his identity, so she decided to ask the teachers she knew when she was studying in Tuya.


    The teachers that advanced students know are generally not too high-level.


    Most of them are within the two levels of nurses in charge and attending physicians.


    "I have been trained in cardiothoracic surgery. Actually, you really don''t need to ask, I''m just a junior trainee."


    Zhou Can just came to see Fa Xiao, which is equivalent to visiting the county people''s hospital in his hometown.


    If his true identity was revealed, he was a little worried about being received too warmly.


    He has long seen through human nature.


    As long as it smells it, the management of the County People''s Hospital will definitely surround it like flies.


    "It''s too late for Dr. Zhou to say this, I''ve already sent the news!"


    Head nurse Liu raised her phone to Zhou Can, showing a slightly smug smile.


    What was revealed was the WeChat chat screen.


    As for who is on the WeChat end, he doesn''t know.


    However, except for the new recruits in the past two years, he is basically familiar with the old staff of the cardiothoracic surgery.


    It''s really not bragging, Zhou Can''s influence in cardiothoracic surgery is quite good.


    "Anyway, it''s not shameful. If you want to inquire, just inquire!" Zhou Can shook his head helplessly.


    "Doctor Zhou, can I ask you a question?"


    The female nurse Tutu finally found a chance to intervene.


    Her status was relatively low, and she didn''t dare to intervene indiscriminately when the chief physician and chief nurse were talking.


    Seeing that the conversation between Head Nurse Liu and Zhou Can had come to an end, she seized this opportunity.


    If you don''t ask, you won''t have a chance.


    "Speaking!"


    Zhou Can didn''t put on any airs, and had the same attitude towards head nurse Liu and Tutu.


    "Why do you know that the blood pressure of the heart patient''s two arms is different? Can you explain it to me?"


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "This, the principle is very simple! When a patient''s heart arteries become narrowed or even blocked, it is very easy to have different blood pressures on both sides of the body. In addition to being related to the total amount of blood in the blood vessels, the blood pressure is also related to the internal space of the blood vessels. The size, the pumping speed of the heart, the blood circulation of the ventricles are all related."


    Zhou Can explained with a smile.


    "Under normal circumstances, when the blood pressure on both sides of the body is different, some abnormalities can be observed with the naked eye. For example, the surface skin of the patient''s body may be ruddy on the side with high blood pressure, giving people the feeling of red light. If When the difference in blood pressure is too large, you can even feel the pulse of the patient''s two arms."


    "In the future, when you encounter blood pressure asymmetry between the two sides in the clinic, you must be very careful. It''s not a heart attack, or it''s a precursor to a critical illness such as cerebral hemorrhage."


    Zhou Can was well-informed and talked eloquently. Hearing this little nurse nodded repeatedly, she admired him terribly.


    When looking at him, there are countless little stars in the eyes.


    "So that''s the case! Thank you for your advice!"


    She gratefully thanked Zhou Can.


    Other medical staff also benefited a lot and remembered Zhou Can''s words.


    In fact, Zhou Can has learned a lot from those chief physicians with such clinical experience and knowledge. I can''t finish writing several books.


    "The patient is fine. I came here today mainly to find Fa Xiaocheng Dazhuang to catch up on the past, so I won''t bother you."


    Zhou Can carried Cheng Dazhuang out because he also wanted to improve Cheng Dazhuang''s status in this hospital.


    Let these people present understand that Cheng Dazhuang has backers and connections.


    "Da Zhuang, let''s go back to your duty office and talk again! I should be back soon!"


    Zhou Can subconsciously raised his wrist and glanced at his watch.


    It was an unintentional move, but Director Wang shrank slightly when he saw the watch he was wearing.


    This is a wristwatch worth hundreds of thousands, and not everyone can afford it.


    But he didn''t point it out, but he looked at Zhou Can a few more times in his heart.


    "Teachers, then I''ll go back to work first!"


    Cheng Dazhuang greeted Director Wang and others.


    Usually, he basically has no chance to talk to Director Wang. Director Wang wouldn''t even look him in the eye. People are so realistic.


    Now, with Zhou Can, a Tuya doctor, as his friend, it''s completely different.


    Director Wang looked at him with a smile on his face.


    "Yes, yes! Da Zhuang, treat Dr. Zhou well. If you have anything to do while on duty, you can ask Dr. Luo to do more."


    Look at the friendly tone, the friendly attitude.


    It made Cheng Dazhuang feel a little delusional. When did Director Wang become so amiable?


    "Okay! Thank you Director Wang!"


    Cheng Dazhuang quickly thanked him.


    Doctor Luo Jian beside him felt depressed for a while. Tonight''s work seems to be on his head.


    "Doctor Cheng can be at ease with his good friend, and leave the ward affairs to me."


    No matter whether you like it or not If you have a little emotional intelligence, you must express your stance like this at this time.


    You have to express this attitude even if you grit your teeth.


    This is called knowing the time and being timely.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Cheng Dazhuang accompanied Zhou Can back to the doctor''s office on the third floor of the inpatient department, all the way as if he had won a big prize, and his brows were brimming with joy.


    "Ah Can, you can do it. It''s only been a few years, and your medical skills are so powerful. You can teach me more in the future."


    "Isn''t this bullshit? As I said, if you have any medical questions, you can send me a WeChat message at any time. As long as I can answer it, I will definitely answer it for you. Even if I can''t answer it, I can also ask the teacher for help. "


    Zhou Can really has the confidence.


    In various departments of Tuya Hospital, he knew too many chief physicians.


    And most of them are department elders and academic leaders.


    "Haha, that''s great! Now I feel more confident in my heart, and I have rekindled my hope for the examination of the medical license. I am so lucky to know a young boy like you."


    Cheng Dazhuang smiled brightly, a spirit called vigor and aggressiveness was regained by him.


    Seeing Fa Xiao''s changes, Zhou Can was also very happy.


    ¡­


    Not long after Zhou Can and Cheng Dazhuang left, head nurse Liu Bin said to Director Wang in shock, "God, no wonder this Dr. Zhou is so good! Do you know his background?"


    "What''s his history?"


    Even though he knew that Head Nurse Liu was trying to trick her, Director Wang could only press her to ask.

 Chapter 350： Its too exaggerated, the dean is in a hurry

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Everyone else was also waiting for Head Nurse Liu to announce the answer. They all wanted to know the origin of this young Dr. Tuya?


    "Doctor Zhou is really just a regular trainee!"


    As soon as Head Nurse Liu finished speaking, everyone couldn''t help booing.


    And why is there any breaking news!


    Inquire about this for a long time?


    Didn''t Dr. Zhou already emphasize that he is Gui Peisheng?


    "Head Nurse Liu can also whet people''s appetites now!" Director Wang shook his head and smiled.


    The chief nurse and the chief physician are actually at the same level, both with high professional titles.


    Of course, in terms of actual status, the chief physician must be higher.


    Some people may boast that the nursing department and doctors are not a system at all, and there is no distinction between the two. This kind of talk is okay for newcomers in the workplace who are not deeply involved in the world, but veterans who have worked in the medical system for several years will only curl their lips and smile when they hear it.


    When meeting a well-meaning senior, he will kindly remind him, "Young man, you are still young!"


    Head nurse Liu didn''t dare to make Director Wang unhappy, let alone leave a bad impression on Director Wang.


    "My teacher told me that although Dr. Zhou Can is only a regular trainee, he is the best trainee doctor in the history of Tuya Hospital."


    After hearing this, everyone agreed with this statement surprisingly unanimously.


    How could an ordinary training doctor have such a high level of medical skills? Dr. Zhou is an expert in both pathological diagnosis and interventional surgery.


    This kind of ability is difficult for general indications to achieve.


    "Tuya Hospital has a large number of talented people. The head nurse Liu''s teacher said that Dr. Zhou is the most talented trainee in Tuya''s history. This evaluation seems to be unusually high!"


    Director Wang squinted his eyes and asked.


    "My teacher is currently Tuya''s chief nurse, and the evaluation she gave should not be watery. She only said that many heavyweight chief physicians in Tuya think that Dr. Zhou is likely to be a doctor in the near future. Become Tuya''s banner bearer. It may even push Tuya to a higher level!"


    Head nurse Liu revealed another piece of news that made everyone petrified.


    Director Wang gasped even more after hearing this.


    What is the concept of becoming Tuya''s flag-bearer?


    The so-called heights are too cold.


    Director Wang is the chief physician himself. Although he cannot be compared with Tuya''s chief physician, his level is certainly not bad. After all, the senior professional title is evaluated by the competent health department, and there are quite strict evaluation standards.


    If it is said that outstanding young people, outstanding young people, Changjiang Scholars, academicians, and these special honors are the top among the people, then the chief physician is at least the middle and senior elite of doctors.


    Ordinary elites generally stop at the deputy chief physician and mix until retirement.


    Every step up, the difficulty will increase geometrically.


    Many people think that the title of professor is awesome, and it sounds amazing. Because the masters, masters, and doctors are all students of the professors.


    But in the eyes of doctors, chief physician is worth more than the title of professor.


    Although they are all with high professional titles, one is a doctor series and the other is a teaching series.


    In a large hospital that integrates medicine and education, as long as they can be promoted to chief physician, they will almost certainly participate in teaching tasks. It is much easier to go from assistant to professor than from resident to chief physician.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Some people will say that a first-level professor is a step that many teaching workers will never be able to climb in their lifetime.


    So why not the chief physician?


    The chief physician also has three levels, two levels, one level, and special level.


    The vast majority of hospitals are only designated to the first level, and the top large hospitals have special directors. It can be understood as the super doctor of the United States.


    However, because the domestic western medicine system is later than the West, and most fields of science and technology and medicine lag behind the West, the domestic special directors are weaker than the super doctors of the United States in terms of influence and actual ability.


    However, domestic super chief physicians are very smart. In order to gain some prestige, most of them will focus on Tibetan physiology, meridians and acupoints, and balance of yin and yang in traditional Chinese medicine to support their appearance.


    That is the slogan "Integrated Traditional Chinese and Western Medicine" that is shouted the most at present.


    When it comes to this point, the doctors in Huaguo have a certain advantage.


    Almost everyone knows a little bit of English. Those who have reached the level of a chief physician and have a higher degree of education, many of them can even speak German, Japanese, and English.


    There is no way, if you want to study and learn Western medicine, you can only find a lot of original materials by yourself.


    The western medicine we study now is all translated by our predecessors.


    Some angry youths shout every day not to learn foreign languages, but to learn Chinese well. I really don¡¯t know what to say. The vast majority of the elites in the world are foreigners. They can¡¯t speak English, they can¡¯t understand the language, and they can¡¯t communicate with you.


    It''s like blocking your own way.


    Which of the elites in the country can''t speak English fluently? When you have the opportunity, you can directly communicate with foreign friends in English.


    In particular, some important academic conferences are held in foreign countries.


    Can only speak Chinese, basically hehe.


    There is no big obstacle for Chinese people to learn English. There are even five or six-year-old children who speak both Chinese and English fluently.


    But foreigners want to learn Chinese, the difficulty is not ordinary.


    Someone once joked that if you want to torture a foreigner, you just need to give a foreigner a small knife and let them carve oracle bone inscriptions. Guaranteed to make their lives worse than death.


    Although this is just a joke, it also shows that Chinese is really difficult to learn.


    With a cultural inheritance of more than 5,000 years of history, Chinese is doomed to have a long history and is far more complicated than ordinary languages.


    Therefore, although we started late in learning Western medicine, we have great inherent advantages.


    It is not for nothing that the Chinese are called the race with the strongest learning ability in the world.


    Director Wang is well aware of how strong Tuya is.


    Now, head nurse Liu''s teacher actually revealed that Zhou Can is likely to become Tuya''s banner bearer in the near future. Moreover, it was the evaluation made by several chief physicians of Tuya.


    How awesome is that young man surnamed Zhou, which makes so many elders think so highly of him?


    "Head Nurse Liu, is what your teacher said reliable?"


    Director Wang asked in a hasty tone.


    Seeing that Head Nurse Liu''s face was a bit ugly, he hurriedly explained, "Oh, don''t get me wrong, I didn''t mean to question your teacher. I just want to confirm that Dr. Zhou Can is really that good? This is a bit too exaggerated .¡±


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Head Nurse Liu''s expression eased slightly.


    "My teacher said that this information is all inside information, and most people don''t know it at all. It is because I have a close relationship with her that I will disclose so much to me. She also said that Director Hu Kan of the Cardiothoracic Surgery Department wants to accept Zhou Dr. Can was the successor, but Dr. Zhou refused. Director Hu Kan struggled for a long time, and Dr. Zhou Can seemed to reluctantly agree. But he only spared part of the time every day to study with Director Hu Kan in the Department of Cardiothoracic Surgery."


    She revealed another big secret of Zhou Can.


    There is no impenetrable wall in this world.


    Zhou Can never imagined that a head nurse at the People''s Hospital of his hometown would know the head nurse of Tuya''s Department of Cardiothoracic Surgery.


    Then, his details were dug out.


    "Oh, no wonder Dr. Zhou is so good at heart stent surgery! It turns out that he is the successor of Director Hu Kan, and he really is a famous teacher who gave birth to a great apprentice."


    Director Wang exclaimed suddenly.


    Almost most people in the industry have heard of the name of Director Hu Kan. He is a golden signboard of Tuya Hospital, and he is also a top leader in the field of cardiothoracic surgery.


    Such an awesome old man actually asked Dr. Zhou Can to be his successor.


    What kind of talent is this Doctor Zhou?


    "If such a powerful super genius can be persuaded to stay and work in our county people''s hospital and join our cardiothoracic surgery department, why worry about our department being unhappy?"


    Director Wang was so excited that his face turned red, and his eyes glowed green like a wolf.


    "Director Wang, it''s not that I''m pouring cold water on you. I advise you to give up this unrealistic idea! The major departments of Tuya Hospital rushed to invite this Dr. Zhou to join, and offered extremely attractive conditions, but They were all rejected by him. The conditions of our hospital are incomparable to those of Tuya, so it should be impossible to keep Dr. Zhou just because of his hometown."


    Head nurse Liu revealed another incident about Zhou Can.


    The top experts in cardiothoracic surgery begged to be the successor, and Tuya''s major departments rushed to invite him to join. Only at this moment did everyone realize that the young doctor who looked low-key and unusual just now had such a great talent. backing.


    It is true that people cannot be judged by appearances, and sea water cannot be measured.


    "I really envy Cheng Dazhuang, who grew up with such a promising young doctor. But I think this is also an opportunity for our hospital. At least in the future, if you encounter difficult cases, you can consult Dr. Zhou Can through Cheng Dazhuang!"


    Head nurse Liu said this to Director Wang.


    Because the Department of Cardiothoracic Surgery of the County People''s Hospital often encounters uncertain cases, the level is really not good. If Dr. Zhou Can can be close to him in the future, many difficult cases and critically ill patients may be able to be rescued.


    Take today''s heart patient as an example. If Zhou Can hadn''t acted in time, the final result would have been to tell his family members, "I''m sorry, we''ve tried our best. Please forgive me!"


    According to the survey, the highest death rate is not the township health center, nor the provincial-level tertiary hospital like Tuya, but the local county-level hospital.


    Many patients have died. If there is enough money to support them, or the medical level of the county-level hospitals can be higher, the patients may be able to be saved.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    In fact, few are that lucky.


    The vast majority of patients died in county-level hospitals, or were treated in county-level hospitals for a period of time, but there was no effect. The family members transported the patients home and waited quietly for death.


    "This Dr. Zhou is a distinguished guest of our hospital. You must be treated well when you meet him. I have to report this matter to the dean immediately. Thank you for your hard work tonight. Just do what you have to do!"


    Director Wang had already pulled out his mobile phone and was walking away while dialing the Dean''s number.


    "Dean, I''m really sorry to disturb you at such a late hour!"


    "It''s okay, tell me what you want!"


    "Our Tuya Hospital has a special distinguished guest..."


    Director Wang told Zhou Can''s story in detail.


    The dean of the County People''s Hospital couldn''t help being surprised when he heard this.


    "Where did you hear all this news? Is a Gui Peisheng really that powerful?"


    "The head nurse Liu Bin''s teacher is the head nurse of Tuya''s cardiothoracic surgery department, you know that?"


    "I know!"


    "That''s what her teacher told her, and it''s absolutely true."


    "It''s a bit exaggerated for a Gui Peisheng to be so powerful. I also have acquaintances in Tuya, so I''ll make a decision after I inquire clearly. But it''s great that you can report such important news in time."


    "You are the helm of our hospital. If there is any situation, I must report to you as soon as possible! Then I will stay in the hospital and wait for your news. Do you think it is okay?"


    Director Wang patted the dean''s **** at the right time.


    "Old Wang wants to wait until the news is verified, and get close to Dr. Zhou Can, so that he can get some help in the future?"


    the dean asked with a smile.


    "Haha, Dean is wise, I can''t hide anything from you."


    Director Wang admitted frankly.


    "Your cardiothoracic surgery department really needs to find some technical support! The department in charge holds a meeting, and you often name your cardiothoracic surgery department. Every time, I wipe off my cold sweat and say good things with a smile on my face."


    The dean took this opportunity to beat Director Wang.


    As the dean, the most troublesome thing is that the hospital''s departments are not up to expectations, and the quality of medical care cannot be improved.


    "It''s troublesome for you. Our cardiothoracic surgery department has been working hard, but you also know that the improvement of the medical level cannot be achieved by buying a few sets of equipment. The main reason is the lack of talents! Last time, we recruited two medical graduate students. , I am very happy. But after recruiting, I found out that medical students are really just medical students, and their clinical practice ability is not as good as that of our own training students. It is simply unrealistic to expect them to undergo major operations and diagnose complicated cases.¡±


    Director Wang poured out bitter water.


    The personnel training cycle of cardiothoracic surgery and neurosurgery is notoriously long. Not to mention a postgraduate master''s degree, even if two Ph.D.s are recruited, it is still useless.


    No matter how beautifully written the paper is, what is the use if the disease cannot be cured?


    Moreover, many postgraduates have a lot of water, and the research topics they engage in during their graduate studies are really as good as they can be. Many people do it just to get a degree.


    The end result is to recruit people, who may not be as good as an undergraduate with real talents.


    The key is that such highly educated talents have their eyes above the top and their tone is still high.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    It is even more common to obey the instructions of the superior doctor.


    What makes Director Wang even more troublesome is that in order to attract talents to join, the precious establishment often needs to be given priority to these graduate students. With this amulet compiled, it is even more difficult for him, the chief physician, to control those people After finishing the call with the director, Director Wang did not go home, but waited quietly in the hospital.


    After about half an hour, when he was waiting a little anxiously, the dean finally called.


    "Old Wang, hurry up and find a way to keep Dr. Zhou Can, I will come over right away. Be sure to accompany him."


    The dean is usually a very steady person, unpredictable.


    At this moment, he was talking to Director Wang in such an extremely hasty tone, and after finishing speaking, he hung up the phone directly.


    You can even faintly hear the sound of doors closing and running fast.


    Although the county seat is not very big, the dean''s family has already moved to live in a villa in the new urban area. It will take at least fifteen or sixteen minutes to rush over.


    Director Wang naturally did not dare to neglect what the dean explained.


    As he ran to the office on the third floor of the inpatient department, he thought to himself. Listening to the dean''s hasty tone, it would only be like this when important leaders from the province came to inspect the work.


    It seems that the news Head Nurse Liu inquired about is all true.


    This Dr. Zhou is simply a powerful angel sent by God to help the cardiothoracic surgery department, and he will have to hug his thigh tightly after a while. Director Wang secretly gritted his teeth and made up his mind.


    When they came to the third floor, the two nurses on duty saw Director Wang rushing over and stood up quickly.


    "Director Wang!"


    They greeted respectfully.


    Director Wang just hummed, without stopping at all, and walked directly to the doctor''s office.


    Before entering the door, he stopped outside the door, took a deep breath to adjust his expression, and then walked in. Otherwise, wouldn''t it be a joke for Dr. Zhou to see his anxious look?

 Chapter 351： It is in your best interest to refuse

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Director Wang opened the door and looked inside, only to see Cheng Dazhuang and Doctor Luo Jian, but not Zhou Can, whom he was looking for.


    "Hey, where is Dr. Zhou?"


    When Director Wang found out that Zhou Can was not there, he immediately felt bad.


    The dean also specifically asked him to keep Zhou Can and rush over to meet Zhou Can immediately!


    "Let''s go!"


    Cheng Dazhuang replied.


    "Why did you leave so quickly? Did you just leave?"


    "I''ve been gone for more than ten minutes! Do you have anything to do with him?" Cheng Dazhuang didn''t understand why Director Wang came to see Zhou Can at this time?


    "Oh, it''s nothing important. Don''t you think that Dr. Zhou is a talent from our hometown? I mentioned this to the dean, and the dean immediately said that he would come over to see Dr. Zhou."


    Director Wang is a chief physician after all, so it is absolutely impossible to say something like hugging Zhou Can''s thigh.


    But as adults, many things don¡¯t need to be explained, they understand.


    Cheng Dazhuang was not stupid. Seeing Director Wang''s faltering expression, he immediately understood what was going on.


    "That... You guys are busy first, I''ll tell the dean."


    Director Wang walked out of the office and quickly called the dean.


    The dean has a distinguished status. If the dean rushed over and found that Zhou Can had left, he would definitely be unhappy. Blame him for not being able to keep people.


    "Dean, I went to the office to ask just now, and Dr. Zhou has already gone back. Look..."


    "Did he leave so soon? That''s such a pity. You said he had a good relationship with a Gui Peisheng in our hospital, right?"


    There was only a slight disappointment in the dean''s voice.


    Not any sullenness.


    "That''s right, that''s right! Cheng Dazhuang, the training doctor, and him are childhood friends. Just now, he made a special trip to find Cheng Dazhuang to catch up with each other." Director Wang breathed a sigh of relief.


    He didn''t want good things to turn bad and leave a bad impression on the dean.


    "It''s really late today. I''ll go to the hospital and talk to Cheng Dazhuang about it in person tomorrow! Thank you Director Wang, go home early and rest."


    "Alright! You should rest early too!"


    Director Wang waited until the dean hung up the phone, and heaved a sigh of relief.


    In his mind, however, he was thinking about how to hug Zhou Can''s thigh tomorrow. This kind of thing must be done with some technical content, neither too obvious nor too enthusiastic.


    Missed this village, but there is no next store.


    After much deliberation, he felt that as long as he had a good relationship with Cheng Dazhuang, he would basically be invincible.


    Immediately walked into the doctor''s office.


    "Xiao Cheng, it''s hard work on duty at night!"


    Director Wang is simply looking for something to say.


    However, asking for warmth is the most common way that leaders use to approach subordinate doctors. Whether the leader wants to unspoken rules for female employees, or wants to win the heart of an employee, this tactic is almost the most commonly used routine.


    "Thank you, Director Wang for your concern. I''ve been on night shifts a lot, and I''m used to it." Cheng Dazhuang was somewhat flattered by Director Wang''s sudden concern.


    "Hehe, the young man is quite able to endure hardships! Our hospital needs hard-working and down-to-earth talents like you. But after training for so long, it''s almost done. I''ll greet the director of your department tomorrow, and I will be on the night shift in the future. This kind of work is less arranged for you."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Look, there are two official characters. If the leader says you can do it, it''s fine, but if you say you can''t, it''s useless no matter how capable you are.


    Cheng Dazhuang usually worked so many night shifts, except for being scolded or scolded, he was almost never praised by the leader.


    Director Wang, a chief physician in the Department of Cardiothoracic Surgery, suddenly showed his kindness to him many times, and no matter how stupid he was, he understood what was going on.


    After all, it was because he and Zhou Can grew up together.


    Director Wang probably wanted to get acquainted with Zhou Can through him.


    This kind of thing can only be felt, not expressed in words.


    It cannot be shown on the face.


    Just pretend you don''t know anything, just enjoy the leadership''s care happily. After all, it is a real benefit, and it is definitely not a loss to accept it.


    "Thank you, thank you! My waist hurts a little when I get cold at night. If I can adjust it in the future and take less night shifts, that would be really good."


    Cheng Dazhuang climbed up the pole and gladly accepted the benefits from Director Wang.


    "Thank you! In the future, if you have any difficulties, you can come to me directly. If you can solve it, I will definitely find a way to help you. Work hard, and I''ll go."


    Director Wang patted Cheng Dazhuang on the shoulder, turned and walked out of the office.


    Doctor Luo Jian felt a little sour, obviously he was also on the night shift, why was Director Wang so biased, he only cared about Cheng Dazhuang, and didn''t care about him?


    In terms of age, he is much stronger than Cheng Dazhuang.


    It should be his old comrade who needs to be taken care of more.


    When a man reaches the age of thirty-six or seventeen, there are wives and children who need to be taken care of at home. I''m on night shift, so I definitely can''t accompany my wife.


    How many married women, just because their husbands are not around at night, are finally taken advantage of by the old Wang next door and take advantage of the loopholes.


    Dr. Luo secretly sighed, it''s a pity that he doesn''t have a boy as awesome as Zhou Can!


    ¡­


    The next day, Zhou Can''s home received multiple good news.


    After repaying the bank loan yesterday afternoon, the court has submitted an application for unblocking to the land and real estate department in time, and it will take about a week to complete the unblocking procedures.


    However, due to practical considerations, and Zhou Can''s parents had secretly communicated with each other, before nine o''clock in the morning, the staff of the court came and tore off the seal of the villa.


    This also means that they can finally live back in the villa.


    In addition, the Zhou family paid off the supplier''s payment and the workers'' wages. Thanks to the efforts of the factory director, the factory has resumed work and production. It''s just that it takes a little while.


    There is no way to resume the operation of the factory immediately.


    If you want to resume production after the shutdown, you need to prepare in many ways.


    Factory Manager Zhou paid off the payment for goods and bank loans, and after paying off his wages, he still has a lot of cash flow in his hands. That''s enough for him to get the factory back up and running pretty well.


    "Dad, Mom, I asked the hospital for a total of five days of leave, and today is the fifth day. I plan to go back to the provincial capital with Qianqian after lunch."


    Zhou Can went home this time to help the family resolve the crisis. Seeing that everything in the family returned to normal, he no longer had any worries.


    This time, Rang realized that it is very important to continue to be his doctor.


    Because the contacts that relieved the family crisis were accumulated by being a doctor.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "I''m leaving so soon! Auntie Cleaning is asking to clean up the house. It is estimated that I can take Miss Qianqian home to have a look at around ten o''clock. Our family is in crisis this time, and your father and I have seen many relatives and friends clearly. The face of a friend. But your uncle has been trying his best to help our family. He knows that you brought your girlfriend back to meet your parents, and wants to see you too."


    Zhou Can''s father has three siblings, and his uncle''s family conditions are not bad, but it is far from being able to compare with Zhou Can''s family.


    Tens of millions of property, by no means every family can own.


    Only a very few lucky ones made their fortunes through hard work or through their parents'' connections in the officialdom.


    The uncle and their family also walk around occasionally, at least they will have a New Year''s Eve dinner together every year.


    The relationship between brothers is okay.


    The third aunt who married into the provincial capital, in Zhou Can''s impression, has always been acrimonious and loves comparisons. Since Zhou Can''s grandparents all passed away, her contact with her two elder brothers has decreased a lot.


    Zhou Can''s family had a crisis this time, and the third aunt originally agreed to lend 300,000 yuan to their family.


    Later, my uncle disagreed, and finally 300,000 yuan was changed to 3,000 yuan.


    I heard that it was Sangu who secretly transferred 3,000 yuan to Director Zhou. Of course, the director Zhou did not accept the money.


    Three thousand yuan was of little use to the Zhou family, which was burdened with 37 million debts at the time.


    And the change from 300,000 yuan to 3,000 yuan is more or less like charity.


    In addition, the factory manager Zhou was as tough as Zhou Can in his bones, so he didn''t accept the three thousand yuan transferred by Sangu.


    In fact, when the third aunt got married, Zhou Can''s family was not particularly rich.


    Zhou Can''s father directly sealed a big red envelope of 100,000 yuan to his sister.


    Later, the third aunt''s family ran out of money to buy a house, and my father gave another 400,000 yuan.


    Unfortunately, not everyone knows how to be grateful.


    I heard that once, the third aunt asked her father to borrow two million to open a restaurant, but her father refused. That is to say, from that time on, the third uncle hated their family.


    Such is the evil of human nature.


    Even if you helped him ninety-nine times, if you didn''t agree to help him at the end of the hundredth time, you may turn from a benefactor to an enemy.


    The ancients said a long time ago that supporting rice nourishes kindness, and fighting rice nourishes hatred.


    The third aunt''s family opened the restaurant that time, in fact, they should thank the director Zhou for not agreeing to borrow money.


    Because the third uncle instigated the third aunt to borrow money from them but failed to borrow, and later managed to raise 200,000 yuan to open a restaurant in partnership with others. As a result, I didn''t even make it through two months, so I lost all of it.


    If he had borrowed two million at that time, the loss would have been even worse.


    In many industries, looking at other people can make money, but if you are a layman, if you plunge into it, you will lose all your money.


    But the vast majority of people are blindly and confidently following the trend after seeing other people making money, regardless of whether they understand it or not. In the end, I lost it until I cried to death.


    "I''ll go and talk to Qianqian, and I''ll take her back to the villa later."


    Zhou Can felt that it was perfectly fine for the family to have a meal together.


    Uncle helped their family this time, so he should toast and thank him then.


    Besides, the uncle has always been very concerned about his nephew, and if he finds a girlfriend, he should also let him meet.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can was on his way to the hotel when his cell phone rang.


    I saw that Cheng Dazhuang was calling.


    "Da Zhuang, what''s the matter?"


    Just got together yesterday, and Cheng Dazhuang called so early, it must not be reminiscing about the past, but something.


    "Didn''t I work the night shift yesterday? I just woke up!"


    Cheng Dazhuang yawned on the other end of the phone.


    "You didn''t find a wife, did you just want to chat with Fa Xiao?" Zhou Can was speechless for a while.


    Cheng Dazhuang is a month older than him, so he can be regarded as the eldest.


    It''s totally possible to talk to a girlfriend.


    "Hehe, you think that everyone is like you, with a good family background and excellent conditions, so finding a girlfriend is not difficult. I haven''t passed the exam for a medical license now, and my job has always been a regular training, so I can''t become a regular. Which girl? Can you look up to me like this?"


    Cheng Dazhuang poured bitter water on him.


    Girls these days are very realistic. It is really difficult for boys with poorer conditions to find a wife.


    "Didn''t I tell you about the medical license exam yesterday, will I do my best to help you?" Zhou Can thought that this guy hadn''t woken up, so he had to repeat what he said yesterday.


    "I know, I know. Let''s put this aside for now, and I need your help right now. The director of our hospital called Lu just now, and the director himself called me, but I was terrified. Guess what happened ?¡±


    At this moment, Cheng Dazhuang actually sold out.


    "What else can I do, I''ll scold you!"


    Zhou Can deliberately angered him.


    He and Cheng Dazhuang have known each other since they were young, and he knows Cheng Dazhuang''s character very well.


    If you ask him why, he can hang your tongue for a long time.


    But provoke him with a few words to ensure that he will tell the matter obediently by himself.


    "Pfft! Dogs can''t spit out ivory, am I that bad? Tell you, the dean called me just now, and his tone was surprisingly amiable. He asked me first, so he didn''t disturb my rest! Then he was tactful. He expressed that he wanted me to introduce you and ask you to have a meal. I was thinking that even Dean Lu would take the initiative to invite you to dinner, which means that you are really crazy at Tuya Hospital. It¡¯s just these People are a little more realistic, one by one rushing to jump on you."


    Cheng Dazhuang said the matter again.


    "You agreed?"


    Zhou Can asked.


    "I haven''t asked your opinion, how dare I agree! If I agree, and you say no, the dean will have to cook me!" Cheng Dazhuang was still somewhat measured.


    He didn''t dare to take the place of Zhou Can''s decision.


    "It''s fine if you don''t agree. I''m going back to the provincial capital with my girlfriend after lunch. As for your Dean Lu, you tell him, I''m really sorry this time, I don''t have time, and I''ll have dinner with him next time. "


    Zhou Can naturally knew what Dean Lu was planning.


    To be honest, he doesn''t like expanding such connections.


    Those who make friends with each other will be scattered when the benefits are exhausted. Those who intersect with potential will fall when the potential goes away.


    Dean Lu was eager to ask Cheng Dazhuang for his relationship and wanted to invite him to dinner, just because he saw that he was doing well in Tuya Hospital and wanted to get to know him. In the future, the County People''s Hospital will be able to ask Zhou Can for help when encountering uncertain cases.


    In Zhou Can''s eyes, this kind of personal relationship is no different from friends with wine and meat.


    This chapter is not finished, click [next page] to continue reading -->>


    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Now, Zhou Can is doing well in Tuya Hospital, and doesn''t need any help from Director Lu at all. On the contrary, Dean Lu might trouble Zhou Can with a lot of things in the future.


    If Zhou Can was doing badly in Tuya Hospital and went back to his hometown and wanted to ask Dean Lu for help, he would most likely turn his back on him faster than turning a book.


    The only people who give charcoal in the snow are sincere friends and relatives When this kind of "wine and meat friends" use you, they are called brothers and sisters. When you are not needed, you are thrown away like a handful of snot.


    "Ah Can, can''t you be wronged and wronged, and agree to eat this meal? You see, our dean has already asked me for help."


    Cheng Dazhuang said to Zhou Can.


    His understanding of human nature is obviously not as thorough as Zhou Can''s.


    "Da Zhuang, just tell him what I said about this matter, I promise you will not be unpopular. And as long as we have this small relationship, as long as I have been doing well in Tuya Hospital, you The status of the county people''s hospital will become higher and higher."


    Zhou Can saw it much more clearly than him.


    It doesn''t really matter if you eat the meal or not.


    It would be good for Cheng Dazhuang not to agree to eat this meal.


    "Even if he doesn''t say anything, he will definitely scold me in his heart for not being able to handle such a small matter." Cheng Dazhuang said aggrievedly.


    "Why don''t you understand? If I promise to eat this meal, and I''m directly connected to your Dean Lu, if he asks me for help in the future, will he need you? On the contrary, I won''t eat with him today." I don¡¯t know him during this meal. In the future, if your hospital wants to ask me for something, it must go through you as an intermediary! Isn¡¯t your status and importance coming up?¡±


    Zhou Can called him.


    Compared with him, Cheng Dazhuang was still much inferior after all. Not to mention the gap in medical skills, Cheng Dazhuang also needs to ponder and understand the cognition of human nature, the stakes in interpersonal communication, and the relationship of interests.


    "Yeah, that makes sense. All right, then I''ll decline."


    Cheng Dazhuang couldn''t help smiling happily after receiving the advice.

 Chapter 352： See in-laws, dont show off like brocade clothes

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Are you leaving so soon? I was thinking of having a meal and a drink with you."


    He was somewhat sad to hear that Zhou Can was going back to the provincial capital today.


    "There will be more opportunities in the future! If there is nothing else, I will hang up first."


    "You''re busy!"


    After Cheng Dazhuang got Zhou Can''s guidance, he had a bottom line in his mind. His fate is also quietly changing.


    In terms of learning, from the previous self-abandonment and lack of progress, I became positive and regained the confidence to fight hard. The main reason is that Zhou Can gave him this confidence.


    At work, his status in the hospital has risen sharply, which was also brought by Zhou Can.


    Cheng Dazhuang is very lucky to meet such a noble person in his life. But it''s not enough just to have noble people, you have to work hard to seize the opportunity.


    Otherwise, like a pile of mud that can''t support the wall, it''s useless even if you know the Heavenly King and Lao Tzu.


    After Zhou Can arrived at the hotel, he told about his parents inviting Su Qianqian home for lunch. She seemed very happy, but also a little nervous. This was the first time she officially met the man''s parents.


    "Honey, do you think it''s okay for me to wear this dress?"


    She took out a more casual casual outfit and asked Zhou Can for his opinion.


    Before Zhou Can gave her opinion, she was the first to veto it.


    She shook her head and said, "No, no, you should dress more formally." After speaking, she took out a dress for an important occasion. "Would it be too grand to wear this dress? At that time, your parents will think that I am superior and too ostentatious."


    In this way, Su Qianqian has already fallen into great difficulty in choosing clothes.


    Zhou Can looked amused for a while.


    "Just wear this casual outfit! It''s decent and friendly, anyway, it''s just a family dinner, there are no other guests. Only my uncle will come to have dinner together."


    If you don''t give her an idea, I''m afraid you will have to choose until night.


    This also reflects from the side that she cares about this love and has tried her best to please the man''s parents.


    After finally waiting for her to change her clothes and put on her makeup, it was almost eleven o''clock.


    It''s really not easy for lesbians to go out.


    Just putting on makeup, changing clothes, and matching jewelry can take an hour or two.


    Su Qianqian was born with a natural beauty and extraordinary beauty, but now that she puts on exquisite makeup and is supplemented with three or four high-end jewelry embellishments, she is instantly beautiful. It''s really like sinking fish and falling geese, with flowers and closed moon.


    Mom''s phone call has come.


    "Son, have you picked up Miss Qianqian? Where have you been?"


    "It''s on the way, it''s estimated to be there in ten minutes or so!"


    The hotel where he stayed was not particularly far from his home.


    In fact, the county itself is very small, and it takes at most half an hour''s drive from the east end of the city to the west of the city.


    Wei Fang drove the BMW, and Zhou Can and Su Qianqian sat in the back.


    Not long after, the car slowly drove into his villa.


    Compared with when I came a few days ago, the seal on the gate has been torn off. Zhou Can had the key to the villa''s gate on his body, and he directly pressed the remote control, and the gate slowly opened to both sides.


    Driving into the front yard, I saw three cars parked in the garage.


    The black Mercedes-Benz is the factory manager''s car, a commercial vehicle. No way, I usually need such a car for business. Dust had already settled on it, and when the family property was seized, it seemed that the car was not spared.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The white Audi next to her is my mother''s car.


    There was also a thick layer of dust.


    The other Toyota Domineering is the uncle''s car.


    Uncle likes to drive this kind of mighty and domineering big guy, rolling around like a tank.


    Judging from the fresh vehicle bruises on the road, the uncle should have just arrived.


    "Your villa is so big!"


    "It''s quite big. When I bought it, the area of ??the villa and the area of ??the garden were among the best in the county. My dad is a real estate fanatic, and he likes to buy a family business. When buying a house, you need to buy a big one. At that time, in order to get a swimming pool, I specially found Developers. To build a factory and acquire land, it is also necessary to acquire a good plot, and the area must be large.¡±


    Zhou Can said with a smile.


    Entering his family''s villa, it really gives people a magnificent and magnificent feeling.


    "If I have money in the future, I want to buy such a big villa in the provincial capital, preferably with a swimming pool. Looking at the building area, I''m afraid it''s six to seven hundred square meters?"


    Su Qianqian sat in the car, looking at his house curiously, with a look of liking in her eyes.


    "The property area is more than 400 square meters, and the actual usable area may be more than 800 square meters. There are still some disadvantages for such a large house. For example, the property fee is not cheap, the sanitation is not easy to clean, and living in it is very special. Empty. If you give me a bunch of little monkeys in the future, maybe you can consider this kind of big house. Otherwise, it¡¯s better to buy a smaller one.¡±


    Zhou Can expressed his views.


    "You are so beautiful, you gave birth to a bunch of little monkeys! You are not a reproductive machine!" Su Qianqian said this, but in her heart she yearned for a happy life of living in a villa with children running around.


    "Hey, do you want two or three children?"


    Zhou Can likes children very much, and thinks he needs to have at least two or three.


    "Wei Fang, just park the car in the fourth parking space in the garage."


    Because the area of ??the villa is large enough, the garage can park four cars. If there are guests, four more cars can be parked outside. Parking a total of eight cars is not a problem.


    The rear garden area is larger than the front.


    After the three of them got out of the car, Zhou Can''s mother was already standing on the steps to welcome them with a smile on her face.


    Apart from the couple, only the son had the key to open the door of the villa.


    "Mom! This is your future daughter-in-law Su Qianqian!"


    Zhou Can smiled and introduced the identity of his girlfriend to his mother.


    Su Qianqian squeezed his hand hard, her pretty face blushing slightly.


    Zhou Can always plays cards out of routine, so he has to use the word "future daughter-in-law". It made Su Qianqian feel sweet, but also a little shy.


    After all, this is the first time to officially meet the man''s mother.


    "Hello, auntie!"


    She has seen countless big scenes. Although she is shy, she behaves gracefully and greets Zhou Can''s mother politely with a smile.


    "What a handsome girl! I''ve heard my son mention you many times, and you are even more beautiful than you look in the photos! Miss Qianqian, please sit in the room. When you get here, it''s like returning to your own home. Don''t be restrained."


    Zhou Can''s mother smiled and stepped forward to hold Su Qianqian''s hand.


    She herself is also a female entrepreneur.


    Affinity and communication skills are quite strong. Many businesses in the family were developed by her.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Mom, this is the driver we hired, Wei Fang."


    "Hello, Miss Wei Fang! Please sit inside!"


    Mom greeted the driver with a smile.


    Zhou Can did not say that it was Su Qianqian''s driver, but told his mother that this was the driver hired by the two together.


    A man is a piece of double-sided adhesive, which is the bond between the woman and her parents.


    A man has a high emotional intelligence and can consciously reduce the conflicts between his wife and parents, so that the daughter-in-law can live in harmony with her family.


    If a man is blindly foolish and filial, everything will follow the wishes of his parents and he will not have his own opinions. This is very easy to cause dissatisfaction with the wife. The wife feels that life is sad, and conflicts are naturally indispensable.


    There is also a kind of man who lifts his wife up to the sky and serves him like a princess. Doting on your wife is not a bad thing in itself, but if you ignore your parents'' feelings, it will also easily cause your parents'' dissatisfaction.


    In my wife''s heart, I am always an outsider, and I don''t get the respect I deserve, and my mother-in-law and father-in-law criticize her from time to time. In her ears, she will feel that her father-in-law and mother-in-law are always targeting her and picking on her. Then family conflicts can erupt.


    Therefore, whether a family is harmonious or not, the attitude of the man is very critical.


    If it is the kind of son-in-law who comes to visit, the attitude of the woman is very important.


    If possible, it is ideal to live separately from your parents and keep a bowl of soup away.


    What is the distance of a bowl of soup?


    It is to make delicious food, send it over, and keep it hot.


    That''s a bowl of soup away.


    "Mom, this is a gift specially selected by Qianqian for you and Dad. Can I put it at the door of your room?"


    Zhou Can took out the prepared gifts from the car.


    It is a big taboo for a daughter-in-law to visit the man''s parents empty-handed for the first time.


    The daughter-in-law with a little emotional intelligence will bring some gifts.


    Even carrying a bag of fruit is much better than carrying nothing.


    "Hey, come to sit at home, my father and I are happier than anything else. What kind of gift do you want to buy? Qianqian, I''m letting you spend money!"


    "I don''t know if Uncle and Aunt like it, so I just bought some. Your house is really magnificent, are all the furniture made of mahogany?" Su Qianqian has a very high EQ, after all, she is a female star in the entertainment industry.


    Without a little bit of EQ and IQ, it is absolutely impossible to move an inch in the entertainment industry.


    She took it lightly, and then changed the subject.


    This will not make the atmosphere awkward.


    If you have been entangled in the topic of gifts, you will be dead in a minute.


    "Hehe, it''s nice to have shallow eyes. You can recognize the mahogany furniture at a glance. These are specially ordered from coastal areas." While talking, several people have already entered the living room.


    The uncle''s family is sitting in the living room drinking tea.


    As soon as they entered the room, their eyes naturally fell on Su Qianqian.


    After all, this is the new daughter-in-law of the Zhou family who has never been married. They all want to see what she looks like and what she does.


    "Son, hurry up and call your uncle and aunt!"


    Mom reminded Zhou Can.


    "Uncle! Aunt! Brother! Sister-in-law!"


    Zhou Can went to greet their family.


    "Haha, this kid, Ah Can, is getting more and more handsome! I heard that you have found a girlfriend. Let''s come here to have a look."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The uncle smiled and praised Zhou Can.


    "This brat has never been in a hurry. His father and I are very anxious. I often tell him that your brother''s children can make soy sauce. Now it''s all right, and finally brought back a daughter-in-law. This time, his father and I Do not worry!"


    What my mother said made everyone laugh.


    "Hello Uncle! Hello Aunt..."


    Su Qianqian knew the book well, behaved dignifiedly and steadily, and came forward to say hello to the uncle''s family with a smile.


    "What a beautiful girl! Ah Can, please cherish her!"


    The uncle smiled and nodded at Su Qian, and then instructed Zhou Can.


    "I will definitely. Qianqian is willing to marry me. That is the blessing I have cultivated in my life. Besides, our Zhou family has a fine tradition. Whether it is my father or you, we are all dedicated and loyal to our wives." Considerate. Seeing the happy smile on my sister-in-law''s face, I believe that my brother is also very kind to her. When I come here, I must not embarrass our Zhou family!"


    Zhou Can took the words, and by the way, praised his uncle, cousin, and father.


    It is said that cousins ??are three thousand miles away and cousins ??are five hundred years old.


    The uncle''s child has a very close relationship with Zhou Can. On the contrary, I don''t have much contact with Sangu''s children, that is, we meet each other during the holidays, say hello, and chat for a while.


    "Haha, look at Zhou Can''s mouth, it looks like it has been smeared with honey. No wonder he can win the heart of a beauty!" Auntie obviously enjoyed hearing Zhou Can''s words, and she smiled so much that she showed her two inlaid silver teeth.


    Time is not forgiving, uncles and aunts who are almost sixty years old can already see their aging.


    Years, the butcher''s knife, left deeper scars on Auntie''s body.


    In addition to losing at least two teeth, the wrinkles on her face cannot be hidden even with thick foundation. As for her hair is still black and shiny, everyone knows that.


    Women who love beauty, when they get older, like to dye their white hair black.


    There are only two words that women are most afraid of, ugly and old.


    Many women have misconceptions about old characters. I think that when I get old, I will definitely become ugly. In fact, this is not the case. There are a small number of women who live exquisitely, whose inner self-cultivation is continuously strengthened, love to learn, open-minded, kind-hearted, and have a certain financial foundation. Such women can be elegant and beautiful even when they are old.


    People''s life, different ages have different physical conditions, there is really no need to be afraid of getting old.


    Because it''s useless to be afraid.


    Time is fair to everyone. Its passage is silent, and there is no way to resist it.


    At this moment, Zhou Can''s father also rushed back.


    "Sorry, the factory has something to deal with, so I''m late."


    "Dad! This is my girlfriend Qianqian."


    Zhou Can quickly introduced it to his father.


    Su Qianqian also greeted with a smile, "Hello, Uncle Zhou!"


    "Okay, okay! Oh, when I first saw it, I thought the fairy from the Moon Palace had descended into the mortal world! Miss Qianqian, please sit down, please don''t be polite. Treat this as your own home."


    Factory Manager Zhou was so happy to see that his son really brought back a daughter-in-law.


    "Hehe, Uncle Zhou is so humorous!"


    Su Qianqian smiled happily, at least for now she and Zhou Can''s family and relatives are still getting along well. The atmosphere is congenial and convivial.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    After greeting Su Qianqian, Director Zhou greeted his eldest brother and sister-in-law again.


    After getting to know each other, everyone sat down and began to enter the formal chat stage.


    "Ah Can, I heard that you have joined Tuya Hospital to work, not bad!"


    Uncle is the elder brother, with a strong aura.


    Even when he was a guest at his house, the uncle basically dominated the direction of the conversation.


    "Anyway, that''s it! It''s only in the training stage at the moment, it''s equivalent to an internship! A monthly salary of 2,000 yuan."


    Zhou Can said modestly.


    "Xiao Hai, aren''t you an official in the medical system? You have a chance to help your brother!"


    My aunt is actually a person who likes to show off.


    Ten women, nine vanity, just in different degrees.


    This is really not nonsense.


    There are few women who do not like to show off.


    Everyone wants to show face. After making a fortune outside and becoming an official, they all want to go home to honor their ancestors.


    Women show off and compare more than men.


    The family bought a new car, and she promised to compare herself with her colleagues and neighbors. Her son was admitted to a prestigious university, and she wanted to let the whole world know about it.


    This cannot be one-sidedly said to be a shortcoming, or a bad thing.


    Since ancient times, there has been a saying that people who are promoted do not return to their hometowns, such as walking in the night in brocade clothes.


    Zhou Can''s cousin passed the civil service exam, and he knew about it. As an official in the health department, this is only slightly heard.

 Chapter 353： Take care of 1 next Zhou Can, dear

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The uncle''s family did not elaborate on which department he was an official in.


    Listening to my aunt''s tone, my cousin Zhou Hai should be doing well, at least he is also a department-level cadre.


    Although department-level cadres are just low-level cadres, there are only a few hundred department-level cadres in a county. It may not be a big deal in the provincial capital, but in this small county, it is a real boss.


    Basically, the important power and resources of all walks of life are controlled by this group of people.


    "Mom, Zhou Can works in the Tuya Hospital in the provincial capital. My arms can''t be stretched that long! If I were in the county town, I would be able to speak."


    Zhou Hai didn''t dare to brag.


    Tuya Hospital in the provincial capital, not to mention him, even if his boss went, it would be nothing.


    In this kind of public provincial tertiary hospital, the level of the dean is generally not low.


    Private clinics and small private hospitals are most afraid of having one check-up every three days and one check-up every five days. Firefighting, safety supervision, drug supervision, epidemic prevention...almost as long as it is a department, two people can be sent to slip there.


    This one is unqualified, that one needs to be corrected, and it is guaranteed to make the boss of the private hospital cry every day.


    But big hospitals never have these things.


    Zhou Can has been working in Tuya Hospital for almost three years. Whether it is the internship stage or the training stage, it has always been calm.


    There is only one reason. Apart from the fact that large hospitals are relatively standardized and do not have any problems with violations of laws and regulations, the hospital-level leaders of large hospitals are all at the administrative level.


    And the level is not low.


    Zhou Hai is only thirty-six years old now, very young, and no matter how high his official position is, there is a limit. Let him go to Tuya Hospital to say hello to Zhou Can, and there is a high probability that others will treat him as a mental patient.


    "Brother Hai, Auntie, thank you for your kindness. I am doing well in Tuya, and there is no need to go through the back door for the time being. If I need anything in the future, I will definitely ask Brother Hai for help."


    Zhou Can is already very humble.


    He was doing well in Tuya, and he didn''t need to go through any back door at all.


    "That''s fine, when you need help in the future, you can just talk to your brother Hai! He just got promoted to the deputy department level this year, and he can be regarded as a famous person in the county. Those who gave gifts almost didn''t give my doorbell to me. It¡¯s broken, it¡¯s annoying to death.¡±


    The aunt continued to show off the changes in her son after he was promoted.


    Sub-subject level, that''s pretty awesome.


    Officials hold power in their hands and rely on connections, so people who go through the back door are naturally indispensable.


    "You can''t do the thing of receiving presents, or you will harm Brother Hai." Out of good intentions, Zhou Can persuaded his aunt.


    "I know, I know, can I commit a lake smear? Ah Hai also told us that he will not accept gifts from anyone. Ordinary people, I don''t even let them in. But you are different, You and Ah Hai are brothers, and he should help you within his ability, isn''t that right! Your uncle often says that both families have only one son, and you brothers should help and support each other."


    Aunt''s consciousness is not bad.


    What people fear most is greed.


    Looking at those gift givers, holding tickets in their hands, or visiting with good wine and cigarettes, it is not easy to refuse the benefits of this kind of door-to-door delivery.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Ah Can, what your uncle said is very reasonable. Although you and Ah Hai are cousins, you are as close as brothers. We must help each other in the future. Now you have just entered the society, and your status is low. There are people who need help. Don''t be shy about things, you can ask Ah Hai. In the future, if you are promising and can help Ah Hai, you must also be righteous. Only in this way can the two families be a family. You see, our family has suffered a catastrophe this time , others are hiding from our family, only your uncle''s family extended a helping hand."


    Director Zhou is also educating the children in a timely manner.


    Now that the era of fighting alone has long passed, the brothers and sisters of the family can only become stronger and stronger if they unite and integrate resources together.


    "I will keep in mind the kindness my uncle''s family has shown us."


    Zhou Can never likes to say words of thanks.


    For benefactors, he always secretly remembers them in his heart, and will repay them when he has the opportunity.


    Just at this moment, the sound of a horn honking came from outside.


    The faces of Director Zhou and his wife changed slightly, but they soon returned to normal. These days, various debt collectors have come to collect debts, which has already made them form a conditioned reflex, and the wind is jittery.


    "I gonna go see!"


    Now that Zhou Can wants connections, connections, and money, he is really not afraid of anything.


    The key point is that he is also very good at fighting, and can handle any kind of people he meets.


    His parents'' expressions changed, as far as he could see. He saw it in his eyes and felt pain in his heart.


    He walked out of the gate quickly, pressed the remote control, and opened the door.


    A rather handsome Cadillac was parked outside the door.


    Sitting in the car were my uncle and my third aunt.


    However, this car looks obviously a little old and has a sense of age. He remembered that the third aunt''s family used to drive a white Buick, but they hadn''t seen each other for three years and replaced it with a Cadillac.


    Logically speaking, if you buy a new car, this car will definitely not be cheap, and Sangu''s family will cherish it very much.


    In three years, it must not be like this.


    Then there is only one explanation. I bought a second-hand car, and it was a kind of old second-hand car.


    After all, this new car is not cheap.


    Even if it is a used car, if the service life is short, the price will not be cheap.


    Zhou Can waved his hand, stepped aside, and motioned for their car to come in.


    After my uncle drove the car into the front yard, it stopped, turned off the engine, and the four of them got down from it.


    The third aunt''s family is considered to be well established, with a son and a daughter, and they just make up a good character.


    "Aunt, uncle, cousin, cousin!"


    Zhou Can greeted the four of them respectively.


    In any case, there is a blood relationship, and people take the initiative to come to visit, so the elders should be given the necessary respect.


    At least let Zhou Can be as snobbish and ungrateful as his uncle, he will never be able to do it.


    There are four members of my uncle''s family, and all of them are well-dressed and extravagant.


    "Xiao Can, I almost don''t recognize you."


    Aunt looked at him.


    "I... Am I gaining weight?" Zhou Can asked with a smile.


    "He''s so handsome! His temperament is like that of the leading actor in a TV series. He''s very good!" My aunt praised sincerely.


    Perhaps because of Zhou Can''s strength, that kind of self-confidence and calmness that comes naturally from the heart can really make him stand out from the crowd.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Hehe, my aunt praised me so much that my feet are so light! Uncle''s family is also here, please sit inside!" No matter how dissatisfied Zhou Can was with his uncle, he still had to do his best.


    My cousin, who was younger than him, raised his head slightly, with a proud smile on his face. The cousin''s eyes are more interesting, as if Her Royal Highness came out of the palace and entered the landlord''s house in the countryside, her eyes were full of pickiness and contempt.


    If there is a father, there must be a son and a daughter.


    The two didn''t learn any other skills, but they learned everything from their father first.


    Zhou Can still remembers that when his uncle came to their house for the first time, he hadn''t bought this villa yet. Instead, he lived in an old house in the county seat. Uncle had such a condescending look at that time.


    Over the past ten years, Zhou Can''s family''s business has grown bigger and bigger, and their houses have become bigger and bigger.


    Even if this villa is in the county seat, the price is not cheap.


    The ordinary large flat in Sangu''s house is really not as valuable as this villa.


    No way, some people are born like this. He thought he was born with a golden key in his mouth, and had a salary of 3,000 yuan, so he looked down on those with a monthly income of more than 10,000 yuan. Living in an old house in the provincial capital, he just looked down on the villas in the county.


    It''s like the people of Modu, no matter where you look, people think they are countrymen.


    This is not low quality, but the pride and arrogance engraved in the bones.


    "Zhou Can, I heard that you work in Tuya Hospital?"


    Uncle also has nothing to say.


    "Well, working as a training doctor in Tuya is equivalent to an internship!" Zhou Can nodded.


    "It doesn''t matter which unit you enter, you start as an intern. Your cousin and cousin are also with you, do you know?"


    When my uncle talked about his children, his face was full of pride.


    "They majored in medicine and nursing, I know. I really don''t know what happens after work."


    Zhou Can is the same age as his cousin, who is one year younger than him.


    Women are generally married early, so they are often very young when they have children.


    My aunt is two years younger than Director Zhou, but she gave birth in the same year.


    "I''m currently undergoing regular training at the Provincial Children''s Hospital. After the new year, I should be able to become a full-time employee." My cousin seemed confident in his work, so he took the initiative to introduce it.


    "That''s pretty good! The Provincial Children''s Hospital ranks very high, and it''s also a provincial-level top-three specialty hospital. It has a bright future!"


    Zhou Can smiled and praised each other.


    In fact, in terms of hospital influence rankings and comprehensive strength rankings, today''s Provincial Children''s Hospital is directly beaten by Tuya Hospital, which is in full swing.


    "It''s not bad! But now the competition is extremely fierce, and my master''s degree can only be regarded as a middle-level qualification in the hospital. Those postgraduate doctors who enter the hospital only need one year of regular training and can be automatically promoted to attending physicians. Compared with them, the gap is still Pretty big."


    Zhou Can knows a little about his cousin''s graduate degree.


    Even if they are all graduate students, there are differences between them. In addition to looking at the institution and major you graduated from, you also need to look at whether you are a postgraduate master or a doctor.


    At present, the general trend of major hospitals is to frantically pursue talents with higher education.


    It is an indisputable fact that doctoral students are more popular than master students.


    Perhaps in the near future, this phenomenon will become more serious.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Hey, I remember you graduated from a bachelor''s degree, right? Tuya''s competition should be more intense. Are you sure you can become a regular? I heard that at least 40% of Tuya''s regular trainees will be eliminated."


    The cousin''s two questions, which were supposed to be concerned, were said in a frivolous tone, which made Zhou Can feel a little uncomfortable.


    "I''m not sure, there is a high probability that I will be among the 40% eliminated!"


    Zhou Can simply followed the other party''s words.


    "It doesn''t matter if you are eliminated. You can''t get along with a big head hospital like Tuya. You can still come to our third hospital!" My cousin majored in nursing and should be a nurse now.


    "Okay, if I need it at that time, I will go to your third hospital to try."


    Zhou Can nodded in agreement.


    Of course, these are all polite words on the scene.


    "You can make a note of my phone number. I should be able to be promoted to a supervisor nurse next year. I still have a certain status in the hospital. After all, the graduate-level nursing major is still very popular."


    Her tone was even more confident than her brother''s.


    Is it really a family? If you don''t enter the family, the brother and sister are both of the same virtue.


    "Hehe, I''m so kind! What''s your phone number, I''ll save it."


    Zhou Can is a rich second generation after all, and he never exposes others'' faults in person, let alone flaunts in front of others. See through but not tell through, this is his basic principle of dealing with people.


    The cousin reported the number to him, and Zhou Can really kept it carefully.


    The two children of my aunt''s family both graduated from graduate school, which must be admired for them. They are willing to spend money on education, and then both brothers and sisters have very good understanding and can read.


    Otherwise, it is impossible to be admitted to graduate school.


    It''s just that both brothers and sisters choose the medical industry, and I don''t know if this industry is too popular, or the two brothers and sisters like this industry.


    "Let''s go, everyone go in and sit down! Go inside and drink tea!"


    After saving his cousin''s number, Zhou Can invited two of his peers to sit in the room again.


    When people meet, greetings are indispensable.


    "Second brother, have you paid off all your debts?" Auntie asked with concern.


    "Well, it''s basically clear!"


    Manager Zhou''s answer is quite level.


    The use of two words, basic, makes people subconsciously think that their family has barely paid off their debts and has no money left.


    This also blocked the uncle''s family''s idea of ??borrowing money.


    "Just pay it off. Last time I promised to lend you 300,000 yuan, but I failed to cash it in. Don''t take it to heart. At that time, my family''s money was invested in shares and I wanted to withdraw the shares, but the partner did not agree. "


    My aunt''s reason for this explanation is actually quite far-fetched.


    Everyone is an adult, and she agreed to lend 300,000 yuan to Director Zhou, indicating that she must have the money in hand. Later, he stopped borrowing because he was worried that Zhou Can''s family would collapse completely and he would not be able to pay back the money in the future.


    Of course, my uncle must be in charge here.


    "They are all brothers and sisters of my own family. How can I take it to heart! I am very happy that you can come today. It happens that it is almost time for dinner, so let''s go to the restaurant for dinner. Ah Can brought his girlfriend home, and the debts in the family I am very happy that the crisis has been resolved smoothly."


    People are in good spirits on happy occasions.


    Compared with the old and haggard a few days ago, Director Zhou is now radiant and full of energy.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The style of the successful entrepreneur is back.


    And compared to before, it appears more calm and introverted, and stronger.


    This is how people are. After a major setback, as long as they can stand up again, they must be stronger than before.


    "I''ve already reserved a table. There aren''t many people anyway, so it''s more lively to eat at a big table," Zhou Can''s mother said.


    "Sister-in-law is more thoughtful! Xiaocan has found such a beautiful girlfriend, she looks like a big star, sister-in-law is probably as if she had eaten honey!"


    My aunt is also trying her best to repair the relationship between her aunt and sister-in-law.


    Praise is undoubtedly a good way. UU Reading www. uukanshu.com


    "It''s not just eating honey, my heart is filled with honey. Seeing that this child, Acan, is expected to have a family, I, as a mother, have a stone in my heart."


    When Zhou Can''s mother looked at her son and future daughter-in-law, she had a happy smile on her face.


    "Qianqian, I didn''t prepare anything when we met for the first time. This little red envelope means something, don''t be too little!"


    Before my aunt came, I must have made preparations.


    I took out a big red envelope from the handbag, and it looked a little thick.


    There must be one or two thousand yuan.


    "Auntie, you are too polite! I accept your kindness, and the red envelope will be free! It should be us juniors who honor you."


    Su Qianqian quickly refused.


    "Oh, look at what a wonderful girl! Girl Qianqian, if you don''t think too little, you can accept it. This is a little care from my aunt, and it is also her love for you."


    The aunt put the wallet into her hand.


    Zhou Can''s hometown has this custom. When taking the girl home to meet the parents, the parents'' immediate brothers and sisters, as well as the male''s immediate elders, will give a red envelope as a meeting gift.


    "Qianqian, just take it!"


    Zhou Can spoke next to him.


    "Thank you, auntie!"


    Su Qianqian took advantage of the opportunity and accepted the red envelope.


    "As an uncle, I can''t speak, but I''m happy for you two juniors from the bottom of my heart, and I sincerely bless you. The little red envelopes are festive, meaning."


    The uncle also came over with a red envelope and stuffed it into Su Qianqian''s hand.


    Looking at the thickness, it is also one or two thousand dollars.


    Before the marriage is negotiated, this number is basically given. In case of blowing, the loss is not big.

 Chapter 354： Great show of superiority, jaw dropped

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    , my medical skills can add experience points


    "Thank you uncle!"


    Su Qianqian followed Zhou Can to address these elders.


    Zhou Can''s mother saw that both uncle and aunt gave red envelopes, and took out a big red envelope from the satchel. There should be a lot in it, because the wallet is so swollen that it is about to burst.


    According to Zhou Can''s custom, the mother-in-law''s red envelopes for future daughter-in-laws are usually based on their own financial strength.


    At least 666 yuan is given, and no matter how low it is, it is a bit out of reach.


    The family is more arrogant and satisfied with the girl, basically it is 6666 yuan, or even 8888 yuan. Generally, it will not exceed 10,000 yuan. After all, no one''s money comes from the wind.


    More than 10,000 yuan, the red envelope can''t fit.


    "Qianqian, be careful, take it and buy two clothes!"


    "Thank you, Auntie!"


    Su Qianqian took the red envelope and felt the thickness of the red envelope in her hand, with a touch of emotion on her face.


    She knew the situation of Zhou Can''s family and almost went bankrupt. Now that she has just paid off her debts, she has directly sealed such a thick red envelope, which is how much she values ??and loves her.


    "Give red envelopes to beautiful aunts, why not give them to me?"


    A slightly immature voice sounded.


    But it was my cousin Zhou Hai''s daughter who was speaking.


    The little girl was about three years old, she was just the age when she was baby-sounding, cute, and a bit witty and mischievous.


    After hearing this, everyone laughed.


    Fortunately, Zhou Can has already prepared a few red envelopes.


    He immediately took one out of his pocket and walked over.


    "That''s because you didn''t call me! You call me Uncle Can, and I''ll give you a red envelope to buy candy!"


    Zhou Can squatted down and teased his cousin''s child.


    "Hello Uncle Chan!"


    She really had the courage to call out to Zhou Can, but after she finished calling, she immediately turned around and threw herself into her mother''s arms, buried her face in it, and hid.


    "Hey, Little Tangdou''s voice is really nice and sensible! Come, this red envelope will buy you candy."


    Zhou Can smiled and stuffed the red envelope into her hand.


    As she wished, the little girl turned to look at Zhou Can.


    "I''m not called Xiaotangdou, I''m Huanhuan." She pursed her lips and corrected Zhou Can''s mistake.


    "Oh! So your name is Huanhuan, I remember it!" Zhou Can suppressed a smile and nodded solemnly. "Then do you like jelly beans?"


    "I like it! The jelly beans are delicious! But my mother told me that eating too much sugar is not good, and worms will grow on the teeth." The little girl gave a serious look, she was so cute.


    Su Qianqian also came over, also holding a red envelope in her hand.


    "Huanhuan, can you call me? I also have a red envelope for you!"


    The little girl looked at him with big innocent eyes.


    Then he shouted crisply, "Hello, beautiful aunt!"


    "Haha, your sweet little mouth is so cute! Auntie will give you a red envelope to buy candy, but you can''t eat too much!"


    Su Qianqian looked extremely happy.


    I''m tired of being praised by adults for her beauty. And adults usually speak insincerely.


    On the contrary, children speak innocently and believably.


    "Thank you Uncle Can and Auntie Pretty!"


    Mother of little girl teaches daughter to say thanks.


    "thank you all!"


    The little girl is so young, she has her own way of thinking, and she seems very independent.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    If this little girl is trained well, she will have a great future.


    ¡°Huanhuan is awesome!¡±


    Zhou Can couldn''t help praising her.


    Su Qianqian also loved this little girl very much.


    "If Ah Can and his siblings like children, hurry up and get married and have two!" The cousin has a good relationship with him, and he doesn''t care much about what he says.


    "Brother and sister" made Su Qianqian blush with embarrassment.


    Having two children, such a sensitive topic, is even more embarrassing for an unmarried girl.


    "Haha, we both try to learn from our cousin and sister-in-law!"


    Zhou Can laughed to relieve his girlfriend''s embarrassment.


    "Let''s go to the hotel to eat and chat! After dinner, Qianqian and I have to go back to the provincial capital to work."


    "Doctor Guipei is not good at this point. It is very difficult to get a leave of absence! In the hospital, we Guipei students and interns are the most human rights-free existence."


    The cousin was eating grapes next to him, and when he heard that Zhou Can was rushing back to work in the provincial capital, he couldn''t help expressing his feelings.


    "It''s true! It might be better after becoming a regular!"


    Zhou Can smiled and agreed with his point of view.


    "I asked for leave today to come to my second uncle''s house. If the teacher who taught me didn''t appreciate me very much, I would definitely not have granted the leave. After a long time, I finally agreed to let me take a day off. Alas, Gui Peisheng''s life is really hard. "


    Although the cousin was complaining, he was actually showing off that he was highly valued and had a special status in the hospital.


    Zhou Can understood the guy''s hidden meaning as soon as he heard it, and the corner of his mouth twitched.


    Aunt and uncle are very face-saving, and this ''excellent tradition'' has been perfectly inherited by his two sons and daughters.


    It is said that the more you have nothing, the more you want to show off.


    Zhou Can had just casually said that he would go back to work in the provincial capital after dinner, but in his cousin''s ears, he heard a different sense of superiority. Human emotions are so interesting.


    When some sensitive G-spots in the heart are touched, there will be strong resonance.


    "My family is Shangfu, but I just don''t understand how precious his current job is. The Provincial Children''s Hospital is a large provincial hospital. There are so many people trying to get in and find a job, but they can''t find it! His teaching teacher is The proud disciple of Wei Zhengzheng, a special expert in the Provincial Children''s Hospital, also pays special attention to my family Shangfu, and has visited our house several times. He also promised us that he will train Shangfu well. He went into the operating room for surgery."


    "What a great job opportunity you said. If it were our older generation, we would have to work and study hard! He is fine. He heard that he was going to come to the second uncle''s house, so he had to ask for leave and come with him, saying I miss my second uncle''s family."


    What the aunt said once again pushed the cousin into the high light circle.


    Cousin Zhou Hai works in the health system and is a deputy section chief himself, so he has some knowledge.


    I heard that my cousin has a relationship with Wei Zhengzheng, a super expert, and is equivalent to Wei Zhengzheng''s disciple.


    He immediately stared at his cousin Chen Shangfu with bright eyes, "Hey, Shangfu, I really can''t tell, you''re doing well! Professor Wei Zhengzheng''s name is very famous, he is an expert in pediatrics, and he is a gold-lettered signboard of the Provincial Children''s Hospital." .You are now studying with his proud disciple, and you are highly valued by your tutor. As long as you grasp it well, you will definitely have a bright future. You may not be sure, but after 20 or 30 years, you will also become a specialist in special needs pediatrics I!"


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Although what Zhou Hai said was a bit exaggerated, the future of his cousin Chen Shangfu is indeed bright.


    The only variable is whether you have passed the medical license exam? Can I continue to work in the Provincial Children''s Hospital after the two-year training is over?


    "Shang Fu, did you hear what your cousin said? Your cousin is now an official of the health system. Even if he said so, your future will definitely not be bad. You must work hard and get through the current crisis During the regular training period, the road ahead is smooth."


    My uncle is very concerned about his son''s career.


    Perhaps from some angles, my uncle is an ungrateful and very selfish person. But from the father''s point of view, my uncle is definitely a competent and excellent father.


    [To be honest, I have been using Yeguo to read and read books recently, change sources and switch, read aloud with many timbres, and both Android and Apple can be used. ¡¿


    It is very good to train a pair of sons and daughters to become graduate students, and guide them to find a promising job.


    "I understand. This time I asked for leave because I want to visit my second uncle''s house. After I become a full-time employee, I will be even busier. I''m afraid I can only visit my second uncle and uncle during the Chinese New Year!"


    The cousin played the family card.


    To put it nicely, it''s nothing more than hearing that the debt crisis of Zhou Can''s family has been resolved. Taking advantage of this opportunity, my aunt and uncle hurriedly brought their children over to repair the relationship between the two families.


    The son and the daughter get along well, and bringing them together will not only give them more face, but also increase the weight of the uncle''s family.


    Their wishful thinking is brilliant!


    In today''s society, money is king.


    Director Zhou is the richest of the three siblings. When the eldest brother and the third sister encounter a financial crisis, the first person they think of for help is Director Zhou.


    Zhou Can''s family was in trouble, only the uncle''s family extended a helping hand, but the third aunt''s family played tricks.


    If the relationship is not repaired, if I want to borrow money from Director Zhou in the future, I am really embarrassed to open my mouth.


    "Actually, I''m also very busy with work. I''m at the critical moment to challenge the nurse in charge. It''s better not to ask for leave if I can. It''s just that when I think of my second uncle and second aunt, my uncle, my aunt, and my cousin For my love, I think family affection is the most important thing. I decisively asked for leave from our head nurse and came with me."


    Cousin Chen Shangmei''s mouth is even better.


    The nasty words made Zhou Can, a big man, feel pregnant.


    "Hehe, Shangmei wore two shofar braids back then, and in the blink of an eye, she is almost becoming the nurse in charge of the hospital now! The third sister''s son and daughter are very good."


    The uncle smiled very kindly.


    In the minds of the elders, watching the juniors become useful is the most gratifying thing.


    "Both of you brothers and sisters have grown up and have a good job. That''s great! As for me and your uncle, it would be nice to come and visit during the Chinese New Year. After all, career is the most important thing!"


    Director Zhou has high hopes for these juniors.


    Hope they can succeed in their careers.


    "Let''s go, go to the hotel to eat first, and chat while eating!"


    Mom stood at the door urging.


    She must be most concerned about her son and future daughter-in-law. She is afraid that eating too late will delay the work of her son and daughter-in-law.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    There were more than ten of them, and when they walked out of the hall of the villa, they looked mighty and majestic.


    "I''ll drive ahead and lead the way. The Little Sheep Restaurant at No. 11 Wenyi Street has pretty good specialties. It''s the first time for Qianqian to come to our house as a guest. I have to invite her to try our county''s specialties."


    Mom walks to her car.


    This white Audi is considered a mid-range luxury car, not bad.


    "Honey, I won''t drive! Take your car over there!"


    Director Zhou walked to his wife''s Audi.


    The couple got into the car and drove out quickly.


    "Son, you go behind and close the door."


    "no problem!"


    Zhou Can agreed.


    The aunt and uncle''s family all looked at the BMW.


    "Xiao Can, is this BMW yours?"


    asked the aunt.


    It is undeniable that in Zhou Can''s eyes, a BMW worth hundreds of thousands is just a means of transportation, but for an ordinary wealthy family like my aunt, it is still a pretty good luxury car.


    Regardless of the fact that her family drove a Cadillac, they knew it well.


    This old second-hand luxury car can only bluff ordinary people with a swollen face. When you meet a real rich person, your foundation is very false.


    "This is my girlfriend''s car! I live in a hospital dormitory, very close to work, and walk to work every day."


    Zhou Can said honestly.


    "What does your girlfriend do for a job? If you can afford such a nice BMW, your family must be pretty good."


    My cousin is somewhat envious.


    She is about the same age as Su Qianqian, but her economic strength is far behind.


    She couldn''t help asking curiously about Su Qianqian''s work and family background.


    "My family is an ordinary rural family, and I usually sing." Su Qianqian treats Zhou Can''s relatives very sincerely, without hiding anything.


    "Ah... oh! Singing is very good. I dreamed of becoming a singer when I was young, but unfortunately I am tone deaf, so I eventually studied medicine and became a nurse." My cousin is quite adaptable.


    After being slightly taken aback, she immediately deftly resolved Su Qianqian''s embarrassment.


    "My cousin must have sponsored a lot! I love my girlfriend so much, no wonder I can capture the hearts of beauties!" She smiled and sneered at Zhou Can.


    According to her idea, a car worth hundreds of thousands is really unaffordable for ordinary young singers.


    Zhou Can''s family has money, so Zhou Can must have provided financial support.


    "I want sponsorship, but Qianqian won''t let it go. She bought it with her own money." Zhou Can quickly clarified.


    These relatives should not be mistaken for Qianqian as a gold digger who is supported by men.


    All he can do is not let his girlfriend suffer any grievances.


    "My job is to sing... My name is Qianqian! Wait, I seem to have seen you on the Internet. Could you be the pure singer Su Qianqian who has been popular all over the world recently?"


    Cousin Chen Shangfu is an unmarried single young man who pays special attention to beautiful girls.


    As soon as he saw Su Qianqian for the first time, he felt familiar.


    But I didn''t think about the big stars at all.


    After all, the images and videos seen on the Internet are carefully shot by a professional team, which are somewhat different from real people.


    The uncle, aunt and others were also shocked when they heard that Zhou Can''s girlfriend might be the queen of the song.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "I don''t dare to be the queen of the pure song I should be the Su Qianqian you mentioned." Su Qianqian seemed calm and generous.


    "Oh my God, you are really the queen of the song, Su Qianqian. It''s so shocking! No wonder you''re so beautiful and have such a noble and charming temperament!"


    At this moment, everyone automatically ignored Su Qianqian''s rural background.


    With her current fame, it doesn''t matter where she was born from.


    "I have listened to your songs, and many of them I really like to listen to, and they heal my soul. Can you sign an autograph for me later?" Cousin Chen Shangfu didn''t have a pen and paper with him, so he had to buy them later.


    Unexpectedly, he was still Su Qianqian''s fan.


    "Okay, it''s totally fine."


    Su Qianqian readily agreed.


    "It''s unbelievable, my cousin''s girlfriend is actually a female singer, no wonder she can drive such a good car!" The cousin had already woken up from the shock, and when she looked at Su Qianqian, it was like looking at a moving bank.


    "Oh, look at our eyesight. It''s so bad that we didn''t realize that Qianqian is a female singer. Qianqian, if you have time, you can visit your aunt''s house in the future. We also live in the provincial capital."


    Auntie patted her forehead, leaning her sleeve upwards and exhaling warmly.


    The attitude towards Su Qianqian was more than ten times more enthusiastic.


    "Yes, yes, Miss Qianqian can come to our house as a guest when you have time. If you need our help, you can call at any time." Uncle is the king in the eyes of snobbery.


    After discovering a mobile bank, he naturally refused to let it go, wishing he could hug Su Qianqian like an octopus.


    "Okay, thank you, I will definitely visit my aunt''s family when I have time."


    Su Qianqian seemed very relaxed in dealing with this situation.

 Chapter 355： When an accident happens, who is the most reliable at the critical moment

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    , my medical skills can add experience points


    With her ice-snow intelligence and social experience, how could she fail to see the face of her uncle''s family?


    After learning that she was a big star, her attitude suddenly became more than ten times more enthusiastic, and it was a little too realistic.


    "I didn''t expect this child, Ah Can, to find a female celebrity as his girlfriend. He is really talented. Don''t keep your parents waiting, let''s drive there first!"


    After the uncle knew Su Qianqian''s identity, he was also amazed.


    Female celebrities generally only appear on TV, and for ordinary people, they still feel very fresh.


    "No wonder there is a full-time driver, celebrities are really rich!"


    The aunt''s family watched Su Qianqian get into the BMW with envy.


    The uncle and uncle drove out of Zhou Can''s villa in their respective cars. Zhou Can also sat in the back row of the BMW.


    "My aunt''s family is too enthusiastic, didn''t it scare you?" Zhou Can asked his girlfriend with concern.


    "fine!"


    She smiled shyly.


    "If their request is too much, you can refuse at any time." Zhou Can and her have been in love for so long, and the two are connected. He didn''t make a statement, and when she faced some rude demands from these relatives, she would probably wrong herself.


    "Thank you for being so considerate! I will take care of myself!"


    She subconsciously leaned her head on Zhou Can''s shoulder.


    For any woman, she hopes to have a shoulder she can rely on at any time.


    Su Qianqian''s attitude towards the rest of the Zhou family actually depends on Zhou Can''s attitude. This is true even for Zhou Can''s parents.


    ¡­


    In the restaurant on the first floor of Little Sheep Restaurant, the floor is covered with thick transparent glass, with a temporary bridge and gurgling water underneath. You can see groups of red goldfish and crucian carp swimming among the rocks.


    Even saw crabs.


    There are some bionic green plants planted in the restaurant, and even the railings are made of natural ancient wood and rattan. Under the entire restaurant is a fish pond that has been hollowed out, and then small compartments are separated by gazebos or simple railings.


    It is not so much a compartment as it is a small island. There are dining tables and chairs on the island.


    This unique decoration style makes people feel very novel.


    Looking around, there are probably a hundred or so tables on the first floor of the restaurant. There are no seats left.


    "Xiao Can, this way!"


    Zhou Can held Su Qianqian''s hand and was looking for it when he heard his mother calling him.


    Looking at the reputation, he and Su Qianqian both smiled and walked over with Wei Fang.


    "I specially picked this big table that can seat eighteen people. It''s more lively when everyone sits and eats together. Qianqian, what kind of food do you like to eat?"


    Mom takes special care of her daughter-in-law''s feelings.


    Almost every mother-in-law behaves similarly. The daughter-in-law has never been in front of the door, so treat them as good as you want.


    After passing through the door and marrying into the family, the attitude will be different again.


    "I''m a customer. I''ll eat whatever you order! You don''t have to think about me alone!"


    Su Qian smiled slightly.


    "Qianqian is never picky when eating, and she feeds well!"


    Zhou Can was also laughing and teasing her.


    "Stinky boy, that''s your luck, do you know that! You should pamper Qianqian a lot and don''t let her suffer any grievances, otherwise I won''t be able to spare you." Mom taught Zhou Can a lesson.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Got it! I''m on good terms with Qianqian!"


    During the two years that Zhou Can and Su Qianqian fell in love, there were some small disputes, but there had never been any major conflicts.


    At this time, my cousin came to Su Qianqian to sign with some newly bought clothes and notebooks.


    "Miss Qianqian, can you please sign two more words for me?"


    "Can!"


    After Su Qianqian took it, she signed on the clothes and the notebook.


    "Can we take a picture together?"


    The cousin made further demands.


    "Fine!"


    She didn''t really want to agree. Celebrities are no more than ordinary people, they are public figures, and it is easy for people to use their photos for other purposes.


    But for the sake of Zhou Can''s relatives, she reluctantly agreed.


    He stood up and took a photo with Chen Shangfu.


    "Okay, okay, sit down and eat!"


    Mom should already know that Qianqian is a female celebrity, but she wasn''t too surprised. In the eyes of the mother, the son is the best, even if they find a foreign princess as a wife, they will not feel anything.


    Since they were booked in advance, the waiters in the restaurant had already started serving them.


    The first dish served was a plate of boiled fish.


    It is said that to make this dish, you need to kill the live fish first, cut open the belly, cut the net-like knife on the skin, and marinate it with salt and soy sauce for a period of time. Then put it in a boiling oil pan and deep-fry it, then scoop it up and cook it in water. After it comes out of the pan, pour it with garlic sauce and red pepper.


    The fish produced in this way is not only fragrant, but also tender on the outside and tender on the inside, with an excellent taste.


    "Come on, eat fish. The first dish, I predict that after we eat it, we will have more than every year!"


    Director Zhou was the first to move fast.


    Zhou Can''s parents are businessmen, and they believe in these meanings and omens.


    "Qianqian, eat more fish! You don''t have to worry about gaining weight if you eat it."


    Zhou Can picked up a piece of the best waist fish for his girlfriend.


    "Um!"


    Su Qianqian''s eyes were full of happiness.


    "I want to eat fish too, I want to eat too!"


    My cousin''s daughter, Huanhuan, saw that everyone was eating fish and meat, and she stuck her head out there, yelling greedily.


    Her mother picked a small piece of fish for her and carefully picked out the thorns before letting her eat it.


    The little one devoured it in one bite.


    "Wow, it''s delicious, I want more, more!"


    Seeing her daughter loves to eat, her parents, grandparents are very happy.


    Continue to feed her fish.


    At this time, Zhou Can''s phone rang.


    At first glance, it was from Fa Xiaocheng Dazhuang.


    "I''m going to answer the phone!"


    Zhou Can greeted Su Qianqian, stood up and answered the phone.


    "Da Zhuang, it''s time for dinner, what''s the matter?"


    "Our dean said that he wanted to visit you. Now we are all outside your villa, open the door for us!"


    Cheng Dazhuang should be sitting in the same car as the dean now, speaking cautiously.


    "I had dinner with my relatives at the Little Sheep Restaurant, but I wasn''t home. Have you eaten yet? If you haven''t, come here directly!"


    Everyone has already come to the door, what else can Zhou Can say.


    Anyway, he is the dean of the County People''s Hospital, and his status is quite honorable. If you are eager to visit with a gift, you must receive it well.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Okay then, we''ll come right over!"


    After Cheng Dazhuang finished speaking, he hung up the phone.


    After finishing the call, Zhou Can returned to the table to continue eating.


    "Mom, a friend of mine called just now, saying that he came to visit me at my house, and the door was rejected. I guessed that they hadn''t eaten yet, so I asked them to come directly."


    [Recommended, Yeguo Reading and Chasing Books is really easy to use, download it here and try it quickly. ¡¿


    Zhou Can said hello to his mother.


    "No problem! The table is big enough anyway, and it''s more lively to eat together. How many friends?" My mother often engages in entertainment and reception.


    Hearing that he was a friend of his son, he welcomed him on the spot.


    "It should be two or three people! I guess we won''t know until we come. If there are more people, I''ll order another table."


    Zhou Can estimated that there should not be too many people.


    "Brother Can, now that you already have a big star girlfriend, you should take care of my cousin if you have the opportunity! I respect you and your future sister-in-law."


    My cousin came over with wine.


    "cheers!"


    Zhou Can and Qianqian raised their wine glasses and clinked glasses with him.


    The cousin stretched his neck and drank upside down.


    "I''ll do it first, you can do whatever you want."


    This guy posted up like a fly. He was too enthusiastic, which actually aroused Zhou Can''s disgust.


    According to his social experience, often those relatives or friends who are too enthusiastic, how quickly they approach you, how quickly they will stay away from you after you have no use value in the future.


    "Ah yo... it hurts, it hurts..."


    The cousin''s daughter let out a cry of pain, with a hint of crying.


    "What''s the matter?"


    "I''m afraid it was stuck by a fishbone!"


    Children who eat fish are the most prone to accidents.


    Huanhuan''s mother was very meticulous when she gave the fish to her daughter just now, but unexpectedly, an accident happened.


    "Oh, it''s all my fault for being too careless, what can I do!"


    The uncle looked panicked and regretful.


    It seems that the disaster was caused by the uncle.


    The grandfather must have seen that his granddaughter loves to eat fish, and Huanhuan''s mother picks fish very carefully, which is simply not enough for Huanhuan''s eating speed. After the uncle saw it, he helped his granddaughter to eat the fish together.


    The result was an accident.


    "Don''t worry, don''t panic, my family''s Shangfu is doing this, he is a pediatrician, let him see if it''s right."


    The aunt comforted the uncle''s family.


    Chen Shangfu stood up and walked over to check on Huanhuan''s situation.


    The little girl was only three years old. After the fishbone stuck her throat, she only knew how to cry because of the pain and fear.


    The more we cried, the more painful it became.


    Because when crying, the throat moves, which will cause the fishbone to pierce deeper.


    "Looks like it''s bleeding! Oops!"


    Chen Shangfu is still just a regular trainee, regardless of how much he brags, he is highly valued by his teachers. In fact, his experience in receiving patients is pitifully small, and he doesn''t even have the ability to stand alone.


    According to the process of training doctors in the hospital, it is generally necessary to become a formal resident doctor before slowly starting to independently engage in diagnosis and treatment work.


    "I''m afraid the blood vessel was punctured. In addition to the esophagus, there are large arteries around the throat, which is very dangerous."


    My cousin, Chen Shangmei, is a nurse who is about to be promoted to the nurse in charge, and she seems calmer and more professional than Chen Shangfu.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    This is the difference between those who have exercised their ability to stand alone and those who have not.


    It''s a pity that nurses are nurses after all, and they studied nursing and nutrition, so they don''t know much about clinical medicine.


    In clinical medicine, the books to be read alone are taller than people.


    Five years of undergraduate clinical medicine is really beyond the reach of ordinary people.


    Doctors are smart because they have been screened many times in school. All those left are children with good grades and who can study, and only they can be admitted to medical universities in the fierce competition.


    "Shang Fu, help me find a way!"


    The uncle stomped anxiously.


    Although the daughter-in-law didn''t say anything, her face was extremely ugly. If the child really has troubles, I am afraid that he will hate him for the rest of his life.


    "I, I don''t have any experience in this area of ??treatment! I''m just a regular trainee now, and I usually just learn from the instructor to see how to operate. I don''t have any clinical experience. Don''t look at Huanhuan now. Bleeding, if the artery or esophagus is really punctured, it is easy to bleed heavily after pulling out the fishbone."


    People who lose the chain at critical moments are often half-baked people like Chen Shangfu.


    Usually bragging and croaking, when it really comes to the battlefield, it immediately reveals its true colors.


    There is a saying that only when the sea recedes, you will know who is not wearing pants.


    "Shangmei, aren''t you going to be promoted to the supervisor nurse soon? The experience should be better than your brother''s, please help me to see!"


    The uncle saw that Chen Shangfu couldn''t count on him, so he scolded him as a waste in his heart.


    I have no choice but to put my hope on Chen Shangmei.


    After all, Chen Shangmei was very calm just now.


    "I, I''m just a nurse. I usually give injections to patients and change their dressings. How can I cure them? I think it''s better to send them to the hospital as soon as possible!" Chen Shangmei is well aware of the risks involved, and she dare not try this ability.


    He didn''t have the real skills in his hands, and he killed people every minute.


    The uncle had no hope of asking the two for help, and he didn''t think about asking Zhou Can for help. Because Zhou Can has always been very low-key, in the eyes of everyone, his level must be far inferior to that of Chen Shangfu.


    Even Chen Shangfu can''t do anything now, let alone Zhou Can.


    "Uncle, don''t worry, why don''t I call and ask my teacher!"


    Chen Shangfu couldn''t figure it out by himself, and the first thing he thought of was to find a teacher.


    It is also the instinctive reaction of all Gui Peisheng.


    Although the uncle''s family didn''t ask Zhou Can to take a look, he still took the initiative to stand up and help Huanhuan check the injury.


    "Huanhuan, good boy, open your mouth and let Uncle Can see where the fishbone got stuck!"


    Zhou Can touched the little girl''s head to comfort her.


    This method of comforting children was learned during his pediatric consultation.


    The head is the head of the six suns, where the soul resides.


    When stroking the head, it can make people calm and calm, so as to achieve the purpose of appeasement.


    "What can I do about this! Zhou Hai, hurry up and call your acquaintances in the hospital to ask!" The sister-in-law was holding the child, anxious and furious.


    Zhou Can came to check on Huanhuan''s situation, but she didn''t have any hope at all.


    My cousin is a sub-departmental cadre in the health system. Although I don''t know which department he is in, I can definitely know some friends in the hospital.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Okay, okay, I''ll call the pediatrician at the People''s Hospital right away."


    The cousin quickly took out his mobile phone and flipped through the phone number.


    Under Zhou Can''s comfort, Huanhuan gradually became less afraid.


    In fact, when encountering things, the panic shown by adults will also affect children.


    Zhou Can couldn''t see the fishbone, but he could see the bloodshot saliva in the child''s mouth, which meant that there must be bleeding.


    "Does Huanhuan know where to pierce? Can you show uncle with your finger?"


    "Here... Woohoo!"


    She pointed to the deeper part of the throat with her little finger No wonder the fishbone was not visible, it turned out that it had already penetrated into the middle of the esophagus.


    "I heard that if you get a fishbone stuck, you can get the fishbone out by swallowing a mouthful of rice. I''ll go to the waiter and get a bowl of rice!"


    After the initial panic, my aunt has calmed down a lot.


    At this time, the first thing she thought of was the folk prescription.


    "You must not do this. The child''s body is very immature. Swallowing food not only may not make the fishbone come out, but will also cause the fishbone to get stuck deeper, which will be even more dangerous."


    Zhou Can said very seriously.


    Auntie obviously didn''t trust the opinion of his ''intern doctor''.


    "Shangmi, do you think it''s okay to eat?"


    Auntie believes in Shang Fu and Shang Mei brothers and sisters even more. After all, when the two of them introduced their jobs, they were very arrogant.


    Shang Fu is on the phone, she can only ask for Shang Mei''s opinion.


    "Auntie, it is indeed risky for Huanhuan to swallow things at this time. If the fishbone is inserted into the esophagus backwards, the fishbone may be pulled out with the help of food swallowing force when swallowing food, and sent into the stomach together. If it is stuck in the reverse direction On the esophagus, when swallowing food, it will be aggravated, making the fishbone go deeper. Let¡¯s not worry, we will wait for my brother to ask his teacher before making a decision.¡±


    Shangmei comforted her aunt.


    Anyway, she is a nurse with two years of work experience. If she doesn''t even know such a little medical knowledge, it''s too rubbish.


    The third hospital where she works is not bad, and it can be regarded as a relatively famous hospital in the province.


    It''s just that there is no way to compare with the top hospitals in the province such as Provincial People''s Hospital, Provincial Children''s Hospital, and Tuya Hospital.

 Chapter 356： I directly invited Professor Wei, and Dean Lu asked for his acquaintance.

No content

 Chapter 357： Debating with Professor Wei, it turns out that you are Zhou Can

    After Director Wang heard this, his expression instantly became more solemn.


    "In such a short period of time, the child developed dyspnea symptoms, indicating that the fishbone stabbed the esophagus quite seriously. I suggest sending him to the hospital for treatment immediately to avoid accidents."


    Ordinary people simply do not realize the danger.


    Only experienced doctors like Zhou Can and Director Wang know how dangerous it is. Real cases of being killed by a small fishbone occur from time to time


    The content of this chapter is being updated...

 Chapter 358： Dr. Zhous contribution is the greatest, so its worth noting such relatives

    "Nurse, how is my baby?"


    "Through the joint efforts of Dr. Zhou and other medical staff, the fishbone stuck in the esophagus has been clipped out for the child. However, because the local hematoma is serious and the fishbone is deep, the child needs to fast for a period of time. In addition, try to Let the children talk less."


    The nurse returned the child to the family.


    "Great, great!"


    Everyone in the cousin''s family was overjoyed, and the sister-in-law was even more delighted.


    The content of this chapter is being updated...

 Chapter 359： Well done, heavy topic

    "How do you talk, kid? I am your uncle, and I watched you grow up. Now that your wings are stiff, you don''t recognize your elders, do you?" Uncle asked him angrily.


    Before Zhou Can could refute, her aunt''s voice came from the other end of the phone.


    "Xiao Can, your uncle loved you so much when you were young, and now you make such a small request, why do you go against his will? Just promise your uncle!"


    My aunt also stood up and interceded.


    Aunt is much more important than uncle. After all, she is related to Zhou Can by blood and is his father''s sister.


    "Auntie, I can''t help you with this job. If your family is really in financial difficulty, I can directly support you with a sum of money. Now your family is not short of food and clothing. For my own sake, I want to use my girlfriend to help you make money , this matter is not negotiable."


    After speaking, Zhou Can hung up the phone decisively.


    Some elders have poor moral character, low quality, and even disrespect for the elderly. They look at problems and think about things from the perspective of their own interests. They also stubbornly believe that they are right.


    For such a selfish elder, Zhou Can would not foolishly follow him.


    Turn your face when it''s time to turn your face.


    Excessive kindness will only make people feel weak and bully. When you should have a temper, you must have a temper, so that kindness can have an edge.


    "Are you really falling out with your uncle''s family?" Su Qianqian was both moved and worried when she saw her boyfriend domineeringly respond to her uncle''s rude request.


    "Otherwise? There''s nothing to say to people like them."


    Zhou Can looked indifferent.


    "Thank you! Thank you dear!"


    Su Qianqian ignored the people coming and going in the outpatient hall, she fell into Zhou Can''s arms.


    Women''s and men''s emotional needs are actually different.


    Women are inherently insecure and have a hero complex. Therefore, when a man aggressively protects and defends them, it is very easy to gain their favor.


    In order not to let her be wronged, Zhou Can directly turned against her uncle''s family. This behavior of pampering her made Su Qianqian feel unprecedented sweetness and happiness.


    After about seven or eight minutes, Zhou Can''s phone rang again.


    This time it was Director Zhou who called.


    The father and son rarely communicate with each other. Zhou Can usually calls and sends WeChat with his mother.


    Needless to say, nine times out of ten it was my aunt who went to the factory manager to sue him.


    "Stinky boy, I heard that you beat up your uncle''s family?"


    "In order to make money, they bought a bunch of hats, clothes, and shoes and asked my girlfriend to sign for them. If I don''t beat them up, my girlfriend will be gone."


    Zhou Can used to be afraid of his father, but now that he has great strength, plus five years of college and two years of regular training, he is all alone in the outside world. Learned to be independent early on.


    At this moment, he was surprised to find that he was not afraid at all when facing his father''s questioning.


    The heart is very peaceful instead.


    Perhaps, this is maturity!


    "I made this call for no other purpose, just to tell you, good job! In the future, if their family makes excessive demands on Qianqian, they should just be angry and protect their own women. This is what our Zhou family men should do." doing."


    Director Zhou didn''t scold Zhou Can.


    Instead, he supported his son''s approach.


    This made Zhou Can a little confused.


    I can''t believe these are the words of that stern father.


    "Your mother has prepared some things for you to take back to the provincial capital, remember to go home and get them before you leave."


    After Director Zhou finished speaking, he hung up the phone without giving Zhou Can a chance to speak.


    Su Qianqian leaned on Zhou Can''s shoulder, and she could hear the conversation between father and son clearly.


    "How can uncle be as serious as you said? He is obviously a loving and sensible father!"


    She smiled happily.


    "I don''t know why my dad is so talkative today! But my aunt''s family really went too far." With his father''s support, Zhou Can was in a good mood and more confident.


    In a person''s life, more than 90% of the people can be offended.


    Zhou Can had nothing to ask of his aunt''s family, so he didn''t have any pressure to refuse their rude request.


    ¡­


    "Acan, Acan!"


    The cousin stood in the distance and waved at him.


    It seems that the uncle''s inspection results have come out.


    "Uncle, are you okay?" Zhou Can and Su Qianqian walked over together.


    "After seeing the test results, Director Wang suggested that we be transferred to a large hospital in the provincial capital for treatment. He said that my father''s condition is not optimistic. If we can''t get effective treatment in time, the prognosis will be very poor."


    The cousin''s tone was dignified, and his brows were furrowed tightly.


    Their family''s conditions are much better than those of ordinary families. If the uncle can afford to drive a Toyota Domineering, it can be seen that his family''s economic conditions are not bad. But every family has scriptures that are difficult to recite.


    After the uncle got older, his income decreased year by year.


    Although the cousin is quite up-to-date, he is now a deputy department-level cadre. But it belongs to the kind that is less than the top and more than the bottom.


    The burden of the family gradually weighed on his head, and his pressure was really not small.


    "The medical technology in the provincial capital is better, and it is a good choice to go to the provincial capital for treatment. I will ask Director Wang to see what is wrong with Uncle''s heart."


    Zhou Can is a doctor himself and knows very well that the mortality rate of heart disease is very high.


    The medical conditions in the county are limited, and the treatment of too serious heart disease in the county is basically conservative treatment. To put it bluntly, it is to resign to fate, which is no different from waiting to die.


    Several people came to Director Wang''s office.


    "Doctor Zhou, first of all, I want to say sorry to you! Because your uncle is seriously ill, our hospital has very low confidence in treating this extremely difficult heart disease."


    Director Wang said bluntly.


    Zhou Can took the inspection report and looked at it.


    "Valvular disease, cardiomyopathy, arrhythmia! Unexpectedly, Uncle''s heart disease is so serious, and there are multiple causes." Zhou Can finally understood why Director Wang suggested transferring to another hospital after reading it.


    Not to mention the county town, even in the provincial capital, the general provincial tertiary hospital may not be able to treat it.


    Cardiomyopathy is more common in elderly heart patients.


    Compared with myocardial infarction, cardiomyopathy is an incurable chronic heart disease. For example, myocardial hypertrophy, alcoholic cardiomyopathy, and peripartum cardiomyopathy, once they occur, they can be difficult to cure. They can only be treated by drugs, alcohol withdrawal and other means to improve the condition.


    Uncle likes to drink, and the cardiomyopathy is probably related to long-term drinking.


    Valvular disease is more troublesome. The etiology of heart valve disease can be inflammation, mucus-like degeneration, degenerative changes, congenital deformities, ischemic necrosis, trauma and other reasons.


    Judging from the test results, uncle may have two pathological factors, valvulitis and degenerative changes.


    There may even be myocarditis.


    This requires further testing to confirm the diagnosis.


    Now only with electrocardiogram and ultrasonography, can only be a preliminary diagnosis.


    "Among all the hospitals in the province, Tuya General Hospital is the most powerful in the treatment of heart disease. Many critically ill patients have failed treatment in other hospitals, and their condition has deteriorated. Basically, there is no hope. They are finally sent to Tuya General Hospital. Cured. I suggest that you transfer the patient directly to Tuya General Hospital for treatment, this matter cannot be delayed, otherwise the patient may not be able to survive tonight."


    Director Wang is a chief physician in cardiothoracic surgery with rich clinical experience. He has seen too many patients die.


    The diagnostic opinion given is by no means alarmist.


    When the cousin heard that his father''s life was in danger, he panicked on the spot.


    "All right, all right, we''ll transfer the person to Tuya Hospital for treatment immediately!"


    Illness comes like a mountain.


    When encountering such a dangerous disease, there is almost no time left for relatives to think about it.


    Fortunately, my cousin''s daughter has turned the corner after treatment.


    Otherwise, if the young and the old have accidents at the same time, the family will definitely be caught off guard.


    "You have also seen the patient''s condition. It is very serious. It takes several hours to drive from here to the provincial capital. So I suggest that you do not transfer it yourself, but ask the hospital''s ambulance to transfer it. To say something unlucky, In case of heart tremor or severe arrhythmia on the road, at least the ambulance can defibrillate in time."


    Director Wang was always thinking of them, all for Zhou Can''s sake.


    After hearing this, my cousin nodded again and again.


    "Okay, okay! I''ll call an ambulance to transport it there right away! Thank you, Director Wang!"


    The cousin and Zhou Can went out together.


    "Ah Can, thank you so much today. You didn''t even have time to eat and kept helping with work. Girl Qianqian, thank you for helping to send my dad to the hospital."


    "Cousin, you''re welcome, I just did one trivial thing."


    Su Qianqian smiled and waved his hands.


    Zhou Can also said seriously, "We are brothers, we should help each other. Hurry up and send uncle to the provincial capital for treatment!"


    "I''ll discuss it with your sister-in-law and aunt, and then I''ll call an ambulance to transfer my dad to the provincial capital. Just leave it to me here, and go get busy!"


    Cousin knows that the workplace is not easy.


    Although Zhou Can''s medical skills are very good, they are still in the stage of regular training, so we can''t delay the work.


    Needless to say, Qianqian, which big star isn''t too busy to fly?


    "Call me anytime if you need anything!" Exit the transcoding page, please download the app to read the latest chapters.


    Zhou Can shook his phone at him.


    After coming out of the hospital, Zhou Can still remembered what his father explained.


    "Qianqian, let''s go home first. My mother has prepared some things for us to take to the provincial capital. If we don''t go and take them away, we will have to talk about it."


    "Hehe, you, you should be lucky to have such a good mother who cares for you."


    Her background is much worse than Zhou Can''s.


    For this kind of care from parents, I feel very warm.


    When the two returned to Zhou''s villa, their mother prepared a lot of food for them. Many of them are local specialties and supplements, and they are full of maternal love.


    While stuffing things into the trunk of the car, he gave various instructions.


    "Mom, let''s go!"


    "Thank you Auntie and Uncle Zhou for giving me so many gifts, I will come to visit you next time!"


    Qianqian also waved at Zhou Can''s parents.


    "Remember to treat Qianqian girl well!"


    "Know!"


    Although Director Zhou didn''t speak, he stood there and watched them silently. Father''s love is silent, and men''s emotions are deeper, and they like to bury them in their hearts.


    The BMW slowly drove out of the villa, and the parents chased them out, standing at the door and watching the car drift away.


    At this moment, Zhou Can found that his parents would grow old at some point.


    Through the rearview mirror, I watched the figures of my parents getting smaller and smaller, and finally disappeared.


    "Dad, Mom, you all need to be well."


    Zhou Can''s heart was sore, and the sadness of parting with his relatives became so intense for the first time.


    "Honey, your parents have been waving at the back just now, they should be very reluctant to let you go."


    "Yes! Parents all over the world are reluctant to leave their children, but when children grow up, they will eventually go to the outside world. After all, the young eagle will have the day to spread its wings and fly away."


    Zhou Can found her head resting on his shoulder, and subconsciously reached out to hug her.


    "When the child grows up, he will go out into the world and leave his parents. What about his wife? She will stay by your side for the rest of his life." She used to be in front of Wei Fang, but she never said such nasty love words.


    At this moment, I also feel it.


    And this time with the approval of Zhou Can''s parents, her relationship with Zhou Can has further warmed up, and the marriage has basically been settled.


    "Of course my wife will stay by my side for the rest of my life! If you want to leave, I won''t let you!"


    Zhou Can suddenly felt that they should become a family.


    Have one or two children with Qianqian, and live happily ever after. The continuation of life should have been passed on from generation to generation.


    At present, there are no obstacles in the relationship between the two, economic conditions, and parents'' permission. The only obstacle is Su Qianqian''s kidney disease.


    In fact, Zhou Can didn''t care. With the development of modern medical technology, there is absolutely a way to cure her.


    But Su Qianqian didn''t think so. She was afraid of dragging Zhou Can down, and insisted on getting cured before getting married.


    "Qianqian, when will we get married?"


    Zhou Can looked into her eyes and asked.


    "My disease... the doctor said, I can''t have children." Su Qianqian had to face this heavy topic again.


    "If you can''t have children, then don''t. If you like children, adopt one or become a DINK." Zhou Can feels that the love between two people is fate in itself, and many things can only be followed by fate, and he never forces it.


    "That definitely won''t work! When I was on a business trip to the Imperial City last time, I asked a hospital that specializes in kidney transplantation. It has already collected my kidney data and is trying to find a matching kidney source. If I have a kidney source by then, I want to change it." Kidney, can you see it?"


    Su Qianqian never mentioned this matter to him.


    Zhou Can feels that the risk of a kidney transplant is too great, and he is far from that step yet.


    "Qianqian, I don''t agree with this matter. You are only in the early stage of kidney disease. After taking medicine, your condition has been controlled and stabilized. Even if you don''t have a kidney transplant, you can still live like a normal person relying on the medicine. The risk of kidney transplantation is very high. If something goes wrong, what do you want me to do?"


    After two years of falling in love, Su Qianqian has long been integrated into Zhou Can''s life and carved into his bones.


    All the men in the Zhou family are affectionate.


    It is not easy to fall in love with a woman, once you fall in love, you will love for a lifetime.


    Su Qianqian''s position in Zhou Can''s mind is also becoming more and more important.


    Don''t look at Zhou Can''s dominance when the two were dating, but he knew that he couldn''t do without Su Qianqian.


    "You are still young, in case something happens to me, find another one!"


    She should have thought about this question.


    "Look for one? It''s easy for you to say. It''s not so easy to let go of feelings. Falling in love with you may be just a moment, but it takes a lifetime to forget you. I don''t allow you to have a kidney transplant operation, at least it''s far from there now." step."


    Zhou Can firmly opposed this matter.


    "Give me a little more time. I have completed the training in the department of endocrinology. The next department is the department of nephrology. Then I will have the opportunity to consult with the chief physicians of the department to find the most suitable treatment plan for you."


    Haste makes waste.


    Many things can only be planned step by step, and it takes time.


    After the endless coma, Shi Yu suddenly got up from the bed. If you want to see the latest chapter content, please read the latest chapter content. The website has not updated the latest chapter content, and the Star APP has updated the latest chapter content.


    He took a big gulp of fresh air, his chest trembling.


    Confused, puzzled, all kinds of emotions came to my mind.


    Where is this?


    Afterwards, Shi Yu subconsciously observed his surroundings, and then became even more at a loss.


    A single dormitory?


    Even if he was successfully rescued, he should be in the ward now.


    And my own body...how could there be no injuries at all.


    With doubts, Shi Yu quickly swept his gaze across the room, and finally settled on a mirror by the bedside.


    The mirror reflected his current appearance, he was about seventeen or eighteen years old, and he was very handsome.


    But the problem is, it''s not him!


    My previous self was a handsome young man in his twenties who had been working for a while.


    But now, no matter how you look at it, this appearance is only the age of a high school student...


    This change left Shi Yu in a daze for a long time.


    Don''t tell him that the operation was a success...


    The body and appearance have changed. This is not a question of whether to have surgery or not, but a fairy art.


    He turned into a completely different person!


    Could it be... that he crossed over by himself?


    In addition to the mirror on the bedside which was obviously placed in a bad feng shui position, Shi Yu also found three books beside it.


    Shi Yu picked it up and took a look, the title instantly silenced him.


    "Necessary Beast Breeding Handbook for Novice Breeders"


    "Postpartum Care of Pet Animals"


    "Guidelines for Evaluation of Alien Beast Ear Girls"


    Shi Yu:? ? ?


    The names of the first two books are quite normalWhat''s the matter with you in the last one?


    "cough."


    Shi Yu''s eyes were serious, and he stretched out his hand, but soon his arm stiffened.


    Just when he was about to open the third book to see what it was, his brain suddenly felt a sharp pain, and a large amount of memories flooded in like a flood.


    Icefield City.


    Pet breeding base.


    Trainee pet keeper. The website will be closed soon, download the Stars app to provide you with the experience value of my medical skills of the great **** Jiangbian Yuweng


    Beastmaster?

 Chapter 360： Good things take time, the role of saying hello

    Back in the provincial capital, Zhou Can and Su Qianqian returned to his house in Bajing Lake.


    Usually Su Qianqian and Wei Fang mainly live together.


    Wei Fang rented a one-bedroom house on the first floor of another building for her grandmother to live in.


    As Su Qianqian''s fame grew, safety issues became a top priority. Fortunately, the law and order in the provincial capital is not bad, as long as the star himself keeps a low profile, it is enough to have a professional bodyguard for close protection.


    "Chan, it''s rare that we don''t have to go to work today. I''ll go buy some vegetables and cook for you! You went to the hospital to rescue Huanhuan without even eating two bites at noon."


    Su Qianqian felt sorry for her boyfriend, and took out her snacks to pad Zhou Can''s stomach.


    "Okay! It''s been a long time since I visited the vegetable market with you!"


    Zhou Can readily agreed.


    Not only is Qianqian good-looking, she is also very good at cooking. The life Zhou Can wants most is to hold her hand after work every day, go shopping together in the vegetable market, buy vegetables and cook at home.


    This ordinary and simple life made him feel the warmth of home.


    Su Qianqian also enjoys every minute and every second with Zhou Can.


    This time I met the man''s parents, the relationship was further confirmed, and the day when the two lived together was not far away.


    "Wei Fang, you''ll be away for five days, go see your grandma first! We''ll make a meal later and ask you to come over to eat together. Then bring some to your grandma."


    Zhou Can worked **** some details, bought people''s hearts, and made Wei Fang more dedicated to serving him.


    "Thank you boss! Thank you lady boss!"


    Wei Fang happily thanked the two of them.


    "Who is the proprietress!" Su Qianqian said shyly.


    "You have already met the boss''s parents, and you two have such a good relationship, it''s very suitable for me to be called the boss''s wife!" Wei Fang is usually a serious person, and she has been with Zhou Can and Su Qianqian for a long time, and they have a close relationship.


    He finally dared to say something back.


    "Haha, well said, well said, I will give you a bonus this month."


    Zhou Can laughed happily.


    Su Qianqian blushed even more and pinched him.


    "Miss Boss, let''s go too! Go shopping!"


    Zhou Can held her hand and went out of the house together.


    With him here, five or six bodyguards are no problem. Three or five strong men were no match for Zhou Can.


    When the two went to the vegetable market, Su Qianqian picked Zhou Can''s favorite dishes. Although it was just a small move, it moved Zhou Can''s heart very much.


    Su Qianqian treated him really well.


    Bought two big bags of vegetables to go home, and walking on the road, Su Qian smiled happily like a little girl.


    "Honey, it would be great if you could buy vegetables with me every day, go home to cook, and then live together! I went to your house this time and saw how good your parents are. I also really want a home.¡±


    On the way back, she seemed to have changed a little bit.


    The desire to start a family becomes more urgent.


    "It''s simple, I won''t leave tonight, just stay with you."


    Zhou Can''s heart was agitated, he could finally sleep with her tonight.


    After two years, it was really not easy.


    "Um!"


    She agreed half-heartedly.


    This made Zhou Can overjoyed, if it wasn''t for the big bag of vegetables in one hand, he really wanted to hold her in his arms.


    Back home, the two cook together.


    There is absolutely nothing to say about Su Qianqian''s cooking skills. Zhou Can''s taste buds were greatly satisfied by the cooked dishes.


    Wei Fang is a very filial girl, she didn''t eat first, but brought some to her grandma, and she didn''t come back until Zhou Can and Su Qianqian had finished eating.


    Maybe it was intentional to leave some private space for the two of them.


    After dinner, Zhou Can was looking forward to the beauty of tonight, sitting on the sofa in the living room watching TV with Su Qianqian in his arms.


    After Wei Fang finished eating, she diligently cleaned up the dishes and quickly put the dishes in the dishwasher in the kitchen.


    After Qianqian''s economic conditions improved, he bought a lot of new home appliances.


    Zhou Can watched TV with his beautiful woman in his arms, but he was also distracted.


    Su Qianqian seemed to be able to feel his thoughts, her pretty face was always red, and she looked very ashamed.


    "I''m going to take a shower! It''s exhausting to drive for hours."


    She stood up, went to the room to get her clothes, and went into the bathroom.


    Zhou Can sat on the sofa and played with his mobile phone. The medical books he usually seemed to relish in, but today he seemed to be suffering from foggy brain disease, so he couldn''t read them no matter what.


    At this time, the mobile phone rang suddenly.


    My cousin called.


    It was almost eight o''clock in the evening, and my cousin should have already transported my uncle to the provincial capital.


    "Brother Hai, have you arrived in the provincial capital yet?"


    Zhou Can asked.


    "I arrived at Tuya Hospital before seven o''clock." Zhou Hai''s voice sounded a little tired.


    "That''s good! Uncle has been admitted to the hospital, right?" Zhou Can asked.


    It has been more than an hour since I arrived at the hospital. My uncle is in a critical condition and he should have completed the hospitalization procedures.


    "Don''t mention it! It''s still in the rescue room of the emergency department! There are too many people seeking treatment in the big hospital, and the queue alone lasted for nearly half an hour. I heard from other family members that many departments in the hospital have already left work. .¡±


    My cousin is full of bitterness.


    "You go to the heart center! That''s the green channel."


    Zhou Can has a fairly good understanding of the hospital''s admission process and departments.


    The emergency department and the cardiothoracic center are open 24 hours a day. It''s just that Tuya''s emergency department is relatively good, basically equivalent to a triage platform. Receive all kinds of patients, and then shunt them to the corresponding specialist departments.


    The Cardiothoracic Center is different, it is an admissions center jointly established by the Department of Cardiovascular Medicine and Cardiothoracic Surgery. Specializes in all kinds of chest pain patients, heart disease patients.


    "It''s useless, I asked the nurse, and she asked me to go to the emergency room."


    My cousin was a sub-department cadre at any rate in the county, and he also worked in the health system. When he came to the provincial capital, his status was useless at all. It can hardly bring any convenience, and it is no different from ordinary people.


    "Ah Can, you are a doctor at this hospital. Is there a way for my dad to join the team? The nurses and doctors at the County People''s Hospital haven''t left yet. They just see that my dad hasn''t been admitted yet, and they''re worried about accidents, so don''t Dare to go."


    The cousin asked in a low voice.


    The county people''s hospital not only sent a special ambulance, but also sent doctors and nurses to ensure Uncle Zhou Can''s safety. Please download the latest content of the app iRead app


    Originally, the ambulances of the People''s Hospital would not be dispatched for such long-distance **** missions.


    The family members can only spend a lot of money to rent an ambulance outside the hospital.


    Say they are black cars, there are certain procedures.


    Affiliated to various hospitals, it specializes in accepting some jobs that the ambulances of the hospital do not accept.


    For example, transferring patients to large hospitals, or transporting them back to their homes, these tasks are not handled by regular ambulances at all.


    Zhou Can is acquainted with Dean Lu and Director Wang of the County People''s Hospital, and the other party intends to get acquainted with Zhou Can.


    It also made an exception and provided a lot of convenience for Zhou Can''s uncle.


    This point, the cousin is also well aware.


    The gratitude to Zhou Can is deeply in my heart.


    At this moment, if there is no other way, he doesn''t want to bother Zhou Can anymore.


    "You keep your phone open. I''ll call someone first, and then it will take me about forty or fifty minutes to get to the hospital."


    Zhou Can''s house is not close to Tuya Hospital.


    Even if there is no traffic jam at night, it will take nearly 50 minutes.


    "Ok, I will wait for you!"


    Seeing that he agreed to help, the cousin secretly breathed a sigh of relief.


    After hanging up the phone, Zhou Can sighed. It seems that the idea of ??sleeping with Su Qianqian tonight can only be shattered. It really took a long time, she finally let go of her emotions, and agreed with half-push and half-satisfaction.


    But because the uncle couldn''t be admitted to the hospital, he had to rush to deal with it.


    "Qianqian, Qianqian!"


    "What are you doing?"


    Su Qianqian heard his urgent voice and thought that he couldn''t wait for a moment.


    Secretly, men really have the same virtue.


    "My uncle was not admitted to Tuya Hospital. I need to go over and find a relationship. I can''t accompany you tonight. Remember to rest early."


    There is too much reluctance in Zhou Can''s heart.


    There is no way, the other end is the elders who have been kind to his family and cared for him since he was a child. Now that the uncle has suffered, it is his turn to repay his favor.


    The future with Qianqian is long, and there will be opportunities in the future.


    He can only comfort himself like this.


    After leaving the community, I hailed a taxi and went straight to Tuya Hospital.


    He directly dialed Director Lou of the emergency department.


    It''s not that I haven''t thought about finding Dr. Xu, but Dr. Xu''s position in the emergency department is not bad, but after all, he only manages the operating room of the emergency department.


    Director Lou is the head of the emergency department, so it is more useful to find him.


    The phone rang twice and was quickly connected.


    "Xiao Zhou, there must be something wrong with looking for me so late!" Director Lou was very kind to him.


    "I''m really sorry to bother you so late. My uncle had a heart attack, and the county hospital couldn''t treat it. He was transferred to Tuya Hospital. There may be a lot of people in the emergency department, so my uncle lined up one outside. After many hours, the team still failed to be admitted to the hospital, can you help me say hello?"


    Zhou Can briefly told what happened.


    Director Lou is impatient, he hesitated to talk to him about things, and directly scolded him.


    "What''s your uncle''s name?"


    "Zhou Guogan!"


    "Okay, I''ll take care of this."


    After Director Lou finished speaking, he hung up the phone directly.


    ¡­


    After the cousin finished calling Zhou Can, he didn''t have a clue. After all, this is a large provincial hospital. It''s hard to say whether Zhou Can can go through the back door and admit his uncle.


    After a few minutes, the same nurse who received them hurried over.


    "Push the patient to the emergency room!"


    Her attitude is completely different from before. Even offered to help pull the flat bed.


    The cousin was secretly happy that his father could finally be treated. Ah Can is really amazing. In just a few minutes, the cold nurse agreed to take him into the emergency room.


    Those patients who have nothing to do with each other can only endure the torture of illness and wait in line honestly.


    Connections can really save lives at critical moments.


    "Our director Han will come over to diagnose the patient himself in a while, please wait a moment."


    The nurse said to the cousin.


    "okay, thank you!"


    The cousin breathed a sigh of relief, and at the same time secretly shocked Zhou Can''s energy.


    When I arrived at Tuya Hospital, it was definitely not easy to directly mobilize a doctor at the director level to receive consultations in person.


    "Which hospital are you doctors and nurses?"


    "We are the on-board medical staff of the Xinhai People''s Hospital!"


    "Xinhai City is quite far from here! This is beyond the ambulance **** duty of your hospital!" The nurse asked in surprise.


    "Hehe, if it is an ordinary patient, we will definitely not agree to send a car. This patient is Dr. Zhou Can''s uncle, and our dean personally greeted him, so we can''t help it!"


    The nurse who followed the car had a big mouth and poked out everything.


    But she was still reasonable, and after seeing Zhou Can call, Tuya Hospital quickly admitted the patient. That''s why Zhou Can''s name was mentioned on purpose, in order to get closer.


    "Ah...you and Dr. Zhou Can are acquaintances! You should have said it earlier! No wonder Director Lou greeted us personally, let us deal with it quickly!" The nurse was none other than Ye Tingting.


    She ran between the observation room and the emergency room.


    Participate in rescue work wherever there is a need.


    "Beauty, ask me, is Dr. Zhou Can very good in your hospital? I have no other intentions, just curiosity."


    "Which aspect are you referring to? Medical skills or something?"


    Ye Tingting asked with a smile.


    "I know his medical skills are great. I heard that a heart attack patient was rescued in our county people''s hospital, and a heart stent operation was completed in just a few minutes. What I want to ask is the status of Dr. Zhou Can!"


    The gossiping heart of the nurse following the car is really not so strong.


    Women, basically there are very few who don''t love gossip.


    "Dr. Zhou''s status must be high! Otherwise, it would be impossible to greet Director Lou of our emergency department directly." Ye Tingting praised Zhou Can very proudly.


    "Understood. Thank you for telling me this! It''s a pity that I haven''t seen what Dr. Zhou Can looks like. I only heard that he is very young." Nurse Cha Cha nodded knowingly.


    While speaking, Han Changqing, chief physician of internal medicine in the emergency department, walked in.


    "Who is Zhou Guogan?"


    Han Changqing asked as soon as he entered the door.


    There are many beds in the emergency room, and there are not many patients.


    "Here, here!"


    Ye Tingting waved at him.


    "This is Director Han of our emergency internal medicine department." She introduced to her cousin and others.


    It was also for Zhou Can''s sake that he deliberately introduced him.


    "Show me the test results."


    Han Changqing probably knew that the patient could not be cured in the County People''s Hospital, so he was transferred here.


    After reading it, he seemed very calm.


    "The patient''s condition is indeed quite serious. I guess he will be transferred to the Department of Cardiology for treatment tomorrow. However, the beds over there are tight, and I''m afraid we can only live in them when new beds come out. Tonight, he will live in the emergency room first. , I will personally treat him with medicine.¡±


    Han Changqing greeted his cousin.


    "Then I''ll trouble you! As long as I''m admitted to the hospital, I''ll be relieved." What my cousin was most afraid of was waiting in line outside.


    It is true that the hospital has an obligation to rescue patients, but if the illness is delayed, the loss must be borne by the family members.


    After the patient was sent to the hospital, he eventually died because of untimely treatment, and there were countless cases where the family members filed lawsuits with the hospital.


    In the end, there are very few family members who can sue.


    Even if the lawsuit is won, the person is gone, and a sum of compensation is received, the lost relatives are lost forever.


    "You are relatives of Dr. Zhou Can, so you are welcome." Han Changqing was very polite to his cousin and others. "Our hospital has taken over the patients here, and your ambulance can go back."


    "OK, thanks."


    The nurses and doctors who followed the car had long wanted to go back, but Zhou Can''s uncle had not been accepted here, so they could only wait.


    The two waited for so long, but it was not in vain.


    At least he saw how high Zhou Can''s status was in Tuya Hospital. After returning, if Director Wang and Dean Lu ask, they can also provide some dry goods.


    The cousin sent the two of them into the car, and each of them sealed a red envelope, including the driver.


    Even so, it is much more cost-effective than hiring a private ambulance outside the hospital.


    After the endless coma, Shi Yu suddenly got up from the bed. If you want to see the latest chapter content, please read the latest chapter content. The website has not updated the latest chapter content, and the Star APP has updated the latest chapter content.


    He took a big gulp of fresh air, his chest trembling.


    Confused, puzzled, all kinds of emotions came to my mind.


    Where is this?


    Afterwards, Shi Yu subconsciously observed his surroundings, and then became even more at a loss.


    A single dormitory?


    Even if he was successfully rescued, he should be in the ward now.


    And my own body...how could there be no injuries at all.


    With doubts, Shi Yu quickly swept his gaze across the room, and finally settled on a mirror by the bedside.


    The mirror reflected his current appearance, he was about seventeen or eighteen years old, and he was very handsome.


    But the problem is, it''s not him!


    My previous self was a handsome young man in his twenties who had been working for a while.


    But now, no matter how you look at it, this appearance is only the age of a high school student...


    This change left Shi Yu in a daze for a long time.


    Don''t tell him that the operation was a success...


    The body and appearance have changed. This is not a question of whether to have surgery or not, but a fairy art.


    He turned into a completely different person!


    Could it be... that he crossed over by himself?


    In addition to the mirror on the bedside which was obviously placed in a bad feng shui position, Shi Yu also found three books beside it.


    Shi Yu picked it up and took a look, the title instantly silenced him.


    "Necessary Beast Breeding Handbook for Novice Breeders"


    "Postpartum Care of Pet Animals"


    "Guidelines for Evaluation of Alien Beast Ear Girls"


    Shi Yu:? ? ?


    The names of the first two books are quite normal, UU reading www.uukanshu. com What''s the matter with you last one?


    "cough."


    Shi Yu''s eyes were serious, and he stretched out his hand, but soon his arm stiffened.


    Just when he was about to open the third book to see what it was, his brain suddenly felt a sharp pain, and a large amount of memories flooded in like a flood.


    Icefield City.


    Pet breeding base.


    Trainee pet keeper. The website will be closed soon, download the Stars app to provide you with the experience value of my medical skills of the great **** Jiangbian Yuweng


    Beastmaster?

 Chapter 361： Steady as a mountain, the difference between having and not having

    No one forced them to give these three red envelopes. Even if the cousin didn''t give extra red envelopes, the three of them would not say anything more.


    But this is how people deal with each other. If you have tasted the sweetness and gained benefits, others will continue to associate with you next time. If you are too stingy and don''t know how to behave, people will avoid you next time.


    The cousin was able to climb to the position of deputy section chief, and these simple truths were naturally understood.


    The money that should be spent must not be saved.


    Fifty minutes later, Zhou Can arrived at Tuya Hospital. The emergency department is his natal family, and most of the doctors and nurses here are familiar with him and greet him warmly.


    "Acan!"


    The cousin who was guarding outside the emergency room was very moved when he saw that he had rushed over in person at such a late hour.


    "How is uncle?"


    Zhou Can is very concerned about the safety of his uncle.


    "Not long after you said hello, the hospital took my dad into the emergency room. However, there are no beds in the Department of Cardiovascular Medicine, so we can only wait until tomorrow."


    My cousin is very satisfied with the result.


    If Zhou Can hadn''t helped him today, maybe his father wouldn''t have been admitted yet.


    For such patients transferred from other hospitals, no matter which hospital accepts them, they will be extra careful.


    Especially this critically ill patient.


    It''s easy to get into trouble.


    Patients transferred from other hospitals can often be seen in the emergency department or outpatient department, but they cannot be admitted for a long time. Because hospitals usually have no way to explicitly reject patients, they can only adopt some soft methods.


    Let the nurses do the ideological work for the family members and patients first. Your disease is too serious. Our hospital is not good at treating this disease. A certain hospital is more professional in this area than us. I suggest you go there for treatment.


    Some family members will take the patient away after hearing this.


    Some, for various reasons, insisted on refusing to leave.


    At this time, the nurse will deliberately leave the patient there to let the family members retreat.


    There is another kind of rhetoric that is more commonly used. The beds here are tight, and there are really no beds. When patients are transferred to another hospital, their condition is often very serious, and they cannot afford to procrastinate or dare to gamble.


    Lai waited here for a day, not to mention that he could not get any treatment, and he might not be able to wait for a bed.


    Naturally, no one dared to bet, so they had to leave obediently.


    The doctors in the emergency department must have known about the situation when Zhou Can''s uncle had just arrived. I find it difficult, so I don''t want to accept it.


    But I didn''t expect that the patient was Zhou Can''s uncle. After Director Lou said hello, he had to be admitted.


    As for some family members, they self-righteously believe that the health authority stipulates that the hospital is not allowed to refuse a diagnosis, and then transfer the patient directly without communicating in advance. In the end, it was sadly discovered that the society is so dark.


    My cousin can be regarded as a member of this large system, and he still understands these methods. This is why he is very satisfied with the current results.


    "After work tomorrow, I will go to the Department of Cardiovascular Medicine to ask for a bed for my uncle. However, the beds in Tuya Hospital are really tight, and there is no way to guarantee this matter."


    Zhou Can didn''t dare to speak too harshly.


    For cardiothoracic surgery, it was basically a matter of one sentence for him to get a bed. I''m not very familiar with cardiovascular medicine, I''m afraid I''ll have to ask Director Tan for help.


    Zhou Can did not expect that one matter would use up so many favors.


    "I don''t have any acquaintances in Tuya Hospital, so I can only ask you." My cousin said bitterly.


    After his father fell ill, he realized that he, the deputy section chief, was nothing and couldn''t use his strength at all.


    "My brother doesn''t need to be polite! How many days off can you take? Uncle needs to be accompanied by a special person when he is hospitalized. I don''t think the hospitalization period will be too short. You have to be mentally prepared."


    Zhou Can greeted his cousin in advance.


    Hospitalization must be accompanied by someone. It is nonsense that doctors and nurses come to take care of patients'' daily life. Either family members accompany, or ask for a nurse.


    Therefore, if you have more children, if you get sick when you get old, you can share the burden with a few more people.


    If there is only one child, the burden will be all on one child, and the pressure will be very great.


    "Let me see the situation! If it doesn''t work, ask my mother to come and take care of her for a while, or hire a nurse."


    My cousin had already planned for this.


    Uncle''s medical treatment will definitely cost a lot of money this time, and the economic conditions of my cousin''s family can only be said to be okay. He must save as much as he can, and there is a high probability that he will call his aunt to accompany his uncle.


    ¡­


    In the evening, when Zhou Can returned to the apartment dormitory, it was almost ten o''clock.


    Opening the dormitory door, he was surprised to find that Jin Mingxi was practicing knife skills. Instead of cutting carrots directly, practice carving on carrots with a scalpel.


    "Zhou Can, you''re finally back! Have you settled the family affairs?"


    Jin Mingxi looked very happy to see him back.


    "Well, it''s been dealt with."


    Zhou Can walked behind him, picked up a withered carrot and looked at it.


    "Are you planning to change your career to become an artist?"


    "Haha, I don''t understand! Director Hu taught me to use this method to improve my surgical ability. He said that my knife skills are barely enough, but my knife skills and flexibility are not enough. Withering can make me ingenious. "


    Jin Mingxi got the guidance of director Hu Kan, and now he is full of energy from the inside out.


    This kind of passionate, high-spirited and aggressive attitude is very good.


    Zhou Can has experienced it before.


    Especially during the more than one year of taking the medical license exam, he felt like a watch that was fully wound up, ticking, ticking, and always having endless strength and energy.


    "Okay, the improvement of this level of saber technique is almost visible to the naked eye! Having a teacher who is compatible with you guides it, it really is different. I can feel that your saber technique is improving at a rapid speed."


    Zhou Can took a closer look at the carrots that Jin Mingxi had finished training, and expressed his feelings.


    It''s true that a famous teacher produces a good apprentice.


    "Hey, we are good friends, good brothers, don''t flatter me!" Jin Mingxi said so, but the smile on his face was very bright.


    The sword technique has improved so fast, I believe he can feel it himself.


    "Look at what you said, if you don''t float by yourself, who can kill you? I also have to practice my sword skills quickly. After going home for five days, my skills are all ruined. I will see Director Hu tomorrow. If I see My saber technique does not advance but retreats, I am afraid they will scold me."


    Zhou Can felt itchy when he saw Jin Mingxi''s sword technique improving so fast.


    Up to now, he has not even entered the door of stabilizing the knife, and he really needs to work harder.


    However, his study time is still very short. I believe that as long as he learns more and practice more, with the help of the experience point system, he will be able to enter the classroom soon.


    "Director Hu can''t bear to scold you! In the past few days, he has not only mentioned you many times, but also looks forward to your coming every day when the time agreed with you comes."


    Jin Mingxi; I really envy Zhou Can.


    All the chief physicians love Zhou Can very much and try their best to cultivate him. Obviously everyone is human, why is there such a big difference?


    He didn''t even think about it, Zhou Can was talented, hard-working, respectful of teachers, excellent moral character, and he was full of the demeanor of a great doctor in his dealings with others. What teacher wouldn''t like to meet such an outstanding young man?


    "I can pass tomorrow. No, I have to practice stabilizing the knife quickly!"


    Zhou Can is very clear that the improvement of knife skills is the greatest reward for Director Hu Kan.


    "Old Jin, lend me a bag of carrots!"


    "No problem, just take it!"


    Jin Mingxi hoarded six bags of carrots, which happened to be cheaper for Zhou Can.


    Carrying a bag of carrots, sitting in front of the long-lost practice table, holding the scalpel, Zhou Can''s whole momentum changed. This is the unity of man and knife.


    Basically every powerful famous surgeon can achieve the unity of man and knife.


    When Director Hu performed the operation, holding the knife, his whole body was like a rock in the river that has experienced tens of thousands of years, as stable as a mountain. When Dr. Xu performed the operation, he appeared sharp and swift like the wind, like a tiger beetle galloping across the operating table.


    After holding the scalpel, the aura of the whole person becomes different, which is the manifestation of the unity of human and knife.


    Man endows the scalpel with a soul, and the depth of the knife fits the thoughts and actions of the knife holder.


    It''s like a scalpel communicates with people''s hearts.


    This is a mysterious and mysterious realm, but it really exists.


    Some doctors have explained this phenomenon, calling it a living scalpel.


    It means that when the scalpel is in the hands of the doctor, it seems to be alive and alive.


    "Puchi!"


    Holding the scalpel, Zhou Can cut down on the carrot, not seeking speed, but stability. However, unlike Director Hu Kan and Jin Mingxi''s slow cutting method, Zhou Can''s speed is relatively much faster than theirs.


    This is what Director Hu Kan proposed, the combination of fast and steady.


    Because Zhou Can currently has a higher level of fast swordsmanship, and steady swordsmanship is not even considered a beginner, so he can only focus on fast swordsmanship and seek stability in the fast.


    He cut the carrots one after another, and the little scalpel came alive in his hands.


    Or cut, or pick, or row...


    Every time he cuts, he can gain some experience, and his understanding of the steady knife technique can also improve a little bit.


    Time passed bit by bit, and the only sound in the dormitory was the sound of cutting carrots.


    Zhou Can forgot everything outside his body and immersed himself in it, constantly pondering and improving his sword skills.


    It can be seen that his movements are becoming more and more stable, but his expression is becoming more and more relaxed.


    After eleven o''clock, Jin Mingxi couldn''t hold on any longer, packed up the training bench, and went to bed. He is now thirty-seven years old, and he is incomparable with a young man like Zhou Can.


    The energy and physical strength are obviously not as good as those of young people.


    This is why many companies do not recruit new employees over the age of 35. Because at this age, learning ability, physical strength, and energy will all deteriorate. The cost for enterprises to cultivate such talents will be higher, and after they are trained, they will be older.


    If the training period is eight years, after training, they will be over forty-three years old, and they will be middle-aged and elderly people.


    In fact, from a newcomer to a department manager, very few people can complete the promotion within eight years. Most people need more than twelve years.


    Therefore, companies are more willing to recruit young men in their twenties to join the company.


    In the dormitory, Zhou Can was the only one left who was still tirelessly practicing the steady knife technique.


    He does things, this kind of patience and perseverance is very good.


    It''s also easier to score.


    The clock crept past twelve o''clock, and the big bag of carrots borrowed by Zhou Can was running out.


    If you look closely, you can notice some changes in his knife skills.


    Every time the knife is cast, it seems that an invisible mountain is pressing on the knife body, the knife is fast and steady.


    The knife is like a mountain, and you must seek stability while you are fast. This is Zhou Can''s understanding of the steady knife technique.


    After successfully comprehending the steady knife technique, he could clearly feel that the scalpel has become much more stable.


    In the past, what he was looking for was speed and dexterity. Now that there was an invisible mountain on the knife, the scalpel naturally became stable, but the dexterity and speed were obviously affected.


    The natural law of physics belongs to the iron law. When two different forces collide, one of the forces will definitely suffer a loss.


    The real best of both worlds should not exist.


    It can only be said that the current pursuit of stability is generally a kind of progress, and it is a road that neither Dr. Xu nor Director Hu has traveled. It belongs to Zhou Can''s own ''Tao''.


    Director Hu has been slow and stable for a lifetime, but when he gets old, he almost loses his life because of two risky surgeries.


    Dr. Xu was even worse. Eight years ago, he had already suffered a serious medical accident, and he still hasn''t been able to recover.


    Zhou Can inherited the mantle of the two, and they all hope that Zhou Can can walk a new path and never repeat the mistakes of the two of them.


    Looking at another brand-new sword technique, Zhou Can''s heart was full of joy and anticipation. It''s as if a new seed has been planted, and that seed is now sprouting.


    Cultivate it well, and it may grow into a towering tree in the future.


    "I can finally have a good night''s sleep tonight. When I see Director Hu Kan tomorrow, I can also hand in a good grade."


    I believe Director Hu will be very pleasantly surprised tomorrow when he finds out that Zhou Can has successfully mastered the steady knife technique so quickly.


    ¡­


    The next day, after Zhou Can got up, he received a text message from Su Qianqian on his mobile phone.


    Only two words "Miss you!"


    This little girl, after following him home to meet her parents, finally stopped being so reserved and began to regard Zhou Can as the other half of her life.


    "I''ll come with you tonight!"


    Zhou Can found that his girlfriend was simply a hardworking bee, and the WeChat message was distributed at 5:41. It means that at that time, she got up.


    Being a celebrity seems to have unlimited scenery, but it is actually very hard.


    Su Qianqian took five days off from the company this time, and followed Zhou Can back to her hometown. Apart from meeting Zhou Can''s parents, it was actually an important part of Zhou Can''s way of dealing with the capital tycoon Hu Haikun.


    It was to deliberately create a false image, so that Hu Haikun really thought that Su Qianqian agreed to join him.


    Su Qianqian is the pillar of Jinyu Interactive. She was suspended for five days, which had a great impact on the company. This is also in response to Hu Haikun''s request to put pressure on Li Luo, the shareholder of Jinyu Interactive.


    Yesterday, Li Luo took the initiative to negotiate with Hu Haikun, and the result was a ''compromise''.


    Agree to some conditions of Hu Haikun and kick Zhou Can out.


    Su Qianqian did not reply to the message, and she was probably already busy with work.


    Zhou Can also went out after hastily washing up. Morning running and fitness are his daily compulsory courses. Even in the past few days when he returned to his hometown, he persisted.


    Although this society is a society ruled by law and the domestic law and order is also very good, men must have a strong body.


    It can make men more attractive, and when encountering things, they can also be more calm and confident.


    Especially in the case of urgent danger, you can defend yourself at any time.


    Don''t underestimate this ability, having this ability of self-defense is equivalent to carrying a legal ''gun'' on your body at all times. You can fight back at any time if you encounter gangsters or criminals.


    A strong person once said that I keep a low profile so that I can keep a high profile at any time.


    Why are some billionaires still able to look down on the world when they are wearing civilian clothes and riding bicycles on the street? Because people have this strength, they can live comfortably, and can easily realize most of their ideas.


    Ordinary people work hard for three meals a day, and if they don''t work for a day, the whole family will go hungry.


    In this case, wearing civilian clothes and riding a bicycle on the street will have a completely different mentality from that of a billionaire.


    What they think about is how to solve food and clothing, and whether they can find work today.


    Billionaires have the mentality of playing in the world. When they see something they like, they can buy it directly. It is all about enjoying life and understanding life.


    Therefore, Zhou Can learned to fight and paid attention to physical exercise since he was a child. This is a very correct choice.


    After running, I went back to the dormitory to take a shower and change clothes, and hurried to the hospital to work.


    I don''t know what''s going on with Uncle?


    After the endless coma, Shi Yu suddenly got up from the bed. If you want to see the latest chapter content, please read the latest chapter content. The website has not updated the latest chapter content, and the Star APP has updated the latest chapter content.


    He took a big gulp of fresh air, his chest trembling.


    Confused, puzzled, all kinds of emotions came to my mind.


    Where is this?


    Afterwards, Shi Yu subconsciously observed his surroundings, and then became even more at a loss.


    A single dormitory?


    Even if he was successfully rescued, he should be in the ward now.


    And my own body...how could there be no injuries at all.


    With doubts, Shi Yu quickly swept his gaze across the room, and finally settled on a mirror by the bedside.


    The mirror reflected his current appearance, he was about seventeen or eighteen years old, and he was very handsome.


    But the problem is, it''s not him!


    My previous self was a handsome young man in his twenties who had been working for a while.


    But now, no matter how you look at it, this appearance is only the age of a high school student...


    This change left Shi Yu in a daze for a long time.


    Don''t tell him that the operation was a success...


    The body and appearance have changed. This is not a question of whether to have surgery or not, but a fairy art.


    He turned into a completely different person!


    Could it be... that he crossed over by himself?


    In addition to the mirror on the bedside which was obviously placed in a bad feng shui position, Shi Yu also found three books beside it.


    Shi Yu picked it up and took a look, the title instantly silenced him.


    "Necessary Beast Breeding Handbook for Novice Breeders"


    "Postpartum Care of Pet Animals"


    "Guidelines for Evaluation of Alien Beast Ear Girls"


    Shi Yu:? ? ?


    The names of the first two books are quite normalWhat''s the matter with you in the last one?


    "cough."


    Shi Yu''s eyes were serious, and he stretched out his hand, but soon his arm stiffened.


    Just when he was about to open the third book to see what it was, his brain suddenly felt a sharp pain, and a large amount of memories flooded in like a flood.


    Icefield City.


    Pet breeding base.


    Trainee pet keeper. The website will be closed soon, download the Stars app to provide you with the experience value of my medical skills of the great **** Jiangbian Yuweng


    Beastmaster?

 Chapter 362： The dog is not too poor, and the crisis of cardiothoracic surgery is coming

    He went straight to the emergency department. At this time, because it was only after seven o''clock in the morning, Ye Tingting was changing shifts.


    Seeing Zhou Can coming, she greeted with a happy smile, "Good morning, Doctor Zhou!"


    "Morning sister Ting! How is my uncle?" He and Ye Tingting were old acquaintances. Now, more than two years later, Ye Tingting is already an old comrade among the nurses in charge.


    Time did not dilute the friendship between the two.


    Every time Zhou Can came to the emergency department, as long as Ye Tingting was in the department, he would take the initiative to chat with him warmly.


    There is no need for Zhou Can to ask for anything, she will take the initiative to help every time.


    "The patient''s condition is not very good. Two ventricular tachycardias occurred last night. Director Han rescued the patient several times to stabilize the patient''s condition." When Ye Tingting talked about the emergency last night, she was still worried.


    Ventricular tachycardia, there will be amaurosis, dizziness, palpitation, chest tightness and other symptoms.


    Often accompanied by malignant arrhythmia.


    It must be corrected in time to prevent recurrence, otherwise it is easy to develop further and eventually cause ventricular fibrillation.


    "Thank you for your hard work!"


    Zhou Can said gratefully.


    "You''re all my own, don''t be too polite! You have less than a year left in your regular training, right? Will you go back to the emergency department by then?"


    Ye Tingting looked at him expectantly.


    "Why don''t I come back?"


    Zhou Can asked her back.


    "It''s not that you don''t know the situation of the emergency department. Compared with those important departments, it''s not even a star. With your current fame and strength, all the important departments are scrambling to recruit you. Everyone must be thinking about their own future! You can develop better in other departments, and it is the choice of most people not to go back to the emergency department."


    Ye Tingting''s analysis also makes sense.


    When adults make choices, they always put interests first. It is about the future, so be even more cautious.


    Zhou Can had just entered the emergency department, so there was nothing he could do.


    To put it bluntly, it was picked by others.


    It''s not bad for a department director to take him in.


    Today, through his own efforts, Zhou Can has broken out of the cocoon and turned into a butterfly, which is no longer what it used to be. His options are also much bigger.


    You don''t have to stay in the weak department of the emergency department anymore.


    "Unfortunately, I happen to be not among the vast majority of people, and I belong to a small group of heterogeneous people. So, Sister Ting, let''s wait and fight side by side together!" Zhou Can''s eyes were firm, and he thought of returning to the emergency department after finishing his studies. Never wavered.


    "But¡­"


    Ye Tingting felt that he didn''t need to be emotional, but should put his future first.


    Although she is very happy to become a colleague in the same department with Zhou Can and fight side by side. And with Zhou Can''s strength, returning to the emergency department will definitely become the backbone of the department soon.


    She has a good friendship with Zhou Can, and Zhou Can will definitely take care of her when the time comes.


    "Dogs don''t think their families are poor, and their sons don''t think their mothers are ugly! This is my truest thought. The emergency department is weak, so let''s work together to make it stronger. Those weighty departments have passed through a generation, or several generations. efforts, and eventually become stronger and stronger."


    Zhou Can has long had the idea of ??leading the emergency department to become stronger.


    Just wait until the internal medicine rotation is over, and he will return.


    "What are you talking about?" Han Changqing walked over. It is estimated that I am about to leave work, and I am going to enter the emergency room to check on the patients in charge, and then do the handover work.


    [In other words, currently the best app for reading and listening to books, Yeguo Reading,; install the latest version. ¡¿


    "Hello, Director Han! I heard that you were the one who treated my uncle last night. Thank you for your hard work!" Zhou Can thanked him with a smile.


    "It should! Besides, Dr. Zhou is my own person. I should take care of your relatives with all my heart and responsibility. What you said just now is that a dog does not dislike a poor family. It is simply too handsome."


    The relationship between Director Han and Zhou Can is actually not that close.


    Most people who practice internal medicine are proud of themselves.


    Director Han is a relatively lonely person, and has almost no personal relationship with Zhou Can. At this moment, perhaps because he was moved by Zhou Can''s words, he looked at Zhou Can very kindly.


    "Haha, I just made an inappropriate analogy!"


    Zhou Can explained with some embarrassment.


    "I think this metaphor is full of warmth! I have to go in to check on the patient''s condition, excuse me!"


    Han Changqing entered the emergency room.


    "I have to go to work too, let''s talk next time!" Ye Tingting waved at him.


    Zhou Can didn''t see his cousin, so he had to call him later to ask about the bed situation.


    Generally, new inpatient beds are vacated, and most of them are concentrated before ten o''clock in the morning.


    Because the cost list of the pricing room is usually delivered to the inpatient department the next morning. We all know that the hospital is not a charitable organization, and we cannot leave the hospital without paying off the expenses.


    Whether the uncle''s inpatient beds can be put in place can basically be seen around ten o''clock.


    New inpatient beds may sometimes come out in the afternoon.


    The most common is that the patient is temporarily transferred to another department or hospital, or more extreme, the patient dies.


    "Ah Chan, Ah Chan..."


    My cousin came over with breakfast.


    It turned out that I went to buy breakfast, no wonder I didn''t see anyone.


    "Brother Hai, I found out about Uncle''s situation just now, and I''m not optimistic. If there is still no inpatient bed in the Department of Cardiovascular Medicine before eleven o''clock in the morning, you can call me. I will try to find a solution then."


    The emergency department has certain privileges for referring patients to specialists.


    Sometimes, a specialist does not necessarily buy it.


    Therefore, this matter can only wait patiently until eleven o''clock in the morning to see the result. If the Department of Cardiovascular Medicine doesn''t buy it, Zhou Can will find Director Tan''s relationship later.


    He will not be an idiot like his cousin Chen Shangfu, who abuses his connections in order to show off his connections.


    A real big boss can solve things with money and never use connections.


    Good steel is usually chosen for use on the blade.


    Because favors need to be repaid. Usually, if you abuse your connections for trivial matters, it will not only make people look down upon you, but at critical moments, there may be an embarrassing situation where no connections are available.


    After explaining to his cousin, he rushed to work in the endocrinology department without mentioning it.


    This time, he directly asked for five days off, which is really not the privilege of ordinary Gui Peisheng. Zhou Can has always been self-aware, so he should work hard after returning to his post.


    One morning, he passed in a busy way.


    At around ten o''clock, my cousin called and told him that my uncle had successfully obtained an inpatient bed in the Department of Cardiovascular Medicine, and he had been transferred to a specialist for further treatment.


    After hearing this, Zhou Can was relieved a lot.


    It''s a pity that I haven''t mixed in cardiovascular medicine, and I don''t have many acquaintances. Otherwise, saying hello will allow uncle to receive better treatment.


    ¡­


    When he got off work, he took out his phone and looked at it. Su Qianqian sent him a text message back.


    The message came back after three o''clock in the afternoon, because I was too busy at work and didn''t have time to check my phone.


    "Honey, I''m afraid you''re going to be disappointed again tonight! I need a live broadcast for the next week, a big concert, and four commercial shoots..."


    She is the pillar of Jinyu Interactive, and now she is popular in half the sky, and her work is extremely busy.


    Zhou Can was depressed for a while, he missed such a good opportunity last night.


    There is no way but to wait for the next time.


    Fortunately, she has let go of this. As long as she finishes her busy period, the two of them will have a chance to live together.


    "Don''t tire yourself out, pay extra attention to safety these days!"


    Zhou Can sent her a message back.


    In the past few days, it should be the most rampant moment for the capital tycoon Hu Haikun. Li Luo bowed his back and Zhou Can was facing elimination. Hu Haikun must be full of ambition. Although Zhou Can has confidence in the situation, he must be careful.


    Things like turning in the gutter often happen, and he doesn''t want to be a tragic protagonist.


    He hurried to the hospital cafeteria for dinner, then came to the cardiothoracic surgery department.


    Director Hu Kan has already called and made an appointment with him, asking him to go to the cardiothoracic surgery department to learn steady knife technique and cardiothoracic surgery knowledge.


    People are like iron, and food is like steel. If you don''t eat a meal, you will be hungry.


    Definitely have to eat.


    Working on an empty stomach can only happen when you have to do it yourself.


    While sitting in the cafeteria eating, Zhou Can faintly heard many people whispering about cardiothoracic surgery. It is said that the Provincial People''s Hospital and the Third Hospital are working together in the field of cardiothoracic surgery.


    The Provincial People''s Hospital hired a heavyweight cardiothoracic surgery doctor from the Northwest with a high salary, and he directly brought the key members of the surgical team to the Provincial People''s Hospital to work.


    Including medical assistants, surgical nurses, anesthesiologists.


    I heard that the Provincial People''s Hospital completed three difficult heart surgeries in less than a week, and became famous in the first battle. Now newspapers and news have begun to report.


    The Third Hospital has a surgical team trained locally, which has successfully overcome many surgical problems in cardiovascular diseases, and even published related papers that were directly published in top journals such as The Lancet and SCI.


    Where there are people, there will be rivers and lakes, and where there are markets, there will be competition.


    The competition in the medical industry is a cruel war that can''t be seen, but exists all the time.


    Survival of the fittest is an eternal law of nature.


    Director Hu Kan, the No. 1 cardiothoracic surgeon in Tuya Hospital, fell down. Although the news was blocked, the fire could not be covered by paper. It was easy for other hospitals to snoop on relevant news.


    Now, the Provincial People''s Hospital and the Third City Hospital are working hard in cardiothoracic surgery at the same time. It is definitely not accidental.


    It will not be a coincidence.


    I believe there will be other hospitals that will hold up the butcher''s knife and feast on it, and they will never be polite.


    Zhou Can couldn''t help feeling worried about the cardiothoracic surgery department of Tuya Hospital.


    Now, the cardiothoracic surgery department is in short supply, and the situation is very dangerous.


    At around 6:20, he rushed to the cardiothoracic surgery room.


    "Doctor Zhou is here! Director Hu is waiting for you!"


    The nurse at the nurse''s desk greeted him with a smile.


    "Where is Director Hu?"


    "It seems to be in the small conference room. There are three operations that need to be performed at night. Director Hu and the others should be discussing the operation steps."


    Cardiothoracic surgery is generally performed at night unless it is an emergency operation. Or some extremely difficult large-scale surgeries take ten or twenty hours to perform, and if there is no other way, they can only last until night.


    Normally, surgery is performed during the day.


    Now, Director Hu has reserved three surgeries to be performed at night. Others don''t know the meaning behind it, but Zhou Can understands it. This was a special arrangement made by Director Hu to take care of him.


    Knowing that Zhou Can will come today, and that Zhou Can needs to work in the Department of Endocrinology during the day, he deliberately left the operation until night.


    It is to give Zhou Can the opportunity to learn.


    Zhou Can walked quickly to the small conference room, but the door was not closed.


    Director Hu and others are having dinner inside.


    It''s called bento.


    Dongdongdong!


    He knocked on the door, Director Hu raised his head, and when he saw Zhou Can coming, he smiled happily.


    "Xiao Zhou, have you eaten yet?"


    "Thank you teacher, I just ate."


    "There are three surgeries to be performed tonight, please take a look at the patient''s profile first."


    "OK!"


    Zhou Can was not restrained, and directly picked up the patient''s examination report and medical records to check.


    The three surgeries were major surgeries of grade 3 or 4. Even if everything went well, they would have to work until midnight.


    The most difficult of these should be the operation of a critically ill patient with a cardiac function level IV.


    Atrial plication and tricuspid valve replacement are required, which are extremely difficult heart surgeries.


    To be honest, there is no director Hu Kan in the Department of Cardiothoracic Surgery. It is somewhat difficult to perform such a difficult major operation.


    The main reason is the lack of cardiothoracic surgeons who can play the leading role.


    "Xiao Zhou, today these three operations are all reserved for the night. You have to thank Director Xue, Director Le and others. Everyone takes special care of you. The first two of these three operations are almost all for you. Tailor-made. It is an operation that you are capable of performing, but you have not mastered it. The last ventricular plication is extremely difficult and can greatly increase your surgical knowledge. You should be able to learn a lot when you are the second assistant thing."


    For such a high-tech surgery, Director Hu Kan can give Zhou Can a chance as a second assistant, which is considered special care.


    In this kind of difficult and major surgery, the lineup of the surgical team is often particularly gorgeous.


    The second assistant is often the deputy chief physician.


    As for the first assistant, it must be the chief physician, and a chief physician with rich surgical experience is needed.


    "Thank you everyone! In order to train me, let everyone work overtime together for surgery. I will never forget this affection." After hearing this, Zhou Can solemnly stood up~ www.novelhall.com~ and bowed to everyone.


    "You are welcome, Doctor Zhou. It is very beneficial for our cardiothoracic surgery department to train you. When we encounter difficult major operations, we may need you to help out! Therefore, we are mutually beneficial!"


    Director Le expressed his kindness to him.


    "Director Le is right. What our cardiothoracic surgery department lacks the most is top surgical talents. With your growth rate, as long as you work harder, it is entirely possible to take over the chief position of Director Hu."


    Director Xueyan also placed high hopes on him.


    "The cardiothoracic surgery department of our hospital is already on the verge of collapse and is in danger. Xiao Zhou, we all hope that you can grow up in the shortest possible time. You are not required to join the cardiothoracic surgery department, as long as you can help me at critical moments. Complete one or two difficult surgeries, shock Xiao Xiao, and maintain the reputation of Tuya Hospital, that''s all!"


    Director Hu Kan also looked worried.


    As the head of Tuya''s cardiothoracic surgery department and the number one surgeon, he must have a longer-term vision than others. He could feel threats from all directions more clearly.

 Chapter 363： This is talent, a single flower is not spring

    Modern technology is advanced, with the help of the Internet and self-media platforms, the speed of information dissemination is extremely fast. Competition among hospitals has also become more intense.


    A specialized hospital as large as Xinxiang Women''s and Children''s Hospital was on the verge of bankruptcy in just two years because of a fatal accident of a pregnant woman.


    Although Tuya Hospital is a big tree with deep roots, the diagnosis and treatment business of cardiothoracic surgery has been doing well, but in the absence of pillars, the decline often only takes one or two years.


    Maybe not even for a few months.


    "I will definitely work hard, because the pursuit of higher medical skills is my hobby and my lifelong career. It is just the improvement of the ability of cardiothoracic surgery. As you know, it is difficult to achieve something in less than ten years! I am afraid that I will disappoint the high expectations of you and the chief physicians."


    Although Zhou Can has a medical experience point system, his own talent is not bad, and he is still working hard.


    But the training period for cardiothoracic surgeons is particularly long.


    Many doctors have studied hard and practiced silently for more than 20 years before they can be considered small achievements.


    "Xiao Zhou, your growth rate is much faster than that of ordinary doctors. In particular, your surgery progress rate is the fastest I have ever seen in my life. As long as you are willing to study hard, I think there will be four or five years. , you can reach a considerable height. At least you can complete most of the key parts of difficult operations.¡±


    Director Hu Kan valued him very much.


    The expectations for him even surpassed Director Xueyan, Director Le and others.


    "Today''s ventricular plication is a good opportunity to prove that our cardiothoracic surgery department has not declined. Therefore, I hope that everyone will work hard to ensure the success of the operation."


    Director Hu Kan glanced at everyone present.


    For this department, it is imminent to perform an influential and difficult operation.


    "Do you have confidence?"


    "have!"


    Everyone''s answers seemed weak, obviously lacking in confidence.


    "Are you confident? Speak up." Director Hu Kan showed an angry look on his face.


    "have!"


    This time, everyone''s answer was much louder.


    It''s just that the surgical strength cannot be improved by shouting loudly.


    ¡­


    In the operating room, the first operation is the removal of foreign bodies in the lungs.


    The patient''s age was twenty-eight years old, and he was a strong young man. According to the patient''s family members, the child was mentally retarded after birth because he took cold medicine during pregnancy. A person in his late thirties is less intelligent than a three-year-old.


    Basically, as long as there is something that can be eaten, when the patient is hungry, he will take it and stuff it into his mouth when he sees it.


    At present, it is not clear what the foreign object stuck in the patient''s lung is.


    I only know that it is an irregular foreign body with a diameter of about 1.2CM.


    Family members don''t even know how it got into the patient''s lungs.


    Preliminary suspicion, it is likely that coughing caused the foreign body to enter the trachea, and then enter the lungs along the trachea. The material is likely to be metal.


    I have tried bronchoscopy to remove the foreign body, but it failed.


    In desperation, the family members had to take the patient to Tuya Hospital for treatment. The surgical plan given by Tuya Hospital is the traditional thoracotomy to remove the foreign body.


    Judging from the examination results, the foreign body was stuck in the lungs, which had caused a certain degree of pneumonia.


    The patient has a severe cough.


    If it is not treated in time, it will definitely cause more serious consequences.


    Therefore, the family members are very worried.


    "Xiao Zhou, do you have any problems with this surgery?"


    "I can try."


    Zhou Can has even undergone a lobectomy, and he is fully capable of challenging this lung foreign body removal operation.


    What''s more, when he practiced his steady knife technique yesterday, he finally got into the door.


    Just came in handy today.


    You can see how it works in practice.


    "You are the chief surgeon! I will guide you by the side,"


    Director Hu Kan has the absolute right to speak. When he said that Zhou Can should be the surgeon, naturally no one objected.


    Zhou Can put on sterile gloves and stood at the chief surgeon''s position.


    After receiving the scalpel from the equipment nurse, he casually slashed towards the drawn knife position.


    [Experience value of fast knife method +1, experience value of steady knife method +1, experience value of incision technique +1. ¡¿


    With one cut, the experience points of the three medical skills have been increased, which feels really cool.


    "Huh!"


    Director Hu Kan stood by and watched, his eyes widened suddenly, and he stared at Zhou Can in surprise. An expression of extreme surprise bloomed on his face.


    Because he found that Zhou Can''s sword technique was obviously different from before.


    Director Hu Kan has been obsessed with stable knife skills all his life, and he is known as the number one stable knife in cardiothoracic surgery. He is particularly sensitive to knife skills. Zhou Can''s sword technique has made a major breakthrough, and he can see it at a glance.


    But Director Xueyan, Director Le and others failed to see it.


    This is because their level is still shallow and their eyesight is not enough, so they can''t see it.


    "This knife is very stable! Mature men are hunched over their shoulders, and they walk like carrying a weight on their shoulders, because they carry responsibilities on their shoulders. This knife technique is also the same as the principle of being a human being. When the knife is drawn, it seems to be pressed An invisible mountain is both responsibility and stability. This is a trace of the mystery of Wen Dao. My apprentices, whether it is the newly recruited Jin Mingxi or the chief physicians, although the skills of Wen Dao are very profound, But that understanding is missing.¡±


    While director Hu Kan was happy for Zhou Can, he also sighed secretly.


    Talent cannot be forced.


    And the talented ones are very few after all.


    As long as there are one or two chief physicians in cardiothoracic surgery with Zhou Can''s talent, it will not make cardiothoracic surgery fall into the embarrassing situation of lack of talents.


    Talent is something that cannot be explained clearly, but it really exists.


    Take Jin Mingxi and Zhou Can as examples. Jin Mingxi has been practicing since childhood, and has been practicing the basic skills of stabilizing the knife for the past two years, with a solid foundation. But that''s all.


    Zhou Can''s practice of steady sword is still young, but he can realize a trace of the true meaning of steady sword, steady sword is like a mountain, this is his comprehension and talent.


    Jin Mingxi and other chief physicians couldn''t envy her.


    Afterwards, it basically became Zhou Can''s solo performance show, with swords like the wind, and the swords were steady, and became more and more stable, with extremely high efficiency.


    "Doctor Zhou''s surgical ability seems to have improved a lot!"


    Director Xueyan seemed to see a clue.


    She cooed softly.


    "Where did you improve?"


    Director Hu Kan''s eyes brightened slightly, and he couldn''t help looking forward to this apprentice who had been promoted to chief physician.


    Xueyan''s medical knowledge is one of the best doctors in the department. She is extremely profound and able to apply what she has learned. In the diagnosis of difficult and miscellaneous diseases, she can often provide some important reference suggestions, and even directly give accurate diagnosis results.


    The only fly in the ointment is that the surgical ability cannot reach the top level.


    At this moment, she could see that Zhou Can''s sword technique had improved significantly, and maybe he could also make a breakthrough.


    Learn from and learn from observation, this is the way to progress.


    "I can''t tell you the specifics. I just feel that he is more stable today than before, not so dexterous, and his speed has decreased. It''s like a frizzy boy who has learned to be restrained and calm, and has become stable."


    She couldn''t see that there was an invisible mountain on Zhou Can''s knife.


    It can only be seen that Zhou Can''s sword technique has become much more stable.


    "You observe very carefully, keep observing! Xiao Zhou''s understanding is really impeccable."


    Director Hu Kan nodded slightly.


    He asked Director Xueyan to continue to observe and study.


    When Ping Jin performed surgery, because Director Hu Kan was too skilled, the chief physicians and the attending physicians under him were all looking at the flowers in the fog and couldn''t see the true meaning of the knife technique.


    At this moment, Zhou Can has just realized a trace of the true meaning of stabilizing the knife, and it is also the period when others are most likely to understand it while watching.


    If Zhou Can is further familiar with the true meaning of a steady sword like a mountain, he will be deeply integrated into his sword technique, and it will be difficult for these chief physicians and attendings to see anything.


    ¡­


    More than an hour later, the foreign object in the patient''s lung was removed.


    The surface has been slightly blackened, and it looks like a pendant of an earring or necklace. I don''t know how the patient got it, and ate it into the mouth, and then accidentally coughed and entered the bronchi from the trachea, and finally entered the lungs.


    "This pendant seems to be made of platinum. It should not be made of stainless steel or silver." Director Le expressed his opinion after carefully examining the foreign object he took out with tweezers.


    "Give it back to the family! Alas, it is unfortunate for this family to have such a mentally handicapped son."


    Director Hu Kan sighed.


    Doctors often encounter all kinds of suffering families. For various reasons, such families are full of misfortune and make people sympathetic.


    Under normal circumstances, raising a son until he is twenty-eight years old would allow him to enter the society to work and earn money to repay his parents.


    However, this patient is mentally retarded, not only unable to enter the society to work, but also cannot take care of himself at home, and needs constant care from his parents. I believe that the parents of this patient are not only tired, but their financial situation may not be very good.


    "Xiao Zhou, that''s not bad! It seems that asking for five days'' leave does not waste the practice of stabilizing sword skills."


    Director Hu Kan didn''t bother Zhou Can during the operation just now.


    Now that the first operation has been completed, he must say a few words of praise.


    "I just gained a little understanding when practicing the steady knife technique. I tried to apply it in the operation today, and it really has a lot of benefits. The risk of the operation has been significantly reduced."


    After Zhou Can tried the actual combat effect of the steady knife technique, he was quite satisfied.


    To be precise, he combined the steady knife technique with the quick knife technique. Rather than simply stabilizing the knife.


    "Keep humble and continue to practice in this direction. I believe you will make greater progress." Director Hu Kan nodded slightly.


    "You watched Xiao Zhou''s operation just now, did you gain anything?"


    Director Hu glanced at the other doctors.


    Everyone was silent.


    Xueyan''s expression was slightly frowning, and her eyes were fixed. She was obviously thinking hard, thinking over and over again about Zhou Can''s knife skills in the operation.


    The operating room was cleaned up a bit, and after everyone had a rest, the second patient was pushed into the operating room.


    This is a cancer patient who had a lung cancer removal operation a year ago. This time through the examination, it was found that a tumor had grown in the patient''s mediastinum. At present, it has caused interference to patients, and some obvious symptoms have appeared.


    As for whether this tumor is malignant, it is not too sure yet.


    Its boundary is not clear, and there are blood signals, which indicate that the possibility of malignancy is high.


    The patient required a mediastinal tumor resection.


    This is a level three major surgery.


    The surgery is still performed by Zhou Can. It was also the chief physicians of the cardiothoracic surgery department who took care of Zhou Can and specially reserved a surgery for him to use for training and learning.


    There are no shortcuts to the advancement of surgeons.


    The best way is to accumulate practical experience and grow rapidly by performing operations in the operating room.


    Mediastinal tumors are divided into superior mediastinum, middle mediastinum and inferior mediastinum.


    This tumor is located in the superior mediastinum.


    It is likely to be caused by the metastatic spread of lung cancer. Usually, the three most common types of cancer cell spread are lymphatic spread, blood spread, and invasion and spread of adjacent organs.


    The spread of blood is not as terrible as imagined, not all the spread of blood will spread to the whole body.


    For a cancer cell to enter the blood, it needs to break through multiple barriers in the body.


    Even if it enters the blood, it may be excreted through the glomeruli or sweat glands. It is also possible that after being discovered by the body''s immune cells, it will be killed and removed.


    Even if it passes through the blood circulation, it eventually transfers to other organs. If it wants to take root, it also needs to face the body''s multiple immune mechanisms to kill it.


    [To be honest, I have been using Yeguo to read and read books recently, change sources, and read aloud with many timbres; both Android and Apple are available. ¡¿


    In the end, it escaped, and it was possible for it to take root, replicate crazily, and eventually develop into a malignant tumor.


    It must be said that as long as it is a tumor produced by cancer cells, it must be malignant, and it can never be benign. Regardless of whether the border is clear or not, and whether there is a blood flow signal, these conventional means of identifying the nature of the tumor are useless.


    Only by biopsy or cutting out the tumor for pathological examination can its nature be clarified.


    Some patients, by chance, found that the boundary was clear and the blood signal was not obvious after the examination, so they thought it was all right. In fact, this is a very dangerous approach.


    Especially when seeking a doctor, when encountering a young husband, because of lack of actual combat experience and consideration of surgical guidelines, it is easy to hastily persuade the patient to observe and observe again.


    As a result, the optimal time for surgery is missed.


    The tumor diameter of this patient with mediastinal tumor was 4.6cm. After surgical evaluation, Zhou Can believed that minimally invasive surgery could be performed.


    Usually, tumors less than 5 cm in diameter can be removed by minimally invasive surgery.


    Of course, this also depends on the doctor''s surgical level.


    In provincial-level tertiary hospitals like Tuya, there are basically no technical obstacles. But in Zhou Can''s hometown, Xinhai City People''s Hospital, it''s hard to say.


    This is why patients like to go to big hospitals for surgery, and even some primary and secondary surgeries like to go to big hospitals.


    I would rather wait in line for a long time, and would rather go to a famous big hospital for surgery.


    It''s not that the patients are hypocritical, but that everyone cherishes their lives very much. Surgery in a small hospital is likely to be treated as a guinea pig for doctors to practice. It''s done, everyone''s happy.


    If you don''t do it well, you''ll be fine if you die.


    If you are afraid of being half dead, then life is really worse than death.


    Zhou Can made great strides all the way, and always maintained his vigorous and resolute surgical style. In less than forty minutes, the tumor was successfully cut off. Whether it is separating tumors or stopping bleeding, he is as fast as the wind.


    Compared with the slow operation style of doctors in cardiothoracic surgery, he is definitely an anomaly.


    If Director Xue and others can often watch Zhou Can perform surgery, maybe they can change their surgical style, allowing them to pursue speed while pursuing stability.


    At least, they watched Zhou Can complete two operations in a row, and their desire for speed became much stronger.


    From this point of view, Director Hu''s downfall is not all bad.


    In the past Director Hu Kan was the **** in the hearts of all doctors in cardiothoracic surgery, and it was a kind of belief.


    Everyone takes him as a role model and learns from him everywhere.


    As a result, almost all surgeons in cardiothoracic surgery have developed a habit of not being afraid of slowness, but of being steady when performing operations.


    This is actually very detrimental to the development of the entire department.


    A flower blooming alone is not spring, but a hundred flowers blooming together makes the garden full of spring.


    Only when a hundred flowers bloom, each with its own characteristics, can a department develop vigorously.


    Because some surgeons may not be suitable for Director Hu''s slow pace of surgery, but should fit and match other styles.


    Zhou Can was both fast and stable, which was equivalent to opening a new window for them.


    Let them see a different world.


    In the future, I will dare to break free from the shackles and make some new attempts.

 Chapter 364： Will the able ones be defeated?

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "It''s just before eight o''clock, and two operations have been completed. It seems that we don''t have to stay up late after working hard!" Director Xueyan looked up at the wall clock on the wall, with a smile on her face.


    Because of the mask, it can only be seen from her eyes.


    "If we were to perform these two surgeries, it would be considered good if they could be completed before ten o''clock!"


    Deputy Chief Physician Lu is in his fifties, with white hair all over his head. He is an expert in both surgery and academics. It''s a pity that this person speaks too frankly, and it is often easy to chat to death.


    Doesn''t this mean that they are slow in performing operations in disguise?


    Everyone was somewhat embarrassed, but Director Hu Kan remained silent.


    "Cough... it''s actually not a bad thing to be slow! Slow work yields meticulous work!"


    Deputy Director Lu is Director Xueyan''s deputy, and often acts as an assistant to her, equivalent to her partner. She could only try her best to smooth things over for Deputy Director Lu and try to make amends.


    "Hehe, Director Xue is right. I am a person who does things quickly, but I am a little sloppy! The safety of surgery is above all else, it is better to slow down and be steady."


    Zhou Can also quickly laughed at himself, so as not to make the atmosphere awkward.


    He didn''t want to stand against all the doctors in the cardiothoracic surgery department.


    "There is only the last operation left. Everyone take a short rest and prepare to work hard to complete it!"


    Director Hu Kan ended this topic.


    Although Director Hu is usually very gentle, these chief physicians are very concerned about face. Steady knife technique is his life''s pursuit and glory. Deputy Director Lu doesn''t pay much attention to his words, criticizes the steady knife technique for being too slow in public, which will definitely make Director Hu Kan unhappy.


    This meant that Deputy Director Lu was in his fifties, and his status was not low, so he was not scolded.


    If it was a young doctor talking nonsense, nine out of ten he would be scolded.


    Everyone should go to the toilet, go to the toilet, and replenish water.


    Surgery is a physical job. Whether it is a doctor or a nurse, when performing a long-term operation, they usually drink water or milk during the rest period, and the nutrition express, etc.


    If the doctor has prepared a Red Bull drink, it is likely that there is an uphill battle to be fought.


    Sometimes, a complex operation lasts more than ten hours, which is definitely a difficult challenge for the doctors and nurses who have been tired all day. But in order to save the patient''s life against time, they can only grit their teeth and persist.


    Drinking some refreshing drinks has become their helpless choice.


    In the early years, many doctors and nurses drank a medicinal drink called brain juice.


    This drink can be refreshing, but it has strong side effects.


    Keep people''s spirits in a state of excitement for a long time, and overdraw the essence of people''s life. This will lead to accelerated aging of doctors and nurses.


    Zhou Can also went to the toilet, drank some water, and returned to the operating room with high spirits.


    Other surgical personnel also returned to the operating room one after another.


    The patient was lying on the operating table, and the anesthesiologist was not Dr. Feng, but Dongfang Luoxue, another chief physician of the anesthesiology department.


    As her name suggests, she is as cold and beautiful as snow, as if everyone in the world owes her a debt.


    Like director Xueyan, she is a talented woman worthy of the name.


    Dongfang Luoxue was in her early forties. She was quite beautiful, with fair and smooth skin. She didn''t look like a forty-year-old woman, but instead looked like a young girl in her twenties.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    According to Zhou Can''s knowledge, she is the only female chief physician in the Department of Anesthesiology.


    Also the youngest ever.


    It must be mentioned here that most people have the impression that anesthesiologists are male doctors, but in fact there are not a few female anesthesiologists.


    The proportion of female anesthesiologists in foreign countries is even much higher than that of male anesthesiologists.


    "Do you need my help?"


    Zhou Can was not familiar with Dongfang Luoxue, but they both knew each other.


    She also knew that Zhou Can was half of Dr. Feng''s apprentice.


    "good!"


    He just answered one word coldly.


    "I haven''t seen Dr. Guan for some time. Is he okay?" Zhou Can was looking for something to chat with her while working swiftly.


    It''s not that he wants to take down this cold female anesthesiologist, but because of work needs.


    Only by maintaining good communication can we ensure that the work is completed more smoothly.


    When encountering emergencies, the cooperation can also be more tacit.


    If they are all like her, cold as ice, silent, and unable to communicate in time if there is a problem. That''s going to be a big deal.


    She lowered her head and carefully installed the probe of the life monitoring instrument for the patient, but did not speak.


    "Dr. Guan almost had an accident last time. I was a little worried that he would be affected, so I wanted to ask." Zhou Can glanced at her, and this time looked at her as she spoke.


    "Work!"


    There were only two words in his answer.


    This aunt is really not ordinary cold. It''s not that Zhou Can has never met female doctors and nurses with cold personalities, but it''s rare to see one as cold as her.


    She is not cold, but cold.


    "I heard that most of the doctors in the anesthesiology department have weird personalities. That''s true."


    Zhou Can whispered.


    Of course, this is on purpose.


    Just to see her reaction.


    As a result, she pretended not to hear it and was not affected in any way.


    Zhou Can didn''t dare to say other excessive words to stimulate her, but honestly helped her work together and administered anesthesia to the patient.


    "The patient''s electrocardiogram is slightly abnormal. Do you need to make some special preparations?"


    After the patient passed out after inhaling the anesthetic, Zhou Can finally mentioned this matter.


    Every anesthesiologist does things differently.


    Dr. Feng is the most rigorous of all the anesthesiologists Zhou Can has ever met. Although the official doctor is also very rigorous, compared with him, his clinical experience is not good enough.


    Dongfang Luoxue is very meticulous in her work, but Zhou Can feels that she lacks foresight.


    The preoperative preparations are relatively sufficient, but there is obviously a lack of necessary preventive measures for some accidents that may occur during the operation.


    "No need!"


    She just answered two words coldly.


    Now that she has said that, Zhou Can is naturally not good at saying more.


    To be honest, his skills in the field of anesthesia are also limited, and he still has a lot to learn. During this operation, when he checked the patient''s electrocardiogram, he could find some subtle abnormalities.


    However, it is impossible to diagnose these subtle abnormalities and what causes them.


    Because this patient has a serious heart disease, there is an abnormality in the electrocardiogram, which is nothing more than normal.


    Director Hu Kan didn''t say anything, so there should be no need to worry too much.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    However, this is a subtle hidden danger after all. The anesthesiologist plays the role of the guardian of the patient''s life during the entire perioperative period. Zhou Can feels obliged to remind Dongfang Luoxue.


    After reminding her, she said it was fine, Director Hu Kan and the others didn''t say anything, Zhou Can naturally wouldn''t be troublesome.


    "Xueyan, you are the chief surgeon for this operation, and Director Le is the first assistant. Xiao Zhou and Deputy Director Lu are the second assistants at the same time. The rest of you will fully cooperate and assist to ensure the smooth completion of the operation."


    Director Hu Kan made the task deployment.


    "Please help me complete the operation together, thank you!"


    Director Xueyan was in charge of performing this difficult level 4 surgery, and she was a little nervous for a few seconds. Before the operation began, her eyebrows were always tightly frowned, and her eyes were extremely sharp.


    "Director Xue, you''re welcome!"


    "The department needs this operation to maintain its popularity. It is related to the rise and fall of the department. We will definitely go all out!"


    Everyone expressed their opinions one after another.


    At this juncture, everyone is a grasshopper on a boat, and the entire cardiothoracic surgery department is also united like never before.


    "Director Dongfang, can we operate?"


    Director Xueyan turned her head to look at Dongfang Luoxue.


    "The patient''s vital signs are stable and can be operated on!"


    She is cold to men, and she has the same attitude towards women.


    The operation began. Directly from the median chest incision, the arterial perfusion tube was inserted through the ascending aorta, the right-angle tube was directly inserted through the superior and inferior vena cava tubes, and the left heart decompression tube was inserted through the right superior pulmonary vein. After cardiopulmonary bypass cooling and cardiac arrest, atrial plication was performed.


    Almost all four major surgeries are extremely risky.


    This kind of surgery that requires stopping the heart is even more terrifying.


    When the heart stopped during the operation, several rounds of sweat had already appeared on Director Xueyan''s forehead.


    The nurse wiped her sweat from time to time.


    Chest opening is not only a technical task, but also a physical one.


    It is still very difficult for a female doctor to open the chest, even with a male doctor as an assistant.


    Director Xue is half nervous and half tired.


    Next, Director Xue made an incision parallel to the right atrioventricular groove with a knife.


    "Pause for a moment! Everyone carefully observe the patient''s right atrium to see if there is any problem?"


    Director Hu Kan is teaching on site.


    "The patient''s right atrium seems to be significantly enlarged." Deputy Director Lu has rich experience in surgery, and after watching it for a while, he gave the answer.


    "Well, Deputy Director Lu''s observation is very good! We encountered this phenomenon during the operation, what should we do? Does anyone know?"


    Director Hu Kan is very patient in teaching students and always guides them step by step.


    Try to let students learn fully in the process of practice.


    Everyone shook their heads. Maybe the two chief physicians knew something and were afraid of being slapped in the face, so they didn''t dare to talk nonsense.


    "Patients with a significantly enlarged right atrium should undergo partial resection of the right atrium. For this patient, this part of the right atrium needs to be resected."


    Director Hu Kan gave guidance.


    But the purpose of doing so, he did not explain.


    This is intentionally left to everyone to think about.


    It was the first time for Zhou Can to participate in such a difficult four-level major heart surgery. He is currently helping pull the hook and doing odd jobs.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Even so, it''s still a privilege.


    Because even an attending physician like Dr. Long didn''t even have the qualifications to pull a hook in this operation. Needless to say, Jin Mingxi could only stand and watch from the audience.


    This is also due to Director Hu Kan''s key cultivation of him.


    Jin Mingxi''s talent is not bad, he is also very serious in doing things, and he works hard enough, and his skills in stabilizing swordsmanship are not bad. These are the reasons why Director Hu Kan values ??him.


    According to Director Hu Kan''s guidance, Director Xueyan carefully removed part of the right atrium.


    The blood vessels here are extremely rich, and even though she was very careful when cutting it, the bleeding from the wound was still quite serious.


    Director Le helped stop the bleeding, flustered.


    There was even splashes on the surgical gowns and masks.


    "Doctor Zhou, Doctor Zhou, you should do it! My operation speed is far behind yours, and it is easy to make mistakes."


    Director Le took the initiative to give up Yisuke''s seat.


    The first assistant bears heavy responsibilities. If the ability is not enough, or the fit with the chief surgeon is not good enough, it will seriously affect the efficiency of the operation.


    "I... have too little qualifications, isn''t that good?"


    Zhou Can said politely, but actually wanted to take over the role of assistant.


    Compared with two aids and three aids, the first aid belongs to the near water and the first to get the moon, and the harvest will be greater.


    In the surgical admission rules, it is clearly stated that one must serve as a first-assistant task in a third-level or fourth-level surgery to be counted as a qualification.


    "Xiao Zhou, don''t be silly, hurry up and help stop the bleeding! Remember, during the operation, those who are able will come in, and there is no need for any tweaks or politeness. Our task is to ensure the smooth and safe completion of the operation."


    Director Hu Kan began to curse.


    Then there is nothing to say, Zhou Can resolutely walked to the first assistant''s seat and took over Director Le''s job.


    His hemostasis is currently level five, not inferior to Director Le at all.


    In fact, the vast majority of young chief surgeons do not necessarily have all the surgical skills that have reached the level of chief physicians, and there may be only one or two major surgical skills that have reached this level.


    Director Le and Director Xueyan are both very young chief physicians.


    A chief physician in his forties is definitely considered young in a provincial tertiary hospital like Tuya.


    Even many forty-eight and fifty-year-olds who were lucky enough to be promoted to chief physicians still feel young.


    After Zhou Can took over the first aid, hemostasis became much more efficient.


    Not to mention electrocoagulation to stop bleeding, his speed is almost unmatched. The key is to ligate some thicker blood vessels, and he is also very fast.


    In just a moment, the heart bleeding was completely stopped.


    After the hemorrhage is removed, the next step of surgery can begin.


    "Xueyan, first check the tricuspid valve and its subvalvular structure!"


    Director Hu Kan gave orders again.


    Every step has its profound meaning.


    "Teacher, I have identified the tricuspid valve and its subvalvular structure!"


    Director Xue reports.


    Thanks to Yisuke''s excellent perspective, Zhou Can could see clearly.


    "Well, let''s start performing atrial plication!"


    Director Hu Kan nodded slightly, and began to guide her to continue the operation.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    ¡­


    More than two hours later The operation was basically completed.


    "Teacher, what should I do next?"


    Director Xueyan became more nervous the further she got to the back.


    Lest something go wrong.


    "Let''s inject water first to test the opening and closing of the tricuspid valve!"


    Director Hu Kan has been in command all the time, and is in control of the entire operation process.


    "If a few small holes are found on the anterior valve during the water injection test, it can be sutured with 5-0 polypropylene suture. At this time, the aortic clamp is opened after the gas in the left heart is exhausted, and the tricuspid valve is well opened and closed under the beating of the heart. If there is no regurgitation, the right atrial incision is sutured."


    Zhou Can kept all of these advanced surgical knowledge firmly in his heart.


    After recovering the heartbeat, it was quite normal at first, but after less than five seconds, the heartbeat suddenly stalled and became far faster than normal.


    This ventricular tachycardia has very serious consequences.


    Zhou Can''s uncle suffered from ventricular tachycardia.


    It can cause arrhythmias.


    "What''s going on here? Could it be that the operation was not successful?"


    Everyone is dumbfounded.


    Many people are participating in this kind of ventricular folding surgery for the first time.


    Clinical experience is pitiful.


    "Don''t panic, as long as you find out the cause and correct it, you can guarantee the success of this operation."


    At this last moment, an abnormality occurred, which made everyone feel a sense of loss.


    Director Hu Kan is trying to stabilize the morale of the army.


    Judging from his performance, it should be the first time he has encountered such a thing.

 Chapter 366： Prepare to take the lead, face to face

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    , my medical skills can add experience points


    "Do you know what''s not working well?"


    Although Director Hu Kan''s tone was very serious at the moment, he looked at Zhou Can clearly with affection.


    There is no superior doctor who doesn''t like students who can help solve things at critical moments and save the crisis.


    "Please tell the teacher!"


    Zhou Can faintly guessed a little bit, but in this case, acting stupid is the best choice.


    Others looked at Zhou Can silently, and some even showed smiles on their faces.


    They are very familiar with Director Hu, and they can probably see that Director Hu is critical of Zhou Canming, but he actually cares for him.


    "Whether you follow me in the cardiothoracic surgery department to perform operations or diagnose cases, can you be more straightforward? Asking for instructions on the left, asking for instructions on the right, and reporting everything, this is a waste of time, and it is easy to miss the opportunity for rescue. From now on, as long as you are sure about things , you go, be decisive, don''t be a mother-in-law."


    Director Hu made a serious criticism of him.


    "clear!"


    Zhou Can thinks this is good. In the future, when performing operations and diagnosing difficult cases, he can be bold and let go.


    Asking too much is really annoying.


    "Thank you for everyone''s hard work today. This operation was successfully completed. Our reputation in cardiothoracic surgery should be maintained for a while. During the operation, especially the rescue stage, everyone can unite and work together, which makes me very gratified. I hope that this unity can be maintained in the future, only in this way can the cardiothoracic surgery go through this most difficult time."


    The situation of cardiothoracic surgery is really difficult due to internal and external troubles.


    During the rescue process just now, everyone faintly centered on Zhou Can, and a prototype of a new team emerged, and Director Hu Kan noticed it.


    This surprised him a lot.


    The scolding of Zhou Can in public just now was actually intended to facilitate this matter. Let Zhou Can let go of his hands and feet in the future, play to his fullest, and slowly make the surgical team stronger.


    A strong surgical team needs all aspects of running-in.


    "After the operation, everyone will go to the lounge for supper. I''ve already made an order. Director Feng and Director Dongfang, you two will go together too." good news.


    The reward after hard work can make every doctor and nurse involved in the operation full of happiness.


    All three operations were successfully completed, and now there is supper, cheers erupted in the operating room. Many people had smiles on their faces.


    Originally, the chief physician of the Department of Cardiovascular Medicine was invited to help rescue the scene. Later, Zhou Can successfully diagnosed the cause, and the nurse hurriedly called to tell him not to come.


    Otherwise it will be more lively.


    "I''m not going!"


    In fact, Director Feng is also a person with a very weird personality. He is usually taciturn and always has a zombie face.


    Because Director Feng and Director Dongfang are all eccentric people, some doctors and nurses even spread a very scary saying quietly, saying that after staying in the anesthesiology department for a long time, too much exposure to anesthetics will make people''s faces stiff , lose expression.


    This makes people''s personalities weird.


    This also made it even more difficult to recruit people in the Department of Anesthesiology, which is already difficult to recruit.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    According to the hospital''s past practice, because many medical schools do not have a special anesthesia major, they recruit directly from clinical medical students.


    Later, it developed to recruit people from various departments in the hospital.


    And it is often the level of recruiting resident physicians.


    Recruited in, training for a period of time can be used.


    "Director Feng, you can''t do it if you don''t go! During the operation, the anesthesiologist will play half of the leading role. If you two don''t go, there will be no atmosphere of celebration. You have also seen my physical condition, and I will spend a day with you One day less."


    Director Hu Kan''s words sounded a little sad.


    His physical condition is indeed worrying.


    Having said all this, Director Feng didn''t refuse any more.


    Half an hour later, the patient''s vital signs remained stable, and there was no abnormality in the heart.


    Everyone was completely relieved this time.


    The doctor''s order had already been issued, and the patient was pushed into the intensive care unit of the cardiothoracic surgery department for intensive monitoring to ensure that the most vulnerable 72 hours after surgery could be safely spent.


    For ordinary minor surgery, eight hours after surgery is the critical period, and for more important surgical sites, it may be extended to twelve hours.


    If it is a larger operation, the critical period is within 24 hours or even 36 hours after the operation.


    This high-risk major cardiac surgery requires intensive monitoring for 72 hours after surgery. If it is an elderly or weak patient with underlying diseases, the monitoring time will be longer.


    For patients who have undergone major surgery, doctors sometimes transfer them directly to general wards after surgery out of economic considerations. However, family members do not follow the doctor''s advice, which eventually leads to postoperative complications and transfer to the intensive care unit.


    In another case, after the operation, the doctor sent the patient directly to the intensive care unit. The family members didn''t understand and thought that doctors were cheating money.


    Because the cost of intensive care units is indeed much higher than that of ordinary wards.


    It can only be said that the doctor is too difficult.


    ¡­


    In the lounge, everyone happily ate supper.


    Director Hu Kan needs to avoid food because of his health. He could only drink a bottle of milk with him, and sit in a corner with Director Feng and chat alone.


    [The book chasing app recommended to me by an old book friend who has known me for ten years, Yeguo Reading! It¡¯s really easy to use. I use it to read and listen to books to pass the time while driving and before going to bed. You can download it here]


    The other doctors and nurses sat together in a crowd, chatting while eating.


    Those young nurses and doctors had the most fun chatting.


    Director Xue and others occasionally interjected a few sentences, and the atmosphere was quite harmonious.


    Dongfang Luoxue was sitting there eating grilled fish elegantly.


    Director Hu was very generous when ordering food. In addition to a big pot of mutton skewers and a big pot of crayfish, there were also boxes of leeks, spicy tofu, cabbage, and grilled fish.


    The variety of food is very rich, full of aroma and taste.


    Zhou Can ate two marinated eggs and a box of leeks.


    Inadvertently caught a glimpse of Dongfang Luoxue eating the grilled fish very clean, only some bones remained. After she finished eating, she glanced at the table not far away, and the grilled fish had long since disappeared.


    There are still some crayfish left, spicy tofu.


    She took out a tissue to clean her hands and mouth, and waited for the show to end.


    Judging from her performance, she is not disgusted by this kind of lively scene where colleagues get together. Seems to be enjoying it a bit.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Some people with cold and aloof personality are not born like this.


    And it may be that the growing environment is not very good, and they have learned to protect themselves from the cold since they were young.


    "My grilled fish hasn''t been touched yet. If Director Dongfang doesn''t mind it, I''ll give it to you!"


    Zhou Can eats supper with his colleagues a lot, especially when there are many people, he doesn¡¯t take it at first, and basically can only drink soup afterwards.


    So, he picked out a few favorites and grabbed them in advance.


    The grilled fish was originally intended to be eliminated last, but now seeing that Dongfang Luoxue likes to eat grilled fish, maybe it can be used to ease the relationship between the two of them. He will definitely need to do a lot of operations in the future, and it is very necessary to unite the chief physicians of the anesthesiology department.


    Especially for this young director-level anesthesiologist, there will definitely be opportunities for the two to cooperate in the future.


    Dongfang Luoxue looked up at Zhou Can, the two looked at each other, Zhou Can''s expression was calm, his eyes were clear and friendly.


    "Thanks!"


    After hesitating for a few seconds, she actually accepted Zhou Can''s grilled fish, which made Zhou Can secretly happy.


    "Eating fish won''t make you fat, don''t worry! Goodbye!"


    Zhou Can knew that she didn''t seem to like dealing with people, so she left immediately after serving the grilled fish.


    As expected, she ate gracefully again.


    A woman in her forties can actually eat quite well.


    Just to control their weight, they often need to use a hundred times more willpower to resist the temptation of delicious food.


    It is nature for women to love beauty.


    To see whether a woman is self-disciplined, you only need to look at their figure to know.


    Especially women after the age of 30, or women who have given birth, as long as the living conditions are slightly better, it is very easy to gain weight. Bucket waist, elephant legs, double chins, pregnant belly, unicorn arms, these are their standard equipment.


    Dongfang Luoxue is already in her forties, and she still maintains a pretty good figure.


    Definitely a self-disciplined woman.


    During the operation today, Zhou Can first reminded her that the patient''s electrocardiogram was slightly abnormal. She didn''t pay attention. Later, when something happened, Zhou Can was the first to successfully diagnose the cause, and confirmed that the heart disease was not discovered. If she had paid attention to Zhou Can''s first reminder and taken certain precautionary measures, perhaps the subsequent danger would not have occurred.


    Fortunately, through the joint efforts of all, the patient''s life was saved.


    She is actually responsible for this matter.


    Although she didn''t say anything, she definitely had a positive impression of Zhou Can in her heart.


    From her willingness to accept Zhou Can''s grilled fish, it can be seen that the two have a foundation for building a good relationship.


    But it will take time.


    When people get along with each other, they gradually increase their understanding of each other, and finally become familiar with each other.


    After eating almost, everyone dispersed one after another.


    "Teacher, I have nothing to do tonight anyway, I''ll take you home!"


    Zhou Can walked up to Director Hu Kan and said.


    "No, no, my son has already driven to pick me up outside the hospital. It''s so late today, you should go back to the dormitory early to rest."


    Director Hu Kan didn''t know what they talked about with Director Feng.


    It seemed that the two were in a pretty good mood.


    "Xiao Zhou promised to come to the anesthesiology department to study with me. You have to come! You only came two or three times in total, which is far from enough." Director Feng looked at him and said.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "It''s really not that I don''t pay attention to this matter, but that I really can''t make time. See if you can take it easy, wait for me to study with Director Hu for two or three years, and then I will learn from you when I''m done."


    Things are prioritized.


    Learning anesthesiology is not particularly urgent for Zhou Can.


    However, director Hu Kan is currently in poor physical condition, and accidents may happen at any time. Zhou Can promised to be his apprentice, but he really couldn''t bear to let the pigeons go. Seize the time to learn the advanced medical skills and steady knife technique of cardiothoracic surgery, and inherit his mantle, which will be of great benefit to Zhou Can and cardiothoracic surgery.


    Director Xueyan and Director Hu Kan all showed great kindness to Zhou Can, and Director Le, Dr. Long and others also showed great care and help to Zhou Can.


    Cardiothoracic surgery has a very important weight in Zhou Can''s heart, and he cannot just watch this department collapse.


    Therefore, he can only seize the time against the clock and learn Director Hu Kan''s skills as soon as possible.


    Only in this way can I be able to help the cardiothoracic surgery department in times of crisis.


    "Promise to visit me at least twice a month in the anesthesiology department, isn''t that too much?" Director Feng said helplessly after hearing this.


    "OK!"


    Zhou Can readily agreed.


    These chief physicians are scrambling to pass on their skills to him, which is a good thing they can only wish for. Under normal circumstances, he can rest about two days a month.


    Now I have no choice but to give up the rest time, squeeze out the two days of rest every month, and go to the anesthesiology department to study.


    "Haha, this miserable child!"


    Director Hu Kan smiled and shook his head.


    "A great mission comes from the sky. It is a good thing for Zhou Can to work hard. Young people should practice more and learn more, so that they can become great talents in the future. Tuya looks like he is in the sky now. According to things, According to the law, it is always easy to prosper and decline. I have a feeling that the crisis of Tuya Hospital is likely to appear in the past ten years. By then, Xiao Zhou and other young doctors will grow up and be stronger than our generation. Do your best to turn the tide and keep the status of Tuya Hospital."


    Director Feng usually looks taciturn, but his words are always full of philosophy and vision.


    It turns out that silent people are not talkative, but never talk nonsense.


    "Xiao Zhou, the younger generation, you are one of the most talented people. You must guard against arrogance and impetuosity, and improve your medical skills and academics in a down-to-earth manner. Compared with some hospitals in the province, our Tuya Hospital is very powerful. But Compared with the top ten general hospitals in China, as well as some local specialty hospitals, they are at a disadvantage. You must work harder and harder."


    Director Feng has high hopes for him.


    "I will do my best, but you don''t have too much hope for me, because I am afraid of disappointing you."


    Zhou Can solemnly nodded in agreement.


    "You are narcissistic! Tuya has always paid attention to the cultivation of young talents, and you are not the only seed player, there are many more!"


    What Director Feng said is probably true.


    The cultivation of key personnel in each department of Tuya Hospital has always been one of the key development strategies of the hospital.


    Zhou Can is by no means the only outstanding young doctor who has received a lot of resources.


    For example, Director Xueyan, Director Le, Dongfang Luoxue... are all examples of young elites.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    ¡­


    Nine days passed in the blink of an eye, and Zhou Can was very busy in the hospital every day.


    On this day, he received a call from Li Luo, telling him to go to the company.


    He asked for leave from the hospital and rushed over.


    In the meeting room on the second floor of Jinyu Interactive Co., Ltd., the person sitting in the president''s seat was not Li Luo, but a middle-aged man with a somewhat sinister face, about fifty years old.


    This person''s eyes were extremely sharp, and when he glanced at Zhou Can who entered the conference room, it was like a knife was scratched on his face.


    Behind the middle-aged man stood two bodyguards in black.


    One of themZhou Can is no stranger.


    It was the man with the scar that he rescued during that morning run. Zhou Can didn''t know the other bodyguard.


    Li Luo was sitting in the first seat on the left, and the person sitting in the first seat on the right was the traitor of Jinyu Interactive Company, the male artist Hu Wei.


    Su Qianqian sat in the second seat from the right.


    "Presumably this is Mr. Zhou, Doctor Zhou?"


    The middle-aged man sitting in the main seat asked calmly.


    "Are you Mr. Hu Haikun?"


    Zhou Can has already guessed the identity of this middle-aged man.


    It was Hu Haikun who planned for Jinyu Interactive to kick Zhou Can out.


    Sometimes, you don''t have to provoke someone to be targeted. Zhou Can didn''t mess with anyone, didn''t recruit anyone, he had been working as a doctor all the time, and on the other hand, he took a stake in the company and made a fortune silently.


    But because of the huge benefits, Hu Haikun followed him.


    "There is no seat for you in the meeting room anymore. I always like to be straightforward. If you have anything to say, you can speak directly to your face. If you become a doctor, you can be a doctor. There is no need to start a company. Jinyu Interactive has made great contributions to the efforts of so many people. You have achieved today''s achievements. And you, what have you done for this company? Since you have made no contribution, why do you share half of the company''s profits?"


    Hu Haikun confronted him directly.


    In front of the company''s middle and senior management, he repeatedly tortured his soul.


    Killing people.


    Hu Haikun has long been familiar with snatching other people''s companies. In this legal society, the era of holding a knife to someone''s neck and forcing them to give up their company is long gone.


    What Hu Haikun has to do is to confuse everyone in the company and willingly help him kick Zhou Can out.

 Chapter 367： Ashes and smoke disappear in the blink of an eye, the benefits can be shared

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    , my medical skills can add experience points


    "What does Mr. Hu want to do?" Zhou Can had a playful look on his face.


    Forewarned is forearmed, without prejudging the waste.


    Ever since he knew that Hu Haikun was going to deal with him, Zhou Can had already made a series of preparations. Facing Hu Haikun''s attack at this moment, he did not panic.


    "Hmph, for a pillar worm like you, naturally you should be kicked out of the company to protect everyone''s interests."


    Hu Haikun is hypocritical and cunning, standing on the commanding heights of morality, shouting at Zhou Can to kill him.


    Whether it''s Li Luo or the other employees of the company, everyone is silent. There were even some people who played a role in helping tigers, with gloating smiles on their faces.


    "I hold 50% of the company''s shares. Mr. Hu is just an outsider. I don''t know how to drive me away? Don''t you think that a little power can be greater than the law?"


    Zhou Can wanted to see how bad this person was.


    "It''s simple. According to the market price, your 50% equity will be priced at 10 million yuan, and I will buy it directly." Hu Haikun raised a finger and offered the price.


    "Half of Jinyu Interactive''s shares are worth 10 million?"


    Zhou Can really didn''t expect that the price offered by the other party would be so low as to outrageously.


    With the current market value of Jinyu Interactive, it can be worth at least 100 million. If the potential value is included, it is not an exaggeration to double it.


    Hu Haikun is only willing to give Zhou Can 10 million, which is simply a steal.


    "Hmph, don''t be dissatisfied. Ten million is a high price. If you don''t agree, be careful not to get a penny." Hu Haikun said this with confidence. Before he called Zhou Can over, he must have already Made adequate preparations.


    At this point in the negotiation, there is basically no need to continue the negotiation.


    "The mosquito yawned loudly. I don''t agree, what can you do?" Zhou Can sneered, and turned his back when he said it.


    "It seems that Dr. Zhou is toasting and not eating. The two of you first teach Dr. Zhou the rules of speaking."


    Hu Haikun gave instructions to the two bodyguards behind him.


    The two bodyguards immediately walked towards Zhou Can, one left and one right, and when they reached Zhou Can''s body, one of them blatantly grabbed Zhou Can''s shoulder. What is used is a professional grappling technique.


    This bodyguard is obviously a Lianjiazi.


    Moreover, the moves are as fast as lightning, and the veins in his hands suddenly appear. This person''s strength is definitely not weak.


    It has long been heard that Hu Haikun has a large number of thugs, and the two most powerful bodyguards are named Scar and Black Dragon. They are all ruthless characters who have had countless blood on their hands and have been baptized by guns and blood in the Middle East, Southeast Asia and other places.


    Needless to say strength.


    If the strength is not strong enough, it is impossible to come back from Southeast Asia alive.


    The man who captured Zhou Can should be the mighty black dragon.


    Zhou Can grinned, and then fought back.


    He fought two moves with the black dragon, so fast that it was hard to see clearly with the naked eye. The black dragon is stronger than him no matter in strength or speed. Zhou Can obviously felt severe pain when their arms collided.


    Compared with Black Dragon, fighting is just Zhou Can''s hobby, and it''s normal that he can''t beat the opponent.


    At this critical moment, Scar made a move.


    With a whip kick, he slammed at the opposite part of the black dragon.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Heilong snorted and fell to the ground.


    "Ah... why did this bodyguard get into trouble?"


    Everyone exclaimed.


    The two bodyguards were Hu Haikun''s subordinates, but Scar turned the black dragon over with one kick. This is not an oolong what is it?


    "Scar, what happened?"


    Hu Haikun''s face was gloomy, and he asked in a cold voice.


    Zhou Can quickly took out the handcuffs from his body, cut the hands of the fallen black dragon behind his back, and handcuffed him.


    The feet were also tied with rope.


    During this process, Dao Scar watched indifferently, and had no intention of attacking Zhou Can.


    Hu Haikun was so angry that he slapped the table and scolded his mother.


    "Scar, hurry up! I''m paying you 20,000 yuan a month, but I didn''t tell you to go to the theater." Hu Haikun already realized that something was wrong.


    It''s a pity that Scar still had an indifferent expression on his face, neither speaking nor doing anything.


    Until Zhou Can tied the black dragon tightly.


    "Okay, can we have a good talk with Mr. Hu now?"


    Zhou Can asked with a smile.


    "Boy, you really have some tricks. I didn''t expect Scar, who has been with me for more than seven years, to be secretly bought by you. But if you think that you can win, you are a little too naive."


    Hu Haikun''s two gold medal bodyguards were easily taken down by Zhou Can, and he did not panic.


    An old man like him has experienced countless storms and waves, and encountered various dangers. Every time he successfully walks out of a dangerous situation, his heart becomes stronger.


    After thousands of tempers, Hu Haikun''s heart has become as hard as steel.


    "I''m naive? It''s better than being naive and ridiculous at Mr. Hu''s age. You just said that I occupy half of the company''s shares and don''t work, but get paid every month. I am a pillar worm of the company. Then I think Let me ask you, you tried your best to kick me out, and then you control more than 60% of the company''s shares, you are not here to make money, did you come here to do charity work?"


    Zhou Can started a verbal and pen-like counterattack.


    "I founded this company with Mr. Li back then, and we invested real money. Without Mr. Li''s investment and our early efforts, where would Jinyu Interactive come from? Now that we have made money, You feel jealous, and you are worthy of using such a despicable and shameless means to rob me?"


    Zhou Can was right.


    It is his ability to make money after investing, and he deserves it.


    He and Li Luo planted this peach tree together, and now it is finally blooming and bearing fruit. Hu Haikun, an outsider, is greedy. Not to mention running over to pick peaches, but also kicking out Zhou Can, the owner of the tree planter, how can there be such a good thing in the world?


    Hu Haikun was so scolded that his face turned green with anger.


    boom!


    He slapped his palm on the table viciously and cursed viciously, "I''ll let you know if I''m worthy or not."


    "Hehe, at this time, Mr. Hu is still daydreaming? If you do unrighteous deeds, you will die. In your eyes, I am just a little doctor in society, with no power or influence. But today I am in front of everyone. Let me tell you from a human face, some people, you can''t afford to mess with them. Today, I will send you to prison with my own hands, and let you sit in prison. "


    Zhou Can seemed confident.


    "One lamp can extinguish a thousand years of darkness, and I am that lamp, breaking the darkness and eradicating evil."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Hearing Zhou Can''s cruel words, Hu Haikun didn''t take it seriously at all.


    "I will let you see what my Golden Shield Security Company does today! Come in, let this kid open his eyes!"


    Hu Haikun shouted in a deep voice outside the door.


    The door of the conference room was pushed open, and the policemen with live ammunition came in.


    Not Hu Haikun''s gang of thugs.


    "I''m doing legal business, you can''t arrest me. Our company has specialized legal affairs, I want to see my lawyer!" Hu Haikun had already realized that something was wrong at this time.


    He didn''t expect Zhou Can to call the police.


    And with so many police officers dispatched, it was obviously not a small case.


    "Hu Haikun, we have found out that you are involved in a serious crime, please go back with us for investigation." The cold silver handcuffs were directly handcuffed on Hu Haikun''s hands.


    The leading police officer waved his hand, "Take people away!"


    Then he walked up to Zhou Can and said with a smile, "Thank you, Mr. Zhou, for providing us with strong evidence and helping us crack this huge case involving gangsters and crimes. Hu Haikun is extremely cunning. We have investigated him many times, but we have not been able to find him." Evidence of participating in crimes. The legal net is wide open, and this time, he was finally arrested, and what awaits him is the severe punishment of the law."


    The black dragon who was **** on the ground, as well as Scar, were all arrested.


    Outside the door, all the ''security guards'' raised by Hu Haikun were arrested.


    Under the banner of the Golden Shield Security Company, nearly two hundred security guards were raised. On the surface it is a security guard, but in fact it is Hu Haikun''s thug. Help Hu Haikun carry out various illegal and criminal activities.


    Now, the police have caught them all in one sweep.


    "Scar, why did you betray Lao Tzu? How much did Zhou give you?" After Hu Haikun was arrested, he still seemed unwilling.


    Scarface just glanced at Hu Haikun coldly, did not speak, then turned to look at Zhou Can.


    "Mr. Zhou, thank you for saving my life that morning. Thank you for persuading me to turn around and be a good person and be a useful person to society."


    Everything in the world has a definite number.


    Zhou Can accidentally saved Scarface that day, and he never thought of asking for anything in return.


    Later, Scarface didn''t expect to find him on his own initiative, thanking him for saving his life. After talking, the two realized that Scar was working for Hu Haikun. Falling into the river last time was not an accident.


    It was someone plotting and plotting, trying to kill Scar to silence him.


    Scar wasn''t sure if it was because he knew too much about Hu Haikun''s crimes, and Hu Haikun wanted to kill him.


    Zhou Can enlightened him, and pointed him to a bright path.


    Scar agrees to correct evil and return to righteousness, and helps Zhou Can eradicate Hu Haikun, a social cancer.


    Afterwards, it was easy, Zhou Can, Li Luo and others cooperated from inside to outside, allowing Hu Haikun to sneak in.


    "Brother Dao, make a good reform inside. After you come out, I will give you a proper job. From now on, you can also be an upright person, and you don''t have to worry about being killed by Hu Haikun."


    Zhou Can said to Scar.


    A person like Dao Scar, who is very good at fighting, will serve as a bodyguard for Jinyu Interactive after being subdued, so that he can protect the company''s important artists in the future.


    It can also train other bodyguards to form a powerful protection force.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "That time... really Hu Haikun wanted to kill me?"


    Dao Scar shuddered violently when he heard Zhou Can''s words.


    "Hu Wei, come and tell Scar the truth!"


    Zhou Can looked at Hu Wei who had already taken refuge in Hu Haikun.


    Hu Haikun, who was detained by the police, his eyes widened suddenly, his face full of disbelief.


    "You, all of you betrayed Lao Tzu and took refuge in this boy surnamed Zhou? What benefits can he give you?"


    Hu Haikun was full of unwillingness, and even more puzzled.


    "Doctor Zhou is the person I respect the most, please pay attention to your words!" When Hu Wei looked at Zhou Can, his eyes were full of respect, and his heart was full of infinite affection for Zhou Can.


    "You are my godson...why do you seek refuge with a doctor?" Hu Haikun hissed angrily.


    Hu Wei ignored him, but looked at Scar and said, "Scar, when you were attacked that day, did you feel dizzy and lack strength?"


    "right!"


    Scar nodded.


    "That''s because Hu Haikun drugged you. He knew you were particularly good at fighting, and he was worried that the men he sent would not be able to kill you, so he drugged you, which greatly damaged your combat effectiveness and even made you unable to resist."


    Hu Wei''s godson is really not in vain. He has inquired about such confidential matters.


    Scarface''s body shook violently again, and he turned to look at Hu Haikun with an embarrassed face.


    "It really is you."


    There are only four words, but each word is like a knife.


    It is certain that even if Hu Haikun was not sentenced to death, Scar would not let him go after he came out.


    What I have to worry about now is probably how Scar will deal with him in prison.


    Soon, all those suspected of crimes were taken away by the police.


    Hu Wei was also taken away.


    He spread rumors on the Internet to discredit Su Qianqian, which Zhou Can could not tolerate. And for a traitor like Hu Wei, only prison is best for him.


    "Let''s continue the meeting! I, the shareholder of Jinyu Interactive, usually presides over the work. It''s rare that Mr. Zhou is here today. Everyone welcomes Mr. Zhou to say a few words."


    When Li Luo looked at Zhou Can, there was a trace of awe in his eyes.


    This is something that didn''t exist before.


    Just now, when Hu Haikun was in trouble, only he understood how many means Hu Haikun had prepared. He even thought that Zhou Can had no choice but to cooperate obediently.


    Because Hu Haikun is too powerful.


    Not only does he have many thugs, but at the legal level, Hu Haikun has also prepared means to legally plunder Zhou Can''s shares.


    For example, when Zhou Can couldn''t win even hard and soft, he directly asked Jinyu Interactive to declare bankruptcy and re-establish a new company, and the original team moved over.


    Such a desperately powerful Hu Haikun, a capital crocodile, confronted Zhou Can face to face, and within 20 minutes, he was caught by the police.


    And looking at this situation, the best verdict for Hu Haikun is to sit in prison and be sentenced to life imprisonment.


    Most likely the death penalty.


    Because Hu Haikun had too many human lives on his hands, every thing he did was full of blood.


    Zhou Can still looks so ordinary, just a handsome and spirited guy.


    Who would have thought that Hu Haikun would be uprooted by him in the blink of an eye, and would be wiped out immediately?


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Such extraordinary methods and the ability to control everything are enough for Li Lao to reposition Zhou Can.


    In the past, Li Luo gave half of the shares to Zhou Can because of friendship.


    Although he didn''t say anything, in his heart, he thought Zhou Can was taking advantage. Of course, Zhou Can took advantage of this advantage willingly.


    Now that he has seen Zhou Can''s means and strength, he no longer thinks so.


    He has really elevated Zhou Can to the same level as him, to the same level of strength as UU Reading .


    That''s why he had his recognition of Zhou Can''s strength and awe.


    Collecting Hu Haikun''s criminal evidence will make Hu Wei, a mercenary villain, betray him and obey his orders. To make Hu Haikun''s most powerful gold medal fighter surrender, everything is beyond the reach of ordinary people.


    "I believe that many people have already known me! To be honest, I am an incompetent boss. I am a shopkeeper every day and let Mr. Li take care of everything. I am here to express my thanks to Mr. Li."


    Zhou Can looked at Li Luo with sincere gratitude in his eyes.


    "Haha, Mr. Zhou is usually a hands-off shopkeeper, but he is very powerful at critical moments. Take Hu Haikun''s attempt to embezzle our company this time, for example. Without Mr. Zhou''s strategizing, the company may have changed hands. At that time, the fate will definitely be particularly miserable. "


    Li Lao laughed heartily, he didn''t dare to suffer alone.


    There was warm applause from the audience, everyone was applauding Zhou Can, and also applauding the unity of the two CEOs.


    Zhou Can pressed his hands together, and the applause quickly stopped.


    "Jinyu Interactive can''t be what it is today without everyone''s hard work. Benefits can be shared, but not few. Li and I will gradually formulate a better company management mechanism and salary mechanism. And after the company goes public, the old As long as the employees contribute enough, they can get a certain percentage of equity and truly become the protagonists of the company.¡±


    Zhou Can had this idea a long time ago, and he decided to take out part of the equity and distribute it to the company''s employees.


    Only by working together can we make the company bigger.


    Specifically how to operate, we need to formulate a reasonable mechanism at that time.


    There was warm applause again.

 Chapter 368： The more I learn, the more hopeless and restless I become

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    , my medical skills can add experience points


    Interest is indeed the most touching thing.


    Everyone understood that going public would mean taking off. Zhou Can publicly expressed his willingness to give them a certain percentage of shares, which is the biggest incentive for everyone.


    Look at those large domestic companies, large enterprises, who become middle-level management or technical personnel of the company, can obtain equity.


    This income is even higher than the regular salary.


    "Okay, I still have something to do, so I''m leaving first. Mr. Li will chair the next meeting for everyone."


    After Zhou Can helped Jinyu Interactive resolve this life-and-death crisis, he retired.


    His main job is to be a doctor.


    Making money is just a game.


    Su Qianqian''s eyes never left her boyfriend until Zhou Can walked out of the meeting room, and then she slowly looked away. Just now, seeing Zhou Can''s powerful strength with her own eyes, her admiration for her boyfriend reached the peak.


    "This guy, it seems that nothing in the world can stump him!"


    Since the two met, she found that no matter how difficult things were, they became no longer difficult in front of Zhou Can.


    At first, she was so desperate that she almost committed suicide.


    After Zhou Can took the shot, he helped her successfully counterattack all the way and became a popular female singer.


    If this is not powerful enough, Zhou Can took her back to her hometown county to help her family solve the bankruptcy crisis, and the strength she showed is believed to be earth-shattering.


    Not to mention this time, even a top boss like Hu Haikun, who was feared by everyone, was wiped out in a backhand.


    With such a godlike man who loves her, spoils her, and protects her, she feels like the happiest woman in the world.


    There was one thing that she was extremely curious about.


    "Honey, why can Hu Wei listen to you obediently?"


    "It''s a long story. One night, we''ll talk all night long!"


    Zhou Can sent her back a message that made her blush and heartbeat.


    She secretly glanced at both sides, no one was looking at her mobile phone screen, so she was a little relieved. It would be too embarrassing to be seen.


    After giving Zhou Can a hammer emoji, she turned off the screen and started the meeting seriously.


    I must be scolding Zhou Can in my heart for not being upright, not serious at all.


    Zhou Can returned to the hospital and went to work honestly, without mentioning it.


    ¡­


    Time flies, Zhou Can is working hard to practice medical skills every day, learning from the chief physicians.


    Especially director Hu Kan, his health is getting worse and worse, and the teaching to him has also been accelerated a lot.


    In various departments of internal medicine, Zhou Can rotates to study in important departments.


    The Department of Nephrology, which he was thinking about, soon entered, and he chose to spend two precious months in this department for training.


    During the regular training in the nephrology department, he was completely desperate.


    He worked hard to learn all the medical knowledge related to the kidney, and learned clinical treatment experience from many chief physicians in the department with the cheek. Invite chief physicians to eat, give gifts, help them diagnose difficult cases, and do everything they like.


    Just to find a cure for Su Qianqian.


    Two months passed in the blink of an eye, and he had a deeper understanding of the treatment of kidney disease and the working mechanism of the kidney. But unfortunately, he didn''t find a way to cure Su Qianqian.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    In the office of the director of nephrology, Zhou Can, director Jiang Songgui and director Jian Dong of the nephrology department were all there.


    Today is also Zhou Can''s last day of regular training in the Department of Nephrology.


    This conversation was regarded as his last conversation with the two chief physicians before he left the department.


    "Xiao Zhou, seeing your sullen face, is it because you are reluctant to leave our nephrology department?"


    Over fifty, the thin-faced Director Jiang asked with concern.


    Before Zhou Can could answer, Jian Dong, the deputy director and chief physician of the department, said with a smile, "Zhou Can is the hardest-working and talented young doctor I have ever met. But the level of diagnosis and treatment is not weaker than that of the attending physicians in the department. I hand over many patients with more complicated illnesses to him, and I feel more at ease than handing them over to those deputy chief physicians. I am reluctant to leave and just stay."


    Director Jian Dong''s hair is all white, age spots and obvious wrinkles have appeared on his skin, and he looks like a little old man.


    His actual age is over sixty years old.


    His medical skills and academic level are not bad, and he can be regarded as one of the best experts in nephrology.


    He is not tall, not even 1.6 meters.


    Small in stature.


    Although he was over sixty years old, he did not appear hunchbacked, and his movements were quite vigorous.


    The workload of the Department of Nephrology is moderate. Hemodialysis, dressing changes, clinical puncture to take test specimens, and catheter insertion are basically done by regular trainees and residents.


    Chief physicians do relatively high-end tasks, such as teaching, scientific research, consultations, important interventional operations, and so on.


    Therefore, basically as long as it is above the indications, it will not be particularly hard.


    Director Jian Dong is over 60 years old and has not yet suffered from exhaustion, which is enough to make many doctors envious.


    The most suffering should be the doctors in the operating room, all of whom are suffering from illnesses all over their bodies.


    In addition, the doctors involved in the operating room are even more miserable.


    Basically, living to the age of sixty is considered a long life. Because when they do interventional surgery, even if they only do two or three sets a day, the accumulation of more than sixty sets in a month. Even wearing lead clothing, there is still a high incidence of cancer due to long-term exposure to radiation.


    "Xiao Zhou, as long as you are willing to stay, Director Jian and I will try our best to pass on more clinical treatment experience and knowledge to you. With your talent, as long as you keep this learning momentum, you will definitely become a top nephrologist within five years. Good hand."


    Director Jiang also looked at him expectantly.


    "Thank you to the two directors for their great love for me. I am depressed because my girlfriend unfortunately suffers from chronic renal failure. I entered the nephrology department and studied so hard to find the best way to treat my girlfriend. Unfortunately, The more I learn and understand, the more hopeless and powerless I feel."


    Zhou Can didn''t hide anything, and told the whole story.


    I used to think that as long as the medical skills were good enough, I would definitely find a way to treat chronic renal failure without a kidney transplant.


    [In other words, currently the best app for reading and listening to books, Yeguo Reading, install the latest version. ¡¿


    In the past two months, the more Zhou Can learned, the more desperate he felt.


    Chronic renal failure is like a Pandora''s box, once opened, there is no way to stop it.


    This chapter is not finished, click [next page] to continue reading -->>


    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Director Jian and Director Jiang looked at each other, and they were both surprised when they heard the news.


    "Chronic renal failure, as long as it occurs, it will continue to progress. All the drugs and various treatments currently on the market can''t stop the progress, but slow it down. I would like to ask, your girlfriend is now progressing to What stage is it?"


    Director Jiang can only try his best to help Zhou Can.


    It is indeed a great misfortune to encounter such a thing.


    "According to the domestic staging, it should still be a compensatory period!" Zhou Can felt a little ashamed, and every time he just told his girlfriend to take medicine on time, and didn''t drag her for a checkup.


    The last time I saw her test results was two years ago.


    After such a long time, there must be some new changes in her condition.


    Reminiscent of the last time I went home to meet my parents, Su Qianqian suddenly mentioned that she wanted to do a kidney transplant in a famous hospital in the imperial capital.


    Zhou Can faintly felt something was wrong.


    "The renal compensation period is mainly due to the damage of renal function, but the renal creatinine value and blood urea nitrogen are normal, but the glomerular filtration rate of the kidney is reduced. According to the staging standards abroad, her glomerular filtration rate should exceed 90ml/ min."


    Director Jiang mentioned these key data in order to further confirm the condition of Zhou Can''s girlfriend.


    There are four stages of chronic renal failure in China, which are compensatory stage, decompensated stage, renal failure stage, and uremia stage, also known as the end stage of chronic renal failure.


    Under normal circumstances, when it progresses to the stage of renal failure, the patient''s digestive tract will be seriously affected, and symptoms such as loss of appetite, vomiting, nausea, dizziness, and fatigue will occur.


    The sooner it is discovered the better.


    It cannot be cured, but it can be controlled with drugs to slow down the progress of the disease.


    It''s a pity that many people don''t know the seriousness of the disease at all, and they often go to the hospital for examination and treatment only when they have obvious symptoms. Therefore, it is often found that uremia is in the late stage.


    At this time, the patient will never have a second way of life other than a kidney transplant.


    Kidney replacement involves many problems. The first is the cost of kidney transplantation. The total cost is generally about 400,000 yuan, which is by no means affordable for every family. If the kidney source is a donation from a relative, the cost will be much lower.


    Then there is the matching of kidney source, waiting. Many kidney transplant patients have not been able to get a kidney source until they die.


    Then there are the risks of the surgery itself, as well as organ rejection.


    Everyone''s physical condition is different, and the strength of the surgical team is strong or weak, and the final results will be different.


    Finally, after kidney transplantation, it is necessary to take anti-rejection drugs for a long time and conduct regular renal function tests. Domestic anti-rejection drugs are about 3,000 yuan a month, at least more than 1,000 yuan. Imported drugs cost about 10,000 yuan a month, with a minimum of 4,000.


    Just imagine, how many families can afford these expensive treatment fees?


    Take good care of your kidneys, maintain scientific and reasonable water intake, drink less carbonated beverages, eat less high-salt and high-sugar foods, and stay up late less... These are all for the protection of the kidneys.


    It''s just that very few people can do it.


    "I''m ashamed to say that I learned about the results of my girlfriend''s examination two years ago. In the past two years, we have been in a relationship and often get together. I only care about whether she is taking her medicine on time, and I rarely ask about other things. .¡±


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can said in shame.


    "So it''s just love, not marriage?"


    Director Jiang''s eyes flickered.


    "It''s already entered the stage of discussing marriage! She is afraid of dragging me down and has been refusing to get married."


    Zhou Can answered honestly.


    "Xiao Zhou, I''m from here, and I''ve seen too many changes in the world. There''s a saying that goes well, people don''t do it for themselves, and heaven and earth will destroy it. Since it''s only in the stage of love, I suggest that you can also decisively stop losses!"


    Director Jiang made this suggestion out of consideration for Zhou Can.


    Although it was cruel, it was in Zhou Can''s best interest.


    "Thank you for your kindness. I can''t give up on her."


    Zhou Can''s attitude was extremely firm.


    Not to mention that the relationship between the two is very deep now, even when he first fell in love with her, Zhou Can did not choose to give up.


    He is an adult and a doctor. When he fell in love with Su Qianqian for the first time, he understood the horror of chronic renal failure. Also made all mental preparations.


    "Since the relationship cannot be let go, I will no longer be the wicked person to persuade you to give up. Take her to the hospital for an examination tomorrow to see what stage her kidney disease has progressed to. At that time, Director Jian and I can even unite the entire nephrology department. Consult and discuss with the chief physician, and give an optimal treatment plan."


    Director Jiang just stopped talking.


    "That''s right, although love and righteousness are silly, they are the most precious things in this world. Human relationships are extreme, but they are nothing more than the relationship between men and women. You take her for an examination tomorrow, and we will try our best to give the best treatment plan."


    Director Jian followed suit.


    Love is the most beautiful thing in the world, but some people''s love is very holy and loyal, while some people''s love is just a cover, coveting the woman''s beauty, or the man''s handsomeness, or the other party''s money.


    Director Jiang and Director Jian are both experts with special needs, and it is hard to find the first one.


    Both of them are willing to spare precious time to help Zhou Can''s girlfriend formulate a diagnosis and treatment plan, which is their love for Zhou Can.


    "I will try my best to take her to the hospital for an examination today. Thank you to the two directors. I will ask the two directors for help when the results of the examination come out." Zhou Can stood up and bowed to the two.


    "Don''t do this, don''t do this, you young man deserves our help."


    Director Jiang waved his hands again and again.


    ¡­


    After Zhou Can left the office, he didn''t want to delay any more, and immediately called Su Qianqian.


    "Hey, honey, why are you thinking of calling me now? Aren''t you going to work today?" Su Qianqian looked very happy when he received his call.


    Since meeting Zhou Can''s parents last time, Su Qianqian''s relationship with him has obviously warmed up.


    During this period of time, Zhou Can and her work were very busy.


    Contacts have not diminished as a result.


    All she could think about was Zhou Can.


    I can''t imagine that if Zhou Can listened to Director Jiang''s advice and broke up with her, the harm to her would be unimaginable.


    "Qianqian, are you busy now?"


    Zhou Can answered without asking.


    "Extremely busy! There will be a live broadcast in 20 minutes, and my fans should exceed 20 million today! What''s wrong?"


    Su Qianqian said with a little pride.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "I want to ask you Have you had a kidney function check in the hospital recently?"


    Zhou Can went straight to the point.


    "Well... I haven''t checked it yet! My health has always been good, and I take my medicine on time. I don''t need to be checked. It''s fine." She hesitated for a while, and then said.


    It was her hesitation that aggravated Zhou Can''s suspicion.


    "It''s good to be in good health, but an examination can accurately know the progress of kidney disease, and it is also conducive to medication. I just contacted two special needs experts in the department, and they promised to help you formulate an optimal treatment plan. Your work Put it aside for a while, can you come over and check it out when you have time?"


    Zhou Can usually never interferes with her work.


    But this time, it was about her health, so he directly asked her to come to the hospital.


    "Honey, I''m busy here! Look, if it''s not so busy in a few days, can I take time to go to the hospital for an examination? Besides, I''m too far away from your Tuya Hospital. To do it is to choose a hospital nearby."


    She acted coquettishly and refused to come over.


    "How can work be more important than your health? Don''t broadcast your live broadcast today, come to Tuya Hospital right away. I''ll call Li Luo to explain."


    Zhou Can is one of the two major shareholders of the company, so he really has this power.


    Besides, Li Luo and him are good brothers, and they have a character that values ??love and righteousness. Hearing that Zhou Can wanted to check up his girlfriend, he would definitely agree.


    "They''re calling me over there, so I won''t tell you now! Your girlfriend is a public figure now, how can you change the live broadcast that you promised? When I''m not so busy, I''ll go to the hospital for a checkup by myself, bye! "


    She said and hung up the phone directly.

 Chapter 369： Only 1 has no 2, the disease is merciless and the lover is merciful

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    , my medical skills can add experience points


    Zhou Can faintly sensed that his girlfriend must be hiding something from him.


    Looking back carefully now, he felt that he was too careless. About a year ago, Su Qianqian used her busy work as an excuse not to go to Tuya Hospital for medical treatment.


    Instead, he chose the provincial people''s hospital near Jinyu Interactive Company for regular physical examination and treatment.


    Perhaps, since then, she has known that her condition has deteriorated.


    I hope it''s all just wild guesswork.


    He forced himself to suppress his inner anxiety, and for the first time after work, he did not go to the cardiothoracic surgery department to learn surgical skills from Director Hu Kan. He called Director Hu Kan to explain the situation, and hurried to Su Qianqian''s residence.


    Zhou Can had his own reasons for not going to the company to find her directly.


    He has the key to the house, opens the door directly, and walks into the house. Su Qianqian''s bits and pieces have already been branded in this house, the oil paintings on the wall, the green radish in the corner of the living room by the window, the snacks on the coffee table...


    At this moment, Su Qianqian has not returned home.


    Since Zhou Can sent Hu Haikun to prison, Jinyu Interactive''s business has become better.


    Su Qianqian is one of the most popular entertainers in Jinyu Interactive, commercials, film and television, interviews, concerts, recorded playlists, live broadcasts...she is as busy as she can be. If it is another star, there may be various dinners to attend.


    On this point, Zhou Can had already greeted Li Lao and fully respected Su Qianqian''s opinion. She was unwilling to participate and must not be forced.


    Therefore, Su Qianqian almost never participated in the dinner.


    At the beginning, many colleagues in the entertainment industry thought that if she was so ''playing big'', her career would definitely get worse and worse.


    [In other words, currently the best app for reading and listening to books, Yeguo Reading, install the latest version. ¡¿


    The result is amazing, her career does not seem to be affected too much, but it is getting more and more popular.


    It''s like going out to discuss business. Many people think that if you don''t smoke or drink, you must not be able to discuss business. In the end, because of health problems, I had to quit smoking and drinking.


    I thought that after quitting smoking and drinking, the business would definitely be much worse.


    After trying for a period of time, I didn''t expect that the business would not be affected.


    Facts have proved that as long as the interests are in place, even if those messy things are missing, how should we cooperate or how to cooperate.


    Zhou Can turned on the light and scanned the living room, but found no useful information.


    He subconsciously walked towards Su Qianqian''s bedroom.


    Although the two had been in love for more than two years, Zhou Can entered her bedroom very few times.


    Open the door and walk into the bedroom, the faint fragrance of a woman hits the nostrils. It''s her scent.


    After turning on the light, Zhou Can saw the medicine and water cups on the bedside table at a glance.


    Patients with chronic renal failure require long-term medication.


    Zhou Can picked up these drugs to check, Nifuda and Carvedilol, these two drugs control blood pressure. Patients with chronic renal failure are often prone to high blood pressure, which is difficult to control. Usually, it is necessary to take two or more antihypertensive drugs in combination to lower blood pressure.


    Kidney failure Ning tablets.


    When Zhou Can saw this box of medicine, Zhou Can''s child hole shrank suddenly.


    "This is a creatinine-lowering drug, and her condition has indeed deteriorated."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    In Zhou Can''s impression, the results of her examination more than two years ago, her renal function creatinine value and blood urea nitrogen were still normal.


    Instead of flipping through Su Qianqian''s things, he walked out of the room and closed the door.


    But he didn''t leave, but sat on the sofa, closed his eyes and meditated.


    With his current financial strength, the money for her kidney replacement is not a problem at all. If the kidney source cannot be obtained through legal channels, as long as the money is in place through illegal channels, there is no problem at all.


    Various patients die in the hospital every day, especially those injured in car accidents and those injured in high falls. Most of their organs are good. The age is also very young, and the vitality of the organs is sufficient.


    However, people in the country hold the idea that the dead are the most important, and the dead rest in peace, and there are very few people who take the initiative to donate their organs.


    This has resulted in the extreme scarcity of organ transplants.


    If the majority of Chinese people can donate their organs voluntarily and the hospital establishes a reasonable compensation mechanism, it can completely solve the problem of scarcity of donors for organ transplantation.


    Zhou Can now has a lot of funds in his hands. If he can get support at the legal level, he is very willing to do this.


    The law expressly stipulates that buying and selling human cells, human tissues, human organs, and remains in any form is prohibited. If someone violates the law, it is illegal and will be sentenced.


    Under such crackdown and high pressure, the market has become polarized.


    There is a long line of patients waiting for organ transplants through legal channels. The black market is dominated by the rich, and all organs can be bought with clearly marked prices. However, its price is basically sky-high, enough to discourage ordinary people.


    Moreover, it has legal risks, and there are still a small number of people who dare to violate it.


    ¡­


    Near ten thirty in the evening, there was the sound of the door opening outside.


    "The door lock has been moved!"


    Wei Fang lowered her voice to remind Su Qianqian.


    Sending her to participate in special training, the money is finally not in vain.


    Being able to find out that the door lock has been tampered with at the first time is enough to show her ability.


    After the door was opened, Wei Fang held an electric baton in her hand and groped inside.


    Seeing that the light in the living room was on, she scanned the entire living room and immediately found Zhou Can sitting on the sofa.


    "boss!"


    She put away her baton and greeted Zhou Can respectfully.


    "It turned out to be Zhou Can, I was scared to death." Su Qianqian followed and walked in. She held anti-wolf spray in her hand and her mobile phone in the other hand, ready to call the police at any time.


    "Honey, why didn''t you say hello when you came! Have you eaten yet?"


    Su Qianqian also seemed to have noticed that Zhou Can''s emotions were wrong.


    She closed the door without taking off her coat, and walked directly to Zhou Can and sat down.


    "Your kidney failure got worse, why didn''t you tell me?"


    When Zhou Can stared at her, his expression was scary.


    Very angry, very unhappy kind.


    "I''m pretty good! Besides, there is no other way for my disease other than a kidney transplant. Telling you, it will only make you worry." Su Qianqian took his hand and explained carefully.


    "If you really regard me as your man, you shouldn''t hide it from me."


    There was anger in Zhou Can''s voice.


    Wei Fang tactfully shrank back into her room and closed the door. She never meddled in the private affairs of the boss and the boss''s wife.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "People are afraid that you will worry! Don''t be angry, okay?"


    Su Qianqian gently shook Zhou Can''s arm.


    "I''m angry that you don''t know how to take care of your body. Your condition has worsened, and you still work so hard. What''s even more annoying is that you have been hiding it from me."


    Zhou Can felt more distressed and pity for her.


    Although the two are not yet married and have no reality of husband and wife, but at the emotional level, their love is as strong as gold, no different from a real couple.


    Even deeper than many real couples.


    "I know I''m wrong! Don''t be angry, okay!" She stroked Zhou Can''s chest to help him calm down.


    "You girl, what can I tell you about you? If I didn''t discover the problem by accident today, are you going to keep it from me? Do you know the terrible consequences of kidney failure?"


    Looking at her, Zhou Can couldn''t bear to blame her, and felt more distressed.


    She hasn''t even removed her makeup yet, and her face is full of exhaustion. She must have been exhausted from work all day, and her body is already extremely tired. Patients with renal failure themselves are prone to fatigue.


    There is no way to compare with normal people.


    But even when she was extremely exhausted, she still persuaded Zhou Can with a smile on her face.


    "Of course I know the consequences! It''s just that I can''t control that much anymore. All I can do is try to make every day of my life more exciting. If I really leave one day, just forget about me!"


    She should have prepared for the worst.


    "Su Qianqian, your life is mine. Without my permission in the future, you are not allowed to say the words of giving up your life. Even if I do my best, I will find a way to cure your illness."


    Zhou Can really thought so.


    He would not hesitate to run out of family wealth, lose his job, or even go to jail.


    All he wanted was to keep her alive. Live healthy.


    "Chan, I also want to spend the rest of my life with you, but if fate does not allow it, we must learn to accept it. With your family background, your talent and appearance, I believe that I will find a girl who is a hundred times better than me, a thousand times better .¡±


    What she said meant that her condition was worse than imagined.


    Of course, it is also possible that she has a cognitive problem. After the disease progressed, she was so scared that she prepared for the worst.


    "Su Qianqian, you are you, a unique girl in this world. In my heart, no one can replace you. If you always think about giving up your life easily, it is irresponsible to our love and also to me. irresponsible."


    Zhou Can inherited the infatuation of Zhou''s son, he will not fall in love with someone easily, once he loves, it is a deep love.


    According to his conditions, he can indeed change a girlfriend every day, he has no shortage of women.


    However, Su Qianqian has long been integrated into his life, even into his life.


    Losing her is beyond Zhou Can''s imagination.


    "I didn''t give up life easily. I just said, in case I leave this world, I hope you don''t be too sad and forget about me, and then find a woman who loves you and live a happy life."


    She looked at Zhou Can seriously, with tears in her eyes.


    If possible, who is willing to give up the man he loves to another woman?


    In the face of a terrible disease, she is just a mortal after all.


    This chapter is not finished, click [next page] to continue reading -->>


    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "As long as I''m here, I won''t let you die! Kidney failure is not a terminal illness, no!" Zhou Can thinks that the step of kidney transplantation has not yet been reached, and it is far from being life-threatening.


    It is the end stage of renal failure, and can still rely on dialysis to survive for a long time.


    "Show me your test results!"


    His tone was undeniable.


    Su Qianqian hesitated for a moment, and finally obeyed his wishes, and took out a stack of kidney function test reports from the bag.


    The date span above is relatively large, and chronic renal failure is basically checked once a month.


    The main inspection items are renal function, electrolytes, blood routine, parathyroid hormone and so on.


    One of the key indicators is to observe whether the creatinine value increases.


    Abroad, glomerular filtration rate is the main indicator.


    Zhou Can looked directly at the first examination two years ago, and could clearly see that her condition was progressing and deteriorating little by little. Especially more than a year ago, it directly progressed from the compensatory period to the decompensated period.


    Now, the disease is still progressing relentlessly, heading straight to the third stage of renal failure.


    "It''s my boyfriend who is incompetent. For more than two years, I never asked about your inspection status, leaving you alone to bear all the pressure. Qianqian, I''m sorry!"


    Zhou Can held her tightly in his arms, and suddenly felt that her body was so thin.


    She usually dates Zhou Can, and apart from caring for Zhou Can in every possible way in life, she always shows him happiness and smiles. It is conceivable that when she got these inspection reports, she must have suffered tremendous psychological pressure.


    "Don''t say that! Don''t blame yourself, I hope the man I love lives happily every day." She pressed her face tightly against Zhou Can''s chest.


    The two embraced for a long time, and Zhou Can said softly, "Qianqian, why don''t you quit your job! Your illness is progressing so fast, it must have something to do with your hard work."


    "I like this job. I can gain a sense of accomplishment and happiness in the job. It can also help you make money and help me make money. If I quit my job now, you and President Li may have to pay for the liquidated damages alone." Broken down."


    She raised her face, looked at Zhou Can and said seriously.


    "If money is gone, I can make it again, but if you are gone, my world will become dark, my life will become confused, my life will become colorless, and I will live like a walking dead."


    Zhou Can regards money very lightly, and regards feelings more than anything else.


    In his mind, family, love, and friendship are the most important things.


    It is also because of his empathy that so many chief physicians are scrambling to find him as a successor, willing to pass on what they have learned all their lives to him. His friends did not hesitate to lend a helping hand when he was in trouble.


    For example, a few months ago, his parents'' factory almost went bankrupt, and Mr. Cui and his wife tried their best to help them. This is all because of Zhou Can''s good character and extremely high charisma.


    The Jinyu Interactive Company co-founded by Zhou Can and Li Luo was able to grow rapidly, thanks to Su Qianqian''s great contribution.


    Even now, the company already has many contracted artists, but she still contributes more than 50% of the company''s revenue.


    It can be said that without her contributions, the company would not be where it is today.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    This is also the reason why Hu Haikun focused on poaching her when he wanted to grab Jinyu Interactive.


    "I promise you, after I have been busy for a while, I will slowly reduce the number of orders, okay?"


    She discussed with Zhou Can in a pleading tone.


    Seeing that Zhou Can was silent and did not agree, she said again, "I hope my man is a rich man, not a poor man. Don''t worry, my body can withstand it, and I am still doing well. Besides, Jinyu Interactive is so A big company must have a contract spirit, right? I calculated that in four more months, my contract with the company will expire. At that time, I will discuss new cooperation with the company, and the workload will also increase. Come down."


    Facing her pleading eyes, Zhou Can couldn''t bear it.


    From the first day I met her she is an independent, self-reliant girl.


    Zhou Can is very clear that it is difficult to persuade her to decide.


    "I''ll take these examination reports to the two experts in the Department of Nephrology tomorrow. You''d better go to Tuya for another examination tomorrow. Because I saw that it''s been almost a month since your last examination."


    When he said that, he basically acquiesced to Su Qianqian''s job request.


    "Okay! I''ll listen to you. In this world, you are the most important person to me, no one else." Seeing that Zhou Can agreed with her to continue working for a few months, she finally breathed a sigh of relief.


    It is true that she is very assertive, but Zhou Can holds too much weight in her heart, and she has to listen to his opinions.


    "Am I more important than your parents?" Zhou Can asked her.


    Su Qianqian''s face became dark.


    "I lost my parents when I was very young. It was my uncle and aunt who gave me food, and the country allowed me to study for free. This allowed me to pursue my dream step by step and not become an ordinary working girl."


    Her life experience is so pitiful, no wonder she is so self-reliant and self-reliant, she has been trained since she was a child!


    Children who have no parents since childhood are the most pitiful, and they have to rely on themselves for many things.


    At a young age, I lost the warmth of my home and no one to shelter me from the wind and rain.


    "I''m sorry to ask about your sad past! From now on, I will be your relative." Zhou Can felt even more fond of this poor and beautiful girl.


    She is not only beautiful in appearance, but also has many shining points on her body.


    "Hmph, Big Wood, people have long regarded you as a relative! Don''t leave tonight, stay with me, okay?" She asked a little shyly.

 Chapter 371： Benefits of traditional Chinese medicine, benefits of acquaintance society

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "A lot of people!"


    Su Qianqian is a public figure. When she appears on such an occasion, big sunglasses, a sun hat, and bloated clothes that can cover her perfect figure are all her standard equipment.


    "It''s better if there are more people! It shows that Mr. Chen recommended by Director Jian and Director Jiang is reliable."


    Zhou Can has his own opinion.


    There are really a lot of people who come to see a doctor. It is only after 7 o''clock in the morning, and there are at least 50 people in line.


    If he hadn''t witnessed such a grand occasion with his own eyes, even if others told Zhou Can, he would not believe that a Chinese medicine doctor could have such a high popularity just by doing consultations at home.


    Compared with Mr. Chen, how can Tuya''s experts compare?


    Even if they rely on the big platform of Tuya, they might not be as popular as this old Chen.


    "Qianqian, I think we''ll have to queue for several hours. You go to the car and rest first, and I''ll just queue here."


    Zhou Can feels sorry for his girlfriend and doesn''t want her to queue here for a long time.


    But Su Qianqian disagreed.


    Holding his arm, I am not afraid of strange eyes cast by others.


    "I want to cherish every minute and every second with you. Besides, my body is not that fragile!"


    She said so, and Zhou Can could only let her go.


    There are new patients coming in all the time.


    Zhou Can secretly rejoiced that he came earlier, otherwise he might not be able to see a doctor even if he queued up until the afternoon.


    Around seven forty, the door opened.


    A sturdy old man moved a table and put it outside the door, and a ten-year-old boy, probably his grandson, brought out two chairs. One is for the elderly, and the other is on the opposite side of the table, which should be for the patients.


    The old man looked no different from the ordinary old man next door, with a thin figure and ordinary clothes.


    A pen, a stethoscope, a black pulse pillow, and a prescription book are all his diagnosis and treatment equipment.


    This can no longer be described in the word simple, it is simply shabby to the extreme.


    "Everyone, today is still the old rule. Try to diagnose 50 people in the morning and 50 people in the afternoon. Each person will be charged 6 yuan. Temporarily issue 100 consultation numbers. If you don''t get a consultation number, you can only say sorry. Please." Come back next time, or go to the hospital to see a doctor."


    The old man''s voice was loud and full of air.


    As Chinese medicine practitioners, all of them are masters in regulating the body.


    They know how to do some proper exercise for a long time, drink some health tea, and use food supplements to keep their bodies at a high level.


    After the old man finished speaking, he sat down and began to see patients.


    The little boy began to issue number plates to the patients in turn.


    This is a special wooden sign, only three inches long and two inches wide. There are numbers engraved on the front and a Chen character on the back.


    Soon it was sent to Su Qianqian.


    "Sister, are you seeing a doctor?"


    "Um!"


    Su Qianqian nodded.


    The little boy stared at her twice, and sent a doctor''s number card to her hand.


    "Little friend, your grandfather''s medical skills are so powerful, have you learned a lot?" Zhou Can asked the little boy.


    "I only learned some simple knowledge of Chinese medicine, what''s the matter, uncle?"


    The little boy looked at Zhou Can.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Can you see what''s wrong with this sister?" Zhou Can asked the little boy.


    "I... may not be accurate, please don''t take offense if I make a mistake." The little boy stared at Su Qianqian''s hand. "This sister''s kidneys don''t seem to be doing well."


    This little guy is really powerful, he doesn''t even need to feel his pulse, he can make a good guess with just a few glances.


    "Famous teachers give rise to great apprentices, children are amazing! Did you just use traditional Chinese medicine''s inspection technique?"


    Zhou Can gave him a thumbs up.


    He doesn''t know much about Chinese medicine.


    It is natural to think that what the little boy is performing is the observation technique. Just according to his cognition, isn''t the inspection mainly to observe the patient''s complexion and tongue coating? The little boy clearly stared at Su Qianqian''s hand just now before making a diagnosis.


    "I use nail inspection! It''s a branch of inspection!" The little boy said proudly.


    "Today I really gained knowledge, thank you!"


    Zhou Can has a deep understanding of the Western medicine system. For example, general surgery has multiple sub-departments, such as gastrointestinal surgery, pancreaticobiliary surgery, and liver surgery. But I didn''t expect that the subdivision of Chinese medicine is not in departments, but in medical skills.


    Under the inspection, it is subdivided into multiple subdivisions such as nail viewing, face viewing, and tongue coating.


    He didn''t bother the little boy anymore, because there were still many people waiting for the number plate to be issued. However, his knowledge of Chinese medicine seems to have discovered a brand new medical world.


    A medical discipline that is clearly in China, but has never been paid attention to.


    Chinese medicine seems to be much more powerful than he imagined.


    He also discovered a very interesting phenomenon. The subject areas of western medicine are divided directly by organs or circulatory system, such as cardiac surgery, thoracic surgery, cardiovascular medicine, neurology and so on.


    Even in the subdivided medical field, it is basically to study a certain organ or a certain part of the circulatory system.


    The division of disciplines of Chinese medicine seems to be divided directly by medical skills.


    Observing the nails, observing the face, tongue coating, body, etc., all originate from inspection techniques.


    Not to mention the most extensive and profound pulse diagnosis in Chinese medicine. The pulse condition is divided into many types.


    The essence of every subdivision of Chinese medicine is medical skills, rather than narrowly referring to a certain organ. For example, observe the tongue coating, a small tongue corresponds to the internal organs, the whole body system.


    For example, pulse diagnosis also corresponds to the whole body.


    It is rumored that a powerful Chinese medicine doctor can give someone a pulse, which is equivalent to a general examination.


    After seeing the tip of the iceberg of Chinese medicine, Zhou Can couldn''t help but have a little more hope for today''s consultation.


    To be honest, before coming here in the morning, even when he got here and saw many people queuing up for medical treatment, he still had doubts about Chinese medicine. Because I always feel that Chinese medicine has some metaphysical elements.


    The patients in front are asking for medicine one by one.


    I saw that old Mr. Chen asked the patient to sit down, first asked a few words about the discomfort, and then asked the patient to put his hand on the pulse pillow. He reached out and pressed the patient''s wrist.


    This is called pulse diagnosis.


    I heard that Chinese medicine is very particular about pulse diagnosis, and the parts to press with your fingers are exactly three parts of Cun Guan Chi.


    You can check a person''s pulse.


    For most patients, Mr. Chen simply asks the doctor, takes the pulse, and then directly prescribes a prescription. Occasionally, when encountering patients with complicated illnesses, they will be asked to open their mouths to look at their tongues, or even examine the left hand after the right hand is examined for the pulse.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The fee charged to each patient is 6 yuan.


    To be honest, the fee is not expensive, much cheaper than the hospital''s fee.


    The hospital registers an account, and now the minimum registration fee for Tuya is 10 yuan.


    If you naively think that 10 yuan is the whole consultation fee, you are very wrong. From registration to taking medicine for treatment, you have to go through various examinations, large and small, and any blood routine and urine routine cost more than 10 yuan.


    If you take a B-ultrasound, more than 100 yuan will be gone.


    If you need to do some special examinations, such as petct, this examination is mainly for tumors, and the examination fee will cost at least 8,000 yuan. The charging standard for this inspection can be received up to RMB \\/time.


    You heard me right, it will cost 12,000 yuan just for one inspection.


    And even if the examination is done, there is still the possibility of missed diagnosis. In other words, if you spend more than 10,000 yuan, you may not be able to find out in the end, or after the inspection, nothing will happen.


    There are some unscrupulous hospitals, as long as the patient is suspected to have a tumor, it is obvious that a normal CT or even a B-ultrasound can detect it. The doctor insisted on recommending the patient to do an expensive petct examination.


    When they arrive at the hospital, patients and their families will most likely trust the doctor.


    Under normal circumstances, if a patient is asked to pay more than 10,000 yuan for an examination, the patient will definitely not agree. But don''t forget, almost all doctors are fools. You just need to tell the patient that if your tumor is really a malignant tumor, if it is found out, it can be removed immediately through surgery, and the cancer can be killed at an early stage. After treatment, you can regain your health and be cancer-free.


    If you don''t check now, the condition will be easily delayed.


    Even if it is found out by then, I am afraid that the chance of surgery has already been lost. He can only be treated conservatively through traditional radiotherapy and chemotherapy, and take various expensive imported drugs to prolong his life. The money spent was not ten or twenty thousand, but hundreds of thousands, or even millions. The point is that you can''t buy your life back. So-and-so cancer, according to our clinical experience, the five-year survival rate in the advanced stage is less than 5%.


    With such a scare, I believe that the vast majority of patients will obediently pay for this examination.


    Looking back at Mr. Chen, for 6 yuan, he can directly find out the lesion for the patient and prescribe the medicine. The patient takes the prescription and just grabs the medicine and takes it by himself.


    It is much more affordable than going to the hospital to see a doctor.


    If this old Mr. Chen has excellent medical skills, the prescribed medicine can really cure the patient''s disease after taking it.


    That''s a great deal.


    No wonder so many patients rushed over early in the morning to queue up for treatment.


    At this time, there was a dispute from behind.


    "Little friend, we heard that Mr. Chen has excellent medical skills and the fees are extremely cheap, so we came here from other provinces. We have already stayed in a hotel nearby for three days. Can you think of a way for Mr. Chen to give us extra A number?"


    A middle-aged man in his fifties pushed his white-haired old mother in a wheelchair to see a doctor.


    Begging the little boy to add a number to him.


    Unexpectedly, one hundred consultation numbers were issued so quickly.


    "Wait a minute, I''ll go ask Grandpa!"


    The little boy quickly ran to the front to ask Mr. Chen. After a simple exchange, the little boy walked towards the middle-aged man holding a number plate with no numbers but only green bamboo leaf patterns.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Give him a number.


    The other patients behind saw that the middle-aged man had successfully added an account, and they all begged for a few more accounts.


    This time, the little boy did not agree again.


    He kept saying good things to them and persuaded them to leave.


    "Honey, this old Mr. Chen seems to be very famous! Fortunately, we came here early in the morning." Su Qianqian said happily.


    "This time you know the benefits of coming early! If I hadn''t dragged you out, you would have had to tidy up for a long time." Zhou Can responded with a smile.


    For lesbians, it is necessary to change clothes and make up before going out to make themselves decent and beautiful.


    Especially female celebrities like Su Qianqian, if they go out without makeup, if they are photographed by the paparazzi and used for hype, it is easy to cause some negative effects.


    Looking at the actresses and male gods who have been photographed with various ugly pictures on the Internet, it is estimated that they want to strangle the paparazzi who took the ugly pictures in their dreams.


    "Huh! And you said, I had to choose a suitable outfit to wear with it, but you were not allowed to choose any clothes, and you were only allowed to put on light makeup. You are too domineering!"


    She complained all the time.


    "Hehe, our wife is naturally beautiful, she can be beautiful even without makeup."


    Zhou Can didn''t dare to make her angry, so he quickly coaxed her.


    "For the sake of your sweet mouth, I forgive you! Honey, do you think this Mr. Chen can cure my illness?"


    She loved Zhou Can to the bone, so how could she be really angry because of such a trivial matter?


    For lovers, it''s normal to make small noises, and only have the atmosphere of fireworks in the world. The kind of couples who truly respect each other as guests will easily end up being overwhelmed. Because they lack the necessary running-in, the conflicts are pressed in their hearts, and eventually accumulate and magnify over time.


    When a conflict breaks out, it will definitely be like a landslide and tsunami, and leave as soon as you say it.


    Only after arguing and making trouble can the relationship deepen.


    Because in the process of quarreling, there will always be someone who needs to give in, and needs to tolerate the other party with the love in his heart. Over time, both of them learned to tolerate and understand each other, and their relationship naturally deepened.


    "Don''t worry, the medicine will be prescribed at that time. Let''s take the medicine according to the prescription. After you take a course of treatment, you can see whether it is effective."


    Zhou Can comforted her.


    Zhou Can has no idea whether traditional Chinese medicine can treat chronic renal failure.


    Because traditional Chinese medicine pays attention to syndrome differentiation and treatment, thousands of people have thousands of prescriptions.


    Treatment is different for everyone.


    After nearly three hours of queuing, it was finally Zhou Can''s turn.


    "Hello, Mr. Chen, we were introduced by Director Jian Dong, and I would like to ask you to show it to my girlfriend!"


    Zhou Can reported his family name.


    In the society of acquaintances, some personal connections can provide a lot of convenience in reality.


    "Please sit down!"


    After listening to Zhou Can''s introduction, Mr. Chen took a look at the two of them with friendliness and satisfaction in his eyes.


    Although Zhou Can found an acquaintance, he still waited in line honestly.


    This is a quality performance.


    A person with virtue and quality is naturally more likely to be liked.


    "This is the test we did in the hospital!"


    Zhou Can handed over a stack of inspection reports.


    "Young man, the examination of Western medicine is not very useful for our Chinese medicine. It is not a principle at all. You can just talk about her disease and symptoms."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Mr. Chen didn''t reach out to take it at all, and seemed to be very disdainful of the hospital''s inspection report.


    Zhou Can saw Chinese medicine for the first time, and he really didn''t understand these rules.


    Quickly take back the inspection report, and then tell Mr. Chen what disease his girlfriend has.


    Su Qianqian added specific symptoms to the side.


    "Look at your hands first!"


    Mr. Chen took her hand and looked at it including nails and palm prints.


    "Come on, open your mouth and stick out your tongue for me to see."


    She stuck out her clove tongue for Mr. Chen to diagnose.


    "Put your right hand on the pulse pillow, and I''ll give you a pulse!"


    After looking at the tongue, he stared at Su Qianqian''s face carefully.


    Next is pulse diagnosis.


    "Switch to your left hand and check your pulse!"


    Let Su Qianqian change hands again.


    It can be clearly felt that there is a relationship with Director Jian Dong. When Mr. Chen examined her, he checked her very carefully and with great care.


    "Well, let me look into your eyes again!"


    Mr. Chen motioned for her to take off her sunglasses.


    "Kidney governs water, and when a problem occurs, it often appears in the eyes immediately."


    He explained something.


    After Su Qianqian took off her sunglasses, she revealed a pair of watery black eyes, which looked extraordinarily charming.


    Mr. Chen opened her eyelids and examined her carefully.


    Both eyes looked.


    "Her left kidney disease is more serious, and the condition of the right kidney is much better. I will prescribe three medicines for you first, and take one medicine for three days. Traditional Chinese medicine is bitter. Others can add some licorice, and some even add sugar to it. You can''t."


    Mr. Chen reminded her, meaning to tell her that no matter how bitter the medicine is, no sugar should be added.


    "Can she still eat candy in the future?"


    Zhou Can usually just reminded her to eat less sugar and salt, but she didn''t completely ban it.


    Salt is an essential substance for the body. If you do not eat salt for a few days, you will feel weak and have many symptoms.


    Sugar is also an essential nutrient for the body.


    Eating too much is harmful, but not enough.

 Chapter 372： 3 remedial means, miracle

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    , my medical skills can add experience points


    "It''s okay to eat sugar or salt, and these are essential nutrients for the body, just pay attention to the amount." Old Chen replied with a smile.


    When the human body is working and studying, more than 60% of the heat energy needed for thinking and maintaining the body''s normal survival activities is provided by sugar. Supplementing appropriate sugar is very important for the body.


    Sugar can not only provide energy for the body''s metabolism, but eating some sugar in moderation can also relieve stress.


    Therefore, there is no need to talk about sugar discoloration.


    The culprits of the three highs are of course sugar and salt, but as long as they are not consumed excessively, there will be no problem.


    Zhou Can is a doctor himself, so he naturally understands these principles.


    That''s why he didn''t let Su Qianqian ban sugar and salt.


    If you eat too much sugar, the sugar will form fat, which will make the body fat, leading to high blood pressure, high blood fat, and diabetes.


    This is why people talk about sugar discoloration.


    As long as you understand its pathogenic mechanism, you can treat it correctly.


    "Little girl, your disease is mainly due to the deficiency of the three qi. In addition to taking medicine, I will teach you a set of food tonic prescriptions and a set of gymnastics exercises for fitness."


    While talking, Mr. Chen prescribed a prescription for her.


    In addition to prescriptions, I also wrote some nutritional supplements for her, including black beans and mutton.


    "Old Chen, can I ask you for advice?"


    "you say!"


    Old Chen''s attitude is very kind.


    "Among the Chinese herbal medicines, rehmannia glutinosa and donkey-hide gelatin should be good products for tonifying the kidney, but you haven''t prescribed these medicines. Can you teach me the mechanism?"


    Zhou Can humbly asked him for advice.


    "The young man should also be a doctor, right? As soon as you stopped here, I could smell the smell of western medicine."


    Old Chen''s words made Zhou Can embarrassed for a while.


    "Hehe, the smell I''m talking about is not the smell, but the unique mechanical smell after working in Western medicine for a period of time. Don''t have any opinions. I don''t look down on Western medicine, but I think Western medicine is important for both diagnosis and treatment. It¡¯s a rigid one, which is equivalent to applying a formula to it, which is a bit too mechanical.¡±


    The chain of contempt exists all the time.


    Medicine despises surgery, and surgery despises medicine.


    Chinese medicine despises Western medicine, and Western medicine looks down on Chinese medicine.


    Everyone despised each other and thought they were the best.


    This is especially evident in foreigners. Every foreigner has been exaggerated since childhood. In their minds, they think that they are the best, their country is the best, and everything about them is the best.


    For Huaxia children, what their parents teach most is low-key and modesty.


    The doctrine of the mean and Confucianism have far-reaching influence in China. Tibetan clumsiness, this is what Chinese people love to do most.


    Even though his net worth is more than 100 million, some people praised him for being rich, but he shook his head and said that he was just average, even crying poor.


    A low profile equals self-protection, and this awareness has been deeply rooted in the hearts of Chinese people.


    Mr. Chen despises western medicine, it is by no means out of the ordinary. It''s just traditional thinking.


    For thousands of years in China, the emperors of all dynasties have regarded themselves as the masters of the world.


    The emperors of the Tang, Han, Ming, and Qing dynasties, when encountering foreign enemies, often used the tone of the king of the world, and a certain general commanded you to command tens of thousands of troops immediately to wipe out the barbarians or Japanese pirates. .


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Young man, traditional Chinese medicine focuses on syndrome differentiation and treatment, which is quite different from Western medicine''s symptomatic treatment. Donkey-hide gelatin and rehmannia glutinosa belong to kidney-tonifying yin medicine, and the most common ones are used to treat yin syndrome in kidney deficiency. For example, they are sold very well in the market. The obtained Liuwei Dihuang Pills use rehmannia glutinosa as the main medicine, and it will be more effective in treating night sweats, nocturnal emission, and sore waist and knees.¡±


    Old Chen patiently explained the mechanism to him.


    "So, are the medicines for invigorating the kidney divided into yang medicines and yin medicines?"


    Zhou Can is ready to break the casserole and ask the end.


    "Exactly! What we pay attention to in Chinese medicine is the balance of yin and yang. Yang medicine nourishes yang, and yin medicine nourishes yin. For a disease like hers, it is necessary to clarify which aspects of qi, blood, yin and yang are insufficient, and then combine the relationship between viscera and internal organs. Choose dietary supplements and Chinese medicine tonics. At the same time as supplements, you must also pay attention to the function of the spleen and stomach of the patient. If the spleen and stomach are stagnant, prescriptions and supplements must be taken into consideration."


    Hearing this, Zhou Can had a bottom line in his heart.


    It seems that the pharmacology of western medicine has certain similarities with that of traditional Chinese medicine.


    It''s just that the principles of treatment are a little different.


    Traditional Chinese medicine pays attention to the balance of yin and yang. If yin is strong, it will nourish yang, and if yang is strong, it will support yin. As long as the balance of yin and yang in the human body is ensured, it will be healthy.


    "Little girl, I will teach you a set of exercises. You should memorize them carefully and do them several times in the morning and evening. As long as you persevere, I believe there will be gains."


    After speaking, Mr. Chen stood up and demonstrated it carefully to her.


    Zhou Can cleverly recorded the whole process. In case he forgot, he could ask Su Qianqian to study the video after returning home.


    "Okay, after you take the medicine for a course of treatment, go to the hospital for a checkup, and if it is effective, come to me for a second prescription."


    Mr. Chen took extra care of them and gave them detailed and comprehensive diagnosis and treatment guidance.


    "Okay, thank you!"


    After thanking Mr. Chen, the two left full of expectations.


    Zhou Can took the medicine according to the prescription, but he didn''t mention decocting it for her.


    In addition, he specially asked Li Luo to have a drink and talked about Su Qianqian. Let Li Luo reduce her workload as much as possible.


    Li Luo has no opinion on this matter.


    However, although Jinyu Interactive Company has cultivated many newcomers, the time is still short, and there is no super popular artist like Su Qianqian for the time being. Therefore, it may not be so easy for her workload to drop immediately.


    Zhou Can can understand, anyway, it is to greet her in advance and reduce her business a little bit.


    Of course, the premise must be to respect Su Qianqian''s own wishes.


    In the following days, Zhou Can was extremely concerned about Su Qianqian''s treatment. Taking medicine and the gymnastics that Mr. Chen taught her, she insisted on completing them every day. He also gave her some nourishing food prescribed by Chen Laokai in different ways.


    Before I knew it, a month had passed.


    She happened to be on a course of medication.


    It can be clearly felt that some good changes have taken place in her body. His face became a little rosier, his eyes became brighter, and he even spoke with more energy.


    It can also be associated with loving nourishment.


    During this month, Zhou Can went to accompany her almost every day no matter how late she got off work. With the man she loves by her side, her mood is happy every day.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    When you encounter annoying things at work, you also have someone to confide in.


    Living together and talking on the phone are completely two concepts.


    "Qianqian, follow me to Tuya for an examination today! You have changed to Chinese medicine for a course of treatment."


    "Um!"


    Now she is very obedient to Zhou Can''s words, everything is based on Zhou Can.


    This is the expression of a woman''s deep love for a man.


    ¡­


    Zhou Can has now rotated to the regular training of the Department of Cardiovascular Medicine. After get off work, he goes to the Department of Cardiothoracic Surgery almost every day to learn surgical skills from Director Hu Kan.


    In addition, it is also unshakable to go to the pediatric department every Wednesday.


    As his popularity in the news gradually declined, the number of patients he received did not decrease much. However, at least 80% of the patients received are attracted by the large platform of Tuya Hospital.


    With him taking Su Qianqian for an examination, he saved the trouble of queuing up.


    While waiting for the test results, Su Qianqian obviously felt anxious and nervous. Zhou Can is actually not much better.


    He even felt more nervous than taking the regular training recruitment exam and the medical license exam.


    In my heart, I was looking forward to the test results, but I was also afraid of disappointment.


    However, judging from her physical condition, even if there were no surprises in the test results, it shouldn''t be too bad.


    "Qianqian, don''t be nervous, if Chinese medicine doesn''t work, we can switch back to western medicine."


    Zhou Can held her hand and comforted her.


    "Hehe, you''re still talking about me! Aren''t you also nervous?"


    Su Qianqian smiled very beautifully, her eyebrows and eyes were curved like flower buds blooming.


    "Where am I nervous?" Zhou Can pretended to be calm.


    "Big idiot, next time you want to lie, remember to wipe off the sweat on your palms first!" She smiled happily, but deep in her eyes were deeply touched.


    [To be honest, I have been using Yeguo to read and read books recently, change sources and switch, read aloud with many timbres, and both Android and Apple can be used. ¡¿


    There is no woman who doesn''t like being held in the palm of her boyfriend''s hand.


    The taste of being cared for made her feel happy, like being immersed in a honeypot.


    Zhou Can didn''t mean what he said, and was exposed by her face to face, and couldn''t help feeling embarrassed.


    Fortunately, he has a thick skin, so he took it with him with a smile.


    "That... I''ll check to see if the test result came out!" Zhou Can took her ID card and walked to the automatic inquiry machine in front.


    After swiping the ID card, you can directly check the inspection results.


    Fortunately, the test results have just come out not long ago.


    Click Print, and it will be printed automatically soon.


    "Wow, it finally came out! Help me see, is the result good or bad?" Su Qianqian also came over.


    Zhou Can checks key data such as renal function creatinine value and blood urea nitrogen.


    "Oh, I didn''t expect that taking traditional Chinese medicine had no effect at all, and the creatinine value increased a lot. It seems that your disease is hopeless!" Zhou Can''s face was downcast, extremely depressed.


    Hearing this, Su Qianqian froze there without saying a word, as if struck by lightning.


    "This is life! To have you by my side, God has taken great care of me." Su Qianqian''s tone was full of bitterness.


    "Haha, I thought you were going to cry and cry! Don''t worry, I was just joking with you. Comrade Su Qianqian, I solemnly tell you good news. After a month of Chinese medicine treatment, your indicators have not only disappeared Instead, it rebounded slightly. Especially the most important creatinine value, it stopped the upward trend and dropped by 31 points."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can told her the great news.


    "Ah...you big liar, big villain! How dare you lie to me!"


    After she heard it, she threw herself into Zhou Can''s arms angrily, and beat her with fists.


    "Hehe, how are you? Are you happy? This result really surprised even me. Director Jian really has a level. I have to thank him very much."


    These days, Zhou Can has seen his girlfriend''s condition continue to progress and deteriorate, and he is under tremendous pressure in his heart.


    After Su Qianqian switched to traditional Chinese medicine for treatment, she really didn''t expect the curative effect to be so remarkable.


    When Zhou Can was most desperate, she felt that even if it could slow down the progress of her condition, it would be great news.


    Unexpectedly, after taking a course of traditional Chinese medicine, the progress of the disease not only stopped, but also started to develop in a better direction.


    This is something he can''t even imagine.


    "Didn''t Mr. Chen treat me? Why are you the first to think of thanking Director Jian?"


    she asked.


    "If Director Jian hadn''t suggested that we switch to traditional Chinese medicine, we might still be using Western medicine now! Mr. Chen should be grateful, and Director Jian should be even more grateful."


    Zhou Can explained.


    "Seeing that your condition has improved, my heart has suddenly become much brighter. The stone that has been pressing on my heart for more than a month has been lifted."


    He has already regarded Su Qianqian as the other half of his life, and her health affects his heart.


    I can''t imagine what will happen if her condition continues to deteriorate and she needs a kidney transplant?


    "Hehe, me too! This is one of the happiest times since I was diagnosed with chronic renal failure."


    The worry in Su Qianqian''s eyebrows was also swept away.


    Seeing hope in despair is like a ray of light suddenly falling in the endless darkness.


    Bring endless hope and light.


    "One of several times? Is there anything more joyful than that?"


    Zhou Can held her in his arms, looked at her and asked.


    "Of course I did! I was guarded by you for the first time that night, fell in love with you, and you helped me break the contract with the rogue company, and you helped me reach the pinnacle of my career... It was you who took me through the experience again and again. Seeing the miracle of life and feeling the endless surprises of life.¡±


    She emotionally cites a pile of beautiful past events.


    It was all the joy that Zhou Can brought her.


    "Since it''s effective, let''s continue to use traditional Chinese medicine. Today is only Tuesday, and it will be Saturday in three days. I''ll call Mr. Chen and see if he can come to visit in advance."


    Zhou Can knew nothing about Chinese medicine, and he was worried that if he stopped taking the medicine for a few days, his creatinine value, which had been so hard to drop, would rise again.


    In fact, too high or too low a creatinine value is not good.


    For adult males under the age of 60, the normal value of creatinine should be between 57-97umol/L. For adult women, within the age of 60, it is considered normal if the creatinine value remains between 41-73umol/L.


    If the creatinine value is high, it is mostly acute and acute glomerulonephritis. If it develops to the late stage of renal failure, the creatinine value is greater than 445umol/L.


    This is also the reason why Zhou Can felt extremely anxious and anxious when he saw his girlfriend''s test results, the creatinine value continued to rise.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Creatinine value is low, UU Reading www. Some people at uukanshu.com think it is a good thing.


    Not really.


    If it is too low, glomerular hyperfiltration generally exists. During routine urine examination, urine protein appears, and urine occult blood may even be positive.


    So neither too high nor too low is good.


    Especially not as good as.


    "Honey, I''ll go back to work first! See you tonight!"


    Now her face is full of joy, and the haze is gone.


    "Is this an initiative to invite me to spend the night with you at night?"


    Zhou Can teased her.


    "Die! Say this in public!" She glared at Zhou Can in embarrassment, then turned and left quickly.


    Wei Fang was waiting for her not far away, so there was no need to worry about safety.


    Zhou Can watched her disappear, smiled, and took out his mobile phone to call Mr. Chen.


    He wanted to tell Mr. Chen the good news.


    "Which one?"


    There was an old, angry voice on the other end of the phone.


    "Mr. Chen, hello, we asked you for treatment of chronic renal failure a month ago, and you also taught my girlfriend a set of gymnastics, do you still remember?" Zhou Can hurriedly reported his family.


    "Oh, I remembered! You are Director Jian''s friend. After taking the medicine for a month, how is your girlfriend doing now? Has it improved?"


    Mr. Chen has to see more than 100 patients every Saturday, and it is not easy to remember Zhou Can accurately.


    "Thank you for the prescription. The effect is very good. I made this call to tell you the good news as soon as possible. I just went to the hospital for an examination. The condition has not deteriorated, and the creatinine value has even dropped miraculously. , it''s incredible."


    When Zhou Can talked about this, he was still extremely surprised.

 Chapter 373： Do not forget the well digger when you drink water, the main medicine that is extinct

No content

 Chapter 374： Medicinal herb cultivation base, completed regular training

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    , my medical skills can add experience points


    "I don''t charge you 6 yuan for the consultation fee. I''m afraid you will come to the door with a gift next time! Okay, you pay the 6 yuan consultation fee!"


    Old Chen said with a smile.


    "Haha, thank you! If big hospitals follow your example, common people won''t look down on patients!"


    Zhou Can paid 6 yuan on the spot, and left Chen''s home with a gift.


    Mr. Chen got up and saw them off.


    This also shows that he has a good impression of Zhou Can.


    "Please stay!"


    Zhou Can''s visit to see a doctor at night is enough to disturb others. How dare you let someone see you off! He quickly turned around and persuaded Mr. Chen to go back to the house.


    "The medication cycle for the second dose of medicine lasts for more than half a year. If you feel unwell or have relapses, you must not be careless. You can consult me ??at any time."


    Old Chen instructed them both.


    "Okay! May I ask, is the purple-backed star anise lotus among the two main ingredients you mentioned, currently being artificially cultivated by you?" Zhou Can is very concerned about this matter.


    When he does things, he always likes to prepare for the worst.


    Prepare the two main medicines in advance. If you don''t need them, Su Qianqian''s illness will be cured, that''s the best. If you really need to use them, it will be a bit embarrassing to find them temporarily.


    This is like buying insurance, hoping that nothing will happen. In case something happens, it is a guarantee.


    "The cultivation of this endangered medicinal herb requires specialized forestry and grass science talents. We mainly conduct research on traditional Chinese medicine here, and have not cultivated medicinal herbs. At present, in our province, Rui''s Chinese herbal medicine base has done a good job. This purple-backed star anise Lian, Rui''s Enterprise is in the process of cultivation."


    Old Chen hesitated for two or three seconds before revealing the news to Zhou Can.


    "The star anise itself is a kind of endangered wild herbal medicine. Its rhizome is used for medicine, which can treat bruises, hemiplegia, joint pain, poisonous snake bites, etc. The purple back star anise is a variant of the star anise. Its The back of the leaf is purple, and the roots dug out are also purple. I have never seen this medicine with my own eyes. According to my master''s description, the wild purple-backed star anise grows in hillside forests, bushes, damp places by streams, and bamboo forests. Ordinary star anise lotus can be found in highlands above 300 meters above sea level, but purple-backed star anise lotus can only be found in cold peaks and snow-covered forests above 2,000 meters."


    "Also, it is best to use herbs that are more than three years old. If the herbs are not old enough, it will be difficult to achieve the expected curative effect."


    After listening to Chen Lao''s narration, Zhou Can finally understood how difficult it is to find the main medicine.


    "Then the medicinal herb cultivation base you mentioned, even if they successfully cultivate it, they will have to wait three years before it can be used as medicine. Waiting for such a long time, the variables are too big, is there any other way to buy it?"


    Zhou Can can''t wait to find the two main medicines he needs right away to cure his girlfriend.


    "This medicine is hard to find. As far as I know, only Ruishi Enterprise is cultivating this herbal medicine. Although ordinary star anise is also an endangered herb, you can basically buy it with a little effort. Purple back star anise Lotus, because there is very little demand for medicines, there is no market prospect, and there is no profit drive. Pharmaceutical companies are rarely willing to spend a lot of money to cultivate these special herbs that are not in high demand. Rui¡¯s company is also because of the cultivation of this species of star anise. That¡¯s why I¡¯m willing to cultivate a little purple-backed star anise lotus by the way.¡±


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Old Chen shook his head, the market decides everything.


    Few people are willing to do things that are not beneficial.


    "Xiao Zhou, you don''t need to be too anxious about this matter. Your girlfriend''s kidneys have not suffered serious damage. It is not correct to judge her condition according to the set of examination standards of western medicine. Follow my method of treatment first. Let''s take a look at it after a while, if her kidney qi recovers by then, then there is no need to use other prescriptions for treatment."


    Old Chen comforted the two of them.


    "Okay! Thank you for treating my girlfriend and solving my doubts. Goodbye!"


    Zhou Can left with his girlfriend.


    Given the chance, he still decided to contact the boss of Ruishi Enterprise. Since people can cultivate purple backed star anise, it means that they have at least one wild purple backed star anise or seeds in their hands.


    As for the other main drug, it is called colorful toad, also known as rainbow toad. According to historical records, the last three appeared in 1924. Since then, no one has found this species.


    [To be honest, I have been using Yeguo to read and read books recently, change sources and switch, read aloud with many timbres, and both Android and Apple can be used. ¡¿


    It''s about whether his girlfriend''s kidney disease can be cured. No matter how expensive and difficult it is, Zhou Can will try his best to help her find these two main medicines.


    The next day, after Zhou Can got off work, he saw Director Jian of the Department of Nephrology sitting on a bench in the corridor as soon as he went out.


    Seeing Zhou Can approaching, Director Jian stood up and smiled from a long distance away.


    He waved straight at him.


    "Director Jian, are you waiting for me specifically?"


    "I was not at home last night, so I asked you to spend a lot of money to buy such an expensive tonic for me. Thank you so much! I just wanted to come over to thank you in person and treat you to a meal. Also, no more gifts are allowed in the future. gone."


    Director Jian is well aware of Zhou Can''s development potential, even though he is currently the chief physician and deputy director of the Department of Nephrology, Zhou Can''s future achievements are likely to be much higher than him.


    And in terms of character, Director Jian is not as bad as imagined.


    Gentlemen love fortune, in a proper way.


    It is quite normal to have some gray income. Basically, formal doctors and nurses who have worked in the hospital for a long time can earn some gray income as long as they have a little power or ability.


    Everyone calls it extra money.


    The money is not necessarily the black-hearted money earned by defrauding patients.


    Get some kickbacks for prescribing medicines, stand up for a certain pharmacy or clinic, or cure a certain rich and powerful patient, and the other party invites you to eat out of gratitude. Then they got to know each other slowly and became friends.


    My family members get some help from each other in business or work, these are normal extra money.


    In addition, it is not illegal for nurses and doctors to use their spare time to do private get off work after work.


    What I earn is hard money, and what I do is technical work.


    "That''s just my wish, you just don''t mind it! When it comes to treating me to dinner, I should be the one who treats you. If you hadn''t recommended my girlfriend to see Mrs. Chen, she is still struggling in pain Woolen cloth!"


    Zhou Can felt that the gift for Director Jian could not be too expensive.


    "Hehe, I just said something and gave a suggestion in good faith. How is your girlfriend doing now?"


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Director Jane asked with a smile.


    "I had an examination yesterday, and her condition miraculously did not progress, and the most important creatinine value dropped by 31 points. Chinese medicine is really amazing. I still don''t understand why Chinese medicine can cure chronic renal failure! "


    Speaking of this matter, Zhou Can is still puzzled.


    According to the medical knowledge he has learned, once chronic renal failure occurs, it cannot be reversed, it will only roll forward and continue to progress. Any treatment can only slow down the progression of the disease.


    However, after the girlfriend was treated with traditional Chinese medicine, her condition did improve.


    Zhou Can couldn''t understand this kind of thing that subverted medical cognition.


    "Don''t you understand? In fact, it''s okay to put it bluntly. Not all chronic renal failure can be cured after switching to traditional Chinese medicine. This varies from person to person. Some western medicine is more suitable, and some Chinese medicine is more suitable. I have carefully read the checklists made by your girlfriend, and based on her condition description and experience, I think it is feasible to switch to traditional Chinese medicine. Fortunately, the results are satisfactory."


    In other words, Su Qianqian''s case is not replicable.


    Unless other chronic renal failure patients are like her, the kidney itself is not damaged.


    "I understand a little bit, but it''s still a bit half-understood."


    Zhou Can mainly does not have a deep understanding of the medical principles and mechanisms of Chinese medicine.


    Just a sentence to adjust the balance of yin and yang in the body is still too advanced after all.


    "It''s off work now, why don''t we find a restaurant and chat while eating? You gave me such an expensive tonic, and I have to treat you to a good meal, so that I can feel at ease. Returning the things to you would make me hypocritical So, don¡¯t give it away next time.¡±


    Director Jian emphasized twice in a row that he really told Zhou Can not to give him gifts in the future.


    "Okay, okay, I won''t send it off next time! I''m afraid I can''t go to dinner with you today, and I have to go to the cardiothoracic surgery department to learn surgical knowledge from Director Hu. He is already very upset about asking for leave recently."


    Zhou Can said with a wry smile.


    "Hehe, Director Hu Kan is willing to pass on his skills to you. I don''t know how many people are envious! If you have something to do, go and do it. Let''s have dinner together some other day."


    Director Jane readily agreed.


    It is a great thing that Zhou Can can get Director Hu''s respect.


    As Zhou Can learns more and more cardiothoracic surgery skills, his own diagnostic ability in the field of cardiothoracic surgery is also constantly improving, and his surgical ability is even more exaggerated.


    The main reason is that most of the major operations are difficult, and there are too many opportunities to earn 100 points of medical experience.


    Every day is like picking up experience points.


    ¡­


    Time flies, happy and fulfilling days always pass quickly.


    Zhou Can now basically goes to Su Qianqian''s place to spend the night after get off work every day, to accompany her and live together with her.


    In order to commute to get off work, he bought a car.


    More than 700,000 black Mercedes-Benz cars.


    He doesn''t have any business entertainment, he just uses it for transportation, and a car of this level is completely sufficient.


    As for asking him to buy a super luxury car worth more than 10 million yuan, he never even thought about it. His parents instilled in him frugality, meticulous planning, and low-key... these excellent qualities since he was a child.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    His parents told him since he was a child that he should not compare with other children on the gorgeous clothes and the superiority of the family, but should compare his academic performance, his own savings, and soft power in all aspects.


    Such as sports, calligraphy, spoken foreign language and so on.


    It is also these excellent qualities that have been cultivated since childhood that have helped Zhou Can walk so steadily along the way.


    I have fallen, I have stumbled, but I have never stumbled.


    The bad habits of those dudes can hardly be seen in him.


    Su Qianqian''s treatment has been developing in a good direction, and Zhou Can is no longer in such a hurry to find the two main medicines. Just secretly pay attention to this information.


    There is another thing worth mentioning. He had an appointment with the person in charge of Rui''s Enterprise, and the result was very sad. Even the gate of Rui''s Enterprise was not able to enter.


    All I know is that the person in charge of Rui''s Enterprise is an extremely capable woman.


    He doesn''t know what he looks like or how old he is.


    The leader of Rui''s Enterprise is extremely low-key on weekdays and never accepts any interviews. In newspapers, TV and other news media, no information about her can be found.


    Before I knew it, more than seven months had passed in the blink of an eye.


    Su Qianqian went to the hospital for two checkups. The creatinine value continued to drop, and the glomerular filtration rate was measured, and it rose steadily each time.


    This is a miracle created by Chinese medicine.


    Zhou Can also gradually developed some interest in Chinese medicine. It''s a pity that he is too busy with work, and he has to learn a lot every day, and he has to practice the basic skills of the fast knife and steady knife.


    I really can''t spare more time to learn more about Chinese medicine.


    Before he knew it, his three-year training period had finally expired.


    Thirty-six months of hard work have yielded a satisfactory answer.


    Internal medicine, surgery, almost all important sub-departments have gone in for regular training. Unlike other Gui Peisheng who study in a hurry, no matter which department he enters, he studies in depth.


    When others go in, it belongs to the regular training, and when he goes in, it belongs to the specialized training.


    The teaching resources enjoyed are all top-notch.


    Director Tan of the internal medicine department took him for a period of time. As for Yin Hua, the director of the Department of Neurology, who admired him so much, that''s not to mention.


    From the first day Zhou Can entered the Department of Neurology, Director Yin Hua personally took care of him.


    When imparting all kinds of spiritual medical knowledge, clinical experience, and diagnosis and treatment techniques, Director Yin Hua taught him everything without reservation. Zhou Can could clearly feel this point himself.


    Because when Director Yin Hua taught his postgraduates, he would explain a lot of things only when they encountered themWhen he taught Zhou Can, he was very patient.


    Often it expands the area with points, explaining the various diseases involved one by one, and conducting in-depth analysis.


    It is also the careful teaching of director Yin Hua, coupled with Zhou Can''s understanding and diligence, that makes Zhou Can different every day. In just over a month, Zhou Can has the ability to independently handle those cases that graduate students could not handle.


    He is very competent in prescribing various medical orders, prescribing medicines, interventional treatment, and prescribing various inspection items. And getting stronger and stronger.


    In particular, Zhou Can opened the inspection project. He has always adhered to the principle of excellence.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Under the premise of ensuring the accuracy of diagnosis, if you can prescribe one examination, you will never prescribe two.


    For this matter, the Medical Technology Division had a lot of complaints about him.


    Zhou Can did his own thing, and he didn''t admit that he was wrong. In addition, there are many chief physicians behind him to protect him, and he has been safe and sound.


    In the director''s office of the Department of Internal Medicine, Director Tan put down his work and looked at Zhou Can amiably.


    "Xiao Zhou, after the regular training is over, it''s time for you to officially start working. Do you really want to go back to work in the emergency department?"


    Director Tan very much hoped that he could stay.


    "Well, I will report to the emergency department tomorrow and start working directly. For more than a year, during the internal medicine training period, I am very grateful for your tolerance and care. It can be said that without your help, I would not be able to work in the internal medicine department." It is impossible to learn so much knowledge and skills.¡±


    Zhou Can''s heart flew to the emergency department long ago.

 Chapter 375： Xiao Zhou returns to form a surgical team

    After three years of sharpening his sword, and then returning to the emergency department, he was no longer the weak Gui Peisheng back then.


    Today, Zhou Can has obtained a medical license, and has been promoted to the level of deputy director in many medical skills. Whether it is diagnostic ability, surgical ability, or the ability to rescue critically ill patients, the ability to communicate with patients and their families... He has completed all-round transformation.


    After returning to the emergency department, I will be able to shoulder the heavy burden and share the worries of the department.


    "You can stick to your original intention and insist on returning to the emergency department where the future is not bright. This character is very good. These days, it is not difficult to be obsessed with getting ahead. It is the most difficult not to be obsessed with getting ahead. Maybe it is Your mentality of indifference to fame and wealth allows you to concentrate more when learning medical skills."


    Director Tan highly appreciated his character.


    Sighing secretly, how could such a good seedling have been overlooked in the first place?


    At the beginning, he chose Gao Jian, who graduated from Imperial Medical University with a postgraduate degree, and his surgical talent is also quite outstanding. Three years have passed, Gao Jian has made great progress, and is much better than ordinary regular trainees in the same period.


    But compared with Zhou Can, it''s not a little worse.


    Today, Zhou Can is basically used as the deputy chief physician in any department of internal medicine. Moreover, it is the kind of deputy director who is very capable to be on par with Zhou Can.


    The deputy chief physician, or the academic "Xiuhua Pillow", can''t stand up to Zhou Can alone.


    "Xiao Zhou, even if you go back to work in the emergency department, if you have any questions in the future, you can still come to me at any time. As long as I can help, I will do my best to help."


    Director Tan is really kind to him.


    As for the reasons, there must be some. First of all, Zhou Can has a good character and knows how to be grateful. Secondly, his talent in medicine is extremely monstrous, and his future achievements are bound to be astonishing. Furthermore, Zhou Can''s behavior style and personality are very suitable for Director Tan''s appetite.


    Between people, what is important is a word of fate.


    Director Tan looks very gentle, but it doesn''t mean he is friendly to everyone.


    When it''s time to be ruthless, Director Tan is more terrifying than the generals on the battlefield. No director of the Department of Internal Medicine dares to be presumptuous in front of Director Tan. Even a top expert like Director Yin Hua always speaks politely in front of Director Tan.


    If there is no means, there are so many medical staff in the internal medicine department, it is really unstoppable.


    "It is my luck and my blessing to meet you. Thank you for helping me without asking for anything in return."


    Zhou Can thanked him again.


    "Help you. I don''t have any schemes at all. I''m not that noble. If you can, you will grow up in the future. I hope that when the internal medicine department needs it, you can lend a helping hand."


    Director Tan begged.


    "It''s totally fine. Even if you don''t tell me, as long as I have that ability, I will never sit idly by. Including if you need me in the future, just speak up. Even if you don''t speak up, as long as I know, I will This person has a thick skin, so he must take the initiative to lend a hand."


    Zhou Can smiled and made a promise.


    His credit is definitely golden credit, and the promises he made are extremely important.


    Director Tan said with a satisfied smile, "Haha, I like your style of doing things. Then, maybe there is something that needs your help! The final exam for the regular training should be on the 15th of this month. You shouldn''t be under any pressure, right?"


    With Zhou Can''s strength, it''s really like playing a game after graduation.


    "I haven''t passed the test, and I don''t dare to say big things. If it''s just some general skills and knowledge points, I think it shouldn''t be a big problem."


    ¡­


    After bidding farewell to Director Tan in the Department of Internal Medicine, when Zhou Can walked out of the Department of Internal Medicine building, he felt that his life seemed to have entered a new process. This feeling is a bit like coming out of school and entering society.


    This time, he is about to officially embark on the road of practicing medicine.


    After completing the regular training, he will officially take off the titles of ''intern'' and ''trainee'', which are similar to apprentices.


    In the office of the emergency department, Director Lou had a happy face, as happy as Chinese New Year.


    Dr. Xu also couldn''t hide the excitement on his face.


    Even the nurse Ye Tingting hummed a brisk tune, looking forward to Zhou Can''s return.


    In their expectant eyes, a handsome and free-spirited figure walked quickly into the doctor''s office of the emergency department.


    "Director Lou, now that I have completed the training, I will officially report to the emergency department. The final exam for the training will be held in four days."


    After Zhou Can reported to Director Lou, he looked at Dr. Xu, Ye Tingting and others.


    Familiar faces showed warm smiles to him one after another, making him feel as if he had returned to his long-lost home.


    "Very good! The emergency department has been waiting for you for a long time! Before the final exam, you don''t have to rush to work formally. I will arrange for you to study in the medical technology department for four days."


    Director Lou seems to be short-tempered, but he is a wise person with subtleties.


    Zhou Can''s planning and training trends, he actually mastered the whole process.


    According to the requirements, Zhou Can should have been trained in the medical technology department for a month. However, because of Zhou Can''s special situation, three years of rotation in multiple departments of surgery and internal medicine are already very tight.


    Even in the Department of Anesthesiology, Zhou Can can spare a little time every month to study with Director Feng, so that he can pass the test.


    The medical technology department seems to have low professional requirements, and often becomes a paradise for related households.


    But that doesn''t mean medical tech isn''t important.


    The operation of various inspection instruments and how to interpret the inspection results have deep knowledge.


    Doctors are required to go to the medical technology department for at least one month of regular training before officially taking up their posts. This is to let them understand the principles and skills of inspections and acquire a certain amount of inspection experience.


    For example, when diagnosing a patient, the patient reports upper abdominal pain. If the doctor has only a half-knowledge of the principles of the examination equipment, he may make mistakes when prescribing the examination items for the patient.


    Also, after the examination, the patient shows the results to the doctor, if the doctor is clear about the key points and techniques of each examination. In case the doctors in the medical technology department neglect their duties, and the inspections are not standardized and not in place, the attending doctors will be able to find the problem at the first time.


    In the completion of the standardized training, the examination of the medical technology project is also a part.


    Especially how to watch movies is the most important thing.


    Zhou Can followed Director Lou''s arrangement and studied in the Medical Technology Department for four days. B-ultrasound, color Doppler ultrasound, various CT, MRI, radiography, etc., and various medical examination items, he has carried out key studies in four days.


    It is nonsense to say that you have to learn everything in four days.


    But learn the basic operation, understand the principle of examination, and try to examine patients and practice. These are all learned.


    As for the most difficult interpretation of inspection results, Zhou Can has already learned it in his three-year training career.


    It even appeared that he watched the film more accurately and powerfully than the doctors in the medical technology department.


    The regular training final exam on the 15th will be held in this hospital.


    He saw Jin Mingxi and some medical students who entered the hospital for regular training at the same time. Including some graduate students.


    However, Gao Jian and Du Leng were not seen.


    They are very lucky. Because the new training policy has come down, undergraduates, masters, and Ph.D.s will need to participate in three-year standardized training before they are allowed to practice.


    For Shuo and Ph.D., this means helping the hospital to do a few more years of white labor.


    For Zhou Can, the whole regular training final exam was easier than he imagined.


    He thought it was so difficult at first, but after the exam, he even had an illusion. Take the elementary school student''s test paper and let him, a high school student, do it.


    The regular training final exam is not particularly difficult, but it is by no means as easy as he imagined.


    The reason why he finds it easy is because his current strength is too perverted.


    All-round strength in diagnosis, surgery, etc., almost beats ordinary deputy chief physicians, and easily kills excellent attending physicians. Do you think it is not easy for him to complete the regular training graduation exam?


    After the test, you need to wait about 20 days for the results to be issued.


    This is impossible.


    The waiting time for the medical certificate examination is longer. In the future, there will be a longer waiting time for the examinations, especially for the evaluation of associate senior and senior professional titles, selection of academicians, Changjiang Scholars, Youqing, and Jieqing.


    In life, you must learn to wait, and you must be calm and patient in everything you do.


    ¡­


    After the exam, he returned to the emergency department to start his official work.


    However, the hospital''s official employment contract will not be signed with him until the results of his training exams come out.


    During these twenty days, he happened to be warming up in the emergency department.


    In the director''s office of the emergency department, director Lou, chief physician Han Changqing, and doctor Xu were all present.


    "Xiao Zhou, what do you think about the work arrangement?"


    Director Lou asked Zhou Can for his opinion.


    Ordinary doctors don''t have this kind of treatment, whichever position is lacking, they will be assigned to that position directly.


    Zhou Can is a key talent and must be respected.


    Otherwise, if he gets away, it will be a great loss to the emergency department.


    "I want to hear Dr. Xu''s opinion!"


    In this matter, Zhou Can did not decide on his own, but asked Dr. Xu to help him make up his mind.


    "The emergency department has been working hard for these years, but it is a pity that it has not been able to open the situation. When you come back, I think it is easiest to help the emergency department to break through the operating room first. In this process, your personal ability and medical skills can be improved. In addition, now that you have completed the training program and have a medical license, weekly consultations are essential, and you must also participate in night shifts, and you cannot engage in special treatment, otherwise other people will be dissatisfied and it will be detrimental to the unity of the department.¡±


    Dr. Xu is very considerate.


    The proposed work direction is basically in line with Zhou Can''s ideas.


    Night shift is something every doctor needs to experience, especially young doctors, have this obligation.


    During Zhou Can''s three-year training career, the number of night shifts was pitifully small.


    Definitely a special treat.


    You must know that the most troublesome thing for other interns and regular trainees is to work the night shift.


    Sometimes they are on night shift for more than a week, which makes them miserable.


    In the past, during the regular training stage, we engaged in special treatment, but no one said anything.


    Because he didn''t stay in each department for a long time, at most about three months.


    Now back to work in the emergency department, the nature is different.


    It is equivalent to becoming a family member. If you start a small stove, others will definitely not be convinced. If you don''t say it with your mouth, you will be dissatisfied in your heart.


    "I agree with what the teacher said, and surgery has always been my favorite. I have a request, and I implore Director Lou and Director Han for approval."


    Zhou Can took the opportunity to make his request.


    "What do you think!"


    Director Lou did not agree rashly.


    "I want to form a surgical team of my own, with fixed surgical nurses and assistants. Of course, I also understand that the department is short of manpower. I guarantee that the number of surgeries completed every month is worthy of the total number of my surgical team."


    Zhou Can has long had the idea of ??forming a surgical team.


    Especially after hearing about the foreign super doctor that time, a seed was planted in his heart.


    He wants to become a super doctor in China and build a highly professional team.


    "No problem, I can agree with this matter. It is a good thing for you to learn the rules now and want to have your own team and make a career out of it." Director Lou is the boss of the emergency department, he nodded, this matter is basically There is no problem with it.


    "Thank you, Director Lou. I have another request. Let me have as much autonomy as possible. The working hours and tasks of my surgical team members will be arranged by us. Do you think it is okay? When the department needs it, we will The team will definitely cooperate and support with all their strength. In my daily work, I hope that there will be no interference, which is more conducive to making the surgical team professional and stronger.¡±


    Zhou Can promised Qiao Yu that after returning from her studies, she would become a full-time surgical nurse and would not let her be bullied again.


    With the right to self-management from Director Lou, the working hours of the members of the surgical team can be guaranteed. Will not be easily transferred by others.


    It was agreed in advance that Zhou Can would not have to worry about side effects if he followed the rules.


    Some despicable people can''t see the good of others.


    Seeing that his surgical team is developing well, it is quite annoying to stumble from time to time and transfer members of the surgical team to him to do other things.


    "Okay, this matter is also up to you!"


    Director Lou obviously hesitated when he agreed to this matter.


    Finally agreed.


    He also knew that it was not easy for Zhou Can to return to work in the emergency department.


    Today''s Zhou Can is no longer the undergraduate who was disliked at the end of the internship. It is a talented person who has hardened his wings and can fly to the sky. All major departments are scrambling for it.


    "Thanks!"


    Zhou Can''s request was granted, and he began to choose generals.


    As for medical assistant in surgery, he has not been able to decide for the time being. It will take a while to know whether an assistant is in his hand or not.


    He already had a candidate for the surgical nurse.


    "Surgery nurse, I want Qiao Yu to be my partner. Do you think it''s okay?"


    Director Lou''s eyes narrowed slightly, and an ambiguous smile appeared on his face.


    "Don''t you already have a girlfriend? Why are you always thinking about other girls? Qiao Yu is indeed very good. She is currently working in the intensive care unit of our emergency department and is highly valued by the director of the nursing department."


    The relationship between Zhou Can and Qiao Yu is extraordinary, and this matter must not be hidden from Director Lou''s eyes.


    In the past, Zhou Can didn''t have a girlfriend, so Director Lou naturally didn''t say much.


    Now he is worried about Zhou Can, a good seed, whose future has been ruined because of his style of work.


    There is nothing wrong with men being flirtatious, it is their nature.


    But if you don''t grasp it well, it is very easy to have an accident.


    Out of consideration for Zhou Can''s future, Director Lou was reluctant to agree to let Qiao Yu and Zhou Can work together in surgery.


    Long time love.


    The relationship between the two was already extraordinary, but if they worked together every day, Qiao Yu would be young and beautiful, and sparks would be easily sparked.


    "Don''t get me wrong, Qiao Yu and I are good friends, and we have no male-female relationship. Working with her is because we cooperate with each other tacitly, which is more conducive to improving the efficiency of surgery."


    Zhou Can explained with a straight face.


    "Old Xu, do you take this matter seriously?" Director Lou couldn''t refuse Zhou Can directly.


    I can only leave this matter to Dr. Xu to deal with.


    After all, Dr. Xu has a closer relationship with Zhou Can and is his teacher. If Dr. Xu vetoed this matter, Zhou Can would not have any resentment.


    "I''m sure! Xiao Zhou has always done things properly, and his moral character can also stand the test. Don''t say that he is not married yet, even if he is married, there is no problem. He really wants to have an extramarital affair, and we can''t prevent it. .It is better to block than to sparse, so I think this is as he wished."


    Dr. Xu knew Zhou Can better.


    The analysis is very reasonable.


    After the endless coma, Shi Yu suddenly got up from the bed. If you want to see the latest chapter content, please read the latest chapter content. The website has not updated the latest chapter content, and the Star APP has updated the latest chapter content.


    He took a big gulp of fresh air, his chest trembling.


    Confused, puzzled, all kinds of emotions came to my mind.


    Where is this?


    Afterwards, Shi Yu subconsciously observed his surroundings, and then became even more at a loss.


    A single dormitory?


    Even if he was successfully rescued, he should be in the ward now.


    And my own body...how could there be no injuries at all.


    With doubts, Shi Yu quickly swept his gaze across the room, and finally settled on a mirror by the bedside.


    The mirror reflected his current appearance, he was about seventeen or eighteen years old, and he was very handsome.


    But the problem is, it''s not him!


    My previous self was a handsome young man in his twenties who had been working for a while.


    But now, no matter how you look at it, this appearance is only the age of a high school student...


    This change left Shi Yu in a daze for a long time.


    Don''t tell him that the operation was a success...


    The body and appearance have changed. This is not a question of whether to have surgery or not, but a fairy art.


    He turned into a completely different person!


    Could it be... that he crossed over by himself?


    In addition to the mirror on the bedside which was obviously placed in a bad feng shui position, Shi Yu also found three books beside it.


    Shi Yu picked it up and took a look, the title instantly silenced him.


    "Necessary Beast Breeding Handbook for Novice Breeders"


    "Postpartum Care of Pet Animals"


    "Guidelines for Evaluation of Alien Beast Ear Girls"


    Shi Yu:? ? ?


    The names of the first two books are quite normalWhat''s the matter with you in the last one?


    "cough."


    Shi Yu''s eyes were serious, and he stretched out his hand, but soon his arm stiffened.


    Just when he was about to open the third book to see what it was, his brain suddenly felt a sharp pain, and a large amount of memories flooded in like a flood.


    Icefield City.


    Pet breeding base.


    Trainee pet keeper. The website will be closed soon, download the Stars app to provide you with the experience value of my medical skills of the great **** Jiangbian Yuweng


    Beastmaster?

 Chapter 376： The trustee is here, come to the rescue

    Director Lou probably didn''t expect Dr. Xu to agree to this.


    Both he and Dr. Xu have rich life experiences, so they naturally know the stakes. The original intention was for Dr. Xu to refuse the matter.


    Now that Dr. Xu directly agrees with this matter, there is no room for him to turn around.


    "Well... Since Dr. Xu thinks nothing will happen, I will find an opportunity to talk to head nurse Niu about it. The doctors are under my supervision, but the nurses are under the supervision of the Nursing Department. This matter must be approved by her."


    Director Lou really had nothing to do, so he could only use head nurse Niu Lan as a cover.


    "Then trouble Director Lou!"


    Zhou Can is not worried about any changes.


    As long as the emergency department wants to develop and grow, Director Lou will definitely find a way to staff him sooner.


    After Zhou Can left, Director Lou stopped Dr. Xu, "Old Xu, why did you agree to this matter just now? Xiao Zhou and Qiao Yu are both young men and women. A little gossip, won''t Xiao Zhou''s future be delayed?"


    In the eyes of Director Lou, it doesn''t matter much to lose a nurse, just recruit again.


    Tuya Hospital is so famous that there are many nursing students who want to become nurses.


    But Zhou Can carries his high hopes, and is a key figure in whether the emergency department can counterattack, and there is no room for mistakes. That''s why he was very anxious.


    "Just put your heart in your stomach! Xiao Zhou is not the kind of person whose private life is chaotic at all, and nothing will happen to him and Qiao Yu. The operating room facilities in our emergency department are quite old. Xiao Zhou is back now, young He is very motivated, just in time for a wave of performance, and it would be great to strive for a 100,000-level stratosphere operating room!"


    Dr. Xu is not worried about this at all.


    "Hey...you are so big to be a master! Okay, okay, I''ll go to head nurse Niu to ask for someone. Usually you should pay more attention, and don''t let Xiao Zhou get into trouble. He is our emergency department. Hope for the future!"


    Director Lou could only agree.


    "Xiao Zhou is not only the hope of the emergency department, but also my successor. Can I let him have an accident?" Dr. Xu rolled his eyelids.


    In many things, he is much more open-minded than ordinary people.


    ¡­


    When Zhou Can came out of the doctor''s office in the emergency room, he saw Ye Tingting swaying over.


    "Hi, I heard you''re going back to work in the emergency department tomorrow, how about I be your nurse?"


    Ye Tingting puffed out her chest.


    Her figure is quite plump, and she is extremely lethal to men.


    He probably heard some news about Zhou Can''s bright future, and wanted to take this opportunity to hug a big tree.


    "Sister Tingting is the nurse in charge, I dare not ask you to be a full-time nurse for me." Zhou Can usually maintains a friendly relationship with her, and it''s okay to help each other.


    If you really want to pull her into the operating room as an instrument nurse, forget it!


    Each position has strong professional requirements, and nurses are also divided into many professional directions. She administered drips to patients in the observation area, and occasionally went to the emergency room to do odd jobs.


    Really let her into the operating room, there will be a lot of trouble.


    "Haha, it scares you! Don''t worry, I know how much I have, so I won''t fight for jobs that I''m not qualified for! I also know that your position as an equipment nurse is reserved for Qiao Yu. Did you guess right?"


    Ye Tingting is very smart.


    Know everything.


    Zhou Can didn''t speak, but just gave her a thumbs up. Then prepare to slip away.


    Even though he has been talking about his girlfriend for two years now, it is still difficult to deal with this kind of married woman.


    He showed him his career line openly, without any shyness at all.


    "Don''t rush away! Seriously, I have a cousin who is also Tuya''s nurse. I have completed my internship for more than three months and I am working as a guide in the general outpatient hall. If you need someone at that time, give it a priority!"


    Ye Tingting said in a low voice.


    There are thousands of employees in Tuya Hospital, and the relationship is intricate.


    As long as it is not a clear violation of the hospital''s regulations, or even some illegal and criminal activities, then no one will care.


    As for finding acquaintances, entrusting relationships, and arranging relatives to come in and work, that''s even less of a problem.


    Because there are clear requirements for the recruitment of each position in this large hospital.


    After meeting the recruitment requirements and passing the interview with the HR department, you can basically take up the post. No one will care who your relatives are at all.


    "Which nursing major is your cousin?"


    Zhou Can was actually somewhat repulsed by this kind of thing.


    If you die of poverty, you will not work relatives, and if you die of starvation, you will not plow your husband''s land.


    It''s easy to get acquaintances around, but the picture shows that there is an acquaintance relationship, and the other party makes mistakes at work, or neglects their duties, and as long as they open their mouths, they basically become enemies.


    Regarding these deep-seated interpersonal relationships, Zhou Can has been nurtured and educated by his parents since he was a child, so he sees them far more thoroughly than ordinary people.


    "My cousin is studying surgical nursing, mainly clinical nursing and basic medicine."


    "The conditions are very good! Why send her to work in the emergency department, directly into a certain department of surgery, the development will be better!"


    It''s not easy for Zhou Can to refuse clearly.


    It can only be declined in this way.


    "Oh! It''s not that I haven''t thought about it, but you know that I''m just a small nurse. I work in the emergency department and I don''t have the chance to meet the directors of some important departments. The competition for those surgical departments is too fierce, and I can''t get in at all. go!"


    Ye Tingting looked helpless.


    Not everyone can know so many hospital bosses with their own strength like Zhou Can.


    To be honest, an ordinary nurse, even if he is a nurse in charge, is already very awesome if he has the opportunity to get to know a certain deputy chief physician in the surgery room.


    As for the director of the undergraduate department, even if Ye Tingting knew him, it was useless.


    The emergency department is the worst department in Tuya.


    To work here, as long as you have some strength, you don''t need to find a relationship at all.


    Tuya''s surgical departments are developing well, the treatment is good, and there is a lot of room for development. Naturally, there are many people who want to join.


    There are as many as three to four million undergraduates graduating in China every year, and the number of graduate students is also increasing. Even doctoral students are no longer "rare animals".


    In such a big environment, ordinary undergraduate nursing students really have little hope of entering those better departments.


    "She is staying in the outpatient clinic to work as a guiding nurse. She must be waiting for an opportunity?"


    Zhou Can has worked hard at Tuya Hospital for four years.


    I can basically know a thing or two about many ways of the hospital.


    Some nurses with good strength but no background and background work in the guiding position first, and wait for some popular departments to take the opportunity to join when there is a shortage of people.


    This is a good choice.


    In any department of the hospital, as long as you hang around for a few years, you will always have the opportunity to meet one or two powerful people.


    At that time, there will be many more opportunities.


    In fact, the vast majority of people are ordinary people, ordinary migrant workers with no background.


    "That''s right! She''s waiting for a shortage of people in the slightly better departments of surgery, and then gives it a go."


    Ye Tingting admitted frankly.


    "The development momentum of our hospital''s surgery has been very good in recent years. Not only will there be vacancies for nurses who quit when they are old, but also many new nurse positions will be added. You might as well let her wait patiently. Let her follow I''m a mess, I''m really worthless."


    Zhou Can is actually very measured in his work.


    Don''t look at him doing this and that, but he never acts like a good old man.


    For example, Ye Tingting''s cousin wants to enter the surgery room.


    With Zhou Can''s connections, she can be placed in just by saying hello.


    Back then, when Qiao Yu was going to practice in the surgery room, Zhou Can greeted her. It was easily arranged.


    But he didn''t do that this time.


    He''s always been the one who only helps the gang.


    "You are modest! Who doesn''t know that you are one of the youngest and most promising doctors in Tuya? Otherwise, are you free tonight? I will be the host, and I will invite my cousin to treat you to dinner. See you soon Seeing her, I think it''s okay, and when there is a lack of people, I will give her priority. If you feel that it is not to your liking, just pretend that I didn''t say that today."


    Ye Tingting naturally understood what Zhou Can was worried about.


    She was not in a hurry to get Zhou Can to agree.


    And gave Zhou Can a lot of autonomy.


    "Okay! Sister Ting opened the mouth. If I refuse again, you should scold me! Let me understand first."


    Zhou Can agreed to eat the meal.


    In fact, he has always hated participating in various dinners.


    But right now he was too embarrassed to refuse.


    Now I finally understand why many leaders attend all kinds of dinners after work every day, and they are simply too busy. It turned out that it wasn''t that the leaders liked to participate in those dinners, but that there were many of them that they couldn''t shirk.


    "That''s the deal, see you tonight!"


    Seeing Zhou Can agree, Ye Tingting was happy to give him a high-five.


    Zhou Can had no choice but to cooperate with her in high fives, expressing that he would not regret it.


    In the workplace, as long as women are a little more beautiful, they actually have a great advantage.


    For example, when Ye Tingting asked Zhou Can for help, if it were another male colleague, Zhou Can would have refused.


    But for her, only some compromises can be made, and they are willing ones.


    He dared to swear to God that he didn''t have any wrong thoughts about Ye Tingting. But in the process of communication, beautiful women can indeed bring him visual enjoyment and spiritual pleasure.


    This is the advantage of women.


    By the same token, when a handsome young man deals with a female leader, it is also easy to gain the favor of the female leader.


    Zhou Can came out of the emergency department, and he was going to study with Director Hu Kan in the Department of Cardiothoracic Surgery.


    As the days go by, Director Hu Kan''s situation becomes more and more worrying. The whole person is aging at an extremely fast rate, and the body is getting worse day by day.


    Two years ago, when director Hu Kan hadn''t had any accidents, how high-spirited he was.


    It is not an exaggeration to describe it as youthful and vigorous.


    Dr. Xu looked much older than Director Hu Kan at that time.


    But now, in just over two years, Director Hu Kan is as old as a 90-year-old octogenarian.


    He needs someone to help him walk, his back is hunched, and he is trembling slightly, so he is completely unable to go to the operating table to operate.


    Even talking, sometimes I am too tired to breathe heavily.


    He walked briskly all the way to cardiothoracic surgery.


    "Dr. Zhou is here! Director Hu is in operating room No. 2 today."


    The girls at the nurse''s station know him very well now.


    When seeing him, he will always show a sweet smile and greet him warmly.


    Everyone knows that Zhou Can is now a big hit in cardiothoracic surgery.


    "OK, thanks!"


    Zhou Can usually didn''t come so early, but today he came early because he had finished reporting to the emergency department and had nothing to do.


    When I came to the No. 2 operating room, it showed that the operation was in progress, please excuse me.


    In this case, outsiders generally have no way to open the door of the operating room.


    The door can only be opened by the medical staff inside.


    He rings the doorbell.


    The door opened quickly, and a nurse poked her head out to check.


    "Hi, is Director Hu in there?"


    "Doctor Zhou came so early today! Director Hu is inside, and I''ve been looking forward to your coming early!"


    The nurse smiled and took him in.


    "Is the operation going well?"


    "I am undergoing an aortic dissection operation, which seems to be quite difficult, and a lot of blood has been transfused."


    "This kind of operation is the most dangerous. I hope the patient will be safe."


    Zhou Can entered the locker room, changed his clothes, and went directly into the operating room inside.


    The operating room of cardiothoracic surgery is a large operating room, the kind that can preside over two to three operations at the same time.


    It can be seen that there are many medical staff busy inside.


    The Department of Hematology, Cardiothoracic Surgery, Anesthesiology, and many surgical nurses are very lively inside.


    Zhou Can took a closer look, and it seemed that there were obstetricians and gynecologists present.


    It seems that the operation should be a female patient.


    "teacher!"


    Because Zhou Can was undergoing intense surgery, he did not disturb his colleagues. I just walked up to Director Hu and said hello.


    This is actually a bit similar to greeting elders in ancient times. It is a kind of politeness and respect for elders.


    "You came at the right time. This woman is thirty-seven weeks pregnant. The cesarean section and the aortic dissection operation were performed at the same time. I don''t need to tell you the danger. You know it well. You should hurry over and help Director Xueyan."


    Director Hu Kan was very surprised by Zhou Can''s early arrival.


    In terms of surgical ability, Zhou Can surpassed Director Xueyan in many aspects. And he is a famous fast knife hand.


    Also, he is notoriously cautious in performing surgery, so far, nothing has happened. To exit the transcoding page, please download the app to read the latest chapters.


    This point is very similar to Director Hu Kan''s style.


    Director Xueyan''s forehead is constantly sweating, the aortic dissection is too dangerous, and the operation is extremely difficult. Eight bags of plasma alone have been used up. It''s a pity that the situation of this pregnant woman is almost a bottomless pit.


    If the bleeding cannot be stopped, no matter how much blood is transfused, it will be gone in a very short time.


    The blood pressure of the pregnant woman was terribly low, and everyone couldn''t remember how many times they had been rescued. He has been fighting for his life with the king of Hades, repeatedly seesawing.


    "Zhou Can, can I leave the most difficult key part to you?"


    Director Xueyan has already noticed his arrival.


    "OK!"


    Zhou Can went directly without saying a word.


    He and Director Xueyan love each other as siblings, and their cooperation in the operation has long been incomparable.


    Quickly put on the sterile gloves, stood on the main knife position, and he took over the important task.


    The two obstetricians and gynecologists almost died of fright when they saw Zhou Can standing directly on the surgeon''s seat to perform the operation.


    Didn''t this Dr. Zhou just finish his training? Even if he had some skills, it would be too scary to entrust him with such a crucial operation step.


    After the endless coma, Shi Yu suddenly got up from the bed. If you want to see the latest chapter content, please read the latest chapter content. The website has not updated the latest chapter content, and the Star APP has updated the latest chapter content.


    He took a big gulp of fresh air, his chest trembling.


    Confused, puzzled, all kinds of emotions came to my mind.


    Where is this?


    Afterwards, Shi Yu subconsciously observed his surroundings, and then became even more at a loss.


    A single dormitory?


    Even if he was successfully rescued, he should be in the ward now.


    And my own body...how could there be no injuries at all.


    With doubts, Shi Yu quickly swept his gaze across the room, and finally settled on a mirror by the bedside.


    The mirror reflected his current appearance, he was about seventeen or eighteen years old, and he was very handsome.


    But the problem is, it''s not him!


    My previous self was a handsome young man in his twenties who had been working for a while.


    But now, no matter how you look at it, this appearance is only the age of a high school student...


    This change left Shi Yu in a daze for a long time.


    Don''t tell him that the operation was a success...


    The body and appearance have changed. This is not a question of whether to have surgery or not, but a fairy art.


    He turned into a completely different person!


    Could it be... that he crossed over by himself?


    In addition to the mirror on the bedside which was obviously placed in a bad feng shui position, Shi Yu also found three books beside it.


    Shi Yu picked it up and took a look, the title instantly silenced him.


    "Necessary Beast Breeding Handbook for Novice Breeders"


    "Postpartum Care of Pet Animals"


    "Guidelines for Evaluation of Alien Beast Ear Girls"


    Shi Yu:? ? ?


    The names of the first two books are quite normalWhat''s the matter with you in the last one?


    "cough."


    Shi Yu''s eyes were serious, and he stretched out his hand, but soon his arm stiffened.


    Just when he was about to open the third book to see what it was, his brain suddenly felt a sharp pain, and a large amount of memories flooded in like a flood.


    Icefield City.


    Pet breeding base.


    Trainee pet keeper. The website will be closed soon, download the Stars app to provide you with the experience value of my medical skills of the great **** Jiangbian Yuweng


    Beastmaster?

 Chapter 377： Safe mother and baby, the role of the teacher

    Zhou Can doesn''t care about other people''s strange eyes.


    There are two main types of aortic dissection, one is type A, which is highly dangerous and requires thoracotomy for treatment. The risk is extremely high, and the entire operation process is very complicated, which has extremely high requirements on the doctor''s surgical experience and skills.


    Even so, the mortality rate of type A dissection surgery is still as high as 30%.


    There are also some very good surgical teams who specialize in this kind of surgery, which can reduce the mortality rate to about 10%.


    Relatively speaking, one in ten patients died, and the mortality rate was still extremely high.


    The other is type B dissection, which can usually be treated with intervention. Solved by placing a covered stent.


    That is, endovascular repair of the aorta, through the puncture of the femoral artery, the aortic stent graft is implanted in the breach, and the breach is completely closed to seal the dissection, so as to achieve the purpose of clinical treatment.


    At present, there are very few traditional surgeries.


    Because of the high risk and high technical requirements, there are not many surgical teams that can complete it.


    Unfortunately, the pregnant woman was found to have aortic dissection during pregnancy, and it was type A. Seeing that one dead body and two lives were about to happen, the experts in the hospital finally decided to perform cesarean section operation and dissection operation at the same time after discussing several sets of operation plans.


    Before entering the operating room, a critical illness notice was issued to the family.


    To be honest, now everyone is saving lives based on the conscience of doctors.


    If the pregnant woman can be saved, the newly born child will be able to grow up under the care of the mother''s love in the future. Otherwise, the child would be very pitiful without a mother at birth.


    Why is the mortality rate of type A dissection surgery high?


    Because it is a thoracotomy, the heart needs to stop beating during the operation, and artificial blood vessel replacement or bypass is performed. The operation is complicated and takes a long time, and there are many postoperative complications.


    Every patient with type A dissection is basically close to death.


    Some patients, even if the operation is successful, still die after the operation.


    For this operation, the whole process is carried out under the monitoring of ECG and hemodynamics, and the blood pressure needs to be strictly maintained at around 120/80 mmHg.


    From the above surgical conditions and basic steps, we can see how difficult the operation is.


    During the operation, the left and right brachial artery, the left external carotid artery and one femoral artery should be freed respectively, and then four guide wires should be inserted from the femoral artery on one side of the lower extremity to the corresponding catheter for observation under radiation After the specific situation, and then decide the specific program of surgery.


    This patient requires aortic replacement.


    After all, Director Xueyan''s surgical ability is still a bit weak. After doing it for so long, she is stuck in the most critical and difficult step.


    After Zhou Can took over, the two doctors in obstetrics and gynecology directly felt that there was only more scariness, not the scariest.


    I saw him outputting a meal to the patient, fast and violent.


    Compared with Director Xueyan''s gentle, gentle and slow operation, they are completely different surgical styles.


    "alright!"


    After more than 30 minutes, Zhou Can let out a sigh of relief, and finally fulfilled his mission and successfully completed the aortic replacement.


    "Sister Yan, the rest of the operation is still up to you!"


    After Zhou Can completed the most difficult operation steps, he was ready to give up his position.


    His address to director Xueyan is also from behind the scenes to the front of the stage, and there is no need to cover up.


    In front of everyone, she also directly called her Sister Yan.


    "Your operation is fast, and time is life. You should do it! I''ll help you."


    Director Xueyan has always treated him very well.


    If there is an opportunity to practice surgery, as long as Zhou Can is competent, she will give it to Zhou Can.


    This is an intention to train Zhou Can, so that he can quickly become a core member of the cardiothoracic surgery department who can take on heavy responsibilities.


    Today, Zhou Can''s surgical ability is getting stronger and stronger, and he is basically competent for most difficult operations in cardiothoracic surgery. His status in the cardiothoracic surgery operating room is also getting higher and higher.


    Gradually formed a new surgical team centered on him.


    In fact, there were signs of this a long time ago, but it is more obvious now.


    Everyone is a sensible person. With their abilities and talents, it is impossible to take over the heavy responsibility of Director Hu Kan in a short period of time. Only Zhou Can can make everyone see hope.


    Cardiothoracic surgery is already in turmoil and crisis.


    If there is no new core person to take over before Director Hu Kan falls, the cardiothoracic surgery business may shrink sharply in a very short period of time, and be ruthlessly eliminated by the market as a first-class department.


    In the past year or so, this sign has become very obvious.


    Not to mention anything else, the total monthly operation volume of cardiothoracic surgery has been steadily declining. Although there has not been a catastrophic decline, compared with the data at the peak period, whether it is the number of outpatients, emergency visits, or the total number of operations, it has dropped by almost one-third.


    The decline in the volume of diagnosis and treatment is directly reflected in everyone''s income.


    I believe that many people can feel the decline in income.


    ¡­


    Nearly an hour later, the operation was over, and the life of the parturient was saved through the efforts of so many people, and finally survived.


    It''s just that she might not be able to breastfeed the baby.


    Because she needed to be admitted to the specialized ICU of cardiothoracic surgery, the child born by the cesarean was barely premature because it was less than 37 weeks old. In addition, the baby''s own nutrition is somewhat weak, and it may have to live in an incubator for about a week.


    Overall the operation was very successful.


    The lives of adults and children were saved, and a human tragedy was avoided.


    "Dr. Zhou''s surgical skills are so strong! I''m Zhao Jie, a surgeon in the Department of Obstetrics and Gynecology. This is my medical assistant, Qin Feifei. It''s an honor to meet you."


    The surgeon in the obstetrics and gynecology department took off his mask and greeted Zhou Can with a smile.


    This is a female doctor in her forties with an ordinary appearance.


    But her surgical skills are very strong, and she led others to perform the cesarean section of the woman just now.


    Her medical assistant was a tall male doctor who nodded friendly to Zhou Can as a greeting.


    "You have won the prize! I am also very happy to meet you and Dr. Qin."


    Zhou Can took off his gloves and took the initiative to shake hands with him.


    This Dr. Zhao can preside over a cesarean section alone, at least at the level of the deputy chief physician. He took the initiative to meet with him. As a resident doctor who just finished his training, he must lower his attitude and be more enthusiastic and friendly.


    "I look forward to further cooperation with the cardiothoracic surgery department in the future. Thank you so much today! Director Hu, if there is nothing to do here, we will withdraw first."


    After Zhao Jie and Zhou Can got to know each other, they didn''t talk too much in the operating room.


    That is to say, get acquainted first.


    This is because she saw Zhou Can''s strong surgical ability and heard Zhou Can''s many names, so she was so enthusiastic about Zhou Can.


    Doctors are no longer fighting alone. When encountering difficult cases, they often need to ask doctors in other departments to teach them, or even invite them to joint consultations.


    An excellent doctor like Zhou Can is familiar with him now, so it will be convenient for him to ask for help next time.


    Therefore, behind everyone''s communication, it is essentially for profit.


    After the puerpera was sent to the specialized ICU, new patients were soon brought into the operating room.


    Not every patient is wheeled into the operating room.


    Patients who need to lie on the trolley are basically critically ill patients who have lost their mobility.


    For patients who can walk on their own, nurses usually take the patient into the operating room.


    The patient was able to walk, but with difficulty, and seemed to have severe breathing problems.


    The patient was anesthetized shortly after lying on the operating table.


    During the patient''s anesthesia, Zhou Can did not help the anesthesiologist to perform the anesthesia together, but picked up the patient''s information to understand first.


    "Xiao Zhou, this operation is up to you! The repair of bronchopleural fistula belongs to the fourth-level major operation. You must be careful and careful during the operation. I will guide you every step of the operation. This operation, Xue Yan has already mastered the basics, and Director Le is almost ready, so I just want to help Zhou Can and learn it again."


    Director Hu Kan made the main arrangements for the operation.


    "OK!"


    Director Le readily agreed.


    At present, their surgical team, director Xueyan, him, and Zhou Can, should be the three main forces.


    Everyone has their own strengths. In terms of comprehensive surgery ability, Zhou Can is the strongest.


    Both he and Xueyan had to admit this.


    Talent is something that can sometimes easily smooth out the age gap.


    Director Le is slightly older than Director Xueyan, and both of them have more than fifteen years of surgical experience, so they are considered veterans. But compared with Zhou Can, the overall strength is obviously weaker than Zhou Can.


    You know, Zhou Canman has made every effort to plan, and it has only been three years at most since he touched the scalpel.


    It only takes three years to catch up with chief physicians like them who have worked hard for fifteen years. Talent must be an important factor.


    ¡­


    I have been busy until after nine o''clock in the evening, and I call it a day.


    Zhou Can watched the experience of many surgical techniques increase a lot, and his heart was filled with joy and a sense of accomplishment.


    This feeling of making a little progress every day makes him very at ease.


    After such a long period of practice and actual combat, and the accumulation of time, the quick knife technique will soon be upgraded.


    Then his incision skills had been promoted to level five more than three months ago, and he was now at the junior level of the deputy director. The speed of promotion of the important medical skill of pharmacological syndrome differentiation is equally astonishing.


    It is also at the fifth level now, and it is moving towards the deputy director intermediate level.


    It''s just that after being promoted to level 5, the experience value needed to upgrade has increased to 100,000, which is really not something that can be done in a short period of time. Even though he can often earn extra experience point rewards during the operation, some of which are large rewards of 100 points.


    But the accumulation of 100,000 is still a long process.


    In general, his current many important medical skills are all at the level of the deputy chief physician, which is completely sufficient for ordinary occasions. Only when you challenge some difficult cases will you feel strenuous.


    As for the ultra-difficult cases, there are many so far that he still can''t handle.


    "Teacher, you are panting very badly, why don''t you take a good rest at home for a few days!" Director Xueyan looked at Director Hu Kan with concern.


    "I''m so happy! Today, seeing that you have successfully completed difficult operations such as type A artery dissection and bronchopleural fistula repair, our cardiothoracic surgery strength has been guaranteed. As long as you follow the current trend, you will continue to grow." , I believe that the cardiothoracic surgery department will be able to return to the peak level when I presided over the surgery within five years at most."


    Director Hu Kan''s face was full of joy.


    He was happy from the bottom of his heart to see successors in the department.


    "Xiao Zhou, today''s two important operations, you must make a summary after you go back. Like the type A artery dissection operation, I have encountered more dangerous ones. At that time, because the blood pressure was not well controlled, the patient''s blood vessels died at once. It was broken. At that time, more than a dozen of our medical staff rescued the patient for more than four hours, but ultimately failed to save the patient..."


    Director Hu Kan valued Zhou Can the most.


    Every time, I will teach Zhou Can that he must guard against arrogance and impetuosity, sum up more and think more.


    "Being so late, are you hungry? Let''s be surgeons. It''s the hardest work. I ordered egg fried noodles for you today. I''m old and afraid of getting angry, so I''ll eat with you."


    Director Hu Kan looked at the dozens of medical staff in the surgical team slowly, as if looking at his own child.


    These people are basically the core surgical team members of cardiothoracic surgery.


    Zhou Can took a bottle of pure milk, heated it specially, inserted the tube, and sent it to Director Hu Kan.


    "Director Hu, you are afraid of getting angry, so just drink some milk to supplement your nutrition! You are the mentor and backbone of all of us. Only when you are in good health can you guide us all the time. How do others feel during the operation? I don''t know. Anyway, as long as you stay by my side, even if you don''t say a word, I will feel at ease in my heart. I will think this way subconsciously, in case of a fistula, or encounter unexpected emergencies Situation, the teacher is sitting there and will definitely help me solve it.¡±


    Zhou Can''s words made many people laugh out loud.


    "Don''t tell me, I feel the same way. Even though I have had surgery for fifteen or six years, once I have a major operation, I turn back into a child. With Director Hu sitting next to me, my courage It''s going to be big."


    Director Xueyan also said seriously.


    "It turns out that you all have this feeling. I was too embarrassed to say it before. After all, I am already forty-five years old. If someone laughs at me as a child, how embarrassing it will be!"


    Director Le''s words made everyone laugh even more.


    The three of them are the pro-apprentices of director Hu Kan, and they receive the most guidance.


    After all, director Hu Kan''s energy and time are limited, it is impossible to achieve a bowl of water. We can only focus on training the three of them. Jin Mingxi has gained a lot of training in the past year.


    "In my eyes, you are like my children. Watching you grow up, watching you encounter various setbacks, what I can do is to give you the necessary help and guidance like a parent. Xueyan, do you still remember When you took a knife to participate in the operation for the first time, a knife cut through the patient''s blood vessel, did you cry in fright?"


    Director Hu Kan was evoked by them a scene from the past, with a nostalgic expression on his face.


    "Teacher, just save me some face! That happened so many years ago, I didn''t expect you to remember it so clearly!"


    Director Xueyan was as shy as a little girl.


    "Hehe, what''s the point! Everyone will encounter all kinds of setbacks and embarrassments on the road of growth, but as long as we can continue to grow, we can become better and better. My first two years, no Fallen on the operating table? Let me tell you, don¡¯t compare yourself with others, but learn to compare yourself. As long as you are better than your past self, that¡¯s enough.¡±


    Director Hu Kan taught them some life insights.


    Comparing people to people makes people mad.


    Comparing with others is the most likely to generate many negative emotions, and even feel discouraged and hopeless. This is a very good way to compare yourself with your past self.


    After the endless coma, Shi Yu suddenly got up from the bed. If you want to see the latest chapter content, please read the latest chapter content. The website has not updated the latest chapter content, and the Star APP has updated the latest chapter content.


    He took a big gulp of fresh air, his chest trembling.


    Confused, puzzled, all kinds of emotions came to my mind.


    Where is this?


    Afterwards, Shi Yu subconsciously observed his surroundings, and then became even more at a loss.


    A single dormitory?


    Even if he was successfully rescued, he should be in the ward now.


    And my own body...how could there be no injuries at all.


    With doubts, Shi Yu quickly swept his gaze across the room, and finally settled on a mirror by the bedside.


    The mirror reflected his current appearance, he was about seventeen or eighteen years old, and he was very handsome.


    But the problem is, it''s not him!


    My previous self was a handsome young man in his twenties who had been working for a while.


    But now, no matter how you look at it, this appearance is only the age of a high school student...


    This change left Shi Yu in a daze for a long time.


    Don''t tell him that the operation was a success...


    The body and appearance have changed. This is not a question of whether to have surgery or not, but a fairy art.


    He turned into a completely different person!


    Could it be... that he crossed over by himself?


    In addition to the mirror on the bedside which was obviously placed in a bad feng shui position, Shi Yu also found three books beside it.


    Shi Yu picked it up and took a look, the title instantly silenced him.


    "Necessary Beast Breeding Handbook for Novice Breeders"


    "Postpartum Care of Pet Animals"


    "Guidelines for Evaluation of Alien Beast Ear Girls"


    Shi Yu:? ? ?


    The names of the first two books are quite normalWhat''s the matter with you in the last one?


    "cough."


    Shi Yu''s eyes were serious, and he stretched out his hand, but soon his arm stiffened.


    Just when he was about to open the third book to see what it was, his brain suddenly felt a sharp pain, and a large amount of memories flooded in like a flood.


    Icefield City.


    Pet breeding base.


    Trainee pet keeper. The website will be closed soon, download the Stars app to provide you with the experience value of my medical skills of the great **** Jiangbian Yuweng


    Beastmaster?

 Chapter 378： Candidate for department head, bad news

    As long as you are better than your past self, this is progress and a good thing.


    "Okay, it''s getting late, everyone, go home and rest! There will be a lot of new diagnosis and treatment work waiting for you tomorrow! Doctors, we are doomed to work hard for a lifetime since we start practicing medicine. The first time I want to stop and take a good rest, I can''t help thinking, can the patient wait?"


    Director Hu Kan''s words made everyone think deeply.


    "The answer is obvious, patients can''t wait! So I have been so busy for most of my life, until my physical condition is not allowed, and then I slowly relax."


    His words, simple and ordinary, deeply shocked everyone''s heart.


    Doctors are born to work hard.


    Director Hu Kan is a true portrayal of the life of most medical staff.


    "Director Hu, you are still shining even now! If our cardiothoracic surgery department does not have you grit your teeth to help us support, I can''t imagine what will happen."


    Indeed.


    It is hard to predict what the cardiothoracic surgery department will look like if Director Hu Kan is ill and stops taking care of the hospital affairs.


    "I...since I joined the cardiothoracic surgery department, I am destined to use up my last sliver of energy for this department. Don''t spread the word, otherwise people will laugh at me for selling melons and boasting myself!"


    Director Hu smiled and waved his hands, and with the support of Directors Zhou Can and Xueyan, he walked out slowly.


    Usually, when Zhou Can is around, Zhou Can usually escorts him to the car alone.


    Director Hu is a sensible person in everything he says and does, and the son he teaches is also very filial. Every day, I drive the car on time and wait in front of the surgical building of the hospital.


    When seeing Zhou Can, he would greet him with a friendly smile.


    And he will get out of the car at the first time, open the door early, and help Director Hu to sit in the back seat of the car.


    "Xiao Zhou, Xueyan, you two look very much like a pair of siblings!"


    Director Hu Kan sat in the car, squinted his eyes and looked at the two of them, then said in a very serious tone.


    "Ah...that''s right! Maybe I and Xiao Zhou have some similarities in appearance!"


    Director Xueyan touched her face and replied with a surprised smile.


    "It''s not that you look similar, but that you have similar temperaments. Both of you are kind-hearted, but you can be sharp when you should, and you are flexible and witty in doing things without being rigid. Also, the two of you seem to have a good temper, They are not much different from real siblings."


    Director Hu continued to correct Xueyan''s answer with a very serious tone.


    "If one day I completely collapse, Xueyan, I hope you can take the burden of the department. I have already talked to Director Xie about this matter, and I have also talked to Deputy Director He of the department. In terms of procedure, it should be No big problem. Xiao Zhou, I know that the small fish pond of cardiothoracic surgery can''t keep you, but I hope you can help Xueyan more and help her secure the position of department director. Help her stabilize the development of cardiothoracic surgery If there is any major matter, you two should discuss as much as possible like family members."


    Director Hu Kan seems to talk a lot today.


    Even when speaking, he was so tired that he was panting heavily, but he still insisted on finishing the sentence.


    No matter how it sounds, it sounds a bit like explaining the funeral.


    "Sister Yan has always taken special care of me. She has become the head of the Department of Cardiothoracic Surgery. I will definitely do my best to help." Zhou Can said these words with considerable weight.


    Because of his special status in cardiothoracic surgery, almost everyone knows that he is the direct disciple of Director Hu, and he belongs to the kind of successor.


    Look at Director Le, Jin Mingxi and others, who are also apprentices of Director Hu, the treatment they receive is obviously different.


    The so-called closeness is different.


    There are differences between successors and ordinary successors, ordinary successors and those "named disciples" who have been with Director Hu Kan for a few months.


    First of all, Zhou Can has the identity of the successor, and everyone recognizes his special status in their hearts.


    Whether it is the inheritance of the ancient throne, or the inheritance of a certain school of martial arts or Chinese medicine, they all pay attention to the word orthodoxy.


    Zhou Can is recognized as orthodox in inheriting Director Hu Kan''s medical skills.


    Secondly, Zhou Can''s surgical ability and diagnostic ability are all there. Although he is just a resident doctor who just graduated, his ability can compete with many deputy chief physicians in cardiothoracic surgery.


    Strength is always the best choice to establish authority and ensure status.


    With him standing behind to support Xueyan as the head of the Department of Cardiothoracic Surgery, the controversy will definitely be much smaller.


    "Teacher, my qualifications are low, my medical skills are not enough, and my management ability is also not enough. You asked me to be the director of the department. I... really don''t have the ability! You should consider choosing Director Le and Director He!"


    Director Xueyan seemed quite unconfident.


    Such a large department was entrusted to her to take the helm, she seemed to lack confidence.


    "Nonsense, the director of the department is responsible for leading the whole department to where to go, how can he just choose someone to take the job? Deputy Director He''s qualifications are indeed old enough, and his personal ability is also very good, but his specialization is thoracic surgery. The core of surgery is the field of heart. With this alone, he cannot be the director of this department."


    Director Hu Kan was rarely angry.


    Don''t look at him panting after speaking a few words, and walking tremblingly needs help. But when you get angry, it''s quite like a mountain roar and a tsunami, which is heart-wrenching.


    This is the majesty of the helm of a department.


    Cardiothoracic surgery is actually composed of two majors: extracardiac and thoracic surgery. If the cardiothoracic surgery is separated, the status of thoracic surgery will be no different from that of a walk-on.


    Director He''s status in cardiothoracic surgery is not as high as expected.


    At least the doctors and nurses in the extra-cardiac field don''t approve of Director He very much.


    "Teacher, don''t be angry! Deputy Director He can''t do it, so what about Director Le? His qualifications are a little older than mine, and his medical skills are not inferior to mine!"


    Director Xueyan doesn''t seem interested in taking over as the head of the department.


    If it were someone else, they would have rushed to accept such a good thing.


    How can it be pushed out!


    "Director Le''s medical potential is actually not as good as yours, and he lacks a big picture, a long-term vision, and lacks the determination to act decisively. Not to mention being the director of a department, even the position of deputy director cannot be assigned to him." In charge. When you choose the deputy director of the department in the future, you must pay attention to comprehensive considerations, and you must not make compromises or use emotions."


    Director Hu''s speech was clear and far-sighted, which showed that he was very clear-headed when he said these words to Zhou Can and Xueyan.


    These thoughts are probably the choices he made after careful observation these days.


    Compassion does not command soldiers, righteousness does not conduct business.


    It is true that not just anyone can be the director of a department.


    It requires not only excellent medical skills, but also excellent management and coordination skills and foresight.


    This is why the director of many departments is not the chief physician, but may be an attending physician.


    It''s definitely not that the chief physicians are all devoted to reading sage books and keeping their ears to the outside world. Because they want to study medical skills, they have no time to do management work.


    But many technical talents engaged in research and academics are only suitable for technical talents and cannot be qualified for management positions.


    "Currently, you are the most suitable person to take over the post of director of the Department of Cardiothoracic Surgery! If you entrust the Department of Cardiothoracic Surgery to you, even if I really die someday, I can leave with peace of mind."


    Director Hu Kan looked at Xueyan with a hint of pleading in his eyes.


    This is an old man''s request to ensure the stability and prosperity of the department.


    "I promise you that''s it! It''s okay to be a little bit bitter and tired, and I''m afraid that I will live up to your high expectations."


    Facing Director Hu''s pleading eyes, Director Xueyan finally agreed to the matter.


    She is a woman with a kind heart.


    Director Hu Kan is her mentor, and it is impossible for her to refuse her mentor''s plea.


    "Work hard, I believe you won''t misunderstand the person! If you have any major issues, you can find more people to discuss and discuss. Especially Xiao Zhou''s opinions, you can listen more."


    Director Hu Kan unexpectedly recognized Zhou Can beyond imagination.


    Not only the recognition of medical skills, but also the recognition of his life and work.


    "I will keep your instructions in mind!"


    Xueyan nodded solemnly.


    "You all go home early and rest! Let''s go!"


    Director Hu Kan waved to them, the car started, and drove slowly into the distance.


    No one expected that sending Director Hu downstairs tonight would explain such an important matter.


    "Sister Yan, the director of the department, please feel free to do it boldly. If there is anything that needs my help, call me at any time. Originally, you don''t need to call me, and you will consciously help. But you also know that I will be in the emergency department in the future. Leading my own surgical team to work, when I get busy, it is difficult for me to know the news of the cardiothoracic surgery in the first place."


    Zhou Can is very supportive of Xueyan as the director of this department.


    Whether it''s out of personal feelings or interests, Zhou Can''s wish is for Xueyan to be the director of this department.


    "Well, I won''t be polite to you." She nodded, and the two looked at each other and smiled, everything was kept silent.


    ¡­


    Zhou Can went directly to the garage. Now he basically didn''t go back to the dormitory, but went directly to live with Su Qianqian at Bajing Lake.


    When he got home, Su Qianqian was sitting on the sofa in the living room waiting for him.


    Now, under Zhou Can''s strong intervention, her work is not so busy.


    You know, Zhou Can is her boss, and it''s not particularly difficult to arrange this matter.


    Li Luo can also understand.


    It is impossible for a mature entertainment company to rely on an artist. After Su Qianqian gradually faded out, resources such as promotion and packaging were used on other artists, and new stars were created.


    Most of the newly created stars are not as popular as Su Qianqian.


    This world will not stop running without anyone.


    Man is the most important creature in the world, and also the most adaptable creature. If we observe carefully, we will find that we can live well without anyone.


    Whether it''s childhood sweethearts, or the parents who gave birth to us and raised us.


    At most, when you just leave, you will feel sad.


    After a period of time, the sadness gradually calmed down, and gradually returned to normal life.


    "Honey, I left some food for you! It''s heating up in the incubator!"


    Seeing him coming back, Su Qianqian immediately put down the lyrics and score in her hand, and ran to the door to meet him.


    This kind of sweet welcome is generally only common in island countries.


    Zhou Can has a deep relationship with her, and she is not so busy at work now, she will be very happy to see Zhou Can return every day.


    The emotional world of two people is like this.


    In fact, even if Zhou Can was busy until 11 or 12 o''clock every day, he still dragged his tired body and drove back to Bajinghu''s home for more than 40 minutes, just to meet the one in his heart.


    Because he knew that she was waiting for his return at home.


    "Although I have eaten in the hospital, I have to eat some of the meals my wife cooks herself."


    In fact, when he got off work, he had already eaten a serving of fried egg noodles.


    He couldn''t bear to refuse Su Qianqian''s kindness.


    Bring it out and take a few bites.


    Then, because the food she made was so delicious, I couldn''t stop after a few bites.


    "No, no, if I continue to eat like this, I will get fatter and fatter. Qianqian, next time I send you a message and don''t go home for dinner, don''t leave food for me, okay?"


    Zhou Can cleaned up the bowls and put them into the automatic dishwasher while discussing with Su Qianqian.


    "Well... Let me see the situation! In fact, the meals left for you are all healthy dishes that won''t add fat. When cooking, if you say you won''t come back to eat, I don''t have that interest. So, I especially I hope you can go home for dinner every day. In the future, when we have children, we need a warm family environment."


    After her body has been treated with traditional Chinese medicine, she has seen the dawn of recovery.


    So, she began to look forward to the wedding of the two and the life of raising a baby after marriage.


    The savings of the two are enough to buy a villa anywhere in the provincial capital.


    But people are so strange.


    Now that she has money, she is not in a hurry to buy a villa. This house is the place where the two fell in love, and it has a special meaning for her.


    The house itself is also very good, belonging to high-end real estate.


    The community environment and surrounding facilities are very good.


    So, she loves living here.


    "I definitely hope that I can go home for dinner every day, and I cherish every minute and every second I spend with you. But you also know that my work is of a special nature. Sometimes saving the lives of patients does not take care of other things at all. .When I work for a few more years, my qualifications are older, and the surgical team is stable, maybe this simplest wish can be realized.¡±


    Zhou Can has a clear plan for his life.


    Now is not the age for pleasure, you need to work harder.


    "Okay! You have come to accompany me so hard every day so late. For me, I am already very happy."


    She is different from that kind of messy woman, she is very open-minded.


    Concede when it is time to make concessions, and never be stubborn when it is time to adapt.


    "You will arrive at the hospital at seven o''clock tomorrow morning, take a shower and go to sleep!"


    She has already found Zhou Can''s pajamas.


    Having a girlfriend is indeed a very happy thing for a man.


    ¡­


    In the middle of the night, Zhou Can fell into a deep sleep, and his cell phone kept ringing.


    Suppressing his drowsiness, he groped over to connect, "Hello, who are you looking for?"


    "Doctor Zhou, come to the hospital quickly, something happened to Director Hu Kan."


    Most of Zhou Can''s drowsiness dissipated immediately.


    "What happened to Director Hu?"


    He remembered that he was fine when he sent Director Hu home last night.


    "I don''t know the details. The family members urgently sent him to the hospital in the middle of the night, and the ambulance brought him back. Maybe he had a heart attack again. He is currently being rescued in the No. 2 cardiothoracic surgery operating room. Come here quickly!" "


    "Okay, I''ll come over right away. It''s just that the place where I live is a bit far away, and it may take about an hour."


    Zhou Can hung up the phone, got up and got dressed quickly.


    After the endless coma, Shi Yu suddenly got up from the bed. If you want to see the latest chapter content, please read the latest chapter content. The website has not updated the latest chapter content, and the Star APP has updated the latest chapter content.


    He took a big gulp of fresh air, his chest trembling.


    Confused, puzzled, all kinds of emotions came to my mind.


    Where is this?


    Afterwards, Shi Yu subconsciously observed his surroundings, and then became even more at a loss.


    A single dormitory?


    Even if he was successfully rescued, he should be in the ward now.


    And my own body...how could there be no injuries at all.


    With doubts, Shi Yu quickly swept his gaze across the room, and finally settled on a mirror by the bedside.


    The mirror reflected his current appearance, he was about seventeen or eighteen years old, and he was very handsome.


    But the problem is, it''s not him!


    My previous self was a handsome young man in his twenties who had been working for a while.


    But now, no matter how you look at it, this appearance is only the age of a high school student...


    This change left Shi Yu in a daze for a long time.


    Don''t tell him that the operation was a success...


    The body and appearance have changed. This is not a question of whether to have surgery or not, but a fairy art.


    He turned into a completely different person!


    Could it be... that he crossed over by himself?


    In addition to the mirror on the bedside which was obviously placed in a bad feng shui position, Shi Yu also found three books beside it.


    Shi Yu picked it up and took a look, the title instantly silenced him.


    "Necessary Beast Breeding Handbook for Novice Breeders"


    "Postpartum Care of Pet Animals"


    "Guidelines for Evaluation of Alien Beast Ear Girls"


    Shi Yu:? ? ?


    The names of the first two books are quite normal, UU Reading What happened to you in the last book?


    "cough."


    Shi Yu''s eyes were serious, and he stretched out his hand, but soon his arm stiffened.


    Just when he was about to open the third book to see what it was, his brain suddenly felt a sharp pain, and a large amount of memories flooded in like a flood.


    Icefield City.


    Pet breeding base.


    Trainee pet keeper. The website will be closed soon, download the Stars app to provide you with the experience value of my medical skills of the great **** Jiangbian Yuweng


    Beastmaster?

 Chapter 379： How good it was during life, how painful it is after death, the old people meet

    Falling in love with you reading network, my medical skills can add experience points


    "Honey, what''s the matter? Are there any patients in the hospital who need to be rescued and need you to deal with them?"


    Su Qianqian lazily half-opened her eyes.


    It was not the first time for her that Haomeng was awakened.


    Occasionally, Zhou Can would receive an emergency call from the hospital in the middle of the night, and even if he was working with his girlfriend, he had to get dressed and rush to the hospital immediately to save lives. Whether it is a doctor or a nurse, as long as they eat this bowl of rice, they are obliged to participate in the rescue work of patients at any time.


    He is still good, and occasionally receives one or two emergency calls at night.


    In the emergency department and some specialized departments that are prone to critically ill patients, many older directors and deputy chief physicians have already formed conditioned reflexes.


    As long as the phone rings in the middle of the night, I will immediately sit up reflexively, get dressed quickly and prepare to rush to the hospital to save lives.


    "One of my teachers suddenly fell ill at home in the middle of the night, and now he is being sent to the hospital for emergency treatment. I must rush there immediately. Put the quilt back on, and I''m afraid I won''t be able to go home until evening again!"


    Zhou Can leaned over and kissed her on the forehead lovingly, then walked out of the bedroom and closed the door.


    After walking a few steps in the living room, the door of Wei Fang''s room opened, and she poked her head out to check the situation vigilantly.


    "Wei Fang, I''m going to the hospital to rescue the patients. I have nothing else to do. You should have a good rest!"


    Zhou Can walked quickly to the entrance door, and after going out, closed the door.


    He is very satisfied with Wei Fang''s work.


    Not only is he very loyal to his employer, but he is also extremely vigilant. With her protecting Su Qianqian''s safety, she can rest assured.


    ¡­


    After more than fifty minutes, Zhou Can finally arrived at the operating room of cardiothoracic surgery.


    It''s just that he came a little late.


    I didn''t get to see Director Hu Kan for the last time, and he has already left.


    The medical staff participating in the rescue all had serious expressions, and some lesbians even cried secretly with tears in their eyes.


    Zhou Can was also very sad in his heart, and panicked.


    Various scenes of intersections with Director Hu Kan during his lifetime kept reappearing in his mind. The first time I saw Director Hu Kan, I was shocked. Later, because of the confrontation between Dr. Xu and Director Hu Kan, Zhou Can was even full of hostility towards Director Hu Kan for a period of time.


    It was not until later that he entered the regular training of cardiothoracic surgery, and gradually had an intersection with Director Hu Kan.


    Later, he was appreciated by Hu Kan and taught him some knowledge of cardiothoracic surgery. More than a year ago, Director Hu Kan shook hands with Dr. Xu in order to accept him as an apprentice, and successfully accepted Zhou Can as his heir.


    After that, it was basically director Hu Kan dragging his sick body to instruct Zhou Can to perform surgery, or to diagnose some cardiothoracic surgery cases, or to use clinical medicine.


    When Director Hu Kan was alive, Zhou Can didn''t feel anything, after all, he got along every day.


    Now the person suddenly disappears. Director Hu Kan''s kindness to him, his love for him, and his help have been magnified a little bit. He knew in his heart that he lost an elder who cared about him and helped him countless times.


    Thinking of this, he felt more and more pain in his heart.


    It''s not like he hasn''t tried the feeling of sadness. But this kind of sadness of life and death has great stamina. When I rushed to the hospital and learned that Director Hu had died after rescue, I was just a little sad.


    Now recalling Director Hu Kan''s kindness to him, my heart is like being cut by a knife.


    It hurts, and a little bit of self-blame.


    If you can rush to the hospital earlier, maybe you can save people.


    At least I can see Director Hu for the last time.


    As Director Hu Kan''s most caring successor, he felt guilty for not being able to send the teacher the last farewell before his death.


    "Doctor Zhou, don''t be too sad. People can''t be resurrected after death. Please mourn."


    Deputy Director Lu should be one of the important personnel involved in the rescue work.


    He patted Zhou Can''s shoulder and comforted him warmly.


    "Director Hu was fine yesterday, why did he suddenly say no? It''s too sudden!"


    Zhou Can''s voice was a little hoarse.


    There are no tears in the eyes, but tears are flowing in the heart.


    "Severe heart failure, coupled with myocardial infarction, when the person was sent here, his hands and feet were already cold. Later, as soon as he was pushed into the operating room, before the operation, the child''s hole had already enlarged. As for the subsequent cardiopulmonary resuscitation rescue, it was purely because everyone wanted to work with him. Heaven is fighting for fate, hoping for a miracle of life. Unfortunately, in the end, there is still no power to return to heaven.¡±


    Deputy Director Lu described the rescue process.


    Heart disease patients like this are most afraid of getting sick at night. Because everyone is asleep, it is difficult to find out in time.


    When it was discovered, the person was gone.


    "Has the body been transported away?" Zhou Can asked.


    "It is parked in the small corpse room! It is estimated that there will be a car to take the corpse to the funeral home after dawn. The family members are also there now."


    Deputy Director Lu said.


    "Okay, thank you Director Lu, I''ll go and have a look."


    Zhou Can went to the small corpse room, commonly known as the mortuary.


    When I first got there, I saw many family members and even doctors in white coats.


    One of the female doctors, wearing a dark green surgical gown, was lying on the edge of the morgue crying, her slightly thin back trembling constantly. It seemed she was very sad.


    Under normal circumstances, even if the patient dies, the doctor will not follow him to the morgue.


    On the one hand, after the death of the patient, the family members are emotionally unstable and easily impulsive. When the time comes, he is beaten by his family members, who will be responsible?


    On the other hand, this is a place specially used for temporarily storing dead bodies. The virus is rampant, and it is dark and gloomy. A normal person would reject this kind of place. The number of beds in Tuya Hospital is as high as nearly 4,000, which is incomparable with those giant hospitals with over 10,000 beds, but this number is already very astonishing.


    You must know that the beds in most of Tuya''s departments are overloaded.


    Many beds in the corridors are temporary beds and are not included in the establishment of beds.


    Thousands of people are hospitalized for treatment a day, and many of them are critically ill patients or patients who have died after being brought by an ambulance. It is quite normal for several people to die in one day.


    At night, it generally belongs to the peak period of patient death.


    So in the morgue at this moment, there are two or three groups of family members, and not one patient died, but three.


    Zhou Can recognized the crying female doctor in the green surgical gown at a glance. It was none other than Director Xueyan.


    Jin Mingxi was also there at the moment, with a serious expression, standing there staring at the yellow body bag on the car, which contained a corpse. Needless to say, the corpse inside must be the dead Director Hu Kan.


    In addition to director Xueyan crying on the edge of the morgue, there were also family members who were crying or grieving.


    "Please save yourselves!"


    Zhou Can said to Director Hu''s son.


    "Hmm..." Director Hu''s son''s eyes were red, he bit his lip and nodded vigorously, with a very sad expression on his face.


    Zhou Can only knew Director Hu''s son, and this was because he usually took Director Hu downstairs and took the car home, and had more face-to-face meetings with him.


    After comforting Director Hu''s son, Zhou Can walked to the morgue, slowly squatted down, stared at the body bag on the car, with a solemn expression, and traces of pain spread across his face.


    It ends up getting thicker and thicker.


    "Teacher...meeting you is the greatest luck in my life. Thank you for passing on your lifelong medical skills to me and helping me grow up quickly..."


    [Recommended, Yeguo Reading and Chasing Books is really easy to use, download it here and try it quickly. ¡¿


    He mourned in his heart.


    At this moment, in my heart and mind, Director Hu Kan is full of kindness to him, the meeting and getting along between the two.


    How good Director Hu Kan was to him before he was alive, how painful Zhou Can is now.


    Human emotions are the most complicated, and it is precisely because of emotions that the world becomes colorful and colorful.


    After a long time, Zhou Can restrained the grief in his heart, and lightly patted Director Xueyan on the shoulder, "Sister Yan, don''t be too sad. The teacher should be peaceful when he leaves. He has already made the arrangements for the department. Already had a hunch."


    "Woo..."


    Xueyan was still sobbing.


    "Get up! When the time comes to deal with the teacher''s funeral, the two of us can help where we can, so that the teacher can go away in a good manner."


    Zhou Can helped her up.


    She could feel her body still trembling.


    Getting her out of here would allow her to control the extreme sadness in her heart.


    Before leaving, Zhou Can looked at the son of Director Hu Kan, "Sister Yan and I were the most caring apprentices of Director Hu. We are all very sad now that he has passed away. If you have any difficulties at home, you can always come to me. Teacher Please let us know when the funeral is finalized."


    "thank you all!"


    Director Hu Kan''s son bowed to them.


    "The old man has already made arrangements for the funeral, keeping everything simple. We plan to hold a mourning meeting in two days and then bury him." Director Hu has a son and two daughters.


    How to arrange the funeral is basically decided by the son.


    "I''ll let you guys know when the location is confirmed!"


    "good!"


    Zhou Can nodded.


    "Can I get my phone number?"


    "Your name is Dr. Zhou Can. I have your number. The old man has already listed the phone numbers of important relatives and friends before his death."


    Director Hu Kan''s son''s words made Zhou Can feel strong sadness again.


    "A teacher for a day, a father for life, the teacher''s kindness is as heavy as a mountain and as deep as an ocean. If you need help, you can call me at any time. This is also an obligation I should fulfill."


    Zhou Can once again sincerely emphasized this matter to Director Hu''s son.


    Director Hu''s family should not be as rich as imagined.


    If there is a need for help, Zhou Can is obliged.


    "Thank you!" The other party nodded heavily.


    "goodbye!"


    Zhou Can helped Director Xueyan to leave.


    Before leaving, Zhou Can found that Jin Mingxi was still standing there, not speaking, but standing with a serious expression.


    Jin Mingxi is actually a very affectionate person.


    Director Hu did not teach him for a long time, only about a year. After he got the news, he rushed to the scene early to pay his respects. Not to mention anything else, this heart is already very touching.


    Director Hu had taught a lot of students before his death, and those apprentices who had been under him for several years, or even more than ten years, did not see a few of them rushing over.


    It is not ruled out that they did not get the news.


    There are also some people who don''t care too much when they get the news.


    There are even a lot of people who are extremely cold, and people take tea to cool down.


    Not long after Zhou Can supported Director Xueyan, Director Xueyan''s cell phone rang before she left the building.


    She slowly took out her phone and connected it.


    Out of respect for her privacy, Zhou Can let go of her and distanced herself.


    She just answered yes briefly a few times, I get it, and then hung up the phone.


    "Just now the hospital notified me to attend an emergency meeting."


    "Shall I take you there?"


    Zhou Can looked at her with concern.


    "It''s okay, I can hold on."


    She wiped away her tears and left quickly.


    The sudden death of Director Hu Kan is also a major event for the hospital. Because director Hu Kan is a golden signboard of the hospital.


    It is now just past four o''clock in the middle of the night, and an urgent meeting must be held to discuss some countermeasures.


    Although Zhou Can is one of Director Hu''s heirs, his status is not enough, and he does not belong to cardiothoracic surgery. He is not qualified to participate in this kind of meeting.


    ¡­


    At around 7:50 in the morning, Zhou Can appeared in the emergency department.


    The work of the hospital will not be affected by the death of an important elder in the hospital. Whether everyone should go to work or go to work, no matter how sad you feel, you can only keep it in your heart.


    "Good morning, Doctor Zhou!"


    "morning!"


    "Dr. Zhou finally returned to work in our emergency department! Great!"


    From time to time, someone greeted Zhou Can, and he was greeted by faces full of enthusiastic smiles.


    A familiar figure appeared with an expressionless face. It was Zhou Can''s two teachers, Dr. Xu.


    "Morning teacher!"


    Zhou Can stepped forward to say hello.


    "Go to the operating room and get ready for work!"


    Doctor Xu''s voice was clearly a little hoarse. It seems that he already knew the news of Director Hu''s death.


    Zhou Can went directly to the operating room, while Dr. Xu went to the outpatient clinic to say hello to the doctors attending the clinic.


    Nothing else, the emergency department is the largest flow platform in the hospital, and now that Zhou Can, the general manager, is back, he must hold back some surgery patients he can handle.


    This is also the biggest advantage of the emergency department.


    When Zhou Can entered the operating room, there were some familiar faces and some unfamiliar faces.


    Compared with before, the operating room has been enlarged.


    There are three fixed operating tables.


    And it is divided into three small rooms.


    It seems that after Zhou Can left for three years, the emergency department has still developed somewhat.


    "Good morning, Doctor Lu! Good morning, Doctor Cui!"


    These two were doctors Zhou Can knew.


    It was quite surprising that Dr. Lu was able to stay successfully.


    Maybe it was the talent competition in the emergency department that forced Dr. Lu to give him a hand, and this guy had some talent. It''s just that I''m a little lazy in doing things, and my work attitude is not very correct.


    After forcing him to change, he gradually gained a certain degree of competitiveness.


    What happened to that doctor Lin Ping?


    Back then, Dr. Lin Ping was a resident doctor who had been working for four years because of his poor talent and poor comprehension. However, his level was really not good. I don''t know if it was eliminated in the end.


    "Doctor Zhou seems to be much more handsome! His aura is different from before!" Dr. Lu said with emotion after staring at him.


    "Dr. Lu''s words are still so delightful! It''s great to see all of you familiar faces."


    If Zhou Can hadn''t been affected by Director Hu''s death, he would definitely answer the conversation with a big smile at this moment.


    It''s just sad in my heart, I really can''t laugh.


    "Dr. Xu made the arrangements yesterday. That operating table is Dr. Zhou''s queen worktable."


    The attending doctor Cui pointed to the one inside.


    Faintly seeing a pretty figure swaying, Zhou Can walked in.


    "Qiao Yu! It''s really you!"


    He was extremely pleasantly surprised.


    "Thank you, Dr. Zhou, for remembering the agreement we made back then, and bringing me here from the intensive care unit. I''m ready!"


    She smiled and waved to Zhou Can.


    The operating table has been cleaned long ago, and all kinds of surgical instruments and medicines are neatly placed.


    Qiao Yu directly told Zhou Can with a working attitude how much she would like to be the equipment nurse for him.


    "I heard that in order to be a good equipment nurse for me, when you don''t work overtime at night, you often go to the surgery operating room to work overtime for free. Is it true?" Zhou Can felt really special when he heard this. move.

 Chapter 380： Level 5 Enclosure, Urethral Dilation

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "You know all about this! It seems that you pay attention to me a lot!"


    Qiao Yu showed a happy smile.


    "Didn''t you say hello to me when I was studying surgery? The directors of several departments were trying to show you face and took extra care of me. Later, I felt that the skills I had learned were far from enough, and I was also worried that I would be inappropriate for a long time. The instrument nurse, who is unfamiliar with skills, will be disgusted by you at that time. So I simply begged the director of cardiothoracic surgery and neurosurgery to let me work overtime for free after work, and study more in the operating room."


    Where there is a will, there is success.


    Only she knows how much Qiao Yu put in behind the scenes in order to be an equipment nurse for Zhou Can.


    It is also her hard work and hard work that makes Zhou Can look up to her even more and value her.


    "Comrade Qiao Yu, thank you for your hard work in order to be my right-hand man during the operation. The first surgical patient is expected to come in soon, and I look forward to your performance."


    Zhou Can highly affirmed her dedication.


    "OK!"


    After she finished speaking, she might feel that the conversation was too serious, so she covered her mouth and giggled.


    After three years, Qiao Yu has obviously become more beautiful and her temperament is more outstanding. And he is very capable in speaking and doing things, and his eyes are still as clear as water three years ago.


    In the past three years, the number of times the two met can be counted on the fingers.


    However, I often chat on WeChat and occasionally call to chat. Usually Qiao Yu took the initiative to call him.


    "Xiao Zhou, get ready, there will be a urethral dilation operation for you to preside over soon!"


    Dr. Xu changed into his surgical gown and walked in.


    "I have no problem, it''s just that this operation requires a doctor''s assistant." Zhou Can felt quite surprised, Dr. Xu is known for being strict and cautious.


    As soon as I came up today, I directly arranged a urethral dilation surgery for him. This is not like Xu Yidao''s style!


    "I will be the medical assistant! This is a highly difficult operation in the second-level operation, and it is also your first battle after returning to the emergency department after three years of experience. Don''t mess it up with me. Director Lou and others are watching !"


    As expected, Xu Yidao was still Xu Yidao. With him watching Zhou Can himself, there was no need to worry about any accidents.


    Although Zhou Can has gained a certain reputation in various departments, Director Lou and others in the emergency department did not see it with their own eyes, so they are still a little worried after all.


    [In other words, currently the best app for reading and listening to books, Yeguo Reading, install the latest version of .huanyuan app. ¡¿


    Yesterday, Zhou Can raised a lot of conditions, and Director Lou agreed to them one by one.


    If he can''t show the corresponding strength today, even if Director Lou doesn''t say anything, Zhou Can himself will feel embarrassed.


    "Teacher, this kind of secondary surgery that requires general anesthesia is usually an elective surgery! It takes a while to prepare for the preoperative interview, anesthesia assessment and interview. Is this patient just received?"


    Zhou Can accompanied him and asked cautiously.


    Early in the morning, even if the patient was admitted last night, it should not be possible to arrange the operation so quickly.


    "Ask if you know? I collected it yesterday and left it for you to do."


    Doctor Xu glared at him.


    Then pass the patient''s information to Zhou Can.


    The patient was quickly brought in.


    This chapter is not finished, click [next page] to continue reading -->>


    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    This is a male patient in his twenties. Due to urethral stricture caused by trauma, the current symptom is that it is extremely difficult to urinate, and some complications have even occurred. Although it was just a small problem of urination, it made the patient''s life extremely painful.


    "Doctor, please be more considerate. Since I was injured, my girlfriend has been arguing to break up with me. Now every urination is like torture. I live in too much pain."


    The patient''s main confidant is Dr. Xu.


    "We will definitely do our best to help you treat, now please lie down on the operating table."


    After Dr. Xu guided the patient to lie on the operating table, the anesthesiologist began to administer general anesthesia.


    For urethral dilatation, adults generally choose local anesthesia and can also perform surgery.


    The doctor will generally conduct a comprehensive assessment of the patient''s condition and choose an optimal anesthesia method. The risk of general anesthesia is greater, and the advantage is that the patient''s vital signs can be monitored at any time during the operation. The patient is under general anesthesia, and the doctor does not have to worry about the patient''s non-cooperation or tampering.


    There is actually only one disadvantage, which will increase the cost of surgery.


    Today, anesthesia technology is very mature. Although anesthesia accidents occur every year, even causing the death of patients.


    However, the risk of general anesthesia is still extremely low.


    In addition, local anesthesia is safer and general anesthesia is more dangerous. This is nonsense. Even with brachial plexus anesthesia, fatal accidents have occurred in major hospitals.


    And it happened more than once.


    There has never been a saying which kind of anesthesia is safer. Any surgery has risks.


    As long as there is risk, there is unpredictability.


    Zhou Can continued to check the patient''s information and examination report while the patient was under anesthesia.


    After the anesthesia was successfully implemented, the anesthesiologist said to Qiao Yu, "Nurse, help him insert a urinary catheter! Let the urine out first."


    "OK!"


    Qiao Yu agreed very simply.


    Nurses may encounter almost all the dirty work of cleaning up patients'' feces and urine, purulent infected skin, wounds, changing dressings, and inserting urinary catheters.


    This requires nurses to have a strong psychological quality.


    "Let me do it!"


    Zhou Can took the special small catheter to avoid Qiao Yu''s embarrassment.


    As long as he is present, he will take care of the nurses and female doctors as much as possible.


    Qiao Yu was considered his confidante, so she naturally cared for her even more.


    Inserting a urinary catheter is a trivial matter for Zhou Can.


    It''s just that this patient''s situation is quite special. Zhou Can obviously encountered obstacles when inserting the urinary catheter.


    Fortunately, he took the initiative to help Qiao Yu, otherwise, she would be even more embarrassed.


    The level of nurses inserting urinary catheters, even if they are quite old chief nurses, will be at the level of attending if they are exhausted. For a novice like Qiao Yu who has only been working for about three years, it is not bad if he can reach the lower level of a resident doctor.


    After a lot of effort, Zhou Can finally successfully inserted the tiny urinary catheter into the bladder.


    [Urinary catheter insertion is successful, insertion experience +1. After completing the difficult catheter insertion, the reward experience value +100. ¡¿


    It was a little surprising that he actually got an extra reward of 100 experience points.


    Is this good intentions rewarded?


    This chapter is not finished, click [next page] to continue reading -->>


    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    [Congratulations on your successful promotion to the fifth level of the implantation technique, the current experience value is 1\\/, and the deputy chief physician is at the junior level. It can complete difficult intratube and intracavity insertions, deep insertion of special medical devices, and insertion of some organs...]


    This medical skill may seem tasteless, but it is of great significance in clinical practice.


    It can be said that in many operations, the tasks that need to be completed for implantation are basically finishing touches.


    For example, the placement of vascular stents and rings, many doctors began to tremble before the operation. Why, because some malformed hemangiomas are really difficult to deal with.


    Not to mention arterial dissection.


    If you are a little careless, a life will be in your hands, so I ask you if you are afraid?


    In Zhou Can''s previous four-level implantation surgery, at the attending level, if he wanted to complete the deep implantation of some special medical devices, he could only try to challenge, the success rate was not high, and it took a very long time.


    It''s different now. After being promoted to level five, even if he hasn''t tried it yet, he already has some confidence.


    Plus, the placement of organs sounds absurd.


    In fact, in some major operations, it is often used to send an organ back to its original chamber or a certain tissue. However, the risk is very high and the difficulty is extremely high, and there are extremely strict requirements on the technical requirements and experience of the performer.


    Many organs and tissues are easy to take out, but difficult to put back.


    Zhou Can now officially has this ability.


    "The patient''s vital signs are normal and can be operated on!"


    The anesthesiologist didn''t say much.


    He just glanced at Zhou Can in a little surprise. Under normal circumstances, the chief surgeon would not care too much about the nurses in the operating room because of his high status.


    He could see Zhou Can''s care for Qiao Yu.


    "let''s start!"


    Doctor Xu spoke.


    Zhou Can was not given any hints, but this operation was deliberately used to test Zhou Can''s surgical ability.


    Even the knife position was not drawn in advance.


    Everything has to be handled by Zhou Can himself.


    "Qiao Yu, are all the urethral scouts ready?"


    Zhou Can looked at Qiao Yu.


    She looked at Zhou Can with an extremely intimate look.


    "Well, everything is ready!"


    It seems that before the operation, she knew what operation to do.


    "The patient''s urine is still quite a lot!"


    Zhou Can found that the tiny special urinary catheter was still pumping out the urine in the bladder for so long.


    I can also understand why the patient would rather die than live.


    It is extremely difficult to urinate, and it will be particularly painful when urinating. The bladder is full, and it is obviously full of urination, but it is difficult to pass. You can imagine how sour this feeling is.


    In his current situation, there is a high probability that he will have physical problems, and it is quite normal that he cannot complete the married life with his girlfriend.


    This is probably the main reason why his girlfriend wants to break up.


    No woman wants to be a widow all her life at a young age.


    It is unrealistic to bind a woman''s lifelong happiness with only the word love.


    "Okay, the urine is basically drained! Teacher, can we remove the catheter and start the operation?"


    Zhou Can consulted Dr. Xu for his opinion.


    This chapter is not finished, click [next page] to continue reading -->>


    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Today''s operation is equivalent to a test for you, so you only need to seek my opinion when you encounter difficulties. At other times, all steps are up to you. Remember, try to solve it yourself. Every time Please teach me once, this will lower your surgical score, and future surgeries for you will be affected.¡±


    Doctor Xu reminded him.


    This operation is deliberately used to assess Zhou Can''s surgical ability and level. If Zhou Can performs well, he may be open to such difficult operations in the future.


    If the performance is not good, considering the safety of the operation, Zhou Can can only be downgraded.


    It is also possible to supply only primary and secondary surgeries.


    At present, Dr. Xu is still in the body of guilt, because of the medical accident that year, he is still working with invisible "shackles". For Level 4 surgery, Dr. Xu is forbidden to enter.


    Therefore, the emergency department can only do tertiary surgery at most.


    Zhou Can was given a surgery that was infinitely close to the third level, which shows how high expectations are placed on Zhou Can.


    "clear!"


    Zhou Can stopped asking for instructions and directly withdrew the special catheter from the patient.


    Then the scout was taken, and because the patient was in a supine position, he stood on the left side of the patient.


    In fact, you can also stand on the right side to do this inspection, it all depends on the personal habits of the surgeon.


    If the patient is in the lithotomy position, the surgeon generally needs to stand between the patient''s legs.


    The lithotomy position is relatively rare.


    Zhou Can supported a certain organ of the patient with one hand, and the spies slowly entered the external opening of the urethra. This is just the first step, the next step is to send the probe into the urethra.


    This operation process is quite difficult. If the surgeon''s technique is not in place, or lack of experience, it is very easy to damage the patient''s urethra.


    During operation, keep the probe parallel to the patient''s abdominal wall, continue to probe inward, and slide the tip of the probe into the bulbous urethra after passing through the pendant urethra.


    After the tip of the probe enters the bulbar urethra, the operator releases his left hand to stretch the patient''s organ.


    Then gently push the probe toward the posterior urethra gradually, and lift the probe from parallel to the abdominal wall to a vertical position while pushing, so that its tip crosses the membranous urethra and enters the prostatic urethra.


    It can be seen that Zhou Can''s forehead secreted a fine layer of sweat.


    He was careful during the whole operation.


    Because this operation is an evaluation of his personal surgical ability by the emergency department, and it is related to the construction and development of his surgical team.


    Only first- and second-level surgeries are performed, with strong substitutability and limited development potential after all.


    Only those who undergo level 3 or 4 surgery are eligible to gain the right to speak in the hospital.


    Zhou Can is very clear about this.


    After the tip of the probe passes through the membranous urethra, push the probe forward, and push it down from the vertical position to the abdominal wall to make it parallel.


    "Successful!"


    Zhou Can happily said something to himself.


    When it is completely parallel, it means that the front part of the probe has entered the bladder, thus completing the operation of the entire urethral dilation.


    The whole process seems to be very simple, but in fact there are many difficulties, and there are huge risks in every step.


    But one thing can be assured, even if the operation is wrong, it is impossible to kill the patient.


    This chapter is not finished, click [next page] to continue reading -->>


    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    At most, it will make the patient''s condition worse, and even make it difficult to become a real man in the second half of his life.


    When Zhou Can was operated on in the emergency department, it also went through careful consideration to ensure that no one would be killed if something happened.


    After the probe entered the bladder, Zhou Can manipulated the probe to twist left and right in the urethra and bladder.


    Then carefully withdraw the spies, change to a larger one and repeat the previous steps.


    Dr. Xu stood by and watched, with a satisfied expression on his face.


    After all, Qiao Yu is a girl, and her eyes are more often looking at other places.


    After more than forty minutes, Zhou Can put down his spy and looked at Dr. Xu.


    "Teacher, the operation has been completed, please check it."


    "Well, the whole operation process is quite remarkable. Your first operation can be regarded as passing the test. But this operation is only a second-class operation, and the point is to test your operation skills. The next operation will be the real one. Level 3 surgery, you get ready."


    Doctor Xu''s assessment of Zhou Can did not stop.


    Today, he wants to see how far this beloved apprentice has grown after studying outside for three years?


    In particular, Zhou Can''s steady knife technique and quick knife technique are what Dr. Xu looks forward to and values ??the most.


    Zhou Can let out a sigh of relief, his face relaxed a lot.


    "I''m going to the bathroom first!"


    The patient was under a lot of pressure when he performed this operation just now. The spirit has also been in a state of tension.


    Relaxing now, all he could think of was that the next operation would be more challenging.


    Go to the toilet first and keep your body in peak condition in order to meet the next tertiary surgery.


    To preside over a tertiary operation, even the attending physician is not qualified.


    A deputy chief physician is required.


    Giving him a tertiary operation must have been approved by Director Lou.

 Chapter 381： Quick knife method promotion, complete decentralization

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The patient who underwent urethral dilatation was sent to the recovery room. After the anesthesia recovered, a new patient was brought in soon.


    It was a female patient about forty years old, with a yellow face, and she walked very slowly.


    Zhou Can had read her information, and the main symptoms of this patient were jaundice, emaciation, nausea, and vomiting when he was admitted to the hospital. After investigation, there was a tumor in the head of the duodenum.


    This operation requires a clean resection of the tumor, which is a third-level major operation.


    Duodenal surgery is basically a third or fourth level operation, which is difficult and risky.


    According to Zhou Can''s assessment in the emergency department, the previous urethral dilation was just an appetizer. Now is the real big game.


    Dr. Xu is a senior attending physician. According to the surgical safety access system, senior attending physicians are qualified to preside over tertiary surgeries. Junior deputy chief physicians can preside over third-level operations, and gradually carry out fourth-level operations under the on-the-spot guidance of superior doctors.


    Therefore, this duodenal head tumor resection is already the limit of Dr. Xu''s assessment of Zhou Can.


    He couldn''t preside over a higher level of surgery.


    If Zhou Can successfully completes this operation, he will be provided with enough surgeries up to the third level in the emergency department in the future.


    He was still the anesthetist who performed the previous operation. After guiding the patient to lie down on the operating table, he began to anesthetize him step by step.


    "Call me when it''s over here!"


    Dr. Xu went to the operating room outside for surgery.


    In order to maintain the total number of operations in the emergency department every month, the surgeons are working hard. Even so, due to the lack of surgical experts like Zhou Can, Dr. Xu could only do it himself.


    He works very hard every day.


    In fact, Dr. Xu is also quite old. A person in his fifties is far from being able to compare with the physical strength and energy of a young man.


    [To be honest, I have recently followed up, changed sources, and have many voices for reading aloud. Both Android and Apple are available for .huanyuanapp. ¡¿


    Even so, he is still working hard, just to make the operating room of the emergency department grow a little bit.


    Hospitals only look at the performance of departments and the quality of operations.


    If the number of operations in the department is small, the number of surgical personnel will also be reduced. At the same time, various hardware resources will also shrink significantly.


    Take a look at the 10,000-level operating rooms of cardiothoracic surgery, neurosurgery, and general surgery, with top-level configurations, endoscopes, laser scalpels, high-frequency radio-frequency radio waves, etc. I even heard that neurosurgery is building a top-level hybrid operating room.


    Look at the emergency department again, there is only such a dedicated operating room that really belongs to you.


    The equipment is also quite backward.


    If you want to obtain a better surgical environment and high-tech equipment, you can only rely on your own efforts to fight for it.


    What kind of fighting method?


    Help the hospital earn enough money to perform more operations and improve the quality and quantity of operations.


    "Qiao Yu, do your preparations first, I''ll study the patient''s examination data carefully!"


    "OK!"


    Qiao Yu readily agreed.


    She needs one person to take on multiple responsibilities, and she is a very hard worker as an equipment nurse.


    Typically, a tertiary surgery will have at least two surgical nurses.


    If it is a more gorgeous surgical team, the three nurses are normal.


    This chapter is not finished, click [next page] to continue reading -->>


    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can''s surgery team has just started. Strictly speaking, there are only her and Zhou Can, and hard work is inevitable.


    After more than forty minutes, the preoperative preparations here were completed, and Zhou Can had a deep understanding of the patient''s condition. The most suitable surgical plan has been worked out in my mind.


    "I''m going to invite Dr. Xu over here!" Qiao Yu took the initiative to run outside to invite Dr. Xu, and waited until Dr. Xu finished the operation in hand before notifying him that it was ready.


    From these details, it can be seen that Qiao Yu is very measured.


    It is a blessing to have such an excellent nurse on the surgical team. In the future, in the coordination process of the surgical team, she can become Zhou Can''s good wife and help him coordinate the cooperation of the entire surgical team.


    This can save Zhou Can a lot of unnecessary trouble, and improve the unity and tacit understanding of the surgical team to a certain extent.


    Before the operation officially started, Zhou Can first placed a nasogastric tube for the patient.


    Originally, according to the surgical requirements, a nasogastric tube should be placed on the patient during the ward round at seven or eight o''clock in the morning.


    In addition, when conditions permit, endoscopic surgery is often used for resection of tumors in the head of the duodenum, especially for type B cases.


    The operating conditions in the emergency department are simple, there is no endoscopy, and there is a lack of advanced inspection equipment in some operating rooms.


    This will undoubtedly add some difficulty and trouble to the operation.


    When Zhou Can returned to the emergency department this time, he wanted to bring together the surgical team, and then step by step to obtain surgical resources, so as to directly make the operating room of the emergency department bigger and stronger.


    As long as the operating room becomes bigger and stronger, other departments of the emergency department will also be pulled to develop together.


    Zhou Can finished examining the patient and stood on the chief surgeon''s position to start the operation.


    After careful consideration, he did not choose a straight incision.


    Instead, the oblique incision was made from the costal margin of the patient''s right upper abdomen, reaching the anterior axillary line on the outside and skipping the midline on the inside.


    Dr. Xu was an assistant at the side, seeing the incision method he chose, he couldn''t help but nodded secretly.


    The advantage of this incision is that it is well exposed. Although the muscles of the abdominal wall need to be cut, the incision rarely dehisces after the operation. There is no small intestine under this incision, so complications such as postoperative adhesive ileus rarely occur.


    From this point, it can also be seen that Zhou Can has extremely rich surgical experience.


    Three years of experience has transformed him, improving not only medical skills, but also medical knowledge, clinical operation experience, comprehensive prediction ability, etc.


    At the same time, Dr. Xu was extremely shocked when he saw his new knife technique that combined the fast knife technique and the steady knife technique.


    It also gave him a new direction of thinking about the fast knife method and the steady knife method.


    I used to think that the fast sword technique and the steady sword technique are incompatible, but now I see that the apprentice has successfully integrated the two sword techniques. Checking and balancing each other, but there is no conflict, but it makes the scalpel more stable.


    It really surprised him.


    After opening the chest and abdomen, Zhou Can first made a comprehensive exploration of the patient.


    He found a metastatic nodule in the liver, and along the duodenal ligament of the liver, he found enlarged lymph nodes. Looks like it''s going to be an uphill battle.


    If the patient''s tumor metastasizes, if it is not completely removed, the postoperative survival period will definitely not be long.


    It''s easy to relapse.


    This chapter is not finished, click [next page] to continue reading -->>


    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    After knowing it well, he touched the size and scope of the duodenal papilla with his hands to ensure that he could know the size of the duodenal papilla with his hands.


    Next, he makes a kocher incision on the lateral side of the duodenum.


    Kocher, also known as the Koch method, is originally a reduction technique for shoulder dislocations.


    The incision requirements at this moment are similar to those of the Coriolis method.


    [The experience value of the fast knife method is +1, and the experience value of the steady knife method is +1. ¡¿


    [Congratulations on your quick knife technique advancing to the proficient level. ¡¿


    After completing the kocher incision, Zhou Can obviously felt that his knife skills seemed to have made a major breakthrough and improvement.


    His quick knife technique has always been at the entry level, but now it has been upgraded to a level, but it is really not easy.


    It should have been upgraded to the proficient level long ago.


    The main reason is that he has been trained in internal medicine for a year and a half, and rarely has surgery. Then, the time to go back to the dormitory to practice the quick knife technique is also extremely limited, and the accumulation of experience points naturally slows down a lot.


    Fortunately, I studied with Director Hu Kan in cardiothoracic surgery for nearly a year, and I was able to get one or two surgeries every day. He can even act as the chief knife occasionally. It was only then that the experience value of the quick knife method was gradually accumulated.


    [Fast knife method, current experience value: proficiency level 1\\/, win with speed, correct other surgical shortcomings quickly, and can skillfully use fast knife method in various complicated surgical procedures. Integrate into all knife-wielding surgical procedures. ¡¿


    He calmed down, suppressed the excitement in his heart, and proceeded to the next operation step, incision of the retroperitoneum.


    After cutting this knife, I immediately felt the benefits brought by the upgrade of the quick knife technique.


    I can''t say it, but I feel very relaxed.


    It''s a bit of a weight-lifting feeling.


    At the same time, he also noticed that after the upgrade of the fast knife technique, the steady knife technique was obviously weakened. The scalpel has suffered a bit in terms of stability.


    If I have to describe it in detail, I feel that the invisible mountain pressed by the scalpel has become lighter.


    If the steady sword method is regarded as a means to check and balance the fast sword method, and the fast sword method advances, but the steady sword method does not advance, there will definitely be some adverse effects. There is an increased risk of error during the procedure.


    To put it bluntly, the Tao is one foot tall, and the devil is one foot tall.


    The magic of the fast knife technique is extremely strong, without the restraint of the steady knife technique, it will make it easy for Zhou Can to follow the old path of Dr. Xu during the operation.


    For a surgeon, medical malpractice is a very scary thing.


    "Um?"


    Dr. Xu''s eyes lit up, a hint of surprise appeared on his face, and there was admiration and relief in his eyes.


    With his level, it is natural that Zhou Can''s sharp knife technique has been greatly improved immediately.


    However, he did not interfere with Zhou Can''s operation, but silently acted as Zhou Can''s assistant.


    After incision of the retroperitoneum, Zhou Can began to mobilize the descending segment of the duodenum.


    The small scalpel seemed to come alive in his hands, with different depths and agility. The whole dissociation process is like showing an art.


    ¡­


    Nearly an hour and a half later, Zhou Can looked at the excised nodules, lymph nodes, and duodenal head tumors, and he felt a sense of accomplishment in his heart.


    The patient has successfully completed the operation, closed the cavity, and is in good physical condition.


    This chapter is not finished, click [next page] to continue reading -->>


    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Yes, quite excellent! It seems that in the past three years, you have not been wasted, and your surgical ability, diagnostic ability, medical knowledge, and judgment level have all been improved. Did you have a major breakthrough in your quick knife technique just now? promote?"


    After the operation, Dr. Xu asked about this aloud.


    "Well, I did have some insights, and I have more experience and a deeper understanding of the knife skills and knife handling techniques."


    Zhou Can admitted it frankly.


    He knew that the sharp knife technique was what Dr. Xu valued the most, and he always hoped that he could inherit the mantle.


    "Just now I saw that you were fast and steady during the operation, which is very good. It shows that the steady knife technique taught by Director Hu Kan can indeed be mutually beneficial with the fast knife technique. Now that Director Hu is no longer around, among his heirs It is best to count your talent, and you can practice more steady sword skills when you are free."


    Zhou Can almost thought that he had heard it wrong. For the first time in history, Dr. Xu asked him to practice more steady knife skills.


    Really unexpected.


    Is this an alternative mourning for Director Hu Kan''s death, or is it a recognition of Director Hu Kan''s bold and innovative medical skills?


    The combination of the steady knife method and the fast knife method was first proposed by Director Hu Kan. It''s just practiced by Zhou Can.


    On this point, whether Dr. Xu admits it or not, Director Hu Kan is definitely ahead of him.


    "Seeing that your surgery level has been raised to such a high level, in fact, there is not much I can teach you. The master leads the door, and the practice depends on the individual. In the future, in the operation, you can boldly explore on your own. When you are undecided You can ask me anytime you want. However, I suggest that you ask me as little as possible. Each surgeon may have different surgical ideas, diagnosis methods, and treatment plans. The one that suits you is the best."


    Seeing this apprentice growing up so fast, Dr. Xu was filled with joy and felt even more gratified.


    "Teacher, I still have a lot to learn..."


    Zhou Can disagreed.


    He didn''t want to leave the teacher so soon.


    Just as he opened his mouth, Dr. Xu raised his hand to stop him from continuing.


    "Don''t worry, I will teach you what I need to teach you. You are my only successor. Is it possible that I will still bring those medical skills into the coffin?"


    Choked by Dr. Xu, Zhou Can was speechless.


    "Three thousand roads, all roads lead to Rome. Everyone has their own surgical path and surgical style. I only need to teach you the basic methods and some important surgical experience and skills, and you can understand and explore the rest by yourself. It is more beneficial to you. When educating children, if we ask them to blindly follow the thinking of their parents, the children will definitely not be as good as their parents when they grow up. Only by letting them go, can they go far and fly higher."


    Dr. Xu really cared for Zhou Can.


    Just to let him have higher achievements in the future and not be trapped by the teacher''s shadow.


    "Understood! Thank you for thinking so hard about me."


    Zhou Can nodded vigorously, with a relieved expression on his face.


    "I''ll ask an intern to come in to be your assistant. Next, you can use as much strength as you want. As long as the operation is safe, you can do whatever you want. If you don''t understand or are not sure, you can do it at any time." Call me, I''m right outside."


    This chapter is not finished, click [next page] to continue reading -->>


    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Dr. Xu completely delegated power to him.


    It means the test is passed.


    And got a very high score.


    This is normal. Not to mention anything else, just Zhou Can''s breakthrough in the quick knife technique during the operation and his promotion to the proficient level is enough to make Dr. Xu look up to him.


    The master and the apprentice have been in contact for a long time, and Dr. Xu has a deep understanding of his personality, surgical style, and personality.


    Naturally, I can rest assured.


    After Dr. Xu went out, he quickly called an intern doctor in.


    It was a young man of twenty-two.


    Because he was wearing a hood and a mask, he could only roughly see the young man''s appearance.


    "Mr. Zhou, hello My name is Luo Shishen, a clinical major, a general practitioner. I have been practicing in Tuya for almost half a year now. Please give me your advice." The young man respected Zhou Can very much.


    Unknowingly, Zhou Can has gone from an intern to a regular trainee, becoming a formal resident doctor, and even a teacher in the eyes of interns.


    Of course, this is a polite name.


    "Do you know how to pull hooks?"


    "Pull the hook, sew the skin, and so on. I have basically learned the basics. If you have anything to do, just ask."


    "Okay! I''ll tell you what I need to do later."


    Zhou Can nodded, Qiao Yu had already brought in the third surgery patient.


    Good guy, a patient with acute appendicitis came directly.


    There is no endoscopy in the emergency department, and laparoscopic surgery cannot be performed. Then only traditional surgery can be done.


    The pre-operative talk must have been done.


    Otherwise, it is impossible to enter the operating room.


    Zhou Can didn''t ask too much, such as why the patient didn''t go to a specialist for laparoscopic surgery, but chose to go to the emergency department for traditional surgery. He just looked at the patient''s examination data carefully, made sure there was nothing wrong, and then waited for the anesthesiologist to administer anesthesia to the patient.


    The new guy named Luo Shishen is quite diligent, he is busy, and he will help with many things without taking the initiative to ask him to do them.


    This made Zhou Can quite satisfied.


    During the operation, Luo Shishen seemed to be a bit talkative, asking this and that non-stop.


    At the beginning, Zhou Can patiently answered him one by one because of his face. But this guy didn''t have any sharp eyesight. Even when Zhou Can was performing some extremely risky surgical procedures, he still kept asking questions.

 Chapter 382： Kindness must be sharp and tolerant

    My medical skills can add experience points Chapter 382 Kindness must be sharp and tolerant


    "Doctor Zhou, is this the patient''s appendix? How to tell if it needs to be removed?"


    Luo Shigen continued with his ten thousand whys.


    I really wonder if this kid has watched the Haier brothers too much, or has developed the habit of asking questions.


    It''s not a bad thing to like to ask questions.


    But if you don''t care about the occasion, regardless of the actual situation, and ask whatever comes to your mind, then you are lacking in thoughtfulness.


    Zhou Can suppressed the irritability in his heart. After all, he was undergoing surgery, and if he was disturbed, if he cut off a certain organ or tissue of the patient, it would be no joke.


    With the sternness of Doctor Xu. His qualifications for surgery will be suspended immediately.


    Such a major operation, if nothing happens, it will be fine. If something happens, the person who is responsible for it is definitely not Zhou Can, but Dr. Xu.


    He doesn''t even have the qualifications for a third-level surgery. If something happens, he won''t be able to bear the blame.


    Calling an intern here is to serve as his medical assistant and help him.


    rather than troublesome.


    Too kind, too talkative, obviously won''t work.


    Zhou Can decided to give Luo Shishen a little reminder. He didn''t curse directly, but he kept a cold face, pretending he didn''t hear, and didn''t answer.


    Instead, concentrate on checking the patient''s appendix.


    Seeing that he was silent, Luo Shigen didn''t ask any more questions, but his face was obviously embarrassed.


    Suddenly, the atmosphere became a little awkward.


    "Doctor Zhou is undergoing surgery, so let''s try not to disturb him. If you have any questions, you can ask them after the surgery is over!" Qiao Yu was afraid that he would not be able to get off the stage, so she helped smooth things over and let him have a step down.


    "You''re right! Thanks!"


    Luo Shishen smiled gratefully at Qiao Yu.


    During the following surgery, Luo Shishen did not talk any longer. After waiting until the operation was over, he began to ask various questions.


    "Who is Doctor Luo''s teacher?"


    Zhou Can asked calmly.


    "Our teacher is Dr. Xu, but he is very busy and doesn''t have much time for us."


    Luo Shishen''s words had a bit of complaint in them.


    Most newcomers in the workplace are prone to make these low-level mistakes. Complain about some shortcomings of the superior in front of other colleagues, or complain about the dissatisfaction in the heart.


    As everyone knows, just after complaining, probably before he got off work, his original words reached the ears of his superiors.


    "In fact, it''s not just Dr. Xu who is very busy. Every medical staff in our emergency department has a heavy workload. I suggest you to classify and summarize your questions later. You can write down the questions you don''t understand in the notebook after the operation , and then see which ones can be found by searching the information. If you really can¡¯t find the answer, it¡¯s better to find a suitable opportunity to ask the superior doctor for advice.¡±


    Zhou Can suggested corrections to him.


    Take the four questions he raised just now, almost all of which can be answered by searching for information by yourself.


    In Zhou Can''s eyes, these are all silly questions.


    Apart from making Zhou Can feel that this young man doesn''t like to think and is a little bored, he won''t gain any favorability points.


    I don''t even think that he is studious.


    I only think that he is too lazy to think and look up information. Use the superior doctor as an encyclopedia.


    "Okay, I will try to follow the method you pointed out after I get off work!"


    Luo Shishen nodded in agreement.


    If you can be admitted to the medical school, your IQ must be no problem. Almost all medical students are highly intelligent creatures, except those who buy in through the back door.


    Many of those related households simply buy a seat, and then try to mix up their academic qualifications.


    Even if the family is rich, it is not easy to get a medical student with an undergraduate degree. Medicine is at least a second-class undergraduate major. Many clinical majors are first-class undergraduate majors, and the difficulty of admission and graduation are not comparable among the three universities.


    Although Zhou Can''s words were euphemistic enough, I believe Luo Shishen would be able to understand the underlying meaning.


    After the appendicitis operation, the next patient continued to receive the operation.


    Today, Zhou Can''s surgical ability has reached a very high level, and his partner Qiao Yu is also not what it used to be. She worked as an instrument nurse and was absolutely excellent.


    Not only is he diligent in his work, but also has a flexible mind, and his professional standards are also top-notch.


    The preparations are well done, and she can know in advance what equipment or medicine Zhou Can may use next, or what treatment needs to be done to the patient.


    During the operation, the two did not even need to speak, and they were able to complete the whole operation in a tacit understanding.


    The kind that can''t go wrong.


    It was a real pleasure to work with her.


    Staring at the patient''s **** wound for a long time, I must feel uncomfortable and my eyes are easily blurred. At this time, looking up at her beauty, I feel happy and the fatigue of my eyes is relieved.


    Not to mention the silent tacit understanding during the operation, it can save a lot of waiting time and keep the whole operation extremely smooth.


    Just imagine, Zhou Can needed an ordinary scalpel, and the equipment nurse handed him the electric coagulation knife.


    When a doctor performs an operation, his eyes cannot leave the sight of the wound, and he usually stretches out his hand without looking back, and the equipment nurse hands over the necessary equipment to the doctor.


    Asked for an ordinary scalpel, but received an electric coagulation knife for hemostasis. It is conceivable how bad the doctor''s mood will be.


    There will also be brief pauses in surgery.


    Even the train of thought of the chief surgeon may be interrupted.


    This will seriously prolong the operation time, and even cause accidents.


    "Call the next surgery patient in!"


    Zhou Can ordered.


    "OK!"


    Qiao Yu was about to leave to pick up the patient.


    "Qiao Yu, you can be an instrument nurse with peace of mind in the future. Your hands are required to be sterile. Running around in the operating room will increase your workload a lot, and it is easy to cause potential contamination of surgical instruments."


    The surgeries that Zhou Can is going to do now include minor primary and secondary surgeries, as well as some major tertiary surgeries.


    The requirements are much higher.


    The operating room conditions in the emergency department are not good. If you don''t pay attention, it is very easy to cause infection in patients during the operation. This greatly increases the risk of postoperative infection.


    "Luo Shishen, from now on, you will be in charge of escorting patients after surgery and connecting patients with new surgeries."


    Zhou Can''s arrangement was also based on the safety and efficiency of the operation.


    "Well... let''s do it!"


    Luo Shishen agreed with some reluctance, obviously unwilling in his heart.


    Many doctors, especially novice doctors who are new to hospitals or practice, always have an inexplicable sense of superiority in their bones. I feel that my status is higher than that of nurses, and some dirty, tiring, and chores without technical content should be done by nurses.


    He may think that it is the job of nurses to pick up and drop off patients, and now he is a doctor who is assigned to do these tasks, which is somewhat "overqualified", and he feels that the price is low.


    So reluctance is also normal.


    Seeing that he agreed, Zhou Can didn''t say much.


    In fact, since he returned to the emergency department to prepare for the formation of a surgical team, he has been gradually required to be both a subject leader and a surgical team manager.


    In other words, it is necessary to not only play a core leading role in medical skills, but also be a good "leader" in team management.


    This is also a new identity he has to adapt to.


    The patient who came in was a trauma patient, his head was smashed, and he could still smell of wine.


    Mostly it was a fight and someone hit the head with a wine bottle.


    "May I ask if you were injured by someone?"


    While checking the patient''s injury, Zhou Can asked about the basic situation.


    "I did it myself. My girlfriend refused to break up with me. When I got angry, I picked up the leftover half bottle of red wine and smashed it on the head."


    The injured man was only in his mid-twenties.


    How much do you have to hate his girlfriend to commit such an extremely self-harming behavior?


    "It may be necessary to shave the hair to facilitate wound cleaning and stitches."


    After Zhou Can looked at it, he found that there was a long wound that was still bleeding, and it definitely needed stitches.


    "Shave!"


    The injured man was conscious, and after taking a film, no potential risks such as skull fracture and intracranial hemorrhage were found. The skull should be the hardest bone in the body, and there is nothing wrong with resisting a wine bottle.


    Of course, it is also possible that this buddy was skilled in smashing the bottle, so that he did not cause a skull fracture.


    "Doctor Luo, don''t stand still, shave his hair! Be careful, try not to touch the wound."


    Hair shaving is usually done by junior doctors.


    Asking the chief surgeon to shave the patient''s hair is somewhat shocking.


    "Oh well!"


    Luo Shishen basically pushes and moves, like driving a classic car.


    He said that he has been an intern for almost half a year. It really makes people wonder which departments he has been intern for the past six months? Haven''t you learned what an intern doctor should do?


    If everything needs to be urged by the superior doctor, the superior doctor will take care of the interns under him all day long.


    Some powerful and high-status chief physicians and deputy chief physicians manage more than a dozen interns under them, so they basically don''t have to work.


    After Luo Shishen finished shaving the patient''s hair, Zhou Can saw that he was working slowly, so he simply cleaned up the broken hair by himself, and then began to clean the wound and disinfect the area around the wound for the first time.


    Next, debridement begins, mainly to prevent glass shards, broken hair, and other impurities from hiding in the wound.


    If the wound is not cleaned, it is easy to become infected and suppurate after the wound is sutured.


    Anyone who has studied the three major circulatory systems of the human body knows that the risk of hair infection and suppuration is much higher than that of the limbs.


    Especially this kind of deep head wound.


    After the debridement was completed, Zhou Can successfully earned 1 point of debridement experience.


    Debridement, level 4, current experience value 9998/10000. Excellent level of attending physician. ¡¿


    As long as there are two more debridements, his debridement skills can be successfully promoted to the level of the deputy chief physician.


    At the beginning, I thought that after the three-year training, all surgical skills could be promoted to the level of deputy director. In the end, the ideal is full, but the reality is cruel.


    Because he studied internal medicine for nearly a year and a half, there were very few opportunities for surgical training, which eventually led to several of his surgical skills failing to be promoted to the fifth level as he wished.


    Next is the stitching.


    "Doctor Zhou, can I suture the wound?"


    Luo Shishen asked.


    "The risk of wounds on the head is high. You should learn first. Next time you have a chance to suture a wound with a low risk, I will let you do it."


    Zhou Can rejected his request.


    From the fact that he shaved his hair just now, it can be seen that he is still a rookie, and it is estimated that the level of stitching is not ideal. The wound suturing of the head and face has high technical requirements for doctors.


    It seems simple to sew a few stitches, but there are many things to pay attention to in the selection of needle positions, the size of the sutures, the knotting, the control of tension, the depth of sutures, etc.


    Novice doctors suture the head does not mean that something will happen, but there are quite high potential risks.


    Zhou Can can''t afford this responsibility.


    Nor will it be easy to risk the safety of patients.


    "All right!"


    Luo Shishen agreed with pursed lips, not crying like a baby, but showing that he was unhappy.


    It''s just that in this case, Zhou Can will definitely not answer him.


    Zi Gu and Qiao Yu cooperated to quickly stop the patient''s bleeding and suture the wound.


    "Doctor Luo bandage him up!"


    Zhou Can sent Luo Shishen a job to comfort him.


    "OK!"


    When Luo Shishen agreed, he curled his lips, as if he had some disdain for the job.


    Zhou Can could see everything about his performance.


    No one is perfect, they all come from this kind of rookie in the workplace. As long as he can cooperate with work, loves to complain, and has a lot of inner drama, Zhou Can can tolerate it.


    Tolerance itself is also one of the abilities that a leader needs to exercise.


    When the water is clear, there will be no fish.


    Just look at the ancient upright officials. All of them are living miserably, basically they are all alone, and occasionally they can make a friend or two through **** luck, and they are almost all lonely soldiers who are excluded by most officials.


    When something happened to the corrupt officials, they stood up and interceded, and helped a lot of people who said good things On the contrary, the honest officials made some big omissions, and they were put on the line, and they were even directly questioned and killed.


    Why do corrupt officials have so many friends? It''s really not because they are rich, but because they have a strong tolerance. As long as the subordinates are able to handle affairs, and occasionally make small mistakes, or have some shortcomings, they can be treated with tolerance.


    Open one eye, close one eye and it will pass.


    On the contrary, in addition to being strict with themselves, those upright officials also have extremely high demands on others. If you make a slight mistake, you will be put on the line immediately and severely punished.


    It is conceivable that when these upright officials made mistakes and were punished by their superiors, why everyone remained silent in unison.


    You have dealt with others too many times, and everyone hates it.


    Don''t say it on your lips, but remember it in your heart.


    Seeing you being ransacked and beheaded now, you may be so happy. Who would come forward to help speak good words under the charge of party members and accomplices!


    Therefore, even though Luo Shigeng had many shortcomings, Zhou Can did not tolerate him.


    At least you can observe it for a while, and if you use it well, you will definitely spend some time cultivating it.


    If it is really unbearable, it can only be left to fend for itself.


    After the patient was bandaged, Zhou Can looked up at the wall clock, and it was twelve o''clock in only three minutes.


    "Doctor Luo, after sending this patient out, bring in another patient."


    Zhou Can has a benevolent heart as a doctor, and he is worried that patients will not be treated for a long time outside, so he works very hard at work, saving one more person is one.


    The reason why doctors are great is to burn themselves and save others.


    "It''s all over, let''s do another operation!" Luo Shishen muttered softly.


    Zhou Can pretended not to hear.


    After getting along for a longer time, this young man will naturally know the rules.

 Chapter 383： Respecting teachers, eating vegetarian can relieve anxiety and sadness

    Not everyone is willing to work hard and give up some of their interests to serve patients.


    Some medical students, because of family education, have been pampered and cared for like emperors since they were young. They have not experienced any hardships. They are just a group of princes and princesses locked in ivory towers when they study in school.


    I don''t even know the suffering of the world.


    I don''t know where the salt is salty and where the vinegar is sour.


    It is really embarrassing for them to put themselves in the patient''s shoes.


    Just like Emperor Hui of Jin in the historical allusion, after learning from the ministers that a large number of people starved to death because they had no food to eat, he blurted out and asked, "Why don''t you eat minced meat?"


    It was just such a question that made Emperor Hui of Jin a negative teaching material that was often quoted by later generations.


    Luo Shishen is still only doing an internship in the hospital, at most he can only be regarded as half of his body stepping into the society. He couldn''t understand the patient''s pain and difficulty, and couldn''t imagine the patient''s pain, fear, and helplessness while waiting for treatment.


    Otherwise, I believe he will become a good doctor like Zhou Can.


    I would rather eat later, just to help patients relieve their pain earlier.


    Soon, a new surgical patient was brought in, and Zhou Can continued to work **** the patient without mentioning it.


    At around twelve noon, Dr. Xu came in.


    Standing by and watching Zhou Can operate on the patient, he didn''t make a sound. After he came in, even though he was just standing by, Luo Shigen became obviously more reserved.


    After Zhou Can finished the high-risk operation, Dr. Xu said, "Xiao Zhou, you guys go to eat first after this operation. I will take someone here to be on duty at noon."


    After hearing this, Luo Shikun was secretly happy.


    After the operation, you can go to eat and rest.


    "Have you eaten? It doesn''t matter for us young people to eat later, why don''t you go and eat first! When you finish eating, come back and replace us."


    Zhou Can stopped what he was doing, raised his head and said to Dr. Xu.


    "I''m not hungry, go and eat!"


    Dr. Xu is no longer a young man. He has been busy with surgery all morning, and now he does not eat lunch. How can he do that?


    Zhou Can didn''t say anything more, but lowered his head to speed up the operation.


    After more than ten minutes, he successfully completed the operation.


    "Your wound has been sutured. Considering that it is the face, I specially sutured you without any traces. Remember that the wound should not touch water, and symptoms such as itching and mild pain may occur during the healing process. Do not touch it with your hands. Grab it. Otherwise, it is easy to irritate the broken skin of the wound and cause unsightly scars. For medicine, you only need to apply erythromycin at home by yourself..."


    After Zhou Can explained to the patient, he looked at Luo Shishen.


    "Doctor Luo, send the patient out!"


    The patient thanked Zhou Can, and was taken out of the operating room by Luo Shishen.


    Zhou Can looked at Qiao Yu, "Can we have dinner later?"


    "I''m perfectly fine."


    Qiao Yu shrugged her shoulders understandingly.


    After obtaining her consent, Zhou Can walked outside to the operating room, and Dr. Xu was still there.


    "Teacher, I know why you have no taste. I have already lost one teacher, but I don''t want to watch another teacher fall. You''d better go eat some! I calculated the time, if you can eat it within an hour Hurry back, I can just finish all the emergency operations outside."


    When he said these words, Zhou Can looked at Dr. Xu sincerely.


    It was also the first time he spoke to Dr. Xu, a teacher, in such a ''little adult'' tone.


    "All right!"


    After hesitating for a few seconds, Dr. Xu agreed.


    "You can''t just pursue speed when performing surgery. Safety is above all else. You must remember it."


    "Understood! You can rest assured to eat! Director Hu''s mourning ceremony should be the day after tomorrow. His son told me in the morning that everything should be kept simple. It was also Director Hu''s wish before his death."


    Zhou Can revealed this news to Dr. Xu, which naturally has some deep meaning.


    Because of Director Hu''s sudden death, Dr. Xu was so sad that he didn''t even want to eat. At that time, at Director Hu''s mourning meeting, Dr. Xu will definitely go to see him off for the last time.


    Telling the time in advance is also to allow Dr. Xu to be prepared.


    "well¡­"


    Doctor Xu left with a sigh.


    Although there was no expression on his face, Zhou Can could feel that Dr. Xu must be very sad in his heart.


    Unexpectedly, the two have competed for most of their lives, and they used to be like enemies.


    In the end, after shaking hands and making peace, they cherished each other.


    Human emotions are always so complicated.


    "Luo Shishen, bring in another surgery patient!"


    Zhou Can shouted towards the outside.


    "OK!"


    His answer is like a person who hasn''t eaten for a few days and is about to die of hunger.


    It''s just because Zhou Can is his superior doctor, who overwhelms him in terms of status, so he didn''t dare to say anything more.


    As everyone knows, Zhou Can and Dr. Xu must lose points for these performances.


    Interns also have evaluations. If his work attitude is not correct, the evaluations given by the department will definitely be more pertinent.


    After the new surgery patient came in, what Zhou Can should do was not affected by Luo Shishen''s negative emotions at all.


    After one patient is treated, a new patient is called in.


    "Doctor Zhou...everyone says that people are like iron, and food is like steel. If you don''t eat, you''ll get hungry. Look, it''s already twelve thirty-six. Shall we finish our meal, take a short rest, and then go back to the surgery?"


    After Luo Shishen bit the bullet and performed two operations with Zhou Can, he finally couldn''t help protesting.


    "Treat the rest of the patients first before going to eat! It doesn''t matter if we young people are hungry for a while."


    Zhou Can really doesn''t understand why eating on time is so important in the eyes of this young intern?


    Logically speaking, shouldn''t medical interns focus on learning real clinical treatment experience?


    Although the management of interns is not as strict as regular trainees, the requirements are much lower. But if you learn the skills, that''s your own!


    "The emergency operating room needs a doctor on duty 24 hours a day. Now that other doctors have gone to eat, it''s the same when we wait for Dr. Xu to come back."


    Qiao Yu once again helped to smooth things over and relieve Luo Shishen''s resistance.


    Women are water, and smart women are best at overcoming rigidity with softness.


    "Okay, then we''ll wait a while before we go!"


    After listening to Qiao Yu''s words, Luo Shishen''s tone softened a lot.


    "I used to do surgery with Dr. Xu, and we always let our interns go to eat first. It''s a habit, so I can''t help complaining! It''s nothing else!"


    He obviously explained this to Zhou Can.


    "Hurry up and call the next patient in!"


    Zhou Can nodded noncommittally.


    After Shishen Luo left, Qiao Yu and Zhou Can looked at each other, and she smiled.


    Zhou Can shook his head helplessly.


    It would be great if every member could cooperate sincerely and unite like Qiao Yu.


    It''s a pity that not everyone can have such a high level of consciousness.


    This is why the establishment of a surgical team requires a long period of running-in. Because everyone''s thoughts and personalities are different. It is necessary to establish the leadership and cohesion of the core members of the team through running-in.


    Only then can the heart be thought in one place and energy be directed in one place.


    ¡­


    Around one o''clock in the afternoon, Dr. Xu came back.


    After Zhou Can completed the operation in hand, he went to the cafeteria to eat with Qiao Yu and Luo Shishen.


    "Beautiful Qiao, thank you for helping me out many times. Let me treat you to chicken drumsticks for lunch! I have to express my gratitude no matter what."


    Luo Shishen approached Qiao Yu and said.


    "Ah... a little matter, Dr. Luo, you don''t have to be polite!"


    How could she easily accept other people''s invitations?


    Back then, when Dr. Lu was pestering her, he wanted to invite her to dinner and milk tea every day, but she refused every time.


    Only Zhou Can made her feel special, and even took the initiative to blackmail Zhou Can for a cup of milk tea.


    "There are many things I really don''t understand. If you can remind me, it will be of great help to me. It''s nothing to treat you to a chicken leg. If you don''t like it, you can drink coffee or eat Western food after get off work. !"


    Fortunately, this young man dared to think.


    Just ask Qiao Yu for coffee after get off work, who should she be?


    With her beauty and excellence, if it was so easy to ask out, she would already have a home. Not even single now.


    The more outstanding a girl is, the higher her vision is, and her heart is also very proud.


    They are very picky when it comes to boyfriends.


    It is basically impossible for a boy with no skills to ask them out.


    On the contrary, those girls who are beautiful but average in skills and abilities are easily moved by some persistent pursuits of men.


    For example, after work every day, I can pick them up on time.


    Or when there is a need, the boy immediately ran to show his hospitality regardless of the wind and rain.


    It is even possible that when they are being harassed, helping them out once and fighting with street gangsters can win their hearts.


    This kind of girl often thinks that she is married to love, but the final result is not very good.


    Men have learned to use cheap actions to pursue beautiful girls. They can chase the first one, and when they get tired of playing, they can use the same routine to chase the second and third ones.


    Those cheating men basically have this characteristic.


    On the contrary, girls like Qiao Yu and Yang Chan are talented, capable, proud in heart, and have extremely high vision. In their eyes, if a man doesn''t suit their eyes, no matter how much courteousness they offer, it will be difficult for them to move their hearts.


    As for picking them up from get off work regardless of wind and rain, to be honest, they never gave men the opportunity to show such courtesy from the very beginning.


    It will be directly rejected the first time.


    It is also true that such a girl has high standards for choosing a mate, and it is often easier to marry love.


    And the days after marriage usually get better and better.


    His own ability is not bad, and the man who can fall into their eyes must be stronger than them. At least a man with some connotation is needed to make them look up to them.


    Both parties are not weak in self-cultivation and ability. After marriage, the careers of the couple will definitely not be far behind.


    The economic conditions are naturally getting better and better.


    In addition, both parties pay great attention to the quality of married life, and have high requirements for love loyalty and belief, so generally they will not live too badly. This kind of girl generally has zero tolerance for her husband''s cheating behavior after marriage.


    Divorce immediately.


    The girls in front who are easily chased by men''s cheap behavior are more likely to soften their hearts. As long as a man sheds two tears, admits his mistake, writes a letter of guarantee, or even kneels down, they will soft-heartedly choose to forgive.


    In the end, he was doomed to be bruised all over his body.


    The smile on Qiao Yu''s face faded, and she turned her head and said to Luo Shishen seriously, "Doctor Luo is really welcome, because I will try my best to help and take care of every new doctor. Everyone is a newcomer. Yes, I can understand the difficulty, that''s all."


    This time she explicitly refused.


    "Okay then! Thank you for meeting such a kind-hearted female colleague like you, who made me feel the beauty of society before I entered the society."


    Luo Shishen didn''t press anymore.


    Because if you continue to entangle, there is a high probability that the relationship will become stagnant.


    Qiao Yu''s attitude towards him will definitely become much colder in the future.


    He definitely has that judgment.


    "Congratulations!"


    Qiao Yu replied indifferently, her attitude obviously lost a lot of enthusiasm.


    Zhou Can saw all this in his eyes, and there was an imperceptible expression from this corner. When they meet again in three years, Qiao Yu is still the same Qiao Yu, she hasn''t changed at all.


    "Doctor Zhou, what''s for lunch today? I''ll get you some food!"


    "Let me line up with you! I don''t really want to eat today!"


    Zhou Can''s mentor passed away, and the sadness shrouded in his heart is still very strong. It''s just that it''s not easy for an adult. In order to work, he must put away his sadness so as not to affect his work.


    As for crying loudly, that is even more impossible.


    At this moment, he envied those innocent children even more.


    "Is it because of Director Hu Kan''s death?"


    She looked at him concerned and asked.


    "Um!"


    Zhou Can nodded.


    "Director Hu is such a good person. I didn''t expect that he would disappear if he said nothing. It''s really sad. I heard that vegetarianism can relieve symptoms of sadness. Otherwise, I will accompany you to eat vegetarian food at noon!"


    She said empathetically.


    "Hey, how can it affect you because of me! You are a multi-tasking surgical nurse, and your nutrition must keep up. Therefore, you can eat whatever you should. As for your saying that being a vegetarian can relieve sadness, I am still the first Once I heard it, I''ll listen to you and give it a try!"


    Zhou Can already has a girlfriend now, but he dare not get too close to Qiao Yu in life.


    Especially some ambiguous actions, he dare not have at all.


    At that time, the deeper Qiao Yu is trapped, the greater the harm to her.


    Therefore, from the very beginning, Zhou Can rejected her.


    The two have known each other for three years, and they have never pierced that layer of window paper. Qiao Yu must have a crush on him, but Zhou Can didn''t hide it, and told her early on that he already had a girlfriend.


    With her intelligence there is no need to say a lot of things.


    If you tell her, I already have a girlfriend, you''d better choose another son-in-law! Such words actually hurt people''s self-esteem.


    It''s like girls with a higher EQ who basically send good cards to men they don''t like.


    "Being a vegetarian can relieve anxiety and sadness. I still read it from a medical journal in the United States. This is the conclusion drawn by a very famous nutritionist after clinical research."


    she explained.


    "It''s no wonder Miss Qiao''s professional ability is so strong! It turns out that you still read foreign medical journals. It''s really admirable!"


    After hearing this, Luo Shishen looked at Qiao Yu with a hint of admiration.


    How else could he be a rookie in the workplace!


    As long as his emotional intelligence is a little higher, he won''t interrupt in the middle. Anyone with a discerning eye can see that he is now a 200-watt light bulb.


    "You''re starting to study nutrition now?"


    Zhou Can''s heart moved slightly.


    She proposed early on that she wanted to study abroad and study nursing.


    Now it seems that she is already planning and preparing.


    "I started learning this knowledge at the end of last year because of work needs. I nursed patients in the intensive care unit and found that more than 90% of the critically ill patients were malnourished. If their nutrition can be better supported , I believe that their recovery period will definitely be greatly shortened. Even some seriously ill patients who could have survived, because of insufficient nutritional support, eventually died, which is a pity."


    She explained to Zhou Can.


    As for Luo Shigeng''s praise, she basically ignored it.


    Ever since Luo Shigen proposed to buy her coffee after get off work, her attitude towards Luo Shigent has become much colder.


    That''s what''s so clever about her.

 Chapter 384： 1 invitation to go abroad, level 5 debridement

    Avoid further entanglement by men, and eventually put yourself in danger.


    Some extreme men get what they want, and are very prone to hurtful actions. What they can''t get, and they don''t want others to get, will destroy the girl.


    Of course, it doesn''t mean that Luo Shishen belongs to this kind of person.


    There are many extreme men and extreme women in this world. In daily life, it is wisest to avoid giving such men a chance and not to get entangled with them.


    Qiao Yu did a very good job at this point.


    I believe that as long as Luo Shishen is a little self-aware, he will stop pursuing her.


    "Nutrition is indeed a high-level nursing knowledge. It is very good for you to attack this field. If you learn it well, you may be able to fill in the gaps in the domestic field. There is a lot to do!"


    Zhou Can is very supportive of her study of nutrition.


    "Oh! It is not easy to learn nutrition well. The main reason is that there is a lack of high-level tutors in this field in China, and there is also a lack of learning materials. If I have the conditions in the future, I can go abroad for a few years of further study, and maybe I can achieve something. Let¡¯s take this matter step by step! Now that your surgical team has just been established, my main focus is on being a good surgical nurse.¡±


    She sighed and described the difficulties.


    At the same time, it can be regarded as a confession to Zhou Can, showing that she can clearly distinguish between the primary and the secondary.


    "Right now we really need you and me to fight the world together. Without you as the surgical nurse, I as the chief surgeon with a medical assistant, I can''t do it at all. I am very supportive of going abroad for further study. I think you should first If you have a good foundation in nutrition, and then you have almost learned it, you can find a way to get an OER from a certain university in the United States, and the matter is basically stable. Take it step by step, anyway, you are still young, and there are many opportunities!"


    Zhou Can gave his own suggestion.


    These suggestions are quite pertinent and practical.


    It belongs to the down-to-earth, steady and steady kind.


    "Well! I''m not in a hurry! Aren''t you planning to upgrade your academic qualifications?"


    When it came to this topic, Qiao Yu seemed to open up the conversation.


    "That... Doctor Zhou, Miss Qiao, you guys chat first, I''ll go to the bathroom first!"


    Luo Shishen was acting as a light bulb, and seemed to feel embarrassed.


    Chatting with Zhou Can, his seniority is not enough.


    If you want to chat with Qiao Yu, they don''t pay much attention to him.


    Find an excuse to leave, this is called going up the road.


    "You go! After dinner, remember to go back to the operating room early to work."


    After Zhou Can finished speaking to Luo Shishen, he turned his head and continued the conversation with Qiao Yu.


    "My education is definitely going to be raised, but the time is not right now. I haven''t thought about how to improve it yet. These days, education is too important. I have suffered too much because of my low education."


    Because Zhou Can''s education is only a bachelor''s degree, the grievances he has suffered cannot be filled in a basket.


    When the job is stable, he will definitely improve his education.


    "How about...the two of us will go abroad together at that time! It''s good to have someone to take care of you!"


    Qiao Yu bit her lip and suggested to him.


    "Well... I haven''t considered it yet!"


    How dare Zhou Can go abroad with her? When Su Qianqian finds out, she doesn''t know what she will think.


    Don''t look at Su Qianqian never checking his post, nor checking his cell phone. But the two lived together, and she had long known that there was someone like Qiao Yu.


    The two usually chat about some work matters, but Su Qianqian doesn''t say anything yet.


    If the two of them go abroad for further studies together, basically the yellow mud will fall into the crotch, and it will become **** if it is not shit. Even if you have ten mouths, you can''t explain it clearly.


    "Think about it! Don''t worry, I know you have a girlfriend, and I won''t put any burden on you. But in a foreign country, I''m a girl and have no relatives. It''s definitely safer to have a friend I know."


    She talked to this point, which shows that she must have thought about it.


    "I will seriously consider it!"


    Zhou Can could only answer in this way.


    After entering the cafeteria, Zhou Can really followed Qiao Yu''s suggestion and ordered three vegetarian dishes. Soon, she also came over with a prepared meal, which was also a vegetarian dish.


    "Are you really going vegetarian with me?" Zhou Can asked her.


    "if not?"


    She blinked and smiled.


    "Let me add two chicken legs for you! Take a look for me!" Zhou Can took care of this important deputy, mainly because she was too thin.


    Qiao Yu is now an official nurse, and her economic conditions should be much better than before.


    But she is going to study abroad for further study, so she must save money.


    This can also be seen from her attire.


    Basically pure beauty, especially the simple kind.


    Unexpectedly, Zhou Can offered to add chicken legs to her, but she did not refuse. It was completely different attitudes from Luo Shishen asking her to eat chicken legs.


    In the past, Zhou Can invited her to drink milk tea many times, and also invited her to have supper.


    She was willing to accept Zhou Can''s treat, but it was fine.


    Just like when we are with our parents or close friends, we are never polite. On the contrary, you will be polite with those acquaintances with ordinary relationships, or even strangers.


    Sometimes, politeness and politeness are also a way to distance each other.


    It is more civilized and milder to maintain distance through politeness and politeness than indifference.


    "Give!"


    Zhou Can bought two big chicken legs and came over.


    "I remember that you like to eat cooked ones, so I asked the aunt in the restaurant to pick two slightly browned ones." Zhou Can handed her the chicken legs.


    "Hehe, thank you! I can''t eat two by myself, why don''t you share one!"


    She put one on the plate and handed the other to Zhou Can.


    "I really can''t eat today, you eat it! Eat more, so that you will have the strength to work during the operation. Being my partner must be very hard, because my operation volume is at least twice that of ordinary surgeons. "


    Zhou Can''s mentor passed away, and he really couldn''t bear it.


    If a person is immersed in sadness, the operation of the digestive tract will become particularly slow, and the body''s absorption capacity will also become poor. So, sadness is a bad emotion that hurts the body.


    Ancient Chinese medicine believes that sadness is easy to hurt the heart and lungs. The lung governs qi, governs respiration, and the lung governs Xuanfa and Sujiang. The heart governs the blood, and controls the transportation and transformation of blood and energy throughout the body. The lungs are directed toward the various meridians, governing the joints, and are closely related to the function of the heart. The movement of heart blood requires lung qi.


    So, excessive sadness can trigger shortness of breath, coughing, and even vomiting blood.


    Zhou Can just felt a little blocked in his heart. Thinking of Director Hu''s death, he would involuntarily feel heartache and sadness. Fortunately, he put most of his energy on work, which greatly distracted his inner sadness.


    If a person is overly sad, divert attention and do something else. Or going out to relax is a good way to relieve.


    I am most afraid of being locked up in a small space alone, and I will always be immersed in sadness.


    It''s not a bad thing to make more sincere friends.


    At least when there is something on my mind, there is more or less someone to talk to.


    Confidence generally involves privacy, so choosing the right person is very important. If you make real friends, they usually don''t cause any problems. If it''s the kind of wine and meat friends who mistakenly regard the other party as a real friend, and then pour out the private matter, it''s a bit sad.


    It''s easy to be tricked by the other party, even if you tell a third person about your affairs, it will be a kind of secondary harm to you.


    So, be cautious when making friends.


    There are not many friends. First of all, you must have a good character, and secondly, you must be intimate.


    There is a problem here. Adulthood puts interests first. When it comes to making friends, it is actually quite difficult to make true friends. Friends bound by interests have a strong relationship, but they can''t pour out their hearts.


    To put it bluntly, everyone is just using each other.


    As a result, adults keep secrets in their hearts, which often becomes a compulsory course.


    Adults who can keep their inner secrets are usually strong in heart, and their careers are not far behind. With a career, the economic conditions will naturally not be bad. As a result, families are usually particularly stable.


    As long as the wife can live on, she generally won''t cheat easily.


    Then there is a stable economic foundation, and the training of children is generally not too bad.


    It''s a pity that many adults can''t control their mouths and keep their inner secrets after studying for a lifetime. Even if there are some big things, I just keep looking for someone to complain about.


    In the end, such people often live a miserable life, and are basically the bottom of society.


    There are many who even have problems with food and clothing.


    "You guys sit here!"


    Luo Shishen also came over after finishing his meal at this time.


    This young man is simply a stupid bird among rookies in the workplace.


    You said you have a meal, why do you have to join Zhou Can and Qiao Yu at an untimely time?


    Find a place to finish eating by yourself, and then hurry back to the operating room, and make a good impression on your superiors.


    The senior doctor and the female nurse chatted enthusiastically, and even a little bit of emotional intelligence would not bother her.


    "Sit down and eat quickly! It''s time to go to the operating room after eating."


    Zhou Can said.


    Qiao Yu, on the other hand, gave Luo Shishen a slightly annoyed look, but said nothing. She took small bites of food gracefully, appearing very quiet.


    As soon as Luo Shishen came, he was cold.


    Zhou Can also bowed his head to cook.


    "Huh... Beauty Qiao bought two chicken legs!" Luo Shishen offered her to eat chicken legs but was rejected, but as soon as they served her, he found a chicken leg on her plate. The other was still in the paper bag.


    So he blurted out and said something meanly.


    "Uh-huh!"


    She reluctantly responded.


    "Is the other one for Dr. Zhou?" Luo Shishen swallowed while looking at the golden-grilled chicken legs. "Doctor Zhou is in a bad mood. If you don''t eat it, don''t waste it. Can you sell it to me?"


    His original intention was to help Qiao Yu save some money.


    The chicken drumsticks in the cafeteria cost 4 yuan each, and they must not be refunded if they are sold.


    "You talk too much, hurry up and eat!"


    Qiao Yu naturally wouldn''t give him the chicken legs. He was even more unwilling to have a deeper interaction with Luo Shishen.


    She directly took out the other chicken leg and put it on her plate, then lowered her head to eat.


    The meal was destined to be a bit dull.


    Zhou Can finished eating first.


    "I''m done, eat slowly!"


    He stood up with the plate, dumped the leftovers into the trash can, then rinsed the plate and put it in the corner dedicated to recycling plates. arrive.


    From time to time, the restaurant staff will take the plates in and wash them again, and sterilize them at high temperature.


    As soon as Zhou Can left, Luo Shishen started to talk again.


    "Miss Qiao, how long have you been a nurse? After I arrived in the emergency department, I have been working in the operating room, and I haven''t seen you in normal times!"


    "I''ve just been transferred from the intensive care unit to the operating room. I''m going to see if there is any soup left. Today''s meal is a bit hard."


    After speaking, she picked up the plate and went straight to the window.


    I didn''t even go to the window to ask more, I found a table and sat down to continue eating.


    Apparently this was because he didn''t want to talk more with Luo Shishen.


    ¡­


    In the operating room, after eating and going to the toilet, Zhou Can stretched his arms and legs and returned to work in the operating room.


    Since Qiao Yu and Luo Shishen hadn''t come back yet, he first watched Dr. Xu''s surgery and helped.


    In the current operating room of the emergency department, it is not clear how many interns there are.


    Dr. Xu gave one to Zhou Can, and there was one left in his hand. Explain that at least two interns entered the emergency department operating room. It can also be seen from this that the status of the emergency department has risen a bit.


    Or the status of the operating room has risen a lot.


    This is a good sign.


    In the past, there were only a few operating rooms in the emergency department, and there was not a single intern.


    The main reason is that other departments of the emergency department are also short of manpower, so there is no way to take care of the operating room.


    Now we can assign two interns to the operating room. At least four or more interns are assigned to the emergency department before we dare to assign two interns to the operating room.


    .


    Not long after, Luo Shishen came back after eating, looking a little unhappy.


    It is probably because Qiao Yu gave him ''disgust'' and did not want to continue to eat with him, which is why he was unhappy.


    Ten minutes later, Qiao Yu also came back.


    "Teacher, UU Reading has all my staff, so I will go to the surgery first!"


    Zhou Can waited for Qiao Yu to come back.


    "Go!"


    Dr. Xu was eager for Zhou Can to perform more surgeries.


    Director Lou placed great hopes on Zhou Can''s surgical team.


    In the afternoon, Zhou Can''s horsepower was fully activated, and he performed crazy operations. His experience points are also rising all the way.


    It''s been a long time since I felt so comfortable.


    You have successfully completed a debridement! Debridement experience +1. Congratulations, your debridement has been promoted to the fifth level, the current experience value is 1/100000, and the deputy chief physician is at the junior level. It can complete complex thoracoabdominal and cranial cavity debridement, and can complete high-purity debridement of abscesses, inflammations, and contaminated wounds...]


    Any medical skill that can be promoted to the level of deputy chief physician can reach an extremely high level.


    Complicated debridement of the thoracoabdominal cavity does not refer to simply cleaning up fluid and blood, or repairing the wound neatly for suturing.


    It refers to some complicated situations, such as leakage of intestinal contents and contamination of the abdominal cavity.


    This kind of debridement is difficult and complicated.


    Or cancer patients with tissue erosion and severe adhesion, this kind of debridement is also extremely difficult.


    The successful promotion of debridement to the level of deputy director is definitely a boon for Zhou Can. Because of the surgery in the emergency department, it is often necessary to clean the wound.


    Not only can he do better now, he can make the wound more tidy, facilitate suturing, shorten the healing time after surgery, and reduce the chance of infection and suppuration. At the same time, the entire operation time will be shortened and become more efficient.


    The improvement of every surgical technique can actually bring huge benefits.


    The inconspicuous debridement can also provide him with certain convenience in some tertiary major operations and reduce postoperative complications.

 Chapter 385： It is no longer Wu Xia Amon, I hope the storm will come later

    Each surgical operation has a specific function. If you practice one of them well, you can at most become a good assistant in the operation. Only those who have practiced many surgical operations can be qualified as the chief surgeon.


    Especially the third and fourth major surgeries have extremely high requirements on doctors in all aspects.


    This is also why many deputy directors and chief physicians have good medical skills, but when they enter the operating room, they can only mix one assistant and two assistants in front of the operation.


    There are also some chief physicians who want to save face and simply don''t enter the operating room.


    Saying that he is busy and has no time is all an excuse.


    Chief physicians who perform well in surgeries basically maintain a rhythm of two to three surgeries per day. At their level, it is difficult to arouse their interest in general surgery.


    Only those operations that are challenging or relatively unfamiliar can arouse their interest.


    Zhou Can is still far from reaching the level of a top surgeon, so he does not refuse anyone. As long as he can earn experience points and be competent for the operation, he will accept it.


    I kept busy until after six o''clock in the evening, when Dr. Fu Chachun, who was on duty at night, came to take over.


    Zhou Can led the staff to complete the last operation.


    Fu Chachun had been the attending physician three years ago.


    Three years later, he is 49 years old. To be honest, at this age, I have not been rated as a deputy senior professional title, and I usually work in the attending position to the rhythm of retirement.


    He stood by and watched Zhou Can operate on the patient.


    A look of surprise gradually appeared on his face. Gradually, the look of surprise became stronger and stronger, and finally turned into a shocked expression.


    "I didn''t expect that Dr. Zhou''s surgical ability has become so strong after three years of absence! The younger generation is really awesome!"


    Back then, Fu Chachun''s surgical ability was better than Zhou Can''s.


    After three years, he was shocked to find that Zhou Can''s surgical ability, whether it was anatomical ability or suture level, made him, the attending physician, feel ashamed.


    As for the level of hemostasis, Zhou Can was already better than Fu Chachun back then.


    Today, Fu Chachun can''t understand some of Zhou Can''s hemostasis operations at all.


    Because the gap between the two sides is too great.


    Soon, the operation was over, and Zhou Can asked Luo Shishen to send the patient out of the operating room.


    "Doctor Zhou, we have you back in the operating room of the emergency department, so it''s hard not to be prosperous this time." When Fu Chachun spoke to Zhou Can, there was a hint of flattery in his expression.


    The dignified senior attending physician actually spoke to a resident physician in such a flattering tone.


    It''s not that he has no integrity, but that Zhou Can''s current strength is so strong that he needs to look up to him.


    Strength basically represents potential and future actual status.


    Fu Chachun has no hope of winning the title of deputy senior professional, so he can only be an attending physician for the rest of his life. With Zhou Can''s current strength and potential, becoming a chief physician is almost a certainty.


    And it''s not the third-level chief physician, but the first-level director.


    Even higher medical achievements are possible.


    Do you think Fu Chachun is not humble when he talks to him? This is somewhat similar to blood suppression. No matter how old the ants are, they are still ants. Even if the elephant is just a baby, it is still as big as a mountain in the eyes of the ants.


    "Doctor Fu, I have to treat you to dinner some other day!"


    Zhou Can said seriously.


    "why?"


    Fu Chachun had a smile on his face.


    "You are almost boasting me to the sky. Is it justified if I don''t treat you to a good meal?"


    Zhou Can replied.


    "Haha... I haven''t seen you for three years. Dr. Zhou has not only made amazing progress in his medical skills, but he also has a very high level of speech! You decide when to make an appointment, and I will treat you when the time comes."


    Fu Chachun laughed heartily.


    Back then, his relationship with Zhou Can could only be regarded as passable, but close, far from being considered close.


    Especially when Zhou Can was suspended that time, his alienation from Zhou Can made Zhou Can''s impression of him much worse.


    Now Zhou Can is no longer the junior trainee three years ago, but has become a candidate for Tuya''s famous doctor plan. Fu Chachun''s status as a senior attending physician was not enough for Zhou Can.


    See you in three years, we can talk happily, Zhou Can''s attitude towards him is not indifferent. This made Fu Chachun very happy.


    "Doctor Fu is generous! But I''m afraid I won''t be able to do it recently. I have to have surgery every day, and I have to go to the cardiothoracic surgery department after get off work. I really don''t have time. I won''t be so busy after a while, so I''ll treat Dr. Fu to dinner again."


    Zhou Can doesn''t like to participate in dinners, but it depends on the situation.


    We are all colleagues in the operating room of the emergency department, and Fu Chachun is a senior. It is necessary to treat him to a meal and establish a good relationship.


    ¡­


    Coming out of the operating room, Zhou Can turned to look at Qiao Yu, "How many operations did we perform today?"


    "There should be 21 surgeries, including three grade 3 surgeries, seven grade 2 surgeries, and eleven grade 1 surgeries."


    This result is quite good.


    "At that time, let''s see how the department calculates its performance! I still have 20 days left before I can get the results of the regular training final exam. At present, the hospital has not signed a formal contract with me. You are already an official nurse. If the department does not If I calculate the operation commission for you, I will talk to Director Lou when the time comes."


    Zhou Can is fine personally.


    Because he was not short of money at all, he really didn''t pay attention to the salary of a doctor.


    Qiao Yu is different, she is just an ordinary person who supports her family in Hukou with her salary.


    She used to work in the intensive care unit, and her income must be higher than that of ordinary nurses. Now being recruited by Zhou Can, if the daily work becomes harder and the income is severely reduced, it will definitely be a little psychologically unbalanced for her.


    Even if she looked at Zhou Can''s face, she didn''t care about it.


    But it''s also unfair to her.


    It''s hard to say how Director Lou and the leaders of the department will handle this kind of matter involving the distribution of benefits.


    Under normal circumstances, everyone wants to put money in their own pockets.


    "Zhou Can, don''t go to Director Lou for such a trivial matter, it will affect you badly. It''s only a month, even if you only pay me a basic salary, it doesn''t matter. I am very happy to be able to join your surgical team .And I also know that it is easy to join now, but it will be very difficult to join in the future."


    In desperation, she stopped calling Dr. Zhou, but called Zhou Can by his name.


    "I will pay attention! You are so optimistic about our surgery team, you are quite prescient!"


    Zhou Can was not afraid at all that Director Lou would have opinions on him.


    And to fight for the interests he deserves, the superiors are generally a little more reasonable, and they will not have any objections to him.


    "Hmph, this girl still has a good sense of self-assessment! From the very beginning, I was optimistic about you, knowing that you would definitely have a future..." She seemed to realize that it was somewhat inappropriate to say so, and quickly stopped. "I still have to go to the library to borrow books, let''s go first!"


    Zhou Can touched his nose, "Why are you suddenly in a bad mood?"


    He recalled Qiao Yu''s words carefully, and then thought of Qiao Yu''s embarrassing expression just now, and suddenly he had some understanding in his heart.


    No wonder she took the initiative to blackmail Zhou Can''s milk tea at that time, maybe at that time, she just took the initiative to attack.


    Zhou Can sighed slightly, hoping that she could find Mr. Ruyi as soon as possible, and the relationship between the two would naturally return to normal.


    A woman wants to forget a man, as long as another man appears.


    It takes a lifetime for a man to forget a woman.


    This is a classic quote from a certain philosopher.


    Qiao Yu maintained a tacit understanding with him, and never pierced the window paper. If Zhou Can hadn''t accidentally fallen in love with Su Qianqian, he might have gotten very close to Qiao Yu long ago.


    Some things can only be said to be fate.


    He can''t get off work yet, according to the old rules, first go to the office to record the operation of the day.


    Supplement the medical records and course records of those surgical patients.


    Then we have to check whether the surgical orders given to them are appropriate and whether there are any mistakes or omissions. Self-examination and self-correction are good habits that every responsible doctor should have.


    In the middle of writing, Director Lou came over.


    "Xiao Zhou, I heard from Old Xu that you performed well today! Work hard and come to me if you need anything."


    Director Lou was all smiles.


    Knowing Zhou Can''s excellent performance in the operating room on the first day, he felt like drinking honey in his heart. All these years, what I have been thinking about is not just looking forward to the construction of the emergency department?


    After Zhou Can''s return, his surgical ability has skyrocketed. For the emergency department, there is no doubt that a strong blood has been injected.


    If this trend continues, the emergency department will be reborn within half a year.


    Director Lou could even foresee the scene of a shotgun change in the emergency department.


    "Okay, thank you Director Lou!"


    Zhou Can nodded and continued to write the medical records.


    Director Lou just ran over to praise him and cheer him up. Gone soon.


    After writing the medical records, it was already 7:30 in the evening.


    There are not many doctors in the emergency department, and the colleagues in the office have almost left.


    "If I can be promoted to the attending doctor at some point, my subordinates can also lead one or two interns, and I will basically not need to come in person to write medical records and medical records."


    Zhou Can began to envy the comfortable life of those senior doctors.


    Interns and regular trainees are a kind of resources in the eyes of superior doctors. The management of the hospital is smarter and has also formulated a strict assessment system. Which attending or chief physician is not doing a good job, often the first consideration is to transfer the interns and regular trainees under him.


    Make a mistake once and transfer one away.


    until the tune is over.


    So don''t look at the chief physicians who are extremely cold, in fact, they still care about the interns under them. Just because they are busy with work, in most cases, they will ask their attending physicians and residents to bring interns.


    Gui Peisheng depends on the situation. Those with average talent and potential are basically brought in by residents and attending physicians. Only Gui Peisheng with outstanding talent and great potential will be taught by the chief physicians in person.


    To put it bluntly, it is focused on training.


    From here you can see that competition is everywhere. Many interns think that it is just an internship stage anyway, and it doesn''t matter if they are fishing or being lazy. In fact, this idea is very stupid.


    As long as you lose your first-mover advantage, you will fall behind every step of the way. Compared with those medical students who work hard to make progress, the gap will become wider and wider.


    After finishing the work, I went to the canteen to eat at this point and it was closed early.


    At the beginning, Zhou Can never thought about going to the cafeteria for dinner. At home, his girlfriend kept delicious hot meals for him.


    Director Hu of the Cardiothoracic Surgery Department passed away, and the hospital should have temporarily blocked the news.


    At least Zhou Can seldom heard colleagues discussing this matter.


    In the work group and in the cafeteria during lunch, there was no voice discussing this matter.


    But paper can''t hold fire, and this happened just today, so it hasn''t fermented yet. Even if Tuya Hospital could block the news, it would never be able to.


    After those competitors got the news, they would definitely not sit idly by.


    They will find a way to spread the news of Director Hu''s death.


    At that time, the cardiothoracic surgery department of Tuya Hospital will suffer an unprecedented impact.


    The only way is to immediately erect a new signboard.


    It''s just that this matter is easier said than done.


    In cardiothoracic surgery, there is no one who can take the lead. There are many backbones.


    Zhou Can has great foresight, and when he thinks about this, he can''t help but feel worried.


    If Director Hu can live another two or three years, Zhou Can''s surgical skills will definitely be able to be promoted to the director level. At that time, you can calmly face the changing situation.


    It''s a bit rushed right now.


    At present, we can only take one step at a time.


    I believe that the top management of Tuya Hospital will also be prepared. After all, Director Hu''s health has long been bad, and it is impossible for the management not to consider this matter. Tuya''s current management, headed by Dean Zhu, is very wise and powerful.


    His vision is far-sighted, his courage and courage are astonishing, and his methods are not ambiguous at all.


    Definitely call it hard work.


    Just look at Tuya''s rapid development and progress over the years.


    Zhou Canjin did not go to cardiothoracic surgery.


    In normal times, as soon as he got off work, he would definitely go to the cardiothoracic surgery department as soon as possible.


    Because Director Hu has carefully selected two or three surgeries that are specially matched for him and waited for him to go there, and then taught him surgeries and various diagnoses and treatments.


    Come to the underground garage and sit in your Mercedes-Benz.


    Zhou Can took out his mobile phone and sent a voice message to Director Xueyan.


    "Sister Yan, are you feeling better? How is the cardiothoracic surgery?"


    Director Xueyan is a woman after all, and she usually gets a lot of care from Director Hu Kan. For Director Hu Kan''s sudden death, she was more sad than anyone else.


    Women are more emotional and sad.


    "Thank you for your concern. I''m feeling better. The situation in the department is still stable."


    She replied with text.


    It seems that her voice may have been hoarse.


    "That''s good! Rest early, don''t think too much about things, the boat will be straight when it reaches the bridge, and I believe that the cardiothoracic surgery department will definitely get through this difficult time."


    Zhou Can also wrote back a text to her.


    It''s a form of respect.


    In terms of seniority, director Xueyan is Zhou Can''s senior. In terms of position, she is Zhou Can''s superior doctor. It''s just that the two are not in the same department She can''t control Zhou Can.


    "Uh-huh!"


    She definitely doesn''t feel like talking right now.


    That is to say, Zhou Can has a very close relationship with her, so he will only reply a few words.


    ¡­


    Zhou Can was driving home when someone called.


    Turn on the car Bluetooth and connect.


    "Which one?"


    "Doctor Zhou, I''m Mu Jie, a TV reporter, have you forgotten me?"


    She still speaks so charmingly.


    It''s hard to say, anyway, if it''s a man with weak resistance, hearing her very feminine voice will easily make his bones weak.


    "Don''t dare! Didn''t I inform you of the news about Hu Haikun''s arrest last time, so that you got the first-hand news?" Zhou Can promised to give her a big news, and that time it really happened. Notified her.


    It can be regarded as fulfilling the promise to her.


    Repaid the favor owed to her.


    "Hehe, I remember your love! I know you are good to me! How about it, let me tell me a piece of news this time!"


    She said coquettishly.


    "My great-aunt, I am busy treating patients and saving lives in the operating room every day. Where is the news? You should let me go!"


    Zhou Can is not stupid.


    At this sensitive moment, she called suddenly, probably already hearing the news of Director Hu Kan''s death.


    These reporters are always thinking about how to collect valuable news.


    The hotter the news they report and the higher their social value, the greater their fame. The status of the TV station will also rise with the tide.


    Everyone is working hard and working hard for their own work.


    "I heard that Director Hu Kan of the Cardiothoracic Surgery Department of your hospital passed away. Is this true?" She asked directly.


    Sure enough, it was for this matter.

 Chapter 386： Book a seat, the road to a strong emergency department begins

    My medical skills can add experience points Chapter 386 Reserve a seat, the road to strength in the emergency department begins


    "Really? Where did Reporter Mu get the news from?"


    Zhou Can pretended to be stupid on purpose.


    How could he poke out such a thing? If the hospital finds out, no matter how good he is, he will be thrown into limbo by the hospital.


    You must have a ruler in life and a degree in doing things.


    Just have ability, don''t know how to be a man, still can''t become a talent.


    "Hehehe... Don''t pretend to be ignorant! I have already learned about this matter from the insiders of your hospital. You are one of Director Hu''s successors, so it is impossible not to know."


    Mu Jie really knew the truth, even Zhou Can knew that he was the successor of Director Hu Kan.


    "Reporter Mu Da also said that I am only one of Director Hu''s descendants. Why do you think I must know about this matter? I have returned to work in the emergency department now, and I have not worked in cardiothoracic surgery for a long time. So, this call you Wrong person."


    After Zhou Can finished speaking, he was about to hang up the phone.


    It''s better for female reporters to be less annoying.


    The last time I met her at Xinxiang Women''s and Children''s Hospital, she didn''t harass Zhou Can. Just occasionally call him or send a WeChat chat.


    It''s about maintaining a relationship.


    This is understandable.


    To be a reporter, you need to have many friends and avenues in order to be well-informed.


    The adult world is generally very realistic.


    If you don''t contact each other for a long time, it''s easy to get unfamiliar with each other. When there is something to do, it is not very easy to worship the Buddha''s feet temporarily.


    This is especially true for occupations such as salesman, reporter, hotel manager, etc. We must maintain a good circle of friends, and good hospitality is a very important thing.


    People with deposits or high-quality assets exceeding tens of millions are basically on the bank''s key harassment list.


    Officials with a little power in their hands have even more people targeting them.


    "Hey, if you dare to hang up on my phone, I will block your door today, believe it or not?"


    Mu Bi was anxious on the other end of the phone.


    Zhou Can hung up on her phone not once or twice.


    "Grandma, what exactly do you want to ask? I''m driving on the road, and I really don''t have time to chat with you for long."


    Zhou Can said very speechlessly.


    Her beauty and charm work well for others, but they have no effect on Zhou Can.


    To put it bluntly, even if she asks Zhou Can to go to the hotel now, Zhou Can will not be moved.


    "Tell me, Director Hu''s home address, and I promise not to disclose it to the outside world." She requested.


    "I''m really sorry. I also want to tell you where Director Hu lives. Unfortunately, I really don''t know. Don''t you have acquaintances in Tuya Hospital? Ask them...ah, it''s so dangerous, I almost got into a car accident, so let''s not talk about it !"


    After speaking, Zhou Can hung up the phone.


    If Mu Jie really wanted to block him at the door of his house, there was nothing he could do. The premise is that she needs to know where Zhou Can lives.


    Of course, after hanging up the phone, being kicked out by her would definitely be unavoidable.


    In any case, it is impossible for Zhou Can to disclose any news of his mentor''s death and related information to reporters.


    ¡­


    The next day, Zhou Can arrived at the emergency department at 7:30 in the morning.


    The reason was that the department sent him to the doctor''s office at 7:30 for a short meeting by means of a text message.


    Many people think that the place where doctors sit in the emergency department is called the doctor''s office, but it is actually the outpatient room. A place dedicated to consultation with patients.


    The real office is in the back too!


    All official doctors in the emergency department have a seat here. Director Lou has his own small office.


    The deputy director of the department, Han Changqing, did not receive such treatment.


    In other important departments, chief physicians with higher status may have their own small offices. This depends on the specific resource allocation.


    The emergency department is short of almost all resources, and it is not bad to be able to spare a small room for Director Lou as an independent office.


    This is also for work needs.


    If the director of the department sits with everyone in the office, it will not only make everyone feel extremely uncomfortable, but also feel like an invisible mountain is pressing on their heads all the time. And it is not conducive to the work of the director of the department.


    Just imagine, the director of the department talks to someone, and everyone hears the content of the conversation. What will be the result?


    If it is a confidential matter, it may spread in the department as soon as it is finished.


    If you criticize that colleague, it is estimated that the colleague will want to die.


    It would be even more inappropriate for the leaders of the hospital or other departments to come to talk to Director Lou about something.


    After Zhou Can entered the doctor''s office, he found that most of the official doctors in the department were present.


    None of the regular trainees and interns came.


    It''s not that they didn''t show up, it''s that they weren''t invited, or kicked out of the office.


    "Xiao Zhou, you will sit next to Dr. Xu from now on!"


    Director Lou spoke.


    This seat is the seat of Dr. Cui in the operating room. Hearing that Dr. Cui has passed the attending examination, he just waited for the hospital to issue a letter of appointment. It''s just that the number of attendings in the department is limited, and you need to wait in line.


    "I..." Zhou Can was about to say no, to grab other people''s seats, and this kind of thing is easy to cause hatred.


    Doctor Xu stopped him from continuing with his eyes.


    "On the first day Xiao Zhou returned to our emergency department, he created a high performance in the operating room. He is currently the backup force of Tuya Famous Medical Hall. Let him sit next to me. This is Director Lou''s emphasis on key talents. I fully support it."


    Dr. Xu did this with good intentions.


    Zhou Can''s qualifications are still young, and he has just returned to the emergency department. Although his status is special, his status on the surface has not been established.


    Now, he is about to become a formal resident doctor. As soon as the results of the standardized training come out and he gets the standardized training certificate, the hospital''s employment contract will be given to him immediately.


    It is very necessary to help him establish his position in the department.


    Invisible status has a different meaning from the affirmation of status on the surface.


    Zhou Can is not good at the art of gaining profits in the way of the workplace, and has no thoughts on this aspect, so he doesn''t understand the reason.


    "Our emergency department is people-oriented. Dr. Zhou''s surgical ability is extremely strong, and his diagnostic ability is also very good. Sitting next to Dr. Xu, I think it is very suitable!"


    Han Changqing, the deputy director of the department, also spoke.


    It seems that the elders of these departments have premeditated!


    It is very likely that he has already passed his breath and wants to help Zhou Can up.


    "Just push your seats back one!"


    The ranking of the office is particular.


    The farther you sit, the higher your status.


    Zhou Can inserted himself directly next to Dr. Xu by airborne.


    Although this kind of leap-forward promotion may arouse the jealousy of many people, Zhou Can''s strength lies there, and there are many elders in the department who support him, so this seat is very secure.


    Only mediocre people are not envied by others. If others want to be envious, let them be envious.


    "Thank you to the leaders of the department for cultivating me! I will definitely work harder to serve the department and benefit the patients."


    Zhou Can bowed and thanked the leaders of the department.


    As for the scene, who can''t say a few words?


    Just like that, he sat down on Dr. Xu''s left side.


    "The meeting will be officially held next. It will mainly announce some business adjustments made by the department and the establishment of a new inpatient room."


    As soon as this remark came out, it immediately caused a heated discussion.


    Since the establishment of the emergency department, there are only temporary observation rooms and emergency rooms, and there is no such thing as an inpatient department.


    What does it mean to add an inpatient room this time?


    It means that the emergency department has officially taken a step towards inpatient surgery and inpatient services.


    The department wants to build an inpatient room, which is by no means a trivial matter. Even if the movement range is small, it must be approved by the school-level leaders.


    This matter, even the medical department does not have the power.


    Director Lou dared to announce it, what does it mean?


    It means that the application has been submitted to the leadership of the hospital and has been approved.


    Otherwise, isn''t this a slap in the face?


    "Temporarily set up four official beds in the inpatient ward! Mainly for the treatment of surgical patients."


    This sets the tone for the inpatient room.


    This is very important.


    It is related to the business development direction of the emergency department.


    Among the crowd, those with active minds have already focused their attention on Zhou Can.


    First, Zhou Can''s ranking in the department was greatly improved, and then he announced the establishment of an inpatient room, which will mainly treat surgical patients. This means that everything we do is centered on Zhou Can, paving the way for the development of Zhou Can''s surgical team.


    "For the time being, the inpatient ward will be managed by Dr. Lin Ping and an intern. Just add inpatient ward management items to the nursing department, and don''t add a dedicated inpatient ward nurse for the time being."


    Director Lou is also a clever woman who can''t cook without rice, so she can only cut down on food and clothing, and build the shelf first.


    Follow-up development, and then slowly add bricks and tiles, a little bit of improvement, and then continue to optimize.


    "The addition of inpatient wards is a great feat. It is the only way for our emergency department. Our nursing department firmly supports and fully supports Director Lou''s wise decision!"


    Head nurse Niu Lan''s face showed excitement.


    That''s right, excitement.


    The emergency department has been silent for so many years, and has always been an indifferent existence. Only you know how much discrimination and grievances each official doctor and nurse in the emergency department has suffered.


    To be honest, when going out, everyone felt unconfident, even a little humble.


    Why is this happening?


    Because the emergency department has no achievements, academic achievements, scientific research results, classic cases, famous doctors, none of them. None.


    How can the doctors and nurses in the department not bow their heads when they go out?


    It''s different now.


    Zhou Can, a backup doctor of Famous Medical Hall, returned to the emergency department and formally led the surgical team. As long as the emergency department works steadily, it will surely kill a **** road.


    The head nurse Niu Lan was excited because she finally saw hope.


    "I really don''t have much talent for surgery, but let me manage the ward, I will try my best to do my best. Please rest assured Director Lou."


    Lin Ping was originally a doctor in the operating room of the emergency department.


    Because of mediocre talent, despite his hard work, he still faces the tragic fate of being eliminated.


    Doctors in weighty departments have been eliminated, and they can still enter the emergency department or other weak departments.


    The doctors in the emergency department have been eliminated, and it is basically impossible to enter other departments, so they can only be swept out. Especially the residency level.


    The addition of inpatient wards now, for Lin Ping, is a lifeline.


    Moreover, he is a down-to-earth person with a good character, so it is suitable for him to manage the inpatient ward.


    "The following announces the business adjustment content, and all colleagues in the emergency department must implement it conscientiously. The first is to provide patients with better and more considerate services. The second is that when a doctor accepts a patient, as long as the first-level and second-level surgery patients meet the requirements of the outpatient and emergency department Surgical conditions can be directly paid into the operating room of the emergency department. The specific income should be adjusted flexibly in a timely manner, and the quantity should not be blindly pursued. Dr. Xu will give guidance on how many surgical patients to accept every day, and please cooperate fully. "


    How many surgical patients are admitted every day is indeed a technical task.


    Which surgical patients are easy to perform, and what is the daily admission volume? They all pay attention.


    "Let me add one more thing! When our department admits surgical patients, we can''t focus on one type of patients. For example, it is definitely not possible to treat patients who specialize in gastrointestinal surgery. What our department needs to do now is to grow gently. When operating patients, we charge a little for all types of patients, trying to achieve a balance. Do you understand what I mean?"


    Dr. Xu added one more point.


    This is also a lesson learned from the past. When Zhou Can first started operating, he performed a large number of general surgery operations in a month, which caused Director Xie to sue the vice president.


    This time, the emergency department has increased the number of surgeries and added new inpatient rooms. The action is already eye-catching.


    No matter how carelessly he acted, it caused many departments to unite to protest, and the hospital leaders would not be able to help the emergency department.


    "Understood, we understand!"


    This guy Fu Chachun has the worst smile He is also the most cunning.


    "Hey, we understand that absorbing surgical patients in a muffled voice will not arouse the disgust and focus of other departments." Dr. Lu also had a sinister smile on his face.


    Therefore, whether it is a country or a department, they cannot all be honest and honest gentlemen.


    All kinds of people need it.


    The ancient emperor, who knew that the man was a traitor and still used him, was not stupid. But the country needs such talents, and the court needs treacherous officials to check and balance loyal officials. More traitors are needed to handle affairs.


    Director Lou was quite satisfied with everyone''s reaction.


    "As long as everyone works together, I believe that the dream of the emergency department will be realized, and our income, status, and honor will all be steadily improved. Okay, the meeting is over."


    The important things are announced, and the short meeting is over.


    It is said to be a short meeting, but it is really a short meeting.


    Today''s meeting, stripped of layers of clothing, is actually serving Zhou Can.


    It is not a myth that one person can prosper a department, but a reality.


    "Oh, by the way, there is one more thing to say hello to everyone. Recently, our hospital found that the Provincial People''s Hospital, the Third Hospital, and Xinxiang Maternal and Children''s Hospital are all increasing their surgical publicity. Especially the promotion of cardiothoracic surgery. You receive patients When dealing with cardiothoracic surgery patients, we must pay attention to methods and methods, and do a good job of explaining, so as not to let patients lose."


    Director Lou''s emphasis on this matter shows that the problem is already quite serious.


    The Provincial People''s Hospital and the Third Hospital are making efforts in surgery, which is nothing new.


    In such a short period of time, Xinxiang Maternity and Children''s Hospital has also started to make a high profile, which is a bit surprising.


    Zhou Can is fairly familiar with Xinxiang Maternity and Children''s Hospital, and he was quite shocked when he heard the news.

 Chapter 387： The dispute between department directors fulfills Director Hus last wish

    My Medical Skills Can Add Experience Points Chapter 387 The Controversy of Department Directors, Fulfilling Director Hu''s Last Wish


    Over the past year or so, Zhou Can has studied cardiothoracic surgery with Director Hu Kan, and also rotated training in various departments of internal medicine. In addition, he had to worry about his girlfriend Su Qianqian.


    It can be said that he is too busy to touch the ground.


    I don''t have the heart to care about other things at all.


    Xinxiang Maternity and Children''s Hospital invited him to visit twice, but Zhou Can declined because he was too busy.


    Since then, contact has dwindled.


    In his impression, Xinxiang Maternity and Children''s Hospital is in a half-dead state. Although the business volume has rebounded, it is very limited. It''s only been less than a year, so it''s resurrected with full blood?


    When there is time, I will inquire about it.


    "Xiao Zhou, yesterday''s appendicitis patient, duodenal tumor resection patient, and urethral dilation patient have all been admitted to the inpatient ward of the emergency department. You must remember to check the ward on time every day."


    After the meeting, Dr. Xu told Zhou Can.


    "OK!"


    The operations on these three patients were all performed by Zhou Can yesterday. Unexpectedly, they were directly admitted to the emergency department.


    I thought that after the emergency operation, I would be transferred to the specialist inpatient department.


    It seems that Director Lou and the others probably made all the preparations long ago.


    "Where is the inpatient ward?"


    He didn''t know anything about such a big thing.


    Director Lou and Dr. Xu must have known about the addition of inpatient rooms for a long time. They are worthy of being wily and scheming elders, and they were stupefied. I didn''t reveal half a point to Zhou Can yesterday.


    "Here, it''s over there in the observation room! A room has been temporarily designated as an inpatient ward."


    Dr. Xu pointed to the direction of the observation room.


    Zhou Can walked over there, this is Ye Tingting''s territory. But she hasn''t come to work yet.


    The area of ??the observation room is indeed very large, and there is more than one room.


    The farthest room has been marked out and directly becomes the first inpatient ward of the emergency department.


    Zhou Can walked into the ward, and among the four beds, only one was left vacant.


    All three patients were properly accommodated.


    The guy who slept in the first bed was the guy who had the urethral dilation.


    "How is it? Did you urinate today?"


    Patients undergoing urethral dilatation are prone to postoperative infection and inflammation. Especially for female patients who have undergone this operation, it is best not to take a sitz bath.


    In addition, the dilated urethra tends to become smaller again, or even blocked.


    In this case, only a second expansion operation can be performed.


    Also, after dilation surgery, the patient''s urethra edemas, causing the urethra to narrow for a short time. At this time, the patient will have a persistent urine phenomenon.


    Some family members and patients don''t understand, they will think that the operation failed, and there are some who scold the doctor.


    "Well, I''ve already urinated!"


    The boy looked a little embarrassed.


    "Is it smooth when you urinate?"


    These situations are what Zhou Can needs to know during his ward rounds.


    "It''s still smooth, but it hurts a little." The young man couldn''t help showing a painful expression on his face when he talked about the process of urinating.


    "It''s normal to have some pain just after the operation. I''ll prescribe some anti-inflammatory drugs for you. If you still urinate smoothly tonight, you can go to the doctor for discharge procedures tomorrow. You can go home and recuperate."


    Urethral dilation is just a small operation with high technology.


    Basically non-invasive.


    To put it more simply, the original urination pipe is a bit small, and the pipe is enlarged with instruments.


    After checking the situation of this young man, Zhou Can learned about the situation of the other two patients one by one. Not bad, all three operations have achieved satisfactory results.


    The most serious one should be the patient who had a tumor removed from the head of the duodenum. After all, it was a major operation involving multiple organs in the thoracic and abdominal cavity.


    The operation has a great impact on the patient, and he will definitely not be able to leave the hospital in two or three days.


    The patient currently needs to fast for food and water, and temporarily rely on nutrient solution to get through the darkest moment of the body.


    Fortunately, the postoperative condition of the patient is not bad.


    The spirit is good, the body has no complications, no fever, etc., just need to take good care of it, and I believe that I will recover soon.


    Of course, for this patient, no tumor recurrence after surgery is also an important indicator.


    For patients with small-scale tumor spread like this, no one can guarantee that there will be no recurrence after surgery.


    After the room check, Zhou Can went to work in the operating room without mentioning it.


    The department is so supportive of his work, and all resources are working hard to win and favor him. Naturally, he is also working hard to operate on patients.


    For him, not only can he accumulate richer surgical experience, but he can also continue to improve his medical skills and move towards the level of a chief physician.


    Around eleven o''clock in the morning, someone called in.


    But he was in surgery and didn''t pick up.


    He didn''t take out his phone to check until the operation was over.


    Director Xueyan called.


    There must be something important.


    Zhou Can quickly dialed back.


    Director Hu Kan''s body was still alive, and he entrusted the major tasks of cardiothoracic surgery to two apprentices. Although Zhou Can is now back to work in the emergency department, if there is anything in the cardiothoracic surgery department, he will definitely do his best to help.


    "Sister Yan, I was undergoing surgery just now, so I''m sorry I couldn''t answer the phone in time."


    He and Director Xueyan are like siblings, so there is no need to be too polite.


    Just a little bit to explain why.


    "Can you come to the meeting room of the Cardiothoracic Surgery Department now? There was a lot of quarreling about the selection of the head of the department. You have a special status, so come over and talk."


    She asked Zhou Can for help.


    "Okay, I''ll tell Dr. Xu, come here as soon as the situation permits."


    Zhou Can readily agreed.


    Director Hu Kan had already made arrangements for the candidate for the director of the department. The only regret is that he died of illness suddenly, and he didn''t even have time to do the work of handing over the baton.


    Director Hu knew that he was in poor health, but he didn''t hand over the post of director of cardiothoracic surgery. It wasn''t because he didn''t want to, but because he was worried that a single incident would affect his whole body, which would directly affect the diagnosis and treatment business and reputation of cardiothoracic surgery.


    Just like those listed companies, the change of legal person will have a great impact on the stock.


    The outside world has been rumoring that Director Hu Kan has a physical problem, and even attacked Tuya''s cardiothoracic surgery skills for a drop. Unfortunately, there is no strong successor in cardiothoracic surgery.


    In such a complicated situation, both the senior management of Tuya Hospital and Director Hu Kan hoped to stabilize the situation.


    Therefore, Director Hu could only hold on and continue to serve as the director of the department.


    Secretly inspect the chief physicians and deputy chief physicians in the department who are qualified to take over the post of department chief. Director Xueyan was finally selected to take over.


    It''s a pity that after the selection of a good person, there was no time to make a transition. Director Hu died suddenly, which left controversy.


    "I have something to do outside, you two first go outside to help Dr. Xu''s operating room!"


    After Zhou Can arranged work with Qiao Yu and Luo Shishen, he came to the operating room outside.


    Dr. Xu is currently suturing the traumatic wound on the patient''s calf.


    "Teacher, there is something urgent in the cardiothoracic surgery department, let me go over there."


    "Are you participating in the operation or discussing the matter?"


    Dr. Xu continued to concentrate on suturing the patient''s wound, and asked questions without raising his head.


    "Deal!"


    Zhou Can answered honestly.


    He knew very well that after several years of hard work, Dr. Xu has become a sophisticated figure.


    The addition of inpatient wards in the emergency department this time is the masterpiece of the collaboration between him and Director Lou.


    "Go! Try to mind your own business."


    Dr. Xu gave him some warnings.


    As Zhou Can''s teacher, he not only gives him all-round guidance in medical skills, but also considers and conceives for him wholeheartedly in dealing with people and dealing with various crises.


    "clear!"


    Zhou Can nodded and walked out quickly.


    After changing into a white coat in the changing room, I hurried to the cardiothoracic surgery department.


    Tuya Hospital is actually quite big.


    The distance from the emergency department to the surgery building is relatively short.


    But it also takes seven or eight minutes to walk.


    ¡­


    Not long after, Zhou Can arrived at the cardiothoracic surgery department.


    When he came here this time, he obviously felt that the department was a little distracted. Whether it is a nurse or a doctor, the work attitude seems to have been affected to a certain extent.


    Cardiothoracic surgery is already in danger, but the poor working condition of medical staff is tantamount to making matters worse.


    Zhou Can saw it in his eyes and was anxious in his heart.


    All this is because the candidates for the department directors of the department have not yet been selected, no one has issued orders, and no new cohesion has been formed.


    He came to the conference room, and when he was still outside the door, he could hear the sound of fierce quarrels coming from inside.


    Knock on the door and go in.


    There are middle-level and above personnel in cardiothoracic surgery.


    Director Xie of the Department of Surgery, Vice President Ye in charge of medical affairs, and Vice President Bai Ziran in charge of administrative affairs were all present impressively.


    At the same time, the participation of the two vice presidents showed the importance of this meeting.


    "Doctor Zhou came just in time. You are one of the two important successors of Director Hu Kan. You are also a candidate for the department director!"


    When Vice President Ye saw Zhou Can coming in, his eyes lit up slightly.


    It directly pushed Zhou Can to the forefront.


    These vice presidents are all cunning and ruthless.


    When dealing with various affairs of the hospital, there are often different ways of handling them. Little things, they are usually handled gently. Big things, the more serious things, the more ruthless the means.


    "Thank you Dean Ye for giving me this opportunity to speak!"


    Zhou Can looked at the three super bosses sitting in the most important positions.


    Director Xie seemed to have a lot of gray hair, and his whole body also looked a lot older.


    Vice-President Bai''s demeanor remained the same.


    The three super bosses have all dealt with Zhou Can and are familiar with them. After meeting, Zhou Can didn''t have much fear.


    To be honest, there are really not many low-level doctors as good as him in the whole hospital.


    It is already very good for regular trainees and residents to know the chief director of the department. It is impossible to get in touch with a super boss at the level of the vice president.


    Hospital leaders are the top-level existence in any hospital.


    Belonging to the few people at the top of the pyramid.


    "When I came in just now, I heard that Director He was the most controversial about the director of the department. I just took this opportunity to talk about Director Hu''s views during his lifetime."


    Zhou Can walked to the front with a serious expression and his eyes swept across the audience.


    His eyes are not sharp, let alone any sharpness, but some are kind to the doctors and nurses of cardiothoracic surgery.


    He knew almost everyone present here.


    Usually when we meet each other, we will basically greet each other warmly, at least say hello.


    "The biggest wish of Director Hu''s business is to help cardiothoracic surgery survive this crisis, and then move towards a new prosperity. Do you know? Even the night before Director Hu passed away, he still told me to do my best to help Cardiothoracic surgery is against all crises. I grew up under your watch. Almost all of you are my seniors, who have helped and supported me more or less in my work. My feelings for cardiothoracic surgery have always been very strong. deep."


    Zhou Can first played the emotional card and won the approval of most people.


    We must make everyone feel that he is his own person, a person who really cares about cardiothoracic surgery, so that what he says next will be recognized and accepted by everyone.


    Otherwise, people will just think he is farting.


    "Don''t talk about those useless things, you can just say what Director Hu said before he was alive."


    Deputy Director He, who is in his fifties, is exactly the age of treacherous and cunning.


    He noticed that when everyone looked at Zhou Can, their eyes softened, and there was kindness in their eyes, and he suddenly felt something bad.


    "Director Hu was just the night before yesterday. When I sent him home, he sat in the car and gave me and Director Xueyan thousands of instructions. Xueyan, after my death, you will be the director of the department. At that time, Xueyan The director was worried that he had little qualifications and refused to accept it. Director Hu scolded angrily, saying that Director Xueyan was the most suitable candidate for the director of cardiothoracic surgery at present, and only her appointment would be the most conducive to the development of cardiothoracic surgery. If she did not agree, Director Hu will not rest in peace."


    "In the end, Director Xueyan agreed. She also promised Director Hu that she would dedicate everything to the development of cardiothoracic surgery and try her best to lead cardiothoracic surgery to a new glory."


    As soon as Zhou Can''s words fell, there was a burst of heated discussions in the audience.


    This is Director Hu''s deathbed entrustment, which is equivalent to the imperial edict of ancient times and is quite authoritative.


    Whether it was Director Hu who was still worrying about the fate of cardiothoracic surgery before his death, or Director Xueyan''s firm commitment, they all deeply touched the hearts of the medical staff present.


    As a member of cardiothoracic surgery, I believe they can feel the great love, the responsibility and mission of the department director.


    "Hmph, to put it bluntly, only you and Xueyan were present. Who knows if it''s true?"


    Director He became impatient.


    If Zhou Can''s love continues like this, the director of the department will choose a fart!


    Just let Xueyan get it.


    The more urgent you are, the easier it is to be chaotic. This chaos will lead to huge loopholes.


    No wonder Director Hu refused to give up the position of Director He to Director He during his lifetime. This person is really not good.


    Lack of the overall situation and tolerance that should be there, and only look at the immediate interests.


    "Director He raised this question well. If Director Xueyan and I were the only ones present, we might have colluded. At least you think so. At that time, Director Hu Kan''s son drove to pick him up. The director''s son is also sitting in the driver''s seat of the car If necessary, you can ask Director Hu''s son for verification. After all, this is Director Hu''s deathbed entrustment. If I made a fake, or other People question Director Hu''s last words, which is a kind of blasphemy against Director Hu. I believe that Director Hu''s soul will not rest in peace."


    Hit a snake and hit seven inches.


    Zhou Can''s words hit the nail on the head, right at the door of Deputy Director He''s life.


    The question was raised by Deputy Director He, and now as long as the last words are confirmed to be true, Deputy Director He can have nothing to say anymore.


    If you continue to fight, it will be the behavior of a capricious villain.


    Without Zhou Can talking, everyone will first spurn Deputy Director He from the bottom of their hearts.


    Not to mention being the director of the department, even the position of the deputy director of the department will be unstable.


    Why did the ancient emperors like to combine divine power with imperial power? Zhou Can understood now.


    Although he is an atheist and does not believe in ghosts and gods, the dead are the greatest. The fact that Director Hu''s soul cannot be rested in peace is extremely lethal.


    Director Hu Kan is like a **** in the hearts of everyone in cardiothoracic surgery, and is deeply respected and loved by everyone.


    Deputy Director He questioned his last words, making Director Hu''s soul restless. This is the rhythm of wanting to be everyone''s enemy.


    Everyone didn''t say anything, and the eyes they looked at Deputy Director He were no longer so friendly and cordial, and they were already unfamiliar.


    People''s hearts are like water, flowing like smoke.


    Deputy Director He''s reckless words and deeds, under Zhou Can''s verbal attacks, eventually severely damaged his image.


    Deputy Director He was so angry and angry that his image was ruined in this way, and his face turned black in a hurry.


    But he still couldn''t refute it.


    Zhou Can didn''t name him, let alone attack him directly.


    Swearing without profanity was brought to the extreme by Zhou Can.

 Chapter 388： After the dust settles, Xinxiangs coquettish operation

    My medical skills can add experience points Chapter 388 Dust settled, Xinxiang''s coquettish operation


    "Director Hu''s last words are very important. I think it is very necessary to call Director Hu''s son on the spot to verify. It can also end the dispute and select the director of cardiothoracic surgery."


    Vice President Bai deserves to be in administration.


    Keenly seize the opportunity and key points, and calm down the dispute between department directors as quickly as possible.


    The high-level people all understand that the current cardiothoracic surgery department has no leader and people are scattered, which must be very detrimental to the development of the department.


    Coupled with the fact that many large hospitals in the province are constantly making efforts in the field of cardiothoracic surgery, it is really an internal and external problem, and the situation is critical.


    In this case, quickly determine the candidate for the director of the department, stabilize people''s hearts, and let the department''s business return to normal without any trouble. This is the imperative.


    It is only the appointment of the director of the department, and cannot be forcibly assigned.


    Especially these heavyweight old comrades, when there are major differences, even as the vice president, they must not wantonly use power to suppress them. Otherwise, people will not accept it, and even greater troubles will arise.


    A truly smart leader will never use power to suppress others, especially in this kind of public meeting with many people participating, and will pay more attention to maintaining his own image.


    Power is an important weapon for building authority. It is equivalent to nuclear weapons and mainly serves as a deterrent.


    When necessary, it is used to establish the might of thunder, and at other times, it is used as long as it can be used. The best way is to convince people with virtue.


    The vast majority of high-level leaders pay great attention to the word public morality.


    No matter how corrupt, corrupt, and hypocritical they are in private, they must maintain a good image of justice and strictness on the surface.


    "Who has Director Hu''s son''s phone number? Ask for confirmation immediately."


    Vice President Ye followed suit.


    The two vice presidents are at the same pace. It seems that the matter of the department director will be settled soon.


    If it is in normal times, everyone may still fight for their own interests and support the party with a closer relationship. Now the Cardiothoracic Surgery Department of Tuya Hospital is in a serious crisis, and Dean Zhu is watching from above.


    In this case, which vice president is fighting for a little self-interest, regardless of the overall situation, and the president will never sit idly by.


    And the impression of that vice president in Dean Zhu''s mind must have plummeted.


    This kind of behavior is not worth the loss, they can understand it clearly.


    "I have, I have! Last time Director Hu suddenly became ill and needed to contact his family members. I happened to save his number."


    A head nurse of the cardiothoracic surgery department hurriedly raised her hand to answer and took out her mobile phone.


    "Everyone keep quiet. You can turn on the speakerphone and record when you make a phone call." Vice President Bai said majestically.


    "OK!"


    The head nurse, who was in her forties, readily agreed.


    She must be very happy to have the opportunity to show her face in front of the vice president.


    As we all know, the position of vice president has a position of vice president of nursing.


    It''s also a high-level executive job that nurse leaders dream of.


    In the hospital, which head nurse can sit on this throne has basically reached the top. Going up further, I am afraid that he will jump out of the hospital and take up some positions in the hospital''s upper management department.


    At least that''s how the promotion process works in administrative positions.


    The promotion of academic and scientific research is another matter.


    Generally speaking, if some female nurses can blossom in academic and scientific research at the same time, then their administrative positions will definitely not be far behind.


    The three are complementary and independent of each other, but they are closely related.


    In many top hospitals, some chief physicians are even better than the dean. These experts often hold multiple positions, and have won many heavyweight honors, and their influence and social status far exceed that of the dean of the hospital where they work.


    The female head nurse surnamed He started calling.


    The meeting room was completely silent, and a needle could be heard.


    Soon, the call was connected.


    "Hello, Head Nurse He!"


    A slightly hoarse, slightly sissy voice came from the other end of the phone.


    It is Director Hu''s son.


    "Hello, Mr. Hu, I''m sorry to call you when you are attending the funeral of Director Hu."


    "It''s okay, if you have anything to say, please tell me!"


    "That''s right. Director Hu explained to the new candidate for the director of the department before he was alive. I heard that it happened on the night of Director Hu''s accident. Do you still have any memory of this?"


    "Well, I was in the car at the time, and it was Dr. Zhou Can and Dr. Xueyan from your cardiothoracic surgery department who helped my dad get into the car. My dad sat in the car and gave some explanations to the two of them. For details, I But it¡¯s not convenient to disclose it to the outside world.¡±


    Director Hu Kan''s son refused to disclose it out of caution.


    Worry about going wrong.


    "Mr. Hu, it''s like this. Our department is electing a new department director. Now there are some disputes. If Director Hu Kan has confessed before his death, we would like to know his last wish. So, please tell the truth .¡±


    Head nurse He briefly explained the situation.


    "This...Although I really hope that my father''s last wish can be respected and fulfilled, but after all, I am not an insider of your hospital. I''m afraid it''s not good to interfere in your election of a new department director!"


    Director Hu''s tutor is really good.


    It can be seen from his son''s self-cultivation.


    "Hi, Mr. Hu, I''m Director Xie of the Department of Surgery. It''s okay for you to say this. The two vice presidents and I want to hear Director Hu''s last wish. Director Hu dedicated his life to the cause of cardiothoracic surgery. We We are very grateful and respectful to him. We also believe that his last wish must be the result of careful consideration, and the successor he chooses will definitely be more beneficial to the development of cardiothoracic surgery. Therefore, please tell the truth, thank you.¡±


    Director Xie is quite capable of speaking.


    Although he is a bit grumpy and pays special attention to interests, his ability to work is beyond doubt.


    At least the big surgery has developed quite well under his leadership.


    "Well, that''s fine! My dad said that night that Dr. Xueyan was to take over the post of department director. At that time, Dr. Xueyan refused to accept, and my dad was angry. My dad insisted that choosing her is the most suitable for the development and development of cardiothoracic surgery. Because of her interests, she was forced to take up the important role of department director. Later, she told Dr. Zhou Can that there was something wrong with the Department of Cardiothoracic Surgery and asked Dr. Zhou to help, and Dr. Zhou readily agreed. That¡¯s about it.¡±


    "I''m just repeating what my dad said before he was alive. How do you decide?"


    After listening to Director Hu''s son''s retelling, the audience was still silent.


    The last words of a dying old man make everyone deeply mourn.


    Director Hu is absolutely worthy of devoting himself to death.


    "Okay, thank you. After Director Hu''s mourning meeting is confirmed, please inform us, and then everyone will rush over to mourn Director Hu and say goodbye to him."


    After the call was over, Deputy Director He, who had been fighting the most for the position of director of the department, looked a little ashamed at this moment, and bowed his head and stopped talking.


    The expressions of Director Le and the others also changed somewhat.


    This is like the ancient imperial examinations. Before the list was announced, candidates with a little ability thought they could win the exam.


    As a result, the list was announced, only to find that he had failed the list.


    There is a big psychological gap, and I feel a little uncomfortable in my heart, and it is inevitable to feel lost.


    "Okay, Director Hu''s last words have now been confirmed, which is consistent with what Zhou Can said. Director Xueyan is usually gentle and fair, hardworking and motivated, and has considerable accomplishments in academics and medical skills. Regardless of qualifications or character , or medical skills and academics are enough to be the new head of the Department of Cardiothoracic Surgery, I strongly recommend Director Xueyan to the two vice presidents to take over as the new head of the Department."


    Director Xie has not made a clear statement before, and he should also take into account the feelings of other chief physicians.


    Now with Director Hu Kan''s deathbed confession, it is enough to convince everyone.


    An old fox!


    Zhou Can cursed inwardly. Director Hu confided that night, saying that he had already discussed with the hospital leaders about the successor of the department director.


    Director Xie is the director of the Department of Surgery, and he was the first person to consult.


    Regarding the secret discussion, Director Xie didn''t mention a word.


    Instead, he waited for the right time, and then he clearly supported Director Xueyan and defended Director Hu Kan''s last wish. What is it if it''s not an old fox?


    However, the way these leaders do things is worth learning from Zhou Can.


    He is growing rapidly, and he will definitely become a senior manager of the hospital in the future. He even jumped out of the hospital and assumed leadership positions in some other functional departments. You must learn more about how these elders behave.


    "Director Hu has always acted prudently and is upright throughout his life. I believe that the person he chooses will definitely be the same. Moreover, Xueyan and Zhou Can are the heirs of Director Hu and have inherited all of Director Hu''s medical skills. Xueyan is the director of the department. The job is just right."


    Vice President Bai made a final decision and directly settled the matter.


    "I agree."


    Vice President Ye followed suit.


    The three elders had the same opinion, and they had Director Hu''s last words, so no one objected.


    "Director Xue is superb in medical skills, academically detached, and treats people honestly. I am very lucky to be able to work under the leadership of such an excellent new director. I also believe that the Department of Cardiothoracic Surgery will be able to overcome the crisis and reach new heights."


    Head Nurse He was actually the first to speak out in support.


    Originally, according to the rules, nurses usually don''t speak much in the selection meeting for such important positions. Support it with the most votes.


    She was so active, besides hugging the new director''s thigh, she also wanted to continue to strengthen her goodwill in the eyes of the two vice presidents.


    "Director Xue, congratulations on becoming the new department director. If you have any tasks in the future, just ask."


    The relationship between Director Le and Director Xueyan has always been good.


    At this moment, he was the first to congratulate Director Xue, and at the same time bowed his head to her. This was a trend, and it was an attitude.


    Next, the meeting room became very lively.


    Many people congratulated Director Xueyan and expressed their full support for her work.


    So far, the situation in cardiothoracic surgery has stabilized.


    Deputy Director He''s mood is obviously a little low, but it doesn''t matter, as long as he waits for a few days, he will adjust himself.


    Everyone is an adult, not to mention that he is over fifty years old, and he has already passed the age of forty.


    Many things can be seen and thought about.


    Something will occur if it belongs to your life, if not, do not push it.


    Middle-aged people with a little wisdom can gradually understand the truth. Some things, you just don''t get what you want.


    Beautiful women on the street, money in the bank, high-ranking positions in the workplace... We want too many things. Many people have been working hard for it all their lives, but who dares to say whether they can get it in the end?


    Zhou Can helped Director Xueyan to take the position of department director, and he quietly retreated. Flattering, or leave it to those who need it.


    The three elders left as soon as the matter was settled.


    Back in the operating room of the emergency department, Dr. Xu stopped the operation and asked calmly, "Is the matter resolved?"


    "As Director Hu wished, Xueyan will take over as the new director of the department."


    Zhou Can replied concisely.


    "Well, that''s good! Keep working!"


    Doctor Xu nodded expressionlessly.


    However, the relief in the depths of his eyes could not escape Zhou Can''s observation.


    Dr. Xu and Director Hu were close friends during their lifetime. Dr. Xu must be very pleased to see Director Hu''s last wish come true.


    Zhou Can went back to the operating room and continued the operation without mentioning it.


    ¡­


    After get off work in the evening, he searched the Xinxiang Maternity and Children''s Hospital on the Internet, good guy, and saw a large number of high-paying recruitment announcements for various medical experts. Not just a field of cardiothoracic surgery, but a multi-field expert in the field of surgery, especially in the field of tumors.


    In addition, he also saw a big news about Xinxiang Maternity and Children''s Hospital.


    Huge sums of money were spent to hollow out the experts and surgical teams of two characteristic tertiary hospitals. In addition, its standards for recruiting doctors and nurses have been raised to new heights.


    Graduate students start with a master''s degree or above, and require major counterparts, and those with relevant academic achievements are preferred.


    What is this for?


    Want to soar into the sky?


    Originally, it was only a specialist hospital for women and children, and all the experts and surgical teams from orthopedic surgery and dermatology were recruited here. Now it is recruiting experts and teams from cardiothoracic surgery and oncology with high salaries.


    It is not a one-by-one move, but a poaching of the entire team.


    Zhou Can could feel its wealth and grandeur.


    In addition, I also saw the announcement of the acquisition of land by Xinxiang Maternity and Children''s Hospital. The campus expanded and changed its name.


    From the original Xinxiang Women''s and Children''s Hospital, it was renamed as Xinxiang Hospital.


    Don''t look at just removing the two words in the middle, but the meaning is completely different.


    It is clearly heading towards the development direction of comprehensive hospitals.


    Zhou Can couldn''t help thinking of the evening conversation between Dean Tian and him a year ago. At that time, Dean Tian said in a very confident tone that Xinxiang Maternity and Children''s Hospital will have great development. At that time, Zhou Can only thought she was farting and fooling around.


    Now it seems that people were already planning at that time.


    You really can''t underestimate anyone.


    It''s just that Xinxiang Maternity and Children''s Hospital is looking for a team of experts with high salaries and expanding the hospital area, so the funds needed after this are not a little bit. Where did it come from such a huge sum of money?


    You can''t borrow so much from a bank, right?


    And finding bank financing is extremely expensive.


    Dean Tian is not from Hutu, so he would definitely not do such a heavy burden.


    After Zhou Can learned about the situation of Xinxiang Maternity and Children''s Hospital, he didn''t go any further. This matter has nothing to do with him, it is enough to satisfy his curiosity.


    There are not too few large hospitals in the provincial capital, everyone is showing their talents, and the competition will become more and more fierce.


    For Zhou Can, what he felt was excitement.


    He was never afraid of competition.


    Now that he has his own surgical team, he is confident and grows and grows little by little. At that time, his team will become a giant in Tuya Hospital, leaving a strong mark in the province and even in the country.


    After checking the news about Xinxiang''s women and children, she was about to drive home when someone sent a WeChat message.


    I saw it was from Director Xueyan.


    "Thank you for helping me today!"


    Zhou Can contributed a lot to her success in taking the position of department director. And it''s very critical.

 Chapter 389： Lawlessness, Doctor Hsus Atonement

    My Medical Skills Can Add Experience Points Chapter 389 Lawlessness, Dr. Xu''s Atonement


    Now that the dust has settled, she must have almost arranged the affairs of the department.


    After get off work, the first thing to do is to thank Zhou Can.


    She has successfully become the director of the department, and there must be many colleagues who congratulate her, and even some well-informed classmates, relatives and friends. In this case, she was able to send Zhou Can a message as soon as she got off work, which was enough to see Zhou Can''s status in her heart.


    "Sister Yan, don''t be polite! If you need anything in the future, call me anytime."


    Zhou Can sent her a message back.


    No nonsense like congratulations.


    The closer the person is, the more casual they speak.


    "ok!"


    She only replied with one expression, it seems that she must be very busy at the moment.


    Zhou Can started the car, ready to go home. Now that Su Qianqian is not so busy with work, she looks forward to him going home early to accompany her every day.


    There is no need to work in the cardiothoracic surgery department for the past two days, and the emergency department is also off work on time, and he has not been assigned a night shift yet. It''s rare to get off a few morning shifts.


    Zhou Can''s cars drove out of the garage slowly, and then drove out through the back door in a line.


    It is the rush hour at the moment, and there are a lot of vehicles.


    So go slowly.


    When his car drove out the back door of the hospital, his eyes were slightly fixed. I saw two people arguing not far away, and one of them was none other than his surgical nurse, Qiao Yu.


    "It turns out that she has already talked about her boyfriend, she kept it secret enough!"


    Zhou Can has never heard of her talking about her boyfriend.


    But this kind of thing belongs to personal privacy, and he will definitely not deliberately ask about it.


    The young man who pulled her was quite tall, with colorfully dyed hair, and he was dressed in a non-mainstream way. The car he was driving was a roadster, a bright red color.


    The man pulled her hard into the car, Qiao Yu seemed to be struggling desperately.


    There''s something wrong with this situation.


    Zhou Can quickly stopped the car and ran over regardless of the driver honking his horn.


    "Dude, don''t be rough on girls."


    Zhou Can spoke politely.


    It''s perfectly normal for young couples to quarrel and have conflicts.


    Look at this situation, most likely the two are having a conflict. Guys want to coax girls.


    "Who are you? Get the **** out of here, this is a private matter between me and my girlfriend, you don''t need to worry about it." The man was quite arrogant.


    Not to mention anything else, just the tone of the second generation ancestor made Zhou Can look down a bit.


    "He''s not my boyfriend, Doctor Zhou, save me!"


    Qiao Yu shouted hastily.


    Seizing the opportunity, he stomped on the man''s instep.


    "Aww..."


    The man jumped in pain and let go of his hand.


    "Qiao Yu, you bitch, how dare you step on me... Hiss!"


    The man took a breath, endured the pain, and rushed towards Qiao Yu again. There were already many spectators around, but no one stepped forward to stop it.


    Qiao Yu was so frightened that she hid behind Zhou Can.


    "Stop it for me, or I''ll beat you up too!" The man threatened Zhou Can viciously.


    Zhou Can directly ignored this.


    "Damn it, shame on your face, you''re looking for smoke!"


    The man actually shook his hand and slapped Zhou Can with a big ear.


    He actually acted violently in front of Zhou Can, this is really a high jump in the toilet, looking for shit.


    I saw Zhou Can reach out and pinch the opponent''s wrist like lightning, and bowed left and right with his right hand, crackling, and slapped the opponent''s four big mouths.


    "Keep your mouth clean for me, otherwise it will only make people think you are uneducated."


    After hitting someone, grab the opponent''s hand and shake it. The man staggered and fell to the side.


    Zhou Can turned to look at Qiao Yu who was trembling behind him, "What''s going on? He knows your name, which means he must be an acquaintance of yours."


    "This man is a pervert, crazy. More than two months ago, he went to the emergency room once, and I happened to be working the night shift. I gave him an injection and changed his medicine, and then he started pestering me..."


    Qiao Yu looked terrified, and her body trembled violently.


    Nurses being pursued by patients can sometimes become a good story and tie the knot. But there are also some that can frighten nurses.


    For example, the beaten young man in front of him.


    "Don''t you usually go to get off work by the front door? Why did you go by the back door of the hospital today?"


    Zhou Can was still a little puzzled.


    "After I became a formal nurse, I already tried to apply for a dormitory near the hospital. It''s the one you used to live in." When she said this, she was a little shy.


    With Zhou Can''s intelligence, he naturally knew what she wanted to do.


    "Okay, I know the matter. That is to say, you and this man have never talked about boyfriend and girlfriend at all. Just now he wanted to force you into the car, right?"


    Zhou Can asked her.


    "Yes! That''s it. This person is a pervert, a lunatic..." She usually seldom swears, but she was afraid that she was frightened just now, so she was very angry.


    "I''ll help you call the police and let the police clean up this bastard!"


    As Zhou Can spoke, he took out his mobile phone and dialed 110.


    At this time, the security of the hospital also came over.


    "Is that Mercedes-Benz yours? Please drive away and block the cars behind!" the security guard said to Zhou Can.


    Before Zhou Can could answer, there were exclamations from around.


    "Run!"


    "Run!"


    Hearing the reminder from the melon eaters, Zhou Can hurriedly looked over, and saw the young man who had been slapped four times by him took a 30 to 40 cm long watermelon knife from the sports car and rushed over.


    "I will kill you today!"


    The young men don''t know where they came from, and they are simply lawless. Not to mention forcefully pulling the girl into the car in the street, now he is even trying to hack Zhou Can to death with a watermelon knife.


    If there is nothing wrong with the brain, nine times out of ten there is some power in the family.


    "Zhou Can, run!"


    Although Qiao Yu was afraid, she bravely stood in front of Zhou Can with a shoulder bag out of instinct.


    "When will I need a woman to throw my head away for me? The wine is hot? Stay behind."


    Zhou Can was so domineering that he dragged her behind him.


    The hospital security guard was gesturing violently at his colleague across the road. He was unarmed and didn''t dare to step forward to meddle in other people''s business. From the very beginning, I didn''t think about it at all.


    I saw that Zhou Can did not retreat but advanced, and took the initiative to meet the young man who came to kill him with a knife.


    brush!


    The other party chopped off his head viciously.


    This kind of fool is going all out with his life, regardless of how serious the consequences will be, and directly kills him. It is likely that he is used to being arrogant and domineering on weekdays.


    Usually it is parents, grandparents who raised him as an emperor since he was a child, so that he can develop such a domineering character.


    Zhou Can is a practitioner. Faced with this seemingly brutal, but in fact disorderly attack, he easily dodged sideways, reached out and clasped the opponent''s wrist holding the knife, and hit the opponent''s stomach hard with the top of his knee. superior.


    Immediately afterwards, the elbow hit the young man''s temple fiercely. His knees are like a tree, his elbows are like knives, and his movements are like the wind.


    The young man uttered two screams in succession, his head tilted on the spot, and the knife in his hand fell to the ground.


    As soon as Zhou Can let go, the guy fell limp to the ground and fell into a semi-conscious state.


    "With this three-legged cat''s ability, you still learn to chop people with a knife?"


    Zhou Can was full of disdain.


    The onlookers applauded in unison, and some even applauded.


    In the face of evil people or evil forces, everyone''s position is always surprisingly consistent, standing on the side of the good camp. Because human nature is kind, the vast majority of people in this world are kind.


    When Qiao Yu looked at Zhou Can at this moment, it was like looking at a war god.


    In her eyes and heart, Zhou Can''s figure became taller than ever before. Especially in the face of danger, dragging her behind her domineeringly and bravely facing the murderous gangsters gave her a heroic complex from the bottom of her heart.


    He is like a hero who descended from the sky.


    The security guard widened his eyes and looked at Zhou Can in shock. Another security guard ran over with a riot steel fork after a long time.


    When the security guards of the hospital faced such an emergency, their reaction was obviously not up to standard.


    Zhou Can took his mobile phone and continued to call the police.


    There is a district police station about two hundred meters away.


    It was heard that someone was committing crimes with a knife in the downtown area. He abducted the girl into the car on the street. After receiving the police, he hurried over.


    Zhou Can moved the car aside to allow the cars behind to pass smoothly.


    Seeing him bravely capturing the criminals, none of the drivers who had honked their horns to urge him before urged him. Instead, he cast admiring gazes at him.


    Not to mention anything else, just Zhou Can''s strong fighting power is enough to make every driver who wants to have a conflict with him tremble.


    Tiaozi took notes at the scene and took the violent young man back to the police station for further processing.


    "I''ll take you back to the dormitory!"


    Zhou Can looked at Qiao Yu who was seriously frightened.


    "Um!"


    She walked towards Zhou Can''s car with some embarrassment.


    Zhou Can took the initiative to open the rear door and let her sit in the back.


    The co-pilot is generally only available to the hostess, and this is something to be particular about.


    Even sitting in the car, her body was still shaking slightly.


    "It''s okay, the gangster will definitely be sentenced, and he won''t be able to get out in a short time, so you don''t have to be afraid."


    Zhou Can comforted her warmly.


    "Um!"


    Looking at her state, it may be difficult to recover in a short time.


    Zhou Can drove her to the unit dormitory of the hospital.


    "Did you have meal?"


    he asked concerned.


    "have eaten!"


    She nods.


    "Still feeling scared?"


    Zhou Can could only care about it verbally, but he didn''t dare to have any physical contact.


    At this moment, if you can give her a hug, it will definitely have a better comforting effect on her.


    "Thank you for saving me! After a while, I''m much better now."


    She opened the door and got out of the car.


    "Bye-Bye!"


    Qiao Yu closed the car door and waved to him. At this moment, she realized that Zhou Can was driving a Mercedes-Benz.


    "Hurry up and go upstairs! Don''t think too much, it''s all right!"


    Zhou Can said to her.


    "Um!"


    She obediently walked towards the dormitory building at the back, entered the gate, and gradually disappeared.


    Only then did Zhou Can drive away in peace.


    Fortunately, I ran into it today, otherwise my surgical nurse didn''t know what kind of injury she would suffer. Today''s society is so indifferent.


    When Zhou Can saw it, the pulling behavior must have happened for some time.


    So many people watched the young man pulling the girl, but no one stepped forward to ask.


    To Zhou Can, this matter was just a small episode, and after it passed, he didn''t take it to heart.


    ¡­


    When going to work the next day, Zhou Can first went to the inpatient ward for rounds, not daring to be careless about the condition of each patient. The urethral dilation patient was discharged.


    Five new surgical patients were admitted yesterday.


    There are only four official beds in total, and there are already three inpatients, and five more, how does the department operate?


    The knowledge here is great.


    In addition to the official beds, there is also a kind of beds in the corridors, called temporary beds.


    That''s what emergency departments do.


    After checking the room, he went into the operating room to prepare for a new day of work.


    Qiao Yu had already prepared surgical instruments, medicines and other items in the operating room early. Nurses are a bit OCD to varying degrees, believe it or not, you just have to go to the treatment room of the nurses to know.


    The items inside are divided into categories, and each item has a special drawer or location for storage.


    If any rash doctor went in and disturbed the items inside.


    Even if you just change the position of a small bottle of injection, you will be scolded to death by the nurse.


    Because when they found that a bottle of potion was in the wrong place, they would immediately count all the items. This is a safety regulation and a rule.


    As for littering disposable gloves in the operating room, it''s not just the roving nurses who talk to doctors.


    "Qiao Yu, are you all right today?"


    Zhou Can asked with concern.


    "It''s all right now. It''s just that I still feel a little scared in retrospect. I have bought anti-wolf spray and electric shock pens online. If I encounter that kind of hooligan in the future, I will spray his eyes with anti-wolf spray."


    She is a weak woman, and it is really not easy for her to apply for a job in the provincial capital alone.


    Learning to protect yourself is also a compulsory course for every girl.


    After hearing this, Luo Shishen shivered involuntarily.


    When he looked at Qiao Yu, he was somewhat afraid.


    He must have thought about Qiao Yu the day before yesterday, and after being rejected, he felt dissatisfied. Now that he heard Qiao Yu''s methods of dealing with hooligans, he didn''t dare to pester her anymore.


    In case she is regarded as a bad person, spray it on, the painful taste of hot eyes will be unpleasant.


    "It''s good to buy some self-defense items. But you don''t have to worry too much. You may encounter something like yesterday once in a lifetime. Most people are law-abiding and well-behaved people. When I came today, I was a little worried that you could not Recovery, affecting work status. It seems that there is no need to worry at all."


    Zhou Can has already started washing his hands and wearing sterile gloves.


    Doctors in the operating room, theoretically speaking, all areas above the waist are sterile.


    This is why the door of the operating room is opened with your feet.


    "It will be around eleven o''clock in the morning. I have something to go out, hurry up for surgery, and try to deal with all the urgent surgery patients as soon as possible."


    Today is Director Hu Kan''s memorial service. As the successor of Director Hu Kan, no matter what, I have to say my last farewell and send him off. According to the process, after the mourning is over, the burial will take place.


    It is estimated that many leaders and doctors of the hospital will rush over.


    ¡­


    After working until eleven o''clock at noon, Zhou Can temporarily finished his work and walked to the operating room. UU reading


    He had asked Dr. Xu for leave yesterday.


    "Xiao Zhou, why don''t we go there together!"


    Doctor Xu said to him.


    "OK!"


    The master and the apprentice left at the same time, and Dr. Fu Chachun temporarily presided over the operation room.


    Dr. Xu wanted to take a taxi, Zhou Can hurriedly called him to stop.


    "Teacher, I have a car."


    "You young people still know how to live. You just finished your training and bought a car?" Dr. Xu shook his head.


    "Hey, my family has sponsored a lot. I''m afraid I can''t support myself with the salary of Guipei alone."


    Zhou Can didn''t say anything about starting his own company.


    When the master and apprentice arrived at the underground garage, Dr. Xu was shocked again when he saw that Zhou Can was driving a Mercedes-Benz. He couldn''t help asking, "What does your family do? You must not be an ordinary family who can buy a car worth hundreds of thousands."


    "My family opened a food processing factory in my hometown county."


    Zhou Can didn''t hide it this time.


    "Oh! No wonder I can buy you such a good car. The family is rich, but you can still work so steadily. You are a very good group of rich second generations."


    Doctor Xu nodded slightly.


    "Teacher, didn''t you buy a car?"


    The two got into the car, Zhou Can started the car, and drove towards the memorial service.


    "My current income is not too much, about 20,000 a month. It is really not stressful to buy an ordinary car. But you also know that I got into an accident back then. Apart from paying a large fine, I have We have been trying to make up for the victims and their families as much as possible."


    When Dr. Xu said this, he closed his eyes in a little pain.


    "Sorry, I shouldn''t have asked about your sad past."


    Zhou Can decided very early on to help Dr. Xu solve the things he committed back then. After hearing about the situation of the teacher now, this idea became more urgent.

 Chapter 390： The end of 1 reincarnation is counted

    My Medical Skills Can Add Experience Points Chapter 390 The End of a Reincarnation Was Calculated


    "In the past so many years, I have been able to deal with this matter calmly. When people do something wrong, they should bear the responsibility. It''s just that what I did wrong requires a lifetime of atonement, and the price is too high!"


    Dr. Xu''s tone seemed calm, but there was unwillingness deep in his eyes.


    If that accident hadn''t happened, he would have had a very different life.


    One wrong step would ruin his life, and it would take a lifetime of redemption to make two families live in pain at the same time. Fate punished him too severely.


    Everyone is just a mortal, and when encountering such misfortune, all they can do is to bear it silently.


    Dr. Xu has been able to give most of his salary to the victim''s family over the years.


    It''s not easy.


    Legally, he doesn''t need to do that.


    But he has been helping that family in his own way, which is very touching and admirable.


    "Teacher''s character has always been upright. I believe that God will give you a chance to stand up. Maybe the time has not come yet, so I deliberately tested your patience!"


    Zhou Can comforted Dr. Xu.


    But he was thinking in his heart that when his medical skills were promoted to the sixth level, that is, the director level, he might be able to help Dr. Xu solve this matter.


    Still need to wait patiently.


    As the car sped along the road, the master and the apprentice gradually fell silent, each thinking about their own concerns.


    In Xiangui Funeral Parlor in the north of the city, Director Hu Kan''s memorial service was held in No. 2 memorial hall.


    At this moment, Director Hu''s sons and daughters, daughter-in-law and son-in-law are all dressed in sackcloth and filial piety and white onyx, welcoming and seeing off relatives, friends and people from all walks of life who came to mourn.


    Said it was a funeral.


    In fact, at the level of director Hu, no matter how simple it is, it will still have a certain scale.


    Because his own social influence is there.


    Although people say that tea is cold, people have paid so much in this life, and after all, they have left some marks in the hearts of many people in the world.


    People who have benefited from Director Hu, as well as Director Hu''s relatives and friends, as well as unit leaders, etc., will come to send a wreath or something to mourn. Otherwise, it would be too impersonal.


    Zhou Can and Dr. Xu walked into the memorial hall together.


    At the door, Director Hu''s only son was dressed in hemp and mourning, receiving guests from all walks of life.


    Zhou Can handed over the prepared wreath to the reception staff, and Director Hu''s son bowed deeply to him to show his gratitude.


    "Please save yourselves!"


    Zhou Can shook hands with the other party and patted the other party''s shoulder.


    Dr. Xu just nodded, then took the incense sticks and stood still in front of the coffin, bowing three times.


    During the last bow, Dr. Xu bent over his knees, but he still didn''t straighten up.


    You could see the grief on his face.


    "Teacher, I believe Director Hu Quanxia knows well. He will be very happy to see you coming. Don''t be too sad."


    Zhou Can supported Dr. Xu.


    While persuading, his heart was filled with sadness.


    Seeing Dr. Xu''s grief, the staff arranged by the Hu family also came to help and persuade him.


    Dr. Xu walked slowly to the coffin, and inserted the incense sticks properly.


    Looking at Director Hu Kan sleeping in the ice coffin, his cheeks were trembling, and then slowly spread to his lips, but his eyes were full of tears at some point.


    "Old Hu, go all the way! Your wish, I will urge Xiao Zhou to do my best to fulfill it."


    Doctor Xu finally spoke up.


    This is the last farewell to Director Hu Kan.


    After taking care of Dr. Xu to finish offering the incense, Zhou Can took the incense sticks, and also stood still in front of the coffin, bowing deeply.


    "I have been honored to be taught and cultivated by you in my life, and it is too late to express all my gratitude to you. I promise before your soul that I will definitely carry forward your medical skills and pass on the stabilizing technique you created from generation to generation. Cardiothoracic surgery, Director Xueyan has taken over, please rest in peace!"


    When Zhou Can straightened up, his tiger eyes were red.


    After burning the incense, Zhou Can stared at Director Hu in the ice coffin, and a deep sense of sadness welled up in his heart for a moment. After saying his last farewell, he walked outside the memorial hall.


    Director Hu''s son knew that Zhou Can was one of his father''s closest students during his lifetime, so his attitude towards Zhou Can was also very close.


    "Doctor Zhou, thank you for coming to pay tribute to my father. We followed my father''s will, and the body was cremated and thrown into the river, and the soul returned to the earth."


    "That''s fine! Returning to nature in the simplest way and ending a reincarnation is the teacher''s most yearning destination."


    As soon as Zhou Can opened his mouth, he realized that his voice was a little hoarse.


    But everyone can understand.


    "After the memorial service is held this morning, the body will be cremated and the ashes will be sprinkled in the river. No monument will be erected, no tomb will be built, and you will not be notified when the time comes."


    Director Hu''s son said to him.


    "Okay! Although Director Hu is no longer here, I am his apprentice. We will keep in touch in the future. Don''t let this master-apprentice relationship end, okay?"


    Zhou Can looked at the other party sincerely.


    "Naturally! My father is fortunate to have such an affectionate student like you, and it is our family''s fortune."


    Director Hu Kan''s son readily agreed.


    Wechat contact information was added to each other on the spot, and as for the phone number, it had already been saved.


    After Zhou Can left the memorial hall, he walked towards the parking lot.


    "Ha! You are a big liar, and you also said that you didn''t know about the death of Director Hu Kan, so I didn''t get the first-hand news materials." The female reporter Mu Bi ran over angrily from not far away.


    Zhou Can couldn''t help but look embarrassed.


    Dr. Xu took a look at Mu Bi, "You guys talk, I''ll just take a taxi back by myself."


    After speaking, Dr. Xu will leave.


    "Teacher, I''ll go back to the hospital with you. Or, you can wait for me in the car for two minutes."


    Zhou Can also knew that if she didn''t say something nice to this female reporter, she would definitely not let it go.


    "OK!"


    Dr. Xu didn''t say anything more.


    Zhou Can pressed the remote control to unlock the car, and then looked at Mu Que.


    "Grandma, I have paid off the favor I owed you last time, can you stop pestering me?"


    "no!"


    She was very righteous.


    "Then what do you want?"


    Zhou Can dealt with the gangster and knocked him down with a punch. There is really no good way to deal with such a beautiful female reporter.


    Anyway, they have helped him a lot.


    Zhou Can still benefited from the news that time. And it will be of great help to him in the future.


    After taking the benefits, he really can''t do the thing of kicking people away with one kick.


    Twilight is also very measured in doing things, and it will not really affect his life or work.


    At most, it''s playing with girls'' petty temper and threatening a few words.


    "I used to think that you were a poor doctor. Only then did I find out that you were one of the bosses of Jinyu. You drive a Mercedes-Benz, you are quite low-key!"


    Mu Bi answered irrelevant questions, staring at his Mercedes-Benz.


    "Are you short of money?"


    Zhou Can asked.


    "Don''t worry, this reporter doesn''t look down on your stinky money! I''m just annoyed. You have such a close relationship with Director Hu. You know everything, but you refuse to tell me and lie to me that you don''t know. This matter revealed It was okay in the past, but you have to make up for it.¡±


    Twilight''s eyeballs rolled around.


    The conditions proposed are probably not a small matter.


    "Tell me, I can do it, try my best!"


    Zhou Can just wanted to end the conversation with her quickly and drive away from here.


    "Simple, you can do it for sure. I interviewed an orphan who lives with his elderly grandpa and grandma. But now the child is ill. After examination at the county hospital, it is found that it may be regenerative leukemia. You are both Doctors and entrepreneurs, I have sought out many people for this good deed, but none of them are willing to help. Can you help that child?"


    She made a special request to Zhou Can.


    This is a rather tricky business.


    "Send me the child''s detailed information later, and then I''ll see how I can help him." Zhou Can didn''t dare to speak too harshly, leaving himself a little leeway.


    "Hey, are you so perfunctory? I know that treating leukemia requires a lot of money. It''s really not easy for you to pay for it alone. I will launch a fundraiser at that time..."


    She obviously misunderstood Zhou Can.


    "It''s not about the money, but about the child''s illness and other circumstances. I need to find out first." Zhou Can interrupted her directly.


    "The child''s situation is just like what I told you! I can assure you that it is all true. Boss Zhou, Doctor Zhou, please show kindness and be the savior for once, okay?"


    Mu Li acted like a baby to him, speaking softly, making it hard to resist.


    "Just this one time, I promise it''s this one time."


    She raised her right hand above her head, assuring Zhou Can.


    "Okay, okay! I promise."


    Zhou Can really had nothing to do with her.


    If Zhou Can came to help all the orphans and vulnerable groups in the world, he would definitely not agree.


    Just saving a child is considered a charity, Zhou Can did not resist.


    Entrepreneurs and wealthy people with a sense of social responsibility are willing to do their part and do some charitable things.


    "Hook!"


    She stretched out her fingers that were as white as green onions.


    Look at this posture, if you don''t hook up with her, she probably won''t agree to let Zhou Can leave.


    "If the hook is hung for a hundred years, it must not be changed!"


    She chanted the song and completed the ''contract'' with Zhou Can.


    "Remember to send me the child''s detailed information, preferably including the examination information done in the hospital!"


    Zhou Can exhorted her.


    "Okay, good people, go slowly!"


    Twilight''s request was met and she seemed very happy. This time he gave way happily and watched Zhou Can drive away.


    Sitting in the car, after calming down, Zhou Can faintly realized that he seemed to have been tricked by a girl.


    She must have known that Zhou Can would come to Director Hu''s memorial service.


    The parking lot is quite remote here.


    As a reporter, she was not at the memorial service for interviews, but squatted at the parking lot. How could it be such a coincidence?


    There is only one possibility. After she saw Zhou Can enter the memorial hall, she squatted in the parking lot in advance, waiting for Zhou Can to come. Then he blamed Zhou Can for his refusal to provide director Hu Kan, and took the opportunity to make additional demands.


    In the end, it was expected that Zhou Can would not refuse.


    Although it was a little uncomfortable to be calculated by others, Zhou Can didn''t feel too disgusted because she was helping the orphan to ask for help.


    Things have already been agreed, and it is even more impossible to go back on it.


    People can''t stand without faith.


    He won''t learn from those tyrannical heroes, who promised well in person, but then turned around and changed his mind.


    "Xiao Zhou, in my impression, you have always been a clear-cut person. As a teacher, I can''t control some things too leniently, but you must remember that men can be romantic and enjoy life, but Don¡¯t forget the word conscience.¡±


    Dr. Xu was cryptically reminding him not to mess with the relationship between men and women.


    "clear."


    Zhou Can was smart, so he naturally understood that the teacher was telling him not to see beautiful women, but to see one after another.


    Be specific to feelings.


    "No, you didn''t understand what I meant. It''s nature for men to be flirtatious. Throughout history, throughout the ages, there have been very few men who are not good at women. If there are, most of them are people with no skills. And Or you have a life-threatening relationship with your first wife. You are young and promising, your family is rich, and you have not grown up to be crooked. These favorable conditions are enough to attract many young girls."


    Dr. Xu''s expression was serious.


    It''s just that when he described Zhou Can''s appearance, he could use the word handsome, but he used the word crooked and bad.


    This made Zhou Can dumbfounded.


    "If you study history deeply, you will find that those who are capable, talented, and well-to-do people like to marry young and beautiful wives. This is a man''s instinct. Take the modern Kang Youwei60 He married an 18-year-old girl when he was many years old. He was old enough to be that girl''s grandfather. Later, Kang Youwei knew that his time was approaching, so he wanted to ensure that the youngest wife could spend the rest of her life without worrying about food and clothing. , wrote 2,000 calligraphy and paintings to her. Tell her that after his death, these properties will definitely not be able to be kept. She needs money, and if she only needs to sell one painting, she will definitely get a lot of silver dollars, which is enough for her to live on."


    "This is a man''s responsibility. No matter who you find as your girlfriend or wife, that''s your freedom. But you can''t just throw them away after you finish playing. This kind of irresponsible behavior is a bit unconscionable."


    Dr. Xu just got to the bottom of what he said, but didn''t get it right.


    He believed that Zhou Can was so smart that he would definitely know what to do.


    "Teacher, don''t worry, I won''t be that kind of unscrupulous person."


    Zhou Can did not explain that he and the female reporter are just ordinary friends. The darker the description, the better it is to have a correct attitude.


    "Well, as long as you remember this one, you will never capsize."


    Doctor Xu nodded in satisfaction.


    Zhou Can''s cheeks twitched, the teacher really came here!


    It seems that Dr. Xu was also a flirtatious young man when he was young.


    The more capable people are, the stronger their attraction to the opposite **** when they are young. Around Zhou Can, unknowingly, there are many young and beautiful girls who admire him.


    Not to mention the young female doctors and nurses in the hospital.


    Only the most closely related ones, the nurse Qiao Yu, the female reporter Mu Bi, and even the monitor Yang Chan, all had a little bit of interest in him.


    As for the actress Su Qianqian, it was an accident.


    In the future, as his fame grows, he may attract more beautiful and outstanding girls.


    But he has the confidence to maintain the single-mindedness and purity of love.

 Chapter 391： In pediatrics is also a little famous, talking skills

    My medical skills can add experience points Chapter 391 is also a little famous in pediatrics, talking skills


    Back in the emergency department, Zhou Can calmed down and continued to devote himself to the operation.


    At present, the most important thing for him is to do well in each operation, build up the operation team as soon as possible, and expand the basic plate.


    The emergency department now has no special features and no areas of expertise. It is simply acting as an outpatient and emergency platform with the help of the signboard of Tuya Hospital.


    Those who can¡¯t get a specialist account, don¡¯t know what department to apply for, feel that their condition is very serious and urgent, and there are all kinds of real acute and severe patients and injury numbers, all of them are all registered in the emergency department.


    Their purpose is only one, and that is to see a doctor as soon as possible.


    Regardless of the astonishingly large number of outpatient and emergency visits in the emergency department every day, almost none of these patients came specifically for the signboard of the emergency department.


    Those powerful specialist departments are much different.


    They have well-known experts, famous chief physicians, and department reputation. Even if they are listed separately from the Tuya system, these departments can also bring their own traffic and reputation.


    The emergency department now has nothing to ask for, and even survival is a problem.


    Therefore, it is imperative to do each surgery well to accumulate word of mouth and expand the basic market through quick surgery.


    Survive first, then develop, and finally strive for strength.


    ¡­


    After the last operation, Zhou Can asked Dr. Xu for instructions when he was off work, "Teacher, tomorrow is Wednesday, and I need to go to the Pediatric Department for an outpatient consultation. What do you think about the operating room?"


    I have been in the pediatric outpatient clinic for almost a year.


    At present, Zhou Can has accumulated a certain amount of popularity, and his fame has gradually spread.


    Many people now know that there is a young Dr. Zhou in the Pediatrics Department of Tuya Hospital. The consultation fee is cheap and he can treat all kinds of difficult and miscellaneous diseases.


    It was decided by the hospital for him to go to the pediatrics department for consultation.


    It is beneficial to Tuya, pediatrics, and Zhou Can himself. It is a good thing for the three parties to win. It cannot be easily canceled.


    Even if Zhou Can wants to pick someone up, neither the hospital nor the pediatrics department will agree.


    "You can''t delay the outpatient visit to the pediatrics department, you can go directly." Dr. Xu readily agreed to the matter.


    "Thank you, teacher!"


    Zhou Can thought that Dr. Xu would not agree.


    "Don''t rush to be happy. You come back from the outpatient clinic and continue to work the night shift in the operating room. There is an important operation, and I will save it for you to do it." Dr. Xu''s words made Zhou Can''s face turn bitter.


    That means he has to work sixteen hours every Wednesday.


    "Okay!" He gritted his molars and agreed.


    Doctor Xu looked at Qiao Yu and Luo Shishen.


    "The two of you will adjust your working hours tomorrow with Zhou Can, and you will work on the evening shift."


    "no problem!"


    Luo Shigen looked very happy.


    Working in the evening shift means that the time during the day can be freely controlled. A young intern like him, who doesn''t go to work during the day, can definitely go out and have a blast.


    Qiao Yu also had no objections.


    There is not much difference between the day shift and the evening shift.


    In fact, many hospitals have shifts A and B, not three shifts, but two shifts.


    This means that one shift needs to work twelve hours. It is common for doctors and nurses to work overtime.


    After get off work, Zhou Can received information about the child with leukemia from Mu Li on his mobile phone.


    After reading the information, Zhou Can sat in the office in silence for a long time, frowning slightly.


    The child was just over seven years old. His father died in a mine accident, and his mother accidentally fell into the mixing tank while working in a paper mill because of excessive grief.


    Only the elderly grandpa, grandma, and this seven-year-old grandson are left at home.


    Misfortune only seeks out the poor.


    God''s cruelty to this family is still going on, and the child always has nosebleeds for no reason. Leukemia was recently diagnosed.


    In medicine, leukemia is divided into two types.


    There are two diseases, aplastic anemia and leukemia, which are completely different.


    Aplastic anemia is a syndrome caused by bone marrow hematopoietic failure.


    Leukemia is a blood disease that can cause systemic bleeding, thrombocytopenia, and the function of platelets will also be affected.


    Overall, both types of leukemia are serious illnesses, but aplastic anemia is often overlooked.


    If the disease is not treated in time, it is easy to cause various discomforts due to anemia.


    Judging from the current examination data, this poor little boy suffered from aplastic anemia.


    The cause of the disease is not yet clear, mainly manifested as bone marrow hematopoietic dysfunction, pancytopenia, anemia, bleeding and infection.


    The specific treatment method needs to be formulated according to the patient''s condition, blood picture, and bone marrow picture.


    It can be divided into severe aplastic anemia and non-severe aplastic anemia.


    The conditions and standards of county-level hospitals are limited, and the inspection data is still not perfect after all.


    Zhou Can felt that it was necessary for the child to go to a large hospital like Tuya for further examinations to clarify the type of disease and then formulate a corresponding treatment plan.


    Tuya will also provide some public welfare treatment assistance every year.


    It''s just incomparable with the complete public welfare of the Cross Society.


    "Reporter Mu, is it convenient to take the child to Tuya Hospital for a check-up tomorrow? I will be in the Pediatric Clinic tomorrow, so I can take the child directly to my account."


    Zhou Can sent her a message back.


    "ok!"


    She returned a look.


    Reporters have to rush to write press releases and interviews every day, and some have to appear on camera to report, and a beautiful female reporter like her will be dragged out by the leaders of the station to accompany her for drinks from time to time. She is very busy all day and night.


    She must be very busy at the moment.


    After Zhou Can made an agreement with her, he directly called Tang Fei, the director of the Pediatric Department.


    The child''s help should not be short-term, but long-term, until it reaches adulthood. In life, school and other problems, they need long-term help.


    If the child''s treatment can win the hospital''s public welfare support, Zhou Can can use the donation funds originally intended for the child''s treatment to solve the child''s living difficulties and future education expenses.


    "Hi Director Tang!"


    "Is Doctor Zhou okay?"


    "A female reporter came to me and asked for help for a seven-year-old boy who lost his parents. This little boy must have aplastic anemia..."


    Zhou Can didn''t hide anything, and told what happened.


    "What do you need me to do for you?"


    Director Tang Fei asked directly.


    As the head of the Department of Pediatrics, she is in charge of multiple sub-departments, and she has seen many poor patients.


    After hearing the boy''s life experience, she seemed calmer.


    "I would like to ask you to help this little boy apply for the hospital''s public welfare treatment. At that time, the female reporter can also launch a fundraising campaign to solve part of the treatment expenses. The hospital''s public welfare team will bear part of it. I personally contribute to solve the little boy''s future life. schooling issues."


    When Zhou Can encountered this kind of thing, he could only help as much as he could.


    If he has to bear all the burden alone, he can bear it, but it is not conducive to helping more needy people.


    Doing public welfare is a matter in itself. If you don''t pay attention to the strategy, you can only help a very small number of people. It is even possible to be insulted and accused by others, and it is not good to do well.


    "Send me that child''s information first, and if it meets the requirements, I will declare it."


    Tang Fei initially agreed to help with this.


    "Thank you! Thank you Director Tang!"


    Zhou Can was very happy.


    This thing is basically done.


    To Zhou Can, it was just a small matter, but to that little boy, it was a ray of sunshine in the dark. His life and destiny will be completely changed.


    ¡­


    The next day, Zhou Can went to the pediatric outpatient clinic.


    "Good morning, Doctor Zhou!"


    "It would be great if Dr. Zhou could come to work in our pediatrics department every day! There are often patients who ask for your number!"


    "Doctor Zhou is very handsome today!"


    These pediatric doctors and nurses greeted him warmly.


    There are mostly female doctors in pediatrics, and some intern female doctors, or unmarried Gui Peisheng and residents, are particularly interested in potential stocks like Zhou Can.


    Every time we met, it was very warm.


    When I came to outpatient room No. 17, the guiding nurse outside was still Zhou Yanqing.


    The relationship with Zhou Can is quite good.


    "Doctor Zhou, these are all patients who are on your account. I''m busy today!"


    Zhou Yanqing had already put together the patient''s medical records, and laid them down thickly. At least more than thirty books.


    "It''s my honor that patients and their families can trust me. It''s okay, you can call the number one by one later. As usual, you should observe the patients waiting for treatment more. If you encounter urgent and severe diseases, try to give them priority for treatment. "


    Zhou Can explained to her.


    "no problem!"


    She has cooperated with Zhou Can many times, and she has long understood Zhou Can''s work style.


    Before Zhou Can sat down, the family members of the first patient followed in with their two or three-year-old child in their arms.


    "Doctor Zhou, I heard from my cousin that your medical skills are superb, so I came here to get your number."


    The woman is a thirty-six-seven-year-old woman.


    His tongue rolled a little while he spoke, and anxiety was written all over his face.


    The little girl in her arms was full of pain.


    "Sit down first, don''t worry."


    Zhou Can has already noticed that the child''s face is pale. First take the stethoscope and listen to the child''s heartbeat, then move the probe of the stethoscope down and place it on the child''s abdomen.


    "Does she have a stomachache?"


    "Yes, yes, you really have real skills. My daughter has been complaining of stomach pains for the past few days. She rolled on the bed in pain last night. It was really scary."


    The middle-aged woman looked at Zhou Can with admiration and respect.


    Zhou Can didn''t ask about the condition, and knew directly that the child had a stomachache. In her opinion, it was a miracle.


    "You should come to the hospital for medical treatment earlier. The child has abdominal pain. If the abdominal pain is only for a short time, and the pain is relieved after defecation or rest for a while, then there is no big problem. But you see that your daughter is pale from the pain, and her forehead is full of sweat. This shows that she is in extreme pain now. I will prescribe three tests for you first, and you take her to do them quickly. After the tests, you don¡¯t need to queue up, just come here to find me with the results.¡±


    After Zhou Can finished the physical examination for the little girl, he didn''t ask any questions, but urged the parents to take the child for the examination quickly.


    After sitting in the clinic for a long time, his experience is no longer comparable to that of a novice.


    Nowadays, many children can roughly deduce the symptoms and the cause of the disease as long as they enter his clinic and take a look, without even asking.


    The checks that should be done must be done, this is a necessary procedure.


    It can avoid misdiagnosis and missed diagnosis, and it is also the basis for prescribing medicine or formulating a surgical plan.


    Diagnosing and treating patients is not about prescribing whatever medicine the doctor wants. As for surgery, it is more stringent. It needs to be evaluated by multiple parties and can only be done if it meets the surgical indicators.


    If you guessed right, this little girl is likely to have acute enteritis.


    When I pressed her stomach just now, it was very deflated, indicating that she hadn''t eaten for a day or two. The parents'' heart is really big, it is so serious, it should have been taken to the hospital to see a doctor.


    Zhou Can would not naively think that the patient waited for two days just to get his account.


    As long as the patient is in an emergency, in order to get a doctor or expert, deliberately waiting for two or three days does not exist. Let alone waiting for two or three days, it is impossible to make them wait for half a day.


    As long as an emergency occurs, most patients or their family members will rush to the hospital as if they are on fire.


    At this time, all they think about is saving lives, and they don''t care which doctor sees them at all.


    As long as you can see a doctor right away.


    The first patient just went out and the second patient came in.


    It was a five or six-year-old boy with a thick head and a thick head, but at the moment his face was blurred from crying.


    "You broke your right hand, right?"


    After Zhou Can stared at the little boy for a second, he asked the nervous family members.


    The child''s parents were in a hurry.


    "Yes, yes, my son climbed on the roof of the car to play, but rolled down. He couldn''t lift his right hand on the spot." The child''s mother cried.


    "Don''t worry too much, children''s bones are strong, and generally there will be no major problems."


    Zhou Can walked up to the little boy and squatted down.


    "Little friend, uncle will check it for you. If the place you touch hurts, you can nod or tell me."


    The main thing is to check the head and back.


    Compared with injuries to hands and feet, injuries to the head and back require more vigilance.


    Fortunately, the fat layer of this bear boy is very thick, and there are no obvious scars on important parts. There is an abrasion on the forehead on the right side, which seems to be bleeding, but it is not a big problem.


    "Let''s take a picture first. After a preliminary examination, I guess the right shoulder joint may be dislocated."


    Zhou Can did not rashly give the child bone-setting manipulation.


    After the checklist was issued, the child''s parents took the child for the checkup.


    Zhou Can stared at the child''s mother''s buttocks until she left the outpatient room.


    ¡­


    Zhou Can''s daily outpatient clinic is basically like this.


    Compared with ordinary pediatric outpatient doctors, he sometimes does some simple treatment for patients in the outpatient room What he does most is bone setting.


    Not long after, the little boy who had broken his right arm came back from his examination.


    Just take an x-ray, it doesn''t take too long.


    "Look, the child''s shoulder joints have come out of the joint capsule. This is considered a serious fall, and the child must not be allowed to play on the roof of the car in the future. Fortunately, he did not fall to the head, otherwise the consequences would be disastrous."


    Zhou Can said seriously to his family members.


    "Doctor, what about my son''s right hand? Does he need to be hospitalized for surgery?"


    The child''s mother was twenty-seven or eighteen years old, well dressed and had a good temperament, but whenever she mentioned her son''s injury, she would cry. It is conceivable that the little boy must be very spoiled at home.


    Today, many families have only one child.


    Hold it in your mouth for fear of melting, hold it in your hand for fear of falling, who loves it like a sweetheart.


    Seeing that the child is a little sick, I am very anxious.


    "Surgery is very harmful to the child, and it will delay his study, and it will leave ugly scars. I will try it. It would be best if I can help him put his broken right arm back."


    Zhou Can actually has more than 90% certainty in his heart.


    But we must pay attention to leaving room for speaking, and we must not speak too rigidly. In case the connection fails, or is not connected properly, the child''s parents will scold him lightly. Some irritable parents even hit people with their hands.


    Zhou Can''s communication skills with his family members became more refined after he spent a long time in the clinic.


    First, he made the condition more serious, and then when he gave the treatment plan, he should highlight the benefits and advantages of the plan he had in mind. In this way, the family members can be guided to choose their own treatment plan.


    Otherwise, some family members always think that the most expensive is the best.

 Chapter 392： Every family has scriptures that are difficult to recite, the female reporters apology

    My medical skills can add experience points Chapter 392 Every family has hard-to-read scriptures, the female reporter''s apology


    He is not happy when the doctor refuses to operate on a disease that can be cured by taking some medicine, which is really dumbfounding.


    Zhou Can is now very familiar with dealing with all kinds of patients.


    Grab the child''s arm, turn it slightly to find the bone position, lift it up, and then connect it back to him.


    "Ah...it hurts, it hurts..."


    The little boy screamed in pain, tears came out from the pain.


    Zhou Can thinks that his bone-setting technique is not bad, and he will soon reach the middle level of attending. Even some slightly more difficult joint resets, he is also competent.


    At this moment, the little boy was crying like this, which made him slightly astonished.


    Is this little boy too hypocritical, or is it so painful during the bone setting process?


    When I set the bone just now, I used dark force, so I thought it wasn''t a lot of force.


    "Doctor, is my son''s hand ready?"


    The family members were very distressed to see the child in such pain.


    "Little friend, lift your right hand up and grab this pen!"


    Zhou Can tested the child''s condition.


    The little boy tried to raise his right hand, but there was a painful expression on his face. However, his right hand was successfully raised a little, and he grabbed the pen.


    "There shouldn''t be any major problems. But his shoulder joint has just reset and needs to be raised for a while. I put a bandage on him and hang his arm around his neck. Come back for a review in a month."


    Zhou Can saw that the little boy''s right hand has been able to raise and hold objects. According to experience, the joint reset has been successful.


    I made a bandage nest for the child to hang his arm, and then prescribed calcium tablets to let him go back to recuperate.


    Since the little boy was crying and crying all the time, Zhou Can originally planned to suggest to the little boy''s mother to do a bone-setting reduction of the waist. Seeing this situation, he didn''t speak again.


    When the child''s parents left, they felt very sorry for the child.


    He didn''t even say thank you to Zhou Can.


    Zhou Can didn''t care about this.


    After a long time of sitting in the clinic, all kinds of family members will encounter it.


    He was a little puzzled, this little boy''s shoulder joint has been reattached, why is it still in pain?


    The sick child had just left, and a new patient came in, so Zhou Can had no time to think.


    "Doctor, please take a look. Our child is always complaining of headaches and vomits easily after eating. Please help." The child in the family''s arms is a four-year-old boy.


    The child was hugged by an adult, and he didn''t like to move very much, and he looked extremely thin.


    Zhou Can immediately discovered that the child''s brain shape seemed to be a bit problematic, and it looked particularly long and narrow. The back of the head is round like a normal child, but this child looks like an elongated peach.


    "How long has this been happening?"


    Zhou Can began to ask about the medical history.


    At the same time, I also specially observed the situation of the parents of the children.


    It was the child''s father and grandparents who brought the child to see a doctor, but the child''s mother was not seen.


    The clothing of this family is also relatively poor. At first glance, it looks like street goods. The styles are old. The materials of the clothes and shoes are very poor, and they still look old. Although the clothes are clean, the collar and cuffs are already white and fuzzy.


    Knees, elbows and other parts are polished to a shiny finish.


    It means that it has been worn for at least several years before it can be worn like this.


    "The child was born about one year old, and he looked a little different from ordinary children. He was always crying, and he ate very little. He was as delicate as a little girl. And his head grew longer and longer, like There is an extra piece. Do you think it is caused by too much sleeping on the side when sleeping? This child doesn¡¯t like to sleep on his back since he was a child.¡±


    The child''s grandmother described the condition beside him.


    "Have you been taking care of this child?"


    Zhou Can asked.


    "Yes! The baby''s mother ran away from home when he was half a year old because of a quarrel with the baby''s father! She never came back after that. I have never seen such a cruel mother."


    After the child''s grandma finished speaking, she couldn''t help scolding her daughter-in-law.


    The child''s father hugged his son without saying a word.


    Every divorced family has various conflicts that cannot be reconciled, the biggest culprit of which should be living together with parents-in-law.


    Conflicts between mother-in-law and daughter-in-law are natural.


    In particular, some mothers-in-law are very powerful. Usually seeing their daughter-in-law eating a snack or buying a new dress is like digging her ancestral grave. What a prodigal bitch, she has a good mouth, and she can''t stop complaining.


    When the son and his daughter-in-law quarreled, they always stood by the son without asking questions.


    Help the son deal with the daughter-in-law, because the daughter-in-law is married to someone with a different surname!


    There are even some mother-in-laws who have the bad habit of giving their daughter-in-law several blows in order to establish their authority at home. It is to deliberately pick on the thorns in the daughter-in-law, and then scold the daughter-in-law, forcing the daughter-in-law to bow her head and admit her mistake.


    After doing this several times, the daughter-in-law will naturally no longer dare to confront her mother-in-law, and will be obedient to her mother-in-law.


    In fact, this kind of backward and ignorant thinking really worked in ancient times or just after liberation. Because at that time, the daughter-in-law was needed to help with the housework. Some lazy daughters-in-law have to be cured.


    In ancient times, women''s status was low, and they had no place to go after being divorced by their husband''s family. Can only endure silently.


    When it was first liberated, it was considered a shame for women to divorce. Even if the marriage is not happy, they will not divorce easily, but endure it silently.


    In modern times, women already have a high social status, and female college students are everywhere. There are even quite a few female graduate students.


    From national cadres to company executives, there are women.


    In factories, supermarkets, and enterprises of all sizes, women are even more popular than men. They can earn money, support themselves, and no longer have to rely on men.


    In this case, their expectations for marriage are much higher.


    If the mother-in-law, father-in-law, husband, and husband''s sister bully her, if she has a little personality, she will run away from home immediately, or even divorce.


    Zhou Can is just a doctor and doesn''t care about other people''s family affairs.


    But from the silence of the child''s father and the strength of the child''s grandmother, it can be seen that the life of the child''s mother in this family is definitely not much better. If it were not forced, which mother would easily abandon her young child and run away from home?


    "The child mainly suffers from headaches and vomiting, right?"


    "Yes! I used to vomit only occasionally, but now I vomit very easily whenever I eat."


    the child''s grandmother replied.


    Zhou Can finished the physical examination for the child, briefly asked about the medical history of some diseases, and then issued a checklist.


    "It is initially suspected that there may be a problem with the child''s skull, which is often referred to as stenosis. You should take the child for an examination first. In this case, he may need to be hospitalized for surgery. You must be mentally prepared for this."


    Craniostenosis is abnormal brain development due to premature closure of one or more cranial sutures.


    The incidence rate is low.


    Some children do not need treatment, while others require surgery.


    Right now, the condition of this sick child is deteriorating step by step. Without active treatment, his life may even be in danger.


    "Are you going to be hospitalized for an operation? You can''t deliberately scare us!"


    The sick child''s grandmother was a little dubious about Zhou Can''s words.


    On the one hand, Zhou Can is too young, on the other hand, she must have heard a lot of news that the hospital is very dirty, and she does not trust the hospital.


    The contradiction between doctors and patients and the mutual distrust between doctors and patients are the biggest hidden dangers in the medical industry.


    It has seriously affected the normal diagnosis and treatment work of doctors, and many patients dare not go to the hospital easily after they get sick. Afraid of being slaughtered.


    "Go for an inspection first! We''ll see what''s going on then."


    Zhou Can did not argue with the family either.


    Experts can limit 30, even 20, or 10 numbers a day.


    He has more than one hundred outpatient visits a day, and he really doesn''t have much time to argue with his family.


    After sitting in the outpatient clinic for so long, he summed up an experience and spent the shortest time possible to guide patients to receive the most appropriate treatment.


    Only in this way can work efficiency be improved.


    The family members took the checklist and left. The sick child''s father didn''t say a word from beginning to end, like a robot.


    Many people say that a loving mother loses her children.


    In fact, strong mothers are more likely to teach children with personality problems.


    A kind mother, as long as she does not spoil and indulge her children too much, can actually make her children have higher EQ, stronger IQ, and children will be caring.


    After the family members left with the sick child, the guiding nurse outside opened the door and walked in.


    Zhou Yanqing closed the door with her backhand and made a small report to Zhou Can.


    "Doctor Zhou, after the parents of the boy who dislocated his right arm went out, they scolded you for gaining fame and questioned your poor medical skills."


    "It''s okay, the mouth grows on them, let them scold! Go ahead and call another patient in."


    Zhou Can must feel a little uncomfortable after hearing this.


    But this kind of chilling thing is not the first time he has experienced it, so he can treat it with a normal heart.


    The sitting consultation continued, and each patient was given a different treatment plan after his diagnosis.


    It was almost twelve o''clock at noon, and the female reporter Mu Tie actually picked up the child with leukemia.


    The child''s grandfather came with him, walking on a simple homemade cane and wearing worn-out shoes. When the trouser legs were pulled up, bumps of various sizes could be vaguely seen on the calf.


    This is varicose veins of the lower extremities.


    Many middle-aged and elderly people who do too much physical work are very prone to it.


    It''s usually fine without treatment.


    From this point, it can also be seen that the child''s grandparents live very poorly on weekdays. I am afraid that there is no shortage of hard work in the fields and mountains.


    "Doctor Zhou, bring the child here!"


    Twilight said to him with a smile.


    "Okay, I''ll arrange it."


    Zhou Can didn''t shirk at all. The little boy was about seven years old, with a thin body and a tanned face. His lips looked pale, and his nails were equally pale.


    She was wearing single-layered clothes, with patches on her knees and other places.


    The little boy secretly looked at Zhou Can timidly. His eyes are very clear.


    Most of the children in the mountains are simple and innocent.


    Compared with urban children, their mental maturity is later.


    The environment in the city is complicated, and the ubiquitous human traffickers alone are enough for the children in the city to have a certain degree of social adaptability.


    A silly child who trusts people too easily and is easily abducted.


    "Grandpa, you take the child to sit and rest for a while, and I will report this matter to the hospital leader."


    Zhou Can said to the old man.


    The old man just nodded with a humble smile, probably a little hard of hearing, and couldn''t hear what Zhou Can was saying at all.


    Zhou Can called Tang Fei, the director of pediatrics.


    This matter was reported to her yesterday, and a rescue plan was discussed.


    She got angry with the leaders of the hospital management-related work, and the leaders nodded in support of this matter. However, some requirements have also been put forward. First, the child''s true identity and life experience must be reviewed, and then the child''s condition must be checked to confirm that there is no problem before the child can be given public assistance.


    Then there is another point, it is impossible for the hospital to do work for nothing, and it needs to do some publicity.


    It is still possible for individuals to do good deeds without leaving a name.


    Hospitals are not charitable organizations, and leaders need political achievements even more. If you do good deeds without making a sound, that will definitely not work.


    It is necessary to vigorously publicize, so that Tuya Hospital can get positive publicity and show positive energy.


    "Director Tang, the child with aplastic anemia in the mountainous area has already arrived. It''s right here in the outpatient room, and the reporters are also present."


    "Well, okay, I will rush over with the hospital leaders immediately."


    After finishing the phone call, the female reporter Mu Tie walked towards him with a smile on her face. When she looked at him, her eyes had a strange light.


    "Hey, are you really going to subsidize Xie Miao''s future life and study until he reaches adulthood?"


    Twilight asked.


    "As long as he can study hard, I will always support him to finish college. Then the living conditions of the child''s family are difficult, and you have a great influence as a reporter. You can also contact the relevant local departments to apply for low-income education for the child and his grandparents. Bao. Coupled with my support, I believe that the children can at least have enough food, wear warm clothes, and go to school like normal children.¡±


    Zhou Can thinks more deeply than she does.


    Every aspect is taken care of.


    It is the greatest use of social power to help, rather than individual heroism.


    In fact, with Zhou Can''s financial resources, let alone helping one such child, there is no pressure to help ten of them.


    But you must pay attention to the method of doing things.


    It is far better to attract more people to join this public welfare work than Zhou Can alone.


    In particular, the participation of relevant local departments can constantly monitor the situation of the childrenChildren who lack parents, in addition to being pitiful, also have certain ideological problems. Without the constant guidance of a guardian, it is easy to become extreme and go astray.


    It''s the most painful thing when it really develops to that point.


    It''s really nothing to say that it''s just treating the child''s leukemia, or losing a sum of money.


    "Sorry, I misunderstood you yesterday!"


    She sincerely apologized to Zhou Can.


    "What did you misunderstand me about?"


    Zhou Can was confused.


    "Yesterday I thought you were the reincarnation of the ancient Zhou Papi, a miser who was unwilling to spend the money to treat Xie Miao. Only now I know that you are very far-reaching and thoughtful. I really appreciate your way of doing things. A calm, wise man."


    Her explanation made Zhou Can sweat for a while.


    "Stop, stop, I don''t need your appreciation."


    Zhou Can has a girlfriend, so he doesn''t want to have any sparks with this female reporter.


    To be more precise, it was she who sparked the spark of love for Zhou Can.


    If there is such a sign, stop it as soon as possible.


    "Cut! Look at your sample. This reporter only said that he admired you, but didn''t say he was in love with you. I know you must have a wife, so don''t worry. With the conditions of a little girl, it is absolutely impossible to be a mistress."


    Mu Bi raised her head proudly, dissatisfied with Zhou Can''s performance.


    "Your idea is great! It''s a bargain to be a mistress! You are so beautiful, talented and capable, and the elite men who want to marry you can be thousands or thousands."


    Zhou Can gave her a thumbs up.


    "Hmph, don''t think that I don''t know what you''re thinking. Besides, my aunt is not a mistress and squeezes out your main wife. I''ll be the main wife." Her words were too shocking and tough.


    Zhou Can was so frightened that he didn''t dare to entangle this matter any more.

 Chapter 393： Rang Xian, Lao Qins information

    The two were chatting, and Tang Fei, the director of the department, had rushed over in person.


    She was accompanied by two other leaders of the hospital.


    The hospital''s external publicity work is Qiqiong, but she is the head of the crisis public relations department of Tuya Hospital. Three years later, she still looks as good as before, beautiful and capable, with a three-point smile on her face.


    Born diplomat.


    Another leader is Xiang Shangren, the person in charge of the public welfare department of the hospital.


    Zhou Can only met this person in the leadership column of the hospital, and had never dealt with him.


    There are thousands of employees in the Tuya General Hospital alone. Although everyone is a colleague, many of them may never know each other all their lives.


    "Director Tang, you are here!"


    Zhou Can and Mu Jie greeted Tang Fei and the others together.


    "Let me introduce you. This is Chief Du of the Propaganda Section. This is Director Xiang, the person in charge of the Public Welfare Department."


    Director Tang Fei was obviously introducing Zhou Can and Mu Jie.


    "Hello, Chief Du! Hello, Director Xiang!"


    Zhou Can greeted the two with a smile.


    "I haven''t seen you for three years, Dr. Zhou is even more extraordinary now!" Du Qiong responded with a pun and a smile.


    "Chief Du''s eyes are extraordinary, so he sees extraordinary things. No matter how bad a person is, there is something shining in him. I still have this self-knowledge." Zhou Can''s way of replying with praise and self-deprecation made everyone laugh. Laughed.


    "Hehe, I have long heard that there is a young doctor surnamed Zhou in Tuya who is very good. Seeing him today is really refreshing! Doctor Zhou, nice to meet you."


    Director Xiang also shook hands with him warmly.


    "Today''s incident requires director Xiang to show great compassion! Oh, by the way, this is the TV station''s reporter Mu Bi, and that one is the TV station''s cameraman Lao Qin."


    Zhou Can took advantage of the opportunity and introduced the identities of the two staff members of the TV station.


    "Hello, hello! The female reporters are beautiful, all of them look like celebrities, and their temperament is even more outstanding." Director Xiang looked at Mu Bi and kept praising her.


    Middle-aged men have basically the same attitude towards young beauties.


    Just two words "hot."


    "Where is the child in need?"


    "It''s over there! The child''s grandfather is also here."


    After seeing the child and his family, the hospital leaders had a brief chat, and then asked Zhou Can to examine the child and formulate a diagnosis and treatment plan. Tang Fei, the director of pediatrics, was behind the gate.


    The TV reporter followed almost the whole process.


    The hospital also arranged for someone to record the whole process, edit it afterwards, and use it as promotional material.


    There is one detail that is intriguing.


    There are so many chief physicians and experts in the Department of Pediatrics, but Director Tang Fei, Director Xiang of the Public Welfare Department, and even the Publicity Department all agree that Zhou Can will examine the child and formulate a diagnosis and treatment plan.


    At least that''s how it was in the early days.


    It shows that the hospital is still continuing to build Zhou Can''s positive image and personality. This is a kind of momentum and carry-on publicity, which can help Zhou Can improve his reputation.


    The establishment of a famous doctor is not only about superb medical skills, but also requires the hospital to increase resources in all aspects.


    For now, Tuya Hospital has spent a lot of money on Zhou Can''s training and publicity.


    Zhou Can naturally took good care of it, carefully gave the child a comprehensive physical examination, asked about the medical history and condition, and then issued an examination application. Including bone marrow aspiration to take specimens for inspection.


    ¡­


    It was close to five o''clock in the afternoon, and all the child''s inspections came out.


    After investigation, the child was indeed suffering from aplastic anemia, which belongs to non-severe aplastic anemia. This is a relatively good result.


    If it is severe aplastic anemia, the difficulty of treatment will increase a lot, and the prognosis is difficult to say.


    Zhou Can is not particularly good at treating blood diseases.


    Diagnosis is his forte.


    This child has no family history of leukemia. In the mountainous area, the possibility of radiation exposure should be relatively small.


    Chemical factors are also less likely to cause the disease.


    For example, the abuse of chloramphenicol antibiotics, sulfonamides, or benzene pollution. Because the boy''s family was in a difficult situation and he could not live in a newly renovated house, formaldehyde, benzene, and other harmful substances exceeded the standard and caused leukemia.


    Zhou Can asked carefully, the child''s living environment is very poor, it is the mud house at home, which belongs to the old house.


    In addition, when he checked the blood test and other results, he accidentally discovered that the child had hepatitis.


    Preliminary inference is that the virus infection failed to treat in time, causing hepatitis.


    After further inspection later, it really confirmed his inference. The boy had indeed been infected with the hepatitis virus.


    So far, the etiology and disease type have been clarified, and a treatment plan can be formulated.


    "Director Tang, the cause of the child has been found out. It is due to hepatitis virus infection, which has not been treated in time, leading to hepatitis and aplastic anemia. My medical skills are still inexperienced. To be on the safe side, I request you to dispatch experts in blood diseases to treat the child. develop a treatment plan."


    It is a very clever way for Zhou Can to do so.


    In fact, as long as the specific cause of the disease is found out, it is completely possible to follow the script and find the treatment method directly in the book.


    With his current deputy director-level medical skills of pathological diagnosis and pharmacological syndrome differentiation, he is completely competent to customize the treatment plan for this child.


    But instead of doing that, he gave the opportunity to a pediatric blood disease specialist.


    Many people are eager to get all the benefits into their own hands.


    There are not many people who can be honest and not greedy for merit.


    "Okay, I will ask Director Chen Jiaojiao to participate in the discussion and formulation of the treatment plan for this case. But you can''t be the shopkeeper, you are responsible for the treatment and follow-up of this child."


    Director Tang Fei spoke highly of Zhou Can''s act of letting the talents go.


    At the same time, he also emphasized that Zhou Can cannot withdraw.


    Instead, lead the whole process and follow up.


    It can be foreseen that Zhou Can''s proportion in this case will definitely not be small when the hospital makes publicity to the outside world.


    Not long after, Chen Jiaojiao, an expert in pediatric hematology, rushed over to formulate a treatment plan with Zhou Can, and then took special measures to hospitalize the child and included it in a public welfare treatment project, so I didn''t mention it.


    As soon as the child''s treatment plan was formulated, Mu Li began to write press releases for the child and launch fundraising online.


    At the same time, she also said that she would contact the local authorities in her child''s hometown as soon as possible to launch joint care to solve the subsistence allowance problem for the child''s family of three.


    She seemed very positive about doing good deeds.


    This made Zhou Can look up at her a few times.


    A kind woman always makes a man feel more beautiful.


    "Doctor Zhou, this is your home game, and Lao Qin and I have also been busy for a day, so you can help us with dinner?"


    Twilight asked in a joking tone.


    "No problem! You can eat whatever you want in the hospital cafeteria, and I''ll treat you."


    Zhou Can readily agreed.


    The Chinese food is provided by the hospital for them. After all, we still have to rely on reporters to help the hospital to say good things and do some positive publicity.


    As for whether there were any red envelopes for Mu Tie and Lao Qin in private, Zhou Can was not quite sure.


    "Hmph, you are so stingy! Just invite us to have a meal in the hospital cafeteria? You thought you were so rich, at least you should invite Lao Qin and me to a five-star hotel for a meal!"


    She hummed.


    "Haha, let me tell you, you are a female reporter, why do you always want to have a big meal in the hotel all day long? This is not good."


    Zhou Can didn''t care about the cost of a meal, but thought it was unnecessary.


    And he didn''t want to have too much intersection and entanglement with Mu Jie in non-work situations.


    To be a person, you must grasp the scale and measure yourself.


    "What''s wrong?"


    Twilight asked incredulously.


    Lao Qin was packing his things beside him without saying a word.


    "First, the influence is not good. You are here to do public welfare publicity and charity relief. Afterwards, you accepted high-level banquets, and after being discovered by interested people, you stabbed them out, and you can drown us with just spitting stars."


    I believe that she is a reporter herself. She is not only professional and experienced in media and public opinion, she must be able to understand the potential risks involved.


    "Well, it''s a bit unreasonable. Let me talk about the second reason."


    After hearing this, she nodded approvingly.


    I agree with Zhou Can''s point of view.


    "Second, it''s very unfavorable to you personally. Eating a big meal can easily lead to obesity and serious out-of-shape, from a beautiful woman to a dinosaur. As the old saying goes, it is difficult to go from luxury to frugality, but easy to go from frugality to luxury. You are used to big meals, so be careful Falling, pursuing these material things. In this way, you will completely ruin your good image as a reporter."


    Zhou Can continued to talk nonsense in a serious manner.


    Puchi!


    She couldn''t help covering her mouth and laughing.


    "You have the most fallacies. I don''t know how many little girls have been coaxed to develop such a good eloquence. For the sake of the good image of this reporter in your mind, this big meal will not blackmail you. .¡±


    Mu Que easily let go, disappointing Lao Qin next to him who was only thinking about having a big meal with him.


    "Musa, you know that Dr. Zhou is talking a lot of nonsense here, so why let it go! My big meal...is gone again! It''s a miserable life to hang out with you!"


    Lao Qin was selling miserably there.


    "Hehe, don''t howl here. I''ll let Dr. Zhou buy you two more chicken drumsticks soon." Mu Li scolded with a smile.


    "Well, not to mention two, even five is fine. The chicken legs in our hospital cafeteria are the best. They are delicious, charred on the outside and tender on the inside, crispy and delicious."


    Zhou Can couldn''t do without bragging.


    The sadness in Zhou Can''s heart dissipated a lot after communicating with Mu Jie.


    Director Hu Kan''s death actually had a great impact on him.


    It''s just that adults don''t write expressions on their faces, and prefer to engrave sadness in their hearts.


    "Giggle...just blow it!"


    She laughed so loudly.


    The three of them went to the cafeteria to eat without mentioning it.


    As the host, Zhou Can really added chicken legs to the two of them as promised. The dishes in the hospital canteen are very common, and chicken drumsticks are one of the most popular dishes. Fried eggs and marinated eggs are also very popular.


    "Doctor Zhou, for the sake of your two chicken legs, let me reveal a piece of news to you."


    Lao Qin was overjoyed, and said to Zhou Can in a low voice.


    "what news?"


    Zhou Can''s impression of Lao Qin is very ordinary. He usually works as a photographer by Mu Tie''s side and has no sense of presence.


    "The Third Hospital has invited a cardiac surgery expert from Japan. I heard that he is very famous and has a high authority in the field of cardiac surgery. It is estimated that the Third Hospital will make an official announcement soon. At that time, the media should rush to report , the popularity will definitely spread throughout the province, and may even set off a certain level of popularity in the country."


    Lao Qin is much older than Mu Ge.


    At least forty people.


    He has worked in TV stations and news industry for so many years and has rich experience. His judgment is certainly not wrong.


    "Thank you for revealing such important news to me. When you come to our hospital in the future, I will add chicken legs to you every time."


    Zhou Can said gratefully.


    Everyone has their own unique survival skills.


    Lao Qin seemed inconspicuous, but he didn''t expect the news to be so well-informed.


    "I also saw that you were very sad at Director Hu Kan''s memorial service yesterday, and you are the successor of Director Hu, so I reminded you to prepare the cardiothoracic surgery department of your hospital. Don''t get beaten up at that time Caught off guard. Just don''t sell me out."


    At the end of the day, Lao Qin added another sentence.


    "Don''t worry, I still understand the principles of being a human being. You can reveal the news to me, which is already a great friendship. How can I put you in danger? Even if I tell the hospital''s senior management about this news, they will not Ask my sources. Ask, and I know how to answer."


    Zhou Can made a certain promise to Lao Qin.


    It must make people feel at ease.


    "Well, I can trust your character. Because as far as I know, your medical ethics are very high. It is for this reason that I am willing to disclose the news to you."


    After Lao Qin finished speaking, he lowered his head and gnawed on the chicken leg, and stopped talking.


    "Doctor Zhou helped me so much this time, would you like me to repay you a little?"


    The help that Mu Jie said was to save the child named Xie Miao.


    Zhou Can really contributed both money and effort.


    "Is it a promise? I already have a girlfriend. You are late."


    As soon as Zhou Can finished speaking, he felt a little regretful.


    The sequelae of practicing sharp knife came.


    The mouth is faster than the brain, and the hand is faster than the brain.


    The brain seems to be getting more and more unable to keep up.


    God knows if reporter Muda has thoughts about him? It''s okay to tease her again, wouldn''t it be irritating?


    "You are so beautiful! There are not a few young elites who pursue this reporter, the young and rich generation. Although you are very good, you are still far away from wanting a little girl to marry you!"


    She said so, but her expression was a bit unnatural.


    Girls want face.


    Zhou Can joked about it, which somewhat hurt her face.


    Although the two have known each other for more than a year, the relationship is already very familiar.


    "Hey, it''s because I know that you look down on a little doctor like me, so I''m joking with you! Are these dishes not to your liking? How about I add two more dishes for you!"


    Seeing that she ate very little, Zhou Can took the initiative to get up to add food for her.


    "No, I usually have very little for dinner."


    She shook her head and explained.


    "Stay slim?"


    Zhou Can asked.


    Mu Li''s figure is really good. On the one hand, he may be young, and on the other hand, self-discipline is also the key.


    "If you know it, ask. Obesity is the natural enemy of girls, do you understand?"


    She rolled her eyes.


    "To put it bluntly, the essence is for women to please themselves! Every woman who is afraid of being fat is worried that she will be too fat and be rejected by her husband. If you are afraid of being fat, you will not have any problems eating fish, shrimp, and vegetables. .Fried food, pork, rice, these foods are easy to make the body fat accumulation, thus gaining weight."


    Zhou Can gave some professional eating suggestions.


    In the eyes of doctors, if you want to control your weight, exercise alone is definitely not enough.


    Especially women over 30 years old, the body''s metabolism slows down, and obesity is more likely to occur.


    "Thank you for your advice. Also, sometimes it''s interesting to talk to you. For example, you think that the essence of women''s fear of being fat is that women want to please themselves. This is very deep. Just like you men work hard to make money, it is also for your wife child."


    She and Zhou Can had some resonance in thought.


    After the endless coma, Shi Yu suddenly got up from the bed. If you want to see the latest chapter content, please read the latest chapter content. The website has not updated the latest chapter content, and the Star APP has updated the latest chapter content.


    He took a big gulp of fresh air, his chest trembling.


    Confused, puzzled, all kinds of emotions came to my mind.


    Where is this?


    Afterwards, Shi Yu subconsciously observed his surroundings, and then became even more at a loss.


    A single dormitory?


    Even if he was successfully rescued, he should be in the ward now.


    And my own body...how could there be no injuries at all.


    With doubts, Shi Yu quickly swept his gaze across the room, and finally settled on a mirror by the bedside.


    The mirror reflected his current appearance, he was about seventeen or eighteen years old, and he was very handsome.


    But the problem is, it''s not him!


    My previous self was a handsome young man in his twenties who had been working for a while.


    But now, no matter how you look at it, this appearance is only the age of a high school student...


    This change left Shi Yu in a daze for a long time.


    Don''t tell him that the operation was a success...


    The body and appearance have changed. This is not a question of whether to have surgery or not, but a fairy art.


    He turned into a completely different person!


    Could it be... that he crossed over by himself?


    In addition to the mirror on the bedside which was obviously placed in a bad feng shui position, Shi Yu also found three books beside it.


    Shi Yu picked it up and took a look, the title instantly silenced him.


    "Necessary Beast Breeding Handbook for Novice Breeders"


    "Postpartum Care of Pet Animals"


    "Guidelines for Evaluation of Alien Beast Ear Girls"


    Shi Yu:? ? ?


    The names of the first two books are quite normalWhat''s the matter with you in the last one?


    "cough."


    Shi Yu''s eyes were serious, and he stretched out his hand, but soon his arm stiffened.


    Just when he was about to open the third book to see what it was, his brain suddenly felt a sharp pain, and a large amount of memories flooded in like a flood.


    Icefield City.


    Pet breeding base.


    Trainee pet keeper. The website will be closed soon, download the Stars app to provide you with the experience value of my medical skills of the great **** Jiangbian Yuweng


    Beastmaster?

 Chapter 394： In the first accident, a few people will not be a good doctor unless they are killed

    "Do you know what our reporter''s greatest ability is?" She stared at Zhou Can and asked.


    Zhou Can shook his head.


    "The right to interview! As long as we think there is valuable news, we can interview it, write it into a press release, and show it to the public after review. If your character can always be so upright, this reporter can help you promote it for free. "


    It is said that women are very emotional.


    Zhou Can helped her rescue the child together, and some thoughts resonated with her during the conversation, she directly expressed her willingness to help Zhou Can do free publicity.


    This kind of benefit is beyond the reach of other doctors.


    Zhou Can behaved very calmly.


    "It''s really unnecessary to deliberately report positive news about me. People are afraid of being famous, and pigs are afraid of being fat. I still work quietly like this, and it''s better to improve gradually. Your satellite TV station has too much influence. If you call me on TV again, I really don''t like it." I''m afraid I won''t be able to bear it."


    Zhou Can declined her kindness.


    Lao Qin, who was sitting opposite, just shook his head, and looked at Zhou Can in a little surprise.


    Young people who can be indifferent to fame and fortune are too rare these days.


    Even rarer than giant pandas.


    "Hehe, what are you thinking! Do you think it''s so easy to be on TV''s news program? I mean newspapers and self-media." She likes Zhou Can''s simplicity.


    The more people who do not chase fame and fortune, the better they are.


    "We don''t need newspapers or self-media publicity! I know you have good intentions, and I really don''t need it right now. I will come to you later when I need it, okay?"


    Zhou Can refused again.


    "Okay, okay! Don''t blame me for not reminding you. Now I will take the initiative to help you publicize that you don''t want it. Next time you come to me, there are certain conditions."


    She narrowed her eyes slightly.


    "become!"


    Zhou Can readily agreed.


    "Hey, I have to go back to the emergency department for the night shift, so I can''t accompany you. Take your time!"


    He glanced at the time and hurriedly got up to say goodbye to Mu Jie and Lao Qin.


    Back in the emergency department, Dr. Xu really took good care of him! Keep two tertiary surgeries for him.


    Due to the high risk of tertiary surgery, Dr. Xu did not leave work as usual, but stayed in the operating room to guide Zhou Can in the operation.


    "Is the pediatric consultation going well today?"


    Dr. Xu asked casually when he was preparing for the operation.


    "Everything went well. There was a child who fell from the roof of the car and fell to the ground, dislocating his right arm. After I performed manipulative orthopedic reduction on him, the child kept complaining of pain and was crying when he left. But the shoulder joint was damaged. After he successfully repositioned, his right arm has been able to lift and has regained the ability to grasp. Do you think there will be any problems?"


    Zhou Can sat in the clinic for a day, and only this patient made him feel a little nervous.


    I have to say that I am very happy to have a teacher talk about it.


    "Didn''t you take another picture after the bone reset?"


    Doctor Xu thought for a while and asked.


    "No!"


    Zhou Can did this to help patients save treatment costs. At the same time, it can also allow patients to eat one less radiation.


    The radiation from taking X-ray films is not large, but it can be avoided if possible.


    "Did you take a picture before setting the bone?"


    "It must have been filmed!"


    "After you go to work tomorrow, go to the pediatrics department and send me the film before the bone setting. If the child keeps crying and fussing before the bone setting, it''s a pampered type. It''s not a big problem. If you didn''t cry when you came to see you, the shoulder After the joints are reset, they cry out in pain and cry hard, so further investigation is needed to investigate hidden dangers."


    Dr. Xu is an old doctor after all, and he has far more experience in diagnosis and treatment than Zhou Can.


    In a few words, the crux of the problem was pointed out.


    Zhou Can carefully recalled that the child did not cry when he entered the outpatient room for consultation. It''s just that there are traces of crying on his face.


    Later, when I came back to look for him after the examination, he also did not cry.


    He faintly felt a little uneasy.


    We can only wait until tomorrow to call up the film of the patient''s right arm before it is reset.


    Generally speaking, after patients receive treatment, if they have any problems, they will usually respond to the hospital within a short time.


    So far, the family members have not called the hospital to report any problems.


    It also made Zhou Can feel at ease a little.


    He was in the operating room of the emergency department, and he brought Qiao Yu and Luo Shishen together for surgery, so he didn''t mention it.


    ¡­


    Early the next morning, before eight o''clock, Zhou Can went to the pediatrics department to transfer the patient''s file.


    He checked the films of the child and found no obvious problems.


    You can only see the shoulder joint prolapse.


    He sent the film to Dr. Xu for review, and at the same time copied down the phone number left by the child when he sought treatment.


    Going to call and ask the family.


    As soon as he returned to the emergency department, Zhou Yanqing, the outpatient nurse, called him.


    "Doctor Zhou, there is something I want to report to you."


    "you say!"


    Zhou Can heard her tone and realized that it might not be a good thing.


    "The boy who dislocated his right arm yesterday, now his parents brought the child to the hospital again. They are arguing to see the person in charge."


    I''m really afraid of something.


    After returning home yesterday, Zhou Can has been thinking about the sick child.


    I still can''t figure out why the child is crying and screaming for pain after the successful reset of the shoulder joint?


    Now that the family members have come directly to the door, the child may have a problem.


    "Did something happen?"


    This was Zhou Can''s first time encountering such a thing, and he felt a little nervous in his heart.


    "The child''s father is very fierce. He said that he had cured their child, so I didn''t dare to ask more, for fear of being beaten. Now I have reported this to Director Tang, and asked the family to take the family to the doctor''s office."


    Let family members make noise at the outpatient clinic, the impact is extremely bad.


    Surely not.


    Therefore, the best way is to take the family members to the doctor''s office or the reception room of the medical department to appease them first and understand the cause of the matter.


    "Okay, I see, thank you for tipping me off."


    Zhou Can frowned tightly after hanging up the phone.


    Not long after I hung up the phone, the phone rang again.


    Director Tang Fei personally called.


    Things are more serious than imagined.


    Just don''t know what''s going on?


    It stands to reason that if the shoulder joint is reset by manipulation, what can happen? At most, the reduction is unsuccessful, and the shoulder joint is dislocated again.


    "Doctor Zhou, are you busy now?"


    "I''m just about to make a ward round. I''m not too busy. If you have anything to say, just say it."


    Zhou Can was already mentally prepared.


    "You saw a five-year-old boy with a dislocated shoulder joint in his right arm yesterday. The family members said that the shoulder joint was reset and put back on the child directly in the outpatient room. Do you have any impression?"


    When director Tang Fei encounters problems, his tone is gentle and calm, which is worth learning from Zhou Can.


    The more superior you are, the more calm you must be when encountering things.


    Zhou Can is calm and calm when encountering things, but compared with Director Tang Fei, there is obviously a certain gap.


    "I remember this patient, what''s the matter?"


    "The family members reported that the child''s right shoulder joint capsule was directly fractured when the child was reset. They took the child to take a film at the Provincial Children''s Hospital, and they could indeed see a clear fracture line."


    "It''s no wonder that after the child was successfully repositioned, he kept screaming for pain and crying hard! It turned out that the joint capsule was fractured."


    Zhou Can suddenly realized.


    This matter would be very troublesome. If Zhou Can really did it, it could already be classified as a minor medical accident.


    "Did you use a lot of strength when setting the bone? According to my clinical experience, it is almost impossible to cause a serious fracture of the joint capsule during the reduction. Because the child''s bones are already very flexible, the reduction of the shoulder joint makes it difficult. It is impossible to say how violent the strength is."


    Director Tang Fei calmly asked about the situation at that time.


    "Also, you don''t need to have too much psychological burden on this matter. Even if you accidentally caused it during the treatment process, the department will bear all the consequences for you, and will not let you bear it personally."


    Hearing these words, Zhou Can was very heart-warming.


    "Thank you! Thank you Director Tang for caring for me so much and for giving me the most generous care."


    At this moment, Zhou Can had a deep recognition of Director Tang Fei''s character, and his trust in her also increased a lot in an instant.


    "At that time, I didn''t use too much force when setting the child''s bone. At least I thought it was completely impossible to cause a bone fracture. Moreover, it was not the first time for me to reset the shoulder joint of a child. I thought that there was no problem with my experience, technique and strength. It¡¯s just that I can¡¯t say anything about it now, and I can¡¯t guarantee that I didn¡¯t do it.¡±


    Zhou Can was very frank when talking to his own people.


    What to say.


    "It''s really hard to argue with this matter. The main reason is the lack of strong evidence to prove your innocence. Did you take X-rays for the child during the consultation?"


    Director Tang Fei asked after pondering for a moment.


    "Shot! Just now I went to the Pediatrics to retrieve the patient''s file, and re-checked the photo, but I didn''t find any problems."


    Speaking of this, Zhou Can was somewhat depressed.


    This is the first time I have encountered such a thing.


    He even began to wonder if his medical skills were too bad?


    Orthopedic surgery at the attending level, logically speaking, is basically enough!


    As long as it is not the kind of particularly dangerous joint reduction and bone setting, it can generally be operated. For example, the reset of the cervical spine is extremely risky, and he cannot do it now.


    Mainly because of fear of accidents.


    "Okay, you don''t need to worry about this matter for now. I''m calling you to find out about the situation. You don''t have to bear any psychological burden. When it''s done, I''ll report back to you."


    Director Tang Fei comforted him and hung up the phone.


    One can imagine Zhou Can''s mood when he encountered such a bad thing early in the morning.


    "Xiao Zhou, I watched the video you sent me just now. There should be something wrong."


    Dr. Xu came over with his mobile phone.


    "What''s the problem? The pediatric department called me just now, saying that the family members brought the child over to make trouble, saying that I had cured the child. They checked at the Provincial Children''s Hospital and found that the shoulder joint capsule was fractured. "


    Zhou Can heard that Dr. Xu had found out the problem, like a drowning man grabbing a life-saving straw.


    If you can prove your innocence, the nature will be much different.


    At most, it was a misdiagnosis, and no problem was found.


    Hospitals have much less responsibility.


    "Oh! The family members have come to the hospital to make trouble? Now, don''t do the ward rounds, and follow me to the discussion room."


    Dr. Xu led Zhou Can into the discussion room, and projected and enlarged the film taken by the patient.


    "Here, see, the fracture line at this location is quite obvious."


    A teacher is a teacher.


    After watching the film, I immediately found the problem.


    It''s just that on the mobile phone, because of the limited screen, even if the light sheet is magnified several times, the fracture line cannot be clearly seen.


    Now put it on the projector, and after magnifying it thirty times, the obvious fracture line was immediately found.


    "Really! I didn''t notice this hidden danger at the time. I was careless."


    Zhou Can was very annoyed.


    He directly took the picture and sent it to Director Tang Fei.


    Immediately afterwards, Zhou Can called directly.


    If you guessed right, the hospital is communicating with the family members. Zhou Can will definitely not take the blame for the injustice.


    "Director Tang, just now I showed the patient''s shoulder joint bone slice to my teacher for a look. After magnifying it 30 times, I found a relatively clear fracture line. I have sent the picture to you on WeChat, take a look , Is this fracture line consistent with the fracture line photographed after the child''s examination at the Provincial Children''s Hospital?"


    This was the first time Zhou Can encountered such a thing, and Zhou Can was inevitably a little impatient.


    I just want to quickly prove my innocence and solve the problem.


    "Okay, I see. We are communicating with the family members here, and we will report it to the family members."


    It was obviously not convenient for her to speak.


    It is likely that family members were at the scene.


    The phone had already been hung up over there, and Zhou Can could even faintly hear the filial piety of his family members.


    Any hospital, after a medical accident, will first protect the medical staff. They cannot be made to sweat and cry.


    Doctors and nurses are high-risk occupations, and risks are everywhere.


    If something goes wrong and the doctor is pushed out to resist the anger of the patient''s family, who would dare to be a doctor?


    In any case, doctors always have good intentions when treating patients.


    Taking huge risks and treating patients desperately is worthy of respect and maintenance.


    In this accident, if Zhou Can could not prove his innocence, the hospital would most likely pay some money and apologize.


    If it is a darker hospital, there are many ways to deal with family members.


    In many cases, patients and their families are ultimately vulnerable. The hospital represents a unit, and the patient is only an individual after all.


    If a person wants to fight against a group of people, the result can be imagined.


    Unless there is sufficient evidence and a professional lawyer is hired to file a lawsuit, there is a high probability of losing.


    "Is this the first time you have encountered a medical accident?"


    Doctor Xu looked at Zhou Can calmly.


    "Um!"


    Zhou Can nodded honestly.


    "As long as we doctors are engaged in diagnosis and treatment, it is difficult to avoid accidents. You can learn from this incident and be more cautious when practicing medicine in the future, but you don''t have to give up eating because of choking, and be afraid in the future."


    Dr. Xu''s voice was surprisingly gentle.


    "At the beginning, I performed an operation with the superior doctor in the operating room. The patient had aortic dissection, and later died directly on the operating table. It was the first time I died during an operation. At that time, my whole soul was frightened. I don¡¯t know how I got out of the operating room. After many years, I still remember that my heart was full of guilt. I always felt that we killed people.¡±


    "Later, the director of the department called me to the office to reassure me that I don''t need to be afraid. It is impossible for a doctor to practice his skills and grow up to the point where he is not afraid of all diseases without killing a few people. At that time, I was not very I understand, but I don¡¯t dare to refute, I only know how to nod. What the director of the department told me later, I have long forgotten now.¡±


    "It wasn''t until later that I experienced a lot, and even when I was in charge of the operation, the patient died on the operating table! I gradually understood the teachings of the department director. Doctors don''t have to worry too much when treating patients, otherwise it is equivalent to wearing shackles, Shackles, medical skills will never be stronger."


    Dr. Xu shared his growth experience earnestly and earnestly, in order to enlighten Zhou Can.


    After the endless coma, Shi Yu suddenly got up from the bed. If you want to see the latest chapter content, please read the latest chapter content. The website has not updated the latest chapter content, and the Star APP has updated the latest chapter content.


    He took a big gulp of fresh air, his chest trembling.


    Confused, puzzled, all kinds of emotions came to my mind.


    Where is this?


    Afterwards, Shi Yu subconsciously observed his surroundings, and then became even more at a loss.


    A single dormitory?


    Even if he was successfully rescued, he should be in the ward now.


    And my own body...how could there be no injuries at all.


    With doubts, Shi Yu quickly swept his gaze across the room, and finally settled on a mirror by the bedside.


    The mirror reflected his current appearance, he was about seventeen or eighteen years old, and he was very handsome.


    But the problem is, it''s not him!


    My previous self was a handsome young man in his twenties who had been working for a while.


    But now, no matter how you look at it, this appearance is only the age of a high school student...


    This change left Shi Yu in a daze for a long time.


    Don''t tell him that the operation was a success...


    The body and appearance have changed. This is not a question of whether to have surgery or not, but a fairy art.


    He turned into a completely different person!


    Could it be... that he crossed over by himself?


    In addition to the mirror on the bedside which was obviously placed in a bad feng shui position, Shi Yu also found three books beside it.


    Shi Yu picked it up and took a look, the title instantly silenced him.


    "Necessary Beast Breeding Handbook for Novice Breeders"


    "Postpartum Care of Pet Animals"


    "Guidelines for Evaluation of Alien Beast Ear Girls"


    Shi Yu:? ? ?


    The names of the first two books are quite normalWhat''s the matter with you in the last one?


    "cough."


    Shi Yu''s eyes were serious, and he stretched out his hand, but soon his arm stiffened.


    Just when he was about to open the third book to see what it was, his brain suddenly felt a sharp pain, and a large amount of memories flooded in like a flood.


    Icefield City.


    Pet breeding base.


    Trainee pet keeper. The website will be closed soon, download the Stars app to provide you with the experience value of my medical skills of the great **** Jiangbian Yuweng


    Beastmaster?

 Chapter 395： Reconciliation, EDs first expansion

    After Zhou Can received Dr. Xu''s enlightenment, he felt more or less relieved.


    The teacher''s surgical skills are so strong that even he has been killed. Zhou Can just missed the diagnosis this time, which is really nothing.


    "Teacher, I know what to do from now on."


    After Zhou Can pondered for a moment, his eyes lit up again little by little, and the confidence to seek bravely returned.


    This is also directly reflected in his subsequent work.


    After the ward round, he came to the emergency operating room, and he was hardly affected in any way.


    Concentrate on completing each operation.


    Qiao Yu is an excellent and competent surgical nurse who takes on multiple roles at the same time. She takes on the three roles of handwashing nurse, itinerant nurse, and instrument nurse at the same time.


    It is not only necessary to provide accurate and timely equipment and supplies needed during the operation, but also to closely observe the changes in the patient''s condition during the operation to ensure smooth infusion and blood transfusion. Occasionally, it is necessary to predict possible accidents in advance, prepare for first aid, and cooperate with Zhou Can to rescue patients.


    After the operation, she also needs to count the number of gauze, pads, sewing needles and other items and record them.


    Immediately afterwards, it is to understand the condition of the next surgical patient, the surgical plan, and then prepare the corresponding equipment, drugs, and consumables.


    Luo Shishen, a young man, has a lot of shortcomings and is a novice, so he doesn''t have much work to share.


    Sometimes I have to get into trouble, and make small mistakes from time to time.


    Zhou Can miraculously found that every time he wanted to swear, he could suppress his anger. Leng didn''t scold him once.


    Under Zhou Can''s training, Luo Shigent''s progress is quite obvious.


    Gradually, auxiliary tasks such as retractors, detoxification, and operation of pus suction devices for sucking blood and pus during the operation have been done better and better.


    In order to fully reach the qualified level, I am afraid that it will take a long period of training and training.


    No way, the emergency department has this condition.


    It would be nice to have an intern who can help.


    You can no longer pick and choose.


    One thing is worthy of affirmation, the tasks assigned to Luo Shigeng can be completed without compromise. What''s more, his self-esteem is quite strong. For example, the stinky problem that he used to ask with his mouth has been improved a lot after being told by Zhou Can.


    At least Zhou Can is no longer used as a popular science book.


    For other things, for example, he thought that Qiao Yu helped him speak because he had a good impression of him, and then tried to ask for Qiao Yu''s contact information, and was courteous. After being rejected, he and Qiao Yu didn''t say a word in the first two days. talk.


    He may have figured it out later, and now with normal work cooperation, he has been able to keep his emotions out.


    In private, she never pestered Qiao Yu again.


    These behaviors can be regarded as a bit of backbone, which makes people look up to them.


    If there were a lot of stinky problems and he still refused to repent, Zhou Can would have asked Dr. Xu to replace him.


    ¡­


    After get off work, Zhou Can took the initiative to call Director Tang Fei of the Department of Pediatrics.


    "Director Tang, how did you deal with the patient in the end?"


    "After our hospital''s patient explanation and the presentation of the evidence, the family members have indicated that they will not pursue the matter any longer. Specially invited orthopedic surgery experts to put plaster on the shoulder joint of the child, and take a picture after a while It depends on the situation. It is estimated that there is no major problem, children have strong healing ability, as long as they rest for about a month, the fracture line should be completely closed."


    The kid had a fractured glenoid in his right shoulder that must have been caused by a fall from the car.


    It''s just that the part itself is hidden, and the joint was dislocated during the filming, so it was completely unexpected that the glenoid would be fractured.


    Zhou Can was responsible for this matter, but it was far from fault.


    The family members can forgive Zhou Can, which shows that the family members are still reasonable. Otherwise, some difficult family members, or greedy family members, may bite the bullet and make the hospital lose a sum of money.


    Medical troubles are nothing new.


    The resolution of this matter is very good.


    "I''m causing trouble for you and the hospital this time! I will definitely be more careful in the future to avoid accidents." Zhou Can breathed a sigh of relief and at the same time assured Director Tang Fei.


    You must have an attitude when you do something wrong.


    Wrong is wrong, there is no reason to say.


    "Don''t have any psychological burden, just learn from the lesson. Goodbye." Director Tang Fei comforted him and hung up the phone.


    Zhou Can was very moved when he felt the protection and tolerance of the pediatric department and the hospital for him.


    He remembered the news he got from Lao Qin yesterday, and decided to call and report the matter to the hospital leadership.


    When it comes to competition from other hospitals, finding the new director of cardiothoracic surgery, Xueyan, doesn''t help much.


    Because what she can do is to ensure the stable operation of the department, improve the quality of medical care as much as possible, and improve the level of treatment.


    This has to be reported to the school leadership.


    It is a strategic issue.


    Zhou Can opened the phone book, found the phone number of Vice President Ye, who was in charge of medical affairs, and dialed it directly.


    The first time I called the vice president, I was somewhat nervous.


    After a few rings, the phone connected.


    "Xiao Zhou, is this the first time you call me in three years? What''s the matter?"


    Vice President Ye actually kept his phone number, which made Zhou Can suddenly flattered.


    "Hello, Dean Ye, I have something to tell you! I have received reliable news that the Third Hospital has recruited a famous cardiologist from Japan, and it is estimated that an official announcement will be made in the next few days."


    Zhou Can told the information straight to the point.


    This news is actually useless to him, but it must be useful to Tuya Hospital.


    The competition among major hospitals is like a war without gunpowder.


    It is very important to be able to understand the actions of other competing hospitals in advance.


    "Thank you for providing me with such important news. Recently, I returned to the emergency department to start official work. Is everything going well?"


    After Vice President Ye got the news, he didn''t ask questions.


    Instead, he changed the topic and cared about Zhou Can''s work.


    "Thank you for your concern. Everything is going well. However, I still have a lot to improve. Whether it is experience or medical skills, I need to continue to accumulate and improve in practice."


    After Zhou Can led the team alone for surgery, he really felt that it was hard to start a business until he was in China.


    He is basically competent for common common tertiary surgeries.


    For some operations with complex conditions or extremely difficult lesions, he clearly felt his lack of strength.


    "Learning is endless! If you can keep an open mind and keep working hard, that''s good. Don''t think about accomplishing any job overnight. You have to take one step at a time to go steadily and go far."


    Vice President Ye speaks very well.


    Hearing that Zhou Can agreed repeatedly. The two chatted briefly and ended the call.


    In the days that followed, Zhou Can worked, studied, and practiced the fast and steady sword skills every day.


    The impact of Director Hu Kan''s death on him is fading a little bit.


    Time is the best medicine for healing, it can dilute everything.


    Zhou Can can stably perform 20 to 30 operations every day in the emergency department. Only Wednesday will be less.


    Basically, two tertiary surgeries per day have become an unshakeable habit.


    This is his special care in the emergency department.


    Use the power of the department to help him select suitable patients for surgery, and then retain them. Seemingly an insignificant matter, it requires the joint efforts of doctors and nurses to do a good job with patients.


    ¡­


    Before I knew it, more than a month had passed.


    Zhou Can''s surgical skills are steadily improving, and his experience in diagnosis and treatment is also getting richer.


    There has been no official announcement on the fact that the Third Hospital has invited high-paying cardiologists from Japan. Zhou Can couldn''t help feeling a little apprehensive, is this reliable?


    There should be no problem with the information provided by Lao Qin, right?


    He reported this to Vice President Ye. If it hadn''t happened, what would Vice President Ye think of him?


    He would definitely think that this young man, Xiao Zhou, has no hair on his mouth and can''t do things well.


    I don''t know where I got the fake news, but luckily I believed him.


    This will definitely have a bad impact on Zhou Can''s personal reputation.


    In the recent period, instead, the Provincial People''s Hospital has made frequent efforts in the field of cardiothoracic surgery, and the publicity of various academic papers and difficult classic cases has continued.


    In addition, Xinxiang Maternity and Children''s Hospital is unexpectedly vigorous, like a unicorn that suddenly bursts out.


    It is making great strides in the field of surgery and oncology, and the field of critical care. The number of operations and the number of rescued critically ill patients have more than doubled from last month.


    The news about tumor patients being resected and then being discharged from the hospital after receiving radiotherapy and chemotherapy is also frequently seen in the newspapers.


    Even been on the TV news twice.


    Its targeted drug precision treatment, as well as immunotherapy, are also constantly publicizing with high profile. Many well-known expert teams in the industry were recruited by it.


    Just three words, too awesome.


    In the early morning, the emergency department held a weekly meeting of the department as usual.


    At this time, Zhou Can had become the number one scalpel in the emergency department, and he was so popular that he even overwhelmed Dr. Xu.


    Last month, his surgical team alone completed 821 operations, including 58 tertiary operations. This is a very amazing achievement.


    And begging so far, he has maintained the miracle of zero failure record of surgery.


    This point is quite similar to that of Director Hu Kan back then.


    In addition, he had obtained the certificate of completion of the regular training not long ago, and his test scores were excellent. There is actually no suspense about this matter, it just needs to wait for a while.


    The personnel department of the hospital signed a formal employment contract with him.


    After struggling for more than three years, he finally landed successfully and became an official resident doctor in Tuya Hospital. Work with a certificate, a formal contract worker.


    As for wanting to go further and get a place in the department, it still needs to work hard and wait for the opportunity.


    According to this trend, it should be a matter of time before they can compete for an establishment quota.


    On the leadership seat in the conference room, Director Lou sat in seat C without hesitation. His face was beaming with joy and red.


    The vigorous development of the department made him, the director of the department, very happy.


    "Colleagues, good morning! First of all, I would like to announce a good news. With the joint efforts of everyone, the performance of our emergency department increased by 270% last month. I am very pleased and surprised to have achieved such remarkable results. I hope everyone can unite, work together, and continue to maintain. Because of the rapid development of our department''s business, the number of manpower is seriously insufficient."


    The performance has tripled, which is really amazing.


    I believe that the wages of everyone have also risen with the tide, and there have been obvious changes.


    Tired is a lot of tiredness, but seeing the soaring wages, the doctors and nurses have continuous motivation to pay.


    "Many doctors and nurses have worked overtime for multiple shifts. Without complaint, they silently worked together for the prosperity of the department. I saw all this and was deeply moved in my heart. Last week, I applied to the hospital to increase the number of doctors and nurses. The number of places, the hospital is also very strong, and it has given full support to our department, adding two official residents and three official nurses to our department. The number of interns and regular training personnel has increased by four."


    Director Lou announced another piece of good news.


    A total of nine new medical staff have been added, which undoubtedly injected strong fresh blood and motivation into the emergency department.


    Can greatly alleviate the shortage of manpower.


    "Everyone welcomes new colleagues to join, and I would like to invite the nine new colleagues to introduce themselves."


    As soon as Director Lou finished speaking, everyone applauded together.


    The nine people sitting in the back row stood up and introduced themselves one by one.


    "Hello, colleagues and leaders. My name is Zheng Xuecheng. I am a resident doctor transferred from the Pancreatic Surgery Department of the General Surgery Department. I am good at all kinds of primary and secondary operations in the field of general surgery for the pancreas. Please take care of me in the future."


    After speaking, he bowed to everyone.


    "Hi everyone, my name is Jiang Shuangshuang, a female resident doctor from the Department of Endocrinology, please take care of me, seniors and colleagues."


    Female residents are a scarce resource.


    The young male doctors in the emergency department couldn''t help but focus on her.


    The appearance is not outstanding, the face is popular, the figure is moderate, and the visual inspection is about 1.6 meters.


    Quite young, about twenty-five or six years old.


    Zhou Can''s eyes flickered slightly, his face expressionless.


    The two official residents who were assigned to the emergency department were, as expected, outdated products from other departments.


    There is no way, the status of the emergency department, which specializes in collecting junk, cannot be greatly improved within a month or two.


    This time, it was not easy for the hospital to proudly allocate nine medical staff to it.


    Definitely a huge step forward for the emergency department.


    After the introduction by the two residents, it was the turn of the three formal nurses. One of them, surprisingly familiar with Zhou Can, was none other than Ye Tingting''s cousin.


    That night, Zhou Can was taken to have a meal.


    After contact and understanding, I feel that Ye Tingting''s cousin is smart and has good professional knowledge. So I agreed to find an opportunity to transfer people to the emergency department.


    She was able to transfer over this time, but Zhou Can didn''t make much effort.


    Ye Tingting is completely behind the scenes.


    Zhou Can had no way of knowing whether Director Lou and Head Nurse Niu Lan were approached privately.


    It is almost no difficulty for formal nurses to enter the emergency department as long as the hospital gives them a place. Many nurses don''t want to go to the emergency department at all.


    Basically, as long as you have worked in Tuya for a period of time, you will know what the emergency department is like.


    When looking for a job, everyone wants to find a good job, and they will consider income and development space. The emergency department is notoriously "poor" and "small", and medical staff with a little ability avoid it.


    Ye Tingting asked Zhou Can for help, not to transfer her cousin to the emergency department, but to find an opportunity for her cousin to follow Zhou Can in surgery.


    She is optimistic about Zhou Can''s development potential.


    I have to say that Ye Tingting is a woman with a good vision.


    Zhou Can has just established a surgical team, and the threshold for recruiting will be relatively low. In the future, when Zhou Can''s surgery team is strong, it will be difficult to get in.


    "Zheng Xuecheng, temporarily arrange for you to work in the emergency operating room. Occasionally, you may be required to work overtime to sit in front of the clinic."


    Director Lou and other nine newcomers finished their self-introductions and began to assign jobs in detail.


    "Jiang Shuangshuang, you are assigned to the emergency inpatient room, and work with Dr. Lin Ping to manage the inpatients. If there is anything, you should listen to Dr. Lin Ping''s advice."


    This sentence established Dr. Lin Ping''s dominant position.


    The management of the inpatient ward has been carried out by Lin Ping with an intern.


    As Zhou Can steadily outputs about 30 surgical patients every day, most of them can go with the treatment, and a few need to be hospitalized.


    Even if there are only three hospitalized patients a day, it is amazing.


    Because many patients may not be able to leave the hospital in three days.


    Adding an official resident doctor to help manage the inpatient ward can greatly relieve the pressure on Dr. Lin Ping.


    After the endless coma, Shi Yu suddenly got up from the bed. If you want to see the latest chapter content, please read the latest chapter content. The website has not updated the latest chapter content, and the Star APP has updated the latest chapter content.


    He took a big gulp of fresh air, his chest trembling.


    Confused, puzzled, all kinds of emotions came to my mind.


    Where is this?


    Afterwards, Shi Yu subconsciously observed his surroundings, and then became even more at a loss.


    A single dormitory?


    Even if he was successfully rescued, he should be in the ward now.


    And my own body...how could there be no injuries at all.


    With doubts, Shi Yu quickly swept his gaze across the room, and finally settled on a mirror by the bedside.


    The mirror reflected his current appearance, he was about seventeen or eighteen years old, and he was very handsome.


    But the problem is, it''s not him!


    My previous self was a handsome young man in his twenties who had been working for a while.


    But now, no matter how you look at it, this appearance is only the age of a high school student...


    This change left Shi Yu in a daze for a long time.


    Don''t tell him that the operation was a success...


    The body and appearance have changed. This is not a question of whether to have surgery or not, but a fairy art.


    He turned into a completely different person!


    Could it be... that he crossed over by himself?


    In addition to the mirror on the bedside which was obviously placed in a bad feng shui position, Shi Yu also found three books beside it.


    Shi Yu picked it up and took a look, the title instantly silenced him.


    "Necessary Beast Breeding Handbook for Novice Breeders"


    "Postpartum Care of Pet Animals"


    "Guidelines for Evaluation of Alien Beast Ear Girls"


    Shi Yu:? ? ?


    The names of the first two books are quite normalWhat''s the matter with you in the last one?


    "cough."


    Shi Yu''s eyes were serious, and he stretched out his hand, but soon his arm stiffened.


    Just when he was about to open the third book to see what it was, his brain suddenly felt a sharp pain, and a large amount of memories flooded in like a flood.


    Icefield City.


    Pet breeding base.


    Trainee pet keeper. The website will be closed soon, download the Stars app to provide you with the experience value of my medical skills of the great **** Jiangbian Yuweng


    Beastmaster?

 Chapter 396： Team expansion, foreign body patients

    Make the most of everything.


    Physicians manage inpatients because they are better at pathology, physiology, and body mechanisms, whether it is helping patients take care of their bodies or adjusting medical orders in time after surgery.


    They all have an advantage over surgeons.


    Another point is that as long as physicians are not the kind of idiots who dawdle, they will have some research in pharmacology.


    Although this female doctor named Jiang Shuangshuang comes from the Department of Endocrinology, I believe she must have systematically studied the three major circulations and the nine major systems of relatively in-depth medical knowledge.


    In clinical practice, there will be certain application.


    Director Lou asked her to help Dr. Lin Ping manage the inpatient ward, which is definitely a wise arrangement.


    "Doctor Zhou, your surgical team completed nearly 900 surgeries last month. It''s a great achievement, and you have really worked hard. This time, we have three official nurses in the emergency department. You choose one to join your surgeries. Team. Director Niu, do you think there is no problem?"


    After Director Lou made the arrangements, he consulted head nurse Niu Lan for his opinion.


    To put it bluntly, just ask politely.


    After all, the nursing department is in charge of nurses.


    All the arrangements for the nursing staff were still headed by Niu Lan, the head nurse.


    However, even in the hospital rules and regulations, there is such a clause that the director of the nursing department is obliged to lead all the nurses to cooperate with the department''s diagnosis and treatment work and obey the work arrangement of the department director.


    That is to say, head nurse Niu Lan has to follow Director Lou''s arrangement.


    "I have no opinion. Dr. Zhou''s surgical team really should have an additional surgical nurse." Naturally, head nurse Niu Lan would not be this villain.


    To become the director of the Nursing Department, one must be proficient in human affairs.


    "Xiao Zhou, then choose one yourself! The three nurses have all introduced themselves just now, I believe you have a certain understanding of their specialties."


    Director Lou looked at Zhou Can again.


    Nurses are suitable for different jobs according to their professional direction of study.


    In general, through training and learning, there is a certain degree of interoperability.


    "Okay! Thank you, Director Lou and Director Niu, for taking care of our surgical team. Then I won''t be polite."


    Zhou Can looked at the three nurses.


    All three looked at him eagerly.


    Even idiots know that Zhou Can''s team is very prestigious in the emergency department and has achieved results.


    Joining such a team will have a great future.


    "Ma Xiaolan, you majored in surgical nursing and have a certain degree of professional correspondence with our surgical team. Would you like to join our surgical team?"


    When assigning work, the opinions of the parties are generally consulted first.


    This is also a kind of respect.


    "I do!"


    Ma Xiaolan readily agreed, with a happy smile on her face.


    She is none other than Ye Tingting''s cousin.


    She was pretty, and when we had dinner together that night, her conversation was decent. I feel that being a person and doing things are fairly down-to-earth.


    After all, Zhou Can couldn''t hold back Ye Tingting''s favor and chose her.


    "Doctor Zhou, in fact, I am also a surgical nursing major! There is no other meaning in saying that. If your team still needs surgical nurses in the future, you can consider me!"


    It was another formal nurse¡ªZhao Qian who spoke.


    In terms of appearance, Zhao Qian is much prettier than Ma Xiaolan, with a medium height and a hot body. As for her working ability, Zhou Can didn''t know much about it.


    She dared to speak boldly at this kind of department''s weekly meeting, and took the initiative to fight for it. There must be no problem with her courage.


    Generally, women who like to work hard are self-motivated, so their ability is often not bad.


    "Okay! If there is a chance in the future, I will give priority to inviting you. Thank you for your support and trust in my surgical team."


    Zhou Can nodded at her with a friendly smile.


    It is a great thing that the surgical team has two nurses.


    Undoubtedly, it can greatly reduce Qiao Yu''s burden. She followed Zhou Can for surgery this month, sometimes she had to work overtime, and she never took a day off. Even if she caught a cold, she persevered despite her illness and never complained.


    Zhou Can appreciates this professionalism very much.


    Now that his team has one more surgical nurse, the work of the itinerant nurse will be settled.


    Check the patient¡¯s information, wipe the doctor¡¯s sweat, prepare various items needed before the operation, check the power suction device in the operating room, the parts of the operating table, prepare the pillows and sandbags required for the position of the surgical patient, and do a good job of cleaning the operating room , and even adjusting the room temperature, lighting, etc. in the operating room are all the duties of the itinerant nurse.


    The room temperature in the operating room should be kept between 20-25 degrees Celsius.


    Sometimes doctors concentrate on performing surgery and have no time to take care of these trivial matters.


    With a full-time itinerant nurse, Qiao Yu can devote more energy and time to the work of the equipment nurse.


    The workload is reduced and errors can be avoided.


    Otherwise, no matter how cautious you are, you will easily make mistakes and miss things when you get busy.


    After the meeting, Zhou Can took two nurses and intern Luo Shishen into the operating room to prepare for the day''s work.


    "Ma Xiaolan, from today onwards, you will be the itinerant nurse and assist me in my operation."


    "No problem! I worked in the operating room during my surgical training and I''m fairly familiar with the job of a roving nurse. I should be able to do the job quickly."


    When Ma Xiaolan spoke to Zhou Can, it was obviously the tone of an acquaintance.


    This is why many company bosses do not like to recruit relatives or acquaintances.


    Not to mention anything else, there is a certain degree of difficulty in management.


    The vast majority of relatives or acquaintances always think that they should enjoy privileges at work because of their acquaintance relationship. It is natural to have a sense of superiority in front of other employees.


    Ma Xiaolan has such signs at this moment.


    It''s just not obvious yet.


    "If you have anything, you can ask Qiao Yuduo for advice."


    When Zhou Can said this, he basically established Qiao Yu''s dominant position in his work.


    It also secretly reminded Ma Xiaolan that even if she came in through connections, she still had to listen to Qiao Yu.


    "Okay, okay, sister Qiao Yu, you can''t be annoying to me then!"


    Her attitude is not bad.


    "We are all nurses in a team, and we should learn from each other and help each other. If you have any questions, as long as I understand, I am willing to share with you."


    Qiao Yu spoke and acted much more generously than her.


    And it shows a very high level of cultivation.


    "Doctor Luo, it seems that your internship in the emergency department is due in only two days?"


    After Zhou Can arranged the work of the new nurse, he turned to look at Luo Shishen.


    "Yes! But I want to apply to the teacher of the science and education department to see if I can stay in the emergency department as an intern. Of course, the premise is that you don''t drive me away. I feel that I have gained a lot from operating with you this month. .It means that I am good at all aspects, and there may be many things that are not to your liking."


    Luo Shishen is a very sensitive person.


    Sometimes, if some things are not done well, even if Zhou Can doesn''t scold him, but just speaks in a stronger tone, he will become very restrained.


    No one is perfect, in general, he is still a relatively good intern.


    "As long as you can maintain your current work attitude and self-motivation, and keep learning and improving, I''m very happy that you can continue to be my medical assistant." Zhou Can said with a smile.


    "Really! That''s great!"


    Luo Shishen was overjoyed when he heard what Zhou Can said.


    "I will apply to the teacher of the science and education department later, but I don''t know if they will agree!"


    He said with some uncertainty.


    "When applying, if the teacher of the science and education department refuses to agree, you can tell him that I want to keep you to continue working in the emergency department. It may not work, but you can try."


    Zhou Can is quite nostalgic.


    Having trained Luo Shishen for so long, he was very happy to see this young man improve little by little.


    If Luo Shishen could practice with him for a few more months, he would definitely be able to learn more surgical knowledge. This will be of great benefit to Luo Shigeng''s future training and employment.


    Internship, if you can meet a good teacher, you can indeed widen the gap with others in just one year.


    Just like when Yang Chan was appreciated and valued by Director Zhang of the Department of Obstetrics and Gynecology, she achieved leapfrog progress in surgery, medical theory, and clinical experience in just one year.


    So much so that in the regular training recruitment exam, her grades were quite dazzling.


    To be honest, it is already very unnatural for an undergraduate student to be ranked among the top among countless graduate students, masters, and even doctoral students.


    Even though Zhou Can is also an undergraduate, he directly won the first place.


    That''s because there are system bonuses and extra points for medical ethics.


    Zhou Can''s classmates were all eliminated without exception. This is the real cruel reality.


    "Thank you! Thank you!"


    Luo Shishen was so excited that he directly bowed to Zhou Can, his voice seemed a little choked up.


    "Good job!"


    Zhou Can patted him on the shoulder, went into surgery and started his day''s work.


    One of the biggest characteristics of emergency surgery is that it takes a short time from receiving a doctor to deciding on an operation, and the process is relatively streamlined.


    Many specialized surgeries require a period of inpatient observation, followed by surgical assessment, risks, surgical options, prognosis, and so on. Generally, it takes a long time and there are many inspection items to be done.


    Sometimes, even a difficult puncture test or angiography test requires an appointment.


    Even with the relatively lowest-risk knee osteoarthritis, Gui Peisheng, and even residents, can sometimes screw things up.


    What''s more, when a nurse inserted a catheter for a pregnant woman, she caused a miscarriage.


    The hospital''s three-level review management system is not a decoration.


    When doing some risky operations, if the chief physician knows that the risk is high, but still throws it to Gui Peisheng to operate, and if something goes wrong, the chief physician will be most responsible.


    Not Gui Peisheng.


    During the ward rounds, the chief physician went through the motions, even rarely going to the inpatient ward once a week. Gui Peisheng, the bed doctor under him, failed to discover hidden dangers in time, and if something went wrong, the chief physician was also responsible.


    It is this three-level management system, which is equivalent to the ancient continuous punishment, which greatly deters the superior doctors who take it lightly.


    The operations performed in the emergency department are generally emergencies, such as trauma, intestinal perforation, appendicitis, massive bleeding, etc.


    If it is still like a specialist, slowly completing a series of various examinations for the patient, and then gathering the chief physicians of the department for consultation and discussing the surgical plan, it will definitely not work.


    For some special examinations, it takes time to make an appointment, and it will take a certain amount of time to get the results after the examination.


    It usually takes two or three days from the application inspection to the result. To exit the transcoding page, please download the app to read the latest chapters.


    After waiting for such a long time, emergency patients may no longer need treatment, and they may have been directly sent to the funeral home for cremation.


    Zhou Can took the examination data of the first surgical patient to check.


    It is a very special male patient who needs to remove the foreign body in the anus. Judging from the inspection results, the **** should not be ruptured, and the operation should be careful, and the foreign body should be able to be clamped out with the help of instruments.


    If it cannot be clamped, or if it is severely stuck, surgery is the only option.


    "Xiaolan, the **** lubricant is in this drawer. When you use it during the operation, you must remember to put it back in its original place. Many medicines are easy to confuse, and you must strictly implement them after three checks and seven pairs."


    Qiao Yu gave full play to the spirit of the team''s elders leading the newcomers, and did not forget to tell Ma Xiaolan some precautions when taking items.


    From now on, when Ma Xiaolan gets used to it, all the equipment, consumables, and medicines will be managed by her.


    Including tidying up after the operation and applying for materials before the operation are all the work of the itinerant nurses.


    The headquarters of the nurses, the treatment room, there are more medicines and medical equipment.


    Management is also more refined and strict.


    "First, familiarize yourself with the location of the medicines, consumables, and instruments in the operating room. Some special first-aid equipment and medicines are in the largest operating room outside."


    Qiao Yu gave her enough time to study and adapt.


    Soon, the first emergency surgery patient was brought in. He is an uncle in his forties. He walks with his legs crossed and limping.


    I heard that this uncle rushed to the hospital at five o''clock in the morning this morning.


    At that time, only Dr. Lu was on the night shift in the operating room, and he was given an examination application. After taking pictures, I found that the foreign object stuck inside was a bit big and difficult to remove, so I didn''t dare to help him remove it.


    Dr. Lu has always been very cunning. When performing operations, which are difficult and risky, he never tries to be brave.


    Push if you can.


    It is also because he always pays attention to self-protection that he lives in peace.


    Except for the operation that Dr. Xu stopped for a period of time before, Zhou Can has not heard of Dr. Lu''s accident when he returned to the emergency department for more than a month.


    In addition, Dr. Lu''s surgical ability has greatly improved compared with three years ago.


    It is undeniable that Dr. Lu''s talent is quite good.


    It''s a pity that this person is very lazy, extremely irresponsible, and loves to cheat and play tricks, so he has been staying in the resident doctor''s seat.


    Don''t underestimate him either. I heard that Dr. Lu passed the attending physician examination last year.


    The general hospitalization has already been done.


    Currently queuing up with Dr. Cui to wait for the hospital to give the attending physician an employment contract.


    To put it bluntly, there is basically something wrong with the employment contracts of attending physicians like them who have passed the attending physician examination but have to wait in line for a long time at the hospital.


    At least not particularly good.


    Otherwise, the hospital is not stupid and won''t make them wait too long at all.


    Because I was afraid of waiting for people to run away.


    After the endless coma, Shi Yu suddenly got up from the bed. If you want to see the latest chapter content, please read the latest chapter content. The website has not updated the latest chapter content, and the Star APP has updated the latest chapter content.


    He took a big gulp of fresh air, his chest trembling.


    Confused, puzzled, all kinds of emotions came to my mind.


    Where is this?


    Afterwards, Shi Yu subconsciously observed his surroundings, and then became even more at a loss.


    A single dormitory?


    Even if he was successfully rescued, he should be in the ward now.


    And my own body...how could there be no injuries at all.


    With doubts, Shi Yu quickly swept his gaze across the room, and finally settled on a mirror by the bedside.


    The mirror reflected his current appearance, he was about seventeen or eighteen years old, and he was very handsome.


    But the problem is, it''s not him!


    My previous self was a handsome young man in his twenties who had been working for a while.


    But now, no matter how you look at it, this appearance is only the age of a high school student...


    This change left Shi Yu in a daze for a long time.


    Don''t tell him that the operation was a success...


    The body and appearance have changed. This is not a question of whether to have surgery or not, but a fairy art.


    He turned into a completely different person!


    Could it be... that he crossed over by himself?


    In addition to the mirror on the bedside which was obviously placed in a bad feng shui position, Shi Yu also found three books beside it.


    Shi Yu picked it up and took a look, the title instantly silenced him.


    "Necessary Beast Breeding Handbook for Novice Breeders"


    "Postpartum Care of Pet Animals"


    "Guidelines for Evaluation of Alien Beast Ear Girls"


    Shi Yu:? ? ?


    The names of the first two books are quite normal, but what happened to you in the last book of UU Reading ?


    "cough."


    Shi Yu''s eyes were serious, and he stretched out his hand, but soon his arm stiffened.


    Just when he was about to open the third book to see what it was, his brain suddenly felt a sharp pain, and a large amount of memories flooded in like a flood.


    Icefield City.


    Pet breeding base.


    Trainee pet keeper. The website will be closed soon, download the Stars app to provide you with the experience value of my medical skills of the great **** Jiangbian Yuweng


    Beastmaster?

 Chapter 397： There are all kinds of patients, the absolute main force of emergency surgery

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Come on, lie down on the stage! The prone position is more convenient to operate!"


    Zhou Can guided the middle-aged uncle to lie down on the operating table.


    The shape of the foreign body is conical.


    How this thing can enter the **** of an adult is really puzzling.


    And judging from the photos taken, the diameter of this foreign body is quite large. The possibility of eating it is almost impossible. Among other things, it is impossible for this volume alone to pass through the narrow esophagus and small intestine.


    So, it must have been stuffed in.


    "Doctor...Does this need to be given anesthesia?"


    "If you need to perform surgery to remove foreign bodies in the anorectum, you will definitely need anesthesia. Spinal anesthesia is often used, which is often called subarachnoid block anesthesia, also known as half-body anesthesia. This operation will be very difficult and requires After the abdomen was opened, the intestines were cut open and the foreign body was taken out."


    Zhou Can explained patiently to the patient.


    It also tells the other party the seriousness of the operation.


    "Is your method of defecation useless?" Zhou Can asked.


    "It didn''t work! I even drank half a bowl of cooking oil, but it didn''t work at all." The middle-aged uncle replied weakly. It can be seen from his expression that it must be very painful at the moment.


    The heart is full of fear.


    "You must be careful in the future. This time, you are lucky. The intestinal tract is not ruptured. If the intestinal tract is ruptured, the feces will enter the abdominal cavity, and infection will be life-threatening. The tearing of the intestinal tract and massive bleeding are also dangerous. "


    They are both adults, Zhou Can can only remind the other party in this way.


    There is a certain scare element, but his starting point is good.


    Intestinal contents entering the abdominal cavity after intestinal rupture can cause severe bacterial infection and even life-threatening sepsis. Intestinal contents into the peritoneal cavity can cause chemical peritonitis, severe pain and even shock.


    It can indeed kill.


    Even with the current medical conditions, the prognosis of intra-abdominal infection is still poor, and death occurs from time to time.


    In the early years, there were not a few cases where the intestinal contents were accidentally splashed during abdominal surgery, contaminating the abdominal cavity, and eventually causing the death of the patient.


    Zhou Can first expanded the patient''s **** with a dilator, and then clamped the tail of the conical foreign body with a clip.


    Fortunately, the pointed part of this thing is facing inward, otherwise it would be much more difficult to take it out.


    "Qiao Yu, slowly inject some lubricant into it."


    Zhou Can clamped the foreign object and pulled it out slightly.


    At the beginning, it was stuck very tightly. As long as I exerted a little force, the middle-aged uncle would scream. Fortunately, after a little looseness, the situation is much better under the action of lubricant.


    It took a lot of effort to finally pull the foreign object out.


    Zhou Can checked and found that his intestines were not ruptured, so he breathed a sigh of relief.


    "What is this?"


    Qiao Yu stared at him curiously.


    "Kids, don''t ask too many questions." Zhou Can found that Qiao Yu was as pure as a piece of white paper.


    He put on the trousers for the middle-aged uncle and prescribed a doctor''s order, which was actually a box of anti-inflammatory drugs.


    "Try to eat more vegetables and fruits after returning home to prevent colon colonization. See a doctor in time if you feel unwell."


    "Okay, thank you doctor!"


    The middle-aged uncle seemed a little embarrassed, and hurriedly left the operating room under Ma Xiaolan''s leadership.


    This chapter is not finished, click [next page] to continue reading -->>


    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Hey, you talked too much just now! What a kid, he is already twenty-five years old." Qiao Yu protested a little unhappy.


    "Sorry! Next time I speak, I must be careful with my words. Doctor Luo, don''t be dazed, throw that thing into the trash can!"


    After Zhou Can apologized to Qiao Yu, he ordered Luo Shishen to dispose of the medical waste.


    The first patient was treated and the second was brought in.


    This patient had another bowel-related emergency, suffering from acute pyloric obstruction, requiring emergency surgery.


    Symptoms of pyloric obstruction mainly include nausea, belching, anorexia, and bloating.


    Common pyloric obstruction is mostly treated with drugs.


    Like this acute pyloric obstruction, patients have severe adverse reactions, severe vomiting, dehydration, fatigue, oliguria, thirst and a series of symptoms. The internal medicine treatment in another hospital was ineffective, so I came to Tuya yesterday to go to the emergency department.


    After evaluation, he met the indications for surgery.


    Perform emergency surgery on patients from emergency department.


    Surgery like this is a major surgery and is generally an elective surgery.


    This patient is also accompanied by gastric ulcer, if it is delayed, it may even become malignant.


    After the patient enters the operating room, the anesthetist follows.


    It was the Director Dongfang Luoxue of the Department of Anesthesiology.


    Zhou Can no longer needs to go to the cardiothoracic surgery department to study with Director Hu Kan. Therefore, since the death of Director Hu, he began to fulfill his promise, at least three or four times a week after work, he went to the anesthesiology department to learn anesthesia techniques and knowledge from Director Feng.


    The textbook knowledge of anesthesiology is less, and the medical knowledge of clinical general practice has a high degree of overlap.


    The improvement of anesthesia technology mainly depends on practice and is obtained from clinical experience.


    Each of the operations Director Feng participated in was a major high-risk operation of level three or four. His strength is beyond doubt, and he is the top anesthesiologist in Tuya Hospital.


    Qualified old, experienced, skilled.


    Many people think that his personality is weird, difficult to get along with, and they are afraid of dealing with him. Zhou Can felt that Director Feng had an extremely passionate heart for anesthesiology, and devoted his whole life to the study, accumulation and improvement of anesthesiology.


    In ancient times, people who devoted themselves to martial arts and didn''t care about worldly affairs were described as martial idiots.


    Director Feng is a ''medical idiot'' in anesthesia.


    In this world, the scariest thing is that a person concentrates on doing one thing all his life. The accumulation of ten years and decades is very terrifying, and they are often able to achieve extremely high achievements in the field of study.


    Zhou Can was not very enthusiastic about anesthesiology at the beginning, he just learned from Director Feng simply because he felt that there were too many skills to overwhelm him.


    [In other words, currently the best app for reading and listening to books, change the source app, and install the latest version of .huanyuan app. ¡¿


    Later, he learned a lot, especially after studying the knowledge of cardiothoracic surgery and diagnosis and treatment in depth with Director Hu Kan, he gradually discovered that anesthesiology is good.


    First of all, anesthesiology has a thorough understanding and research on the three major circulations of the human body, as well as internal and external circulation. Secondly, it has in-depth research and actual combat accumulation on the nine major systems of the human body, especially the research on the nervous system, respiratory system, circulatory system, and exercise system, which is extremely in-depth.


    This chapter is not finished, click [next page] to continue reading -->>


    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    It can be said that internal medicine is the group of people who understand the mechanism and pharmacology of the human body best.


    But anesthesiologists are the group of people who know life best.


    How to support life and ensure life maintenance, anesthesiologists ranked second, and no one dared to rank first.


    After learning the knowledge of anesthesia, Zhou Can can obviously feel the huge benefits in clinical practice. Even the idea of ??surgery will change because of anesthesiology.


    He also found that the various disciplines of medicine have a certain degree of interoperability.


    Medicine is somewhat like a circle, and without any of its segments, the circle would no longer be coherent.


    Learning anesthesiology well can greatly improve the depth and coherence of the overall medical understanding.


    For ordinary people, it is good to learn one medical field well in a lifetime.


    Because Zhou Can has an experience point system, he has a great advantage in this regard. What other people can only complete in ten years, he may be able to accumulate experience points in two to three years, or even shorter time, from quantitative change to qualitative change.


    With this huge advantage, he is destined to have the time and energy to learn more medical fields.


    It is impossible to thoroughly study all medical fields.


    But it should not be difficult for him to reach a certain height in multiple medical fields.


    At least he has already reached a fairly high level in most fields of general surgery, critical care medicine, cardiothoracic surgery, nephrology, and gastroenterology.


    Now I lead the surgical team in the emergency department to perform crazy operations, and I can touch almost all general operations.


    I believe that as long as he continues to accumulate, he will continue to climb to new peaks in more fields of medicine.


    Dongfang Luoxue was as cold as ever, like the legendary iceberg beauty.


    Because she is over forty years old, given her age, at most she still has charm.


    "Do you need help?"


    Zhou Can greeted her with a smile.


    "good!"


    She only answered one word, and at the same time, she tried to respond with a smile on Zhou Can''s face.


    Perhaps because he is used to having a cold face, the smile he squeezed out was particularly stiff.


    But for her, it was not easy.


    "Director Dongfang still looks better when he smiles, he looks more kind and beautiful!"


    Zhou Can did not hesitate to praise her.


    In the past year, before Director Hu Kan passed away, he would go to the anesthesiology department to study with Director Feng at least once a week. Gradually, I basically got acquainted with the doctors in the anesthesiology department.


    The doctors in the anesthesiology department regarded him as half of their own.


    Dongfang Luoxue''s attitude towards Zhou Can is so friendly. Even though she is a chief physician, she treats a resident as an equal. That''s because she has seen Zhou Can''s strength.


    Not convinced.


    After receiving Zhou Can''s praise, she had no expression on her face. The eyes betrayed her, at least it could be seen that she was very happy in her heart.


    Zhou Can helped to give the patient general anesthesia while understanding the patient''s condition.


    Before Dongfang Luoxue signed the anesthesia consent form with the patient, he must have had a deep understanding of the patient''s situation. Zhou Can understood it again because of his own learning needs.


    It is also to ensure that there will be no major mistakes in the operation and eliminate potential safety hazards.


    This chapter is not finished, click [next page] to continue reading -->>


    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Come on, lie down! You will be placed in the supine position when you are operated on. Relax, it is equivalent to sleeping. After waking up, your disease has been solved by us."


    Zhou Can comforted the patient and guided him to lie flat.


    Pyloric obstruction surgery is generally done in a supine position, with an incision made from the midline of the upper abdomen or from the upper left through the rectus abdominis muscle.


    Patients sometimes prefer to lie on their side because of pain.


    The entire general anesthesia process went smoothly, and the patient soon fell into a coma with normal signs.


    "Dr. Luo, the incision for this kind of pyloric surgery must be based on the actual situation of the patient. Don''t copy it mechanically. You just need to remember one principle, whichever incision method is more convenient for the operation and better for the patient''s prognosis, you can choose which one." When the two cannot be considered, weigh the pros and cons and choose carefully. If the technology is not up to the mark, then choose an incision that is more convenient for surgery.¡±


    Zhou Can was very careful in cultivating and teaching Luo Shigent.


    It''s basically a word of mouth.


    As for how much he can comprehend and remember, that is his own business.


    Dr. Xu stood by the side without saying a word, guarding and sitting in charge for Zhou Can.


    Now, he is basically in the freeing stage for Zhou Can.


    As long as Zhou Can can do it himself, he will not intervene. It is also this kind of bold decentralization that gave Zhou Can a very valuable opportunity to exercise and improve alone.


    "Stop the bleeding!"


    After Zhou Can cut open the patient''s abdominal wall, blood gushed out.


    In fact, he has avoided the larger blood vessels.


    As long as it is an operation, bleeding is inevitable. Especially in laparotomy and thoracotomy, the potential risk of massive bleeding is extremely high.


    Surgeons who are not experienced enough and whose knife skills do not reach a certain level dare not operate on vital parts such as the chest and abdomen of patients at all.


    If you don''t have that certainty, if you force the operation, there is a high probability that something will happen.


    Luo Shigen frantically applied electrocoagulation to the patient''s wound to stop the bleeding.


    "Xiao Luo, you need to practice more when you get home. Let me do it!"


    Dr. Xu couldn''t stand it anymore.


    With his strict requirements on junior doctors, this frizzy operation is simply challenging his bottom line.


    This is why interns are not qualified to be assistants at all.


    If it is only a first-level or second-level operation, the intern may be barely competent as a medical assistant.


    Third-level and fourth-level surgeries, let alone interns, even senior residents may not be able to perform them.


    Monsters like Zhou Can are still in the minority after all.


    Even Du Leng, a returnee doctoral student, is far behind Zhou Can in the field of surgery. To put it bluntly, he wasn''t even fit to carry his shoes.


    It''s not hubris, it''s genuine unworthiness.


    It was not wise for Du Leng to enter surgery at the beginning.


    With his profound medical knowledge, he should enter internal medicine, and his development may be better.


    The road is chosen by oneself, and sometimes it depends on a little luck.


    More than three years have now passed. Du Leng is already the attending physician of Shenwai, and it is said that he has devoted himself to training in general surgery for nine months. Zhou Can really doesn''t know what''s going on now.


    It''s true that it''s not as loud as it used to be.


    Without that strength, the departments and doctors would not give him high-profile opportunities.


    The few geniuses who entered Tuya Hospital at the same time as Zhou Can are basically silently working hard to improve. Including Gao Jian, who has entered the internal medicine department, I heard that the outpatient number has been opened not long ago, and he has started to see patients.


    This chapter is not finished, click [next page] to continue reading -->>


    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    But compared with Zhou Can, it is definitely not at the same level.


    Zhou Can has been in pediatrics for more than a year.


    The accumulation of popularity and experience is not comparable to good ideas. Diagnosis level, medication, treatment plan, prognosis assessment, etc., even if Zhou Can does not make progress in lying down, it will take at least ten years for Gao Jian to catch up with him.


    It''s not bragging.


    It is just the level of pathological diagnosis and pharmacological syndrome differentiation at the deputy director level. Many doctors will never reach it in their lifetimeMost talented doctors want to reach this level, at least twenty years to go up.


    Tuya Hospital included Zhou Can, an undergraduate student, in the reserve quota of Famous Doctors Hall, and Zhou Can was still in the stage of regular training at that time, and he hadn''t even obtained a certificate of completion of the regular training. It is enough to explain his extraordinary.


    The hospital''s decision-making on such matters has an extremely strict review mechanism.


    With Du Leng''s dazzling education, he has not even seen a shadow of being admitted to the reserve quota of famous medical halls.


    You can know how difficult it is for the reserve army who wants to enter the famous medical hall.


    ¡­


    The operation went very smoothly and was completed in less than two hours.


    However, because of the two most powerful knives in the emergency operating room, both Zhou Can and Dr. Xu were operating on this patient, resulting in a backlog of other emergency surgery patients.


    In another operating room, Dr. Cui, who is actively seeking the employment contract of the attending physician, is working **** the operation.


    His surgical level has reached the level of attending.


    In terms of speed, it is far behind Zhou Canke.


    It is worth mentioning that Dr. Xu''s operation speed is not particularly fast. On the one hand, he was afraid of another accident, so he became cautious in the operation. No longer blindly pursue the speed of surgery. On the other hand, Dr. Xu is old after all, and his physical strength and energy cannot keep up.


    After a man reaches the age of thirty-five, his physical strength and energy will be obviously inferior to that of a young man in his twenties.


    Men over the age of fifty, called old men, will have worse physical strength.


    Therefore, the absolute main force in the emergency operating room is Zhou Can.


    The surgery was done quickly and well done.


    And meat and vegetables are not taboo, almost general surgery can be done.

 Chapter 398： Relationship troubles, you handle them well

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    After this major operation, Zhou Can had no time to catch his breath, and immediately began to quickly complete some emergency operations. For example, trauma hemostasis and suture, spleen rupture and hemorrhage caused by trauma, inguinal hernia, replantation of severed fingers, etc., are all common emergency operations.


    If it cannot be treated in a timely and effective manner, it will cause serious consequences such as necrosis of the severed finger of the patient, or bleeding and death.


    I have been busy until almost one o''clock in the afternoon, and finally dealt with all the backlog of patients in urgent need of surgery.


    Zhou Can took off the rubber gloves, "Everyone has worked hard, let''s go to eat first, rest for a while, and then come back to continue the operation." Tuya is a very good platform.


    The number of outpatient and emergency departments is considerable.


    The continuous influx of various patients also provided Zhou Can''s team with ample opportunities for surgery.


    "Oh, I''m so tired! I almost broke my leg this morning!"


    The itinerant nurse Ma Xiaolan''s voice was whiny.


    "Working with Dr. Zhou is nothing but a lot of work. Of course, I also learned a lot."


    Luo Shishen accepted her words.


    "Xiaolan, there is a lot of work, but our income will be quite considerable! With Dr. Zhou, I think as long as we can bear hardships and stand hard work, study hard, our future is quite bright."


    By saying this, Qiao Yu was definitely not showing off how much her income was.


    It''s to help Zhou Can keep people.


    At the beginning, I followed Zhou Can to do surgery, because the operation volume was too large, so it was far more difficult than ordinary nurses.


    For adults, it doesn''t matter if you are a little tired. As long as the money is in place and the future is bright, everyone will naturally be very motivated.


    "Really? Then how much can you get a month?"


    When Ma Xiaolan heard that her income was good, she immediately became interested.


    But inquiring about the income of colleagues is obviously breaking the rules.


    The age of female colleagues and the income of others are all personal privacy. Unless it is a very good friend, it is possible to disclose.


    Otherwise, it is generally not said.


    "Hehe, everyone''s salary is different. You will know it after working for a month. It''s getting late, let''s go to the cafeteria to get dinner! It''s late, but there are only some vegetable residues left!"


    Qiao Yubingxue was smart, and she said it lightly.


    ¡­


    After the four of them finished their meal, they returned to the emergency operating room one after another.


    Qiao Yu immediately went to work, preparing surgical instruments, consumables and other items needed for the next operation. Speaking of this, we must introduce the division of labor and responsibilities between the equipment nurse and the itinerant nurse.


    Many people think that equipment nurses have a higher status. On the contrary, itinerant nurses are generally older and have more experience in cooperation with surgery.


    Itinerant nurses will work closely with the entire surgical team and anesthesiologists during the operation.


    When necessary, we will also coordinate and invite doctors from other departments to come and perform joint operations.


    Then various surgical records are generally also in charge of the itinerant nurse.


    Before the operation, the itinerant nurse should be the first to enter the operating room, assess the operating environment, and check whether the equipment in the operating room can be used normally. Bed making is also done by the roving nurse.


    After the patient enters the operating room, itinerant nurses are responsible for information verification, correct execution of doctor''s orders, assistance in anesthesia, and even pressure sore assessment.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    You say it''s heavy or not.


    The pressure ulcer assessment is divided into three parts, including the patient''s name, gender, age, wound type, wound name, cause of injury, location, wound duration, and date of first visit.


    and a systemic assessment. Including the primary disease, nutritional status, the name of the drug used, duration, activity, excretion status, sleep and psychological status, diagnostic examination and so on.


    There are also local assessments, including wound color, exudate volume and its nature, wound odor, the extent of skin edema around the wound, wound area, depth, direction and depth of infiltration, wound photos, etc.


    Through these, we can see how high the professional requirements of itinerant nurses are.


    This is why the qualifications of circuit nurses are generally very old.


    Please don''t be surprised if you encounter a chief nurse working as an itinerant nurse during major operations at grades 3 and 4. This is just a normal operation.


    Therefore, when many new doctors enter the operating room for exercise, they feel that the itinerant nurse is more fierce than the chief surgeon.


    After scolding this and scolding that, the key point is that no one dares to talk back to her.


    Sometimes, even the chief surgeon has to suffer when he is criticized by the itinerant nurse.


    The instrument nurse is sometimes called the hand washing nurse, but it is not necessarily true that she is lower than the itinerant nurse.


    It''s just that under normal circumstances, the qualifications of equipment nurses may be relatively low.


    There are also some chief surgeons who are used to working with full-time equipment nurses and are reluctant to change. In this case, the status of instrument nurses in the operating room is very high.


    Basically, in the mind of the chief surgeon, it is equivalent to the right-hand man.


    For example, Qiao Yu''s status is very important in Zhou Can''s mind.


    Cooperating with her, Zhou Can doesn''t have to worry about being hurt by the sharp weapon handed over to him at any time.


    Not to worry about needle sticks and items left behind, the gauze is replaced one by one, and she can remember the position of each gauze stuffing. This kind of thing was originally the doctor''s responsibility, but she helped Zhou Can share it.


    The angles at which she handed the instruments and Zhou Can received them were always so compatible, they would not slap each other''s fingers or catch air, and the cooperation in the surgery was tight and tacit.


    When and what items should be delivered, she can prepare them in advance without Zhou Can''s reminder.


    As for the subtle considerations during the operation, only Zhou Can could feel them.


    If someone else worked as an instrument nurse for him, his operation efficiency would slow down by at least one-third.


    Finally, let''s talk about hand washing nurses.


    In many cases, the equipment nurse is part-time.


    There are also special handwashing nurses, who are really only responsible for helping the surgical team wash their hands and dress them.


    Generally appear in the luxurious top surgical team.


    Most of them are related households.


    It is also because the hand-washing nurse has no sense of presence and low technical content, which seriously lowers the status of the equipment nurse.


    "Xiaolan, let me tell you something! I''m a straight-talking person, and I''m not right about you. Don''t mind me. When I was picking up equipment and medicines just now, I found that some items were not put back in place after use, and even placed in a mess. , this is not acceptable. When you are busy, it is very easy to go wrong."


    Qiao Yu said to Ma Xiaolan in a friendly tone.


    Zhou Can was researching with the patient''s data, and didn''t care about such trivial matters.


    "I''ve had so many surgeries in the morning, and I''m so busy, how can I care about it! Even if some items are not so neatly arranged, it''s okay. Why do you have to take such a trivial matter on the line?"


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    [In other words, currently the best app for reading and listening to books, change the source app, and install the latest version of .huanyuan app. ¡¿


    Ma Xiaolan''s answer really surprised people.


    It is said that three women play a drama.


    When two women get together, they either become good sisters, or they don''t get along with each other and fight directly.


    Unfortunately, the newcomer Ma Xiaolan and Qiao Yu seem to be a bit out of tune!


    Zhou Can was still looking down at the information and did not intervene.


    He wants to take this opportunity to see what kind of bird Ma Xiaolan is?


    From the previous contact, I felt that this woman had disguised a lot of things. It was only in the past morning that she began to show her true colors.


    "Surgical safety is no small matter. If you don''t develop good habits, it is really easy to have safety accidents. At that time, not only the life safety of the patient will be threatened, but also your future will be ruined, and even our entire surgical team will suffer. .¡±


    Qiao Yu looked serious.


    She has worked in the intensive care unit and knows how fragile human life is.


    Sometimes, a small negligence of medical staff can lead to the death of patients.


    "Hey, look at what you said. Who are you scaring? Why are you pretending to be old-fashioned? I''m also an intern in the surgery room, so I don''t need you to teach me."


    Seeing that Zhou Can had been silent, Ma Xiaolan worked even harder, thinking that Zhou Can was supporting her.


    She had just joined Zhou Can''s surgery team, and she was directly asked to take the position of itinerant nurse, so she felt a little flustered in her heart. He thought it was Zhou Can''s extra care for Ye Tingting because of Ye Tingting''s face.


    This allowed her to assume a more important position than Qiao Yu.


    It can only be said that people who like to be passionate will always have a lot of inner drama and feel good about themselves.


    "Nurse Ma, I think Qiao Yu is just a kind reminder."


    Luo Shishen was smoothing things over.


    He had followed Zhou Can for over a month of surgery, so he naturally knew Qiao Yu''s importance in this team.


    Ma Xiaolan''s behavior was no different from committing suicide.


    He persuaded Ma Xiaolan to prevent her from being kicked out of the surgery team by Zhou Can.


    Finally, an itinerant nurse came, and his medical assistant became much more relaxed. Otherwise, he will do all the chores of picking up and dropping off patients.


    Now it is shared by Ma Xiaolan.


    "Stay there! What qualifications do you, an intern, teach me about an itinerant nurse?"


    Ma Xiaolan seemed to be getting more angry.


    It is also not ruled out that she deliberately wanted to take this opportunity to establish her position in the surgical team.


    Luo Shishen''s head shrank from being scolded, and he really didn''t dare to speak anymore.


    The status of an intern is the lowest, and they are afraid that if something goes wrong during the internship, if they are sent back by the teacher of the science department, it will be ruined.


    Qiao Yu blushed with anger.


    People with high self-cultivation, regardless of gender, are generally not good at quarreling.


    He obviously has reason, but he is often scolded so that he has no power to resist.


    "Ma Xiaolan!"


    Naturally, Zhou Can would not let the two nurses continue to quarrel, this is the operating room. If he didn''t care, Dr. Xu should come in with a dark face to clean up the situation.


    Don''t underestimate Dr. Xu''s ruthlessness.


    It''s okay to clean up Ma Xiaolan, I''m afraid that Qiao Yu will be punished together, and Zhou Can can only watch Qiao Yu being wronged.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "I''m here! Doctor Zhou told me to pay attention to the unity of the surgery team! I have a sense of proportion, but I just think she, a hand-washing nurse, shouldn''t accuse me, a itinerant nurse, of something wrong in that old-fashioned tone."


    Ma Xiaolan''s IQ is really worrying.


    To what extent does she have to feel good about herself before she loses even the basic ability to sense words and emotions?


    "I announce the suspension of your qualifications for surgery. You go back to the office and write an in-depth review to reflect on your behavior today. If the review fails, I will personally report your performance in the operating room to head nurse Niu and Director Lou. At that time, you Prepare yourself to leave."


    Zhou Can''s face was icy cold.


    It shouldn''t have recruited a related account in the first place.


    If you suffer a loss, you will gain a loss.


    No matter who intercedes in the future, this kind of thing will never be agreed.


    "You, you want me to write a review?"


    Ma Xiaolan looked at Zhou Can in disbelief. His eyes were full of grievance and surprise.


    "If you don''t want to write, you can leave now."


    Zhou Can said coldly.


    Ma Xiaolan recognized the reality this time and knew that she heard right.


    She didn''t expect Qiao Yu to have such a high status in the surgery team, and she didn''t expect Zhou Can to be ruthless without showing any affection.


    Only a newcomer like her, who has not worked for a long time, would naively think that eating a meal meant that everyone was a close acquaintance.


    "I wrote!"


    Ma Xiaolan bit her lip, tears were already rolling in her eyes.


    He rushed out of the operating room without looking back.


    "Why don''t you forget it! She''s just a newcomer, maybe she doesn''t know the rules of the workplace yet."


    Qiao Yu''s heart softened.


    Just now, Ma Xiaolan treated her like that, but now she is still helping her and begging for mercy.


    "Rules are rules. If she can''t learn, then I can only say sorry. Let''s not be influenced by her and get to work."


    Zhou Can is even more ruthless than Dr. Xu in this kind of matter.


    No accommodation.


    He has a strong ambition to lead the surgical team to become the top comprehensive team in China and even in the world. He wants to become a real super doctor in the country.


    How strong is the team if even a small nurse can''t cure it and just releases the water?


    A grain of rat droppings can really ruin a pot of porridge.


    Luo Shishen lowered his presence as much as possible, because he felt the invisible murderous aura on Zhou Can.


    If Zhou Can''s anger spread to him, it would not be worth it.


    Qiao Yu didn''t say anything more, silently and quickly tidied up the messy cabinets and countertops.


    In this dispute, Zhou Can supported her and helped her deal with the domineering Ma Xiaolan, which made Qiao Yu very happy.


    Her position in the surgical team and Zhou Can''s approval made her very happy.


    ¡­


    In the evening, Zhou Can finished the last operation and called it a day.


    "Xiao Zhou, follow me to the small meeting room!"


    Dr. Xu dropped a sentence and left the operating room early.


    Qiao Yu looked at Zhou Can worriedly.


    "It''s okay. Although the teacher is very strict, he always handles things fairly. Even if he scolds me, it''s okay, and it''s not like he hasn''t scolded me before."


    Zhou Can gave her a comforting look, then changed his clothes and went to the small meeting room.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Dr. Xu does not have a dedicated private office, so talking to him can only be done in a small conference room. Other doctors or nurses in the medical department also sometimes talk about things that should not be made public.


    "What happened in the operating room today?"


    Doctor Xu asked blankly.


    "The new nurse, Ma Xiaolan, didn''t put the surgical instruments and medicines back in place when she finished using them, and the arrangement was chaotic. Qiao Yu reminded her a few words, and she went into a rage, playing tricks in the operating room, trying to establish her authority And status. I''m also to blame for this, Ma Xiaolan came here with Ye Tingting''s relationship, I shouldn''t have recruited skilled workers in the first place."


    In front of Dr. Xu, Zhou Can did not hide anything.


    It''s all said and done.


    "It''s a good thing to be able to recognize mistakes. Also, you can decisively pull down your face and ask Ma Xiaolan to write a review. You did the right thing. Whether it''s leading the surgical team, managing a department or even a hospital, apart from being kind, you also need to be ruthless." .¡±

 Chapter 399： Throwing a peach in return, people can only adapt to society

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    , my medical skills can add experience points


    From Dr. Xu''s words, it is not difficult to see that he has extremely high expectations for Zhou Can.


    In the future, Zhou Can will at least need to manage one department.


    Only when you become the leader of a department can you have this qualification.


    He even expected Zhou Can to become the director of the hospital in the future.


    "The matter of Nurse Ma Xiaolan can just test your team management ability, so I will not interfere in this matter. Also, haven''t you always envied other people''s 100-level operating room? As long as the performance of our emergency operating room can be maintained , It is estimated that in six months, Director Lou will be able to fight for the hospital."


    Dr. Xu proposed another small goal to Zhou Can.


    The environment of the emergency operating room is simple, which is a flaw.


    Many highly demanding operations cannot be performed here. This is certainly detrimental to the development of emergency department surgery.


    If a department wants to apply for additional equipment or operating rooms, or even medical staff, performance is the only confidence.


    The bidding price for building a class 100 laminar flow operating room is usually more than 500,000 yuan.


    If imported materials are used, the cost can even be as high as two million or more.


    It is said that the cheapest laminar flow purification operating room costs only 350,000 yuan.


    In the emergency department last month, the surgical team of Zhou Can alone completed more than 800 surgeries. It even included 58 tertiary surgeries. Even though the tertiary surgeries performed are relatively common, given the number, this is already a pretty impressive result.


    As long as this kind of performance can be maintained, the hospital leaders will help upgrade the hardware even without the emergency department taking the initiative to ask.


    "Teacher, don''t worry, I''m sure I won''t slack off. Just a small request, you said it''s not enough just to have a 100-level laminar flow operating room!"


    Zhou Can salivated and said.


    "Supporting facilities for the operating room? I''m afraid this can''t be done in one go. The hospital''s finances are notoriously stingy. The image of our emergency department in the minds of finances has always been lying flat, poor, and rich, and let it allocate funds for construction. A Class 100 laminar flow operating room is already very difficult. If you ask it to complete some advanced equipment, the cost will be at least more than 8 million, it will be the same as digging their ancestral grave."


    When Dr. Xu talked about stingy finances, he was full of contempt.


    In his position, seek his own government.


    Finance is in charge of the hospital''s money bag. This department needs money, and that department needs money. The salaries and various expenses of the hospital''s personnel can scare people to death. Sometimes the implementation of some grand strategies, such as the purchase of large-scale equipment, requires a few million to 20 million yuan for a high-precision nuclear magnetic field.


    Generally, imported nuclear magnetic resonance machines are about 4-6 million, and domestic ones are about 3 million. The average price of a superconducting 1.5T machine is 10 million yuan, and the 3.0T machine needs about 15 million to 20 million yuan.


    As for surgical robots and supporting digital technology operating room equipment, the prices are equally terrifying.


    Hospitals seem to make a lot of money, but they also burn a lot of money.


    The start-up cost of ECMO is at least 20,000 yuan.


    Even the most inconspicuous utility bills can scare people to death for a month.


    So, don''t be stingy about finances!


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    What if all the money from the hospital is used up and the wages cannot be paid? Although public hospitals can receive state subsidies, they do not have the ability to produce blood, and they go bankrupt within a month or two at most.


    People in the world only know that working in a hospital is at least a basic undergraduate course.


    If you want to be a doctor, you basically start with a master''s degree. What they don''t know is that with so many high-level talents gathered together, the monthly salary and year-end bonus are all astronomical sums.


    In fact, the salaries of doctors are not directly proportional to their efforts, high education, and working years.


    The wages of domestic medical staff are generally low.


    "Sooner or later we need to get the advanced equipment in the emergency operating room, and I understand that it can''t be done overnight. What I want to achieve in the short term is to let the hospital build an endoscopy room for our emergency department. Traditional surgery has gradually been adopted by the market. Endoscopic surgery has many advantages. If we have our own endoscopic room in the emergency department, we can take on some minimally invasive and endoscopic operations in the future.¡±


    Zhou Can has his own ideas.


    I had so many surgeries last month, all of which were traditional surgeries.


    He discovered that, in fact, some operations can be done endoscopically.


    As for performing minimally invasive surgery in the traditional way, it is more of a concept than reality. Only endoscopic surgery can truly be called minimally invasive.


    Patients also have a shorter recovery time.


    And endoscopic surgery is a big trend.


    If it cannot follow the trend of the times, it is a miracle that the emergency department can survive, let alone develop.


    "I will discuss this matter with Director Lou and Deputy Director Han. No one knows whether it will be successful. But one thing is that you can lead the surgical team to maintain high-quality and high-quality performance. Our emergency department applies for these basic constructions. Only when you have the qualifications to speak."


    After hesitating for a moment, Dr. Xu gave his opinion.


    In the final analysis, the hospital is everyone''s hospital, not a certain person has the final say.


    It is even more impossible to serve a certain department.


    If you want more funds and resources, you have to show results.


    Scientific research achievements, academic achievements, and performance are all hard currency.


    Even the financial transfer of a country is the same. For example, if the navy of a certain superpower wants money, it must drive an aircraft carrier to cause trouble to show its importance. Then publish some opponent threat theory.


    Only in this way can the finances be allocated happily.


    After Zhou Can talked with Dr. Xu for a while, the two walked out of the small meeting room.


    Dr. Xu walked directly to Director Lou''s office, while Zhou Can walked towards the doctor''s office.


    "Doctor Zhou!"


    Ye Tingting flashed out from nowhere and grabbed Zhou Can.


    "Sister Ting is looking for me about your cousin?"


    Zhou Can has made a decision on this matter.


    If Ma Xiaolan can''t position herself correctly, she can only ask her to leave.


    "First of all, I want to apologize to you. I didn''t expect Xiaolan to be so confused. In fact, she is not the kind of person who doesn''t know what is important, but she is too strong in her bones. In addition, her family background was not good since she was a child, and she has a serious inferiority complex. The problem of too strong self-esteem. Then she felt that she was looking for a relationship to get in, so she was a little confused. After all, she still has little social experience. Sister Ting has never asked you for anything. Please give her another chance this time. "


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Ye Tingting should have a good relationship with this cousin.


    Or have a deep relationship with the cousin''s parents. For example, she has always been loved by her cousin''s parents.


    That''s why he tried so hard to plead for his cousin.


    She spoke very cleverly, and attributed the reason to Ma Xiaolan''s lack of visual experience, rather than a problem with her character and quality. This will definitely improve Zhou Can''s bad impression of Ma Xiaolan.


    "After Xiaolan called me crying and told me the whole story, I scolded her. I also analyzed what was wrong with her. First of all, it is wrong to place the equipment indiscriminately, which violates the three principles of nurses. Check the seven principles. Secondly, it is even more wrong to deliberately provoke conflicts with old comrades, to be arrogant and arrogant. As long as you give me another chance, I believe she will change her mind and become more Do better."


    Ye Tingting kept pleading with Zhou Can and said good things.


    Compared with her cousin, she is a sensible woman.


    "I really have no way to refuse you. Then I will give her another chance. As long as she can really get rid of impetuousness and arrogance, and unite with colleagues, I will treat her as before."


    Zhou Can found that power is really a good thing.


    In fact, he asked Ma Xiaolan to go back to the office to write a self-criticism, just to give her a chance to repent.


    Now that Ye Tingting came forward to intercede, it happened to be a favor.


    Ma Xiaolan has changed, hello everyone. If she persists in her obsession, no one can save her, and she can deal with it as she wants.


    "Thank you, Dr. Zhou! I will definitely spend more time teaching her in the future, so as not to cause trouble for you." Ye Tingting''s expression showed her gratitude to Zhou Can.


    I believe that if Zhou Can needs help in the future, she will definitely be very active.


    What adults pay attention to is reciprocity.


    Between men and women, there is no need for physical transportation. This depends entirely on both parties. If the man has a good character and the woman is not the kind of woman who regards chastity as nothing, we can always communicate normally.


    There will be no out-of-bounds behavior.


    Between Zhou Can and Ye Tingting, I asked myself that there was no deviant behavior.


    They respect each other and help each other.


    "Go get busy, I''ll go see how Ma Xiaolan''s review is going!"


    Zhou Can walked to the nurse''s duty room.


    Compared with doctors, there is a certain gap in the treatment of nurses in hospitals. They do not have their own offices.


    Just like a family, the status of men is usually higher than that of women.


    Men work hard for their families, work hard, and earn money to support their families. Most women will find a job, but their income may not be as good as that of men.


    They pay more for housework.


    Most of the time, men are the main ones, which is the way of husband and son handed down since ancient times.


    The doctors and nurses in the hospital have almost the same concept.


    Doctors receive patients, diagnose and treat patients, while nurses are more like good housemates, assisting from the side. Then do some logistical work within your power. Follow the doctor''s advice, give the patient an injection, change the dressing, and do a good job in nursing.


    "Doctor Zhou is here!"


    The nurses took the initiative to say hello to Zhou Can.


    "Is the new nurse Ma Xiaolan in there?"


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can asked.


    "Yes! Did Dr. Zhou bully someone? Xiaolan''s eyes are swollen from crying!"


    "I don''t dare to bully your nurses. Usually, the doctors say that all your nurses are fierce."


    Zhou Can responded and walked into the duty room.


    Nurses seldom sit and rest like doctors, they are busy most of the time.


    There are very few places to sit.


    After entering, I saw Ma Xiaolan''s eyes were red and swollen, and she was writing a self-criticism.


    Seeing Zhou Can come in, Ma Xiaolan seemed a little hard to adapt, her face was flustered, and she didn''t even dare to look at him. Obviously, he has a deep fear of Zhou Can.


    "Doctor Zhou is not allowed to bully our Xiaolan!"


    The other two nurses who stayed in the duty room walked out, giving space to them.


    Everyone is very smart, knowing that Zhou Can must have something to communicate with Ma Xiaolan. Regarding Ma Xiaolan''s privacy, in order to avoid embarrassment and to make it easier for Ma Xiaolan to speak, everyone consciously left the duty room.


    "Ma Xiaolan, have you finished the review?"


    "Doctor Zhou..."


    Zhou Can and Ma Xiaolan spoke at the same time, but she finally stopped talking and let Zhou Can continue.


    "It''s finished, please check it."


    She stood up and respectfully handed the review to Zhou Can.


    Compared with the previous domineering attitude in the operating room, it was completely like a different person.


    Of course, her arrogance in the operating room was not aimed at Zhou Can. The main target was Qiao Yu.


    Women are amazing creatures.


    Sometimes I don''t know which tendon is wrong, and suddenly I can get emotional.


    Qiao Yu was actually very nice to her, but just because he pointed out her mistakes at work, he **** her off right away. Perhaps, from the very beginning, she regarded herself as Qiao Yu''s superior.


    At work, subordinates accuse superiors of wrongdoings, and it is indeed easy to touch the scales of superiors.


    In the final analysis, Ma Xiaolan still didn''t put herself in the right position.


    Newcomers in the workplace will always step on such pits. It is also a good thing that she can learn from this lesson.


    "Well, the review is very profound, and the attitude of admitting mistakes is not bad."


    Zhou Can nodded with satisfaction after reading it.


    "Missing your first offense, this time it is our own housework for the surgical team, and there is no need to report it to the nursing department and departments. You will go to work in the operating room before 7:50 tomorrow morning, and you will continue to work as a roving nurse. I suggest you strengthen The professional study of surgical nurses, strive to become a qualified itinerant nurse as soon as possible. Otherwise, you will still be eliminated from my surgical team sooner or later."


    When Zhou Can said this, it was equivalent to lifting it high and putting it down gently.


    The impact on her is basically reduced to a minimum.


    On the side of the nursing department, the nurses under the opponent are quite defensive. As long as it is not a principled mistake, the doctor will not pursue some small matters, let alone the nursing department.


    After all, nurses are very mobile.


    If they didn''t do what they wanted, they dared to resign when they said they would resign.


    "Thank you! I will definitely appear in front of you with a new mental outlook, thank you for giving me this opportunity."


    Ma Xiaolan''s attitude can have such a big change.


    I guess I thought a lot about it when I wrote the review in the afternoon, and Ye Tingting also persuaded her a lot.


    People always have to learn to adapt to this society.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    It is absolutely impossible to adapt the whole society to one individual.


    Zhou Can nodded to her, took the self-criticism and left.


    "Doctor Zhou left so soon! We have snacks in the duty room!"


    "Haha, thank you for the snacks, keep them for yourselves! Don''t be caught by the inspection team when you eat them. A fine is still a trivial matter, and reporting criticism will ruin your future."


    Zhou Can is liking these lovely nurses more and more.


    We work together and work together for the development and growth of the emergency department.


    When he got home at night, Su Qianqian had already prepared meals and waited for him.


    As long as Zhou Can is at home Bodyguard Wei Fang will wisely leave alone space for Zhou Can and Su Qianqian.


    She brought some meals to grandma.


    Su Qianqian especially enjoys the time with Zhou Can, especially cooking, eating and watching TV together. She is different from those girls who like to go shopping. Her heart is more and more like a quiet and quiet life.


    I don''t know if all stars are like this.


    No matter what occasion the stars usually appear in, they are always hugged by the front and back, and the audience is enthusiastic. This kind of life under the public eye has been too long, and they gradually yearn for the peaceful life of ordinary people.


    "My dear, I am going to go to the hospital with you for an examination tomorrow. It has been almost a month since I stopped taking the traditional Chinese medicine. According to Mr. Chen Guoli, I have already taken the medicine for three courses. After stopping the medicine, if the kidney function test is still normal , there is no bad change, then I can recover from this disease as long as I take a good rest for a while."


    After Su Qianqian has been treated and conditioned by traditional Chinese medicine, her current mental state, skin luster, and physical fitness are no different from normal people in all aspects.


    "Okay! You go to bed early tonight, I have to rush to the hospital very early in the morning, so don''t wake up like a lazy cat!"


    Zhou Can laughed and teased her.


    It seems to be a woman''s nature to love to sleep late.


    Su Qianqian used to get up very early when she was busy with work. For more than a year, I have been recuperating my body. Apart from singing, many entertainment careers have gradually faded out.


    She got up later and later.


    "Hmph! Who is the little lazy cat, be careful to scratch you!"


    Su Qianqian bared her teeth at him.


    It can be seen that the relationship between the two is very good.

 Chapter 400： Changes in body temperature at night, training newcomers

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Honey, when I recover, you will marry me, okay?"


    She has long wanted to have a real home.


    It was very common for a normal woman to get married and have children, but it was a luxury for her. It has been almost three years since Zhou Can''s love long-distance running, and she wants to achieve a positive result as soon as possible.


    In the past three years, her career has been very successful.


    Even now, with most of her work behind her, she still earns a decent income.


    Some of her classic old songs are still popular today. One of her recently released new songs has become popular again, which has kept her popularity high.


    The live broadcast on Douyin has made her a lot of money.


    Su Qianqian did one thing particularly well.


    No matter how rich she is, she has never become a material girl, she has always pursued her music and lived a simple life.


    "Have you hated being married?"


    Zhou Can teased her with a smile.


    "You hate being married!" She rolled her eyes.


    "Why don''t we go to the Civil Affairs Bureau tomorrow to get the certificate?" Zhou Can has been looking forward to the marriage for a long time.


    Now the careers of both of them are very good, basically there is nothing missing.


    Get married and have two children, and your life will be complete.


    "Hey, aren''t you? Marriage is a big event in life, and it only happens once in a lifetime. No matter how simple you do it, you have to call the relatives and elders of both sides together, hold a wedding and welcome me together!"


    She protested with her mouth.


    "Who said that you can''t hold a wedding after you get the certificate? It''s because you are impatient. If you get the certificate, in the legal sense, I am your husband and you are my wife. A wedding is a ceremony, a kind of marriage. Etiquette is also the blessing of many relatives and friends to our love."


    Zhou Can has a unique understanding of many things.


    Don''t follow the crowd, don''t be superficial.


    "At that time, I will hold a grand wedding, and I will marry you in the door."


    He fully has this economic strength.


    "Hehe, that''s pretty much the same. I thought you men would not admit it after wiping your mouth after eating!" She smiled longingly.


    As long as conditions permit, I believe that every woman hopes to have a grand wedding and live happily ever after.


    ¡­


    The next morning, Zhou Can couldn''t bear to wake up his sleeping girlfriend after all. Leave a note and drive to work.


    After she woke up, let Wei Fang accompany her to Tuya Hospital for an examination.


    The nephrology department is almost full of Zhou Can''s acquaintances, so Su Qianqian doesn''t even need to line up to say hello.


    After rushing to the emergency department of the hospital, Zhou Can went to the inpatient ward for bed check as usual.


    Although there are two official residents, Lin Ping and Jiang Shuangshuang, who manage the patients in the ward, Zhou Can still dare not take it lightly. During the daily ward rounds, he will always deal with hidden dangers as soon as possible.


    Dr. Lin Ping''s qualifications are older than Zhou Can''s, but his level is far behind Zhou Can''s.


    Lin Ping couldn''t find many problems at all.


    Lin Ping would only follow the scriptures and apply rote to the work of taking medicines and revising doctor''s orders.


    If you can''t use it flexibly, let alone make optimization adjustments.


    It has to be said that a doctor with mediocre talent like Lin Ping can only do some real work. Don''t expect too much from them. This kind of person is more honest and steady.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    For example, let him be in charge of managing the inpatient wards, so you don''t have to worry about their dereliction of duty and their obedience.


    The things that were explained can be carried out in place.


    The newcomer, Jiang Shuangshuang, had very little contact with him, so Zhou Can still didn''t know what his level was.


    Today came early because it happened that Jiang Shuang was on the night shift, and there was no handover for the time being. It gave Zhou Can a chance to get to know her.


    "Good morning, Doctor Zhou!"


    She was recording the postoperative urine output in front of a patient''s bed, when she got up and found Zhou Can walking into the ward.


    [Recommended, changing the source app to chase books is really easy to use, download .huanyuanapp here, everyone can try it soon. ¡¿


    So he smiled and greeted Zhou Can.


    Almost everyone in the emergency department knew that Zhou Can''s status was very high, even higher than that of the general attending physician.


    When these residents saw him, they were all very enthusiastic.


    "morning!"


    Zhou Can nodded in response.


    He has now obtained the official employment contract of the hospital, and has all three certificates. He is a serious junior resident doctor.


    She is at the same level as Jiang Shuangshuang.


    In fact, she has been working officially for more than two years, and after three years, she can be automatically promoted to a senior resident doctor.


    In terms of qualifications, he is a little bit higher than Zhou Can.


    "How''s the patient''s temperature?"


    Zhou Can didn''t ask about urine volume, but asked about body temperature, which has his own deep meaning.


    Each patient''s surgery is different, the condition is different, and the signs that need to be paid attention to are also different.


    "Just measured, 37.1 degrees, low-grade fever."


    She froze for a moment before answering.


    "Did you take the patient''s temperature every three hours last night?"


    Zhou Can casually picked up the record sheet to check.


    Many people don''t understand why doctors can deliberately punish nurses. Doctor''s order is one of the very important means.


    Especially for senior resident physicians, the doctor''s orders issued by them are authoritative and weighty even in front of the attending physician. Even if the nurse slams face and asks the subordinate doctor to change the unreasonable part, the doctor can completely disagree.


    For example, to measure blood pressure and body temperature of patients, it is required to measure every two hours at night, and urine output is required to be recorded every half hour. It only takes one patient to keep the night nurse from squinting all night.


    The nurse didn''t follow the doctor''s order, and the doctor didn''t even need to complain to the nursing department when the doctor made the ward round the next day. He only needed to mention it to her superiors to ensure that she would be scolded and cry.


    If something happens to the patient, it will be even more serious.


    Once the hat of dereliction of duty is buckled, it is useless for the nurse to kneel down and cry for grievances.


    As long as there is an accident, almost all hospitals are full of soldiers and guards, giving priority to doctors and abandoning nurses. Priority will be given to higher-level doctors, and internships and regular trainees will be abandoned.


    This is the same reason that many units have accidents, and temporary workers are doing it.


    The reality is so cruel.


    But I must remind the newcomers here that many head nurses have backgrounds, so don''t mess with them. A head nurse you don''t like may be the dean''s lover, and even gave birth to an illegitimate child for him.


    Messing her is basically courting death.


    This is why the head nurses of many departments are sometimes better than the chief physician.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    People''s backstage is hard, there is no way!


    Jiang Shuangshuang is not a nurse, but as a bed doctor, she has to do some things herself. Such as the monitoring of key patients.


    Physicians who study clinical practice are definitely better than nurses in dealing with patients'' conditions.


    "I... slept on my stomach for a while in the duty room last night. I didn''t take the temperature at three o''clock in the morning. Because I took the patient''s temperature at twelve o''clock in the middle of the night, it was about 37.8 degrees at that time, which was a low-grade fever and there was no great risk. "


    When she talked about it, her face couldn''t help but blush.


    It was her dereliction of duty for not following Zhou Can''s doctor''s orders.


    Although the two are equal, the doctor''s order given by Zhou Can is actually equivalent to the doctor''s order given by the superior doctor. She only has to do it.


    Of course, if an obvious error is found, it can be pointed out in time and reported to the superior doctor.


    "It''s really hard to be on duty at night, I understand."


    Seeing that she is a female doctor, Zhou Can did not criticize her harshly.


    "Next time, if you want to take a nap for a while, you can entrust the nurse to help you."


    "I just came here, and I''m not familiar with the nurses, so I''m not ashamed to say this. The patient''s body temperature was 37.8 degrees at 12 o''clock last night, and it dropped back to 37.1 degrees this morning, which means that the fever is going down. There should be no problem, right?"


    Jiang Shuangshuang had just arrived, she was thin-skinned, so she didn''t have the nerve to get along with the nurse on duty and get on good terms with her.


    In this case, everything can only be done by yourself.


    If it were Zhou Can who was on the night shift instead, as long as the patients under management had no serious problems, he could even sleep in the duty room until dawn. Because there is a lot of work, he can ask the nurse on night shift to help with the operation. Or tell the nurse on duty to help keep an eye on the patient and call him if something happens.


    Afterwards, you can invite the nurses to drink a cup of milk tea or treat them to some other snacks. Next time you have something to do, I promise to help Zhou Can enthusiastically.


    "Some patients have a fever at night, and the body temperature will drop in the morning. Therefore, when I prescribed the doctor''s order, I asked to take the body temperature every three hours. I saw his urine output just now, and it was normal. But the urine showed It is dark yellow, like strong tea, with foam, so don¡¯t take it lightly. When you change shifts later, you must tell Dr. Lin to pay more attention to this patient¡¯s condition.¡±


    Zhou Can''s clinical experience, diagnostic experience and level are not comparable to Jiang Shuangshuang.


    Jiang Shuangshuang didn''t know the mechanism, but he saw the hidden danger.


    "Okay! I will definitely pay attention in the future."


    She agreed, sticking out her tongue.


    Really did not expect a careless negligence, the problem is quite serious.


    Zhou Can personally inquired about the patient''s condition before continuing to check the next bed.


    ¡­


    In the emergency inpatient ward, six beds have been added. As for the corridor outside, eight beds have been added and the beds are still tight.


    There are only fourteen beds in total, and the total number of operations in the emergency department is as high as forty or fifty a day.


    Zhou Can''s team alone performs 20 or 30 surgeries a day.


    It is indeed difficult to turn over a dozen beds.


    It is estimated that there will be 30 beds in order to alleviate the current hospitalization needs of surgical patients in the emergency department.


    As for the internal medicine patients, the emergency department was simply powerless. After trying to admit a few patients, they simply gave up.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Because it''s not worth it.


    For difficult internal medicine patients, the emergency physicians have limited skills and the cure rate is not high. The efficiency is low, and it is easy to cause complaints from patients.


    It seems that internal medicine patients charge a lot for medication, but after the actual operation, it is discovered that the treatment fees of these internal medicine patients admitted to the emergency department are kept at a low level.


    Those internal medicine patients who take imported and expensive drugs, the emergency department wants to accept them, but unfortunately they don''t have the ability.


    Basically, the symptoms of those patients were very severe and their illnesses were complicated. Even if Deputy Director Han swung his arms and went to battle in person, it would still be one head and two big. Just sweating, but can''t come up with a really effective treatment plan.


    If someone is killed, it will be a loss to the wife and the army.


    Therefore, Director Lou, Deputy Director Han and others jointly decided not to admit internal medicine patients for the time being.


    There are really some acute and severe cases, and they are temporarily admitted to the intensive care unit of the emergency department, and then wait until the specialist takes them in.


    The emergency department still plays the role of a transfer station.


    It is not nonsense that a good doctor can lead a department.


    After Zhou Can returned to the emergency department, the surgical performance in the emergency department skyrocketed, and the word-of-mouth increased instead of falling. Isn''t this due to Zhou Can?


    "Doctor Zhou, wait!"


    After Zhou Can checked the room and was about to go to the operating room, Jiang Shuangshuang chased him from behind.


    "Any thing else?"


    Zhou Can looked at her suspiciously.


    "The patient in bed No. 6 took a small temperature last night, I''m sorry."


    She apologized earnestly.


    This girl, yes, is as simple as a piece of white paper. It is more than ten times better than those old fritters.


    There are currently only four official beds in the emergency department, and the others are extra beds.


    That''s why it''s called adding a 6th bed.


    "Don''t blame yourself too much, it''s over when it''s over. I was also on night shift, and I was so sleepy that I couldn''t open my eyes. I understand you. Just don''t be careless in the future. Just now in the ward, in front of the patient It is not convenient for me to say some things in the face of the family members. The patient should be very careful, lest he suffer from organ failure or induce myocarditis. The postoperative complications are the most terrible for patients after such major surgery.¡±


    When Zhou Can talked about the hidden dangers of the patient, his face was serious.


    "Ah...it''s so serious! Fortunately, nothing happened last night, otherwise I''m afraid I really have to change my career."


    She looked scared, and her expression became tense.


    "Don''t worry too much. As long as the potential risks are discovered in time and the crisis is stifled in the cradle, the patients can generally be helped to tide over the difficulties safely. Postoperative complications can be avoided to the greatest extent."


    Whether Zhou Can interacts with people or works with them, the most important thing is character.


    Ability comes second.


    Jiang Shuangshuang''s words and deeds made Zhou Can have a good impression of this simple young female doctor. At least it is worth cultivating The inpatient ward of the emergency department is closely related to the operating room.


    The management of the inpatient ward is not in place, and the operation in the operating room is useless no matter how beautifully it is completed.


    As long as a doctor like her grows up, she can be entrusted with great trust.


    Therefore, Zhou Can is happy to give her the greatest tolerance.


    Give her enough time and opportunity to grow.


    "You said that the patient''s body temperature may have been very high at three or four o''clock in the morning yesterday?"


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    She still doesn''t know much about it.


    "Haven''t you managed a bed in an inpatient ward before?"


    Zhou Can asked questions instead of answering.


    "Take care of it! Which physician didn''t grow up as a bed doctor?" She raised her not-so-magnificent chest with a little pride.


    Beginning as an intern, clinicians experience bed-management assignments.


    At the beginning, there will usually be a superior doctor.


    "Then did you work the night shift when you were in charge of the bed?"


    Zhou Can continued to ask.


    "It''s worth it! It''s just not worth much."


    she replied.


    "Then you can carefully observe the temperature changes of the patients when you are on the night shift in the future. There are a few patients who do not have a fever during the day, but their body temperature will continue to rise at night. There are even some patients who are fine during the day and have high fever at night. A convulsion occurred. The doctor on duty was paralyzed at the time, and the family members were too sleepy to find out in time. In the end, the patient passed away unfortunately."


    Zhou Can shared some knowledge with her.


    Some of them were taught to him by word of mouth from chief physicians.

 Chapter 401： 1 stuttering cant make a fat man, foreign experts and foreign equipment are all here

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "When I followed the teacher for consultations, I heard some patients say that they were fine during the day and had a fever at night. I just didn''t expect this to happen to this patient who just had surgery."


    She is a doctor anyway, no matter how short-sighted she is, she has heard about most of the symptoms.


    "The upper respiratory tract is infected by viruses and bacteria, resulting in an inflammatory response. Or recent surgery, wound infection. Or tuberculosis, tuberculous pleurisy and other infectious diseases, may cause patients to have fever at night and normal during the day."


    Zhou Can taught her some medical knowledge he knew without reservation.


    After Jiang Shuangshuang heard this, he looked at him with extremely admiring eyes, "Dr. Zhou is indeed one of the best young doctors in our Tuya Hospital, and his medical knowledge is as profound as the sea. It is the first time I know that so many diseases will appear. Fever at night, normal during the day. Do you think the patient who was added to the No. 6 bed was wound infected after the operation?"


    Her thinking ability and learning ability are very good.


    After listening to what Zhou Can said, he immediately thought of the patient who added the 6th bed.


    This also made Zhou Can even more optimistic about her.


    Nine out of ten doctors kicked out from other departments are at the bottom of the list, with problems of one kind or another.


    Jiang Shuangshuang is innocent, this should be her biggest flaw.


    Furthermore, her medical knowledge is not as solid as imagined, which is also unfavorable for an internist.


    The competition in various departments of Tuya Hospital was so fierce, it was only logical that she was eliminated.


    "The 6-bed surgical patient is not necessarily postoperative infection. In short, it is right to keep a close eye on that patient."


    Zhou Can finished explaining.


    "Okay, I have nothing else to do and I''ll go to the operating room first. Goodbye."


    "bye!"


    She waved her hand and watched Zhou Can leave.


    Judging from her expression, the psychological burden has been put down.


    Zhou Can entered the operating room and found that Ma Xiaolan was seriously detoxifying the operating table and laying the sheets. Qiao Yu was preparing the instruments and medicines needed for the first operation.


    Luo Shishen hasn''t come yet.


    In the operating room, the atmosphere is quite harmonious.


    "Morning, ladies!"


    Zhou Can greeted the two with a smile.


    "Xiaolan came much earlier than me. When I came in early in the morning, I found her carefully counting the items in those cabinets." Qiao Yu was clearly trying to speak well of Ma Xiaolan.


    Compliment her progress.


    "Ma Xiaolan, not bad!"


    Zhou Can was also very happy to see that she had really reformed herself.


    If she is really kicked out of the team, she will feel a little embarrassed when she sees Ye Tingting in the future.


    "Don''t praise me! Compared with sister Qiao Yu, I''m still far behind! In the future, I will work hard to learn from sister Qiao Yu and strive to become a qualified surgical nurse as soon as possible."


    As Ma Xiaolan said, she also glanced at Qiao Yu.


    The two looked at each other and smiled, and there was no more tension. Before Zhou Can entered the operating room, the two should have communicated.


    "Hehe, you two don''t know each other. I think it''s great to be united now."


    Zhou Can was happy for the two of them from the bottom of his heart.


    At this moment, he deeply felt how difficult it is to be a ''leader''.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Good morning, Doctor Zhou! Good morning, two beauties!"


    Luo Shishen hurried into the operating room, seeing that he was short of breath and panting heavily, he probably came running here.


    "Couldn''t you be earlier? Almost every day, you step into the operating room."


    Zhou Can glared at him and said.


    This guy is as good as Dr. Lu. He commutes to and from get off work every day, and feels that he is at a disadvantage if he works for an extra minute.


    But there is one thing that he is much better than Dr. Lu, he is not lazy when he is working, he is not cheating, and his attitude towards patients is quite good. At least be serious and responsible.


    "Please spare me! Every night when I go home, I practice sewing pigskin and pinching soybeans. I basically go to bed at twelve o''clock. I get up early, afraid of sudden death."


    Luo Shishen had a bitter face.


    As a clinician, suturing technique is a basic skill that must be practiced.


    Among the four basic surgical techniques, suture is the easiest to practice. The material is not expensive, and you can take it as you use it.


    If you want to practice surgical techniques such as anastomosis and hemostasis, you have to buy white mice and rabbits, and you have to borrow the scientific research and teaching room of the hospital. Not everyone can afford electrocoagulation equipment like Zhou Can.


    There are many hospitals that are very stingy in scientific research and teaching, and are not always open to interns.


    Often only the training class has the opportunity to practice.


    More clinical teaching takes place in the real operating room, where more than a dozen interns watch the teacher perform surgery, which can be seen almost everywhere.


    Speaking of this, there is another joke.


    A pregnant woman had premature rupture of her amniotic fluid and was sent to the hospital for emergency treatment. An elderly female chief physician brought an assistant into the examination room to perform a finger examination on her.


    She was in pain and closed her eyes.


    When I opened my eyes again, I was horrified to find that there were white coats standing at the end of the bed, both men and women. She let out a high-decibel scream in horror. Afterwards, she felt that her privacy had been violated, and she went directly to the court to sue the doctor and the hospital involved.


    In the end, the hospital apologized to her without compensation, and the case came to an end.


    It is conceivable that he opened his legs and showed the most private parts in front of the doctor, but was surrounded by more than a dozen young doctors. That pregnant woman may have a shadow that will linger for the rest of her life.


    In fact, patients are often regarded as national treasures, and are surrounded by medical students during treatment, which is normal.


    Even if an objection is raised, the doctor will tell the patient, how can we train successors if we don¡¯t teach?


    After returning home, Luo Shishen was able to study hard and improve his medical skills, which is worthy of recognition.


    Zhou Can didn''t say anything more about him, as long as he was not late for work, he would be fine.


    A day of intense work began soon.


    Yesterday, Dr. Xu talked to Zhou Can. The emergency department was fighting for the 100-level laminar flow operating room, which made Zhou Can full of motivation.


    If you can really get a 100-class laminar flow operating room for the emergency department after about half a year of hard work, it will still be quite a sense of accomplishment. There will be more surgeries to be done in the future.


    With the 100-level laminar flow operating room, if we try to get an endoscopy room, it will be perfect.


    You can''t become fat if you eat one bite, these things can only be done step by step.


    The equipment department of the hospital is full of ''relatives of the emperor''. It is not so easy for them to let go of their promise to purchase a large number of new surgical equipment for the emergency department.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can was just a small-scale trainee before, not even a formal doctor, and couldn''t see many dark things in the hospital at all.


    After becoming a full-time employee, the things I came into contact with gradually became very different from before.


    For example, the General Affairs Department of the hospital actually has nearly fifty idlers. When he knew about this at the time, it simply refreshed his three views.


    I used to think that only the medical technology department was the hardest hit area and a paradise for related households.


    It was later discovered that he was too naive.


    The doctors recruited by the medical technology department through the back door, they go to work every day anyway. The gang of uncles in the general affairs department go to work every day to make a cup of good tea and wait leisurely to get off work.


    There are even more excessive ones, using a name to pay for nothing.


    The key point is that no one dares to take care of this matter, because it involves the interests of many leaders of the hospital. Anyone who dares to poke this hornet''s nest is guaranteed to be fired in the afternoon if they poke it in the morning.


    When it comes to dismissal, there is a kind of people in the hospital who are not afraid, that is, people with a staff.


    Although those who get the establishment are not afraid of being dismissed, the end of offending the leader is still miserable, and you can wear enough small shoes. You will be directly transferred to the toll office from some good administrative and clinical positions.


    What are you doing?


    Be a toll collector.


    The General Affairs Department is just the tip of the iceberg, and there are too many dark places in the hospital. There are too many people who eat empty pay, or don¡¯t do any work, make a cup of tea every day, read the newspaper, chat, stare at beautiful nurses when they have nothing to do, and strive to develop into mistresses.


    For example, in the medical insurance department with some real power, all those people are ''leaders''.


    Zhou Can gradually came into contact with these **** things, and had no choice but to accept the existence of those people.


    Don''t look at his current celebrity in the hospital, who is young and directly trained as a famous doctor.


    But as long as he dared to poke any hornet''s nest, it would cool down in minutes.


    These days, the most indispensable thing is talent.


    Dare to move the interests of those leaders, it is purely courting death.


    All he can do is to survive in the cracks. Work hard to do a good job in diagnosis and treatment, and improve medical skills.


    When he became famous and even left the big platform of Tuya, patients could come to him for medical treatment, then his wings would be hardened.


    At that time, the right to speak and status in the hospital will be completely different from what it is now.


    He wants to help Dr. Xu get rid of the shackles on his body, but there is still a lot to do.


    ¡­


    During lunch, Zhou Can finally had time to check the phone information.


    "Honey, I''ve finished my inspection and went home!"


    Su Qianqian sent him several messages, one of which told him that the inspection had been completed.


    There are also blood tests and kidney function test reports. Including urine specific gravity, urine sediment, etc.


    After Zhou Can checked the test results, his heart sank slightly.


    My girlfriend stopped taking the drug for a month, but her condition actually rebounded. Creatinine rose a little and glomerular filtration rate dropped 3 points. This shows that her illness is not cured.


    After stopping the drug, the condition will continue to progress relentlessly.


    What people are most afraid of is seeing hope, and then after countless efforts, the hope will be shattered again.


    It seems that they have to find a way to get the two main medicines mentioned by old Mr. Chen Guoli, and only then can Su Qianqian''s kidney disease be truly cured.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    She has been very lucky.


    After a year of traditional Chinese medicine treatment, food supplements, and various adjustments, the kidney function has returned to a near-normal level.


    "The result is not bad, we work together, I believe it will be cured!"


    When Zhou Can replied this message to her, he hesitated for a moment before sending it out.


    It''s too cruel for him to bear it silently. There is no need for Su Qianqian to carry a heavy psychological burden.


    He was going to figure out a solution to this matter after get off work.


    One of the main medicines, Ruishi Enterprises should have it. After work, I have to find a way to meet the boss of Rui''s Enterprise.


    In the past, he thought that the two main medicines might not be needed, so Zhou Can tried various methods to ask to see her, but after being rejected many times, he gradually gave up on the matter.


    Now it is discovered that Su Qianqian does not have the two main medicines, and her kidney disease cannot be cured. No matter how difficult it is, Zhou Can must find a way to meet the boss of Rui''s Enterprise.


    Li Luo, Mr. Cui and his wife, these friends have already used their power, and there is no way to get on line with Boss Rui.


    Zhou Can thought of a phone number that had been dusty for a long time.


    At the beginning, he rescued a pregnant woman surnamed Cao in the emergency department. Her father was Cao Zhengguo, who was Dean Zhu''s old superior. If you ask this person for help, you may not necessarily be able to make a breakthrough.


    It''s working time now, so it''s obviously inappropriate to call Cao Zhengguo.


    Maybe it would be better to get in touch after work in the evening and come to visit with a gift.


    He continued to check the phone information.


    Another one was sent by Director Xueyan from the Department of Cardiothoracic Surgery.


    is a voice message.


    WeChat has powerful functions, and you can directly click to translate into text.


    After all, there are many people here, so it would be bad if the content she posted involves some privacy.


    "Zhou Can, the volume of cardiothoracic surgery has shrunk by 23% last month, and it is expected to be even worse this month. Vice President Ye just talked to me. The situation is grim. It collapsed after less than a month.¡±


    After she became the director of the department, she was under a lot of pressure.


    Can''t find anyone to talk to.


    Sending this message to Zhou Can now, the situation must be more serious than imagined.


    "Don''t be so pessimistic, do a few high-precision cardiothoracic surgeries, and let''s talk about it first."


    Zhou Can gave her some advice.


    "Have you read the newspaper? The Third Hospital announced a major news today. It has hired the top cardiac surgery experts from Japan, including medical assistants and anesthesiologists. The surgical instruments and equipment used, The whole set is imported from Japan. It is equivalent to moving one of the top operating rooms in Japan together with the surgical team.¡±


    She sent a message back.


    "I really haven''t read the newspaper, so I''ll check it out right away. The Third Hospital is too ruthless. This shows the Chinese people''s psychology of worshiping foreigners!"


    Zhou Can had already told Vice President Ye the news that the Third Hospital had poached top cardiac surgeons from Japan.


    This matter has not been seen for a long time.


    Unexpectedly, more than a month later, the Third Hospital suddenly made a high-profile official announcement, and directly moved from Japan with the operating room.


    Most Chinese people already think that the scientific and technological strength and medical technology of foreign countries are much more advanced than domestic ones.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Now it is equivalent to directly in the country, you can enjoy the top surgical medical services that you can only enjoy when you go abroad. People who need heart surgery are afraid that they will flock to it.


    Sure enough, people are not ruthless and can''t stand firm.


    This move is enough to make the Cardiac Surgery Department of the Third Hospital instantly rank among the top in the country. Fame is also instant.


    [To be honest, I have recently followed up, changed sources, and have many voices for reading aloud. Both Android and Apple are available for .huanyuanapp. ¡¿


    The cost will probably not be low. UU reading


    The salary level in developed countries is not low. To let people leave their hometowns, the wages must be doubled at least to retain people.


    "They''re so smart, they''re targeting high-end cardiac surgery. Starting tomorrow, they''ll officially accept patients and provide top-notch endoscopic surgery services. They claim to be doing heart surgery, and they can work normally the next day."


    When Director Xueyan replied to this news, I believe her mouth must be full of bitterness.


    It''s not easy for her to be the head of the department.


    Not long after Director Hu Kan''s golden signboard collapsed, Xinxiang Women''s and Children''s Hospital and Provincial People''s Hospital made efforts in the field of cardiothoracic surgery at the same time. Xinxiang Hospital digs experts everywhere, recruits masters and doctors, and builds the most luxurious medical team.


    The Provincial People''s Hospital already has a strong strength, with a lot of accumulation and a strong momentum.


    The strength of the Third Hospital was completely incomparable with Tuya and the Provincial People''s Hospital, but now they are also joining in to grab the cake. Moreover, a team of foreign experts and foreign equipment were invited to help out.


    Each of them is a generation of tigers and wolves, and they all have their own characteristics and reliance.


    This phenomenon is a bit like in a mountain forest, after a towering tree dies and falls, the surrounding plants work hard to absorb nutrients, absorb sunlight, grow rapidly, and compete for the vacant land. Try to give yourself the opportunity to grow into a new towering tree.


    Director Hu Kan''s collapse is equivalent to the death and collapse of a towering tree.


    These competing hospitals have raised their big knives to cut this big cake.


    "Sister Yan, don''t worry, I believe there will be a solution. At this time, I am most afraid of losing my footing, so I must hold on."


    Zhou Can can only comfort her like this.


    When faced with the massacre of many powerful enemies, the more you confuse yourself, the faster you will die.

 Chapter 402： The higher the level, the harder it is to advance. Doctors cant just look at the money

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    , my medical skills can add experience points


    Cardiothoracic surgery is not Xueyan''s department alone, and Zhou Can is also a part of it.


    Before his death, Director Hu explained to Zhou Can that he would assist Director Zuo Xueyan in managing the cardiothoracic surgery department. Especially in the case of a major crisis, we must help a group of Xueyan.


    Now, competitors in cardiothoracic surgery are crossing the sea one by one, each showing their special abilities.


    Zhou Can also saw it in his eyes and was anxious.


    After eating, Zhou Can went back to the emergency operating room for surgery.


    He very much hopes that his surgical skills can make great progress. It''s a pity that the improvement of medical skills is difficult after reaching the fifth level, and the promotion becomes extremely slow.


    In the past, when there was only an internship level, he could upgrade the hemostasis from the first level to the second level in one night.


    Now even though there are a large number of patients who provide him with practical opportunities, it takes 100,000 experience points to upgrade from level five to level six. It''s too hard to earn.


    Even when doing some tertiary surgery, there will be an opportunity to earn additional rewards of 100 points and 10 experience points.


    It is extremely difficult for any medical skill to accumulate a hundred thousand experience points.


    After all, he needs time.


    As long as there is five or six years of accumulation and precipitation, his many medical skills can be promoted to the director level without any suspense.


    Zhou Can was busy working until after seven o''clock in the afternoon, and then he called it a day.


    Worked more than an hour longer than usual.


    A total of 34 operations were performed today, including two tertiary operations.


    He wanted to speed up the upgrading of medical skills through this silent effort.


    Director Hu Kan taught him how to do various three-level and four-level difficult operations in cardiothoracic surgery. Even if there were some who didn''t come to teach, Director Hu Kan''s medical notes were passed on to Zhou Can and Xueyan.


    Zhou Can can completely master the surgical method by reading those medical notes.


    However, surgical skills and practical operations cannot be mastered by reading books. Only by practicing again and again, constantly piling up, and then achieve a breakthrough. It''s like writing a Chinese character, practice calligraphy often, and those who are talented can write with strong muscles and bones and correct fonts. Those who have not practiced may write crookedly and sloppily.


    One minute on stage, ten years off stage.


    Don''t look at how chic and domineering the chief physicians are when they complete the difficult part of the operation, but they don''t know that they have performed thousands of operations at ordinary times, so they have such superb surgical skills.


    Expensive robotic surgery has not been able to completely replace humans until today.


    Why?


    It is because it lacks spirituality, and it cannot handle complicated surgical operations.


    However, the chief surgeons of human surgery can achieve perfection when performing some difficult operations. Create surgical legends again and again, and birth miracles of life.


    ¡­


    After get off work, Dr. Xu, who had been with Zhou Can all the time, showed a rare smile, "Xiao Zhou, it seems that the conversation with you yesterday is very effective! Your team is working harder than ever before."


    Doctor Xu thought that Zhou Can''s sudden extension of working hours was because the conversation last night had an effect.


    "Uh... we young people, it doesn''t matter if we work harder! We will regenerate when we run out of strength. It''s a bit late now, how about I invite everyone to have dinner together?"


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can looked at several members of the team, including Dr. Xu.


    Zhou Can is not qualified to perform second- and third-level surgeries on his own at all, and he just took advantage of the loopholes in the surgical access system.


    One of them is that tertiary surgery requires senior attending physicians or deputy chief physicians, chief physicians, and workers with relevant experience to preside over it.


    Dr. Xu used to be one of the top chief physicians in surgery.


    After being downgraded, you can no longer participate in the fourth-level surgery.


    But can preside over tertiary surgery in the emergency department.


    Even if someone checks on Zhou Can, there is no need to worry at all. At that time, Dr. Xu will be the first to stand up and say that he is the chief surgeon. Zhou Can only participated in part of the work tasks of the operation, and was always guided by him.


    Moreover, as long as there are no accidents in the operation, it basically belongs to the people who will not be prosecuted, and the officials will not be prosecuted.


    The operating room, idlers, etc. can''t come in at all.


    Dr. Xu put a lot of thought into arranging the operating room for Zhou Can, setting it inside.


    If there is any trouble, Dr. Xu will know it immediately.


    In order to avoid the possible risks of external factors.


    The only risk is Zhou Can himself.


    He had an accident during the operation, which is the biggest risk factor.


    "Yeah!"


    Hearing Zhou Can''s treat, Qiao Yu and Ma Xiaolan applauded.


    "Doctor Zhou is so rich!" Luo Shishen is just an intern now, not only has no income, but also has to give money to the hospital. If someone invites you to dinner, he naturally asks for it.


    "You guys go, I won''t go! My family has prepared meals and is waiting for me."


    Doctor Xu refused to join in the fun.


    "Wow, Dr. Xu must have a very virtuous wife. So romantic!"


    Qiao Yu has always been yearning for beautiful love.


    She was so envious to hear that Dr. Xu had hot meals when he came home.


    "The teacher has never mentioned the teacher''s wife to us!"


    Zhou Can knew nothing about Dr. Xu''s family situation. The only time I heard Dr. Xu complaining was that he took out most of his salary to compensate the family members of the medical accident.


    It can be inferred from this that Dr. Xu''s financial situation will definitely not be very good.


    In Tuya Hospital, even a resident doctor can afford to drive a car worth more than 100,000 yuan as long as he has worked for a long time. Dr. Xu has always been the main force in the operating room of the emergency department. His income exceeds 20,000 a month, but he cannot afford a car.


    As you can imagine, his family''s financial situation is not much better.


    It is said that poor and lowly couples are sad for everything.


    When a family is in financial distress, it is very easy for couples to quarrel over trivial matters such as daily necessities, rice, oil and salt, and children''s tuition fees.


    "You guys go, I''ll go first!"


    Dr. Xu seems reluctant to talk about family matters.


    But from his expression, it can be seen that when Qiao Yu praised Dr. Xu''s wife, his expression was enjoying and acquiescing.


    This shows that he probably has a good wife who silently supports him and accompanies him.


    He was demoted from the chief physician to the attending physician, and he also compensated a large sum of money to the victim''s family. And after the incident, he also used most of his monthly salary to voluntarily compensate the families of the victims.


    And his wife didn''t make trouble, nor divorced him, but always supported him and stayed with him.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Being able to meet such a good wife, Zhou Can finally understood what Dr. Xu said when he came back from Director Hu Kan''s memorial service that day.


    He took the other three members of the surgery team to dinner, so he didn''t mention it.


    There is no need to find many high-end restaurants.


    Qiao Yu proposed to eat Sichuan cuisine. She knew a Sichuan restaurant with affordable prices and authentic taste. The other two responded. Zhou Can naturally wouldn''t take Qiao Yu''s fancy off.


    The three of them helped Zhou Can a lot during the operation, and Qiao Yu was an even more important contributor.


    Treat her after get off work, that''s what she should be.


    This kind of dinner also helps the surgical team become more united.


    Chinese culture is like this, and the wine table culture has been popular since ancient times. After eating together, the relationship will naturally become more familiar.


    Ma Xiaolan dared to be so presumptuous yesterday because she had a meal with Zhou Can.


    He thinks he has a very close relationship with Zhou Can.


    "Is that Sichuan restaurant far from the hospital?"


    Zhou Can also thought about finishing his meal, and then buying some gifts to visit Cao Guozheng.


    Try to find the two main medicines that my wife needs as soon as possible, and cure her as soon as possible.


    "It''s more than three kilometers away! It''s called General Cheng Sichuan Restaurant. Have you ever been there?"


    Qiao Yu took out her phone, opened the navigation and directly searched for the coordinates.


    Then show it to Zhou Can.


    "I really didn''t see it, Miss Qiao Yu usually lives a pretty good life! When I go to restaurants, I only dare to go there once or twice a year."


    Ma Xiaolan had a falling out with Qiao Yu yesterday, and after being ''beaten'', she learned to be good.


    Now actively seek every opportunity to repair the relationship with Qiao Yu.


    For many nurses and doctors, they actually cherish the job opportunities in front of them. Tuya Hospital itself is also particularly difficult to enter.


    Many people spend money to find relationships, but they may not be able to get in.


    "Hehe, how can I go to restaurants every day! During the internship, I went to eat twice with the teacher, and I think the taste there is really good. There are four of us, and one hundred and sixty seventy yuan should be enough. It¡¯s also not unbearably expensive.¡±


    It costs more than 40 yuan per person to eat out, which is really not expensive.


    For the vast majority of ordinary wage-earners, eating out and eating big meals are all about calculating the price. A few tens of dollars per person is basically acceptable to everyone.


    Like that kind of luxurious star hotel, a meal needs more than a thousand yuan, or even a table of several thousand yuan, which is not affordable for ordinary people.


    Zhou Can usually eats at home or in the student staff canteen of the hospital.


    He also ate some in big hotels.


    Only restaurants with the consumption level of the working class mentioned by Qiao Yu eat less. It''s not bad to follow a few people to experience the happy life of the working class.


    Even if you go to a restaurant for 40 yuan a meal, the working class also regards it as a luxury consumption.


    Like Chinese New Year.


    "Send me the coordinates, let''s drive there!"


    Zhou Can said to Qiao Yu.


    "I don''t have a car, so I can give you a ride." Qiao Yu had seen Zhou Can''s Mercedes-Benz and knew that his financial situation should be good.


    "I don''t have a car either! Is Dr. Zhou convenient?"


    Ma Xiaolan also didn''t have a car.


    "Convenient, convenient!"


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can readily agreed.


    "Master, add me!"


    Luo Shishen said quickly.


    "Call me Doctor Zhou or Zhou Can from now on!"


    Zhou Can was slightly taken aback, unknowingly, he also became a teacher in the eyes of others.


    However, in his mind, the word master is very sacred and should not be uttered indiscriminately. Although he taught Luo Shishen a lot of surgical experience and skills, he did not intend to accept him as an apprentice.


    On the one hand, Luo Shishen''s character did not meet Zhou Can''s requirements. On the other hand, Luo Shigent''s talent can only be said to be relatively good, and he also cannot catch Zhou Can''s eyes.


    Taking him and teaching him now is nothing more than fulfilling the obligation of supporting newcomers.


    "For more than a month, you have tolerated me a lot, and you have taught me all kinds of valuable surgical knowledge, which has made me make great progress. I have long regarded you as a master in my mind."


    Luo Shishen is usually very thin-skinned, but today he is a bit thick-skinned.


    It seems to depend on Zhou Can.


    "It doesn''t have to be like this. I teach every newcomer this way. When I was an intern, the superior doctors also taught me this way."


    Zhou Can waved his hand.


    "You wait for me at the back door of the hospital, and I will drive out right away."


    After finishing speaking, Zhou Can left directly without entangled with Luo Shishen on this topic.


    Luo Shishen''s expression was somewhat lonely.


    It is not easy for an intern to hold a big thick leg. Those powerful senior doctors have a very high vision and look down on ordinary doctors at all. Not to mention the deputy director and chief physician.


    When they accept apprentices, they choose the best among the best, and they are not particularly outstanding, so they cannot fall into their eyes.


    Soon, Zhou Can came out in a Mercedes-Benz.


    Honked the horn to the three people waiting on the side of the road, lowered the window of the co-pilot and greeted, "Come on, everyone!"


    Qiao Yu had seen his Mercedes, so his expression was relatively calm.


    Ma Xiaolan was shocked when she saw that Zhou Can was driving a Mercedes-Benz worth hundreds of thousands.


    "Wow, Doctor Zhou is so rich!"


    With that said, she walked towards the co-pilot''s seat, ready to open the car door.


    "You two ladies sit in the back! Luo Shigentleman, you sit in the front."


    Zhou Can said calmly.


    Ma Xiaolan''s actions just now, to be honest, will only make him look down on him.


    "Let''s go, let''s sit in the back. Doctor Zhou has long been a master, how could his co-pilot allow other ladies to sit?" Qiao Yu reminded Ma Xiaolan from the side.


    It is undeniable that Zhou Can, a young, handsome and wealthy doctor with good medical skills, is extremely competitive in the eyes of young female doctors and nurses.


    If he was a scumbag, he would definitely have the ability to become a breeding boar just by hooking his fingers.


    "Why do successful men get married early! When I look for a boyfriend in the future, I will look for him at Dr. Zhou''s level."


    After hearing this, Ma Xiaolan felt a little disappointed.


    "Hehe, Doctor Zhou''s level is not low." Qiao Yu gave Zhou Can a faint look.


    Back then, if she had been bolder and confessed her love in front of Su Qianqian, she might still have a chance.


    Now, I can only feel sad secretly.


    "Tsk tsk, a luxury car worth hundreds of thousands is different. I feel that I have become more dignified when I sit in it!" Luo Shigeng got into the car with envy on his face.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    In his eyes, Zhou Can is his goal.


    His words broke the dullness in a timely manner and made everyone laugh.


    "Doctor Zhou, may I ask you a question?"


    Luo Shigeng still had an excited look on his face.


    "you say!"


    Zhou Can''s eyes were looking straight ahead. There were so many vehicles and pedestrians on the road behind the hospital''s back door, and it was easy to get scratched if he didn''t pay attention.


    Scratching someone else''s car is still a trivial matter, but hitting someone is a big problem.


    People are more expensive than cars these days.


    Even if the person who was hit was only slightly injured, or even just scratched, he could lie on the ground with his legs hugged, saying that it hurts here and there. It is normal to lie in the hospital for ten days and half a month without being hospitalized.


    Just wait for the car owner to obediently pay a large sum of money.


    "Is it convenient to know the income after becoming a formal doctor? My parents have supported me to study for so many years, and now I can''t earn a penny, and I have to pay the hospital. If I graduate, I can earn two or three a year." One hundred thousand, that''s worth it."


    Luo Shigen expressed the feelings of most medical students.


    After studying hard for many years, the internship in the last year of graduation is ignored. After entering the hospital, there will be another three years of regular training. Who can be happy with a salary of two thousand yuan a month for a master''s degree or a Ph.D.?


    "Doctor Luo, first of all, I can tell you that I didn''t buy this car with money as a doctor. Secondly, as a doctor, if you only think about how to make a lot of money, ten out of ten will go astray. Doctors are benevolent. That may be a bit ridiculous, but only by striving for medical skills can a doctor become a great doctor. Otherwise, if he goes in the wrong direction, he is doomed to be desperate."


    It''s true that Zhou Can can''t stand and talk without back pain.


    Instead, he believes that being a doctor should not only be based on money.


    The medical skills have improved, and the rank has also increased, so the income will naturally not be bad. There are plenty of Tuya''s attending physicians who get 20,000 to 30,000 a month. Sub-high and high-level, some have an annual salary of more than one million.


    If they had only thought about how to cheat patients and increase their income, they would not be able to achieve too high medical achievements.


    God is very fair.


    When people pursue something, they always need to give up something.

 Chapter 403： Cognition determines achievement, clues to wild herbs

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    It may be possible to have both fish and bear''s paw, but for some things, it is only possible to choose one of the two.


    For example, we will find that some people around us who love to take advantage of small things are very difficult to prosper in their careers. The more you live, the more you will be eliminated.


    It''s not that they are not smart enough, or that they are not capable, but that they are used to taking advantage of small things. Others have been in contact with him once or twice, and have suffered a lot, and they will avoid them the next time they deal with this kind of person. Or take precautions.


    Just imagine, there was originally a cooperation opportunity, and the other party thought, this person loves to take advantage of small things, and cooperating with him will definitely be tricked by various schemes, so I should find someone else.


    Everyone will stay away from such people when they have dinners and group training at work.


    Eating with this kind of person will not only make you pay the bill, but also take a pack of cigarettes or drinks along the way. Disgusting.


    Gradually, this person who loves to take advantage of small things has created all his good popularity. Therefore, the more you live, the more regressed you are, and you are doomed to work for the rest of your life. And it''s the bottom of society.


    As a doctor, if you only focus on money, all you think about is how to make money, and your energy and time will be spent on how to cheat patients.


    The pursuit of medical skills will naturally get worse and worse.


    In the end, he went down a crooked path, and it was lucky not to get into the game.


    If you want to become a real great doctor, you will run in the opposite direction, and it will be impossible in your life.


    Zhou Can''s continuous improvement in medical skills, in addition to the blessing of the system and outstanding talent, has a lot to do with his dedicated study of medical skills and love of medical skills. He doesn''t need to worry about money, all he thinks about is how to cure the patient, shorten the recovery time, and give the patient the best treatment plan.


    It''s not like some unscrupulous doctors who know that the patient has fibroids, but deliberately prescribe a bunch of medicines and let the patient take it first. Then after a period of time, I checked again and found that the fibroids had grown to nearly 10 centimeters. Only at this time did I tell the patient to have surgery to solve it.


    What''s even darker is that a cancer hospital knew that the patient was hopeless, and then told the patient that your disease is hopeless in our hospital. I heard that a certain hospital is very good at treating patients with advanced malignant tumors like you, which can relieve your pain and prolong your survival period.


    The patient is a desperate drowning person at this time. Hearing that there is the last straw to grasp, he naturally obediently ran to the recommended hospital for treatment.


    Little did he know that the chief physician of the oncology department of this hospital had jumped ship from the previous tumor hospital.


    In the original hospital, he was the bottom of the list.


    Because there are too many competent chief physicians.


    After jumping to this hospital, his status skyrocketed and he directly became the head of the oncology department.


    As a result, most of the terminally ill patients who could not be cured by the hospital were tricked into coming here for treatment. All kinds of expensive imported medicines and treatment methods are used in turn. If all the savings of patients and their families are not squeezed out, the patients will never die easily.


    In the end, the patient was dying, and he had to be grateful to this black-hearted chief physician.


    Thank you so much for your benevolence and benevolence, for treating me with all your strength, which has allowed me to survive for so long.


    Because the patient was originally sentenced to death in the previous hospital, and there was no way to save him. So he didn''t have high expectations for the treatment. Even with such a result here, he still thinks it''s good.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    On the contrary, it is the kind of really good doctor who, after discovering that the patient is hopeless, advises the patient and his family not to treat him any more in order to avoid the loss of family members and money, and to save the patient from suffering. As a result, they were regarded as cold-blooded animals by family members and patients.


    It can only be said that there is a reason why the world is turned upside down.


    Normally, Zhou Can would never tell Luo Shishen such things as philosophy of life.


    Perhaps Luo Shishen''s previous call of master gave him the sense of responsibility to be a teacher.


    He thought that at least he could lead Luo Shishen to the right path and prevent him from entering the wrong path.


    "Being a doctor is not for money, so who would still be a doctor?" Luo Shigent''s ideological awareness obviously did not reach Zhou Can''s level, and he couldn''t understand it at all.


    "That''s right, being a doctor and a nurse, if it wasn''t for the salary, I wouldn''t want to suffer this crime! In addition to being scolded and taken advantage of by family members and patients, I would also be bullied and taken advantage of by some disgusting male doctors under various pretexts." .¡±


    Ma Xiaolan also followed suit.


    Harassment of women in the workplace is very common.


    The hospital looks holy, but it is actually a hard-hit area.


    The deputy chief physician in his fifties and his son and daughter are almost thirty years old, but he just found an excuse to call the intern nurse in his twenties to the office. In the end, the little nurse Lihua ran out of the office in the rain and called the police.


    There is no need to say more about the latter matter, the deputy chief physician insisted on not admitting it.


    After being taken away by the note, he was soon put back.


    He is still doing well in the hospital, and his position has not been affected at all. Instead, the little nurse who was bullied resigned. This is real.


    Many people in the department, especially the female nurses and doctors, were scolding the deputy director in private, who was old enough to be his father, and they didn''t know how to deal with it.


    "What Dr. Zhou means is not to say that no salary is required. Who would be unhappy about a salary increase? It is also one of the motivations for everyone to work. But if we only work for money, our professional skills will be limited. What to do It is all measured by money, and eventually lost the original intention and heart of being a doctor and nurse, and lost the original goal of struggle. Is that so?"


    Qiao Yu''s last sentence was obviously asking Zhou Can.


    "It''s because Miss Qiao''s ideological awareness is high. You should learn more from her. It doesn''t matter if you don''t understand now. Remember my words, work can''t just be based on money. If you want to have a career in the two professions of doctors or nurses You can¡¯t just focus on making money.¡±


    Zhou Can couldn''t help admiring Qiao Yu even more.


    She is the most enlightened nurse Zhou Can has ever seen.


    There are other nurses who are more motivated than Qiao Yu, but the direction of their struggle is not as clear as Qiao Yu. They were staring at higher positions, honorary titles, and incomes one after another, but Qiao Yu always insisted on her lofty ideals and goals, and she only wanted to make achievements in nursing.


    So, she naturally thought of going abroad for further study.


    Humans, the only thing that can be created out of nothing is a dream.


    Many children''s dreams have finally become reality when they grow up. The same is true for adults, as long as you have a dream in your heart, the result is often not too bad.


    When they arrived at General Cheng''s Sichuan Restaurant, it was already the beginning of the lights.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Because they got off work a little late today.


    The restaurant is still very popular and diners gather. With so many diners, the taste and service of this Sichuan restaurant will definitely not be bad.


    "Welcome, all four please!"


    Waitresses in jackets greet guests at the door.


    "There''s an empty table over there, okay?"


    The waiter warmly greeted the four of them.


    "OK!"


    Zhou Can has always followed the Romans, and he is basically not picky about food, drink and housing.


    You can live in a big villa or a dormitory in a hospital.


    But now that he''s talking about his girlfriend, it''s definitely inconvenient for him to live in the dormitory of the hospital. He rarely lives in apartments anymore.


    Including the equipment for practicing medical skills on weekdays, he moved to the house where he lived with Su Qianqian.


    Men, who doesn''t like a warm bed accompanied by a woman?


    That apartment has basically become Jin Mingxi''s single residence now.


    "This is the menu, what would you like to eat?"


    "Qiao Yu, come and order!"


    Zhou Can felt that she had eaten here several times and was familiar with the dishes here, so it would be safer for her to order.


    "You don''t need to save money for me, just order whatever you want. Ma Xiaolan, Dr. Luo, you two are the same. If you see something that suits your taste on the menu, just order it."


    Zhou Can was never stingy when he invited his subordinates to eat.


    Including treating colleagues to supper and milk tea, he is willing to spend money.


    The mouth that eats people is soft, but the hands that grab people are short.


    Colleagues eat his food, usually at work, or when he has something, they will provide enthusiastic help.


    Qiao Yu ordered four dishes, with a combination of meat and vegetables, and the price seemed extremely reasonable.


    Luo Shishen looked at the menu, and ordered another special meatloaf, which cost 15 yuan and 5 yuan, which was very cost-effective. It''s basically equivalent to half sale and half free.


    Ma Xiaolan pointed to a piece of spicy beef with a price of 158 yuan above and asked.


    "Doctor Zhou, can I order?"


    She asked so, how could Zhou Can refuse?


    "Order, of course you can order. But there is a principle, no extravagance and waste."


    Zhou Can didn''t care about one or two hundred dollars at all.


    It''s just that Ma Xiaolan''s quality is far inferior to Qiao Yu and Luo Shishen.


    When she saw that Zhou Can was driving a BMW, she was the first to grab the co-pilot seat. Don''t think she doesn''t understand, in fact, she understands the meaning of the co-pilot seat. Her subconscious thought was just to **** the co-driver''s seat and to get the upper seat.


    When ordering food at this moment, Qiao Yu showed a virtuous and rational character. The dishes he ordered were reasonably priced, nutritious, and the taste should not be bad.


    Ma Xiaolan felt that Zhou Can drove a luxury car, was rich, and had the mentality of being rich.


    I directly ordered an ''expensive dish'' whose price was not much lower than the total price. From these details, it will only make people''s impression of her worse, and they will only take her lightly.


    "Then give us one!"


    Ma Xiaolan said to the waiter.


    "Okay! Everyone, please drink the food first, and it will be served to you when the food is ready. We are all cooking and selling here, so you may have to wait a little bit."


    After the waiter greeted the four of them, he took the menu to the kitchen.


    "Thank you, Doctor Zhou!"


    Ma Xiaolan took the initiative to pour water for Zhou Can and waited on him attentively.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "You''re welcome, as long as everyone enjoys eating."


    Naturally, Zhou Can would not have any objections to her because of such a trivial matter.


    "Look over there, they seem to be two people from ethnic minorities!"


    Qiao Yu pointed to a table in the corner.


    Ethnic minorities are not uncommon and have long been integrated into Han society. Their usual attire is no different from that of the Han people, and they will only appear in full costumes on major festivals.


    Wear their ethnic costumes to show celebration.


    In this regard, Little Japan probably copied our customs. In most people''s minds, the Japanese are wearing kimonos. In fact, the price of a kimono is very expensive, and the cheapest one costs two to three thousand.


    Only when they are coming of age, parents will be willing to spend such a large sum of money to buy a kimono for their children.


    Moreover, kimonos are only worn on major festivals, not every day.


    Zhou Can looked in the direction Qiao Yu pointed, and saw two middle-aged men eating and drinking there, one tall and one short, and both of them were relatively fat. They wear headscarves and different clothes.


    "It should be a Tibetan!"


    Zhou Can''s knowledge and experience are beyond the reach of ordinary people. This is one of the advantages of rich children, well-informed.


    They have the opportunity to travel all over the country and never have to think about the cost.


    Ordinary people''s children, some families are struggling even with tuition fees, how can they have spare money to travel with their children?


    "Their clothes are so unique! They also eat more food than us."


    Qiao Yu gave Zhou Can an admiring look, then continued to stare at the two of them.


    Because of the extreme cold in the frontier areas, the living environment is harsh. In order to survive, they have practiced eating meat and drinking heavily for generations.


    [The book chasing app recommended to me by an old book friend who has known me for ten years, the source app! It¡¯s really easy to use. I use it to read and listen to books to pass the time while driving and before going to bed. You can download it here]


    Like the people in Mongolia, if you tell him not to eat meat for a meal, he will be very hungry.


    Eating only rice and vegetables is unimaginable to them.


    Whole steaks, blood sausages, and whole sheep are their staple foods. As for horse meat, they ate less. Horses are one of their daily means of transportation.


    Back when there were no cars, horses were the only means of transportation.


    Just like most southerners like to keep dogs to guard the house and rarely eat dog meat. People who raise dogs have a deep affection for dogs, and they are reluctant to kill and eat meat.


    They, too, have a special affection for horses, and rarely kill horses for meat unless they freeze to death unfortunately. m.qQxsNe¦Ø


    Zhou Can found that the two men were each carrying a big bag, and it was not clear what was in it.


    I feel like I have just arrived in the provincial capital to make a living.


    After a few glances, he stopped looking.


    After the two finished eating, they didn''t leave in a hurry. The waiter did not dare to go up to urge. I saw the two drinking and talking while looking at the door from time to time.


    After a while, Zhou Can and the others had their first dish on the table.


    At this time, a chunky man in a black coat hurried into the restaurant. After looking around, he quickly locked on to the two ethnic minority men.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Walked over quickly.


    The two sides had a brief conversation, and the minority man opened the bag to reveal the items inside.


    It is a bundle of Chinese herbal medicines.


    It turned out to be two medicinal material vendors from the border areas.


    After the three of them chatted for a while, the price didn''t seem to be agreed, and the man in the black coat left a little unhappy.


    "Eat first, I''ll go and have a look."


    Zhou Can was not interested in these Chinese herbal medicines at all before, but now he only wants to find the two main medicines for Su Qianqian, and pays special attention to all clues that may lead to the purchase of the two main medicines.


    He went straight to their table.


    "Hello, two bosses!"


    Zhou Can squeezed out a smile and greeted the two of them.


    "Hello!"


    The short man also responded with a smile.


    I''m afraid they speak a national dialect, but fortunately, they can communicate if they can speak Mandarin.


    "Just now I saw that what you have in your bags seems to be Chinese medicinal materials, are they for sale?"


    Zhou Can asked the two of them.


    "Yes!"


    When the two looked at Zhou Can, their eyes were full of vigilance.


    "I am a doctor, and this is my certificate. I just need to buy some Chinese medicinal materials."


    Zhou Can is very smart. He first showed the documents to others to gain trust.


    Then tell the two people that he also needs to buy Chinese herbal medicines.


    If you tell the other party directly that he only needs two main medicines, he probably won''t follow up as soon as he shakes his head.


    Interest is always an existence that affects people''s hearts.


    The medicinal materials brought by these two people could not be sold just now. I definitely hope that I can make an early shot in my heart. This gave Zhou Can a chance.


    "What Chinese medicinal materials do you need? Ours are all wild medicinal materials, and the price is not cheap."


    The short man was still in charge of talking to Zhou Can, while the tall man did not speak.


    "Can you let me see your medicinal materials? Our hospital needs to purchase a lot of medicinal materials, but there are requirements for both price and quality."


    Zhou Can didn''t say anything to death.


    Leave room.


    After reading it, if you are not satisfied, you can leave at any time.


    The short man hesitated for a few seconds, and finally opened the bag for Zhou Can to check.


    "Are these all wild?"


    "certainly!"


    The short man replied proudly.


    "I want it all, how much?"


    Zhou Can is very generous, if the money is not too high, he will buy it and hook up with these two people. You can take the opportunity to ask them to help find the two main medicines you need.


    Especially the colorful toad, there is still no news.


    According to historical records, the last three appeared in Nibo in 1924, and have not appeared since then. After the endless coma, Shi Yu suddenly got up from the bed. If you want to read the latest chapters, please download the Star Reading app, and read the latest chapters for free without ads. The website has not updated the latest chapter content, and the Star Reading Novel APP has updated the latest chapter content.


    He took a big gulp of fresh air, his chest trembling.


    Confused, puzzled, all kinds of emotions came to my mind.


    Where is this?


    Afterwards, Shi Yu subconsciously observed his surroundings, and then became even more at a loss.


    A single dormitory?


    Even if he was successfully rescued, he should be in the ward now.


    And my own body...how could there be no injuries at all.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    With doubts Shi Yu''s eyes quickly swept across the room, and finally his eyes stayed on a mirror beside the bed.


    The mirror reflected his current appearance, he was about seventeen or eighteen years old, and he was very handsome.


    But the problem is, it''s not him! Download the Star Reading app and read the latest chapter content without ads for free


    My previous self was a handsome young man in his twenties who had been working for a while.


    But now, no matter how you look at it, this appearance is only the age of a high school student...


    This change left Shi Yu in a daze for a long time.


    Don''t tell him that the operation was a success...


    The body and appearance have changed. This is not a question of whether to have surgery or not, but a fairy art.


    He turned into a completely different person!


    Could it be... that he crossed over by himself?


    In addition to the mirror on the bedside which was obviously placed in a bad feng shui position, Shi Yu also found three books beside it.


    Shi Yu picked it up and took a look, the title instantly silenced him.


    "Necessary Beast Breeding Handbook for Novice Breeders"


    "Postpartum Care of Pet Animals"


    "Guidelines for Evaluation of Alien Beast Ear Girls"


    Shi Yu:? ? ?


    The titles of the first two books are quite normal, what''s the matter with you in the last one?


    "cough."


    Shi Yu''s eyes were serious, and he stretched out his hand, but soon his arm stiffened.


    Just when he was about to open the third book to see what it was, his brain suddenly felt a sharp pain, and a large amount of memories flooded in like a flood.


    Icefield City.


    Pet breeding base.


    Trainee pet keeper. The website will be closed soon, download the Star Reading app to provide you with the experience value of my medical skills of Yuweng by the great **** Jiangbian

 Chapter 405： Lao Jins embarrassment, found the right person

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Director Xueyan is now almost reporting good news to Zhou Can but not bad news.


    Many difficulties were not told to Zhou Can.


    I can understand her thoughts, but I don''t want to affect Zhou Can''s work in the emergency department too much. And there are many things, even if Zhou Can is told, it is useless.


    Unless it was something particularly important, she would seek Zhou Can''s help or discuss with him.


    For example, when competing for the position of head of the cardiothoracic surgery department, she took the initiative to ask Zhou Can for help.


    And this time the Third Hospital brought in Japanese cardiac surgery experts and equipment, which also made her very panicked. Take the initiative to send a message to Zhou Can to inform the situation.


    As for the recent management of cardiothoracic surgery, the status of diagnosis and treatment, and the status of the operating room, she never mentioned it to Zhou Can.


    Carrying the Cordyceps, Zhou Can came to the apartment where Jin Mingxi lived and knocked on the door.


    "Who, who?"


    Jin Mingxi seemed to be sleeping, but the light inside was on again.


    "it''s me!"


    Zhou Can stood outside the door and replied.


    In fact, he has the access control key to the dormitory, but he rarely lives here anymore. It is more polite to knock on the door before entering.


    "Is it Zhou Can?"


    Jin Mingxi asked.


    "You can still hear my voice! Are you sleeping? I''ll swipe the access card to come in!"


    Zhou Can began to search for the access control key while talking.


    This kind of key is only as big as a mineral water bottle cap, in the form of a button, and blue. Just lean on the door lock, and with a beep, the magnetic lock of the door will automatically open.


    Convenient and safe.


    But there is also a disadvantage. In case of a power failure, the door may not be opened.


    Later, due to the hidden danger of fire escape, the hospital uniformly installed a backup power supply.


    After all, doctors who can live in high-end apartments are basically the future pillars of the hospital. If something happens, the hospital will suffer a great loss.


    "Wait a minute, I''ll come and open the door right away!"


    There was a hint of panic in Jin Mingxi''s voice.


    Zhou Can wondered, what kind of plane is this kid flying in there?


    After waiting patiently for more than three minutes, the door finally opened from the inside.


    "Old Jin, it took me a long time to open the door. You must be the girl in the golden house, right?"


    Zhou Can saw that the clothes on Jin Mingxi''s body were very messy, and his jacket was even worn backwards. It was obviously put on in a hurry.


    "Cough... I really didn''t expect you to come to live today. My classmate is here."


    Jin Mingxi was embarrassed.


    Zhou Can looked into the room, and then saw Jin Mingxi''s female classmate named Ye Zi, her face was red, her clothes were also a little messy, her hair was draped over her shoulders, and she looked very coquettish.


    "Hehe, it''s really a classmate who came here! It''s okay, I bought a large amount of Chinese medicinal materials, and there are a lot of caterpillar fungus in it. I heard that this thing nourishes yin and kidney, and can strengthen immunity. You just need it, take it to soak in water drink."


    Zhou Can saw that Jin Mingxi brought her female classmate back to sleep, so she didn''t go in.


    He stood directly at the door and spoke.


    When Su Qianqian came to find Zhou Can on a date, Jin Mingxi made it easier for him. Either they made excuses to go back to the hospital to work overtime, or they said they had something to leave.


    At this moment, although Zhou Can felt that it was a bit immoral for Jin Mingxi, a married man, to cross the threshold with a female classmate.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    But he won''t interfere.


    On the contrary, he finally brought his female classmate here, and he will not be that villain who beats mandarin ducks.


    "That...you go ahead, I have something to do and I''ll leave first. I won''t come here for a long time recently, next time I want to come, I will send a message to Old Jin in advance."


    After Zhou Can finished speaking, he gave Jin Mingxi a smirk.


    "gone!"


    After giving the Cordyceps to Jin Mingxi, he turned around and left.


    Ye Zi in the house looked very shy, and didn''t even dare to look up at Zhou Can.


    "Thank you!"


    Jin Mingxi thanked him later.


    "Go in and get busy!"


    Zhou Can waved his hand without looking back. Hearing this, Ye Zi blushed again.


    After Jin Mingxi entered the room, she smiled and comforted Ye Zi, "It''s okay, Zhou Can is just like this. He is my best buddy."


    "I told you to go to my side a long time ago, but you didn''t listen, and now I was bumped into by your colleague, how embarrassing..."


    Leaf''s complaints came out.


    Dating is risky. It is not enough to protect against fire and theft against your wife, but you have to protect your colleagues.


    Zhou Can walked downstairs and just shook his head.


    A long time ago, he thought that there would be problems between Jin Mingxi and his female classmate Ye Zi, and now it really is. Men and women are prone to accidents when they get together.


    This made him think of himself and Qiao Yu, who were actually quite close because of their work.


    She has always been like a good wife, helping Zhou Can take care of everything at work.


    Some things are just self-deception.


    It''s just that she plays a very important role in Zhou Can''s surgery team, and she can hold up half the sky.


    The team can turn around without her, but the turn is slow, and it is prone to some mistakes in details.


    As for the emergency surgery during the rescue process, only Qiao Yu and Zhou Can can achieve perfect cooperation in all aspects. It is unlikely that Qiao Yuxuan will be replaced.


    To put it bluntly, Zhou Can was reluctant to part with it psychologically and emotionally. From the perspective of team development, Qiao Yu is also needed.


    His surgical team has just started, and it is not only Zhou Can who is able to make great strides and complete so many operations in a month. Qiao Yu''s credit can account for at least 40%.


    After walking out of the dormitory, Zhou Can originally wanted to buy some gifts before visiting Cao Zhengguo.


    He raised his wrist and glanced at his watch, it was almost eight o''clock.


    Any more time wasted, but it would really become a late-night visit. This is very impolite behavior.


    Many people have the habit of going to bed early.


    Especially some high-ranking cadres who have retired pay great attention to body maintenance. They have nothing to do. Every day, they grow flowers, fly away birds, have dinner with comrades-in-arms, retired or good friends, and maintain a good circle of friends in their old age.


    After many high-ranking cadres retire, their influence is still huge, and there are not too many people who are too lazy to leave the tea.


    It is because they are good at maintaining the circle of friends in their later years after retirement.


    There are ready-made gift carts.


    Some tonics in Chinese medicinal materials are suitable for all ages, and it is a good choice to give them as gifts.


    The pure wild ones are even more special.


    Sitting in the car, he simply dialed the number that he hadn''t dialed for three years.


    In order to cure his girlfriend, he used almost all the power at his disposal.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    After a few rings, the phone connected.


    "Which one?"


    An old, majestic voice came out, and the invisible majesty of the superior could be felt through the mobile phone.


    "Is this Mr. Cao Zhengguo, please? I am Zhou Can, a doctor from Tuya Hospital!"


    Zhou Can looked quite nervous, his palms were sweating.


    "Oh, it''s you! How are you doing, young man?"


    Cao Zhengguo obviously always remembered Zhou Can.


    After all, he is the savior of his daughter and grandson.


    "Thank you for your concern. Everything is fine. It''s just that my girlfriend is suffering from a very intractable disease and needs two main medicines that have long since disappeared from the market. I have found some clues about one of the main medicines. It''s a pity that I have tried many methods, but I still can''t get on line with the other party. I just thought that you should have a wide network in the health system, and maybe you can know the other party."


    Zhou Can briefly explained what happened.


    "Well, the young man has a broad mind. Tell me, who is the person you want to meet?"


    After Cao Zhengguo finished listening, he asked calmly.


    "If it''s convenient, I''d like to visit you first."


    If you ask someone to do something, you may be able to solve it directly on the phone. But when it comes to the maintenance of important personal connections, Zhou Can hopes that there will be a next time.


    The door-to-door visit is just an excuse, to give some gifts, to bring the relationship closer, to reciprocate the gift, and to make the relationship last, this is his real purpose.


    "It''s convenient. I''m at home after retirement. It''s convenient anytime. I''m very happy that you can come and chat. You are welcome anytime."


    Cao Zhengguo''s attitude towards him was quite friendly and enthusiastic.


    After all, he is a benefactor.


    And he probably knew about Zhou Can''s performance in the hospital, so he liked Zhou Can''s potential stocks more.


    If it is just a pure lifesaver status, it has a certain weight, but it is limited.


    Like Zhou Can, the dual identities of a lifesaver and a potential stock must have much higher weight and value in Cao Zhengguo''s eyes.


    Just imagine, a beggar passing by saved our life, and most people would give a sum of money as a thank you.


    The act of being kinder and grateful is at most paying attention to the beggar''s movements and providing some help within his ability. For example, help him go home, or help him find a job and end his begging life.


    As for becoming true friends with beggars and treating them as equals, it is almost impossible.


    Because the identities of the two parties are not equal.


    The relationship between Zhou Can and Cao Zhengguo is similar.


    If Zhou Can was just an ordinary little doctor with limited potential, in the eyes of high-ranking officials like Cao Zhengguo, he would actually be of little value.


    Zhou Can is very competitive. In just three years, he has entered the reserve army series of the Hall of Famous Doctors and has become one of Tuya''s core talents. The future is bright, no matter how bad it is, it has the potential to become a leader in a certain discipline of Tuya.


    With this level of value, his level can be greatly improved.


    Even if there is a gap with Cao Zhengguo, at least he is not a ''beggar''.


    What''s more, Cao Zhengguo is already a retiree, and his value is constantly decreasing. The status level will also decrease accordingly.


    Zhou Can, however, was like a rising sun, constantly rising, one ebbing and the other ebbing, which made the two of them sit together and have an equal opportunity to talk.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Then I''ll go find you now, okay?"


    "No problem! I live at No. 27, Gutian Road."


    Cao Zhengguo readily reported his address to him.


    "Okay, I''ll be right over. See you later."


    As soon as Zhou Can heard the address, he knew it was probably a single-family villa.


    When knowing a person''s address, if it is a community, how many buildings and floors and numbers, it must be an ordinary high-rise residence. The number of a certain community, or the number of a street, these are most likely villas or detached houses.


    It is a symbol of status and wealth.


    Zhou Can actually didn''t know much about this Cao Zhengguo. After receiving the other party''s business card back then, there was no job title on it, so he tried to search online. There is only one retired senior health official who deserves the title.


    It is impossible for a candidate for the hospital chief who can control Tuya''s stature to be so low.


    Gutian Road is not very far away, it is near Nanjiao Park.


    There are relatively few high-rise buildings and residences in that area, and there are more public buildings. Just a southern suburb park plus a wildlife park already occupies an extremely large area.


    For retirement, living in that area should be very good.


    After more than half an hour, he successfully arrived at No. 27, Gutian Road.


    As expected, it is an independent villa.


    The car just stopped at the door, and he was about to get out of the car and ring the doorbell, but the door opened automatically.


    There is a camera on the door, and the people inside can easily know that there are guests coming outside.


    It can also be seen from this point that Cao Zhengguo attaches great importance to his visit.


    "Is it Xiao Zhou?"


    A hale and hearty old man walked out of the house quickly, with a vigorous gait like the wind. The body is tall and straight, without any hunchback due to old age.


    "Yes, it''s me!"


    "Just drive the car in and just park there."


    The front yard of the villa is not particularly large. The layout is simple, but without losing the atmosphere.


    The mansions of many high-ranking officials will pursue low-key and luxurious.


    The four words "unique hole in the sky" are their favorite.


    It looks ordinary from the outside, but after entering, it is magnificent or unique. The developer has identified the needs of this group of high-end consumer groups. When designing the villa, the front garden area is relatively small and simple.


    The back garden is bigger than expected.


    There is no problem with building a swimming pool or basketball court.


    After getting off the car, Zhou Can took the two wild herbs he had prepared and walked quickly towards Cao Zhengguo who came out to meet him.


    "Mr. Cao, I haven''t seen you for three years. You are still in good shape and handsome! I''m sorry to bother you at night."


    Zhou Can shook hands with the other party.


    In other words, this old Mr. Cao Zhengguo is at least in his sixties, and may even be over seventy years old.


    Not only is his body strong, but his wrists are particularly powerful.


    Fortunately, Zhou Can is a trainer, otherwise ordinary people would cry out if they shook hands with him.


    "Hey, the young man has quite strong hands!"


    When Cao Zhengguo shook hands with him, there was also an element of temptation. It turned out that after Zhou Can''s hand was very strong, he increased his strength little by little.


    Unexpectedly, Zhou Can was always calm and calm, with a natural expression.


    "Hehe, I usually have the habit of exercising, so I''m a little better than Buttercup."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can replied modestly.


    "I bought a lot of wild Chinese herbs in order to find two types of medicinal materials for my girlfriend. I randomly chose two that suit you, and you can drink them in water, just like drinking tea!"


    Zhou Can handed over two carefully selected Chinese herbal medicines.


    "It''s fine to come over to chat and chat, and what gifts do you bring! The young man has a heart!"


    Cao Zhengguo took the bag and did not refuse.


    "Come on, let''s drink tea inside!"


    Guided along the way, he was welcomed into the tea room in the living room.


    The tea room is quite elegantly furnished.


    Zhou Can saw the group photos hanging on the wall at a glance, and there were not many high-ranking officials, dignitaries, and comrades-in-arms among them. From this point, it can also be seen that Cao Zhengguo has a wide network of contacts.


    The water on the table was already boiling and steaming.


    If Cao Zhengguo wasn''t just drinking tea before Zhou Can came, then he would have a heart.


    It explained that knowing that Zhou Can was coming, he deliberately boiled the water and prepared to entertain guests at any time.


    "Tell me, who do you want to meet?"


    After Cao Zhengguo sat down, he asked straight to the point.


    This old man''s character is more straightforward than imagined!


    "I want to know the person in charge of Rui''s Enterprise, and I need to buy a medicinal material called Purple Back Star Anise from this enterprise. This medicinal material is very special, and Rui''s Enterprise is still in the stage of artificial cultivation and has not been marketed for sale. "


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    Zhou Can explained the whole story.


    "The little girl from the Rui family has indeed promoted some extinct Chinese herbal medicine research projects in recent years. I''m not sure if the herb you mentioned actually exists. I''ll put you on the line, and there will be no problem at all. But let me tell you beforehand, I I can only take a line, Qingning girl is stubborn and very assertive, I can''t influence any of her thoughts. I can''t guarantee whether I can get the herbs you want from her."


    In Cao Zhengguo''s words, it seemed that he was very familiar with the person in charge of Rui''s Enterprise.


    Looks like I really found the right person tonight.


    "It''s already a great favor for you to help me pull the thread. Naturally, I won''t ask for anything else."


    Zhou Can made a solemn statement.


    "Okay, I''ll give you this call right now."


    Cao Zhengguo picked up the phone and started to look up the number, and dialed the number of the person in charge of Rui''s Enterprise in front of Zhou Can.

 Chapter 406： Richie at the helm, few like-minded people

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Hello, Uncle Cao!"


    "Girl Qingning, I have a young man here who wants to meet you, can you come here?"


    "Ah... When did you become a Yuelao? My parents must have found you, right?"


    "Haha, if you are a male college, you should get married, and if you are a female college, you should think about lifelong affairs. The young man and I are waiting for you in my tea room. Come here quickly!"


    After finishing speaking, Cao Zhengguo hung up the phone directly.


    It can be seen that Cao Zhengguo is not only acquainted with the person in charge of Rui''s Enterprise, but also has a good friendship with her parents.


    The other party is a woman, Zhou Can has already found out.


    It''s just that the person in charge of Rui''s Enterprise is still single, and this is the first time I''ve heard of it. Probably not too old.


    [In other words, currently the best app for reading and listening to books, change the source app, and install the latest version of .huanyuan app. ¡¿


    "Your words can easily make her misunderstand me as a blind date!"


    Zhou Can smiled wryly.


    Today, when I came to ask someone to do something, I could only protest a little.


    "Hehe, don''t worry, I have my own sense of propriety. I watched Qingning grow up since I was a child. Her father and I were comrades-in-arms back then, and the relationship between the two families was very close. This girl is good at everything except her eyesight. She''s too picky, she''s twenty-eight and hasn''t found a partner yet. Her parents are very anxious about this matter. Just take this opportunity today to find out about her. As long as she can accept the blind date, this matter will be easy."


    Cao Zhengguo explained to Zhou Can with a smile.


    "You have to help me put on a play later. First of all, don''t tell her that you are looking for medicine, but pretend to be a blind date."


    After hearing this, Zhou Can felt that it was ridiculous.


    He shook his head repeatedly and refused, "This is absolutely impossible. I have a girlfriend, and I love my girlfriend very much. It is impossible to move on. Besides, let her know that she has been teased. If you want to ask her for medicine, you can only It will be more difficult."


    It was related to whether his girlfriend''s kidney disease could be cured, Zhou Can never dared to joke about it.


    The person in charge of Rui''s Enterprise was hard to get a date with, and after teasing her, it would definitely make her angry.


    You can think of the consequences with your toes.


    "Uh... that''s fine, just sit down and don''t say anything. Just do me a favor, the old man, and the matter of helping you get married today will be evened out, how about it?"


    Zhou Can couldn''t refuse the conditions proposed by Cao Zhengguo.


    I had no choice but to nod in agreement.


    After more than ten minutes, Cao Zhengguo smiled and said, "Here she is!" Regardless of his seventy years old, he was using an advanced smartphone.


    You can control the opening and closing of the gate of the villa through your mobile phone, and you can also view the monitoring screen outside the gate.


    Full of high technology.


    "The entrance door is not closed, the young man and I are in the tea room, you can just come in by yourself."


    Cao Zhengguo didn''t have the slightest intention of getting up to greet him.


    Think about it, even if Cao Zhengguo retires, his status is still honorable. He knew Rui Qingning well, and he was an elder, so he really didn''t have to stand up to greet him.


    Soon, the sound of high-heeled shoes rattling sounded, getting closer and closer.


    A young woman in a small white suit walked quickly into the tea room area of ??the living room.


    White cropped trousers with black high heels, long legs, and a very punctual figure. He was wearing a light yellow shirt on one side and a short white coat on the outside. Wearing a watch with a brown leather **** her hand, with shawl hair, she is a proper image of a female executive in the workplace.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    And her aura is very strong.


    The delicate pretty face was lightly made up, and a pair of black and bright red phoenix eyes glanced around, revealing the edge.


    "Uncle Cao, it''s so late, do you still have to call me over?"


    The woman complained as soon as she met.


    "Haha, this young man has to work during the day and is very busy. It was hard to find time to visit me. The marriage is destined and the opportunity cannot be missed. I am your father''s old comrade-in-arms. I was entrusted by him, so naturally I will let this matter go. In my heart."


    Cao Zhengguo laughed.


    "The tea is ready, try the newly arrived oolong."


    This is to invite her to sit down.


    "Hello!"


    At this time, Zhou Can could only bite the bullet and stand up to greet the woman.


    "It''s you!"


    After seeing Zhou Can''s face clearly, Rui Qingning couldn''t help but exclaimed.


    But after all, it is a person who has seen the big scene, and the surprise on his face is fleeting.


    Zhou Can also felt that this woman looked familiar, but he couldn''t remember where he saw her.


    Being recognized by the other party shows that he has a deep impression on the other party''s heart.


    "We seem to have met somewhere!"


    Zhou Can said with some embarrassment.


    "Haha, so you guys know each other! I don''t need any more introductions."


    After Cao Zhengguo found out that the two knew each other, he laughed heartily again.


    "It was that time by the river, you saved a person, and my mother helped you carry the clothes. Later, my mother wanted to go home to take care of my dad, so she called me over to help you carry the clothes, do you remember?"


    As soon as she reminded her, Zhou Can immediately remembered.


    No wonder this woman looks familiar.


    At that time, he was still wondering if he was a playboy, and he felt familiar when he saw a beautiful woman.


    Only now did I realize that it was her.


    When he retrieved the clothes that time, this woman was very rigorous and left a deep impression on him.


    "So it was you, I remembered. Miss Rui, hello!"


    Zhou Can must be more polite if he wants to ask someone for medicine.


    She shook hands with Zhou Can politely, the expression on her face was a little more human, not as cold as before.


    "It''s surprising that you know Uncle Cao. Is your blind date tonight?"


    She is direct enough.


    "Uh... First of all, I want to apologize to you. I''m not here for a blind date, but I''m looking for a match with Mr. Cao, and I want to meet the person in charge of Rui''s Enterprise. Because you are so difficult to date, I have visited your company many times, the security guard You kept me out every time. Twice I asked you to get in and was blocked by your secretary."


    Zhou Can didn''t make a fuss, and honestly told the whole story.


    The misunderstanding must not be allowed to deepen, lest she become angry from embarrassment.


    "Uncle Cao, it turns out that you are testing others, and you don''t believe you anymore!" After hearing this, she was stunned, and then looked at Cao Zhengguo with some shame.


    This is also a normal reaction of a girl.


    "Ahaha, don''t be upset, don''t be upset, I''m just helping your parents find out your bottom. Now I know what''s going on."


    Cao Zhengguo didn''t feel embarrassed at all, but smiled happily.


    "What''s the matter? Don''t worry about my affairs anymore!" In front of Zhou Can, she was so embarrassed to have such an elder like an old urchin.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "I saw just now that you didn''t feel disgusted when you found out that your blind date was Xiao Zhou. This shows that you don''t object to marriage. If you arrange a blind date for you in the future, you just need to follow Xiao Zhou''s standard to find you."


    Cao Zhengguo''s eyes were shrewd.


    It turned out that Cao Zhengguo could see all the slight changes in her expression.


    "Not at all!"


    She stamped her feet angrily, half ashamed.


    "Haha, you girl has always been strong. Uncle doesn''t need to say anything. Xiao Zhou is indeed very good. He not only has profound medical skills at a young age, but also has a benevolent heart. The older generation in the hospital treats him very well. He has a very good reputation. This time, he wanted to ask for blind medicine in order to help his girlfriend treat her illness, so he tried everything possible to get online with you. It is rare to see a young man who is so dedicated, infatuated and responsible for his relationship these days."


    Cao Zhengguo really knew something about Zhou Can''s behavior in the hospital.


    He should have paid some attention secretly.


    At this moment, Zhou Can''s evaluation was extremely high.


    Zhou Can was a little embarrassed by the praise.


    "You came to me for medicine?"


    Rui Qingning stared at Zhou Can after hearing this.


    "Yes! My girlfriend unfortunately suffered from kidney failure. This disease is like Pandora''s box. Once it happens, it is difficult to reverse and the disease will continue to progress. Fortunately, my girlfriend''s condition is special, and I found a famous doctor. After taking traditional Chinese medicine for a long time, it has improved. But if you want to be cured, you must find the two extinct main medicines and combine them into a prescription."


    Zhou Can didn''t hide anything, and explained everything.


    "My secretary mentioned this to me, saying that there was a very wealthy young boss who wanted to buy our company''s purple-backed star anise lotus. I thought it was some suitor who wanted to contact me in this way, so I Ignored."


    Her explanation made Zhou Can depressed for a while.


    Why is this female entrepreneur so afraid of love?


    Fear it like a tiger, and talk about it.


    "Miss Rui, the misunderstanding has been clarified now. Do you think you can sell me a purple-backed star anise? Not too many, just one that is more than three years old."


    Zhou Can asked very sincerely.


    "Unfortunately, I also want to help you with this. Unfortunately, our company has not made much progress in the research on the purple-backed star anise. The only wild purple-backed star anise has long since died. Now the new products are cultivated from Rhizome tissue from the time it was alive."


    Her answer made Zhou Can''s heart go cold for a moment.


    the more you hope, the harder you fall.


    I thought Rui''s Enterprise would have at least one or two original purple-backed star anise.


    Only now do I know that the only original strain is dead.


    "Mr. Zhou''s loyalty and infatuation for love are very touching. Our company''s research in the field of common star anise lotus is fairly basic. Although the cultivation requirements of purple back star anise lotus are more stringent, there are still some seedlings in some laboratories. It''s a pity They don''t live very long, and they die pretty quickly when they''re out of a lab dish."


    The seedlings cultured through some tissue cells are called cultured seedlings, which are cultivated in a sterile environment.


    But it is impossible for any plant to stay in a sterile petri dish for a lifetime.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    It definitely needs to be transplanted into the dirt before it can really grow.


    "Perhaps when we make some breakthroughs in the transplanting technology, we will be able to truly grow purple-backed star anise."


    She may have seen Zhou Can''s disappointed expression, so she expressed her relief.


    Originally, these things belonged to the company secrets of Ruishi Enterprises, and they would never be easily disclosed to outsiders.


    "Your company''s ordinary star anise lotus has been mass-produced. Why is it so difficult to cultivate purple-backed star anise lotus? Logically speaking, the two plants should be similar!"


    Zhou Can didn''t know much about forestry and grass science, he was just curious.


    He also knows that many wild plants will die soon after leaving their original living environment. For the specific reasons, technicians need to investigate step by step, and finally achieve a breakthrough in planting technology, in order to successfully realize artificial planting.


    "Ordinary star anise and purple-backed star anise seem to have some differences in color, but in fact, after our multiple tests, we found that there are certain differences in the elements contained in them. Purple-backed star anise is a mutant strain, and its internal There are several more special elements. As for why the method of planting ordinary star anise lotus fails to grow it, it may also be related to the special elements inside it."


    When Rui Qingning talked about these technical difficulties in artificial planting, he seemed very helpless.


    "Okay! It seems that I can only wait patiently for now. I will try to obtain purple-backed star anise through other channels. If your company has achieved success in artificial cultivation, please let me know as soon as possible, okay?"


    Zhou Can secretly sighed.


    Another channel is broken.


    If you want to wait until Ruishi Enterprises makes a breakthrough in artificial planting technology, you don''t know the year of the monkey.


    Su Qianqian couldn''t afford to wait for her illness.


    "No problem, you leave me a call, when there is a major progress, I will tell you as soon as possible."


    Rui Qingning had a good impression of him, a kind and responsible man.


    That time by the river, Zhou Can jumped into the river to save others, which in itself gave her a good impression.


    Seeing Zhou Can''s infatuated and responsible side this time, she had a better impression of Zhou Can.


    The two sides left each other on the phone.


    "Mr. Zhou, I heard that you are the boss of an entertainment company. Is this true?"


    she asked casually.


    "Why is Miss Rui interested in this matter?"


    Zhou Can found that there was no way to hide some hidden identities.


    That female reporter, Mu Bi, also knew that he was the boss of Jinyu Interactive, and now Rui Qingning, who had just met, also knew about him.


    There really is no impenetrable wall in the world.


    "Oh, don''t get me wrong, I''m just curious. When Uncle Cao introduced you, he said that you are a doctor. But what I learned is that you are one of the major shareholders of Jinyu Interactive. You are young and worth over 100 million. To be honest, even looking at the whole province, there are only a handful of them.¡±


    She is a real female entrepreneur, and she should have a deep understanding of the rich businessmen, dignitaries, and top elites in the provincial capital.


    It is really rare for a grassroots like Zhou Can to be worth over 100 million at such a young age.


    After Cao Zhengguo heard this, he also looked at Zhou Can in a little surprise.


    "It was a coincidence at the beginning! Thanks to the trust and love of another shareholder of Jinyu Interactive, he insisted on dragging me to found this company together. I am usually an idler, and I hardly care about the company''s affairs~www.novelhall. com~ Doctor is my main job.¡±


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can hesitated for a few seconds before telling the truth.


    These things can''t be concealed, and people will definitely find out.


    On the contrary, it will make people look down upon.


    "Hehe, you should be the most enviable doctor. Other clinicians are working hard to make a living, but you are a fool with a blessing. You just lay down and become a billionaire. And listen to you He has no interest in being a boss, but is willing to be a hard-working front-line doctor."


    She covered her mouth and giggled.


    "Being a doctor is my hobby, and it is also a career I pursue for life. Money is actually just a number when there is too much."


    Zhou Can has his own ideas.


    "Wow, your level of thinking is really high! The world is sober, just four words, and some people need a lifetime to comprehend. I am very happy to meet a friend like you today. I will officially introduce you. For a moment, my name is Rui Qingning. After graduating from Cambridge University, I was called back by my family to take over Rui''s Enterprise after working in the UK for less than two years. I like to make friends like you."


    She stretched out her slender hand to Zhou Can again.


    "Miss Rui is over the award. I just love medicine. I''m not as advanced as you said."


    Zhou Can shook hands with her.


    This time, she didn''t give it a courtesy, but held it enthusiastically and shook it.


    Like to make friends, eager to make like-minded friends, is the voice of everyone. Perhaps, she felt that Zhou Can and her were of the same kind.

 Chapter 407： oath of love, immoral guy

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    , my medical skills can add experience points


    Coming out of Cao Zheng''s country, Zhou Can''s mood was somewhat depressed.


    If his girlfriend''s illness is not cured for a day, it is a worry for him.


    Su Qianqian regards him as her only support in this world. As her fianc¨¦, he has the obligation and responsibility to help her cure her illness. Make her the happiest woman in the world.


    But the two main ingredients are too difficult to find. In the past six months, he has thought of many ways, but he has not gained much.


    Some things are hard to buy no matter how rich you are.


    Because there is really no stock in the market.


    "I don''t know when I''ll be able to buy the colorful toad and the purple-backed star anise lotus. It''s not an option to keep waiting like this. I have to call Chen Guoli, an old Chinese doctor, to find other ways."


    Zhou Can was thinking while driving.


    When he got home, Su Qianqian sat on the sofa and waited for him. Seeing him come back, she happily got up to greet him and helped him pick up his things. She looked like a gentle and virtuous wife.


    "The bag is very heavy, don''t carry it, let me do it!" Zhou Can refused to let her lift the heavy object.


    "What are these two bags?"


    Su Qianqian waited until Zhou Can entered the room, then closed the door.


    "I went to a Sichuan restaurant for dinner with my colleagues today, and I happened to meet two Tibetans. Seeing that no one bought their medicinal materials, I bought them."


    These two bags of medicine cost tens of thousands of dollars.


    How to deal with it, Zhou Can hadn''t figured it out yet.


    "Oh, that''s right. This is a gift I gave back when I visited an important leader. It is said to be a wild ginseng, just to nourish your body."


    Zhou Can took out a long box from his arms.


    To be honest, the packaging isn''t great.


    He gave Cao Zhengguo some caterpillar fungus and velvet antler, but when he said goodbye, Cao Zhengguo casually took such a small long box from a drawer and gave it to him. It is said that it is a wild ginseng, and Zhou Can can be regarded as a courtesy.


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    From Cao Zhengguo giving him gifts in return, it can be seen that Zhou Can was not treated as a subordinate.


    Instead, treat him as a friend, an important guest of similar level.


    "Thank you dear! But you work so hard every day, and you should go together if you want to make up. Or I''ll cut a little now, soak it in water, and let''s have a drink each."


    With that said, she was already walking towards the kitchen with the box.


    Ginseng is an expensive tonic, but it is a great tonic.


    Therefore, experienced people will choose to supplement in multiple doses instead of eating a whole ginseng in one go.


    Too much supplementation can cause nosebleeds in mild cases, and severe injuries and sudden death.


    Ordinary wealthy people buy real good ginseng, usually after slicing, take a small amount to soak in water or mix with other medicinal materials, take a small amount at a time, divide it into multiple times, and nourish the body for a long time.


    The ancient princes, nobles, landlords and rich people basically ate like this.


    "Wow, this wild ginseng is so big! The quality is also very good. I''m afraid the price is not cheap." Su Qianqian exclaimed, and ran out with wild ginseng for Zhou Can to watch.


    After Zhou Can took it, he looked at it carefully under the light, with a serious expression on his face.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "The wild ginseng I bought for you last time cost more than 160,000 yuan. It''s not half the size of this one, and its quality is far from it. Mr. Cao gave me such a valuable gift in return, so I have to make it up next time."


    Everything has been accepted, and it is definitely not possible to return it.


    The medicinal materials that Zhou Can gave to Cao Zhengguo were worth two to three thousand at most. It was the first time he came to give gifts, and he didn''t dare to give too expensive ones, otherwise he would think it was a bribe.


    Especially this kind of high-ranking officials who have retired have extremely sensitive nerves.


    At that time, when I accepted the box containing wild ginseng, I felt that it was very ordinary, even full of cheap feeling. I didn''t expect the ginseng inside to be of such high quality.


    Could it be that others gave Cao Zhengguo too many gifts, and after accepting them, they didn''t even look at them?


    Cao Zhengguo thought it was just an ordinary wild ginseng, so he gave it back to himself?


    There is such a possibility.


    Zhou Can''s mind was spinning rapidly.


    "It''s okay, just slice it and soak it in water first! I''ll just send him a message to mention it."


    It would be a very dishonorable behavior to pretend to be nonchalant after receiving expensive gifts from others.


    Even if you don''t return the gift, just raise your mouth and tell the other party that I have taken advantage of you by taking advantage of him, that''s fine!


    "Mr. Cao, thank you for your precious wild ginseng! Such a precious thing, I am afraid of it."


    "This is red ginseng, which can nourish the kidneys, nourish the qi and blood. I will keep it for no use, and it may relieve your girlfriend''s condition." Cao Zhengguo replied with a message, and stated the deep meaning of giving wild ginseng.


    Zhou Can couldn''t help being more grateful.


    "Thank you for your generous gift! Heshi!"


    Sure enough, people know everything. If you accept it, you will accept it, and you can find a way to give it back later.


    Human relationship, this is how you come and go, so that it can last for a long time.


    "Honey, after cutting this ginseng, the inside is red. You said it must have been left for too long, and it would have gone bad, right?"


    Su Qianqian said in the kitchen.


    "Mr. Cao said, this is red ginseng, it is for you to nourish your body."


    After Zhou Can finished speaking, he realized that he had missed the point.


    With her ice and snow intelligence, she might not be able to hide the bad change of her kidney disease.


    "I''m going to take a shower first!"


    Zhou Can found an excuse and went into the bathroom with his nightgown.


    When he came out, Su Qianqian had already made ginseng soup and was waiting for him.


    "Hurry up and drink it while it''s hot! The aroma of red ginseng seems to be stronger, and the ginseng soup made from it is very delicious."


    Su Qianqian held the cup and handed it to him.


    Many people foolishly can''t tell the difference between blood ginseng, ginseng and red ginseng.


    Blood ginseng is also known as red ginseng, red salvia, red root, red robe, etc., but no one calls it red ginseng because it doesn''t deserve it.


    Needless to say about ginseng, there are millions of ginsengs that are old and of good quality.


    Good ginseng is called red ginseng after processed and artificially processed. Its medicinal effect is stronger than ginseng, and the price is also more expensive.


    Zhou Can originally didn''t want to drink, and wanted to save it for her.


    But seeing her concerned eyes, she finally took it and drank it.


    There is no big feeling, bitter and sweet, with a strong earthy smell. Almost all ginseng tastes like this.


    To talk about the difference from ordinary ginseng soup, the soup made from this red ginseng plant is thicker.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    After Zhou Can finished drinking, Su Qianqian hugged him and leaned on his shoulder.


    "Tell me the truth, is my condition getting worse?"


    Sure enough, for such a smart woman as her, she could deduce even a little clue.


    "The situation is okay, but there are some slight changes. I''m going to take you to Chen Guoli, an old Chinese doctor, tomorrow."


    Zhou Can knew that he couldn''t hide it, so he simply said it.


    "I''ve felt it since you came back. At that time, I wondered why you suddenly bought two bags of Chinese herbal medicines. I guessed later that you might be looking for the two main medicines for me. Dear, thank you for always Love me so much, spoil me."


    She hugged Zhou Can even tighter.


    "Isn''t this what it should be? You are the other half of my life. Treating you well is treating me well." Zhou Can gently stroked her hair.


    He could feel Su Qianqian''s trust and dependence on him.


    It also strengthened her belief that she would do everything possible to cure her.


    ¡­


    The next day, Zhou Can rushed to work in the hospital without mentioning it.


    Now that he has become the main force in the operating room of the emergency department, he can no longer easily ask for leave.


    It is actually very difficult for doctors and nurses in clinical departments to ask for leave.


    Many people''s leave has been suppressed for more than 20 days, and the above-mentioned various excuses procrastinate, but they just don''t give the leave. On the one hand, the hospital is really busy, on the other hand, the people in the administrative department are just like this.


    He likes to use all the power in his hands to make things difficult for the hard-working doctors and nurses in the clinical department.


    The director of the department sometimes goes too far in this regard.


    Zhou Can also has a special status and outstanding potential, so he can''t feel the cruelty and darkness in it.


    In addition, Tuya''s emergency department has a good atmosphere. Director Lou is also working hard to make the department stronger. The kind of thing that squeezes the members of the department is rarely done.


    Compared with other departments, the emergency department is weaker than others. If the head of the department still makes things difficult and oppressive, all the doctors and nurses will run away.


    Everyone is a highly educated group at any rate, it is really not going well, and they will not change jobs in hospitals.


    The status of Tuya Hospital in the medical field is quite high, and the doctors and nurses who go out are well recognized by the outside world. Naturally, the position you are looking for will not be too bad.


    Another busy day.


    Zhou Can felt very gratified to see the patients who suffered from the pain and were relieved of their pain after the operation. It made him feel very accomplished.


    After the dinner last night, the entire surgical team was clearly united.


    If we say that yesterday was only superficial unity, today it is the kind of harmony from the heart.


    Ma Xiaolan didn''t actually have a smile on her face yesterday.


    Today, she laughed a lot.


    The enthusiasm for work is also significantly higher, and she is much more enthusiastic about sending patients to the operating room.


    After get off work, Dr. Xu announced, "All of you surgical nurses have worked hard overtime to take inventory of the items in the equipment library. I went in today to check, and some sutures are empty, and some are in a mess. The catheter Two packages were opened, but not used, and this can only be reported as property damage. If it is found that someone is so immoral, wasting the consumables of the department, 50 yuan will be deducted from the salary once, and the items will be compensated according to the price. Repeat offenders in the department Report criticism."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Every department has problems of one kind or another.


    This requires the management of superior doctors in place.


    Although Dr. Xu is only an attending physician, his strength lies there. He was once one of the top chief physicians in surgery. Now in trouble, in the emergency department is still the boss of the operating room.


    He is responsible for the entire emergency operating room.


    Even if Director Lou came, he had to respect his opinion.


    It''s like when a nurse has a problem, Director Lou has to discuss it with head nurse Niu Lan before he wants to deal with it.


    Nurses are managed by the Nursing Department and also by departments.


    It sounds complicated, but it actually has something to do with hierarchical management.


    The head of the nurses is the vice president in charge of nursing.


    It doesn''t have to be a woman, sometimes it can be a man.


    Under the deputy dean of nursing, there is also the director of the nursing department, who is a powerful figure. Because the vice president seldom takes care of specific affairs, but the director is very broad and detailed.


    Below the director is the head nurse.


    The status of the head nurse in this department is not low, and he can be regarded as the boss of all the nurses in a department. Niu Lan is the head nurse of the emergency department, so even Director Lou should respect her three points.


    There are several ordinary head nurses under Niu Lan.


    There are also some larger departments that have two head nurses, so there is a lot of flexibility. It depends on the arrangement of the hospital leaders and the operational needs of the departments.


    Then the Nursing Management Committee established by the nurses can also manage the nurses.


    For the most part, the heads of the committees have solid backgrounds.


    In fact, it is no secret that many young and beautiful head nurses have unclear relationships with hospital leaders. Some even gave birth to illegitimate children for the dean.


    Behind these people stood the dean, who was extremely powerful in the hospital, so it was understandable.


    It can be seen from the above power structure that the hospital is purely a hierarchical kingdom. One level controls the other. Under normal circumstances, the chief dean is the most awesome person in the hospital.


    But when the headmaster came to the Health and Family Planning Bureau, and even went to the city for meetings, he had to pretend to be his grandson.


    After all, power is a good thing.


    In the emergency operating room of Tuya Hospital, there are not many staff, and the management is relatively simple.


    At present, there is only one operating room on the surface, but it is actually divided into three operating rooms, and three operating tables are operated at the same time. There must be a lot more staff than before.


    When there are too many people, it is inevitable that there will be some unconsciousness.


    Dr. Xu generally doesn''t get angry easily, but when he gets angry, it''s quite scary.


    Catheters are packed in airtight bags and kept sterile.


    Someone opened the bag and didn''t use it, and there was more than one bag. This kind of behavior is quite bad. Because the property damage fee is directly deducted from the department.


    The department will deduct from the performance of the operating room of the emergency department.


    It''s equivalent to taking the hard-earned money of everyone in the operating room of the emergency department to lose money here, so it''s no wonder that Dr. Xu has a dark face.


    Not a lot of money for two catheters, but this behavior is disgusting.


    Before leaving, Dr. Xu took a meaningful look at Ma Xiaolan.


    Because Ma Xiaolan just came to the emergency department the day before yesterday, she did not perform well, and the commonly used consumables and utensils in the operating room were in a mess. Because of this, Qiao Yu even quarreled with her.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    With this previous record, Dr. Xu suspected that she did it, so he could understand it.


    It''s like someone who has stolen something before, and everyone loses something, the first person to suspect is this person.


    "Doctor Zhou, please believe me, this matter has nothing to do with me."


    Ma Xiaolan didn''t dare to argue with Dr. Xu.


    I can only find Zhou Can to tell the situation.


    "It''s okay, as long as you haven''t done it before, you don''t have to worry about it. Although Dr. Xu is strict, he never wrongs others." Zhou Can still understands the character of his teacher.


    The gentle voice comforted Ma Xiaolan.


    "Qiao Yu, Xiaolan, you have to work overtime, I''ll order a meal for the two of you, and eat by yourself after work."


    Ordering fees are generally out of pocket.


    Zhou Can tried his best to take care of his subordinates in small matters, UU Reading www. uukanshu.com makes them feel warm.


    It is also more conducive to the unity of the surgical team.


    "Boss, you can''t treat one more favorably than another, order one for me too!"


    Luo Shishen said sourly beside him.


    "Go, go, you don''t work overtime!"


    Zhou Can was acquiescing to the title of boss.


    Ask him to be a master, but he refuses. No problem being the boss of these guys. He himself is the head of the surgery team.


    After being scolded, Luo Shishen showed a happy smile.


    Zhou Can didn''t even bother to expose his little thoughts. It''s a good change, though, that this guy is less reserved and overly self-respecting than he used to be.


    It is also an inevitable experience for every rookie in the workplace.


    Thin-skinned, unable to open their mouths, afraid of being rejected, extremely disappointed after being rejected, and being overly cautious when getting along with colleagues, these are common problems of most newcomers in the workplace.


    After tempering, the best university in society can teach them how to adapt.


    In the end, they will also mature a little bit.


    Many students feel that the society is sinister, but in fact it is just that adults are fighting for their own interests in order to survive. The reason why society feels dark and sinister is because a small number of people do not follow the rules and do whatever they can to achieve their goals.


    Zhou Can ordered meals for his two nurses, went to the office to check the operation records and doctor''s orders, and corrected any problems found in time before leaving get off work.


    As for things like writing medical records and medical history, now that Luo Shishen is here, it''s all the work that he, an intern, should do.


    Big fish eat small fish, and small fish eat dried shrimps.


    Zhou Can also learned to hand over some tasks to his subordinates.

 Chapter 408： The law of the jungle feeds on the strong to nourish and prevent disease

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    After get off work, he was obsessed with Su Qianqian''s affairs.


    Now that I have become a formal doctor, the requirements in all aspects have become stricter. For him, asking for leave might become a luxury.


    Unless there is something urgent, he can only find a way to deal with it after get off work.


    For more than a month, the department has taken good care of him.


    He didn''t make a single night shift.


    If it is possible, it is also considering that he has to do emergency surgery every day, and he is the absolute main force. Being on the night shift for one night is already very costly to doctors.


    I still have to work on a day shift, and I am performing surgery on patients.


    If something goes wrong, the loss to the department will be huge.


    The manpower on the night shift is not particularly tight, and Zhou Can is not bad either. At most, he is not on the night shift, and it is easy to attract criticism from other doctors in the department.


    There are bound to be people who feel psychologically unbalanced.


    Exit the emergency department building and head straight to the underground garage.


    People are afraid of being famous and pigs are afraid of being strong.


    Now, he has become the main force in the emergency department, and he is in the pediatric department one day a week, and he has also been in the limelight at the selection meeting for the director of the cardiothoracic surgery department. Be as careful as you can when dealing with personal affairs.


    There are so many people in the hospital, maybe any cleaning aunt is a relative of a certain leader of the hospital.


    After the content of the call is heard by interested people, it will definitely have a negative impact on Zhou Can.


    After arriving in the Mercedes-Benz, he dialed Chen Guoli, an old Chinese doctor.


    I can only have the cheek to ask Mr. Chen to open a small stove to see a doctor.


    "Mr. Chen, hello, I brought my girlfriend to your dormitory last night to see you Xiao Zhou, do you still have any memories?"


    "Is it the boyfriend of the little girl with kidney failure?"


    "Yes, yes, yes! Now we have taken the medicine for three courses according to your instructions, and stopped the medicine for one month. I went to the hospital for a review yesterday and found that the condition has recurred again. Can you help me if it''s convenient for you?"


    Zhou Can looked respectful and polite.


    If you want something from others, you must lower your figure.


    "Convenient and convenient!"


    Chen Guoli agreed quite simply.


    "I''m very busy working in the hospital during the day. I really can''t ask for leave, and I don''t dare to delay this illness. I can come to your dormitory to see you at night, is it okay?"


    "Okay! Come here! I''m in the dormitory!"


    "Thank you so much! See you soon!"


    After Zhou Can greeted Chen Guoli, he quickly called Su Qianqian.


    Ask Wei Fang to drive the car and drive her directly to Chen Guoli''s dormitory.


    Zhou Can drove over directly.


    This can save time to the greatest extent.


    ¡­


    It was not too far from Tuya Hospital to Chen Guoli''s dormitory, and Zhou Can arrived at his destination in more than 20 minutes.


    However, he parked the car outside the Institute of Traditional Chinese Medicine and waited quietly to meet Su Qianqian.


    The last time I brought a gift to Mr. Chen to see a doctor, but was rejected.


    This time he was no longer asking for trouble.


    It''s better to come home empty-handed.


    Some doctors have noble medical ethics and have extremely low material requirements. Respecting them is the best way to get along with them.


    Not knowing when Su Qianqian would arrive, he took out his phone and flipped through it boredly.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    There are also some added workgroups.


    Usually, I don''t usually read the news of other work groups. Because the department he is in now is the emergency department.


    At this moment, I found that the cardiothoracic surgery group was extremely active, so I clicked in to check it out of curiosity.


    "The Third Hospital is awesome, this is the scene of queuing up in the cardiothoracic surgery clinic that my friend took!"


    A few photos are attached below.


    I saw a long line of paper clips lined up in the outpatient hall, at least there were nearly 200 people to be so spectacular.


    Foreign experts are really popular!


    Zhou Can couldn''t help sighing.


    Today is the first day that the Japanese experts poached by the Third Hospital opened the surgery clinic to the outside world. The scene was truly spectacular.


    It really makes people wonder, are there really so many patients in the provincial capital who are in urgent need of cardiac surgery?


    Moreover, the symptoms of patients undergoing cardiac surgery are generally acute and critical. Crowding together and queuing, in case the best rescue time is delayed, are you not afraid of accidents?


    Of course, it is not ruled out that the Third Hospital used marketing tactics, hired some group performers as babysitters, and lined up inside to create a spectacular scene.


    This kind of thing is not just the patent of milk tea shops.


    Many private hospitals have already learned it.


    And it is used with great proficiency.


    "We only received 117 cardiac patients in our outpatient and emergency department today, and the business has shrunk extremely severely. The Third Hospital is obviously riding on our heads now."


    The speaker was obviously an attending physician in the cardiothoracic surgery department.


    This person is Deputy Director He''s apprentice.


    Generally speaking, it is not so easy to obtain the outpatient and emergency statistics of the day.


    Deputy Director He instigated the doctors under him to spread such dangerous remarks, and his intentions were quite sinister.


    And there are quite a few rhythmic people in the group.


    This is the work group of the department. When Director Hu Kan was alive, everyone spoke cautiously.


    The most frequently posted are meeting notices, XX business adjustment notices, and inviting so-and-so to the discussion room to participate in consultations and other work speeches.


    Now that the group is arguing, the pressure on Director Xueyan must be even greater.


    Her position as director is not as secure as imagined!


    Women are naturally disadvantaged in the workplace, and after she took office, she did not use thunderous means to make an example of others. Deputy Director He is older than her by virtue of her qualifications, and her connections are quite strong, so I''m afraid it will cause her a lot of trouble.


    Obviously it''s not good to sing against her, but it is fully capable of causing her some troubles.


    For example, now, people are frantically discussing how the outpatient service of the Cardiothoracic Surgery Department of the Third Hospital is booming, and how the business of the Cardiothoracic Surgery Department of Tuya Hospital is shrinking.


    This is very unfavorable to Director Xueyan.


    Everyone will only think that her new director is not good, and will not care about those objective reasons at all.


    Director Xueyan did not speak in the group and remained silent.


    After all, Zhou Can belongs to an outsider, and he wanted to help her calm down the situation, but unfortunately he was powerless.


    The Third Hospital poached well-known Japanese cardiologists and purchased a complete set of imported equipment. This move was obviously a great success. Especially not long after the death of Director Hu Kan, this feat instantly made the Cardiac Surgery Department of the Third Hospital famous.


    This is only the first day, which is the first beating of the drums.


    I believe that there will be some heavy news released in succession tomorrow. For example, a certain heart disease patient seeks medical treatment in major hospitals in the province to no avail, visits all famous doctors, and can only be treated conservatively and wait for death. The team led by Japanese experts successfully completed the operation for the patient and saved the life of a patient with top-notch cardiac surgery skills and the most advanced surgical instruments in the world...


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    There will certainly be such publicity.


    At that time, the Cardiac Surgery Department of the Third Hospital will definitely become famous and become the top Cardiac Surgery Department in the province and even in the country.


    It is undeniable that the strategy of the Third Hospital is very clever.


    This move was very well done.


    Zhou Can withdrew from the cardiothoracic surgery group of Wu Mengsui, clicked on Director Xueyan''s private chat box, and hesitated whether to make a voice call with her.


    After thinking twice, he gave up.


    At this moment, Director Xueyan must be under unimaginable pressure, and it is the time when she is in a state of desperation.


    Calling her won''t help her much, it will only make her more confused.


    "It would be great if this violent storm came three or five years later."


    Zhou Can secretly sighed.


    His current surgical prowess is at the level of a superior deputy director. In fact, probably not yet.


    Because of his surgical skills, some are still at the attending level, while others are at the newly promoted deputy director level.


    At the junior level of deputy director.


    "Sister Yan, stabilize the situation, don''t seek merit, but seek no faults. I believe that as long as you and other chief physicians improve their surgical skills, what is lost will eventually be regained."


    Zhou Can typed a line of text, hesitated for a moment, and clicked send.


    In the current cardiothoracic surgery, the most sensible approach is to lurk like an old turtle. Let the wind and waves of the outside world beat, remain unmoved, and stick to your position.


    [Recommended, changing the source app to chase books is really easy to use, download .huanyuanapp here, everyone can try it soon. ¡¿


    After a while, Zhou Can received an emoji reply with tears rolling in his eyes.


    He sighed.


    Being on the outside, his feelings are definitely not as strong as Director Xueyan''s.


    I clicked a hug emoji and was about to send it, but felt something was wrong.


    Men and women are different, he and Xueyan are called siblings and have a close relationship.


    But after all, they are not siblings.


    Eventually, the hug was changed to a strong look.


    "I will always be your backing, and I will be dispatched at any time."


    He added another sentence.


    "Thanks!"


    Still an emoji reply.


    It can be seen that she must be in an extremely bad mood at the moment.


    Outside, someone tapped on the car window.


    Zhou Can turned his head to look and found that Su Qianqian and Wei Fang had arrived.


    "Get in the car, let''s go in."


    "Boss, I''ll stay in the car and wait for you!"


    Wei Fang asked Zhou Can for his opinion.


    "good!"


    Zhou Can thoughtfully opened the passenger door and let Su Qianqian get in the car.


    There is an old man in his sixties who guards the gate of the Institute of Traditional Chinese Medicine. It was the same old man last time.


    It seems that the economic situation of this unit is very embarrassing.


    "Hi, uncle. I''m looking for Mr. Chen Guoli, and I''ve already made an appointment by phone."


    Zhou Can rolled down the car window and said to the guard.


    "go in!"


    The doorman didn''t ask any more questions, and just opened the retractable door to let them go.


    Zhou Can came here once, he was familiar with the road, parked the car in the compound, and went straight to the old staff dormitory.


    The current units, offices and dormitories are all built separately. Only in the old houses in the past would the compound where the employees live and the workplace be built together.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Looking at the dilapidated house, Zhou Can can indirectly feel the development status of Chinese medicine.


    Knock on the door of the room where the old couple lived.


    "Old Chen, I''m sorry to trouble you again."


    After meeting Zhou Can, he found that Mr. Chen''s body was thinner than before, and his hair was paler and curled a bit.


    "It''s my happiest thing to solve patients'' problems. So, please don''t feel like I''m causing trouble. Please come in and sit down!"


    Chen Guoli let the two into the house.


    It was still Chen Guoli''s wife who made tea for the two of them and warmly entertained them.


    "Girl, put your hand on the pulse pillow, and I''ll take your pulse first."


    Chen Guoli inspected Su Qianqian carefully, then closed his eyes and fell silent.


    This performance made Zhou Can''s heart sink.


    There is a saying in the medical field that if you are not afraid of Western medicine smiling, you are afraid of Chinese medicine with low eyebrows.


    Chinese medicine lowers the eyelids, or even closes the eyes and meditates, indicating that the disease is complicated or serious and difficult to treat.


    "Her condition is not bad. The left kidney still has lesions, and the right kidney has basically returned to normal. You stopped the drug for a month, right?"


    "Well, it happened that the drug was stopped for a month and a day, and I went to the hospital for a re-examination yesterday."


    Su Qianqian nodded.


    "Young man, I think you have a strong aura. Neither of you should be ordinary people. I believe there is no problem with financial resources. Have you looked for the two main medicines?"


    Mr. Chen Guoli''s memory is super good. He still remembers clearly what happened more than half a year ago.


    Chinese medicine knows how to regulate the body, it seems that the words are true.


    "I managed to find it, but I haven''t found it yet. These two medicines are very difficult to find. I also asked Rui''s Enterprise. The artificial planting technology of purple-backed star anise has not yet broken through. If you want to find the two main medicines, No one knows how long it will take."


    When Zhou Can talked about this, his mouth was full of bitterness.


    Money really isn''t everything.


    "Well, it''s normal. I''ll prescribe a treatment plan for nourishing the kidneys for the time being, and nourish the kidneys first. Although it can''t heal and cut off the root, it can guarantee that the kidneys will not progress. In this way, I can also find for you Those two main ingredients are buying time."


    After Chen Guoli listened, he gave a new treatment plan.


    The term healing is not new.


    Only Chinese medicine has the ability to prevent the progress of the disease with nourishing therapy.


    Although western medicine also has the theory of immunotherapy, compared with traditional Chinese medicine, which has thousands of years of experience, it is not a little bit worse in terms of nourishment.


    "If conditions permit, you can use a ginseng that is more than a hundred years old every year. Remember, take it several times and don''t supplement it suddenly. What she needs to do now is to nourish, not supplement."


    After Chen Guoli finished prescribing the prescription for nourishing the kidney, he wrote another prescription and handed it to Zhou Can.


    "Young man, I can see that you are a responsible and good man. This prescription is the one handed down by my master for the treatment of kidney failure. It can cut the root. It contains compatibility and treatment. After you find the two main medicines, in case I When you are no longer alive, you will take the medicine according to the prescription."


    What Chen Lao said made Zhou Can''s eyes feel wet.


    He looked up at the ceiling, which was old and mottled. Then reached out and rubbed his eyes.


    "Oh, this building is old, it seems to be a little sandy."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Do you want to wash?"


    Chen Guoli asked with concern No need, it''s already much better. Thank you for giving me this ancestral prescription. I will cherish this kindness and the kindness of the doctor. "


    Zhou Can sincerely thanked him.


    "Cherishing is not enough, you have to inherit it. This is the greatest reward for me." Chen Guoli said with a pun.


    "good!"


    Zhou Can nodded heavily.


    He understood what Chen Guoli meant, and let Zhou Can not only inherit this prescription, but also inherit the benevolence of the doctor.


    "When I came in just now, I saw that the Institute of Traditional Chinese Medicine was very dilapidated, and I felt very bad. I gave you a gift, but you would not accept it. I only charge 6 yuan for each consultation fee, which makes me and Qianqian feel very sorry. I I have an idea to donate one million yuan to your institute, which can be used for infrastructure or research. Do you think it is possible?"


    Zhou Can asked Chen Guoli so deeply.


    Many units look old and dilapidated, but internal corruption is actually extremely serious.


    A loss of one million yuan is nothing to Zhou Can. His monthly income is far more than one million.


    But if the donated money is eaten by Shuo Shu of the Institute of Traditional Chinese Medicine, then he will definitely not want it.


    "This idea is very good. The house is broken, but it can be lived in. It is more than ten times better than the mud house when we were young. This one million, let''s use it for Chinese medicine research! I can assure you, Every penny is spent on practical things, and your kindness will not be dusted."


    Chen Guoli is an old man, so he naturally understands the deep meaning of Zhou Can''s words.


    "You give me an account, and I will transfer money into it tomorrow."


    For the first time, Zhou Can felt from the bottom of his heart that he should make a small contribution to the cause of traditional Chinese medicine in the motherland.

 Chapter 409： Hospitals pit each other, horrible gangrene patients

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Young man, I''m afraid I can''t give you the remittance account number now. I''ll report this to you tomorrow, and call a meeting with the leaders of the office. I''ll send you the account number after it''s confirmed. Of course, it''s best if you can come over in person. , it would be better to sign a written agreement."


    To donate money to individuals, just give the money directly.


    If it is a charitable donation for a specific purpose, it can also go through an intermediary department.


    Donating to the unit, the procedures are relatively troublesome.


    Zhou Can felt that it was good to be able to sign a written agreement, which would guarantee protection for both parties. He was mainly worried that the money would be embezzled by the leaders of the institute.


    Chen Guoli could be trusted, but it didn''t mean that other people in the office could also be trusted.


    Especially the leaders of some administrative posts, the means of making money are first-rate.


    "That''s fine. Let me know after discussing it tomorrow. I have to go to work during the day and I don''t have time. If I sign the gift agreement, I''m afraid I can only do it at night. If the donation is actually used and the effect is not bad, I can consider continuing to donate in the future." .Your spirit of traditional Chinese medicine, as well as the remarkable curative effect of treating my girlfriend, let me see the potential and importance of Chinese medicine. It is sad to see the continuous decline of Chinese medicine."


    After Zhou Can made an agreement with Chen Guoli, he took Su Qianqian to leave.


    "Go slowly!"


    Chen Guoli''s attitude towards them this time was much more solemn. After personally sending them to the door, Zhou Can turned back, "Please stay!"


    ¡­


    Time flies, and half a month has passed in the blink of an eye.


    Because of Zhou Can''s scalpel in the emergency department, the performance has been steadily increasing, and the number of official beds in the inpatient ward has increased from four to ten. Corey attached great importance to this matter, and was stunned to vacate another ward from the infusion room.


    The reason why there were no more than ten beds was because the competent health authorities had clearly stipulated that for every ten beds added, at least one doctor and four nurses were required.


    Emergency departments are understaffed.


    Just expanded the staff last month, no matter how difficult it is now, we have to hide our strengths and bide our time for a while. Jumping up too fast, there are too many people staring at it, and it will be easy to encounter resistance from all sides.


    The number of official beds has been increased to ten, plus those temporary beds, which are basically enough at this stage.


    There were originally three doctors in charge of the bed, two formal residents and one intern.


    Now there are more than 20 inpatient beds, Director Lou transferred another intern to help manage the beds together. Nurses are also in short supply, and the head nurse Niu Lan will find a way to solve it.


    In general, emergency operating rooms and inpatient wards are running smoothly.


    The reception hall in the front, the emergency examination in the laboratory at the back, and the screening of patients who can be treated in the emergency department will be performed in the emergency operating room. After the operation, the patient will go home or be hospitalized for further treatment.


    Now this industrial chain is basically perfected in the emergency department.


    It has also become one of the most important income-generating industrial chains for emergency medicine.


    The income generated by the industrial chain of emergency room and intensive care unit is also considerable.


    As for other businesses of the emergency department, they are basically in a state of soy sauce.


    The income from doing various inspection items and prescribing medicines in the internal medicine department can only be regarded as barely good.


    In short, although the emergency department is very poor, with the help of Tuya''s huge traffic, the number of patients received every day is very considerable. After so many years, under the leadership of Director Lou, the doctors and nurses of Keyi have long had a set of ways to generate income.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    You can''t get rich, and you can''t starve to death.


    Compared with those important departments, it is miserable. Compared with deserted county-level hospitals, it must be much better.


    [In other words, currently the best app for reading and listening to books, change the source app, and install the latest version of .huanyuan app. ¡¿


    From this point, we can also draw a conclusion that leaning against a big tree is good for enjoying the shade.


    Graduate students, direct Ph.D. students, and ordinary doctoral students try their best to squeeze into a compound like Tuya, which has its own reasons.


    On this day, Zhou Can finished his meal at noon and was about to go back to the operating room to work, but there was a quarrel in the emergency room.


    A patient was lying on a flat bed, and the trouser leg of his right leg was rolled up to a position close to his knee. It can be seen that the leg was severely decomposed, and there was a certain degree of exudate and tissue melting. The seams have crumbled in places.


    Zhou Can could tell at a glance that this was typical gangrene.


    If it is not handled properly, it will kill people.


    Wearing limbs to save lives is a relatively common operation.


    Of course, under normal circumstances, family members and patients themselves will not be willing to amputate.


    Therefore, the doctor will be asked to find a way to treat it.


    The only way to treat patients with severe gangrene due to wound infection and suppuration is to remove all necrotic tissue. Then the patient is admitted to the hospital, with the help of antibiotics and professional medical care, waiting for the wound to heal automatically.


    Usually, as long as the infection is controlled, the patient''s diseased limb can be saved.


    Some cases are serious, or patients have poor immunity, or have underlying diseases, and surgery is useless.


    In the end, he had to amputate his limbs to save his life.


    Especially some older diabetic patients are very prone to blackening and necrosis of the legs.


    The family members cried and knelt on the ground, begging the nurses and doctors to treat the patient.


    But the emergency doctor said that the disease needs to be sent to a specialist inpatient unit for treatment. The emergency department can only deal with simple emergency patients, and cannot treat such patients with wound infection, suppuration, and gangrene.


    It is so serious, how dare the emergency department accept it!


    Just look at the emergency doctor who shook his head like a rattle with fear on his face, and you can see how terrifying this patient is.


    Regardless of the fact that the patient is still alive and well, if the condition worsens, it can take a sharp turn for the night and directly develop into sepsis, or even more severe sepsis is normal.


    In the hospital, it is often seen that the patient''s limb injury is not particularly serious, and he feels that it is well treated and can be saved.


    The doctor insisted on amputation.


    And changing a hospital, the same result.


    It''s not that doctors care about people''s lives, but that the consequences of limb necrosis are extremely serious. Sometimes patients and family members can only see the appearance, and doctors can see the direction of the patient''s condition by virtue of their professional knowledge and experience.


    Knowing that he couldn''t save it, instead of endangering his life at that time, he might as well amputate his limbs to save his life.


    Zhou Can sometimes seems ruthless, but seeing this kind of scene, it is always difficult to control his sympathy.


    Even though he has experienced the chills brought by patients and their families countless times, he still maintains an emotional side.


    Especially seeing that child who was only three or four years old, kneeling on the ground with his mother, begging the doctor to admit his father. This scene looked shattering.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Doesn''t the specialist accept it?"


    Zhou Can went over to ask the nurse on duty.


    "General surgery is not accepted. The intensive care medicine department asks general surgery for treatment, but our side is unable to handle it. Therefore, we recommend that patients go to the Provincial People''s Hospital for serious treatment."


    The nurses in the emergency department are all experienced.


    I have seen all kinds of family members and patients.


    As long as they can stay, they are basically masters who are slick and adaptable.


    When encountering such difficult patients, the hospital is not stupid. After the specialist room kicks the ball and rejects the patient, the nurses in the emergency department will try to persuade the patient''s family members to transfer to other hospitals for treatment.


    It is only right and proper for a small hospital to pit a large hospital.


    A critically ill patient is taken to a township health center or community health service station, and you are asked to send it to a large hospital for emergency treatment. Will you send it? The family members didn''t even think about it, and immediately agreed to transfer to another hospital.


    In fact, a large hospital like Tuya will also push patients.


    There are regulations above that rejecting patients is not acceptable.


    Therefore, more moderate methods or subtle methods are used more often. For example, no medication is basically the same as conservative treatment.


    The family members must be worried when they see their loved ones are in danger, but the hospital does not give them medicines!


    After greeting the eighteen generations of the hospital''s ancestors, he hurriedly transferred to another hospital.


    There is also the technique that the nurses used just now. The certain hospital is more professional and has greater confidence in the treatment of this disease. It is best for you to go there for consultation.


    The subconscious meaning is almost, please don''t come to harm our hospital, you go to harm the one opposite!


    "We have already seen it at the Provincial People''s Hospital. The doctor there told us that the problem is very serious. The treatment plan at the Provincial People''s Hospital is amputation. If you want to save your limbs, you must go to Tuya for treatment."


    The female family member is a thirty-seven or eighteen-year-old woman. Looking at her attire and temperament, she should be a country woman or a low-level social worker in the city.


    Now that her husband''s life is hanging by a thread, her heart must be full of panic and despair.


    After Zhou Can heard this, his face twitched.


    These big hospitals are really interesting, pushing patients to each other.


    "Have you been checked?"


    Zhou Can asked.


    "Our hospital didn''t do an examination, he did some examinations at the Provincial People''s Hospital."


    "Show me the results!"


    Seeing that a doctor was finally in charge of this matter, the female family member quickly stood up, took out the examination materials from the bag, and handed them all to Zhou Can.


    "How was he injured before?"


    "I fell from a motorcycle. My husband and I took our children to work in the city. In order to save money, we got stitches at a well-known local clinic. I didn''t expect the wound to become infected, and it became like this later."


    The female family members must have concealed something.


    From infection to gangrene, the wound has a long course of progress, and it definitely cannot become like this in a day or two.


    Zhou Can didn''t bother to ask.


    It is nothing more than to save money. After an infection occurs, deal with it at home by yourself, with a fluke mentality.


    Coupled with the lack of professional medical knowledge, it became like this.


    The clinic''s inadequate treatment of patients'' wounds and poor suture techniques are also key factors. Looking at the situation of this family, it is estimated that there is no point in going to that clinic to file a lawsuit and demand compensation.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    It is really not easy for the weak to survive in this society.


    "Judging from his blood and urine routine test reports, there are already signs of sepsis. Amputation should be the first choice to save life."


    After reading it, Zhou Can gave an evaluation.


    "Doctor... I beg you to show kindness and save my husband! He is the pillar of the family. Without his legs, how will our family survive in the future..."


    The woman said, already crying.


    When the child saw his mother crying sadly, he also pulled his mother''s trouser legs and cried.


    There are many patients nearby watching the excitement.


    Each family sweeps the snow in front of their own doors, and no one cares about the frost on others'' tiles.


    Tragedy happened to others, and people who eat melons don''t care too much. It''s just to watch the fun.


    Seeing the woman and the child crying sadly, Zhou Can was really pitiful, and went up to carefully examine the patient''s festering wound. A little closer, the pungent smell of rotting corpses hits the face.


    This smell is much worse than the smell of rotten eggs.


    Suppressing his nausea, he examined the wound carefully, and could see some exposed red granulation.


    "Let me ask the teacher to help you ask!"


    Zhou Can went to Dr. Xu with the examination report.


    It is not a trivial matter to admit such a serious patient. What if something goes wrong?


    He didn''t dare to be the master on his own.


    Dr. Xu has rich experience in diagnosis and treatment, and is especially good at various surgical injuries.


    Check with him and see what he has to say.


    At this moment, Dr. Xu is operating on a patient in the operating room.


    "Teacher, I''ll sew up the patient. Can you please see if the leg of a patient with gangrene of the lower limbs can still be saved?"


    "Do you know how terrible gangrene is?"


    Dr. Xu stepped aside, agreeing to allow Zhou Can to suture.


    Master and apprentice, they get along more like father and son.


    Zhou Can is like a Monkey King in the operating room of the emergency department, enjoying all kinds of privileges, and dares to perform almost any kind of operation. And it''s actually the main knife. Without Dr. Xu''s cover, it is impossible to have this kind of treatment.


    It is definitely a blessing for every medical student to meet a good teacher in several lifetimes.


    It is definitely the greatest misfortune in life to meet a teacher or superior doctor who only knows how to shirk responsibility, make money, blame, and squeeze students. If you encounter such a bad teacher, you can either leave or wait for the other party to leave.


    Generally, medical students leave their own jobs.


    The other party is doing well, and it is impossible to leave the job.


    "This patient is the breadwinner of the family. His limb was really amputated. The child is still so young. For his family, it is almost an unbearable disaster. Gangrene is tricky, difficult to treat and risky, I know. That''s why I want you to help me take a look."


    Zhou Can worked swiftly while answering.


    He sewed very carefully.


    Ask Dr. Xu to do something, if the sewing is not good, Dr. Xu will definitely scold him. Most of the things you ask for are useless.


    Before long, he successfully sutured the patient''s abdominal cavity.


    "Teacher, please check."


    "Well, it''s okay! Push it out and wake up from the anesthesia!"


    After seeing it, Dr. Xu nodded with satisfaction.


    He is quite satisfied with Zhou Can''s craftsmanship.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Don''t come in with surgery patients yet." Dr. Xu explained to the nurse.


    Zhou Can has two surgical nurses, but Dr. Xu has only one. Basically, Liu Xia, a senior surgical nurse, was his partner.


    But sometimes it''s replaced by someone else.


    Dr. Xu has much lower requirements for equipment nurses than Zhou Can.


    Zhou Can only likes to cooperate with Qiao Yu.


    Not only because she is professional, but also because we have a very high tacit understanding with her, sometimes it is really the kind of heart-to-heart connection. Plus, she''s beautiful, and who wouldn''t want a beautiful female partner during surgery?


    "Do you really want to save that patient?"


    Dr. Xu stared at Zhou Can and asked If possible, I am willing to give it a try. I have carefully observed the patient''s wound just now. Although the wound was purulent and the tissue was liquefied severely, the bright red granulation tissue can still be seen. Moreover, the age of the patient is less than forty years old, in the prime of life, and the basic condition is quite good. There is no underlying disease in itself, so if you try hard, you may not be able to keep his legs. "


    Zhou Can''s eyes were quite firm.


    It''s just that he''s not alone in this matter.


    If Dr. Xu disagreed, no matter how much he wanted to save someone, he would have to give up.


    "If you really want to try it, then try it! I will talk to the family members. First of all, I must inform the family members of the risks involved, and ask the family members to sign the consent form and the informed letter. In addition, closely observe for 24 hours after the operation. If the toxin level cannot be lowered, and the wound re-infects, then there is no hesitation, and the limb must be amputated immediately to save life."


    Dr. Xu told Zhou Can the general idea.


    The two were just discussing it.


    "Okay! Then I''ll do the operation in the operating room first, and when it''s done over there, hand over the patient to me, is that okay?"


    Zhou Can readily agreed to Dr. Xu''s plan.


    Human life is at stake, he would never dare to be careless.


    "Work hard first, I''ll talk to my family members before I talk!"


    Dr. Xu took the examination materials, went into the dressing room, changed into a white coat, and went out.


    With the help of the teacher, this matter must be handled more safely.


    Some potential risks will also be avoided by Dr. Xu in advance.


    Zhou Can entered the operating room inside to perform the operation hard, waiting for news.

 Chapter 410： Temper newcomers, the principle of gangrene debridement

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    There has been no news back.


    Dr. Xu returned to the operating room after going out for about half an hour to continue the operation. Not a word was said about the gangrene patient.


    The teacher is the teacher, I really can hold my breath, if the matter is settled, at least give me a letter!


    Zhou Can was doing surgery in the room, and didn''t go out to ask more questions.


    Seeing that it was almost time to get off work, Ma Xiaolan brought in a patient. It was the man whose leg wound was dehiscated and gangrenous.


    This person''s skin is dark, and the marks left by the sun for a long time can still be seen on the forehead, arms and other parts.


    It stands to reason that this is a middle-aged male patient with a strong body and strong immunity.


    Maybe it''s because after the leg was injured, the nutrition could not be supplemented well, and coupled with the prolonged illness, the body had already begun to become thinner obviously. This is not a good sign.


    Before his body is still in a better state, his wound must be cleaned up and the place that should be sutured should be sutured.


    Then supplemented by professional medical treatment to help him recover quickly.


    Any disease is as terrible as fire.


    At the beginning, it may be just a spark, but if it is discovered in time, it can be easily extinguished.


    The longer the delay, the worse it is.


    If you wait until the fire becomes a prairie fire, it will be very difficult to extinguish it.


    If you wait until the house is almost burned out, then go to put out the fire. Even if the fire was extinguished, the house would have been almost destroyed.


    The same goes for treating patients.


    It is necessary to stop the disease from raging before the patient''s body is seriously damaged.


    This is also the principle of traditional Chinese medicine to treat diseases of desire and disease.


    Right now, this patient is actually on the verge of dying.


    "I have already assessed his condition, and just need to perform spinal anesthesia. The prognosis may not be ideal, so let''s do our part! The family members strongly demand limb salvage, and they are willing to try it no matter how much they pay. The patient himself also It is this will."


    Doctor Xu walked in.


    The anesthesiologist followed closely behind, also coming in with her ''treasure box''.


    No wonder it took until now to send the patient into the operating room.


    After Dr. Xu negotiated with his family, he probably consulted department leaders like Director Lou or Deputy Director Han. They agreed, and then applied to the Department of Anesthesiology.


    Then the anesthesiology department sent an anesthetist to come over for assessment, talk to the family members and patients, and sign an anesthesia consent form.


    A series of cumbersome procedures can be completed so quickly, which is already considered good.


    Probably because the spinal anesthesia was performed, a female anesthetist at the attending level came in.


    This level of anesthesia surgery is far from being able to dispatch a deputy director-level anesthesiologist. Anesthesiologists with high seniority and attendance level are not even required.


    "Beauty, do you need my help with the waist piercing?"


    Zhou Can came forward to say hello warmly.


    "Okay! Director Feng''s senior apprentice can help me, I wish for it!"


    The female anesthesiologist squeezed out a smile at Zhou Can.


    It''s so rare to finally meet a normal anesthesiologist.


    In Zhou Can''s impression, most of the doctors in the anesthesiology department had a cold and serious face. Only the official doctor is normal.


    However, since Doctor Guan almost had a medical accident that time, it seems that he has gradually become less cheerful and laughable.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    There must be a reason for the lack of staff in the anesthesiology department.


    There are many things, tiring work, high risks, and high pressure, and the income can only be regarded as fair.


    Why is it that the income of anesthesiologists is not as high as imagined? Zhou Can heard such a thing, about seven or eight years ago, the salaries and bonuses of medical staff were restructured to a certain extent.


    As a result, the nurses in one of the important departments received a bonus nearly 2,000 yuan/month higher than that of the anesthesiologists.


    The anesthesiologists felt psychologically unbalanced and directly came to a collective protest.


    Later, the leaders of the hospital had no choice. After a meeting and discussion, they made a rule that made people laugh and cry. The bonus of nurses can be equal to that of anesthesiologists, but not more than that of anesthesiologists.


    The matter finally subsided.


    If this is true, it means that the income of anesthesiologists is not as high as imagined. Otherwise, watching the nurse get an extra 2,000 yuan a month bonus would not cause such a big emotion.


    The work of nurses is actually very hard.


    The old fritters that don''t work are not included in this list. Some lazy nurses don''t bother to reach out even with a bottle of salt water, and try to make the new nurses work.


    Half body anesthesia, commonly known as spinal anesthesia.


    After local disinfection, puncture from the patient''s waist, select the appropriate spinous process space of the lumbar spine, and inject local anesthetic into the subarachnoid space, causing the lower body sensation to disappear.


    It is easy to say, but it is actually quite difficult to operate.


    General novice anesthesiologists are prone to operation failure.


    Zhou Can''s injection skills are already at the fifth level, which is the level of the deputy chief physician. Injection involves piercing.


    Zhou Can can easily operate various chest punctures, waist punctures, and abdominal punctures.


    The most difficult part of this anesthesia operation is the lumbar puncture operation.


    As a result, Zhou Can completed the lumbar puncture with ease, and admired the female anesthesiologist for a while.


    "Do you feel anything in your lower body?"


    After a while, presuming that the anesthesia had taken effect, the female anesthesiologist tested the patient''s response.


    "I don''t feel it! It''s numb!"


    "That''s right. It means that the waist anesthesia was successfully implemented."


    The female anesthesiologist also admired Zhou Can''s ability even more. For her, the piercing operation was quite difficult, and it was like playing in Zhou Can''s hands. I really envied his ease of handling.


    This is a performance that can only be achieved when the strength reaches a certain level.


    No wonder Director Feng loves this young doctor so much!


    "Hurry up and debride the wound for the patient! I don''t know what''s going on inside. Look at the depth, I''m afraid it has reached the bone."


    Doctor Xu looked serious.


    Accepting this patient was mainly because of Zhou Can''s face.


    Of course, Dr. Xu was also moved with compassion.


    As long as doctors have a little medical ethics, they all have the same belief.


    It is like the wish of a close relative, and there are not many doctors who can do this.


    Zhou Can currently has level 5 debridement, which is one of the important reasons why he dared to challenge this gangrene debridement operation.


    Only with diamonds can we dare to do porcelain work.


    Without that strength, only a doctor''s benevolence is far from enough.


    "Dr. Luo, help the patient cut off those sutures first!"


    Zhou Can properly gave Luo Shishen some opportunities to exercise.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Operating on gangrene patients is a test of the doctor''s psychological quality. Some people are even prone to vomiting during the operation.


    Surgical masks can''t stop the disgusting rancid smell.


    Coupled with the visual impact, it is easy to cause the stomach to churn and spit it out.


    Some novice doctors may experience serious psychological discomfort when they see dead people, **** scenes, or disgusting scenes for the first time. You may not be able to eat for a day or two.


    Zhou Can followed so many chief physicians to perform surgeries, and he has done a lot of surgeries in general surgery, cardiothoracic surgery, and emergency departments, and his mental quality has been tempered early.


    To say that the most psychological test may not be the operating room, but the intensive care unit of the intensive care department.


    There are some patients there, such as burn patients, who are completely shattered.


    There may even be phenomena such as crust melting and suppuration on the body surface.


    Just looking at that makes the scalp tingle.


    Let me say here that scab melting will not only bring great pain to the patient, but also be very dangerous.


    In particular, large areas of scabs must be prevented in a timely manner.


    "I¡­"


    Luo Shigen frowned tightly, wearing gloves, holding the scissors Qiao Yu handed him, as if forcing him to jump into a fire pit.


    "Hurry up, don''t grind!"


    Zhou Can urged impatiently.


    Luo Shishen is his subordinate now, if there is a problem, he will definitely supervise it.


    Doctor Xu doesn''t care about such things at all.


    Qiao Yu had worked as a nurse in the intensive care unit, so she had a strong psychological quality, and only needed to pass the equipment, but she took it lightly. Ma Xiaolan seemed to be a little bit unable to bear this disgusting scene. She stood under the stage, not even daring to look at the patient''s wound.


    The condition of the operating room itself was also not good.


    If it is a laminar flow operating room, even if it is a 10,000-level laminar flow operating room, it can absorb and discharge the odor around the operating table.


    Now, everyone will enjoy the rancid smell.


    "This, there are so many sutures! Isn''t it torturing people!" Luo Shishen''s hands were trembling, and if he was not wearing a mask during the operation, he could definitely see his disgusted expression.


    "Concentrate."


    Zhou Can shouted again.


    In this case, as a senior doctor, you must be strict.


    Under his deterrence, Luo Shishen could help offset part of his inner discomfort.


    The removal of sutures is generally a knot and a knife.


    If it is a coherent suture method, only one knife can be cut when removing the stitches. However, under normal circumstances, the nurse will cut each suture once when removing the stitches.


    Because the suture can be pulled out from the patient''s cortex with less effort.


    Under Zhou Can''s oppression, Luo Shishen cut off the sutures one by one and cleaned them up.


    Without the sutures, the patient''s wounds were even more open.


    Pus mixed with blood dripped down like saliva.


    The rancid smell became more pungent and rich.


    "Xiaolan, don''t stand still, catch it with the trash can."


    Zhou Can is a rookie who intends to train the surgery team.


    Under normal circumstances, the seniority of the itinerant nurse may be older than that of the chief surgeon, and there is no need to call at all.


    Ma Xiaolan came over to catch it with a trash can, turned her head, and seemed to be holding her breath.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Watch it, don''t let it leak on the floor. It will be a hassle to clean up."


    There are countless bacteria and even viruses in this pus.


    Cleaning and disinfection are by no means an easy task.


    "vomit¡­"


    Ma Xiaolan began to retch, then covered her mouth and ran to the covered trash can.


    Doctor Xu shook his head repeatedly.


    But he didn''t say anything.


    After all, they are all newcomers.


    Maybe some emotions are really contagious. For example, yawning. When we see others yawning, we can''t help but have the urge to yawn.


    At this moment, Ma Xiaolan''s vomiting seemed to have infected Luo Shishen as well.


    A big old man actually followed the past and vomited.


    "As far as this psychological quality is concerned, you have to exercise hard."


    In order not to delay the operation process, Zhou Can removed the stitches himself. It''s just a small job, and it''s not difficult as long as you can overcome your inner fear and discomfort.


    [In other words, currently the best app for reading and listening to books, change the source app, and install the latest version of .huanyuan app. ¡¿


    All sutures were quickly removed.


    "Give me the suction head and let me **** up the blood and pus inside."


    Zhou Can said to Qiao Yu.


    "Give!"


    Qiao Yu had already prepared it and handed it to him immediately.


    Originally, the work of sucking blood and pus should be done by medical assistants.


    Zhou Can took care of Luo Shishen''s discomfort, so he had to do it himself.


    "Let me do it!"


    As a teacher, Dr. Xu has seen all kinds of scenes. With a calm face, he became Zhou Can''s assistant.


    After Luo Shishen and Ma Xiaolan finished vomiting, they looked very embarrassed.


    Ma Xiaolan burst into tears.


    It really hurts when you vomit.


    "You two just watch from the sidelines! You must learn to adapt and adjust. In the future, follow me for surgery, and you will definitely see bigger scenes."


    Zhou Can made a request to the two of them.


    The patient looked embarrassed and simply closed his eyes.


    It would be better if I knew earlier that general anesthesia should be given to the patient.


    After cleaning up the blood and pus accumulated inside, Zhou Can began to prepare for the patient''s wound debridement. The meat in many places has been completely rotten.


    "Xiao Zhou, tell me about your idea of ??debridement."


    The meaning of what Dr. Xu said was to tell Zhou Can not to use the knife in a hurry.


    "The gangrene of this patient belongs to wet gangrene, and the wound surface is deep or shallow. I plan to debride the wound in stages and batches. Today, the tissue that has been clearly necrotic is debrided in time. For unclear boundaries, it is difficult to determine whether it is completely necrotic. The organization is temporarily reserved."


    Zhou Can gave his own surgical ideas.


    Many surgeons take it for granted that when debridement is performed on patients with gangrene, they must cut to the end and remove as much junctional tissue as possible. Even the normal tissue section is cleaned up a bit more.


    In fact, this idea is wrong.


    If you do this, it is likely to aggravate the condition.


    When debridement of patients with wet gangrene, as Zhou Can did, as much normal tissue as possible should be preserved. There must be no haste.


    If you can''t eat hot tofu in a hurry, it is also suitable for use in surgery.


    Clean up all the rotting tissues at one time, even including some normal tissues, to keep the wound clean. I thought, if the wound is cleaned up this time, it will definitely heal.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    That''s just wishful thinking among the new Cradle Doctors.


    A surgeon with rich experience will definitely follow Zhou Can''s thinking.


    "You have a very good idea, let''s start cleaning up!"


    After hearing this, Dr. Xu not only appreciated Zhou Can even more, but also let him operate with confidence.


    Zhou Can first cleaned up the obviously necrotic tissues.


    Then perform preliminary cleaning on the wound, and begin to carefully identify which places should be left and which should be removed.


    This process is far more difficult than imagined.


    It is a test of the patience and care of the doctor involved, and it also has certain requirements for the knife technique. Some parts are simply cut off with scissors.


    ¡­


    After more than three hours, Zhou Can looked at the patient''s wound with a satisfied expression.


    The wound that was full of pus before has changed its appearance and has a new look.


    Stop the bleeding where it should.


    The obvious pus and carrion are basically invisible.

 Chapter 411： The sadness of the clinical staff, the most worrying thing happened

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Teacher, please check, is it okay to debride to this point today?"


    After Zhou Can completed the debridement just now, he has already received 100 debridement experience points. From the debridement of this patient, he has indeed learned a lot of experience and skills.


    Surgery is hands-on.


    Many surgical techniques are easier said than done.


    How to do a surgery, maybe many surgeons can say one, two, three, but when it comes to the actual operation, there are very few who can successfully complete the operation.


    Those who can complete it well are even rarer.


    It is precisely because the growth of surgeons is difficult and slow that doctors who perform well in various hospitals have a very high status.


    At least among clinical staff, their status is detached.


    "Well, your debridement skills are really good! Like that young woman''s figure, a bit more is too fat, a bit less is too thin, just right."


    Dr. Xu is usually a serious and rigid person, but now he uses the figure of a young woman as a metaphor.


    It made Zhou Can and others feel quite strange.


    Two words that he never dared to say came to his mind¡ªMensao.


    There are many men, especially men who are usually very decent, who are somewhat boring.


    It''s just because of the shackles of etiquette, morality, and reputation that they hide their side that might make people laugh.


    "Send it back to the inpatient ward for care first! Closely observe the situation for a day or two to see the situation, and then decide whether to undergo a second debridement operation."


    After the examination, Dr. Xu personally issued a doctor''s order to the patient.


    Mainly start from two aspects, anti-infection and anti-inflammation, nutritional supplements. Another point is to keep the wound drainage smooth.


    After the initial debridement is completed, it only needs to be observed for two or three days to find out which tissues will become necrotic.


    At that time, we will continue to clean up.


    The biggest challenge this patient needs to accept at present is not the pain and continued decay of the wound. But after this operation, whether the trend of sepsis can develop for the better.


    If it develops in a bad way, even if Zhou Can and Dr. Xu try to help him save his limbs, they won''t be able to save it.


    Must be amputated decisively to save his life.


    After the patient was sent out, it was already past nine o''clock in the evening. Sometimes surgery is like this. The doctor has to grit his teeth and persist before the surgery is finished.


    During this period, there is no way to go to the toilet, no way to drink water or eat. If it is a strong team with many people, everyone can take turns to rest and it will be easier.


    This operation took Zhou Can more than four hours in total.


    It is the cheapest surgery.


    Sometimes it doesn''t take him so long to do a tertiary surgery.


    "Everyone has worked hard, let''s get off work!"


    Dr. Xu said to several people.


    "I asked Xiaolan to order meals for everyone. It''s so late, there is no place to eat. Teacher, eat your share before leaving, or it will be wasted!"


    Zhou Can greeted Dr. Xu.


    "Are you kidding us to eat you, a big family?"


    Dr. Xu did not refuse.


    "I don''t dare to be called a big family. But it''s no problem to invite everyone to have a few meals. I''m very happy. My father taught me since I was a child. In my life, I can''t eat poorly, wear poorly, and stick to the bad habits of prostitution, gambling, and drugs. Only then will you become a pauper."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can said with a smile.


    "Hey, the tutoring is pretty good! I really want to meet your parents if I have the opportunity. I want to see what kind of parents are able to educate such excellent children."


    As Dr. Xu said, he took off his gloves and threw them into the trash can, then walked towards the dressing room outside.


    I have to complain, because the status of the emergency department is too low, the operating room is simple. Not even a place to eat.


    Like other important departments, their operating rooms are much more luxurious.


    Sterile rooms and film reading rooms can all become temporary places for doctors and nurses to eat during surgery.


    For the emergency department, when a new operating room is obtained, there will definitely be a decent operating room when it is exhausted.


    Several people ate fast food together.


    "Doctor Zhou, can you tell me about the surgical debridement of gangrene patients, why can''t the debridement be thorough?"


    This question must have held Luo Shigent back for a long time.


    He wanted to ask a long time ago.


    I was also afraid of being criticized by Zhou Can, so I waited until the operation was over before asking questions.


    "Complete debridement is to cut off the necrotic tissue and the tissue that still has a certain repair ability to achieve the purpose of deep debridement. It seems to be clean and thorough, but have you thought about it? Doing so will definitely increase the wound surface and increase The difficulty of wound self-healing. It will definitely have a big impact on wound healing."


    Zhou Can explained.


    The so-called haste makes waste.


    In the face of different gangrene lesions, the debridement plan is also different.


    The gangrenous wound of the patient just now was not only extremely wide, but also very deep. If a complete debridement is completed at one time, how much wound will be caused?


    You must know that after such a long period of recuperation, the patient''s wound failed to heal even if it became infected and suppurated. However, a certain healing layer has actually been formed on the wound surface.


    Removing it is equivalent to removing the newly formed scar, which will cause great harm to the patient''s body.


    So don''t just look at the surface.


    "Understood!"


    Luo Shishen nodded.


    He was affected by the suture cutting earlier, and he was obviously sick and unable to eat.


    No one can help him with this, he can only get used to it slowly.


    Ma Xiaolan was also not much better, she only took a few mouthfuls and then she stopped eating.


    Zhou Can was so busy working so late, thinking of using his mobile phone to send a message to Su Qianqian first, so as not to worry her.


    Tuya Hospital is very user-friendly in the management of mobile phones.


    Doctors and nurses are allowed to bring mobile phones to work, including in the operating room. However, it needs to be muted during working hours. If you are caught playing with your mobile phone during working hours, 50 yuan will be deducted once, and 2 points will be deducted from the department.


    If caught three times in total, the entire court will be notified of criticism.


    In fact, as long as he is caught twice by the administrative staff, the director of the department should jump.


    Because the total score of a department is only 12 points.


    That''s only enough to deduct five times in total.


    If all are deducted, the director of the department may dismiss the get out of class. The lightest thing is that the department''s bonus will be fined and confiscated, and the whole hospital will have to criticize by name, plus in-depth self-criticism.


    Generally, there are no doctors and nurses to go to work and play with mobile phones.


    Because many family members now secretly film the work of medical staff. Especially when rescuing patients, it is most likely to be secretly photographed.


    There are also family members who love to play tricks.


    On the surface, I chatted politely with you, but the recording was actually turned on. Those recordings were used as evidence when the accused went to court.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    In this era of tense doctor-patient relationship, it is not uncommon for doctors and nurses to be sued in court.


    Some doctors or nurses performed their duties normally, but the patients died during the treatment. Then the family members made a lot of trouble, and the hospital may promise to pay the family members a sum of money in order to calm down the incident.


    Even if the compensation is only 50,000 to 60,000 yuan in funeral expenses, it is too much for the doctor to bear.


    Don''t think that the hospital will pay the money. After the medical department or the administrative department of the hospital negotiates with the family members, it will be directly conveyed to the doctor involved.


    The doctor must feel wronged!


    There was nothing wrong with him, yet he still had to pay such a sum of money.


    But the hospital doesn''t care about these things. In many cases, the hospital only handles problems from the perspective of the hospital''s interests.


    And will not take into account the doctor''s life and death.


    The leaders of the medical department would even turn against the wronged doctor, why didn''t the patient''s family sue others and sue you?


    When encountering such a chilling incident, many doctors involved will choose to resign.


    I really can''t do it.


    In some hospitals, as long as patients complain, they will deduct money from doctors or nurses.


    Regardless of whether the patient and family members are reasonable or not, they are on the side of the patient''s family anyway. And this phenomenon is not an isolated phenomenon, many hospitals are doing this.


    It is conceivable that after the medical staff tried several times to chill their hearts, they finally became business-like and indifferent, which is understandable.


    While eating, Zhou Can took out his mobile phone and prepared to send a message.


    Then I saw multiple unread private chat messages.


    Su Qianqian sent a message at 5:30, "Honey, are you going home for dinner tonight? I''ll make your favorite sweet and sour pork ribs!" There is a row of ticking fingers behind it.


    "I haven''t replied to the message for so long, I guess, you must be working overtime! Waiting for you at home! Be careful driving on the road!"


    The warmth of home filled Zhou Can''s heart.


    Many migrant workers who are thousands of miles away, or even thousands of miles away, want to go home during the New Year. It is because there are people in the family who they care about and miss.


    There is a beloved girlfriend at home waiting for Zhou Can to come home. This kind of happiness is irresistible to him.


    Therefore, no matter how late he gets off work every day, he has to go home with the stars and the moon.


    "I just got off work, and I''m ready to go home after having dinner with my colleagues."


    Zhou Can also casually took a picture and sent it.


    "It''s so late to get off work today! Be careful on the road! Drive slowly!"


    Su Qianqian replied to the message in seconds.


    It is estimated that holding the mobile phone has been waiting for his reply.


    She didn''t come home so late and didn''t reply to the message. She must be very worried.


    Zhou Can returned a symbol of blowing a kiss.


    A family with a good wife and husband has few misfortunes.


    He continued to check other private chat messages.


    His mother sent him two voice messages, but now that his colleagues were present, he didn''t dare to click on them.


    Recently, my mother has begun to urge marriage.


    She already knew that her son had a great future in Tuya Hospital in the provincial capital. Also very proud.


    But seeing young men about Zhou Can''s age getting married and having children one by one, my mother couldn''t hold back. Urging him to get married early.


    Zhou Can''s parents are very satisfied with Su Qianqian, his daughter-in-law.


    They are very supportive that their son can marry a female star back home.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Turn off the sound and turn speech to text.


    "Son, have you eaten yet?"


    "I''ve been in love with Miss Qianqian for so long, should I make an appointment with the girl''s parents to discuss marriage?"


    As expected, my mother urged the marriage again.


    "I''ve been busy with work recently! I''m very busy. It''s the rising period of work. Let''s slow down the marriage!"


    Zhou Can could only use busy work as an excuse to delay the matter.


    He didn''t dare to tell his parents about his girlfriend suffering from kidney failure. I''m afraid that they will object to this marriage, and I don''t want them to worry.


    I just hope that I can find the two main medicines sooner, and after Su Qianqian is cured, I can get married and have children normally.


    Nine out of ten unsatisfactory things in the world, the real self-improvement people, never bow to fate.


    Even if they draw a bad hand, they can still play Wang Zha''s ending.


    Those who think about giving up at the slightest setback have already lost before they even started. No matter how good the cards are drawn, they will be played poorly.


    The true portrayal of many successful people is that the life you envy has hardships you can''t bear behind it.


    Everyone''s success and happiness are not accidental.


    After Zhou Can finished replying to his mother''s message, he clicked on the private chat message of Director Le of the Cardiac Thoracic Surgery Department.


    "Doctor Zhou, please persuade Director Xue! She is going to challenge a level 4 cardiac surgery, the risk is extremely high, and she is afraid that something will happen."


    Director Le generally rarely chats with Zhou Can in private.


    At most, it is during the New Year and the holidays, when the two sides greet each other.


    "I just had the operation, is it still too late to persuade her?"


    The message was sent to him after two o''clock in the afternoon. As a result, Zhou Can was working hard in the operating room at that time, and it was impossible to check his phone. It''s already past nine o''clock in the evening. I''m afraid the matter has become a foregone conclusion. The operation has probably been completed.


    "The operation failed and has been reported to the medical department for processing!"


    Behind it is a tearful expression.


    Director Le is usually a very cheerful person. Recently, the cardiothoracic surgery department has been going downhill. He must be very depressed.


    This time Director Xueyan forcibly challenged a Level 4 highly difficult major operation, but failed. I still don''t know how it will end?


    Some family members will pinch their noses and admit it.


    Because before the operation, the family members signed it.


    For such a major operation, the signature of the first-level family members is generally required. The doctor will inform the family of the risks.


    Even if something goes wrong and the patient dies on the operating table, from a legal perspective, as long as the doctor operates according to the regulations, it will not violate the regulations.


    I''m afraid of encountering family members who make trouble like that.


    Carrying the dead body to the outpatient clinic, or placing wreaths, burning paper money, pulling banners, and making a fuss in any way, the hospital will appear particularly passive.


    It is definitely not what many people think, as long as there is a disturbance in the hospital, it is a disturbance of medical order and will be arrested by the police.


    When encountering this kind of patient being put to death, the police can''t control it.


    At most, let the two parties negotiate, or let the family members go through legal procedures to sue.


    The family members are not stupid. Not to mention the time and money spent on litigation, it may not be possible to win the case. Larger hospitals often have cooperative legal teams, and they are not afraid of lawsuits at all.


    [To be honest, I have recently followed up, changed sources, and have many voices for reading aloud. Both Android and Apple are available for .huanyuanapp. ¡¿


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Therefore, the smarter family members will only make a fuss in the hospital, asking for an explanation.


    As long as it does not hinder other patients from seeing a doctor, such as blocking the door to prevent entry, under normal circumstances, they will not be arrested.


    This is also the method with the lowest cost of rights protection.


    And this move hit the seven inches above the hospital.


    Hospitals are afraid of trouble.


    Good things don''t go out, bad things spread thousands of miles.


    What will other patients think of the hospital after this trouble? The negative impact on the hospital is too great.


    The hospital leaders will try their best to calm down the situation and calm down the situation.


    "Did someone die?"


    Zhou Can replied with a message.


    "Hmm! Failed to get off the operating table!"


    Behind it is a tearful, silent expression.


    After getting Director Le''s reply, Zhou Can''s heart sank The patient is dead, and there is no room for turning around this matter. It depends on the attitude of the family.


    Tuya''s medical department, doctor-patient dispute office, and publicity department are not decorations either.


    This matter will definitely be actively dealt with.


    It''s just that no matter what the result is, it''s not good for Director Xueyan.


    Not long after she took office, she forcibly challenged a major operation beyond her ability. This behavior would give the hospital leaders a bad impression of her.


    If the director of the department is unqualified, there is a high probability that he will be replaced.


    Hospital leaders will not tolerate an unqualified doctor leading a clinical department. Especially the old ace department of cardiothoracic surgery.


    The cardiothoracic surgery group was quiet, no one discussed this matter.


    This is just a harbinger of the storm.


    It is estimated that it will not be long before there will be a storm of public opinion. When the time comes, Director Xueyan will be in danger.


    "Sister Yan is really too, you asked me to help with such a major operation!" Zhou Can buried her recklessness in her heart.


    If Zhou Can is asked to help, he knows that the operation is risky and difficult, so he will first try to prevent her from undergoing the operation. I really can''t persuade him, and I will invite Dr. Xu to sit in the town.


    Dr. Xu wears ''shackles'' and cannot participate in the fourth-level surgery, but it is completely fine to give advice from the side.


    After eating, Zhou Can did not go home immediately, but decided to go to the inpatient ward to see the gangrene operation patient.


    Director Xueyan had an accident during the operation, which made him feel a strong sense of crisis.


    Nothing can happen to him here.


    Otherwise, both of Director Hu Kan''s apprentices will have accidents, and even if he dies, his reputation will be ruined for the rest of his life.

 Chapter 412： The true cause of gangrene

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    I don''t know what kind of surgery it is?


    There are many major operations in cardiothoracic surgery, and most of them have extremely high risks.


    To be honest, the doctors in the cardiothoracic surgery operating room are more than prudent in their work, but their hand speed is a serious flaw. Don''t look at Director Hu Kan doing some difficult cardiothoracic surgeries without any accidents.


    That''s because director Hu Kan will do a lot of calculation work every time before the operation.


    It can even be refined to what may happen to each surgical part, making emergency preparations in advance, or avoiding potential risks in advance.


    Zhou Can got the true biography of Director Hu Kan, and he is very clear about Director Hu Kan''s routines for dealing with those difficult and major operations.


    Director Hu Kan can use this method of avoiding surgical risks well, but it doesn''t mean that Xueyan, Director Le and others can also use it well.


    Because this is a test of a doctor''s experience, prognosis estimation, and flexible use of various techniques.


    Director Xueyan''s surgical experience is still far behind that of Director Hu Kan.


    Some surgical skills are even only at the level of the deputy director. She is far from enough to flexibly use various medical skills in surgery, especially when patients are in emergency or critical situations.


    Under such circumstances, taking the risk to challenge the difficult level 4 cardiac surgery, the result is almost predictable.


    It''s already so late today, Zhou Can plans to find out more about the specific situation tomorrow.


    After all, the patient is dead.


    Right now, the priority is to ensure that nothing happens in the operating room of the emergency department.


    The patient who developed gangrene was not even dared to admit it to a specialist department. One can imagine how high the risk is.


    He made his way to the inpatient ward.


    The emergency department is really changing every month now, and it is not an exaggeration to describe it as changing with each passing day.


    The inpatient ward changed from one to two.


    There are five beds in each ward, and twelve temporary beds are added in the corridor. If there is an emergency, there is still room for movement in the observation area and the infusion room.


    It is not a big problem to add another five or six temporary beds.


    "Hey, Doctor Zhou hasn''t got off work so late!" Jiang Shuangshuang is the doctor on duty in the ward tonight.


    "There is a patient with gangrene in the leg wound. I just finished the operation. I am a little worried, so I came here to see. Has the patient been transferred to the inpatient ward?"


    Zhou Can asked.


    "Not long after he arrived, he has already been placed in bed No. 22. I checked just now, and the patient''s signs are still stable. It''s just that he still has a fever. His wife fed him a bowl of broken noodles."


    Jiang Shuangshuang was full of respect for Zhou Can.


    Doctors are like this. They respect those colleagues who are virtuous and skilled in medicine from the bottom of their hearts.


    When Zhou Can came to make rounds, he had very brilliant and unique insights on some cases. Prescribed medical orders are often forward-looking. All these made Jiang Shuangshuang admire him from the bottom of his heart.


    Sometimes when she encounters a problem that she doesn''t understand, she asks Zhou Can for advice, and Zhou Can will patiently guide her.


    And some of the explanations she gave were even better than her previous teachers.


    This especially shocked and admired Jiang Shuangshuang.


    Zhou Can went straight to bed No. 22.


    Along the way, some family members recognized him and greeted him enthusiastically.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can didn''t put on airs either, and responded one by one in an approachable manner.


    Pu Tong and others are all like the thoughts of close relatives, and these words are basically reflected in him.


    This is the quality of a great doctor, which is difficult for ordinary doctors to achieve.


    "Doctor, thank you for your help. This allowed my husband to undergo surgery and be hospitalized." The woman brought her son, who was a few years old, and when she saw Zhou Can approaching, she immediately knelt on the ground and was about to kowtow to Zhou Can.


    This scene really scared Zhou Can.


    Quickly help the female family members.


    "Elder Sister, please don''t be polite. I''m very happy to help you, and I don''t expect anything in return. Have you had dinner?" Looking at the dry and white lips of the female family member, it is likely that she did not have dinner.


    "I''m not hungry!"


    The female family member said so, but at this moment, her stomach grunted uncontrollably.


    "My mother said that the food outside is very expensive, and I should save the money for my father''s medical treatment!" The little boy timidly interjected.


    Children are the most innocent, and they generally don''t lie.


    Zhou Can glanced at a bag beside the bed, which contained an opened bag of instant noodles. The little boy was holding a stainless steel rice bowl with some leftover soup in it.


    You can also see the residue of the fast food noodles, and the fragrance emanating from it also proves that the fast food noodles were soaked in this basin not long ago.


    To save money, maybe only soaked half a pack.


    Seeing this scene, Zhou Can understood everything. I just feel very uncomfortable.


    This world has never been fair. People who live well can eat thousands of dollars for a single meal. People who have no money are reluctant to buy a box lunch outside.


    Even a pack of instant noodles has to be soaked twice.


    Zhou Can is a rich man, so he can''t understand how difficult this family is.


    All I know is that their family of three went to work in the city, and that her husband has been receiving treatment since he was injured while riding a motorcycle. Money must have been spent.


    She had to take care of her children and take care of her injured husband, so she couldn''t go out to work.


    The daily rent, water and electricity, food and drink expenses, and the husband''s medical expenses for a family of three are enough to quickly wipe out the family''s small savings.


    "Children, are you hungry?"


    Zhou Can knelt down and touched the little boy''s head.


    Possibly due to malnutrition, the little boy''s hair was thin, thin and yellow.


    "I''m...a little bit hungry!"


    The little boy peeked at his mother quietly, then whispered back.


    "It''s so cute! Uncle will bring you something to eat tomorrow."


    Zhou Can gave the little boy a friendly smile.


    "Our hospital has a love project to help some patients and their families from other places. I will ask tomorrow. If you meet the conditions, you can eat in the cafeteria for free."


    This sentence was obviously directed at the female family members.


    "Thank you! Thank you!"


    The man on the hospital bed looked very weak when he spoke.


    People''s hearts are made of flesh.


    There are unruly and difficult family members, as well as chilling family members and patients. Zhou Can has encountered many.


    But he always maintained the kindness and enthusiasm in his heart.


    Seeing such a patient in need of help, he will give some appropriate help within his ability.


    "Brother, you are welcome. How do you feel now? Is there any discomfort?"


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can asked the patient.


    "I feel much better, but I feel a little cold." The patient replied.


    Chills, this is one of the more common symptoms of severe infection and extensive gangrene.


    Sepsis can really kill people.


    And it can easily kill people.


    "I''ll ask the nurse to bring another quilt later. Someone will come to give you an infusion later on. Let''s see the situation tomorrow! I hope you can keep your leg."


    Zhou Can didn''t blame the patient and his family members for tossing around before. He took a wound that could be healed with sutures until it became infected, festered, and even gangrene occurred.


    Because it doesn''t make sense anymore.


    I believe that if we can do it all over again, patients and their families will definitely go to a regular hospital to treat their wounds without hesitation.


    Rather than rushing to a small clinic to save money.


    Tragedy like this in order to save money, but end up with more serious losses, is performed in hospitals almost every day. Sometimes, even life is saved.


    For example, a 41-year-old male patient felt that irregular labor pains would always occur in his abdomen. He was worried that going to the hospital for an examination would be too expensive, so he ignored it. Until one day, he fainted from the pain on the construction site.


    [In other words, currently the best app for reading and listening to books, change the source app, and install the latest version of .huanyuan app. ¡¿


    He was sent to the hospital for examination by his fellow workers, and it was already an advanced stage of colon cancer.


    If you can go to the hospital for examination earlier, you may be able to kill cancer in its infancy.


    There was also a patient who squeezed a red rash on the bridge of the nose, and found that the bridge of the nose was swollen and painful afterwards, and continued to be red and swollen. Then less than three days later, he was sent directly to the ICU of the hospital.


    Think about it, the cost of living in ICU for one day is at least a few thousand more.


    It is very common for someone like him to live in tens of thousands a day.


    Zhou Can noticed a pained expression on the man''s face.


    This is by no means a sign of coldness.


    "Are you in pain?"


    "The leg undergoing surgery is a little swollen and sore. It should be fine, it has happened for a long time. Since the accident, it has been swollen and sore from time to time."


    The patient replied indifferently.


    "Do you often experience leg pain after injury?"


    Zhou Can asked.


    As a professional, he can keenly discover hidden dangers that some patients cannot discover.


    "Well, it seems that this phenomenon has been happening after the operation." The patient nodded for confirmation.


    "Is it a wandering pain, or a fixed position?"


    Zhou Can asked again.


    "It seems to be of the wandering type! The painful part is in this large area, and sometimes it seems that there is a drill bit in it."


    The man thought about it carefully before answering.


    Zhou Can has a bottom line in his heart.


    "Okay, you can rest first! You can drink water and eat, and you can''t move this leg. It''s best to go to the toilet on the bed." Zhou Can made a request to the patient.


    Walking and squatting may cause the wound to further crack, ooze blood, and exudate.


    And now it is in the state of open drainage, and the first surgical debridement has just been completed, so it is necessary to prevent the wound from being polluted again.


    "When he goes to the toilet, or helps him scrub his body, in order to prevent the gauze on the leg wound from being contaminated, you can protect it with plastic wrap, plastic bags and the like outside. You must not go into the water."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    This water includes the patient''s urine and feces.


    After explaining, Zhou Can got up and left.


    He frowned slightly, obviously thinking about the patient''s condition.


    Migrating pain occurred in the legs, and it happened from time to time, and it still exists.


    Is there a certain connection with the patient''s gangrene?


    Zhou Can has rich experience in surgery and has encountered local gangrene caused by arterial embolism.


    At this moment, he highly suspected that the patient''s leg had a partial arterial embolism.


    If this is the case, it is necessary to help the patient remove the thrombus or fat embolism in the artery, and the wound on the patient''s leg can heal only after the blood supply is restored.


    Zhou Can ran to the night market stall outside the hospital, bought three hot dumplings, and returned to the emergency inpatient ward.


    "Hey, why is Dr. Zhou back?" Jiang Shuangshuang was still treating the patient with all her heart.


    Injecting drips and changing medicines are basically the duties of nurses.


    But it''s like a husband and wife, if the distinction is too clear, it''s boring. Doctors and nurses should work together with the same purpose. That is to find ways to help patients recover.


    On this point, both Jiang Shuangshuang and Lin Ping are very competent.


    "I saw a dumpling seller outside the hospital, so I bought some for the patients and their families who had an extra 22 beds. That child is too young, how pitiful it is to be hungry!"


    Zhou Can replied with a smile.


    "It''s really pitiful. And I''ve never heard of any charity project in our hospital that will provide three meals a day for patients and their families. Dr. Zhou is really special!"


    A beautiful arc appeared at the corner of her mouth.


    "Haha, it''s our adult rule to see through and not tell the truth! Help if you can, no one is in trouble yet!"


    Zhou Can smiled and winked at her.


    Only Jiang Shuangshuang was left looking at his back with a nice smile on his face.


    Warmth can light up everyone''s heart.


    It can infect others and act as a role model.


    Those who are virtuous can carry all things.


    Needless to say, Zhou Can must have become taller in Jiang Shuangshuang''s heart. Even this good impression will last a lifetime in her heart. It has always affected her medical practice career.


    When Zhou Can delivered the dumplings, the nurse had already infused the patient with fluid.


    "I went out for supper, and bought some for you, I don''t know if it suits your taste."


    "Thank you! Thank you so much! How much, I will pay you!"


    The female family member was so moved that tears rolled in her eyes.


    Only when you have experienced helplessness, despair, and indifference, can you know how warm and precious this kind of care from strangers is.


    When she called to lend money to her husband to see a doctor, she ran into walls everywhere.


    When she took her husband to see a doctor, the big hospital heard that she insisted on protecting her husband''s leg and playing football everywhere, but refused to admit her. UU Reading


    Until I met Zhou Can, who helped their family too much.


    "No money, I''ll treat you to eat!"


    Zhou Can refused to accept the money.


    "Just now I thought about his cause carefully on the road. Logically speaking, he is so young, strong, and the wound has been treated in time, so gangrene should not have occurred. Thinking of the swimming in the leg he mentioned just now If you are in pain, I suggest you have a color Doppler ultrasound to see if there is a blood vessel embolism."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    He made some new inspection suggestions to the family members.


    "I''m sure you know how serious your husband''s condition is. It''s almost every second to save your leg. My personal opinion is that if you agree to do this test, I will ask the superior doctor for instructions and order an urgent color Doppler ultrasound. There are people on duty at night in the ultrasound room of our emergency department. If it is really a thrombus, there should be no delay, and the thrombus must be removed immediately..."


    Zhou Can explained the reasoning carefully to the family members.


    "Doctor Zhou, we trust you very much. Since you said so, let''s do this examination!"


    The female family members have a high degree of trust in Zhou Can.


    This is also the ideal doctor-patient relationship for doctors. Patients can have a high degree of trust in doctors. Only in this way can doctors let go of their hands and try their best to treat patients.


    "Okay, I''ll go to the superior doctor for instructions first, and I will arrange for someone to do a color ultrasound for your husband after I issue a checklist."


    After Zhou Can came out, he called Dr. Xu directly.


    This must be reported to Dr. Xu.

 Chapter 414： Help Director Xue to stand up and get everything done

    Do you think that after the colonoscopy and abdominal CT, it is confirmed that there is no bowel cancer?


    He will continue to doubt other parts of the body.


    After eating, I always feel a little bloated, which is a very common thing. Deputy Director He couldn''t help wondering, did that **** Zhou Can say that there was something wrong with my stomach?


    Immediately afterwards, he will continue to deny himself until he doubts life.


    Finally, I couldn''t wait to go to the hospital to check my stomach.


    After the investigation, it was found that there was nothing serious, but a slight gastric ulcer.


    Deputy Director He will not breathe a sigh of relief.


    He would think that Zhou Can''s serious expression and tone must not be referring to such a small problem. It must be a serious illness.


    In the days to come, he will always suspect here and there of his body, and check everything that needs to be checked.


    Don''t stop until you''re diagnosed with cancer.


    Living in this kind of paranoid fear and suspicion all day long, I have to get sick even if my body is not sick.


    Zhou Can cleaned up Deputy Director He, feeling a little pleased in his heart.


    The purpose of doing this is also to let Deputy Director He spend less time in competing for the workplace, and virtually help Director Xueyan reduce work obstacles.


    He came outside Director Xueyan''s office, and it was very quiet inside.


    Dongdongdong!


    knock on the door.


    "Come in!"


    The voice appears hoarse and dry.


    It sounds distressing.


    Zhou Can pushed open the door and looked around, only to see that Director Xueyan seemed to have aged ten years overnight. His hair was a little disheveled, his expression was very haggard, and his eyes were bloodshot.


    Looking at the situation, she probably didn''t sleep all night.


    "Zhou Can!"


    Seeing Zhou Can''s sudden visit, she seemed a little flustered, and hurriedly arranged her appearance.


    Zhou Can closed the door and walked to her side.


    "Sister Yan, how can you hide such a big matter from me? Director Hu Kan told me that I am obliged to help you share any matters in the department."


    Xueyan bit her lip, and just muttered to herself, "I failed, the operation failed, and the cardiothoracic surgery was completely brought into the abyss by me! I am a sinner..." As she spoke, tears rolled down her cheeks.


    "Why are you still crying!"


    Zhou Can quickly took two sheets of paper from the paper box on his desk and handed them over.


    "First of all, you are not a sinner. What happened to the failure of the operation? Which famous doctor has not experienced failure in the process of growing up? I understand the pain in your heart. Seeing the business of the department shrinking day by day, the cardiothoracic surgery business of the Third Hospital and the Provincial People''s Hospital But it is making great progress. Even Xinxiang Hospital, which was almost bankrupt, is growing against the trend. As the director of the department, you are more anxious than anyone else."


    "You also want to change this unfavorable situation, so you take the risk of challenging the difficult operation. The starting point is good, and all aspects of the operation are compliant, so you don''t have to blame yourself or feel guilty at all."


    Zhou Can asked himself that he was not very good at comforting others.


    Seeing that Director Xueyan is sad like this now, her confidence, determination, and will have all been defeated.


    Under such circumstances, if he couldn''t help her stand up again and regain her confidence, not only the cardiothoracic surgery would be over, but her whole body would be over as well.


    "I shouldn''t have ventured forward, I shouldn''t have taken that risk! Although I have no responsibility for this incident at the legal level, after the competitors know about it, they will definitely take the opportunity to report it and slander the cardiothoracic surgery department of our hospital. This incident If it happened in normal times, it wouldn¡¯t have much impact. Now that Director Hu has passed away less than two months ago, what would outsiders think of this kind of thing?¡±


    Director Xueyan is a highly educated and intelligent woman.


    Sitting in the office without sleep all night, she must have thought a lot.


    The worst possible outcomes have been taken into account.


    "I regret not listening to your advice and not being able to calm down. It''s too late now."


    She closed her eyes in pain, tears streaming down her face.


    Zhou Can knelt down and held her hand.


    In the past, although the two had a deep relationship like siblings, they never had such an intimate act.


    It can be felt that she is obviously uncomfortable and resistant.


    I want to pull my hand back.


    "Sister Yan, do you trust me?"


    Zhou Can asked in a serious tone.


    "Yes, of course I do."


    She opened her tears-molded eyes and looked at Zhou Can.


    "Then I can tell you clearly that the Department of Cardiothoracic Surgery can successfully survive this crisis. You will also be able to stand up again and become a new famous doctor in Cardiothoracic Surgery in the near future."


    Zhou Can said solemnly.


    She just shook her head slightly, she felt the deepest about how serious the crisis was.


    It''s not that Zhou Can can get through it when he says he can get through it.


    As for becoming a famous doctor, it is even more difficult.


    The operation she challenged this time was not a top-level cardiothoracic surgery, but it still failed. What did she use to become a famous doctor?


    A quack doctor can be made by boasting.


    However, every famous doctor in such a formal large hospital has experienced many battles, and has become famous and established a reputation with his ability, becoming a heavyweight leader in a certain medical field.


    The ones that blow out are as ridiculous as bubbles, and they burst when poked.


    "Do you know why Director Hu chose you as the director of the department?"


    Zhou Can asked her.


    "This is a mistake!"


    she said so.


    Obviously still immersed in self-blame, regret, and self-denial and unable to extricate himself.


    "Because Director Hu also believes that you can become a famous doctor and that you are fully capable of becoming a new leader in cardiothoracic surgery." Zhou Can said in a firm tone.


    "I know you still don''t want to believe it. Let me tell you why. First of all, you have a foundation of famous doctors in terms of medical knowledge. You won''t deny this, right?"


    Zhou Can began to quietly help her find her own strengths and build up her confidence little by little.


    "Well! That''s all."


    She nodded, disapprovingly.


    There are too many medically knowledgeable people. These days, who can study for a graduate degree or above, who is not knowledgeable in medicine?


    At best, she''s a little more knowledgeable than those guys.


    "Your savvy is also extremely outstanding. Whether it is the savvy of diagnosis and pathology or the comprehension of surgery, you are the most talented person I have ever met. If you don''t have this savvy, you can''t be the youngest in the department. Chief Physician, and the Chief Physician in the field of consultation and surgery.¡±


    Zhou Can revealed her second advantage.


    She nodded slightly, as an acknowledgment.


    "You have many advantages! For example, when I first joined the Department of Cardiothoracic Surgery, you were only good at operations in the field of thoracic surgery. But after Director Hu''s accident, you began to consciously cultivate you. It took less than three years. You have dared to challenge the difficult fourth-level heart surgery. It''s only been three years!"


    Zhou Can emphasized that her growth time was short.


    "Look at that pot of red maple on the window sill!"


    After Zhou Can found that her heart had been shaken and she regained a little confidence, she struck while the iron was hot and pointed to a pot of flowers growing on the office window.


    This is her private office, and the layout inside is basically based on her preferences.


    There are several pots of flowers and plants on the windowsill.


    This is also one of the hobbies of most intellectual women.


    They like to decorate their lives with flowers and plants, making life more tasteful and full of natural flavor.


    Green plants can also play a very good role in decoration and beautification.


    Let the otherwise dull environment become full of vitality.


    "Heh... it is a red maple specially sent to me by an American classmate of mine. At this moment, its leaves are withered, which is very similar to my situation." She laughed at herself and showed a sad expression.


    "This red maple tree puts down its fallen leaves in autumn, and its heart will be very painful, but throughout the winter, it allows its heart to accumulate strength in peace. When next spring comes, it will immediately spit out green shoots, and its youth will remain."


    Zhou Can drummed up his three-inch tongue and tried his best to enlighten her.


    "As long as our life is still in our hands, there should be no despair in life. The temporary success or failure is just a small cold to our life. If your heart is tired, let it rest, believe that In a short time, you will be like this red maple tree, still youthful. Knowing how to restore your own soul is the hope that will never dry up in life!"


    With the help of the miraculous phenomena of nature, Zhou Can explained the profound things in a simple way, and compared the despair she encountered this time.


    After finishing speaking, Zhou Can quietly took her hand to let her understand that this brother will always be by her side to support her.


    She is not alone.


    At this moment, there is no wishful thinking in his heart, no desire for men and women, only the deep affection between siblings. When she was in trouble, when she needed help the most, she would never give up and guard her.


    Xueyan herself is a top student and a talented woman, she slowly savored what Zhou Can said.


    He wanted to break free, but Zhou Can held it tightly.


    Time keeps ticking.


    After nearly ten minutes, her eyes became brighter little by little. The old look has returned.


    Like a lamp that went out and was relit.


    These ten minutes are as difficult as a thousand years or ten thousand years.


    "Thank you! I think I''m fine now. I can calmly face the predicament in front of me. This cold winter is just a test and an exercise for me. I have not been defeated in such a dangerous situation, and I will not be defeated in the future." Nothing will break my confidence."


    She sincerely thanked Zhou Can.


    "Give me a hug, will you?"


    She looked at Zhou Can and said.


    "no problem!"


    Zhou Can stood up and pulled her to stand up too.


    Then gave her a warm hug.


    Unlike hugging a girlfriend, only the upper body is tightly attached, but the lower body keeps a distance.


    "Okay, I know what to do next. Next time I have a difficult operation, I will ask you to come and help."


    Director Xueyan separated from him.


    She smoothed the hair on her forehead with her hands.


    "Hehe, this time I believe you are really healed. But I have to correct one thing, not only difficult operations can call me to help, but also difficult case diagnosis, you can also call me. Time? , it¡¯s best to arrange it at night. You also know that I have just arrived in the operating room of the emergency department to form a team, so I must work hard.¡±


    Zhou Can couldn''t help showing a knowing smile when he saw her walk out of the haze and regain her confidence.


    Nothing is more important than a person''s confidence.


    "Understood! I am really looking forward to how strong the surgical team you will bring out in the future! Director Hu has asserted many times before his death that your future surgical achievements will be far superior to his."


    The eyes of the two looked at each other, and their relationship was much deeper and closer than before.


    A friend in need is a friend.


    Only after going through the most difficult time can you know who is sincere and who is fake.


    Xueyan offered to hug him, which meant she really recognized him as her younger brother.


    It''s just that a highly educated woman like her likes to play dumb, and the way of expressing her feelings is very subtle.


    "I''ll call you tonight to discuss the development strategy of cardiothoracic surgery, is that okay?"


    Zhou Can was obviously still a little worried, afraid that she would make another foolish move.


    "In the future, don''t you you you, just call me Sister Yan or use your name. How can a younger brother and older sister be so polite? Being too polite is estrangement, distance, don''t you understand?"


    After director Xueyan opened her heart, the former she came back.


    And it looks more intelligent.


    "Haha, it''s my fault! Sis, I''m leaving first!"


    Zhou Can smiled and left.


    Back in the emergency department, he didn''t go directly into the operating room, but knocked on the door of the director''s office.


    "Hey, Xiao Zhou, please sit down!"


    When Director Lou saw that it was him who was visiting, he quickly entertained him warmly.


    He is the number one scalpel in the emergency department, which is related to the prosperity of the emergency department. No one can replace Zhou Can''s unique position. Such a super talent must be treated with courtesy.


    Otherwise, if you run away, there is no place to cry.


    "Sit down, don''t sit down! I came to you just to discuss a small matter with you. After a while, I have to go to the operating room quickly, or my teacher will scold me."


    "Haha, Dr. Xu is very strict! But a strict teacher produces a brilliant student! If you have any questions, just say it."


    Director Lou also stopped making tea for himPatients in the inpatient ward with bed No. 22 are in financial difficulties. When I checked the wards last night, I saw that their family of three ate instant noodles, and the children were not full, let alone the adults. See if you can say hello to the cafeteria, tell a white lie to the family members, and say that the hospital has a public welfare project that allows them to eat in the cafeteria for free. All food expenses are paid by me personally. "


    Zhou Can always kept this matter in mind.


    The adults are pitiful, and the children are even more pitiful.


    Help if you can.


    He can''t save all the needy groups, he helps one by one.


    "It''s easy to handle. I''ll go and get them a meal card in a while. In the future, if there are special difficulties among the inpatients and patients who can''t eat, they can continue to come in handy. As for the meal money of these people, it depends on the performance of the department. Just buckle it inside, there is no need for you to pay for it yourself.¡±


    Director Lou is thinking of him.


    Not long after Zhou Can became a formal resident physician, his income this month should be considerable.


    But no one thinks too little of money.


    It is also a good deed in itself, and the money is borne by the department, which can be regarded as support and care for Zhou Can.


    "Don''t, don''t, I won''t hide it from you. My finances are not bad, and I don''t even count on this little salary from the hospital. I can just pay for their meals."


    Zhou Can is very clear that department performance belongs to everyone''s common income.


    Deducting money from it has to go through certain procedures.


    "Hehe, since you insist, that''s fine. I heard that you drive a Mercedes-Benz that costs hundreds of thousands of dollars."


    Director Lou smiled and readily agreed.


    The money itself will not be much.


    "Then I''ll go back to work in the operating room first. I''ll leave this to you."


    Zhou Can finished all the things that should be dealt with, and went back to the operating room to start working with peace of mind.

 Chapter 416： 3 Good strategy, this leg is basically saved

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Sister Xue, can you give some immature suggestions for the development strategy of cardiothoracic surgery?" The main purpose of Zhou Can''s call was to talk about this matter.


    He had been planning to talk about it this morning, when he was rushing back to work in the emergency department.


    In addition, Xueyan''s mood was not very stable, so he didn''t mention it.


    "Look at your question, do you still think of me as your sister? When Director Hu was dying, he entrusted the cardiothoracic surgery to the two of us. If this is a company, you are also one of the major shareholders!"


    She emphasized Zhou Can''s position in cardiothoracic surgery.


    No one can replace Zhou Can''s special status.


    "Historically, Ming Taizu Zhu Yuanzhang once asked the ministers about strategies to bring peace to the world. I will borrow Zhu Sheng''s three strategies and dedicate them to Sister Yan." Zhou Can said in a half-joking tone.


    "I know the three strategies that Zhu Sheng proposed to Mingzu. They are to build high walls, accumulate food widely, and become king slowly! But you can''t play Zen, you have to explain your three strategies in detail. In case I get it wrong If so, then there will be an oolong."


    She was playful in the chat, which showed that she really came out of the endless despair last night.


    This is a very good phenomenon.


    While Zhou Can was happy for her, he said silently in his heart, "The matter that Director Hu Kan entrusted to me has finally come to pass. When I go to the memorial ceremony next year during the Qingming Festival, I will be able to drink freely."


    A gentleman makes a promise, and the world is light.


    Zhou Can is a person who values ??promises the most. If he promises to others, he will definitely take it to heart.


    "Building a high wall is to secure all the existing diagnosis and treatment services of the cardiothoracic surgery department, with both technology and safety. As the saying goes, a lean camel is bigger than a horse. No matter how the cardiothoracic department of Tuya Hospital declines, it used to be second to none in the province." The trump card department. As long as the existing results are maintained, no matter how aggressive the outer hospital is, Tuya''s cardiothoracic surgery department will be able to stand firm within three to five years."


    Technology refers to medical technology, which needs to be improved at the same time in software and hardware to keep pace with the times.


    Although Tuya''s Cardiothoracic Surgery Department does not have a pillar-level surgeon, there are many mainstays.


    As long as they are not greedy for success, it is more than enough to deal with general difficulty cardiothoracic surgery diseases.


    There is no need to explain about safety. Surgical safety, diagnosis safety, treatment safety, and ward nursing safety must be strictly grasped and implemented.


    "It''s interesting, you just want me to grasp medical technology and medical security firmly, build two invisible high walls, and solidify the existing business, right?"


    "Sister Yan is too smart! That''s exactly what she means."


    Zhou Can likes to talk to smart people.


    "Where is the wide accumulation of grain?"


    After hearing his analogy, Xueyan found it very novel.


    "Improve the service level, including service quality and service attitude. It may be inappropriate to describe patients and family members with the word "customer is God", but I believe that every patient and family member hopes to be treated gently during the treatment process. They hope to meet caring and responsible medical staff. The quality of service is closely related to building high walls. Improve the diagnosis and treatment skills of doctors and the professional nursing level of nurses. In this way, the service quality is guaranteed, and the service attitude is warm and responsible. , patients and their families will naturally be satisfied."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "As long as the patients and their families are satisfied, are you still worried that no patients will come to see a doctor?"


    Zhou Can asked with a smile.


    Word-of-mouth is something invisible and intangible, but it represents the character of a department or even a hospital.


    With a good reputation, patients and their families will spread the word of mouth, and there will be a steady stream of patients.


    In the emergency department where Zhou Can works, he has only led the surgical team for less than two months, and already has some ''repeat customers''.


    There are quite a few of them, because they think that the treatment effect of surgery in the emergency department is good, so when their family members, relatives and friends need it, they introduce it again.


    For example, Zhou Can has been in pediatrics for more than a year, even though he is only a resident doctor, and his level and qualifications are far worse than those of the attending physicians and directors. But there are often some patients who come to him for treatment.


    The only crisis was when I reset the boy''s shoulder joint.


    It was not found that the child''s glenoid fracture occurred, and the family members almost sued him in court. Fortunately, after active mediation by the hospital and strong evidence, they explained the situation to the family members and let the family members know that the child''s glenoid fracture occurred before Zhou Can''s bone-setting reset, and was not caused by the doctor.


    Eventually the matter subsided.


    Zhou Can was taught a very profound lesson that time.


    "Guangjiliang, so that''s the truth! I''ve been taught! Let''s talk about becoming king slowly!"


    Director Xueyan''s eyes are unusually bright at the moment, and her face is shining brightly.


    The three seemingly simple suggestions are like a bright light in the dark, guiding her the way forward.


    "Being king slowly means not rushing to compete with the outer court for the title of first brother. This society has long since achieved diversity and can accommodate many people to live together. Even if we can''t become the strongest cardiothoracic surgery department for the time being, we can still survive very well." Alright. After three to five years, you and the other doctors in the department will go a step further, and after a huge improvement, I believe that you will have the strength to compete with anyone in the world."


    Zhou Can¡¯s suggestion is very far-sighted.


    Don''t care about the gains and losses of a city or a place in front of you, but take a long-term view, first stabilize the popularity and situation of the department, and strive to improve the quality of service and medical care, so that the strength of cardiothoracic surgery will rise steadily.


    With strength, it doesn''t really matter if you don''t fight for the first place.


    On the contrary, if you don''t have that strength, even if you won the first place, it will be a disaster.


    That''s what it means to be infamous for harming others.


    "A while ago, I was blinded by a leaf, and Li Lingzhi was stunned. After listening to your three good strategies, I know what to do. Brother Zhou Can, thank you for being able to be a colleague with you, to know you, and to be able to get help when I am most desperate. I am so lucky to have had your support and to have fought alongside you."


    Director Xueyan thanked him sincerely.


    After Director Hu is gone, what she lacks the most is someone who can guide her.


    In the past, she felt that Zhou Can was too young to give her steady, mature and wise advice. So for more than a month, she seldom discussed anything with Zhou Can.


    Only now do I understand that the lake is really painted.


    Leaving such a good ''military adviser'' unused, he had to fight alone there, holding back a faint move.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Fortunately, although this setback had a great impact on her and the department, it would not directly knock down the cardiothoracic surgery department.


    If there is anything in the future, she will definitely take the initiative to discuss it with Zhou Can.


    "Fate is so wonderful. If I hadn''t met Sister Yan, I wouldn''t be where I am today. Do you remember the help you gave me when I took the medical examination? At that time, I thought that I must repay it well in the future. This kindness. I look forward to being able to fight side by side with Sister Yan."


    Zhou Can could feel that his two hearts with Xueyan were closely together.


    It is not the heart of love between a man and a woman, but the heart of a comrade-in-arms and a friend''s best friend.


    What is a comrade-in-arms?


    It means that when you are fighting on the front line, you can rest assured that you can put your back on the opponent and entrust your life to each other. This is called a comrade-in-arms.


    ¡­


    Back home, Su Qianqian was indeed waiting for him to return.


    Zhou Can was fascinated by this kind of homely warmth.


    "Qianqian, if I come back too late in the future, you should go to bed early! It can''t affect your rest."


    Zhou Can embraced her in his arms.


    "It''s okay! I''m used to having you in my life now, how can I sleep until you return safely at night? You see, I didn''t wait. This is my new sheet music."


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    Su Qianqian''s greatest hobby is music.


    Singing is only part of the music.


    A song, to be precise, should include multiple elements.


    Needless to say, the inspirations.


    Lyrics, music, singing, all three are indispensable.


    To say which is the most important, it should be the song. It''s the heart of a song.


    As for the lyrics, although they are also very important, compared with the tune, the weight of the lyrics is much lower.


    The last thing is to sing. It is also very important to find a singer who is most suitable for a famous song.


    Just like Su Qianqian, she is better at singing sweet and pure songs.


    For some very popular songs, there will be many cover singers. For the vast majority, the cover singers are not as beautiful as the original songs. But there are exceptions. Some cover singers are more beautiful and popular than the original songs.


    This is the question of whether the singer fits the song.


    The higher the fit, the more beautiful the songs sang.


    For many famous songs, when the original singers sing, they will put in deep emotions and immerse themselves in it. Not only will the listeners shed tears, but the singers also shed countless tears in private.


    "I''m tone deaf. If you show me the sheet music, it''s basically like playing the piano against a cow!"


    Zhou Can laughed at himself.


    "Hehe! People don''t believe it! You play the piano so well, if you don''t know music, few people would dare to claim to know music."


    In Su Qianqian''s mind, her own man is the best man in the world.


    "By the way, have you drank the soup for nourishing the kidney?"


    Zhou Can asked with concern.


    Su Qianqian just said that Zhou Can has already become a part of her life. For Zhou Can, why not?


    Zhou Can also regards her as the most important person in his life.


    It''s a pity that the two main ingredients are too hard to find, and it''s useless to worry.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Drink it!"


    Su Qianqian suddenly hugged him tightly, and put her head in Zhou Can''s arms.


    "What''s the matter? Is the soup for nourishing the kidney unpalatable?"


    Zhou Can stroked her jade back and beautiful hair distressedly.


    "No! No matter how bad the soup is, I''m not afraid. What I''m afraid of is that the kidney disease won''t be cured and your marriage will be delayed... If there is no hope..."


    She didn''t say any more, but Zhou Can was full of worries.


    Su Qianqian is different from ordinary girls, she has a lot of personality. At that time, I''m afraid that she will do something regrettable.


    "What are you talking about, even if it can''t be cured, you are still my wife. I think we should go get the certificate tomorrow, and then ask the parents of both parties to discuss the wedding. It just so happened that my mother urged us to get married again. , as she wished."


    Zhou Can didn''t care at all.


    Even if she needs to be taken care of for the rest of her life and cannot bear children for the rest of her life, he is still willing to marry her.


    The love is deep and natural.


    In addition to sweetness, love is more responsible and guarding, as well as the imprint that is engraved in the bone.


    "I don''t agree. I must wait until the disease is cured before marrying you."


    She loves Zhou Can to the bottom of her heart, and she is worried about dragging him down.


    "Okay, okay, let''s not discuss this matter. Don''t worry about getting angry."


    Zhou Can felt that her mood fluctuated violently, as if she was crying, so he hurried to appease her.


    After taking a shower, Zhou Can hugged Su Qianqian and lay on the bed, but Zhou Can couldn''t fall asleep.


    There are only two Chinese herbal medicines, and I really don''t believe I can''t find them.


    You can''t wait for this matter, you have to find a way to take the initiative.


    Rui''s company does not have this medicine, so you can find it from the private sector or from other companies.


    Nowadays, the Internet is very developed, and with the help of netizens, this wish can be quickly fulfilled.


    Money can turn ghosts around.


    Zhou Can decided to try offering a reward.


    It may not be a good idea to ask for medicine at a high price online, but it is worth trying.


    After having this idea, he kept thinking about some details and perfecting it.


    In the lost lake, fell into a deep sleep.


    The next day, he went to work as usual. After rushing to the hospital, he first focused on checking the wound of the gangrene patient, and learned about the patient''s symptoms and signs in detail.


    Some necrotic tissue parts of the wound can already be clearly identified.


    The blood supply has been restored, nutrition has kept up, and antibiotics have been used.


    After initial debridement, the wound was opened and drained, and no further necrosis and decay occurred.


    The combination of these good conditions also allows patients to have a second chance for surgery.


    "Give him a blood test, and when the result comes out, send it to me or maybe a doctor. I think his condition is improving obviously, and we should consider arranging a second-stage debridement operation in the afternoon."


    Zhou Can told Jiang Shuangshuang and the nurse on duty No problem! "


    Both of them respected Zhou Can very much and readily agreed.


    Zhou Can checked other patients in the ward. It is his habit to check the room once in the morning and evening.


    Problems can also be found in time.


    After checking the ward, he saw a nurse pushing the patient into the emergency room.


    Behind them were five or six family members full of grief.


    This phenomenon is all too common in emergency departments. All kinds of patients who need to be rescued are sent for rescue every day.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The emergency department is only responsible for rescue, not for follow-up treatment, and has no such ability.


    Under normal circumstances, after a series of rescues, wait until the patient''s vital signs stabilize. They will immediately contact the corresponding specialist department and ask them to take the patient away.


    There were also some patients with particularly serious conditions who were unable to be rescued and left.


    People die here almost every day, and more than one dies.


    Zhou Can didn''t care too much, he was already used to it. Head straight to the operating room and get ready for another day of struggle.


    At around three o''clock in the afternoon, the gangrene patient was sent in for a second-stage debridement operation.


    Zhou Can completely removed the patient''s necrotic tissue, and then carefully cleaned up the superficial purulent tissue. Some parts that have formed scabs can be kept as long as there is no moisture.


    Before long, new healing tissue will grow underneath.


    The patient''s second-stage surgery went very well, and as long as no new condition occurs, his leg can be regarded as saved.

 Chapter 417： Terrible medical trouble, visit

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Through the treatment of this case of leg gangrene, Zhou Can also accumulated a lot of valuable treatment experience. Including major understanding and improvement of debridement.


    After sending the patient out, Ma Xiaolan did not bring in any new surgery patients for a long time.


    Zhou Can frowned slightly, time was precious, why did the patient take so long to receive an operation?


    He was about to ask Luo Shishen to go out to see what was going on, when Ma Xiaolan ran back with a face full of panic.


    "It''s not good, there''s a fight outside!"


    "Who''s fighting?"


    Zhou Can asked.


    "A group of family members have injured several doctors and nurses. The scene is too scary..."


    She patted her chest lightly, with an expression of rest in her heart.


    It is not uncommon for family members to make trouble and beat people in the hospital. Almost everyday.


    In particular, some unruly family members swear all kinds of foul language at the medical staff, and even beat them. After that, they will ask for compensation.


    Because of unfair treatment, not one or two doctors were forced to death.


    "I gonna go see!"


    Zhou Can regards the emergency department as his home. He heard that several doctors and nurses were injured. He would never sit back and watch.


    In the major operating room outside, Dr. Xu was not seen, and he might have gone out to check the situation.


    The emergency department has always been very united. When something happens, everyone will stand in the same camp. Unlike some cold-blooded departments, doctors were beaten without even a fight.


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    "Doctor Zhou is so cool! This is the real man in my heart!"


    Ma Xiaolan''s face was full of nympho, completely forgetting the fright she received just now.


    "I''ll go out and have a look too!"


    Luo Shishen''s face was a little uneasy, if he stayed in the operating room at this time and did not go out, how could he hold his head up in front of his female colleagues afterwards?


    Compared with Zhou Can''s decisive and quick response, Luo Shishen seemed less willing when he went out.


    Dally.


    This cowardly behavior fell into the eyes of Qiao Yu and Ma Xiaolan, and they couldn''t help but despise him.


    "Sister Qiao Yu, do you want us to go and have a look? What if the doctor gets beaten up a week ago?" After working in the operating room for a while, Ma Xiaolan gradually fell in love with the job.


    And she is looking forward to this month''s salary.


    With so many surgeries performed every day, sometimes overtime is required, and the commission for the surgeries should be indispensable.


    In case Zhoucan gets injured, she may have to be temporarily transferred to other positions to help.


    "Don''t worry, Dr. Zhou is not afraid of those troublesome family members! Let''s take this opportunity to tidy up the operating room and the material cabinet quickly, so that Dr. Zhou can operate more efficiently when he comes back."


    Qiao Yu had seen Zhou Can''s force value before, and it was simply off the charts.


    On the way back to the dormitory after get off work that day, the patient who was pestering her crazily tried to chop Zhou Can with a knife, but Zhou Can easily subdued her. In her mind, Zhou Can is simply the perfect male god.


    Sure enough, after more than 20 minutes, Zhou Can came back intact.


    "Doctor Zhou, how is it going outside? Are you not injured?"


    Ma Xiaolan has a strong ability to survive in the workplace.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    She was the first to greet Zhou Can, her tone full of concern.


    To put it bluntly, it''s just flattering the boss!


    Qiao Yu seemed more reserved, standing beside the operating table, just looking at Zhou Can with concern.


    "People from the security department came, and the police station also dispatched the police in time. Several main assailants have been taken away. Four doctors and three nurses were injured in our emergency department, and Deputy Director Han was directly beaten to death. Broken arm bone. This gang is so aggressive, it''s just lawless."


    Zhou Can said this to Ma Xiaolan and Qiao Yu together.


    "When I stretched my head out to look at it, the scene was too scary. I chased a nurse and hit the corridor outside the operating room. The assailant was vicious and kicked the nurse fiercely."


    When Ma Xiaolan mentioned the scene she saw, she was still terrified.


    "The relationship between doctors and patients is getting more and more tense. Practicing medicine in such an environment really has no security at all." Qiao Yu felt the same way.


    "What is the purpose of beating someone?"


    Ma Xiaolan asked curiously.


    "A critically ill patient was sent by his family for treatment. He only said that he had a slight fever. The doctor who received the diagnosis prescribed an examination according to the admission process and asked the family to send it for examination. As a result, on the way to the examination, the old man accidentally pushed it from the tablet. The lathe fell off. Then it died on the spot. After the doctors and nurses found out the situation, they carried out rescue in time. The condition of the old man was already bad. Clinical death. The family members think that all this is caused by the hospital, let the hospital give an explanation..."


    Zhou Can also encountered some medical troubles in his medical career, all kinds of troubles.


    Tuya belongs to a large provincial hospital, and the situation is not bad.


    At least it''s rare to have a big fuss every three days and a small fuss every day.


    The small hospital has no strength, and the relationship with the local police station is not close, so they may be slow to call the police. Most of the security guards hired by the hospital are related households. When there is real danger, it is really not worthwhile.


    It is conceivable that they will be very passive when encountering medical troubles.


    The above-mentioned problems basically do not exist in large hospitals. As long as there are excessive disturbances, the police can be called to arrest people at any time.


    Just like the group of people who went to the cardiothoracic surgery to make trouble yesterday, they didn''t take advantage of it.


    Director Xueyan is also safe and sound.


    "Those people from the security department seemed to have a problem with our emergency department, and they didn''t stop people when they came. I clearly saw two people from the security department standing there, allowing the family members to chase and beat the nurse."


    When Ma Xiaolan talked about this incident, she was somewhat angry.


    The rabbit died and the fox was sad.


    What happened to that nurse today may happen to her next time.


    Emergency departments have a notoriously low status.


    It was not the first time that the people in the security department had a bad attitude towards the doctors and nurses in the emergency department.


    "What are you talking about? Get to work!"


    Doctor Xu came in with a straight face.


    He was not hurt.


    At least there were no obvious signs of injury.


    "I''m going to pick up the surgery patients and come in!"


    Ma Xiaolan dared to go to the door of the operating room to pick up the patient when she knew that nothing was going on outside.


    "I already told Luo Shishen when I came in. It is estimated that after he changes his clothes, he will bring in new patients soon."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    There is a queue in the locker room to change back to the surgical gown.


    Luo gentry has the lowest status, so he is naturally ranked last.


    "Xiao Zhou, the next time someone makes trouble, even if you can fight, try to restrain yourself. Generally, the family members who dare to make trouble are either broken pots or have some background. We just need to protect our own people. It really hurts people. It''s easy to get yourself involved."


    Dr. Xu said to Zhou Can with a serious face.


    Ma Xiaolan was surprised when she heard that, did Doctor Zhou hurt that group of people?


    Zhou Can looks gentle from the outside, and his body is not particularly strong. At least not muscular. She really didn''t know Zhou Can''s fighting power was strong.


    "Understood! I saw that guy trying to hit you with a chair just now, so I couldn''t be more angry!"


    In Zhou Can''s mind, Dr. Xu is one of the people he respects the most.


    If someone dared to beat Dr. Xu, he would definitely not sit idly by.


    It was just a kick to rush forward, kicking the middle-aged strong man several meters away.


    "Go to work!"


    Doctor Xu didn''t say anything more.


    After a while, Luo Shigen brought a new patient into the operating room.


    Everyone started to get busy.


    Ma Xiaolan and Qiao Yu found a very interesting phenomenon. Luo Shishen looked at Zhou Can with his eyes and his expression, as if he was looking at a worshiped **** of war.


    The two secretly guessed that Zhou Can might be tougher than the assailant when facing those fierce medical trouble patients.


    ¡­


    At a little after six in the afternoon, Zhou Can''s group got off work.


    Because there are no surgical patients to deal with outside.


    Many doctors and nurses in the emergency department were injured and were short of manpower. They temporarily reported to their superiors and transferred a few people from other departments to replace them.


    There are two emergency reception windows for non-emergency doctors, so fewer patients are transported to the operating room.


    Coming out of the operating room after get off work, Zhou Can saw Ye Tingting carrying the prepared saline from the treatment room, which should be ready to go to the infusion area to infuse the patient.


    "Sister Ting, look at you walking today, the wind is blowing under your feet!"


    Zhou Can took the initiative to greet her.


    "Can it be without the wind? Three nurses were injured, and the workload at our nurse station has greatly increased."


    Ye Tingting looked very helpless.


    There was even a little bit of grief and indignation.


    "The beaters are really hateful. We should sue those people criminally and send them to jail." Zhou Can said so, but he knew in his heart that those people might be released soon.


    It is even possible to release the words after the question on the same day.


    These days, the cost of medical trouble is very low.


    Invisibly also contributed to the wind of medical trouble. The most frightening thing is that the medical industry is disrupting the black industry. There are special ''medical trouble experts'' directing behind the scenes.


    Make trouble until the hospital loses money.


    After the money was obtained, most of it flowed into the pockets of the ''medical experts''.


    These medical experts are not fighting alone, but a complete team. There are even specialized legal personnel involved to avoid legal risks.


    It is simply a cancer in the medical industry.


    In addition, there is a trend among hospital leaders and higher-level authorities that whoever makes a fuss is justified.


    When encountering medical troubles, mediation, loss of money, apology, and reconciliation are often the main focus.


    The troublemakers are seeking financial compensation.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    What the superiors seek is stability and peace, and the troublemakers seek money, and both parties have achieved their goals. The only unlucky ones are clinical departments, clinicians and nurses.


    Some nurses are clearly right, because everyone knows that their family members or patients are making trouble for no reason.


    However, after receiving the complaint, the hospital still asked the nurse to apologize and deducted the salary of the doctor and nurse involved.


    He was fined 50 yuan for receiving a complaint, and the doctor worked hard to work the night shift. Originally, according to the regulations of the higher authorities, he was paid at least 50 yuan. But actually getting 30 yuan is the conscience of the hospital.


    A fine of 50 yuan for one complaint is equivalent to fined the overtime pay for two night shifts of doctors and nurses.


    Who do you think doesn''t feel bad?


    After feeling distressed, all that remains is to be disappointed, and then resign.


    "I won''t tell you, I''m going over there to give the patient an infusion. In the afternoon, my leg was so tired that it was cramping, and I hated those murderous medical staff!"


    Ye Tingting complained.


    "Hey, wait. Isn''t Deputy Director Han seriously injured? Where is he being treated?"


    Zhou Can is going to visit.


    The relationship between Han Changqing and him is not bad, but now he is seriously injured, Zhou Can went to visit, which can bring the relationship between the two closer.


    The last time Zhou Can''s uncle was hospitalized, Deputy Director Han also took care of him.


    These favors are actually to be repaid.


    Human relationship is that you come and go, and you will repay each other with gratitude, so that the relationship can last for a long time.


    "Director Han seems to have gone to the orthopedic surgery department for treatment. His arm was broken, it''s too miserable." After Ye Tingting finished speaking, she approached Zhou Can again, and said in a low voice, "I heard that Director Lou went to the hospital leader for this matter. .¡±


    "All right, talk to you later!"


    Zhou Can nodded.


    Director Lou went to the hospital leader to complain, which was expected.


    The performance of the emergency department rose rapidly last month and continued to maintain a high level this month, which gave Director Lou the confidence to speak.


    It is said that a crying child has milk to eat.


    Taking this opportunity, Director Lou will definitely ask the hospital leaders for some benefits.


    It would be great if we could apply for the laminar flow operating room.


    As for going to complain about the inaction of the security department, it is estimated that there will be nothing in the end.


    There are a lot of related households in the security department, and no hospital leader will easily touch the security department. Unless the security department really seriously dereliction of duty, and the dean Zhu gets angry, then there may be a wave of rectification.


    Under normal circumstances, a small matter would not be enough to shake the solid position of the Security Division.


    After Zhou Can found out the whereabouts of Deputy Director Han, he first finished his own work. After checking the inpatient ward of the emergency department, I went outside to buy some fruit and went straight to the orthopedic surgery department.


    He is familiar with almost all of Tuya''s surgical departments.


    The orthopedic surgeon will stay for a total of three months.


    Stayed in the inpatient department for two months.


    It''s hard to say whether people still recognize him after such a long time.


    "Hi, are you busy?"


    Zhou Can smiled and greeted the nurse behind the nurse''s desk The nurse who was concentrating on writing the nursing records looked up at Zhou Can, and then there was a trace of doubt on her face, as if she felt that this handsome face was a little familiar. After a few seconds, her eyes brightened instantly, and a surprised smile also bloomed on her face.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Doctor Zhou, I haven''t seen you for a long time! Have you finished training now?"


    "Hehe, remember me! I''ve finished training a long time ago, and now I''m back to work in the emergency department! I''m asking you about a patient, Han Changqing, with a broken arm. Is he hospitalized here?"


    Zhou Can quite enjoyed the feeling of being remembered after more than two years.


    "You''re asking the right person! This patient lives in bed 57 in the ward. Here, it''s over there."


    "OK, thanks!"


    Zhou Can found that in the past two years, the orthopedic surgery has not changed much, and it is almost the same as before.


    When I came to the ward, I saw Deputy Director Han sitting on the No. 57 bed before walking too far.


    Only a thin old woman looked after her.


    It should be Deputy Director Han''s wife.


    Zhou Can walked over.


    "Director Han, how is your injury?"


    Zhou Can stepped forward to say hello.


    "Hey, why is Dr. Zhou here? I don''t have any serious problems, but my right arm was broken."


    Deputy Director Han was also unlucky for eight lifetimes today.


    He happened to be on duty at the time, and when he heard the fight, he, as the head of the department, hurried out to dissuade him. The crazy family members beat him up directly.

 Chapter 418： Director Hans sorrow, you have to use it when you need it

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The leader looks at the scenery and has a high status. He can take the lead in the distribution of various interests in the department, and the work is easy, but the responsibility on his shoulders is heavy. When something happens, you must rush forward without hesitation.


    For example, when a patient comes and needs to be rescued, it is often the doctor with the highest rank who takes the main responsibility.


    Including commanding the on-site medical staff to rescue the patients immediately, swiping their arms in person, dispatching other specialists to assist in the rescue, etc. If there is a problem in the rescue, the first person to be held accountable is not the medical staff involved in the rescue, but the director who is responsible for the leadership.


    On weekdays, medical staff in the emergency department are often beaten by their family members or patients, but it is quite rare for a leader to be beaten directly to the point of breaking a bone.


    But everyone knows that the emergency department, intensive care medicine department, and pediatrics department are the three departments that are most likely to be beaten.


    Especially in the emergency department, there are already a lot of patients seeking treatment, so it is inevitable that there will be some poor hospitality.


    It''s okay to meet unreasonable family members. At most, they can swear a few ugly words, make a complaint and leave.


    If you encounter a violent family member or patient, it will be miserable, and you will punch your face without even saying hello. Throw anything on the head of the medical staff.


    Deputy Director Han encountered such extreme family members this time.


    "Those family members are really disgusting. No matter what, they can''t beat people! I think our emergency department should have a security guard on duty in the future to prevent medical staff from being beaten."


    Zhou Can''s words are not only for Deputy Director Han, but also for the safety of all the medical staff in the department.


    "This proposal is good, but the security department of the hospital will definitely not agree. You also saw it today. If you hadn''t acted in time, more than one old bone of mine would have been broken."


    Deputy Director Han shook his head and sighed.


    In the eyes of outsiders, being a doctor is a good career.


    The social status is high, the income is high, and the income is still very stable.


    Only when you really become a doctor can you know how miserable this profession is. Among the children of doctors, almost none of them who can study continue to be doctors, and they all go to other industries.


    Nowadays, larger hospitals basically require a postgraduate degree.


    5 years of undergraduate, plus 3 years of master''s, plus 3 years of doctorate, plus 2 years of regular training, plus 2 to 4 years of specialist training, Nima, who is almost forty years old, and now he can finally be a doctor .


    Then I started to learn to pull the hook, change the patient''s dressing, and prescribe some slightly challenging doctor''s orders.


    It¡¯s not easy to play above the indications. Scientific research tasks, clinical medical tasks, and teaching tasks are like mountains pressing on you.


    There are also various exams, which is almost a lifelong learning system.


    The key point is that studying medicine is so difficult, the rewards are pitifully small, and there is no guarantee of personal safety at all.


    You have to be careful every day, don''t be hacked by any family members.


    Doctors get nervous when they meet someone with a folded long strip of newspaper in their hands. Who knows if the newspaper contains a watermelon knife?


    Zhou Can is very fortunate that he learned free kickboxing and Sanda back then, and he has been exercising all these years, and he has not given up.


    At least compared with other doctors, he was never afraid of family members beating others.


    As long as someone dares to do it, he doesn''t mind using the right of self-defense.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Director Han, is this an X-ray film for you?"


    "Yes!"


    Deputy Director Han nodded.


    Zhou Can picked up the radiograph and looked at it. It was the radius bone that was broken, which was quite serious. In addition, his ulna is also fractured, but not so serious.


    The perpetrators hit too hard.


    "It''s so serious, a splint shouldn''t work, right?"


    "The orthopedic surgery department is also studying the treatment plan. I am relatively old, and the operation plan is more difficult to determine."


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    Zhou Can frowned slightly after hearing this.


    Fracture injuries, naturally, the sooner the operation, the better.


    After the operation, the patient''s fracture ends can grow and heal normally. Otherwise, if it grows for two days now, it will be basically tantamount to growing in vain if it is operated again at that time.


    And the pain he suffered in the past two days was in vain.


    "Did you say when the operation plan will be given?" Zhou Can asked.


    They are all off work now, and the operation plan will definitely not be discussed until tomorrow morning. This is still a fast situation. If it is slower, it is normal to delay for two or three days.


    After all, the orthopedic surgery department is really busy.


    "Oh, I just haven''t said anything yet! After five o''clock, I was worried that our old Han would not be able to bear it because of his age, so I wanted the doctor in charge to perform the operation earlier. They told me not to worry, saying that there were still many surgical patients ahead. In line."


    Deputy Director Han refused to say these embarrassing words, his wife couldn''t hold back, and complained to Zhou Can.


    "Let''s say a few words, the hospital has hospital regulations. We can''t get special treatment when we get here." Deputy Director Han usually has a good status at home, and ordinary men don''t dare to scold their wives.


    It is also sad to say.


    At any rate, he is a senior chief physician and the deputy director of a large department, so he can be regarded as the leader of the hospital.


    When it comes to orthopedic surgery, they can only enjoy the treatment of ordinary people.


    To say that there is no special treatment is just to deceive oneself and others.


    A little bit of background, a little backstage, which one obeys the rules?


    Rules are made by the strong for the weak to obey.


    As for themselves, hehe, since ancient times, there has been an unspoken rule that only state officials are allowed to set fires, and ordinary people are not allowed to light lamps.


    It is already a matter of life and safety, which strong man does not use all resources to enjoy the best medical resources?


    Waiting for death and giving up the chance of rescue to others, don''t be kidding.


    Is it possible?


    Deputy Director Han is a little pedantic, just like a pedant. So in terms of connections, it may be a little weak.


    Coupled with the low status of the emergency department in the hospital, the title of deputy director of the department, Deputy Director Han, is not very useful when it comes to orthopedic surgery.


    This can be seen from the fact that he was arranged to live in the ward instead of the ward.


    "Who is the attending doctor?"


    Zhou Can asked casually.


    "Doctor Chi Hanqiu!"


    Deputy Director Han''s wife has figured it out.


    It''s a pity that her husband has Kong Yiji''s sour personality, he doesn''t keep pace with the times, and he doesn''t know the way.


    Perhaps many people who are engaged in technical and academic research do not like the practice of working in the workplace. But the necessary interpersonal communication and dealing with people must still take some thought.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    It''s nothing more than trying to save face, putting face more important than life.


    The so-called dignity is still maintained until death.


    This group of people is very cute, but they are also the most miserable group of people in the world.


    Only a lucky few who have made great achievements in the fields of scientific research, academics, and technology can break the rules and rewrite their destiny.


    Doctor Chi Hanqiu and Zhou Can knew each other. He is a very strong attending doctor in the Orthopedic Surgery Trauma Group.


    When Zhou Can was in the orthopedic surgery training, he was already a very top-notch existence among the attending physicians.


    More than two years have passed, and it is estimated that he has the qualifications to hit the sub-high.


    It''s just that if you want to be evaluated as a deputy high school, the requirements are quite strict. Just the sci papers can stump a large number of people. It is by no means that you can pass the review by just buying two papers.


    Especially in recent years, the evaluation of doctors'' professional titles has been tightened everywhere, and the threshold has been raised, which has made many people who fish in troubled waters stomp their feet.


    If the review fails, there are many ways to think about it before.


    There really isn''t much I can think of right now.


    "Dr. Chi''s skills are among the top physicians in orthopedic surgery. With him in charge, Director Han should be able to receive good treatment. Don''t worry, Auntie."


    After Zhou Can comforted Director Han''s wife, he turned to look at Director Han.


    "I just came here to check on your situation. Seeing that your injury is stable, I am somewhat relieved. You can rest assured to treat here. If there is anything in the department that needs me to do, you can call me at any time. I will first I won''t disturb your rest."


    Zhou Can got up to say goodbye.


    "Xiao Zhou, thank you!"


    Deputy Director Han was very grateful for his visit.


    "Don''t be polite, I''ll see you again in two days!"


    Zhou Can waved his hand.


    "Goodbye, Director Han! Goodbye, Auntie!"


    After leaving the ward, Zhou Can did not leave the orthopedic surgery department immediately, but went to the doctor''s office.


    Deputy Director Han, although his temper is a little weird sometimes, he is not bad. Since Zhou Can was recognized, all aspects have taken good care of him.


    Now that they are in trouble, Zhou Can can help as much as he can.


    He came to the doctor''s office, knocked on the door and went in. There were only three doctors on duty.


    One young doctor did not know him, but he knew the other two. One of them was quite familiar with him. After adding WeChat friends, they will greet each other during the New Year and holidays, and maintain a relatively close relationship.


    This person is none other than Dr. Dandan.


    "Hey, Doctor Zhou! You are a rare visitor!"


    Shan Dan looked quite surprised when he turned his head and saw that it was Zhou Can.


    "A doctor in our emergency department was injured by his family members and was hospitalized here. I came to see him. I haven''t been to the orthopedic surgery department for a long time, so I want to see if there are any acquaintances among the people who are on the night shift in the office."


    Zhou Can explained with a smile.


    There is actually a difference between night shift and night shift.


    Some hospitals implement two shifts, ab and ab, with 12-hour shifts, and there is no difference between evening shifts and night shifts.


    If there are three shifts, the evening shift is usually from around 4:00 pm to 12:00 pm. The worst thing is that from twelve o''clock in the evening to eight o''clock in the morning of the next day, this is the authentic night shift.


    "Hehehe! You are right to come today! I really miss the days when I worked with you in surgery!" Shan Dan is beautiful and has a cheerful and optimistic personality.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Among all the regular students at that time, she was most satisfied with Zhou Can.


    Working with Zhou Can, she felt very at ease and relaxed.


    Zhou Can works diligently, has good technology, and his diagnostic ability is beyond imagination. I had an operation with Zhou Can, and nothing happened. All kinds of work were almost covered by Zhou Can.


    In many cases, Zhou Can is even better than her in some difficult operations.


    Often do well.


    When encountering all kinds of physical work, Zhou Can rushed to do it, and never let her, a female doctor, do it. She was very gentlemanly.


    So her impression of Zhou Can has always been very good.


    "Sister Dan still often mentions Dr. Zhou now! Especially when I am working as a medical assistant for Sister Dan, and when I am clumsy and can''t do it well, Sister Dan will say, it would be great if Dr. Zhou Can was here."


    Dr. Tang is also an old acquaintance of Zhou Can.


    Dr. Tang was a resident doctor at the beginning, but looking at his epaulettes now, he still hasn''t been promoted to attending.


    However, based on the time calculation, it may take another year or two before it will be promoted.


    Of course, if he himself fails the attending physician exam, there is nothing he can do.


    Job promotion has never been decided by the hospital.


    Take some medical students who are currently carded in hospitals. If they fail to pass the medical license exam, they will not sign a training contract. Basically, it is equal to using highly educated medical students with the lowest labor cost.


    There are even scandals where nurses are willing to be unspoken by hospital leaders in order to sign personnel agencies.


    "I''m so wronged! I was shot while lying down."


    Zhou Can answered with a smile.


    "Doctor Zhou, please drink water." Dandan poured a glass of water for Zhou Can himself.


    He greeted Zhou Can to sit down and chat.


    She has a cheerful personality and has a lot to talk about. Zhou Can came with a mission, so he couldn''t talk to her more.


    "Is there a lot of orthopedic surgery recently? I''m going to ask Dr. Chi to help arrange surgery for the doctor in our emergency department as soon as possible."


    Zhou Can talked about the topic.


    "If you say you''re not busy, it''s a lie. But if you open your mouth, Dr. Chi will definitely agree. Or, I''ll call him now for you. "


    Dr. Shan is very enthusiastic.


    "I''ll make the call myself! If possible, Dr. Shan can help take care of Han Changqing, who is in bed 57. I would like to say thank you first. Next time when you are free, I will invite you to dinner and catch up with each other. I recently returned to the emergency department. Department, scrambling around in the operating room every day, so busy that it''s dark."


    Zhou Can is using his favor to say hello to Han Changqing.


    There are actually many benefits to doing so.


    First of all, I helped Deputy Director Han, UU Reading www. uukanshu.com allows him to get better treatment and care. This is a work-related injury. If Deputy Director Han pays the bill, whether he has said hello or not is completely different.


    It is normal for the cost of treatment to vary several times.


    There will also be significant differences in various medications and nursing care.


    The benefits of acquaintance society are really not a little bit.


    The second benefit is that by asking these doctors for help, Zhou Can can increase his contact with each other.


    Friends are made for trouble.


    If there is no contact for a long time, the friendship without benefits will be dusty and rusty.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    If the ''rust'' is too serious, this relationship chain may become unworkable. Therefore, it is also a way to maintain connections by asking friends for help.


    "No problem! Bed 57, right? I''ll take care of him as much as possible."


    Shan Dan''s status in orthopedic surgery is not low.


    She has a high degree of education, well-written papers, and strong surgical skills. She will be a proper candidate for the chief physician of orthopedic surgery in the future.


    Even now, it is estimated that they have already started to hit the sub-high.


    Compared with Dr. Chi Hanqiu, it is much easier for her to hit the sub-high.


    Chi Hanqiu''s academic level is much worse than hers, which is Dr. Chi''s weakness.


    "Then I''m counting on you. I still have something to do, so let''s go first."


    "Slow down!"


    Doctor Shan got up and sent him outside the door.


    After Zhou Can came out, he decisively called Dr. Chi Hanqiu.

 Chapter 419： I know how to repay my kindness, and I will still pull out the pus without the plaster

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Among all the heavyweight doctors in orthopedic surgery, Zhou Can has the closest relationship with Director Shen.


    He is Director Shen''s half-apprentice, and he is deeply respected and loved by Director Shen.


    The master-student relationship sometimes comes with a bonus of intimacy, even after many years, it can still be as close as before.


    Zhou Can did not ask Director Shen for help this time, and Zhou Can also made a decision after careful consideration. The status quo of cardiothoracic surgery made him realize that there are talented people in every generation, and a new generation replaces the old ones.


    Now that he has established a good relationship with people like Dan Dan and Chi Hanqiu, in the future, after Director Shen and other older directors retire, his network in Tuya Hospital will still be as stable as a mountain.


    If Tuya Hospital is compared to a small world, each department is equivalent to a separate country.


    A big country still needs the support of many allies.


    Zhou Can''s emergency department is extremely weak, which is equivalent to a weak country, so it needs allies even more.


    Not to mention far away, let''s take the fact that he is currently leading the operation in the emergency department. It has been almost two months, and the business of other surgical departments must have been affected. But this time no one jumped out to object, why?


    Looking at Zhou Can''s first training in the emergency department, his level at that time was far worse than it is now.


    It''s just that a few more operations were performed, and Director Xie directly objected at the morning meeting of doctors in the hospital. Even more so, Zhou Can was only able to participate in first- and second-level simple operations in the emergency department.


    At that time, even if a thousand operations were performed a month, the total income was actually not large.


    The impact on other surgical departments is minimal.


    Because Tuya Hospital is a big platform, its reputation has already come out. There is no shortage of patients.


    Those specialized departments often even persuade patients with first- and second-level operations to be treated nearby.


    To put it bluntly, Zhou Can just picked up some leftovers they didn''t want, but they still provoked them to suppress him.


    He can even perform tertiary surgery now, and he outputs two to three units a day stably. Not to mention primary and secondary surgeries, there is no day when the number of surgeries is less than 20.


    In addition, he not only performs operations, but also admits and treats postoperative patients in the hospital.


    This is equivalent to standing on the top of the mountain and fighting against the specialist departments, which has already touched the bottom line of the specialist departments'' interests.


    But even so, no one jumped out to object.


    Don''t think this is Director Lou''s face.


    In the face of interests, Director Lou''s face can only be used in the emergency department. After graduation, nothing.


    Why are the surgical departments all silent, and no one expressly objected?


    Because of the two words ''love''.


    Although Zhou Can''s current rank is not high, he is just a small resident doctor, but he has made a name for himself in many departments during the training period. I have established good friendships with the directors, doctors, and nurses of those departments.


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    With this level of acquaintance, when he returned to the emergency department to lead the operation, others would naturally not object.


    So maintaining a good network of contacts is very important.


    This is related to whether he can successfully grow bigger and stronger in Tuya Hospital in the future.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Dial Chi Hanqiu''s phone, after a few rings, he was connected.


    "Hello, Doctor Zhou!"


    Chi Hanqiu actually kept Zhou Can''s number.


    Sometimes, a person''s outstanding potential can indeed bring great benefits to the establishment and durability of the relationship.


    Chi Hanqiu felt that Zhou Can would have great achievements in the future, and maybe there would be places where Zhou Can''s help would be needed in the future. Therefore, Zhou Can became a high-quality contact in his mind, and he kept Zhou Can''s number all the time.


    "Haha, before I called, I was still worried that Dr. Chi would not remember me! I was very worried. Now it seems that my worry is unnecessary. Thank you for keeping me in your memory."


    Zhou Can responded happily with a smile.


    "Although we spent less than two months together with Dr. Zhou, I believe our friendship can last forever, can''t you?"


    Chi Hanqiu is also a person who knows how to come.


    Climbing up the pole, he directly established friendship with Zhou Can.


    This is exactly what Zhou Can wants.


    "This is so good! As long as Dr. Chi does not give up, I will always regard Dr. Chi as a good teacher and helpful friend in my life. When I was lucky enough to meet and work with Dr. Chi in the orthopedic surgery department, I still feel warm and lucky when I think about it. People and The fate between people seems to have its own will in the dark, and at that time, it will naturally arrange for the two of them to meet and get acquainted, and then slowly get along."


    Zhou Can really wasn''t talking to him.


    Instead, he really recognized Chi Hanqiu.


    With superb medical skills and a good personality, Dr. Chi is a friend worth making friends with.


    Now that the two are talking speculatively, their relationship will naturally go a step further.


    "There is a long way to go in life, and it is a blessing for three lives to have a good friend to go forward hand in hand. You must have something to ask me, so tell me!"


    Doctor Chi is much older than Zhou Can.


    The friendship was almost done, but he was the first to turn the conversation to the serious business.


    This is also to worry that Zhou Can''s skin is too thin to speak up.


    "I really want to ask you for help. The patient in bed 57, Han Changqing, is the patient with a broken right arm. Do you have any impression?"


    Zhou Can asked.


    "Yes, yes! This man is a doctor in your emergency department and was injured by his family members. I sympathize with him. Do you have a good relationship with him?"


    Chi Hanqiu asked back.


    The underlying meaning of these words is already obvious.


    If Zhou Can and Han Changqing have a good relationship, Chi Hanqiu can take care of him. Otherwise, it''s basically business.


    Orthopedic surgeons, especially those who are capable, will behave in this way even when they meet with the directors of heart and mind surgery.


    "It''s not that I have a good personal relationship. My uncle was hospitalized in Tuya Hospital more than a year ago and received some care from him. I was in the emergency department, and he also took care of me. I went to see him in the ward just now. If you feel capable, help him. Mingren don¡¯t say dark words. This time, I just want to ask you to help arrange surgery for him as soon as possible, and let him recover and leave the hospital as soon as possible. I owe you favors, and I will repay you when I have a chance. No chance Just put it on the account first."


    Zhou Can treats his friends with integrity.


    Only honesty can make friendship last.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Otherwise, no one is stupid to tell lies. After being found out, people will feel that this is playing him. Naturally, they will look down on Zhou Can and gradually alienate him.


    "Haha, I didn''t expect Dr. Zhou to be so grateful! No problem, I will arrange it immediately tomorrow morning."


    Chi Hanqiu readily agreed.


    He appreciates Zhou Can''s kindness and gratitude from the bottom of his heart.


    Helping a grateful person is a very good deal.


    ¡­


    After finishing this matter, Zhou Can first went to the cafeteria to quickly solve his hunger.


    Then I went to the Department of Cardiothoracic Surgery to assist Director Xueyan in the operation.


    He looked at the time and agreed to start the first operation at seven o''clock. If the first operation is completed smoothly and the time is still early, then the second operation will be performed.


    Basically, it''s a night of lights.


    This represents a change in director Xueyan''s thinking. I really listened to Zhou Can''s "Three Good Strategies", no longer greedy for success, no longer competing with departments in other hospitals, but down-to-earth to do every operation well and serve every patient well.


    It was six fifty in the afternoon, and he was ten minutes early.


    I am going to check the information of the two surgical patients first, and then participate in the operation. At least I can know what I know.


    Level 4 surgery is still a difficult challenge for him now.


    Don''t look at Director Hu Kan who often arranged for him to undergo level 4 surgery when he was alive.


    Now without this layer of protection, everything depends on themselves, and the situation is completely different.


    If you encounter any problems during the operation, you need to find a way to solve them yourself.


    Before Zhou Can arrived in the operating room, he met Director Le.


    The current situation in cardiothoracic surgery is unstable, and Director Xueyan''s approval rating is dropping rapidly. Director Le is one of the few chief physicians who firmly supports Director Xueyan.


    "Zhou Can!"


    When seeing Zhou Can, Director Le seemed very happy, obviously a little excited.


    "Director Xueyan asked me to come and participate in two 4-level major surgeries. I''m not late, am I?"


    Zhou Can responded with a smile.


    "It''s not too late, the first lobectomy is scheduled to start at 19 o''clock, and it''s still ten minutes away! Seeing you here, I''m very happy and at the same time feel at ease."


    Guessing that the failed heart surgery two days earlier, Director Le felt a little bit of fear in his heart.


    Although the patient died on the operating table, Director Le and Director Xueyan do not need to bear legal responsibility, but putting the patient to death will definitely cause a certain psychological shadow on the doctor involved.


    When the patient goes to the hospital for surgery, he entrusts his life and death to the doctor.


    I believe that as long as he is a doctor with a little conscience, he will try his best to complete the operation and let the patient return to the inpatient ward safely. After a period of nursing, he walked out of the hospital in good health.


    Nobody wants to have an accident.


    "Don''t flatter me, I''m just here to join in the fun and learn from you." Zhou Can said modestly.


    Director Le is far above him in terms of rank and seniority.


    In the face of Director Le''s flattery, if he accepted everything he ordered, he would be really bad at being a man.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    In front of superiors, any behavior of arrogance and arrogance will cause resentment.


    Even if people don''t say it, they will definitely have a bad impression in their hearts.


    Director Le turned his head and looked around. There was no one there, so he lowered his voice and said in a low voice, "You don''t know that Director He was originally invited to help with this lobectomy operation. In the end, he simply rejected it. It''s nothing more than I gave Director Xue a badass, just to make everyone in the department see her as a joke. However, if this operation fails again, Director Xue''s status will definitely be seriously affected. Now in the department, the voices against her are gradually rising."


    Director Le knew that Zhou Can had a close relationship with Director Xueyan.


    In addition, he also has a good friendship with Zhou Can, and he completely regards Zhou Can as his own, so he said such a thing.


    "Where there are people, there are rivers and lakes, and there are intrigues. If they don''t help, let''s fight for the success of the operation. At that time, some people will naturally know that without his plaster, you and Director Xue are the same You can pull out the pus."


    After hearing this, Zhou Can had a very bad impression of Deputy Director He.


    The best way to deal with this kind of villain is to silently increase your strength, and then use your strength to slap the opponent in the face.


    When the time comes, Deputy Director He finds out that the department will continue to operate without him, so he will naturally be honest.


    After entering the operating room, the anesthetist is already at work.


    Typically, the surgical nurse is the first person in the operating room. They have to adjust the temperature and lighting of the operating room to achieve the best operating environment.


    If there is a problem with the instrument or the environment, the roving nurse will immediately report to the chief surgeon.


    Then find a way to apply to the hospital to change the operating room.


    Cardiothoracic surgery has its own exclusive operating room, and the usual operations are decided by the department itself.


    There are many benefits to this.


    For example, the exchange of operating rooms will be more flexible and the procedures will be simpler.


    In an emergency, the director of the department can solve the problem with a single sentence.


    The anesthesiologist is not Director Feng, but another chief physician. After all, it was two Level 4 major surgeries.


    Anesthesiologists actually have a lot of say in surgery.


    They can even veto a surgery.


    If the risk is considered to be too high to be controlled after the assessment, you can directly propose a replacement treatment plan to the chief surgeon and cancel the original surgical treatment plan.


    In addition, the anesthesiologist has a certain right to make suggestions on how to perform the operation.


    When formulating the surgical plan, the anesthesiologist will participate in the discussion and give advice when necessary. For example, the chief surgeon thinks that the incision from the front of the chest is better, but the anesthesiologist thinks that the incision from the intercostals is safer, and then gives certain reasons. In the end, the chief surgeon probably has to listen to the opinion of the anesthesiologist.


    If you don''t listen, the anesthetist has the right to refuse to participate in the operation.


    Then you can only change or compromise.


    Also, itinerant nurses also have certain powers. When participating in surgical discussions, they also have a certain right to speak.


    During the whole operation process, the roving nurses knew it well.


    What to do next, they will be ready before surgery.


    The success of a major surgery does not depend on the surgeon alone.


    Instead, the entire surgical team cooperates closely, like a running machine, and the connection of each step must be seamless. Otherwise, something may happen.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Finally, one more thing The status of the itinerant nurse in the operating room is high, but her status is actually not as good as that of the medical assistant.


    Although they often scold the first assistant, the second assistant and others like their grandchildren.


    The medical assistants are often scolded, and they have to say good things with a smile.


    But it is an indisputable fact that the status of itinerant nurses is not as good as that of medical assistants.


    The first and second assistants of the fourth-level major surgery are basically doctors above the attending level, and it is relatively rare to be scolded on tour. After all, people''s weight is there.


    Just like today''s two four-level major surgeries, the first assistant is directly a director-level doctor.


    The itinerant nurse''s brain is convulsed before she dares to scold a doctor of this level.


    Zhou Can read the patient information of the two surgeries in detail. One is thoracic surgery to remove tumors in the lungs. The part of the lung lobe that needs to be cut is quite large, which also means that the operation risk is high, and the risks during and after the operation are high.


    The second surgery is an extracardiac surgery, the repair of the tricuspid valve, which is also a very difficult fourth-level major surgery.


    There are two tough battles tonight. Apart from being a little nervous, he is more looking forward to it, and there is also a little bit of excitement.


    Like a peerless sword that has been dusty for a long time, it has not drank blood for a long time.


    In the bones of men, there is an adventurous spirit, like adventure, excitement, and challenges.


    For Zhou Can, he is really tired of doing primary and secondary surgeries now. Hand cramps can be achieved every day, and tertiary surgeries also have the opportunity to perform two or three sets every day.


    There is only a fourth-level major operation. Since he returned to the emergency department, it is difficult for him to have the opportunity to participate again.


    From time to time in the future, I will come to the cardiothoracic surgery department for a guest appearance, which is also quite good.

 Chapter 420： The Dawn of Cardiothoracic Surgery, Heavens Way of Reincarnation

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    When it was almost seven o''clock in the afternoon, Director Xueyan arrived in a hurry.


    "Something happened during the ward rounds just now, so I came a little late. Director Le will be my first assistant, Zhou Can will be my special assistant, and will replace me as the surgeon when necessary. Your arrangement remains the same."


    Director Xueyan resolutely made the deployment of surgical positions.


    In the past, she spoke softly and acted softly. This is all being forced into a female man by reality!


    It has never been difficult to be a poor person, and you will always be innocent without setbacks.


    She was able to make such a big improvement in just two months, from a gentle female director to an iron-blooded female general, she didn''t know how much she had suffered.


    Only this kind of tempering can make her management ability truly grow.


    Zhou Can had never seen any department director laughing and joking.


    No matter how gentle they are with others, when they encounter something, they should turn their backs immediately, be ruthless, and show no mercy.


    I believe Director Xueyan will become a qualified department director in the near future.


    The first surgery began soon.


    It can be seen that Director Xueyan has a dignified expression and focused eyes, and she is obviously more stable than before when she cuts the knife.


    Zhou Can was at the side to help her, and Director Le acted as a helper. Deputy Director Lu, who is over fifty years old, is only qualified as a second assistant.


    Any surgical team will give priority to training young doctors.


    At the age of Deputy Director Lu, he is already fifty-four years old, and he will retire in a few years. On the one hand, as you get older, your learning ability becomes worse, and your physical fitness seriously declines. On the other hand, after you have finally cultivated it, it is not worthwhile when you reach retirement age.


    Therefore, outstanding young doctors in their thirties and forties are generally the most popular existences in the surgical team.


    This age group has lost the frizz and frivolity of young people, and has the calmness that middle-aged people should have. Medical knowledge and surgical skills have also gained a certain foundation. It''s easier to grow.


    And as long as they are cultivated, they can become an important backbone of the team.


    Input is directly proportional to output.


    Zhou Can watching from the side is actually a good learning process. Even though he has had lung lobectomies many times, each operation is different.


    From the perspective of a bystander, you can discover many problems that you cannot discover during the operation.


    The authorities are confused, but the bystanders are clear, this is the most reasonable saying.


    The first half of the operation has been going smoothly.


    When it came time to ligate the arteries of the dorsal and basal segments of the lower lobe of the lung, Director Xueyan seemed a little hesitant.


    Zhou Can didn''t say anything immediately, but patiently waited for Director Xueyan to make his own decision.


    Only when she lost her mind and needed help, Zhou Can would act.


    The growth of every surgeon is inseparable from his own comprehension in practice.


    The knowledge in the book, or the skills taught by the teacher, can only become your own knowledge if you understand it. Otherwise, after learning, it will be returned to the teacher soon.


    "I''m not sure about the arterial ligation part!"


    Xueyan was silent for three or four minutes, then looked up at Zhou Can.


    She knew that Zhou Can had already mastered the surgical skills in various situations for this kind of left lower lobectomy.


    "Didn''t it be nice when you worked on the lower pulmonary vein just now?"


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Whether she commanded the first assistant to use a retractor to pull down the diaphragm to expose the lower pulmonary ligament, or use an electric knife to cut the ligament from bottom to top along the edge of the lung, she handled it well.


    Even in sudden situations where an abnormal blood vessel in the pulmonary ligament was severed, she was still able to calmly stop the bleeding.


    Now when it is the turn to deal with the left lower lobe artery of the lung, why do they shrink back?


    "I''ll direct, you operate, can you?"


    Zhou Can asked calmly.


    Fortunately, these people in the operating room are basically the trusted staff of Director Hu Kan who knew Zhou Can''s ability. Otherwise, if another stranger came to the operating room, he would definitely be shocked.


    Zhou Can is so young, a small resident doctor, even uttered wild words, and ordered the chief physician of the cardiothoracic surgery department to perform a fourth-level major operation.


    [To be honest, I have recently followed up, changed sources, and have many voices for reading aloud. Both Android and Apple are available for .huanyuanapp. ¡¿


    This is crazy too.


    "I¡­"


    She still seemed a little unsure.


    The failed heart surgery the day before yesterday put her to death, and the psychological shadow brought to her has not been completely dispelled.


    It will take time, and more importantly, she needs to be successful in the operation, so that she can dispel the shadow little by little and regain her confidence completely.


    "Don''t worry, even if there is an emergency, I can help you deal with it together. I believe you will be able to complete it successfully."


    Zhou Can encouraged her.


    "Okay then! I''ll try!"


    In front of Zhou Can, Director Xueyan did not have the majesty that a department director should have.


    "Not to try, but to go all out."


    Zhou Can emphasized in a serious tone.


    "good!"


    She nodded vigorously.


    "Cut the mediastinal pleura on the surface of the inferior pulmonary vein to expose the upper edge of the inferior pulmonary vein."


    Zhou Can patiently guided her step by step.


    In fact, she must know the general operation method, but she may not be able to master it as flexibly as Zhou Can in some of the details or areas that need to be changed.


    "Use your index finger to bluntly separate the lower lobe bronchus and the lower pulmonary vein, and free the lower pulmonary vein. Don''t act too hastily, and be careful to tear the tissues, which will adversely affect postoperative recovery..."


    The two also studied with Director Hu Kan, and Director Xueyan should have received more guidance.


    But in practice, Zhou Can is obviously far better than her.


    Especially the flexible use of various techniques, as well as the judgment of various possible emergencies during the operation, and the prediction of postoperative recovery, Zhou Can far exceeds her.


    Under the guidance of Zhou Can, director Xueyan cooperated closely with the entire surgical team for this left lower lobe resection operation, and it was successfully completed without even asking Zhou Can to do it himself.


    "It''s done very well. As long as you take care of it carefully when you send it back to the ward, there shouldn''t be any major problems."


    Zhou Can sincerely praised.


    "Dr. Zhou is simply our lucky star. It would be great if you could come to help us often in the future. To put it bluntly, after the death of Director Hu, every time I participate in this kind of difficult fourth-level major surgery Uneasy. After having your help, I feel really different and more at ease."


    Director Le couldn''t help but breathe a sigh of relief when he saw the first operation was successfully completed.


    He was really worried about the fate and safety of the department.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Many people are powerful. Our department really needs Dr. Zhou''s help right now."


    Deputy Director Lu is not good at words, and this time he opened his mouth very rarely.


    He agrees with Director Le, and both hope that Zhou Can can come to help frequently.


    Not to mention the doctors and nurses below.


    An accident happened the day before yesterday, and they have been walking on eggshells for the past two days, and their lives are quite depressing.


    The mood of the chief physicians of the department, especially the mood of the department chief, is basically the barometer of the entire department.


    "Look, everyone is inviting you to come and help!"


    Director Xueyan smiled for the first time in days.


    The success of this operation, which was completely performed by her alone, has greatly helped her restore her confidence.


    "Hehe, thank you for being so respectful of me. As long as I have time, I will be there whenever I am called."


    Zhou Can readily agreed with a smile.


    He had already promised Director Hu Kan that he would do his best to help the Department of Cardiothoracic Surgery so that this department would not decline. Now it''s just a favor.


    "This operation took three hours. It''s ten o''clock now. Will the second operation still be done?"


    Director Xueyan asked everyone for their opinions.


    "My second assistant is completely fine. If necessary, these young men can take my place." Deputy Director Lu was the first to express his opinion.


    He can be regarded as an older generation of medical staff in the department, and he has a deep affection for the department.


    Knowing that there is no hope of promotion, her greatest wish is to retire smoothly from the position of deputy director. Then I hope the department can develop well. Cardiothoracic surgery, like his home.


    "The operation is all arranged, even if the night lights are on until dawn, I will accompany you." Director Le said even more.


    "Me too."


    Zhou Can followed suit.


    In the operating room, a few of them are the main staff, and others, including the itinerant nurse and anesthesiologist, don''t have much real right to speak.


    Looking at the high sudden death rate of anesthesiologists in major hospitals, you can know the status of anesthesiologists.


    If people have the right to refuse, who would want to continue to work overtime for surgery when they are extremely tired?


    "What about you? Can you still hold on?"


    "Can!"


    "no problem!"


    The three surgical nurses agreed one after another.


    "I just want it to end sooner. Some of the more time-consuming operations can be done by Dr. Zhou Can, and the speed may be a little faster."


    The anesthesiologist is at the director level anyway, so the opinions expressed have some weight.


    Zhou Can rubbed his nose, he had done many major surgeries, almost all anesthesiologists already knew him, and knew that he was a fast surgeon.


    "Yes. It''s okay for the second operation to be performed entirely by Zhou Can."


    Director Xueyan also knows that slow speed is a big flaw.


    "I can''t perform level 4 surgeries at my level! Sister Yan entrusted me with some time-consuming surgeries, and that would be great."


    Zhou Can quickly refused.


    Many of his surgical skills are only at the level of the deputy director, and he is still a little short of performing four-level surgeries.


    However, he has the ability to do some key parts of the operation well.


    After all, his quick knife technique has reached the proficient level, and his steady knife technique has also reached the entry level.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Integrating these two knife techniques into surgical techniques that require a knife, such as incision and separation, can fully reach the director level.


    ¡­


    Near twelve o''clock in the evening, the second operation was successfully completed.


    In order to shorten the operation time, many parts were operated by Zhou Can himself. Including the final chest closing, it was all done by Zhou Can.


    It was already very late, and if two excellent residents were to do the chest closure, it might take until one or two in the morning.


    It''s not an exaggeration.


    Resident doctors can only be regarded as novice level in the surgical team.


    Some junior resident doctors can be happy for a whole month after closing their abdominal cavity.


    Because they really don''t have these opportunities to practice their hands.


    "I have ordered a supper for everyone. Everyone has a portion. Take it home or eat in the dormitory! Thank you for your hard work today." Director Xueyan said to everyone.


    Both operations were successfully completed. This is the happiest moment for her in the past two months.


    The invisible stone that was pressing on my heart seemed to have become much lighter.


    Zhou Can participated in two major operations tonight, and showed her amazing absolute strength, which gave her hope.


    In the past, it was true that I had too much self-esteem, so I was too embarrassed to bother Zhou Can. Plus, she thought she could do it, which only made things worse.


    It can be seen that all the medical staff involved in the operation are very happy.


    No matter how hard it is, the most fearful thing is not seeing the dawn, not seeing hope.


    "Zhou Can, can you go to the ward to help see a postoperative patient?"


    After the operation, Director Xueyan continued to ask him to help.


    "What''s the matter with that patient? Let''s go, I''ll go with you to have a look. You are my sister, and I must obey your order!"


    Zhou Can said with a smile.


    "Hehe, thank you for being so kind to me! The patient underwent surgery two days ago, and Deputy Director He led the surgery team to perform the surgery. The patient underwent a lobectomy, and the postoperative drainage volume exceeded the standard..."


    She briefly introduced the patient''s condition.


    After a lobectomy, it is normal to have a small amount of bleeding. A daily drainage volume of less than 500ml is basically within the normal range.


    However, if the drainage volume is less than 200ml per day, it is not necessarily a good thing.


    Especially on the second day after the operation, there is too little drainage, so don''t blindly and confidently think that your operation is well done and there is less bleeding and exudate. You need to be alert to whether it is blocked, or whether there are other abnormal changes.


    The risks of lobectomy surgery have always been high.


    The reason why many doctors feel that this operation is very safe is because the technology is very mature.


    However, if there is a mistake in the operation, or if there are serious postoperative complications, the probability of death of the patient is very high.


    "Does Deputy Director He know about this?"


    Zhou Can asked.


    He had a very bad impression of Deputy Director He. The hospital implemented a first-visit system. Since it was Deputy Director He who performed the operation on the patient, and now there are postoperative abnormalities and obvious complications, Deputy Director He must handle it.


    It is absolutely impossible to let him lie at home and sleep. Director Xue and Zhou Can had to get off work so late after the operation, and they had to wipe his buttocks.


    It is absolutely inappropriate for Zhou Can to abuse a good person like this.


    "He has been notified to come over and deal with it. It''s not off work yet. When I was undergoing surgery just now, he sent me a message for help. The patient''s condition is very bad. The key is that the reason for the excessive drainage has not yet been found. "


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Director Xueyan showed a sly smile.


    She must be happy to be able to make Deputy Director He bow her head and ask her for help.


    After all, Deputy Director He is rebellious and has always put his old qualifications in front of her.


    Just this afternoon, Deputy Director He was invited to participate in the first left lower lobectomy operation, and he found a reason to refuse.


    Heaven is a good reincarnation.


    Who would have thought that when it was close to seven o''clock in the evening, the patient who was operated by Deputy Director He had a problem.


    Now it''s Deputy Director He''s turn to get angry.


    "I''m still worried that you won''t be able to make up your mind when you should have the means! Just call him over and deal with it."


    Zhou Can and her are as close as siblings, and she has no worries when she says something.


    It''s all for her own good.


    "I just became the director of the department for more than a month, and I really softened my heart. At that time, I naively thought that if I was good to others, others would be good to me. Later, there were a few cases where I was thinking of the deputy director, but I was tricked by him instead. , I could see his face clearly at that time."


    Director Xueyan is not stupid, she just used her kindness to the wrong people.


    "Compassion does not lead soldiers, righteousness does not engage in business. Sister Yan, I think you must be ruthless when you should be ruthless. If you want to manage such a large department, you don''t have any means, and you can''t manage it well."


    Zhou Can said to her seriously.


    "Understood! The inpatient department is ahead, let''s stop talking about this."


    She was afraid that others would listen to it.


    When the two came to the ward, they saw that the patient was about forty years old, male, with a pale face, and his mental state was very bad.


    After Zhou Can looked carefully, his face became serious.


    His fairly rich working experience in the intensive care unit made him realize that the patient''s condition was very dangerous.

 Chapter 421： One time, one time, one time, success

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    At this time, Deputy Director He should have gotten the news and rushed over from the duty room.


    Even the buttons of the overalls were crooked.


    If the guess is correct, Deputy Director He should be sleeping in the duty room. After all, he was getting older, and it was already twelve o''clock in the night, so he couldn''t bear it anymore.


    Zhou Can and Director Xueyan had not been in the ward for a long time, maybe five or six minutes at most.


    Deputy Director He was woken up so quickly and rushed to the ward, which shows that Deputy Director He is quite powerful in the department.


    You know, it''s late at night, and the number of doctors and nurses on night shift in the entire department is less than one-third of the daytime.


    Nurses are divided into small night shifts and large night shifts.


    Xiao Ye goes to work from 5:00 pm to 1:00 am, and Big Night works from 1:00 am to 8:00 am the next day.


    Now it is almost close to the handover time for the nurses on the night shift, but the nurses on the big night shift will not arrive so soon. Therefore, in addition to the doctor on duty, the only person who informed Deputy Director He was the nurse on the night shift.


    There is no need to pursue whoever reported the letter to Deputy Director He.


    It doesn''t mean much by itself.


    Based on this small detail, Zhou Can deduced that Deputy Director He''s influence in the department was astonishing.


    Ginger is old and spicy.


    Although Director Xueyan relied on Director Hu Kan''s last words, she successfully won the position of department director. But it''s not stable, and Deputy Director He has been watching it all the time.


    I''m afraid I have to find a way to help her with this matter.


    Otherwise, if deputy director He is really replaced as the director of this department, it will definitely not be a good thing for the cardiothoracic surgery department.


    It will never be as easy for Zhou Can to do anything with the help of cardiothoracic surgery in the future.


    "Director Xue, the drainage volume of the patient seems to have increased again, what do you think should be done better?"


    After Deputy Director He greeted Xueyan and Zhou Can, he was going to throw the burden directly to Director Xueyan.


    "Go, let''s go out and talk!"


    Zhou Can suggested.


    Although Deputy Director He was somewhat dissatisfied with Zhou Can''s behavior of "offending the superior", he didn''t say much. Only a trace of anger flashed deep in his eyes, showing his dissatisfaction.


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    After leaving the ward, the three of them did not stand in the corridor outside the ward to discuss, but went to the office.


    "Director Xue, you are an apprentice of Director Hu Kan. You have excellent surgical skills and rich experience in extra-thoracic and extra-cardiac fields. Can you handle that patient? There will be more difficult lobectomy in the future. No matter how busy I am, I will find time to actively participate.¡±


    Deputy Director He wanted to reach an exchange of benefits with Director Xueyan.


    The patient was transferred to Director Xueyan, on the condition that he would offer to help if there was a lobectomy in the future.


    It can only be said that he thinks highly of his surgical skills.


    His thoracic surgery skills and experience are not weak, but he is definitely not top-notch. Among the senior chief physicians of thoracic surgery, it is a middle-to-lower level if it is exhausted.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can has seen Deputy Director He perform surgery. In addition to his slow speed, he lacks flexibility in surgery, sloppy surgery, and weak advanced surgical skills. These are his shortcomings.


    "Director He, there are multiple considerations in implementing the first-visit system in the hospital. You are the first-visit doctor for that patient and also his chief surgeon. You are the most familiar with the patient''s condition and understand the patient''s condition best. Therefore, the patient is treated by It is most appropriate for you to be responsible until the end."


    Director Xueyan''s answer made Zhou Can feel extremely comfortable.


    It''s like drinking a cup of iced tea on Juneday.


    What he was most worried about was that Director Xueyan softened her heart and agreed to the other party.


    Fortunately, she has really matured, and already has the ruthlessness and tact that a mature department director should have.


    Deputy Director He''s conditions were rejected, and he couldn''t help but froze.


    Then he added, "In the future, if there are difficult thoracic surgeries, I will be there on call and I will never shirk them, is that okay?"


    This is clearly increasing the bargaining chip and negotiating terms with Director Xueyan.


    "It''s a good thing that Director He''s work attitude can become positive. But¡ª" she deliberately prolonged her voice. "My surgical team is very good, and I already have the confidence to challenge any thoracic surgery. Director He only needs to do what he can. If you encounter a competent operation, you will accept it. If you are not competent, it doesn''t matter, just push it. .¡±


    This moment, that moment.


    With the full help of Zhou Can, Director Xueyan has successfully completed the difficult lower lobectomy operation today, which also gave her unprecedented confidence.


    No need to be stuck by Deputy Director He again.


    If you encounter difficult thoracic surgery in the future, you can consult with Zhou Can.


    "This... this..." Deputy Director He was dumbfounded.


    He was rejected twice in a row, and director Xueyan''s attitude became tougher and more confident each time.


    He couldn''t help wondering secretly, how could this **** Xueyan suddenly become so confident in just a few short hours?


    Deputy Director He couldn''t help looking at Zhou Can.


    Is it related to this kid?


    "How about, let''s talk about the patient''s condition first!" Zhou Can said playfully.


    "If you have any insights, please tell me!"


    For this patient, Deputy Director He slept directly in the duty room of the hospital. He was worried that if the patient died, he would be prosecuted for a crime of dereliction of duty and serious dereliction of duty.


    I am very old, in my fifties, and I will retire in a few years.


    If he was held accountable and punished by the competent authority because of this case, it would be too late, and the end would definitely not be much better.


    At least he lost the qualification to continue to compete for the head of the department.


    Even the position of deputy director of this department has to be handed over.


    "Just now I looked at the nursing records and the patient''s medical records. From the time I returned to the ward after the operation, the drainage volume was close to 700ml yesterday. Today''s drainage volume is still increasing, and it is conservatively estimated to be at least 900ml. This rapid upward trend, you know what it means What are you wearing?"


    Zhou Can''s expression became serious.


    "Please advise!"


    Deputy Director He was manipulated by him and kept whetting his appetite, which made him feel angry.


    However, Zhou Can''s diagnostic skills are notoriously powerful. Even Director Hu often praised Zhou Can for solving difficult problems at critical moments when he was alive.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Therefore, no matter how dissatisfied Deputy Director He was, he had to listen to Zhou Can''s diagnostic opinion.


    "This means that the patient suffered from postoperative hemorrhage!"


    Zhou Can''s tone became more serious.


    It was like a huge hammer hitting Deputy Director He''s heart hard.


    "Then... can you tell which part is bleeding?"


    Deputy Director He''s face turned paler obviously, and a trace of panic and fear flashed in his eyes.


    Postoperative hemorrhage, postpartum hemorrhage...these are terrible precursors to death.


    It''s time for something to happen.


    It''s no wonder that Deputy Director He is not nervous.


    "The scope of the operation is quite wide. It''s really hard to say which part is bleeding. But if this operation is performed by me, it can definitely be calculated. Director He can carefully recall which wounds were not properly treated during the operation. One more reminder, the patient''s current situation must not think about using coagulation drugs to control the bleeding, as long as the patient has hypercoagulation, he will die."


    Zhou Can studied with Director Hu Kan for so long.


    Director Hu passed on almost all of his knife skills and cardiothoracic surgery skills to him and Xueyan.


    Now the patient has serious postoperative complications. Deputy Director He has rich experience in diagnosis, treatment and surgery, but he can''t help him.


    One is that he can''t use all kinds of medical knowledge flexibly like Zhou Can, and second, his diagnostic ability has always been a weakness.


    Last but not least, it has long been a habit for him to perform sloppy operations.


    It was difficult for him to find out what hidden dangers were left in the operation.


    Sometimes, he may not even care.


    "Doctor Zhou, I know that you have obtained the true biography of Director Hu, and your diagnostic skills are extremely high. You must help me with this patient, first help find out the cause of the bleeding. After the matter is resolved, I will treat you to dinner. Next time you need my help, you can talk about it."


    Deputy Director He was indeed frightened by him.


    The patient died of massive postoperative hemorrhage, and he, the chief surgeon, was greatly affected.


    These days, few family members are vegetarians.


    As long as the patient dies in the hospital, or soon after the operation, the family members will make trouble if they don''t care. If the patient died of hemorrhage after surgery because of Deputy Director He''s sloppy operation and improper handling, then the family members will apply for an autopsy, and Deputy Director He will be in a very passive position.


    Under such circumstances, it was really nothing for him to lower his head and ask Zhou Can for help.


    Zhou Can was able to tell that the patient was bleeding heavily after surgery, indicating that there may have been some clues.


    "If you want to help, I really have one thing."


    Zhou Can''s eyes flickered.


    "Please tell me!"


    Deputy Director He''s face was a little stiff. This boy surnamed Zhou is really rude to him.


    Now that he has something to ask for from others, he must be polite to Zhou Can.


    "It''s not a big deal. Director He can definitely do it, and it won''t cause any loss to you, but it will be beneficial." Zhou Can said calmly.


    "What the **** is going on?"


    Deputy Director He was cautious by nature and never dared to agree hastily.


    After all, he is a respectable person, and if he backs out after agreeing, it would be a bit of a loss.


    Anyone with a certain status pays great attention to their own credit.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    An adult, if he is over 30 years old and has no credit, will run the train with his mouth full, and what he promised today will be forgotten tomorrow. Ten out of ten people like this get messed up in society, and end up living as pitiful wretches.


    Because without trustworthiness, first of all, there will be no real friends. Relatives will stay away from such people.


    No one wants to cooperate with such a person, let alone lend money to such a person. Leaders will also have extreme distrust of such people, and it will never be possible to put such people in important positions.


    In the end, this kind of person is destined to live at the bottom of the worst society.


    "I want you to let go of all your prejudices, and sincerely obey the leadership of Director Xue from now on, and work together to build the cardiothoracic surgery well."


    Zhou Can said solemnly.


    Director Hu had explained to him before he died, and now the cardiothoracic surgery department is fighting fiercely. Not to mention external pressure.


    If internal strife cannot be stopped in time, the Department of Cardiothoracic Surgery is likely to be torn apart, or gradually decline, and eventually a large number of talents will be lost, and it will be reduced to a third-rate department.


    Therefore, Zhou Can must find a way to stop the internal strife.


    The source of the contradiction lies in Deputy Director He. He is not convinced that Director Xueyan has become the department director, so he engages in hilltopism.


    From time to time, he gave director Xueyan eye drops and dug holes.


    These behaviors are actually very bad, but the hospital is a unit. Even if Deputy Director He is so bad that pus oozes from the soles of his feet and sores develop on the top of his head, as long as he doesn''t violate the hospital''s regulations, no one can do anything to him.


    In this regard, we can refer to those people who have established staff in public hospitals, but because they offended the leaders, their future is bleak and they are completely ruined.


    Facing this kind of person, even the dean has a headache.


    But nothing can be done.


    Director Xueyan did not expect that Zhou Can would directly ask Director He to submit to her under such circumstances. And it''s still on the table.


    She was both moved and admired by Zhou Can''s courage.


    If it were her, she would never dare to put such a thing on the table.


    Many things have been pointed out that it takes more than courage. There is also the huge risk of tearing your face apart.


    "You put forward such a big condition just to help find out the cause of the patient''s bleeding?" Deputy Director He showed disdain clearly on his face. This kid surnamed Zhou is too naive, after all, he is young.


    The weight of the two conditions is obviously not equal, how could he agree?


    Zhou Can nodded solemnly.


    "Not only will I help find the cause of the bleeding, but I will also help treat the patient together so that the patient can turn from danger to safety. If the patient dies in the end, our gentleman''s agreement will be void. If the patient is discharged safely, you must let go of your prejudices and sincerely cooperate with Director Xue''s work. "


    Zhou Can''s expression was always serious.


    He is not a rookie in the workplace, so if he dares to raise it, he naturally has his own trade-offs.


    "What if I don''t agree?"


    Deputy Director He obviously still didn''t want to give up competing for the head of the department because of this matter.


    "You will definitely agree. That patient has already shown a typical anemia appearance, and there is not much time left for your rescue. As long as this patient dies, you will definitely have to sue. I have seen the accompanying family members, it is not Ordinary family. When the time comes for an autopsy, it will be found that it was due to an omission in the operation, which was not in place, causing the patient to hemorrhage after the operation. You will not only ruin your reputation, but also your future and money. If you don¡¯t do it, your family will have to suffer .¡±


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can gave him an in-depth analysis of the huge risks involved.


    What clinicians fear most is medical malpractice.


    It is considered light to be directly forced by family members to kneel and burn paper money in the outpatient hall of the hospital. Some doctors were even forced to commit suicide by jumping off the building.


    Deputy Director He''s forehead was already soaked with sweat, which was frightening.


    Fear hides deep in everyone''s heart, and everyone has times of fear.


    "Doctor Zhou can be sure that the patient''s bleeding must be caused by my inappropriate handling during the operation? I followed the normal procedure, and the operation was inherently risky. Even if the patient really died, the family members signed it. If you want to make trouble, let them Let''s go make a fuss."


    Deputy Director He is obviously a bit strong on the outside, but here he speaks hard.


    But the heart is very empty.


    "The family member''s signature is a choice to trust the hospital and the medical staff. But it does not mean that the doctor can be careless during the operation and not take human life seriously."


    Zhou Can poked through his last fig leaf.


    If it was normal, Deputy Director He would have jumped and scolded him long ago.


    At this moment, as if he had been hit hard, he didn''t make a sound. Only a pair of small eyes are wandering around.


    The beads of sweat on his forehead got bigger.


    He kept raising his sleeves to wipe his sweat.


    Director Xueyan just stood by and looked at Zhou Can with a strange look. Occasionally look at Deputy Director He. But don''t interrupt.


    Seeing that Deputy Director He''s psychological defense began to collapse, Zhou Can continued to heat up.


    "Director He should be 56 this year, right? With all due respect, even if you become the director of the Department of Cardiothoracic Surgery, it will only be less than four years. What''s more, what you took over is a mess, and the pressure is not normal. How can you be the deputy director now? Easy? People will fight and fight all their lives, and they will lose everything in the end, so there is really no need for that.¡±


    It''s really against the law for a young man to say such things to a middle-aged and elderly person.


    However, Deputy Director He just listened to it.


    "Okay, I promise."


    After a battle between man and nature, Deputy Director He finally chose to agree after weighing the pros and cons in depth.


    "That''s right! Why do you have to be obsessed with being the head of the department? The current cardiothoracic surgery department is in a very bad situation, and even if you take over, you will be looking for guilt."


    Seeing that Zhou Can used this matter to successfully control Deputy Director He''s stinky and hard bone, he also breathed a sigh of relief.


    "I have one more condition. You said two days ago that there is something wrong with my body, so you have to tell me what''s wrong with me." Deputy Director He said.

 Chapter 422： It is worth checking the cause of bleeding one by one

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    It seems that this matter has brought great trouble to Deputy Director He.


    Once a hypochondria has a seed, it will germinate and grow wildly. It will spread endlessly like a vicious weed, and it cannot be burned or chopped off.


    "Can!"


    Zhou Can agreed to him with this little additional condition.


    The two sides have reached a verbal gentleman''s agreement.


    When Director Xueyan saw Deputy Director He, the biggest ''villain'' bowing her head, she couldn''t help but smile. Without Deputy Director He to oppose her and sing the opposite tune, the internal friction in the department will soon return to normal levels.


    When Director Hu Kan was alive, the Department of Cardiothoracic Surgery was quite united, and there was basically no internal friction.


    The so-called internal friction refers to intrigue and all kinds of vicious competition.


    For example, seeing that the patient of doctor a has a serious hidden danger, doctor b just keeps silent. After waiting for the patient to have an accident, doctor a is in bad luck. This is a type of internal friction.


    There are also all kinds of obedience and violation, passive sabotage, and shifting responsibility, let alone.


    Now through this incident, Deputy Director He, the biggest thorn in the side, has been subdued, and cardiothoracic surgery will soon move towards unification.


    The comprehensive strength of the entire department will also be greatly improved.


    Today is really a good day.


    She regained the confidence she lost on the operating table, and with Zhou Can''s full help, she subdued the biggest thorn in the department.


    "Doctor Zhou, now we are shaking hands and making peace, can you help us analyze the cause of the patient''s postoperative hemorrhage?"


    Deputy Director He is very anxious about this matter.


    Especially after Zhou Can frightened him, he was very afraid that this patient would ruin his life.


    After all, he is still living a comfortable life now.


    To be able to be rated as a senior professional title, and then to be able to hold an administrative position at the level of deputy director of the department, no matter how bad life is, it will not be so bad. Earning tens of thousands of dollars a month is like playing.


    The social status is also high.


    "No problem! Next, let''s analyze several reasons for the patient''s postoperative hemorrhage."


    Zhou Can began to help them find the cause of the bleeding on the spot.


    "I have carefully looked at the patient''s surgical site. There are about five common causes of postoperative bleeding. It would be even better if you could show me the surgical records."


    He is not a god, it is nonsense to know where the patient is bleeding at a glance.


    If it was so easy to find out the cause, Deputy Director He wouldn''t have been manipulated like this.


    "The operation records are on my work computer. Please take a step and go to my office. I will call them up immediately." Under normal circumstances, the operation records cannot be stored on Deputy Director He''s work computer.


    This shows that he has already tried to find a way to transfer here on his own, trying to find the cause, but failed.


    The three came to Deputy Director He''s office.


    Turning on the computer, Deputy Director He opened the operation record.


    "Director Xue, Doctor Zhou, this is the operation record, please read it!"


    "Sister Yan, sit down, I''ll just stand by and watch!"


    After all, Zhou Can is a young man with good physical fitness. Director Xueyan has worked all day, and it is already past twelve o''clock in the night, and it can be seen that her face is full of exhaustion.


    She has a close relationship with Zhou Can now, and she is not polite to him.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Deputy Director He put his greatest hope on Zhou Can. Because Zhou Can has always been very strong in finding the cause.


    "Doctor Zhou, I wrong you to sit on this little stool."


    He moved a plastic stool for Zhou Can to sit on.


    This service is quite considerate.


    In the world of adults, there are only interests. There are no permanent enemies and no permanent friends, only the exchange of interests.


    Not long after sitting down here, a nurse on duty ran over in panic.


    "Director Xue, Director He, it''s not good. The family members of the 12-bed patient just rang the bell. I went to check and found that the patient showed signs of shock."


    When the nurse on duty is on duty at night, the most annoying thing is to ring the bell continuously.


    When you are busy, it is difficult to squint and take a nap at night.


    Sometimes, the bed has just been dealt with, and I sit down to take a breather. The other bed rang again. They even rang the bells for two or three beds at the same time, making them very busy.


    "I''ll go there right away!"


    When Deputy Director He heard that the patient was in shock, he immediately panicked.


    I''m really afraid of what will happen.


    They were trying to find the cause of the bleeding, but the patient couldn''t wait any longer and showed signs of shock.


    Zhou Can mentioned to him before that the patient had already developed severe anemia, indicating that the hemorrhage was getting worse. Now it really comes true.


    "Doctor Zhou, you are very good at all kinds of first aid, let''s go and have a look!"


    When Deputy Director He said this, he felt extremely ashamed.


    He is not only a veteran, but also a senior chief physician. Now the patient showed signs of shock, but he wanted to ask Zhou Can, a young doctor, for help.


    If it was an ordinary critical emergency rescue, he would definitely not panic.


    But for this patient, he has already learned about the condition in detail, so he doesn''t know where the bleeding is at all. This is also impossible to rescue.


    Postoperative bleeding like this belongs to internal bleeding. If the bleeding cannot be stopped in time, no matter how much blood is transfused, it will be a drop in the bucket.


    And excessive blood transfusion, there will be many side effects.


    After all, what is infused is processed plasma, and it does not belong to the patient himself. A large amount of allogeneic blood is transfused in a short period of time. Among other things, the blood temperature alone is difficult to control.


    There are also many other adverse reactions, such as congestive heart failure and pulmonary edema, sodium citrate poisoning, allergic reactions and so on.


    Just imagine, when a patient needs a massive blood transfusion, the vital signs must be seriously unstable.


    At this time, the adverse reaction of blood transfusion occurs again, and the life of the patient is like a candle in the wind, which will be extinguished in an instant if there is a slight wind and rain.


    Deputy Director He has rich experience in rescue, and it is precisely because he knows the danger that he puts down his face and asks Zhou Can for help.


    "Go, I''ll accompany you there!"


    Zhou Can didn''t refuse, stood up and followed Deputy Director He out.


    When helping others, you should avoid hurting the other person''s face.


    This is the dignity of a family, once it falls to the ground, it will be broken.


    When helping others, if you don''t save face for the other party and act as if you are superior, then it is better not to help.


    Because even if you help, the other party will not have any gratitude.


    There will likely still be a grudge afterwards.


    Director Xueyan stayed in the office and continued to check the operation records. Her theoretical knowledge is very strong, and she has been carefully taught by Director Hu Kan. Maybe something will be discovered.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    In the ward where Zhou Can followed, he saw that the middle-aged man had indifferent eyes, his face became paler, and his body was trembling slightly.


    The drained fluid is **** water, and the color is not particularly bright.


    "Doctor Zhou, what do you think is the safest way to treat it now?"


    Deputy Director He''s forehead was covered with sweat.


    The family members were lying on the edge of the bed and sobbing, probably already prepared for the worst.


    "Blood transfusion first, conservative treatment!"


    Zhou Can has his own judgment after reading it.


    "But the bleeding in his body can''t be stopped, no matter how much blood is transfused, it will be a bottomless pit!"


    Deputy Director He did not expect such a result from Zhou Can''s question.


    Conservative treatment, even a doctor knows, do you still need to ask him?


    "Save the patient''s life first, we must seize the time to find out the cause of the bleeding, and then formulate a corresponding precise plan."


    Zhou Can has seen all kinds of rescue scenes, many of which were ten times more serious than this one.


    Therefore, he appeared extremely calm.


    Those who have seen the world and those who have not seen the world behave completely differently when encountering things.


    Those big bosses who never changed their faces before the collapse of Mount Tai were all experienced in countless crises.


    Three years of professional training experience has allowed Zhou Can to completely transform. He may not be considered a senior doctor, but he already has a trace of calmness that a senior doctor should have.


    "Okay, I''ll immediately issue a doctor''s order for emergency treatment!"


    At the same time, there is also a critical illness notification letter, which must be sent to the family members.


    According to the hospital''s regulations, as long as the doctor judges that the patient''s life is in danger, he must report the critical illness to the family. This also allows the family members to have a psychological preparation.


    After blood transfusion, the patient''s vital signs improved.


    But this is only temporary.


    In Deputy Director He''s office, due to time constraints, Zhou Can could only read the operation records as quickly as possible. At least know which parts were cut and what intraoperative treatments were done.


    "Because the time is very tight, I will directly talk about the five possible causes of bleeding. The first one is that after the separation and cutting of the chest wall, diaphragm and pleural adhesions, the hemostasis is not complete. By viewing the entire operation record, and your usual operation... style , which is the most likely reason."


    Zhou Can originally wanted to say that Deputy Director He was a bit sloppy in his operations, but thinking about how hurtful he was, he changed it to the word style.


    "I also suspected that this link was not done well, but just to be on the safe side, I asked Yizhu to check it again at that time. The bleeding point was treated again. The first assistant at that time was Dr. Yao. He was always meticulous in his work, and hemostasis was his strong point. So the probability of something going wrong is very low.¡±


    Deputy Director He denied the first cause of bleeding.


    Zhou Can nodded, and continued, "May I ask who did the chest closure?"


    "He is one of my attending doctors, and the level of suturing is quite good. I also checked after the chest was closed and sutured. The sutures are neat and the cortex is tightly fitted. There should be no problem."


    Deputy Director He did not dare to take this kind of major surgery lightly.


    It can be seen that he strictly controls every aspect of the operation.


    In fact, no chief physician dares to take it lightly when performing any major surgery above the third level, after all, human life is at stake. If something happens, it will have a great impact on the director.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    [To be honest, I have recently followed up, changed sources, and have many voices for reading aloud. Both Android and Apple are available for .huanyuanapp. ¡¿


    If you don''t do it well, you will have to sue.


    Also, as long as the director''s energy is not so powerful that he can control the sky, some omissions will be found out during the investigation.


    "If the first cause of bleeding is ruled out, I think the possibility of injuring the intercostal arteries and veins during chest closure and suturing is extremely high. If this can also be ruled out, it is that the intercostal arteries and veins were injured when the chest drainage tube was placed. , veins. The color of the drained liquid is not bright red, and the possibility of injuring the intercostal arteries when the chest drainage tube is inserted can basically be ruled out. If the veins were injured, the amount of bleeding should not increase so quickly."


    "To sum up, I believe that the possibility of injuring the artery is the greatest when the chest is closed and sutured." Zhou Can gave his own analysis.


    "I also suspect that the artery was injured during suture or catheterization. Now that I have heard Zhou Can''s analysis, I strongly support his point of view. The possibility of injury to the artery during suture is the greatest. Only in this way will the amount of bleeding increase rapidly."


    Director Xueyan has not expressed any views.


    At this moment, Zhou Can had cut through the mess quickly, and directly pinned the cause of the bleeding on the link of suturing and closing the chest, so she simply followed suit.


    "Then what to do next?"


    Deputy Director He has lost his mind and completely lost his mind.


    "The only way is to enter the chest along the original incision, quickly remove the blood clot, **** out the blood inside, and repair the damaged blood vessels. During this process, rapid blood transfusion is required."


    Zhou Can gave a solution.


    If it is not absolutely necessary, it has only been more than a day since the operation, and the chest will never be opened again.


    Because it hurts the patient too much.


    Right now, in order to save the patient''s life, this should be the only way.


    "This... everything else is fine. It is not easy to repair the damaged arteries. I am worried that the repair time will be too long, and the patient will die before the second chest closure!"


    Deputy Director He is well aware of how much thoracotomy does to patients.


    "I''ll do it."


    Zhou Can didn''t need him to speak, and offered to help.


    "Thank you! Thank you so much!"


    Deputy Director He held Zhou Can''s hand tightly.


    He knew very well that Zhou Can accompanied Director Xueyan to perform surgery until twelve o''clock after get off work, and his body was already in a state of exhaustion.


    In this case, in order to help him save the patient, he had to participate in the operation again.


    And it was Zhou Can who offered to help.


    People are not plants, how can they be ruthless.


    Even if Deputy Director He is hard-hearted at this moment, he is full of endless gratitude to Zhou Can at this moment.


    As for whether he will be capricious and ruthless in the future, no one can say for sure.


    ¡­


    At one o''clock in the morning, Zhou Can dragged his tired body out of the operating room.


    Director Xueyan yawned so much that she couldn''t keep her eyes open.


    In fact she just accompanied the operating table the whole time, and did not personally participate in the operation.


    Basically, Zhou Can was in charge of the whole process.


    Under such circumstances that need to quickly open the chest, quickly clean up, repair the blood vessels, and close the chest, Zhou Can''s operation is fast and has become the only hope for saving the patient.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The fast knife style also made Zhou Can realize the importance of operation speed.


    If it is too slow, you will be hit hard in many cases.


    "Director Xue, Doctor Zhou, thank you for your help!"


    Deputy Director He saw that the patient was temporarily safe after being rescued by surgery. He couldn''t help but breathe a sigh of relief.


    For insurance, the patient was sent to a small ICU.


    That is, the intensive care unit built by the cardiothoracic surgery department itself.


    Respiratory, extra-cerebral, extra-cardiac, thoracic, and emergency departments will establish their own intensive care units as long as they have the conditions.


    "You''re welcome!"


    Zhou Can waved his hand, but his heart was beeping, hoping that this old boy would remember tonight. Do less immoral things in the future.


    "Sister Yan, it''s so late, and your mental state is extremely sleepy. I suggest you don''t go home. Just spend the night in the hospital."


    Zhou Can said to her.


    "Well, I thought so too."


    Xueyan nodded.


    Zhou Can looked at the time, it was almost half past one in the morning, and it was estimated that it would be past two o''clock when he returned to his home in Bajinghu.


    Being a doctor is really hard work.


    Fortunately, I saved so many people today, and also helped the cardiothoracic surgery to temporarily quell the civil strife, so it was worth it.

 Chapter 424： Cardiothoracic surgery in a powerful, lingering separation method

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    It is also because of the benefits of having Zhou Can participate in the major surgery. Director Xueyan is now familiar with the taste. As long as after evaluation, she feels that the operation is risky or difficult, she will definitely ask Zhou Can to help her. .


    However, when she accepts patients for surgery, she doesn''t accept all kinds of patients.


    Some patients whose operations are too difficult or too risky are either tactfully persuaded to go and let them harm other hospitals.


    Either treat the patient conservatively.


    In fact, even when Director Hu Kan was alive, conservative treatment has always existed.


    Director Hu Kan acted prudently and never challenged unsure operations easily. In his later years, that risky challenge ended up directly causing him a heart attack. It can be seen that it is a high-risk thing for doctors to treat patients.


    Patients and family members need a high degree of trust in doctors before doctors dare to carry out some risky treatments.


    Zhou Can came all the way to the Cardiothoracic Surgery Department, and he could feel that the atmosphere here has obviously improved a lot.


    The nurse''s face was no longer so cold and ugly, and she somewhat smiled.


    When walking with a basin or empty hands, the steps are brisk.


    In the past, they walked slowly like old ladies in their seventies or eighties.


    In addition to the nurses'' working attitude becoming more positive and friendly, the mental outlook of the doctors has also changed. It''s past seven o''clock now. When he passed the office just now, he saw the cardiologist and thoracic surgeon gather to discuss the patient''s condition and discuss the treatment plan.


    This is a very good phenomenon.


    You know, the previous cardiothoracic surgery was a department in name. But the doctors in the department were divided into at least two camps.


    In one camp are doctors who specialize in extra-cardiac care, and in the other camp are doctors who specialize in extra-thoracic care.


    What do you ask a doctor who is good at both extracardiac and extrathoracic treatment?


    Such people are either forced to choose sides, or they are caught in the middle and remain neutral.


    It is also this kind of division that caused the entire department to be divided into at least three camps. There is a serious weakening of the strength of the department.


    After the death of Director Hu, Deputy Director He led the chest surgery camp. The out-of-heart camp is headed by Director Le and Director Xueyan. At the same time, some people in the neutral camp supported Director Xueyan, while others supported Deputy Director He.


    Director Xueyan failed the operation and the patient died on the operating table. It should be the lowest point of her life.


    Even many doctors and nurses who originally supported her quietly turned to support Deputy Director He.


    But now, under the strong support of Zhou Can, the ''shit-stirring stick'', cardiothoracic surgery has become a rope. There are no more camps.


    Doctors and nurses from the three camps of chest surgery, heart surgery, and neutral camps all began to integrate into this big family.


    Solidarity and mutual assistance, knowledge sharing, friendly learning, and joint discussion have gradually become common phenomena in cardiothoracic surgery.


    This phenomenon is also what Zhou Can is happy to see.


    Although the external suppression and siege of Tuya''s Cardiothoracic Surgery Department is very strong, and although the department''s diagnosis and treatment business is still shrinking, Zhou Can is very optimistic about the future of this department.


    As long as the internal unity is unified, then the strength of all aspects will be improved, and the shortcomings will be gradually filled, so there is no need to worry about competitiveness.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    In the operating room, besides Director Xueyan and Deputy Director Lu, two familiar faces, Deputy Director He was also there.


    This really surprised Zhou Can.


    "Doctor Zhou, I''m just waiting for you!"


    Deputy Director He spoke first.


    "I''m sorry, I''m sorry, there are too many patients in the emergency department today, and I''m a little late for surgery." Zhou Can quickly apologized.


    "Now that Dr. Zhou has arrived, let''s start!"


    When Director Xueyan saw Zhou Can, a happy smile appeared between her brows and eyes.


    She also didn''t expect that after the death of her mentor, the person who could bring her a sense of security and make her feel reassured during the operation would be this "little brother" Zhou Can.


    "Is Director Le not here today?"


    After Zhou Can glanced over, he didn''t find Director Le''s figure.


    "He has been too tired for the past two days. The second operation is a heart surgery, and some important parts of the operation will be performed by him. In order to perform that operation in the best condition, he is currently on duty in the duty room. After a while, after the second operation starts, go ask him to carry it out."


    Director Xueyan replied.


    "Director He, thoracic surgery is your strong point, let you be the chief surgeon!"


    Xueyan looked at Deputy Director He.


    "No, no, I just came here to be your assistant. When you are old, you must recognize your old age. I will retire after working in a few years. In the department, your surgical talent is considered to be the best. You just need to exercise more, In the future, I will definitely be able to do extracardiac and thoracic surgery at the same time like Director Hu."


    Cardiothoracic surgery is a comprehensive department.


    Talents who can perform both cardiac and thoracic surgeries at the same time are extremely rare.


    Director Xueyan is the only one who can reach the director level. Of course, if Zhou Can is a cardiothoracic surgeon, then his talent is even more enchanting than Director Xueyan.


    Not only did he perform thoracic surgery smoothly and cardiac surgery beautifully, but he also performed interventional and endoscopic surgery well.


    This is the real top surgical talent.


    Looking at the whole of cardiothoracic surgery, there are not many surgeons who can perform thoracic or cardiac surgery well. Not to mention the talented people who can do so many types of surgeries at the same time.


    We are all mortals. In fact, there are quite a few cardiothoracic surgeons, even at the deputy director level, who can proficiently master the surgical skills of a subdivided field in the category of thoracic surgery or extracardiac surgery, which is considered very good.


    For example, some people are good at lung surgery in thoracic surgery, and then lung surgery can be subdivided into multiple subdivisions such as lung lobes and lymph.


    A seemingly simple lymph node, in actual cases, is full of strange things.


    There are all kinds of situations.


    It is not easy to master all kinds of lung lymphatic surgery.


    In short, the growth of a surgeon is far more difficult than imagined. It requires talent, opportunity, opportunity, self-effort, and a good teacher.


    Deputy Director He gave Director Xueyan the opportunity to practice surgery, and was willing to help her as a doctor, which actually sent a signal.


    He really gave up his ambition to compete for the head of the department.


    The operation started soon, and it was a liver tumor removal operation.


    The liver is called the most silent organ.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Like a man, it silently works for the body, decomposes various enzymes, and helps the body remove various poisons and harmful substances silently. It is very similar to the male head of a family.


    When it is sick, it remains silent.


    Because there are no pain nerves in the liver.


    It has only a small number of pain-sensing nerves distributed on the liver capsule on the surface of the liver. This also caused a very bad phenomenon. After the liver is sick, it is difficult for the body to warn.


    Pain signals are often high-level early warnings of the body, and are most easily detected by the human body.


    It is a blessing in misfortune that this patient still has the chance of surgery.


    Many patients with liver tumors, especially those with malignant tumors, are often diagnosed at an advanced stage.


    Liver cancer is only less common.


    Its vicious name is actually not inferior to pancreatic cancer, the king of cancer.


    Director Xueyan''s thoracic surgery is actually quite good, and the standard is already very high. It''s just that the mastery and comprehension of the steady knife technique is not particularly deep. So when faced with some difficult anatomical parts, such as separation and resection, she is likely to encounter difficulties.


    From her careful surgical attitude, it can be seen that in terms of prudence and prudence, she gradually has the style of Director Hu Kan.


    As time passed, the operation quickly reached the most critical part.


    The tumor is very close to the large blood vessels, and it is extremely difficult to separate them.


    She tried again and again, but failed in the end.


    Frustration had begun to show between her brows and eyes.


    "No, this separation is too difficult. I almost broke the aorta just now."


    Because of nervousness, the roving nurse has wiped her sweat many times.


    At this moment, her hands began to tremble slightly.


    "Don''t use an electric knife, replace it with an ordinary scalpel!"


    Zhou Can has been standing beside Luezhen.


    Deputy Director He also looked calm, and it could be seen that Deputy Director He should be sure to complete the key part of this operation.


    But this kind of thing is also difficult to say, it is easy to see things and difficult to do things, and people''s estimates are often prone to mistakes.


    Everyone has pride and arrogance, no matter how mature people are.


    So it is easy to overestimate your own strength.


    Whether Deputy Director He can successfully complete the separation of this position will only be known when he gets his hands on it.


    When doctors do internal dissection, electric knife is generally the first choice.


    Not only is it easy to operate, labor-saving, but also has a hemostatic effect. Patients also recover faster after surgery.


    Of course, if the traditional scalpel is used smoothly, it is also possible.


    It''s just that people are trying to save trouble and relax, and they can use more convenient electric scalpels. Traditional scalpels have gradually withdrawn from the stage in most surgical procedures.


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    "Using an ordinary scalpel?"


    Xueyan looked at Zhou Can.


    "right!"


    Zhou Can nodded slightly.


    "Change the knife, I''ll try again!"


    Director Xueyan had absolute trust in him, and asked the equipment nurse to replace the traditional scalpel without asking any further questions.


    "Do you still remember the steady knife separation method that Director Hu taught you?"


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can asked her.


    "Well, I remember. As long as I have time, I have been practicing and can operate proficiently, but I can''t reach a particularly refined state."


    Director Xueyan stared at the surgical site again after changing the knife.


    He was not in a hurry to get under the knife.


    She knew that Zhou Can would definitely give her some guidance by asking her to change the knife at this critical moment.


    "You use the ancient torture method, Lingchi method, to separate this part one by one. Remember, you use the knife in your hand as a blunt knife. As long as you can feel the feeling of cutting flesh with a blunt knife, I can guarantee you This separation can be successfully completed. Don¡¯t worry, even if the large blood vessel is really broken, I am sure to stop the bleeding and complete the repair in the shortest possible time.¡±


    Zhou Can is giving her a reassurance. Only in this way can she let her go.


    Being too nervous and worrying too much will definitely affect your performance.


    "good!"


    She''s ready to go under the knife.


    Just looking, still a little nervous.


    "Of course, you can''t really break the patient''s great blood vessels just because I''ve guaranteed you a ticket. After all, I''m just a half-hearted person, and I also have times when I''m wrong."


    Zhou Can''s words made her laugh out loud.


    "Hey, what you''re doing now is a level-four major surgery, can you be more serious!"


    Director Xueyan scolded angrily.


    "Sorry, actually I saw that you were too nervous, and I wanted to make you smile and relieve your nerves. Now the operation can begin."


    Zhou Can responded with a smile.


    Others in the operating room knew that the two of them were like siblings, and they had long been accustomed to their intimate communication.


    Between men and women, in fact, it doesn''t have to be love to get along intimately.


    It can also be family affection, or cooperation to achieve the same career goal, or like Zhou Can and Director Xueyan, who have the friendship of senior sister and junior brother, and have the same career goal, and work together for it.


    In addition, there is a heart of gratitude for mutual gratitude.


    Director Xueyan helped him, and he also helped Director Xueyan a lot.


    In the constant communication, the relationship between the two will naturally deepen gradually. Eventually became close friends, siblings.


    Director Xueyan began to separate the patient''s liver tumor tissue and arterial adhesions according to Zhou Can''s instructions.


    It can be seen that she is not so nervous anymore.


    With one knife and one knife, slowly cutting, she gradually entered the state.


    The mastery of the separation skills in the steady knife method is also constantly strengthened.


    Actual combat is the only way to quickly improve the level.


    Her progress was even visible to the naked eye.


    Director Hu Kan chose her as the director of the department. In addition to her character and personality, her surgical talent is also a major reference factor.


    After more than forty minutes, the patient''s liver tumor was successfully separated and then cut out.


    Director Xueyan''s eyes were full of excitement.


    She has also become more confident.


    Other members of the surgery team are also happy with her progress in surgery.


    The stronger the leader, the greater the benefits they can get.


    Everyone will benefit accordingly.


    More than half an hour later, the first operation was successfully completed, and the patient''s excised liver tumor was sent for pathological examination. The patient was observed on the operating table for more than ten minutes, and after the signs were still stable, he was sent to the recovery room for further observation and awakened from anesthesia.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    After the first operationDeputy Director He came home from get off work, and Director Le came over to participate in the operation as an assistant.


    ¡­


    When the two operations were over, Zhou Can raised his wrist to look at his watch. It was already 11:30 in the middle of the night.


    Day by day, it was really dark.


    Entering the hospital in the morning light and returning home in the starlight at night, studying medicine is really hard.


    The emergence of every great doctor is through countless tempering and slowly growing up.


    As long as he is given enough time to grow, he may become the top surgeon in the country, or even in the world.


    What can really save lives has to be surgery.


    Although internal medicine can also save lives, compared with surgery, it is much worse after all.


    In many scenarios, internal medicine is powerless.


    For the most common cerebral hemorrhage, anticoagulant drugs are used in internal medicine to find ways to lower the patient''s blood pressure and to ensure that the patient''s breathing and heartbeat are maintained normally. But the hope of being able to save the patient is still extremely low.


    Even if they are rescued, most of them are vegetative, paralyzed and disabled.


    Surgery is much simpler, direct craniotomy, repair blood vessels, and clean up intracranial congestion. The patient recovered well, was hospitalized for a period of time and was discharged, and can lead a normal life.


    Therefore, when it comes to life-saving means, surgery must be the first.


    When Zhou Can arrived at the hospital the next morning, he saw a patient with extensive burns and rotten wounds as soon as he arrived at the emergency department.


    The doctors in the emergency department have already seen it, and they dare not accept it at all.


    Contact the specialist department, the director came in person, shook his head and left after seeing it.

 Chapter 426： Justice, Conscience, A Victim of Scary Background

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Is there anything else you want?"


    The girl clasped her slightly nervous hands together and lowered her head slightly.


    "Are you really going to sell yourself and compensate the patients?" Zhou Can asked lightly.


    "If there is really no other way, I will do that. The best way is to find a kind-hearted boss, work for him, and deduct it from my salary." Although the girl is naive and inexperienced, she is not stupid .


    She is still very young now, working part-time to earn money to pay off her debts, this is an ideal way.


    At least for a vulnerable group like her, there is no way to fight against the black-hearted boss, and there is no way to fight against the fierce family members of the patients. They can only use this method to make up for the mistakes they made.


    "How long have you been working in society?"


    Zhou Can asked.


    Other doctors in the office are either doing their own work, busy writing medical records, prescribing medical orders, or discharging patients from the hospital, etc. Either focus on two things, silently listening to the conversation between Zhou Can and this girl.


    In fact, the hospital can see all kinds of dark things in the world every day.


    For example, parents bring their children to the hospital to see a doctor, and they are willing to treat them no matter how much money they have. Selling houses and cars, and even borrowing money to see a doctor for their children. However, when adult children bring their elderly to see a doctor, as long as the medicine is slightly more expensive or the treatment fee is relatively high, they are likely to give up directly.


    One mother raises seven children, but it is difficult for the seven children to support the mother. This is a true story that is often staged in hospitals.


    Of course, there are also very filial children who just hope that their parents can recover and leave the hospital as soon as possible, and they don''t care how much money they spend.


    [In view of the general environment, this site may be closed at any time, please move to the permanent source replacement app, Huanyuanapp as soon as possible]


    However, Zhou Can has encountered very few such filial children since he became a doctor.


    Unfilial children encounter the most.


    "I have been working for almost seven months. I originally wanted to make some money and then apply for an adult college. Now that this happened, I just wanted to cure that uncle''s illness as soon as possible. There is nothing else I can do Think about it again."


    The girl''s hands were pulling each other vigorously, showing her helplessness and hesitation when encountering such a thing.


    Applying for an adult college?


    The girl said that she has only been working in society for seven months, so how old is she now?


    Zhou Can has been with Dr. Xu for a long time, and gradually developed a problem with rigorous thinking.


    "May I ask, how old are you this year?"


    It is very rude to ask a woman''s age.


    Just like asking about a friend''s annual income, it is easy to arouse the other party''s resentment.


    "I''m 20 years old this year! After the new year, I will be 21. I was born in the mountains of Guizhou, where education is relatively backward. I didn''t go to school until I was almost eight years old. Later, through hard work, I was admitted to the county. my high school, but when I was about to graduate from high school, my father unfortunately died in a coal mine accident..."


    This is a very miserable girl.


    In fact, there are not a few children in the world who suffer from hardships, but there are very few children like her who are self-improving.


    Many children finally bowed their heads to fate.


    But from her eyes, you can see the tenacity of the grass on the Liliyuan, the heavy snow can''t crush it, the wildfire can''t kill it, never give up, never bow. I have always maintained my original intention.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Like this kind of children, most of them have been struggling in society, and after years of exercise, they will be promising.


    "Where''s your mom?"


    "After my mother gave birth to me, she felt that the life in the mountains was too hard, so she left me and my father and ran away." When she said these things, she did not shed tears.


    Perhaps her tears had already dried up.


    "Your father had a mining accident, didn''t you lose money to your family?"


    Zhou Can was not going to ask.


    But the girl''s current situation really needs a sum of money.


    "The money is with my uncle. I called him and asked for it. He said the money had already been used to build a house."


    The girl said with some pain.


    You could feel the anger in her tone.


    Sure enough, this world is extremely cruel. People who are good are bullied, and horses who are good are ridden by others.


    Even her own uncle, when she needed help the most, instead of giving her the money that should have belonged to her, instead ruthlessly plundered it.


    In this world, the law of the jungle has existed since the appearance of human beings.


    Although it is now a legal society, it is undeniable that there are darkness in many places that the law cannot control.


    This girl is too weak, so her boss, the patient''s family members, and her own uncle all bully her and squeeze her value. Maybe, when she gets married in the future, her uncle will brazenly make another dowry money.


    "If I say, I can call some positive energy people in society to help you. For example, if you scald the diner, you should not bear all the treatment costs and compensation, you only need to bear a small part. And your father had a mining accident The compensation should also belong to you. Do you want these?"


    Zhou Can asked the girl seriously.


    He is not a good person, but that doesn''t mean he has no conscience.


    When encountering those family members, even if they stuffed red envelopes and knelt down, he would ignore them.


    But every time he encounters difficulties at the bottom of the society, especially some weak people with pure souls, he can''t help but want to lend a helping hand.


    "Help me, what are you planning? Are you like my boss, want me to accompany you for a few years?" The girl asked vigilantly.


    She has been hurt too much, so it is hard to believe that there are good people in this world.


    Anyone who tries to get close to her will be vigilant.


    This is the instinct of self-preservation.


    "I don''t want anything in return from you. Just because of the words justice and conscience."


    Zhou Can replied seriously word by word.


    "Justice, conscience..."


    The girl looked at him with some surprise, and boldly met his eyes for the first time.


    "Well, it''s for justice and conscience. I hope my help can help you get out of the current predicament as soon as possible, and then re-enter the school to pursue your ideals and dreams. After you learn something in the future, you can give back to the society. It can bring warmth to more people in need, that¡¯s all.¡±


    Zhou Can answered her doubts seriously.


    "If this is the case, I am very willing to accept your help, and I will remember your kindness for the rest of my life. I always dreamed of going to university. During the college entrance examination, I was actually admitted to a pretty good university. It''s a pity that because I have no money and my father is gone, I thought about working part-time to support myself first, and then study slowly."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    When she looked at Zhou Can, her eyes had obviously changed.


    That is gratitude, respect.


    "If possible, I plan to take the college entrance examination next year and change my major. I also want to be a doctor, a good doctor like you."


    When she said this, her tone was firm and her eyes were persistent.


    "Hey, I advise you to get rid of this idea. It is a thunderbolt to persuade people to study medicine. Studying medicine is very hard, and the current medical ecological environment is very poor, it is too difficult."


    Zhou Can smiled wryly.


    Only those who have studied medicine know how hard and difficult it is to study medicine.


    It''s not all smooth sailing after graduate school.


    Most people see the bright side of doctors, and those doctors are chief physicians in their forties or fifties.


    They have worked hard in the workplace for many years, and only then have they achieved what they are now.


    Ordinary doctors, most of them have a hard life.


    "I am not afraid of hardship. How are you going to help me?"


    Zhou Can''s words obviously touched her heart. If she could get rid of the predicament in front of her, she would naturally be willing to do so.


    "Leave me a phone number, write your name and ID number, and I will find someone to contact you."


    Zhou Can himself does not have the time and energy to help such vulnerable groups.


    This matter has to trouble one person, that is the TV station reporter Mu Bi.


    The girl left her personal ID information and phone number, and Zhou Can asked her to wait patiently.


    The big reporter Mu Bi is busy with work, so it''s hard to say whether he is willing to take care of this matter.


    Of course, if Mu Bi doesn''t want to take care of this matter, Zhou Can still has ways to find other social forces. It''s just that the effect is definitely not as good as finding her.


    With the supervision of media power, many things will be done surprisingly smoothly.


    This is why many ordinary people will always try their best to find media reporters for help when encountering difficulties.


    After the girl left, Dr. Xu came over.


    "Xiao Zhou, are you really planning to admit that patient? I have learned that the patient is not only allergic to anesthesia, but also received regular treatment after the burn, but the effect was not satisfactory, and infection still occurred. Various antibiotics were used to no avail. Our hospital How to cure it?"


    Dr. Xu is Zhou Can''s teacher, and he speaks directly.


    "I told the patient and signed an exemption agreement. Our hospital can try its best to save people, but if it fails, it will be his life. If the family members don''t agree, they can only ask them to go to another hospital. "


    Zhou Can also knows that this patient is very difficult, but if he can avoid some risks, it is definitely worth a try.


    After all, saving lives and healing the wounded is also the bounden duty of doctors.


    "The patient''s injury, I guess other hospitals are also difficult to treat. But I have a way, I can try."


    Zhou Can saw that Dr. Xu''s brows were still frowning tightly, obviously he did not agree to admit this patient.


    "any solution?"


    Doctor Xu asked.


    "Son of Lucilia sericata."


    Zhou Can felt that this patient''s situation was very special, so he could try this method.


    "You said to use maggots?"


    Dr. Xu''s eyes lit up slightly, and when he looked at this apprentice, he showed an expression of appreciation.


    In addition to being very practical in surgery, this kid often has some unconstrained ideas about diagnosis and treatment. The way of thinking is completely different from that of normal people.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Exactly." Zhou Can nodded vigorously.


    "Since the invention of antibiotics, the method of treating wounds with maggots has almost disappeared. But the method you mentioned is really worth a try." Dr. Xu has obviously let go.


    Zhou Can struck while the iron was hot, and continued, "Signing the exemption agreement may require a little effort from the hospital''s legal affairs, but if this patient is cured, it will not only save a life, but also a good one for our emergency department." This kind of strange treatment method, even if it is only on the tabloids, it can also be on the hot search very quickly."


    Zhou Can didn''t say anything about the next thing.


    He believed that Dr. Xu knew better than him.


    "Well, your boy is indeed a good material. Okay, I will talk to the family members first. If they agree, I will talk to Director Lou. Those family members are not kind people. In the future, when I meet such family members, You must be extra careful, and you must not show kindness indiscriminately. Go to work quickly!"


    Dr. Xu is strict and caring towards his disciples.


    The selected surgical patients, especially the patients who need to be hospitalized after the operation, are selected through multiple checks.


    Therefore, Zhou Can has not encountered such a bad thing so far.


    ¡­


    Zhou Can first rushed to the inpatient ward to check the ward, and then took the time to send Mu Que a message.


    Before she could reply, she went straight into the operating room and started her day''s work.


    In the morning, it was naturally very busy.


    Now the operating room in the emergency department has been operating with dozens of operations per day for more than two months, and all aspects have been well adjusted.


    Everyone is serving around Zhou Can.


    This key part of him can''t lose the chain.


    When he was busy eating at noon, Dr. Xu told him the news that the scalded patient had been successfully admitted. The family also signed the agreement. Director Lou attached great importance to this matter.


    Zhou Canlai was the first doctor and the treating doctor.


    It is almost clear that if the treatment is successful, then the emergency department will do its best to make Zhou Can a star.


    "My qualifications are low, the treatment should be done by you, the teacher!"


    Zhou Can hopes to help Dr. Xu stand up again.


    "Are you trying to help me or harm me? It''s not like you don''t know what''s going on with me. Anyone in the emergency department can be famous, but I can''t. I have to keep a low profile as low as I can. By paying attention, I have a chance of survival."


    Doctor Xu glared at him.


    It''s not that he doesn''t appreciate Zhou Can''s love It''s not that he doesn''t know Zhou Can''s filial piety.


    It''s that his situation is extremely special, and Zhou Can doesn''t know the depth of it at all.


    "It''s been so many years since that medical accident, and you''ve been actively compensating the victim''s family. Don''t they want to let you go?"


    What Zhou Can was even more curious about was, what was the origin of that victim?


    Neither Dr. Xu nor the senior management of the hospital kept this matter secret.


    "Unless the patient is cured and allowed to stand up again. Otherwise, I will be very lucky to be able to maintain the current working status in my life until I retire."


    Doctor Xu said in a solemn tone.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "What is the origin of that patient?"


    Zhou Can couldn''t help asking.


    "In short, the background is very scary. You''d better not ask too much about this matter. It''s not good for you. I might as well tell you that I give most of my income to compensate the victims every month, but people don''t care about that money at all. On. Mainly my attitude can make them more comfortable."


    This is the first time that Dr. Xu revealed the identity information of the victim.


    If you think about it, if you can force Tuya Hospital to hide a top surgical knife directly, the energy of that victim must be terrifying.


    This is what being a doctor is all about. To cure a person is a great achievement.


    If it is not cured, it will be miserable.


    Since ancient times, the treatment of doctors has basically been like this.


    In ancient times, there were few imperial doctors who were beheaded?

 Chapter 427： Ask for maggots, all maggots will eat together

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    I used to think that Dr. Xu has been giving most of the wage subsidies to the families of the victims, which is completely unnecessary.


    It is only now that I understand that there is such a deep secret in it.


    The energy of the victims of Dr. Xu''s medical malpractice is terrifying, and Dr. Xu is just an ordinary doctor who doesn''t show the greatest sincerity. If someone is angry and hard to calm down, maybe it''s just a matter of talking, and Dr. Xu will have to follow suit .


    Doctors have to deal with not only the serious diseases ahead, but also all kinds of open and dark swords and whips behind them.


    The staff of the hospital''s administrative department, leaders at all levels, higher-level authorities, and local dignitaries can almost control doctors as long as they are some powerful figures.


    Zhou Can can understand the hardships and difficulties of the teacher.


    "Teacher, some companies invite you to give lectures, will you agree?"


    Zhou Can has too much money to use up.


    Dr. Xu needs to pay most of his salary to the victim''s family members every month. At his age, he doesn''t even have a scooter, and he wears ordinary clothes. Presumably his financial conditions will not be too good.


    Zhou Can''s idea is to help Dr. Xu earn income other than salary by inviting Dr. Xu to give lectures.


    Giving money directly is simply insulting people.


    Dr. Xu would definitely not accept it.


    "It''s good for me to maintain my current state. I appreciate your kindness. By the way, how are you going to treat the patient whose thigh was burned and the wound was infected and rotted?"


    Dr. Xu is very smart and immediately understood Zhou Can''s good intentions.


    After he declined, he changed the subject directly.


    Obviously don''t want to continue talking about it.


    "The patient can''t get anesthesia, so he can''t do debridement surgery. I''m going to put him in the ward for a day, and then use the sterile maggots in the laboratory to help him clean up the carrion. If there is no accident, he can see it in three to four days. to the effect."


    Zhou Can was somewhat looking forward to this never-before-used treatment method.


    He will encounter all kinds of difficult patients in his medical career. He needs to be brave in innovation, try as many treatments as possible for the patients, and gradually accumulate richer practical experience.


    Only in this way can it become stronger and stronger.


    "Maggots of Lucilia sericata may not be available in our hospital laboratory. But they can definitely get them from the medical school. You can ask Director Tan from the Department of Internal Medicine for help. Or you can easily get them from Director Zhang Bihua from the Department of Obstetrics and Gynecology. The main reason is that it is urgently needed here, and our department just applies for it on its own, and it is considered good if we can get a batch within three days."


    Doctor Xu gave him advice.


    General doctors really don''t have such a wide network of contacts.


    But Zhou Can is very familiar with Director Tan of the Department of Internal Medicine and Director Zhang of the Department of Obstetrics and Gynecology.


    If you ask them for help with such a small matter, you will definitely agree.


    After a little thought, Zhou Can decided to ask Director Tan for help.


    After talking with Dr. Xu, he checked the messages and missed calls on his mobile phone while eating.


    The female reporter, Mu Bi, has already sent him a message.


    "Docked, remember to treat me to dinner!"


    Her efficiency is top-notch.


    I didn''t expect to connect with that girl so soon.


    Now look forward to a good result!


    Journalists are by no means omnipotent.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    That girl''s boss is definitely not a good person, and it may be harder than heaven to get him to pay for a large amount of medical expenses.


    As for helping the girl recover the compensation for the death of her father in the mining accident, it is even more difficult.


    Her uncle had obviously embezzled the money for himself, so how could he spit it out so easily?


    On the contrary, it is easier to deal with the family members of the patients.


    If it doesn''t work, let the family members go to court. However, there is a premise that relevant institutions need to protect the personal safety of girls.


    It can be seen that she is full of fear for the patient''s family.


    Those tough family members were annoyed, and they were likely to vent their anger on her, illegally detaining her, physically harming her, and so on.


    Zhou Can will definitely pay continuous attention to this matter, and try his best to have a better result.


    After lunch, he went straight to Director Tan''s office. I have already made up my mind, if Director Tan is not around, I will go to the obstetrics and gynecology department to find Director Zhang.


    If you go to the obstetrics and gynecology department, you will definitely see Yang Chan.


    Because she is Director Zhang''s beloved student, Director Zhang takes her with him no matter whether he is visiting the clinic, doing surgery, or checking the ward.


    As she grew older, Yang Chan also became more mature and generous, and her attitude towards Zhou Can also seemed to be quietly changing.


    Every time she went to the obstetrics and gynecology department, Zhou Can could feel the blaze in her eyes.


    As someone who has experienced it, he knows very well what the meaning of Yang Chan''s eyes looking at him is.


    It''s really not that he is narcissistic, but based on his intuition, it is almost certain that Yang Chan should have a little interest in him. The current state is probably a secret love.


    Of course, this kind of thing is just Zhou Can''s unilateral guess.


    He is a family man, even though he is a classmate with Yang Chan, he has received a lot of help from her. But let him betray love, he can''t do it anyway.


    A man''s lower body is instinct, and the upper body is self-cultivation.


    Many doctors who have achieved a little bit are married for the second time or even the third time.


    Zhou Can is unwilling to take the marriage path that has been trying early adopters.


    Medical representatives, young nurses, female doctors, and young and beautiful female patients are all attractive. But once he took that step, the two girls were hurt.


    So he has been very sane.


    Recently, I rarely go to the obstetrics and gynecology department for nothing.


    When he came to the office of Director Tan of the Department of Internal Medicine, he was lucky. Director Tan happened to be back from an academic conference.


    At the moment, I am looking at some difficult case materials in the department in the office.


    "Xiao Zhou, you are a rare visitor!"


    When Director Tan saw Zhou Can coming, he was very enthusiastic.


    "Director Tan, I have something to trouble you today."


    Zhou Can found that the students who accompanied Director Tan were no longer high-spirited, but replaced by two new faces.


    Director Tan''s academic achievements are very high. From his promise, as long as Zhou Can develops in internal medicine, the postgraduate education will be covered by him. It can be seen that his status in the academy is definitely not low.


    This time, Dr. Xu asked Zhou Can to ask Director Tan or Director Zhang of the Department of Obstetrics and Gynecology to help with the sterile maggots. It can also be seen that these two have a high status in the college.


    At least Director Tan is also a master''s supervisor, or even a doctoral supervisor.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The newcomers around are also cultivated batch by batch.


    The two new doctors just looked at Zhou Can with curious eyes.


    "When did you come here and ask me for help? Tell me, what''s the matter?" Director Tan said so that he was embarrassed.


    "Hey, it''s not that the debt is too heavy!" Zhou Can smiled and went to refill Director Tan''s glass. "I admitted a patient today. His leg was scalded and he was severely allergic to anesthetics. The wound is currently seriously infected and rotten. A variety of antibiotics were used in other hospitals, but the infection could not be controlled."


    "This kind of patient is not easy to treat. Without anesthesia, there is no way to perform deep debridement. Unless the patient has the willpower of steel. But if the patient really has that willpower, he will not come to our hospital for medical treatment."


    Director Tan has rich experience in diagnosis and treatment, and he shook his head repeatedly when he heard about the patient''s condition.


    "It''s okay for our internal medicine department to provide nutritional support, or use drugs to regulate the patient''s body system. If you ask me to treat such a severely infected and rotten burn, I can''t do anything. There are many types of antibiotics. If you want to change to other advanced Antibiotics, I can give some suggestions. However, I can tell you clearly that if the infection has not been controlled with a variety of antibiotics, the situation will not be ideal if other advanced antibiotics are used. Don¡¯t think about appearing in too much time. A great medical miracle."


    Internal medicine mainly treats various chronic diseases, and can also treat emergencies.


    Especially for some critical illnesses, the Department of Internal Medicine has used various methods such as drugs, nutrition, ventilators, and intervention to successfully rescue some dying patients.


    But when it comes to creating medical miracles, it has to be surgery.


    If I have to describe it, internal medicine is as stable as an old dog.


    There won''t be big surprises, and there won''t be as many ups and downs as a surgical procedure.


    Life with one knife, death with one knife, this kind of thing rarely happens in internal medicine.


    The treatment concept of internal medicine is very similar to that of Chinese medicine to set things right. It is to help the patient control the disease, stabilize the vital signs, and then rely on the patient''s immunity to overcome the disease.


    "I don''t plan to use new antibiotics, especially advanced antibiotics, which are expensive. The patient was scalded when a waitress accidentally knocked over the hot pot pot while eating hot pot in a hot pot restaurant. Now several family members are grabbing the The waitress is forcing the little girl to sell herself to lose money. If I can save some treatment expenses, I will try to save him some."


    Zhou Can explained the whole story.


    Many advanced antibiotics cannot be seen in ordinary wards.


    On the one hand, it is because ordinary patients cannot use those advanced antibiotics, and on the other hand, some drugs are very expensive. Basically all imports.


    Here I have to make more complaints about domestic medicines and domestic consumables, which are really backward.


    Antibiotics were first invented in the West, and they are leading the way, which is understandable.


    Medical equipment and various consumables are far behind others, and there are too many places that can be criticized. Many domestic pharmaceutical and equipment companies like to do bribery and marketing.


    I can understand it, after all, we have to survive.


    The quality of the produced products is far worse than that of imported ones, and the effect of using them is not good. If you don''t go through the back door, and if you don''t manage it in place, the devil will use you.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    But if going through the back door can decide everything, which company is willing to spend a lot of money on research and development to improve quality?


    The start-up cost of ecmo is more than 70,000, why is it so expensive?


    Because the set of pipes needed for starting up can only rely on imports. It is a one-time consumable.


    After starting up, the daily operating cost is about 10,000 to 20,000.


    For patients without medical insurance, if their family''s economic conditions are not good, they really can''t afford it.


    A small dose of high-grade antibiotics costs more than 1,000 yuan. For patients with serious illnesses, six doses are used at a time, which is more than 6,000 yuan.


    Sometimes, not having money really means not being able to live.


    "Do you know what I admire most about you? I like that you have worked for so many years and still have a bodhisattva heart. It is not easy. Most doctors will become cold and heartless after trying a few times. You can always maintain It''s really not easy to have the heart of a doctor and a parent."


    After hearing the specific situation, Director Tan appreciated Zhou Can''s medical ethics very much.


    "Hey, it''s really nothing. To borrow a golden sentence from the Internet, it''s obvious that I''m not doing well myself, but I just can''t see the suffering in the world. People, with a conscience, you can''t do things that are ignorant."


    Zhou Can didn''t care about it at all, he just thought it should be like this.


    If a person loses even his conscience, can he still be considered a person?


    Not much different from the beast.


    "I came here to ask you for help this time. I didn''t want to ask you to come over for a consultation. I just wanted to ask you to help me get some sterile maggots of Lucilia sericata from the college laboratory. The number of about one thousand should be enough. "


    Treating rot wounds with live maggots was often used in Western battlefields when antibiotics were not invented in the early years.


    It works pretty well.


    Discovering this cure was also a chance.


    Back then, Western countries were fighting, and when soldiers were wounded, they lacked medical care and medicine, and the wounds became infected and festered, and began to rot.


    Due to the tight front and weak logistics, many soldiers could not receive timely medical treatment and care. So much so that the stench of their rotting wounds attracted hordes of flies. Those flies sucked on the carrion and pus from the wound and laid eggs in large numbers.


    Because of the hot weather, a large number of maggots quickly hatched on the wound.


    After a period of time, the military doctors on the battlefield discovered a miraculous phenomenon. Soldiers who received good care and had no maggots in their wounds recovered slowly. On the contrary, the wounds of soldiers with maggots healed quickly.


    After observation, the military doctor found that after the maggots had eaten up the carrion on the wound, they would discharge some liquid.


    These fluids appear to have an antiseptic effect and also promote rapid wound healing.


    Therefore, the use of maggots to treat rotten wounds was gradually used in medicine.


    When Director Tan heard Zhou Can coming to beg for maggots, he was stunned for a moment, and then his eyes widened.


    "You kid is really a genius! You have thought of this method. For this special case, using sterile maggots in the laboratory to treat it is really possible to have a miracle. Okay, this matter is not difficult, I will make a call Call, let over there send a thousand maggots of Lucila sericata over there."


    Director Tan readily agreed to the matter.


    It was also the first time for the two medical students to hear about this miraculous treatment method, and Bi was very curious. The impression of Zhou Can is also much deeper.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    [The novel app that has been running stably for many years, comparable to the old version of the book chasing artifact, the source-changing app used by old bookworms, huanyuanapp]


    "Thanks! I won''t bother you anymore!"


    Zhou Can has been trained in internal medicine for more than a year, and he is already quite familiar with Director Tan.


    The relationship is not particularly close, at least passable.


    "This kid, he really slipped away after wiping his mouth after eating! It''s a pity, it would be great if he could come to our internal medicine department for development."


    Director Tan looked at Zhou Can''s back, smiled helplessly and shook his head.


    "Teacher, this Dr. Zhou seems to be very powerful! Which department is he from?" A student next to him couldn''t help asking about Zhou Can''s backgroundHe is a doctor in the emergency department. He is also the most talented medical student I have ever met, and the key point is that his moral character is very reliable. If you have the opportunity in the future, you can learn more from him. "


    Director Tan spoke very highly of Zhou Can.


    The two medical students nodded and said nothing more.


    It was the first time they had met a young doctor whom Director Tan praised so highly. If they knew about Zhou Can''s legendary experience, they would probably also admire this senior from the bottom of their hearts.


    After Zhou Can returned to the emergency room, it didn''t take long for someone to bring him a thousand maggots.


    At this time, he has finished the ideological work for the patients and their families.


    In order to achieve a satisfactory therapeutic effect, reduce the interference of family members on the treatment process. Zhou Can proposed that only one family member should accompany him.


    In the end, the patient''s wife stayed behind to take care of her.


    Watching Zhou Can pour live maggots on her husband''s wound, she looked terrified. Patients themselves also need to bear psychological and physical discomfort.


    After all, these live maggots were crawling around on the wound, constantly gnawing at the wound, which was enough to make one''s hair stand on end.


    It is difficult for ordinary people to accept the feeling of being bitten by maggots, and they have a natural fear of maggots.


    Just imagine, what does it feel like when a caterpillar crawls on the skin?


    Cold, nauseous, itchy.


    Up to a thousand maggots crawled around on the body, constantly gnawing at the body. Only those who experienced it could understand the fear.


    In order to prevent patients or family members from interfering with the treatment, Zhou Can also specifically asked the doctors and nurses in charge of the ward to pay more attention. He certainly won''t be here forever.


    There are still a large number of patients waiting for him to undergo surgery in the operating room.

 Chapter 428： Qiao Yus small wish, the hidden danger of the emergency surgery team

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    It is Zhou Can''s favorite to continuously help patients relieve their pain in the operating room, and at the same time gain considerable medical experience.


    Surgery is always the department that young male doctors yearn for the most.


    The operating table is the holy place to kill the disease in everyone''s mind.


    On the operating table, whether it is a variety of tumors, internal bleeding, blood vessel rupture, blockage, or fracture, or trauma, etc., the most intuitive treatment effect can be achieved through surgery.


    The treatment methods of internal medicine pale in comparison.


    However, internal medicine has the advantages of internal medicine.


    Surgery is a quick solution, while internal medicine is good at fighting protracted battles against serious illnesses.


    ¡­


    After working until 7:00 in the afternoon, Zhou Can dragged his tired body out of the operating room.


    "I''ve already ordered dinner. Let''s go home after dinner! Recently, I don''t get off work until after seven o''clock every day. It''s really hard get off work for you."


    The surgical team is getting better and better, and everyone is united as one. No one cheated or played tricks during the operation.


    Moreover, the two newcomers, Ma Xiaolan and Luo Shishen, are learning more and more vigorously, and they are keeping pace with the two old employees, Zhou Can and Qiao Yu, which makes Zhou Can feel very gratified.


    Since the surgery, there has been no rest.


    Everyone works every day, only Wednesdays every week, because Zhou Can has to go to the pediatrics clinic, so they have a little time to arrange freely during the day. However, because they have to work night shifts on Wednesday, in order to ensure sufficient energy, they dare not indulge too much during the day.


    At least two to three hours of sleep at noon is required.


    Therefore, in general, the surgical team has been operating until now, and no one has suggested to Zhou Can to take a day off. I haven''t even asked for personal leave, which is very worthy of recognition.


    "Striving with you, I feel more and more motivated, and I don''t feel hard at all."


    Ma Xiaolan''s mouth is always very sweet to her superiors, but very spicy to patients with certain problems or colleagues she thinks she can handle.


    This is a person''s character.


    Zhou Can only persuaded her twice from the side, but she restrained herself and didn''t fully listen.


    In the end, it was up to her.


    No one is perfect.


    Everyone has shortcomings of one kind or another.


    As long as it doesn''t affect the work, be more tolerant. If a team wants to cohere into a single rope, it will definitely not work by relying on power and coercion alone.


    People''s hearts are like water, like smoke, and it''s not that you can grasp it if you want to.


    Only by winning the hearts of the people can everyone''s strength be brought together.


    Throughout the ages, no matter the rulers or the ministers caught between the emperor and the people, they all understand the truth that the people''s hearts cannot be violated.


    Convincing people with virtue and buying people''s hearts with benevolence is the consensus of all successful ruling classes.


    As the leader of the team, Zhou Can also understands the truth.


    "Xiaolan is right. I am a little tired from work, but I live a solid life every day. I can clearly feel all kinds of progress. It is my greatest luck to meet the boss. Some of my classmates are also in the picture. The interns in the Ya Hospital, they are the best at the moment, and they have only sewed the skin once or twice on the patient. Some people didn''t even get the chance to enter the operating room, and they were doing all kinds of things in the inpatient ward in the dark every day. live."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    What Luo Shishen said was from the bottom of his heart.


    Compared with other interns, he was able to work under Zhou Can, and he definitely met a noble person.


    At the beginning, he often complained, a little Laosao.


    Later, I tasted the sweetness, and my work attitude became more and more correct.


    It must also be correct, because Zhou Can has strict requirements on each team member. Playing around, dereliction of duty, as long as he does not correct after several times of persuasion, he will be kicked out of the team immediately.


    "My most intuitive feeling is that there is no need to calculate the monthly salary. At this rate, I should be able to save the most basic expenses for studying abroad in two or three years."


    Qiao Yu raised her pure white wrist and wiped the sweat from her forehead.


    She is Zhou Can''s most caring assistant and hardest working partner.


    "Sister Qiao Yu, what I''m getting now is only part of the income! I heard people say that the year-end bonus should not be low. Our department has been generating good income for more than two months."


    Ma Xiaolan lowered her voice and sneered.


    "Really? Then I''ll be happier. You can change the soy milk to milk for breakfast." Qiao Yu''s words made several people laugh.


    She is a very hard working girl.


    A lot of girls her age are paycheck-to-pay, and they still owe a whole lot of credit cards, Huabei, and even more excessively, they may also owe online loans.


    Compared with those vain girls who spend money lavishly and make money with small hands, she is ''other people''s child. ''


    "To be honest, Chinese food is eaten in the hospital cafeteria every day. After deducting the hospital''s meal allowance, it only costs three yuan a meal. The dinner is basically invited by Dr. Zhou, and the food is very good. I only need It¡¯s such a happy day to pay for breakfast and three yuan for Chinese food.¡±


    Ma Xiaolan''s three words revealed her nature of love to take advantage of small things.


    "When it comes to three meals a day, it''s really powerful to hang out with the boss. I''m an intern now, and I don''t have a penny income. I have to pay the hospital and the school from time to time. Every penny saved is a penny. Two days ago, I told me Mom''s video, she praised me for gaining weight and my complexion looks better."


    When Luo Shishen talked about eating, his face was also full of happiness.


    "You guys, as long as you follow me to do the surgery, I will pay for overtime meals and supper."


    Zhou Can also made a bold statement.


    The price of a meal is not worth mentioning to him. But for these subordinates, it was a great help to them.


    Even if a dinner is 15 yuan, they can save 450 yuan a month.


    In fact, Zhou Can basically orders between twenty-five and forty.


    "I heard that the approval of the new operating room is already in the process, is it true?"


    Qiao Yu asked Zhou Can.


    "It should be reliable. But it''s really hard to say when this matter will be implemented. Do you want to work in the new operating room?"


    Zhou Can looked into her eyes.


    "Not at all, I just feel that the environment in the laminar flow operating room is better. The sanitation and disinfection are more convenient. If we can really work in the 100-level laminar flow operating room, Xiaolan and I can save a lot of disinfection Already working."


    She flicked the sea on her forehead and replied like this.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Don''t worry about it in advance. We just need to work hard silently to maintain the current high income generation. I believe that the hospital''s senior management will be embarrassed to keep refusing to approve it." Zhou Can comforted her.


    The workload of Qiao Yu and Ma Xiaolan was huge and indeed hard.


    In particular, Zhou Can performs 20 or 30 surgeries every day.


    "I''m not in a hurry, I just asked casually. In fact, I don''t care what kind of operating room it is if I can perform surgery with you."


    Qiao Yuben''s mouth was quicker than his brain, so he explained it casually.


    After speaking, I realized that something was wrong.


    After all, Zhou Can has a girlfriend, and she knows that Zhou Can and Su Qianqian are very affectionate.


    She quickly lowered her head, her face was a little red, and there was a trace of panic.


    There has always been a tacit understanding with Zhou Can, and they have never pierced through that layer of window paper.


    She just said her heart unintentionally, and she knew that with Zhou Can''s intelligence, she would definitely be able to hear her heart. She was very worried that Zhou Can would alienate her from now on.


    Ma Xiaolan and Luo Shishen looked at each other with strange expressions.


    But they didn''t say a word.


    "Hurry up and eat, or it will be cold!"


    Zhou Can gave Qiao Yu a boxed lunch, untied the bag himself, took out the food, and started to cook.


    The atmosphere of the whole meal was somewhat dull.


    Qiao Yu''s face was always red.


    She secretly raised her eyes to check Zhou Can twice, and saw that Zhou Can didn''t say anything, so she felt relieved.


    "I''m done eating, you guys eat slowly! I''ll go to the ward to check first, and I don''t know how the maggot therapy I used is going to work?"


    After speaking, Zhou Can left straight away.


    As soon as he left, the somewhat dull atmosphere immediately relaxed a lot.


    Ma Xiaolan could be heard laughing at Qiao Yu.


    Zhou Can came to the inpatient ward and went straight to the patient with rotten legs.


    "Hi, doctor Zhou!"


    A super beautiful woman who stays impressively in front of the patient''s bed is none other than the female reporter Mu Jie.


    She smiled sweetly and waved hello to Zhou Can.


    "Why is Reporter Mu here?"


    Zhou Can''s complexion was a little ugly.


    Logically speaking, reporters will not be allowed to easily enter the hospital, let alone random interviews.


    "Hey, you wouldn''t cross the river and demolish bridges, would you? I''ve helped you a lot, right? There''s hard work without credit, right? Besides, it''s the first time I''ve heard of using maggots to treat rotten burn wounds! This kind of thing is very novel. I also very much look forward to this elder brother''s early recovery and discharge from the hospital under your superb medical treatment."


    In front of the patient and others, Mu Jie directly coquettishly annoyed him.


    This made Zhou Can very embarrassed.


    Ask the female reporter to help the girl, and try not to let the family members know that he did it.


    Now, when she yelled with this big mouth, it was hard to say.


    "Our hospital has rules for interviews. For this matter, you have to go through the hospital''s medical department or publicity department first," Zhou Can said to her with a dark face.


    "Hmph, I know that you men are the most ruthless. Fortunately, I have obtained permission from the Publicity Department of your hospital, so don''t worry about it!"


    Mu Jie was the most difficult woman Zhou Can met.


    This time it was indeed Zhou Can who took the initiative to recruit him, and now I am afraid that it is easier to ask the gods than to send them away.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The hospital didn''t know what to think, but let her interview here.


    Are you not afraid of something happening?


    No matter how dissatisfied he was, Zhou Can could only pinch his nose and admit it.


    The reporter itself has the right to interview, and the hospital has allowed it. He really has no reason to stop her.


    He didn''t pay attention to Mu Li, but walked to the patient''s bed and asked, "How do you feel? Can you stand the bite of maggots?"


    [The problem of the slow update of new chapters has finally been solved on the app that can change the source. Download the huanyuanapp to change the source app here, and view the latest chapters of this book on multiple sites at the same time. ¡¿


    "Don''t worry, I can hold back. As long as I can keep this leg and my life, this little pain is nothing at all. But at the beginning, I really didn''t get used to it. I just felt a little hairy in my heart."


    The patient knew that Zhou Can was his attending doctor, so he was very polite to Zhou Can.


    Including the patient''s wife, now greets him with a smile and a flattering face.


    But don''t naively think that patients and their families have become more talkative. If a patient''s condition deteriorates, they can turn their faces faster than a book.


    "If you feel uncomfortable, you must tell the doctor or nurse on duty in time. I usually work in the operating room, and only after the operation do I have time to come over to see your condition. If there are any signs of danger, you must intervene as soon as possible and Deal with it, as long as you tell the on-duty medical staff, they will notify me as soon as possible."


    Zhou Can glanced at the patient''s leftover box lunch, and the food was okay.


    They probably thought that someone would be responsible for all the expenses anyway, so they opened it up.


    The girl who caused trouble has not been seen yet.


    It is possible that after Mu Jie''s intervention, she has been temporarily freed from the intimidation and control of her family members.


    This is a very gratifying thing.


    "Come on, let me check the condition of the wound for you."


    Zhou Can carefully lifted off the gauze covering the wound, and could see live maggots crawling around, devouring the carrion with all their might. Compared with the situation before treatment, it has obviously improved. In some places the rotting tissue is barely visible.


    "Well, it feels pretty good."


    Zhou Can nodded in satisfaction.


    The female reporter, Mu Tie, took advantage of this opportunity to capture multiple shots with her camera.


    Zhou Can must be unhappy about this.


    "Don''t make a fool of yourself, the effect of the photo is too bad. At that time, if people see you with a fierce face, it will ruin your image."


    Twilight warned him.


    Zhou Can had no choice but to take a deep breath and adjust his expression.


    This aunt really can''t afford to mess with her.


    After wrapping the patient carefully, he made adjustments to the doctor''s order.


    Because it was the first time to use this method to treat patients, he was worried about any accidents. The doctor''s order is not a long-term order~ www.novelhall.com~ If the nurse''s station does not receive the doctor''s order, there is no way to give the patient medicine.


    If they were in other departments, especially the surgery department, those nurses with older qualifications would have already called and cursed.


    "Doctor Zhou, why hasn''t the patient in such and such a bed given the doctor''s order? Hurry up."


    Now back in the emergency department, the nurses know he''s a busy guy, plus he has a good relationship with most of the nurse girls. Everyone gave him the greatest understanding and tolerance.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    After the patient was settled, Zhou Can checked all the other patients in the ward.


    One of the patients was different.


    One was a patient with abdominal trauma who was stabbed. After being sent to the emergency department for rescue, Dr. Lu performed debridement and suture on the patient. At present, the patient feels abdominal distension, abdominal pain, and accompanied by body temperature and fever.


    The temporary admissions in emergency inpatient wards are basically surgical patients.


    However, in the operating room, Zhou Can does not operate alone. There are many surgeons who are qualified to perform the operation. Of course, Dr. Lu can only preside over primary and secondary surgeries.


    This patient suffered a stab wound to the abdomen. Although the injury was not serious, it should not be handed over to Dr. Lu.


    Because Dr. Lu is very fraught with work.


    It is said that the country is easy to change, but the nature is hard to change.


    Dr. Lu has made a lot of efforts in order not to be eliminated in the emergency department, and his surgical ability has indeed improved a lot.


    It''s just that his nature of sloppy work and little concern for the life and death of patients has not been completely corrected.

 Chapter 429： Rather offend a gentleman than a villain. Qi Fang got Qi…

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    This is not the first time.


    Since the opening of the inpatient ward in the emergency department, Zhou Can has successively detected more than ten cases of postoperative problems caused by Dr. Lu''s surgery.


    Postoperative complications are normal.


    But the proportion is so high, which is a bit scary.


    And if this trend continues, something will happen sooner or later.


    After Zhou Can walked out of the ward with a dark face, he went directly to the nurse''s station.


    "Sister Ting, call Dr. Lu. The patient in bed 11 is complaining of abdominal distension, abdominal pain, and fever. I initially suspect it is a postoperative wound infection. Ask him to come over and deal with it."


    Zhou Can wiped Dr. Lu''s **** several times before.


    This time I feel that I can''t get used to it anymore.


    Dr. Lu must be allowed to handle it by himself.


    Ye Tingting observed Zhou Can''s complexion and found that Zhou Can''s face was very ugly, so she didn''t dare to ask any more questions, and directly opened the doctor''s duty list and called Dr. Lu.


    The first time I called, no one answered.


    "Maybe I didn''t hear it, or the phone didn''t ring, and no one answered!"


    Ye Tingting gave feedback to Zhou Can.


    "Call again! And send a message to inform him."


    Zhou Can said in a deep voice.


    Under normal circumstances, clinicians require the machine to be turned on 24 hours a day. In case of emergency, you have to get up and rush to the hospital to participate in the rescue even if it is two o''clock in the freezing cold winter night.


    If you don''t answer the phone, you can''t say anything.


    Ye Tingting called again, and the little nurse next to her cleverly edited a text message on her mobile phone to notify Dr. Lu.


    After calling three times in a row, it was finally connected.


    Ye Tingting told Dr. Lu about the matter.


    "He said it''s not convenient to come here now, so he asked you to answer the phone." Ye Tingting looked at Zhou Can.


    Zhou Can took the microphone.


    "Doctor Lu, this patient''s condition is quite dangerous. You''d better rush over to deal with it immediately. Patients with abdominal pain, bloating, and fever should be alert to peritonitis."


    Zhou Can told the other party the seriousness of the matter.


    "It''s not that serious! The patient''s abdominal cavity was only pierced, and the intestines were not injured. I checked it carefully during the operation. By the way, during the abdominal examination of this patient, Dr. Fu Chachun was also invited. Close it."


    After hearing this, Dr. Lu didn''t seem to care.


    It even moved out the attending physician Fu Chachun.


    Zhou Can had already made it so clear that he was not in a hurry to deal with it, but immediately thought about how to shirk responsibility.


    It''s really a problem of dogs not eating shit.


    "Doctor Zhou, I don''t think it''s a big deal. You are so capable, why don''t you help me deal with it! I really can''t get away from here!"


    From Doctor Lu''s microphone came the young woman''s terribly coquettish voice.


    You can vaguely hear Dr. Lu calling, "Qingyuan, come quickly! I''ll be waiting for you to sing along!"


    Then there was silence from the mic.


    Apparently, Dr. Lu turned on the microphone and was replying to the woman.


    This ramming product is obviously cool and unrestrained in an entertainment place like this. No wonder it took several calls to answer.


    The doctor''s time after get off work is free time, and there is nothing wrong with going to relax.


    But the patient in his hand has something to do, and his life is likely to be in danger. It would be too immoral for the doctor involved to still only care about fun.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Doctor Zhou, I still have something urgent to do here, let''s just leave it at that! I''ll leave the patient to you, and treat you to dinner another day, bye!"


    Before Zhou Can could agree, the phone had already been hung up.


    Zhou Can was so angry that he wanted to smash the phone.


    Who are these people?


    "This turtle grandson doesn''t take the patient''s life seriously at all, so you can''t blame me."


    Zhou Can''s face was livid.


    "Sister Ting, please pay more attention to the patient in bed 11. I will report this to the superior first. The patient''s condition is very dangerous. Once the condition progresses, it will be very violent."


    "Okay, I''ll go to the ward to measure his body now."


    Ye Tingting usually doesn''t care about the inpatient ward, and spends most of her time in the observation area or the emergency room.


    Now that Zhou Can said hello, she didn''t dare to slack off, and hurried to the ward to measure the patient''s basic signs.


    Under normal circumstances, patients in the ward are nurses monitoring vital signs.


    If there is any abnormality, the nurse on duty will report to the doctor immediately.


    Of course, if it''s just a big swelling caused by the infusion, or other small things, the nurse can handle it by herself and will definitely not bother the doctor.


    Zhou Can called Dr. Xu.


    "Teacher, I have something to report to you..."


    He told Dr. Xu about the situation.


    It''s really not a small report on Dr. Lu. The opportunity has already been given, and it''s not the first time. Since Dr. Lu refuses to change after repeated admonitions, let the cruel rules of workplace competition take care of him.


    "Okay, I''ll take care of this."


    After Dr. Xu finished speaking, he hung up the phone directly.


    ¡­


    Zhou Can is planning to go to the cardiothoracic surgery department to help with surgery.


    There is only one level 4 major surgery there today, relatively speaking, the time is not so tight.


    However, the operation is quite difficult and the condition is complicated. It is not a small challenge for cardiothoracic surgery.


    This kind of complicated and difficult major surgery has extremely high risks.


    The success rate of the operation is often lower than 80%, which is because the operation team has successfully completed too many cases and has rich operation experience. Otherwise, the success rate of the operation is much lower.


    Many patients don''t know the depth, and think that the risk clause in the surgical consent form is a formality, and every patient must sign a consent form before the operation.


    It''s just a process.


    In fact, signing the consent form is tantamount to putting your life in the hands of medical staff. Especially the chief surgeon, who really has the power to decide the life of the patient in the operating room.


    Especially in the face of various emergencies, a mistake in judgment by the chief surgeon can directly kill the patient.


    Even in a large hospital like Tuya, patients often die on the operating table, or die a few days after surgery.


    As long as hospitals are capable of performing third- and fourth-level major surgeries, patient deaths should not be avoided.


    Therefore, signing the consent form for surgery is by no means a process, but a huge potential risk in the operation.


    Every time an operation is performed, it is equivalent to walking through the gate of **** for the patient.


    Zhou Can didn''t care about this matter.


    After he finished the operation, he saw several missed calls, all from Dr. Lu.


    Zhou Can didn''t add WeChat friends with Dr. Lu, and they always contacted by phone.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Not everyone is qualified to be his WeChat friend.


    As for giving the phone number to the patient, this kind of thing is even worse.


    Some weird patients can send messages or call to ask some weird questions in the middle of the night. Even ask the doctor directly for outpatient consultation.


    Zhou Can has always done a good job in protecting the privacy of his personal phone calls.


    Some young doctors in the department don''t know how deep they are, and many of them have suffered from this aspect. Telling the patient the private number is out of kindness, thinking that the patient is at home, and if there is any change in the condition, the doctor can be consulted in time. That way you won''t delay your illness.


    But good intentions do not necessarily have good results.


    Most patients only think about problems from the perspective of their own interests, and do not understand the difficulty of doctors at all.


    Doctors are exhausted at work every day, and they are under a lot of pressure, and they have to answer all kinds of doubts for patients. In case of surgery or sleeping at night and not seeing it, the reply to the message is late, and the patient directly scolds the doctor.


    Some doctors are so angry that they directly block the cursing patients.


    Think you''ll be freed like this?


    No, you are wrong.


    You''re in for a big deal.


    The patient''s complaint call is directly sent to the medical department or the higher-level competent department. Doctor XX was extremely irresponsible to patients. My stomach hurts like hell. I asked him what to do, and he delayed telling me all night. If it weren''t for the old man''s fate, he would have died long ago.


    Being a doctor and then really unlucky.


    According to the regulations of the hospital, if there is a complaint, money will be deducted, at least 50 yuan once.


    Now the management departments of most hospitals are one size fits all. As long as you make a complaint, regardless of whether the doctor justifies it or not, the money will be deducted directly.


    The doctor called to defend, and the "officer" of the medical department could choke you to death with a word, why didn''t the patient complain to others, but only you?


    Therefore, doctors must not easily tell patients their private numbers.


    Don''t treat patients like family members.


    Otherwise, it is easy to experience what it is like to be disappointed.


    Zhou Can looked at the time, it was close to eleven o''clock. The operation took about three and a half hours.


    Dr. Lu called him twice around 7:40, once after 8:00, and once near 9:00.


    Perhaps seeing that Zhou Can didn''t answer the phone, Dr. Lu even sent a text message.


    "You are good enough!"


    Just four words, full of resentment towards Zhou Can.


    This is because Zhou Can told Dr. Xu about the matter, and he was probably scolded by Dr. Xu. Then he vented his anger on Zhou Can.


    Rather offend a gentleman than a villain.


    Between Zhou Can and Dr. Lu, there was a dispute between Zhou Can and Dr. Lu because of Qiao Yu''s affairs. Later, Zhou Can was so good that Dr. Lu''s status was far inferior to him, and finally he took the initiative to bow to Zhou Can.


    Several years later, after Zhou Can returned to work in the emergency department, Dr. Lu has always been very polite to him.


    In fact, all villains have one characteristic in common.


    Usually smiling, very polite when getting along, even often sweet talk, all kinds of small favors.


    If his interests are really touched, or there is a major interest competition, as long as he feels that you are threatening him, or can step on you to take the position, it is guaranteed that it is faster to turn your face and be ruthless than to turn a book.


    Fortunately, Zhou Can is not a rookie in the workplace with little experience in the world. He benefited from his parents'' training early on and has a deep understanding of the dangers of society.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    For people like Dr. Lu, he has always maintained a superficial politeness.


    After all, we are all colleagues in the same department.


    In addition, Dr. Lu took the initiative to bow his head and accompanied him with a smiling face every day. Hearing all kinds of good words made Zhou Can''s ears callused.


    Reach out and don''t hit the smiling face.


    He has been in peace with Dr. Lu.


    This time, Dr. Lu turned his face and scolded others because he felt that Zhou Can should not tell Dr. Xu about it.


    Zhou Can didn''t reply to Dr. Lu''s message, let alone call back.


    Whoever he loves, this kind of garbage person, let him live on his own.


    On the way home, Dr. Lu called again. If Zhou Can didn''t pick up, I guess this guy would call again at twelve o''clock in the evening.


    "Doctor Lu, what''s the matter?"


    Zhou Can asked calmly.


    "You can, just for such a small matter, go directly to Dr. Xu and sue me for black complaints. I told you that there is an urgent matter, and I asked you to help me. It''s fine if you don''t help, and you can still sue me." I''m black, I''ve never seen such a shameless villain like you..."


    Dr. Lu scolded directly.


    "Your urgent business is picking up girls?"


    Zhou Can interrupted directly and asked the other party.


    Dr. Lu''s lie was exposed, not only did he not feel embarrassed, but he said straightforwardly, "So what about picking up girls, everyone is a man, don''t think you are a gentleman. You have a girlfriend at home, and you don''t know each other well with Qiao Yu. I heard you She also had an affair with that Yang Chan from the obstetrics and gynecology department. You have no right to make irresponsible remarks about my private life. The world is as black as crows, and everyone is not a good bird. I managed to take down that girl tonight, but was You have been messed up, do you think you are immoral or not?"


    In terms of quarrel skills, there are probably not many people who can match Dr. Lu.


    This kind of person is selfish, sees and thinks about problems from his own point of view, and never cares about other people''s lives.


    "Does Doctor Lu have anything else to do?"


    Zhou Can is too lazy to talk nonsense with this kind of negative energy, so as not to affect his mood.


    This is ready to hang up.


    "Don''t think that if you have better surgical ability and you have Dr. Xu admiring you, you can really go to heaven. Let me tell you, people are doing it, and the sky is watching. No one should get too complacent."


    After speaking, Dr. Lu hung up the phone first.


    What else can Zhou Can say? Got scolded by this garbage man.


    He didn''t pay too much attention to this matter, and he just wanted to stay away from Dr. Lu in the future.


    For three consecutive days after that, Zhou Can went to work in the emergency department and met Dr. Lu, who was expressionless. No more enthusiasm.


    This is the best way, and it is Zhou Can''s wish not to deal with this kind of person.


    On the fourth day, Zhou Can went to work in the hospital, and first checked the patient treated with maggots.


    The carrion has been completely cleaned by maggots.


    Miraculously, the wound did not re-infect and began to heal.


    The patient''s vital signs were stable, and his diet and defecation were normal.


    Zhou Can was very happy. The patient should recover and be discharged after a period of hospitalization.


    Through this case, he also realized that nature is amazing, and sometimes there may be unexpected surprises in the treatment of patients'' diseases with the help of the power of nature.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The female reporter Mu Bi appears in the ward every day.


    The treatment of this patient was continuously filmed and followed up. As for the hospital, it seems that some kind of agreement has been reached with her.


    Zhou Can didn''t know the specific content.


    "Doctor Zhou, how many days will this patient be able to leave the hospital?"


    Twilight asked about the condition of the patient.


    "Sorry, no comment!"


    Zhou Can continued to check the next bed with a cold face.


    "Hey, why do you treat TV reporters like this? You are somewhat of a gentleman! Besides, the hospital authorized the interview of this patient. The patient and his family also agreed. How can I report if you are so uncooperative? ?¡±


    Twilight wasn''t angry with his attitude.


    She can understand why Zhou Can has a cold face and has been refusing to accept interviews.


    It''s nothing more than privacy protection.


    "Reporter Mu, I''m a doctor. What I want to do is to treat patients'' diseases with all my strength. UU reads instead of thinking about how to cooperate with your reporters in interviews. If you need to know anything, you can go to Look for the medical department and publicity department of the hospital."


    Zhou Can quickly checked the room and walked out.


    He doesn''t want to give Mu Tie any good looks, but it''s not out of privacy protection, but because he wants to keep a distance from her and dispel all her thoughts about men and women.


    [Currently used, the app with the most complete and best audio for listening to books, integrated with 4 major speech synthesis engines, over 100 kinds of timbres, and a source-changing artifact that supports offline reading, huanyuanapp source-changing app]


    Mu Jie didn''t know what was going on, but had always been particularly interested in Zhou Can.


    Since the two met, she would appear in Zhou Can''s life from time to time.


    Some women are more rational in the face of love.


    For example, Qiao Yu can restrain her emotions very well. Don''t do something that Zhou Can can''t cope with.


    Yang Chan is also very rational.


    In the past, Yang Chan was very cold in front of Zhou Can. But now her ice seems to have melted, and every time she sees Zhou Can, her attitude is obviously much warmer.


    In any case, Qiao Yu and Yang Chan will not bring trouble to Zhou Can''s life.


    But this twilight will.


    She is like a ball of fire, as long as Zhou Can gives her a little response, she will crazily stick to it.


    "etc!"


    Twilight chased him out of the ward.


    "What do you want me to say? Big reporter, please let me go! I''m just a little doctor, I''m very busy every day, and I really don''t have time to cooperate with your interview."


    Zhou Can was really helpless in the face of the beautiful reporter who blocked him.

 Chapter 430： Looking at death, the third hospital is getting bigger

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    She stared at Zhou Can''s eyes with big beautiful and charming eyes, and asked with a raised face.


    "Then do you have time to send me a message?"


    "Well¡­"


    Zhou Can was speechless for a moment.


    It was Zhou Can who took the initiative to ask her to help that poor girl.


    This feeling is like eating dry wipes, lifting the belt of the trousers and refusing to admit it.


    "In order to help that poor girl solve the problem, I have used various resources. I may have to accompany that girl back to her hometown in a few days. It is difficult to ask for the compensation for her father''s death. , the key is particularly dangerous. Lao Qin is just a photographer, not the opponent of those troublesome people in the mountains. Look, can you go with me?"


    Twilight looked at him and asked.


    "No, I don''t have time."


    Zhou Can directly refused.


    What a joke, he''s just a doctor, not a savior.


    Helping that girl is only within the scope of my ability.


    Let him ask for leave to accompany him back to the girl''s hometown to ask for the death pension of the girl''s father. Fortunately, Mu Ge dared to think about it.


    "I knew you wouldn''t agree. Then you should cooperate with my interview honestly."


    She was playing the game of asking for prices and paying back the money on the ground.


    "What do you want to ask, you sort it out, and I will spare a little time to answer it for you then."


    Zhou Can secretly guessed that the publicity department of the hospital might have reached some kind of consensus with her.


    I want to use her power to help the hospital report this difficult case treated in the emergency department, so as to achieve the purpose of publicity. Twilight is to harvest traffic and publish high-quality press releases.


    Both sides can be regarded as a mutual win.


    As for Mu Bi helping the vulnerable girl, it was out of kindness and out of Zhou Can''s affection.


    So, no matter what, Zhou Can owed her favor.


    Zhou Can knew this very well.


    "Hey, can you have a little conscience? She put in a lot of effort to help that girl, isn''t it all because of you? Also, whenever I have time these days, I take Lao Qin to the ward, It''s also to help you promote. Don''t you think it''s too much for you to have a businesslike, cold face?"


    She looked aggrieved, and I felt sad and pitiful.


    Zhou Can is not afraid of toughness, all kinds of difficult family members, all kinds of hooligans and thugs who will use knives at the slightest disagreement, he is not afraid of them all. Afraid of girls'' tears, afraid of girls'' soft words.


    "I invite you to have dinner with Lao Qin. It can only be dinner. I really don''t have time during the day. You decide the location, five-star hotels are fine, and you can order whatever you want. If you have any questions that need to be interviewed, you can chat while eating. "


    Zhou Can had no choice but to compromise again.


    Otherwise, it''s really hard to get through.


    "It''s pretty much the same. You have a conscience. I''ll ask you out again when the patient''s condition is almost recovered. By then, the girl''s problem should be basically solved."


    A happy smile appeared on her face.


    Zhou Can''s attitude made her very comfortable and satisfied.


    After talking with this beautiful reporter, Zhou Can went straight to the operating room.


    As he recently helped the cardiothoracic surgery department perform various difficult three-level and four-level major operations, he clearly felt that his surgical ability was insufficient, and he needed to improve in many aspects.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    In addition, after the upgrade of the operating room in the emergency department, he can start to undertake many difficult tertiary operations.


    At that time, the hardware facilities have improved, but because of his lack of strength, there are still many tertiary operations that cannot be performed, so it will be too embarrassing.


    Therefore, he has always been very motivated.


    For many surgical skills, it is quite difficult to advance from level five to level six.


    It is really not an easy task to accumulate a hundred thousand experience points.


    Zhou Can was doing surgery in the operating room. It was almost ten o''clock in the morning when Dr. Xu came in and told him that the operation should be suspended for a while. An emergency patient came outside, and the receiving doctor couldn''t clarify the condition, so he asked him to help with the consultation.


    Usually, Zhou Can performs operations in the operating room and is rarely disturbed.


    This time it should be an emergency, so I asked him to help.


    When Zhou Can arrived, he found that Director Lou and Dr. Ai Li were both on the scene. Deputy Director Han had a severe arm fracture due to the last injury, although with the help of Zhou Can, he underwent surgery in time.


    But it may take a long time to get back to normal.


    The one-hundred-day injury is aimed at young people.


    Some older people have poor physical fitness, let alone a hundred days, even half a year may not be able to fully recover.


    "Xiao Zhou, this female patient was pulled over by an ambulance. The main symptoms were cough, chest tightness, and fatigue. She thought it was just a cold, so she bought medicine at the pharmacy and took it by herself. After four days, her condition did not improve. Aggravated. Then I went to the clinic where I rented to get an IV. This morning, my roommate who shared the rent found me fainted. I called 120 for emergency treatment, but ordinary district hospitals were afraid to pick it up. I just brought us here. I just checked with Dr. Ai , It is initially suspected that it may be myocarditis."


    When Director Lou saw Zhou Can coming, he quickly explained the patient''s condition.


    "Okay, I''ll show her first."


    Zhou Can was not polite at this time, Director Lou would not call him over easily.


    Calling him over now is naturally hoping that he can help solve the problem.


    He noticed that the girl''s face and lips were a little purple, and he took her hand to look at it. The fingertips and nails were also blue. And the hands are cold. The blood oxygen is still so poor.


    Zhou Can directly probed her forehead temperature with the back of his hand.


    I don''t feel like I have a fever.


    "Have you been checked?"


    "No. Both Xiaojing and I have just graduated. We are currently working as an intern in a company and rent a house to live in. She is sick this time. Considering that it will cost a lot of money to go to a big hospital, I dare not go."


    It was not the family members who answered the call, but the roommate shared by the patient.


    The two may still have a classmate relationship.


    "Has the patient''s family members come? Her condition is very dangerous, and many rescue measures require the signature of immediate family members."


    Zhou Can asked again.


    "I have notified Xiaojing''s mother that she is on her way here. But because her family is out of town, it may take seven or eight hours or even longer to come here."


    Zhou Can nodded and didn''t ask any more questions.


    He looked directly at Director Lou.


    "From the point of view of the symptoms, it doesn''t look like myocarditis, but there may be a major problem with the lungs. I suggest that you report the critical condition directly and send it to the emergency room for intubation. After the patient''s blood oxygen is slightly better, do further examinations. This may You need to invite the doctor in your heart for consultation. To be on the safe side, it is safest for you to invite the doctor in your heart for consultation together."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can gave his diagnosis advice in a serious tone.


    The patient''s condition is more dangerous than imagined.


    It is just pure oxygen inhalation, which may not last until the family members arrive.


    This is Zhou Can''s judgment.


    "The endotracheal intubation is an invasive operation, so we can only notify the family members by phone, and ask the patient''s roommate to sign for it. We report it to the medical department in the emergency department."


    Director Lou attached great importance to Zhou Can''s diagnosis opinion.


    Seeing that he spoke so seriously, he immediately made a decision and prepared to go through the formalities and send him to the emergency room for rescue. At the same time, he invited the respiratory medicine and cardiology doctors to come over for emergency consultation.


    The roommate of the patient was also a young girl in her twenties and fourteens. It was probably the first time she had encountered such a thing. She was so frightened that her face was pale and her hands were trembling slightly.


    After listening to the consultation results of the doctors, she quickly called the patient''s mother again.


    He told the hospital''s rescue decision again.


    Families seem to disagree.


    "Several doctors, I called the patient''s mother and she said she disagreed with intubation."


    "Come on, put the phone through and let me talk."


    Director Lou seemed very responsible in the face of this kind of rescue of critical lives.


    Even more anxious than the patient''s parents.


    After some communication, the patient''s mother still disagreed with the hospital''s rescue measures.


    Because the family members'' communication work was difficult, it took nearly half an hour, and Zhou Can stood by and wanted to curse.


    What kind of mother is this!


    My daughter was dying in the hospital, and she still stubbornly refused to be intubated. Moreover, he could hear from the side that the family members were full of doubts about the hospital. Thinking it was just a small cold, directly reporting critical illness and requiring endotracheal intubation is purely excessive medical behavior.


    The mother should have been aware of her daughter''s condition throughout the process.


    I was really convinced by such a mother. Instead of persuading her daughter to go to a big hospital for treatment immediately, she let the child go back to the rented room to fight alone after the infusion in the small clinic.


    Ignorance is really scary.


    These years, because the Kamata Department of Hospital came into being, various online consultations have harmed many people.


    Those so-called experts and famous doctors may just be a group of graduates of medical technology. Maybe not even a college diploma. As for the name of the international hospital in a high school, it is possible that even the business license is p.


    Anyway, those people are searching for rankings and bidding on the Internet, and then try their best to guide patients to consult and make appointments offline.


    After deceiving the patient, all kinds of money-making methods will officially come into play.


    I''m not a professional, so I can''t see the depth at all. I just feel that this hospital looks very good from the outside, and the service is also warm and thoughtful.


    In fact, the hospital is not really a service enterprise.


    Doctors and nurses are not waiters.


    Many patients feel that the doctor''s face is ugly and his attitude is bad. He thought he was in a hotel.


    In a sense, medical care should be a kind of resource.


    At critical moments, precious resources that can save patients'' lives.


    In order to meet the needs of the market, some hospitals provide smile training and warm service that makes people feel at home, which is really ridiculous. It is also the tragedy of this era.


    At this time, the patient began to convulse suddenly and his hands trembled.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Director Lou, I''m afraid intubation is useless now."


    Zhou Can''s heart was bleeding when he watched from the side.


    A young life in his twenties just died like this.


    "ah¡­"


    Director Lou turned his head to look at the patient, and his face turned red with anger.


    "We are sorry to tell you that because you believe in your own judgment, in the so-called online expert consultation, and in the so-called online science popularization by yourself. Now, your daughter has missed the best time to rescue her. So be it, our side We will do our best to save them.¡±


    Director Lou''s endurance is very good.


    If it were Zhou Can, this family member would definitely be scolded to death.


    who!


    "Rescue according to the procedure!"


    Director Lou no longer mentioned the matter of intubation.


    Zhou Can''s mood was also extremely depressed.


    "Xiao Zhou, go back to the operating room and continue working!"


    Director Lou waved his hand feebly.


    "I suspect that there must be a major problem with the patient''s lungs. Alas...it''s a pity that no tests have been done, otherwise if it is confirmed that the pulmonary arterial and venous embolism is present, we can still use thrombolytic drugs to some extent. Now...really I can only do my best and obey the destiny! It''s really sad that this girl has such a mother!"


    Zhou Can sighed deeply.


    It''s not the first time this kind of thing has happened.


    It''s just that every time he encounters it, he feels very sad.


    Doctors are ultimately limited. No matter how strong the professional knowledge is, if patients and family members do not cooperate with the treatment and do not trust the doctor, they can only act in a hurry.


    For example, in the intensive care unit, patients clearly have great hope of being rescued. But the family members were worried that they would run out of money and money, so they finally chose to give up. If you insist on extubation, you can only extubate.


    [Currently used, the app with the most complete and best audio for listening to books, integrated with 4 major speech synthesis engines, over 100 kinds of timbres, and a source-changing artifact that supports offline reading, huanyuanapp source-changing app]


    Everyone has to pray. When seeing a doctor, in addition to meeting a good doctor, you also need to have trustworthy relatives and spouses around you.


    For some major operations, if the family members do not sign, the hospital has no choice but to do ideological work.


    Back in the operating room, Zhou Can was a little depressed.


    However, this did not affect his enthusiasm for surgery, and he quickly adjusted himself and devoted himself to surgery again.


    After experiencing this tragedy, he also cherishes every opportunity for surgery even more.


    Behind this is the trust of patients and family members in him.


    ¡­


    While eating at noon, Zhou Can had already received the news that the girl died because the ''rescue'' failed This is not surprising at all.


    When he noticed that the girl was twitching and her eyes rolled up, he knew that he had missed the most precious rescue time.


    At that time, she was sent to the emergency room for emergency intubation, not to mention that the girl''s life would be saved.


    At least there is some hope.


    "Doctor Zhou, look at this news in the circle! The Cardiothoracic Surgery Department of the Third Hospital has completed another super-difficult cardiac surgery. And the person who received the treatment was a rich man from Shanghai. Only four hours later, It¡¯s an exaggeration to be able to start working.¡±


    Qiao Yu could see that Zhou Can was in a bad mood.


    Deliberately get some news that Zhou Can cares about to divert his attention.


    This chapter is not finished, click [next page] to continue reading -->>


    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "I''ve read the news. It should be true. The Japanese cardiologist in the Third Hospital does have a very high level of surgery. However, his path is minimally invasive and endoscopic surgery. And the surgical team brought over has been expanded. I heard that a top cardiologist in our country is willing to be a medical assistant for others."


    Although Zhou Can is usually very busy, he is not deaf to what is going on outside the window, and only reads sage books.


    He also often pays attention to some news trends in the industry.


    Regarding the well-known cardiologist in China who volunteered to be a medical assistant to a Japanese expert, Zhou Can would not comment.


    It is obviously unreasonable to rise to the height of traitors and national traitors.


    Just look at this matter correctly.


    Those who want to be students of the Japanese expert are not only the top cardiologist, but many others.

 Chapter 431： There are many people who are popular, and money is easy to do things

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    It''s just that those people want to enter the hospital as students of Japanese experts, but they may not accept them.


    The Third Hospital also seized this opportunity and held three consecutive social recruitments in a short period of time.


    Talents are always the cornerstone of hospital development.


    I heard that there are more and more applicants every time. There are many clinical medical students who graduated from famous universities, and even some doctors who work in big hospitals have asked for leave and sneaked to the third hospital for an interview without telling the hospital where they are.


    In the recent period, the heat of the Third Hospital is almost on fire.


    Not only has it become famous in the province, but it has also gained a certain reputation in the whole country.


    While many people scolded the Third Hospital for its admiration of foreigners, their hearts were very sour. To put it bluntly, I just envy the Third Hospital''s particularly successful move.


    The introduction of foreign medical experts is not the first of the Third Hospital, and other large hospitals have already done it.


    Many joint venture hospitals with foreign countries have foreign experts and doctors in them, and even take advantage of the special advantages of Sino-foreign joint venture hospitals to organize domestic medical students to study abroad. Then foreign doctors came to the platform to support the scene.


    It''s just that those big hospitals basically invite foreign medical experts to come to exchange, but few hospitals can retain foreign experts for a long time.


    The Third Hospital was able to directly poach an entire Japanese surgical team with unremarkable conditions, and it must have an unknown trump card.


    Without a particularly deep degree of trust, and Japanese experts are not stupid, how could it be possible to leave their hometown, give up their domestic careers, and develop in an ordinary hospital abroad?


    Doctors in Japan can be roughly divided into three levels, the initial training doctors are equivalent to the domestic resident level.


    The annual income can reach about 250,000 RMB.


    Some hospitals that can''t recruit people can even offer an attractive annual salary of more than 380,000 yuan.


    The second category is the post-training doctor, with a general income level of four to five million yuan.


    The third category is the orderly doctor, and this category basically earns more than 600,000 yuan.


    As for the top doctors in Japan, their income is not as high as expected. Basically between 700,000 and 1.2 million RMB.


    With an annual income of more than one million yuan, no matter which country in the world he is in, he can live quite well.


    If you want to poach people over, sometimes you can''t do it with money.


    Even if the third hospital paid the Japanese cardiologist as high as two million yuan, if he didn''t know him well, he wouldn''t even have a chance to talk to him. It is even more difficult for people to bring the whole team to join them.


    Therefore, the Third Hospital must have an unknown trump card, which is why they dug people here.


    Generally speaking, this move of the Third Hospital has been very successful, bringing huge development opportunities for this hospital.


    "Sister Qiao Yu, there is a piece of negative news about you!"


    Ma Xiaolan seemed to have caught bad news, so she lowered her voice to remind Qiao Yu.


    "My negative news? Where is it?"


    Apart from performing surgery with Zhou Can, Qiao Yu usually studies in the dormitory. In the past, I often went to the surgical operating room to help for free, just to improve the professional level of surgical nurses.


    A good girl like her would have negative news, even if Zhou Can was killed, she wouldn''t believe it.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Doctor Zhou, you should take a look too! You too!"


    Ma Xiaolan is still somewhat afraid of Zhou Can.


    "Negative news about me and Qiao Yu? Is this someone creating a scandal between us?"


    Zhou Can understood what was going on as soon as he heard it.


    After Qiao Yu looked at it, her face became a little ugly.


    Zhou Can didn''t bother to look at it at first, but now seeing Qiao Yu''s expression, he immediately asked to check the link.


    "Damn, this must be someone trying to ruin my reputation. And this person must be someone from our emergency department."


    I saw that in the picture of this lace news, there are some moments of Zhou Can and Qiao Yu getting along intimately. There is even a picture of Zhou Can and the female reporter Mu Tie having a private chat not long ago.


    These pictures should be difficult to take if they are not inside the emergency department.


    Of course, it is not ruled out that some people with ulterior motives pretend to be family members and secretly film Zhou Can in the emergency department.


    But this possibility is very small.


    Zhou Can asked himself that he had not offended anyone.


    Usually have some contact with family members, but very little.


    The preoperative talk is done by Dr. Xu or other doctors. After all, there is still a certain difference between emergency department surgery and specialist surgery.


    Since there is not much contact with family members and patients, the possibility of being retaliated by these people is relatively low.


    Could it be the perverted man who harassed Qiao Yu last time?


    This possibility still exists.


    Zhou Can beat him that time, and the other party was a second-generation rich or second-generation official, the lawless kind.


    It is estimated that it will be released within a few days.


    It''s just that it''s been such a long time, and it doesn''t make sense to retaliate and attack Zhou Can now!


    To be honest, if the other party really has something to do, he should be able to find out that Zhou Can is not easy to mess with.


    Although the status of capital in the country is relatively weak, it is still a fish.


    Big capital can barely squeeze into the sequence of medium and big fish.


    As long as you don''t kill yourself, it is still rare to be trampled to death for no reason.


    At this time, Zhou Can suddenly remembered that he offended Dr. Lu two days ago.


    Could it be that Dr. Lu is playing tricks behind his back?


    It is not difficult to find out this matter, especially for a billionaire like Zhou Can. While using his own strength, he began to track down the information publisher. While calling the police, try to file a case first.


    Rumor and slander, this has violated the law.


    Whoever did it will have to pay for it.


    "Qiao Yu, you don''t have to be afraid of this matter, I will handle it well."


    Zhou Can comforted her warmly.


    She is still an unmarried girl. After this kind of scandal spreads, it will have a great negative impact on her marriage and love.


    She even made her relatives, friends, and colleagues gossip and look at her with strange eyes.


    After Zhou Can finished his meal, he was going to ask the department for an hour or two off first, and then hurry up to report the case.


    This kind of thing, the police usually only accept it first.


    For Zhou Can, this is enough.


    With his capital strength, he can easily find out who the trust issuer is.


    Money isn''t everything these days.


    But money can do a lot of things.


    "Xiao Zhou, come with me to the office."


    When Director Lou saw Zhou Can, he called him into the office with a sullen face.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Look at this!"


    Director Lou took out several photos of Zhou Can and Qiao Yu, or getting along with women such as female reporter Mu Jie. Text with fan love.


    What to keep more than a double-digit mistress.


    As a doctor, he used his position to mess with the relationship between men and women.


    These texts are accompanied by pictures, which are particularly eye-catching, and they are all sensitive topics.


    It is easy to attract public attention.


    In itself, no matter Qiao Yu or Mu Jie, they are all first-class beauties. Comes with a certain flow effect.


    "This bastard, he posted posts on the Internet to attack me, and even distributed this self-made leaflet in the hospital. Is it true that the law is a display? I will make him pay the price."


    When Zhou Can saw these printed pages in the form of small advertisements, he couldn''t help being furious.


    Distributing it directly in the hospital is tantamount to pouring manure on him. Let''s ruin his reputation first.


    "There''s no one else in the office, just the two of us. Tell me the truth, is your relationship with these women legitimate? It''s normal for men to play tricks, so don''t be embarrassed."


    Director Lou stared into his eyes and asked.


    "I can assure you that although we have overlaps with them, our relationship is legitimate and there is absolutely no overstepping."


    Zhou Can also secretly rejoiced that he didn''t mess with the relationship between men and women.


    Otherwise, it is likely to be very passive this time.


    "Well, as long as you really don''t have **** with them, you don''t have to worry about normal interactions. Xiao Zhou, I believe you also know that the emergency department is now operating at high speed with you as the core. You must keep the bottom line, and when you do things , You must think that the entire department is tied to you. The most difficult thing is to maintain a cautious and humble heart at all times when you are young and successful."


    Director Lou put too much effort into him and placed high hopes on him.


    Today, Zhou Can is the key to the rapid development of the emergency department.


    At this juncture, Director Lou was particularly worried that something would happen to Zhou Can.


    The easiest thing to destroy a successful man is the relationship between men and women.


    After a man has money and status, he is especially easy to play.


    This is nature, it is instinct.


    Humans evolved from wild beasts. In the world of wild beasts, powerful males or females enjoy the reproductive rights of the entire group.


    Although human beings have developed to this day and have evolved a high degree of civilization, the genes engraved in their bones still exist.


    People with self-discipline and strong self-control can control their behavior well.


    Young and successful people are the easiest to lose themselves.


    Because he is too young, his mind is not mature enough, and his personality is not stable enough. When faced with various temptations, it is difficult to control one''s emotions and desires.


    "Director Lou, I would like to take two hours off from the department and report to the police first. If the culprit behind the scenes cannot be found out in time, there will definitely be other means to ruin my reputation in the future. And this person has already implemented Online and offline gossips are being spread at the same time, and public opinion is very easy to ferment. I will report the case first, which will be of great benefit to the subsequent counterattack."


    [The novel app that has been running stably for many years, comparable to the old version of the book chasing artifact, the source-changing app used by old bookworms, huanyuanapp]


    Zhou Can looked very calm.


    He wants to see, who is this person?


    "Well! It''s a good thing that you can counterattack rationally and deal with it calmly. Hurry up and go!"


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Director Lou was more anxious about this matter than Zhou Can himself.


    After so many years of planning, I finally found a talented person who is capable of helping the emergency department to develop rapidly. The emergency department finally flourished and has a gratifying trend of rapid development.


    He never wanted to stop there.


    "What if the rumor maker is someone from our emergency department?"


    Before Zhou Can opened the door, he turned around and asked a question.


    "Who did you offend?"


    Director Lou''s eyes revealed a hint of Jiren''s coldness.


    "There are really people who are so clever and stupid. As long as it is found out, not only will he be told to leave, but I will report to the hospital and have this kind of person permanently blacklisted."


    "Now the truth of the matter has not been found out, and I don''t want to make random identification. Don''t worry, the matter should be revealed soon."


    Zhou Can rushed to the police station to report the case, but he didn''t mention it.


    At the same time, he has already used the power of capital to investigate those who spread rumors behind the scenes. And began to collect evidence to prepare for future prosecution.


    If this person is not sent to prison, I am sorry for this person''s low methods.


    On the way back to the hospital, Mu Li called.


    It seems that she probably already knew about it.


    "Dr. Zhou knows that there are rumors on the Internet about you keeping a mistress?"


    "Well, I already know."


    "He is not yet married. You have to find a way to clear this matter for me, otherwise I will not marry you." Mu Bi didn''t sound as anxious as she imagined.


    A woman''s heart, a sea needle.


    I don''t know what she is thinking.


    "I''m already dealing with this matter, and I will return your innocence. Let''s do it first!"


    After speaking, Zhou Can hung up the phone.


    He tried to keep a distance from this twilight.


    Now I hope Su Qianqian doesn''t know about it yet. Otherwise, she will definitely be affected.


    Zhou Can was most worried about her body.


    The disease was finally under control.


    The colorful toad that can help her cure her kidney disease has been found, but there is no clue for the purple-backed star anise.


    In case her condition worsens because of this kind of thing, Zhou Can hardly dares to think about the consequences.


    He gritted his teeth with hatred for the twilight queen.


    ¡­


    Back home at night, Su Qianqian was still sitting on the sofa waiting for his return as usual.


    When Zhou Can finished taking a shower, she hugged Zhou Can tightly.


    "Qianqian, what''s the matter?"


    "I''m afraid I''ll lose you one day. I just hope that this kind of day can last forever. Although I know it''s selfish for me to think like this, the days when I''m with you are really, really happy..."


    She must have known about the gossip on the Internet.


    Zhou Can hugged her and sat down.


    "Being with you, I also feel very warm and happy. Did you hear some rumors somewhere? I can assure you..."


    Before Zhou Can finished speaking, she covered her mouth with her hand.


    "I believe in you. I know that someone maliciously spread rumors. I never doubted you. It''s just that I''m still afraid of losing you."


    She is more in love with Zhou Can, and she is reluctant to give up.


    Because I care too much, I am even more afraid of losing.


    "Don''t be afraid, I have recognized you for a long time in my life. Unless one day you take the initiative to abandon me, otherwise, there is no power to separate us." Zhou Can has never been the kind of person who loves the new and dislikes the old.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    He is very content to have such a good life partner.


    That night, despite his comfort, Su Qianqian still couldn''t sleep.


    There must be anxiety in her heart, and it is also a woman''s nature to love cranky thoughts.


    Although she is very good and almost perfect in all aspects, she is still afraid of losing Zhou Can when facing a crisis.


    In the morning, Zhou Can came to the hospital to work, and when he entered the operating room to take over his shift, he happened to meet Dr. Lu.


    The guy''s eyes seemed to be dodging a bit.


    The two haven''t greeted each other since the quarrel.


    Doctor Lu wanted to pass by.


    Zhou Can stared at him with cold eyes and entered the locker room. When it came to his mouth, he finally swallowed it back.


    It''s better not to talk nonsense until the truth is found out.


    During the operation in the morning, he was obviously affected by the scandal, and he was a little out of shape.


    The main thing is to worry about Su Qianqian.


    Qiao Yu''s condition was also not very good.


    Zhou Can was worried that something might happen, so he stopped the operation on his own initiative.


    "What a big deal, as for?"


    Dr. Xu was heartbroken to see that Ai Tu couldn''t even perform the operation.


    "Teacher, it''s not that I''m hypocritical, but this matter has affected my life. I can''t be indifferent, or I''d better go out and help you pull the hook!"


    Surgery is no joke.


    That is one life after another.


    At this juncture is already messy enough.


    If there is another surgical accident, it will be just as the rumor maker wishes. It really ruined Zhou Can.


    As mentioned above, Zhou Can''s cell phone kept vibrating until it was close to 11:30 noon. He knew that there was a call coming in.


    If it were normal, he would be busy with surgery and wouldn''t pick it up at all.


    Now he was just helping Dr. Xu as an assistant, he took out his phone and glanced at it.


    "Teacher, I''ll answer the phone first."


    "Go!"


    Dr. Xu felt very uncomfortable seeing his lover being greatly affected.


    Zhou Can came to the outside room and connected.


    "Boss Zhou, the matter has been investigated."


    "Oh, your work efficiency is quite high! It''s not bad that you got the result so quickly."


    Zhou Can was excited when he heard that things had taken shape.


    "Hey, don''t worry, we eat this bowl of rice, and it''s natural to do this kind of thing professionally. The original post was posted in an Internet cafe. We have adjusted to the surveillance screen at that time and locked the poster. The picture will be sent to you from WeChat first. , you can see if you know this person. In addition, the person who spread the propaganda tabloid in your hospital has also been found. It is the family members of two patients."


    Zhou Can was extremely surprised that the people who spread rumors offline turned out to be the family members of the patients.


    "Do you have any family information?"


    Zhou Can originally thought it was Dr. Lu who did it, but he didn''t expect it to be the patient''s family.


    "Don''t worry, we have always been detailed and pragmatic in our work. The two family members who posted small advertisements were already found out last night. In order to investigate clearly, we did a lot of work this morning."

 Chapter 432： The Thunder method is ready, the patient with right arm pain after operation

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Very good, I am very satisfied with your service. Now please send me the information of the family members of the two small advertisements, these bastards, if you don''t send them in to eat their fill, I''m really sorry for what they did These things."


    Zhou Can hated these people deeply and would never show mercy.


    In the past, even if you met the most difficult family member or patient, even if you were smiling and chatting in the ward just a moment ago, as soon as he left, the patient would directly take the recording to the superior department to complain. He didn''t hate it that much.


    "No problem, it has been sent now, you can check it. If you have any questions, please feel free to contact us."


    Zhou Can was very satisfied with the other party''s service attitude and professional ability.


    Opened WeChat, and sure enough, I saw the surveillance video sent over, as well as clearer screenshots of people''s faces. Not only that, but also helped Zhou Can find out the phone number of this person when surfing the Internet in an Internet cafe, which is a small private room. In addition, there is an ID number registered at the front desk.


    However, Internet cafes are comparable to small hotels.


    As long as the money is given, the ID number will not be verified too carefully.


    The names, mobile phone numbers, and recent photos of the two family members who posted small advertisements are all clear. There are also some recording files.


    "Bastard, do you think you can''t recognize him if you wear a mask and a hat?"


    Zhou Can recognized the person who posted the post in the Internet cafe at a glance.


    It was none other than Dr. Lu in the emergency surgery operating room.


    Now that the evidence has been collected, the next step is simple, find a lawyer and sue in court. At that time, these people will soon taste the punishment.


    Went inside to say hello to Dr. Xu, asked for leave, and Zhou Can contacted the lawyer directly.


    There is no need to look outside at all, Jinyu Interactive has specialized legal affairs. And the lawsuit is very powerful.


    It doesn''t matter if it''s not great, entertainment companies are more chaotic than imagined.


    To face all kinds of disputes, the contract signed is hundreds of thousands, millions of commercial endorsements, or others, all of which require a professional legal team to escort.


    As for the legal affairs of Tuya Hospital, he couldn''t trust him.


    With his current status, it is also difficult to call.


    ¡­


    When I got back from work, it was already past two o''clock in the afternoon.


    Zhou Can''s mood was completely different from that in the morning. In the morning, I was restless and obviously affected.


    At this moment, his heart is clear and his chest is happy. He just waits for the court to open the hearing after the case is accepted, and bring those rumormongers to justice.


    "Doctor Zhou, Director Lou told you to go to the director''s office when you come back."


    "OK, thanks!"


    Zhou Can''s state has completely returned to normal.


    Nurses can feel it.


    But he didn''t say much.


    If you are just ordinary colleagues, some things that involve privacy, even if you know it in your heart, you will not say it.


    On the way to the department director''s office, Ye Tingting walked up quickly.


    "I wanted to comfort you at first. Judging by your current mental state, there should be no need for it. It''s just some gossip. As long as it''s not true, why care too much about it. Even if it''s true, it''s nothing. You''re not married, talk What''s wrong with love?"


    Ye Tingting lowered her voice.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "It''s really okay to fall in love, but it''s definitely not okay to date multiple girls at the same time. The most important thing is that these rumors have affected my relationship with my colleagues, my external image, and my lover''s mood, so I must solve it as soon as possible. .¡±


    Zhou Can''s views on marriage and love are quite different from Ye Tingting''s.


    He knew that many nurses in the hospital didn''t care much about the relationship between men and women in order to get a higher position, or in exchange for big benefits, or were single in the first place.


    There was once a nurse in the emergency department who, in order to be transferred to a relaxed management position, heard that he took the initiative to catch up with a certain deputy chief of the medical department.


    The deputy section chief has a wife.


    But for men, few people can resist the temptation of being delivered to their door.


    In the end, the nurse got her wish and was transferred to a management position in the Nursing Department. Originally, this matter was also based on what they needed, so it should stop here.


    But the deputy chief had tasted the sweetness and refused.


    In the end, the tigress at home found out about having an affair with the nurse.


    This is incredible.


    The tigress rushed to the hospital and made a big fuss, not to mention that she directly used her father''s relationship. The next day, the higher-ups issued a processing document, and the deputy chief of the medical department was directly dismissed and dismissed.


    Ye Tingting usually not only flirts with Zhou Can, but also gets along well with the important male leaders of the department.


    But there shouldn''t be that special relationship, otherwise she wouldn''t be able to work in the observation room and emergency room all the time.


    It''s hard to understand her.


    A weak woman with only a bachelor''s degree, working in a compound like Tuya, the personnel is complicated.


    In order to survive better, she must find ways to get along with the powerful people in the department.


    Zhou Can never underestimated her because of this.


    He knocked on the door of Director Lou''s office and found that head nurse Niu Lan was also there.


    Zhou Can hurriedly greeted the two of them.


    "Director Lou, then I will go to explain the family members first."


    She seemed to know that Director Lou called Zhou Can in because he had something to discuss, so she left immediately.


    "The responsibility for this matter lies with the family members. Our hospital has carried out a series of rescues for the patients according to the procedures. There is nothing wrong with it. If the family members insist on making trouble, let them go through legal procedures. I will handle the medical department and doctor-patient disputes. It has already been reported, and that¡¯s pretty much what they mean. Of course, try not to make trouble if you can, after all, it will definitely have a negative impact on the hospital.¡±


    Director Lou had made a confession to head nurse Niu Lan.


    "OK!"


    Niu Lan, the head nurse, is quite a well-educated person. When leaving, he nodded to Zhou Can.


    She is also very elegant and intellectual when speaking and doing things, and she is rarely seen getting angry.


    As for the fact that nine out of ten female head nurses are friends of a certain cadre, Zhou Can has no way to verify this.


    The overall atmosphere of Tuya Hospital is quite good, it should not be so chaotic.


    "The past two days have been really crazy. There have been accidents in our emergency department. The female patient who came to 120 died yesterday morning. You were also there at the time. The family members did not agree to intubation. What can we do in our hospital? Now she is dead. , the family members beat back, saying that our hospital did not actively rescue the patient, which resulted in the death of her daughter. Do you think this is annoying?"


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Director Lou regarded Zhou Can as a core member of the department, so he said these things.


    "I also found that there are more and more unruly family members and patients nowadays. The overall medical environment is very bad now, and some medical troublemakers can get money after making trouble. This also contributes to this unhealthy trend."


    Zhou Can also empathizes with Director Lou''s distress.


    Today''s patients and their families are really difficult to deal with.


    Fortunately, the kind of family members and patients who want to extort money, complain at every turn, and pull banners to make trouble, only account for a small part after all.


    Otherwise, it is estimated that the doctors and nurses may go on strike collectively.


    "At noon, I heard from Dr. Xu that even your operation status has been affected. This is not okay, you have to learn to adjust yourself. Think about it, isn''t that rumor maker just trying to crush you and disgust you? If You took this rumor and slander too seriously, didn''t you just fall into the enemy''s tricks?"


    Director Lou was very anxious when he heard that Zhou Can''s work status was affected.


    Right now is a critical period for the development of the emergency department, and it has only been running at high speed for more than two months. If it falls suddenly and returns to its original shape, the 100-level laminar flow operating room, endoscopy room, and personnel expansion that have been applied to the superior will all be affected.


    Hospital management is not so easy to talk to.


    The department has no performance and cannot generate income. If you dare to ask them for this or that, they will directly scold you, "You want a hammer!"


    "Director Lou, you are worried about this matter. Now that I have adjusted my emotions, I will not be affected by this matter anymore. I am preparing to go back to work in the operating room!"


    Zhou Can''s expression was calm and his tone was very calm.


    Director Lou looked at him seriously, and found that he really seemed to have adjusted, and immediately nodded in satisfaction and said, "It''s good that he has adjusted, you should go to work quickly!


    [Currently used, the app with the most complete and best audio for listening to books, integrated with 4 major speech synthesis engines, over 100 kinds of timbres, and a source-changing artifact that supports offline reading, huanyuanapp source-changing app]


    But I have to say first, surgery is a high-risk job, if you are not in good condition, you must not force surgery. Then I would rather give you two days off, let you go home to rest, adjust and come back to work. "


    Compared with the performance of the department, safety is more important.


    As long as there is an accident in one operation, it is likely to be a disaster for Zhou Can.


    If the emergency department loses Zhou Can, it will fall directly to the ground like an eagle with broken wings and return to its original shape.


    Whether it is for Zhou Can or the emergency department, it is currently in its infancy and is very critical.


    On the contrary, the emergency department will develop stronger in the future, even if Zhou Can is lost, it will be able to bear it.


    ¡­


    Several days passed, and Zhou Can''s life gradually returned to normal.


    Rumors about his scandal had already spread in the hospital.


    However, it is not illegal for an unmarried single doctor to fall in love. Even if you fall in love with multiple girls at the same time, as long as those girls are willing, there is no problem.


    In terms of influence, there must be some.


    For example, he can feel his colleagues whispering about him behind his back, and as soon as he sees him approaching, he stops talking immediately.


    The atmosphere was quite awkward.


    The strange eyes his colleagues looked at him also made him a little uncomfortable.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    There is also the patient whose leg was burnt and rotted. The treatment has come to an end, and he has been discharged from the hospital today. Originally, the hospital planned to use this case to make a big publicity, to help Zhou Can become famous.


    However, affected by the scandal, the matter was pressed the pause button.


    The top management of the hospital is very rational and resolutely refrains from doing risky and controversial things.


    From a long-term perspective, this incident will also have a certain adverse impact on Zhou Can''s future. When he is promoted to some important positions, his superiors will consider his flamboyant personality. If he is promoted and some gossip comes out, wouldn''t that be the end of it?


    Therefore, the superiors will be particularly cautious when promoting cadres and important positions.


    Zhou Can himself is not in a hurry about this matter, the court has already accepted the case, and if there is no accident, the trial will be held in the next few days.


    According to the law, if the court adopts the summary procedure, the case must be served on the other party within 5 days after the case is filed, and the other party is given a 15-day defense period.


    There is nothing controversial about this case, the evidence is solid.


    In addition, Zhou Can has a professional team of lawyers, and it is not difficult to speed up the acceptance of the case and the trial.


    In the morning, Zhou Can entered the ward for rounds as usual.


    A middle-aged male patient in bed 17 complained of pain in his right arm.


    Zhou Can made a detailed understanding and learned that the patient had a right arm tumor resection yesterday. This kind of operation is not a major operation, and the pathology itself has also been checked, which is a benign tumor.


    Only recently, with the rapid growth of the tumor, the patient felt frightened, so he insisted on going to the hospital for resection.


    Under normal circumstances, this kind of operation can only be regarded as a minor operation in Tuya.


    In the case of tight beds, even hospitalization is not required.


    After the operation, I prescribed some medicine and went home.


    In order to generate income and safety, the emergency department allows patients to be hospitalized for observation for one day before being discharged.


    Because the patient reported swelling and pain in the right arm, the family members did not agree to leave the hospital.


    There is no way for the hospital to force it.


    Originally, he could be discharged from the hospital this morning.


    After Zhou Can heard the patient''s appeal, he pressed the patient''s right arm with his hand and found that the patient''s right arm was very hard. Especially near the surgical wound, it is as hard as a rock.


    I tried to press the patient''s arm. Under normal circumstances, as long as it is not a muscular man or athlete, the muscles here are generally more relaxed.


    It only tightens when exerting force.


    But at this moment, pressing down is equally hard.


    Zhou Can immediately realized that there must be something wrong with the patient.


    He didn''t do the surgery, so who would do it?


    At first glance, good guy, it''s Dr. Lu again.


    This scourge caused problems in the operations performed on patients every three days. The last time it was an abdominal infection, if it wasn''t treated in time, the patient''s life might have been lost.


    I heard that Dr. Xu scolded Dr. Lu severely.


    Unexpectedly, less than ten days later, another problem occurred.


    "Doctor, is there something wrong with my arm because the operation is not done well?"


    The patient is a middle-aged man with rich experience.


    From the change in Zhou Can''s expression, he realized that there must be something wrong with his arm.


    "There should be no problem with the operation, but there may be postoperative complications. I will report this matter to the superior doctor, and I will give you further examinations in time to find the cause of the pain. Don''t worry, I will now Report to the superior doctor."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    When Zhou Can was still in college, it was written in the textbook.


    Do not say that other doctors have performed improperly in front of patients, or criticize other medical staff for operating errors.


    Because you never know what situation your peers are in when they choose this operation.


    And this will intensify the contradiction between doctors and patients.


    Therefore, even though Zhou Can and Dr. Lu had a deep hatred, he still did not speak ill of Dr. Lu in front of the patient.


    This is the professional ethics that doctors should have.


    Colleagues will choose to stay away from such doctors if this code is not followed.


    When I came outside, I happened to see Dr. Xu rushing to work.


    "Teacher, teacher, I want to report something to you."


    "What''s up?"


    "Just now I made a ward round, and the patient with an extra 17 beds had pain in his right arm after surgery..."


    Zhou Can reported what had happened.


    "Who performed this operation?"


    Doctor Xu asked with a frown.


    "Doctor Lu."


    Zhou Can answered truthfully.


    "It''s him again!" Dr. Xu''s tone was already murderous.

 Chapter 433： Good and evil will be rewarded, 1 life is black

    Dr. Xu is very emotional in his bones. He was actually dissatisfied with Dr. Lu a long time ago.


    But Dr. Lu is a person who can come to things, he is good at flattering people, and his superficial articles are even more top-notch.


    It''s not bad to play the emotional card.


    For example, three years ago, he and Zhou Can had a very tense fight because of Qiao Yu''s matter, and he was even extremely hostile to Zhou Can.


    If it were an ordinary person, it would be embarrassing to ask Zhou Can to shake hands again.


    However, Dr. Lu was able to bend and stretch, and when it was time to bow his head, he was not at all hypocritical.


    Naturally, he took the initiative to apologize to Zhou Can, and then tried to repair the relationship.


    In the end, Zhou Can lived peacefully with him.


    Zhou Can went back to the emergency department this time. On the surface, there was no direct conflict of interest with Dr. Lu. In fact, Zhou Can''s return has already affected Dr. Lu''s status and even his income.


    This is like a family with only one child, and the parents and elders pour all their love into this child.


    Later, another child was born, and the second child was smarter and more sensible, far better than the first child in all aspects.


    The care of the parents and elders is naturally taken away by the second child.


    At this time, the first child will feel unbalanced in his heart.


    He didn''t dare to blame his parents and elders, but he put all the resentment and resentment on his younger brother.


    When Zhou Can didn''t return to the emergency department, the resources and guidance Dr. Lu could get in the operating room were quite good. But as soon as Zhou Can came back, the whole department revolved around Zhou Can with Zhou Can as the core.


    It is inevitable that Dr. Lu''s status will be weakened.


    This kind of thing, he is also suffering. It is because his ability is far inferior to Zhou Can that he loses in competition everywhere.


    There is pain in my heart but I can''t say it.


    And because Zhou Can''s status was much higher than him, he didn''t dare to show any dissatisfaction in front of Zhou Can.


    For a long time, this resentment has been backlogged in my heart with nowhere to vent.


    Until the case of the surgery patient last time, because Zhou Can filed a complaint, Dr. Xu scolded him severely. This is equivalent to igniting a powder keg, and Dr. Lu''s old and new hatred for Zhou Can completely broke out.


    When losing his mind, he uttered harsh words to Zhou Can.


    Afterwards, he even resorted to indiscriminate means to kill Zhou Can.


    It is a good lesson through the ages to offend a gentleman rather than a villain. It is the precious experience gained by the ancestors in exchange for the lessons of blood.


    Zhou Can asked himself that he was sorry for Dr. Lu, but he didn''t think so!


    He has no way to take revenge on Zhou Can in other ways, so he can only make some gossip to disgust Zhou Can.


    He had pursued Qiao Yu so many times before, but was always rejected mercilessly. This made Dr. Lu hold a grudge in his heart for a long time.


    Seeing Qiao Yu''s initiative and enthusiasm towards Zhou Can made him even more jealous and unbalanced.


    Creating a scandal this time, involving Qiao Yu and destroying it together, is just in line with his wishes.


    All I can say is that the human heart is terrible.


    With a dark face, Dr. Xu said to Zhou Can, "I''ll go to the ward to check the patient''s condition first, and you go to the operating room and call Dr. Lu over. If his operation is not finished, you can take over directly."


    "OK."


    Zhou Can knew that Dr. Lu was definitely out of luck this time.


    At the very least, the operation authority will be suspended and transferred to do other things.


    He changed his clothes and went into the operating room, just in time to see Dr. Lu flirting with the nurse girl while he was idle.


    "Doctor Lu, there is something wrong with the 17-bed patient in the inpatient ward. Dr. Xu told you to come over right away."


    "Call me over?"


    Doctor Lu was full of doubts.


    "That patient was operated on by you yesterday, and the superficial tumor on the right arm was removed." Zhou Can could only add.


    "You''re suing me again?" Dr. Lu''s greatest ability is to turn his face and be ruthless. When he doesn''t want to offend you, he can be as humble as a grandson, licking dogs in all kinds of ways.


    "Doctor Zhou, I really didn''t want to talk about you. It''s better not to be so domineering. Colleagues are always separated. If there is something wrong, we should tolerate and help each other instead of punishing others."


    Dr. Lu is really talented.


    He also accused the villain first, and talked about Zhou Can''s fault.


    "I don''t dare to be a villain when it comes to punishing others to death. But I believe that Dr. Lu knows it well. Seeing that you can still stay in the hospital, you probably haven''t received a summons from the court. What''s left for you Time should be running out, hurry up and arrange things at home, and remember to be a good person when you come out."


    Now that there are no patients in the operating room, Zhou Can is naturally not used to him.


    It is estimated that the court summons will be served today. By then, Dr. Lu will understand what can and cannot be done.


    "You, what do you mean? Who are you scaring!"


    Doctor Lu''s face instantly turned pale.


    Originally, he had ghosts in his heart, but when he heard Zhou Can bring up the court summons, he had a faint feeling of being a good man after he came out.


    "Hehe, I''m sure you can understand. If you have to pretend to be stupid, it''s okay to remind you again. If you want people to know, you have to do nothing."


    There is solid evidence for the rumors. Dr. Lu thought that nothing happened after so many days.


    It can only be said that he is too naive.


    "Zhou Can, what do you mean?"


    Doctor Lu panicked a lot.


    In this case, he has a high probability of knowing that things have been exposed.


    It''s just that people have a fluke mentality.


    When doing this bad thing, Dr. Lu thought he had done a lot of ways to escape the police. For example, use someone else''s ID card to register online, such as wearing a mask and hat, covering your head tightly, like going out to be a robber.


    There is also a small advertisement in the hospital, and two family members who are short of money are hired.


    The salary was also paid in cash, and no transfer records were left.


    It''s a pity that he underestimated the skills of the detectives.


    The police didn''t even need to be dispatched, Zhou Can only spent a small amount of money, and hired someone to easily find out the truth of the matter.


    The evidence is already solid, and only Dr. Lu is still in the dark.


    Fortunately, this was just a small case, and the criminal police were not alarmed. Otherwise, no matter how concealed he is, he can be found out based on clues.


    "It''s okay, you go to the ward first! Anyway, I have already brought it."


    After Zhou Can finished speaking, he didn''t bother to talk to him anymore, and went straight into the operating room inside.


    The fear of the unknown is the most frightening.


    He deliberately put Dr. Lu in extreme panic.


    Qiao Yu was already laying drape, preparing surgical instruments, and checking the instruments in the operating room.


    "Hi, good morning!"


    Seeing him coming, Qiao Yu showed a happy smile on her face.


    "morning!"


    Zhou Can actually feels guilty towards her. Men are by no means the biggest victims of this rumor-mongering incident.


    The two unmarried women inside are the biggest victims.


    Qiao Yu had already adjusted.


    If Zhou Can can''t give her a satisfactory explanation for this matter, I''m really sorry for her silent dedication.


    Not long after, Ma Xiaolan also came to work.


    "Doctor Zhou, Dr. Xu invites you to the office."


    "Okay, I''ll go right away."


    Zhou Can''s heart sank slightly, indicating that the patient''s condition may be more serious than expected. Otherwise, Dr. Xu would not call him out of the operating room.


    Safety first at all times.


    If the patient dies or becomes disabled after the operation, the hospital will easily sue.


    The doctor involved must be in bad luck.


    Many patients go to the hospital to see a doctor, and the doctors are treated like thieves. In fact, doctors and nurses most hope that patients will be discharged safely and healthily. No doctor will hope that the patient''s condition will worsen, or there will be more than a dozen complications after only one disease. It doesn''t do the doctor any favors.


    On the contrary, it is hard to say about those "filial sons and virtuous grandchildren".


    In the corridor outside the ward, the patient with the extra bed No. 17 was still lying on the bed and had stopped the infusion.


    The nurse is doing a basic physical examination for him.


    Zhou Can entered the office and saw Dr. Xu with a dark face, and Dr. Lu with his head down. It seems that Dr. Xu has scolded him like a dog.


    Seeing Zhou Can come in, Dr. Lu glared at him with extremely resentful eyes.


    "Xiao Zhou, I have seen the patient just now, and the condition is more serious than I imagined. Do you have any diagnostic suggestions?" Dr. Xu frowned.


    For him, what he fears the most is accidents during the operation.


    Because his identity is too sensitive.


    It''s like a prisoner in a prison who has just been sentenced and is still sitting in prison for reform. At this time, normal prisoners will want to behave well and strive for a reduced sentence to get out as soon as possible. No one wants something to happen again, and the punishment will be increased.


    "There should be only two possibilities. Either it is postoperative edema, or the blood vessels were not properly treated during the operation, or the wound was not cleaned up, causing thrombus. If there is edema, find the problem in time and solve it. If there is a thrombus in the upper extremity, then It''s dangerous, and patients are prone to death."


    Some thrombus will be fixed in a certain position.


    Some can swim along the blood vessels and enter the brain, which is cerebral thrombosis. Entering the cardiovascular system, that is myocardial infarction. If it gets into the lungs, it''s a pulmonary embolism.


    In short, it is dangerous wherever it enters.


    "Don''t be alarmist here, you don''t like me, are you going to retaliate?"


    When Dr. Lu heard that the patient might die, he immediately became furious.


    It''s okay for others to say this, but Zhou Can felt it was particularly harsh when he said it.


    At this moment, Dr. Lu is already a little nervous.


    The bad things he did may have been discovered by Zhou Can, and Zhou Can secretly told him that he was going to go to a cell to eat in prison. This made him terrified and flustered.


    Now that something happened to the patient he was operating on, it was a double whammy.


    It is said that if you do many unrighteous actions, you will die yourself.


    It''s really true.


    If there is no accident, it will be fine. If there is an accident, accidents may happen everywhere.


    "Lu Qingyuan, now everyone is discussing the patient''s condition together. You didn''t do a good job in the operation, and you don''t want to repent, why are you still yelling here?" Dr. Xu was also angry.


    He invited Zhou Can over to discuss the patient''s condition, and tried his best to wipe Dr. Lu''s ass, but this guy didn''t know what to do.


    He looked like he wanted to roll up his sleeves to fight Zhou Can.


    "He is your beloved student, and of course you have spoken to him."


    Doctor Lu lowered his head and muttered.


    Let him contradict Dr. Xu, he doesn''t have the guts yet.


    Dr. Xu ignored him, but continued to discuss the condition with Zhou Can.


    "If it''s really a blood clot, it will be troublesome."


    "To be on the safe side, you can have a color Doppler ultrasound right away."


    The biggest difference between color ultrasound and b-ultrasound is that it can clearly see the flow of blood.


    In clinical examination, color Doppler ultrasound is often used for the diagnosis of this potential thrombus and blood supply.


    "I''ll immediately talk to my family members and have a color Doppler ultrasound. You can hold on to the operating room first, and you can press down on unsure operations, and wait for me to finish this matter before doing it."


    Doctor Xu exhorted.


    "good!"


    But Zhou Can was thinking that if it was really a blood clot, the risk factor would increase tenfold.


    "If you can, try not to move the patient, especially the right arm."


    Before leaving, he exhorted.


    Thrombosis in the extremities, in addition to causing poor blood supply to the extremities, necrosis, pain, and swelling of the extremities, the biggest harm is running around along the blood vessels.


    Because the blood in the human body is constantly circulating.


    It relies on the pumping and pumping kinetic energy of the heart to continuously complete arteriovenous blood exchange and circulation.


    According to Zhou Can''s opinion, it is safe to tie up the patient''s right arm at the shoulder level immediately.


    It''s just that in actual operation, considering the feelings of family members and patients, as well as possible doctor-patient disputes, this kind of behavior is rarely implemented.


    In many cases, almost all Western medicine defaults to one treatment procedure.


    If the condition is not clear, then continue to observe and wait until the condition is clear before rescue.


    This can also be regarded as a kind of defensive medical behavior.


    Half an hour later, Zhou Can received a notification from Dr. Xu confirming that a blood clot had occurred in the patient''s right arm. Since there was no such condition in the emergency department, the patient had been transferred to general surgery for a second operation to remove the thrombus.


    The call to Zhou Can is to ask Zhou Can to say hello.


    General surgery is now divided into eight, taking the lead in completing the department reform, and is becoming stronger and stronger. The status is also getting higher and higher.


    Patients with this second operation have great hidden dangers of disputes.


    Zhou Can is very familiar with the people there, so he can arrange surgery for the patient as soon as possible by saying hello. Otherwise, the vascular department and basic surgery of the general surgery department can completely play football.


    Zhou Can used the three years of regular training to build relationships with doctors in multiple departments, even those chief physicians.


    In critical moments, it is very useful.


    Invisibly, like a tentacle monster, with a humble professional title, he has inextricable connections with the chief doctors of various departments.


    It has to be said that this is a miracle among lowly doctors.


    While eating at noon, he received news that the patient''s thrombus was successfully removed after a second operation.


    After the operation, the patient has been sent back to the ward of the emergency department for nursing and observation.


    Dr. Lu''s surgical authority was indeed suspended by Dr. Xu.


    I heard that it is being discussed to transfer Dr. Lu to other positions in the emergency department.


    Just to be honest, this kind of person has a bad work attitude, and it will be a disaster to be transferred to any position.


    Transferred to the front to sit in the clinic, on the one hand, his level is not enough, on the other hand, he is negligent in diagnosis and treatment, which can easily lead to misdiagnosis and missed diagnosis.


    The emergency room, intensive care unit, and inpatient ward in the back... none of the positions are suitable for him. UU reading www.uukanshu. com


    As for the management position in the emergency department, that''s a fart.


    How to deal with Dr. Lu became a difficult problem. Director Lou and Dr. Xu are more or less concerned about the friendship they have had with colleagues for several years, and they are unwilling to kick them out easily.


    This problem was quickly resolved.


    Because the medical department called Director Lou, Dr. Lu was taken away from the rental house by the public security organs because he violated the criminal law.


    The doctor violated the criminal law, and it was basically over.


    This is the consensus in the industry.


    Zhou Can was slightly surprised when he heard the news.


    He only found out after he got off work and heard someone talking about it among his colleagues.


    Originally, according to the original plan, Dr. Lu and others should be prosecuted first, and then after the court trial, they will be arrested in court. Now there are some changes.


    It may be that Zhou Can''s professional lawyer team was worried about Dr. Lu''s absconding, or that Dr. Lu had a bad attitude when he received the court summons, or other reasons.


    It is also a good thing to arrest people in advance.


    Zhou Can''s request is to punish severely according to law, apologize publicly, and eliminate the bad influence.


    He did not ask for financial compensation, but he hoped for a heavy sentence.


    As an adult, there must be a price to pay for doing something wrong.


    Five days later, Zhou Can received a call from his attorney, and Dr. Lu was sentenced to six months in prison. The other two family members who posted small advertisements were also sentenced. The rumors have been published in the newspaper to apologize and clarify the truth.


    After learning the result, Zhou Can was satisfied.


    It''s just that it''s a little light for not being able to sentence Dr. Lu to three years.


    But also understandable.


    After all, the plot is not particularly serious.


    After being sentenced, Dr. Lu basically has nothing to do in his life. After coming out, I want to be a doctor. It will be very difficult. No hospital will accept it.


    Zhou Can also let out a bad breath.

 Chapter 434： good things come, youre drunk

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    After this matter was clarified, Zhou Can''s bad luck seemed to be wiped away at once.


    Colleagues no longer looked at him strangely.


    Even some colleagues with good friendships took the initiative to send messages to congratulate him on defeating the rumors. There will never be a shortage of icing on the cake in this world.


    To this, Zhou Can responded with a smile one by one.


    "Xiao Zhou, come to my office."


    When he got off work at night, Director Lou stopped him.


    After entering the office, before Zhou Can could speak, Director Lou took the initiative to say, "The court''s verdict is really satisfying! I really didn''t expect Dr. Lu to be such a person. It''s stupid and bad to do such a thing."


    "The forest is big, and there are all kinds of birds. This lesson is also a growth for me."


    Zhou Can was calm.


    Since the day Dr. Lu was taken away by the police, he has been relieved.


    "You''re right. It''s a blessing in disguise. After passing this test, at least it proves that your character, medical ethics, and work style are all right. The hospital just revealed to me that you didn''t Treated a patient with a severely scalded leg and a rotten wound? For this matter, the hospital invited a special TV reporter to make a short documentary, and is planning to do an external publicity."


    Director Lou told him the great news.


    Hearing this, Zhou Can was excited.


    It was the first time that the hospital officially pushed him.


    More than a year ago, Zhou Can was just pushed by the way. It can be considered as testing the waters.


    Afterwards, Zhou Can performed really well.


    He is already well-known in pediatrics, and has made considerable contributions to the diagnosis and treatment of pediatrics. According to some outpatient nurses and window staff, Zhou Can''s popularity in pediatrics is not inferior to some ordinary chief physicians.


    It''s only been more than a year, and it''s already very good to have such good results.


    As for making Zhou Can more famous than those well-known pediatric doctors and veteran experts in just over a year, this is unrealistic.


    Those well-known pediatric doctors and veteran experts all have a few brushes, and their research in related medical fields is beyond Zhou Can''s comparison. Moreover, they have been intensively cultivating for 20 to 30 years, or even 40 or 50 years.


    How could this kind of accumulation be comparable to Zhou Can, a rookie?


    "Don''t be too happy. It''s not an exaggeration to describe this promotion as a matter of life and death for you."


    Director Lou saw that Zhou Can was a little excited, and poured cold water on him to cool him down.


    "Isn''t it a good thing to promote me?"


    Zhou Can asked puzzledly.


    "It is indeed a good thing for doctors to have some major publicity opportunities. Many doctors can''t wait for this kind of publicity opportunity once in a lifetime. But have you ever thought about it? Being famous means that the eyes of all directions will focus on you At this time, some small mistakes and flaws in your body may be magnified ten times, and you will be subjected to various attacks. It is not so easy to be a famous doctor!"


    Director Lou said to him meaningfully.


    "I understand this truth. If you want to wear a crown, you must first bear its weight! To be famous means to withstand all kinds of tests."


    Zhou Can has never been afraid of challenges.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Becoming a famous doctor is his dream.


    In the current medical environment, famous doctors can help him better develop his team and make it easier for him to obtain high-quality resources in scientific research and academic fields. Doing many things can get twice the result with half the effort.


    Look at the doctors in major hospitals, as long as they are a little self-motivated, which one is not desperately engaged in scientific research and writing papers?


    Such is the environment.


    Without papers, there is no status, no authority.


    "Since you understand everything, I can omit some words. Let''s talk about your own shortcomings. There are two main points. Your education is average, there is a lack of high-quality papers, and your scientific research achievements are far from being improved."


    Under normal circumstances, at least one must have a master''s degree or above to really get some scientific research opportunities.


    Undergraduates like Zhou Can lack scientific research experience and high-quality dissertation experience at the doctoral level. These are big questions.


    This is also an important reason why doctoral students are very popular in hospitals.


    "But you don''t have to belittle yourself. Although you don''t have enough academic qualifications and papers, you have surgical talent and judgment ability that even the top overseas doctoral students are jealous of. You can slowly make up for your education and papers."


    Although Director Lou didn''t say it clearly, he could tell that the top overseas doctoral student was probably referring to Du Leng.


    "I will work hard. If there is nothing else, I will go to the ward round first."


    Zhou Can went to the ward for rounds every day after get off work.


    It is precisely because of his guard that there has never been an accident since the inpatient ward of the emergency department was opened.


    Otherwise, Dr. Lu alone could kill the emergency department several times.


    "Go! You must pay attention to what you say and do, and pay attention to the influence. If the publicity effect is good, the emergency department will consider arranging you to see the doctor. The time depends on your own arrangement, at least one day a week."


    Director Lou vaccinated him in advance.


    The emergency department has certain particularities.


    For other specialized departments, at least attending consultation is also the beginning of attending. In the emergency department, only residents with more than two years of work experience can sit in the emergency department.


    For evening shifts and the like, even excellent regular trainees will be on duty.


    It is said that interns can also be on duty in the emergency department, but it feels a bit shocking. Anyway, no matter how short Tuya was, this kind of thing never happened. At most, the teacher of the interns will go to the toilet or go out for a while, and then ask the students to stand up.


    Really let the interns go to the emergency room, if something happens, no one can take the responsibility.


    Director Lou would rather sacrifice Zhou Can''s one day''s surgery time, and let Zhou Can go to the emergency department, it should be out of comprehensive strategic considerations.


    Taking the emergency room is actually a very good exercise opportunity.


    Because the emergency volume is very scary, it needs to be dealt with quickly by the attending doctor. At the same time, the emergency department is also called a small general practice.


    What does that mean?


    That is, patients from all departments have the opportunity to receive consultations.


    Also has power to deal with.


    Before the house inspection was finished here, Mu Que''s phone call came.


    "Hello, Reporter Mu! This is when the scandal was clarified. Do you remember the meal I owe you?"


    Zhou Can knew that she must have good news.


    It is likely that the outcome of the court trial has long been known.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "I thought that after so long, you, a billionaire, wanted to renege! The address was sent to you, see you soon."


    "Hey, hello..."


    Before Zhou Can could speak, she had already hung up the phone.


    Originally, I had to go to the cardiothoracic surgery department for an operation today, but now I can only hurry up.


    "If you''re hungry, buy some snack pads to fill your stomach. I have another operation here, and it may take a little later to arrive."


    Zhou Can sent her a message.


    Glancing at the location coordinates she sent, he couldn''t help but frown slightly.


    It''s not a five-star hotel, but a western restaurant.


    I just took a look at the evaluation of this western restaurant on the navigation map.


    A place for couples to check in.


    Is she trying to plot something wrong?


    Just after the scandal was cleared, Zhou Can didn''t want to go back into the tiger''s den just after he left the pack of wolves.


    I just agreed to others, and it will definitely not work if I don¡¯t go.


    If you go to a banquet alone, it is mostly a "Hongmen Banquet".


    After thinking about it, Zhou Can had an idea. Call Su Qianqian directly and ask her to prepare and take her to a banquet later in the evening.


    ¡­


    Forty minutes later, Zhou Can came out of the hospital, and the most critical part of the cardiothoracic surgery was done.


    With Director Xueyan, Director Le and others, the rest of the surgery should be fully capable.


    In fact, Director Xueyan and others have improved their surgical capabilities very rapidly these days.


    Especially Director Xueyan, during that operation, with Zhou Can''s guidance, he made a major breakthrough in stabilizing the knife. After a period of consolidation and continuous refinement, her surgical ability is no longer the same.


    Gradually, she has begun to show an amazing talent for stabilizing the knife.


    When Director Hu Kan chose her as the department director, he was right.


    It is worth mentioning that the improvement of Jin Mingxi''s surgical ability is also amazing. It''s just that he has a relatively low starting point, and he is currently chasing after him with a dull head, and he is only emerging in a short time


    That''s all.


    In three to five years, I believe he will also be able to become a competent cardiothoracic surgeon.


    Seeing that each of his friends has made significant progress, Zhou Can is really happy for them.


    He drove back to his residence, picked up Su Qianqian and Wei Fang, and went straight to the western restaurant.


    In the restaurant, couples are enjoying a romantic candlelight dinner.


    There is no shortage of handsome men and beautiful women.


    Mu Jie specially put on exquisite makeup today, booked a booth, and was drinking tea alone.


    Seeing Zhou Can enter the restaurant, she immediately waved happily.


    But when she saw Su Qianqian beside Zhou Can, her face became slightly stiff.


    Su Qianqian was once a first-line actress, what kind of big scene hasn''t she seen?


    Before coming here, Zhou Can didn''t say who he was having dinner with.


    Just say there''s a party.


    At first she was puzzled, thinking it was a gathering of colleagues or classmates.


    Now looking at the environment and the beautiful woman waving at Zhou Can, she immediately understood everything.


    I saw her calmly walked to the booth of Mu Jie, smiled and said, "I remember you, you came to our company for an interview at Jinyu Interactive. I heard that there is western food in the evening, so I cheekily followed Here we come. You won''t take offense, will you?"


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The confrontation between the two women was completed in an instant.


    Mu Jie found that no matter in terms of temperament or aura, she couldn''t compare to Su Qianqian. The appearance of the two people is different.


    All top beauties.


    "How can you be surprised! It''s too late for the little girl to meet a hot and popular singer and have a drink with you at the same table! Miss Su, please sit down!"


    Twilight''s reaction ability is also top-notch.


    In less than three seconds, she reacted.


    He naturally greeted Su Qianqian to take a seat.


    This kind of deck can seat four people in total, and it belongs to the kind of sitting opposite.


    If it is a couple dating and meeting for the first time, they can sit opposite each other. Couples in love can sit on the same side.


    Now, including Wei Fang, there are four people in total, so how to allocate seats is more important.


    If Su Qianqian sat on the same side as Wei Fang, Zhou Can could only sit with Mu Que.


    Even if I can eat this meal, I probably have to kneel on the washboard when I get home.


    Zhou Can also has a full IQ and EQ, so he hurriedly said to Su Qianqian, "Qianqian, I think you hit it off with reporter Mu Da immediately, and you hit it off very well, why don''t you sit with her!"


    Wei Fang is just a driver, and Mu Jie is the honored guest tonight.


    If the driver sits with the distinguished guests, Mu Jie will definitely feel uncomfortable.


    Originally, Zhou Can didn''t say hello, and bringing his girlfriend to the banquet was tantamount to taking her into the army.


    Everyone knows this kind of thing, and she can understand it.


    As long as Zhou Can was more polite and warm to her at the banquet, she would not feel wronged.


    Because she chose such a place herself, the tailor did not have a ruler, and she had bad intentions.


    "Okay! I heard that every female reporter is knowledgeable and has a lot of experience. I just happen to learn from reporter Mu Da."


    Su Qianqian boasted about Mu Que.


    "Compared with Ms. Su, my little knowledge is just like the light of rice grains competing with the bright moon. Now that the host of the treat has arrived, can I serve the food? I''ve been waiting for so long, and I''m really hungry."


    [Currently used, the app with the most complete and best audio for listening to books, integrated with 4 major speech synthesis engines, over 100 kinds of timbres, and a source-changing artifact that supports offline reading, huanyuanapp source-changing app]


    Mu Li knew that nothing could be done today.


    It is better to eat and drink honestly.


    Soon a table of food was served, and Mu Jie ordered two bottles of expensive red wine out of dissatisfaction with Zhou Can.


    During the toast, Su Qianqian had kidney problems and could not drink.


    Zhou Can blocked her.


    As a result, Zhou Can soon became a little drunk.


    But Mu Jie drank dull wine, and also got drunk very quickly. Cheeks are already red.


    It looks really delicate and charming.


    "Qianqian, I really envy you, Doctor Zhou, he is a good man. I saw that he took good care of you and took care of your feelings, so I knew that he is a good man who loves his wife. These days, the scum with two legs Men are easy to find, and there are a lot of them just by hooking your fingers. But there are really too few men like Dr. Zhou who can make money who have a good character, are also very dedicated, and know how to love their wives !"


    When Mu Jie spoke, her tongue was a little knotted.


    Obviously drunk.


    Zhou Can was worried that she would irritate Su Qianqian''s nerves by saying some sensitive words.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Quickly put down the fork, "Mushi, you''re drunk. Where do you live? How about we take you home, or tell your family to come and pick you up!"


    "No, I''m not drunk. I like you, you know? I''ve liked you for a long time!"


    What Mu Bi said made Zhou Can break out in a cold sweat.


    Su Qianqian''s expression also changed obviously.


    "You are drunk, stop drinking! Go home quickly!"


    Zhou Can held down the wine bottle to prevent her from pouring more wine.


    "Qianqian, don''t worry, I saw Dr. Zhou''s dedication to you today, and I will definitely not bother him in the future. I will leave when I finish my work." After Mu Bi finished speaking, she turned her head to look at Zhou Can is diagonally opposite.


    "There are 80,000 words in the world, but the word love hurts the most. I, I knew from the day I fell in love with you that there would be no result. But, I just can''t help liking you and want to see you. Isn''t it Think I''m mean?"


    She showed a sad smile.


    "No, I never thought so. On the contrary, you are a very kind girl with a sense of justice."


    Zhou Can said seriously.


    Mu Jie is not only beautiful and talented, but also very kind and full of justice.


    It''s just love, no one can tell.

 Chapter 435： Famous domestically for the first time, leaving

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    What is said clearly is called love, and what is not said clearly is called fate.


    No matter how good the other man is, she just doesn''t feel it, she just doesn''t love it. He just has a special feeling for Zhou Can, a married man.


    Having a crush on someone is actually very painful.


    Especially her secret love, which she knew had no end, made her even more painful.


    It''s a pity that in more than a year, she has not been able to find a man who can replace Zhou Can. On the contrary, because of the many intersections with Zhou Can, the trap got deeper and deeper.


    Why does she keep emphasizing that Zhou Can is a good man?


    Because Zhou Can consciously alienated her after realizing that she had that kind of intention. This is actually a kind of protection for her.


    And in the relationship, she often took the initiative to find Zhou Can.


    He never hurt her face.


    Also, most of the other men are greedy for her beauty, and want to get her body by every means.


    Zhou Can is just the opposite.


    Facing her active pursuit, it is obvious that he can get her by just hooking his fingers. But after dating for so long, he has always been very decent and never showed such thoughts.


    It was also the stark contrast that made her feel that Zhou Can was very special and precious.


    There is such a thing in human nature, the more you can''t get something, the more you want to get it, the more precious and rare it is.


    "Tell me, maybe you don''t believe it. Except for a period of love with a male classmate when I was in college, I have never met a man who closed my eyes after work. I only held hands with that male classmate twice, and later He lied to me to open a room, and I broke up with him directly. At that time, in my opinion, he was just the kind who looked clean and could try to date."


    "Only you are different. As long as you need, I think I can give you my life..."


    Although this was a drunken remark, Zhou Can was quite shocked after hearing it.


    But he was more worried that Su Qianqian would be jealous.


    Fortunately, Su Qianqian has never been the kind of vexatious woman. Especially when there are outsiders, she always saves Zhou Can enough face.


    "Music, you''re really drunk. Let''s take you back!"


    Zhou Can stood up and went to settle the bill first.


    Then regardless of whether Mu Que was willing or not, he pulled her out of the western restaurant.


    It took a lot of effort to get the address from her mouth. I didn''t expect it to be quite far from this western restaurant.


    Zhou Can drank and had to let Wei Fang drive.


    Send her back to her residence.


    The house is not big, estimated to be about sixty or seventy square meters, but the interior decoration is exquisite. It can be seen that she is the only one living here on weekdays.


    The shelves in the house are full of books.


    I even saw a book on self-study French, which was placed on the coffee table in the living room. It feels like she should be learning French every day.


    Who said that beautiful girls don''t like to study, have **** and no brains?


    Most of the beautiful girls that Zhou Can has come into contact with are excellent, and they continue to study tirelessly after graduation.


    "let''s go!"


    After settling people down, Zhou Can proposed to leave.


    "She''ll be fine alone, right? She''s willing to give you her life!"


    After all, Su Qianqian was kind-hearted, and was worried that something would happen to her after drinking alone.


    But the latter sentence is full of jealousy no matter how you hear it.


    "Cough... It''s really bad to drink too much alcohol, and you can''t take it seriously. I think she has already vomited when she came back just now, and the possibility of vomiting again is extremely small. Besides, the alcohol she drank is not high, so there should be nothing wrong with it." Danger."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    If he wanted to bring his girlfriend to stay with Mu Que, that would definitely not work.


    When she sobered up, it would be very embarrassing.


    After observing for a while, Mu Bi had already fallen into a deep sleep. The three of them closed the door and left.


    On the way home, Wei Fang acted as the driver, and Zhou Can and Su Qianqian sat in the back row.


    "Qianqian, you''re not thinking wildly, are you?"


    "You dare to bring me here, this is the greatest sincerity. Thank you for putting me in the most important position." She leaned her head on Zhou Can''s shoulder actively.


    In terms of wisdom, Su Qianqian is more than a hundred times better than those women who can only make a lot of noise and become hysterical over trivial matters.


    If she handled it like this, Zhou Can would not hide it from her the next time something happened to her.


    On the contrary, the kind of men who are under strict supervision, will be noisy, questioning and doubting every little thing. In the end, nine times out of ten, the relationship between husband and wife will break down.


    ¡­


    During lunch the next day, Zhou Can received a message from Mu Que.


    It was sent frequently at ten o''clock in the morning. At that time, Zhou Can was working in the operating room and had no time to check it.


    "Doctor Zhou, I''m sorry yesterday, I hope I didn''t cause any harm to your family. I also figured it out, if you can''t get it, let it go. I''m going to France next month, and I started preparing very early. I hope the visa will be processed. It went well. Thank you for taking me home last night, treasure."


    After reading this message, Zhou Can fell silent.


    I felt a little lost in my heart.


    He knew that reason must overcome emotion. Otherwise, it would be a kind of harm to her and Su Qianqian.


    "Good luck and take care!"


    He was cruel and didn''t say anything to stay.


    The only thing I can give is blessings, I wish this person a kind hearted person, and the girl who loves wrongly can be safe and successful.


    A foreign country is definitely not as good as one''s own motherland.


    She was eager to go abroad, it must be because of Zhou Can''s ruthless refusal. Zhou Can has also felt the taste of unrequited love. When he was in college, he had a crush on Yang Chan for a while.


    But it''s not as deep as Mu Li''s affection.


    Even so, Zhou Can still felt very sad after being rejected by Yang Chan.


    Eight days later, Zhou Can appeared on the news column of the TV station and the headlines of major media again. From behind the scenes to in front of the stage, it was the first time that he, a small emergency surgery doctor, officially stepped onto the big stage in China.


    Compared with the last time he appeared as a supporting role, this time he is the absolute protagonist.


    That day, his cell phone exploded.


    He was so busy in the operating room that he had no time to answer the phone. All kinds of messages of blessings and greetings exploded.


    Some classmates who haven''t contacted for a long time, even teachers, sent him congratulations one after another.


    Even the principal of Tuya Medical College sent him encouraging messages.


    This huge glory made Zhou Can a little dizzy.


    I feel light under my feet, my heart is full of endless joy, and I can''t hide the excitement.


    As Director Lou said, many doctors can''t wait for such a publicity opportunity in their lifetime.


    After get off work in the evening, Zhou Can declined Qiao Yu and others'' proposal to celebrate him. The brighter the moment, the more he needs to be calm, keep his original intention, and continue to forge ahead.


    Mom called again.


    Zhou Can quickly connected.


    "Son, have you watched TV? Your cousin called and said that he saw you on the news on TV. I didn''t believe it at first, so I quickly checked the rebroadcast on the satellite TV station online. I didn''t expect it to be true. Your father is so happy, he is happier than earning 100 million."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Mom was on the other end of the phone, looking very excited.


    His voice was full of joy and pride.


    "Mom, it''s really nothing. The hospital thinks I''m doing well, so it''s just giving me a wave of publicity. Are you and Dad healthy?" As a son, he can''t stay with his parents to accompany them. Chan is helpless.


    [Currently used, the app with the most complete and best audio for listening to books, integrated with 4 major speech synthesis engines, over 100 kinds of timbres, and a source-changing artifact that supports offline reading, huanyuanapp source-changing app]


    Every child has to go out and make a living when they grow up.


    There will always be a day when the young eagles spread their wings and soar high into the nine heavens.


    "Both of us are in good health, but when we got home, it was deserted. You have been in love with Miss Qianqian for so long, so it''s time to get married, right? Don''t worry about the money. Your dad and I will borrow money. The money will also be given to you to buy a villa in the provincial capital and decorate it well. At that time, a grand wedding will be held for you in a splendid manner."


    My mother would urge the marriage almost every time she called.


    Maybe all parents in the world are similar.


    Children should be married when they are older, girls should be married when they are older, and when they reach a certain age, they should get married and have children. This is a complete life.


    Buying an ordinary villa in the provincial capital costs about 5 million yuan, and the location is a little bit out of the way. You can even buy a villa without decoration for about 3 million yuan. After the parent''s food processing factory survived the last crisis, it should have a certain surplus.


    Especially after the expansion and production expansion of the factory, the profitability will be stronger.


    It shouldn''t be a problem to earn three or four million a year.


    When my mother mentioned borrowing money to buy a wedding house for her son, she must be planning to buy a high-end villa worth more than 10 million yuan.


    Even today, high-quality real estate is still the most valuable asset.


    She may not know that her son is much richer than them now.


    "Mom, don''t worry about this! Qianqian and I are both in a critical period in our careers, and we will postpone the marriage. As for buying a wedding house, don''t worry about it! We will make money by ourselves purchase."


    There are only two ways for Zhou Can to deal with his parents'' urging marriage.


    Busy work, a critical period for career growth.


    "Son, there are some things my mother shouldn''t have said, and she shouldn''t care about the lives of you young people. You are a man, and you can''t spend the money earned by other girls. Especially for big things like buying a house, you have to come up with what you have It is related to your future status in the family, understand?"


    My mother knew that Su Qianqian was a famous female singer, and she thought that Zhou Can would definitely need the woman''s money to buy a wedding house.


    Celebrities, in the eyes of most people, are synonymous with being rich.


    "I know, you can rest assured, I know it well. Oh, our department director called. It must be something urgent, so let''s not talk!"


    After Zhou Can finished speaking, he hung up the phone.


    Talking about these things is what I fear most when I call my mother.


    He now owns his own company, and it is right not to tell his parents about his assets exceeding 100 million yuan. This is also a kind of protection for them.


    Just like the last time they encountered a crisis, at critical moments, Zhou Can was able to make peace.


    No matter how good the card is, once it is exposed, it is no longer a hole card.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    When he got home, as soon as he entered the door, he saw Su Qianqian prepared a table of delicious dishes for him.


    Wei Fang was helping out in the kitchen.


    "Honey, it''s all your favorite dishes, wash your hands, and dinner will be served right away."


    Su Qianqian wore an apron and greeted him with a smile.


    "Whose birthday is it today?"


    Zhou Can asked suspiciously.


    "Fool, I''m celebrating for you! My future husband is on TV, and I have to celebrate for him. The career of life is to climb the peak step by step like this! Go wash your hands!"


    The effect of the news campaign this time seems to be much stronger than last time.


    Immediately, almost all the relatives and friends around me knew about it.


    There is a good wife in the family, Zhou Can naturally accepts this full of love.


    ¡­


    In the blink of an eye, half a month has passed.


    After Zhou Can appeared on the TV news as the protagonist, he really felt the great benefits of being famous.


    Many patients flocked to see him by name.


    The emergency department opened a personal emergency number for Zhou Can. It is tentatively scheduled to take the emergency room every Friday during the day.


    Another good thing is that the emergency department''s application for the establishment of a new operating room has finally passed the approval and has been accelerated. According to reliable sources, construction will begin next month.


    In view of the soaring volume of diagnosis and treatment in the emergency department, the hospital also provided strong support, and assigned five doctors and ten nurses.


    Although there are two intern doctors and five intern nurses in these fifteen places.


    For the emergency department, it is still an extremely considerable fresh blood.


    Zhou Can''s surgery team has been short of a medical assistant who can fight.


    After the addition of three regular doctors in the emergency department, Director Lou deliberately selected a surgeon with a certain surgical foundation.


    Of course, don''t expect any high-quality surgeons.


    They are all obsolete products kicked out by other surgical specialists.


    Really promising surgeons, even in the province''s top tertiary hospitals like Tuya, are still scarce talents. No department will hand over to others.


    There is only one way to obtain high-quality surgeons and physicians, and that is to cultivate them yourself.


    For a department that is not very powerful, poaching basically does not exist.


    Especially for this kind of public hospital, the rules and regulations limit the operable space. Poaching people with high salaries is probably a strategic behavior at the hospital level.


    Director Lou originally planned to directly assign the new doctor to Zhou Can as a medical assistant.


    But Zhou Can refused.


    His opinion was that this new doctor could replace Dr. Lu. If he performs well at that time, Zhou Can will recruit him into the surgery team.


    The last time Ma Xiaolan joined the surgical team, it touched him a lot. If an unreliable person is recruited in, it will still be troublesome.


    There is only one standard for selecting people now, and it is better to be short than to be indiscriminate.


    If you can''t find the right talent, you''d rather wait a little longer.


    During lunch, Zhou Can received a special WeChat message.


    It was from Twilight.


    "I''m leaving, thank God for allowing me to meet you. If possible, please allow me to stay among your WeChat friends, and I promise not to disturb you."


    The text message came around 9:50 am.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    It''s just that Zhou Can couldn''t play with his mobile phone in the operating room because he was busy.


    Only seeing the text message now, she must have already boarded the plane.


    But what if you saw it then?


    There was no way he would run to the airport to see her off.


    As adults, sometimes you have to hold back your emotions.


    "Good day!"


    There are only three words.


    He hoped that she could find the other half of her life as soon as possible. For a woman to forget a man, all she needs is another man.


    The only worry is that her mate selection standards are too high.


    Based on Zhou Can''s understanding of Mu Li, she is a bit like a talented woman like Wanqing in ancient times. Only a man who can resonate with her soul and match her talent can fall into her heart.


    At this time, Zhou Can''s cell phone rang.


    Recently his mobile phone missed calls have been high. If it wasn''t a particularly important call, if he didn''t receive it, he could only say sorry.


    In particular, some alumni and peers who couldn''t make a difference called him, either to ask some medical questions, or to ask him for a relationship to see if he could join Tuya and hang out with him.


    For this kind of call, Zhou Can didn''t even bother to answer it.


    It''s just a waste of words.


    "Hello! May I ask who you are looking for?"


    Zhou Can asked politely after connecting.


    This number has already called him several times, but he didn''t answer because he was undergoing surgery.


    "Doctor Zhou, I''m Lao Qin, a cameraman from the TV station."


    "It''s you! What''s the matter with Lao Qin?"


    Zhou Can had a good impression of Lao Qin, dull and reasonable.

 Chapter 436： The way is not right, begging to be a doctor

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "You should go see off Mu Jie!" Lao Qin sighed. "In order to help you achieve the best publicity effect, she repeatedly optimized the press release, reviewed the details of every frame of video, every picture, and even the time of scheduling the show. She tried her best to win the time slot with the best ratings. On weekdays, she has never been so nice to anyone..."


    Zhou Can just listened silently.


    The hardest thing to bear is beauty.


    In fact, even if Lao Qin didn''t say anything about what Mu Que had done for him, he could still guess.


    The publicity effect this time was so strong that even Director Lou said it was a miracle.


    Other doctors have also appeared on TV programs, and the publicity effect is far worse than Zhou Can. You know, those people are well-known experts in a certain medical field, while Zhou Can is just an unknown resident doctor.


    It is the countless painstaking efforts and sweat of Mu Li that can have such a good publicity effect.


    She is a professional journalist who knows very well how to say a sentence and which words to use in order to achieve the best effect of fans and publicity.


    "When she boarded the plane, she kept looking back. I know, she was actually expecting you to see her off. I''m just telling you this, but I don''t mean anything else, and I don''t want to change anything. Goodbye. "


    Lao Qin hung up the phone.


    Zhou Can remained silent, closed his eyes, took a deep breath, and let it out heavily.


    Non-vegetation, ruthless Practice makes perfect.


    He is not a hard-hearted man, but faced with such a deep emotional problem, he really can''t think of a solution that gives the best of both worlds. Mu Li was seriously injured, and he was also having a hard time.


    "If she has any difficulties in the future, let''s find a way to make up for it! If you can''t give her a future, then you must ruthlessly give up all her hopes."


    The weakest people in the world commit the most evil.


    The cruelest thing is to give others hope and then extinguish that hope with your own hands.


    He instinctively checked his phone.


    But accidentally found a message from the border Tibetan drug dealer.


    "Boss Zhou, I will go to the restaurant last time around seven in the evening. I will hand over the things to you then, and please prepare the remaining balance of 200,000 yuan."


    "ok!"


    For Zhou Can, money is not a problem.


    The drug dealer sent him a message in advance, probably because he was worried that the bank would be closed at night and he would not be able to withdraw the money. It also allows him to prepare early.


    After all, this is not a small amount of money.


    After paying a deposit of 100,000 yuan, Zhou Can did not rush the other party.


    Unexpectedly, after waiting for so many days, there is finally news. And sent it directly to him.


    This pharmacist is quite honest.


    After work, he drove straight to the restaurant last time.


    When I went in, I saw the drug dealer who was hiding in the frontier last time eating. However, another herb picker did not appear, and this person should have come alone.


    "Hi, sorry to keep you waiting."


    Zhou Can sat down opposite him.


    "I just arrived not long ago! Have you eaten yet? You can order the menu, and I will treat you."


    The apothecary seemed delighted to see him arrive as promised.


    "Thank you, thank you! I have something to do later, so I won''t eat. Have you brought anything?"


    "Give!"


    The other party was also refreshing, took out a very old-fashioned animal skin bag from his arms, and threw it directly to Zhou Can.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    After receiving it, he opened the lock rope at the mouth of the bag, and there was a box inside.


    The slightly transparent one, polished like thick ice.


    Zhou Can recognized it as a crystal at a glance.


    It can be vaguely seen that there is a frog mummy the size of a child''s palm inside. The color is brownish black.


    "Do you get a crystal box for free when you buy something?" Zhou Can asked with a smile.


    "It''s in the original box, it''s your own. If you want to inspect the goods, I''ll accompany you to the toilet or in your car."


    The pharmacist looked very mysterious.


    "Okay, then go to my car after you finish eating."


    After the other party finished eating, Zhou Can took the initiative to help him pay for the meal and brought him into the car.


    Zhou Can sat in the driver''s seat, and the other party sat in the co-pilot.


    "Now you can open the box and inspect the goods. The origin of this item is not clear, so you must be careful when you hand it over to the next owner. It is best to change this box."


    "Okay, thanks for the reminder."


    The fact that it took this man such a long time to get his hands on something showed how difficult it was to get it.


    Zhou Can didn''t ask where it was made.


    In order to save his girlfriend, even if it was snatched or stolen, he would still buy it.


    If something happens in the future, he will purchase without knowing, and legal risks can be avoided.


    After taking out the crystal box, it was discovered that there were incomprehensible runes engraved on it. This crystal box is like a small coffin.


    Carefully open the lid, the strange smell comes out and fills the car.


    It''s a bit like the scent of musk, but with a certain difference.


    The frog mummy inside had lost any moisture. The stomach was cut open, but the internal organs were still there.


    If you look closely, you can see that there are lines on the shriveled brown skin, and there are pimple-like particles. Its limbs are more slender than that of ordinary frogs.


    "There is no problem with the things. I will transfer the rest of the balance to you."


    Zhou Can immediately transferred the remaining 200,000 yuan.


    "Thank you Boss Zhou. Remember what I said, don''t tell the next family where it came from, and the box must be replaced. I''ll go first."


    The drug dealer took the final payment and left quickly without stopping.


    Zhou Can took this thing home.


    He was extremely excited when he successfully bought a main medicine, and his heart was full of joy. It was only the last medicine, the purple backed star anise lotus was hard to find, but there was a chance to buy it after all.


    Instead of going straight home, he went to the pharmacy to find a way to buy a toad with cash.


    Of course, pharmacies can only buy dry goods.


    Then I bought another airtight jar, and when I got back to the car, I put the toad I bought at the pharmacy into the crystal box. The real colorful toad is taken out and put into a sealed jar.


    After learning that the object came from a wrong path, Zhou Can''s first consideration was to prepare for the worst.


    The trick of stealing the beam and changing the post can keep the real medicine at the critical moment.


    This is like buying insurance, it is best not to use it. In case something goes wrong, it will be able to play its due protective role.


    Get home and fix things up.


    He didn''t tell Su Qianqian. It''s best for the person you love the most not to know about this kind of thing. It is also a kind of protection for her.


    ¡­


    Time flies, and almost a year has passed in the blink of an eye.


    Zhou Can''s development in the emergency department of Tuya Hospital is also getting better and better. After that wave of publicity, when he was in the emergency department, he could clearly feel that the number of patients who came to see him had increased a lot.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Usually, some patients would come here especially to see him for the treatment of persistent diseases such as gangrene, wound rot, and repeated infection and pus.


    As long as Zhou Can feels confident about this, he will be treated.


    If he is not sure, the other party is willing to trust him and take risks. After the evaluation and the check of Dr. Xu, he will decide whether to admit him or not.


    As he cured more and more patients, Tuya''s emergency department gradually gained some fame.


    Patients with various wounds and rot came from all over the country to seek treatment.


    At the beginning, it was mainly patients in the provincial capital. Later, it gradually developed to all counties and cities in the province, and even many doctors and colleagues would recommend patients to come to Tuya Hospital to seek Zhou Can''s treatment.


    This thing is really interesting.


    Zhou Can had never met those doctors, nor did they know each other. He didn''t even know how he was known to be good at treating the disease.


    Later, after consulting Dr. Xu, I realized that it was likely that after the patients were cured by him, they fed back to the original receiving doctor. So gradually, everyone knew that there was such a number one doctor in Tuya''s emergency department who specialized in treating this disease.


    The vast majority of doctors are good and wish their patients a speedy recovery.


    It is reasonable for them to recommend Zhou Can to patients when they have tried some treatments and failed.


    After Zhou Can treated many difficult patients like this, he not only accumulated rich practical experience, but also gained a lot of experience. Moreover, his debridement skills have been rising steadily, and he can often get 100 experience points as rewards.


    Even at the most time, he also received 1000 points of debridement experience rewards.


    His debridement experience value is infinitely close to 100,000. If there is no accident, he will soon be promoted to the sixth level, which is the chief physician level.


    This will be his first director-level surgical skill.


    Zhou Can looked forward to this very much.


    The medical skills at the deputy director level are more about the details, and they can be retracted freely and just right.


    Director-level medical skills, what kind of realm would that be?


    Another thing worth mentioning is that Zhou Can has obtained the special qualification of the hospital, and he can enter the laboratory alone to do scientific research experiments. This is a signal.


    It means that he has taken another step towards the throne of a famous doctor, and the hospital management has higher recognition for him.


    Basically, those who can carry out experimental projects independently are the team leaders who lead the team.


    It is equivalent to the special treatment of raising him to the level of team leader.


    After he has this qualification, it will be of great help to him in writing his thesis.


    Sometimes, after work, they would take Qiao Yu into the laboratory to study the carrion and pus from the patients. Observe the types of germs, their pathological mechanisms, causes of disease, and so on.


    It wasn''t Zhou Can''s wishful thinking that he only took Qiao Yu to do the experiment.


    But because of trust.


    To be honest, his trust in Ma Xiaolan and Luo Shishen was far from ideal. Leakage of thesis topics and theft of core data are not uncommon.


    He, Luo Shishen and Ma Xiaolan can only be regarded as colleagues, and only Qiao Yu and Dr. Xu can be regarded as his comrades-in-arms.


    There is a difference between intimacy and distance.


    Not everyone can be his comrade in arms. In the face of interests, sometimes seemingly loyal subordinates will choose to betray without hesitation.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    In addition to his own project and scientific research experiments, the hospital also gave him great support.


    The hospital came forward and added him to an important research group of Director Tan.


    To put it bluntly, it is to help him gild.


    For such a good thing, Zhou Can naturally accepted it happily. And be actively involved.


    "Doctor Zhou, a man came outside and said he wanted to see you."


    When Ma Xiaolan picked up the patient, she said to Zhou Can.


    "For this kind of thing, you just help me back! I''m undergoing surgery, so I don''t have time to see idlers!"


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    Zhou Can frowned slightly dissatisfied.


    I was busy like a spinning top all day long, and I really didn''t have time to see those idlers.


    After his fame gradually increased, some patients or family members always came to the hospital to ask him if the wound of their relatives or friends could be healed?


    Meeting such a person, Zhou Can was really speechless.


    I don''t even know the basics of manners.


    If you want to consult about your condition, you should bring the patient with you! Even if the patient has difficulty moving, you can take advantage of the day when he is in the clinic to prepare the corresponding medical records and inspection reports, and ask Zhou Can to have a look.


    Just ran over empty-handed, took a picture and asked Zhou Can to see if the patient could be cured, there really was no such operation.


    Zhou Can couldn''t give an answer.


    "He said he was a doctor from this hospital."


    "You tell him that I''m busy now. If you have anything to do, you can come to me after I get off work."


    Since he is a doctor from this hospital, Zhou Can couldn''t refuse him when he came to him.


    At least ask first what it is.


    Not long after, Ma Xiaolan came back and told him, "The man agreed. He said he was willing to talk with you after get off work."


    It''s past 5:30 now, and if many departments get off work on time, they are already off work.


    Zhou Can couldn''t help it, and even led his team members to fight until after eight o''clock in the evening when he was the busiest.


    Now there is a brand-new 100-level laminar flow operating room, and the operation in it is much better than before.


    The types of operations that can be performed are also more abundant than before.


    Even some tertiary surgeries that have extremely high requirements on the surgical environment can try to challenge them.


    ¡­


    He was busy until after seven o''clock, and he finally finished his work.


    "I''ve already ordered a meal, you guys eat first!"


    The new operating room already has a rest room where doctors and nurses can eat or take a short break in the middle of the operation. Or discuss the condition and surgical plan temporarily in it.


    The conditions were much better than before He dragged his tired body out of the operating room. At a glance, I saw a young man in his thirties sitting on a bench outside. Tall and thin, he sat there obediently.


    There was no trace of impatience on his face.


    Seeing Zhou Can coming out of the operating room, he quickly stood up and walked forward.


    "Doctor Zhou, I''m sorry to bother you."


    "I''m fine, I just kept you waiting for a long time. What''s the matter?"


    Zhou Can secretly guessed in his heart, is this to greet his relatives and ask him to take care of him during the operation, or what?


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Usually, some doctors or nurses in this hospital, their relatives and friends are sick and hospitalized, and they need to do emergency surgery, and if the surgeon happens to be Zhou Can, they will specifically ask Zhou Can to say hello.


    This is also an unspoken rule in the circle of doctors.


    Everyone has relatives and friends. After being sick, as long as they are real relatives, everyone will treat the patients as family members.


    After all, it will be the turn of my relatives to be hospitalized in the future, and they also need to be taken care of.


    "I''m a surgeon, and I''ve been paying attention to you for a long time. I want to be transferred here to be your medical assistant. Of course, you can first assess my basic surgical skills, understand my work attitude, character, Then decide whether to agree or not."


    The other party was very straightforward, straight to the point, and explained his intentions.


    "As my assistant? Which department are you a doctor in?"


    This was Zhou Can''s first time encountering such a thing.

 Chapter 437： Some people are happy and some are sad, challenge the four syndromes of Fallot

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "I am a doctor of anorectal surgery, my name is Yang Zhi, and I have been working in the operating room for almost six years."


    The man reported his background.


    "It turned out to be a doctor of general surgery. I heard that after the reform of general surgery, several departments have developed quite well! Many people want to go in after squeezing their heads. You have worked in the operating room for six years, and you are also an old man. Comrade, why do you want to come out?"


    Zhou Can was very puzzled.


    In terms of seniority, this person is Zhou Can''s senior.


    It''s just that in any unit, those with strong abilities are always easy to get ahead. A mediocre person, a person who is not good at making money, is just a low-level employee when he grows old. I haven''t heard of any unit that assigns positions to employees based on their seniority.


    Zhou Can''s surgical ability far exceeds that of ordinary doctors, so his rise is very fast.


    At a young age, he was already number two in the operating room of the emergency department. If it is not for the lack of seniority, it is possible to even become the No. 1 person directly.


    "Well, you don''t know. Some people are happy and some are sad. Several major sub-departments are indeed developing better and better. Our anorectal surgery and gastrointestinal surgery have many overlapping businesses. Director Mi of our department is too basic. I have failed to seize the opportunity in many rounds of competition, and now I have been squeezed by the gastrointestinal surgery department. I really can''t see any hope, so I want to find another way out."


    Yang Zhi sighed, his words were full of bitterness.


    The department director of a department is equivalent to the leader of the flock. Whether this flock can eat fresh, tender and plump green grass or eat mud depends on where the leader leads them.


    Development strategy, means, personal ability, department professional level, department cohesion... There are too many factors that can affect the development of a department.


    If there are many mistakes in decision-making or insufficient means during the development of the department, the decline of the department is almost certain.


    Unfortunately, Yang Zhi met a department director who was good at surgery but poor in leadership.


    Looking at his frowning look now, I''m afraid he doesn''t even have to drink soup.


    The original body of gastrointestinal surgery is digestive surgery, which is an extremely powerful professional department.


    If anorectal surgery wants to compete with gastrointestinal surgery, I am afraid we can only sigh to the sky, since Sheng Yu, He Shengliang.


    "What will you do if I don''t agree to accept you?"


    After Zhou Can found out the reason, he unexpectedly asked Yang Zhi a tricky question.


    "I personally have deep feelings for Tuya, and I am also optimistic about Tuya''s future prospects. If I can stay, I will try to stay as much as possible. For a middle-aged man like me, making money is definitely very important. The emergency department is currently undergoing It is in the initial stage of development, and it should be in great need of talents in all aspects. To be honest, although Tuya recruits a group of excellent general practice trainees every year, there is still a shortage of surgical talents. Because the training period for surgical talents is generally long."


    Yang Zhi calmly analyzed the current situation.


    As he said, there is a shortage of surgeons in any surgical department. Now, including internal medicine departments, they are also beginning to rush for talents with good interventional talents and strong endoscopic surgery capabilities.


    It is recognized that it is difficult to train pilots, but the training of surgical talents is even more difficult than that of pilots.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    In the past few years, the emergency department has indeed been assigned one or two general practitioners every year.


    It is similar to Zhou Can, who is killed out of thousands of troops, and only ten or twenty people are selected from thousands of people.


    Each one is the best of the best.


    This is also an important part of Tuya''s talent development.


    It''s a pity that the emergency department is poor and empty, and there is nothing to ask for, and there is no way to keep people. When the regular training is over, there are very few people who are willing to go back to work in the emergency department.


    This has further created a shortage of qualified personnel in the emergency department.


    Always picking up doctors eliminated from other departments, how good do you think they can be?


    Run away an elite general practitioner, and then make up for an eliminated doctor in a specialist department. This is the real situation in the emergency department.


    "If Dr. Zhou fails to see me, that''s okay. I''ll go to other departments to find a way out. If other departments also reject me, then I will consider changing jobs to work in other hospitals."


    Yang Zhi has a clear life plan for his future.


    There is a strong sense of purpose.


    "That''s good, you can come to me tomorrow or the day after tomorrow to help. Tomorrow is Wednesday, and I won''t be working in the operating room until 5:30. The day after tomorrow will be from 8:00 am to 6:00 pm."


    Zhou Can has always wanted to find a better medical assistant, and now the one delivered to his door seems quite reliable, so he is going to find out first before deciding whether to accept it or not.


    The strength of the surgical ability can only be seen in the operating room.


    If the surgical ability is poor, or the work attitude is not good, then it will definitely not be accepted.


    His team has developed to this day, and it has been considered relatively stable.


    Luo Shigent''s internship period is about to end, and he will definitely go to participate in the regular training at that time. Because the training certificate is one of the necessary documents for every doctor to rise.


    It is as important as a medical license and a doctor''s qualification certificate.


    However, Luo Shishen expressed his position early and begged Zhou Can to reserve a seat for him. After his regular training is over, he will find a way to return to work in Zhou Can''s team.


    During this year, he performed surgery with Zhou Can and learned a lot.


    At first, even pulling a hook was stupid as hell.


    When encountering patients with sudden convulsions, ventricular tachycardia, or even cardiac arrest and needing rescue, he was even more panicked and his mind went blank. Until now, after a year of teaching by Zhou Can''s precepts and deeds, his abilities in all aspects are no longer comparable.


    Putting it among the interns of the same period, it is definitely like hanging up.


    Especially surgical ability.


    Many interns may not even get a surgical task to close the abdominal cavity suture until the end of the internship.


    Luo Shishen is now able to skillfully close the abdominal cavity.


    Under the guidance of Zhou Can, the sewing level has almost improved by leaps and bounds.


    After sending Yang Zhi away, Zhou Can went back to the operating room lounge to grab a quick meal to fill his stomach. There is still surgery waiting for him in the cardiothoracic surgery department.


    ¡­


    It was almost eight o''clock, and Zhou Can showed up in the cardiothoracic surgery operating room on time.


    After a year of growth, Director Xueyan''s surgical ability has become quite powerful. Just for some major surgery, she will still invite Zhou Can to **** her.


    In the operating room, there are basically old acquaintances.


    Even the anesthetist is very familiar with Zhou Can.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Doctor Zhou, after the operation, can you go to the intensive care unit to see a patient who has just undergone a lobectomy?"


    It was Deputy Director He who made the request to him.


    Under normal circumstances, Deputy Director He rarely performs operations with Director Xueyan.


    The operation tonight is a cardiac surgery. Deputy Director He usually only focuses on thoracic surgery, and at such an old age, it is impossible for him to spare time and energy to learn more about cardiac surgery.


    Then there is only one possibility, to make a special trip here to wait for Zhou Can.


    "What happened to the patient?"


    Zhou Can asked.


    Patients who need postoperative monitoring are generally severe cases and major operations.


    The situation is definitely worse.


    Deputy Director He''s surgical ability, diagnosis and treatment ability are quite good. Experience is also very rich.


    Being able to force him so late, and to wait for Zhou Can in the operating room on a special trip, shows that the patient''s condition is far more complicated than imagined.


    Pulmonary resection is very common in thoracic surgery.


    The number of smokers in our country remains high, and the number of victims who are forced to smoke second-hand smoke is even more alarming. If you meet a male host who does not pay attention to the safety of your family, he may smoke alone, causing the whole family to be forced to smoke second-hand smoke together.


    You know, secondhand smoke is much more harmful than direct smoking.


    In addition, smog has also caused a serious decline in air quality, and the pm25 index remains high, which is also a major factor in the high incidence of lung diseases.


    PM25 refers to particulate matter with a diameter less than or equal to 2.5 microns in the atmosphere, also known as particulate matter that can enter the lungs.


    It is an important culprit in the high incidence of asthma and lung cancer.


    Especially in developed cities in the north, many people must wear masks when going out. Conditional, install an air purifier at home, in order to deal with pm25 in the air.


    "The patient''s alveoli continue to leak air, and the situation is not ideal. I''ll tell you more about it after the operation is over."


    Deputy Director He is very knowledgeable, and he dare not delay Director Xueyan''s operation.


    Now, a year later, Director Xueyan not only has strong surgical ability, but also the entire department has taken on a new look under her management, showing strong survivability and cohesion, and unprecedented unity.


    Talent development is also very good.


    The three good strategies that Zhou Can proposed to her at the beginning were all implemented by her.


    "Zhou Can, Director He hasn''t left after get off work because of this matter! You see, why don''t you let Deputy Director He go to the duty room to rest for a while, and then go to him after the operation is over. Don''t let him follow us Stay up all night and suffer together."


    Director Xueyan and Zhou Can are siblings and have a close relationship, so they don''t have any worries about speaking.


    Very direct.


    "Sin, sin! I''m really flattered to have Director He wait for me like this." The necessary polite words still have to be said. "You go to the duty room to rest first, and I will come to see you after the operation. This operation is estimated to take three hours at the fastest."


    Zhou Can felt that although Deputy Director He had many shortcomings, he was very responsible to patients.


    This is especially admirable.


    Then again, he is only responsible for the patients he manages.


    This really can''t rise to the height of medical ethics. This is what everyone eats. Under the high pressure of various regulatory systems, Deputy Director He is afraid of accidents and is highly responsible for patients. This is also the real working state of many doctors today.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    As soon as some patients enter the hospital, they question the doctor about this and that, and the doctor''s compliance is extremely poor.


    There is really no need for this.


    Unless you really encounter a very unreliable doctor.


    Otherwise, I believe that no doctor would take the risk of losing his job to specifically harm patients.


    In some small and medium-sized hospitals, doctors have certain task indicators. They prescribe more medicines that are harmless to patients and have mediocre therapeutic effects, and prescribe more tests. This is also for survival.


    When encountering self-paying patients, doctors generally try their best to calculate and prescribe medicines and examinations.


    Patients with medical insurance know all about this.


    The current general environment is like this. Without money for medical insurance, most hospitals will close down.


    When that step is really reached, it will be even more difficult for ordinary people to see a doctor.


    Deputy Director He is getting old, and he really can''t stay up late like young people like them. Hearing Zhou Can speak, he immediately left the operating room happily.


    Zhou Can picked up the patient''s information and began to quickly check it.


    "This patient''s disease is a bit tricky! I thought it was just a common congenital heart disease, but I didn''t expect it to be tetralogy of Fallot."


    "It''s not difficult, and I won''t invite you here. I know that your one-day operation in the emergency department is also very heavy. As long as we can do the operation with confidence, we will try not to call you if we can."


    Director Xueyan replied with a smile.


    "Sister Yan calls me anytime you need something, don''t worry about me being tired from work."


    Zhou Can could feel her thoughtfulness.


    Tetralogy of Fallot is the most common form of cyanotic congenital heart disease.


    Without surgical intervention, patients generally do not live past the age of seven. The average life expectancy of children with this disease is only about twelve years old.


    It is mainly manifested as cyanosis in children at three to six months.


    Cyanosis can appear on the face, lips, nails, fingertips, and even the entire body.


    Especially when the child is crying, the phenomenon of cyanosis is particularly serious.


    In medicine, this disease has always been an incurable disease. Later, some doctors pioneered cardiac surgery, kept exploring, and finally found a surgical method to treat this congenital heart disease.


    The so-called tetralogy of Fallot refers to pulmonary stenosis, ventricular septal defect, overriding aorta, and right ventricular hypertrophy.


    Any one lesion is enough to be called a congenital heart disease.


    The combination of four diseases also increases the difficulty of treatment geometrically.


    Surgery is the only option to treat this disease.


    Without surgery, the child is very likely to die.


    Since this disease is a congenital heart disease, when the child is young, he may not be able to tolerate surgery because of stunted growth or physical condition.


    In this case, it is generally impossible to complete a radical operation at one time.


    Experienced surgeons often choose to perform palliative surgery first. Save the life of the child first, wait until the child grows up a bit, the tolerance ability is stronger, and the operation conditions are ripe, and then a second operation is performed to completely cure the disease.


    [The problem of the slow update of new chapters has finally been solved on the app that can change the source. Download the huanyuanapp to change the source app here, and view the latest chapters of this book on multiple sites at the same time. ¡¿


    In Zhou Can''s impression, Director Xueyan never dared to do such a difficult operation before.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Dare to challenge a tetralogy of Fallot operation this time, which also shows that she has full confidence in her surgical skills.


    "Sister Yan, have you checked the patient''s coronary artery?"


    Zhou Can asked after reading the basic information of the child.


    "I''ve checked it, and there''s an imaging of the coronary arteries of the child below."


    Xueyan knew that Zhou Can would never ask random questions.


    Since you asked, there must be something wrong.


    "Can this operation be done?"


    At present, only anesthesia has been implemented on the child, and the operation has not yet begun.


    "Don''t be nervous, I just want to see where the anterior descending branch of the coronary artery originates. If the anterior descending coronary artery of the child originates from the right coronary artery, then this operation may not be possible. In addition, the patient''s left and right Pulmonary arteries and surrounding pulmonary arteries are underdeveloped, and it cannot be done.¡±


    Zhou Can gave his opinion.


    After hearing this, Xueyan said with a crooked smile, "I knew it was reliable to ask you to come and help me. If there is any problem, I can help us check it together. Don''t worry, I have checked these two taboos." It''s okay."


    Even though she had checked it, Zhou Can was still a little worried, so she checked it again.


    Fortunately, this child does not have the above two conditions.


    "How is his left ventricle developing?"


    Zhou Can asked again.


    "It''s not bad, it''s up to the normal level. But it''s not particularly good."


    "Then there is no problem. Is the child''s water intake in place before the operation?"


    Zhou Can pressed the child''s skin, and the elasticity was acceptable.


    "It''s in place."


    This time it was the itinerant nurse who answered.


    "Okay, I''m basically fine."


    Zhou Can looked at Director Xueyan.


    It means waiting for her to call the shots.


    "Anesthesia, can we start?"


    It is not impolite to directly address anesthesiologists by profession during the operation, but for the convenience of communication.


    Especially when there are doctors in the operating room with the same surname as the anesthesiologist, everyone is more willing to directly use the word anesthesia to refer to the anesthesiologist.


    "The patient''s vital signs are stable, he has entered a state of general anesthesia, and can be operated on."


    "Then let''s get started! As usual, Dr. Zhou Can will replace me as the surgeon at critical moments, and everyone else will take their place."


    Director Xueyan invited him here, in addition to joint checks, there is another point, Zhou Can helps at critical moments.


    Today, Zhou Can''s many surgical skills have reached the deputy director''s intermediate level, or even advanced level. Coupled with his fast and steady knife skills, his strength is not inferior to that of a first-class chief surgeon.

 Chapter 438： With the wind of the coach, level 6 medical skills

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The operation officially began. The patient was lying on the operating table in a supine position, already in a coma.


    Director Xueyan made an incision into the patient''s chest from the front center with a knife.


    She was originally the chief physician, and after a year of devil-style training, she became even more proficient at performing thoracotomy. It is easy to perfectly avoid large blood vessels and important nerves during incision.


    Some emergencies encountered during the chest opening process have also been able to deal with them calmly.


    Zhou Can stood by and helped her, and the atmosphere in the operating room was not tense at all.


    After the three-level and four-level thoracotomy operations have been performed jointly by everyone, the psychological quality has been greatly improved.


    "The patient''s left thymus is a little in the way!"


    Xueyan said to herself.


    "No, this thymus is too annoying, it always blocks my sight of surgery."


    She complained again.


    The one who pulled the hook was Dr. Long, a man in his forties, who had just been awarded the title of deputy senior professional not long ago. He did not become complacent because of this, on the contrary, he was more modest and eager to learn, and took the initiative to serve as the third assistant to Director Xueyan as the deputy chief physician.


    "If it''s really in the way, it''s okay to cut it off. It''s not a big problem if there is a lack of thymus. If it gets in the way and the operation fails, the patient loses his life. Compared with the huge potential risk, cut it out in exchange for better results." The exposure, I think it''s worth it."


    Zhou Can gave advice next to him.


    Ordinary people really dare not direct the chief surgeon to cut off a certain organ or tissue.


    One is that the level is not enough;


    "I had performed a similar operation with Director Hu before, and the left thymus was also removed. I didn''t see any adverse reactions from the patient afterwards."


    Director Le spoke in time to support Zhou Can''s suggestion.


    "Well, I''ll cut it up then."


    Director Xueyan did not hesitate any longer, and decisively removed the left thymus.


    Not long after it was cut, the anesthetist called out, "No, the patient''s vital signs are dropping." She hurriedly checked what went wrong.


    It''s just that I haven''t found the problem after searching for a long time.


    "Could it be caused by the removal of the left thymus?"


    The anesthetist is not too sure.


    Director Xueyan was calm at first, and repeatedly checked the surgical incision and its vicinity to see if important nerves were cut.


    The beating of the heart is dominated by ECG signals.


    There are quite a lot of important nerves around.


    If you accidentally cut off any important nerve, you will be in big trouble.


    The monitoring instrument will sound an alarm soon.


    This time Director Xueyan and the anesthetist were in a hurry, and Director Xueyan even showed a flustered expression on her face. This is all human instinct, and there is no way to hide it in an emergency.


    "It should be caused by cerebral hypoxia!"


    After careful study, Zhou Can made a judgment.


    While speaking, he tried to bend the lower limbs of the child and switched to knee-chest position.


    "Morphine is injected subcutaneously at 0.05 mg\\/kg!"


    In this case, the child may die in a very short period of time, and Zhou Can must quickly give a corresponding rescue plan.


    He was not invited to watch a show with his sleeves rolled up.


    The child''s weight should be known to the itinerant nurse, anesthesiologist, and chief surgeon. Even the interns in charge of the bed can also grasp the key data of patients if they pay attention.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    After the subcutaneous injection of morphine, the anesthetist showed a gleam of joy on his face.


    "It''s getting better, it''s getting better!"


    It''s really not easy to make the usually stern-faced and serious anesthesiologist excited like a little girl.


    Many people say that the roving nurse is terribly fierce and curses at every turn.


    In fact, there are many times when itinerant nurses have smiling faces.


    In most cases, they are only fierce to low-level doctors. For example, interns, regular trainees, and junior residents. These people litter in the operating room, or some operations are not standardized, and the itinerant nurses will scold them.


    Normally, they are quite gentle.


    "If there is improvement, inject sodium bicarbonate intravenously to correct the acidosis."


    At this moment, Zhou Can is more like the deceased director Hu Kan, who became the real backbone of this surgical team at the critical moment.


    "How is the child''s blood pressure? Has it risen?"


    He continued to question the anesthetist.


    "Blood pressure is still very low, rising slowly." She replied.


    "Miss Tour takes a bottle of phenylephrine and puts it on an intravenous drip."


    Zhou Can calmly issued the third rescue order.


    Finally, after everyone''s concerted efforts, the vital signs of the child gradually stabilized.


    Director Xueyan''s face turned pale, obviously frightened.


    Not to mention her, even the anesthetist was terrified. That is to say, the itinerant nurse was quite calm.


    "It was too scary just now. Fortunately, the person was finally rescued. Can this operation continue?"


    "Don''t worry too much, there should be nothing wrong for the time being. Without the operation, the child will still not be able to survive. Why not go on one way, and maybe pass the customs?" Zhou Can also breathed a sigh of relief.


    "Doctor Zhou, you were the calmest just now. I think you are like the Dinghaishenzhen of our surgical team. Just now you commanded the rescue with a calm face, and I faintly felt it in you... Director Hu Kan can bring Our security."


    He dare not take Zhou Can to such a high position.


    "If I can have one-tenth of the teacher''s, I will burn the high incense, but in the face of the critical situation of the child, I have no choice but to bite the bullet!"


    It would be a lie to say that there is no panic.


    Zhou Can is also a human being, and he may not have experienced as many dangerous scenes as Director Le and the others.


    At a critical moment, someone must stand up and take charge of the overall situation.


    "By the way, in the case of the child just now, it is best not to use rehmannia medicine during rescue. Otherwise, it is very likely that the child will be sent away."


    [The novel app that has been running stably for many years, comparable to the old version of the book chasing artifact, the source-changing app used by old bookworms, huanyuanapp]


    Zhou Can reminded everyone.


    In the operating room, people generally don''t say dead words.


    This is quite taboo.


    Some ignorant interns, when entering the operating room for the first time, asked the instructor, what if the patient died on the operating table?


    At this time, you can see the teacher with a dark face, wishing to slap this poor intern to death.


    If something really goes wrong with this operation, I guarantee that this intern will never enter the operating room again.


    Also, when people speak in front of patients, they generally use some code words.


    For example, if the patient is cancer, generally only ca will be used instead. If the patient is undergoing a second operation, it will be replaced by a second uterus.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Zhou Can, can you be the chief surgeon?"


    Xueyan looked at him with help-seeking eyes.


    "Don''t you want to try to challenge the Tetralogy of Fallot? Did you give up so soon?" Zhou Can asked as he walked towards the chief surgeon.


    "The danger of this operation is far beyond imagination. I am worried about accidents. If I want to practice, I will find another opportunity next time. There is no need to take risks on this special patient." Xueyan analyzed calmly.


    "Okay, leave it to me."


    Zhou Can has always been very enthusiastic about this kind of four-level major surgery.


    He only followed Director Hu Kan to perform surgery on Tetralogy of Fallot. This time, it was the first time that he performed the surgery alone.


    "Sister Yan, after this step, the next step is to free the mediastinal pleura on both sides. Be careful not to damage it."


    After Zhou Can started, the speed of the operation was significantly accelerated many times.


    "Next, the ascending aorta is inserted into the supply vessel, the superior and inferior vena cava is inserted into the drainage tube, and extracorporeal circulation is established..."


    Nearly three hours later, Zhou Can glanced at the masterpiece of surgery with satisfaction.


    There were many twists and turns in this operation, but finally, with his efforts, the main part of the operation was successfully completed without any danger.


    "Who will close the chest?"


    "Or it''s up to you! The patient''s tolerance is poor, and the thoracotomy takes too long. I am worried that it will be bad for the prognosis. This operation is the first similar operation in our cardiothoracic surgery department after a year. Therefore, I want to be safe."


    Director Xueyan can understand her mood.


    If you are not in charge of the family, you don''t know how expensive firewood is.


    After she becomes the director of this department, she needs to be responsible for the future and destiny of the entire department. So things to consider are far beyond ordinary people.


    The two resident doctors were eager to try, and they really wanted to take advantage of this opportunity to close their chests.


    But after director Xueyan said the word "seek stability", they took the initiative to dispel the idea of ??getting started.


    "Dr. Zhou''s operation speed is top-notch, and the chest closure is good and fast. Now it is very late, and I think it is very good to finish work early."


    Director Le smiled beside him.


    "It makes sense. You young people may be able to resist it. To be honest, I really can''t stand it when I am old." Deputy Director Han is in his fifties, and he is comparable to Director He.


    Men are born to work hard, whether at home or outside, they are the main force of heavy labor and technical work.


    Sometimes when I come home from get off work, no matter how tired I am, I still have to pay my wife rations.


    Just two words, life is bitter.


    Many women always complain, saying that housework is hard, childbirth is hard, menstruation is hard every month... If they see the hard-working side of men outside, maybe they won''t say that.


    Zhou Can closed his chest soon.


    [Close the chest successfully, reward suture experience +100. Congratulations on your promotion to the sixth level of stitching. ¡¿


    When he was doing chest repairs just now, Zhou Can earned a lot of rewards for medical experience points in a row.


    I really didn''t expect that at this juncture, suture was the first to be promoted to the sixth level, becoming his first director-level medical skill.


    Accumulating a total of 100,000 experience points is really not easy.


    He could clearly feel that Dai Ran''s understanding and comprehension of stitching had a different experience. It is different from any previous medical promotion.


    Even if his medical skills were promoted to the fifth level and reached the level of the deputy director, he only felt as if he could glimpse some deeper medical mysteries. But it felt uncomfortable, like looking at a beautiful woman through frosted glass.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    You don''t know whether she is pretty or not, you can only vaguely see her graceful and slender figure.


    "Is this the sixth-level medical skill?"


    Zhou Can is immersed in the brand-new director-level suture medicine.


    If it is said that the fifth-level suturing skill gave him the ability to be just right in suturing, then the sixth-level suturing skill gave him the most mysterious.


    It was as if he could directly peep into the mysteries of life through a small wound.


    For example, at the chest wall wound that has just been sutured, what he sees at a glance is not whether the stitches are neat or not, nor whether the wound layer is tightly fitted, but he can really feel that the life on the operating table has been repaired , is quietly recovering the vitality of life.


    As for the speed of the recovery process, he still has no way to clearly feel it.


    It may be that his realm has not yet reached that level.


    Or maybe only one medical skill has been promoted to level six.


    After all, the composition of the whole life is very complex, and the human body is ten thousand times or one hundred thousand times more complex than the most sophisticated and complex computer in the world.


    So far, even the United States, the most developed country in the world, has not been able to thoroughly study the mysteries of the human body.


    Just a neuron simulation has caused countless scientists, biologists, doctors, and scholars to fail. A lot of research and development funds have been spent, and the artificial intelligence that I want to simulate has not been successful.


    This is just the study of the brain neurons of the human body. If it is the whole body, it may not be possible to study it thoroughly in another five hundred years.


    The genes of the human body, the DNA genetic code of the blood... There are too many unsolved mysteries of human beings, waiting for future scientists and doctors to solve.


    "The sixth-level medical skills are really wonderful. I don''t know if other doctors, like me, can directly see the mystery of life when examining a patient''s wound?"


    At this moment, Zhou Can is looking forward to the day when other medical skills can also be promoted to the sixth level.


    Maybe when the time comes, his peek at the mysteries of life will be clearer and more in-depth.


    "Doctor Zhou, Doctor Zhou...it''s time for get off work!"


    The equipment nurse waved in front of Zhou Can, waking him up from his contemplation.


    "Oh, sorry, I was distracted just now! Are the patient''s signs still stable?"


    Zhou Can asked the anesthetist who was packing up the tools.


    "The operation went very smoothly, and the child''s physical signs are quite good. However, he will definitely need to stay in the intensive care unit for a period of time. It depends on the situation, the shortest is three to five days, and the long... then it is not clear."


    The anesthesiologist is optimistic about the prognosis of the child.


    "With you, the protector of life, speaking, then I have nothing to worry about Eat supper before leaving!"


    Zhou Can greeted the anesthetist.


    "There are still children waiting for me to go home, so it''s okay for me to take some back home for the children to eat."


    The anesthesiologist is at least thirty-seven or eighteen years old.


    She is an excellent young and middle-aged anesthesiologist in Tuya.


    "I know that some of you take care of the family, so I specially ordered a packaged package. Everyone, including interns, take it home and eat!" Director Xueyan said with a smile.


    After the overtime work is over, the generous director will usually give everyone a midnight snack or ask everyone to have dinner together.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Considering the economic affordability, the dinner party will only come once or twice occasionally.


    It is impossible to have dinner every day.


    Because the money is not paid by the department, but by the director himself.


    "Thank you, Director Xue!" The anesthesiologist thanked him with a rare smile.


    "How many children do you have?"


    Zhou Can helped her pack her tools while chatting with her.


    "How many children! We are doctors, and we are so busy all day long. It would be great if the hospital allowed me to take a maternity leave. Of course, if I insist on giving birth, the leader probably has nothing to do. Because the anesthesiology department There''s always been a shortage."


    When she was working, she had a straight face and was very serious.


    After the operation, he talked more or less like a normal person.


    "What about you? Are you married?"


    The anesthetist may have added another sentence considering that Zhou Can was very young.

 Chapter 439： Consequences of Overcleaning, 1 Good News

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "I''m not married."


    Zhou Can is quite willing to end the long-distance love race and achieve a positive result with Su Qianqian.


    But she was worried that her kidney disease would not be cured, so she refused to get the certificate.


    "So are you talking about a girlfriend?"


    The anesthesiologist was able to chat with him. Maybe Zhou Can is the apprentice of Director Feng of the Department of Anesthesiology, at least he is half a doctor in the Department of Anesthesiology, so he is very friendly to him.


    "Let''s talk! We''ve been talking for almost four years!"


    Zhou Can didn''t expect that it had been almost four years before he knew it.


    time flies.


    "It looks like your financial conditions are not bad! Why aren''t you married yet?" Her eyes flashed when she said this.


    Because after talking about a girlfriend, most of the men who are reluctant to get married are just playing around.


    "Uh... there is a small problem that hasn''t been resolved. I just want to ask, is it good or bad to have a child?"


    Zhou Can changed the subject.


    "It depends on what you think personally. Having a child means that the financial burden will increase, and you need to spend time with the child and educate the child. However, the child can bring vitality and hope to the family. Take me as an example Well, I sometimes work late and get off work, and I am very tired. But when I walk in the door and see my daughter, I feel that it is worth the effort. There are also couples who quarrel, and children can be the bond that eases the conflict... Overall For me, having a child is definitely a good thing. A life without children is not a complete life.¡±


    As someone who has experienced it, she shared some experiences with Zhou Can.


    "Okay, I have to go to the ward to help Director He look at the patient with alveolar leak, let''s go first, goodbye!"


    Zhou Can waved his hand and walked out of the operating room.


    What the anesthesiologist had just said rang in his ears.


    He seemed to understand Su Qianqian''s position a little bit. If her kidney disease can''t be cured, Zhou Can''s parents will probably not agree to this marriage after they find out. In their married life, after the freshness fades, they may quarrel because they cannot have children.


    Their marriage will be full of crisis.


    "Purple backed star anise lotus, where can I buy it?"


    The colorful toad already has it, and it is only the last medicine, but there is no progress.


    Maybe you can use the power of your circle of friends.


    Zhou Can''s circle of friends has many classmates and colleagues in the medical industry.


    After making up his mind, he posted a post in Moments.


    "If anyone has news about this purple star anise lotus, please let me know, thank you!"


    Pictures were found online.


    After the news was sent out, he didn''t care anymore.


    He came to Director He''s office, and sure enough, seeing Director He, he made a simple folding bed to sleep in the office.


    This kind of folding bed is often used in hospitals to add temporary beds to patients.


    Sometimes the doctor is too busy and will temporarily borrow it from the material room to deal with it overnight. This material room refers to the small storage warehouse of the department, not the material department of the hospital.


    Applying for items from the Materials Section is cumbersome.


    It is estimated that the doctors would rather sleep on the floor than borrow a bed from the materials department. Just moving here is enough to make people tired.


    "Director He!"


    After calling, Director He woke up.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Middle-aged and elderly people are generally more alert when sleeping and are easy to wake up.


    "Have you finished the operation? I''m sorry to have to ask you to help me diagnose the patient at such a late hour."


    Director He closed his clothes and slept with a thin quilt on his body.


    Although he is very selfish, he is very responsible to his patients. When encountering such patients with serious postoperative complications, he often tries to find support, and it is commonplace to fight at night with lights on.


    As I get older, my energy is not as good as before, but I can still work hard and insist on putting the lives of patients first. This is absolutely admirable.


    "Director He, you''re welcome. Which bed is that patient in?"


    "There are 3 beds in the intensive care unit."


    This intensive care unit refers to the small intensive care unit of the undergraduate department, not the intensive care medicine department of the hospital.


    The two came to the intensive care unit, changed their clothes and entered the ward. There were dedicated doctors and nurses on duty busy inside.


    Compared with the intensive care unit of the intensive care department, the patients living here are relatively less critical. But still can not be paralyzed, otherwise it is easy to cause the death of the patient.


    Sputum suction, dressing change, and strict monitoring of the four major signs of the patient''s blood pressure, blood oxygen, heart rate, and respiration are the most basic routine tasks.


    In addition, it is necessary to record the urine volume, color, or body temperature, blood pressure, etc. every fifteen minutes or half an hour.


    Then various pump medicines, nasal tube feeding food and so on.


    There are basically only two situations for patients living here, either they need close monitoring after surgery and need to live in a sterile environment for a period of time, or the patients are in critical condition and temporarily not eligible for surgery.


    Such as car accidents, high falls, accidental stabbings, etc.


    After evaluation, the doctor thinks that the patient will die on the operating table, or the bleeding is not clear for the time being. These patients can only stay in the intensive care unit for observation and treatment for a period of time to see if they can create opportunities for surgery.


    "This is the patient! After the operation the day before yesterday, something happened."


    Deputy Director He brought Zhou Can to bed 3.


    I saw that the patient''s current blood oxygen is still very low, and it is particularly laborious to breathe. Air bubbles continue to escape from the drainage bottle.


    It is especially serious when the patient has a cough.


    "Today is the second day after surgery, right?"


    "right!"


    "Is the drainage performed immediately after the operation?"


    "That''s right!"


    "Does the patient have emphysema or pulmonary fibrosis?"


    "There is emphysema, which is relatively mild."


    Director He replied.


    "Come on, let''s go outside and talk first!"


    After Zhou Can finished reading, he and Deputy Director He came to the discussion room of the intensive care unit.


    "I''ll look at the patient''s information first, and it''s best to look at the surgical records together. His situation feels a little tricky. Under normal circumstances, this type of patient is drained for two or three days, and the air leakage will stop on its own. But when I observed the patient coughing just now , the air leakage is quite serious, according to my clinical experience, let alone three days, even if you live here for a week, it will be difficult to stop on your own."


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    Zhou Can is especially grateful for the time spent in the Department of Critical Care Medicine.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    There is also the day of studying with Director Hu Kan.


    Gave him a wealth of experience in clinical critical care management.


    "I also have this bad feeling. Seeing that his air leakage has not decreased at all, I feel very nervous, and I am afraid that something will happen." Deputy Director He now wants to work safely until retirement .


    He had already prepared the patient''s information, including the operation records, and printed them out.


    Zhou Can carefully checked and studied them one by one.


    Occasionally, doctors from the intensive care unit come in here to have a meal, or to discuss the patient''s condition temporarily.


    However, Deputy Director He''s position is there, and no one dares to disturb the two of them easily.


    Zhou Can now basically belongs to the "Buddha" recognized by cardiothoracic surgery.


    If something happened, the chief physicians of the cardiothoracic surgery department would invite him over to help. If it can''t be solved, then I will consider asking doctors from other departments to come for consultation.


    Time passed little by little.


    Zhou Can frowned tightly all the time, because the patient''s condition was quite complicated.


    Director He was at the side, always ready to answer his questions, and the two discussed the patient''s condition together.


    "If the hypoplasia of the lung fissure, the adhesion between the lung surface and the chest wall is not serious, and the pleura is not damaged during the surgical separation, then I can only think of one possibility." After repeated discussions and research, Zhou Can finally locked in the alveolar air leak. reason.


    Seeing his hesitant to speak, Deputy Director He was frantic.


    "Doctor Zhou just say whatever you want, don''t care about my feelings."


    He could also see from Zhou Can''s expression that the patient''s postoperative complications were probably caused by improper operation during the operation.


    I was worried that he would have an opinion, that''s why Zhou Can hesitated to speak out.


    "Then I''ll just say it, you can''t have any objections."


    "No opinion, absolutely no opinion. It''s too late for you to help me analyze the condition and find out the cause of the disease!"


    Director He quickly expressed his opinion.


    "The patient was suffering from lung cancer. At that time, the left lower lung lobectomy was performed, and the lymph nodes in the lung were removed. There should be no problem if the lung lobes were removed. I have seen you perform lung lobectomy. There is only one possibility. question."


    Zhou Can''s thinking is clear and clear.


    "Do you suspect that there are lymph nodes that have not been cleaned? It should not be so. My assistant and I checked twice at that time. It was confirmed that there were no fish that slipped through the net, and the cleaning area was deliberately enlarged during cleaning."


    Deputy Director He vetoed this possibility.


    "I don''t suspect that you didn''t clean it up, but that you did it too cleanly and injured the lung parenchyma during the operation, which led to the air leak."


    The reason why Zhou Can hesitated to speak was because it questioned the other party''s surgical ability.


    Hitting people is not slapping people in the face.


    Deputy Director He is a veteran of the department, and he is also the chief physician and deputy director of the department, with high morals. Then in the field of thoracic surgery, he has been cultivating for decades, and lung cancer removal surgery is his field of expertise. Questioning his operation in this field is not done well, I am afraid it will be difficult for him to accept.


    "This...probably not! However, during the process of removing the lymph nodes, I did deepen the wound. At that time, I was worried that the incomplete removal would cause recurrence."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    After Deputy Director He''s complexion changed for a while, he had to face the reality.


    Sweeping the lymph nodes went too far, this is really the first time this kind of thing happened.


    At least he thought so.


    Even if it happened in the past, the problem is not serious, and the drainage time may be a little longer, and it will heal itself.


    "Then what is the best way to treat it now?"


    Deputy Director He felt a fever on his face.


    Fortunately, it was not the first time he asked Zhou Can for help, and his face gradually thickened a lot.


    At such an age, it is impossible to be a glass heart.


    "I guess the patient has emphysema, and the remaining lungs are poorly inflated. You can try closed thoracic drainage and low negative pressure suction, which can promote visceral parietal pleura adhesion. Then use subcutaneous puncture or skin incision to ventilate. It is estimated that it will take about a week. It works. I can help with the puncture."


    Zhou Can was worried that Deputy Director He would make trouble again.


    The subcutaneous puncture was not difficult, but Deputy Director He was relatively sloppy in his work. Coupled with the fact that he is now flustered and anxious about the patient''s condition, it is more likely to be improperly operated.


    "Okay, okay, let''s try the method that Dr. Zhou said. I will thank Dr. Zhou for the puncture."


    Deputy Director He readily agreed.


    Anyway, he has lost face, and now he only wants to help the patient survive the dangerous period after surgery. If you don''t intervene in time, if respiratory failure occurs, you will be in big trouble.


    ¡­


    It was close to one o''clock in the morning, and Zhou Can dragged his tired body back home.


    Since the hospital is a bit far away from Bajing Lake, Zhou Can felt that it was not an option to go on like this all the time.


    He discussed with Su Qianqian, or he could buy a house near the hospital to live in.


    The location of the Tuya General Hospital has always been very expensive, and it belongs to the center of the city. There are very few villas here.


    Even if there is, there are almost no one who is willing to sell it.


    But if you can buy a villa, living in it will definitely be much more comfortable than living in a high-rise.


    In addition, even though Su Qianqian has withdrawn from some of her careers, she still has a high reputation and popularity. Her safety has always been Zhou Can''s most concerned issue.


    It is also because of these years of caution that nothing has happened.


    Finally, after discussion, Su Qianqian agreed to Zhou Can''s proposal, and the two decided to find a suitable single-family villa near the hospital.


    Professional things are left to professional people.


    Finding a real estate agent is a great way to find a property.


    Don''t even think about buying a first-hand villa in the old city.


    It is also impossible for any developer to do such a stupid thing. The demolition fee alone cannot be earned back from the land fee.


    If it is possible to buy a villa near the hospital, not to mention the wedding room, it will also save Zhou Can a lot of commuting time.


    Going to work the next day, Zhou Can first went to the emergency department to check the wards, and then rushed to the pediatrics department for consultation.


    I heard that his current pediatric clinic number is more popular than that of the old professor.


    Those patients who seek medical treatment have a comparison in their minds. The special needs expert account starts at least 300 yuan, and Zhou Can''s account costs 12 yuan.


    The key is Zhou Can''s cure rate, which has remained high, which has also brought him an excellent reputation. After nearly two years of accumulation, he has gained some fame in pediatrics, which couldn''t be more normal.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    There are even some children who cannot be cured in the Provincial Children''s Hospital and the Provincial People''s Hospital are finally cured after his diagnosis and treatment.


    Or the condition has been effectively controlled and improved significantly.


    There are many chronic diseases that require life-long medication, so it is quite good that some diseases can be controlled.


    For example, patients who have undergone cardiovascular surgery may need to take anticoagulants for life. No matter which doctor treats, the result is the same.


    Anticoagulation is not required in the absence of specialist treatment.


    On the way to the pediatrics department, Director Xueyan called.


    "Sister Yan, you wouldn''t have summoned me to rescue the patient so early, would you?"


    "Haha, are you afraid of receiving my calls? Every time you are called to help with surgery, or to consult and rescue patients." Director Xueyan smiled happily.


    "It''s okay, okay! You smiled happily, which means there must be a good thing, not rescuing patients."


    Zhou Can went to the cardiothoracic surgery department to help, but he never complained.


    He himself is Director Hu Kan''s apprentice, and he also got Director Hu''s death care, asking him to take care of the cardiothoracic surgery department and help Director Xueyan.


    Also, every time he goes to help, he can basically earn a considerable amount of surgical experience points.


    So he was happy to go there.


    "You are really smart! You have heard this. I have good news for you. The child with Tetralogy of Fallot last night has passed the critical period after surgery. His vital signs are stable and he is in good condition in all aspects. Very good. It shows that the operation was very successful. As long as there is no accident, wait for about seven days, basically nothing will happen. This also means that after more than a year, our cardiothoracic surgery department finally has this kind of operation again. ability to operate."


    she said happily.

 Chapter 440： The ugliness of the 3rd hospital, a heart of stone

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Eight hours after cardiac surgery should be the most dangerous. Generally, if there is no obvious abnormality for more than 12 hours, it means that the operation is successful.


    It looked like they had completed the operation at around eleven o''clock last night, and it has been more than eight hours now.


    At present, everything is normal for the child, and with Director Xueyan''s experience, it is natural to judge whether the operation was successful.


    "I believe that cardiothoracic surgery will get better and better. If the teacher is lucky, he will be relieved to see that the cardiothoracic surgery is gradually getting on the right track under your leadership and starting to recover."


    [The problem of the slow update of new chapters has finally been solved on the app that can change the source. Download the huanyuanapp to change the source app here, and view the latest chapters of this book on multiple sites at the same time. ¡¿


    Zhou Can is also happy for the progress of cardiothoracic surgery.


    "I alone don''t have this ability. Thank you for helping me all the time. I was able to withstand the joint efforts of the Provincial People''s Hospital, Xinxiang Hospital, and the Third Hospital to defend the basic business of the Tuya Cardiothoracic Surgery Department. , To be honest, every time I think about it now, I still feel incredible."


    She is full of gratitude to Zhou Can, and even more so.


    Over the past year or so, she has grown so much.


    Medical skills, surgical capabilities, management capabilities, and ability to deal with various crises are all different.


    Compared with her, Zhou Can''s progress is even more astonishing.


    With the efforts of Zhou Can, the emergency department has completed the first step of counterattack.


    A 100-level laminar flow operating room that can perform at least two operations at the same time, with supporting facilities and rooms such as a lounge and a large storage room. On the surface, it looks like a Class 100 laminar flow operating room, but it is actually equivalent to two.


    The application for the laparoscopic operating room has also been approved, and the current construction project has landed and is under construction.


    If there are no accidents, it should be able to be officially put into use after passing the acceptance test in three months.


    Inpatient wards in the emergency department have also seen two rounds of expansion.


    At present, the inpatient ward is divided into two areas for surgical patients and medical patients. There are a total of 30 official beds for surgical patients and 10 for internal medicine. As for the temporarily added expansion beds, it goes without saying.


    Great flexibility.


    Doctors and nurses in the emergency department have also undergone two rounds of expansion.


    They are all small-scale additions or recruitments.


    Director Lou and Deputy Director Han were also probably worried that their crotch would be hurt by taking too many steps.


    There is also the issue of employment costs, which is directly related to the operating costs of a department. The hospital pays wages uniformly, and it is absolutely impossible for a department that generates millions of dollars a month to support a group of idlers.


    Zhou Can came all the way to the Pediatric Outpatient Department, still sitting in the No. 17 outpatient clinic.


    Now, this outpatient room is his special consultation room as long as it is Wednesday.


    "Doctor Zhou, Doctor Zhou, you are here just in time. Come and help me consult a patient."


    Director Zhuang of the Pediatric Department seemed to be waiting for Zhou Can''s arrival.


    As soon as he saw him coming, he immediately invited him over.


    "Where''s the patient?"


    Zhou Can found that there were no patients in Director Zhuang''s clinic.


    "Hey, isn''t there still ten minutes before work time! I have some information here, please help me to look at it. This child was undergoing cardiac surgery in the Third Hospital, and the situation seems to be a bit bad now. The grandfather of the patient Entrusted the relationship to find me, and asked us if Tuya can accept it?"


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Doctors often encounter such irresistible favors.


    Some family members or acquaintances or relatives who have a strong relationship say hello, I am really embarrassed to reject it.


    However, the diseases of the patients they want to entrust may not be the field they are good at. In this case, the entrusted doctor can only bite the bullet and seek help from medical colleagues in related fields.


    Relationships are sometimes so complicated.


    Many people think that officials and public servants are the group of people who are most likely to encounter various entrustments. In fact, doctors are not much better, and they are also the hardest hit areas.


    People eat whole grains, and that is when they get sick.


    As long as the condition is a little serious and I want to go to a big hospital for treatment, I will do everything possible to find acquaintances through various connections.


    If you really can''t find acquaintances, then forcefully stuff red envelopes.


    In short, those family members and patients always feel uneasy without finding an acquaintance.


    "The third hospital performed cardiac surgery, and now there is a problem after the operation. Do you want to be transferred to our hospital for treatment?"


    As soon as Zhou Can heard this, he knew it was not a good thing.


    Most hospitals are unwilling to accept such ''rotten patients''.


    Because after receiving it in the hands, it will be famous if it is cured, but it can also bring certain benefits to the hospital. But if you mess up, you may turn against each other and cause trouble.


    It is easy to sue and lose money.


    Moreover, hospitals that are capable of performing cardiac surgery are not bad in themselves. Why do you think you can handle a disease that even they can''t handle?


    Director Zhuang is in his fifties, so it''s impossible for him not to understand the truth.


    "I also knew that the risks involved were huge, so I didn''t agree easily. But the person the patient''s grandfather entrusted was my mentor, and I really couldn''t help it, so I bit the bullet and asked him about it."


    Director Zhuang has already prepared all the patient''s information.


    Zhou Can didn''t ask any more questions, and took the information to check it carefully.


    The patient was a newborn, only six months old. Congenital atrial septal defect, belonging to the primum type. In the third hospital, atrial septal defect repair operation was done.


    During the physical examination, the child found a heart murmur, and then went to the doctor.


    After examination, it was found that the child had typical symptoms such as shortness of breath, hyperhidrosis, and limited activity. However, congestive heart failure was not detected.


    There were also no concurrent atrial arrhythmias.


    Logically speaking, there should be no risk in this child''s operation.


    At least in Zhou Can''s opinion, when Director Hu Kan was alive, the mortality rate of this type of operation was extremely low, and accidents were almost impossible.


    The child''s grandfather is quite well connected, and he chose to have the operation in the Third Hospital, so there is no need to ask. The operation on this child must have been performed by the Japanese cardiologist.


    Zhou Can felt a long time ago that the Japanese psychiatrist might not be as powerful as he imagined.


    It may be due to the hype, coupled with the Chinese people''s admiration of foreigners, this made the Japanese expert a myth.


    "What is the patient''s condition now?"


    "The main symptom should be heart failure."


    Director Zhuang seems to have carefully asked about the current situation of the child. When he answered, his expression was extremely serious.


    "Heart failure is really fatal! The child is so old, no wonder the Third Hospital has no solution." Zhou Can can think of the Japanese expert in the Third Hospital with his toes, but now he is probably at the end of his rope and helpless.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Doctor Zhou, I know that you are Director Hu Kan''s favorite student. Director Hu''s skills in cardiothoracic surgery have been passed on to you. Cardiothoracic surgery can stabilize the situation, and you are the most responsible. Tell me the truth, Can we treat this child? At present, the third hospital has given the family the truth, because of serious postoperative complications, the survival rate will not exceed 20%. They suggested that the child be transferred to the imperial capital for treatment. "


    When Director Zhuang said these words, there was a hint of anger on his face.


    "The child is still so young, and he has serious postoperative complications, and then sent him to a big hospital in the imperial capital for treatment. Isn''t that going to kill him? It''s been a long and bumpy road, and he still has a breath. , it will be gone immediately. They are completely shirking responsibility."


    How could it be so easy to send them to the imperial capital for treatment.


    Not to mention the long distance, first of all you have to guarantee that the person will be sent there, and whether the big hospital is willing to accept it.


    It is estimated that even Zheng Da''s hospital would not dare to accept such patients easily.


    You know, Zheng Da''s hospital has a notoriously high survival rate for critically ill patients. There are many critically ill patients who have been treated in other hospitals. Their lives are already hanging by a thread, and they are preparing for funeral at home.


    It is not uncommon for people to be rescued after being sent to Zheng Da for rescue.


    "Director Zhuang, we are all on our own, so I''ll just say something straight." Zhou Can''s expression became serious.


    "It''s okay to speak up!"


    Director Zhuang nodded repeatedly.


    "Whoever picks up this child is unlucky. From the time point of view, it is already the fourth day after the operation. According to experience, even if sent to the intensive care unit, it is difficult to survive ten days. In most cases, it will appear in seven or eight days. High mortality rate. You also said that this child was greeted by your mentor. If the accident does not cause trouble, the success rate of our treatment should be about 40%. I mean it was transferred this morning. And we need to ensure that the rescue drugs they use are not seriously overdosed."


    Zhou Can paused, then continued.


    "If symptoms appear on the first day after surgery, they will be sent in time, and the survival rate will be at least 70%."


    The chances of being transferred on the first postoperative day are too low.


    The Third Hospital would not agree, and the family would never have imagined the current result.


    Now that the mess has come out, the hospital is eager to get rid of the blame and push patients to transfer. The family members were also full of despair. They realized that the strength of the Third Hospital was not as high as imagined, and they were eager to find a new life for the children.


    "Turn around, can you help check in the rescue?"


    Director Zhuang didn''t know why, but he was full of trust in the young man in front of him at this moment.


    Maybe it''s Zhou Can''s good performance all the time, plus his eyes, tone, and demeanor when he talked about the treatment just now, which reveals Zhou Can''s confidence.


    "Okay, when the time comes, people will turn around, go through the admission procedures, and just call me over for a while."


    Zhou Can agreed without hesitation.


    "Remember, when the child is transferred to another hospital, we must find a way to get all the information about the operation records, postoperative doctor''s orders, specific postoperative medications, and rescue measures. This will be very beneficial for our side to take over the rescue. It is also convenient to divide Responsibility. Otherwise, I guess the cardiothoracic department would not accept this child."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    If he said he would not accept it, then he really would not accept it.


    This kind of thing, not to mention Director Zhuang, even Director Tang Fei from the Department of Pediatrics is useless.


    Unless the pediatrics itself accepts the child.


    But this is impossible.


    Unless Director Tang Fei and Director Zhuang are going to use their jobs for charity.


    "Go ahead, thank you!"


    Director Zhuang was very grateful to him.


    The favor owed, Zhou Can will automatically pay back when Zhou Can needs it in the future.


    Just like Shangguan Yan from the Second Affiliated Hospital of Tuya owed Zhou Can a favor, now the two are in contact from time to time. During the holidays, Shangguan Yan took the initiative to send blessing text messages to Zhou Can.


    The hardest thing in the world to repay is the debt of favor.


    Zhou Can went to the No. 17 outpatient room for a consultation, so he didn''t mention it.


    The family members who sought medical treatment had already formed a long queue. Seeing Zhou Can enter the consultation room, family members who knew Zhou Can immediately greeted him enthusiastically.


    Those who don''t know Zhou Can''s family members whisper in their hearts, this Dr. Zhou is so young.


    "Doctor Zhou, my child broke his hand, can you take a look at him first? I heard that you can complete the bone setting in a few seconds. The treatment fee will not be less than a penny, I just ask you to help give priority to treatment Take a look at my child."


    A woman in her forties stopped Zhou Can.


    She was carrying an eight or nine-year-old boy, whose left arm was just hanging down. The child''s face is full of pain.


    Zhou Can glanced at the patient and could easily see that the boy must have dislocated his joints. Just as the woman said, with his current bone-setting technology, he can easily take it back without taking a film.


    It only takes a few seconds.


    "Doctor Zhou, please!"


    The woman cried and knelt down to him.


    "Don''t be like this, don''t be like this, get up quickly."


    Zhou Can quickly pulled the woman up.


    "If you don''t agree, I will kneel here and won''t get up, please..." The woman was crying quite sadly, which moved the people around her even more. In order to let the child relieve the pain earlier, he did not hesitate to kneel down to the doctor in public.


    He even cried so sadly because he felt sorry for the child.


    This is great maternal love.


    "It''s only a few seconds anyway, doctor, why don''t you treat him!"


    "Yes, this child is too pitiful! Treat him!"


    Under the control of sympathy, some family members spoke out to help the woman and the little boy to intercede.


    "Sorry, it really only takes a few seconds for me to give the patient bone-setting treatment, but there is a premise. I need to see the film before I can do such an easy operation. I am very sympathetic to your child, and I feel the same for his pain. But now I There is really no way to treat him. If the family members ahead of you agree, I will give your child the priority to apply for the examination, which is no problem."


    Zhou Can''s heart was as hard as a stone, and he remained unmoved in the slightest.


    That''s because this kind of person kneels down and cries at every turn, and pretends to be a poor family member or patient who has tricked him many times.


    How pitiful this kind of family members are when they kneel down now, how difficult it will be when they complain to you.


    Doctors can be kind, but they must never be sympathetic.


    "A dislocated arm is not a particularly fatal thing, is it? My daughter had a high fever all night vomiting and diarrhea, we came to line up very early, I don''t agree to let her jump in line."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    A father who took his daughter to see a doctor directly rejected the kneeling woman''s request to jump in line.


    "Yes, I don''t agree either. Whose child doesn''t have a life? Who comes to the hospital to see a doctor if he is not sick? It is only fair to follow the rules."


    Another family member objected loudly.


    This is the true portrayal of the real family.


    Everyone has their own one-acre three-point land, whoever touches their interests, they will be anxious with whoever.


    "Why don''t you two have any sympathy at all? What''s wrong with your daughter having a fever? How can you compare with my son? If your daughter''s arm is broken, I promise to give you priority in seeing a doctor."


    Kneeling women saw the idea of ??prioritizing medical treatment being rejected.


    Immediately turned into a shrew, and began to scold the first family member who disagreed.


    "And you, you look like a dog in your clothes, why are you so ugly? It won''t hurt you to let my son see the doctor first, right? The doctors have said that it only takes a few seconds."


    When the women quarreled, even three Wang Langs could scold them to death.


    She fought the second battle, and the two family members were stunned by her scolding.


    And that vixen''s posture made Zhou Can terrified just looking at it.


    He secretly rejoiced that it was a good thing that there was no sympathy just now, and he didn''t agree to this woman.


    The growth of a doctor is definitely not only the accumulation of medical skills, but also how to deal with family members and learn how to protect themselves.

 Chapter 441： Be wary of neonatal sepsis, there is never a real fairness to…

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "It''s better to let the nurse call the number directly in order!"


    After Zhou Can finished speaking, he ignored the woman and went directly into the consulting room.


    The guiding nurse was still Zhou Yanqing, who was an old acquaintance with Zhou Can.


    It''s not been a day or two since the two of them cooperated. She could understand it with just one look from Zhou Can.


    "Number 1, Tang Juxiang!"


    "It''s us, it''s us!"


    A young woman resting on a bench hurriedly picked up her child and entered the No. 17 outpatient room.


    At this moment, none of the family members will speak up for that shrew who scolded the street. The common people have a good reputation in their hearts. Although everyone doesn''t say it, they can see it in their eyes and keep it in their hearts.


    Everyone''s sympathy is not so easy to use.


    "Doctor Zhou, please help me find out, the child suddenly stopped taking milk for some reason."


    The woman''s husband and family members were not accompanied.


    Judging by her attire, her economic conditions should not be bad.


    "The child looks quite small, isn''t it not long after birth?"


    Zhou Can began to observe the condition of the child.


    I saw the child''s pale complexion, cyanosis around the mouth, and irregular breathing. This symptom is very similar to neonatal jaundice. The disease itself is also a high incidence.


    "He was born on the 21st day today, and he''s not even full moon yet! Since yesterday, he hasn''t been breastfeeding much, and he''s very restless, crying all the time, and has a very bad temper."


    The woman described the child''s condition.


    "Is it breastfeeding or feeding milk?"


    "I have been breastfeeding since I was born. At the beginning, I was worried about the lack of milk. The confinement lady who hired seemed to be very professional. She made me some food such as pig''s trotter soup and boiled eggs with rice wine. The milk became more and more abundant. My child After eating, sometimes there is still some leftover, and I feel bloated and painful. But since yesterday morning, when breastfeeding, the baby seemed a little resistant. The confinement sister told me to take the baby to the hospital for an examination."


    The woman looked at the baby in her arms, full of the radiance of maternal love.


    The greatness of a mother''s love begins from the moment she conceives a child. After the tenth month of pregnancy, the burden of maternal love will not only not be relieved, but will also increase. Need to put the baby to sleep, breastfeed, clean up the poop...


    This woman can afford a confinement wife, which shows that her economic conditions are good.


    Because the confinement sister-in-law these days starts at least five thousand. Better yet, it¡¯s very common to have a gold-medal confinement lady with a asking price of more than 10,000 yuan.


    "Do you and the confinement wife take care of the children together?"


    "yes!"


    "Does your family help take care of it together? Such as parents, mother-in-law, husband."


    "Why do you ask this? It doesn''t seem to have anything to do with the illness!"


    Her words flickered and she refused to answer.


    "Don''t get me wrong, I just want to rule out possible problems in the process of raising the child." Since the family members were unwilling to answer, Zhou Can didn''t question them any more.


    These days, some women give birth to a child, maybe she is just a mistress.


    An illegitimate child cannot see the light, and the identity of the child''s father must be tightly covered.


    "I don''t think the child''s spirit is very good. Even if he hasn''t eaten for a day, it shouldn''t be like this. Is there any water?" Zhou Can asked.


    "There is water, but he doesn''t drink much."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "While breastfeeding, does the baby have a strong suck?"


    "It''s much weaker than usual and looks weak."


    "Have you had a bowel movement? Have you had diarrhea?"


    "I have diarrhea. It seems that I have been having diarrhea since the third day of birth. The confinement wife told me that this is a normal phenomenon. When the child is a little older and the stomach is full, it will no longer have diarrhea."


    "How is the baby''s sleep?"


    "Especially easy to wake up. Crying at every turn, especially at night. Last night, almost every once in a while, there was a fuss, punching and kicking, and crying hard. No matter how coaxed, I couldn''t coax her."


    "Is it like this before?"


    "No, it''s from the night before yesterday. But the night before yesterday was fine."


    ¡­


    After Zhou Can asked about the basic situation and medical history of the child, he took the child''s temperature, which was normal.


    When the child''s abdomen is examined, the abdomen is obviously hard.


    Indicates the presence of abdominal distension.


    "Let''s do two tests first! If the child has urination or stool, you can take some for laboratory tests. For the time being, first check the three major routines. After the results come out, you can come to the outpatient room to see me for further diagnosis."


    Zhou Can quickly opened the inspection application.


    The three major routines are sometimes basically mandatory items.


    "Doctor Zhou, I heard from a friend that your medical skills are very good, your medical ethics are noble, and you are very responsible for the patient''s condition, so I specifically registered your number. Is my son''s condition serious? Could it be that he was injured at night? A minor problem like a cold?"


    When the woman said this, she naturally wanted to get closer to Zhou Can.


    "Well... It''s hard to say for the time being. But according to some of the child''s current symptoms, it may not be optimistic, so don''t delay. In fact, you should take the child to the hospital as soon as possible yesterday. Babies are not like adults. Their The progress of the disease is particularly rapid, and the tolerance is much weaker. The various systems of the body are not fully developed, and they will be relatively more vulnerable."


    [Currently used, the app with the most complete and best audio for listening to books, integrated with 4 major speech synthesis engines, over 100 kinds of timbres, and a source-changing artifact that supports offline reading, huanyuanapp source-changing app]


    Zhou Can was originally unwilling to say these serious words.


    Seeing that the young mother didn''t seem to pay too much attention to the child''s condition, he had to remind her.


    "It''s all right? What can I do? I was hesitating whether to come to the hospital yesterday. It''s all my fault. What can I do!" After hearing this, the woman really became anxious.


    "Go for an examination first! You are in the first place, and the blood test results should be available within two hours at most. If it''s just neonatal jaundice, it''s better to treat it. I''m afraid it''s troublesome if it''s neonatal sepsis. Therefore, blood After the test results come out, you must come to me in time without delay. In addition, try not to feed your child other food except breastfeeding and water feeding."


    According to Zhou Can''s personal diagnosis experience, he highly suspected that this child was likely to have neonatal sepsis.


    The disease is usually most susceptible to infants within three days to half a month.


    It took twenty-one days for the child to develop the disease, so the resistance should be considered good. Or the disease has already occurred, but the mother of the child is not alert.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Neonatal sepsis is a systemic infectious disease caused by bacteria invading the blood circulation.


    Because the central nervous system of newborns is immature, the body¡¯s reaction is low and weak, the skin, mucous membrane and gastrointestinal tract defense ability is low, and the local lymph nodes are highly permeable to bacteria, the infection focus cannot be confined to a relatively small range.


    Instead, it spreads rapidly and eventually becomes sepsis.


    At present, the child''s mental state is very poor, coupled with the lack of food all day and night, Zhou Can is very worried.


    In the face of a terrible disease, a fresh life is easily lost.


    According to Zhou Can''s instructions, the woman hurriedly took the child for an examination.


    Zhou Can really wanted to ask why the child''s father didn''t come?


    Because this woman has just given birth 21 days ago, and her body is still in the recovery period. Running around with the baby in her arms, it is very easy to have some adverse effects on her body. Even leaving the so-called confinement disease.


    Since ancient times, Huaxia has had the habit of confinement to recuperate.


    This is by no means the squeamishness of Chinese women, but the medical wisdom of the nation. It is also a manifestation of the heritage of traditional Chinese medicine.


    Foreign women do not have these rules.


    They think that there is no need for confinement, and they dare to bathe in various ways after giving birth, eat and drink without taboos, etc. It is even popular to give birth in water now. It can only be said that the benevolent see benevolence, and the wise see wisdom.


    The puerpera who has just given birth is deficient in both qi and blood. Even though the body immune mechanism of foreign women and Chinese women is different, but such a tossing of the body, once confinement disease is left, it is often accompanied for life.


    The pain and bitterness in it can only be experienced by themselves.


    One patient after another, Zhou Can''s processing speed is faster. When encountering some difficult cases, he often needs to spend a long time on careful investigation and comprehensive research and judgment. It is even necessary to consult with pediatric experts to discuss the condition.


    Generally speaking, his recovery rate is very high, whether it is a common disease or a difficult and miscellaneous disease, the cure rate has always been high.


    At present, he has been in pediatrics for about two years. In the first year, his cmi value reached 3.2.


    You should know that the cmi value of many chief physicians in pediatrics is only about 1.5.


    The powerful ones are naturally very powerful, and some even reached above 6.0.


    The cmi value refers to the case mix index, which is internationally recognized to represent the technical difficulty of the hospital in treating diseases and the comprehensive ability to treat difficult and severe cases. The higher the cmi value, the more serious the disease and it is not easy to cure.


    This is even directly linked to the amount of prepaid medical insurance that the hospital can obtain.


    Moreover, the country is currently paying more and more attention to the cmi value of doctors, which directly reflects the level of a doctor''s medical skills.


    If ordinary doctors usually treat ordinary cases, the CMI value will naturally be very low.


    This year''s cmi value has not yet come out, and Zhou Can estimates that it will be no problem to reach above 4.0 this year.


    This is also because he participated in the treatment of many diseases, especially when performing major operations, as a medical assistant. If he is directly asked to complete the consultation as the chief surgeon, as well as the consultation of some difficult cases, if he is the chief physician, the CMI value will be frighteningly high.


    In terms of real strength, he should not be inferior to some of the ''big bulls'' in this academy.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Of course, this is not to say that his medical skills have reached the top level, but a more objective evaluation.


    His medical skills still have a lot of room for improvement.


    Whether it is academically or clinically, it is far from reaching its peak.


    Most first-level directors and top experts say that medicine is never-ending. The more I learn, the more I feel that medicine is boundless.


    Human cognition and research on the human body are at best superficial.


    The woman with the child''s broken left arm was soon in the consulting room.


    Because Zhou Can didn''t agree to let her jump in the queue and give priority to seeing a doctor, she could feel a hint of hostility in her.


    After entering, the woman put on a pitiful face again.


    "Doctor Zhou, my family''s economic conditions are not good. I have three children. Your medical skills are so good and your heart is kind. Can you try to save some medical expenses for my children?"


    As she spoke, the woman squeezed out two tears and began to wipe them away.


    If you were a novice doctor, seeing this situation, most of them would be overwhelmed with sympathy and try their best to meet this person''s requirements.


    Especially in pediatrics, many doctors are women.


    They are more likely to soften their hearts than male doctors.


    "It''s really not easy to raise three children. Don''t worry, I will help you save what you can."


    Zhou Can is now considered an old fritter.


    The answer was watertight.


    He has rich experience in dealing with all kinds of difficult family members.


    In case he really encounters the kind of family members who cry, make trouble, hang themselves, hob meat, and play tricks, sometimes he can''t stand it.


    But it doesn''t matter, Director Tang Fei of the Department of Pediatrics has a good relationship with the Security Department.


    Several times, when encountering family members who deliberately caused trouble, the security department quickly dispatched and directly controlled the person.


    It must be said that the security guards in the security department belong to the employees recruited by the hospital, not the police, and they have no law enforcement power.


    But when in danger, people can be controlled.


    Security security, security is the safety of one party. On one-third of an acre of land in the hospital, security guards have great freedom to act freely. The family members are carrying sharp knives in the hospital to kill people. In this case, the most capable people from the security department will usually be dispatched.


    They are also known as riot squads.


    Armed with steel forks, shields, electric batons and other weapons, they greeted the assailants directly.


    In this case, as long as people are not killed, basically they will not keep their hands.


    Another point is that if a certain department or a certain doctor or nurse offends the head of the security department, when something happens, they will often wait until the angry family members beat the doctor or nurse before they come forward.


    And even if they arrived at the scene in time, they would still watch the show with their sleeves rolled up.


    Therefore, the water in the hospital is very deep.


    The logistics staff should try their best not to offend if they can. There are quite a few support staff, most likely related households, and you never know who is standing behind them.


    One more thing, Zhou Can has heard a colleague complain that most of the hospital''s staffing is provided by logistics or other related parties.


    At that time, he didn''t understand that the educational background of the support staff was generally low, and their contribution to the hospital was beyond words.


    Why are these people able to **** the extremely limited number of establishments?


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Later, when I inquired about it, it was an eye-opener.


    An unemployed youth in society, commonly known as a street slut, he has a beautiful younger sister. One day, his younger sister fell in love with a rich young man. The two talked about love.


    Not long after, his younger sister revealed that the son-in-law she was in love with was the son-in-law of the vice president of a certain hospital.


    After hearing this, the brother of the homeless man immediately became active.


    I''ve been wandering around on the street every day, and even keeping warm is a problem. I heard that the big hospital is a money-absorbing monster, and there are millions or tens of millions of accounts every day. If you get a job in the hospital, isn''t it like picking up money every day?


    Ever since, the elder brother begged his younger sister to help him find a way.


    The younger sister sees her brother fooling around in society with a bunch of cronies all day long, and her parents can''t control her at all. UU Reading seems to be in her thirties and hasn''t married yet. She thinks it is a good thing to help her brother find a decent job.


    It can also save parents from worrying a little bit.


    At the same time, the deputy dean''s brother was chasing her passionately and was fascinated by her, so she took the opportunity to talk about it.


    In order to win the heart of a beautiful woman, the son-in-law is very forthright.


    The future uncle wants to find a job in the hospital, isn''t that difficult?


    Just go to the vice president''s father directly.


    After questioning, the eldest brother is really ''excellent'', basically a social product with three nos. If you want education but no education, you need ability but no ability, you are too lazy.


    These days, hospital recruitment basically starts with undergraduates.


    If you are applying for a doctor, you should start with a master''s degree.


    How did this kind of "three no products" get into such a high-ranking unit as a doctor?


    This can''t trouble the son''s father. The deputy dean has a big brain.


    First of all, the "three no products" were brought into the hospital and put into the security department as security guards by way of outsourcing. After working for two years, I became a personnel agency and had an official status.


    Finally, divide the establishment into one for this ''three no products''.


    After some coquettish manipulations, a street **** became a full-time employee of the hospital, and obtained a quota that would make countless postgraduates, masters and even doctoral students overwhelmed.


    Just to ask, is it not sad to see street scumbags who have not graduated from elementary school get a solid job in the hospital, and those doctors who have studied hard for more than 20 years and worked hard in the clinical frontline are not as good as street sluts?


    Although this kind of thing is only a case in Tuya Hospital, it is basically a common phenomenon in various hospitals.

 Chapter 442： This woman is terrible, the boss begged to come

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can checked the child while dealing with this woman who was good at pretending to be pitiful.


    After consultation, the nine-year-old boy accidentally fell down while riding a bicycle, which caused a severe injury to his left arm and was unable to lift it up.


    "Little friend, where do you feel pain now?"


    During the consultation process, Zhou Can found that the boy''s mother had been answering the questions on his behalf. Out of caution, he decided to ask the boy.


    Under normal circumstances, children do not lie.


    "I just feel pain here, but as long as I don''t move now, it doesn''t seem to hurt that much. Also, it''s a little stuffy, like I''m about to vomit."


    The boy replied timidly.


    When Zhou Can heard this, he immediately became vigilant.


    If only the left arm is injured, even if there is a severe fracture, generally there will be no vomiting or chest tightness.


    Of course, it is not ruled out that after the fall, the pain will cause gastrointestinal spasm and vomiting. This phenomenon exists, but rarely.


    "Did you hurt your head when you fell?"


    "I felt like I hit the back of my head on concrete."


    The boy is very honest and says what he has.


    "You dead boy, you don''t need to tell all the little scratches. Which child didn''t fall?" After listening to the boy''s mother, she gave him a stare and told him not to talk too much.


    Zhou Can understands what the family members think, and they are worried that the doctor will prescribe a lot of examinations and over-treat.


    Many family members with financial constraints will only treat the most obvious injured parts in order to save money.


    For example, if there are multiple falls all over the body, accompanied by fractures, you may only agree to let the doctor treat the fractures.


    "Sister, it''s a good thing that your child can honestly tell about multiple injuries. Our hospital must be responsible for every patient, and we must detect and control some potential safety hazards as early as possible."


    While helping the boy to speak, Zhou Can stood up and walked behind the boy to check the back of his head.


    The hair is quite long and quite thick.


    After some inspection, no obvious hematoma was found.


    "First go for an x-ray of the left arm to see if there is a fracture. Also, the child reacted with vomiting and shortness of breath. I will order a brain CT for him to rule out intracranial hemorrhage. A routine blood test must also be done."


    Zhou Can issued three inspection applications in one breath.


    Originally, I wanted to have another chest CT scan, but the complexion of the female family member was already very ugly, so the chest CT scan was not done for the time being.


    When dealing with family members, doctors sometimes have to fight wits and courage, and pay attention to step by step.


    Although Zhou Can is not afraid of complaints from family members, it is best to avoid them.


    "Doctor Zhou, do you think it is possible not to check the head? My child just broke his left hand, so there is no need to check the head. And the blood test, what is the use of this check? If you want to make more money, you will deliberately prescribe a bunch of checkups, regardless of whether you are sick or not, the checkup fee alone will cost hundreds or thousands of yuan."


    The female family members looked like I know how to do it, don''t try to cheat me of money.


    For such patients, doctors often have a headache.


    "It doesn''t cost a lot of money to have a CT scan, but after this scan, you can find out whether your son has an intracranial injury to the greatest extent. Intracranial hemorrhage is very dangerous..."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Before Zhou Can finished explaining, the female family member waved impatiently and interrupted, "Okay, okay, don''t scare me. I understand how your doctors manipulate family members. Seriously. I only agree to do the examination of the left hand, and I don¡¯t do anything else. Originally, the examination of the left hand can be omitted, and you can just connect the arm to my son and it¡¯s over.¡±


    The female family members already felt very dissatisfied with Zhou Can.


    Regarding this, Zhou Can was extremely speechless.


    I have long found that this female family member is difficult to deal with, but I didn''t expect it to be so difficult to deal with.


    "If you don''t agree to do these tests, if something goes wrong, I can''t bear the responsibility. Why don''t you find another doctor and have a look again!"


    Zhou Can died of depression.


    It took about ten minutes at most to see a patient with this kind of fall. This female family member is very tricky. Asking questions, all kinds of non-cooperation, all kinds of doubts, now it has taken almost half an hour.


    I really don''t have the time to spend with her.


    Experts can limit the number of patients to only 15 or 20 patients a day.


    Zhou Can is the famous "traffic king".


    After sitting in the clinic for a day, at least one hundred outpatients have to be seen. Most of the time, even close to two hundred people.


    "What''s your attitude? Don''t you just think you have some skills and deliberately force patients and family members to agree to your various unnecessary examinations? It''s not too ugly to eat. If you cancel my account, I won''t give you the twelve yuan. You earn."


    The female family member was so angry that she turned her face and slapped the table and yelled.


    This woman is horrible.


    I don''t know which man is so lucky to marry such a shrew.


    "All right, all right, I''ll refund your account!"


    Can''t afford to provoke, can''t we still hide?


    When encountering such a garbage person, there is no way to reason with her. Just stay away from her.


    Zhou Can canceled her account directly.


    Originally, the consultation took nearly half an hour, and the fee of twelve yuan was not excessive at all. The initial examination that should be done has been done, and the electronic medical record has also been written. These are all the time cost of the doctor, and they have to spend energy.


    Zhou Can''s level is no worse than that of ordinary chief physicians, and he only charges a registration fee of 12 yuan, which is already very cost-effective for patients.


    Besides, this woman herself did not agree to do those tests, which is equivalent to refusing a diagnosis.


    Now asking Zhou Can to refund her registration fee has no reason to talk to this kind of person.


    Decisively cancel her account and let her harm other doctors.


    "I guess there is no doctor in our hospital who can see your son''s illness. I heard that the Provincial Children''s Hospital is very professional. You can try it there. Maybe even the registration fee will be waived for you."


    Zhou Can was worried that this difficult female family member would continue to bully other pediatricians in the hospital.


    Simply learn from the cross talk actors in Jinpen Washing Foot City, and you go to harm other families.


    "Hmph, I''m sure I won''t come to this kind of money-losing garbage hospital."


    The female family member snorted angrily and took the child away.


    Poor her child, with a broken arm, was being taken around by his mother. And the words and deeds of parents are very easy to be imitated by children. If her children learn to be unreasonable like their mother in the future, and behave in all kinds of ways, they will be tortured for a lifetime.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    After sending away this extremely difficult female family member, Zhou Can continued to sit in the clinic.


    Not long after, Zhou Can received a text message reminding him that he was complained.


    Tuya is quite strict in terms of service attitude. After being complained by a patient, it is necessary to log in to the intranet in time and write a complaint. Otherwise, points will be deducted and fined.


    Those who have been complained by different patients or family members many times will face more severe punishment.


    Notification of criticism and suspension are possible.


    The appeal time is 24 hours, if you ignore it, it will be regarded as giving up the appeal.


    Zhou Can definitely doesn''t have time to answer it now, so he just left it alone.


    A reserve-level famous doctor like him is paid much better than ordinary doctors and nurses. After 24 hours, the medical department will call to inquire about the situation, and will not randomly deduct points for him.


    Therefore, he does not pay much attention to the complaints of patients.


    During the consultation process, all kinds of patients and family members may encounter. Doctors are not waiters, and it is impossible to satisfy patients and family members 100%. I can only do my best to cure the patient''s disease.


    [The novel app that has been running stably for many years, comparable to the old version of the book chasing artifact, the source-changing app used by old bookworms, huanyuanapp]


    Or if there are any deficiencies, improve them.


    One patient after another entered the consultation room, and he maintained a high-speed reception state. When encountering some familiar diseases, he often only needs to ask a few casual questions, and he can make a good guess without even asking his family members to tell him about the disease.


    The treatment of this type of patients is naturally very fast.


    It''s really not a bragging to complete a patient''s consultation in a minute or two.


    When it comes to difficult patients, it''s hard to say.


    Around half past nine, the first young woman who came to see him came back with her baby in her arms.


    After seeing the blood routine results, Zhou Can''s face became extremely solemn.


    This child is very likely to have neonatal sepsis.


    The gold standard for diagnosing this disease is blood culture.


    But blood culture results usually take two days, or 48 hours. The current situation of the child is already very bad, if it drags on for another two days, Zhou Can can''t imagine the terrible consequences.


    In the results of blood routine examination, the number of rod cells was much greater than 0.16.


    After neonatal sepsis, there is another more terrible thing, that is purulent meningitis. Although the child''s body temperature is temporarily normal, his mental state is very poor, and his eyes are lacking in agility.


    The development of the brain-blood barrier of newborns is not perfect, and meningitis is very prone to occur after sepsis.


    If this disease is not treated and intervened in time, even if the child is cured, it is easy to become a mentally retarded child or a disabled child.


    "Doctor Zhou, is my child''s illness serious?"


    The woman saw all the changes in Zhou Can''s expression, and she already had some bad premonitions.


    "I''m afraid your child needs to be hospitalized immediately. The condition is very serious. Now based on the results of the blood test and his symptoms, I highly suspect it is neonatal sepsis. There is a gold standard for diagnosis of this disease, but it takes two days to get the results. Child You can¡¯t wait that long, so you have to get treatment right away. I¡¯ll report the situation to my superiors first, so don¡¯t worry too much, as long as you get treated in time, you won¡¯t have any major problems.¡±


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    At this time, Zhou Can must tell the patient''s family the real situation.


    At the same time, he directly reported the situation to Tang Fei, the director of the department.


    The young woman wiped her tears with a tissue and called someone.


    She didn''t avoid Zhou Can, so she made a phone call in the outpatient room in front of Zhou Can.


    "Didn''t you say it''s okay not to call me?"


    "The child is seriously ill. He is being treated at Tuya Hospital. The doctor told me that it is likely to be neonatal sepsis and needs hospital treatment... What should I do? Can you come here?"


    "I can''t come here now... In this way, I will transfer you 100,000 yuan. You take the child to the hospital first, follow the doctor''s arrangement, and treat it well. I will come to see you at night."


    "But¡­"


    The woman was only twenty-two or three years old, very young, and she panicked when encountering such a thing.


    I wanted to say something more, but the man on the other end of the phone interrupted directly, "Okay, okay, let''s do this first." After speaking, he hung up the phone.


    Judging by the voice, the man on the other end of the phone must be a middle-aged man.


    The voice was very calm, with an invisible majesty, a little old.


    Zhou Can has been in the pediatrics department for nearly two years, and he has long been familiar with some things about elders and juniors, and even giving birth to children.


    So his expression was always serious, and he operated on the computer, perfected the medical records, opened new examinations, and admitted to the hospital.


    The woman wiped away her tears, and walked out of the outpatient room holding the child silently with the list that Zhou Can had prepared.


    She must be in a bad mood at the moment.


    More than forty minutes later, the inpatient department told Zhou Can that the child had been admitted to the hospital. There are no beds, and temporary beds are made.


    The child''s subsequent treatment will be under the responsibility of the resident doctor and the nurses of the inpatient department.


    If they can''t figure it out, they may call Zhou Can for advice when prescribing a doctor''s order.


    From this point of view, the status of outpatient doctors is actually much higher than that of ordinary resident doctors.


    In terms of rank, outpatient physicians start out as deputy directors at least, and many of them are very senior doctors. In the inpatient department, the real main force of work is interns and trainees.


    There is also a lot of work for the trainees. Sometimes when there is a shortage of people, the trainees will be used as attendings.


    It is not uncommon for departments to arrange advanced students to bring interns and trainees.


    After arriving at the outpatient clinic at noon, Zhou Can was stopped by Director Zhuang who was guarding outside as soon as he left the clinic.


    "Doctor Zhou, the child mentioned in the morning has been transferred, let''s go to the cardiothoracic surgery department for help."


    "good!"


    Zhou Can did not refuse.


    Some feelings cannot be wiped away.


    People asked him to help in the past, this is to look up to him, and it is also a recognition of his ability~ www.novelhall.com~ I was able to complete the transfer in just one morning, and got Tuya Cardiothoracic Surgery to agree to accept this patient This is enough to show that the energy of the family members is quite large.


    Standing next to Director Zhuang was a man in his fifties with aloof demeanor and well-dressed clothes. At first glance, it is a person with a very high quality of life.


    This person has been trying to squeeze out a smile, watching Zhou Can.


    In this case, it is certainly not possible to turn a blind eye to others.


    "Who is this?"


    Zhou Can could only ask Director Zhuang.


    "He is the grandfather of the patient."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The man waited for Director Zhuang to finish his introduction, with a smile on his face, he took the initiative to reach out to Zhou Can, "Doctor Zhou, I have admired your name for a long time! Director Zhuang highly respects your medical skills. It is better to meet you than to be famous. So young. My name is Chen Shaoqiang, and it is a great honor to know such a young and excellent doctor as you."


    This person is quite talkative, and his speech is also very measured.


    Zhou Can was deeply impressed by the invisible aura exuded and the charisma of his personality.


    When shaking hands with the other party, the other party''s wrist is strong and powerful, and the eyes are peaceful and friendly.


    There was another tinge of comforting enthusiasm.


    In short, Zhou Can felt very comfortable.


    "You have won the prize! Nice to meet you!"


    Zhou Can talks as little as possible to this kind of people who meet for the first time, especially those who have a little energy.


    Dr. Xu''s tragic experience has somewhat affected Zhou Can.


    Keep him on high alert for powerful people.

 Chapter 443： Fighting a protracted war against the disease, smelly and shameless

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    This person has a lot of energy, and his social status should not be too low. At this moment, he was waiting in the corridor with Director Zhuang for Zhou Can to get off work at noon.


    The first thing I want to express to Zhou Can is a kind of respect.


    Because Director Zhuang is familiar with Zhou Can, it is completely possible to go in and find him directly when Zhou Can is in consultation.


    But they didn''t.


    This is like going to the mountain to seek the Buddha, and what you are talking about is sincerity. Obviously you can drive up the mountain directly, but in order to show your respect and devotion to the Buddha, you choose to walk up the mountain.


    This man named Chen Shaoqiang, in order to save his grandson, chose to ask Zhou Can for help with the greatest sincerity.


    Knowing that he was not familiar with Zhou Can, he specially asked Director Zhuang to invite Zhou Can.


    It can be said that there is a superb interpersonal skill and worldly tact in every aspect.


    At least the whole process made Zhou Can unable to refuse, and it was very comfortable.


    On the way to the cardiothoracic surgery department, Chen Shaoqiang had been secretly observing Zhou Can.


    Maybe it''s because Zhou Can is too young, he doesn''t think Zhou Can can be more powerful than Japanese cardiologists.


    "Hello, Doctor Zhou!"


    "Doctor Zhou is here!"


    Zhou Can is very familiar with cardiothoracic surgery.


    Along the way, doctors and nurses greeted him warmly. Many people have great respect for him.


    All these were seen by Chen Shaoqiang, and the way he looked at Zhou Can gradually changed. Even though he already knew something about Zhou Can and knew that this young man was very capable, he was still a little shocked to see that many doctors and nurses in the cardiothoracic surgery respected Zhou Can so much.


    "Where is that child? Is it in the intensive care unit?"


    Zhou Can asked Director Zhuang.


    "That''s right, the child''s condition is not ideal. For safety''s sake, he was admitted to the intensive care unit."


    Director Zhuang nodded in confirmation.


    "Who is the attending physician?"


    "Director Snow!"


    The two were chatting, and they had already reached the door of the intensive care unit. Miscellaneous people are not allowed to enter the intensive care unit.


    Even if the family members want to visit the patient, they can only enter one person, and they need to complete the visit within the specified time. This is for the safety of all patients in the monitoring unit.


    Because one more person enters, the risk of bringing in bacteria is much higher.


    All intensive care units are managed aseptically, and medical staff need to strictly abide by the relevant disinfection procedures when entering and exiting.


    "Hey, Dr. Zhou, why are you here? Director Xue was thinking about inviting you over for a consultation just now! She was worried that you were still in the pediatric clinic and just got off work, so you didn''t have time to eat, so she asked me to call later."


    The female nurse on duty at the window was surprised when she saw Zhou Can.


    "Hehe, I call it uninvited! Where is Director Xue?"


    Zhou Can asked.


    "Participate in rescuing patients inside! A child who has undergone heart surgery from another hospital has been transferred, and it looks very bad..." At this time, the female nurse noticed Director Zhuang and his family members behind Zhou Can, and immediately stopped talking.


    "Director Zhuang, Mr. Chen, then I''ll go in and check on the child''s condition first, and you can talk first."


    Zhou Can greeted the two of them, and the nurse girl opened the door and let him in.


    Wash your hands first, and then enter the locker room to put on protective clothing. After going through strict disinfection procedures, Zhou Can entered the ward inside.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    At a glance, Director Xueyan and her staff were treating patients in front of a hospital bed.


    "Miss Yan!"


    Zhou Can walked up to say hello.


    "Come here so soon! I told Xiao Tang to call you later, why didn''t she listen! You must have not eaten yet, right?"


    Director Xueyan''s concern for him was written all over her face.


    "It''s none of Nurse Tang''s business. Director Zhuang and his family members called me over. Is this the child?"


    Zhou Can looked at the child on the hospital bed.


    The baby was only half a year old, his face looked pale, and his breathing was very scary. It seemed that someone put a plastic bag on his head, causing the child to lack oxygen and need to use all his strength to breathe.


    The three concave signs are quite obvious.


    In addition, severe edema had occurred in the patient''s lower extremities.


    The upper body has been covered with pillows under the arrangement of the medical staff. Patients with this type of severe heart failure often need to raise their upper body to help patients relieve symptoms.


    Patients with heart failure need a high pillow position, because if they lie flat for a long time, it will increase the heart''s return blood volume, and the diaphragm will lift up to compress the heart. These conditions will aggravate the onset of heart failure.


    "The current situation of the child is extremely unsatisfactory, and the heart failure is particularly serious. I am very worried that the rescue will not work."


    Director Xueyan frowned tightly, and her tone was heavy.


    "Did you get his information?"


    "Um."


    "Looking at the wound, it should be a minimally invasive or endoscopic surgery. The Japanese experts are really good. If it were us, the atrial septal defect surgery would definitely not be done through endoscopic surgery."


    After seeing the wounds on the child, Zhou Can was quite shocked.


    After such a long time, I have been hearing in the news, newspapers, and various online channels that the Third Hospital has performed another heart surgery. The patient recovered and was discharged in a very short period of time. The team presented flowers and pennants.


    Anyway, it''s all kinds of boasting.


    At the beginning, Zhou Can felt incredible when he heard that the patient was able to work only six hours after the heart surgery.


    I was deeply shocked by foreign advanced technology and medical skills.


    Later, I gradually heard some negative news about the Third Hospital. Some patients had severe postoperative complications shortly after the operation, or had new problems shortly after the ''recovery''.


    Some patients even died.


    It''s just amazing that those negative news often appear not long ago and disappear soon.


    I don''t know if the public relations team of the Third Hospital calmed down the family members and let the other party take the initiative to delete the post, or for other reasons.


    All in all, it looks very weird.


    At present, there is no negative news about the Third Hospital on the Internet, not even a single one.


    If you search for negative news about Tuya Hospital, there are quite a lot.


    Especially some patient forums, post bars and the like, which can be seen everywhere.


    This is like a country. When all the country hears are songs and dances and praises, and there is no bad news, it means that the country is dying and no one dares to tell the truth.


    The Third Hospital has no negative news and is as clean as a mirror, which inevitably makes people feel that there is a strange evil spirit in it.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    At least people in the industry don''t believe it at all.


    "Come on, let''s go outside to discuss!"


    Director Xueyan has already carried out preliminary treatment on the child. Now that Zhou Can is here, she is going to discuss it with Zhou Can.


    Before that, she must have had a discussion with the chief physicians in the department.


    But did not get satisfactory results.


    When he came to the duty room outside, Zhou Can first read all the materials of the patient.


    "These materials are more like artificially processed. Especially the surgical records, postoperative medication, and rescue measures, there are obviously some traces of modification." Zhou Can is a professional. After reading it, he immediately discovered the problem.


    "This matter has already been reported to the family members, and the family members are working hard to collect more real data. But you also know that when the entire hospital deliberately conceals some real data, it is actually very easy to do. There is no higher-level department for this kind of thing. It may be difficult to obtain complete and real data if involved in the investigation. Even if the higher authorities intervene in the investigation, it will be difficult to find out unless a case is filed."


    [The problem of the slow update of new chapters has finally been solved on the app that can change the source. Download the huanyuanapp to change the source app here, and view the latest chapters of this book on multiple sites at the same time. ¡¿


    Director Xueyan deeply understands how deep the water in the hospital is.


    Especially when dealing with some medical accidents, the doctors, nurses, and administrative staff of that hospital basically have the same interests, which will also lead to their consistent positions.


    No matter how you ask, you will basically get unanimous or vague answers.


    "Since we have told the family members, let''s take a blood test and take a second sample for testing. When the time comes to keep the evidence, we won''t be afraid of being blamed."


    Zhou Can has never lacked means and insight to deal with all kinds of bad people and bad things.


    What should be prevented must be prevented.


    No one will be taken advantage of and take the blame for others.


    "Samples have been taken and tested, and the specimens have been sealed. They may also be worried that the child will die in the hospital, so they are very conservative in all aspects of medication. At least from the current three major routine results, overdose has not occurred."


    Director Xueyan signaled Zhou Can to check the results of the three routine inspections done by the hospital.


    In addition to the three major routine examinations, multiple examinations such as chest ct were also done, which is quite complete.


    It seems Director Xueyan is not stupid, she also treats the Third Hospital like a thief.


    It is estimated that this is the attitude of any hospital.


    Tuya''s willingness to accept this patient is already a great kindness.


    Especially in today''s harsh medical environment, doctors, nurses, and hospitals will be particularly cautious.


    "Judging from the pictures taken, the child''s heart is obviously enlarged. Coupled with heart failure, if the atrial septum is repaired by surgery, this symptom can be cured. When the teacher was alive, he once told me I have said about the handling of similar cases."


    What Zhou Can is currently trying to rule out is whether the atrioventricular septum of the child''s heart has really been completely repaired.


    He took the film and studied it carefully.


    Director Xueyan waited for him to read it almost, and then said, "I have read it with other directors in the department. Judging from various data, including blood flow signals, CT images, and electrocardiograms, the repair of the atrial septum should be in place. .At least no obvious problems were found."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "How about...let''s give it a try, observe the child''s reaction after taking the medicine, and then make adjustments?"


    Zhou Can discussed with her.


    "It''s exactly what I want. At present, I have used some drugs, including symptomatic treatment, but the effect is not obvious."


    She gave Zhou Can the doctor''s order to check.


    "Switch to cardiotonic and diuretic, a two-pronged approach, and try to stick to the treatment."


    Zhou Can suggested revisions to the doctor''s prescribed medication.


    "I''ve already used it to strengthen my heart. You reduce the dose. Is there any deep meaning in this?"


    Although she is also Director Hu Kan''s mantle disciple, she is obviously inferior to Zhou Can in terms of many medications, handling of emergencies during surgery, and flexible use of surgical skills.


    It''s like a teacher teaching the same arithmetic formula to students. Some people can get full marks, and even draw inferences from one instance to prove many problem-solving ideas related to this arithmetic formula. Some people learned to add, and then learned to subtract without a teacher.


    Although some people have also learned it, they can only score 90 points. They can use what they have learned, but they can''t make inferences or even reverse thinking.


    Zhou Can''s reverse thinking has always been a very big clinical advantage.


    It can only be said that everyone''s way of thinking about problems is different.


    For the same street lamp, some people see the light, some people see the road, and some people see the conversion of electrical energy into light energy.


    "Reduce the dose, because the child''s physical tolerance is weak. Your treatment idea is more like a last stand, and you want to attack and fight quickly to reverse the situation quickly. My idea is a marathon long-distance run. Fighting a protracted battle against heart failure. Lowering the dosage of the drug has another advantage, which can force the child''s heart to adapt to a heavier burden in a disguised form. This is also a kind of exercise for it, which is more conducive to the child''s recovery. A real recovery."


    Zhou Can expressed his treatment ideas.


    After listening, Director Xueyan fell into deep thought at first, and then her eyes brightened little by little.


    Finally, she looked up at him with admiration.


    "No wonder the teacher wanted you to inherit his mantle so much! You are indeed a genius. You have a longer-term vision than me, and you can truly see the overall situation. You have both wisdom and courage. After the child was sent here, we saw his condition. It''s so bad, the first thing I think of is to save my life. How to correct the condition in the shortest time, but I never thought that I was slowly consumed by the serious illness like you."


    The treatment ideas of director Xueyan and other chief physicians are more popular.


    Zhou Can''s thinking is higher, his wisdom is deeper, and his concentration is stronger.


    In fact, this is also the current generally tense doctor-patient relationship, forcing most doctors to choose a treatment method that is quick and quick when choosing a treatment plan.


    After the family members could not see the effect of the treatment, all kinds of doubts, even complaints, transfers, loss of confidence, etc., caused the doctors a lot of headaches.


    People have the idea of ??seeking advantages and avoiding disadvantages.


    When doctors choose a treatment plan, they will naturally cater to the family members and strive to gain their support and approval.


    "I will revise the doctor''s order now and change the treatment method." Director Xueyan has completely turned to Zhou Can, and has given up the thunderbolt treatment idea discussed by herself and other directors.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "When communicating with family members, we must fully communicate. I estimate that this marathon long-distance run will take at least three months. Because the child''s illness has been delayed for a while, it may take longer. Of course, we must also do a good job. In the worst case, if we can¡¯t save him, then we can only say, try our best.¡±


    Zhou Can left in a hurry after explaining some details.


    I haven''t eaten yet, so I have to fill my stomach first to cope with the appointment in the afternoon. After finishing his consultation in the afternoon, he had to go back to the emergency room for surgery until twelve o''clock in the evening.


    Only he himself knows how tiring this kind of work intensity of working two shifts in a row is.


    Sitting in the outpatient clinic in the afternoon, I don''t mention it.


    At around six o''clock in the evening, Zhou Can had already left the outpatient clinic. After dinner, he rushed to the emergency department When he passed the door of the emergency room, he accidentally found a familiar figure.


    "Isn''t this the mother of the extremely difficult child whose son fell on his left arm? Why did you come to the emergency room?"


    Zhou Can was very puzzled.


    Suddenly, he seemed to think of something, and his heart trembled.


    Could it be that the boy really broke his head, causing intracranial hemorrhage?


    Maybe Zhou Canduo took a second look and was noticed by that woman, she turned her head and looked over.


    Zhou Can quickly looked away.


    This woman is so powerful, he doesn''t want to be entangled.


    Now that her son has entered the emergency room, it would be too annoying if she spilled her anger on Zhou Can''s head and made all kinds of mischief.


    "Doctor Zhou!"


    The woman''s eyes were sharp, and after recognizing him, she took the initiative to call out.


    This kind of woman is usually very vengeful, so it is not surprising that Zhou Can can be recognized at a glance.


    Zhou Can didn''t want to talk to this woman, pretended he didn''t hear, and quickened his pace to get away. He still has a lot of operations to do.


    Surgical patients detained in the emergency department usually need to complete the operation on the same day.


    Can''t delay.


    "Doctor Zhou, I was wrong this morning, I''m sorry! I regret it very much now, because of my stupidity and ignorance, I sent the child to the emergency room. You have a lot of acquaintances in the hospital, please help to say hello and tell them to save my life." How are you, son? Please!"


    This woman is nothing but shameless.


    In the morning at the pediatric outpatient clinic, it was really faster than flipping through a book.


    The face is fierce.


    Now that his son has entered the emergency room, he is ashamed to ask Zhou Can to say hello for him.


    Who is she really?

 Chapter 444： High time-effective surgery service, optimistic about it

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    But the more this kind of person, the more thick-skinned she is beyond your imagination.


    "Which one are you?"


    Zhou Can looked at the woman with ''doubt'' on his face.


    Aren''t you smelly and shameless? Master, I will play Shameless with you today.


    The woman''s face immediately turned cold. She thought that Zhou Can would refuse, but she never thought that Zhou Can would do this to her.


    Subconsciously looking at Zhou Can, he found that he was indeed puzzled, as if he really didn''t know himself.


    The woman immediately explained, "I took my son to see a doctor in the morning. My son broke his left hand. You asked us to have a CT scan of the brain to see if there was any intracranial hemorrhage. I didn''t agree, and I scolded you." Alright, do you have any impression?"


    The woman had to patiently explain to Zhou Can.


    She thought to herself, the doctor has to see many patients a day, so it is normal to forget about her.


    In addition, her son was not around, after a day of tossing, her hair was disheveled and her face was haggard. It was even more difficult for Zhou Can to recognize her.


    "Oh... I have a little impression! I have to rush to work the night shift, sorry! As for scolding me, don''t take it to heart. Some family members often scold people, and we are all used to it."


    After Zhou Can finished speaking, he turned around and left.


    Only the woman was left behind to watch him leave. She opened her mouth several times, but she couldn''t stop him.


    Zhou Can made it clear that I don''t know you well and have no impression of you, which naturally blocked the woman''s idea of ??asking him for help.


    Family members who have many such incidents, whether they are doctors or nurses, can hide as much as they can, and no one wants to cause trouble.


    Entering the operating room, I saw that there were already many patients waiting for surgery lined up in the corridor outside.


    Considering the need for anesthesia, many surgical patients are fasted for food and water.


    Surgery requires fasting for about eight hours.


    The digestion rate of children is faster than that of adults, and sometimes the standard can be relaxed a little bit. There are two main reasons for not allowing food to be eaten before the operation.


    First, prevent vomiting after general anesthesia, which may cause food to enter the airway and cause death by suffocation. Second, to prevent patients from **** incontinence, pull on the operating table.


    Incontinence of feces and urine on the operating table is a relatively common phenomenon for surgical patients.


    This not only pollutes the operating room, but also makes the medical staff feel sick.


    In the evening shift for surgery, some patients were received in the morning, and after waiting for eight hours, they just met the requirement of fasting water. This also led to more patients undergoing general anesthesia in the evening shift than usual.


    Considering the digestion ability of Zhou Can''s team, the department will make a reasonable arrangement for the patients reserved for him.


    It is impossible to have several tertiary major surgeries.


    "Doctor Zhou, I''m really here!"


    A tall and thin man had been waiting in front of the operating room for a long time. When he saw Zhou Can approaching, he immediately stepped forward to meet him.


    "Welcome, welcome! Come on, come in with me!"


    Zhou Can didn''t expect to tell Dr. Yang Zhi from the Department of Anal and Colorectal Surgery yesterday that he would really come to help today.


    This is preparing to accept Zhou Can''s assessment.


    Taking Yang Zhi into the operating room, Zhou Can did not see Dr. Xu for the time being. Estimated to eat.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can is fully qualified to do some minor operations, and there is no need for the attending physician to be present.


    "Hey, the boss is here with a helper!"


    When Luo Shishen saw Zhou Can walking into the operating room with a male doctor, he couldn''t help but froze.


    "You... aren''t you the one from yesterday?" Ma Xiaolan recognized Yang Zhi with sharp eyes.


    "Hehe, I didn''t expect the beauty to have such a good memory. I want to join Dr. Zhou''s surgery team, and I came here specially to accept Dr. Zhou''s assessment today."


    Yang Zhi spoke frankly and without concealment, which added to Zhou Can''s impression of him.


    "His name is Yang Zhi, and he is the surgeon of this hospital. I will assign some tasks to him later during the operation. Xiaolan, can you temporarily serve as an equipment nurse for him?"


    Zhou Can asked Ma Xiaolan.


    "No problem! But let me tell you in advance, I have only studied for less than a year, and if I am clumsy, Doctor Yang can''t scold me."


    Ma Xiaolan said half-jokingly.


    Before she knew it, she had been in Zhou Can''s surgery team for almost a year. From being arrogant at the beginning, showing off his power to Qiao Yu, an old senior, to being taught by Zhou Can later, he behaved honestly.


    Although there are still some shortcomings, Zhou Can is satisfied with her work attitude and learning attitude.


    Of course, her progress is also visible.


    Another thing is to hang out with Zhou Can, because the amount of surgery is huge every month, and the salary and bonus she gets are also quite generous.


    It has to be said that the amount of salary can also affect a person''s temperament and mentality to a large extent.


    Ma Xiaolan is the most typical example.


    She is obviously more humble now than before, and her self-confidence is revealed from the inside out.


    This kind of internal self-confidence is many times higher than the brainless and arrogant external self-confidence before.


    "Let''s start preparing! I see that there are already many patients waiting for surgery in the corridor outside the operating room. We have to hurry up."


    Zhou Can issued a combat order.


    This also means that intense work is about to begin.


    Outside the emergency department, there are many surgical patients waiting in line for surgery, which is difficult to see in any other department.


    Maybe there will be this phenomenon in front of the operating room of the specialist outpatient clinic.


    But it is impossible for so many patients to undergo surgery.


    Even if there is, specialized departments will find ways to stagger the operation time.


    Such as elective surgery is the most common.


    You can tell the patient that there is no bed here temporarily, and you have to wait for a day or two. Or let the patient stay in the hospital for observation, and go home to wait is a common operation method.


    Zhou Can made a suggestion to Dr. Xu and Director Lou very early on for the surgical method in the emergency department.


    Make patients feel high timeliness as much as possible.


    Just like when we buy a product online, after buying it, we must look forward to receiving it as soon as possible. Under normal circumstances, it is normal to receive the goods in about three days. If it lasts for more than a week, we will feel a little disappointed. If an order is placed today and it arrives tomorrow, we will be pleasantly surprised.


    Treating patients is quite similar to the mentality of online shopping.


    Because of the torment of the disease, the patient must very much hope to undergo surgery as soon as possible after arriving at the hospital.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can understood the patient''s anxiety very well, so he boldly made a suggestion. Admitted patients should complete the operation within 24 hours at the latest.


    In most cases, patients in the emergency department are admitted in the morning, and the operation can be completed on the same day.


    For some individual patients with tertiary surgery, because they need to wait for the test results, it may take the next day to make a surgical plan. But basically it is guaranteed to arrange surgery within 24 hours.


    This time-sensitive treatment method has also created a high reputation score for the emergency department.


    Looking at the entire province, I am afraid that there is no hospital in the surgical room that can provide such a high-efficiency surgical service guarantee.


    However, Tuya''s emergency department has been providing high-efficiency surgical treatment services since Zhou Can, a quick surgeon. And it''s getting faster and faster.


    This feature also gives Tuya''s emergency department a big plus in the fierce competition.


    In the past, if the emergency department wanted to intercept patients, it still required the doctors and nurses in front of them to use certain words to persuade the patients. Nowadays, many patients come here admiringly, and even actively beg to complete the operation in the emergency department.


    There are some patients who come here especially because the operation is too difficult, or they have strict requirements on the equipment, operating room environment, and surgical team. When they have to go to a specialist for treatment, the patients and their families still disagree.


    It is not without reason that Zhou Can''s position in the emergency department is becoming more and more important.


    He is now more like the most critical ''engine'', ''heart'' of the emergency department.


    Ma Xiaolan quickly brought in the first patient.


    The patient was a young woman, estimated to be in her mid-twenties, with a rather slender figure. Her symptom is that there is a large lump on the front of the left arm, near the wrist joint.


    According to her self-report, the tumor was only a little big at first, and then it grew bigger and bigger, and now it is as big as an egg.


    Looking at the raised Lao Gao, it was scary.


    What about the film? show me.


    Since it is an operation, a film must be taken, at least a CT in this case.


    Many old doctors are accustomed to referring to the image data of x-rays.


    It must be explained that x-ray is one of the earliest scanning methods developed, and it is not as accurate as CT. If it is a fracture, taking an x-ray is completely applicable.


    But tumors, which can be detected by x-rays, are generally very large.


    Therefore, when doing tumor screening in the body, don''t be superstitious about x-rays.


    For example, the most common liver tumors or lung tumors, take an X-ray, and the results may look normal. However, another chest ct was performed, and it was found that there were small tumor lesions.


    The current doctors have strengthened their training in this area, which may be better.


    It has caused many tragedies before.


    The patient reported discomfort in the lungs. After taking an X-ray, the doctor told the patient that nothing happened.


    After hearing this, the patient was very happy, prescribed some cough and pain relievers, and took them at home.


    In this way, nearly a year has passed.


    The patient''s cough gradually worsened, and he went to the hospital for an examination again.


    This time I still looked for the same doctor last time, because the patient felt that it was the first time to find this doctor, which established a certain foundation of trust!


    So I still went to see this doctor for the second time.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The patient was also given an x-ray examination.


    After this shot came out, the doctor''s face became serious. Tell the patient that there is a large tumor in the lung, and it is recommended to do further examination immediately.


    Then, after multiple examinations, the patient learned in despair that the lung cancer was already at an advanced stage.


    After the patient learned that he had lost the chance of surgery, he was full of despair. At the same time, there was anger in my heart.


    During the first examination, if the doctor could be more careful and find out the problem, it must be only the early stage of lung cancer. There is also the possibility of surgery.


    Now that it is found out, it is directly at the advanced stage of lung cancer, and time is running out. Who can accept this?


    There are old people on the top and young people on the bottom. The whole family is waiting for him as the pillar to make money to support the family.


    Patients dare not imagine how their family members will live after their own death.


    The more he thought about it, the more he got angry, and finally bought a sharp knife for killing pigs. Taking the opportunity to learn about the condition from the doctor, he suddenly pulled out the sharp knife and stabbed the doctor''s abdomen severely.


    After twenty-seven stabbings, the patient was finally covered in blood, and the doctor was lying in a pool of blood, with no chance of rescue.


    This killing of doctors caused a sensation all over the country.


    Since then, when experienced doctors teach novice doctors, they will deliberately remind them that when encountering suspected tumors, they must not only use the X-ray results as a reference.


    Must do a ct to supplement.


    If necessary, even enhanced CT or MRI can be done.


    Here we must boast about nuclear magnetic resonance, which is definitely a major invention in the history of human medicine. NMR can be as accurate as the smallest lesion of 5mm in size.


    With it, many tumors that could not be detected in advance can now be detected when the tumor is very small.


    However, even if many kinds of tumors are detected, if the size is too small, the doctor will not recommend immediate surgery. Instead, observe to see if it continues to grow and shows signs of malignant transformation.


    Furthermore, some tumors are not necessarily malignant tumors even if they have blood flow signals and the boundaries are not clear.


    Many patients feel extremely frightened when they find a tumor that looks like it may be malignant.


    This is completely unnecessary.


    It''s better to relax, eat when you need to eat, sleep when you need to sleep, and maintain a happy mood. Its curative effect is not even inferior to good medicine.


    Zhou Can took the film taken by the female patient and examined it carefully, frowning all the time, and his face was very serious.


    Although the female patient couldn''t see his facial expression because of the mask, she could still feel the invisible oppressive atmosphere.


    "Doctor, is this tumor of mine very bad? Is it cancer?"


    She was visibly nervous when she asked.


    Whether in the operating room or in the ward, doctors and nurses generally do not say the word cancer in front of patients. Instead, use ca or bad instead.


    [The problem of the slow update of new chapters finally has a solution on the app that can change the source~ www.novelhall.com~ Download the huanyuanapp to change the source app here, and check the latest chapters of this book on multiple sites at the same time. ¡¿


    "Does it hurt when you touch it?"


    Zhou Can asked the female patient.


    "There will be a little pain! It seems to be a dull pain type."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The attending physician has likely already asked her similar questions.


    Therefore, she can more professionally say that it is dull pain.


    Cancer tumors have a characteristic, usually touching it does not hurt, or it is a dull pain.


    The real cancer pain is actually the pain of metastasis in the later stage. For example, bone metastases will cause pain into the bone marrow.


    "Doctor Yang, come and take a look."


    Zhou Can called Yang Zhi over to check it out.


    Of course, he also intentionally checked Yang Zhi''s diagnostic ability and surgical experience.


    "Luo Shishen, you can take a look too."


    Regarding the cultivation of Luo Shigent, although Zhou Can is unwilling to be his master, he usually does his best to teach. Even more dedicated than a real master.


    "I''ll touch it!"


    Luo Shishen tried to feel the tumor on the woman''s arm.


    "It''s quite hard, and it seems to be movable. Is this a fibroid?"


    He asked Zhou Can.


    The latter did not answer, but waited for Yang Zhi''s diagnosis.


    "Kind of like fibroids."


    Yang Zhi''s answer was basically the same as Luo Shishen''s.


    "You are watching!"


    Zhou Can took the female patient''s hand and touched the tumor with two thumbs.


    PS:

 Chapter 445： Tenosynovial cyst, recruit a lieutenant

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The female patient didn''t know what Zhou Can wanted to do. Out of trust in the doctor, she cooperated and remained silent.


    However, there was still a hint of pain on her face from time to time.


    After pressing for more than ten seconds, Zhou Can suddenly increased his strength.


    "Ah yo!"


    The female patient screamed in pain.


    Zhou Can also let go of her hand in a timely manner.


    "Look at the bag in your hand again!"


    Hearing this, she raised her arms and looked down.


    "Ah... where''s the bag?"


    There was an expression of extreme surprise on her face, her eyes widened, and she looked at her arm in disbelief.


    "This is too amazing!" Luo Shishen also stared at the scene in front of him with wide eyes.


    "Could it be that this is a ganglion cyst? It is a benign tumor that tends to occur on the back of the wrist and the popliteal fossa. It can be treated with surgery."


    Yang Zhi''s knowledge is obviously far superior to that of Luo Shigeng.


    The origin of the disease was revealed in one mouthful.


    "Doctor, do I still need an operation?" The female patient was surprised and rubbed the spot where the bag was in disbelief.


    "Your ganglion cyst should belong to the very friendly category. Judging from my personal experience in diagnosis and treatment, surgery should not be needed. Prescribe some medicine and take it at home, just wipe it on."


    Zhou Can said to her.


    "Really? That''s great! I''m terrified of having an operation. I was thinking about it when I came in just now. If I leave a few ugly surgical scars on the back of my hand, I won''t be able to wear short sleeves and skirts in summer."


    She seemed overjoyed to hear that no surgery was required.


    "When I was queuing outside just now, I heard other patients say that there is a young doctor surnamed Zhou in the emergency department who has very good medical skills. Hearing is believing, seeing is believing. Now I completely believe it. Don''t ask me We all know that Doctor Zhou must be you."


    The female patient''s flattery made Zhou Can feel very comfortable.


    "The sea of ??medicine is boundless and never-ending. I am far from being a medical expert. At best, I have seen a lot of diseases. Your disease is usually a benign lesion caused by soft tissue injury. It is characterized as a benign tumor that grows near joints, tendons, and ligaments. Therefore, although it is pressed down for you now, if you do not pay attention to maintenance, it may grow back.¡±


    Zhou Can explained the precautions to the patient while prescribing her medicine.


    Then, amidst the gratitude of the female patient, Ma Xiaolan asked Ma Xiaolan to send her out.


    The female patient bluntly said that it was worth waiting for such a long time. It is estimated that she will spontaneously promote the emergency department of Tuya Hospital for a long time.


    Especially when she has relatives and friends who need surgery, she will definitely recommend Dr. Zhou from the Emergency Department of Tuya Hospital as soon as possible.


    [The novel app that has been running stably for many years, comparable to the old version of the book chasing artifact, the source-changing app used by old bookworms, huanyuanapp]


    Ma Xiaolan soon brought in a second patient, a male patient in his thirties who needed to have the sequestrum of the facial bone removed.


    According to the left mandibular lateral radiograph taken by the patient, it can be found that the lesion is limited to a certain range, with clear boundaries, and there are a large number of sequestrums of different sizes in the bad bone area.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    This operation needs to carefully avoid the blood vessels and nerves around the lesion, and resect the bad bone and the tissue of the entire lesion-involved part.


    The technical difficulty is relatively high and the risk is relatively high, so this is a relatively difficult secondary operation.


    This level of surgery is already extremely challenging for the average senior surgical resident. Without experienced surgical experience, it is difficult to complete easily. Generally, it is the attending level who dares to preside over this kind of operation alone.


    Zhou Can even has the ability to preside over the third-level ultra-difficult surgery alone. In his eyes, this level of surgery is completely a piece of cake.


    "Doctor Yang, if you were asked to perform the operation, where would you choose to have the incision?"


    His assessment of Dr. Yang has started again.


    Speaking of which, this style of painting is really weird. A low-level resident doctor actually evaluates surgeons at the attending level.


    The one who was assessed was naturally happy to accept the assessment.


    "This kind of operation is not part of the surgical project of my department, so I am not very professional. But for the safety and convenience of the operation, I will choose to make an incision from the mouth."


    Yang Zhi failed the assessment of the first case.


    This time, he tried his best.


    "Heroes see the same thing! I am also planning to make a small transverse incision in the vestibular groove in the patient''s mouth, which is the position."


    Zhou Can was obviously satisfied with his answer this time.


    "Luo Shishen, remember, when encountering this type of operation, if the patient has symptoms of systemic failure, he must first correct the symptoms of systemic failure, and cut and drain the lesion. Do not operate rashly, otherwise it will easily lead to serious injuries. postoperative complications, leading to rapid progression of systemic failure, resulting in unpredictable consequences."


    He patiently taught Luo Shigen the relevant surgical knowledge.


    Luo Shishen took out a small notebook and took notes quickly.


    A bad pen is worse than a good memory.


    Medical students should take more notes and not be lazy. Because there is too much knowledge to learn, if you don¡¯t take notes, even if you remember it at the time, it is very easy to forget it later.


    Surgery began soon.


    "When the mandibular bad bone has a large area, a conventional submandibular incision should be made instead of being dogmatic, and an intraoral incision should still be made. Especially some female patients love beauty and will actively ask to leave no scars as much as possible, but they cannot agree. We give The first principle of surgery for patients is safety, and only after safety is ensured can we consider aesthetics.¡±


    While operating, Zhou Can taught related surgical contraindications and knowledge.


    These are also accumulated little by little by him, constantly comprehended in practice, coupled with the teacher''s teaching, and reading more books by himself, so that he has the current strength.


    When he mentioned the word sequestrum, he deliberately replaced it with bad bone, which is also a common wording rule in the operating room.


    Try not to say words like death, cancer, or finished.


    Not only is it unlucky, but if the patient hears it, it can easily cause the patient to panic.


    After the mucoperiosteum was cut, the mucoperiosteum flap was opened to expose the sequestrum.


    This surgical approach is only suitable for small sequestrum.


    If the lesion is very large, it is necessary to expose the sequestrum through a conventional incision.


    After exposing the sequestrum, loosen the sequestrum along its edge.


    Soon, under Zhou Can''s skillful technique, the sequestrum was successfully removed.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Don''t think that the operation is complete at this step, it is still far away.


    "After the bad bone is removed, the granulation tissue at the edge and the small bad bone around it should be scraped thoroughly. The lesion must be cleaned up as much as possible to avoid secondary surgery."


    Zhou Can''s operation was very fast.


    After scratching, he took the iodoform gauze drainage strip that Qiao Yu had prepared and filled it into the bone cavity.


    "Doctor Yang, can you do the stitching?"


    It is definitely more difficult to do intraoral sutures than facial sutures. Suture requirements will also be higher.


    Zhou Can is also a bold person with high skills, and directly handed over the rest of the suturing task to Yang Zhi.


    According to his thinking, Yang Zhi has been working in the operating room for six years, and if he doesn''t have this kind of suturing ability, it means that he is just dawdling.


    Because suturing is not only practiced on the patient, but also can be practiced with pigskin and cloth at home.


    It might be a little cruel to say so.


    Some novice doctors in the advanced critical period, in order to test their suture level, will deliberately make incisions on some experimental animals, such as mice and rabbits, and then suture them.


    Although it was done under anesthesia, if the insurance organization knew about this, they would have to complain.


    Real knowledge comes from practice.


    It is permissible to do some medical experiments on animals.


    Including experiments on primates and monkeys, which are also supported by law. As long as the purchase channel is legal.


    In addition, after some doctors stitched up mice or rabbits, the wounds healed quite quickly. Then I began to practice on patients with full confidence, but the results were not satisfactory.


    That''s because humans don''t heal as well as these experimental critters.


    Some patients have underlying diseases or poor physical conditions, such as old age, poor blood supply, slow metabolism, and limited nutritional supplements, which can easily cause slow healing of the wound after suturing.


    Therefore, it is really not easy for human medical technology to develop to this day.


    It is definitely not what some people imagined, and it can be achieved by using some animals as experiments. Instead, based on countless clinical accumulations and gradual improvements, the current relatively mature medical system has emerged.


    After Yang Zhi took over the patient, he started suturing.


    Zhou Can was not in a hurry to call the next patient in, but stood by and watched Yang Zhi operate.


    After Yang Zhi finished suturing, Zhou Can nodded in satisfaction.


    He gave the patient a doctor''s order and asked Ma Xiaolan to send it out.


    "Dr. Yang''s basic surgery skills are quite solid!"


    Zhou Can praised.


    Tight sutures should be done in the mouth, and the operation in the mouth itself is somewhat limited, so the requirements for sutures will naturally be higher.


    As a result, Yang Zhi did very well.


    "You''re flattering me! It''s just that I have nothing to do at ordinary times, and I have practiced the basic skills of surgery."


    The implication is that he is not only excellent in suturing, but also in other basic surgical skills.


    At this moment, Doctor Xu came in.


    "Teacher, this is Yang Zhi, the anorectal surgery surgeon I mentioned to you. I just asked him to suture the patient''s mouth. He is very good." Zhou Can''s surgery team must expand new members in advance. Discussed with Dr. Xu.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Dr. Xu''s eyes were very oppressive. When he stared at Yang Zhi and looked at him, Yang Zhi felt hairy all over his body.


    But he always hopes to join Zhou Can''s surgery team.


    Especially after watching Zhou Can treat two patients in a row, I deeply admire Zhou Can''s strong surgical ability, and I yearn for it.


    He firmly believes that following such an outstanding young doctor, the outcome will not be bad.


    "You want to come to the emergency department, does Director Mi agree?"


    Doctor Xu stared at Yang Zhi and asked.


    "I didn''t dare to tell Director Mi about this matter directly, but I just said it twice politely that I was going to leave the anorectal surgery department. Director Mi advised me to persevere twice, but to be honest, I see no hope there. .Although there are fewer doctors in the department and the competition is much smaller, it is not the working state I want. My family conditions do not allow me to struggle on the line of food and clothing. I want to pass continuous accumulation, and one day I will be rated as a deputy high school, and then Have a steady income."


    Yang Zhi was frank and frank, telling the actual situation outright.


    After listening to Dr. Xu, he asked again, "Do you work to make more money?"


    "Being able to have a high income is part of my pursuit, but not all. I hope to improve my medical skills, and I also firmly believe that my strength has improved. If I work hard, my income will not be much worse."


    His thoughts should be the thoughts of most doctors.


    To say that work is not about making money is nonsense.


    We are all human beings, with wives, children, and parents to support. Is it possible to not make money, just rely on hobbies?


    This is unrealistic.


    "The young man is very honest, not bad! Xiao Zhou, let''s continue the operation!"


    Doctor Xu''s questioning of Yang Zhi came to an end.


    During the first conversation, Dr. Xu should be satisfied with Yang Zhi''s performance.


    He also breathed a sigh of relief.


    Dr. Xu is Zhou Can''s teacher. If Dr. Xu disagrees with him joining, the matter will probably be a waste of time.


    The third patient was quickly brought into the operating room. Zhou Can did not dare to let Yang Zhi do the surgery with the knife. But suturing, hemostasis, pulling hooks and other operations, he was asked to help.


    ¡­


    I have been busy until after eleven o''clock in the evening, and all the patients have successfully completed the operation.


    Zhou Can already had a certain understanding of Yang Zhi''s surgical ability, as well as his personality and work attitude.


    Overall it''s pretty good.


    The surgical ability is definitely above the standard, and the working attitude is practical, meticulous and responsible.


    It is also very worry-free to communicate.


    To put it bluntly, this person didn''t play tricks during the conversation, and said what he had to say.


    Like the doctor Lu who was sent to prison by Zhou Can, sometimes there may be three scheming hidden in one sentence. Communicating with such people is actually a very laborious thing.


    Another point is that Yang Zhi has a strong desire to learn and has a good attitude towards learning.


    When he encountered something he didn''t understand, he would write it down in a notebook that he carried with him. You can see that many pages have been written in this notebook. It shows that he has always had this study habit.


    "Doctor Zhou, Doctor Xu, then I''ll go back first. If you need manpower and you think I''m still competent, you can call me."


    Yang Zhi said goodbye to the two.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "I''ve already ordered a supper, don''t worry, go after eating! At least bring one to eat on the way."


    Zhou Can said with a smile.


    Yang Zhi passed the assessment here. The specifics need to be discussed with Dr. Xu, because it involves transferring people from other departments, and some things are very complicated.


    It''s true that Director Mi is an honest person, but this kind of person also likes to admit death.


    If you poach his corner, it is easy to cause disputes.


    If you want to do things beautifully, you must pay attention to the methods and methods of doing things.


    "You eat, my wife and children are still waiting for me at home, goodbye!" Yang Zhi was embarrassed to eat with them, and it was his first time dealing with them.


    "Bring a portion to eat on the way! When I ordered supper, I included you in and the extra was wasted if we couldn''t finish it."


    Zhou Can quickly picked up a copy and handed it to him.


    "You''re welcome, Doctor Yang! Our team, Doctor Zhou has always been so generous, and we have always been happy." Ma Xiaolan also interjected to help relieve Yang Zhi''s embarrassment.


    "Okay! Thanks then!"


    Yang Zhi accepted it.


    "What''s the phone number? I''ll write it down so I can contact you conveniently."


    Zhou Can took the initiative to ask him for his phone number, which immediately made Yang Zhi look happy.


    He is not stupid, only if he has a good impression of him and is willing to recruit him into the surgery team, will he ask him to leave his mobile phone number.


    Report the number to Zhou Can immediately.


    For this kind of thing, we can only wait for Zhou Can to take the initiative to contact him.


    If you don''t contact him, this matter will be gone.


    After Yang Zhi left, Zhou Can talked with Dr. Xu while eating supper.


    "Teacher, what do you think of Dr. Yang? I am quite satisfied with him. Luo Shishen will soon finish his internship and go to participate in the regular training. My team also needs a new helper."


    Zhou Can first expressed his opinion to give Dr. Xu a reference.


    Regarding the matter of recruiting, although Dr. Xu is required to help make up the mind, it must be based on Zhou Can''s opinion.


    Dr. Xu is to help him check.


    "You can try recruiting in. The old man Mi, who is outside the general public, has to ask Director Lou to say hello, so as not to cause misunderstandings. I will find a chance to talk to Director Lou tomorrow, and I will tell you the result when I have the result."


    Doctor Xu is also very optimistic about Yang Zhi.


    In the past two months, Zhou Can has actually been looking for medical assistants, but he has never found a suitable one.

 Chapter 446： Commuting problem solved, medical trouble

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Simple first-level surgery can sometimes be done with only one surgeon and one nurse.


    For slightly complicated first-level or second-level surgery, it is best to have two surgical nurses if possible. One equipment nurse and one itinerant nurse. Conditions do not allow, if the professional level of the surgical nurse is not bad, a surgical nurse can also perform the operation.


    But in many cases, it is definitely not enough to have only the chief surgeon.


    Many operations require the assistance of at least one assistant.


    Not to mention the exposure of the retractor to the surgical field of view. Let¡¯s take the most common hemostasis operation, accidentally cutting a large blood vessel. If there is no medical assistance at this time, the chief surgeon holds the hemostatic forceps with one hand to clamp the blood vessel. How to stop the bleeding next?


    With such a ruptured larger vessel, it is almost impossible to stop the bleeding on its own.


    Especially arteries.


    At this time, the blood vessel needs to be ligated or repaired. Without medical help, the surgeon performed one-handed ligation? Repair blood vessels with one hand? Obviously unrealistic.


    Therefore, at least two doctors and one nurse are required to perform slightly more complicated primary and secondary operations.


    Many times there are three doctors and two nurses.


    Zhou Can''s surgery team has been operating for almost a year, and in many cases, Dr. Xu is brought in as a medical assistant. This is certainly not a long-term solution.


    In addition, Zhou Can has always had great ambitions and wants to form an elite surgical team.


    But many things are not what you want to be able to achieve.


    Although the emergency department has gradually improved with his efforts, it has a long-standing reputation, and it is difficult to recruit truly capable surgeons.


    Surgeons belong to a relatively high-end category of talents in any hospital.


    Because of the long training period, the requirements for all aspects are very high.


    This has directly led to surgeons becoming scarce talents.


    Some surgeons with average talent and level are not willing to enter the emergency department, let alone those surgeons with talent and outstanding potential.


    Yang Zhi is excellent in all aspects, what is lacking is a stage where he can show his ambitions.


    He was able to take the initiative to find Zhou Can, as if he had his own destiny in the dark.


    In Zhou Can''s team, there are excellent surgical nurses, and one more person can be hired. Anyway, don''t worry.


    The most urgent thing at present is to recruit one or two medical assistants who can cooperate with him for a long time.


    After get off work, he dragged his tired body out of the operating room of the emergency department.


    "Can!"


    A sweet voice sounded.


    Zhou Can looked up, was stunned for a moment, and then walked forward quickly in great surprise.


    "Qianqian, why did you come to the hospital so late? Is there something uncomfortable?"


    Since the two lived together, she rarely came to the hospital to look for Zhou Can.


    Out of safety considerations and her physical condition, Zhou Can was unwilling to let her come.


    "Bah, bah, I''m not sick! I came here specially to pick you up and live in our new home."


    Su Qianqian had a mysterious smile on his face.


    "New home?"


    Zhou Can mentioned to her a while ago that she wanted to buy a villa near the hospital. Could it be that she did it secretly and did it all by herself?


    The two are currently in charge of their own wealth.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    However, in terms of expenses, there has never been a division, and no one has ever cared about it.


    This is why women need to have a job. Only if you can make money by yourself, and you don¡¯t need to ask men for money, you can live with confidence, have a real status in the family, and have the confidence to deal with some things.


    Those who rely on having a pretty face, reach out to ask men for money every day, and still take it for granted. When they are old and fading, or when they are tired of being played by men, that is when the tragedy begins.


    "I know you work very hard. It''s dangerous to drive for forty or fifty minutes after getting off work so late every day! Anyway, I have nothing to do at home, so I took Wei Fang around. I didn''t expect to find it. A house. You won''t be angry if you bought it without your permission?"


    Su Qianqian obviously did everything for him, but at the moment she was cautious, afraid of making him angry.


    "Fool, how could it be! Thank you for everything you have done for me, thank you God for giving me this angel. Let''s go and see our new home!"


    Zhou Can held her in his arms, while Wei Fang turned around and looked around vigilantly.


    Not far away, Qiao Yu watched Zhou Can embrace Su Qianqian in her arms, with an envious expression on her face and complicated eyes.


    Su Qianqian''s beauty, as well as that extremely outstanding temperament, exuding grace and luxury, made Qiao Yu a little pale. It is undeniable that with Zhou Can''s full support and the nourishment of love, Su Qianqian''s fate has long since changed.


    She is no longer the little third-tier singer who was always controlled by others.


    Phases are born from the heart.


    After she has lived a superior life, she has also seen enough of the big world, and she can more comfortably pursue her ideals and hobbies. She has been greatly satisfied, both materially and spiritually.


    Therefore, Qiao Yu is definitely no match for her at the moment.


    But even if fate does not treat everyone fairly, it will leave enough opportunities for everyone.


    As long as Qiao Yu keeps working hard, it is also possible to become a top elite in the future.


    ¡­


    Zhou Can walked outside with Su Qianqian in his arms, not caring about the strange looks from his colleagues. He looks very generous.


    There is no need to hide personal marital status.


    Unless you want to develop a mistress in the hospital, it is necessary to go to great lengths to hide the fact that you have a girlfriend.


    "Qianqian, when did you come to the hospital? It''s so late, don''t run around outside next time, it''s so dangerous!" Zhou Can said to her.


    "After I came, I knew that you were operating on patients in the operating room, so I waited outside. Your hospital has security guards on duty 24 hours a day, and Wei Fang protects me. It''s very safe. Besides, they are also I want to give you a surprise!"


    "Did you buy the house today? Didn''t you get cheated by others?"


    "Hmph! She''s not a girl who just came out of society. The person selling the house is an old professor who happens to be in the music circle. Her husband passed away not long ago, and her son has settled abroad. This time, she plans to sell the house Now, go and join your son."


    When Su Qianqian said this, Zhou Can was relieved.


    Caring is messy.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Her social experience and experience are actually very sophisticated.


    In addition, she is very smart, it is really not easy for ordinary people to lie to her.


    Wei Fang has already gone to fetch the car.


    Zhou Can is going to leave the car in the hospital.


    After the BMW drove out of the hospital, it drove directly towards a small alley to the west.


    "How much did you pay for it? Do you have enough money?"


    "She asked for 11.28 million. After I chatted with her later, I learned that I am also in the music circle and like to study music, so I took the initiative to lower the price by 1 million."


    Su Qianqian looked slightly concerned.


    The villas near here are all scarce resources, and it is not a problem that you can buy them with money.


    Need to wait for the opportunity.


    "A direct price reduction of one million?"


    Zhou Can felt that this was too... that. People who really want to sell a house will usually inquire about the market price in advance, and then offer a reasonable price to list it for sale.


    It is possible to drop a few hundred to two hundred thousand.


    After all, such a big deal.


    To say that the price is directly reduced by one million, it always feels a bit unreliable.


    "It was Ms. Su who played a piece of music, which won the praise and love of the old professor. That''s why she took the initiative to reduce the price by one million. At the beginning, she didn''t give up any money." Wei Fang who was driving took the initiative to intervene.


    Normally, she seldom interrupted.


    But because Zhou Can and Su Qianqian treated her very well, not to mention the salary was paid on time, the bonus was also increased.


    From time to time, she would also ask her to take her grandma to the hospital for a physical examination and give her grandma some tonics, so she has always been loyal to Zhou Can and Su Qianqian.


    At the critical moment, she really dared to stand up and block the bullet for Su Qianqian.


    "So that''s how it is! My wife is talented! I saved a million dollars easily. I''ll give you ten million tomorrow, and this house will be my gift to you." Zhou Can was very generous to his future wife.


    Although she has made a lot of money in the past few years, Zhou Can likes to love her in this way.


    "You don''t need to pay for it! This house, I have to pay for it myself. In the future, if you think I''m old or sick... At that time, you don''t want me anymore. At least I have a place to stay. "


    She refused.


    "It''s the same when I send you off! Isn''t the house still yours?"


    "Anyway, I just don''t agree!"


    Zhou Can couldn''t persuade her to make a decision.


    That''s up to her.


    The car stopped immediately.


    "Wei Fang, what happened?" Zhou Can asked.


    It was only a few minutes after driving out of the hospital.


    "Boss, we''re here."


    As soon as Wei Fang finished speaking, she pressed the remote control, and the door opened automatically. She drove the car directly into the villa.


    "This... this is it! Let me check the navigation!"


    Shocked, Zhou Can took out his phone to check the navigation.


    "My God, the straight-line distance is only more than 100 meters, and the walking distance is less than 300 meters. From now on, I only need a few minutes to go to and from get off work."


    Looking at the villa in front of him, Zhou Can was full of endless surprises.


    The layout of the front yard is very elegant. It can be seen that the original owner is a person who understands art and pays great attention to the quality of life.


    "In the future, the commuting time you save will be used to accompany me. You are not allowed to use this time to work overtime. Your body is not made of iron, and I don''t want your body to be exhausted."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    She looked into Zhou Can''s eyes and said.


    "Okay! I promise you!"


    Zhou Can felt that he was so happy to have such a good fianc¨¦e.


    Entering the villa, the furniture inside is biased towards European style.


    Many of these musicians are senior talents who have studied abroad. They prefer the elegance and atmosphere of European style, as well as comfort.


    The Chinese style always feels too serious, and will sacrifice part of the comfort in exchange for the simplicity and majesty.


    "Where''s the original owner?"


    "She just took some personal items away. All the rest were given to us. Including those antique artworks and everything in the villa."


    "This house owner is really impatient! Just after selling the house, he went abroad to find his son."


    Zhou Can smiled and shook his head.


    "She hasn''t gone abroad so soon. It seems that she is going to the academy to deal with some things. It is estimated that she will not go abroad until next week."


    Ready furnishing, ready furnishing.


    You only need to change the bed sheets, quilt covers and other items, and you can move in with your bags. The experience of buying a second-hand well-decorated villa is particularly good. Very easy.


    That night, Zhou Can stayed in the villa.


    They will live here forever, Su Qianqian asked Wei Fang to bring her grandma to live with them.


    Anyway, there are a lot of rooms in the house.


    If the elderly feel uncomfortable living together, they can also rent a house nearby for the elderly to live in.


    Zhou Can was very happy when the house was settled. Finally, he would not have to drive back to his home tens of kilometers away after midnight. If there are patients in the emergency department or cardiothoracic surgery who need emergency rescue, he can help at critical moments.


    The next day, he experienced a four-minute high-speed commute to the hospital for work. It''s just so cool.


    He spends the extra time reading and studying.


    Now I have to start preparing to write high-quality papers, in preparation for future promotion to attending, deputy high school, and full-time high school. Improving your academic qualifications also requires continuous learning.


    If he can save two hours a day, he will have some time to study.


    "Tuya Hospital killed people!"


    "Give back my son''s life!"


    A bunch of family members crowded outside the first aid room of the emergency department, holding banners and burning paper money, making people almost think that they went to the wrong place and entered a mourning hall built by someone else.


    A few security guards stood there watching, with an expression that as long as the family members don''t mess up the situation, they will let it go.


    Zhou Can took a closer look, and found that the woman who cried the most was none other than the woman who stopped him yesterday and wanted to ask him to say hello.


    Could it be that after her son was rescued, no one could rescue him?


    "Hey, sister Ting, what''s going on with those people?" Zhou Can got off work very late yesterday, and he didn''t hear of anyone dying in the emergency room.


    [The problem of slow update of new chapters finally has a solution on the app that can change the source. Download the huanyuanapp to change the source app here, and check the latest chapters of this book on multiple sites at the same time. ¡¿


    But it''s hard to say.


    People often die in the emergency room, and many reasonable family members will not make trouble.


    Unless there is really a hospital at fault.


    "Yesterday, there was a nine-year-old boy who broke his arm because he was riding a bicycle. The woman took the child to the pediatrics department of our hospital to see the doctor, but she refused to have a head CT examination. She took the child to the province In the Children''s Hospital, the doctor also suggested a CT scan of the head and a CT scan of the chest. She agreed. But during the check-up, the child developed symptoms such as convulsions and upward turning of the eyes..."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Ye Tingting told what happened.


    When the child was transferred from the Provincial Children''s Hospital, he was already dying. Tuya''s emergency department could not refuse a diagnosis and could only try its best to rescue her. Finally the person died.


    There was really no reason for this.


    It''s really strange that the family members themselves did not listen to the doctor''s advice and delayed the treatment.


    "The family members are making such a fuss now, what do you want to do?"


    Zhou Can felt very sorry after hearing what happened. The poor little boy was only nine years old. If the child''s mother hadn''t messed around at the time, maybe the doctor could still have some chances to rescue him.


    In particular, Zhou Can''s endoscopic surgery and interventional surgery are all done smoothly.


    Fully capable of doing some emergency craniotomy endoscopic hemostasis.

 Chapter 447： Anyone can be bullied, dont get used to it

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    But then again, knowing that the family members are difficult to deal with, even if it was found out that the child had intracranial hemorrhage, Zhou Can would most likely not show such kindness. It is likely to go straight to conservative treatment options.


    The vast majority of doctors who have suffered a lot will inevitably initiate protective medical countermeasures when they encounter family members with many troubles after several attempts.


    Ordinary people may not understand what this means.


    But most doctors do.


    And it is often used in the admissions process.


    For example, tell the patient, sorry, I am not very good at your disease, you can go to another big hospital to see. Or tell the patient, I''m sorry, the beds here are very tight, and there are really no beds now.


    These are just the most common protective medical countermeasures.


    When encountering family members and patients who make doctors hate it, it doesn''t matter if the patient has already been hospitalized at this time, the doctor also has a solution. Every item of treatment consumables, medicines, and every service fee must be clearly remembered. Guaranteed to be business-like, and will never miss any fees that should be charged.


    Then the checks that should be done must not be missed.


    Examinations that do not need to be done should be done by patients as much as possible.


    Because in case something happens, the patient will not praise you for saving him money, but blame you for not finding out.


    "Xiao Zhou, Xiao Zhou!"


    Han Changqing, deputy director of the department, stood not far away and waved at Zhou Can.


    Zhou Can walked over quickly.


    "Director Han, what are your orders?"


    "Come on, talk inside!"


    Deputy Director Han probably was scared of being beaten by his family members last time. The arm was broken, and it took more than three months of treatment to heal.


    Now this group of family members is making a lot of noise, it''s no wonder that Deputy Director Han doesn''t hide a little bit.


    "Those people blamed us for putting him to death, and they clamored to pay two million yuan. Our emergency department has nothing to do with this, so we won''t pay any money. You have also seen the attitude of the grandchildren in the security department. , It¡¯s clear that it¡¯s like last time, watching the show with my hips crossed. I won¡¯t negotiate with the family members directly this time. I¡¯ve already reported it to the medical department, and the hospital has called the police.¡±


    When Deputy Director Han mentioned the experience of being beaten by his family members last time, he hated him so much that his teeth ached.


    At that time, the security guards of the security department stood there, watching him being beaten violently by his family members, and did not stop him at all.


    "I told you to come in. I have nothing else to do. I just want you to hide and don''t try to show yourself off. When the medical department and the police come later, they will naturally persuade the family members to leave."


    Deputy Director Han didn''t care so much about Zhou Can before.


    Since that hospitalization in the orthopedics department, the treatment I received at the beginning was business-like. Later, various green channels, special treatment.


    At the beginning, Deputy Director Han thought it was Director Lou who greeted him for help.


    It was later discovered that Zhou Can begged someone for him secretly.


    Since then, Deputy Director Han has been very concerned about Zhou Can. After returning to the department to work, the performance became more obvious.


    Sure enough, it didn''t take long for someone from the medical department to come.


    Yin Ying, the deputy section chief, personally brought people over to persuade the family members.


    Zhou Can also noticed that when Yin Ying came over, the attitudes of the security guards who had been watching the theater with their hands clasped changed a lot. One by one, the family members who began to actively intervene in the troubles protected Yin Ying from being beaten by the family members.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    This is the true face of the security department.


    There has always been a legend in the hospital that related security guards are on duty in the administrative building, so there are few people and quiet, and there are few things to do.


    The people who come to the administrative building are basically doctors and nurses looking for the leaders, and they all come to the leaders to sign or handle affairs, so everyone is humble. On duty at this time, quite comfortable.


    Security guards without backstage were sent to guard the front and rear doors of the hospital and the outpatient hall.


    There are a lot of people going in and out of those places, and family members and patients often quarrel directly because they don''t line up or don''t cooperate with the security command.


    "The status of the emergency department is so low that even a security guard can bully the medical staff in the emergency department."


    Less than a year after he returned to the emergency department, incidents of doctors and nurses being injured happened frequently. The doctors and nurses were not injured, and the family members and patients made troubles, which is even more innumerable.


    If the security guards in the security department could take active actions, many situations could have been contained in time, and even the family members would voluntarily give up the idea of ??causing trouble.


    No matter how awesome the troublesome family members are, they are also bullying and fearful counselors.


    Because the family members who are really capable don''t need to make trouble at all. Just go to court to sue, or clean up the director of the hospital.


    Zhou Can couldn''t help thinking about finding a fixed security guard on duty in the emergency department again.


    He had reported this matter to Director Lou and the others, but the emergency department was indifferent, coupled with the unified system of various departments of the hospital, and some interests, it was impossible for this matter to be allowed.


    The chief of the security department has a very strong relationship. How could it be possible to allow the hospital to have security guards that are not under the control of the security department?


    In this matter, we have to think of some flexible tricks, and we can''t play cards according to routines.


    After Yin Ying briefly negotiated with her family, she turned to ask the little nurse next to her.


    "Which leader of the emergency department is on duty today?"


    "Director Han!"


    "What about others? The family members are making such a fuss here, why doesn''t he show up? Call him over immediately."


    Zhou Can, the deputy chief of the medical department, has experienced her true face.


    He is very realistic, purely the type of worshiping the high and stepping on the low.


    Deputy director Han was the deputy director of the emergency department, but she seemed to be a subordinate in her mouth, and directly ordered the nurse to call him over.


    The little nurse ran over to deliver the message.


    "Director Han, Deputy Section Chief Yin from the medical department is here, please go over."


    "knew!"


    Han Changqing was obviously still a little worried about being beaten, and there were deep concerns in his eyes.


    "It''s okay, I''ll go there with you. Our emergency department is in such a mess, and we can''t carry out surgery normally."


    Zhou Can volunteered and accompanied Deputy Director Han to face the troubled family members.


    There is no security protection in the emergency department, so let him act as a security guard temporarily.


    He can fight more than a dozen, and these family members together are not enough for him to fight.


    Of course, it''s best if you can reason and don''t do anything.


    After the two walked over, Deputy Section Chief Yin took a look at the two of them, and when he saw Zhou Can, his eyes flickered slightly.


    Don''t think that she gave Zhou Can a high look, on the contrary, maybe Zhou Can contradicted her three years ago, which made her still remember the grudge.


    Seeing Zhou Can now, she took advantage of the topic to play, and it is unknown how she manipulated retaliation.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The administrative staff has zero ability to treat diseases, but they are absolutely top-notch in handling doctors and nurses.


    "Director Han, the family members are making such a fuss, how can you keep shrinking and not deal with it? Even if your emergency department is right, it will make people think that it is wrong!"


    In terms of age, deputy section chief Yin is ten years younger than deputy director Han.


    In terms of status, she may not be above Deputy Director Han. It''s just that the administrative department is in charge of the clinical department, which has long been an unwritten rule. Therefore, the county magistrate is not as good as the current one. She has a certain sense of superiority in front of Deputy Director Han.


    The hidden status is higher than that of Deputy Director Han.


    "Doctor-patient disputes have always been handled by the Medical Affairs Department and the Security Department. I saw the security guards from the Security Department coming over and thought they would handle it. In addition, our department is very busy today with a lot of work, so I want to take time to come over. The handling is also powerless. It¡¯s not what Section Chief Yin said was wrong.¡±


    Although Deputy Director Han is a bit old-fashioned and pedantic, it doesn''t mean he is stupid.


    The inaction of the hospital security made him very angry.


    At this moment, it was directly blamed on these security guards.


    "It''s your doctor who made a mistake, put my son to death, and returned my son''s life!"


    The boy''s mother died of her son, with disheveled hair, a haggard face, and eyes swollen like peaches from crying.


    She saw the hospital leader come out, and she started her slapstick performance directly.


    "It was already dead when the person was brought here. Our hospital has done its duty of rescue. If you have any objections, you can go to the autopsy and sue us in court." Deputy Director Han will not be used to this kind of rambunctious family members.


    "Don''t force your family members to sue the hospital. After all, you are the deputy director of the emergency department. As a leader, how can you speak irresponsibly?" Deputy Chief Yin directly reprimanded Han in front of so many family members and medical staff. deputy director.


    No mercy at all.


    Behind this, of course, is her habitual domineering and arrogance, and even more so, her disrespect for Deputy Director Han.


    When many leaders deal with problems, they use their own people to establish authority and status, so as to increase their weight, in order to show that she can be the master of the house and have the right to speak in the process of negotiating with family members.


    Deputy Director Han blushed with anger.


    The deputy chief of the medical department, Yin, didn''t come here to deal with the problem, he was clearly here to fight.


    "I think Director Han of our department is very responsible. When we rescued the child in the emergency department, we have fully fulfilled our duty of rescue. The person failed to be rescued. This is a situation that none of us want to see. But it has happened. , We can understand the grief and feelings of the family members. If the family members feel that there is a problem in the medical treatment process, they can directly ask the higher authorities to intervene, and they can go to the court to sue, instead of pulling banners and burning paper money to make trouble here."


    Zhou Can spoke.


    He has dealt with a lot of bad people, plus he has dealt with the directors of various departments, and even the vice president and president of the hospital.


    In addition, he himself has a wealth of over 100 million yuan, and he is one of the bosses of Jinyu Interactive.


    All of these gave him full confidence when facing his family members and Deputy Section Chief Yin, and he was calm, confident and calm.


    What he said was also justified.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "It''s not that whoever makes trouble is justified, and the court will make a fair judgment. If it is really found that our hospital is at fault, we will pay as much as we want, and we will be fined as we want."


    Zhou Can added word by word.


    The family members were really overwhelmed by his aura for a while.


    It is also reasonable in itself, and they can''t find anything to refute.


    Unless you are messing around.


    "Xiao Zhou, what qualifications do you have as a small doctor to be the master here? Haven''t you seen so many leaders present? I, the deputy chief of the medical department, have already handled it personally. Do you think the matter is messy enough?"


    [The problem of the slow update of new chapters has finally been solved on the app that can change the source. Download the huanyuanapp to change the source app here, and view the latest chapters of this book on multiple sites at the same time. ¡¿


    Deputy Section Chief Yin didn''t know if menopause had arrived earlier.


    Instead of helping the emergency department to deal with family members, she ran here to play her official power against Deputy Director Han and Zhou Can.


    "Are you dealing with it yourself? With all due respect, apart from seeing you running over to show off your authority, you haven''t seen the positive attitude you should have in dealing with things. Also, no matter how weak our emergency department is, we should be respected. Now There are already so many patients waiting for treatment outside, but you ignore them and don''t try to find a way to restore the order of diagnosis and treatment in the emergency department. I just want to ask you, what do you want to do?"


    Zhou Can was not afraid of her when he was just a regular trainee.


    Now I won''t get used to this woman even more.


    Based on her level of handling, I don''t know how she became the deputy chief of the medical department.


    It can only be said that many administrative staff in the hospital are like ''gods''.


    In addition to cracking melon seeds, chatting, and drinking a cup of tea slowly at work, the rest is thinking about how to deal with the group of "bastards" in the clinical department. They also don''t think about it, if it weren''t for the clinical doctors and nurses working hard to earn income, where would they get their wages?


    Now even for public hospitals, the official subsidy is only about 10%, and the remaining 90% needs to be borne by the hospital itself.


    In many public hospitals, 30 clinical doctors and nurses have to support 50 administrative support staff.


    But this group of people are obviously supported by clinical medical staff, but they are still superior and do not regard clinical medical staff as human beings.


    The ugly face of Deputy Section Chief Yin is definitely just the tip of the iceberg.


    "You, you dare to teach me?"


    Deputy Section Chief Yin was questioned by Zhou Can, and his face turned green with anger.


    "I, as a young doctor, would never dare to teach the leaders a lesson. It''s just that Section Chief Yin is in his position and doesn''t plan for his own affairs. It''s inevitable that people will be confused. You don''t consider the interests of the hospital, and you don''t wait for those who are waiting for you." Diagnosing and treating patients to solve problems, but only thinking about playing your official authority here, are you worthy of the job you are holding? Are you worthy of the high five-figure salary you get every month?"


    Zhou Can is not polite to her, he puts on all the hats of sin, and it depends on how this woman picks it off?


    The answer came out quickly.


    Deputy Section Chief Yin''s body swayed, clutching his forehead as if he was about to faint.


    She was scolded like a dog by a little doctor in public, and she couldn''t refute it, and she had already begun to doubt her life.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The family members of the patients who were waiting in line in the emergency department applauded Zhou Can one by one, accusing Deputy Section Chief Yin of disregarding the patient''s life and death.


    Especially the family members of three patients who were in critical condition, UU Reading scolded her the most.


    Their appeal is very simple, quickly restore the order of diagnosis and treatment, so that their loved ones can receive timely treatment. It''s okay for ordinary emergency patients to wait, but those patients who are in critical condition will really die.


    And as the time approaches eight o''clock in the morning, the peak of seeking medical treatment is approaching.


    There are more and more patients waiting outside to see a doctor.


    Deputy Chief Yin and the family members who made trouble have gradually become the public enemies of the patients and their families.


    When the situation was chaotic, the police rushed to the scene.


    The family members also restrained a lot at this time.


    The two parties were taken to the doctor-patient dispute office for mediation.


    When being helped away, Deputy Section Chief Yin still gave Zhou Can a fierce look.


    "You little doctor, wait!"


    The following is, I can''t beat you to death.


    Zhou Can shrugged indifferently, not caring at all.


    It''s not that he is not afraid. A deputy chief of the medical department deliberately puts on small shoes for this little doctor, which will definitely bring a great threat to Zhou Can.


    But he wasn''t worried.


    First of all, Director Lou will do everything possible to protect him. In addition, he is not some unknown little doctor now, but a backup famous doctor who has gradually gained a certain reputation in the emergency department and pediatrics.


    Deputy Section Chief Yin wanted to make him a bad name, which would affect the interests of the hospital, and the hospital''s senior management might not agree.


    Unless this woman''s background is particularly hard.


    This matter can only be taken one step at a time.


    At around 12:30 noon, after Zhou Can''s operation, Dr. Xu told him that he would go to the hospital with Director Lou and Deputy Director Han after work in the evening.


    It seems that this matter is not over yet.

 Chapter 448： Pull allies, Zhou Bold

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    He contradicted Deputy Section Chief Yin in public, and this was just the beginning.


    Qiao Yu whispered worriedly, "Why are you so impulsive? You have to confront Deputy Section Chief Yin. People don''t fight with officials. It''s not like you don''t understand this truth." She also learned about Zhou Can''s stubbornness from her colleagues. Publicly angered Deputy Section Chief Yin, who was so angry that he almost fainted.


    Although this matter is very relieved, the consequences are very serious.


    It is extremely unfavorable to Zhou Can.


    "If I told you that the man''s bloodiness in that situation made me decide to be a first-timer for the emergency department, would you call me stupid?"


    Zhou Can''s expression was a bit complicated.


    There are many things that I know I can''t do, but I want to fight.


    Knowing that it is not good for you, you have to rush forward.


    This is the blood and courage of a man.


    Who would want to be the one who might be killed when he could be wronged?


    "You know that you are committing crimes and admonishing yourself, just like throwing yourself into a cauldron and killing yourself, but you still do it. I understand what you mean, it is the integrity of a man! It is admirable for a man to behave in the world, and it is true that he can make me like this I admire the little girl, but can''t you think more about yourself and the entire surgical team?"


    Qiao Yu''s wisdom and knowledge are beyond imagination.


    She knows everything, but she still doesn''t want Zhou Can to be the one who stands out.


    There is a price to pay for wanting to be a hero.


    "During the past year in the emergency department, medical incidents have emerged one after another. The doctors and nurses are working in an atmosphere of high pressure and fear, which has seriously affected all aspects of the emergency department. There is a second person. The cost of being an early bird will be a little bit, but it is definitely not as serious as I imagined. Man, sometimes there is no way to back down."


    Zhou Can has his own way of dealing with the world.


    He took the lead in the emergency department this time, not just for a while.


    But if the emergency department wants to open up the situation, it needs to break through many restrictions, and the difficulty is beyond imagination.


    Zhou Can has an overall view that ordinary people don''t have, and has a longer-term perspective. This time he took the initiative to attack, which is both **** and resourceful.


    He didn''t take the matter of offending Deputy Section Chief Yin to heart at all.


    What to do.


    Ordinary doctors on the front line of clinical practice are easily manipulated.


    But when clinicians have a certain status and size, they also have the strength to fight against ordinary administrative leaders.


    Deputy Chief Yin of the medical department is very replaceable. After being removed, a new deputy chief can be replaced immediately. And the ability to work may be even better than her.


    Forcing Zhou Can away would be a huge loss to Tuya Hospital first of all.


    It is almost equivalent to self-injury a general, and then to support a general of the enemy.


    As long as there is no Lao Hutu in the top management of Tuya Hospital, they will definitely not be able to do such stupid things.


    Therefore, Deputy Section Chief Yin has only two choices, either bow his head and swallow this breath. Either head-to-head with Zhou Can and die to the end, and in the end, she herself will be wiped out.


    Even if she is a relative of Dean Zhu, this ending cannot be changed.


    It took so many years to climb up to the position of deputy chief of the medical department. Whether he has a background or not is still a matter of discussion.


    Even if there is a certain background, it is definitely not that big.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    ¡­


    It was past six o''clock, so Zhou Can left work early.


    Director Lou and Deputy Director Han were already waiting for him in the office.


    Doctor Xu also walked in.


    I don''t know if it''s because he is worried about his beloved apprentice, or because Director Lou will call him every time he discusses important matters.


    Dr. Xu''s position in the emergency department is very special. In the eyes of family members and patients, he is an inconspicuous attending physician. But in the heart of the older generation in the emergency department, they understand that this was once a remarkable existence.


    There are a lot of chief physicians in Tuya Hospital, but it is not easy to be qualified as one of Tuya''s three famous knives.


    "Xiao Zhou, close the door!"


    Director Lou was not in a hurry to take him to the hospital office, apparently he was going to have a ''family meeting'' behind closed doors.


    "Let''s all sit down! There are no outsiders, just the four of us, just to discuss what happened today."


    Director Lou''s face was calm, showing no signs of happiness or anger.


    "I asked someone to count the doctor-patient disputes that occurred in the emergency department in the past six months. There were 2,126 cases of family members and patients insulting medical staff, and 209 cases of direct beating of medical staff. Almost every day there is at least one beating of a healthcare worker."


    The statistical data are so detailed, Director Lou seems to have been preparing for it for a long time.


    Even Zhou Can can see the crisis, as the director of the department, it is impossible to turn a blind eye.


    "The relationship between doctors and patients is tense, which is currently a major chronic disease in the medical industry. Our emergency department is definitely the hardest hit area."


    Deputy Director Han took over the conversation and said.


    He is also a victim, so he hates medical trouble.


    "It''s unimaginable to have such a high frequency of doctor-patient disputes. It''s time to express the common aspirations of our emergency medical staff."


    Director Lou set the keynote and blew the horn.


    Dr. Xu sat there and spoke cautiously.


    This is also a habit developed by Dr. Xu after his accident, and he never expresses his opinions easily.


    As long as you speak, you must be lost.


    "If you really want to make a sound, I think you can get Director Tang from the Department of Pediatrics. Pediatrics is also the hardest hit area for doctor-patient disputes."


    Zhou Can made a good suggestion.


    Unite more forces to speak out, and the power will be stronger.


    He has seen the current situation of pediatrics with his own eyes. It''s also shocking.


    When a nurse tied a child''s vein, because the child''s blood vessels were too thin and he was fat, the blood vessels were hidden under the thick layer of fat, making it hard to see. As a result, the first time was missed, and the child was already crying before the second attempt.


    After the nurse bound the child''s arm with a rubber tube, she patted the child''s arm. Originally, this was just a very common way to find blood vessels.


    As a result, the family members standing nearby punched the nurse directly in the face.


    Still not relieved, he grabbed the needle and pricked the nurse''s arm several times to relieve his anger.


    The twenty-seven or eighteen-year-old female nurse cried on the spot.


    And wept bitterly.


    She doesn''t understand what she did wrong? He worked hard to treat the child, but was beaten by the child''s father. In addition to grievances, it is more fear and anger.


    Zhou Can took off his white coat and rushed over to "subdue" the beating family member to the ground.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Naturally, there is no mercy for the mob.


    Later, I heard that the beating family members only paid 500 yuan, an apology, and even detention was not enough.


    Let me ask, which medical staff is not walking on eggshells when practicing medicine in such an environment?


    If a family member is careful, they will find that when they go to see a pediatric doctor, they just ask a few more questions, or show distrust of the medical staff, and the medical staff will immediately ignore them and refuse to see them in various disguises.


    It''s really not their fault.


    It was because they were scared of being beaten by their family members, and their hearts were already chilled.


    "Xiao Zhou''s suggestion is very good. With Pediatrics as an ally, it will be easier to attract the attention of the superiors." Director Lou glanced at Zhou Can appreciatively.


    "Director Lou, I still have some immature ideas."


    "Let''s just say it, they''re all from my own family!"


    Director Lou''s ability to allow Zhou Can to participate in the discussion of such important matters is in itself a high degree of recognition and trust in Zhou Can.


    "It''s not my ultimate goal to scold Deputy Section Chief Yin. I want to take this opportunity to solve the security problem of the emergency department. In addition, as long as family members and patients complain, the medical department will fine and criticize the medical staff. This phenomenon must be corrected.¡±


    Zhou Can stated his two goals.


    "Ha! You are really daring. It''s not enough to teach the security department a lesson. You actually have to correct the behavior of the medical department. I just call you Zhou Daudao."


    Director Lou stroked his forehead and smiled wryly.


    Although the emergency department has made some development and progress, its status is still very low, and its weight is not much.


    Now attack two departments with superiors at the same time, what do you want to do?


    Want to turn the world upside down?


    "I''m serious! As long as we speak out, even if we don''t get public support, it will resonate with all the medical staff in this hospital. By then, the situation of the emergency department will definitely be much better than it is now."


    Zhou Can explained seriously.


    After hearing this, Dr. Xu showed a thoughtful expression.


    "Xiao Zhou''s proposal may really be feasible. Our emergency department has not been able to recruit excellent young doctors and nurses. The conditions are not good, the status is not high, and the future is not bright. These are the reasons. But we can work hard to change our image Let all the doctors and nurses in the hospital know the shortcomings of the emergency department, and care for the medical staff is better than treating their own families. This kind of warmth may become a major feature of our emergency department to attract outstanding talents."


    Dr. Xu is also very forward-looking in seeing things.


    After the master and apprentice put forward the reason for doing so, Director Lou was very moved.


    He turned to look at Deputy Director Han.


    "Old Han, what do you think about this?"


    "Sure!"


    Deputy Director Han''s opinion is to support Zhou Can''s idea.


    "Xiao Zhou has the vigor and vigor of a young man. We old comrades, why don''t we back him up. This way, things won''t get too tense."


    Deputy Director Han also has his own wisdom in life.


    Three cobblers are better than one Zhuge Liang.


    After brainstorming, the four of them finally came up with a perfect voice plan after further discussion and negotiation.


    Man proposes, God disposes.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    This matter will touch the interests and face of the two departments, but after it is completed, it will be of great benefit to all the doctors and nurses in the emergency department. Even the clinical care of the whole hospital can benefit from it.


    Director Lou personally called Director Tang Fei of the Department of Pediatrics.


    Director Tang Fei''s previous relationship with the emergency department could only be described as so-so. She has the communication style of most women, and she is as good at dancing as possible, without offending any department.


    That is, only when the pediatric department has something to do, can I see her sharp side.


    These clinical departments in Tuya can be understood as kingdoms of princes.


    Every department director is almost equivalent to a king.


    It must be to work hard for the welfare of your own department.


    Now, it has been almost a year since Zhou Can returned to work in the emergency department. At the same time, he will go to the pediatric department on time every Wednesday. If there are any difficult cases or difficult major operations in the pediatric department, he will also be asked to help.


    It is also true that Zhou Can is regarded as one of his own by many doctors and nurses in the pediatric department.


    As a result, he became the link between pediatrics and emergency departments.


    The two major departments that were originally related to each other gradually became closer under the linkage of his link.


    "Director Lou, we are waiting for you outside!"


    Dr. Xu took Zhou Can out of the office, and Deputy Director Han followed.


    The conversation between the two department directors may involve some privacy, and it is somewhat inappropriate for them to stay next to each other. It would be even more embarrassing if the chat broke down.


    Not long after, Director Lou walked out of the office with a happy face.


    "It''s already been negotiated. Director Tang promised to speak out with us."


    After Director Lou finished speaking, he took a special look at Zhou Can.


    Needless to say, he also understood that Zhou Can contributed a lot to the smooth negotiation and Director Tang''s straightforward agreement.


    This kid is really a lucky star in the emergency department.


    "Doctor Xu, you don''t have to go with me this time. Don''t worry, your apprentice can''t bear any grievances."


    Director Lou said to Dr. Xu.


    He has no use for the past.


    "I didn''t even think about going with you! Let''s go!"


    Doctor Xu waved his hand, and then said to Zhou Can.


    "Don''t talk nonsense when you get there, try not to be high-key if you can keep a low profile."


    His concern for his apprentice has always been so deep.


    I was worried that Zhou Can was too young, and he would act impulsively when he came to the hospital and offend more people. Maybe Zhou Can is in a bright moment now, and it''s okay to offend a few more people. But as long as the situation goes downhill, the wall will be overthrown and everyone will push it away.


    Dr. Xu''s advice to him was definitely well-intentioned.


    "clear!"


    Zhou Can is not a calf who just came out of society, and he will definitely not fight with everyone like Brother Pingtou.


    When to speak harshly and when to speak softly, he can basically grasp the degree of it.


    ¡­


    Not long after, the three of them joined Director Tang Fei and went to the hospital office If Director Tang Fei hadn''t looked at Zhou Can''s face, at most he would have spoken out to support him afterwards. Now that she follows directly to the muddy water, it can be seen that Zhou Can is deeply loved and valued by her.


    Only when the weight is heavy enough and you like this person enough, will you be willing to spend such a large amount of money to help.


    Of course, this matter also has great benefits for pediatrics, which is also an important reason.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The four came to the hospital office, and the ordinary staff had already left work.


    Only the room director of the hospital office is still waiting patiently for their arrival.


    In the office, Deputy Section Chief Yin was complaining to Director Fang. Looking at her face covered with thick foundation, there were faint traces of tears, and she might have cried a lot.


    Complaining, it must be shed some tears, selling miserably, to some extent can win some sympathy.


    Standing behind the hospital office is the dean. As long as the director of the room is angry with Zhou Can''s actions and sympathizes with her experience, Deputy Section Chief Yin''s goal will be achieved.


    Today, Zhou Can publicly criticized her as a vegetarian, only using her power to bully clinical doctors and nurses, scolding her for being useless, she almost fainted from anger.


    I definitely can''t swallow this breath.


    Complain to Xin Wanshan from the medical department, the effect will definitely not be very good.


    Xin Wanshan has always been very optimistic about Zhou Can, and has a good relationship with Zhou Can himself. She could only go to the director of the room to tell tales.


    [The novel app that has been running stably for many years, comparable to the old version of the book chasing artifact, the source-changing app used by old bookworms, huanyuanapp]

 Chapter 449： Its not going to end well, Pang Yuanzhu

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Director Lou is here!"


    Director Fang saw Director Lou entering the door at a glance, and hurriedly greeted him.


    She has been able to sit firmly as the director of the hospital''s office for many years and has never been shaken. She has her own extraordinary skills.


    The director of the hospital office is equivalent to the cabinet minister of the president.


    The dean''s will and instructions, no matter how big or small, are basically carried out by the director of the hospital office. There is also the coordination of various departments in the hospital, which is often led by the hospital office.


    Having said that, we must mention the hospital assistant.


    First of all, the status of the assistant is very high, and he is also the leader of the hospital. Secondly, it is very incorrect to directly understand the assistant as the secretary of the dean.


    In many cases, the assistant can even perform the duties and powers of the dean.


    When a sensible doctor sees a hospital assistant, he will definitely not call him the assistant to the dean of such and such, but directly call him the dean of such and such.


    The following word "assistant" is automatically omitted.


    Just like many novice doctors and nurses, they like to call everyone a teacher.


    In reality, if the chief physician is called a teacher, he may be very unhappy. It is safest to call him Director XX.


    "Isn''t our department causing trouble? You and Section Chief Yin are so tired that you didn''t get off work so late." Director Lou''s opening method of deliberately admitting mistakes is actually very clever.


    What adults fight for is never lip-service winning or losing, what they care most about is always only the real benefits at hand.


    "Hey, Director Tang, why are you here?"


    When Director Fang saw Director Tang Fei, he immediately got up to greet him. The attitude towards Director Lou was warm on the surface, but it was far less polite than when he was treating Director Tang Fei.


    At any time, strength is the greatest confidence for an adult to speak.


    Director Lou is now here to talk as the head of the department. The strength of the emergency department directly determines his status.


    The strength of a department is mainly reflected in the ability of a department to generate income. Today, income generation has become a number of indicators, including the cmi index of the main doctors in the department. The higher the index, the higher the level of diagnosis and treatment of difficult diseases in the department. Naturally, the popularity of doctors in this department will be higher, and the number of outpatient visits will definitely not be much lower.


    As long as enough patients can be admitted, revenue generation is generally substantial.


    In addition, this index will also affect the amount of medical insurance prepayment made by the superior to the hospital.


    It''s also an important revenue-generating metric.


    Nowadays, if a large hospital does not have the support of the medical insurance fund, it is afraid that it will go bankrupt within three months.


    At least 70% of patients will use medical insurance payment when they are hospitalized, which is the main source of hospital revenue.


    In addition to the above, the strength of the department also includes the number of SCI papers, impact factors, and scientific research results of doctors. Comprehensive medical schools like Tuya that integrate medicine and education also consider teaching achievements.


    In short, every indicator to measure the strength of a department is extremely difficult.


    Pediatrics far exceeds the emergency department in terms of revenue generation, the number of famous doctors in the department, the number of young outstanding doctors, scientific research results and capabilities, and the number of SCI papers.


    This is also an important reason why Director Fang was so polite when he saw Director Tang Fei coming.


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    If Director Xie from the Department of Surgery or Director Tan from the Department of Internal Medicine came over, it was guaranteed that Director Fang''s attitude would be even more exaggerated.


    The three people like Director Xie, Director Tan, and Director Zhang are basically only a little weaker than the vice president.


    "I happened to have something to report to the hospital, so I followed."


    Director Tang Fei didn''t say anything.


    "It''s okay, you guys have something to talk about first! I just happen to deal with the affairs of the department first." Director Tang Fei pulled out a chair and sat down on her own.


    Director Fang made tea for her himself, and made a cup for Director Lou, Deputy Director Han, and Zhou Can by the way.


    "Sit down for a while, I''ll ask the house assistant and Chief Xin to come over."


    To put it bluntly, there is no problem with the diagnosis and treatment procedures in the emergency department today. No matter how violent the family was, they finally followed the mediation of the police and sent the body to the funeral home for cremation.


    Now, instead, it has become an internal problem of the hospital.


    Conflict of interest between several departments. How to reconcile it is not up to the house director alone.


    For example, in the security department, the person who actually manages this department is the assistant.


    Among the many responsibilities of the hospital assistants, one is to assist the dean in the administrative management of the office, teaching, and experimental sites of the hospital, such as security, cleaning and sanitation. The security department also fell under the management of the hospital assistant.


    At the same time, the Security Section is a subordinate department of the General Affairs Section.


    The General Affairs Section is also in charge of the Security Section.


    The intricate relationship of interests is like the tangled roots of a tree.


    But every hospital has its own reality.


    Take Tuya as an example, the security department''s big and small affairs are basically decided by the assistant.


    According to gossip, the vice president in charge of logistics and general affairs is the uncle of the hospital assistant. He was only three years older than the hospital assistant.


    Therefore, there is no one who promotes the other among the two, and everyone rises to the top based on their own abilities.


    At most, the vice president of logistics and general affairs will give some care within his ability when the hospital assistant enters the hospital. Of course, only the person concerned knows who takes care of whom.


    In any case, a small security department involved the interests of a vice president and a hospital assistant, and the energy behind this was quite terrifying.


    This is also an important reason why no one has made suggestions for rectification even if the security of the hospital is not performing well.


    As long as there are no major problems, even Dean Zhu is probably unwilling to touch this department.


    Not long after, Xin Wanshan, the chief of the medical department, arrived first.


    After arriving, some greetings are indispensable.


    After greeting Director Fang, Director Lou, and Director Tang, Xin Wanshan looked at Zhou Can.


    "Doctor Zhou, I have to criticize you. Next time, in front of everyone, you are not allowed to contradict Section Chief Yin again. Even if our medical department handles things poorly, it will make you clinical doctors and nurses feel very wronged. You can also go to the medical department to communicate with us afterwards! Look, how wronged Chief Yin is now!"


    It can be seen that Xin Wanshan''s attitude towards Zhou Can is still very friendly.


    Criticizing Zhou Can on the surface, in fact, is to give Deputy Section Chief Yin a step down.


    That is to say, Zhou Can''s confrontation with Deputy Section Chief Yin in public is likely to be exposed in this way.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    If Xin Wanshan didn''t take the initiative to mention this matter after he came, or if his face was expressionless, then it would be possible to make a big fuss about this matter.


    "It is true that I am too young, and I will definitely pay attention to it in the future."


    Zhou Can was also very witty, slid down the pole on the spot, bowed his head to show his attitude, and admitted his mistake.


    Even if he stands on the principle, but committing the following crimes is a taboo in any unit.


    If everyone labels him as arrogant, it will be very detrimental to his future promotion and work.


    "Mr. Yin, in front of Mr. Xin and Mr. Fang, I apologize to you. I was too angry at the time, and I couldn''t control my emotions. I contradicted you. I''m sorry, please forgive me."


    Zhou Can took the initiative to look at Deputy Section Chief Yin and apologize to her.


    Deputy Section Chief Yin obviously didn''t want to let it go so easily, he turned his head and remained silent.


    "Chief Yin, let me think about it! Zhou Can is young and vigorous, so he was inevitably a little impulsive. I also learned about the situation at the scene from many sources, and even took a video of the scene. Our medical department There are indeed some flaws in dealing with the problem.¡±


    Xin Wanshan was beside him as a peacemaker.


    He also intentionally slapped Deputy Section Chief Yin on the sidelines, telling her to accept it as soon as she was good.


    In fact, the first and second in command of many departments do not wear a pair of pants, but there may be a secret competition. The boss guards against the second child, and the second child wants to overthrow the boss and take over the position. This is the most direct conflict of interest.


    In dealing with many affairs of the department, the boss often has the final say, and the second child has to follow suit whether he wants to or not.


    "Speaking of which, I also learned about the situation at the scene from the side. At that time, those family members made a fuss in the emergency department for more than an hour, which seriously hindered the normal work order of the emergency department. It was really too much."


    The director of the room was very tactful.


    He didn''t explicitly accuse Deputy Section Chief Yin of doing something wrong, but only said that the family members were so hateful, and the trouble was a bit long.


    "Zhou Can is a young man who I watched grow up with my own eyes. He is usually very polite. I guess there is no malice in contradicting Section Chief Yin this time. He is not right about the matter. Section Chief Yin, or you can forgive him." ! The work of the first and second-line clinical doctors is really hard, and our administrative departments need to understand their difficulties."


    Director Fang saw that Deputy Section Chief Yin was still turning his head, and his words became more precise.


    If Deputy Section Chief Yin is really not good at it, he insists on fighting Zhou Can to the end.


    He even thought about firing Zhou Can.


    At that time, the deputy dean will probably be the one who should come forward, and even Dean Zhu will come forward to express his opinion in person.


    At that point, Deputy Section Chief Yin will definitely not get any benefits.


    After all, the house director of the hospital office represented Dean Zhu''s position. She doesn''t take it lightly.


    Once you express your position, it can basically be understood that this is what Dean Zhu meant.


    "I just couldn''t be more angry with his arrogant face at that time. How could he take me as a superior leader seriously! If we all learn from him, how will our medical department manage those clinical doctors and nurses in the future? Today, after Chief Xin and the For the sake of Mr. Fang helping him to speak well, I will not pursue this matter any further."


    Deputy Section Chief Yin saw that the situation was completely out of her side, and she also understood that there would be no good results if she continued to push back.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    At that time, it will not only be ruined because of face, but may even lose the position of deputy section chief.


    There are quite a few people staring at her seat.


    "Okay! Section Chief Yin is worthy of being a leader, and he behaved very generously."


    The director of the room praised her approach in a timely manner.


    To put it bluntly, this matter was that Deputy Section Chief Yin was humiliated by Zhou Can, and felt that he couldn''t swallow it.


    If it was an ordinary resident doctor, she would have shot him to death eight hundred years ago.


    But Zhou Can''s thighs were thicker than her waist, so she couldn''t shoot them at all.


    Complaining to Xin Wanshan didn''t work.


    Looking for the director of the house, I heard a lot of comforting words. The final result is still the same as Xin Wanshan, forgive Zhou Can, and expose the matter.


    Through this incident, I believe that Deputy Section Chief Yin has become sober, at least he has seen Zhou Can''s true strength and status clearly.


    [The problem of the slow update of new chapters has finally been solved on the app that can change the source. Download the huanyuanapp to change the source app here, and view the latest chapters of this book on multiple sites at the same time. ¡¿


    Fortunately, she accepted it as soon as she saw it.


    Otherwise, if Zhou Can is really to be moved, all the elders of the clinical department will speak out together, and the battle will be extremely terrifying. In the past, Zhou Can had just become Gui Peisheng not long ago, which was enough to force the vice president to bow his head.


    Now, no one really knows how terrible it is.


    At critical moments, after all, it is also a test of human nature.


    Standing up to speak out for Zhou Can means offending a certain leader of the hospital.


    "cough!"


    A stalwart figure walked into the office of the hospital office.


    In his forties, he looked quite young. The real age of this Yuanzhu Pang should be at least fifty years old.


    Some leaders don''t have to worry about anything because they live a good life, and the work pressure is not particularly high.


    Or strong pressure.


    So not old.


    "Dean Pang, I''m really sorry to invite you here at this point. Director Lou, Deputy Director Han, and the doctor involved in the emergency department, Zhou Can, have all been called here."


    After Director Fang finished the introduction, he stopped talking and waited for Yuanzhu Pang to talk directly with Director Lou and others.


    "I heard that your emergency department has a lot of complaints about the security of the hospital!" Pang Yuanzhu''s aura was very strong, and when his sharp eyes swept over the three doctors in the emergency department, he was completely crushing.


    "Assistant Pang, director of the room, please look at this statistical table! This is the statistics of doctor-patient disputes that have occurred in our emergency department in the past six months. Those who just scold casually are not included in the statistics at all. Like It¡¯s like a calculation, it¡¯s not like I don¡¯t know, but I¡¯m shocked when I do the calculation. When I saw the statistical results, my mood can only be described as shocking.¡±


    Director Lou seems to be very low-key at ordinary times, and he gets angry everywhere like a sandbag.


    But at the critical moment, Zhou Can never saw him afraid of anything.


    Also, Deputy Director Han seemed to come with him as if he was soy sauce. No one mentioned him from head to toe. In fact, his sitting here is the biggest support for the emergency department.


    Both the chief and deputy directors of the emergency department were present, and their stance was basically equivalent to a consensus.


    Many departments have at least two deputy directors.


    The situation in the emergency department is special.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Dr. Xu is actually the deputy director of the department, but because he is the body of the criminal The hospital dare not give him this title for the purpose of protection. But Dr. Xu was given the real power.


    Regardless of the discussion of major affairs in the emergency department, or the operating room, or even some big and small matters in the department, Dr. Xu has a strong voice.


    These powers are not something that an ordinary attending physician can possess.


    "The current medical environment is indeed a bit poor!"


    After reading it, Pang Yuanzhu just said such a sentence indifferently.


    "I was sitting in the office, but I didn''t expect the encounter in the clinical department to be so horrifying."


    The room director''s words were also relatively neutral.


    Slightly better than Pang Yuanzhu.


    In many cases, everyone has nothing to do with themselves and hangs high.


    No matter how acute the conflict between patients, family members and doctors and nurses is, the administrative department is also calm. Anyway, the family members didn''t beat the Fang Director and Pang Yuanzhu who were sitting in the office.


    If a family member is dissatisfied with the treatment effect or thinks the treatment fee is too expensive, they will rush into the administrative department to beat the staff of the medical department, rush into the hospital office, the dean''s office, and beat the room director and hospital assistant Pang instead of trouble with the doctor.


    If a family member breaks Pang Yuanzhu''s arm at a discount.


    It is guaranteed that Pang Yuanzhu will never have the current attitude.


    I have long thought of a way to hold a general meeting of the hospital, strengthen security, and try to prevent family members and patients from beating people.


    "Our Department of Pediatrics has also compiled a data on doctor-patient disputes, which is not much better than the emergency department. Now there is a nurse who was beaten by a patient with a concussion and is being treated in the hospital!"


    Director Tang Fei also took the opportunity to speak out together.


    Both Director Fang and Assistant Pang looked at Director Tang Fei in surprise. When did the Department of Pediatrics unite with the Emergency Department?

 Chapter 450： The water is very deep, and the medical department is no longer one-size-fits-all

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The director of the room glanced thoughtfully at Zhou Can, who had a low eyebrow and a pleasing eye.


    She vaguely guessed that it might have something to do with Zhou Can.


    Of course, a really smart person would see through it without revealing it, and she wouldn''t figure it out.


    "Director Tang and Director Lou, please rest assured that this matter is so serious that the hospital will take active measures to prevent it." Vice President Pang felt a little pressure, so he made a verbal promise in front of several people.


    It''s just two official words. Whether the words can be implemented is another matter.


    "President Pang, please forgive me for saying a few words. In fact, our emergency department is already in panic, and the normal work of medical staff has been seriously affected. No doctor or nurse is not afraid of being beaten when they receive patients."


    Zhou Can, Director Lou and others had discussed it long before they came. Zhou Can started the conversation, and then Director Lou pushed behind, trying to force the hospital to make a substantive commitment.


    It is best to come up with a reasonable solution and give a date for it to be implemented.


    "The young man is still young, and he doesn''t know the hardships of this society. There is no easy word in any job. When you chose to study medicine, there was such a thing in your oath. I am determined to do my best to eliminate human diseases, help the perfection of health, and maintain The holiness and honor of medical skills, saving lives and healing the wounded, unsparing hardships, persistent pursuit, and striving for the development of the medical and health cause of the motherland and the physical and mental health of mankind throughout his life."


    As expected of an administrator, Pang Yuanzhu knew the oaths of medical students by heart.


    "If you were afraid of hardships and difficulties, what kind of medicine did you study in the first place? Patients and their families are not satisfied, and we try our best to make them satisfied. Instead of being afraid of being scolded or even beaten by family members, we choose to avoid it."


    To be fair, it is estimated that no one is an opponent of these leaders.


    People say it all in the same way.


    "I am not afraid of suffering or tiredness, but I am afraid that after bleeding and sweating, I have to cry. I believe that no medical staff is willing to bear the chilling after giving."


    Under the oppression of Pang Yuanzhu''s powerful aura, Zhou Can still dared to argue with reason.


    "Frozen three feet does not happen in a day. The conflict between doctors and patients in our Tuya Hospital is so sharp now, and the relationship between doctors and patients is generally tense. I think it is not without reason."


    He started to take the initiative.


    A sharp light flashed in Pang Yuanzhu''s eyes, he stared at him and asked indifferently, "Then tell me, what is the reason?"


    For a young doctor to speak like this to his assistant, in his opinion, this is simply presumptuous.


    Anger naturally grew in his chest.


    It''s perfectly normal to ask why.


    As everyone knows, this is in Zhou Can''s arms.


    If you directly say that there is a problem with the security of the security department, it is too abrupt, and it seems a bit aggressive.


    It''s different now, telling the reason as a victim is deliberately showing weakness. High-end hunters often appear as prey.


    Zhou Can has actually changed his role quietly at this moment, becoming a hunter.


    It''s just that Pang Yuanzhu was still angry and didn''t notice it.


    When he calms down for a while, with his experience, mind, and experience, he will definitely find out that he has been fooled by Zhou Can.


    At this moment, Zhou Can did not give him another chance to regret.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "First of all, I would like to declare that I am not right about the matter. First, as long as the doctors and nurses in our emergency department are complained by family members and patients, almost without asking indiscriminately, the medical department will directly deduct points, fine them, and even report criticism and cancel the evaluation. excellent, advanced qualifications, etc.


    Zhou Can''s first shot was aimed at the medical department.


    The relationship between Xin Wanshan and Xin Wanshan is friendship, but in the face of interests, they must be their own masters.


    "Second, every time family members or patients beat up or made trouble in our emergency department, the security guards of the hospital rushed over very slowly, and did nothing after they came. Watching the medical staff being beaten to fractures, they still stood by Going to the theater. I really want to ask, who is the security guard? It is true to protect the patients and their families, but seeing the medical staff being beaten to death, how can this not be chilling? "


    Such words are quite sharp.


    Jianfeng pointed directly at the medical department''s one-size-fits-all behavior towards patients'' complaints, as well as the inaction of the security department.


    In the past, everyone endured it, and no one dared to be the one who lifted the lid.


    Zhou Can is also a newborn calf who is not afraid of tigers. After all, he stood up and uttered his long-standing anger for all the first- and second-line clinical medical staff.


    "Our medical department used to actively respond to the call of our superiors, trying to make medical services better. Now I look at the statistics of doctor-patient disputes in the emergency department and pediatrics. I am deeply ashamed. In our work, we really ignored The feelings of the clinical staff. After I go back, I will convene everyone in the medical department to brainstorm and try to come up with a rectification plan as soon as possible. After reporting to the dean for approval, it will be implemented immediately.¡±


    Xin Wanshan''s consciousness is extremely high.


    Realizing that the medical department made public outrage in handling patient complaints, I immediately took the initiative to admit the mistake and made a positive statement that I would correct it immediately.


    "Thank you, Section Chief Xin, for being so understanding and sympathetic to the suffering of our clinical medical staff. On behalf of all the medical staff in the emergency department, I would like to say thank you!" Director Lou stood up, and Deputy Section Chief Han also stood up.


    Zhou Can saw that the two department heads got up at the same time, and expected to thank Xin Wanshan.


    He also stood up hastily.


    Sure enough, Director Lou decisively bowed to Xin Wanshan.


    Deputy Director Han and Zhou Can followed suit.


    "Don''t be polite, don''t be polite! These things are originally my responsibility as the chief of the medical department."


    Xin Wanshan waved his hands repeatedly.


    "Mr. Xin can readily agree to rectify this matter. It is really a blessing for all our clinical doctors and nurses! I was complained 16 times last month, and that defense alone drove me a little crazy. I am busy with work. It''s terrible, either on the way to rescue patients or children, I really don''t have time to make too many appeals. After some appeals, I don''t pass, I admit it, let it deduct money."


    Director Tang Fei''s high status was deducted money.


    Needless to say, ordinary medical care will only make it more serious.


    "Those **** are really, they even dare to withhold Director Tang''s money, and they will definitely teach them a lesson when they go back." Xin Wanshan was just a scene.


    The people in the medical department also follow the rules.


    If Xin Wanshan was a wise leader, it would be impossible to really scold his subordinates who followed the rules.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "No, don''t teach them a lesson. Those people are also doing things impartially. Besides, if you really scold them, then you will hold me grudges and focus on me, then I have no place to cry."


    Director Tang Fei''s words made everyone laugh.


    The tense atmosphere that was originally tense has also eased a lot.


    How else can I say that women are born social butterflies?


    At the wine table, you can always see the figure of a beautiful young woman. Not only because they are beautiful and delicious, but also because they can liven up the atmosphere.


    "Xiao Zhou just mentioned that the hospital security only protects family members and patients, not doctors and nurses. I don''t agree with this. At least I haven''t heard any leader of the hospital respond that the security guards have neglected their duties. The General Affairs Department reports to me every year. The damage and loss of public property in the hospital are all within a reasonable range. The diagnosis and treatment work of the whole hospital is also in order, and every time there is a medical trouble, the security department will cooperate with the departments involved and the medical department to deal with it in a timely manner."


    Yuanzhu Pang didn''t know the reason, but he refused to move the security department.


    He is not even willing to verbally agree to rectify.


    Instead, they are arguing here, saying how much the security department has contributed and how good the work is.


    "President Pang, when it comes to the inaction of hospital security, I think I should be able to state the facts as a victim. At that time, there was a family member in our emergency department who made trouble and beat people. As the leader of the department, I came forward to mediate. The family members Without further ado, he threw something at me with a swing. There were five or six security guards standing there watching, but none of them took any action to stop it. This incident was evidenced by the surveillance video at the time and was sent to the police station.¡±


    Deputy Director Han stood up and accused the security guard of his inaction as a victim.


    "This phenomenon is not an isolated case, but a common phenomenon. Every time there is an accident in our emergency department, the medical staff in the department find ways to save their lives and wait for the police to arrive. As for the hospital security, it is purely a display."


    Director Lou followed up.


    The two sang together, refuting Pang Yuanzhu''s remarks.


    This time, Director Tang Fei of the Department of Pediatrics did not speak up.


    She may be weighing the pros and cons of confronting Pang Yuanzhu directly. The pay is not directly proportional to the gain, and she will definitely not make trouble with her.


    "Is it as exaggerated as you said? I will discuss this matter with the vice president of general affairs, and call the chief of the security department to have a meeting." Pang Yuanzhu was obviously playing in an official tone.


    [Currently used, the app with the most complete and best audio for listening to books, integrated with 4 major speech synthesis engines, over 100 kinds of timbres, and a source-changing artifact that supports offline reading, huanyuanapp source-changing app]


    "Then let''s wait for the good news, and ask Dean Pang to give us a reply as soon as possible. If it''s not easy to coordinate, it''s okay to allocate six additional logistics places to our emergency department management."


    Director Lou''s words basically meant to tell the other party that if the security department does not make any changes, then six logistics places will be given to the emergency department, and the emergency department will recruit security guards by itself.


    The salary of hospital security guards is not high, and there are no strict requirements for skills and education, so it is quite easy to recruit.


    "Give six logistics quotas to the emergency department? Since the establishment of the hospital, there has never been such a precedent. I am only the assistant to the dean, and I can''t do this. The emergency department has indeed experienced a great increase in diagnosis and treatment in the past year, and the income has also increased. Significant improvement. But it must not be inflated. That¡¯s all I have to say, I have something to do, so I¡¯m leaving first.¡±


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Pang Yuanzhu directly rejected Director Lou''s proposal in a very stern tone.


    Before leaving, he typed a few more words.


    He nodded to the director of the room and left directly.


    School-level leaders are so awesome.


    Pang Yuanzhu is related to the vice president of general affairs, which further contributed to his prestige.


    This is also why many large units avoid relatives when promoting important cadres. But rules are dead, people are alive, and there will eventually be loopholes to exploit.


    Take a tertiary hospital in the provincial capital as an example. The dean''s surname is Qu, which is an extremely rare surname.


    But in that hospital, there are a lot of staff with this surname.


    The truth in it, anyone who understands it.


    "You don''t need to be too anxious. If there is a chance, I will talk to Dean Zhu. The emergency department has developed very well in the past year. Director Lou can''t delay the great cause because of a small matter."


    The head of the house tried his best to appease.


    She, the director of the hospital office, is quite excellent, and she has indeed fulfilled the role of a lubricant for the hospital.


    "Thank you! Let''s take our leave first!"


    Director Lou nodded, and took Zhou Can and Deputy Director Han to get up and leave.


    After coming out, Zhou Can was a little puzzled and said, "Why does Yuanzhu Pang know that there is a problem with the security department, but still praise the department for its excellence?"


    "The water is deep! The chief of the security department is very powerful. Yuanzhu Pang and his uncle, Vice President Ye, can secure their positions and have a certain relationship with the chief of the security department. In addition, it is rumored that the chief of the security department may be promoted in the near future. If Pang Yuanzhu wanted to compete for the position of the dean, he was even more unwilling to anger the security chief at this critical moment. Instead, he tried every means to please the security chief to gain support just like before."


    Director Lou lowered his voice and told Zhou Can some of the key points.


    I really didn''t expect that the management of the hospital had such a complicated interpersonal relationship.


    No wonder some people say that the larger the courtyard, the deeper the water.


    Because deep water can raise both dragons and turtles.


    The chief of the security section is probably a big turtle.


    "Director Lou, why are the hospital security guards so indifferent to our emergency department?"


    Zhou Can has always been curious about this question.


    I used to think it was because the emergency department was too weak, but now it seems that it should not be all.


    The head of the security department has so much energy, it is estimated that other departments will not take it too seriously.


    "In the end, just one word, poor!"


    Director Lou showed a bitter smile.


    "How do you say this? Even if our department generates zero income, it doesn''t matter to the security department, right?"


    Zhou Can became even more curious.


    "There are some things I can''t say clearly I can only tell you that our emergency department did not agree to some interests of the security department, so the relationship became stagnant. If you want to blame this matter, it''s me and Lao Han, both of us It''s a bad temper, some things can bow your head and confess, but some things can cut your head and bleed, and you will never bow your head."


    Director Lou seemed to keep secret about this matter.


    This is the first time Zhou Can has seen Director Lou''s tough side.


    Deputy Director Han was a bit bookish, but Zhou Can knew it.


    In his impression, Director Lou has always belonged to that kind of heroic figure. Can bend and stretch.


    I don''t know what the security department asked him too much to make him so angry.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Then we have been arguing for a long time this time, isn''t it for nothing? The security department can''t move. Next time there is something in the emergency department, there will still be no security guards to protect the doctors and nurses!" Zhou Can said a little depressed.


    "Don''t worry, if you want to accomplish a big event, you must be patient. Just wait, this matter will ferment in due time."


    Director Lou smiled inscrutablely.


    Being rejected by Pang Yuanzhu seemed to be in his expectation.


    Zhou Can was at a loss. Compared with the elders of these departments, he, a rising star, was still too young after all.


    ¡­


    In the blink of an eye, more than a month has passed.


    Zhou Can still does what he should do every day. After Deputy Section Chief Yin forgave him that time, he didn''t make any small moves.


    The security department is still the same, and there are people in the emergency department making trouble, they should watch the show and watch the show.

 Chapter 451： Lack of people, surprises are always so sudden

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    After the medical department and the dean''s office received complaints from patients, they no longer made a one-size-fits-all approach, but fully investigated and cleared up to ensure that the handling was objective and fair. Even as long as the medical staff do not make principled mistakes, the hospital will not impose substantive penalties.


    For some unreasonable patients and their families, the hospital chooses cold treatment.


    After receiving the complaint call, it will be registered in accordance with the regulations.


    After checking with the doctors and nurses involved, it is found that the family members misunderstood the doctors or nurses, and the hospital will explain to the patients.


    If the family members are messing around, they will be dealt with coldly.


    The so-called cold treatment is to use an official tone to suppress the matter.


    Every clinical doctor and nurse in Tuya Hospital has felt the great benefits brought about by the rectification of the medical department. After everyone knew that this was the result of the struggle between the emergency department and the pediatrics department, they were full of affection for these two departments.


    Especially in the emergency department, now that specialists are called in for emergencies, it is obvious that the specialists are much more active.


    The attitude has also become quite friendly.


    Regarding the inaction of the hospital''s security guards, it did not die down, but began to ferment slowly.


    That evening, Zhou Can bravely complained to Pang Yuanzhu in the hospital office for the inaction of the security department of the hospital, which caused the front-line doctors and nurses to bleed, sweat and cry. I don''t know how this matter got out.


    Even Director Lou and Deputy Director Han of the emergency department joined the battle, trying to persuade Pang Yuan to help clean up the security department and pay attention to the safety and defense of medical staff, and spread the word.


    Zhou Can has become a hero in the hearts of many clinical medical staff.


    Dare to speak out for everyone and put forward a protest. Although Pang Yuanzhu used his power to suppress him, everyone supported and loved Zhou Can even more.


    Even the image of the emergency department in everyone''s minds has gradually improved.


    Although the competitiveness of this department is weak and income generation is poor, the protection it shows and the love it shows for the front-line medical staff are deeply rooted in everyone''s hearts.


    At present, Pang Yuanzhu has not moved much, and seems to be quite calm.


    Anyway, he is a hospital-level leader. If he is not the first to know about any major events in the hospital, he will be the second. Therefore, it is impossible for him not to know that public opinion is fermenting.


    Remaining silent now, or having great confidence in the matter.


    Even if the clinical doctors and nurses in the whole hospital fall out, there will be no big waves.


    At least that''s how it seemed to him.


    You know, Yuanzhu Pang can not only get the support of Dean Zhu, but also the support of the Vice President of General Affairs. And the background support behind the chief security officer.


    With such a strong strength, it is normal not to take the turmoil of the frontline doctors to heart.


    On this day, Zhou Can was at work when he received a call from Director Xueyan of Cardiothoracic Surgery.


    She is usually not in a hurry, and rarely calls Zhou Can during the day shift.


    Because she knew that Zhou Can had to perform surgery in the emergency department every day, and had no time to answer the phone at all.


    "Sister Yan, is there another patient who needs to be rescued?"


    In Zhou Can''s impression, when she called during the day shift, she basically asked Zhou Can to help rescue people or have an emergency consultation.


    Cardiothoracic surgery has a very high probability of receiving critically ill patients every day.


    Occasionally there will be some bad patients, or difficult cases. In this case, Zhou Can needs to be called in.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    If Zhou Can still can''t solve the problem after passing, he will find a way to reject that patient. It is recommended that he transfer to another hospital. If the family members refuse to be transferred and insist on treatment in Tuya, there is a high probability that the patient will only be treated conservatively.


    In many cases, conservative treatment can be regarded as a way of euphemistically persuading family members to transfer to another hospital.


    If the doctors can take active treatment measures, such as surgery, they will definitely discuss with the family members and perform surgery.


    "Ann! I have two things to call you today. The first thing is that there are two difficult level 4 operations tonight, and I need you to come and help." She usually asks Zhou Can to help with the surgery after get off work. They all leave messages on WeChat.


    "no problem."


    Zhou Can readily agreed.


    "Second thing, do you still have any memory of the child who was transferred from the Third Hospital last time for cardiac surgery?"


    she asked.


    "I have an impression! What''s the matter with that child? Has the heart failure worsened?" Zhou Can couldn''t help but feel a little dizzy.


    The child was only six or seven months old, and it would be a pity if his condition worsened after being treated for such a long time.


    "I have good news for you! After adopting the ''marathon long-distance running'' treatment strategy you gave, the heart failure has been significantly reversed. It is estimated that I will be able to recover and be discharged after a period of hospitalization."


    This is great news.


    After Zhou Can heard this, a happy smile appeared on his face.


    "Very good!"


    He felt very fulfilled.


    Infants with severe heart failure after such cardiac surgery have a very low survival rate.


    Zhou Can was actually quite apprehensive when formulating the treatment plan.


    Fortunately, there was nothing wrong with his judgment. With this method of fighting the disease for a long time, the child was successfully pulled back from the gate of hell.


    "By the way, I would like to tell you an additional piece of news. The family of the patient collected through some special channels the real records of the third hospital''s operation on his grandson and the data of various treatments and medications. I found that the third hospital is here. There are irregularities in Taiwan surgery, and there are also problems with medication."


    The family members collected real information and handed it over to director Xueyan, and the original intention was to use it as a reference for treatment.


    Unexpectedly, the problem was discovered by accident.


    These evidences have been preserved by director Xueyan.


    However, out of professional ethics, she did not tell her family about the incident.


    Zhou Can thinks that Director Xueyan''s actions are very good. It is the minimum professional ethics not to dismantle other doctors. Those who like to comment on other doctors'' treatment problems in front of patients are mostly poor medical ethics, poor character, and poor medical skills.


    If you are really capable, you don''t need to step down other doctors to show how good you are.


    "It''s good to keep the evidence. It can be regarded as a hand to prevent the child from having any problems in the future, so as to facilitate the division of treatment responsibilities. If you continue to give the child heart-strengthening and diuretic treatment, I guess it will take a long time to treat that child. It is necessary to communicate well with the family members so that they have the confidence to persevere."


    Zhou Can has seen too many, obviously as long as he persists in the treatment, there is a possibility of recovery. As a result, the family members were afraid of losing money and people, and could not bear the high cost of treatment, so they finally chose to give up.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Such cases are unfortunate.


    The doctor has no choice but to follow the wishes of the patient''s family.


    It''s like when a critically ill patient is sent to the hospital, and the family members sign to give up the treatment, the doctor can only give up.


    Some men beat their wives and don''t treat their wives as human beings. Or some women are married, relying on having a good skin, fooling around outside and not obeying women''s rules. At home, her husband bosses her around, acting like a queen.


    These two kinds of people must not get seriously ill.


    Otherwise, if you enter the hospital, you will soon learn what despair is.


    ¡­


    Day after day went by like this, Zhou Can and the newly recruited medical assistant Yang Zhi gradually cooperated well. He is very satisfied with this new medical assistant.


    Luo Shishen has completed his internship and has gone to participate in the regular training.


    If he participated in Tuya''s regular training recruitment based on his level at the beginning of his internship, he would probably be eliminated. After studying hard with Zhou Can for nearly a year, his skills in all aspects have improved significantly.


    Especially surgical skills, surgical knowledge, and some first-aid clinical operations, compared with other intern graduates, he is really capable of killing them in seconds.


    Therefore, when recruiting for regular training, he successfully passed five tests, killed six generals, and finally obtained the qualification for regular training with fairly excellent results.


    When choosing the direction of regular training, he chose the direction of surgery.


    Straight into the major surgery rotation.


    He has already made an appointment with Zhou Can, and when the regular training is over, he will come to the emergency department to join Zhou Can, and continue to hang out with Zhou Can.


    Zhou Can did not directly agree to this.


    Instead, he told Luo Shishen that if he wanted to join his surgery team, he must be strong enough. It is equivalent to forcing Luo Shigen to work hard to improve his surgical ability during the two-year training.


    Zhou Can''s surgery team is still short of people.


    Especially when doing tertiary major surgery, he will feel short-handed.


    Dr. Xu is very old, and he still has to help him.


    In addition, because there are only two surgical nurses, Qiao Yu has never taken a day off for more than a year.


    Even if she was sick with a cold, she still gritted her teeth and persisted.


    She did this in order not to affect the efficient operation of the surgical team.


    Zhou Can also tried to let Ma Xiaolan replace the position of equipment nurse, but her ability was far worse than that of Qiao Yu. The tacit understanding of cooperation is extremely low, and she keeps running at a high speed in her work, so she tends to be in a hurry and makes frequent mistakes.


    Ability is a comprehensive reflection of knowledge, mood, professional level, logical thinking, and overall thinking.


    His surgical team wants to be able to operate more stably, and at least needs to recruit another surgical nurse and a medical assistant to meet his high-intensity work needs.


    The most ideal situation is that one day, even if Zhou Can or Qiao Yu is on vacation, the surgical team can still operate normally and handle patients with normal difficulty surgery.


    [Currently used, the app with the most complete and best audio for listening to books, integrated with 4 major speech synthesis engines, over 100 kinds of timbres, and a source-changing artifact that supports offline reading, huanyuanapp source-changing app]


    Currently, he and Qiao Yu are still the core of the surgical team and are irreplaceable.


    "Doctor Zhou, someone sent a courier package outside, saying that Dr. Zhou Can from the emergency department needs to sign for it."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Not long after Zhou Can entered the operating room, Ma Xiaolan brought him a piece of news.


    "Just ask the nurse at the nurse''s station to sign for me. Who sent me a courier and sent it here?"


    He doesn''t have the time to go out to collect the courier now.


    Occasionally, there will be patients who have recovered and been discharged from the hospital. In order to thank him for his treatment, they will send him a pennant or send him some souvenirs. He often feels very heartwarming when he receives such a courier.


    Because those patients did not know his home address and private number, they often wrote the emergency service number, or asked for the phone number of a nurse on duty, and then sent the things directly to the emergency department, specifying that they should be handed over to Zhou Can.


    This time, is it the heart-warming act of another patient?


    At around 12:40 noon, after the operation, Zhou Can went to the nurse''s desk to check the express package.


    Surprisingly, it was an international shipment.


    Direct mail from abroad.


    The sender''s name is an English name, and the phone number is a foreign number.


    This is really interesting.


    When I opened the package, I saw a dry plant wrapped in a plastic bag. It can be recognized at a glance that it is an aniseed lotus.


    Because Zhou Can has been searching hard for this medicine.


    At that time, I even posted it on Moments, hoping to use the contacts in the medical circle to help me find it together.


    The result is always without any useful clues.


    He couldn''t help holding this dry plant to examine it carefully, and he could still see the faint purple color on the back of the leaves and the rhizome. Only after the plant dries up, the color will change to a certain extent.


    So purple doesn''t look obvious.


    "This... Could it be the purple-backed star anise lotus that I have been looking for?"


    He asked himself that he didn''t have many friends abroad.


    Which living Bodhisattva found the purple-backed star anise lotus that he had been looking for so hard and sent it back?


    Only then did he discover that there was a letter inside the package.


    It is written on a piece of paper, folded and placed at the bottom of the package.


    "Zhou Can, how are you doing? I have already entered the Lyon Ecole Normale Sup¨¦rieure in France. I accidentally saw the WeChat circle of friends. You are looking for this herb called purple-backed star anise. I inquired about it through my friends. After seeing this plant in a strange plant exhibition hall, I spent a little effort and bought it. I know that you are probably looking for it to treat the disease of Qianqian girl. I am moved by your love and yearn for it Such a sincere love, I hope Miss Qianqian can recover soon, I wish you happiness!"


    The inscription on the back is ĺòû.


    It must have taken her a lot of effort to find the purple-backed star anise lotus, and it was even more difficult to buy it from the exhibition hall.


    And with her cleverness, she even directly guessed that Zhou Can was looking for this herb to treat his girlfriend Su Qianqian.


    It stands to reason that she has always been secretly in love with Zhou Can, and Su Qianqian is her rival in love.


    If Su Qianqian''s illness can''t be cured, she will have a chance to get together with Zhou Can.


    But she chose to use her generosity to help find this herbal medicine with all her heart and soul.


    Only a girl who is kind to the bottom of her heart and has a big heart can do this kind of thing.


    "I have met all the good women in the world!"


    Zhou Can put away the letter, and the purple-backed star anise lotus was ready to be used as medicine.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    This time, Su Qianqian''s kidney disease was finally cured.


    I don''t know how much Mu Li spent to buy it The price will definitely not be cheap.


    Should find a chance to give her money.


    Also, Zhou Can is not going to hide this matter from Su Qianqian. Kindness and kindness cannot be let down, and Mu Jie deserves to be appreciated by the couple for a lifetime.


    After get off work, Zhou Can went straight to the traditional Chinese medicine store after checking the house.


    Tuya Hospital also has its own traditional Chinese pharmacy, but it is troublesome to buy medicine from the hospital pharmacy.


    And the variety is not yet complete.


    He took the medicine according to the prescription, but found that various auxiliary medicines were not easy to buy. I was stunned to go to many pharmacies before I bought them all.


    Back at the villa they bought, Su Qianqian was very surprised to see Zhou Can come home so early.


    "Honey, today is the earliest day for you to get off work. I was telling Wei Fang just now that you may not be home until twelve o''clock in the evening! Haven''t you eaten yet? I specially left food for you, wash your hands ,ready to eat."


    There is a girlfriend at home, which is really warm.


    Going home is always full of expectations.


    "Don''t be in a hurry to eat. Let me tell you some good news. What do you think this is?"


    Zhou Can showed her the purple-backed star anise lotus.


    "This...isn''t this an aniseed lotus?" She had also been trying to find a way to find the two main ingredients, but unfortunately she never found it. "Where did you get it?"


    Su Qianqian looked at the herb excitedly.


    Her hands were trembling slightly.


    "Do you still remember that female reporter, Mu Bi?"


    Zhou Can asked carefully.


    "What do you think! How can I forget a woman who wants to grab a man from me." Su Qianqian must be concerned about this kind of thing.


    No woman can be generous enough to give up the man she loves.

 Chapter 452： The first SCI paper, Immersive Rescue

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Qianqian, I''ll show you a letter!"


    Before Zhou Can went home, she had already thought about it, and she couldn''t hide this matter from her.


    "First of all, we have never been in touch since Mu Que left the country. She read the Moments I posted, and then she helped find the medicinal herbs." After speaking, Zhou Can took out the letter from his arms and handed it to her. give her.


    After Su Qianqian took it, she didn''t rush to open it.


    "This is a letter written to you by others. I dare not read it."


    "If you are really that kind of small-bellied woman, I won''t let you see it! To be honest, I am very grateful to Mu Tie for helping us with this matter. If there is a chance in the future, we will return this favor together gone."


    Hearing what Zhou Can said, she opened the letter


    Women always like duplicity.


    Obviously wanted to see it, but said he didn''t dare to.


    If Su Qianqian really wasn''t going to read this letter, she wouldn''t have received it at all.


    After she finished reading, she stood in a daze for a long time.


    Zhou Can didn''t bother, but let her adjust her mood a little bit.


    "Oh, why are you still crying!"


    He caught a glimpse of two lines of tears streaming from Su Qianqian''s face by the light in the living room, and hurried to the coffee table to get a tissue to wipe her.


    "I just heard that Mu Que bought this medicine and wrote you a letter. I felt very unhappy, and blamed her for pestering you again. After reading this letter, I feel ashamed of my behavior, and I am even more magnanimous by her." , moved with deep affection. Chan, I think she should love you very, very much, knowing that you are looking for medicine to save me, but she still tried every means to help buy medicine without hesitation..."


    The cutting is constant, and the reasoning is still chaotic.


    The reason why love and family affection make people unable to extricate themselves and fascinate them is because they give selflessly and do not expect anything in return.


    Even if you know it will harm your own interests, you are still willing to do it.


    Emotion is also the most complicated thing for human beings.


    In the world of adults, it is true to put interests first, but feelings can often easily crush interests.


    For example, when our relatives and loved ones are sick, I believe that many people can sell their cars and houses, and even take huge debts to save others. In the face of true love, family affection, and even friendship, interests are nothing at all.


    Su Qianqian''s life experience was miserable, and her childhood was not good.


    It wasn''t until she met Zhou Can that she tasted true love and affection.


    At this moment, Mu Tie''s act of righteousness gave her a deeper understanding of love and great love in the world.


    After finding the two main medicines, Zhou Can boiled the medicine for her according to the method, for her to take without mentioning it.


    ¡­


    Zhou Can went to work in the hospital the next day as usual.


    Because Su Qianqian''s illness had the hope of being cured, his heart was full of joy and expectation.


    During the ward rounds, director Xueyan called.


    "Brother Zhou Can, congratulations!"


    Zhou Can was stunned. Did she know that Su Qianqian''s kidney disease would be cured soon after finding the two main medicines?


    "Sister Yan, I don''t know what else is good?"


    The colorful toad in the main medicine of the two flavors is not visible, so Zhou Can naturally dare not let outsiders know.


    Otherwise, it can easily become a huge hidden danger.


    "Focus on you. The cardiothoracic surgery paper you published passed the preliminary review. It is estimated that there is no problem with SCI. As for the impact factor, I have no way of predicting this. Anyway, as long as you can meet the SCI rating standard, you can have it." This is the first SCI paper in your life. This will be of great benefit to your future development."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The thesis was said to be based on Zhou Can, but Director Xueyan helped to improve it a lot, and made many revisions.


    Except for Zhou Can¡¯s own creativity and key knowledge, Director Xueyan taught him how to write the rest of the thesis. There are also some techniques to increase the chance of passing, which were taught to him without reservation.


    "Really! That''s great! Sister Yan, you are the biggest contributor to the passing of that paper. I must thank you very much. How about I treat your whole family to dinner, is that okay?"


    Zhou Can actually doesn''t know much about Xueyan''s family situation.


    All I know is that she has a son in high school and a daughter in college.


    "Let''s forget about eating! We really have to distinguish so clearly, I don''t know how much I owe you! I''m free tonight, come and help me with the operation. There is a very difficult operation for extracardiac aortic aneurysm. With you Help, I am at ease."


    Aortic aneurysm and aortic dissection are high-risk, high-mortality diseases.


    In general, aortic surgery includes aortic stent graft, aortic artificial vessel replacement surgery, endovascular isolation surgery and so on.


    To solve the aneurysm, placing the spring ring is also a means.


    Many people foolishly can''t tell the difference between a heart stent and a blood vessel spring ring, and even think that the two are the same item. The two are actually two completely different items commonly used in interventional therapy.


    Stents are used to dilate blood vessels and to prevent embolism in places where blood vessels are blocked or narrowed.


    The spring ring is generally used in the interventional operation of hemangioma, and it is placed in the tumor to block the hemangioma.


    It can be understood that the spring ring is used to prevent the hemangioma from rupture and bleeding, and to block it. A stent is an enlarged narrow section of a blood vessel.


    After making an appointment with Director Xueyan, the operation would start around 7:00 pm, Zhou Can hung up the phone.


    When he arrived at the emergency department, he found that a family member seemed to be scolding the nurse on duty again.


    This phenomenon happened almost every day in the emergency department. He took a look and did not intervene. In fact, even if he passed, it was useless.


    Family members may also rely on him.


    Ask him to help solve all kinds of weird problems.


    Not to mention that every family member who seeks trouble is an unreasonable person, at least most of the family members who make trouble are not easy to deal with.


    When encountering such patients in the emergency department, they often try to persuade them to leave.


    It''s just that the vast majority of patients come here for treatment because of the reputation of Tuya Hospital. It is not easy to persuade them to leave.


    Zhou Can went straight to the inpatient ward for rounds.


    There are now several times more inpatients than before, and the daily rounds are even heavier.


    Able people should do more work.


    Including the inpatients in the internal medicine department, Zhou Can also went to the ward rounds together.


    There was no way, Deputy Director Han personally asked him about this matter, and Director Lou also talked to him. In addition to agreeing, or agreeing.


    However, with his two rounds in the morning and evening, there has been no accident in the emergency department this year.


    Therefore, in the emergency department where there is a shortage of manpower, he is basically used as the chief physician.


    Most of the time, the attending and deputy chief physicians in the department will listen to his diagnostic opinions.


    Just halfway through the ward round, a nurse screamed outside.


    "Beat someone, beat someone! Help..."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can''s heart skipped a beat, and he ran outside without thinking.


    Every time he saw the doctors and nurses in the department being beaten, he felt very uncomfortable.


    It''s hard enough for everyone to go to work.


    He wholeheartedly treats patients, but many times he is not understood, and instead is beaten by his family members.


    "He has a knife..."


    Ye Tingting clutched her stomach and staggered.


    After seeing Zhou Can, she used all her remaining strength to remind Zhou Can.


    Blood could already be seen gushing from between her fingers.


    "Sister Ting, don''t be afraid, you lie down!"


    Seeing this scene, Zhou Can''s eyes were really tearing apart.


    The family member holding the knife was already red-eyed, grabbing another nurse and stabbing him frantically.


    Two hospital security guards stood at the scene, not only did not rush forward to stop the gangsters, but were scared back again and again.


    "stop!"


    Zhou Can was so angry that he rushed over to grab the murderer''s right hand holding the knife, and directly elbowed the man on the back of the head.


    Lian Jiazi usually doesn''t hit the back of the head when he hits someone, which is especially prone to accidents.


    But at this moment, Zhou Can can''t control so much.


    Hitting the murderer on the back of the head is the easiest way to subdue him.


    He had to make time to save people.


    Two nurses were lying in a pool of blood, and a doctor on duty was bleeding profusely from his right hand. It can be seen how insane the murderer is.


    Family beatings often occur in the emergency department, but murder with a knife is still relatively rare.


    The murderer let out a muffled grunt, his body convulsed and fell to the ground.


    After Zhou Can took the sharp knife, he threw it aside.


    "Save people, save people!"


    He yelled at the surrounding doctors and nurses with red eyes.


    Seeing the doctors and nurses in the department being hacked down like this is as sad and indignant as his brothers and sisters being hacked down.


    Ye Tingting was stabbed at least in the abdomen, and the nurse she just rescued was already a lake of flesh and blood, so there was no way to judge the extent of the injury.


    "Go to a male doctor and twist the murderer''s hands behind his back and tie them up."


    When Zhou Can was worried about saving people, the murderer got up again and committed the crime.


    After receiving that elbow from him, he should no longer have the ability to commit murder in a short time. Just in case.


    "Doctor Zhou...I don''t want to die! My child is only over one year old..."


    The female nurse''s breathing was already very weak, and tears rolled down from the corners of her eyes.


    "I''ll do my best to save you, hold on. What''s your blood type?"


    "Type b..."


    Before he could finish speaking, the person had passed out.


    Zhou Can picked him up and rushed to the emergency room.


    "Quickly apply to the blood bank for the blood of Ye Tingting and He Juan. If you don''t know the blood type, ask the personnel department. He Juan''s blood type should be type B."


    This serious knife stab wound, the most likely cause of death is bleeding.


    In addition, if vital organs such as the heart and lungs are stabbed, they will die.


    Rushing into the emergency room, Zhou Can couldn''t care about anything else, only thinking about the begging eyes of the female nurse before she passed out. She wants to live, she doesn''t want the one-year-old to lose her mother forever.


    [Currently used, the app with the most complete and best audio for listening to books, integrated with 4 major speech synthesis engines, over 100 kinds of timbres, and a source-changing artifact that supports offline reading, huanyuanapp source-changing app]


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "A **** **** murderer, even if he was shot 10,000 times, it would not be an exaggeration."


    Zhou Can cursed the murderer for his cold-bloodedness and cruelty. While putting the nurse He Juan on the first aid table.


    There are defibrillators, ventilators and other necessary first-aid equipment.


    If you want to have surgery, you have to go to the operating room.


    Zhou Can lifted her blouse, only to see that there were seven or eight stab wounds, and blood was gushing out crazily.


    In this case, basically all conventional hemostasis methods are useless at all.


    "How is the person?"


    Deputy Director He, who was on duty, and Doctor Xu, who had just arrived at the hospital, entered the emergency room immediately.


    "It must be sent to the operating room immediately for rescue. Judging by the bleeding, the large blood vessels in the chest and abdomen must have been punctured. The murderer was too cruel and crazy."


    Zhou Can said with great grief and indignation.


    "Push the person into the operating room and contact the blood bank to send blood immediately."


    Doctor Xu made a prompt decision.


    At this time, Ye Tingting was also sent to the emergency room.


    "Ye Tingting was also stabbed in the abdomen, and I''m afraid they need to be sent to the operating room for emergency treatment."


    Zhou Can found that Ye Tingting was not unconscious, but her face was pale and her lips were trembling.


    The two injured female nurses were sent to the operating room urgently. At this time, there was no way to wait for the family members to sign.


    I can only ask the medical department to approve the note.


    Save people first, and at the same time send people to the medical department to complete the procedures.


    Fortunately, Xin Wanshan from the medical department is a decent person. When encountering this kind of emergency patients, he will usually not hold back his approval.


    "Xiao Zhou, your ability to perform general surgery is not weaker than mine. He Juan''s injury is extremely serious and complicated. I think her intestines may be broken. You have more experience in rescue than me, and you are more professional. You are responsible for the operation. She is undergoing surgery. I will treat Ye Tingting."


    Dr. Xu never procrastinates when treating patients.


    "good!"


    Zhou Can directly pushed the person into the room.


    "My God, what''s going on here?"


    Qiao Yu is preparing the surgical instruments at the moment, and they are almost finished.


    Ma Xiaolan has finished draping the operating table.


    "I was stabbed by a family member. Cut off her blouse, and I will disinfect the surgical wound, and immediately prepare to open the abdomen to stop the bleeding." Zhou Can calmly directed two surgical nurses to participate in the rescue.


    Because it was only around 7:30, and the medical assistant Yang Zhi hadn''t come yet.


    Normally, Yang Zhi would arrive at the operating room about 20 minutes earlier, probably soon.


    He Juan''s blood type was found out, it was type B, and the blood plasma she asked for was also sent over.


    The anesthesiologist came running.


    There was no time to make any preparations, and he was directly accelerated to the life monitor, and then anesthetized.


    Watching his blood pressure keep dropping and his physical symptoms weak, Zhou Can was very anxious.


    Fluid transfusion has been used.


    It''s just that the patient''s intra-abdominal injury is unknown, and if he doesn''t cut it open immediately to find the source of the bleeding and stop the bleeding, no matter how much blood is transfused, all the blood will be lost.


    "Doctor Zhou, I can understand your anxiety, but the more anxious you are, the more calm you need to be. You wash your hands first, and then help with the general anesthesia operation The anesthesiologist said to Zhou Can.


    His hands were covered in blood, and he was in a very anxious state.


    Surely not.


    The so-called concern is chaos.


    ¡­


    After a while, emergency anesthesia was implemented with reference to the patient, and Zhou Can gradually regained his composure.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    But He Juan''s pleading eyes still appeared in his mind.


    He has a belief in his heart that he must do his best to save people from life.


    When the abdomen was opened, he took a deep breath and cut across with the knife.


    Faster than ever before.


    [Quick knife method experience value +1, reward experience value +1000. ¡¿


    It''s scary.


    Directly reward 1,000 quick knife method experience points.


    The second cut was extremely fast and smooth again.


    [Quick knife method experience value +1, reward experience value +1000. ¡¿


    Same horror rewards.


    If it wasn''t for the system being stunned, it must be that Zhou Can has entered a wonderful state of ecstasy at this moment. In his heart, eyes, and faith, he only wanted to save people.


    The speed of the whole laparotomy was a record, it only took more than ten seconds.


    And it perfectly avoids important nerves and large blood vessels.


    The incision is very neat.


    "Ma Xiaolan, help pull the hook temporarily."


    Fortunately, Yang Zhi also arrived at this time, and there were two people helping to pull the hook, so the vision of the abdominal cavity was already very clear.


    "Blood sucking!"


    Zhou Can sucked out the accumulated blood in the abdominal cavity.

 Chapter 453： 10,000 experience rewards, finally seeing hope

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The first thing to do is look for large blood vessels that have been punctured by a sharp object.


    It must be said that when a ruptured blood vessel is large enough, be it an artery or a vein, it is enough to pose a fatal threat to human life.


    It''s just that the blood pressure in the veins is lower, and the bleeding is not as violent as the arteries.


    Relatively speaking, ruptured veins are easier to stop bleeding.


    There were a total of eight wounds in the nurse''s chest and abdominal cavity, and the knives and knives were extremely brutal, all of which penetrated into the deepest part of the cavity.


    "Found a ruptured abdominal aorta!"


    After the hemoperitoneum was cleaned up, the large source of bleeding could be clearly seen.


    This jet-like hemorrhage is extremely terrifying, and it can lead to a sharp drop in the patient''s blood volume in a short period of time, eventually leading to shock and death from blood loss.


    "It should be the superior mesenteric artery in the upper abdominal cavity. It can only be ligated first and then repaired,"


    While searching, Zhou Can murmured to himself and gave a hemostasis plan.


    "Hemostat!"


    "Give!"


    Qiao Yu quickly handed the hemostat to his hand.


    Zhou Can found the blood vessel end near the bleeding point, and clamped it with a hemostat.


    "Yang Zhi, hold the hemostat for me. The force should not be too strong nor too small."


    This kind of deep artery in the abdominal cavity is pinched during the hemostasis process, and it is easy to form a thrombus or rupture. Necrosis is less likely, but still possible.


    Hemostasis is definitely a technical job.


    Zhou Can just looked for the proximal end of the blood vessel, which seemed to be done in a few seconds. That''s because his hemostasis has reached an extremely high level.


    He has a very good understanding of the anatomical structure of the human body, coupled with rich experience in hemostasis, he is so powerful.


    Otherwise, if another person were to operate it, just looking at the continuous spray of blood would already be flustered, with trembling hands and feet.


    After Yang Zhi freed one hand to hold the hemostat, Zhou Can began emergency debridement.


    Arterial repair is far more difficult than imagined.


    In fact, with so many deep wounds in the patient''s chest and abdomen, there must be more than one bleeding point.


    But Zhou Can can only take it step by step.


    The superior mesenteric artery, which is visible and bleeding the most, was repaired first.


    "Doctor Zhou, the patient''s blood pressure is still dropping, and the heart rate is also dropping. When breathing, there is blood foam in the nostrils. Check to see if there is any trauma to the lungs?" the anesthesiologist reminded Zhou Can.


    "OK!"


    What Zhou Can is opening now is the abdominal cavity. If he wants to move his lungs, the best way is to open his chest.


    With the patient''s current condition, he dared not open his chest at all.


    It is estimated that before he finished opening his chest, the person was gone.


    It''s definitely not a joke. With such a serious injury, the life of the patient has become very fragile.


    "Damn it, the portal vein was also punctured! How can this be done?"


    He checked and soon found another large bleeding spot.


    The intestines were also punctured, and the contents of the intestines had directly spilled out, contaminating the abdominal cavity. At this moment, Zhou Can especially hoped that there would be two or three chief surgeons to rescue He Juan together.


    He alone, no matter how strong the surgical ability is, no matter how fast the speed is, it will be limited after all.


    A deep sense of powerlessness kept pounding his heart.


    "Immediately ask Director Xueyan from the Department of Cardiothoracic Surgery to bring a surgical team over to help save her. Just say what I said, the sooner the better."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    In order to save people, Zhou Can directly used his personal connections.


    The emergency department asked the cardiothoracic surgery department to send someone to rescue the patient, and the cardiothoracic surgery department would not refuse. But it can be business.


    If Zhou Can personally invited them to help, the treatment would be completely different.


    Rescue is still going on.


    He Juan''s mouth and nostrils gushed out blood and foam, and her blood pressure kept falling.


    Four bags of blood have been consumed in a short period of time.


    A bag of 250ml has already transfused 1000ml of blood.


    "Pulmonary artery rupture is difficult! The blood vessels and intestines in the abdominal cavity can be repaired one by one as long as I give me a little time, but the lungs are very troublesome. Now I don''t know where the bleeding is."


    Zhou Can quickly repaired the blood vessels while introducing the situation.


    The anesthesiologist is responsible for stabilizing the life of the patient, while Zhou Can is responsible for surgical repair of blood vessels, intestines, etc.


    Now I can''t care about the broken intestines at all, I can only let it leak.


    Repairing the blood vessels first is the right way.


    Not long after, Director Xueyan rushed over with a whole surgical team. This is Zhou Can''s energy. As long as you mention his name, Director Xueyan can help you with all your strength.


    "I''ve heard about a family member who stabbed many medical staff in your emergency department with a knife. It''s so outrageous."


    As soon as Xueyan came in, she sympathized with what happened in the emergency department.


    "She is spitting blood, is this... a lung injury?"


    "Sister Yan, I just want to ask you to come here to see if the patient can have the chest opened? The wound is on the right chest, this location. Based on experience and feeling, it should be an oblique stab wound."


    Zhou Can pointed to the patient''s right chest.


    It can be seen that the chest has been broken. However, because of wearing a bra and the special body structure of women, the depth of the wound should not be particularly deep.


    "Her condition is almost fatal. I suggest opening two small windows for endoscopic surgery, and there may be a chance of survival."


    Deputy Director He from the Department of Cardiothoracic Surgery also rushed over.


    He owed a lot of favors to Zhou Can, and now that Zhou Can has a call, he must run over to pay back a favor.


    Regarding thoracic surgery, Deputy Director He should be the one with the most experience among all the people present.


    "Anesthesia, can her condition be transferred to the endoscopy operating room?"


    Zhou Can asked the anesthesiologist directly.


    "If you don''t turn it, you will die. If you turn it, there is still a glimmer of life, so let''s give it a try."


    The anesthesiologist felt that Zhou Can was desperate to save people, and she was also deeply moved. He also decided to fight with Zhou Can.


    Adventure is definitely needed.


    "Can you allow me to repair her portal vein and superior mesenteric artery before leaving?"


    "I can only try. These two important blood routes have been cut off, it will definitely not work." The anesthesiologist frowned and hesitated for a moment before giving an answer.


    The patient''s condition is actually very bad.


    The injury is too serious.


    "Sister Yan, is it okay to transfer the person directly to the endoscopy operating room of your cardiac surgery department?"


    "No problem, I''ll arrange it right away."


    Director Xueyan was very straightforward, releasing all kinds of medical resources for Zhou Can.


    The rescue of such seriously injured patients requires close cooperation in all aspects.


    Zhou Can quickly repaired the superior mesangial artery.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Just now, only the debridement and trimming have been completed, and what needs to be done now is to anastomose the blood vessels.


    One advantage is that only a little bit is removed during the trimming of the blood vessels, so there is no need to consider the shortening of the blood vessels and the need to extend them with artificial blood vessels. However, this kind of vascular anastomosis is also a test of the doctor''s skills.


    Especially large arteries.


    Also, in actual operation, blood vessels tend to shrink continuously in a short period of time after they are severed.


    In medicine it is called vascular collapse.


    If the blood vessels are not quickly anastomosed to restore blood supply, the difficulty of anastomosis will increase exponentially.


    Zhou Can went all out and began to quickly anastomose the arteries.


    [Suture +1, experience bonus +100. ¡¿


    [Suture +1, experience bonus +100. ¡¿


    The sixth-level suture technique helped Zhou Can a lot at this critical moment. His sewing speed is also getting faster and faster.


    And the phenomenon of being able to feel life through stitching reappeared.


    Each stitch can be rewarded with 100 experience points.


    This shows that his state at this moment is the same as when he opened his stomach before, and he has entered a wonderful state. That is, when doing one thing, devote yourself wholeheartedly, without any distracting thoughts, with an extremely firm belief in your heart and a high degree of concentration.


    "alright!"


    The vascular anastomosis of the entire upper artery took three minutes and six seconds, which definitely created a record.


    [Anastomosis experience +1, the first time to achieve a perfect anastomosis, reward experience +. Heart of benevolence experience +100. ¡¿


    Zhou Can was stunned.


    It is definitely the first time to directly reward experience points.


    He doesn''t know what a perfect anastomosis is, he only knows that when the blood vessels were anastomosed just now, it was like a god. How to operate each step seems to have been rehearsed countless times. The entire matching animation picture will naturally appear in the mind. It''s like setting up a program and step by step. You don''t need to think about each step of the operation, just implement it directly.


    This feeling is so magical that it is difficult to describe it in words.


    If I have to describe it, the anastomosis of blood vessels is like rehearsing countless times in the brain, and I am so familiar that I can''t be more familiar with it.


    Zhou Can knew very well that the anastomosis of each segment of blood vessel was different. It can only be modified according to the actual situation, and there is no way to preview it.


    The reason why the animation picture that has been rehearsed countless times appears in my mind is probably a bit similar to practice makes perfect, plus a blessing to the heart. This kind of wonderful surgical ability only appeared in this rescue process.


    [The novel app that has been running stably for many years, comparable to the old version of the book chasing artifact, the source-changing app used by old bookworms, huanyuanapp]


    This time, when rescuing patients, the rewards for various medical experience points were soft, and the minimum was 100, and the most this time was as high as experience points. Does it have something to do with special medical skills and benevolence?


    Usually, Zhou Can rarely pays attention to this special medical skill.


    It also rarely increases experience points.


    This time, it directly increased 100 experience points, which was the first time.


    Right now is not the time to study these, many ideas just flashed through his mind. He had given up distracting thoughts, and began to debride, trim, and anastomose the ruptured portal vein.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    The whole operation is still smooth and smooth, extremely fast, and all aspects of technical points are also close to perfection.


    Including the details of blood vessel desilting before anastomosis, air discharge, etc., he did a very good job.


    Five minutes later, the portal vein was repaired.


    The patient''s blood pressure is still dropping, and the sixth bag of plasma has been hung up. Rehydration is continued.


    After the successful anastomosis of the portal vein, he received another high reward of 1000 experience points.


    Although it was not as exciting as the reward of 10,000 experience points last time, this super high amount of reward still allowed his anastomosis skills to grow rapidly.


    At present, it is approaching the sixth-level anastomosis at an astonishing speed.


    Attempts were made to loosen the ligature of the portal vein, and blood flow was restored.


    "Hey, not bad! The patient''s blood pressure has gone up a bit! But she seems to have a little respiratory failure, and the wound on her lung must be treated quickly. The most fearful thing is that the fluid in the lung is too serious, which will directly cause her to stop breathing."


    Lung continued bleeding, it is impossible to discharge all through the bronchi.


    At this time, severe effusion must occur.


    The breathing of the lungs relies on the contraction and expansion of countless alveoli to complete the inhalation of air and the discharge of exhaust gas. When fluid accumulates in the lungs, it is equivalent to being submerged in water.


    If there is only slight fluid accumulation, or fluid accumulation on one side of the left and right lungs, the patient will only feel oppressed and have difficulty breathing.


    If the effusion in the whole lung is serious, it is not much better than being choked by someone.


    The patient has respiratory failure, which is a very bad signal.


    "How about puncture and drainage first! I''m afraid she won''t last until the moment of entering the endoscopy room."


    Zhou Can glanced at the patient''s vital signs monitoring data.


    The instrument kept beeping, but there was no way to correct it all at once. It can only repair the broken important blood vessels in the patient''s body bit by bit.


    This is Zhou Can''s main operation in rescuing patients.


    If it were another doctor, it would be difficult to reach Zhou Can''s level regardless of surgical experience or speed.


    "I think it''s a wise choice to drain first."


    Director Xueyan has been helping to carry out the rescue, including Deputy Director He.


    At the same time, the two chief and deputy directors of the cardiothoracic surgery department were asked to help with the rescue. This row was quite large.


    The two divided their work, and one ligated the ruptured intestine first to prevent continuous leakage. Then try to clean up to reduce the potential risks of abdominal cavity and wound contamination.


    The other performed electrocoagulation and ligation on some small bleeding spots.


    It was also under the joint efforts of several people that the patient''s condition began to improve.


    Thoracic drainage is also a technical task with high risks and difficulties.


    Many regular trainees may barely master the technical points of chest piercing until the end of the regular training.


    For new doctors, catheterization and four major punctures are tasks that test their skills.


    For example, catheterization, meeting elderly patients, especially elderly patients with diabetes, will definitely make novice doctors cry. Even some senior resident doctors are also apprehensive when completing operations on this special patient.


    Elderly male patients commonly suffer from enlarged prostate.


    This can seriously increase the difficulty of catheter placement.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    If the patient also suffers from diseases such as syphilis and acuminate eczema, it will make the doctor collapse even more.


    Zhou Can''s injection technique is currently at the fifth level, that is, the level of the deputy chief physician.


    Getting a chest piercing was a piece of cake for him.


    After he found the correct position and inserted the puncture needle into the patient''s chest, dark red blood flowed out of the catheter quickly.


    "Fluid has flooded half of the lung."


    He is very particular about where he pierces.


    According to the drainage speed, puncture site, and puncture depth, experienced doctors can deduce the fluid accumulation in the lungs.


    It should be mentioned that fluid in the lungs is not necessarily blood.


    Sometimes it may be body fluids, or even viscous liquids such as purulent sputum.


    For example, in patients with early new crown infection, the lungs are all full of sticky and thick liquid, and the entire lung becomes as hard as a stone. This is the main reason for their death.


    The lungs became hard as rocks and it was impossible to breathe.


    It can no longer shrink and expand.


    ¡­


    In the endoscopic operating room of cardiothoracic surgery, Zhou Can has chosen to discuss with Deputy Director He, Director Xue Yan and others to locate the possible damaged location of the pulmonary artery. Then three small windows were opened, and endoscopic exploration was started.


    "The lobe of the lung was damaged and there were two ruptures in the pulmonary artery, one of which was the most severe."


    Zhou Can''s endoscopic surgery ability is also top-notch.


    Under his control, he quickly found out the bleeding in the lungs.


    The next step is to complete hemostasis and blood vessel repair. Unlike open surgery in the abdominal cavity, hemostasis and blood vessel repair in the lungs can only be done through endoscopy. It is done in the narrow chest cavity.


    "The blood volume must be insufficient again, and the blood pressure has started to drop again. How many bags of plasma are there?"


    "There''s only one bag left."


    "Contact the blood bank and ask them to think of a way. It is estimated that they will support the completion of the rescue operation and definitely need blood transfusion."


    The anesthesiologist frowned anxiously as he watched the patient''s signs drop.


    Sweat dripped from Zhou Can''s forehead, and the clothes inside were already drenched with sweat. He didn''t care about these things, he only had one belief in his heart, and he must do his best to save He Juan.


    Her one-year-old child is still waiting for her mother to come home.


    Her husband, parents, and relatives didn''t know how distressed she would feel after knowing that she was injured like this by her family members in the hospital.


    Nearly half an hour later, Zhou Can finally completed the hemostasis of the lungs, blood vessel repair and anastomosis, and wound suturing.


    Try to restore blood flow to the lungs.


    Perfect.


    The blood circulation was smooth, and no stasis or thrombus occurred.


    "Her breathing seems to be recovering, and her blood oxygen level is increasing a little bit. Dr. Zhou, you are amazing!"


    The anesthesiologist Qu Zi raised her brows for the first time, with excitement, relief, and a smile in her eyes.


    The patient''s blood pressure also rose a little bit.


    The rescue work was not over, because he was stabbed eight times in total, and there were too many injured parts.


    It''s just been dealing with some seriously life threatening bleeding locations. There is a lot of work to do in the repair of the intestinal tract, the debridement and cleaning of the abdominal cavity, as well as the hemostasis and suturing of other injured parts.


    Zhou Can ignored the exhaustion and physical exertion, and quickly continued the rescue work together with director Xueyan and others.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Deputy Director He knew that his work was sloppy and slow, so he stopped and gave up his position to Zhou Can.

 Chapter 454： Young Xiao Zhou, the rhythm that pierces the sky

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    More than two hours later, Zhou Can walked out of the operating room.


    Female nurse He Juan was sent to the ICU for further treatment.


    The operation was quite successful, but many organs were injured, and the intestinal contents polluted the abdominal cavity, plus excessive blood loss and massive blood transfusion. There is a high chance of postoperative complications.


    If there are too many complications, or if the patient develops abdominal infection after surgery, it is enough to pose a fatal threat to her.


    Whether she can survive the weakest period of her life can only depend on her own good fortune.


    There are two points worth looking forward to: first, the important blood vessels and wound treatment of the patient were all repaired and sutured by Zhou Can. He himself has superb surgical skills, coupled with the fact that he entered an indescribably special state during the entire rescue process, the surgical effect was particularly good.


    All wounds he has handled can achieve a high healing rate.


    The anastomotic blood vessels are unobstructed, and there will be no lumen stenosis, thrombus, bleeding and other phenomena. The sutured wounds, both debridement and suturing, were top-notch. Wounds take less time to heal and are less likely to become infected.


    Second, she has a strong desire to survive, and there are young children waiting for her to go home, which can provide her with strong belief support.


    Miracles in medicine are often related to faith.


    For example, there is a vegetative person who continues to be in a coma, and the doctor thinks it is difficult to wake up. At this time, the vegetative son repeatedly played the conversation between the patient''s grandson and grandma in her ears. A miraculous thing happened, and the patient was finally awakened successfully.


    In addition, during the rescue process, especially when the mother has dystocia, the husband will be allowed to go in and accompany her to cheer her up.


    This is also to provide strong belief support for mothers.


    Zhou Can returned to the emergency department, as if he had lost his soul.


    When he thought of the scene where the family members frantically stabbed the female nurse with a knife, and the two security guards stood there watching the show, and even retreated to avoid the scene, he felt a burning anger in his chest.


    Although the scene has been cleaned up and the order of diagnosis and treatment in the emergency department has basically returned to normal, it can be seen that fear still remains on the faces of every medical staff.


    When dealing with family members and patients, everyone is cautious.


    Everyone was afraid that they didn''t say a word well, or that the patient had misunderstood the treatment method, and suddenly pulled out a sharp knife to commit murder.


    Zhou Can did not go to the operating room to work, but went straight to the director''s office.


    He felt that there should be no more silence, otherwise such a tragedy would happen again.


    Knock on the door of the director''s office.


    "Xiao Zhou is back! How is He Juan''s situation?"


    Director Lou asked.


    "The operation has been completed, and he is receiving follow-up treatment in the intensive care unit. I don''t know if he can survive the dangerous period." Zhou Can''s tone was heavy.


    "I hope she can survive this difficulty! Go back to the operating room and work, there are many patients waiting for surgery." Director Lou waved his hand weakly. Such serious medical troubles always happened in the department, and he was under a lot of pressure as the head of the department.


    Zhou Can didn''t leave, but just looked straight at Director Lou.


    "Is there anything else?"


    Director Lou asked in a gentle voice.


    "Today''s tragedy has once again sounded the alarm for us. We can no longer be silent." Zhou Can''s tone was firm and his eyes were persistent.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    This is a posture that even nine bulls can''t pull back.


    "What do you want to do?" Director Lou narrowed his eyes slightly, and his expression became much more serious.


    "I want to immediately call on all brothers and sisters in the emergency department to strike, protest to the hospital''s senior management, and demand an immediate solution. Otherwise, the ones stabbed today are Ye Tingting, He Juan, and Dr. Li, and the ones stabbed the day after tomorrow may be from the emergency department." Any medical staff."


    Zhou Can is not speaking for himself, but for everyone in the emergency department.


    It even speaks for all front-line clinical care.


    "Xiao Zhou, the reason for the intensification of doctor-patient conflicts is very complicated. The hospital''s senior management has been trying to solve it, including the medical department receiving complaints from patients and directly deducting the money from the complained doctor or nurse regardless of the reason. This is to force Clinical doctors and nurses should improve their service awareness. The current overall medical environment is like this, and it¡¯s really not something you or I can change.¡±


    Director Lou''s perspective on problems is obviously broader than that of Zhou Can.


    The fact that the medical department deducted fines from the complained doctors and nurses regardless of the reason has been corrected after Zhou Can protested last time.


    At that time, he really only looked at the problem from the perspective of clinical front-line medical care.


    It is undeniable that there is indeed a problem of overcorrection and one size fits all in the medical department.


    Now corrected, it makes more sense.


    It is beneficial to medical staff, patients and family members.


    "At least we can solve the inaction of hospital security through protests. We can provide some necessary safety guarantees for medical staff." This is what Zhou Can hates the most.


    What kind of background does the security department have?


    It''s really infuriating to keep handling the emergency department like this.


    "In addition, pushing the personal safety of medical staff to a certain level can force the hospital''s senior management and even the competent department to pay attention to this matter and make continuous improvements. Only in this way will our doctors and nurses become better and better. The safer it is, the more conducive to the advancement of diagnosis and treatment. Otherwise, protective medical methods will become the mainstream of everyone''s work."


    Zhou Can''s words are sincere,


    He really wanted to do something for the doctors and nurses.


    "You go to work first. I will discuss this matter with Lao Han and make a decision after get off work at night. My personal opinion is to minimize the impact as much as possible. If there is a big trouble, it may affect your future."


    [Currently used, the app with the most complete and best audio for listening to books, integrated with 4 major speech synthesis engines, over 100 kinds of timbres, and a source-changing artifact that supports offline reading, huanyuanapp source-changing app]


    Director Lou is full of worries.


    "The law does not blame the public. Even if it really has influence, the top will only target the leader. I am willing to be Ah Q once, so let me lead the leader!" Zhou Can is not worried about his future at all.


    He has already achieved financial freedom, and being a doctor is only his hobby.


    He really doesn''t care if he gets promoted or not.


    "Nonsense! You are the core doctor in our emergency department, how can you be a **** in this charge? Listen to me, you represent not only yourself, but also the future of our emergency department."


    Director Lou rarely lost his temper.


    He slapped the table angrily, stood up and stared at Zhou Can viciously.


    Responsibility is deep, love is deep.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    He really devoted a lot of effort to Zhou Can. Since Zhou Can was selected into the emergency department for the first time, he has placed high hopes on Zhou Can.


    The emergency department can recruit two to three regular trainees every year, and many of them quit the job directly after the regular training. Director Lou never cared.


    The only one who cares about Zhou Can very much.


    For example, when Zhou Can was being trained in orthopedic surgery, he was maliciously suppressed by Director Xie. Director Lou dared to speak up for him in person, and he would not hesitate to make a fuss with Vice President Ye.


    This kind of behavior must have offended Director Xie to death.


    But he did it without hesitation.


    If it wasn''t for Zhou Can being valued to the extreme, how could it be so?


    None of the other regular trainees in the emergency department had ever enjoyed this kind of treatment. Being able to help and say a few words secretly is considered very caring.


    Now, Zhou Can is going to put himself in danger, how can Director Lou not be angry? How can we not hurry?


    "I''m not messing around. Some things require someone to stand up. I never thought of being a hero. If I had a choice, I could fight for the rest of my life. It''s just that this time I watched Ye Tingting fall in front of me. He Juan I was stabbed violently by the murderer, but the security guards did not come to my rescue. I must be a drummer. The future is important, and the future of the emergency department is equally important, but if the doctors and nurses do not have the most basic safety guarantee, how can the emergency department be possible? grow?"


    Zhou Can''s words hit Director Lou''s heart like a heavy hammer.


    After he finished listening, he was silent.


    "Now is the peak time for outpatient and emergency departments. You go to work first, and wait until after 5:30 to discuss."


    Director Lou waved his hand.


    At this moment, he was quite devastated. There was an accident in the department, and he needed to clean up a lot of things.


    Now Zhou Can, the strongest general, is going to plead for his life again, and take the lead in strikes and protests. Moreover, Zhou Can''s rhetorical question just now deeply shook his soul and conscience.


    And justice in my heart.


    ¡­


    At 5:30 in the evening, Zhou Can got off work on time.


    His colleagues in the emergency department spoke directly in the work group, "The tragedies of doctors and nurses being beaten, scolded and hacked to death repeatedly occurred in the emergency department. The hospital security guards did not do anything and just watched indifferently. I am willing to be the first to stand up and use strikes to protest this matter. , requiring the hospital to resolve it immediately to ensure the personal safety of all clinical care.¡±


    This speech is basically tantamount to cutting first and playing later.


    Even Dr. Xu didn''t tell.


    "Doctor Zhou is such a man! I have had enough of living in fear every day, and I am willing to strike and protest with you."


    "Count me in!"


    "Where do we gather? There is strength in numbers, and we must be united."


    ¡­


    It is off-duty time, and Zhou Can''s voice is the sensitive issue that everyone is most concerned about.


    Immediately, the screen began to swipe.


    Less than five minutes later, Director Lou called directly.


    "Xiao Zhou, what kind of plane are you flying? Didn''t I tell you not to be impulsive? Now you make such remarks directly in the work group, even if I try my best, I can''t stop you..."


    Director Lou is probably anxious and angry at the moment.


    Zhou Can''s youth is beyond his imagination.


    He didn''t give Director Lou a chance to protect him at all, and just exposed the matter directly.


    "You and Dr. Xu have been taking care of me, loving me, and cultivating me. Just treat me as a fire for the emergency department! If the hospital still doesn''t deal with it this time, or even suppresses me, it means that the hospital has rotten roots."


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Zhou Can didn''t say the rest.


    If Tuya Hospital is so indifferent to the lives of medical staff, such a hospital will not stay.


    In the future, there will be countless disappointments.


    Not to mention the real big development of the hospital.


    Although the world is as dark as crows, Zhou Can believes that he will be able to find a suitable place to live.


    Good birds always choose a tree to live on, and never give up.


    "You, you, let me tell you what''s good about you? You really don''t follow the routine at all! Waiting in the emergency room!"


    After speaking, Director Lou hung up the phone directly.


    As soon as I hung up the phone here, I heard Deputy Director Han shouting in the group, "All medical staff, agree to strike protesters, gather in the emergency room immediately. You can write your own slogans."


    Zhou Can froze for a moment, then came to his senses.


    It seems that Director Lou was discussing this matter with Deputy Director Han just now, but he didn''t expect Zhou Can to be more impatient than them, and directly called on everyone in the group to strike and protest together.


    No wonder Doctor Xu left in a hurry after the operation.


    It is estimated that they rushed to the director''s office to discuss important matters.


    Director Lou does not speak out in the group himself, but lets Deputy Director Han speak out. This is the mystery of the number one leader and the second leader.


    The words and positions of the top leaders are often beyond their control.


    The deputy has a lot less constraints.


    When I came to the emergency room, there were only a few patients at the moment. The processing of the day has basically been completed.


    However, even in the emergency department at night, some emergency patients will come to see the doctor for medical treatment.


    As soon as he arrived, there were medical staff standing with him one after another.


    At this time, Deputy Director Han also hurried to the hall holding some slogans.


    "I''ll count you as the most active kid, and I''ll hold this flag for you!" Deputy Director Han glared at Zhou Can, seemingly scolding, but his eyes were full of love. I am afraid that there is more helplessness in my heart.


    Zhou Can took it after being slightly taken aback.


    It is certainly impossible to prepare the slogan in such a short period of time, it must be prepared in advance. It shows that Director Lou and others are already preparing for the strike and protest.


    Zhou Can showed a self-deprecating smile.


    I am still too young!


    Gradually, more and more medical staff gathered in the hall.


    "Xiao Zhou, you child, you are likable but also a headache, don''t be so impulsive next time." The head nurse Niu Lan even joined the strike team, and walked to the front, standing with Zhou Can got together.


    "Let you seniors worry about it! From now on, I will definitely control the impulsive devil."


    Zhou Can agreed with his mouth, but he didn''t think about changing it in his heart.


    The country is easy to change, but the nature of UU Reading is hard to change.


    After all, reason is just reason, but blood is deeply rooted in the bones.


    "Looking at your unreasonable appearance, I know I can''t persuade you. The hospital leader will come in a while, don''t talk nonsense. We old guys haven''t fallen yet, so we don''t need you to charge as cannon fodder. Probably the superiors The department will also come."


    The head nurse Niu Lan is not very old, only about forty-seven or eighteen years old.


    She calls herself an old guy, which also shows that the nursing profession is very cruel.


    Basically, many nurses who are over 35 years old will change their careers or relegate to the second line. Not to mention anything else, the heavy workload every day is too much for me physically and mentally.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Qiao Yu and Ma Xiaolan just stood silently behind Zhou Can.


    Yang Zhi also came.


    Even Luo Shishen, who had finished his internship, ran over to join the team when he got the news.


    Everyone has his own conscience.


    When someone is willing to take the lead in speaking out for everyone, anyone with a positive outlook will choose to stand behind Zhou Can and support him together.


    Director Lou and Dr. Xu never showed up.


    One of these two people is the director of the department, and the other is an interceptor, and their identities are extremely sensitive.


    So I didn''t join the protest team.


    They are most likely behind the scenes.


    Without director Lou''s nod, just making protest slogans in advance would have been strangled in the cradle.


    To do things, you must have a certain brain and plan properly to be successful.

 Chapter 455： The authority is crushed, and the endless fear begins

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Although it was off-duty time, the leaders of the hospital soon knew about the troubles in the emergency department.


    This world will never lack all kinds of people who are "loyalty" to the leader.


    With so many doctors and nurses in the emergency department, there must be some people who want to seize every opportunity and work hard to climb up.


    It is very likely that as soon as Zhou Can posted a message in the group, someone took a screenshot and sent it to the hospital leader.


    Of course, there is a premise that the whistleblower needs to have the number of the leader of the academy.


    Under normal circumstances, whether it is a general doctor or a nurse, there is no chance to make friends with the hospital leader. But this kind of tipping opportunity can give him this opportunity.


    Not only can they show their loyalty to the leaders of the academy, but they can also take the opportunity to add friends, killing two birds with one stone. This is exactly their motivation.


    In less than 20 minutes, Xin Wanshan from the medical department was the first to rush over to ''put out the fire''.


    The medical department has an important responsibility for the supervision and management of clinical departments.


    Now that things are so big, more than 90% of the doctors and nurses in the emergency department gathered together to protest the inaction of the hospital security by means of strikes and writing slogans. There is no personal safety guarantee for work. This is already a mass event.


    To put it more strictly, Zhu Dean''s dean''s throne will be unstable.


    Not to mention the medical chief.


    Xin Wanshan rushed over to put out the fire, but unfortunately his weight was not enough.


    When Director Lou refused to come forward, he could only speak well to Zhou Can, Deputy Director Han and others, and asked them to persuade everyone to leave. He said that he will report this matter to his superiors, and he will definitely solve it properly.


    No matter how hard Xin Wanshan''s mouth is, Zhou Can and others will not buy him.


    Just as Xin Wanshan begged his grandpa and sued his grandma to let these ancestors stop making trouble, Vice President Ye, who was in charge of medical affairs, arrived.


    Vice President Ye is one of the real power figures in the hospital, but his ability is limited.


    Regarding the matter of the security department, he couldn''t intervene at all.


    Zhou Can and others are still very restrained at present, and only make appeals through sit-ins, gatherings, and holding up slogans. No excesses.


    Even so, such a massive protest can still have a huge impact.


    It is enough to make many hospital leaders, even the high-level leaders of the higher-level departments, tense up and attach great importance to it.


    During the stalemate, another person arrived.


    Dean Zhu, Yuanzhu Pang, and Vice Dean Ye for General Affairs all arrived.


    "Dear colleagues, as the dean, I failed to protect everyone''s personal safety, and caused the clinical medical staff in our emergency department to be hacked and injured by their families. I apologize. If you have any appeals, you can raise them rationally, and you should not Ignoring the sick, taking extreme forms of protest like strikes and rallies. This will not help solve the problem.¡±


    Dean Zhu was sweating all over his head, he was really anxious.


    At the juncture of his promotion, this kind of thing had a great negative impact on him.


    "President Zhu, fellow leaders, our request is very simple. We only ask the hospital and superior leaders to ensure the safety of our clinical medical staff. Instead of being broken by our family members today and stabbed a few times by family members tomorrow. The security of the hospital is seriously inadequate As, watching medical staff being beaten and hacked to death by their family members, but choosing to watch indifferently, eventually caused tragedies to continue to happen. More than a month ago, we went to the hospital to respond to the safety issues of medical staff, but there was no follow-up.¡±¡­. Zhou Can still couldn''t hold back, and brought up the matter with a serious face in front of all the leaders.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Just because the backstage of the security department is hard, you can''t just let it go.


    A tiger''s **** can''t be touched, it doesn''t exist.


    Standing against the masses these days is basically courting death. No matter whether it is a commercial company or an enterprise like a hospital, there is a law that cannot escape, that whoever wins the hearts of the people wins the world.


    "If the hospital can''t even guarantee our most basic life safety, we refuse to return to work and return to work. We will continue to protest until someone solves this matter."


    Deputy Director Han was worried that Zhou Can, an early bird, would be attacked by the leaders, so he hurriedly stepped forward to attract firepower.


    "Ye Tingting, a nurse in our emergency nurse station, is still in the intensive care unit. Nurse He Juan was stabbed eight times, and she was fatally stabbed. She is still in danger. The girls have studied hard for more than ten years and entered the hospital to work hard. What is more important is to save lives and heal the wounded, rather than being treated as a target that can be killed wantonly by patients and family members. The hospital ignores our life safety again and again, today, we must ask for an explanation."


    Head nurse Niu Lan also stepped forward at this critical moment.


    To fight must be brave.


    If they all shrink back, there is no way to fight this battle.


    Everyone advances hand in hand, with incomparable bravery, and their talents are like a rainbow.


    "What''s the trouble? It''s a small probability of being stabbed by a violent family member. It''s true that you study medicine to save lives and heal the wounded, but you should also consider the complexity and danger of this job. Our hospital is I wish that under the leadership of the dean, you have done a good job in this area. Last time you went to the hospital to make a fuss, saying that the medical department would deduct your money when it received a complaint. The medical department was under pressure and relaxed a lot. How is the result? It¡¯s only been a few days, and the family members stabbed people with knives. I don¡¯t think you should interfere with the decision-making of the hospital management, because you are not high enough to see the two sides of things.¡±


    Pang Yuanzhu put on a face, wanting to use his authority to suppress this protest.


    In recent decades, Tuya has never experienced such a large-scale mass incident.


    The most he usually deals with is three or five people protesting together.


    One pass of pressure, one hand with a big stick and one hand with a carrot, can often work.


    It''s just that Zhou Can is the leader this time, and he doesn''t like him at all. And today''s tragedy has indeed awakened every clinical medical staff.


    No one wants to be the second victim.


    "I don''t agree with Dean Pang''s words. After the correction of the one-size-fits-all punitive measures for patients'' complaints in the medical department, the clinical doctors and nurses applauded. This incident is not necessarily related to the family members'' murder with a knife. Let''s make an inappropriate analogy." A man usually beats his wife, but one day the Women''s Federation and the police found out about his domestic violence and imposed a writ of habeas corpus on his wife. The man didn''t dare to beat his wife easily. Unfortunately, his wife cheated not long after. Can you say that his wife cheated because she no longer gets beaten?"


    The example Zhou Can gave is indeed somewhat inappropriate.


    Because Pang Yuan''s face turned from red to blue after hearing aid, and finally became gloomy like a rag.


    Seeing Pang Yuanzhu''s behavior like this, he felt a little bit in his heart. It couldn''t be such a coincidence that he could find a metaphor, but it matched Pang Yuanzhu''s actual situation, right? ... Conscience in heaven and earth, he has never inquired about the family situation of the leader, let alone know about it.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "Slick tongue like yellow, full of nonsense!"


    Pang Yuanzhu bit his cheek, his eyes were fierce as if he wanted to eat people.


    "Maybe the analogy just now is not appropriate, so let''s change it again. A man usually disciplines his son quite strictly, but one day his conscience realizes that beating and scolding his son every day is not conducive to enhancing the relationship between father and son, and it even arouses his son''s rebellious heart. So He gradually corrected himself and stopped beating and scolding his son when he encountered minor incidents. Soon after, his son was dealt with by the police for breaking the law. Do you think there is an inevitable connection between the two?"


    Zhou Can once again gave an example to prove that the medical department no longer treats patients'' complaints across the board, and there is no necessary connection with this family member''s murder.


    "You did it on purpose, right?"


    Pang Yuanzhu was trembling all over, his fists were clenched tightly, and the veins on the back of his hands were showing.


    "What purpose?"


    Zhou Can was dumbfounded, and was questioned inexplicably.


    The head nurse Niu Lan standing next to him couldn''t stand it any longer, and said in a low voice, "Both the two examples you mentioned happened to Dean Pang."


    "Ah...sorry, I really didn''t know beforehand, and I didn''t mean to humiliate Dean Pang. I didn''t mean to mention those two examples with malicious intent, I just wanted to tell Dean Pang that the two are not necessarily related."


    Zhou Can is really speechless, and this luck is a bit too good.


    The two examples given in a row are all true portrayals of Pang Yuanzhu. It seems that Pang Yuanzhu''s character is poor, and his family is not happy!


    From this point of view, God is quite fair!


    "Enough! Stop talking!"


    Pang Yuanzhu didn''t believe it was a coincidence at all, and interrupted him angrily and rudely, preventing him from speaking again.


    "Listen everyone, this is a hospital, not a street for you to protest. If you have any problems, you can elect two or three representatives to talk directly to the leaders of our hospital. Everyone is gone, what to do, the hospital will not Investigate your actions this time. If anyone is stubborn, does not obey orders, and does not obey advice, I will write down his name."


    Nine out of ten people who can become a court assistant are ruthless people.


    To work under the leadership of the dean, not only need to be slick, but also to dare to sing bad faces at critical moments, and dare to do things that the dean is not suitable for.


    For example, the group of medical staff who are currently suppressing the emergency department quickly suppressed the matter.


    Dean Zhu adopted a gentle and kind persuasion method, while Yuanzhu Pang used coercion and temptation, and used everything.


    "If the matter is not resolved, I will not retreat or compromise. If Dean Pang thinks that using the method of registering names can threaten us to retreat and submit, you will inevitably look at people through the cracks of the door and make people look down. Dare to stand up today Among the medical staff, which one has not thought about the consequences? But everyone still stood up firmly, which also shows the determination of all of us."


    Zhou Can spoke again, and his attitude towards Pang Yuanzhu was neither humble nor overbearing.


    Surrender is impossible.


    "You don''t listen to advice, do you? Very good!"


    With a dark face, Pang Yuanzhu took out a notebook and started writing his name.


    The medical staff in the protest team saw that Pang Yuan was really helping, and there was some commotion for a while. Everyone standing here to protest is for a better working environment and life protection. Instead of really throwing away the job. ... "Who else doesn''t listen?"


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Pang Yuan helped observe the words and expressions, and keenly detected the commotion of the protesting team, knowing that it had worked.


    Mastering the stick, but aiming for the yard.


    He immediately opened up his momentum and became even more vicious.


    "I!"


    The voice is not loud, but it is extremely firm.


    At this critical moment, Qiao Yu spoke out in support of Zhou Can.


    In fact, she can hang on behind, because nurses are not as competitive as doctors. Zhou Can left Tuya Hospital. With his potential and ability, he is almost qualified to work in any hospital.


    No matter how good Qiao Yu was, she was only a nurse after all.


    It is not difficult for her to find a new nurse job, but it is very difficult to find a good platform and get the attention of the hospital.


    "And I!"


    Deputy Director Han is quite a veteran at this critical moment, never backing down, never losing the chain.


    "Count me in!" Head nurse Niu Lan has a heroic demeanor, and she also dares to challenge Pang Yuan.


    ¡­


    "Okay, very good, I will fulfill you all."


    Pang Yuan was so angry that his hands were shaking, his body was trembling, and he couldn''t listen to his writing at all.


    The emergency department is obviously only a very weak department, so it''s too evil why everyone is so tough.


    Is it true that the sentence is true, troublesome people come out of poor mountains and rivers?


    "Dean Pang also made us perfect!"


    Good guy, Director Xueyan arrived directly with a large number of medical staff from the cardiothoracic surgery department.


    As the head of the department, she brought so many people over to support her, so she didn''t recognize her in vain.


    This is often the case when things get serious, and it is easy to get out of control.


    Now, after Zhou Can tore a hole, the gap is rapidly widening.


    The weight of cardiothoracic surgery is much heavier than that of emergency department.


    It is still an important department of surgery, and under the leadership of director Xueyan, it has withstood the encirclement and suppression of several major outer courts and is becoming stronger step by step. Hospital leaders have recognized her work very much.


    Dean Zhu praised her personally.


    "The life safety of clinical medical staff cannot be ignored, everyone is a brother and sister. Please the hospital leaders pay attention to our demands and protect our personal safety."


    Director Xueyan''s aura is quite strong, and she speaks with confidence.


    The kind of self-confidence exuded by every gesture is completely old-fashioned.


    "If Dean Pang thinks this matter can be suppressed, it''s best not to regret it! As far as I know, there are other doctors and nurses on their way."


    Director Le raised his eyebrows and said calmly.


    Upon hearing this, Pang Yuanzhu''s expression changed obviously.


    In fact, since director Xueyan arrived with a large number of cardiothoracic surgery medical staff, Yuanzhu Pang''s ''magic flame'' had quickly dissipated.


    He couldn''t stand just one cardiothoracic surgeon, let alone him, even Dean Zhu who was behind him had to give up immediately.


    After all, a hospital is not just what someone says.


    If the authority of the dean loses the support of ordinary hospital staff, it is a joke. How can a bare-handed commander play?


    Director Xueyan looked at Zhou Can and nodded slightly.


    The eyes are full of encouragement.


    Zhou Can showed a wry smile, Sister Yan could have stayed out of this muddy water, but she came anyway. ... Even Deputy Director He, who has always been selfish, came along with him.


    This chapter is not finished, click [next page] to continue reading -->>


    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    What the **** is going on in this world?


    Subverted?


    At this moment, Zhou Can faintly realized something called truth, justice, and conscience.


    Maybe he bravely took the lead to stand up and speak out for the majority of clinical doctors and nurses, just out of sympathy for He Juan, Ye Tingting and others, and felt sad, sad and angry about what happened to them. I want to seek justice for them, and I don''t want other medical staff to be the next victims.


    Unexpectedly, one stone stirred up a thousand waves and awakened many people.


    "I heard that the doctors and nurses in the emergency department became the vanguard, protesting that the safety of clinical medical care is not guaranteed. This matter is public or private, emotional and reasonable. I have no reason not to support it. Let me, the chief of internal medicine Follow the youth once again, I wish the dean, all the leaders of the courtyard, I am sorry."


    Director Tan has always kept a low profile.


    At this moment, it is so domineering that it cannot be described in words.


    Behind him are a large number of medical staff from various departments of internal medicine. Among them, there are no pan-famous doctors, experts, and chief nurses.


    These people take out one casually, and it has a very heavy weight.


    It''s hard to imagine so many people fighting together.


    Completion of the leaders of the academy is crushing.


    Who said that an ant is too small to be humble? When there are enough ants and they are united enough, what is the authority of the hospital leaders? Neither fart.


    Dean Zhu saw that the situation was completely out of control, and he even wanted to die.


    "You, are you all against each other?"


    At this time, Pang Yuanzhu was not angry, but full of fear. qQX¦Ä§«¦Å¦Ø


    "shut up!"


    Dean Zhu put on a tiger''s face and reprimanded Yuanzhu Pang viciously in public. That really didn''t save any face.


    Usually, I believe he must be very polite to Pang Yuanzhu. .


    Jiangbian Yuweng reminds you: After finishing the coma, Shi Yu suddenly got up from the bed. If you want to read the latest chapters, please download the Star Reading app, and read the latest chapters for free without ads. The website has not updated the latest chapter content, and the Star Reading Novel APP has updated the latest chapter content.


    He took a big gulp of fresh air, his chest trembling.


    Confused, puzzled, all kinds of emotions came to my mind.


    Where is this?


    Afterwards, Shi Yu subconsciously observed his surroundings, and then became even more at a loss.


    A single dormitory?


    Even if he was successfully rescued, he should be in the ward now.


    And my own body...how could there be no injuries at all.


    With doubts, Shi Yu quickly swept his gaze across the room, and finally settled on a mirror by the bedside.


    The mirror reflects his current appearance, about seventeen or eighteen years old looks very handsome.


    But the problem is, it''s not him! Download the Star Reading app and read the latest chapter content without ads for free


    My previous self was a handsome young man in his twenties who had been working for a while.


    But now, no matter how you look at it, this appearance is only the age of a high school student...


    This change left Shi Yu in a daze for a long time.


    Don''t tell him that the operation was a success...


    The body and appearance have changed. This is not a question of whether to have surgery or not, but a fairy art.


    He turned into a completely different person!


    This chapter is not finished, click [next page] to continue reading -->>


    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Could it be... that he crossed over by himself?


    In addition to the mirror on the bedside which was obviously placed in a bad feng shui position, Shi Yu also found three books beside it.


    Shi Yu picked it up and took a look, the title instantly silenced him.


    "Necessary Beast Breeding Handbook for Novice Breeders"


    "Postpartum Care of Pet Animals"


    "Guidelines for Evaluation of Alien Beast Ear Girls"


    Shi Yu:? ? ?


    The titles of the first two books are quite normal, what''s the matter with you in the last one?


    "cough."


    Shi Yu''s eyes were serious, and he stretched out his hand, but soon his arm stiffened.


    Just when he was about to open the third book to see what it was, his brain suddenly felt a sharp pain, and a large amount of memories flooded in like a flood.


    Icefield City.


    Pet breeding base.


    Trainee pet keeper. The website will be closed soon, download the Star Reading app to provide you with the experience value of my medical skills of Yuweng by the great **** Jiangbian

 Chapter 457： The wall is down and everyone is pushing, the new look of the hospital

The content of this chapter is being updated...

 Chapter 458： Emergency routine, this is the experience and level

    I believe that the clinical doctors and nurses will be as happy as Zhou Can after feeling these real changes.


    He changed into a white coat and went straight to the inpatient ward for rounds.


    When he found the temporary hospital bed plus bed No. 23 in the corridor, he smiled and said hello, "Sister Tingting, are you feeling better today?"


    Ye Tingting stayed in the intensive care unit for three days after the rescue operation. After her injury stabilized, she was transferred back to the general ward for further treatment. because she was young,


    The content of this chapter is being updated...

 Chapter 459： Level 6 hemostasis, here comes the poacher?

    He has a very good relationship with Director Zhang Bihua of the Department of Obstetrics and Gynecology. If there is any problem during the operation, he can ask for help in time.


    And he does have some selfishness.


    Challenge this kind of surgery that you have never done before, and you will earn surgical experience points faster.


    As his suturing skills were promoted to the level of chief physician, he tasted the sweetness and yearned for the sixth level of medical skills even more. It''s not enough to just upgrade to the sixth level of suture, and other medical skills have to follow


    The content of this chapter is being updated...

 Chapter 460： The key to hospital income generation, girls should learn to protect themselves

    If you don''t want to have a private chat with Dean Zhang in a quiet place, you already have the intention of refusing.


    If this Dean Zhang is sensible, he will leave wisely.


    "May I ask, Dr. Zhou earns more than 30,000 yuan a month after working so hard in Tuya?"


    Zhang Mingxing is no different from other headhunters, and he plans to use money to impress Zhou Can first.


    "Sorry, this matter involves the secrets of the hospital, so I can''t disclose it."


    Zhou Canyi


    The content of this chapter is being updated...

 Chapter 461： Looking forward to a good result, level 6 debridement

    After the ward round, he looked up and saw two women sitting in the rest area of ??the emergency room.


    Su Qianqian was wearing sunglasses and a large coat, and sat there quietly waiting for him.


    "Qianqian, Wei Fang!"


    Zhou Can walked over quickly. Wei Fang stood up and walked to the distance, leaving space for Zhou Can and Su Qianqian.


    "Knowing that you have to work overtime tonight, I specially made a meal and sent it over. Three dishes and one soup, try it!"


    now he


    The content of this chapter is being updated...

 Chapter 462： Accumulating over time, Xueyan wants to feel proud

    After Zhou Can cut the wall of the abscess cavity, he first used a curette to carefully scrape off the rotten tissue on the wall of the abscess cavity until fresh tissue was exposed. Earned another 11 debridement experience points.


    For this kind of chest wall tuberculosis lesion resection, the most earned is probably the experience value of debridement.


    After scraping the abscess cavity clean, he changed to a scalpel to remove the abscess cavity wall and necrotic muscle tissue bit by bit.


    This process seems easy, but it is actually very challenging


    The content of this chapter is being updated...

 Chapter 463： Killing and killing people, this is really shot while lying down

    There is an unwritten rule among doctors not to criticize the diagnosis and treatment process of other doctors behind their backs. Especially in front of family members and patients, never stir up trouble.


    Because this kind of behavior at most is to let you pretend to be B in front of your family members and patients at the time, and you will be in trouble afterwards.


    If the doctor you criticize is a colleague of this hospital, at least you will have an enemy with that colleague.


    Some department directors who protect their shortcomings will directly contact your department director or


    The content of this chapter is being updated...

 Chapter 465： The surgery is bad, the difference between people is too big

    "It''s really nothing to say. I just saw the patient''s preoperative pictures and barium contrast. I guess you performed a total gastrectomy on her."


    Zhou Can explained with a smile.


    Barium angiography is used to check the condition of the cardia and digestive tract, and the patient is usually given a barium dose directly, which is referred to as a barium meal in medicine.


    Some patients will have great concerns when taking it. This can be assured, and there is basically no harm.


    barium meal for gastrointestinal examination is medicine


    The content of this chapter is being updated...

 Chapter 466： The treatment of the rich and powerful is the same, some diseases may be wealthy...

    "Since Director Tang has said so, then I have nothing to worry about."


    Zhou Can sat down with peace of mind.


    In order to exchange work, male and female colleagues get along alone. This kind of thing is almost common in large industrial companies. For example, subordinates report to their superiors, or like Zhou Can come here for consultation at this moment.


    "Hehe, let''s not be afraid of the slanting shadow! Let''s get down to business. This is the patient''s medical record. We have basically checked all the checks that should be done. He was treated in another hospital.


    The content of this chapter is being updated...

 Chapter 467： Clear the fog to see the essence, check 3 kinds of antibodies

    After finding this step, it can be considered that there has been a relatively large progress, but the cause of the disease has still not been diagnosed.


    Celiac disease is also only suspected.


    In addition, the disease is closely related to heredity and immunodeficiency.


    According to research, gluten enteropathy is closely related to eating wheat flour, and gluten may be the pathogenic factor of this disease. The cause of the disease is the result of the interaction of genetics, immunity and gluten diet.


    The diet of rich and noble families is very particular, and sometimes they think that


    The content of this chapter is being updated...

 Chapter 468： Bad luck, the most dangerous male doctor

    "Basically everything that should be done in the imaging examination has been done, what are you going to do additionally?"


    Director Tang Fei was obviously moved by what he said, and was ready to accept Zhou Can''s diagnosis suggestion and conduct further examination on the child.


    But before that, it is definitely necessary to fully communicate with the family.


    "Capsule endoscopy to check the small intestine, mainly the small intestines in groups 2 to 6. First of all, I would like to add that this may not be the ultimate examination. If the examination results exceed the


    The content of this chapter is being updated...

 Chapter 469： Airway obstruction, all diagnosed correctly

    After the house inspection, he was somewhat worried about Director Tang Fei''s current situation.


    After getting into trouble, you should check on the other party''s situation no matter what.


    The relationship with Director Tang Fei is basically a superior-subordinate relationship, which can be regarded as a certain friendship, but the sister-sibling relationship with Director Xueyan is far from it.


    Just in time for a good excuse to call.


    He''s about to head into the emergency operating room and start his day. May I ask how is the patient who was diagnosed yesterday?


    The content of this chapter is being updated...

 Chapter 470： Kind director Tang, the natural expansion of contacts

    It is estimated that if Zhou Can didn''t say anything, Director Le should also know that he made a mistake in choosing the surgical plan.


    It''s just that surgery is what it is, and there''s very little going back. Not to mention that the patient''s life is safe now, even if the patient does die after surgery, the doctor will not be responsible either.


    There is no way to be responsible for this.


    Before the operation, there will be a preoperative talk with the family members and patients, and then the family members will sign for confirmation.


    The operation informed letter is not signed in vain.


    The content of this chapter is being updated...

 Chapter 471： Surgical know-how must be used flexibly, women are afraid of marrying the wrong man

    Most expressways in China belong to state-owned enterprises, and less than 30% belong to private enterprises.


    Those who can get this kind of project must have strong financial strength and strong personal connections. Strong qualifications are also required.


    This woman named Hu Chunying is not simple.


    As for her husband, he must be of a high rank.


    To be able to establish a certain friendship with such a big man is naturally what Zhou Can wishes for. But he''s not interested in this kind of connection


    The content of this chapter is being updated...

 Chapter 472： The ruthless move of the 3rd Hospital, meeting room zero

    If other doctors and nurses in the department were eavesdropping on her private affairs outside the door, she would definitely scold that person into doubting his life.


    Director Le is a chief physician anyway, and his status in the department is not low, so he cannot be scolded.


    What''s more, Zhou Can is the eternal junior in her heart. Since the two met, she has never scolded Zhou Can.


    "That... I have to go home for dinner, so let''s go first! Goodbye Sister Yan, goodbye Director Le!"


    Zhou Can hurried away.


    The content of this chapter is being updated...

 Chapter 473： Life and death, listen to new comrades

    Zhou Can was full of doubts, it was the first time he participated in this kind of meeting.


    At first it just felt a little mysterious.


    After registering at this moment, I saw that Director Lou stored all his personal items such as mobile phones and watches in one of the unused storage drawers.


    "Hurry up and save your personal belongings! As long as the key is inserted in the drawer, no one will use it."


    Director Lou took out the key and put it in his pocket after saving it.


    The security guard is holding a


    The content of this chapter is being updated...

 Chapter 474： The more proud you are, the more dangerous you are, improve your education

    "Dr. Zhou''s strategy is brilliant! Hit the snake and hit seven inches. General surgery and internal medicine are the core businesses of the Third Hospital. Now that it has problems with its cardiothoracic surgery, it is at a time when it is in a hurry. If the other two core businesses It is also hit, it should probably panic!"


    Xin Wanshan from the medical department consciously acted as Zhou Can''s ally on many occasions.


    When Zhou Can made meritorious deeds, he helped wave the flag to cheer, and when Zhou Can got into trouble, he helped to excuse him.


    this kindness


    The content of this chapter is being updated...

 Chapter 475： 1 sentence to untie the patients heart knot, and treat the patient badly

    It happens that I have to go to the cardiothoracic surgery department every day to help, and I will see Director Xueyan later, and I can ask her about the postgraduate entrance examination.


    After the rounds in the emergency department, Zhou Can hurried to the cardiothoracic surgery department after eating in the hospital cafeteria.


    Recently, he has always felt that someone seems to be following him secretly. For Su Qianqian''s safety, Zhou Can told her not to come to the hospital to deliver meals. If time permits, he will go home and have dinner with her.


    When I came to the cardiothoracic surgery room, there was a busy scene here.


    The content of this chapter is being updated...

 Chapter 476： Snobs, infections from artificial materials

    It''s just that the Third Hospital was the first to hit Tuya Hospital with its idea. It''s a bit like a silly rabbit picking grass on the edge of the nest.


    Zhou Can began to study this rotten patient carefully.


    The patient was diagnosed with a sternal tumor and underwent extensive sternotomy and chest wall reconstruction.


    At present, the patient has postoperative incision infection and sternal osteomyelitis, resulting in long-term non-healing of the wound.


    The Third Hospital has thought of many ways to treat the patients, but unfortunately it still doesn¡¯t work


    The content of this chapter is being updated...

 Chapter 477： Medical ethics, it really is pneumothorax

    "You mean a larger surgery, how big is it?"


    Director Xueyan relies heavily on Zhou Can''s opinion.


    In terms of surgical thinking, Zhou Can''s ability in this area seems to be more monstrous than pathological diagnosis. Especially after his surgical experience became more and more abundant, because of his extensive experience and the collection of the essence of many chief physicians of internal medicine and surgery, even Dr. Xu praised him many times when he formulated the surgical plan.


    most days in the world


    The content of this chapter is being updated...

 Chapter 478： Chest closed drainage, good teacher

    Pneumothorax can be divided into two categories: primary and secondary from the etiology.


    This patient had a pneumothorax for the first time after roaring, which belongs to primary pneumothorax. The disease is more likely to occur in men than women, about 6 to 1.


    The main cause of pneumothorax in men is the rupture of subpleural bullae.


    Especially some thin and tall people are more prone to spontaneous pneumothorax.


    Through the diagnosis, Zhou Can has determined that this patient belongs to the left spontaneous


    The content of this chapter is being updated...

 Chapter 479： Strange pregnant woman with fetal heart rate but no image

    "Doctor Zhou, does my brother need a thoracotomy?"


    The patient''s younger sister could only half-understand it, and she was full of worries about her brother''s treatment.


    The family background is not good, she has just graduated and is an intern in a company.


    The probationary period has not even passed, and the salary received in one month is pitifully low. Most of the bosses who are a little bit unscrupulous now set up an internship period of more than three months. The longest can even reach more than one year.


    intern no award


    The content of this chapter is being updated...

 Chapter 480： False pregnancy, the main surgeon is a bad patient

    "It''s so rare that the fetal heart rate matches the maternal heart rate!"


    Although we are not obstetric professionals, we usually work in the emergency department and often have the opportunity to see various pregnant women. Normally, a pregnant woman''s heart rate is much lower than the fetal heart rate.


    "Doctor Zhou suspects that the fetal heart rate is actually the mother''s heart rate?"


    Yang Chan asked as if she had realized something.


    "It should be! I have encountered a case of this kind of situation, which belongs to pseudopregnancy. You just tested


    The content of this chapter is being updated...

 Chapter 481： Earn 1 wave of extraskeletal experience points, level 6 incision

    Chapter 481 Earning a Wave of Extraskeletal Experience Points, Level 6 Incision


    After the chest wound was opened, the remaining sternum was clearly infected and discolored.


    As osteomyelitis progresses, eventually bone necrosis occurs.


    The incidence of this disease is extremely low.


    In particular, hematogenous osteomyelitis is very rare and belongs to a very difficult disease in the field of orthopedics.


    Infection after sternal surgery is a common cause of this disease.


    Zhou Can removed all the sternum, completed debridement, and then took a rib from the left and right sides to reconstruct the chest wall.


    It is two ribs placed across the ribcage.


    ¡¾Experience value of osteosynthesis +1, bonus experience value of osteosynthesis +100. ¡¿


    One hundred experience points is not much reward for such a difficult bone joint.


    However, compared to only earning 1 point of bone fracture joint experience at a time, this is already a rocket-like improvement speed.


    At present, his osteosynthesis is still at the fourth level, which is the attending level.


    If you want to be promoted to deputy director, you have to work harder.


    Mainly for surgery, there are very few orthopedic patients. He can''t handle the difficult ones, and can''t earn much experience points if it''s easy.


    There is no way to do this, we can only accumulate bit by bit, accumulating steadily.


    For almost all surgical techniques, level 4 and level 5 are an important watershed. Before the fifth level, it can only be slowly boiled.


    Basically all surgeons have survived a little bit like this.


    Promoted to the fifth level, that is, the level of the deputy chief physician is considered to be over the top. At this time, I can already participate in various major operations, and I have the ability to try to complete some difficult orthopedic operations.


    Although orthopedic surgery only treats a few bones, orthopedic surgery is known as the most profitable department in surgery, and its weight can be imagined.


    Even if you just master surgery, you can do well.


    In fact, hand surgery, foot surgery, joint surgery, lumbar spine surgery, orthopedic trauma surgery... if you master any one of orthopedic surgery, you can become an orthopedic surgery expert that major hospitals are rushing to hire.


    Income and status will be very good.


    Because Huaxia has a long history of Chinese medicine, the ancient medical skills and martial arts are actually not very separated. Especially bruises, internal injuries, and external injuries are closely related to those who practice martial arts.


    Ordinary people are generally sick, only those who practice martial arts like to fight and kill, and getting injured is almost a common occurrence.


    Broken hands and feet, or broken ribs, all of these need to be treated by Chinese medicine.


    Therefore, traditional Chinese medicine treats orthopedic injuries. Even today, when modern western medicine is in full swing, traditional Chinese medicine orthopedics is still unique and stands out from the crowd.


    Which one is better in bone setting reduction?


    It must be Chinese medicine!


    For sprains and fractures, you have to be a doctor of traditional Chinese medicine.


    The most common method of Western medicine to treat fractures is to drill steel nails. A splint is placed, and a dozen or twenty steel nails can be attached. Not to mention the terrible cost, the patient''s bones will also be drilled and riddled with holes.


    Of course, regardless of Chinese medicine or Western medicine these days, a good doctor is one who can restore patients to health.


    Western medicine is not useless in the field of orthopedic surgery.


    For the correction of deformed bones, the traction of traditional Chinese medicine can be useful, but the effect is far worse than that of western medicine.


    For example, for severe scoliosis, there is almost nothing Chinese medicine can do. Western medicine can directly perform surgery, cut off one or two vertebrae, and then supplement with necessary exercises, so that the patient can finally become a normal person who can straighten his waist.


    In addition, the treatment of bone cancer is also dominated by Western medicine.


    After Zhou Can reconstructed the sternum for this patient, he quickly freed the bilateral pectoralis major muscle flaps.


    What are you doing?


    These muscle **** were filled to the sternum defect, and then the pectoralis major muscles on both sides were sutured together to achieve the purpose of reconstructing soft tissue.


    After all this was done, a drainage tube was placed in the chest wall incision, the closed cavity was sutured, and the operation was finally complete.


    Zhou Can let out a long breath of foul air.


    Doing this operation brought him a wealth of medical experience. In addition to the experience value of osteosynthesis, there are also experience points of medical techniques such as incision, suture, hemostasis, and anastomosis.


    Whether it is resection of the sternum, or free pectoralis major muscle flap to fill the lack of pectoralis, this is an absolute technical work.


    It is of great benefit to his own surgical growth.


    "Okay, as long as the patient is treated with antibiotics after the operation, he should be able to recover quickly. If there is another infection this time, it will be troublesome, and there is basically no solution."


    Zhou Can added a sentence later, which is to remind Director Xueyan to strengthen the postoperative care of patients.


    For a bad patient who enters the palace for the second time, the opportunity for surgery is one less.


    Thoracotomy is extremely harmful to the patient.


    Now the sternum is completely removed, and two ribs are taken to rebuild the chest wall, which has basically consumed the last bit of the patient''s "property". If there is another infection, it will really be the end of the mountain, and there is a high probability of death.


    If this patient is cured, it will be of great publicity significance.


    I believe Director Xueyan must be able to distinguish the seriousness from the seriousness.


    The second operation was a lung cancer surgery patient.


    This person had a lobectomy three months ago at Fangxin Cancer Hospital.


    This time it was a postoperative recurrence, accompanied by distant hematogenous metastasis.


    The metastatic locations that have been identified so far include hilar and mediastinal lymph nodes.


    Such extensive metastases have actually been difficult to resolve through surgery. To put it bluntly, there is little point in doing surgery again.


    It''s just that the patient is in his prime, and his wife, children, and parents all have a strong willingness to treat. Even if it means going bankrupt, he is willing to give it a go.


    Facing the strong willingness of the family members for treatment, Deputy Director He was deeply moved and finally decided to accept the operation.


    Deputy Director He knew that his surgical skills were limited, and he had to rely on Zhou Can to have a chance to crack such a hard bone. So after discussing with directors Zhou Can and Xueyan, the surgery date was set tonight.


    One thing is particularly interesting. The Third Hospital poached so many key doctors and nurses from Tuya''s cardiothoracic surgery last time, but Deputy Director He was not poached.


    This surprised both Zhou Can and Director Xueyan.


    You know, Deputy Director He has always been a thorough egoist. Even if he bowed his head to Director Xueyan and no longer competed for the position of department director, he still behaved quite selfishly at work.


    According to common sense, such a person can basically be found at a glance.


    However, the Third Hospital failed to poach him.


    Afterwards, Zhou Can heard that many doctors in the Department of Cardiothoracic Surgery resigned one after another. On the second day, Deputy Director He became very irritable and irritable, and broke several cups in the office.


    No one knew exactly why he was angry.


    It may be that many extrathoracic doctors were poached away, which greatly increased his work pressure. It may also be because a large number of backbones resigned collectively, including some backbone doctors he personally trained, which made him feel angry.


    But there is another version.


    According to rumors, the Third Hospital poached a deputy chief physician under him and offered him an annual salary of 700,000 yuan, after tax. In addition, Vice President Zhang of the Third Hospital personally came forward to dig people out.


    The price offered by the Third Hospital to Deputy Director He was only 600,000 yuan, and it didn''t say whether it was after tax or before tax. Moreover, it was only a department-level cadre from the Third Hospital who came forward to dig him out.


    The salary is obviously lower than that of the deputy chief physician.


    Isn''t this slapping Deputy Director He in the face?


    It is estimated that the truth of the latter rumor is quite high. Otherwise, with Deputy Director He''s personality, the possibility of job hopping is extremely high.


    Of course, this kind of thing is not confirmed by myself, and no one knows whether it is true or not.


    For Tuya Hospital, whether it is true or not, it is an indisputable fact that Deputy Director He has worked harder since a large number of key doctors and nurses in the department were poached. Hospitals and cardiothoracic surgery departments have benefited accordingly.


    "Doctor Zhou, this patient''s mediastinal lymph nodes have been dissected and the right lung lobe has been resected. I''m afraid I have to ask you to perform the surgery."


    After the second patient was sent to the operating room, Deputy Director He arrived soon.


    Director Xueyan led the team to perform another cardiac surgery. Her current surgical ability is already very strong, and it is enough for Zhou Can to support her in the same operating room.


    For her, Zhou Can''s role in the operation is more often to wipe her buttocks.


    When an emergency happened, Zhou Can quickly rescued him.


    To put it more clearly, Zhou Can is equivalent to playing the role of Director Hu before.


    "No problem, as long as you guide me in the operation. We young people should work harder."


    Even now, Zhou Can has a good relationship with Deputy Director He.


    But a villain will always be a villain.


    He never changed his view of Deputy Director He because of his friendly attitude, or even trying to curry favor with him. When getting along, he has always been extremely humble and careful in front of Deputy Director He.


    Speak as little as possible and do as much as possible, so as not to arouse Deputy Director He''s resentment.


    People eat whole grains, and one kind of rice feeds all kinds of people.


    A department can have as few as dozens of people, as many as one or two hundred people, or even more.


    It is impossible to ask everyone to be a gentleman, and everyone to be a friendly and kind person.


    Everyone has it.


    Learn to unite these people, and then gather everyone''s strength together to do a good job in the department''s diagnosis and treatment business. This is the mind, tolerance, and management ability that a manager should have.


    In the past year or so, Zhou Can''s ability in management has improved significantly.


    This also laid a certain foundation for him to lead a larger surgical team in the future, to be promoted to the director of the department, and even the vice president and dean.


    Surgery will begin soon.


    After opening the patient''s chest, he found that the actual situation was more serious than the pictures taken.


    Some tumors that are too small in diameter cannot be scanned even with sophisticated instruments. It can only be seen with the naked eye if the chest or abdominal cavity is opened.


    "His cancer cells have metastasized and spread, it''s far worse than imagined!"


    Zhou Can looked at the patient''s right lung, surrounding tissues, and mediastinal lymph. Based on experience, this was the result of severe infiltration of cancer cells.


    Surgeons who have done anatomy know very well that malignant tumors are often oddly shaped and poorly colored. Benign tumors are well-defined and well-defined in shape.


    Just like poisonous mushrooms are often colorful and can be seen at a glance.


    Of course, some poisonous mushrooms look simple and clean, but they are still poisonous.


    Some malignant tumors may also resemble benign tumors in appearance, which is difficult to judge with the naked eye.


    This is why doctors never judge whether a tumor is good or bad after cutting it out, but send it directly for pathological examination.


    In many cases, it is still an intraoperative examination.


    This generally requires contact with the pathology department before the operation, and then when the operation is performed, the excised tissue should be sent for examination urgently to get the results quickly. It is benign and can be removed normally.


    If it is malignant, extended resection must be done, and even further lymph nodes need to be searched and dissected.


    "I''m afraid I''ll have to wear magnifying glasses."


    When the itinerant nurse heard this, she quickly took a pair of magnifying glasses and put them on for him.


    "How are you wearing it?"


    The traveling nurse was quite gentle with him.


    "Teacher Chang''s glasses are first-rate, just right. It''s just that I''m not used to wearing them. Everything looks big, like I''ve entered a kingdom of giants."


    Zhou Can''s words made everyone laugh.


    He wanted to liven up the atmosphere in the operating room.


    There is a tough battle to be fought next, and if the operation can be completed before twelve o''clock, it will be regarded as a high incense.


    Fortunately, he is young, and his physical strength and energy are at their peak, otherwise it would be too much for him.


    No wonder many people say that the peak age of a surgeon is before the age of thirty-five. After the age of thirty-five, basically you can only slowly retreat to the second line and start to lead apprentices.


    The general operation part is completed by the apprentice, and the key part is performed by himself.


    "Scissors!"


    Zhou Can took the scissors from the equipment nurse and cut the mediastinal pleura under the azygos arch. At this time, the diaphragmatic nerve could already be seen.


    Cut along the back of the septal nerve to the front of the hilum.


    Then the phrenic nerve cuff was carefully retracted, and then the fatty tissue and lymph nodes were cleaned from the pericardium to the lung...


    It is easy to say, but every step of the operation needs to be careful.


    Even though he knew Zhou Can''s surgical skills were extraordinary, Deputy Director He still watched nervously. At the same time, he helped Zhou Can do some assistance.


    Whenever some key parts, important organs, nerves, and blood vessels are involved, Deputy Director He can''t help shouting, be careful, be careful.


    There are too many metastatic cancer cells.


    Through magnifying glasses, he can clearly see some pimple-like particles.


    Those are not ordinary particles, but cancerous tissues that each have the potential to rapidly grow into huge malignant tumors.


    Zhou Can carefully cleaned the cancerous tissues and lymph nodes one by one.


    His incision and separation experience points have been continuously increasing.


    Because the operation was performed on an important location such as the pericardium, UU Reading experience rewards also made him soft.


    [Incision experience value +1, complete difficult resection, reward incision experience value +100. ¡¿


    [Incision experience value +1, complete difficult resection, reward incision experience value +100. ¡¿


    ¡­


    [Congratulations on your incision technique being promoted to level six. ¡¿


    This time I helped Deputy Director He perform this ultra-difficult cancerous tissue removal operation, and I really made a lot of money.


    Especially his incision and separation techniques made a lot of money.


    You know, it takes a full hundred thousand experience points to advance from level five to level six. Although Zhou Can frantically performs surgeries in the emergency department every day, he still has not been able to upgrade.


    This time he accidentally earned a large amount of incision experience rewards, and was finally able to successfully advance to the sixth level, reaching the level of a director.


    Incision in surgery is actually equivalent to basic anatomy.


    Separation is an advanced medical technique in anatomy.


    In ancient times, Paoding Jieniu practiced the basic anatomy to the extreme. It can easily complete the dissection and deboning of a cow.


    Zhou Can''s incision technique has been promoted to the director level, which means that his ability to dissect the human body has reached an extremely high level. He can easily dissect any part of the human body like a paoding dissolving an ox.


    In addition, when he cuts any tissue part of the body, the feedback is also clearer.


    It seems that there are countless probes on the palm, which can highly identify the feedback signals of scalpels and various instruments. Sensitivity is not the same as before.


    Now, let him cut a stack of thick A4 paper, he is already sure to cut as many layers as he wants. Previous Chapter Contents Bookmarks Next Chapte

 Chapter 482： The linkage of director-level medical skills, Dr. Pus request

    Chapter 482 The linkage of director-level medical skills, Dr. Pu''s request


    Surgery is mainly divided into three parts, anatomy, repair, and transplantation.


    Anatomy is easy to understand, including dissecting the cortex, muscle layer and even organs, and then removing or cleaning up the lesion. The most important part of anatomy is incision.


    The second is separation and debridement derived from incision.


    Anatomy is pure destruction of the intact human body. To heal the patient, the damaged tissues and organs must be repaired.


    For example, if a blood vessel is cut, the bleeding must be stopped!


    Nerves, blood vessels, and tendons are broken, and they must be anastomosed!


    Therefore, the two main categories of surgery are anatomy and repair.


    As for transplantation, it depends on actual needs.


    Take a piece of skin from the thigh and transplant it to the face and neck, which is also called transplantation. Cutting off the head and transplanting it to a complete body is also called transplantation. The difficulty level of the two is very different.


    To practice any kind of medical technique, you must first learn and practice from the basics and simple ones.


    Zhou Can''s incision technique has successfully reached the sixth level, which can be regarded as a major breakthrough in the field of surgery.


    It means that he already has the foundation of the third and fourth level of difficult surgery.


    In the past, the anatomical part of some three- and four-level highly difficult operations required the use of quick and steady knife techniques to barely complete. Nowadays, various dissections and resections are performed, and the surgical ability in this area has been improved to a higher level, and can be done better.


    The most important thing about major surgery is safety.


    The incision has reached the primary level of the director, which is equivalent to improving the safety of surgery by at least one step.


    He tried to remove a lymph node cancer lesion, and the feeling was completely different from the five-level incision. What tissue is cut, the depth, and whether the edge of the lymph node has been cut can be clearly sensed.


    Even some tiny tubules, nerve endings, can have a more subtle sensation when cut.


    If you want to achieve the level of clear perception when even small blood vessels and nerve endings are removed, you may need to upgrade the incision to the intermediate level of the chief physician, or even the advanced level.


    Rice must be eaten bite by bite.


    Zhou Can is very satisfied to be able to reach the current level of surgery.


    To be more arrogant, in the entire Tuya Hospital, there may not be more than forty surgeons who can perform incisions at the junior level of chief physicians.


    The level of a certain surgical skill has nothing to do with the professional title level.


    For example, Director Liu of the General Surgery Department.


    Because of his poor academic level, he is still stuck with the title of deputy chief physician at the age of nearly 60. However, his actual surgical ability may not be worse than that of the chief physician, and may even be better than many chief physicians.


    Of course, he has now successfully rated Zhenggao, which can be regarded as fulfilling his wish.


    Zhou Can is now a junior resident doctor, but his incision skills have reached the junior level of chief physician.


    There are still, and possibly many, examples of unequal professional titles and medical skills.


    It is not uncommon for some academic and scientific chief physicians to have less surgical ability than an ordinary surgical resident physician.


    "The six-level incision technique is really cool!"


    After Zhou Can experienced the director-level dissection ability, he accelerated the progress of the operation.


    At this moment, his incision and separation experience points are still increasing rapidly.


    Work harder and strive to raise the separation technique to level six as soon as possible.


    There are many application scenarios of dissection in difficult operations. It is also an advanced medical technique that all surgeons have a headache.


    Some medical skills are easy to learn but difficult to master.


    Such as suture, ligation, debridement.


    Separation is difficult to learn and even more difficult to master.


    Even if it is as powerful as Director Hu Kan, accidents occurred because of the separation of the adhesion between key diseased tissues and large blood vessels. Since then, my body has not been as good as before.


    It can be seen that if you want to become a real top surgical master, you must upgrade the separation technique.


    Otherwise, there will be a major shortcoming, and it will stumble at a critical moment.


    Others find it difficult, but Zhou Can is not afraid.


    Anyway, as long as he keeps earning experience points for the separation technique, he can forcefully push this medical skill to level six.


    ¡­


    After nearly three and a half hours, the operation was finally over.


    In this operation, Zhou Can gained a lot.


    In addition to the promotion of incision to level six, the separation technique is also very close to level six. There is still more than 1,700 experience points short. If he is lucky, maybe two or three major surgeries can help him get promoted successfully.


    Anyway, these days, I have to go to the cardiothoracic surgery department almost every day to help with major operations.


    Unlike before standing by the side for Director Xueyan and Director Le, his current operation mode basically requires him to be the chief surgeon, with Director Xueyan or Director Le as his assistant.


    It is equivalent to standing by and ''guiding'' him to perform the operation.


    Risks at the level of laws and regulations must be avoided.


    Those who don''t need him to be the chief surgeon, but who need him to sweep the formation and cover the bottom line, he only needs to stay in the same operating room.


    The largest operating room in cardiothoracic surgery, there are three operating rooms, which can perform three operations at the same time.


    Taking advantage of this convenience, it is often like just now, Director Xueyan leads people to perform surgery in the nearby operating room. Zhou Can and Deputy Director He were performing surgery in the nearby operating room.


    In case Director Xueyan needs support, Zhou Can can rush over to help immediately.


    The benefits of doing so are very great, and it can greatly improve the digestibility of difficult operations.


    In the past, a large number of people worked overtime overnight, and maybe only two major surgeries could be completed. Now it can be doubled.


    This is extremely beneficial for the expansion of cardiothoracic surgery.


    Zhou Can''s harvest tonight is also very big. After his incision was upgraded to level six, when removing tumors or other tissues that may have cancerous changes, he found that there seemed to be a slight linkage between debridement and incision.


    This linkage is amazing.


    When resecting the lesion, he could use the debridement technique to faintly sense whether there is any residual diseased tissue around the resected tissue.


    For example, when he removed a lymph node, he sensed a lesion in a larger blood vessel next to it.


    Since it was the first time he had this wonderful feeling, he was a little puzzled at the time.


    With the attitude of being responsible for the patient, he carefully observed the blood vessel with the help of the magnifying glass on his eyes. Then a small, inconspicuous spot was discovered. Later, after repeated identification, and based on surgical experience, it was compared with previously cut cancerous blood vessels.


    In the end, it was determined that this section of the blood vessel was likely to have undergone early canceration.


    After cutting it off, immediately contact the pathology department for testing.


    It didn''t take long for news to come back that the blood vessel was really cancerous.


    At that time, Zhou Can was very excited.


    Because if his incision hadn''t been promoted to level six, it happened to be linked with the debridement, and he sensed that there was a problem with that blood vessel. Even with the most advanced inspection equipment in the world, it is difficult to find this early cancerous blood vessel.


    Don''t underestimate such a cancerous blood vessel, as long as the operation does not remove it, the patient will relapse again in a short time.


    You know, cancer is like bad weeds.


    Even if there is only a piece of rhizome or even a leaf, it can germinate again, and then a large piece will grow quickly.


    Therefore, the ability that Zhou Can possesses now is of great significance.


    It can ensure that the cancerous tissue of the lesion is removed to the greatest extent during cancer surgery.


    Why do many malignant tumor patients go to the hospital for examination and find that the cancer cells have metastasized in the middle and late stages. The doctor will tell the patient that the opportunity for surgery has been lost.


    It is because according to the doctor''s surgical experience, it is meaningless to perform surgery after metastasis.


    Cut off the big tumors, and the small ones will grow back soon.


    In addition to making the patient suffer more and draining the money of the patient''s family, it does not prolong the life of the patient.


    Instead of knowing that the cure is not good, and the patient''s family will be out of money, it is better to let the patient go home to eat and drink, and spend the last time of life with the company of his family.


    This is actually a kindness of the doctor.


    It¡¯s just that the family members and patients sometimes couldn¡¯t understand, so they scolded the doctor severely, and before leaving, they even scolded fiercely, ¡°You quack doctor, you can¡¯t even perform such an operation. Let¡¯s find a smart doctor who can do it.¡±


    When encountering this kind of situation, doctors often suffer silently.


    It was already eleven forty-two when I came out of the operating room. The operation time was much earlier than expected.


    This is because Zhou Can''s incision has been upgraded, and the operation speed has been accelerated a lot.


    "I hope the cancerous tissue in this patient''s body has been removed." Zhou Can could only pray silently.


    Such patients must undergo radiotherapy after surgery to consolidate the surgical results.


    Radiotherapy and chemotherapy are still the two conventional means of treating cancer.


    Chemotherapy, in particular, is basically demonized.


    Many people think that chemotherapy is fatal, that chemotherapy is useless, and that it will ruin the body. This argument is now deeply ingrained in the hearts of many ordinary people. As soon as you hear the doctor say you need chemotherapy, you immediately shake your head like a rattle.


    It can only be said that everything has two sides.


    There are pros and cons.


    Chemotherapy, of course, is the use of chemical agents to kill cancer cells and prevent recurrence.


    It is a double-edged sword. While killing cancer cells, all chemotherapy drugs are cytotoxic, directly destroying cell structure, causing the most damage to proliferating cells, and damaging important organs of the body such as liver, kidney, heart, and lung. All have certain toxicity. If the function of these organs is damaged too much, the patient will suffer from organ failure and even die.


    In addition, chemotherapy can suppress the immune system, which is also a terrible side effect.


    Patients who have just completed chemotherapy should be especially careful of various infections.


    Even a common cold can take life.


    Although chemotherapy has so many harms, it is also recognized that it kills cancer cells.


    At least it is a treatment that can guarantee to kill cancer cells without directly killing people.


    In addition, because cancer cells are extremely tenacious, chemotherapy cannot destroy them all at once.


    Only part of it can be eliminated.


    As a result, patients need to undergo multiple courses of chemotherapy in order to achieve a satisfactory therapeutic effect.


    It is conceivable that patients who are weaker can hardly survive two or three more chemotherapy treatments.


    This is one of the big reasons why chemotherapy has become notorious.


    Killing 800 enemies and losing 1,000 to yourself is not everyone can afford it.


    Fortunately, today''s advanced drugs are on the market one after another, or have entered the research and development stage. Such as targeted drugs, immune cancer drugs. Drugs that create super T-cell fighters fall into this category.


    Human immune cells can be divided into two types, T and B. T cells are equivalent to scouts, and B cells are equivalent to missile soldiers.


    As long as T cells can find the enemy, B cells have a thousand ways to kill the enemy.


    But when encountering cunning enemies, such as AIDS virus and cancer cells, T cells cannot recognize their identities. At this time, B cells become blind and deaf, unable to attack at all.


    In developed countries in the West, it is indeed a good idea to treat cancer by using drugs to build super T cells and improve their detection capabilities.


    Speaking of it, this idea still comes from the theory of traditional Chinese medicine in our country.


    Many developed countries are paying more and more attention to Chinese medicine, and learning Chinese medicine is precisely because they have tasted the sweetness of it.


    For example, Little Devil, there are almost all kinds of traditional Chinese medicine decoctions available now.


    The price is even more expensive than imagined.


    The key is that the therapeutic effects of these decoctions are gradually recognized by the public.


    Otherwise, it would not be possible to develop to the scale it is today.


    There is absolutely no one willing to do something that is not profitable.


    In contrast, in our country, Chinese medicine is declining more and more, and there are fewer and fewer qualified Chinese medicine practitioners. It''s actually embarrassing and heartbreaking to watch.


    It can only be said that there is still a long way to go, and the revival of Chinese medicine still has a long way to go.


    The main reason is that young medical students must believe in Chinese medicine, be willing to spend time learning Chinese medicine, and give them opportunities to practice.


    It''s just too difficult to have these market conditions.


    Even if someone has studied Chinese medicine and has a certain level, but after the common people get sick, there are not many people who are willing to try Chinese medicine treatment. Without the market, there will be no motivation, which will form an endless loop.


    If a group of powerful Chinese medicine practitioners can grow up in the future and use their reputation and real therapeutic effects to vigorously promote Chinese medicine, then it is possible to change this unfavorable situation.


    Therefore, the revival of TCM has a long way to go.


    At present, the mainstream consciousness of domestic doctors is basically that when they encounter patients who have no money, or difficult patients, or people who say they are sick when they are not sick, UU reading doctors will persuade these people Go see a Chinese medicine doctor.


    This is not to belittle traditional Chinese medicine. This kind of ideology is indeed the mainstream of doctors at present.


    There are very few Chinese medicine practitioners like Mr. Chen Guoli.


    "Doctor Zhou, I watched you perform the mediastinal lymph node removal operation today. It was really shocking. You are younger than me, but you have such superb surgical skills. I especially admire you."


    Doctor Pu chased him up from behind.


    On weekdays, Zhou Can had relatively little contact with this person.


    The other party was a newly recruited doctor in the cardiothoracic surgery department, and the two didn''t even know each other very well.


    However, Director Tingle and others gave Dr. Pu a good evaluation.


    Dr. Pu was able to enter the operating room this time because of his status as a bed doctor, so he had a chance with the operation.


    "Dr. Pu, my level is about the same as yours. It means that I have more opportunities to practice and become more proficient."


    Zhou Can replied modestly.


    "You are always so humble. Regardless of medical skills, medical ethics, and human beings, they are all worth learning from me. Can I...can I have a few words with you alone?"


    Dr. Pu took the initiative to catch up with him, and approached him to talk, which seemed to have some purpose.


    "Well, no problem, if you have anything, please tell me!"


    Zhou Can turned and looked at him.


    "Uh... that, can we talk about it in another place? I''m afraid you won''t agree to what I said, and then I will lose my job. It''s really not easy to enter Tuya''s cardiothoracic surgery this time."


    Doctor Pu had a hesitant expression.


    "Yes! You lead the way ahead!"


    Zhou Can didn''t know what this person wanted to say? Previous Chapter Contents Bookmarks Next Chapte

 Chapter 483： One more general, murder in the middle of the night

    Chapter 483 Recruiting another general, murder in the middle of the night


    Could this Dr. Pu Dingdong be an undercover agent sent by some hospital? Zhou Can really didn''t dare to think about such a thing.


    He took Zhou Can all the way to the floor where the thoracic surgery department was located, and stood still in the deserted corridor.


    The chosen location is at the end of the corridor.


    It is already twelve o''clock in the middle of the night, and behind it is the toilet and the material storage room of the cleaning lady. The two stood in front of the window.


    "Doctor Zhou, thank you for giving me this opportunity to speak alone. I want to hang out with you, can I?"


    Dr. Pu just looked at him straight, his eyes were sincere, but his tone was cautious, afraid of being rejected.


    Under the dim light, his expression was not very clear.


    I can feel that he should be very nervous at the moment.


    "Your words are quite profound, what do you mean by following me?"


    Zhou Can narrowed his eyes and looked at this person.


    "Maybe I used the wrong words. I just want to learn from you. As long as you give me this opportunity, I can do any job." Dr. Pu showed special respect in front of Zhou Can.


    It''s like a first-grade pupil making a request to the teacher.


    Full of anticipation, but fear of rejection.


    "I... currently have a postgraduate and master''s degree. I have all four certificates. I have three years of formal work experience in the First Hospital of the city. The training was completed in the First Affiliated Hospital of a famous university. The surgical ability is weak, but I think The basic medical theory is quite solid, especially the medical knowledge of immunology, which is relatively good."


    Worried about being rejected by Zhou Can, he hurriedly introduced his abilities and specialties.


    "A student of immunity, why do you want to work in cardiothoracic surgery?"


    "My home is in the provincial capital. In fact, when the regular training is completed, if I work hard, I have the opportunity to work in a hospital affiliated to a certain university. At that time, I considered that my parents only had me as a son, so I chose to go back to the provincial capital to find a job. .Tuya and the Provincial People''s Hospital are two of my favorites, but neither one is easy to get into. I have no choice but to bow to reality and enter the No. 1 Hospital."


    Dr. Pu talked about his job hunting experience.


    Not every medical student is as lucky as Zhou Can.


    In fact, it is extremely difficult to work in Tuya Hospital.


    There are a lot of graduate students who have been wiped out.


    Even some postgraduate Ph.D.s were eliminated.


    Dean Zhu, who is currently at the helm of Tuya, has made great efforts to recruit clinical medical staff and scientific research personnel, and pays great attention to quality.


    In the logistics and administrative departments, you can see many related households, but in the clinical departments, you can hardly see the shadow of the related households.


    Even related households cannot be squeezed in, and postgraduates with relatively low academic qualifications, or medical students with poor ability and potential, are basically even less likely to be hired.


    This phenomenon is also one of the causes of general anxiety among medical students in clinical departments.


    Some top hospitals have very high thresholds when recruiting. It''s not just about having a degree. Only with a postgraduate master''s degree can you be unimpeded, and the era when you can enter all kinds of large hospitals at will is long gone.


    The more powerful the big hospital, the harder it is to enter.


    The ordinary hospitals below are facing the embarrassing situation of recruiting people.


    Clinical medical students who are better at their graduate schools do not want to wrong themselves, and do not consider some ordinary hospitals at all.


    It''s like looking for a partner, you can''t get high, you can''t get low.


    After all, the number of medical students in the clinical department is relatively small, and it is not easy to study. On the university campus, there are often students in the clinical department who are pulled to rescue by ambulance because of over-study.


    Nowadays, all the college students who can be admitted to the medical profession are top-notch.


    After the highly competitive college entrance examination, medical students generally have high IQ, strong learning ability, self-discipline, and diligence. Which medical student has no arrogance in his heart?


    Dr. Pu is not the best among medical students, but he is definitely not bad.


    From some of his clinical performances, it can be seen that he is pragmatic and professional in his work. Self-motivated is also very strong.


    He is willing to give up better opportunities for employment and development. In order to take care of his aging parents, returning to his hometown to develop in the provincial capital is a kind of filial piety in itself. Generally speaking, a filial child has no worse character.


    Zhou Can appreciated this person a little more.


    "Doctor Zhou, can you give me a chance? I moved from the First Hospital to Tuya Hospital. Not long after I came here, I wanted to switch from cardiothoracic surgery to your team. I want to develop better. I really love medicine, and I want to learn more skills. You are the one who can help me realize my dream."


    After Dr. Pu finished speaking, he looked at Zhou Can with fiery eyes.


    "How do you want to develop?"


    Zhou Can is not the kind of person who is easy to make rash decisions after being impressed by others'' words.


    At the beginning, Yang Zhi wanted to join his team, even though he was in urgent need of a doctor, he still gave Yang Zhi a strict comprehensive assessment before agreeing.


    "It would be best if I could follow you in the operation. If not, it would be fine for me to do odd jobs with you. For example, let me help you manage the patients after surgery. I think I can do a good job."


    Dr. Pu is good at immunology, which makes Zhou Can very optimistic.


    He himself is relatively poor in the field of immunology.


    Although I have been supplementing all kinds of knowledge these years, after all, time and energy are limited, and it is almost impossible to learn everything.


    "Do you know which department I work in? I''m in the worst emergency department in this hospital."


    Zhou Can looked at him and said seriously.


    "Yes, I know, but I don''t think it matters at all which department you are in. It mainly depends on the doctor''s ability, level, medical ethics, and potential. I believe that you will definitely be able to do well in the future. Of course, in case I misunderstood , then I agree. Every decision in life is a gamble. I can grow up with you. This path is my own choice. No matter how bad it is, I will finish it with tears in my teeth."


    Dr. Pu is a few years older than Zhou Can, and he is estimated to be thirty-one or twelve years old this year.


    Relatively speaking, age, education, character, and professional level all suit Zhou Can.


    Now that he has made his own choice, Zhou Can has the idea of ??recruiting him.


    "Have you thought about it?"


    "Well, I''ve already thought about it many times."


    "Have thought about it many times already? When did you think about joining my team?"


    "Yesterday. I saw you treating the patient with pneumothorax. Not only are you skilled in medicine, but you also have a benevolent heart. Since then, I have made up my mind. If I want to say that I have started to pay attention to you... hehe, call me in On the first day of cardiothoracic surgery, I began to notice you. The main reason is that you are too high-profile in cardiothoracic surgery. I was very shocked at that time. How can this doctor, who is younger than me, be so good in cardiothoracic surgery? Ward rounds and diagnosis Difficult cases, participation in major operations, almost everything, the chief physician and deputy chief physician of the department are very polite to you. Such a dazzling existence, it is difficult for newcomers like us to pay attention to it. "


    After hearing Dr. Pu''s call, Zhou Can smiled wryly.


    It''s not that he wants to be high-profile, but it''s too difficult to keep a low profile after he becomes stronger.


    Especially in clinical operations, many things must be done when they should be done.


    Just imagine, the patients are almost dying, and you still think about how to hide your strength and stand by and watch, is that appropriate?


    Sometimes, the rescue time may be only one or two minutes, or even shorter.


    The purpose of studying medicine is to save people. As for whether it is high-profile, Zhou Can really didn''t care about it deliberately.


    "Okay, I''ll talk to Director Xue tomorrow, and then I''ll apply to Director Lou of the emergency department. If they all agree, you can go and be my comrade in arms. But the ugly thing is first, my team is very strict. If you perform poorly, or have serious problems in the later stage, such as corrupt medical ethics, dereliction of duty...then I will kick you out of the team at any time."


    Zhou Can always likes to clarify what needs to be said beforehand.


    This is called the three chapters of the covenant.


    "Great! Thank you, thank you, I will definitely cherish this hard-won opportunity."


    Dr. Pu was as happy as a child at the moment.


    The face is full of smiles and joy, and some excited body expressions make Zhou Can laugh.


    "After the past, I will let you try to manage the bed first. The treatment may not be as good as that of cardiothoracic surgery. You can carefully consider it tonight. If you don''t want to, send me a message or call me tomorrow morning."


    Transferring a doctor across departments is not as simple as one might think.


    This requires the consent of the directors of the two departments. As for the medical department and the personnel department, they generally do favors. As long as the two departments have discussed it, they will not make things difficult.


    After chatting with Dr. Pu, Zhou Can walked outside the hospital.


    It''s so late, I have to go home quickly.


    Because the distance is very short, he usually chooses to walk. The Mercedes I bought basically sleeps in the garage.


    For those who have no money, owning a luxury car is a dream.


    Imagine driving a luxury car and pretending to be a B to show off, showing off in front of your classmates, hometown, and relatives. But in the eyes of rich people like Zhou Can, no matter how expensive a car is, it is just a means of transportation.


    And a rich person like him, as long as he is not a dude in the second generation of rich and official, is generally very busy with work.


    There is often not much time to use the car.


    That is commuting to and from get off work, seeing clients, running errands, etc.


    After walking out of the hospital, a gust of cold night wind blew in, which made his mind extraordinarily clear.


    After working hard at the hospital all day, arriving at the hospital at seven o''clock in the morning, and continuing to be busy until now, even Iron Man will feel exhausted.


    It is difficult for outsiders to understand the hard work of doctors.


    Doctors and nurses are often working day and night.


    As he entered one of the narrower streets, the burning sensation returned.


    It''s so late, is there still someone watching in the dark?


    While frowning, he quickened his pace and walked forward, while thinking to himself, how can he find out the person who is stalking from behind?


    If it is not an illusion, this person has been following him for a long time.


    The purpose is certainly not simple.


    Knowing that he is rich, want to kidnap him?


    Or patients and family members who have conflicts with him want to find opportunities to take revenge on him?


    It''s hard to judge now.


    Suddenly, his brows were itchy, his scalp was numb, the hairs all over his body stood on end, his eyelids twitched wildly, and his mind fluttered.


    Sensing danger instinctively, he took a big stride, and then ran forward.


    And when running, he chose the zigzag route.


    Running in a curve is to prevent gangsters from secretly aiming at weapons such as guns or bows and arrows.


    boom!


    A loud noise came from behind, and it was particularly scary in the silent night.


    He subconsciously turned his head to check.


    With the help of dim street lights, I saw a very heavy flower pot fall on the place he walked by before. The soil was scattered all over the ground, and the flowers planted in it did not know what kind of flowers were planted, and they had long since withered.


    "Murder, someone wants to murder me!"


    Zhou Can is not a three-year-old child, and immediately keenly realized that someone wanted to kill him.


    If he had been hiding a bit slower just now, such a heavy flowerpot would have killed him instantly if he had been dropped on his head.


    You know, a falling object, even an egg, is enough to easily crush a human skull.


    At present, the country has legislated on falling objects, because falling objects seriously threaten the lives of pedestrians.


    Some couples quarreled and threw kitchen knives and bottles out of the window when they disagreed.


    It is easy to kill passers-by downstairs.


    The street is lined with businesses and the doors are closed.


    The floors are not particularly high, generally on the eleventh or ninth floor.


    Most of the buildings in the city center are relatively old, and the eleventh floor is considered a tall building. The shorter ones even have only seven or six floors.


    When the cost of demolition is much higher than the cost of land acquisition, few developers are willing to rebuild the old city.


    Zhou Can looked up at the roof of the building, and with the help of the dim starlight, he couldn''t see anyone.


    Call the police or forget it?


    At this moment, some residents were awakened from their deep sleep, opened the windows one after another, and looked down.


    The murderer came prepared, and must have made sufficient preparations for evacuation.


    At this moment, I am afraid that it will be difficult to call the police.


    And the police will most likely treat this as an accident.


    However, it can give the murderer some deterrence. If it can be found out, that would be great.


    Even if nothing can be found, with a police record, it will be a good evidence for prosecution when the murderer is found in the future.


    In the end, Zhou Can took out his mobile phone and called the police.


    In the middle of the night, after receiving the call, the police on duty arrived at the scene in a police car.


    Zhou Can roughly described what happened. The police registered his identity information and made a police report.


    Then go around the shops in front and go to the back of the building.


    Because the police who came to deal with it were quite familiar with the terrain, they easily led them to find the stairwell upstairs. When you come to the top floor, you can see a rusty iron ladder frame at the patio.


    After struggling to climb up, the top floor is paved with rainproof cement slabs, and some sundries are piled up.


    On the side of the street near the accident, you can see many flower pots placed. The flowers and plants planted in it are basically dead. UU reading


    Three flower pots were placed on the edge of the terrace.


    You know, there are guardrails half a meter high on the edge. The pots are placed on the railing, which is unusual in itself.


    Zhou Can is going to remove a flower pot to have a look.


    "do not move!"


    The older policeman stopped him.


    The policeman frowned, took out gloves from his pocket, put them on, and then removed a flower pot.


    Then another policeman shone a flashlight on the bottom of the flowerpot.


    "These flower pots should have been newly moved to the guardrail. There are no signs of oldness under the flower pots. Just now I found that there are traces of four flower pots placed on the ground."


    As expected of a professional, he found some unusual clues easily.


    At this point, it is basically certain that someone deliberately took a flower pot to kill Zhou Can.


    Create the illusion of falling objects from high altitudes and accidentally killing people.


    "Bring these three flower pots back, maybe fingerprints can be extracted from them. This should not be an accident, but it may be a crime."


    "Mr. Zhou, have you made enemies with anyone recently?"


    "I am a doctor in the emergency department of Tuya Hospital. I come into contact with many patients every day. Sometimes patients may not understand and question my diagnosis and treatment methods. There are also occasional family members who raise some unreasonable questions. If my request is rejected, I may feel hatred towards me. As for the direct conflict with anyone, there should be no one. You see, I¡¯m so busy that I don¡¯t get off work until now. When I get home, I just take a shower and go to bed. I want to have some conflicts with others. There''s no time for conflict."


    Zhou Can was also very depressed, wondering who was going to kill him? Previous Chapter Contents Bookmarks Next Chapte

 Chapter 484： Unavoidable doctor-patient conflict, relationship between anesthesia and surgeon

    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Besides, he usually works very **** people.


    Although some patients may not be satisfied with the surgical results, from a professional point of view, he asked himself that the surgical results could stand the test.


    There is a strange patient who is still impressive to this day. He had a hemorrhoid cut, and after a while, he suddenly had unbearable abdominal pain.


    After an investigation, it turned out to be acute appendicitis.


    The patient underwent appendicitis surgery in the Third Hospital.


    After recovering, he ran directly to Tuya''s emergency department and made a big fuss, saying that Zhou Can deliberately left him a ''back hand'' during the operation. This led to his appendicitis less than a month after hemorrhoids were cut.


    What can he do when he encounters such an ignorant and suspicious patient?


    To give another example, he stopped bleeding, stitched, and bandaged a wound on the wrist of a pregnant woman who was two months pregnant. The family members insisted on asking him to go out for a chat. At that time, he thought the family members were worried, so he changed his clothes and went out from the operating room to talk with the family members.


    The man was wearing a famous brand, about fifty years old, exuding the aura of wealth and wealth of a successful person from head to toe.


    The pregnant woman is about twenty years old, very young.


    But these days, there are many successful people looking for young and beautiful girls to marry.


    Zhou Can asked who was the pregnant woman? The man said he was the boyfriend of the pregnant woman.


    Note that boyfriend and husband are two different concepts.


    The man pulled Zhou Can aside, and said in a low voice, "Doctor Zhou, please do me a favor and tell my girlfriend that the baby in her stomach cannot be kept and will be removed."


    After finishing speaking, he quietly took out a stack of banknotes and wanted to hand them to Zhou Can.


    With Zhou Can''s professional ability, it is natural to see that the wound on the pregnant woman''s wrist is probably suicide by cutting her wrist.


    I thought that the pregnant woman''s boyfriend would be worried about the child in her womb, but Zhou Can was asked to help the pregnant woman to get rid of the child.


    Zhou Can definitely couldn''t agree to this kind of thing.


    He sternly refused on the spot.


    The man scolded Zhou Can for being ungrateful, and afterward, Zhou Can received a message from the medical department.


    Someone complained about him.


    Therefore, no matter how carefully doctors and nurses serve patients and how polite they are to their families, it is impossible to avoid conflicts with patients.


    There are always some patients or family members'' demands that doctors and nurses cannot meet.


    If the person who wanted to kill Zhou Can was a patient he had treated or a family member of the patient, it would be too chilling.


    Suddenly, a person flashed in his mind.


    Director Xueyan''s husband once threatened Zhou Can, and this person''s personality should be very extreme and his character is extremely bad. From now on, the person who collects money from the Third Hospital even dares to cheat his wife, so it can be seen that he is not a good bird.


    "Comrade policeman, I think of a man. He is the husband of a female doctor in our hospital. He once suspected that I had an improper relationship with his wife and threatened me face to face."


    Zhou Can provided this clue to the police.


    "Then is your relationship with his wife legitimate?"


    "The relationship between Director Xue and I is clean. Apart from normal work and conversation, there is no relationship between men and women. Besides, she is fifteen or sixteen years older than me. I have a girlfriend, so it is impossible to have anything to do with her. Usually When you interact with her, you also respect each other, and you haven''t even said a single joke that crossed the line."... "Then why does her husband suspect that you have an improper relationship with his wife?"


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    "One night, it was too late to finish the last operation, because I was entrusted by Director Hu Kan, the former director of the Department of Cardiothoracic Surgery, to help the current Director Xueyan manage the Department of Cardiothoracic Surgery. At that time, the Department of Cardiothoracic Surgery happened to encounter In a major crisis, I discussed some new coping strategies with Director Xue. Perhaps because the door was closed all the time, Director Xue¡¯s husband knew about it, so he suspected that I had an affair with his wife.¡±


    Zhou Can must be telling the truth about this kind of thing.


    Because the police can find out with a little investigation.


    Lying will only bring him unnecessary trouble.


    It''s not necessary at all.


    "Okay, we understand this matter. If this case is established, we will notify you. During this investigation period, I hope you can keep your mouth shut and not talk about it to the outside world, so as not to affect our investigation of this case."


    "thanks, thanks!"


    Zhou Can thanked again and again.


    In the middle of the night, the two policemen were so responsible that they didn''t slack off.


    This made him very grateful, and he also paid a little more respect to the two policemen.


    ¡­


    Back home, Su Qianqian hugged him.


    He didn''t speak, just buried his head in his chest and wept.


    "You said that if something happened to you, what should I do?"


    she cried.


    "Isn''t it okay! Don''t cry, don''t cry! I will pay extra attention to safety, so don''t worry."


    Zhou Can had already briefly explained the matter to her on the phone.


    There''s no need to hide it from her.


    Because this matter is particularly dangerous, telling her can also make her more vigilant.


    For example, not long ago, she learned that Zhou Can was almost hit by a flower pot falling from a height on her way home from get off work, and she was about to rush to the scene immediately.


    Zhou Can told her that the gangster was hiding in the dark, and not only could she not help in the past, but it would also increase the risk. Besides, he wasn''t hurt, just a little frightened.


    In the end, she obeyed Zhou Can''s arrangement and stayed at home obediently waiting for him to come home.


    "Starting tomorrow, don''t walk to work anymore, go by car!"


    "I promise you!"


    Zhou Can nodded in agreement.


    Falling objects were indeed terrifying. If he hadn''t relied on his instinct to deal with the crisis and hid quickly, the consequences would have been disastrous.


    The next day, Zhou Can went to work normally.


    For the patient with pneumothorax in the cardiothoracic surgery department, the bleeding has stopped, and the breathing sound of the left lung has also increased a lot.


    The bubbles coming out of the water-sealed bottle have been significantly reduced.


    These are all good signs.


    It shows that the patient''s condition is improving.


    However, pneumothorax is easy to recur, and patients must be careful to rest even after they are discharged from the hospital.


    The patient with sternal osteomyelitis transferred from Xinxiang Hospital has normal vital signs after surgery. The low-grade fever has also subsided, and the blood pressure and heart rate are stable. Because of fear of re-infection, the patient was admitted to the intensive care unit of cardiothoracic surgery after communicating with his family members.


    Relatively speaking, living in the intensive care unit is a sterile environment, and the care and management in all aspects will be better.


    Dr. Pu approached Zhou Can last night, and he should have made up his mind about the matter of following him.


    He did not send a message or call Zhou Can. ¡­.Zhou Can happened to be here, and was going to talk to Director Xueyan about this matter. As a result, director Xueyan hadn''t arrived yet.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    She usually arrives at the hospital around eight o''clock.


    There is no way, Zhou Can will talk to her about it when he comes over in the evening.


    Back in the emergency department, he wanted to upgrade the separation operation to level six as soon as possible, so he was naturally working **** the operation.


    It was about 10:40 in the morning, and he had already completed thirteen operations. Of course, several of them were only first-level minor operations.


    Even so, the efficiency is already amazing.


    The fourteenth surgery was performed on a patient with severe rectal prolapse, who was already **** incontinence.


    I was admitted to the emergency department yesterday, and after an examination, emergency surgery was arranged today.


    For patients like this, if they go to the anorectal surgery department, it will take at least one day to wait for the bed. Then it will take at least three or four days to do various further examinations, discuss the operation plan, arrange the operation, and finally perform the operation.


    But in the emergency department, the time limit is at least doubled.


    He was admitted to the hospital yesterday and scheduled for surgery this morning. Moreover, the surgeon is Zhou Can, whose actual surgical ability is not weaker than that of ordinary chief surgeons.


    Now, his incision technique has also been promoted to level six, and his confidence is stronger than before.


    The patient has already been sent to the pre-anesthesia room.


    At this moment, after the table turning work in the operating room was completed, the patient was pushed in directly.


    Let me explain that for such a large operation, general anesthesia or spinal anesthesia is required, and the bed doctor will send the patient to the pre-anesthesia room in the operating room in advance.


    In the past, the conditions of the operating room in the emergency department were poor, and there was not even a 10,000-level operating room.


    The so-called pre-anesthetic room does not exist.


    Often mixed with a recovery room.


    Moreover, in the previous emergency department, tertiary surgery was rarely done.


    Only Dr. Xu has the ability to perform tertiary surgery. But he is a person who is wearing a crime, coupled with the suppression of Director Xie of the Department of Surgery, and the fact that other departments also intend to protect the interests of their own departments.


    I also agree with Director Xie''s suppression of the emergency department.


    Therefore, the emergency department has been living humblely.


    All of them are first- and second-level surgeries in emergency surgeries. In the case of emergency major surgery, at most it is preliminary treatment, such as helping the patient to stop bleeding, or cardiopulmonary resuscitation, boosting blood pressure, etc. After helping the patient stabilize his vital signs, call a specialist doctor to take the patient away.


    Today''s emergency department, thanks to the efforts of Zhou Can, a super cadre, and the concerted efforts of the whole department, has finally made a big improvement.


    With its own hundred-level operating room.


    There are also professional bed changing rooms, pre-anesthesia rooms, and recovery rooms.


    The recovery room is not only used for postoperative anesthesia recovery of patients, but also for postoperative observation of patients.


    Adding an additional postoperative room is out of the question.


    However, Zhou Can, Dr. Xu and others are very satisfied with the current conditions in the operating room of the emergency department.


    Qiao Yu and Ma Xiaolan had already laid out the bed towels after turning over the stage.


    Work together to lift the patient onto the operating table.


    Just wait for the anesthesiologist to come and administer the anesthesia.


    The age of the patient is 32 years old, which is a relatively young female patient.


    The pre-anesthesia preparations have been done in the pre-anesthesia room, so the patient is currently in a state of being blind. ... No way, in the operating room, the doctor can''t take care of the patient''s privacy.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    Doctors can only devote most of their energy and thoughts to treating patients'' diseases.


    There are many operations where patients cannot enter the operating room wearing clothes.


    However, in order to protect the privacy of patients, especially female patients, doctors will considerately cover the patients with disposable sterile sheets and the like. From this point, we can also see the importance of the pre-anesthetic room.


    The more complete the supporting facilities in the operating room, the lower the risk of surgical infection for patients.


    Many operations must be completed in a 100-level operating room, mainly to reduce the chance of infection during the operation.


    "Ms. Cheng, how do you feel now?"


    "It''s just that the **** is very painful, and I''m a little scared!"


    A pained expression appeared on the patient''s face.


    "It''s all right. The doctors who performed your surgery are Dr. Zhou and Dr. Xu, who are highly skilled in surgery in our hospital. They have already evaluated you before surgery. As long as there are no accidents, the safety is very high. And we do this type of surgery It''s been done so many times before, so you don''t need to be nervous."


    Ma Xiaolan is very eloquent in comforting patients.


    She has become more and more proficient in completing various tasks as a surgical nurse, and her professional level has also improved a lot.


    In fact, the growth of everyone in the surgical team can be seen.


    "Sorry, I''m a little late! I kept you waiting!"


    Anesthesiologist Shanshan came late.


    "It''s okay, we just carried the patient onto the operating table. Should Dr. Qu start general anesthesia directly, or what?"


    Zhou Can got along well with most of the doctors in the anesthesiology department.


    Qu Zi who came over today.


    In fact, many doctors in the anesthesiology department have relatively fixed teams with surgeons.


    For example, Wu Baihe''s surgical team in the Department of Neurosurgery usually performs operations, and Director Feng usually brings his assistants to give patients anesthesia.


    If the number of operations is large enough, it should be a matter of good advantages over disadvantages if the anesthesiologist and surgeon are fixedly matched.


    For example, for some patients with higher risks, the surgeon believes that the operation can be performed, and he is certain to perform the operation well. But the anesthesiologist was unwilling to take this risk after evaluation.


    then what should we do?


    In the end, if the surgeon cannot convince the anesthetist, then the operation cannot be performed.


    The patient can only be transferred to another hospital, or other treatment options can be adopted.


    A good anesthesiologist, who has been cooperating with the surgeon for a long time, can have a tacit understanding like a husband and wife.


    I believe that many surgeons have felt this way.


    There may be various disputes with the anesthesiologist before and during the operation, but both parties have a common goal, which is to cure the patient''s disease.


    Every time the operation is successfully completed, the chief surgeon is very happy, and the anesthetist is also very happy.


    When a patient has a problem during the operation, both the anesthesiologist and the surgeon will be extremely nervous. Do everything possible to save the patient together.


    Some people liken the role of the surgeon to the role of the husband, and the role of the anesthesiologist to the role of the wife, which is actually a very vivid metaphor.


    Couples often quarrel at the head of the bed and at the end of the bed.


    Surgeons and anesthesiologists also often quarrel, but neither can do without the other.


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    ¡¾My medical skills can add experience points¡¿¡¾¡¿


    During the operation, UU Reading They are more like close comrades in arms, fighting together.


    "Considering that what she is going to do is a rectal repair, let''s go to general anesthesia!"


    Qu Zi just checked the patient briefly, and then quickly installed the life monitoring probe on the patient.


    Zhou Can is helping.


    Soon, general anesthesia was successfully implemented.


    Since the part to be operated on belongs to the private parts of women, general anesthesia can take care of the patient''s dignity to the greatest extent.


    "General anesthesia is in place, the patient''s vital signs are stable, and the operation can begin!"


    "let''s start!"


    Zhou Can couldn''t wait any longer.


    He needs to perform many surgeries a day, and must race against time.


    Uncover the disposable sterile towel on the patient, and the patient''s **** can already be seen.


    Her anorectal prolapse was severe and her **** opening was significantly larger than normal. At the time of consultation, the patient was already in a state of **** incontinence.


    This can''t be cured without rectal repair surgery.


    "Oh my god, her **** prolapses like this, and I don''t know how she did it?"


    Seeing the patient''s condition, Qiao Yu couldn''t help exclaiming.


    "Sister Qiao Yu is so pure!" Ma Xiaolan smiled meaningfully and praised Qiao Yu.


    Anesthesiologist Qu Zi kept a cold face, pretending to be serious and staring at the monitor screen.


    Under normal circumstances, the anesthetist does not have to stare at the monitor screen all the time. Most of the time, they looked up occasionally.


    The anesthetist who came with her was also a little embarrassed. .


    Jiangbian Yuweng reminds you: remember to collect after reading

 Chapter 485： Rectal repair surgery, director Qu asked to join

    Chapter 485 Rectal Repair, Director Qu Please Join


    "What do you mean?" Qiao Yu tilted her head and asked Ma Xiaolan.


    "Don''t ask, just concentrate on the surgery!"


    As Zhou Can is the chief surgeon, he must control the atmosphere and atmosphere of the operating room. Some topics should not be discussed too much.


    "Looking at each of you with weird expressions, smirks, and secretiveness, you must know the cause of the patient''s **** prolapse. Doctor Zhou, come and tell me the answer!"


    Qiao Yu usually makes requests to Zhou Can, and is almost never rejected.


    Seeing that Ma Xiaolan refused to speak out now, she asked Zhou Can to speak.


    "Ah... It''s better not to discuss things that are not suitable for children. The patient will need to use Teflon mesh suspension for a while, are you ready?"


    Zhou Can changed the subject directly.


    "It''s already ready."


    Seeing that they were all mysterious, Qiao Yu refused to say the reason.


    She looked at Yang Zhi unwillingly.


    "Doctor Yang, you must know it too, right?"


    "Uh¡ªI really don''t know. The patient is already under anesthesia, so let''s do the surgery quickly!"


    Yang Zhi is an honest man, but not stupid.


    If you shouldn''t say it, you won''t say it even if you kill him.


    "Give me the catheter!"


    A urinary catheter is required prior to this procedure. This is Zhou Can''s favorite job, for nothing but to earn experience points for implantation.


    Surgery began soon.


    Zhou Can made an incision about 20cm long from the patient''s private part through the left lateral midline.


    The skin and subcutaneous layers are then incised into the abdominal cavity.


    "Soak the gauze in warm salt water and bring it to me." Zhou Can had already told Qiao Yu some items that need to be prepared for the operation before the operation.


    "Give!"


    Qiao Yu handed him the gauze.


    After receiving it, a pad is made of gauze soaked in warm salt water, and the small intestine is pushed all the way up the abdomen.


    "Yang Zhi, there are dozens of operations to treat rectal prolapse. About eleven are still in use. For example, **** ring reduction, mucosal resection, rectosigmoid resection through female private parts, combined rectal fixation Surgery, application of synthetic mesh to reinforce the presacral fascia... These surgical methods can treat rectal prolapse. The one I use now is the most commonly used, and the treatment effect is excellent. Postoperative complications are relatively few, almost There will be no relapse."


    Zhou Can guided Yang Zhi while operating on the patient.


    The master leads the door, and the practice depends on the individual.


    After learning many surgical methods, the specific flexible use needs to be studied by oneself and more comprehension in practice.


    In the face of different rectal prolapses, the surgical methods chosen are not the same.


    "Be optimistic, the next step is the most critical step in the operation."


    Zhou Can carefully freed the back wall of the **** until it stopped at the tip of the tailbone, and then raised the rectum.


    After completing the mobilization work of the posterior rectal wall, he was rewarded with 100 points of separation experience. This made him happy.


    It is one step closer to the sixth-level separation technique.


    "Qiao Yu, prepare the Teflon net sling."


    Zhou Can greeted her in advance.


    Because it is the first time that this kind of operation is used to repair the prolapsed rectum.


    "Use a wide Teflon mesh sling around the upper rectum. Here it goes."


    Zhou Can taught by example and tried his best to teach Yang Zhi once.


    "Remember, it is better to choose a 5cm mesh sling. Then use thin non-absorbable thread to fix it to the presacral fascia and periosteum under the sacral eminence, and sew the edge of the sling to the front and side walls of the rectum. "


    It is not easy to teach and operate at the same time.


    Because you can''t be distracted during the operation, it must be safer to concentrate on the operation.


    "Does the pelvic floor need repairing?"


    "No need to fix it."


    Zhou Can replied.


    Many of Yang Zhi''s questions during the operation can be asked to the point. It shows that his comprehension ability is very strong, and he really learned the surgical knowledge taught by Zhou Can.


    After learning it, he can immediately ask some questions that he doesn''t understand through thinking.


    "The rest of the sewing work, you do it!"


    Zhou Can left the suturing opportunity to Yang Zhi.


    If a surgeon wants to grow, the fastest way is to get started and participate in surgery.


    Just watching, watching for a lifetime may still be a novice.


    It is an eternal law that seeing things is easy but doing things is difficult.


    For Zhou Can, suturing the peritoneal incisions on both sides of the **** and the layers of the abdominal wall is a very simple matter. After all, his suturing skills have been promoted to level six, and his ligation skills are still a little bit worse, but he is about to be promoted.


    In his eyes, this ordinary surgical operation is no longer very attractive.


    The difficult operation that can earn 100 experience points is the most attractive to him. Doing one operation like that can equal the experience value of dozens or hundreds of general operations.


    Rectal repair is a tertiary operation, and Yang Zhi rarely has the opportunity to practice this risky operation.


    He went all out excitedly to suture the patient carefully.


    Zhou Can stood by the side to point and check.


    "Director Qu, it''s already past twelve noon, how about you two having a quick meal in the operating room?"


    Zhou Can looked up at the wall clock on the wall, it was past twelve twenty.


    time flies.


    It is estimated that it will be at least after 12:50 when Yang Zhi finishes suturing. Not everyone has Zhou Can''s operation speed.


    General surgeons, under normal circumstances, perform eleven or two simple primary and secondary operations a day, which is almost the limit. As for the third-level major surgery, even if the strength reaches the level of the deputy director, there are at most two operations a day.


    Purely performing three or four major surgeries, as long as they are not particularly complicated, Zhou Can can do five or six surgeries a day with a simple surgical team, which is two or three times that of others.


    In terms of the speed of the operation, only the former Xu Yidao could overwhelm him.


    Today''s Dr. Xu is walking on the shoulders, and what he pursues is no longer speed, but safety and stability.


    He is also getting old, and there is no way for a young guy like Zhou Can to output like crazy.


    "No need!"


    Qu Zi glanced at the anesthetist nurse before answering Zhou Can.


    Equipment nurses and itinerant nurses are the assistants of the chief surgeon. An anesthetist is an assistant to the anesthetist.


    Like surgical nurses, anesthesia nurses also belong to a special category of nurses.


    High professional requirements.


    They can become the right-hand man of the anesthesiologist and help with many things.


    "There''s a major operation in the afternoon, so why don''t you just eat here! I can discuss the operation plan with you during the meal."


    In fact, what should be discussed has already been discussed.


    Zhou Can said this just to give her and the anesthetist a reason to stay for dinner.


    "Alright then! Qin Yue doesn''t eat spicy food."


    Qu Zi nodded in agreement.


    Zhou Can signaled Ma Xiaolan to call and order food.


    One thing must be said, in the past, the operation room was strictly controlled, and doctors were not allowed to bring mobile phones into the operation room.


    As for ornaments such as watches, rings, and earrings, they are not allowed to be brought into the operating room.


    Can stay in the changing room.


    Tuya''s current management is relatively humane, even if it is an intern, it is fine to bring a mobile phone into the operating room. The premise is that it must be muted.


    If your mobile phone rings when the superior doctor is performing an operation, you will probably be scolded.


    As for some patients reporting to media reporters, some doctors were playing with mobile phones in the operating room. This is basically impossible. The area above the waist can be regarded as a relatively sterile area. During the operation, hands must be cleaned and disposable sterile gloves should be worn.


    Sometimes it is even necessary to wear two layers of gloves.


    For example, when performing finger examinations for pregnant women, experienced midwives will wear two layers of gloves on their right hands.


    Throw away the outer layer after the obstetric examination, which can reduce maternal infection during the operation.


    After more than half an hour, the operation was over.


    In fact, when Zhou Can handed over the finishing work of the operation to Yang Zhi, the operation was basically a success.


    "After sending the patient to the recovery room, everyone went to the rest room to eat as fast as possible and rest for a while. We are going to do the second major operation in a row."


    Zhou Can is currently undergoing general tertiary major surgery, and Dr. Xu at most only occasionally comes to take a look and then leaves.


    He was quite reassured about Zhou Can.


    Zhou Can would not take the initiative to ask Dr. Xu to help unless he encountered a high-risk and extremely difficult operation.


    With the addition of Yang Zhi and Ma Xiaolan''s rapid growth, their team is now doing ordinary tertiary surgery, and there is no need to call in extra help.


    If Dr. Pu from the Department of Cardiothoracic Surgery can join his surgical team these days, the camp will expand again, and his surgical team can become complete.


    ¡­


    In the rest room, everyone was already hungry, and everyone had a fast food.


    Even a ladylike girl like Qiao Yu is cooking like crazy.


    "Doctor Zhou, I wonder if you have heard about the reform of the anesthesiology department?"


    Qu Zi took the initiative to talk to Zhou Can.


    She looks close to forty years old and is currently the deputy chief physician. The professional strength is quite powerful.


    And Zhou Can believed that her potential was much stronger than that of chief physician Dongfang Xueluo.


    "I''ve been so busy recently that I really haven''t paid attention to these things. How about the reform of the anesthesiology department?"


    Zhou Can asked curiously.


    "The reform of general surgery has achieved initial results, and the senior management of the hospital is already preparing to try it out in other departments." She stroked her loose hair.


    The division of general surgery into multiple sub-departments has realized the subdivision of the medical field, which is indeed quite good.


    Director Liu told Zhou Can that multiple sub-departments of general surgery have achieved all-round growth. Including the number of outpatient and emergency visits, surgeries, hospitalizations, the number of difficult cases conquered, and even the number of academic papers has also increased.


    It also means that general surgery has become stronger than before.


    So, that''s a good thing.


    The reform was considered a success.


    It also borrowed from the management experience of advanced large hospitals such as the Imperial Capital and Shanghai Metropolis, and it is not surprising that it can achieve success.


    "Doctors and nurses in the anesthesiology department may be further fixed in specific operating departments in the future."


    She revealed the reform plan of the Department of Anesthesiology.


    The current anesthesiologists are basically general practitioners. For example, Qu Zi may go to the emergency department today, the anorectal surgery tomorrow, and the cardiothoracic surgery the day after tomorrow. Wherever there is a need, she will go to any department.


    This general practice model is actually not conducive to the growth of anesthesiologists.


    Because anesthesiologists face different types of diseases, their understanding and understanding are different.


    The general practice model will lower their professional level.


    "I think the reform is very good. Last time I went to play with a classmate of mine, and I was fortunate enough to meet the anesthesiologists of the Provincial People''s Hospital. They have realized the subdivision of anesthesia. For example, those in charge of cardiovascular are only in charge of this field. Anesthesia for surgery. In many ways, the anesthetist was even more professional than the chief surgeon. I was particularly shocked at the time.¡±


    Ma Xiaolan interjected from the side.


    "That''s true. Now many large hospitals across the country have achieved subdivision of anesthesia specialties. Especially in the Imperial Capital and Modu, and a certain hospital in Zhengzhou, the professional standards of their anesthesiologists have been in line with international standards. Our Tuya Hospital is very good. behind."


    Qu Zi also pays close attention to the industry.


    It''s not that you don''t hear what''s going on outside the window.


    Not even behind closed doors.


    "Doctor Zhou, I mentioned this matter because I wanted to discuss it with you. If the anesthesiologist needs to fix a certain surgical team, do you think there is any chance for us to cooperate?"


    After all, she is a deputy chief physician, and she must have been a little shy when she took the initiative to ask for cooperation with Zhou Can''s team and asked for Zhou Can''s opinion.


    "I only perform two or three larger surgeries a day. If you tie my surgical team together, I''m afraid it will seriously affect your income."


    Zhou Can has always been sober.


    Despite the astonishing amount of surgeries performed in one day in the emergency department, there are not two major surgeries.


    For ordinary first- and second-level surgeries, the chief surgeon or even the itinerant nurse can administer local anesthetic to the patient, and no special anesthesiologist is needed.


    "I believe that the income is only temporarily low. I can see your surgical ability and growth rate. Just in the past few years, I need to get a high-level professional title, and the workload is less. I can have a lot of time to read and study."


    Before Qu Zi asked for his opinion, he had obviously thought about it long ago.


    "Thanks to Director Qu and Teacher Qin''s great kindness, I can''t wait to cooperate with such excellent anesthesiologists and nurses. I must remind you that the current situation in the emergency department is still not very good. Can we increase the number of third- and fourth-level surgeries in the future? , it¡¯s really hard to say. You guys have to think about it.¡±


    Zhou Can felt that it was quite good to be able to cooperate with Qu Zi.


    Director Feng''s rank is too high, it is impossible to be tied to his surgical team.


    Even Director Feng is willing to tie him up because of his close relationship with Zhou Can. Neither will the hospital.


    In terms of weight, Zhou Can''s current surgery team probably won''t even be in the top 20 at Tuya Hospital.


    How is it possible to give him the top anesthesiologist in the hospital?


    Also, Director Feng is a bit older after all, and he should retire in a few years. Now, Zhou Can''s team is still weak, and the amount of major surgery is very small. In the future, as Zhou Can grows up, the number of major operations increases, but Director Feng is already facing retirement.


    Therefore, his cooperation with the young Qu Zi is more beneficial to both parties.


    "Then let''s put it this way, when the time comes to fill in the wishes, I will directly fill in your emergency department."


    Hearing Zhou Can''s agreement, Qu Zi showed a rare smile on his face. UU reading www.uukanshu. com


    When she asked, she was probably afraid of being rejected.


    After all, it will be embarrassing!


    "Okay! Thank you Director Qu and Teacher Qin for your trust and love. We look forward to our regular cooperation model in the future."


    Zhou Can stood up with a smile, walked up to the two of them sincerely, and shook hands with them respectively.


    Made both of them laugh.


    After eating, everyone went to the bathroom, drank water, took a short rest, and then continued with the operation without mentioning it.


    During the second major operation, you can obviously feel that the atmosphere is more harmonious.


    This has something to do with Zhou Can and Qu Zi''s agreement to form a fixed partner during lunch.


    In the future, it will be equivalent to a team of people.


    When it was time to get off work, he swiped open the screen of his phone, and suddenly found that the police station in the area had sent him a notice. The fact that he was almost hit by a flower pot falling from the sky has been filed, and he is currently entering the criminal investigation process.


    Seeing this news, Zhou Can was quite happy.


    The establishment of a case at least shows that the police will send professional criminal investigators to investigate.


    He decided to call to inquire about the progress of the case.


    "Hello Officer Hu, I''m Zhou Can, the doctor who was attacked by someone throwing flower pots from the roof last night."


    "Oh, hello, Dr. Zhou! We have registered the case now."


    "Excuse me, did you get fingerprints on those flower pots yesterday?"


    "Well... the murderer was very cunning, and his fingerprints were not extracted. However, the cigarette **** we accidentally found on the roof has been sent to a technical appraisal. It may have been thrown by the suspect. In addition, the shoes at the scene were also extracted. Yin, it can be preliminarily identified as a male, probably in his thirties..."Previous Chapter Catalog BookmarkNext Chapte

 Chapter 486： Sensible, professional killer

    Chapter 486 Sensible, Professional Killer


    This case information would not be easily disclosed to outsiders. The other party may also know that Zhou Can''s identity is not an ordinary person, so he will give him some preferential treatment as much as possible.


    After Zhou Can listened to Police Officer Hu''s introduction, his heart was pounding.


    I thought Director Xueyan''s ex-husband was the most suspected one, but now the police have initially identified a suspect who is about 1.8 meters tall and about 30 years old, which obviously does not match Director Xueyan''s ex-husband.


    Who is the murderer?


    Zhou Can couldn''t think of a conflict with such a man even after searching his stomach.


    "If Dr. Zhou has any new clues, you can contact us at any time. When you find a criminal suspect, try not to confront him head-on. You can call me at any time."


    Officer Hu instructed him some precautions.


    "Okay, thank you! By the way, last night I saw that the police car you drove was quite old, and it turned off twice when you turned around. I personally would like to donate two police cars to your police station. Is there a procedural problem with this? ?¡±


    Zhou Can also saw that the police were doing their best to deal with the case, and the police were dispatched in time at night, and the investigation was also very careful, so he decided to donate some.


    "First of all, I would like to express my gratitude to you. I need to report this matter to the leader of the institute, and I will answer you after obtaining approval."


    Officer Hu heard that Zhou Can donated two police cars as soon as he made a move, and he was obviously more polite to him.


    There are more rich people, but very few are willing to donate supplies to the police station.


    Even if the two police cars are worth 100,000 yuan, they will cost more than 200,000 yuan.


    "goodbye!"


    Zhou Can hung up the phone.


    He didn''t hurry to get off work or go to the cardiothoracic surgery department, but went to the security department.


    In many people''s minds, hospital security guards are the group of people with the lowest status, comparable to cleaning.


    But I don''t know that the security guard is not as bad as imagined.


    Those without a backstage may be relatively low-key. With backstage security guards, they are really not afraid of things. Especially when patients and family members make trouble in the hospital and want to do something to the doctors and nurses, the security guards have the power to control them on the spot.


    "Hello, I want to find your section chief!"


    Zhou Can came to the office of the security department.


    There are two people on duty.


    Other security guards need to stand guard at the front and rear doors of the hospital, the administrative building, or patrol various departments in the hospital.


    "Is there anything you can do with our section chief?"


    The younger security guard turned his head and looked at Zhou Can with a slightly cold attitude.


    "I would like to review the monitoring of the last few days."


    "To check the monitoring of the hospital, you have to ask the hospital office to approve a note, and maybe the director''s signature."


    The young security guard must have some background to be able to sit in the office.


    The tone of speech is also rather arrogant.


    It''s completely businesslike, similar to playing bureaucratic.


    The security guard sitting inside was close to forty years old. When he heard that someone was going to check the surveillance, he looked carefully at Zhou Can.


    Suddenly there was a shock.


    Isn''t this Dr. Zhou Can? Hey, this master is a master who can''t be offended. Last time, he directly brought down the chief of the security section, the vice president of general affairs, and the assistant to the president.


    If he offends others, isn''t this a disaster for the new section chief?


    "Please stay, please stay! The young people are ignorant, and they failed to recognize Dr. Zhou. Don''t blame it, don''t blame it!"


    The older security guard quickly stood up and laughed with him, saying good things to Zhou Can.


    "Under normal circumstances, if you want to access the monitoring, you really need to approve the note from above. Dr. Zhou is a doctor in this hospital. I believe that you must have something important to access the monitoring. This is a special situation. I will report it to Section Chief Mu first and give as much as possible." You avoid complicated procedures."


    After all, the security guard was ten years older, so he didn''t have to eat for nothing for so many years.


    Handling things, talking and doing things, is obviously much more tactful than the young security guard.


    "Thank you then! What is your name, please?"


    "My surname is Zhao! You can call me Old Zhao or Zhao Zhiguo."


    The older security guard was very polite to him.


    After introducing himself, he hurriedly called the section chief.


    "Doctor Zhou, our Section Chief Mu said that our security department should handle your needs with special measures. You need to tell me where and when you need monitoring, and I will call it out for you immediately. Section Chief Mu just Not long after work, he was on his way home, and he said he would turn around and rush back to the hospital immediately."


    Look, this salary is almost as good as that of the school-level leaders.


    People are willing to take the initiative to show their favor, Zhou Can is naturally happy to accept all the orders.


    The young security guard was stunned.


    Almost got into a disaster today. Even the chief Mu of the security department rushed back to accompany the doctor. Could it be an ordinary doctor?


    He smiled awkwardly at Zhou Can, and wanted to say something to apologize, but after all, he was thin-skinned, his eloquence and intelligence were not good, and he couldn''t fart loudly.


    The stuffy jar who often scolds but can''t fart three loud farts refers to this kind of person.


    As long as you experience a few times of beatings from the society and stay in the workplace for a long time, you will gradually become thick-skinned, eloquent, and slick in mind.


    What if you can''t practice it?


    Salad.


    Then they can only be ruthlessly eliminated by the society, or stay at the bottom all the time.


    Zhao Zhiguo helped Zhou Can access the surveillance.


    After working hard, he really found out the clue Zhou Can wanted.


    "Stop, stop! Here it is, this man!"


    Zhou Can excitedly pointed at a person wearing a peaked cap and a mask on the surveillance screen.


    This person followed behind Zhou Can ghostly, always keeping a certain distance.


    No wonder Zhou Can always felt that someone was secretly watching him in recent days.


    "Old Zhao, can you help me check the specific activities of this person in the hospital. It would be best to find a clearer frontal photo."


    "No problem, but it may take some time."


    Zhao Zhiguo readily agreed.


    "Well, you can help find it first. I''m going to the cardiothoracic surgery department now. I''ll leave a phone number for you. Call me after you finish the search."


    "Okay! You have to go to work first!"


    "Then I will trouble you!"


    Zhou Can got up and shook hands with Zhao Zhiguo, and was about to leave when a sturdy middle-aged man walked into the monitoring room of the security department.


    "Hey, Dr. Zhou is a rare visitor here! If I had known you were coming, I would have kept it waiting for you. Have the necessary monitoring been transferred?"


    "I have already gained some results. I am in a hurry to go to the cardiothoracic surgery department, so I want to ask Lao Zhao to help me continue to investigate. I am really sorry that I asked Chief Mu to turn around and come back halfway because of my business."


    Zhou Can had never dealt with this wood section chief.


    Just a little familiar.


    "You''re welcome, you''re welcome! If Dr. Zhou needs anything in the future, just ask, and our security department will fully cooperate."


    Section Chief Mu used to be one of the two deputy chiefs of the Security Section.


    I have to thank Zhou Can for being able to take the position of chief security officer.


    If Zhou Can hadn''t brought down the previous Chief Mi Ke, he really didn''t have a chance if he wanted to take over.


    In the past, he was suppressed to death by Chief Miko.


    Fortunately, this person did not collude with Chief Mi Ke. Although he was suppressed a bit, in the last incident, because he did not collude with Chief Mi Ke and others, he was not cleared by the hospital.


    On the contrary, Dean Zhu also promoted him to the chief of the security section because of his integrity.


    Do you think he can be rude to Zhou Can?


    ¡­


    By the time Zhou Can finished his operation in the cardiothoracic surgery department, it was already past eleven o''clock in the evening.


    Today, I earned a lot of separation experience points. It is estimated that with a few more major operations, the separation can be promoted to level six.


    Zhou Can was naturally full of joy when he saw that a surgical technique was promoted to the director level.


    This kind of medical mysteries brought about by continuous exploration of higher realms made him very obsessed.


    The comprehension and understanding of medicine, the human body, and diseases are also different.


    In addition, his postgraduate entrance examination is also in full swing preparation.


    The direction of this postgraduate entrance examination is in the field of orthopedic trauma. The improvement of every surgical skill can bring him stronger competitiveness.


    Even the written and re-examinations for postgraduate entrance examinations cannot be passed by rote memorization.


    There are many knowledge points that need to be learned and used flexibly.


    For some exam questions, he has rich clinical experience, which can ensure that he will not be misled and give correct and excellent answers.


    This is somewhat similar to the ancient imperial examinations.


    Writing articles is also not enough for you to be literate. The articles written need to reach a high level in terms of literary talent, conception, innovation, perception of life, national policies, etc., in order to write high-level articles.


    Old Zhao from the security department didn''t call him.


    It is estimated that it will take a long time and effort to find the monitoring for several days. Lao Zhao also has his own job, so if Zhou Can finds out in two or three days, it will be considered very good.


    Going home at night, Zhou Can drove his Mercedes-Benz.


    Su Qianqian has already called him several times and sent him many messages.


    It could be seen that she was very worried about Zhou Can''s safety.


    Zhou Can was unable to answer the phone and text messages during the operation. The phone itself is also on silent, and even the vibration is turned off. I don''t know if someone else is calling.


    After calling her back, he drove home.


    As soon as he got in the car, he felt faintly uneasy.


    I can''t say it, but my heart is hairy, and there is a feeling that a catastrophe is imminent.


    Reminiscent of the murderer who wanted to kill him yesterday by dropping a flowerpot from a high altitude, with a professional technique, Zhou Can was immediately on high alert. The Mercedes-Benz is parked in the underground garage, so it must not have been tampered with, right?


    If the murderer is not found out, there is really no end.


    His life has been seriously affected, and his life has been seriously threatened.


    The most terrifying thing is that the enemy is in the dark and I am in the light.


    You never know when and where the opponent will show his sword.


    Thinking of this, he immediately got out of the car to check.


    However, he is not a professional on the car itself. He took a picture with his mobile phone and found nothing abnormal.


    Out of caution, Zhou Can locked the car door and took a taxi directly to go home.


    It''s so late, it''s actually hard to get a taxi.


    While waiting for the car, Zhou Can had an idea. If the murderer had really tampered with his car, he might be secretly monitoring his every move.


    Seeing that he didn''t drive home, it''s likely that he ran to the garage and tampered with his car.


    Such as restore broken brakes and so on.


    This was done to prevent Zhou Can from finding out.


    He decided to call Chief Mu of the Security Section for some help.


    At this time, I don''t care about the disturbance caused by calling in the middle of the night.


    "Hey, who is it?"


    Section Chief Mu''s voice was full of Mihu, apparently he was awakened from a deep sleep.


    "Hi Section Chief Mu, I''m Zhou Can, a doctor in our hospital."


    "Oh! It''s Dr. Zhou, what''s the matter?"


    "That''s it. I suspect that someone has tampered with my car. Can you please send someone to monitor the garage, especially my car. If you find any suspicious people approaching, you can call the police and arrest them. Then I will Thank you very much."


    Zhou Can never asks Bai for help.


    "Does anyone want to kill Dr. Zhou? It''s too arrogant to dare to commit murder under the watchful eye of our security department. Don''t worry about Dr. Zhou, I will arrange it immediately. As for thanking you again, you can avoid it. Protect the property of the hospital and protect the staff of the hospital." No harm, these are our jobs. Which one is your vehicle? Where is it parked in the garage?"


    Chief Mu asked.


    Next, Zhou Can reported the location of the vehicle and the license plate number to the other party, then said a few words of thanks, and hung up the phone.


    It''s hard to get a taxi late at night.


    Never waited for an empty taxi.


    At this moment, Su Qianqian came with Wei Fang in her BMW.


    "Honey, get in the car!"


    Su Qianqian opened the car door and waved to Zhou Can.


    Getting into the car, Su Qianqian looked at him with concern.


    "Are you OK?"


    "It''s okay. I''m not sure now. I just suspect that my car has been tampered with. If the car has been tampered with, the murderer is definitely a professional killer."


    Zhou Can analyzed calmly.


    He was killed yesterday by dropping an object from a height, but failed~ www.novelhall.com~ The murderer did something on his car the next day, which shows that he is well versed in psychology. Knowing that Zhou Can will definitely drive home today.


    "Who is going to kill you? I''m so scared. You must be careful when you work in the hospital. I''m afraid that the murderer will suddenly draw a knife and stab you."


    Su Qianqian looked very haggard, obviously not rested well.


    She is in the critical period of taking medicine to treat her kidney disease, so she cannot fail because she is too worried about Zhou Can''s safety.


    After going through a lot of hardships, I finally got the purple-backed star anise lotus and the colorful toad. It will only be more difficult to get these two main ingredients next time.


    "Don''t worry too much, I''ll be fine."


    Zhou Can held her soft hand and comforted her.


    "Now that some clues to the murderer have been found, I believe they will be caught in a short time. Then everything will be fine."


    "I bought you a stab-proof vest online. It should arrive tomorrow. You can put it on then."


    "good!"


    Zhou Can didn''t want her to worry too much, so he nodded in agreement readily.


    In fact, he didn''t think it was necessary to wear a stab-resistant vest.


    The next day, around eight o''clock in the morning, Zhou Can was just about to enter the operating room when Section Chief Mu of the Security Department called.


    Tell Zhou Can that Lao Zhao has pulled out all the surveillance videos he needs.


    However, from last night to this morning, no suspicious person was found approaching Zhou Can''s car.


    Instead, it was discovered that someone passed the staff elevator and entered the underground garage yesterday. Moreover, the appearance of that person was very similar to the person Zhou Can had locked on in the surveillance, except that he had changed his clothes.


    Sure enough, he was targeted by a professional killer. Previous Chapter Contents Bookmarks Next Chapte

 Chapter 487： Killer caught, fame emerging

    Chapter 487 The murderer was caught, and his fame began to show


    Now that he has evidence, Zhou Can no longer hesitates. First, he reported to Director Lou that someone wanted to kill him.


    Because the eucalyptus was still under investigation yesterday, Zhou Can did not report to the hospital leadership.


    As an employee of the hospital, such a big matter must not be hidden from the leader.


    Reporting this morning is just right.


    Neither early nor late.


    He went to the office to find Director Lou and told the whole story.


    Director Lou couldn''t help but turn pale with shock, telling him to be more careful.


    If it doesn''t work, please take a few days off to hide.


    You must know that Zhou Can''s leave means that the operation volume of the emergency department will drop sharply, which will seriously affect the income of the emergency department. Director Lou usually cares most about the income generation and development of the emergency department.


    Now for the sake of Zhou Can''s personal safety, he actively persuades Zhou Can to take a few days off. This kind of concern warms Zhou Can''s heart.


    Adults, many of them talk about brothers and sisters, and talk beautifully. When it comes to money, they are selfish.


    It is sincere love that Director Lou would rather give up part of the interests of the department and protect Zhou Can from harm.


    After reporting the matter, Zhou Can took this opportunity to mention to Director Lou that Dr. Pu wanted to be transferred to the emergency department. When Director Lou heard that there was an excellent doctor who wanted to join the emergency department, he naturally agreed with it.


    He said that as long as the cardiothoracic surgery department agrees to release the patient, the emergency department will have no problem at all.


    Director Xueyan and Zhou Can are siblings, although she hasn''t mentioned it to her yet, she probably will agree.


    No matter how good Dr. Pu is, he is just an ordinary doctor who has just joined the cardiothoracic surgery department.


    This kind of outstanding talent is a scarce talent for the emergency department.


    Not so much for cardiothoracic surgery.


    Not to mention that Zhou Can raised this matter in person, even if Dr. Pu asked her to ask, she would probably agree.


    Coming out of Director Lou''s office, Zhou Can called Police Officer Hu and provided new clues that the car might have been tampered with yesterday.


    Professional things, let professional people do it.


    Handing it over to the police for investigation would be ideal.


    After Police Officer Hu got the news, he asked Zhou Can not to move the car, and a criminal investigator would come to check.


    ¡­


    After the operation at noon, Zhou Can received a message from Officer Hu.


    "Please contact me in time after seeing the information."


    It may be considered that Zhou Can is operating on patients in the operating room and cannot be disturbed, so no one disturbs him.


    "Qiao Yu, help me make a meal, I will come later."


    "Okay!"


    She readily agreed.


    Zhou Can came to the end of the corridor where there was no one there. Except for occasional people who came to smoke, very few people came here.


    He dialed Officer Hu''s phone.


    "Officer Hu, I''m sorry, I just had an operation. Is there any new progress in my eucalyptus?"


    "That''s right, after getting the hospital surveillance video you provided, we have initially identified the suspect here. We are collecting the net, and if there is no accident, we should be able to capture him today. Your car was indeed tampered with." , in addition to the failure of the brakes, the steering wheel has also been tampered with. As long as the emergency brake is applied or the accelerator is pressed to the bottom, the steering wheel will be stuck. What''s more frightening is that the vehicle is also equipped with a small self-ignition device. After the steering wheel is stuck, the vehicle will Immediately spontaneous combustion."


    Zhou Can couldn''t help breaking out in a cold sweat after hearing this.


    This professional killer is terrible.


    If he had driven home last night, there was a good chance something would have happened. There is no need for a killer to cause any traffic accidents, Zhou Can can play himself to death by driving the car.


    "It''s horrible. I ask the police to crack the case as soon as possible and catch the murderer."


    Zhou Can felt his hair stand on end.


    This kind of professional killer is not something that an ordinary person like him can compete with. No one needs to fight him head-on.


    And even if he died, outsiders would consider it an accidental death.


    I really can''t think of when I offended such a powerful killer.


    Being a doctor is a dangerous job.


    ¡­


    Two days later, Zhou Can received good news that he had been caught.


    For the past few days, he lived in the shadow of death every day. Su Qianqian was also frightened.


    This has seriously affected his life.


    The number of surgeries has also declined significantly.


    Because of the considerable psychological pressure, I didn''t sleep well, and I couldn''t handle the high-load work like before.


    Even on the cardiothoracic surgery side, he had only performed one operation in the past two days.


    And it''s not the main knife, it''s just sweeping around.


    He said it was Luen Zhen, but he really had an accident during the operation, and he was not at all sure of making the best treatment response.


    At this moment, he received a call from Police Officer Hu, saying that the suspect had been caught, and he felt a lot more relaxed. The invisible mountain pressing on his body finally disappeared.


    After that, good news continued to come. After the suspect was tried, he admitted to the crime process in front of iron evidence.


    After interrogation, it was found that the murderer had nothing to do with Zhou Can.


    It was a netizen named ''Poisonous Eyes'' who hired him to kill people, agreeing to pay 150,000 first, and then pay 150,000 as the final payment after the event was completed, for a total of 300,000.


    Human life is really worthless these days.


    Three hundred thousand can buy a life.


    The murderer didn''t even know the employer''s real name, and the two had never met and had no direct contact.


    Zhou Can knew in his heart that this matter was not over yet.


    If you don''t find out the behind-the-scenes employer, you can spend money to hire other killers to kill him next time.


    I sent a pennant to the police station as soon as possible to express my gratitude.


    Not to mention, he generously donated two police cars to the institute.


    People who donate money directly will definitely not accept it.


    Then, about five days later, Officer Hu called him again, saying that there was a new major breakthrough in the case. Following the clues, not only smashed an online communication group dedicated to buying murderers, but also captured eleven killers.


    This eucalyptus involves a lot and is being further dug.


    The employer who hired a murderer to kill Zhou Can has also been successfully identified, and the suspect was successfully arrested at around 4 o''clock this afternoon.


    The employer is Wu Chuan, who is unemployed and earns his living by speculating in stocks. After divorcing his wife a while ago, he sold the house and unexpectedly made a lot of money through stock trading. Then the idea of ??hiring a murderer came up.


    This employer is none other than Director Xueyan''s ex-husband.


    Zhou Can had doubted this person when he was first attacked by a flower pot from the sky. However, following the investigation by the police, it was discovered that the suspect was a young man in his thirties. Only then did Zhou Can dispel his doubts about this person.


    It''s just that he didn''t expect that the French Open would be restored, and Wu Chuan was finally dug out by the police after the murderer was arrested.


    At this point, Zhou Can can finally sleep peacefully.


    What awaits Wu Chuan and that professional killer will be severe legal punishment.


    Murder is a felony.


    Even if it is attempted, it will be prosecuted as intentional homicide.


    This matter is finally over.


    ¡­


    Zhou Can quickly returned to normal work and life.


    Dr. Pu was also transferred to the emergency department as he wished.


    However, Zhou Can was not in a hurry to let him join the surgical team, but asked Dr. Pu to help manage the inpatients in the inpatient ward. This is also a test for him.


    All outstanding talents have a high arrogance.


    Proper grinding, only good and no harm.


    At the same time, the day of the postgraduate entrance examination is getting closer and closer. A while ago, due to the influence of the killer, Zhou Can''s work and life were seriously disturbed, and even the amount of surgery was reduced a lot, not to mention the exam questions for the postgraduate entrance examination.


    Now recovering, he began to consciously reduce the working hours of cardiothoracic surgery.


    Xueyan''s ex-husband hired a murderer to kill him, and she already knew about it.


    Although he apologized to Zhou Can immediately, but when the two met, there would be a trace of invisible grievances.


    Recently, I rarely meet with Director Xueyan, and it is good to let the time pass by.


    In the blink of an eye, more than half a month has passed.


    Zhou Can devoted himself to preparing for the postgraduate entrance examination, and did not miss work. As for the general content of the postgraduate entrance examination, he has already brushed up a lot of related examination questions by consulting Director Shen of the Orthopedic Surgery Department and others.


    Finally, the annual postgraduate entrance examination season is here.


    It is now approaching the end of the year.


    Zhou Can took two days off to take the postgraduate entrance examination. The whole exam was much easier for him than he imagined. I don''t know if it''s because he is too strong, or because he has several chief physicians in the Department of Orthopedics to help with the questions and to brush up the questions in a targeted manner, so he can pass the exam so easily.


    Even if the results did not come out, Zhou Can already had full confidence that he could pass the exam successfully.


    Now it is December, and we need to wait until around February next year to get the preliminary test results.


    During this time, he can just prepare for the retest.


    At the same time, with the help of clinical practice, the experience value of medical skills can be increased by another wave, and strive for a few more director-level medical skills.


    The test of Dr. Pu was soon over.


    For more than half a month, Dr. Pu has been doing his best to take care of the inpatients in the inpatient ward. Even often take the initiative to work overtime, just to ensure that some surgical patients can receive better care after surgery.


    Because some surgical patients have multiple risks of postoperative complications and death, as long as he predicts that the patient is in danger, he will take the initiative to apply for overtime.


    This hardworking way of working has not only been recognized by Zhou Can, but Director Lou, Dr. Xu, Deputy Director Han and others have noticed this ''good seedling''.


    In the emergency department, many doctors are ''problem doctors'' eliminated from other departments.


    All kinds of old fritters, slackers, green tea whores, everyone has seen a lot.


    When encountering a doctor with a bad work attitude and extremely poor medical ethics, Director Lou would rather be short of manpower than resolutely dismiss him.


    It is this kind of iron and blood management that ensures that although the emergency department is weak, medical accidents rarely occur.


    When Dr. Pu was transferred to the emergency department, Zhou Can was very optimistic about him.


    Now after more than half a month of observation and training, he thinks the time is ripe. Dr. Pu was transferred directly to the operating room and officially joined his surgical team.


    In the operating room, Zhou Can is nervously operating on the patient.


    Dr. Yang Zhi is helping him, and Dr. Pu is mainly studying and watching for the time being.


    The operation that Zhou Can is doing is a second-level operation.


    The patient''s right hand was seriously injured due to an accident. Although after a period of treatment, the entire right hand has a serious deformity. It''s a little better than the chicken claw shape, but the finger movement function is extremely poor.


    After a joint consultation between Zhou Can and Dr. Xu, it was finally determined that the movement function of the five fingers of the patient''s right hand was poor, which was mainly affected by the index finger.


    The tendon of the index finger was severely damaged, and it was adhered to blood vessels, nerves and other tissues, making it unable to flex or extend.


    It can only be in a half-bent state like a hook.


    The patient is only twenty-four years old and has just finished his university studies. He should have stepped into the society and started working formally. However, because of his hand disability, he was frustrated in the job hunting process.


    His family has taken him to seek medical treatment everywhere, and they all said that his right hand is deformed so badly that he cannot be operated on.


    Even with surgery, the therapeutic effect is extremely poor.


    The level of doctors in each hospital varies from strong to weak.


    Some doctors don''t even know the real cause of his poor right hand function.


    In fact, as those doctors said, the disease is difficult to cure. The patient was studying in a university in another province, and his family members took him to seek medical treatment. He had undergone a corrective operation in a large hospital in another province, but the effect was not satisfactory.


    The patient posted some small videos on Douyin, sharing his life experience and seeking comfort from netizens.


    Because in reality, he is extremely inferior and very introverted.


    Few people are willing to be friends with him.


    Not even a single person to confide in.


    On Douyin, he has gained the attention of many sympathetic netizens. And give him all kinds of encouragement.


    Not long ago, an enthusiastic fan told him that he could go to the emergency department of Tuya Hospital to find a doctor named Zhou Can. Because the fan''s mother also had severe hand deformities at the time, and treatment in many hospitals had no effect.


    Fortunately, I met Zhou Can in the emergency department of Tuya Hospital and performed three operations on his mother. Now his mother has recovered 80% of the functions of her hands.


    Sometimes, a good doctor can indeed save a patient from suffering.


    This 24-year-old college student couldn''t help but be moved after hearing the sharing from enthusiastic fans.


    After several days of consideration and preparation, he finally decided to come to Tuya Hospital to see Dr. Zhou Can.


    When I arrived at the emergency department of Tuya Hospital, I found out that Zhou Can only spends half a day in the emergency department every week.


    The patient had no choice but to find a cheap hotel nearby to stay temporarily. UU Reading


    Accompanied by his father, he waited for four days in a daze before finally rushing to buy Zhou Can''s consultation number from scalpers at Zhou Can''s appointment.


    Because Zhou Can is quite famous now, and the consultation fees are cheap, there are quite a few people who come to him for medical treatment.


    Many of them were introduced by acquaintances, relatives, and friends, and word of mouth, and they went to him for medical treatment.


    A doctor''s reputation is basically composed of two factors: medical skills and medical ethics.


    The most important thing is definitely the level of medical skills.


    When Zhou Can sees a doctor, he says he can cure it if he can, and never fools the patient if he can''t.


    Then his surgical ability and diagnostic ability are excellent. Coupled with continuous accumulation and improvement, the medical level is getting higher and higher, and it is not surprising to have the current fame and reputation.


    According to the statistics of Tuya Hospital, Zhou Can''s clinic number has been squeezed into the top 100 most popular doctors in Tuya Hospital, whether it is in the pediatrics department or the emergency department.


    You must know that he is still a resident doctor now, and his working life is very short, and he does not have those dazzling academic qualifications, special honors, and scholar status blessings. To have such a high reputation is entirely based on strength, with one knife and one shot.


    This is also one of the main reasons why the hospital took the initiative to help him improve his education.


    Such an excellent genius doctor cannot be cultivated well, unless the brains of the hospital''s leadership are rusted.


    Zhou Can received this young college student patient, based on his experience, he saw that the right hand of the patient was seriously deformed, and he heard that he had undergone two corrective operations in a large hospital in other provinces, but none of them worked.


    He retreated somewhat. Previous chapter table of contents bookmark back page

 Chapter 488： Level 6 separation surgery, surgical nurses are all good-looking

    Based on his surgical experience, it is almost impossible to repair the patient''s finger tendon. The only way is to transplant a tendon.


    Under normal circumstances, a person''s fingers have superficial flexor tendons, deep flexor tendons, and extensor tendons.


    By their contraction or relaxation, they help the fingers to flex or straighten.


    The medical anatomy may seem simple, but in the case of adhesions like this, the difficulty of surgery will be frighteningly high. of fine hands


    The content of this chapter is being updated...

 Chapter 489： Another level 6 medical skill, the meaning of a doctor

    "Doctor Yang, let me test you, why did you deliberately leave some peritendon tissue when you harvested the transplanted tendon?"


    Zhou Can threw this question to Yang Zhi.


    "In order to better fix the tendon?"


    Yang Zhi obviously didn''t understand either.


    According to ordinary people''s thinking, some peritendon tissue is reserved when taking the tendon, which can be easily sutured and fixed.


    "I ask you, what is the function of tendons?"


    Zhou Can asked questions instead of answering.


    The content of this chapter is being updated...

 Chapter 490： A completely different fate, touching the threshold of top diagnosis

    Under normal circumstances, nine out of ten people who are over forty-five years old and have not yet been rated as a sub-high school are stuck in academics.


    In this era of increasing emphasis on academic qualifications, even nurses now start with a bachelor''s degree.


    Most powerful nurses have postgraduate degrees.


    Until now, many people look down on nurses, thinking that they can only give injections, change medicines, and do some waiting work. That''s because most people''s impressions are still stuck in the past, the previous nurses basically


    The content of this chapter is being updated...

 Chapter 491： Inexplicable hyperthermia, multiple sources of hemorrhage

    After an emergency gastroscopy was performed on the patient, the situation was quite bad.


    The patient''s entire gastric mucosa looked pale, which suggested that the patient had gastritis, and the condition was severe.


    This happens only when there is erosion, ulcer or inflammation, edema and exudation on the surface of the gastric mucosa.


    No wonder the patient''s figure looks thin, and the patient''s father said that the child only knows how to play games all day long, go out to fool around, and doesn''t eat much at home. Gastritis is so severe, Ken


    The content of this chapter is being updated...

 Chapter 492： Whats wrong with Dr. Du about the journey of a famous doctor?

    I am afraid that this patient has more than simple upper gastrointestinal bleeding, and it is very likely that there is also bleeding in a certain part of the lower gastrointestinal tract.


    And the source of major bleeding is most likely in the lower gastrointestinal tract.


    When Zhou Can gave this patient the first consultation, hemostasis and pathological diagnosis were combined with two six-level medical techniques, and it was judged that the patient''s bleeding source was in the upper gastrointestinal tract, and it was probably the stomach. Now after further diagnosis, it is found that the patient is likely to have multiple sources of bleeding.


    this


    The content of this chapter is being updated...

 Chapter 494： With the knife as the foot, the doctor cant just treat the disease

    Chapter 494 Doctors can''t just treat diseases with a knife as their foot


    In the operating room, the anesthesiologist Qu Zi and the anesthetist nurse are performing general anesthesia on the patient.


    Since the last time I talked with Zhou Can, the frequency of her surgery in the emergency department has become more and more frequent. When encountering operations that require general anesthesia and spinal anesthesia for patients, Zhou Can will always consult with her.


    Sometimes, she felt that the operation was too risky and did not agree to take the risk.


    Zhou Can could only try his best to persuade her.


    Fortunately, she has a high degree of trust in Zhou Can''s surgical ability, and the two have cooperated many times, and they have a certain foundation of trust in each other. So in most cases, it was Zhou Can who succeeded in persuading her.


    After the patient was under general anesthesia, Zhou Can began to perform laparotomy on the patient.


    Because the patient''s physical condition is very weak, like a light that may be extinguished at any time in a rainy night, Qu Zi''s nerves were tense as soon as the operation was performed.


    Fortunately, Zhou Can''s operation was not only fast, but also extremely stable.


    During laparotomy, with the six-level incision technique, coupled with the blessing of fast knife technique and steady knife technique, it is really silky and smooth like flowing clouds and flowing water.


    Open the abdominal cavity and go straight to the ileocecal where the source of bleeding is.


    A large mass over 9 cm in diameter was found in the ileocecal.


    The mass wall is very thick.


    "Good guy, why did you grow such a big lump?"


    Dr. Xu stood beside his apprentice Luozhan, and was quite surprised to see such a big lump.


    "It doesn''t feel like a tumor, it''s probably blood inside!"


    Zhou Can''s sixth-level debridement was not given for nothing.


    I stared at the lump for a few times, pressed it with my finger a little, and I already knew it in my heart.


    "Teacher, do you need to **** out the effusion in the mass first?"


    "It''s okay! This lump is not easy to suck, and it will probably break if touched."


    Dr. Xu''s surgical experience must be many times richer than Zhou Can''s.


    He said it''s okay, basically he won''t miss it.


    In terms of the degree of prudence of the operation, Dr. Xu ranked second, but no one would dare to rank first.


    After all, because of an accident, he directly ruined his future and life. Once bitten, twice shy.


    During surgery, Dr. Xu is not only strict with his fellow doctors, but also stricter with himself.


    Even if he loves Zhou Can to the extreme, as long as Zhou Can dares to be sloppy during the operation, he will be scolded until he can''t even lift his head.


    Zhou Can tried to move the mass with his hands in order to separate the adhesion between the mass and the surrounding tissues.


    Crash!


    Unexpectedly, as soon as it was moved, it broke immediately.


    Blood flowed out immediately.


    "Yang Zhi, **** out the accumulated blood!"


    "good!"


    In fact, Yang Zhi was already ready without Zhou Can''s instructions.


    "If your team can have one more hand-washing nurse, it will be more complete."


    Anesthetist Qin Yue said beside him.


    She didn''t talk much before, since Qu Zi said last time that she wanted to tie up with Zhou Can''s team, when she saw Zhou Can, she would always smile and nod. During the operation, if she finds some problems or deficiencies, she will take the initiative to point them out.


    "Well, I want to hire another surgical nurse to help Qiao Yu share the work pressure, but you also know that the surgeries I perform are still mainly primary and secondary surgeries, and I can''t support so many people!"


    Zhou Can''s statement is relatively modest.


    With the terrifying amount of operations performed by his surgical team every day, recruiting a hand-washing nurse can fully support him.


    But this will definitely lead to a reduction in the income of Qiao Yu and Ma Xiaolan.


    Both of them came from poor families and both wanted to earn as much money as possible.


    The work is a bit tiring, and the two have no complaints.


    Zhou Can has no intention of recruiting surgical nurses for the time being.


    While speaking, Yang Zhi had already sucked out the effusion in the mass.


    "I feel that there is not only accumulated blood in this mass, but also carrion-like necrotic tissue. I am afraid that this section of intestine must be completely cut off."


    Zhou Can looked at the aspirated fluid and found that the patient''s ileum was worse than imagined.


    It would be great if we could find out earlier, maybe we could cut a little less intestines.


    It may even be cured by direct drug treatment without surgery.


    After careful examination, he found that not only the ileum where the mass was located showed signs of necrosis, but also the mesenteric lymph nodes were significantly enlarged and thickened.


    "Cut it!"


    After seeing it, Dr. Xu agreed to remove this section of intestine and mesenteric lymph nodes.


    After carefully cutting out this section of ileum and mesenteric lymph nodes, Zhou Can felt extraordinarily at ease. It''s not that he has obsessive-compulsive disorder, but every time he helps a patient cut out the lesion tissue, he feels a great sense of accomplishment.


    [The experience value of the fast knife method is +1, and the experience value of the steady knife method is +1. ¡¿


    At this moment, he sensed that there seemed to be a major breakthrough in his sword technique. I can''t say how to break through, it seems to be a matter of course.


    In the past, when he performed the steady knife technique, it seemed that there was a mountain on the scalpel.


    At this moment, he has a new understanding and breakthrough in the steady knife technique.


    When he holds the scalpel and lands on any part of the patient''s body, there will be an extremely subtle feeling of landing.


    The tip or blade of the knife is extremely sharp, and when it falls on the skin or organs of the body, it will immediately cut the part where the blade is located.


    Treating the scalpel as a "foothold" is simply a lunatic''s idea.


    I am afraid that no doctor dares to use the scalpel as a body fulcrum during surgery.


    Even if it is only 0.1 kg of force to press it up, it is enough to cause fatal injury to the patient.


    To regard the scalpel as a foothold requires the strength and use of the knife by the surgeon to reach a height that is difficult for ordinary people to reach.


    Zhou Can couldn''t wait to check the attributes of medical skills.


    [Steady knife method, current experience value: proficiency level 1/100000, as stable as a mountain, as nimble as a swallow, with the knife and two feet as the fulcrum, like a tripod. Integrate into all knife-wielding surgical procedures. ¡¿


    as long as you try very hard, you can achieve anything.


    After a long period of practice, his steady knife technique was finally promoted to the second level - the proficiency level.


    When performing a knife, the knife is a fulcrum of the body, forming a three-legged stand with the two feet.


    According to the laws of physics, a triangle can form the most stable physical structure.


    The wisdom of the ancients was extremely advanced, and a three-legged giant tripod was cast in the time of Dayu to restrain the flood beasts.


    The famous Kyushu tripod has nine statues in total, all of which are three-legged.


    Zhou Can didn''t expect that the second realm of steady knife technique is to use the knife as the foot, forming a three-legged posture with the feet. This kind of high-level saber comprehension is beyond the imagination of the brain.


    You can only practice it over and over again, practice makes perfect, and you will naturally realize the knife skills in practice.


    This is also a profound understanding of the use of power.


    I don''t know if the second level of Director Hu Kan''s Steady Sword Technique is also a tripartite confrontation?


    Director Hu Kan has passed away, I am afraid there is no way to go to verify it.


    Steady saber technique and fast saber technique are both the saber techniques that Zhou Can values ??most, and each has its own advantages.


    Now that the steady sword technique has been promoted to the proficient level, and the quick knife technique is also a proficient level, will it cause an imbalance of power between the two sword techniques, and affect his unique sword technique after combining the fast knife technique and the steady knife technique?


    After experimenting, he found that he was not affected in any way.


    On the contrary, because of the successful advancement of the steady knife technique, the self-created knife technique has become more stable and flexible.


    After cutting off the diseased intestinal segment and enlarged mesenteric lymph nodes, Zhou Can debrided the surrounding tissues and removed suspicious secondary lesions.


    Cancer is not the only way to spread.


    If the ulcer is not treated in time, it will also lead to the rapid spread of germs.


    Such as the most common gastric ulcer, usually, the disease has a certain self-limiting. However, if the patient''s physical fitness is poor, or if the correct treatment is not timely, it may lead to an increase in the size of the ulcer.


    In this patient''s excised ileum, 100% of the intestinal lining has decayed.


    It''s not cancer, but it''s as dangerous as cancer.


    If it wasn''t for the admission to the hospital due to hemorrhagic shock this time, if the patient drags on for a while, the intestines may be directly ruptured.


    When the time comes, just one intestinal perforation will be enough to kill him.


    After intestinal perforation, intestinal contents enter the abdominal cavity, and peritonitis will definitely occur.


    Zhou Can''s surgery is definitely equivalent to saving the patient''s life.


    In the process of debridement, the just-promoted Steady Saber Technique should naturally be used in actual combat to make it addictive.


    The biggest feeling is that debridement becomes easier, faster, safer and more perfect.


    In the past, even if his debridement technique was promoted to the sixth level, he never dared to use the word perfect for debridement of patients.


    At best it was just right and the debridement was excellent.


    At this moment, he used the evaluation word perfect for the first time.


    Don''t look at just cleaning up the wounds of general surgery now, if it is used to clean up dense lymph node tumors, I believe he can also be competent.


    This is just one of the benefits of the promotion of the Steady Knife Technique. I believe that whether it is dissecting difficult body parts, or removing extremely difficult lesions, or separating extremely difficult adhesion tissues, etc., the Steady Knife Technique can help him. Surgical capabilities to a new level.


    By the time Zhou Can completed the operation, the closure of the cavity was completed, and the patient''s vital signs had stabilized. Only then did Dr. Xu stare at Zhou Can in surprise and said, "Xiao Zhou, just now I saw you debride the wound, and your surgical ability has obviously stepped up to a new level. You are not only as dexterous as your tongue, but also as stable as a mountain. It seems that you have worked hard in the past two years." Well!"


    "Hey, the teacher''s eyes are still vicious, and you can''t hide anything from you. The level of saber technique has indeed made a breakthrough in the technique."


    Zhou Can''s strength has been upgraded to a higher level, and his mood is also very good.


    It is not a big deal to complete the resection of part of the ileum and mesenteric lymph nodes.


    At least many deputy directors of surgery and chief physicians have this surgical ability.


    But to find out the cause of this patient, complete the operation quickly, and successfully save the patient''s life, combined, it is quite awesome.


    "The breakthrough is Lao Hu''s steady sword technique, right? The quick sword technique I taught you also needs to work harder!"


    There was some sourness in Dr. Xu''s tone.


    Seeing that Aitu has made a major breakthrough in the stable sword technique, but the quick sword technique has been tepid, he obviously has some taste.


    "The quick knife technique has not failed, and I have been practicing! I just want to make a breakthrough. In addition to hard training, opportunity is also very important. You can''t tell when you will break through, and you will definitely be happy when the time comes."


    Zhou Can''s Quick Sword Technique has already been promoted to the proficient level. If he wants to advance to the next level, the experience value required will increase by ten times. How can it be so easy?


    "By the way, has the excised intestine been sent for inspection?"


    Zhou Can asked Dr. Pu.


    At present, he can only run errands for such chores as sending for inspection.


    "It has been sent for pathological examination. It is estimated that the report will be released later."


    Doctor Po replied.


    ¡­


    When I was about to leave work in the afternoon, the patient''s pathology report came out.


    The intestinal wall of the intestinal section submitted for inspection was thickened, and the incision showed that it was soft, fishy, ??and necrotic. Under the microscope, a large number of reticuloendothelial cells proliferated in the intestinal lymphoid tissue, forming macrophages, and phagocytized lymphocytes, red blood cells, and nuclear fragments were seen in the cytoplasm, and some intestinal wall ulcers and necrosis were formed.


    Seeing this, Zhou Can couldn''t help secretly admiring Director Shang of the Department of Gastroenterology. The patient really had typhoid fever.


    As long as macrophages are formed, it is basically 100% confirmed to be typhoid fever.


    He then looked down and found that the lymph nodes were enlarged, and typhoid cells could be seen under the microscope.


    The above changes are consistent with typhoid fever.


    Now, the reason why the patient''s high fever persisted was finally solved, the largest source of bleeding was also successfully found, and the bleeding was successfully stopped through surgery.


    Necrotic bowel segments were also removed.


    As long as the lesion progresses to the typhoid stage, it means that the lesion has entered the necrotic stage.


    Zhou Can learned a lot from this case.


    It is also a rather rare cause of disease among the many difficult cases he encountered.


    Typhoid fever has been difficult to treat since ancient times.


    Chinese medicine even developed a typhoid school based on typhoid fever.


    He summed up his diagnosis experience and decided to write an article on diagnosis experience after get off work. He believed that next time he encountered a similar case, he could avoid a lot of detours.


    Now that it has been clearly diagnosed that the patient has typhoid fever, it will be easy to handle.


    Bleeding has stopped, only anti-infection, anti-typhoid treatment is enough.


    On the third day, the patient''s body temperature had returned to normal. His vital signs have also stabilized. There was no continuous drop in blood pressure, shock and other symptoms.


    In view of the fact that this patient still has gastric ulcer and old bleeding, it shows that the patient''s usual diet and work and rest patterns are very poor.


    A 20-year-old boy is the golden age with the best body.


    However, the entire digestive tract was already in crisis, and even developed to the point of typhoid fever.


    Zhou Can felt that it was necessary to have a good talk with the patient''s family.


    Unexpectedly, the child''s father saw that his son''s condition had improved and had already returned to work. A father''s love for his children is as thick as a mountain, yet extremely silent.


    He is the breadwinner of the family, and his son spent a lot of money on medical treatment. He has to work hard to make money to maintain the family''s expenses The mother of the child obviously can''t control her son, she is almost obedient to her son, and regards her son as an emperor Offer the same.


    Seeing this scene, Zhou Can couldn''t help falling into silence.


    A doctor can cure a patient''s disease, but he can''t change the patient''s family education environment, let alone change the patient''s bad living habits.


    Out of the doctor''s sense of responsibility, Zhou Can still decided to talk to the patient himself.


    In terms of age, Zhou Can is not much older than the patient.


    After get off work, after checking the ward, Zhou Can sat down in front of the patient''s bed.


    The patient''s mother was very kind to him.


    After all, it was Zhou Can who cured her son''s illness.


    Seeing her son''s condition improving day by day, and being dragged back from the gate of **** by the doctor, she is grateful to every doctor and nurse who participated in the treatment of her son.


    "How old are you now?"


    Zhou Can also doesn''t know how to get close to others, because usually others take the initiative to get close to him.


    I can only find something to talk about when I have nothing to say, and talk to the patient first.


    "Freshman!"


    "Freshman is good. I just got out of the bitter sea of ??the college entrance examination and entered the university campus. I can live a comfortable life in a very relaxed way. If I''m lucky, I might even get a beautiful girlfriend."


    "Hey, isn''t that right! Compared with my previous high school life, I also feel that college life is simply heaven."


    Patients were struck by his words.


    "Are you talking about girls?"


    Zhou Can asked.


    The patient subconsciously glanced at his mother standing beside him, but said nothing.


    This kind of thing, regardless of gender, will avoid parents. Previous chapter table of contents bookmark back page

 Chapter 496： Evil Granny, Grasp 6

    With his diagnostic experience, he can almost tell at a glance that the baby is stuck in the throat by a foreign body.


    The kind that is already very scary when breathing, making a loud pulling sound.


    The chest cavity collapsed directly.


    "Doctor Zhou, this child has been sucked into the airway by peanut mika. The family members have tried to get the foreign body out by patting the child''s back and feeding water at home, but it didn''t work. I just performed Heimlich on the child. The first aid method didn''t work, you can see what''s good


    The content of this chapter is being updated...

 Chapter 497： Heaven is a good reincarnation, super difficult myocardial infarction

    The most common is to withdraw the ventilator for critically ill patients. This process usually requires preparations before weaning. Even if all the evaluations are all right, the patient still needs to do a 120-minute spontaneous breathing test before weaning off the machine.


    After waiting for about eight minutes, the baby''s blood oxygen concentration rose to 99%.


    Babies'' bodies are delicate and many organs are not yet fully developed, but their recovery ability is far superior to that of middle-aged and elderly people.


    see this baby


    The content of this chapter is being updated...

 Chapter 498： Reverse surgery, congenital heart disease again

    Sometimes too much experience may not be a good thing.


    If a doctor has too much diagnostic experience, it is easy to form blind confidence. In the diagnosis, it is very easy to make subjective assumptions, so things that get slapped in the face happen.


    Director Xueyan was very lucky this time, after all, it was only during the diagnosis that the treatment plan was given too early.


    If it wasn''t for the fact that the patient secretly broadcasted the live broadcast during the consultation, she could even directly tell the patient that the previous treatment plan was not suitable and needs to be changed.


    The content of this chapter is being updated...

 Chapter 499： The right ventricle has double exits, and the competitor made a foolish move

    Zhou Can examined the little girl and found that her precordial area had obvious bulge, and there was obvious tremor between the third and fourth ribs on the left side of the sternum.


    Especially when pressing on this part with the belly of the finger, the tremor is more obvious.


    Try examining the area with a stethoscope and hear a very distinct murmur. This is the noise made by the heart muscle when it contracts.


    "Is there a problem with the right ventricle?"


    Zhou Can didn''t dare to be too sure, but relied on his experience


    The content of this chapter is being updated...

 Chapter 500： The exchange of interests, the operation is about to overturn

    "Director Xue, Xiao Zhou, just because this is a great opportunity for the cardiothoracic surgery of our hospital, I hope you can go all out. When you do interventions for patients, you don''t have to have any psychological burden, just do your best. The main thing is to treat it with a normal heart.¡±


    The meaning of Vice President Ye''s words is very clear.


    This operation must be performed and cannot be given up lightly.


    "I''m fine! It''s mainly up to Zhou Can, after all, it''s up to him


    The content of this chapter is being updated...

 Chapter 501： Hell-level difficulty, how awesome is the level 6 injection technique

    Director Xueyan and other medical staff who were standing next to her were very anxious.


    At this moment, Vice President Ye did not leave the cardiothoracic surgery room, but sat in the office and watched the live broadcast of ''Brother Wang'' on his mobile phone.


    The number of online viewers has exceeded 80,000 and is still rising.


    The comment area is full of bad-mouthing remarks.


    Many people are laughing at the young surgeon at Tuya Hospital, driving high and low. In the initial puncture, the guide wire


    The content of this chapter is being updated...

 Chapter 502： Shocked by the industry, the third hospital was wronged

    So far, several of his advanced surgical skills have been promoted to the sixth level as he wished.


    This also means that he already has the strength to challenge any third- and fourth-level interventional surgery and endoscopic surgery.


    There are many truly difficult endoscopic surgeries.


    What he was able to preside over before were basically endoscopic surgeries of ordinary difficulty.


    It is only because of the serious scarcity of senior talents in endoscopic surgery that it sets off his extraordinaryness.


    Now, his


    The content of this chapter is being updated...

 Chapter 503： Superficial recovery, persistent patients

    Half an hour later, Zhou Can finished treating the cardiovascular segment of the other four lesions for the patient.


    During the insertion process, he gained a new ability.


    In the past, no matter whether the stent or the metal ring was placed in the front, at most, it was accurately delivered to the blood vessel and tissue site where it was located.


    During the operation just now, he could clearly feel that it is best to stretch the bracket to a large extent.


    Stent placement, in addition to overcoming puncture, guide wire from femoral artery and heart great vessel


    The content of this chapter is being updated...

 Chapter 504： Tricky aortic dissection, a revelation

    He was busy until 12:43, when Zhou Can finished the emergency operation and the patients who were treated yesterday.


    Some trauma and emergency patients in the emergency department need to be treated immediately.


    This can''t be backlogged.


    As long as such patients are received, they often take the time to do an examination. After the cause is found out, the receiving doctor simply judges whether it can be dealt with in the emergency department. If you can''t handle it, call the corresponding specialist office


    The content of this chapter is being updated...

 Chapter 505： Solutions to side effects, innovation in surgical thinking

    Anesthetist Zi Qu and anesthetist Qin Yue walked into the operating room together.


    Although the reform of the anesthesiology department is still in the trial stage, the two of them have basically **** with Zhou Can.


    In other words, as long as there is an anesthesia operation in the emergency department, both of them will give priority to care.


    In the operating room of the emergency department, Dr. Xu basically has the final say.


    Dr. Xu regards Zhou Can as his successor, and basically all affairs are centered on Zhou Can.


    The content of this chapter is being updated...

 Chapter 506： Old things, quick knife is king

    Once this idea popped up, I couldn''t stop it.


    Zhou Can continued to improve and deliberate on this brand-new operation plan.


    The blood supply problem of the branch vessels is solved, and the treatment of this section of the aorta is easy. Just put in an extra long vascular stent, and the extremely long aortic dissection can be solved.


    Because the bridge created a new blood route, the connection between the branch vessel and the aorta was blocked by the stent, which no longer has any effect.


    The content of this chapter is being updated...

 Chapter 507： The nerve center is still a restricted area, and the horrible live broadcast effect

    After listening to the patient''s situation, Zhou Can fell silent.


    Just like what he thought, the patient had indeed injured a nerve during the operation.


    There are not many nerves that can cause paralysis of patients, mainly in the cervical spine and spine. In addition, there is no need to talk about the nerve center of the head.


    Injury to the nerve center, not to mention paralysis, may directly lead to the death of the patient.


    Can be called the ceiling surgery in this field, Zhou Can


    The content of this chapter is being updated...

 Chapter 508： Old scalper, save the God of Wealth

    "With such a long aortic dissection, there is no way to solve it without aortic replacement?"


    Director Le really couldn''t think of any other way.


    "My operation plan can not replace the aorta."


    Zhou Can said confidently.


    "How are you going to operate on the patient?"


    Director Xueyan asked with great interest.


    Since the divorce, she seems to have put all her thoughts on her career


    The content of this chapter is being updated...

 Chapter 509： The danger of excessive infusion, unspoken rules cannot be broken

    This kind of existence, for any department, the more the better.


    Doctors are also human beings who need to eat and make money.


    When treating patients who have no medical insurance or only have agricultural insurance, doctors try to save costs for patients as much as possible. Even if you encounter patients who have purchased employee medical insurance, you need to control the amount.


    Only this kind of god-like veteran cadres don''t need to have any worries, and they can do whatever they want to get the best treatment effect.


    The content of this chapter is being updated...

 Chapter 510： Sudden accidents and dangers, everything is ready

    It is absolutely impossible for him to promise to be the chief surgeon in front of the patient.


    Some things can be done, but cannot be said, this is the rule of the game for adults.


    Many people in the company knew that the boss had slept with the new female secretary, but no idiot would dare to reveal this to her face.


    "Doctor Zhou, although you are very young, I only trust my intuition. After I have been in contact with you twice, I know that you are a trustworthy person. Even if I know


    The content of this chapter is being updated...

 Chapter 511： Anesthesia is a dangerous road, long wait

    At the beginning, he felt that it would be more promising to hang out with Zhou Can, so he managed to switch from cardiothoracic surgery to the emergency department.


    This move is the right move.


    At least his current surgical ability has improved significantly, and his future is even brighter.


    It''s just that every time he meets the head of the cardiothoracic surgery department, he feels embarrassed. At this moment, he lowered his head, looking ashamed to meet people.


    "Doctor Pu, will you be able to respond when you arrive at the emergency department?"


    Director Xueyan


    The content of this chapter is being updated...

 Chapter 512： Level 6 pathological diagnosis, becoming an expert

    Observing for half an hour is a common practice in the face of some uncertainties in surgery.


    Especially the observation of blood supply, which involves the supply of oxygen and nutrients to organs and related tissues. It''s not immediately obvious.


    For example, the limbs are bitten by poisonous snakes or spiders. At this time, the correct way is to tie the wound near the heart to prevent the circulation of blood supply. The purpose is to prevent the venom from entering key parts such as the heart and nerve center along the blood circulation.


    many people don''t know


    The content of this chapter is being updated...

 Chapter 513： The second realm of pathology, the traitor calls

    Zhou Can is very kind to these patients and their families, but he never gets too close to them.


    Because he has suffered many losses.


    Some patients are very enthusiastic about him on the surface, but secretly they may turn on the recording or even record a video not far away. There are also some patients, after getting close, as long as Zhou Can responds a little bit, he will immediately make some excessive demands.


    Gradually, Zhou Can summed up a set of ways to deal with patients and family members.


    The content of this chapter is being updated...

 Chapter 514： Cruel rejection, surprise and grief

    No matter how much you despise him in your heart, you still need to be polite on the surface.


    This is not hypocrisy, but a survival rule that adults must learn.


    People who can''t hold a grain of sand in their eyes and who hate evil like enemies can easily make enemies all over the world. Our ancestors left us with a wise rule of being a human being, talk about people when you see people, and talk about ghosts when you meet ghosts.


    "Hehe, Dr. Zhou is nostalgic! Are you busy now?"


    Deputy Director Lu should be at the moment


    The content of this chapter is being updated...

 Chapter 515： Evidence? Unspoken rules of the intensive care unit

    Zhou Can couldn''t help feeling a little guilty. He really didn''t expect that he would hold such a heavy weight in Deputy Director Lu''s heart.


    It''s no wonder that after he rejected Deputy Director Lu''s request, the other party''s tone became so bleak.


    Deputy Director Lu asked him for help full of expectations, but he responded with indifference and categorically refused to lend a helping hand. One can imagine how sad and desperate Deputy Director Lu must have been at that time.


    At this moment, he felt like he was constantly cutting, and the reasoning was still chaotic.


    The content of this chapter is being updated...

 Chapter 516： Yan Wangs nemesis appeared on the stage, and he saw the style of Qiangyuan

    In his job, seek his own government.


    As the nurse on duty at the external window of the intensive care unit, she has the obligation to minimize visits by family members and other people.


    After all, Lu Fen was a female student, and was persuaded by the old nurse in a few words.


    "Doctor Zhou, thank you for making the special trip to visit my father. The hospital is not willing to let us visit now, or wait until my father wakes up, and then come again!" She also felt that he was unconscious now, so Zhou Can went in to visit


    The content of this chapter is being updated...

 Chapter 517： Crazy Zhou Can, the disaster caused by venipuncture

    "Sir, the patient you want to visit is in that bed!"


    When the nurse saw Zhou Can enter the ward, she looked around. She thought Zhou Can was looking for a patient to visit.


    Because patients who enter here have to cut their hair and nails clean.


    All of them turned into bald heads, and some patients were even covered with bandages, like mummies, which was really hard to tell.


    "Oh well!"


    Zhou Can actually guessed the farther away


    The content of this chapter is being updated...

 Chapter 518： Its not wrong to be guided

    According to his clinical experience, the most likely cause of venous thrombosis is that the air is not exhausted during puncture. This is also a mistake that many novice doctors tend to make.


    Some experienced doctors are also prone to ignore this problem when they are in a hurry and eager to save lives.


    Director Xiang didn''t have much expression on his face after listening to Zhou Can''s analysis.


    If the other doctors are not good enough, they think Zhou Can is farting. especially the owner


    The content of this chapter is being updated...

 Chapter 519： 1 piece of paper acts as an invitation

    "Uh... I think he might have some good treatment suggestions for us." No matter how stupid Dr. He was, he would never say something that made the two directors unhappy.


    It is impossible to say that they have not made much progress in rescuing patients. Zhou Can has a better way, right?


    I believe the two directors have understood this meaning.


    "The patient is currently unconscious, and we are trying to stabilize his vital signs, and then find ways to formulate further treatment options.


    The content of this chapter is being updated...

 Chapter 520： Discussion with Director Xiang, it is up to people to plan

    "If I have the chance, I really want to visit your Tuya Hospital. I chose the direction of emergency and intensive care, and it took a lot of effort to be selected into the intensive care medicine department. But after entering, I found that I didn''t know too much. gone."


    The little nurse told Zhou Can about her troubles at work.


    Don''t look at her as just a nurse in the intensive care unit, but she is already better than many nurses.


    Because it takes at least three years to work in the intensive care unit


    The content of this chapter is being updated...

 Chapter 521： Convince the anesthetist to reverse the order of surgery

    Sensing Zhou Can''s firm eyes, Director Xiang was also touched.


    Inviting Zhou Can to the office to discuss the patient''s treatment plan was an important step in itself.


    He doesn''t want to give up halfway.


    "You wait in my office, I will be able to find you quickly." Director Xiang put away Zhou Can''s phone number, picked up the patient''s information and left the office.


    Including the picture drawn by Zhou Can when explaining the operation plan just now


    The content of this chapter is being updated...

 Chapter 522： 2 medical assistants are not enough, just a cannon that doesnt sound like a bluff

    The medical department has great power.


    Especially for such extremely high-risk operations, they generally need to be reported to the medical department for approval. If the leader doesn''t nod, if something happens, it''s the doctor''s fault.


    At least the doctor''s department should take the blame and swallow the bitter pill.


    Only when the leader nodded, the hospital could take the lead in dealing with the accident.


    This is an industry rule.


    Section Chief Huang didn''t nod, which doctor would dare to perform this operation? No one dares to take their own future and


    The content of this chapter is being updated...

 Chapter 523： Level 6 ligation, you should act sooner!

    They don''t know that Zhou Can is looking for the best ligation section with super sharp tactile feedback.


    Deputy Director Lu''s blood vessel condition is too bad.


    A person in his fifties has blood vessels equivalent to an old lady in her eighties or nineties. This shows that Deputy Director Lu usually does not cherish his body.


    As a doctor, and a cardiothoracic surgeon, he naturally knows how to maintain blood vessels.


    But for a surgeon in the operating room, missing meals,


    The content of this chapter is being updated...

 Chapter 524： Take the lead directly, fear

    "This isn''t an away game!"


    Zhou Can smiled and was about to raise his hand to scratch his head. Realizing that he was wearing gloves and needed to keep it as sterile as possible, he put his hand down again.


    In fact, wearing a hood at the moment, it is impossible to scratch your head.


    The status of an anesthesiologist is quite high, not to mention that Director Mingxin is also the mentor of Director Xiang Fei, so his status is even higher. Zhou Can didn''t dare to offend this female boss.


    This time, by taking the opportunity of saving Deputy Director Lu, I had the honor to meet with the Provincial People''s Hospital.


    The content of this chapter is being updated...

 Chapter 525： High-level pharmacology, director Ming who checked the household registration

    If Zhou Can hadn''t insisted on investigating the condition of the pancreas, this small tumor would not have been found at all.


    Why is pancreatic cancer scary?


    Because the clinical manifestations of pancreatic cancer are not specific, and there is a lack of more accurate direct examination methods, early diagnosis is extremely difficult. Most of those diagnosed with pancreatic cancer have entered the advanced stage and have lost the chance of radical surgery.


    Its mortality rate is very high, and its 5-year survival rate is less than 5%, which is why it is called the king of cancer.


    Although the other chief physicians also found that the pancreas might be injured through the film, they didn''t take it seriously. Because the bleeding is not serious, and the bleeding has stopped. Considering that the patient''s body is extremely weak, the operation that can be avoided should be avoided as much as possible.


    Including the patient''s current legs and right arm fractures, we will not deal with it for the time being.


    This is also the basic procedure of first aid.


    Deal with fatal injuries first, and then deal with general trauma at an optional time.


    Such limb fractures are usually less life-threatening. Can be post-processed completely.


    Unless the femoral artery has been punctured, or deep vein thrombosis has formed in the lower extremity, this situation must be treated immediately.


    The other chief physicians believed that the injury to the pancreas did not require surgery, which meant that they definitely did not find any major problems with the pancreas. But Zhou Can insisted on investigating the condition of the pancreas. Is this a coincidence, or has Zhou Can discovered something?


    Director Gouqiong couldn''t help thinking about it secretly.


    If Zhou Can could find out that there is a tumor in the pancreas in advance just by looking at the film and auxiliary examination results, that would be too powerful.


    Even Director Gouqiong doesn''t have such a powerful diagnostic level.


    "Director Gou, do you think we can remove the laparoscope?"


    Zhou Can asked for instructions.


    Removing pancreatic tumors with almost magical top technology, Zhou Can''s surgical skills have penetrated into the hearts of every doctor and nurse present.


    Including the itinerant nurse who doesn''t think highly of him, his attitude towards him is also quietly changing.


    The moment the pancreas was found to have a tumor, the itinerant nurse was shocked.


    She had to look at this young doctor from Tuya with admiration.


    "The operation was done very well, let''s remove the mirror!"


    After the endoscopes were removed one after another, catheterization was required due to the presence of fluid in the peritoneal cavity. One is drainage, which drains new fluid that may have formed. The other can also be used to observe bleeding in the abdominal cavity.


    If the repaired blood vessel ruptures again, the amount of fluid drained out will increase, and the color may be directly red blood.


    Seemingly simple drainage and placement, but also has a lot of attention.


    It is necessary to prevent the drainage tube from becoming a bacteria and virus introduction tube.


    It will bring certain difficulties to nursing and postoperative management.


    The laparoscopic operation was successfully completed, and the next step was the most difficult intracranial hemostasis operation.


    The amount of intracranial bleeding was not particularly violent, but there was no way to stop the bleeding automatically, and it was fatal enough.


    "Director Ming, can the patient''s condition still withstand drilling and craniotomy?"


    Whether Director Wu Yongming is willing or not, he must gnaw down this hard bone.


    The patient''s intracranial hemostatic surgery must be done.


    "The patient''s current signs are fairly stable, and his breathing has increased a bit. I don''t think there should be a big problem with endoscopic surgery."


    Director Ming Xin made a comprehensive assessment of the patient''s condition.


    not bad.


    All the signs improved.


    Moreover, important signs such as blood pressure and heart rate have become stable, more stable than before the operation. This is pretty good.


    It also provides the basis for the subsequent endoscopic surgery.


    "Okay, then I''ll start working. Director Gou, Dr. Zhou and others have put in so much hard work and won the first battle. I have no reason to lose the chain." After Wu Yongming finished speaking, he had already started to touch the patient''s head Cut the cortex at the predetermined position and make a cross incision...


    Soon it was time to drill holes in the patient''s skull.


    The human skull is like a hard turtle shell, which protects the entire brain and the nerves of the head, brainstem, cerebellum and other important tissues.


    To perform intracranial surgery, the skull must be sawed open.


    The traditional method of surgery is to uncover the skull, which is a major project. Now that science and technology have advanced, doctors can directly drill a small hole in the skull and insert an endoscope into the cranial cavity for surgery.


    Not long after the drilling was carried out, the life monitoring instrument issued a piercing alarm.


    The patient''s blood pressure plummeted, and his heart rate also plummeted, which meant bradycardia.


    Director Wu Yongming was so scared that he stopped drilling immediately.


    "Is this drilling damage to brain tissue?"


    Director Mingxin asked anxiously.


    Others also somewhat questioned Wu Yongming''s operation. Skull drilling is inherently a very dangerous operation, and requires very high technical skills for doctors.


    "No, the skull hasn''t been pierced yet!"


    Wu Yongming also looked aggrieved.


    It is not the first time to perform endoscopic surgery on a patient. The operation has always been quite satisfactory. How could something go wrong suddenly?


    Sometimes, the most feared thing about surgery is this sudden situation.


    And have no idea what the problem is.


    "The drop in heart rate should be bradycardia caused by hypotension. You can try intravenous injection of 0.5mg atropine to see the effect." After seeing the patient''s indicators, Zhou Can combined with the condition to make a diagnosis.


    In terms of diagnosis and rescue experience, he may not be as rich as Director Xiang Fei, let alone anesthesiologist Director Ming Xin.


    But he has advantages that other doctors may not be able to achieve in their entire lives. Many of his medical skills have been promoted to the sixth level. It is equivalent to both internal and external training, and all of them are of high level.


    In addition, there is also the blessing of the special medical skill of emergency life-saving wisdom.


    Let him be even more powerful than the chief physician in the rescue work.


    In Tuya Hospital, whether it is the operating room, the emergency room, or the intensive care unit, as long as Zhou Can is there, it is equivalent to giving the patient an extra life-saving talisman.


    ¡¿


    Cardiothoracic surgery has performed many difficult and high-risk surgeries in the past two years. Since Zhou Can participated, there has been no accident.


    In fact, it is not that there were no accidents during the operation, but that after the accident, Zhou Can immediately tried to find a way to treat it, and worked together with all the medical staff to finally save the patient from danger.


    As his rescue experience has become more and more abundant, the level of various medical skills has become higher and higher, and the success rate of rescue has reached more than 99%.


    At this moment, he only checked the patient''s condition briefly, and quickly diagnosed the cause.


    "Isn''t it good to push the vice kidney to strengthen the heart?"


    Ru Yaji behind Director Xiang Fei couldn''t help asking.


    During first aid, for heart failure, cardiac arrest and the like. There are more scenarios where the accessory kidney is used.


    "Epinephrine is a drug that constricts blood vessels. It can indeed increase blood pressure and increase the contractility of the heart. But it can also constrict the blood vessels of the heart, liver, and bones, and selectively constrict blood vessels of the skin and mucous membranes, and blood vessels of the extremities. The rescue of shock patients is widely used clinically in the rescue of critical patients. However, it should be used with caution for patients whose blood vessels are too fragile."


    Zhou Can glanced at her and gave an explanation.


    "The patient had just finished the repair and anastomosis of the splenic artery. His blood vessels are already fragile, and the use of adrenaline can easily cause secondary rupture of the blood vessels."


    Director Xiang Fei also gave timely pointers to his lover.


    What I fear most when studying medicine is dogmatism and the sameness. This is extremely harmful to patients.


    Thousands of people have thousands of diseases, one disease is one party, this is the experience summed up by ancient Chinese medicine.


    It seems that they are all critical patients, and the rescue methods may be completely different.


    Even with the same drug, there can be big differences in dosage. Some patients need rapid push, and some need slow intravenous infusion. For some patients, only 0.5ml may be enough, and for some patients, it may not work at all.


    For example, those who are overweight often need to increase the dose.


    In addition, it is also necessary to consider whether the patient is allergic to this type of drug, does not absorb it, whether there is a contraindicated underlying disease, and so on.


    For example, patients who have undergone stent surgery should be particularly cautious when using hemostatic drugs.


    Under normal circumstances, such patients need to take anticoagulant drugs for life to prevent blood vessel blockage from happening again.


    "Understood!"


    Ru Yaji nodded receptively, and gave Zhou Can a grateful look.


    She couldn''t help admiring Zhou Can''s clinical rescue ability even more. He deeply felt the strength gap between the two.


    I thought there was only a huge gap between Zhou Can and Zhou Can in terms of surgery.


    Unexpectedly, Zhou Can was far ahead of her in rescuing critical patients, whether it was diagnosis or medication.


    This time, she was completely convinced.


    Pang Houzhong next to him was even more sluggish, looking as if he had been hit hard.


    After intravenous injection of 0.5 mg atropine, the patient''s condition improved.


    However, the situation remains worrying.


    "Director Ming, do you think it would be risky to transfuse about 150ml of blood to the patient?"


    Zhou Can asked.


    There were only two people with high-level rescue capabilities at the scene, one was Director Mingxin and the other was Director Xiang Fei.


    If you want to discuss it, you must consult with the anesthesiologist in charge.


    After all, during the operation, she is responsible for the safety of the patient''s life.


    "Why is the blood transfusion 150ml instead of more than 200ml?"


    she asked rhetorically.


    "Maybe I have always been too cautious in doing things. Just now I calculated based on the patient''s heart rate and blood pressure. 150ml of blood transfusion should be barely enough, just enough to stabilize his vital signs. Supporting the end of the intracranial surgery. Lost too If there are too many, I am worried that it will cause other unforeseen consequences. It will also increase the difficulty of intracranial hemostasis."


    Zhou Can gave his answer.


    Immediately, everyone cast envious and jealous eyes again.


    Calculating the amount of blood transfusion is not a particularly brilliant skill. Basically, many doctors can calculate the amount of blood loss based on the patient''s hemoglobin level, and then formulate the amount of blood transfusion and fluid replacement.


    However, in this kind of clinical first aid, it is necessary to calculate the blood transfusion volume accurately in a very short period of time, just based on the patient''s heart rate, blood pressure and other parameters, even Director Xiang Fei would be ashamed.


    The difference between 150 and 200 seems to be only 50ml, but after infusion into the patient''s body, it may break a certain balance and cause a series of adverse consequences.


    Among them, the precise amount of blood transfusion is a real high-level performance.


    "Take 150ml of plasma and transfuse the patient immediately."


    Director Mingxin gave the order.


    During the process of blood transfusion to the patient, Wu Yongming never drilled the patient''s skull again.


    It really scared him just now.


    "Doctor Zhou''s ability to rescue critically ill patients is outstanding! Which doctor in Tuya have you studied with? Director Liu Xiangqing of the Department of Critical Care Medicine?"


    Director Mingxin took advantage of the time of blood transfusion to inquire about Zhou Can''s background.


    Because this kid is really outstanding.


    "I didn''t expect you to know Director Liu. I did study with him for a period of time." Zhou Can still missed the days of regular training in the Department of Critical Care Medicine. I am even more grateful to Director Liu Xiangqing.


    It is enough to be lucky to meet such a chief physician who is fully cultivating you in your medical study career.


    And as long as you work hard, your talent is not too bad, and you can easily get ahead.


    Zhou Can is luckier than others, because there are too many chief physicians who appreciate him. They trained Zhou Can with all their strength and taught them everything they had, and finally created such a young doctor of monstrous level.


    Even in a provincial top three hospital like the Provincial People''s Hospital, everyone was amazed everywhere.


    Let them see the elegance of the Tuya people.


    "Famous teachers give rise to great apprentices, no wonder you are so powerful. Who did you learn your surgical skills from? Just now when I watched you perform an operation, I saw the shadow of Tuya''s two famous knives. It has the shadow of the most stable scalpel and the Xu Yidaoying, who set a world record, you can get so many professors from top chief physicians, so you must be the second generation of officials, right?"


    Director Mingxin''s attitude towards him was obviously a lot more friendly.


    This question was somewhat of a joke.


    "What are you doing? Check your household registration!" Zhou Can responded with a smile. He didn''t want to be found out about his old background. "You see, the patient''s physical signs have stabilized now, and he should be ready for another operation as soon as possible. Just now, the patient''s blood pressure dropped sharply and his heartbeat was slow. In fact, it was just a kind of stress caused by the trauma when the head was opened. It is equivalent to A house that was about to collapse was about to collapse, and a slight vibration caused it to collapse."


    Zhou Can quickly changed the subject.


    He was smart enough to bring the focus back to the patient.


    In this way, this group of people were prevented from being overly curious and inquiring about his origin and details.


    "Then let''s finish the operation first. After the operation is finished, you have to chat with us. If there are many young doctors in Tuya who are as good as you, why don''t our Provincial People''s Hospital directly give them to you?" Got it compiled."


    She is another joke.


    But it is also true.


    It would be terrifying if Tuya could have ten young doctors at Zhou Can''s level.


    As long as it grows up, it can easily crush almost all hospitals in the province.


    That is really the kind of invincible opponent in the province.


    Zhou Can smiled wryly and said nothing, silence is golden.


    At this time, it is wiser to keep silent.


    Surgery continues.


    Wu Yongming tried to drill the patient''s skull again, and this time there was no problem.


    Next, the dura mater was incised, and Director Wu also showed his superb surgical skills.


    The chief physicians of these provincial people''s hospitals are all very strong.


    "Doctor Zhou, UU Reading How about you help me?"


    Unexpectedly, after opening the dura mater, Wu Yongming changed players on the spot and directly invited Zhou Can.


    Much to the displeasure of his medical assistant.


    This is also impossible.


    The patient''s condition is extremely dangerous, and the subsequent hemostasis operation will be hell-level difficulty. Accidents are more likely to happen again.


    After seeing Zhou Can''s outstanding performance in laparoscopic surgery, Wu Yongming finally made the decision to change players on the spot after a battle between heaven and man. Let Zhou Can come to him as an assistant, there are many advantages.


    It is more reliable than the existing medical assistance and can bring him a sense of security.


    Even if the patient really had some accident again, Zhou Can would directly help to rescue him without him needing to speak.


    Also, Zhou Can''s blood vessel anastomosis ability is super fast and good. The bleeding point is close to the brainstem, so Zhou Can may be needed to repair the blood vessels.

 Chapter 526： Challenging top-level difficult surgery, a trace of understanding

    Opening the barrier of the dura mater is basically a long drive.


    Drain the accumulated blood in the brain first.


    Even though it was just the simplest step, Director Wu Yongming was still cautious. When suctioning the effusion in the cranial cavity, it is very easy to make mistakes and damage important brain tissues.


    Deputy Director Lu''s intracranial environment is even worse, and the degree of accident-prone far exceeds that of ordinary patients.


    Not to mention anything else, just the aging of blood vessels, hardening, and brittleness is enough to make surgeons tread on eggshells.


    After the intracranial hemorrhage was almost absorbed, at this time, the intracranial pressure basically returned to normal. Or rather, lower than normal.


    Because the original cranial cavity was closed, now two holes have been opened, which is equivalent to a semi-open type.


    In medicine, this is called opening a window.


    The operation is progressing smoothly.


    It just quickly ran into trouble.


    It is definitely not enough to just **** out the accumulated blood. If the blood does not stop, it will soon fill your cranial cavity again.


    Director Wu Yongming tried to repair the ruptured blood vessels, not to mention the anastomosis, even encountered troubles in debridement.


    "No, this blood vessel is too close to the brainstem. The operating space is even narrower, and I''m not sure about endoscopic hemostasis."


    Beads of sweat the size of mung beans appeared on his forehead, and he shook his head repeatedly.


    It seems that there are terrible beasts blocking the way ahead.


    As far as the level of surgery is concerned, in general surgery, everyone is actually pretty much the same. At least as long as the normal level is reached, the operation can be successfully completed.


    In the original words of a certain surgeon, surgery is to cut out the lesion and mend it.


    Of course, the old surgeon still said this sentence in the 1960s.


    With the development of surgical medical technology, it is no longer as simple as sewing and repairing and excision. Many new technologies have been applied, such as artificial blood vessels, vascular stents, artificial hearts, and so on.


    Even the repair of blood vessels, organs, and tissues is a test of the doctor''s skills.


    Needless to say, it is necessary to perform vascular repair in the narrow cranial cavity or endoscopic surgery. It is simply the difficulty of **** level.


    Next to it is the brain stem, and there are other important brain tissues around it. Doctors with poor psychological quality will tremble with fear when operating the endoscope arm.


    It''s not an exaggeration.


    Doctors, especially chief surgeons, suffer psychological pressure and mental stress during the operation beyond imagination.


    Because if something happens to the patient, the surgeon has to be responsible!


    "The damaged area of ??this blood vessel is not particularly large, the length is relatively short, and it is indeed very close to the brainstem, so it is extremely inconvenient to operate. Why don''t you try a vascular stent to repair it, Master Wu?"


    Director Gouqiong was at the side offering advice to him.


    "If it''s a small brain aneurysm, I can fix it with a yellow band. Even a larger aneurysm can be repaired with a stent. But this blood vessel can''t use a stent at all."


    He repeatedly shook his head and rejected the proposal.


    Drilling holes and opening windows in the skull must first be to draw out intracranial fluid and reduce intracranial pressure.


    The second is to repair blood vessels to stop bleeding.


    Not all vascular repairs are suitable for placement of stents.


    First, braces are expensive. Secondly, the difficulty of operation is also extremely high, especially for intracranial arteries to place stents, the difficulty is frighteningly high.


    "Why don''t you help me, move the brain tissue on the upper right side of the bleeding point, let me try it!"


    When Zhou Can saw the bleeding cerebral artery, there was a trace of excitement in his eyes.


    It was completely different from the fear shown in Director Wu Yongming''s eyes. Director Wu was full of fear, and he didn''t have any confidence to challenge at all, and he was indeed not sure. Zhou Can is full of determination, like a fearless brave man.


    "Doctor Zhou, you must do what you can! Don''t try to be brave. If it doesn''t work, we can have another joint consultation to discuss other surgical options."


    Wu Yongming said so, but in fact he knew in his heart that there was no other surgical plan.


    If there is a better surgical plan, it will not be delayed all the time.


    If it is an internal medicine drug, sometimes there may be other alternatives. There are really not many available solutions for this kind of rupture of intracranial arteries. Just two or three.


    "I''ll be extra careful."


    Zhou Can answered sonorously, with a serious expression.


    After changing to him as the chief surgeon, he first directed Director Wu to help move the brain tissue aside. This operation has a certain technical content, and it is more like a laborious work such as pulling a hook.


    Of course, with the help of the endoscopic arm, the actual physical exertion is not great.


    Next, Zhou Can tried to operate in this extremely small and limited space.


    "No, I have to move it a little bit to the side, about 0.5cm should be enough."


    "Okay, I''ll try."


    Director Wu gritted his teeth, his eyes were extremely focused, and he squeezed and moved the brain tissue little by little to make room for Zhou Can''s operation.


    "I can''t move anymore, this is already the limit. If you move any further, you may seriously damage the brain tissue."


    Director Wu didn''t dare to move his eyelids from the screen, and he was trying to control the volume of his speech, for fear that the strength of his hands would increase and his brain tissue would be damaged.


    ¡¿


    Regardless of whether it is in the abdominal cavity or the cranial cavity, moving the surrounding tissues during surgery is itself a kind of injury to the body.


    The abdominal cavity and thoracic cavity that have been operated on often have serious adhesions between various tissues and organs, which will bring a series of bad long-term effects to patients. It can be called postoperative complications, or sequelae.


    For example, after chest surgery, some people often feel chest tightness and shortness of breath. This is the sequelae of the operation.


    There is no way to treat it, and it will basically be with you for life.


    Doctors with rich experience and good skills often try to avoid moving other tissues and organs when performing thoracic and abdominal surgery. Treat only lesions.


    Of course, the idea is beautiful, but in practice, doctors have no choice at all.


    For example, when performing an appendectomy in the abdominal cavity, if you don¡¯t lift out the intestines, how can you perform the operation?


    Just looking for the appendix can take quite a while.


    "It should be enough to keep the size of the surgical space."


    After Zhou Can gestured, this time he showed a rather satisfied expression.


    "Beforehand, when repairing this blood vessel, it will definitely cause a certain amount of damage to some tissues on the upper left side. However, I think that in exchange for the smooth repair of blood vessels, damage these less fatal and non-disabling brain tissues. , It should be worth it. The human body has a strong self-healing ability, I believe that after ten days and a half months, these injuries can basically return to normal."


    In order not to scare Director Wu, Director Mingxin and others, Zhou Can vaccinated them in advance.


    The way of thinking in surgery needs to be ever-changing.


    Surgically repairing an artery in such a small space is an almost impossible challenge in itself. It is equivalent to driving a car onto a narrow dead end road, and then complete a U-turn on this dead end road that is only two meters wide.


    It is impossible for ordinary drivers to complete this task.


    If you have superb driving skills, it is possible to complete this impossible task.


    Zhou Can''s challenge now is to successfully complete the almost impossible task of blood vessel repair in a very limited space.


    "Is the risk manageable?"


    After hearing this, Director Wu still didn''t dare to turn his head or move his eyes.


    "It''s hard to say about other unknown risks. At least I can be sure that some damage to the brain tissue in this range will not be fatal or disabled."


    Zhou Can replied truthfully.


    No one dared to make any promises and guarantees.


    Even first-degree surgery carries risks. Not to mention this kind of endoscopic surgery.


    "Doctor Zhou''s plan is highly feasible!"


    Director Mingxin actually supported Zhou Can''s adventure at this time.


    Her words carry a lot of weight.


    After getting her support, director Wu Yongming didn''t hesitate any longer, and directly agreed, "You can start the operation! You don''t need to have too much mental burden, just be bold and careful."


    "I see, thank you!"


    While Zhou Can nodded in agreement, he also thanked the two chief physicians.


    Without their strong support, he would not have this surgery opportunity.


    He tried to manipulate the endoscope arm to start debridement, and then to anastomose the broken blood vessel. The whole process was extremely slow, revealing not only stability, but also a strong concentration that only top doctors possess.


    This kind of concentration is somewhat similar to commanding thousands of troops to fight on the battlefield, facing a powerful enemy army and a complicated battlefield environment, and always sitting firmly in the top camp of the Chinese army.


    [Suture experience reward +100, ligation experience reward +100...]


    His experience point rewards are soft.


    And every time it is a reward of one hundred and one hundred.


    When the anastomosis is about to be completed, the air and congestion that may exist inside need to be exhausted. Because Director Wu has to keep that part of the brain tissue still, it is quite difficult for Zhou Can to operate it.


    After all, a person only has one pair of hands. One can imagine how difficult it is to complete the work of four hands, or even six hands.


    "No, it will be troublesome if there is air in the blood vessels that have been anastomosed in this way."


    Zhou Can is well aware that there is air in blood vessels, especially intracranial blood vessels, which are very easy to form blood clots. This is a ticking time bomb.


    Director Wu couldn''t move, so another hole was drilled to insert another endoscope arm?


    Not to mention the huge harm to patients, there are not so many instruments and equipment.


    It was originally just a small problem in the matching process, but it stumped Zhou Can.


    "The air is not clean, it is indeed a huge hidden danger."


    Wu Yongming looked at the soon-to-be-successful operation, full of unwillingness.


    It is definitely not possible to complete the operation carelessly.


    Everyone is a top expert in the field of surgery, and they pay great attention to some surgical details.


    Everyone is racking their brains for a solution.


    "Maybe there is a way to try. I will save the knotting of the last stitch and not operate it. Director Wu will not need to care about the brain tissue on the right side. He will just free up his hand to help me exhaust the air in the blood vessel, and then I will open the Knot to complete the final vessel wall anastomosis."


    Zhou Can proposed a solution.


    Suturing blood vessels requires more operating space, and he is sure to complete the final knotting in a limited space.


    At most, it will damage a little left brain tissue.


    This is also a forced way.


    The tissue on the left side of the brain itself has already been damaged, so it doesn''t hurt to add some new injuries.


    "good idea."


    After Wu Yongming listened, he readily nodded in agreement.


    Next, complete the final step according to the surgical idea designed by Zhou Can.


    The final knot was a little more difficult than imagined.


    But for Zhou Can, who has a sixth-level ligation, he was able to complete it smoothly in the end.


    [Ligation experience +1, reward experience 1000. Anastomosis experience +1, reward experience 10000. Pathological diagnosis experience reward +10000. ¡¿


    Looking at the huge reward after the operation, Zhou Can was stunned.


    Immediately, there was a glimmer of understanding in his heart.


    It seems that innovation in surgery, or under extremely harsh conditions, has conceived some new surgical solutions and successfully implemented them.


    All can get a huge amount of pathological diagnosis experience value rewards.


    The last time Zhou Can found a way to create a surgical plan for the patient with aortic dissection without having to replace the aorta, Zhou Can also received a very considerable reward for pathological diagnosis experience.


    This also made him understand a truth, no matter internal medicine or surgery, in the end, they all lead to the same goal by different routes.


    They can all improve Zhou Can''s level of pathological diagnosis.


    To put it bluntly, pathological diagnosis is equivalent to a doctor''s diagnosis level and treatment thinking level.


    Pharmacological syndrome differentiation and various surgical techniques are equivalent to two sharp swords for treatment.


    It belongs to the weapon to eliminate diseases.


    Undoubtedly, no matter how powerful a weapon is, if you don''t know how to use it, it will definitely be difficult to exert its power.


    Can a sharp sword in the hands of a three-year-old child kill a chicken or a duck?


    If you don''t even know how to use it, you may hurt yourself.


    If it fell into the hands of a strong man, it would be enough to kill ordinary beasts.


    If it falls into the hands of a martial arts master, it will be terrible. It can directly kill tigers and even dragons.


    Therefore, the improvement of the level of pathological diagnosis is more important than pharmacological syndrome differentiation and surgical skills.


    One is the level of thinking, and the other is the weapon.


    After Zhou Can''s pathological diagnosis was upgraded to level six, it was frighteningly difficult to advance again.


    One million experience points are almost hard to achieve in a lifetime.


    But with such an increase of 11,000, it is not easy to make up a million.


    In addition, he has proved the usefulness of pathological diagnosis through countless clinical experiments. The sixth level is completely different from the fifth level. He is now at the sixth level, that is, the director level. Whether it is in consultation, consultation, or surgery, his level can already be on par with those powerful chief physicians.


    This shows that using the medical experience value system to improve medical skills is not the so-called puffiness.


    If one day, UU Reading raises his pathological diagnosis to level seven, he will probably be among the top experts in the country.


    Now it is only equivalent to the level of an ordinary director.


    Barely able to be called an expert.


    After the final anastomosis of the blood vessels, the blood test showed that everything was normal.


    "Okay! The patient''s signs have obviously stabilized a lot. If there is no problem, the operation can be ended and sent to the recovery room for observation."


    Director Ming Xin said.


    Wait until the endoscope is withdrawn, and the wound is sutured to seal the cranial cavity.


    Then came the good news.


    "The patient''s brain waves have changed significantly, and they are changing in a good direction."


    Director Mingxin said with some surprise.


    For comatose patients, brain recovery is the key.

 Chapter 527： The interaction between the two colleges, the real experience of Deputy Director Lu

    Coma can be divided into several grades, the mildest degree of coma is lethargy. Especially for children and infants who are seriously ill, they should be particularly vigilant if they experience lethargy. roundabout


    Maybe it was a mild coma, but it was taken as a doze.


    Toddlers and infants under the age of three, when they catch a cold and are sick, because they can''t express it yet, the most common way is lethargy.


    If parents or guardians don''t pay attention, the child will progress to the second stage of coma, lethargy.


    At this time, it is necessary to call loudly, pat the shoulders and face to barely wake up the child.


    If you still don''t pay attention at this time, it will be prone to tragedy.


    More serious than drowsiness is light coma.


    At this time, Tong Kong''s reaction to light slowed down significantly, and he lost consciousness, unable to wake up. roundabout


    Further up, it is moderate coma and deep coma.


    Developed into a deep coma, very close to death.


    Some people wake up after a serious illness and describe to their family members that they have arrived at the Palace of the King of the Underworld and that ghosts have come to arrest them. Or tell the family that he felt his body float up during the coma, as if he was going to fly to another world.


    In fact, these should belong to some delirium and hallucinations produced during deep coma.


    Deputy Director Lu''s coma had reached the level of a deep coma, and he was already in a dying state at this time.


    The hospital issued a critical illness notice to the family members, and also referred to the degree of coma.


    Now his brain waves are showing more active signal waves, which also means that his coma has improved and is developing in a good direction. No wonder director Mingxin is so happy. roundabout


    The appearance of active brain waves is often a sign of a patient''s awakening in clinical practice.


    Because it is still under general anesthesia, the brain wave activity may be suppressed to a certain extent. It will be sent to the recovery room later, and after waking up from the anesthesia, maybe there will be a greater improvement.


    Not to mention anything else, just after the operation, the patient''s vital signs have gradually stabilized, which is already a very good phenomenon.


    Everyone''s efforts were not in vain, and finally saw some results.


    "Today''s operation is really fruitful! It seems that we still need to communicate with other hospitals more in the future, and we can''t blindly work behind closed doors and rest on our laurels."


    Director Wu Yongming took off his gloves and mask, his face glowing with joy.


    In this operation, his harvest basically came from Zhou Can. roundabout


    Whether it is the sequence of operations to rescue Deputy Director Lu, or some surgical techniques and methods used during the operation, they are enough to benefit him a lot.


    ¡¿


    "Many of Dr. Zhou''s surgical techniques are indeed worth learning." Director Gou Qiong also highly recognized Zhou Can.


    "Both directors, you have learned some tips from me, and I have also learned more valuable knowledge from you! Director Wu proposed to communicate more, and I agree with it. If you have this idea, I will After returning home, you can make suggestions to the leaders of Tuya¡¯s hospital, the two hospitals can communicate with each other, and each department will send personnel to exchange experience according to needs.¡±


    Zhou Can made a suggestion with a smile.


    He has long thought about this.


    Working behind closed doors is never a good thing for any hospital.


    Only by communicating more with the outside world can we continue to make great progress. Really keep pace with the times. roundabout


    On weekdays, the competition between the two compounds is quite fierce.


    There will hardly be too many opportunities for dialogue, and it is not bad to be able to avoid fighting.


    For example, when Tuya''s cardiothoracic surgery business was besieged, the Provincial People''s Hospital was ruthless. The two hospitals were not as tense as Tuya and the Third Hospital, but they were not much better.


    It is definitely a great thing for Zhou Can to break the ice by accident this time and allow the two hospitals to conduct some medical exchanges.


    We must have merit and virtue, and we must have reputation and reputation.


    As a small resident doctor, his influence can be raised several levels in an instant.


    What is influence? In fact, it is the right to speak. roundabout


    "Doctor Zhou''s suggestion is very good, and it is beneficial to both hospitals. We will find an opportunity to communicate with the hospital leaders as soon as possible, and we will pass it on to you after we have an approval letter. At that time, Tuya will still need you to come forward to facilitate this matter. "


    It was Director Xiang Fei who spoke.


    And the tone and demeanor are very indifferent.


    In terms of seniority, the anesthesiologist Ming Xin is older than him. In terms of weight, director Wu Yongming of brain surgery must be higher than him. Even Director Gouqiong''s status outside his chest is no worse than him.


    It must be mentioned here that if cardiothoracic surgery is separated, the remaining thoracic surgery will directly fall to the level of general surgery.


    It will no longer be a fancy surgery room.


    Cardiac and intracranial surgery are recognized as two ceilings in surgery. roundabout


    They are all dancing on the tip of the knife, the most sophisticated in surgery.


    At this moment, Director Xiang Fei actually expressed his opinion, and the others also had the same expressions on their faces. It seems that Director Xiang Fei''s status is not low!


    Zhou Can observed the words and expressions, and came to some conclusions in his mind.


    This kind of thing is not common, but it is definitely not rare. Just like an inconspicuous attending doctor in a certain department, he may hold the administrative position of the department director.


    In addition to being the chief physician of the Department of Critical Care Medicine, Director Xiang Fei may also hold a relatively high-level administrative position.


    belonging to the leadership of the hospital.


    "That''s no problem. If you have any intentions, you can let me know at any time." Lan


    Zhou Can nodded in agreement.


    "I really hope that this matter will be implemented soon! At that time, the two hospitals will be able to communicate with each other. I have long wanted to see how far Tuya''s anesthesia level has reached? There are many super-difficult ones this year. The operations were successfully completed in Tuya, and I am particularly interested in the risk control of anesthesia and intraoperative risk control. There is basically no communication between the two hospitals, and there is no way to ask for advice.¡±


    Director Mingxin was very happy to see that both parties had a clear intention on this matter.


    Director Feng of the Anesthesiology Department of Tuya Hospital is indeed of a very high standard.


    However, those ultra-difficult operations cannot be performed by anesthesiologists alone. The main surgeon is also an important factor, and even the entire surgical team is very important.


    Zhou Can helped the cardiothoracic surgery department to complete a number of ultra-difficult and ultra-high-risk surgeries.


    Among the surgeries Director Mingxin is interested in, many of them are performed by or participated in by Zhou Can. roundabout


    Of course, this kind of thing will definitely not be known to the doctors in the outer hospital.


    "I''ve ordered someone to order a midnight snack. Everyone has worked hard today, why don''t we chat while eating!"


    It was still director Xiang Fei who spoke.


    Zhou Can was even more curious about the identity of director Xiang Fei.


    ¡­


    Around ten thirty in the evening, Zhou Can walked out of the Provincial People''s Hospital.


    He didn''t expect to come here to check on Deputy Director Lu''s situation, and he actually played a guest role as a surgeon here, busy so late. roundabout


    It took a lot of time to eat supper.


    The point is not to eat, but to take advantage of this rare opportunity to get acquainted with several chief doctors of the Provincial People''s Hospital.


    The harvest tonight is very big.


    Not only has he made great progress in surgery, but he has also successfully blossomed in the Provincial People''s Hospital in terms of network expansion.


    And I met several chief physicians at once.


    Several excellent young doctors took the initiative to ask Zhou Can for his contact information and added WeChat. He said that in the future, he would have the opportunity to communicate with Zhou Chan more about medical issues and ask him for advice.


    Of course, Zhou Can would not refuse. roundabout


    He came back with a rewarding experience.


    Deputy Director Lu''s physical signs have been quite stable, and the EEG signals have become extremely active after waking up from anesthesia. This is all good news. If there were no accidents, Deputy Director Lu''s life would be recovered.


    For the Provincial People''s Hospital, the harvest is also great.


    Not to mention anything else, just resuscitating such a seriously injured high-falling patient is worth promoting for a long time.


    It was nearly eleven o''clock when I got home.


    Su Qianqian would be very happy every time she saw him come back safely. The clothes for bathing are prepared for him early, and a bowl of ginseng soup or bird''s nest porridge for nourishing the body is prepared for him every day.


    Having a good wife at home is a blessing that has been cultivated for several lifetimes for any man. roundabout


    After taking a shower, Zhou Can sat on the sofa and drank the ginseng soup she brought, and was not in a hurry to sleep. Instead, he took out the letter from Deputy Director Lu and opened it to read.


    "Who is this letter to you?"


    "The suicide note written by the former colleague who jumped off the building. He probably thought he was going to die, and thought that after he died, I would help him redress his grievances and uphold justice."


    Zhou Can replied.


    "I want you to help uphold justice even when I die. It seems that people trust you! But I hope that there are fewer things that ask you for help. You are my husband, and I hope you are safe."


    She probably still feels scared when she thinks of Zhou Can''s assassination last time.


    Although it is a society ruled by law now, there will always be gangsters who dare to trample on the law. And the number is not small. roundabout


    If you can avoid trouble, try not to provoke it.


    "Don''t worry, I will be careful. Director Lu only has one daughter who is still studying. He is not that high in emotional intelligence, and he is very easy to offend people when he speaks. Later, he was poached by the third hospital. I am afraid there is no special close relationship." Friends. In the end, there was no other way, so I thought of asking me for help."


    While explaining to her, Zhou Can had already started reading the contents of the letter.


    Su Qianqian has extremely high quality, so she didn''t go over to look at it.


    This kind of private letter, even if it is a husband and wife, is also personal privacy. If the other party doesn''t take the initiative to invite, it''s better to be like her, control curiosity, and not go to join in the fun.


    Zhou Can read the entire letter, his face was a little gloomy, and his heart was extremely heavy.


    The Third Hospital fully embodies the darkness of human nature. roundabout


    Deputy Director Lu was the first person to be forced to jump off the building, but he was by no means the only doctor who was victimized.


    The Third Hospital poached a large number of cardiothoracic surgery doctors and nurses from many hospitals, and more than 20 people were poached from Tuya alone.


    At the beginning, these job-hopping people wanted to make a lot of money, so they took the express train of the Third Hospital.


    Unexpectedly, he was on a thief ship.


    The cardiothoracic surgery business of the Third Hospital is shrinking sharply, and the salary can no longer be paid.


    And it''s building new campuses, saddled with huge debts.


    The situation we are facing now, once so beautiful on the outside, is now so miserable. roundabout


    That is to say, the last layer of curtain has not been removed.


    It is estimated that as long as the capital chain is broken, it will immediately burst like a colorful soap bubble.


    If this hospital does not have a particularly powerful method in the near future, it will almost certainly die.


    It can also be regarded as retribution.


    There are multiple reasons that forced Deputy Director Lu to jump off the building. First of all, from Tuya''s job-hopping to the Third Hospital, the high salary and rewards promised verbally have not been fulfilled. As for the promise of helping Deputy Director Lu to evaluate Zhenggao and establish academic status, it is even more nonsense.


    If it''s just that, it''s not insidious.


    At most it''s just a liar. roundabout


    It also signed non-employment agreements with these doctors who were poached. Within five years, they can no longer switch jobs to other hospitals, otherwise they will have to pay huge liquidated damages.


    I can understand why the Third Hospital signed non-employment agreements with these doctors.


    It can poach these powerful cardiothoracic surgery experts in the industry, so it is natural to prevent these people from being poached by other hospitals.


    It is only natural to set some shackles for these people to prevent job hopping.


    It was these measures that directly led to the bad luck of the doctors and nurses who jumped to the third hospital.


    The promises they made to them were verbal promises, but their promises to the Third Hospital were written in black and white, even with their fingerprints on it. This is very disadvantageous.


    Of course, if they were not blinded by interests, if they could have a little principle, they would not have fallen to this point. roundabout


    After Deputy Director Lu changed jobs, he only received one month''s basic salary, and he never received any more money after that.


    It happened that her daughter was admitted to an overseas school, and she needed a lot of money to study.


    Originally, he wanted to change jobs because he wanted to earn more money in the Third Hospital for his daughter to study abroad. It''s fine now, he broke the cooking directly, and he can''t explain to his daughter.


    This matter has been approached by the leaders of the Third Hospital, but they have been procrastinating or perfunctory, and no one has given a solution.


    In the end, Deputy Director Lu had nowhere to go, and his health was in trouble. He couldn''t think about it for a while, and then he came up with the idea of ??jumping off the building. The place he chose to jump off was the surgery building of the Third Hospital.


    The purpose is to expose the evil in the Third Hospital at the cost of their lives.


    If it still doesn''t work, he will ask Zhou Can to act as father and help him take good care of his daughter. Don''t let her live her life in hatred. roundabout


    The letter did not ask Zhou Can to help Zhang Zhang justice.


    Instead, he interceded for the remaining 20 or so doctors and nurses who had quit Tuya Hospital. UU Reading asked Zhou Can to find a way to help them and return to work in Tuya Hospital.


    Because he asked a lawyer to study the non-compete agreement, and there were certain loopholes.


    As long as Tuya Hospital is willing to accept them, they can return to work in Tuya Hospital without being restricted by the agreement and without breach of contract.


    Now, Zhou Can finally understood why Deputy Director Lu had the cheek to ask him for help, and wanted to return to work in Tuya Hospital.


    After being rejected, Deputy Director Lu probably sought out other old colleagues from Tuya Hospital.


    It''s just this kind of thing, I''m afraid no one can help him. roundabout


    After despair, he finally chose to commit suicide.


    "It''s really pitiful, hateful and pathetic!"


    Zhou Can couldn''t help shaking his head and sighing after reading it.


    Let''s live and work well, but if you insist on risk-hopping, you don''t ask clearly beforehand, and you listen to other people''s nonsense. That''s when he was so cheated that he didn''t even have any pants left.

 Chapter 528： Overcrowded cardiothoracic surgery, accumulated sewage into rivers

    Regarding Deputy Director Lu''s daughter going abroad to study, Zhou Can was not prepared to fund it. roundabout


    The cost of US$40,000 to 50,000 a year, even if the total cost of studying abroad for three years will basically not exceed US$200,000. Converted down, that is about 1.4 million yuan.


    This amount of money is not too much for Zhou Can.


    But one thing must be clear, he is not a savior, and he has no obligation to help Deputy Director Lu''s daughter study abroad.


    There are too many people in need of help in this world, and he can''t help them.


    Rescuing Deputy Director Lu is a matter of affection, not an obligation.


    Also, the more than 20 doctors and nurses who chose to switch jobs from Tuya to the Third Hospital are all adults and should be responsible for their actions. Said they betrayed Tuya Hospital


    It may sound ugly, but the truth is basically the same. roundabout


    At the critical moment when Tuya Hospital needed them, they jumped to a competitor''s hospital, which was equivalent to stabbing Tuya Hospital and then surrendering to the enemy.


    Very bad behavior.


    It is entirely their own fault that they have come to such a miserable end now.


    After the leaders of Tuya Hospital found out, it was good not to applaud.


    ¡­


    The next day, Zhou Can went to the hospital to work as usual.


    At about four o''clock in the afternoon, Director Xiang Fei of the Provincial People''s Hospital called him. It''s a pity that he was busy in the operating room and couldn''t answer the phone at all. roundabout


    In order to concentrate on his work, he now leaves his mobile phone in the locker in the changing room when he enters the operating room.


    No way, after becoming famous, too many people called him.


    It''s really annoying.


    Now, he basically treats strange calls coldly.


    It wasn''t until after six o''clock in the evening that he came out of the operating room that he had the opportunity to get his mobile phone to check the missed calls and messages.


    Director Xueyan sent him a message.


    "Zhou Can, will you still visit Director Lu today? If you do, bring me a thousand dollars, it''s my little gesture."


    Xueyan was fully aware of Zhou Can''s visit to Deputy Director Lu at the Provincial People''s Hospital yesterday.


    Later, I asked Zhou Can to find out the details of Deputy Director Lu.


    However, because of her sensitive identity, she is the director of the Cardiothoracic Surgery Department of Tuya Hospital after all, so going to the hospital to visit Deputy Director Lu in person is likely to bring bad influence.


    Leaders are very different from ordinary people.


    Sometimes, their words and deeds may be misinterpreted by others. resulting in misdirection.


    "After I get off work, if it''s not too late, I''ll go and have a look. I didn''t come to the cardiothoracic surgery department yesterday to help, so I''m sure I''ll come to help today."


    Zhou Can texted her back by voice. roundabout


    Speech is a little faster than typing.


    "Just got off work? Come here quickly. There are several difficult cases that need to be dealt with urgently and transferred patients. We can''t digest them at all." What she said was basically true.


    For many difficult cases, especially those transferred from another hospital, Director Xueyan, Director Le and the others really did not move.


    Zhou Can can''t handle every case, at least most of them can think of a solution.


    Especially for some difficult operations, as his surgical skills have been promoted to level six, many operations that he did not dare to challenge before now have the ability to challenge.


    "Be there in about half an hour!"


    Zhou Can texted her back, and then checked the important pending messages and missed calls one by one. roundabout


    Soon, I discovered the missed call from Director Xiang Fei, as well as the WeChat voice message.


    "Dr. Zhou, I guess you are busy, so I didn''t answer the call. First of all, let me tell you some good news. The patient in bed 13 has come to life at noon today after undergoing surgery. His vital signs are basically stable. We will wait for him to be in critical condition. Stay in the intensive care unit for two more days, and the fractures will be dealt with in sequence after the situation is stable. The orthopedic surgeons are already actively researching the treatment plan."


    After all, Director Xiang Fei and Zhou Can just met last night.


    When dealing with people, there is definitely no way to talk about things straight to the point like old friends.


    Instead, try to use good news first as much as possible.


    Zhou Can was also very happy to hear that Deputy Director Lu''s physical signs were stable and he had successfully awakened.


    I worked hard for several hours last night, and the hard work was not in vain. roundabout


    According to this trend, Deputy Director Lu''s life is likely to be saved.


    The treatment fee must be paid by the third hospital.


    If the Third Hospital can realize it, that''s all. Unconsciously, Zhou Can will definitely help to find a way.


    He couldn''t help but miss the female reporter Mu Jie.


    She didn''t go abroad before, so if there is such a thing, as long as you ask her, you will almost be able to respond.


    At that time, Zhou Can just thought that she had a sense of justice, so she was always on call when encountering injustice. It was only later that I realized that she was willing to come to help every time because she liked Zhou Can.


    For what her sweetheart asked for, she naturally went all out without expecting anything in return. roundabout


    "Also, I have already discussed with the leaders of this institute about the mutual exchange and study you proposed yesterday. There is no problem here. We can have a formal communication with the senior management of the two institutes at any time, and then decide on the way of communication and plan."


    Director Xiang Fei called him, this matter should be the most important.


    It was only mentioned yesterday, but today it has been approved by the leaders of the Provincial People''s Hospital, which shows that Director Xiang Fei''s status in the Provincial People''s Hospital is not low. At the same time, the Provincial People''s Hospital has a strong interest in the exchange between the two hospitals and attaches great importance to it.


    This is a good thing.


    Since there are no problems with the Provincial People''s Hospital, Zhou Can, the middleman, must pass the word on.


    "Thank you, thank you! I will report this matter to the hospital leadership as soon as possible, and I will reply you when I have a letter of approval."


    After replying to the message, Zhou Can finished processing some more important messages, and then hurriedly took the food sent by Su Qianqian and started eating. roundabout


    Dinner is basically the only way to solve it now.


    Su Qianqian was worried that the food he ate in the hospital cafeteria was unhygienic and tasted bad. As long as she was not particularly busy, she would prepare the food and deliver it to the hospital with Wei Fang.


    Of course, she also had some small thoughts in doing so.


    Let the young female doctors and nurses in the hospital know that Zhou Can is already in charge, and it will naturally save a lot of trouble.


    ¡¿


    After all, Zhou Can is too good to be taken care of by other women.


    After eating and checking the inpatient wards in the emergency department, Zhou Can hurried to the cardiothoracic surgery department.


    I made an appointment with Director Xueyan for half an hour, but in fact it was difficult to arrive on time every time. roundabout


    Because he has too many things to do.


    She can understand it.


    Zhou Can rushed to the Department of Cardiothoracic Surgery and found that patients or family members were sleeping on the aisle outside the office and on the floor in the small hall.


    These people are all patients who come from all over the world to seek medical treatment.


    Because of the serious shortage of beds, they slept on the ground in the corridors and service halls of the hospital in order to save money and receive treatment as soon as possible. Seeing this scene, Zhou Can only felt that the burden on his shoulders was extremely heavy.


    Every patient is a trust, but also the hope of life.


    Many patients traveled thousands of miles, or even worked so hard for thousands of miles, to come to Zhou Can for treatment. roundabout


    The famous doctor effect is often crazy.


    Because some patients have sought medical treatment in many ways but failed, whenever they hear that there is a good doctor somewhere, they will rush to seek treatment with great hope.


    There are more and more patients in cardiothoracic surgery, which is essentially a good thing.


    There is a premise that those who can be cured will be admitted, and the amount of treatment must be well controlled.


    If it exceeds the processing limit of the department, it will only delay the patient''s treatment time in vain. Many diseases progress day by day.


    "Oh, Doctor Zhou, you finally came to see us! If you don''t come again, we will be overwhelmed by patients."


    The little nurse at the nurse''s desk is always so skinny. roundabout


    The young girls, some of the lively ones, were indeed particularly pleasing.


    "It''s also because of your good service and professional nursing care that so many patients come here for consultation! Where is Director Xue still in the operating room?"


    Zhou Can smiled and praised them.


    "Director Xue is in the office! It seems to be waiting for you specially. Some difficult cases have given the directors of our department a headache."


    "Okay, I''ll go and have a look first, you guys are busy!"


    Zhou Can waved his hand.


    "Thank you for the milk tea you invited us to drink. It tastes very good. The most important thing is that the handsome and wealthy Dr. Zhou treats you, and everyone is very happy." Lane


    "Haha, this sounds very comfortable. I will invite you next time."


    Zhou Can smiled.


    Asking the nurses to have a cup of milk tea is nothing.


    "Did you hear that, Dr. Zhou is the male **** in my heart forever, he said he will invite you again next time, hee hee!"


    "If only I could find such a promising, handsome and wealthy boyfriend! Oh!"


    "Don''t be an idiot, Dr. Zhou already has a girlfriend, and I heard that she is as beautiful as a fairy."


    ...append


    The voices of the several young nurses became smaller and smaller.


    Zhou Can has arrived at the director''s office.


    The door is not closed.


    But Zhou Can still knocked on the door.


    Director Xueyan looked up and saw Zhou Can coming, and put down the patient information in her hand.


    "Come on! Sit!"


    Director Xueyan got up to make tea for him, but Zhou Can stopped her. roundabout


    "Sister Yan, when I came in just now, I saw patients everywhere outside. Is it better to properly control the number of patients admitted and treated within a reasonable range?"


    Zhou Can and her love each other as siblings, even though the last time her husband asked someone to assassinate Zhou Can, the two of them got a little bit of a relationship.


    After such a long time, there is no grievance anymore.


    Zhou Can always speaks directly to those close to him.


    "Recently, there are indeed more and more patients. If we can''t deal with them, they have basically been persuaded to leave. Also, I have asked the hospital leader to urgently apply for a group of intern doctors and nurses to support first. This is for those interns. , is also a good thing. As long as you perform well, you can enjoy the qualification to be hired by our cardiothoracic surgery department in the future."


    This incentive is really good.


    It can not only improve the work enthusiasm of interns, but also allow them to enjoy real benefits after the internship. roundabout


    Under normal circumstances, it would be very difficult to work in Tuya Hospital, let alone such an important department as the Cardiothoracic Surgery Department.


    With this priority qualification, the pressure of finding a job will be much less after the completion of the regular training in the future.


    "Your plan is very good. I also saw so many patients waiting for treatment, and I was afraid that the department would be overwhelmed and their condition would be delayed."


    After Zhou Can raised his mouth, I believe Director Xueyan will pay attention to the degree of control.


    She is not the kind of person who does things selfishly regardless of the patient''s life or death.


    "Don''t worry, I know it well! Seeing that there are many patients, those who need emergency treatment can basically get treatment in time. Those patients who sleep on the ground outside are basically from other places. Although the aisles of the hospital are not beautiful, they are It can actually save some expenses for them, and if the condition gets worse, they can also get timely and effective treatment."


    Director Xueyan explained. roundabout


    Zhou Can nodded and did not discuss the matter further.


    "When I visited Deputy Director Lu in the hospital yesterday, his daughter handed me a letter. The doctors and nurses who switched jobs to the Third Hospital were in a very miserable situation. They signed a non-employment agreement with the Third Hospital, and there was no way to go there again. Work in other hospitals. Not even a small clinic, otherwise you will have to pay a large amount of liquidated damages. Also, the business of the Cardiothoracic Surgery Department of the Third Hospital is already very poor. , and no salary was paid later.¡±


    Zhou Can came here to ask her to mention the situation of these people.


    Just look at her attitude.


    She will discuss with Zhou Can about many important matters in the cardiothoracic surgery department, and basically adopt Zhou Can''s opinions and implement them.


    However, the person who decides and decides on the cardiothoracic surgery department is Director Xueyan.


    To put it bluntly, Xueyan is the head coach of cardiothoracic surgery, and Zhou Can is the military adviser. roundabout


    "When they switched jobs, they should have thought of today. Everything is their own choice."


    Speaking of what these people did, Director Xueyan was not very sympathetic.


    She used to hate these people very much, but now that time has passed, cardiothoracic surgery is still developing well. Her hatred for these people also faded a lot.


    "I know that these people are not worthy of sympathy. But when people make mistakes, there are no fish when the water is clear. I believe that when you heard that Deputy Director Lu jumped off the building, you must feel a little uncomfortable. There are so many patients in the cardiothoracic surgery department. Can''t digest it, can you give these people a chance?"


    Zhou Can only discussed the matter in a proposed way.


    Because if he pleaded for these people, director Xueyan would definitely not save Zhou Can''s face.


    "Didn''t they sign a non-compete agreement?"


    Director Xueyan asked back.


    "Before Deputy Director Lu jumped off the building, he consulted a lawyer to study it. There were certain loopholes in the agreement. It''s fine to go back to Tuya Hospital to work."


    "Well... I can''t answer this matter now, I need to think about it."


    Director Xueyan''s tone has softened a bit.


    "Okay, UU Reading will tell me the answer when you think it over. Let''s discuss the next step. This third hospital is really harmful!"


    Zhou Can didn''t urge her, but just raised the matter.


    "I''m afraid the Third Hospital will collapse sooner or later. I have never seen such a disgusting opponent." She also felt the same way. "I want to hear your opinion on how to deal with those job hoppers." Lan


    She threw the question back to Zhou Can.


    "If you want me to say, either let these people fend for themselves, regardless of them. Or out of empathy, give them a hand. I believe that after this unforgettable experience, these people should learn a lesson, for the hospital and the department The loyalty of the staff can be improved a lot. The talent training cycle of cardiothoracic surgery is too long, and the advantages outweigh the disadvantages of being able to bring this group of people back. It can also leave a reputation of tolerance, and there will be some advantages in attracting more talents in the future .¡±


    Zhou Can gave her a serious analysis.


    "One more thing, after all, being a colleague with those people can be regarded as some friendship. When they are in trouble, help them as much as possible, so that they can feel at ease."

 Chapter 529： Some patients cant push away, and the pain in the feet heals the chest?

The content of this chapter is being updated...

 Chapter 530： Troublesome things after becoming famous, hands-on diagnosis

The content of this chapter is being updated...

 Chapter 531： Touching the neck can identify venous artery disease and tissue necrosis

The content of this chapter is being updated...

 Chapter 532： Family members who are in trouble again, first control the infection and then operate

The content of this chapter is being updated...

 Chapter 533： Visit the deans office, wish the deans pride

The content of this chapter is being updated...

 Chapter 534： Shortcomings in domestic medical care should not be softened

The content of this chapter is being updated...

 Chapter 535： Accidents caused by anesthesia, the strength of one person is limited after all

    ¡°I was a loser who paid little attention to whether the sun was shining or not because I didn¡¯t have time.¡± My parents couldn¡¯t support me, I didn¡¯t have a high degree, and I was alone in the city looking for a future. "I looked for a lot of jobs, but none of them were hired. It may be that no one likes a person who is not good at talking, doesn''t like to communicate, and doesn''t show enough ability. To read the latest chapter, please download the Xingwen Reading app, Read the latest chapters for free without ads. The website no longer updates the latest chapters, and the Xingwen Reading app has updated the latest chapters. "I only ate two breads for three days, and hunger kept me from sleeping at night. Fortunately, , I paid a month''s rent in advance, and I can continue to live in that dark basement without going outside to bear the extremely cold wind in winter. "Finally, I found a job, night vigil in the hospital, vigil for the mortuary." The night in the hospital was colder than I imagined, the wall lamps in the corridor were not lit, and it was dark everywhere, only by infiltration in the room That little bit of light coming out helps me see where I''m going. "It smells bad there, and from time to time a dead person is brought in in a body bag, and we cooperate to help him move into the morgue." It''s not a very good job, but at least it allows me to buy Picking up bread, the free time at night can also be used to study. After all, no one is willing to come to the morgue unless there is a corpse that needs to be sent or transported away for incineration. Of course, I don¡¯t have enough money to buy books, and I can¡¯t read them yet. The hope of saving money. "I have to thank my former colleague. If it hadn''t been for his sudden departure, I might not even have a job like this." My body gets a little weak and my head throbs occasionally. "One day, the mover brought a new body." According to someone else, this is my former colleague who left the job suddenly. "I was a little curious about him. After everyone left, I pulled out the cabinet and quietly opened the body bag." He was an old man with a blue and white face, wrinkled everywhere, and looked very scary under the very dim light. "His hair is not much, most of it is white, all his clothes have been taken off, and there is not even a piece of fabric left for him. The content of the website is updated slowly. Please download the Xingwen Reading app to read the latest chapter content." I saw him There was a strange mark on his chest, blue and black, I can''t describe the specific appearance, the lighting at that time was really too dark. "I reached out and touched the imprint, nothing special." Looking at this former colleague, I wondered, if I go on like this until I get old, will I be like him..." I said to him, tomorrow I will I will accompany him to the crematorium, and personally take his ashes to the nearest free cemetery, so that those who are responsible for these things will not find it troublesome, just find a river and find a wasteland and throw it away. "This will sacrifice my morning sleep, But fortunately, it will be Sunday soon, so I can make up for it. "After saying that, I fixed the body bag and stuffed it into the cabinet again." The lights in the room seemed to be dimmer... "After that day, every time I sleep, I always dream of a big fog." I had a premonition that something would happen in the near future. I had a premonition that sooner or later something that could be called a human would come to me, but no one would believe me. It''s not normal, I need to see a doctor..." A male customer sitting in front of the bar looked at the narrator who stopped suddenly: "Then what? "The male guest was in his thirties, wearing a brown tweed jacket and light yellow trousers, his hair was pressed flat, and he had a simple dark bowler hat in his hand. Some people are the same, with black hair, light blue eyes, not good-looking, not ugly, and lack of obvious features. The narrator in his eyes is a young man of eighteen or nineteen years old, tall and straight, with slender limbs, and also has short black hair. Light blue eyes, but profound facial features, can make people''s eyes shine. The young man looked at the empty wine glass in front of him, sighed: "Then? Download the Xingwen Reading app to read the latest chapters. "Then I resigned and went back to the countryside, and came here to brag to you." As he spoke, a smile appeared on his face, with a narrow smile. The male guest froze for a moment: "Are you bragging what you just said?" "Haha." A burst of laughter erupted around the bar. The laughter stopped for a while, and a thin middle-aged man looked at the slightly embarrassed guest and said, "Outlander, you actually believe Lumian''s story, he tells different stories every day, yesterday he was still a The unlucky guy whose engagement was broken off by his fianc¨¦e because of poverty, has become a corpse keeper today!" "Yes, say thirty years on the east side of the Serenzo River, thirty years on the right side of the Serenzo River, I only know nonsense language!" Another tavern regular followed suit. They were all peasants from the large village of Kordu, and wore jackets of black, gray, or brown. The black-haired young man named Lumian supported the bar with his hands, stood up slowly, and said with a smile: "You know, this is not a story I made up, it''s all written by my sister, she likes writing stories the most, She''s a columnist for "Fiction Weekly." After finishing speaking, he turned sideways, spread his hands to the foreign guest, and said with a bright smile: "It seems that she writes really well. Xingwen Reading app "Sorry, let me you misunderstood. The ordinary-looking man in a brown tweed jacket didn''t get angry. He stood up and responded with a smile, "It''s an interesting story." "What''s the name?" "Isn''t it common sense to introduce yourself before asking others?" Lumian laughed. The guest from a foreign country nodded: "My name is Ryan Kos." These two are my companions Valentine and Liya. "The latter sentence refers to a man and a woman sitting next to him. The man in the Xingwen reading app is twenty-seven or eighteen years old. His yellow hair is covered with a little powder, and his eyes, which are not too big, are darker than the blue of the lake. He was wearing a white vest, a blue tweed jacket and black trousers, and he had obviously been well-dressed before going out. His expression was quite indifferent, and he didn''t look at the farmers and herdsmen around him very much. The woman looked younger than the two The man was younger, with long light gray hair tied into a complicated bun, and a white veil as a hat. Her eyes were the same color as her hair, and she looked at Lumian with an undisguised smile , seems to be only interested in what happened just now. Under the light of the gas wall lamp in the tavern, this woman named Liya showed a pretty nose and beautifully curved lips. She is definitely a beauty in a country like Kordu Village She was wearing a white non-pleated cashmere tight skirt, a beige small coat and a pair of Marcell boots. There were two small silver bells tied on the veil and the boots respectively. When she walked into the pub just now, she was jingling , is very eye-catching, making many men look straight. In their eyes, this must be a fashionable dress that can only be found in big cities such as the provincial capital Bigor and the capital Trier. Lumian said to the three A stranger nodded: "My name is Lumian Li, you can call me Lumian directly. ""plum? Liya blurted out. "What''s the matter? Is there something wrong with my last name?" Lumian asked curiously. Ryan Kos helped Liya explain: "Your surname is scary. I almost couldn''t control my voice just now." Seeing the puzzled faces of the surrounding farmers and herdsmen, he further explained: "Anyone who has been in contact with sailors and sea merchants knows that there is a saying spread on the five seas: "I would rather meet those pirate generals or even kings than Don''t run into a guy named Frank Lee." That one''s last name is also Lee. ¡¯ ¡®Is he terrible? Lumian asked. Ryan shook his head: "I don''t know, but since there is such a legend, it must not be bad." He broke off the subject and said to Lumian: "Thank you for the story, it''s worth a glass of wine, what do you want?" "A cup of ''Green Fairy''." Lumian was not polite at all, and sat down again. Ryan Kos frowned slightly and said: "''Green Fairy''... Absinthe? "I think I need to remind you that absinthe is harmful to the human body. This kind of wine may cause insanity and make you hallucinate." "I didn''t expect the trend of Trier to spread here." Liya next to her He added with a smile. Lumian said "Oh": "It turns out that Trier people also like to drink ''Green Fairy''..." For us, life is hard enough, there is no need to care about a little more harm, this wine can make our The spirit is more relaxed. ""All right. Ryan sat back in his seat and looked at the bartender, "A cup of ''Green Fairy'', and another cup of ''Spicy Heart'' for me." "Spicy heart mouth" is a famous fruit shochu. "Why don''t you give me a glass of ''Green Fairy'' too?" I was the one who told you the truth just now, and I can still tell the whole story about this kid! "The first skinny middle-aged man who exposed Lumian''s daily storytelling shouted dissatisfiedly, "Outsiders, I can see that you still have doubts about the truth of that story!" "Pierre, in order to drink a glass of wine for free, UU Reading you really can do anything!" Lumian responded loudly. Without waiting for Ryan to make a decision, Lumian added: "Why can''t I say it myself, so that I can have an extra glass of ''Green Fairy''?" "Because they don''t know whether to believe what you said. The middle-aged man named Pierre smiled triumphantly, "Your sister''s favorite story to tell the children is ''Wolf is Coming'', and those who always lie will lose their credibility." ""All right. Lumian shrugged his shoulders and watched the bartender push a glass of light green wine in front of him. Ryan looked at him and asked, "Is that okay?" ""No problem, as long as your wallet is enough to pay for the wine. Lumian didn''t care. "Then have another glass of ''Green Fairy''." Ryan nodded. Pierre immediately smiled: "Generous outsider, this kid is the favorite prankster in the village, you must stay away from him." "Five years ago, he was brought back to the village by his sister Aurora, and he never left again. You think, before that, he was only thirteen years old, how could he go to the hospital to be a corpse keeper? Well, it''s the closest to us. The hospital is in Darliege at the foot of the mountain, and it will take a whole afternoon." Star Wen Reading app "Take it back to the village?" Liya asked keenly. She turned her head slightly, making a tinkling sound. Pierre nodded: To read the latest chapters in the Xingwen Reading app, please download the Xingwen Reading app to read the latest chapters for free without ads. The content of the latest chapter has been read in the Xingwen app, and the website has not updated the content of the latest chapter. "Then, he took the surname ''Li'' from Aurora, and even the name ''Lumian'' was chosen by Aurora." "I forgot the original name." Lumian took a sip of absinthe, Said with a smile. It seemed that he was not at all inferior or ashamed of his past being exposed like this.

 Chapter 536： Unbreakable rules, miraculous healing speed

    ¡°I was a loser who paid little attention to whether the sun was shining or not because I didn¡¯t have time.¡± My parents couldn¡¯t support me, I didn¡¯t have a high degree, and I was alone in the city looking for a future. "I looked for a lot of jobs, but none of them were hired. It may be that no one likes a person who is not good at talking, doesn''t like to communicate, and doesn''t show enough ability. To read the latest chapter, please download the Xingwen Reading app, Read the latest chapters for free without ads. The website no longer updates the latest chapters, and the Xingwen Reading app has updated the latest chapters. "I only ate two breads for three days, and hunger kept me from sleeping at night. Fortunately, , I paid a month''s rent in advance, and I can continue to live in that dark basement without going outside to bear the extremely cold wind in winter. "Finally, I found a job, night vigil in the hospital, vigil for the mortuary." The night in the hospital was colder than I imagined, the wall lamps in the corridor were not lit, and it was dark everywhere, only by infiltration in the room That little bit of light coming out helps me see where I''m going. "It smells bad there, and from time to time a dead person is brought in in a body bag, and we cooperate to help him move into the morgue." It''s not a very good job, but at least it allows me to buy Picking up bread, the free time at night can also be used to study. After all, no one is willing to come to the morgue unless there is a corpse that needs to be sent or transported away for incineration. Of course, I don¡¯t have enough money to buy books, and I can¡¯t read them yet. The hope of saving money. "I have to thank my former colleague. If it hadn''t been for his sudden departure, I might not even have a job like this." My body gets a little weak and my head throbs occasionally. "One day, the mover brought a new body." According to someone else, this is my former colleague who left the job suddenly. "I was a little curious about him. After everyone left, I pulled out the cabinet and quietly opened the body bag." He was an old man with a blue and white face, wrinkled everywhere, and looked very scary under the very dim light. "His hair is not much, most of it is white, all his clothes have been taken off, and there is not even a piece of fabric left for him. The content of the website is updated slowly. Please download the Xingwen Reading app to read the latest chapter content." I saw him There was a strange mark on his chest, blue and black, I can''t describe the specific appearance, the lighting at that time was really too dark. "I reached out and touched the imprint, nothing special." Looking at this former colleague, I wondered, if I go on like this until I get old, will I be like him..." I said to him, tomorrow I will I will accompany him to the crematorium, and personally take his ashes to the nearest free cemetery, so that those who are responsible for these things will not find it troublesome, just find a river and find a wasteland and throw it away. "This will sacrifice my morning sleep, But fortunately, it will be Sunday soon, so I can make up for it. "After saying that, I fixed the body bag and stuffed it into the cabinet again." The lights in the room seemed to be dimmer... "After that day, every time I sleep, I always dream of a big fog." I had a premonition that something would happen in the near future. I had a premonition that sooner or later something that could be called a human would come to me, but no one would believe me. It''s not normal, I need to see a doctor..." A male customer sitting in front of the bar looked at the narrator who stopped suddenly: "Then what? "The male guest was in his thirties, wearing a brown tweed jacket and light yellow trousers, his hair was pressed flat, and he had a simple dark bowler hat in his hand. Some people are the same, with black hair, light blue eyes, not good-looking, not ugly, and lack of obvious features. The narrator in his eyes is a young man of eighteen or nineteen years old, tall and straight, with slender limbs, and also has short black hair. Light blue eyes, but profound facial features, can make people''s eyes shine. The young man looked at the empty wine glass in front of him, sighed: "Then? Download the Xingwen Reading app to read the latest chapters. "Then I resigned and went back to the countryside, and came here to brag to you." As he spoke, a smile appeared on his face, with a narrow smile. The male guest froze for a moment: "Are you bragging what you just said?" "Haha." A burst of laughter erupted around the bar. The laughter stopped for a while, and a thin middle-aged man looked at the slightly embarrassed guest and said, "Outlander, you actually believe Lumian''s story, he tells different stories every day, yesterday he was still a The unlucky guy whose engagement was broken off by his fianc¨¦e because of poverty, has become a corpse keeper today!" "Yes, say thirty years on the east side of the Serenzo River, thirty years on the right side of the Serenzo River, I only know nonsense language!" Another tavern regular followed suit. They were all peasants from the large village of Kordu, and wore jackets of black, gray, or brown. The black-haired young man named Lumian supported the bar with his hands, stood up slowly, and said with a smile: "You know, this is not a story I made up, it''s all written by my sister, she likes writing stories the most, She''s a columnist for "Fiction Weekly." After finishing speaking, he turned sideways, spread his hands to the foreign guest, and said with a bright smile: "It seems that she writes really well. Xingwen Reading app "Sorry, let me you misunderstood. The ordinary-looking man in a brown tweed jacket didn''t get angry. He stood up and responded with a smile, "It''s an interesting story." "What''s the name?" "Isn''t it common sense to introduce yourself before asking others?" Lumian laughed. The guest from a foreign country nodded: "My name is Ryan Kos." These two are my companions Valentine and Liya. "The latter sentence refers to a man and a woman sitting next to him. The man in the Xingwen reading app is twenty-seven or eighteen years old. His yellow hair is covered with a little powder, and his eyes, which are not too big, are darker than the blue of the lake. He was wearing a white vest, a blue tweed jacket and black trousers, and he had obviously been well-dressed before going out. His expression was quite indifferent, and he didn''t look at the farmers and herdsmen around him very much. The woman looked younger than the two The man was younger, with long light gray hair tied into a complicated bun, and a white veil as a hat. Her eyes were the same color as her hair, and she looked at Lumian with an undisguised smile , seems to be only interested in what happened just now. Under the light of the gas wall lamp in the tavern, this woman named Liya showed a pretty nose and beautifully curved lips. She is definitely a beauty in a country like Kordu Village She was wearing a white non-pleated cashmere tight skirt, a beige small coat and a pair of Marcell boots. There were two small silver bells tied on the veil and the boots respectively. When she walked into the pub just now, she was jingling , is very eye-catching, making many men look straight. In their eyes, this must be a fashionable dress that can only be found in big cities such as the provincial capital Bigor and the capital Trier. Lumian said to the three A stranger nodded: "My name is Lumian Li, you can call me Lumian directly. ""plum? Liya blurted out. "What''s the matter? Is there something wrong with my last name?" Lumian asked curiously. Ryan Kos helped Liya explain: "Your surname is scary. I almost couldn''t control my voice just now." Seeing the puzzled faces of the surrounding farmers and herdsmen, he further explained: "Anyone who has been in contact with sailors and sea merchants knows that there is a saying spread on the five seas: "I would rather meet those pirate generals or even kings than Don''t run into a guy named Frank Lee." That one''s last name is also Lee. ¡¯ ¡®Is he terrible? Lumian asked. Ryan shook his head: "I don''t know, but since there is such a legend, it must not be bad." He broke off the subject and said to Lumian: "Thank you for the story, it''s worth a glass of wine, what do you want?" "A cup of ''Green Fairy''." Lumian was not polite at all, and sat down again. Ryan Kos frowned slightly and said: "''Green Fairy''... Absinthe? "I think I need to remind you that absinthe is harmful to the human body. This kind of wine may cause insanity and make you hallucinate." "I didn''t expect the trend of Trier to spread here." Liya next to her He added with a smile. Lumian said "Oh": "It turns out that Trier people also like to drink ''Green Fairy''..." For us, life is hard enough, there is no need to care about a little more harm, this wine can make our The spirit is more relaxed. ""All right. Ryan sat back in his seat and looked at the bartender, "A cup of ''Green Fairy'', and another cup of ''Spicy Heart'' for me." "Spicy heart mouth" is a famous fruit shochu. "Why don''t you give me a glass of ''Green Fairy'' too?" I was the one who told you the truth just now, and I can still tell the whole story about this kid! "The first skinny middle-aged man who exposed Lumian''s daily storytelling shouted dissatisfiedly, "Outsiders, I can see that you still have doubts about the truth of that story!" "Pierre, in order to drink a glass of wine for free, UU reads www.uukanshu. com you really can do anything! Lumian responded loudly. Without waiting for Ryan to make a decision, Lumian added: "Why can''t I say it myself, so that I can have an extra glass of ''Green Fairy''?" "Because they don''t know whether to believe what you said. The middle-aged man named Pierre smiled triumphantly, "Your sister''s favorite story to tell the children is ''Wolf is Coming'', and those who always lie will lose their credibility." ""All right. Lumian shrugged his shoulders and watched the bartender push a glass of light green wine in front of him. Ryan looked at him and asked, "Is that okay?" ""No problem, as long as your wallet is enough to pay for the wine. Lumian didn''t care. "Then have another glass of ''Green Fairy''." Ryan nodded. Pierre immediately smiled: "Generous outsider, this kid is the favorite prankster in the village, you must stay away from him." "Five years ago, he was brought back to the village by his sister Aurora, and he never left again. You think, before that, he was only thirteen years old, how could he go to the hospital to be a corpse keeper? Well, it''s the closest to us. The hospital is in Darliege at the foot of the mountain, and it will take a whole afternoon." Star Wen Reading app "Take it back to the village?" Liya asked keenly. She turned her head slightly, making a tinkling sound. Pierre nodded: To read the latest chapters in the Xingwen Reading app, please download the Xingwen Reading app to read the latest chapters for free without ads. The content of the latest chapter has been read in the Xingwen app, and the website has not updated the content of the latest chapter. "Then, he took the surname ''Li'' from Aurora, and even the name ''Lumian'' was chosen by Aurora." "I forgot the original name." Lumian took a sip of absinthe, Said with a smile. It seemed that he was not at all inferior or ashamed of his past being exposed like this.

 Chapter 537： Life-saving straw, cousins banquet

    ¡°I was a loser who paid little attention to whether the sun was shining or not because I didn¡¯t have time.¡± My parents couldn¡¯t support me, I didn¡¯t have a high degree, and I was alone in the city looking for a future. "I looked for a lot of jobs, but none of them were hired. It may be that no one likes a person who is not good at talking, doesn''t like to communicate, and doesn''t show enough ability. To read the latest chapter, please download the Xingwen Reading app, Read the latest chapters for free without ads. The website no longer updates the latest chapters, and the Xingwen Reading app has updated the latest chapters. "I only ate two breads for three days, and hunger kept me from sleeping at night. Fortunately, , I paid a month''s rent in advance, and I can continue to live in that dark basement without going outside to bear the extremely cold wind in winter. "Finally, I found a job, night vigil in the hospital, vigil for the mortuary." The night in the hospital was colder than I imagined, the wall lamps in the corridor were not lit, and it was dark everywhere, only by infiltration in the room That little bit of light coming out helps me see where I''m going. "It smells bad there, and from time to time a dead person is brought in in a body bag, and we cooperate to help him move into the morgue." It''s not a very good job, but at least it allows me to buy Picking up bread, the free time at night can also be used to study. After all, no one is willing to come to the morgue unless there is a corpse that needs to be sent or transported away for incineration. Of course, I don¡¯t have enough money to buy books, and I can¡¯t read them yet. The hope of saving money. "I have to thank my former colleague. If it hadn''t been for his sudden departure, I might not even have a job like this." My body gets a little weak and my head throbs occasionally. "One day, the mover brought a new body." According to someone else, this is my former colleague who left the job suddenly. "I was a little curious about him. After everyone left, I pulled out the cabinet and quietly opened the body bag." He was an old man with a blue and white face, wrinkled everywhere, and looked very scary under the very dim light. "His hair is not much, most of it is white, all his clothes have been taken off, and there is not even a piece of fabric left for him. The content of the website is updated slowly. Please download the Xingwen Reading app to read the latest chapter content." I saw him There was a strange mark on his chest, blue and black, I can''t describe the specific appearance, the lighting at that time was really too dark. "I reached out and touched the imprint, nothing special." Looking at this former colleague, I wondered, if I go on like this until I get old, will I be like him..." I said to him, tomorrow I will I will accompany him to the crematorium, and personally take his ashes to the nearest free cemetery, so that those who are responsible for these things will not find it troublesome, just find a river and find a wasteland and throw it away. "This will sacrifice my morning sleep, But fortunately, it will be Sunday soon, so I can make up for it. "After saying that, I fixed the body bag and stuffed it into the cabinet again." The lights in the room seemed to be dimmer... "After that day, every time I sleep, I always dream of a big fog." I had a premonition that something would happen in the near future. I had a premonition that sooner or later something that could be called a human would come to me, but no one would believe me. It''s not normal, I need to see a doctor..." A male customer sitting in front of the bar looked at the narrator who stopped suddenly: "Then what? "The male guest was in his thirties, wearing a brown tweed jacket and light yellow trousers, his hair was pressed flat, and he had a simple dark bowler hat in his hand. Some people are the same, with black hair, light blue eyes, not good-looking, not ugly, and lack of obvious features. The narrator in his eyes is a young man of eighteen or nineteen years old, tall and straight, with slender limbs, and also has short black hair. Light blue eyes, but profound facial features, can make people''s eyes shine. The young man looked at the empty wine glass in front of him, sighed: "Then? Download the Xingwen Reading app to read the latest chapters. "Then I resigned and went back to the countryside, and came here to brag to you." As he spoke, a smile appeared on his face, with a narrow smile. The male guest froze for a moment: "Are you bragging what you just said?" "Haha." A burst of laughter erupted around the bar. The laughter stopped for a while, and a thin middle-aged man looked at the slightly embarrassed guest and said, "Outlander, you actually believe Lumian''s story, he tells different stories every day, yesterday he was still a The unlucky guy whose engagement was broken off by his fianc¨¦e because of poverty, has become a corpse keeper today!" "Yes, say thirty years on the east side of the Serenzo River, thirty years on the right side of the Serenzo River, I only know nonsense language!" Another tavern regular followed suit. They were all peasants from the large village of Kordu, and wore jackets of black, gray, or brown. The black-haired young man named Lumian supported the bar with his hands, stood up slowly, and said with a smile: "You know, this is not a story I made up, it''s all written by my sister, she likes writing stories the most, She''s a columnist for "Fiction Weekly." After finishing speaking, he turned sideways, spread his hands to the foreign guest, and said with a bright smile: "It seems that she writes really well. Xingwen Reading app "Sorry, let me you misunderstood. The ordinary-looking man in a brown tweed jacket didn''t get angry. He stood up and responded with a smile, "It''s an interesting story." "What''s the name?" "Isn''t it common sense to introduce yourself before asking others?" Lumian laughed. The guest from a foreign country nodded: "My name is Ryan Kos." These two are my companions Valentine and Liya. "The latter sentence refers to a man and a woman sitting next to him. The man in the Xingwen reading app is twenty-seven or eighteen years old. His yellow hair is covered with a little powder, and his eyes, which are not too big, are darker than the blue of the lake. He was wearing a white vest, a blue tweed jacket and black trousers, and he had obviously been well-dressed before going out. His expression was quite indifferent, and he didn''t look at the farmers and herdsmen around him very much. The woman looked younger than the two The man was younger, with long light gray hair tied into a complicated bun, and a white veil as a hat. Her eyes were the same color as her hair, and she looked at Lumian with an undisguised smile , seems to be only interested in what happened just now. Under the light of the gas wall lamp in the tavern, this woman named Liya showed a pretty nose and beautifully curved lips. She is definitely a beauty in a country like Kordu Village She was wearing a white non-pleated cashmere tight skirt, a beige small coat and a pair of Marcell boots. There were two small silver bells tied on the veil and the boots respectively. When she walked into the pub just now, she was jingling , is very eye-catching, making many men look straight. In their eyes, this must be a fashionable dress that can only be found in big cities such as the provincial capital Bigor and the capital Trier. Lumian said to the three A stranger nodded: "My name is Lumian Li, you can call me Lumian directly. ""plum? Liya blurted out. "What''s the matter? Is there something wrong with my last name?" Lumian asked curiously. Ryan Kos helped Liya explain: "Your surname is scary. I almost couldn''t control my voice just now." Seeing the puzzled faces of the surrounding farmers and herdsmen, he further explained: "Anyone who has been in contact with sailors and sea merchants knows that there is a saying spread on the five seas: "I would rather meet those pirate generals or even kings than Don''t run into a guy named Frank Lee." That one''s last name is also Lee. ¡¯ ¡®Is he terrible? Lumian asked. Ryan shook his head: "I don''t know, but since there is such a legend, it must not be bad." He broke off the subject and said to Lumian: "Thank you for the story, it''s worth a glass of wine, what do you want?" "A cup of ''Green Fairy''." Lumian was not polite at all, and sat down again. Ryan Kos frowned slightly and said: "''Green Fairy''... Absinthe? "I think I need to remind you that absinthe is harmful to the human body. This kind of wine may cause insanity and make you hallucinate." "I didn''t expect the trend of Trier to spread here." Liya next to her He added with a smile. Lumian said "Oh": "It turns out that Trier people also like to drink ''Green Fairy''..." For us, life is hard enough, there is no need to care about a little more harm, this wine can make our The spirit is more relaxed. ""All right. Ryan sat back in his seat and looked at the bartender, "A cup of ''Green Fairy'', and another cup of ''Spicy Heart'' for me." "Spicy heart mouth" is a famous fruit shochu. "Why don''t you give me a glass of ''Green Fairy'' too?" I was the one who told you the truth just now, and I can still tell the whole story about this kid! "The first skinny middle-aged man who exposed Lumian''s daily storytelling shouted dissatisfiedly, "Outsiders, I can see that you still have doubts about the truth of that story!" "Pierre, in order to drink a glass of wine for free, UU Reading You really can do anything!" Lumian responded loudly. Without waiting for Ryan to make a decision, Lumian added: "Why can''t I say it myself, so that I can have an extra glass of ''Green Fairy''?" "Because they don''t know whether to believe what you said. The middle-aged man named Pierre smiled triumphantly, "Your sister''s favorite story to tell the children is ''Wolf is Coming'', and those who always lie will lose their credibility." ""All right. Lumian shrugged his shoulders and watched the bartender push a glass of light green wine in front of him. Ryan looked at him and asked, "Is that okay?" ""No problem, as long as your wallet is enough to pay for the wine. Lumian didn''t care. "Then have another glass of ''Green Fairy''." Ryan nodded. Pierre immediately smiled: "Generous outsider, this kid is the favorite prankster in the village, you must stay away from him." "Five years ago, he was brought back to the village by his sister Aurora, and he never left again. You think, before that, he was only thirteen years old, how could he go to the hospital to be a corpse keeper? Well, it''s the closest to us. The hospital is in Darliege at the foot of the mountain, and it will take a whole afternoon." Star Wen Reading app "Take it back to the village?" Liya asked keenly. She turned her head slightly, making a tinkling sound. Pierre nodded: To read the latest chapters in the Xingwen Reading app, please download the Xingwen Reading app to read the latest chapters for free without ads. The content of the latest chapter has been read in the Xingwen app, and the website has not updated the content of the latest chapter. "Then, he took the surname ''Li'' from Aurora, and even the name ''Lumian'' was chosen by Aurora." "I forgot the original name." Lumian took a sip of absinthe, Said with a smile. It seemed that he was not at all inferior or ashamed of his past being exposed like this.

 Chapter 538： Hongmen banquet, the dean personally appeared

    ¡°I was a loser who paid little attention to whether the sun was shining or not because I didn¡¯t have time.¡± My parents couldn¡¯t support me, I didn¡¯t have a high degree, and I was alone in the city looking for a future. "I looked for a lot of jobs, but none of them were hired. It may be that no one likes a person who is not good at talking, doesn''t like to communicate, and doesn''t show enough ability. To read the latest chapter, please download the Xingwen Reading app, Read the latest chapters for free without ads. The website no longer updates the latest chapters, and the Xingwen Reading app has updated the latest chapters. "I only ate two breads for three days, and hunger kept me from sleeping at night. Fortunately, , I paid a month''s rent in advance, and I can continue to live in that dark basement without going outside to bear the extremely cold wind in winter. "Finally, I found a job, night vigil in the hospital, vigil for the mortuary." The night in the hospital was colder than I imagined, the wall lamps in the corridor were not lit, and it was dark everywhere, only by infiltration in the room That little bit of light coming out helps me see where I''m going. "It smells bad there, and from time to time a dead person is brought in in a body bag, and we cooperate to help him move into the morgue." It''s not a very good job, but at least it allows me to buy Picking up bread, the free time at night can also be used to study. After all, no one is willing to come to the morgue unless there is a corpse that needs to be sent or transported away for incineration. Of course, I don¡¯t have enough money to buy books, and I can¡¯t read them yet. The hope of saving money. "I have to thank my former colleague. If it hadn''t been for his sudden departure, I might not even have a job like this." My body gets a little weak and my head throbs occasionally. "One day, the mover brought a new body." According to someone else, this is my former colleague who left the job suddenly. "I was a little curious about him. After everyone left, I pulled out the cabinet and quietly opened the body bag." He was an old man with a blue and white face, wrinkled everywhere, and looked very scary under the very dim light. "His hair is not much, most of it is white, all his clothes have been taken off, and there is not even a piece of fabric left for him. The content of the website is updated slowly. Please download the Xingwen Reading app to read the latest chapter content." I saw him There was a strange mark on his chest, blue and black, I can''t describe the specific appearance, the lighting at that time was really too dark. "I reached out and touched the imprint, nothing special." Looking at this former colleague, I wondered, if I go on like this until I get old, will I be like him..." I said to him, tomorrow I will I will accompany him to the crematorium, and personally take his ashes to the nearest free cemetery, so that those who are responsible for these things will not find it troublesome, just find a river and find a wasteland and throw it away. "This will sacrifice my morning sleep, But fortunately, it will be Sunday soon, so I can make up for it. "After saying that, I fixed the body bag and stuffed it into the cabinet again." The lights in the room seemed to be dimmer... "After that day, every time I sleep, I always dream of a big fog." I had a premonition that something would happen in the near future. I had a premonition that sooner or later something that could be called a human would come to me, but no one would believe me. It''s not normal, I need to see a doctor..." A male customer sitting in front of the bar looked at the narrator who stopped suddenly: "Then what? "The male guest was in his thirties, wearing a brown tweed jacket and light yellow trousers, his hair was pressed flat, and he had a simple dark bowler hat in his hand. Some people are the same, with black hair, light blue eyes, not good-looking, not ugly, and lack of obvious features. The narrator in his eyes is a young man of eighteen or nineteen years old, tall and straight, with slender limbs, and also has short black hair. Light blue eyes, but profound facial features, can make people''s eyes shine. The young man looked at the empty wine glass in front of him, sighed: "Then? Download the Xingwen Reading app to read the latest chapters. "Then I resigned and went back to the countryside, and came here to brag to you." As he spoke, a smile appeared on his face, with a narrow smile. The male guest froze for a moment: "Are you bragging what you just said?" "Haha." A burst of laughter erupted around the bar. The laughter stopped for a while, and a thin middle-aged man looked at the slightly embarrassed guest and said, "Outlander, you actually believe Lumian''s story, he tells different stories every day, yesterday he was still a The unlucky guy whose engagement was broken off by his fianc¨¦e because of poverty, has become a corpse keeper today!" "Yes, say thirty years on the east side of the Serenzo River, thirty years on the right side of the Serenzo River, I only know nonsense language!" Another tavern regular followed suit. They were all peasants from the large village of Kordu, and wore jackets of black, gray, or brown. The black-haired young man named Lumian supported the bar with his hands, stood up slowly, and said with a smile: "You know, this is not a story I made up, it''s all written by my sister, she likes writing stories the most, She''s a columnist for "Fiction Weekly." After finishing speaking, he turned sideways, spread his hands to the foreign guest, and said with a bright smile: "It seems that she writes really well. Xingwen Reading app "Sorry, let me you misunderstood. The ordinary-looking man in a brown tweed jacket didn''t get angry. He stood up and responded with a smile, "It''s an interesting story." "What''s the name?" "Isn''t it common sense to introduce yourself before asking others?" Lumian laughed. The guest from a foreign country nodded: "My name is Ryan Kos." These two are my companions Valentine and Liya. "The latter sentence refers to a man and a woman sitting next to him. The man in the Xingwen reading app is twenty-seven or eighteen years old. His yellow hair is covered with a little powder, and his eyes, which are not too big, are darker than the blue of the lake. He was wearing a white vest, a blue tweed jacket and black trousers, and he had obviously been well-dressed before going out. His expression was quite indifferent, and he didn''t look at the farmers and herdsmen around him very much. The woman looked younger than the two The man was younger, with long light gray hair tied into a complicated bun, and a white veil as a hat. Her eyes were the same color as her hair, and she looked at Lumian with an undisguised smile , seems to be only interested in what happened just now. Under the light of the gas wall lamp in the tavern, this woman named Liya showed a pretty nose and beautifully curved lips. She is definitely a beauty in a country like Kordu Village She was wearing a white non-pleated cashmere tight skirt, a beige small coat and a pair of Marcell boots. There were two small silver bells tied on the veil and the boots respectively. When she walked into the pub just now, she was jingling , is very eye-catching, making many men look straight. In their eyes, this must be a fashionable dress that can only be found in big cities such as the provincial capital Bigor and the capital Trier. Lumian said to the three A stranger nodded: "My name is Lumian Li, you can call me Lumian directly. ""plum? Liya blurted out. "What''s the matter? Is there something wrong with my last name?" Lumian asked curiously. Ryan Kos helped Liya explain: "Your surname is scary. I almost couldn''t control my voice just now." Seeing the puzzled faces of the surrounding farmers and herdsmen, he further explained: "Anyone who has been in contact with sailors and sea merchants knows that there is a saying spread on the five seas: "I would rather meet those pirate generals or even kings than Don''t run into a guy named Frank Lee." That one''s last name is also Lee. ¡¯ ¡®Is he terrible? Lumian asked. Ryan shook his head: "I don''t know, but since there is such a legend, it must not be bad." He broke off the subject and said to Lumian: "Thank you for the story, it''s worth a glass of wine, what do you want?" "A cup of ''Green Fairy''." Lumian was not polite at all, and sat down again. Ryan Kos frowned slightly and said: "''Green Fairy''... Absinthe? "I think I need to remind you that absinthe is harmful to the human body. This kind of wine may cause insanity and make you hallucinate." "I didn''t expect the trend of Trier to spread here." Liya next to her He added with a smile. Lumian said "Oh": "It turns out that Trier people also like to drink ''Green Fairy''..." For us, life is hard enough, there is no need to care about a little more harm, this wine can make our The spirit is more relaxed. ""All right. Ryan sat back in his seat and looked at the bartender, "A cup of ''Green Fairy'', and another cup of ''Spicy Heart'' for me." "Spicy heart mouth" is a famous fruit shochu. "Why don''t you give me a glass of ''Green Fairy'' too?" I was the one who told you the truth just now, and I can still tell the whole story about this kid! "The first skinny middle-aged man who exposed Lumian''s daily storytelling shouted dissatisfiedly, "Outsiders, I can see that you still have doubts about the truth of that story!" "Pierre, in order to drink a glass of wine for free, UU Reading You really can do anything!" Lumian responded loudly. Without waiting for Ryan to make a decision, Lumian added: "Why can''t I say it myself, so that I can have an extra glass of ''Green Fairy''?" "Because they don''t know whether to believe what you said. The middle-aged man named Pierre smiled triumphantly, "Your sister''s favorite story to tell the children is ''Wolf is Coming'', and those who always lie will lose their credibility." ""All right. Lumian shrugged his shoulders and watched the bartender push a glass of light green wine in front of him. Ryan looked at him and asked, "Is that okay?" ""No problem, as long as your wallet is enough to pay for the wine. Lumian didn''t care. "Then have another glass of ''Green Fairy''." Ryan nodded. Pierre immediately smiled: "Generous outsider, this kid is the favorite prankster in the village, you must stay away from him." "Five years ago, he was brought back to the village by his sister Aurora, and he never left again. You think, before that, he was only thirteen years old, how could he go to the hospital to be a corpse keeper? Well, it''s the closest to us. The hospital is in Darliege at the foot of the mountain, and it will take a whole afternoon." Star Wen Reading app "Take it back to the village?" Liya asked keenly. She turned her head slightly, making a tinkling sound. Pierre nodded: To read the latest chapters in the Xingwen Reading app, please download the Xingwen Reading app to read the latest chapters for free without ads. The content of the latest chapter has been read in the Xingwen app, and the website has not updated the content of the latest chapter. "Then, he took the surname ''Li'' from Aurora, and even the name ''Lumian'' was chosen by Aurora." "I forgot the original name." Lumian took a sip of absinthe, Said with a smile. It seemed that he was not at all inferior or ashamed of his past being exposed like this.

 Chapter 539： Bandit logic, talents want to join

    ¡°I was a loser who paid little attention to whether the sun was shining or not because I didn¡¯t have time.¡± My parents couldn¡¯t support me, I didn¡¯t have a high degree, and I was alone in the city looking for a future. "I looked for a lot of jobs, but none of them were hired. It may be that no one likes a person who is not good at talking, doesn''t like to communicate, and doesn''t show enough ability. To read the latest chapter, please download the Xingwen Reading app, Read the latest chapters for free without ads. The website no longer updates the latest chapters, and the Xingwen Reading app has updated the latest chapters. "I only ate two breads for three days, and hunger kept me from sleeping at night. Fortunately, , I paid a month''s rent in advance, and I can continue to live in that dark basement without going outside to bear the extremely cold wind in winter. "Finally, I found a job, night vigil in the hospital, vigil for the mortuary." The night in the hospital was colder than I imagined, the wall lamps in the corridor were not lit, and it was dark everywhere, only by infiltration in the room That little bit of light coming out helps me see where I''m going. "It smells bad there, and from time to time a dead person is brought in in a body bag, and we cooperate to help him move into the morgue." It''s not a very good job, but at least it allows me to buy Picking up bread, the free time at night can also be used to study. After all, no one is willing to come to the morgue unless there is a corpse that needs to be sent or transported away for incineration. Of course, I don¡¯t have enough money to buy books, and I can¡¯t read them yet. The hope of saving money. "I have to thank my former colleague. If it hadn''t been for his sudden departure, I might not even have a job like this." My body gets a little weak and my head throbs occasionally. "One day, the mover brought a new body." According to someone else, this is my former colleague who left the job suddenly. "I was a little curious about him. After everyone left, I pulled out the cabinet and quietly opened the body bag." He was an old man with a blue and white face, wrinkled everywhere, and looked very scary under the very dim light. "His hair is not much, most of it is white, all his clothes have been taken off, and there is not even a piece of fabric left for him. The content of the website is updated slowly. Please download the Xingwen Reading app to read the latest chapter content." I saw him There was a strange mark on his chest, blue and black, I can''t describe the specific appearance, the lighting at that time was really too dark. "I reached out and touched the imprint, nothing special." Looking at this former colleague, I wondered, if I go on like this until I get old, will I be like him..." I said to him, tomorrow I will I will accompany him to the crematorium, and personally take his ashes to the nearest free cemetery, so that those who are responsible for these things will not find it troublesome, just find a river and find a wasteland and throw it away. "This will sacrifice my morning sleep, But fortunately, it will be Sunday soon, so I can make up for it. "After saying that, I fixed the body bag and stuffed it into the cabinet again." The lights in the room seemed to be dimmer... "After that day, every time I sleep, I always dream of a big fog." I had a premonition that something would happen in the near future. I had a premonition that sooner or later something that could be called a human would come to me, but no one would believe me. It''s not normal, I need to see a doctor..." A male customer sitting in front of the bar looked at the narrator who stopped suddenly: "Then what? "The male guest was in his thirties, wearing a brown tweed jacket and light yellow trousers, his hair was pressed flat, and he had a simple dark bowler hat in his hand. Some people are the same, with black hair, light blue eyes, not good-looking, not ugly, and lack of obvious features. The narrator in his eyes is a young man of eighteen or nineteen years old, tall and straight, with slender limbs, and also has short black hair. Light blue eyes, but profound facial features, can make people''s eyes shine. The young man looked at the empty wine glass in front of him, sighed: "Then? Download the Xingwen Reading app to read the latest chapters. "Then I resigned and went back to the countryside, and came here to brag to you." As he spoke, a smile appeared on his face, with a narrow smile. The male guest froze for a moment: "Are you bragging what you just said?" "Haha." A burst of laughter erupted around the bar. The laughter stopped for a while, and a thin middle-aged man looked at the slightly embarrassed guest and said, "Outlander, you actually believe Lumian''s story, he tells different stories every day, yesterday he was still a The unlucky guy whose engagement was broken off by his fianc¨¦e because of poverty, has become a corpse keeper today!" "Yes, say thirty years on the east side of the Serenzo River, thirty years on the right side of the Serenzo River, I only know nonsense language!" Another tavern regular followed suit. They were all peasants from the large village of Kordu, and wore jackets of black, gray, or brown. The black-haired young man named Lumian supported the bar with his hands, stood up slowly, and said with a smile: "You know, this is not a story I made up, it''s all written by my sister, she likes writing stories the most, She''s a columnist for "Fiction Weekly." After finishing speaking, he turned sideways, spread his hands to the foreign guest, and said with a bright smile: "It seems that she writes really well. Xingwen Reading app "Sorry, let me you misunderstood. The ordinary-looking man in a brown tweed jacket didn''t get angry. He stood up and responded with a smile, "It''s an interesting story." "What''s the name?" "Isn''t it common sense to introduce yourself before asking others?" Lumian laughed. The guest from a foreign country nodded: "My name is Ryan Kos." These two are my companions Valentine and Liya. "The latter sentence refers to a man and a woman sitting next to him. The man in the Xingwen reading app is twenty-seven or eighteen years old. His yellow hair is covered with a little powder, and his eyes, which are not too big, are darker than the blue of the lake. He was wearing a white vest, a blue tweed jacket and black trousers, and he had obviously been well-dressed before going out. His expression was quite indifferent, and he didn''t look at the farmers and herdsmen around him very much. The woman looked younger than the two The man was younger, with long light gray hair tied into a complicated bun, and a white veil as a hat. Her eyes were the same color as her hair, and she looked at Lumian with an undisguised smile , seems to be only interested in what happened just now. Under the light of the gas wall lamp in the tavern, this woman named Liya showed a pretty nose and beautifully curved lips. She is definitely a beauty in a country like Kordu Village She was wearing a white non-pleated cashmere tight skirt, a beige small coat and a pair of Marcell boots. There were two small silver bells tied on the veil and the boots respectively. When she walked into the pub just now, she was jingling , is very eye-catching, making many men look straight. In their eyes, this must be a fashionable dress that can only be found in big cities such as the provincial capital Bigor and the capital Trier. Lumian said to the three A stranger nodded: "My name is Lumian Li, you can call me Lumian directly. ""plum? Liya blurted out. "What''s the matter? Is there something wrong with my last name?" Lumian asked curiously. Ryan Kos helped Liya explain: "Your surname is scary. I almost couldn''t control my voice just now." Seeing the puzzled faces of the surrounding farmers and herdsmen, he further explained: "Anyone who has been in contact with sailors and sea merchants knows that there is a saying spread on the five seas: "I would rather meet those pirate generals or even kings than Don''t run into a guy named Frank Lee." That one''s last name is also Lee. ¡¯ ¡®Is he terrible? Lumian asked. Ryan shook his head: "I don''t know, but since there is such a legend, it must not be bad." He broke off the subject and said to Lumian: "Thank you for the story, it''s worth a glass of wine, what do you want?" "A cup of ''Green Fairy''." Lumian was not polite at all, and sat down again. Ryan Kos frowned slightly and said: "''Green Fairy''... Absinthe? "I think I need to remind you that absinthe is harmful to the human body. This kind of wine may cause insanity and make you hallucinate." "I didn''t expect the trend of Trier to spread here." Liya next to her He added with a smile. Lumian said "Oh": "It turns out that Trier people also like to drink ''Green Fairy''..." For us, life is hard enough, there is no need to care about a little more harm, this wine can make our The spirit is more relaxed. ""All right. Ryan sat back in his seat and looked at the bartender, "A cup of ''Green Fairy'', and another cup of ''Spicy Heart'' for me." "Spicy heart mouth" is a famous fruit shochu. "Why don''t you give me a glass of ''Green Fairy'' too?" I was the one who told you the truth just now, and I can still tell the whole story about this kid! "The first skinny middle-aged man who exposed Lumian''s daily storytelling shouted dissatisfiedly, "Outsiders, I can see that you still have doubts about the truth of that story!" "Pierre, in order to drink a glass of wine for free, UU Reading you really can do anything!" Lumian responded loudly. Without waiting for Ryan to make a decision, Lumian added: "Why can''t I say it myself, so that I can have an extra glass of ''Green Fairy''?" "Because they don''t know whether to believe what you said. The middle-aged man named Pierre smiled triumphantly, "Your sister''s favorite story to tell the children is ''Wolf is Coming'', and those who always lie will lose their credibility." ""All right. Lumian shrugged his shoulders and watched the bartender push a glass of light green wine in front of him. Ryan looked at him and asked, "Is that okay?" ""No problem, as long as your wallet is enough to pay for the wine. Lumian didn''t care. "Then have another glass of ''Green Fairy''." Ryan nodded. Pierre immediately smiled: "Generous outsider, this kid is the favorite prankster in the village, you must stay away from him." "Five years ago, he was brought back to the village by his sister Aurora, and he never left again. You think, before that, he was only thirteen years old, how could he go to the hospital to be a corpse keeper? Well, it''s the closest to us. The hospital is in Darliege at the foot of the mountain, and it will take a whole afternoon." Star Wen Reading app "Take it back to the village?" Liya asked keenly. She turned her head slightly, making a tinkling sound. Pierre nodded: To read the latest chapters in the Xingwen Reading app, please download the Xingwen Reading app to read the latest chapters for free without ads. The content of the latest chapter has been read in the Xingwen app, and the website has not updated the content of the latest chapter. "Then, he took the surname ''Li'' from Aurora, and even the name ''Lumian'' was chosen by Aurora." "I forgot the original name." Lumian took a sip of absinthe, Said with a smile. It seemed that he was not at all inferior or ashamed of his past being exposed like this.

 Chapter 540： Im afraid I wont be able to keep the monsters super talent

    ¡°I was a loser who paid little attention to whether the sun was shining or not because I didn¡¯t have time.¡± My parents couldn¡¯t support me, I didn¡¯t have a high degree, and I was alone in the city looking for a future. "I looked for a lot of jobs, but none of them were hired. It may be that no one likes a person who is not good at talking, doesn''t like to communicate, and doesn''t show enough ability. To read the latest chapter, please download the Xingwen Reading app, Read the latest chapters for free without ads. The website no longer updates the latest chapters, and the Xingwen Reading app has updated the latest chapters. "I only ate two breads for three days, and hunger kept me from sleeping at night. Fortunately, , I paid a month''s rent in advance, and I can continue to live in that dark basement without going outside to bear the extremely cold wind in winter. "Finally, I found a job, night vigil in the hospital, vigil for the mortuary." The night in the hospital was colder than I imagined, the wall lamps in the corridor were not lit, and it was dark everywhere, only by infiltration in the room That little bit of light coming out helps me see where I''m going. "It smells bad there, and from time to time a dead person is brought in in a body bag, and we cooperate to help him move into the morgue." It''s not a very good job, but at least it allows me to buy Picking up bread, the free time at night can also be used to study. After all, no one is willing to come to the morgue unless there is a corpse that needs to be sent or transported away for incineration. Of course, I don¡¯t have enough money to buy books, and I can¡¯t read them yet. The hope of saving money. "I have to thank my former colleague. If it hadn''t been for his sudden departure, I might not even have a job like this." My body gets a little weak and my head throbs occasionally. "One day, the mover brought a new body." According to someone else, this is my former colleague who left the job suddenly. "I was a little curious about him. After everyone left, I pulled out the cabinet and quietly opened the body bag." He was an old man with a blue and white face, wrinkled everywhere, and looked very scary under the very dim light. "His hair is not much, most of it is white, all his clothes have been taken off, and there is not even a piece of fabric left for him. The content of the website is updated slowly. Please download the Xingwen Reading app to read the latest chapter content." I saw him There was a strange mark on his chest, blue and black, I can''t describe the specific appearance, the lighting at that time was really too dark. "I reached out and touched the imprint, nothing special." Looking at this former colleague, I wondered, if I go on like this until I get old, will I be like him..." I said to him, tomorrow I will I will accompany him to the crematorium, and personally take his ashes to the nearest free cemetery, so that those who are responsible for these things will not find it troublesome, just find a river and find a wasteland and throw it away. "This will sacrifice my morning sleep, But fortunately, it will be Sunday soon, so I can make up for it. "After saying that, I fixed the body bag and stuffed it into the cabinet again." The lights in the room seemed to be dimmer... "After that day, every time I sleep, I always dream of a big fog." I had a premonition that something would happen in the near future. I had a premonition that sooner or later something that could be called a human would come to me, but no one would believe me. It''s not normal, I need to see a doctor..." A male customer sitting in front of the bar looked at the narrator who stopped suddenly: "Then what? "The male guest was in his thirties, wearing a brown tweed jacket and light yellow trousers, his hair was pressed flat, and he had a simple dark bowler hat in his hand. Some people are the same, with black hair, light blue eyes, not good-looking, not ugly, and lack of obvious features. The narrator in his eyes is a young man of eighteen or nineteen years old, tall and straight, with slender limbs, and also has short black hair. Light blue eyes, but profound facial features, can make people''s eyes shine. The young man looked at the empty wine glass in front of him, sighed: "Then? Download the Xingwen Reading app to read the latest chapters. "Then I resigned and went back to the countryside, and came here to brag to you." As he spoke, a smile appeared on his face, with a narrow smile. The male guest froze for a moment: "Are you bragging what you just said?" "Haha." A burst of laughter erupted around the bar. The laughter stopped for a while, and a thin middle-aged man looked at the slightly embarrassed guest and said, "Outlander, you actually believe Lumian''s story, he tells different stories every day, yesterday he was still a The unlucky guy whose engagement was broken off by his fianc¨¦e because of poverty, has become a corpse keeper today!" "Yes, say thirty years on the east side of the Serenzo River, thirty years on the right side of the Serenzo River, I only know nonsense language!" Another tavern regular followed suit. They were all peasants from the large village of Kordu, and wore jackets of black, gray, or brown. The black-haired young man named Lumian supported the bar with his hands, stood up slowly, and said with a smile: "You know, this is not a story I made up, it''s all written by my sister, she likes writing stories the most, She''s a columnist for "Fiction Weekly." After finishing speaking, he turned sideways, spread his hands to the foreign guest, and said with a bright smile: "It seems that she writes really well. Xingwen Reading app "Sorry, let me you misunderstood. The ordinary-looking man in a brown tweed jacket didn''t get angry. He stood up and responded with a smile, "It''s an interesting story." "What''s the name?" "Isn''t it common sense to introduce yourself before asking others?" Lumian laughed. The guest from a foreign country nodded: "My name is Ryan Kos." These two are my companions Valentine and Liya. "The latter sentence refers to a man and a woman sitting next to him. The man in the Xingwen reading app is twenty-seven or eighteen years old. His yellow hair is covered with a little powder, and his eyes, which are not too big, are darker than the blue of the lake. He was wearing a white vest, a blue tweed jacket and black trousers, and he had obviously been well-dressed before going out. His expression was quite indifferent, and he didn''t look at the farmers and herdsmen around him very much. The woman looked younger than the two The man was younger, with long light gray hair tied into a complicated bun, and a white veil as a hat. Her eyes were the same color as her hair, and she looked at Lumian with an undisguised smile , seems to be only interested in what happened just now. Under the light of the gas wall lamp in the tavern, this woman named Liya showed a pretty nose and beautifully curved lips. She is definitely a beauty in a country like Kordu Village She was wearing a white non-pleated cashmere tight skirt, a beige small coat and a pair of Marcell boots. There were two small silver bells tied on the veil and the boots respectively. When she walked into the pub just now, she was jingling , is very eye-catching, making many men look straight. In their eyes, this must be a fashionable dress that can only be found in big cities such as the provincial capital Bigor and the capital Trier. Lumian said to the three A stranger nodded: "My name is Lumian Li, you can call me Lumian directly. ""plum? Liya blurted out. "What''s the matter? Is there something wrong with my last name?" Lumian asked curiously. Ryan Kos helped Liya explain: "Your surname is scary. I almost couldn''t control my voice just now." Seeing the puzzled faces of the surrounding farmers and herdsmen, he further explained: "Anyone who has been in contact with sailors and sea merchants knows that there is a saying spread on the five seas: "I would rather meet those pirate generals or even kings than Don''t run into a guy named Frank Lee." That one''s last name is also Lee. ¡¯ ¡®Is he terrible? Lumian asked. Ryan shook his head: "I don''t know, but since there is such a legend, it must not be bad." He broke off the subject and said to Lumian: "Thank you for the story, it''s worth a glass of wine, what do you want?" "A cup of ''Green Fairy''." Lumian was not polite at all, and sat down again. Ryan Kos frowned slightly and said: "''Green Fairy''... Absinthe? "I think I need to remind you that absinthe is harmful to the human body. This kind of wine may cause insanity and make you hallucinate." "I didn''t expect the trend of Trier to spread here." Liya next to her He added with a smile. Lumian said "Oh": "It turns out that Trier people also like to drink ''Green Fairy''..." For us, life is hard enough, there is no need to care about a little more harm, this wine can make our The spirit is more relaxed. ""All right. Ryan sat back in his seat and looked at the bartender, "A cup of ''Green Fairy'', and another cup of ''Spicy Heart'' for me." "Spicy heart mouth" is a famous fruit shochu. "Why don''t you give me a glass of ''Green Fairy'' too?" I was the one who told you the truth just now, and I can still tell the whole story about this kid! "The first skinny middle-aged man who exposed Lumian''s daily storytelling shouted dissatisfiedly, "Outsiders, I can see that you still have doubts about the truth of that story!" "Pierre, in order to drink a glass of wine for free, UU Reading you really can do anything!" Lumian responded loudly. Without waiting for Ryan to make a decision, Lumian added: "Why can''t I say it myself, so that I can have an extra glass of ''Green Fairy''?" "Because they don''t know whether to believe what you said. The middle-aged man named Pierre smiled triumphantly, "Your sister''s favorite story to tell the children is ''Wolf is Coming'', and those who always lie will lose their credibility." ""All right. Lumian shrugged his shoulders and watched the bartender push a glass of light green wine in front of him. Ryan looked at him and asked, "Is that okay?" ""No problem, as long as your wallet is enough to pay for the wine. Lumian didn''t care. "Then have another glass of ''Green Fairy''." Ryan nodded. Pierre immediately smiled: "Generous outsider, this kid is the favorite prankster in the village, you must stay away from him." "Five years ago, he was brought back to the village by his sister Aurora, and he never left again. You think, before that, he was only thirteen years old, how could he go to the hospital to be a corpse keeper? Well, it''s the closest to us. The hospital is in Darliege at the foot of the mountain, and it will take a whole afternoon." Star Wen Reading app "Take it back to the village?" Liya asked keenly. She turned her head slightly, making a tinkling sound. Pierre nodded: To read the latest chapters in the Xingwen Reading app, please download the Xingwen Reading app to read the latest chapters for free without ads. The content of the latest chapter has been read in the Xingwen app, and the website has not updated the content of the latest chapter. "Then, he took the surname ''Li'' from Aurora, and even the name ''Lumian'' was chosen by Aurora." "I forgot the original name." Lumian took a sip of absinthe, Said with a smile. It seemed that he was not at all inferior or ashamed of his past being exposed like this.

 Chapter 541： Advanced nutrition, mutual appreciation

    ¡°I was a loser who paid little attention to whether the sun was shining or not because I didn¡¯t have time.¡± My parents couldn¡¯t support me, I didn¡¯t have a high degree, and I was alone in the city looking for a future. "I looked for a lot of jobs, but none of them were hired. It may be that no one likes a person who is not good at talking, doesn''t like to communicate, and doesn''t show enough ability. To read the latest chapter, please download the Xingwen Reading app, Read the latest chapters for free without ads. The website no longer updates the latest chapters, and the Xingwen Reading app has updated the latest chapters. "I only ate two breads for three days, and hunger kept me from sleeping at night. Fortunately, , I paid a month''s rent in advance, and I can continue to live in that dark basement without going outside to bear the extremely cold wind in winter. "Finally, I found a job, night vigil in the hospital, vigil for the mortuary." The night in the hospital was colder than I imagined, the wall lamps in the corridor were not lit, and it was dark everywhere, only by infiltration in the room That little bit of light coming out helps me see where I''m going. "It smells bad there, and from time to time a dead person is brought in in a body bag, and we cooperate to help him move into the morgue." It''s not a very good job, but at least it allows me to buy Picking up bread, the free time at night can also be used to study. After all, no one is willing to come to the morgue unless there is a corpse that needs to be sent or transported away for incineration. Of course, I don¡¯t have enough money to buy books, and I can¡¯t read them yet. The hope of saving money. "I have to thank my former colleague. If it hadn''t been for his sudden departure, I might not even have a job like this." My body gets a little weak and my head throbs occasionally. "One day, the mover brought a new body." According to someone else, this is my former colleague who left the job suddenly. "I was a little curious about him. After everyone left, I pulled out the cabinet and quietly opened the body bag." He was an old man with a blue and white face, wrinkled everywhere, and looked very scary under the very dim light. "His hair is not much, most of it is white, all his clothes have been taken off, and there is not even a piece of fabric left for him. The content of the website is updated slowly. Please download the Xingwen Reading app to read the latest chapter content." I saw him There was a strange mark on his chest, blue and black, I can''t describe the specific appearance, the lighting at that time was really too dark. "I reached out and touched the imprint, nothing special." Looking at this former colleague, I wondered, if I go on like this until I get old, will I be like him..." I said to him, tomorrow I will I will accompany him to the crematorium, and personally take his ashes to the nearest free cemetery, so that those who are responsible for these things will not find it troublesome, just find a river and find a wasteland and throw it away. "This will sacrifice my morning sleep, But fortunately, it will be Sunday soon, so I can make up for it. "After saying that, I fixed the body bag and stuffed it into the cabinet again." The lights in the room seemed to be dimmer... "After that day, every time I sleep, I always dream of a big fog." I had a premonition that something would happen in the near future. I had a premonition that sooner or later something that could be called a human would come to me, but no one would believe me. It''s not normal, I need to see a doctor..." A male customer sitting in front of the bar looked at the narrator who stopped suddenly: "Then what? "The male guest was in his thirties, wearing a brown tweed jacket and light yellow trousers, his hair was pressed flat, and he had a simple dark bowler hat in his hand. Some people are the same, with black hair, light blue eyes, not good-looking, not ugly, and lack of obvious features. The narrator in his eyes is a young man of eighteen or nineteen years old, tall and straight, with slender limbs, and also has short black hair. Light blue eyes, but profound facial features, can make people''s eyes shine. The young man looked at the empty wine glass in front of him, sighed: "Then? Download the Xingwen Reading app to read the latest chapters. "Then I resigned and went back to the countryside, and came here to brag to you." As he spoke, a smile appeared on his face, with a narrow smile. The male guest froze for a moment: "Are you bragging what you just said?" "Haha." A burst of laughter erupted around the bar. The laughter stopped for a while, and a thin middle-aged man looked at the slightly embarrassed guest and said, "Outlander, you actually believe Lumian''s story, he tells different stories every day, yesterday he was still a The unlucky guy whose engagement was broken off by his fianc¨¦e because of poverty, has become a corpse keeper today!" "Yes, say thirty years on the east side of the Serenzo River, thirty years on the right side of the Serenzo River, I only know nonsense language!" Another tavern regular followed suit. They were all peasants from the large village of Kordu, and wore jackets of black, gray, or brown. The black-haired young man named Lumian supported the bar with his hands, stood up slowly, and said with a smile: "You know, this is not a story I made up, it''s all written by my sister, she likes writing stories the most, She''s a columnist for "Fiction Weekly." After finishing speaking, he turned sideways, spread his hands to the foreign guest, and said with a bright smile: "It seems that she writes really well. Xingwen Reading app "Sorry, let me you misunderstood. The ordinary-looking man in a brown tweed jacket didn''t get angry. He stood up and responded with a smile, "It''s an interesting story." "What''s the name?" "Isn''t it common sense to introduce yourself before asking others?" Lumian laughed. The guest from a foreign country nodded: "My name is Ryan Kos." These two are my companions Valentine and Liya. "The latter sentence refers to a man and a woman sitting next to him. The man in the Xingwen reading app is twenty-seven or eighteen years old. His yellow hair is covered with a little powder, and his eyes, which are not too big, are darker than the blue of the lake. He was wearing a white vest, a blue tweed jacket and black trousers, and he had obviously been well-dressed before going out. His expression was quite indifferent, and he didn''t look at the farmers and herdsmen around him very much. The woman looked younger than the two The man was younger, with long light gray hair tied into a complicated bun, and a white veil as a hat. Her eyes were the same color as her hair, and she looked at Lumian with an undisguised smile , seems to be only interested in what happened just now. Under the light of the gas wall lamp in the tavern, this woman named Liya showed a pretty nose and beautifully curved lips. She is definitely a beauty in a country like Kordu Village She was wearing a white non-pleated cashmere tight skirt, a beige small coat and a pair of Marcell boots. There were two small silver bells tied on the veil and the boots respectively. When she walked into the pub just now, she was jingling , is very eye-catching, making many men look straight. In their eyes, this must be a fashionable dress that can only be found in big cities such as the provincial capital Bigor and the capital Trier. Lumian said to the three A stranger nodded: "My name is Lumian Li, you can call me Lumian directly. ""plum? Liya blurted out. "What''s the matter? Is there something wrong with my last name?" Lumian asked curiously. Ryan Kos helped Liya explain: "Your surname is scary. I almost couldn''t control my voice just now." Seeing the puzzled faces of the surrounding farmers and herdsmen, he further explained: "Anyone who has been in contact with sailors and sea merchants knows that there is a saying spread on the five seas: "I would rather meet those pirate generals or even kings than Don''t run into a guy named Frank Lee." That one''s last name is also Lee. ¡¯ ¡®Is he terrible? Lumian asked. Ryan shook his head: "I don''t know, but since there is such a legend, it must not be bad." He broke off the subject and said to Lumian: "Thank you for the story, it''s worth a glass of wine, what do you want?" "A cup of ''Green Fairy''." Lumian was not polite at all, and sat down again. Ryan Kos frowned slightly and said: "''Green Fairy''... Absinthe? "I think I need to remind you that absinthe is harmful to the human body. This kind of wine may cause insanity and make you hallucinate." "I didn''t expect the trend of Trier to spread here." Liya next to her He added with a smile. Lumian said "Oh": "It turns out that Trier people also like to drink ''Green Fairy''..." For us, life is hard enough, there is no need to care about a little more harm, this wine can make our The spirit is more relaxed. ""All right. Ryan sat back in his seat and looked at the bartender, "A cup of ''Green Fairy'', and another cup of ''Spicy Heart'' for me." "Spicy heart mouth" is a famous fruit shochu. "Why don''t you give me a glass of ''Green Fairy'' too?" I was the one who told you the truth just now, and I can still tell the whole story about this kid! "The first skinny middle-aged man who exposed Lumian''s daily storytelling shouted dissatisfiedly, "Outsiders, I can see that you still have doubts about the truth of that story!" "Pierre, in order to drink a glass of wine for free, UU Reading You really can do anything!" Lumian responded loudly. Without waiting for Ryan to make a decision, Lumian added: "Why can''t I say it myself, so that I can have an extra glass of ''Green Fairy''?" "Because they don''t know whether to believe what you said. The middle-aged man named Pierre smiled triumphantly, "Your sister''s favorite story to tell the children is ''Wolf is Coming'', and those who always lie will lose their credibility." ""All right. Lumian shrugged his shoulders and watched the bartender push a glass of light green wine in front of him. Ryan looked at him and asked, "Is that okay?" ""No problem, as long as your wallet is enough to pay for the wine. Lumian didn''t care. "Then have another glass of ''Green Fairy''." Ryan nodded. Pierre immediately smiled: "Generous outsider, this kid is the favorite prankster in the village, you must stay away from him." "Five years ago, he was brought back to the village by his sister Aurora, and he never left again. You think, before that, he was only thirteen years old, how could he go to the hospital to be a corpse keeper? Well, it''s the closest to us. The hospital is in Darliege at the foot of the mountain, and it will take a whole afternoon." Star Wen Reading app "Take it back to the village?" Liya asked keenly. She turned her head slightly, making a tinkling sound. Pierre nodded: To read the latest chapters in the Xingwen Reading app, please download the Xingwen Reading app to read the latest chapters for free without ads. The content of the latest chapter has been read in the Xingwen app, and the website has not updated the content of the latest chapter. "Then, he took the surname ''Li'' from Aurora, and even the name ''Lumian'' was chosen by Aurora." "I forgot the original name." Lumian took a sip of absinthe, Said with a smile. It seemed that he was not at all inferior or ashamed of his past being exposed like this.

 Chapter 542： Tragic amputation, consequences of careless preoperative examination

    ¡°I was a loser who paid little attention to whether the sun was shining or not because I didn¡¯t have time.¡± My parents couldn¡¯t support me, I didn¡¯t have a high degree, and I was alone in the city looking for a future. "I looked for a lot of jobs, but none of them were hired. It may be that no one likes a person who is not good at talking, doesn''t like to communicate, and doesn''t show enough ability. To read the latest chapter, please download the Xingwen Reading app, Read the latest chapters for free without ads. The website no longer updates the latest chapters, and the Xingwen Reading app has updated the latest chapters. "I only ate two breads for three days, and hunger kept me from sleeping at night. Fortunately, , I paid a month''s rent in advance, and I can continue to live in that dark basement without going outside to bear the extremely cold wind in winter. "Finally, I found a job, night vigil in the hospital, vigil for the mortuary." The night in the hospital was colder than I imagined, the wall lamps in the corridor were not lit, and it was dark everywhere, only by infiltration in the room That little bit of light coming out helps me see where I''m going. "It smells bad there, and from time to time a dead person is brought in in a body bag, and we cooperate to help him move into the morgue." It''s not a very good job, but at least it allows me to buy Picking up bread, the free time at night can also be used to study. After all, no one is willing to come to the morgue unless there is a corpse that needs to be sent or transported away for incineration. Of course, I don¡¯t have enough money to buy books, and I can¡¯t read them yet. The hope of saving money. "I have to thank my former colleague. If it hadn''t been for his sudden departure, I might not even have a job like this." My body gets a little weak and my head throbs occasionally. "One day, the mover brought a new body." According to someone else, this is my former colleague who left the job suddenly. "I was a little curious about him. After everyone left, I pulled out the cabinet and quietly opened the body bag." He was an old man with a blue and white face, wrinkled everywhere, and looked very scary under the very dim light. "His hair is not much, most of it is white, all his clothes have been taken off, and there is not even a piece of fabric left for him. The content of the website is updated slowly. Please download the Xingwen Reading app to read the latest chapter content." I saw him There was a strange mark on his chest, blue and black, I can''t describe the specific appearance, the lighting at that time was really too dark. "I reached out and touched the imprint, nothing special." Looking at this former colleague, I wondered, if I go on like this until I get old, will I be like him..." I said to him, tomorrow I will I will accompany him to the crematorium, and personally take his ashes to the nearest free cemetery, so that those who are responsible for these things will not find it troublesome, just find a river and find a wasteland and throw it away. "This will sacrifice my morning sleep, But fortunately, it will be Sunday soon, so I can make up for it. "After saying that, I fixed the body bag and stuffed it into the cabinet again." The lights in the room seemed to be dimmer... "After that day, every time I sleep, I always dream of a big fog." I had a premonition that something would happen in the near future. I had a premonition that sooner or later something that could be called a human would come to me, but no one would believe me. It''s not normal, I need to see a doctor..." A male customer sitting in front of the bar looked at the narrator who stopped suddenly: "Then what? "The male guest was in his thirties, wearing a brown tweed jacket and light yellow trousers, his hair was pressed flat, and he had a simple dark bowler hat in his hand. Some people are the same, with black hair, light blue eyes, not good-looking, not ugly, and lack of obvious features. The narrator in his eyes is a young man of eighteen or nineteen years old, tall and straight, with slender limbs, and also has short black hair. Light blue eyes, but profound facial features, can make people''s eyes shine. The young man looked at the empty wine glass in front of him, sighed: "Then? Download the Xingwen Reading app to read the latest chapters. "Then I resigned and went back to the countryside, and came here to brag to you." As he spoke, a smile appeared on his face, with a narrow smile. The male guest froze for a moment: "Are you bragging what you just said?" "Haha." A burst of laughter erupted around the bar. The laughter stopped for a while, and a thin middle-aged man looked at the slightly embarrassed guest and said, "Outlander, you actually believe Lumian''s story, he tells different stories every day, yesterday he was still a The unlucky guy whose engagement was broken off by his fianc¨¦e because of poverty, has become a corpse keeper today!" "Yes, say thirty years on the east side of the Serenzo River, thirty years on the right side of the Serenzo River, I only know nonsense language!" Another tavern regular followed suit. They were all peasants from the large village of Kordu, and wore jackets of black, gray, or brown. The black-haired young man named Lumian supported the bar with his hands, stood up slowly, and said with a smile: "You know, this is not a story I made up, it''s all written by my sister, she likes writing stories the most, She''s a columnist for "Fiction Weekly." After finishing speaking, he turned sideways, spread his hands to the foreign guest, and said with a bright smile: "It seems that she writes really well. Xingwen Reading app "Sorry, let me you misunderstood. The ordinary-looking man in a brown tweed jacket didn''t get angry. He stood up and responded with a smile, "It''s an interesting story." "What''s the name?" "Isn''t it common sense to introduce yourself before asking others?" Lumian laughed. The guest from a foreign country nodded: "My name is Ryan Kos." These two are my companions Valentine and Liya. "The latter sentence refers to a man and a woman sitting next to him. The man in the Xingwen reading app is twenty-seven or eighteen years old. His yellow hair is covered with a little powder, and his eyes, which are not too big, are darker than the blue of the lake. He was wearing a white vest, a blue tweed jacket and black trousers, and he had obviously been well-dressed before going out. His expression was quite indifferent, and he didn''t look at the farmers and herdsmen around him very much. The woman looked younger than the two The man was younger, with long light gray hair tied into a complicated bun, and a white veil as a hat. Her eyes were the same color as her hair, and she looked at Lumian with an undisguised smile , seems to be only interested in what happened just now. Under the light of the gas wall lamp in the tavern, this woman named Liya showed a pretty nose and beautifully curved lips. She is definitely a beauty in a country like Kordu Village She was wearing a white non-pleated cashmere tight skirt, a beige small coat and a pair of Marcell boots. There were two small silver bells tied on the veil and the boots respectively. When she walked into the pub just now, she was jingling , is very eye-catching, making many men look straight. In their eyes, this must be a fashionable dress that can only be found in big cities such as the provincial capital Bigor and the capital Trier. Lumian said to the three A stranger nodded: "My name is Lumian Li, you can call me Lumian directly. ""plum? Liya blurted out. "What''s the matter? Is there something wrong with my last name?" Lumian asked curiously. Ryan Kos helped Liya explain: "Your surname is scary. I almost couldn''t control my voice just now." Seeing the puzzled faces of the surrounding farmers and herdsmen, he further explained: "Anyone who has been in contact with sailors and sea merchants knows that there is a saying spread on the five seas: "I would rather meet those pirate generals or even kings than Don''t run into a guy named Frank Lee." That one''s last name is also Lee. ¡¯ ¡®Is he terrible? Lumian asked. Ryan shook his head: "I don''t know, but since there is such a legend, it must not be bad." He broke off the subject and said to Lumian: "Thank you for the story, it''s worth a glass of wine, what do you want?" "A cup of ''Green Fairy''." Lumian was not polite at all, and sat down again. Ryan Kos frowned slightly and said: "''Green Fairy''... Absinthe? "I think I need to remind you that absinthe is harmful to the human body. This kind of wine may cause insanity and make you hallucinate." "I didn''t expect the trend of Trier to spread here." Liya next to her He added with a smile. Lumian said "Oh": "It turns out that Trier people also like to drink ''Green Fairy''..." For us, life is hard enough, there is no need to care about a little more harm, this wine can make our The spirit is more relaxed. ""All right. Ryan sat back in his seat and looked at the bartender, "A cup of ''Green Fairy'', and another cup of ''Spicy Heart'' for me." "Spicy heart mouth" is a famous fruit shochu. "Why don''t you give me a glass of ''Green Fairy'' too?" I was the one who told you the truth just now, and I can still tell the whole story about this kid! "The first skinny middle-aged man who exposed Lumian''s daily storytelling shouted dissatisfiedly, "Outsiders, I can see that you still have doubts about the truth of that story!" "Pierre, in order to drink a glass of wine for free, UU Reading you really can do anything!" Lumian responded loudly. Without waiting for Ryan to make a decision, Lumian added: "Why can''t I say it myself, so that I can have an extra glass of ''Green Fairy''?" "Because they don''t know whether to believe what you said. The middle-aged man named Pierre smiled triumphantly, "Your sister''s favorite story to tell the children is ''Wolf is Coming'', and those who always lie will lose their credibility." ""All right. Lumian shrugged his shoulders and watched the bartender push a glass of light green wine in front of him. Ryan looked at him and asked, "Is that okay?" ""No problem, as long as your wallet is enough to pay for the wine. Lumian didn''t care. "Then have another glass of ''Green Fairy''." Ryan nodded. Pierre immediately smiled: "Generous outsider, this kid is the favorite prankster in the village, you must stay away from him." "Five years ago, he was brought back to the village by his sister Aurora, and he never left again. You think, before that, he was only thirteen years old, how could he go to the hospital to be a corpse keeper? Well, it''s the closest to us. The hospital is in Darliege at the foot of the mountain, and it will take a whole afternoon." Star Wen Reading app "Take it back to the village?" Liya asked keenly. She turned her head slightly, making a tinkling sound. Pierre nodded: To read the latest chapters in the Xingwen Reading app, please download the Xingwen Reading app to read the latest chapters for free without ads. The content of the latest chapter has been read in the Xingwen app, and the website has not updated the content of the latest chapter. "Then, he took the surname ''Li'' from Aurora, and even the name ''Lumian'' was chosen by Aurora." "I forgot the original name." Lumian took a sip of absinthe, Said with a smile. It seemed that he was not at all inferior or ashamed of his past being exposed like this.

 Chapter 543： The motive is unclear, the veterans fading

    ¡°I was a loser who paid little attention to whether the sun was shining or not because I didn¡¯t have time.¡± My parents couldn¡¯t support me, I didn¡¯t have a high degree, and I was alone in the city looking for a future. "I looked for a lot of jobs, but none of them were hired. It may be that no one likes a person who is not good at talking, doesn''t like to communicate, and doesn''t show enough ability. To read the latest chapter, please download the Xingwen Reading app, Read the latest chapters for free without ads. The website no longer updates the latest chapters, and the Xingwen Reading app has updated the latest chapters. "I only ate two breads for three days, and hunger kept me from sleeping at night. Fortunately, , I paid a month''s rent in advance, and I can continue to live in that dark basement without going outside to bear the extremely cold wind in winter. "Finally, I found a job, night vigil in the hospital, vigil for the mortuary." The night in the hospital was colder than I imagined, the wall lamps in the corridor were not lit, and it was dark everywhere, only by infiltration in the room That little bit of light coming out helps me see where I''m going. "It smells bad there, and from time to time a dead person is brought in in a body bag, and we cooperate to help him move into the morgue." It''s not a very good job, but at least it allows me to buy Picking up bread, the free time at night can also be used to study. After all, no one is willing to come to the morgue unless there is a corpse that needs to be sent or transported away for incineration. Of course, I don¡¯t have enough money to buy books, and I can¡¯t read them yet. The hope of saving money. "I have to thank my former colleague. If it hadn''t been for his sudden departure, I might not even have a job like this." My body gets a little weak and my head throbs occasionally. "One day, the mover brought a new body." According to someone else, this is my former colleague who left the job suddenly. "I was a little curious about him. After everyone left, I pulled out the cabinet and quietly opened the body bag." He was an old man with a blue and white face, wrinkled everywhere, and looked very scary under the very dim light. "His hair is not much, most of it is white, all his clothes have been taken off, and there is not even a piece of fabric left for him. The content of the website is updated slowly. Please download the Xingwen Reading app to read the latest chapter content." I saw him There was a strange mark on his chest, blue and black, I can''t describe the specific appearance, the lighting at that time was really too dark. "I reached out and touched the imprint, nothing special." Looking at this former colleague, I wondered, if I go on like this until I get old, will I be like him..." I said to him, tomorrow I will I will accompany him to the crematorium, and personally take his ashes to the nearest free cemetery, so that those who are responsible for these things will not find it troublesome, just find a river and find a wasteland and throw it away. "This will sacrifice my morning sleep, But fortunately, it will be Sunday soon, so I can make up for it. "After saying that, I fixed the body bag and stuffed it into the cabinet again." The lights in the room seemed to be dimmer... "After that day, every time I sleep, I always dream of a big fog." I had a premonition that something would happen in the near future. I had a premonition that sooner or later something that could be called a human would come to me, but no one would believe me. It''s not normal, I need to see a doctor..." A male customer sitting in front of the bar looked at the narrator who stopped suddenly: "Then what? "The male guest was in his thirties, wearing a brown tweed jacket and light yellow trousers, his hair was pressed flat, and he had a simple dark bowler hat in his hand. Some people are the same, with black hair, light blue eyes, not good-looking, not ugly, and lack of obvious features. The narrator in his eyes is a young man of eighteen or nineteen years old, tall and straight, with slender limbs, and also has short black hair. Light blue eyes, but profound facial features, can make people''s eyes shine. The young man looked at the empty wine glass in front of him, sighed: "Then? Download the Xingwen Reading app to read the latest chapters. "Then I resigned and went back to the countryside, and came here to brag to you." As he spoke, a smile appeared on his face, with a narrow smile. The male guest froze for a moment: "Are you bragging what you just said?" "Haha." A burst of laughter erupted around the bar. The laughter stopped for a while, and a thin middle-aged man looked at the slightly embarrassed guest and said, "Outlander, you actually believe Lumian''s story, he tells different stories every day, yesterday he was still a The unlucky guy whose engagement was broken off by his fianc¨¦e because of poverty, has become a corpse keeper today!" "Yes, say thirty years on the east side of the Serenzo River, thirty years on the right side of the Serenzo River, I only know nonsense language!" Another tavern regular followed suit. They were all peasants from the large village of Kordu, and wore jackets of black, gray, or brown. The black-haired young man named Lumian supported the bar with his hands, stood up slowly, and said with a smile: "You know, this is not a story I made up, it''s all written by my sister, she likes writing stories the most, She''s a columnist for "Fiction Weekly." After finishing speaking, he turned sideways, spread his hands to the foreign guest, and said with a bright smile: "It seems that she writes really well. Xingwen Reading app "Sorry, let me you misunderstood. The ordinary-looking man in a brown tweed jacket didn''t get angry. He stood up and responded with a smile, "It''s an interesting story." "What''s the name?" "Isn''t it common sense to introduce yourself before asking others?" Lumian laughed. The guest from a foreign country nodded: "My name is Ryan Kos." These two are my companions Valentine and Liya. "The latter sentence refers to a man and a woman sitting next to him. The man in the Xingwen reading app is twenty-seven or eighteen years old. His yellow hair is covered with a little powder, and his eyes, which are not too big, are darker than the blue of the lake. He was wearing a white vest, a blue tweed jacket and black trousers, and he had obviously been well-dressed before going out. His expression was quite indifferent, and he didn''t look at the farmers and herdsmen around him very much. The woman looked younger than the two The man was younger, with long light gray hair tied into a complicated bun, and a white veil as a hat. Her eyes were the same color as her hair, and she looked at Lumian with an undisguised smile , seems to be only interested in what happened just now. Under the light of the gas wall lamp in the tavern, this woman named Liya showed a pretty nose and beautifully curved lips. She is definitely a beauty in a country like Kordu Village She was wearing a white non-pleated cashmere tight skirt, a beige small coat and a pair of Marcell boots. There were two small silver bells tied on the veil and the boots respectively. When she walked into the pub just now, she was jingling , is very eye-catching, making many men look straight. In their eyes, this must be a fashionable dress that can only be found in big cities such as the provincial capital Bigor and the capital Trier. Lumian said to the three A stranger nodded: "My name is Lumian Li, you can call me Lumian directly. ""plum? Liya blurted out. "What''s the matter? Is there something wrong with my last name?" Lumian asked curiously. Ryan Kos helped Liya explain: "Your surname is scary. I almost couldn''t control my voice just now." Seeing the puzzled faces of the surrounding farmers and herdsmen, he further explained: "Anyone who has been in contact with sailors and sea merchants knows that there is a saying spread on the five seas: "I would rather meet those pirate generals or even kings than Don''t run into a guy named Frank Lee." That one''s last name is also Lee. ¡¯ ¡®Is he terrible? Lumian asked. Ryan shook his head: "I don''t know, but since there is such a legend, it must not be bad." He broke off the subject and said to Lumian: "Thank you for the story, it''s worth a glass of wine, what do you want?" "A cup of ''Green Fairy''." Lumian was not polite at all, and sat down again. Ryan Kos frowned slightly and said: "''Green Fairy''... Absinthe? "I think I need to remind you that absinthe is harmful to the human body. This kind of wine may cause insanity and make you hallucinate." "I didn''t expect the trend of Trier to spread here." Liya next to her He added with a smile. Lumian said "Oh": "It turns out that Trier people also like to drink ''Green Fairy''..." For us, life is hard enough, there is no need to care about a little more harm, this wine can make our The spirit is more relaxed. ""All right. Ryan sat back in his seat and looked at the bartender, "A cup of ''Green Fairy'', and another cup of ''Spicy Heart'' for me." "Spicy heart mouth" is a famous fruit shochu. "Why don''t you give me a glass of ''Green Fairy'' too?" I was the one who told you the truth just now, and I can still tell the whole story about this kid! "The first skinny middle-aged man who exposed Lumian''s daily storytelling shouted dissatisfiedly, "Outsiders, I can see that you still have doubts about the truth of that story!" "Pierre, in order to drink a glass of wine for free, UU reads www.uukanshu. com you really can do anything! Lumian responded loudly. Without waiting for Ryan to make a decision, Lumian added: "Why can''t I say it myself, so that I can have an extra glass of ''Green Fairy''?" "Because they don''t know whether to believe what you said. The middle-aged man named Pierre smiled triumphantly, "Your sister''s favorite story to tell the children is ''Wolf is Coming'', and those who always lie will lose their credibility." ""All right. Lumian shrugged his shoulders and watched the bartender push a glass of light green wine in front of him. Ryan looked at him and asked, "Is that okay?" ""No problem, as long as your wallet is enough to pay for the wine. Lumian didn''t care. "Then have another glass of ''Green Fairy''." Ryan nodded. Pierre immediately smiled: "Generous outsider, this kid is the favorite prankster in the village, you must stay away from him." "Five years ago, he was brought back to the village by his sister Aurora, and he never left again. You think, before that, he was only thirteen years old, how could he go to the hospital to be a corpse keeper? Well, it''s the closest to us. The hospital is in Darliege at the foot of the mountain, and it will take a whole afternoon." Star Wen Reading app "Take it back to the village?" Liya asked keenly. She turned her head slightly, making a tinkling sound. Pierre nodded: To read the latest chapters in the Xingwen Reading app, please download the Xingwen Reading app to read the latest chapters for free without ads. The content of the latest chapter has been read in the Xingwen app, and the website has not updated the content of the latest chapter. "Then, he took the surname ''Li'' from Aurora, and even the name ''Lumian'' was chosen by Aurora." "I forgot the original name." Lumian took a sip of absinthe, Said with a smile. It seemed that he was not at all inferior or ashamed of his past being exposed like this.

 Chapter 544： Dexin will be even more powerful, and will take on private jobs

    ¡°I was a loser who paid little attention to whether the sun was shining or not because I didn¡¯t have time.¡± My parents couldn¡¯t support me, I didn¡¯t have a high degree, and I was alone in the city looking for a future. "I looked for a lot of jobs, but none of them were hired. It may be that no one likes a person who is not good at talking, doesn''t like to communicate, and doesn''t show enough ability. To read the latest chapter, please download the Xingwen Reading app, Read the latest chapters for free without ads. The website no longer updates the latest chapters, and the Xingwen Reading app has updated the latest chapters. "I only ate two breads for three days, and hunger kept me from sleeping at night. Fortunately, , I paid a month''s rent in advance, and I can continue to live in that dark basement without going outside to bear the extremely cold wind in winter. "Finally, I found a job, night vigil in the hospital, vigil for the mortuary." The night in the hospital was colder than I imagined, the wall lamps in the corridor were not lit, and it was dark everywhere, only by infiltration in the room That little bit of light coming out helps me see where I''m going. "It smells bad there, and from time to time a dead person is brought in in a body bag, and we cooperate to help him move into the morgue." It''s not a very good job, but at least it allows me to buy Picking up bread, the free time at night can also be used to study. After all, no one is willing to come to the morgue unless there is a corpse that needs to be sent or transported away for incineration. Of course, I don¡¯t have enough money to buy books, and I can¡¯t read them yet. The hope of saving money. "I have to thank my former colleague. If it hadn''t been for his sudden departure, I might not even have a job like this." My body gets a little weak and my head throbs occasionally. "One day, the mover brought a new body." According to someone else, this is my former colleague who left the job suddenly. "I was a little curious about him. After everyone left, I pulled out the cabinet and quietly opened the body bag." He was an old man with a blue and white face, wrinkled everywhere, and looked very scary under the very dim light. "His hair is not much, most of it is white, all his clothes have been taken off, and there is not even a piece of fabric left for him. The content of the website is updated slowly. Please download the Xingwen Reading app to read the latest chapter content." I saw him There was a strange mark on his chest, blue and black, I can''t describe the specific appearance, the lighting at that time was really too dark. "I reached out and touched the imprint, nothing special." Looking at this former colleague, I wondered, if I go on like this until I get old, will I be like him..." I said to him, tomorrow I will I will accompany him to the crematorium, and personally take his ashes to the nearest free cemetery, so that those who are responsible for these things will not find it troublesome, just find a river and find a wasteland and throw it away. "This will sacrifice my morning sleep, But fortunately, it will be Sunday soon, so I can make up for it. "After saying that, I fixed the body bag and stuffed it into the cabinet again." The lights in the room seemed to be dimmer... "After that day, every time I sleep, I always dream of a big fog." I had a premonition that something would happen in the near future. I had a premonition that sooner or later something that could be called a human would come to me, but no one would believe me. It''s not normal, I need to see a doctor..." A male customer sitting in front of the bar looked at the narrator who stopped suddenly: "Then what? "The male guest was in his thirties, wearing a brown tweed jacket and light yellow trousers, his hair was pressed flat, and he had a simple dark bowler hat in his hand. Some people are the same, with black hair, light blue eyes, not good-looking, not ugly, and lack of obvious features. The narrator in his eyes is a young man of eighteen or nineteen years old, tall and straight, with slender limbs, and also has short black hair. Light blue eyes, but profound facial features, can make people''s eyes shine. The young man looked at the empty wine glass in front of him, sighed: "Then? Download the Xingwen Reading app to read the latest chapters. "Then I resigned and went back to the countryside, and came here to brag to you." As he spoke, a smile appeared on his face, with a narrow smile. The male guest froze for a moment: "Are you bragging what you just said?" "Haha." A burst of laughter erupted around the bar. The laughter stopped for a while, and a thin middle-aged man looked at the slightly embarrassed guest and said, "Outlander, you actually believe Lumian''s story, he tells different stories every day, yesterday he was still a The unlucky guy whose engagement was broken off by his fianc¨¦e because of poverty, has become a corpse keeper today!" "Yes, say thirty years on the east side of the Serenzo River, thirty years on the right side of the Serenzo River, I only know nonsense language!" Another tavern regular followed suit. They were all peasants from the large village of Kordu, and wore jackets of black, gray, or brown. The black-haired young man named Lumian supported the bar with his hands, stood up slowly, and said with a smile: "You know, this is not a story I made up, it''s all written by my sister, she likes writing stories the most, She''s a columnist for "Fiction Weekly." After finishing speaking, he turned sideways, spread his hands to the foreign guest, and said with a bright smile: "It seems that she writes really well. Xingwen Reading app "Sorry, let me you misunderstood. The ordinary-looking man in a brown tweed jacket didn''t get angry. He stood up and responded with a smile, "It''s an interesting story." "What''s the name?" "Isn''t it common sense to introduce yourself before asking others?" Lumian laughed. The guest from a foreign country nodded: "My name is Ryan Kos." These two are my companions Valentine and Liya. "The latter sentence refers to a man and a woman sitting next to him. The man in the Xingwen reading app is twenty-seven or eighteen years old. His yellow hair is covered with a little powder, and his eyes, which are not too big, are darker than the blue of the lake. He was wearing a white vest, a blue tweed jacket and black trousers, and he had obviously been well-dressed before going out. His expression was quite indifferent, and he didn''t look at the farmers and herdsmen around him very much. The woman looked younger than the two The man was younger, with long light gray hair tied into a complicated bun, and a white veil as a hat. Her eyes were the same color as her hair, and she looked at Lumian with an undisguised smile , seems to be only interested in what happened just now. Under the light of the gas wall lamp in the tavern, this woman named Liya showed a pretty nose and beautifully curved lips. She is definitely a beauty in a country like Kordu Village She was wearing a white non-pleated cashmere tight skirt, a beige small coat and a pair of Marcell boots. There were two small silver bells tied on the veil and the boots respectively. When she walked into the pub just now, she was jingling , is very eye-catching, making many men look straight. In their eyes, this must be a fashionable dress that can only be found in big cities such as the provincial capital Bigor and the capital Trier. Lumian said to the three A stranger nodded: "My name is Lumian Li, you can call me Lumian directly. ""plum? Liya blurted out. "What''s the matter? Is there something wrong with my last name?" Lumian asked curiously. Ryan Kos helped Liya explain: "Your surname is scary. I almost couldn''t control my voice just now." Seeing the puzzled faces of the surrounding farmers and herdsmen, he further explained: "Anyone who has been in contact with sailors and sea merchants knows that there is a saying spread on the five seas: "I would rather meet those pirate generals or even kings than Don''t run into a guy named Frank Lee." That one''s last name is also Lee. ¡¯ ¡®Is he terrible? Lumian asked. Ryan shook his head: "I don''t know, but since there is such a legend, it must not be bad." He broke off the subject and said to Lumian: "Thank you for the story, it''s worth a glass of wine, what do you want?" "A cup of ''Green Fairy''." Lumian was not polite at all, and sat down again. Ryan Kos frowned slightly and said: "''Green Fairy''... Absinthe? "I think I need to remind you that absinthe is harmful to the human body. This kind of wine may cause insanity and make you hallucinate." "I didn''t expect the trend of Trier to spread here." Liya next to her He added with a smile. Lumian said "Oh": "It turns out that Trier people also like to drink ''Green Fairy''..." For us, life is hard enough, there is no need to care about a little more harm, this wine can make our The spirit is more relaxed. ""All right. Ryan sat back in his seat and looked at the bartender, "A cup of ''Green Fairy'', and another cup of ''Spicy Heart'' for me." "Spicy heart mouth" is a famous fruit shochu. "Why don''t you give me a glass of ''Green Fairy'' too?" I was the one who told you the truth just now, and I can still tell the whole story about this kid! "The first skinny middle-aged man who exposed Lumian''s daily storytelling shouted dissatisfiedly, "Outsiders, I can see that you still have doubts about the truth of that story!" "Pierre, in order to drink a glass of wine for free, UU Reading You really can do anything!" Lumian responded loudly. Without waiting for Ryan to make a decision, Lumian added: "Why can''t I say it myself, so that I can have an extra glass of ''Green Fairy''?" "Because they don''t know whether to believe what you said. The middle-aged man named Pierre smiled triumphantly, "Your sister''s favorite story to tell the children is ''Wolf is Coming'', and those who always lie will lose their credibility." ""All right. Lumian shrugged his shoulders and watched the bartender push a glass of light green wine in front of him. Ryan looked at him and asked, "Is that okay?" ""No problem, as long as your wallet is enough to pay for the wine. Lumian didn''t care. "Then have another glass of ''Green Fairy''." Ryan nodded. Pierre immediately smiled: "Generous outsider, this kid is the favorite prankster in the village, you must stay away from him." "Five years ago, he was brought back to the village by his sister Aurora, and he never left again. You think, before that, he was only thirteen years old, how could he go to the hospital to be a corpse keeper? Well, it''s the closest to us. The hospital is in Darliege at the foot of the mountain, and it will take a whole afternoon." Star Wen Reading app "Take it back to the village?" Liya asked keenly. She turned her head slightly, making a tinkling sound. Pierre nodded: To read the latest chapters in the Xingwen Reading app, please download the Xingwen Reading app to read the latest chapters for free without ads. The content of the latest chapter has been read in the Xingwen app, and the website has not updated the content of the latest chapter. "Then, he took the surname ''Li'' from Aurora, and even the name ''Lumian'' was chosen by Aurora." "I forgot the original name." Lumian took a sip of absinthe, Said with a smile. It seemed that he was not at all inferior or ashamed of his past being exposed like this.

 Chapter 545： Rectal fistula, family members who make trouble

    ¡°I was a loser who paid little attention to whether the sun was shining or not because I didn¡¯t have time.¡± My parents couldn¡¯t support me, I didn¡¯t have a high degree, and I was alone in the city looking for a future. "I looked for a lot of jobs, but none of them were hired. It may be that no one likes a person who is not good at talking, doesn''t like to communicate, and doesn''t show enough ability. To read the latest chapter, please download the Xingwen Reading app, Read the latest chapters for free without ads. The website no longer updates the latest chapters, and the Xingwen Reading app has updated the latest chapters. "I only ate two breads for three days, and hunger kept me from sleeping at night. Fortunately, , I paid a month''s rent in advance, and I can continue to live in that dark basement without going outside to bear the extremely cold wind in winter. "Finally, I found a job, night vigil in the hospital, vigil for the mortuary." The night in the hospital was colder than I imagined, the wall lamps in the corridor were not lit, and it was dark everywhere, only by infiltration in the room That little bit of light coming out helps me see where I''m going. "It smells bad there, and from time to time a dead person is brought in in a body bag, and we cooperate to help him move into the morgue." It''s not a very good job, but at least it allows me to buy Picking up bread, the free time at night can also be used to study. After all, no one is willing to come to the morgue unless there is a corpse that needs to be sent or transported away for incineration. Of course, I don¡¯t have enough money to buy books, and I can¡¯t read them yet. The hope of saving money. "I have to thank my former colleague. If it hadn''t been for his sudden departure, I might not even have a job like this." My body gets a little weak and my head throbs occasionally. "One day, the mover brought a new body." According to someone else, this is my former colleague who left the job suddenly. "I was a little curious about him. After everyone left, I pulled out the cabinet and quietly opened the body bag." He was an old man with a blue and white face, wrinkled everywhere, and looked very scary under the very dim light. "His hair is not much, most of it is white, all his clothes have been taken off, and there is not even a piece of fabric left for him. The content of the website is updated slowly. Please download the Xingwen Reading app to read the latest chapter content." I saw him There was a strange mark on his chest, blue and black, I can''t describe the specific appearance, the lighting at that time was really too dark. "I reached out and touched the imprint, nothing special." Looking at this former colleague, I wondered, if I go on like this until I get old, will I be like him..." I said to him, tomorrow I will I will accompany him to the crematorium, and personally take his ashes to the nearest free cemetery, so that those who are responsible for these things will not find it troublesome, just find a river and find a wasteland and throw it away. "This will sacrifice my morning sleep, But fortunately, it will be Sunday soon, so I can make up for it. "After saying that, I fixed the body bag and stuffed it into the cabinet again." The lights in the room seemed to be dimmer... "After that day, every time I sleep, I always dream of a big fog." I had a premonition that something would happen in the near future. I had a premonition that sooner or later something that could be called a human would come to me, but no one would believe me. It''s not normal, I need to see a doctor..." A male customer sitting in front of the bar looked at the narrator who stopped suddenly: "Then what? "The male guest was in his thirties, wearing a brown tweed jacket and light yellow trousers, his hair was pressed flat, and he had a simple dark bowler hat in his hand. Some people are the same, with black hair, light blue eyes, not good-looking, not ugly, and lack of obvious features. The narrator in his eyes is a young man of eighteen or nineteen years old, tall and straight, with slender limbs, and also has short black hair. Light blue eyes, but profound facial features, can make people''s eyes shine. The young man looked at the empty wine glass in front of him, sighed: "Then? Download the Xingwen Reading app to read the latest chapters. "Then I resigned and went back to the countryside, and came here to brag to you." As he spoke, a smile appeared on his face, with a narrow smile. The male guest froze for a moment: "Are you bragging what you just said?" "Haha." A burst of laughter erupted around the bar. The laughter stopped for a while, and a thin middle-aged man looked at the slightly embarrassed guest and said, "Outlander, you actually believe Lumian''s story, he tells different stories every day, yesterday he was still a The unlucky guy whose engagement was broken off by his fianc¨¦e because of poverty, has become a corpse keeper today!" "Yes, say thirty years on the east side of the Serenzo River, thirty years on the right side of the Serenzo River, I only know nonsense language!" Another tavern regular followed suit. They were all peasants from the large village of Kordu, and wore jackets of black, gray, or brown. The black-haired young man named Lumian supported the bar with his hands, stood up slowly, and said with a smile: "You know, this is not a story I made up, it''s all written by my sister, she likes writing stories the most, She''s a columnist for "Fiction Weekly." After finishing speaking, he turned sideways, spread his hands to the foreign guest, and said with a bright smile: "It seems that she writes really well. Xingwen Reading app "Sorry, let me you misunderstood. The ordinary-looking man in a brown tweed jacket didn''t get angry. He stood up and responded with a smile, "It''s an interesting story." "What''s the name?" "Isn''t it common sense to introduce yourself before asking others?" Lumian laughed. The guest from a foreign country nodded: "My name is Ryan Kos." These two are my companions Valentine and Liya. "The latter sentence refers to a man and a woman sitting next to him. The man in the Xingwen reading app is twenty-seven or eighteen years old. His yellow hair is covered with a little powder, and his eyes, which are not too big, are darker than the blue of the lake. He was wearing a white vest, a blue tweed jacket and black trousers, and he had obviously been well-dressed before going out. His expression was quite indifferent, and he didn''t look at the farmers and herdsmen around him very much. The woman looked younger than the two The man was younger, with long light gray hair tied into a complicated bun, and a white veil as a hat. Her eyes were the same color as her hair, and she looked at Lumian with an undisguised smile , seems to be only interested in what happened just now. Under the light of the gas wall lamp in the tavern, this woman named Liya showed a pretty nose and beautifully curved lips. She is definitely a beauty in a country like Kordu Village She was wearing a white non-pleated cashmere tight skirt, a beige small coat and a pair of Marcell boots. There were two small silver bells tied on the veil and the boots respectively. When she walked into the pub just now, she was jingling , is very eye-catching, making many men look straight. In their eyes, this must be a fashionable dress that can only be found in big cities such as the provincial capital Bigor and the capital Trier. Lumian said to the three A stranger nodded: "My name is Lumian Li, you can call me Lumian directly. ""plum? Liya blurted out. "What''s the matter? Is there something wrong with my last name?" Lumian asked curiously. Ryan Kos helped Liya explain: "Your surname is scary. I almost couldn''t control my voice just now." Seeing the puzzled faces of the surrounding farmers and herdsmen, he further explained: "Anyone who has been in contact with sailors and sea merchants knows that there is a saying spread on the five seas: "I would rather meet those pirate generals or even kings than Don''t run into a guy named Frank Lee." That one''s last name is also Lee. ¡¯ ¡®Is he terrible? Lumian asked. Ryan shook his head: "I don''t know, but since there is such a legend, it must not be bad." He broke off the subject and said to Lumian: "Thank you for the story, it''s worth a glass of wine, what do you want?" "A cup of ''Green Fairy''." Lumian was not polite at all, and sat down again. Ryan Kos frowned slightly and said: "''Green Fairy''... Absinthe? "I think I need to remind you that absinthe is harmful to the human body. This kind of wine may cause insanity and make you hallucinate." "I didn''t expect the trend of Trier to spread here." Liya next to her He added with a smile. Lumian said "Oh": "It turns out that Trier people also like to drink ''Green Fairy''..." For us, life is hard enough, there is no need to care about a little more harm, this wine can make our The spirit is more relaxed. ""All right. Ryan sat back in his seat and looked at the bartender, "A cup of ''Green Fairy'', and another cup of ''Spicy Heart'' for me." "Spicy heart mouth" is a famous fruit shochu. "Why don''t you give me a glass of ''Green Fairy'' too?" I was the one who told you the truth just now, and I can still tell the whole story about this kid! "The first skinny middle-aged man who exposed Lumian''s daily storytelling shouted dissatisfiedly, "Outsiders, I can see that you still have doubts about the truth of that story!" "Pierre, in order to drink a glass of wine for free, UU reads www. uukanshu.com You really can do anything! Lumian responded loudly. Without waiting for Ryan to make a decision, Lumian added: "Why can''t I say it myself, so that I can have an extra glass of ''Green Fairy''?" "Because they don''t know whether to believe what you said. The middle-aged man named Pierre smiled triumphantly, "Your sister''s favorite story to tell the children is ''Wolf is Coming'', and those who always lie will lose their credibility." ""All right. Lumian shrugged his shoulders and watched the bartender push a glass of light green wine in front of him. Ryan looked at him and asked, "Is that okay?" ""No problem, as long as your wallet is enough to pay for the wine. Lumian didn''t care. "Then have another glass of ''Green Fairy''." Ryan nodded. Pierre immediately smiled: "Generous outsider, this kid is the favorite prankster in the village, you must stay away from him." "Five years ago, he was brought back to the village by his sister Aurora, and he never left again. You think, before that, he was only thirteen years old, how could he go to the hospital to be a corpse keeper? Well, it''s the closest to us. The hospital is in Darliege at the foot of the mountain, and it will take a whole afternoon." Star Wen Reading app "Take it back to the village?" Liya asked keenly. She turned her head slightly, making a tinkling sound. Pierre nodded: To read the latest chapters in the Xingwen Reading app, please download the Xingwen Reading app to read the latest chapters for free without ads. The content of the latest chapter has been read in the Xingwen app, and the website has not updated the content of the latest chapter. "Then, he took the surname ''Li'' from Aurora, and even the name ''Lumian'' was chosen by Aurora." "I forgot the original name." Lumian took a sip of absinthe, Said with a smile. It seemed that he was not at all inferior or ashamed of his past being exposed like this.

 Chapter 546： It is only dangerous if there are no symptoms, diagnosis

    ¡°I was a loser who paid little attention to whether the sun was shining or not because I didn¡¯t have time.¡± My parents couldn¡¯t support me, I didn¡¯t have a high degree, and I was alone in the city looking for a future. "I looked for a lot of jobs, but none of them were hired. It may be that no one likes a person who is not good at talking, doesn''t like to communicate, and doesn''t show enough ability. To read the latest chapter, please download the Xingwen Reading app, Read the latest chapters for free without ads. The website no longer updates the latest chapters, and the Xingwen Reading app has updated the latest chapters. "I only ate two breads for three days, and hunger kept me from sleeping at night. Fortunately, , I paid a month''s rent in advance, and I can continue to live in that dark basement without going outside to bear the extremely cold wind in winter. "Finally, I found a job, night vigil in the hospital, vigil for the mortuary." The night in the hospital was colder than I imagined, the wall lamps in the corridor were not lit, and it was dark everywhere, only by infiltration in the room That little bit of light coming out helps me see where I''m going. "It smells bad there, and from time to time a dead person is brought in in a body bag, and we cooperate to help him move into the morgue." It''s not a very good job, but at least it allows me to buy Picking up bread, the free time at night can also be used to study. After all, no one is willing to come to the morgue unless there is a corpse that needs to be sent or transported away for incineration. Of course, I don¡¯t have enough money to buy books, and I can¡¯t read them yet. The hope of saving money. "I have to thank my former colleague. If it hadn''t been for his sudden departure, I might not even have a job like this." My body gets a little weak and my head throbs occasionally. "One day, the mover brought a new body." According to someone else, this is my former colleague who left the job suddenly. "I was a little curious about him. After everyone left, I pulled out the cabinet and quietly opened the body bag." He was an old man with a blue and white face, wrinkled everywhere, and looked very scary under the very dim light. "His hair is not much, most of it is white, all his clothes have been taken off, and there is not even a piece of fabric left for him. The content of the website is updated slowly. Please download the Xingwen Reading app to read the latest chapter content." I saw him There was a strange mark on his chest, blue and black, I can''t describe the specific appearance, the lighting at that time was really too dark. "I reached out and touched the imprint, nothing special." Looking at this former colleague, I wondered, if I go on like this until I get old, will I be like him..." I said to him, tomorrow I will I will accompany him to the crematorium, and personally take his ashes to the nearest free cemetery, so that those who are responsible for these things will not find it troublesome, just find a river and find a wasteland and throw it away. "This will sacrifice my morning sleep, But fortunately, it will be Sunday soon, so I can make up for it. "After saying that, I fixed the body bag and stuffed it into the cabinet again." The lights in the room seemed to be dimmer... "After that day, every time I sleep, I always dream of a big fog." I had a premonition that something would happen in the near future. I had a premonition that sooner or later something that could be called a human would come to me, but no one would believe me. It''s not normal, I need to see a doctor..." A male customer sitting in front of the bar looked at the narrator who stopped suddenly: "Then what? "The male guest was in his thirties, wearing a brown tweed jacket and light yellow trousers, his hair was pressed flat, and he had a simple dark bowler hat in his hand. Some people are the same, with black hair, light blue eyes, not good-looking, not ugly, and lack of obvious features. The narrator in his eyes is a young man of eighteen or nineteen years old, tall and straight, with slender limbs, and also has short black hair. Light blue eyes, but profound facial features, can make people''s eyes shine. The young man looked at the empty wine glass in front of him, sighed: "Then? Download the Xingwen Reading app to read the latest chapters. "Then I resigned and went back to the countryside, and came here to brag to you." As he spoke, a smile appeared on his face, with a narrow smile. The male guest froze for a moment: "Are you bragging what you just said?" "Haha." A burst of laughter erupted around the bar. The laughter stopped for a while, and a thin middle-aged man looked at the slightly embarrassed guest and said, "Outlander, you actually believe Lumian''s story, he tells different stories every day, yesterday he was still a The unlucky guy whose engagement was broken off by his fianc¨¦e because of poverty, has become a corpse keeper today!" "Yes, say thirty years on the east side of the Serenzo River, thirty years on the right side of the Serenzo River, I only know nonsense language!" Another tavern regular followed suit. They were all peasants from the large village of Kordu, and wore jackets of black, gray, or brown. The black-haired young man named Lumian supported the bar with his hands, stood up slowly, and said with a smile: "You know, this is not a story I made up, it''s all written by my sister, she likes writing stories the most, She''s a columnist for "Fiction Weekly." After finishing speaking, he turned sideways, spread his hands to the foreign guest, and said with a bright smile: "It seems that she writes really well. Xingwen Reading app "Sorry, let me you misunderstood. The ordinary-looking man in a brown tweed jacket didn''t get angry. He stood up and responded with a smile, "It''s an interesting story." "What''s the name?" "Isn''t it common sense to introduce yourself before asking others?" Lumian laughed. The guest from a foreign country nodded: "My name is Ryan Kos." These two are my companions Valentine and Liya. "The latter sentence refers to a man and a woman sitting next to him. The man in the Xingwen reading app is twenty-seven or eighteen years old. His yellow hair is covered with a little powder, and his eyes, which are not too big, are darker than the blue of the lake. He was wearing a white vest, a blue tweed jacket and black trousers, and he had obviously been well-dressed before going out. His expression was quite indifferent, and he didn''t look at the farmers and herdsmen around him very much. The woman looked younger than the two The man was younger, with long light gray hair tied into a complicated bun, and a white veil as a hat. Her eyes were the same color as her hair, and she looked at Lumian with an undisguised smile , seems to be only interested in what happened just now. Under the light of the gas wall lamp in the tavern, this woman named Liya showed a pretty nose and beautifully curved lips. She is definitely a beauty in a country like Kordu Village She was wearing a white non-pleated cashmere tight skirt, a beige small coat and a pair of Marcell boots. There were two small silver bells tied on the veil and the boots respectively. When she walked into the pub just now, she was jingling , is very eye-catching, making many men look straight. In their eyes, this must be a fashionable dress that can only be found in big cities such as the provincial capital Bigor and the capital Trier. Lumian said to the three A stranger nodded: "My name is Lumian Li, you can call me Lumian directly. ""plum? Liya blurted out. "What''s the matter? Is there something wrong with my last name?" Lumian asked curiously. Ryan Kos helped Liya explain: "Your surname is scary. I almost couldn''t control my voice just now." Seeing the puzzled faces of the surrounding farmers and herdsmen, he further explained: "Anyone who has been in contact with sailors and sea merchants knows that there is a saying spread on the five seas: "I would rather meet those pirate generals or even kings than Don''t run into a guy named Frank Lee." That one''s last name is also Lee. ¡¯ ¡®Is he terrible? Lumian asked. Ryan shook his head: "I don''t know, but since there is such a legend, it must not be bad." He broke off the subject and said to Lumian: "Thank you for the story, it''s worth a glass of wine, what do you want?" "A cup of ''Green Fairy''." Lumian was not polite at all, and sat down again. Ryan Kos frowned slightly and said: "''Green Fairy''... Absinthe? "I think I need to remind you that absinthe is harmful to the human body. This kind of wine may cause insanity and make you hallucinate." "I didn''t expect the trend of Trier to spread here." Liya next to her He added with a smile. Lumian said "Oh": "It turns out that Trier people also like to drink ''Green Fairy''..." For us, life is hard enough, there is no need to care about a little more harm, this wine can make our The spirit is more relaxed. ""All right. Ryan sat back in his seat and looked at the bartender, "A cup of ''Green Fairy'', and another cup of ''Spicy Heart'' for me." "Spicy heart mouth" is a famous fruit shochu. "Why don''t you give me a glass of ''Green Fairy'' too?" I was the one who told you the truth just now, and I can still tell the whole story about this kid! "The first skinny middle-aged man who exposed Lumian''s daily storytelling shouted dissatisfiedly, "Outsiders, I can see that you still have doubts about the truth of that story!" "Pierre, in order to drink a glass of wine for free, UU Reading You really can do anything!" Lumian responded loudly. Without waiting for Ryan to make a decision, Lumian added: "Why can''t I say it myself, so that I can have an extra glass of ''Green Fairy''?" "Because they don''t know whether to believe what you said. The middle-aged man named Pierre smiled triumphantly, "Your sister''s favorite story to tell the children is ''Wolf is Coming'', and those who always lie will lose their credibility." ""All right. Lumian shrugged his shoulders and watched the bartender push a glass of light green wine in front of him. Ryan looked at him and asked, "Is that okay?" ""No problem, as long as your wallet is enough to pay for the wine. Lumian didn''t care. "Then have another glass of ''Green Fairy''." Ryan nodded. Pierre immediately smiled: "Generous outsider, this kid is the favorite prankster in the village, you must stay away from him." "Five years ago, he was brought back to the village by his sister Aurora, and he never left again. You think, before that, he was only thirteen years old, how could he go to the hospital to be a corpse keeper? Well, it''s the closest to us. The hospital is in Darliege at the foot of the mountain, and it will take a whole afternoon." Star Wen Reading app "Take it back to the village?" Liya asked keenly. She turned her head slightly, making a tinkling sound. Pierre nodded: To read the latest chapters in the Xingwen Reading app, please download the Xingwen Reading app to read the latest chapters for free without ads. The content of the latest chapter has been read in the Xingwen app, and the website has not updated the content of the latest chapter. "Then, he took the surname ''Li'' from Aurora, and even the name ''Lumian'' was chosen by Aurora." "I forgot the original name." Lumian took a sip of absinthe, Said with a smile. It seemed that he was not at all inferior or ashamed of his past being exposed like this.

 Chapter 547： It turned out to be a pennant, 1 piece of caution

    ¡°I was a loser who paid little attention to whether the sun was shining or not because I didn¡¯t have time.¡± My parents couldn¡¯t support me, I didn¡¯t have a high degree, and I was alone in the city looking for a future. "I looked for a lot of jobs, but none of them were hired. It may be that no one likes a person who is not good at talking, doesn''t like to communicate, and doesn''t show enough ability. To read the latest chapter, please download the Xingwen Reading app, Read the latest chapters for free without ads. The website no longer updates the latest chapters, and the Xingwen Reading app has updated the latest chapters. "I only ate two breads for three days, and hunger kept me from sleeping at night. Fortunately, , I paid a month''s rent in advance, and I can continue to live in that dark basement without going outside to bear the extremely cold wind in winter. "Finally, I found a job, night vigil in the hospital, vigil for the mortuary." The night in the hospital was colder than I imagined, the wall lamps in the corridor were not lit, and it was dark everywhere, only by infiltration in the room That little bit of light coming out helps me see where I''m going. "It smells bad there, and from time to time a dead person is brought in in a body bag, and we cooperate to help him move into the morgue." It''s not a very good job, but at least it allows me to buy Picking up bread, the free time at night can also be used to study. After all, no one is willing to come to the morgue unless there is a corpse that needs to be sent or transported away for incineration. Of course, I don¡¯t have enough money to buy books, and I can¡¯t read them yet. The hope of saving money. "I have to thank my former colleague. If it hadn''t been for his sudden departure, I might not even have a job like this." My body gets a little weak and my head throbs occasionally. "One day, the mover brought a new body." According to someone else, this is my former colleague who left the job suddenly. "I was a little curious about him. After everyone left, I pulled out the cabinet and quietly opened the body bag." He was an old man with a blue and white face, wrinkled everywhere, and looked very scary under the very dim light. "His hair is not much, most of it is white, all his clothes have been taken off, and there is not even a piece of fabric left for him. The content of the website is updated slowly. Please download the Xingwen Reading app to read the latest chapter content." I saw him There was a strange mark on his chest, blue and black, I can''t describe the specific appearance, the lighting at that time was really too dark. "I reached out and touched the imprint, nothing special." Looking at this former colleague, I wondered, if I go on like this until I get old, will I be like him..." I said to him, tomorrow I will I will accompany him to the crematorium, and personally take his ashes to the nearest free cemetery, so that those who are responsible for these things will not find it troublesome, just find a river and find a wasteland and throw it away. "This will sacrifice my morning sleep, But fortunately, it will be Sunday soon, so I can make up for it. "After saying that, I fixed the body bag and stuffed it into the cabinet again." The lights in the room seemed to be dimmer... "After that day, every time I sleep, I always dream of a big fog." I had a premonition that something would happen in the near future. I had a premonition that sooner or later something that could be called a human would come to me, but no one would believe me. It''s not normal, I need to see a doctor..." A male customer sitting in front of the bar looked at the narrator who stopped suddenly: "Then what? "The male guest was in his thirties, wearing a brown tweed jacket and light yellow trousers, his hair was pressed flat, and he had a simple dark bowler hat in his hand. Some people are the same, with black hair, light blue eyes, not good-looking, not ugly, and lack of obvious features. The narrator in his eyes is a young man of eighteen or nineteen years old, tall and straight, with slender limbs, and also has short black hair. Light blue eyes, but profound facial features, can make people''s eyes shine. The young man looked at the empty wine glass in front of him, sighed: "Then? Download the Xingwen Reading app to read the latest chapters. "Then I resigned and went back to the countryside, and came here to brag to you." As he spoke, a smile appeared on his face, with a narrow smile. The male guest froze for a moment: "Are you bragging what you just said?" "Haha." A burst of laughter erupted around the bar. The laughter stopped for a while, and a thin middle-aged man looked at the slightly embarrassed guest and said, "Outlander, you actually believe Lumian''s story, he tells different stories every day, yesterday he was still a The unlucky guy whose engagement was broken off by his fianc¨¦e because of poverty, has become a corpse keeper today!" "Yes, say thirty years on the east side of the Serenzo River, thirty years on the right side of the Serenzo River, I only know nonsense language!" Another tavern regular followed suit. They were all peasants from the large village of Kordu, and wore jackets of black, gray, or brown. The black-haired young man named Lumian supported the bar with his hands, stood up slowly, and said with a smile: "You know, this is not a story I made up, it''s all written by my sister, she likes writing stories the most, She''s a columnist for "Fiction Weekly." After finishing speaking, he turned sideways, spread his hands to the foreign guest, and said with a bright smile: "It seems that she writes really well. Xingwen Reading app "Sorry, let me you misunderstood. The ordinary-looking man in a brown tweed jacket didn''t get angry. He stood up and responded with a smile, "It''s an interesting story." "What''s the name?" "Isn''t it common sense to introduce yourself before asking others?" Lumian laughed. The guest from a foreign country nodded: "My name is Ryan Kos." These two are my companions Valentine and Liya. "The latter sentence refers to a man and a woman sitting next to him. The man in the Xingwen reading app is twenty-seven or eighteen years old. His yellow hair is covered with a little powder, and his eyes, which are not too big, are darker than the blue of the lake. He was wearing a white vest, a blue tweed jacket and black trousers, and he had obviously been well-dressed before going out. His expression was quite indifferent, and he didn''t look at the farmers and herdsmen around him very much. The woman looked younger than the two The man was younger, with long light gray hair tied into a complicated bun, and a white veil as a hat. Her eyes were the same color as her hair, and she looked at Lumian with an undisguised smile , seems to be only interested in what happened just now. Under the light of the gas wall lamp in the tavern, this woman named Liya showed a pretty nose and beautifully curved lips. She is definitely a beauty in a country like Kordu Village She was wearing a white non-pleated cashmere tight skirt, a beige small coat and a pair of Marcell boots. There were two small silver bells tied on the veil and the boots respectively. When she walked into the pub just now, she was jingling , is very eye-catching, making many men look straight. In their eyes, this must be a fashionable dress that can only be found in big cities such as the provincial capital Bigor and the capital Trier. Lumian said to the three A stranger nodded: "My name is Lumian Li, you can call me Lumian directly. ""plum? Liya blurted out. "What''s the matter? Is there something wrong with my last name?" Lumian asked curiously. Ryan Kos helped Liya explain: "Your surname is scary. I almost couldn''t control my voice just now." Seeing the puzzled faces of the surrounding farmers and herdsmen, he further explained: "Anyone who has been in contact with sailors and sea merchants knows that there is a saying spread on the five seas: "I would rather meet those pirate generals or even kings than Don''t run into a guy named Frank Lee." That one''s last name is also Lee. ¡¯ ¡®Is he terrible? Lumian asked. Ryan shook his head: "I don''t know, but since there is such a legend, it must not be bad." He broke off the subject and said to Lumian: "Thank you for the story, it''s worth a glass of wine, what do you want?" "A cup of ''Green Fairy''." Lumian was not polite at all, and sat down again. Ryan Kos frowned slightly and said: "''Green Fairy''... Absinthe? "I think I need to remind you that absinthe is harmful to the human body. This kind of wine may cause insanity and make you hallucinate." "I didn''t expect the trend of Trier to spread here." Liya next to her He added with a smile. Lumian said "Oh": "It turns out that Trier people also like to drink ''Green Fairy''..." For us, life is hard enough, there is no need to care about a little more harm, this wine can make our The spirit is more relaxed. ""All right. Ryan sat back in his seat and looked at the bartender, "A cup of ''Green Fairy'', and another cup of ''Spicy Heart'' for me." "Spicy heart mouth" is a famous fruit shochu. "Why don''t you give me a glass of ''Green Fairy'' too?" I was the one who told you the truth just now, and I can still tell the whole story about this kid! "The first skinny middle-aged man who exposed Lumian''s daily storytelling shouted dissatisfiedly, "Outsiders, I can see that you still have doubts about the truth of that story!" "Pierre, in order to drink a glass of wine for free, UU Reading You really can do anything!" Lumian responded loudly. Without waiting for Ryan to make a decision, Lumian added: "Why can''t I say it myself, so that I can have an extra glass of ''Green Fairy''?" "Because they don''t know whether to believe what you said. The middle-aged man named Pierre smiled triumphantly, "Your sister''s favorite story to tell the children is ''Wolf is Coming'', and those who always lie will lose their credibility." ""All right. Lumian shrugged his shoulders and watched the bartender push a glass of light green wine in front of him. Ryan looked at him and asked, "Is that okay?" ""No problem, as long as your wallet is enough to pay for the wine. Lumian didn''t care. "Then have another glass of ''Green Fairy''." Ryan nodded. Pierre immediately smiled: "Generous outsider, this kid is the favorite prankster in the village, you must stay away from him." "Five years ago, he was brought back to the village by his sister Aurora, and he never left again. You think, before that, he was only thirteen years old, how could he go to the hospital to be a corpse keeper? Well, it''s the closest to us. The hospital is in Darliege at the foot of the mountain, and it will take a whole afternoon." Star Wen Reading app "Take it back to the village?" Liya asked keenly. She turned her head slightly, making a tinkling sound. Pierre nodded: To read the latest chapters in the Xingwen Reading app, please download the Xingwen Reading app to read the latest chapters for free without ads. The content of the latest chapter has been read in the Xingwen app, and the website has not updated the content of the latest chapter. "Then, he took the surname ''Li'' from Aurora, and even the name ''Lumian'' was chosen by Aurora." "I forgot the original name." Lumian took a sip of absinthe, Said with a smile. It seemed that he was not at all inferior or ashamed of his past being exposed like this.

 Chapter 548： The hearts cheating mechanism, I suggest you check your liver

    ¡°I was a loser who paid little attention to whether the sun was shining or not because I didn¡¯t have time.¡± My parents couldn¡¯t support me, I didn¡¯t have a high degree, and I was alone in the city looking for a future. "I looked for a lot of jobs, but none of them were hired. It may be that no one likes a person who is not good at talking, doesn''t like to communicate, and doesn''t show enough ability. To read the latest chapter, please download the Xingwen Reading app, Read the latest chapters for free without ads. The website no longer updates the latest chapters, and the Xingwen Reading app has updated the latest chapters. "I only ate two breads for three days, and hunger kept me from sleeping at night. Fortunately, , I paid a month''s rent in advance, and I can continue to live in that dark basement without going outside to bear the extremely cold wind in winter. "Finally, I found a job, night vigil in the hospital, vigil for the mortuary." The night in the hospital was colder than I imagined, the wall lamps in the corridor were not lit, and it was dark everywhere, only by infiltration in the room That little bit of light coming out helps me see where I''m going. "It smells bad there, and from time to time a dead person is brought in in a body bag, and we cooperate to help him move into the morgue." It''s not a very good job, but at least it allows me to buy Picking up bread, the free time at night can also be used to study. After all, no one is willing to come to the morgue unless there is a corpse that needs to be sent or transported away for incineration. Of course, I don¡¯t have enough money to buy books, and I can¡¯t read them yet. The hope of saving money. "I have to thank my former colleague. If it hadn''t been for his sudden departure, I might not even have a job like this." My body gets a little weak and my head throbs occasionally. "One day, the mover brought a new body." According to someone else, this is my former colleague who left the job suddenly. "I was a little curious about him. After everyone left, I pulled out the cabinet and quietly opened the body bag." He was an old man with a blue and white face, wrinkled everywhere, and looked very scary under the very dim light. "His hair is not much, most of it is white, all his clothes have been taken off, and there is not even a piece of fabric left for him. The content of the website is updated slowly. Please download the Xingwen Reading app to read the latest chapter content." I saw him There was a strange mark on his chest, blue and black, I can''t describe the specific appearance, the lighting at that time was really too dark. "I reached out and touched the imprint, nothing special." Looking at this former colleague, I wondered, if I go on like this until I get old, will I be like him..." I said to him, tomorrow I will I will accompany him to the crematorium, and personally take his ashes to the nearest free cemetery, so that those who are responsible for these things will not find it troublesome, just find a river and find a wasteland and throw it away. "This will sacrifice my morning sleep, But fortunately, it will be Sunday soon, so I can make up for it. "After saying that, I fixed the body bag and stuffed it into the cabinet again." The lights in the room seemed to be dimmer... "After that day, every time I sleep, I always dream of a big fog." I had a premonition that something would happen in the near future. I had a premonition that sooner or later something that could be called a human would come to me, but no one would believe me. It''s not normal, I need to see a doctor..." A male customer sitting in front of the bar looked at the narrator who stopped suddenly: "Then what? "The male guest was in his thirties, wearing a brown tweed jacket and light yellow trousers, his hair was pressed flat, and he had a simple dark bowler hat in his hand. Some people are the same, with black hair, light blue eyes, not good-looking, not ugly, and lack of obvious features. The narrator in his eyes is a young man of eighteen or nineteen years old, tall and straight, with slender limbs, and also has short black hair. Light blue eyes, but profound facial features, can make people''s eyes shine. The young man looked at the empty wine glass in front of him, sighed: "Then? Download the Xingwen Reading app to read the latest chapters. "Then I resigned and went back to the countryside, and came here to brag to you." As he spoke, a smile appeared on his face, with a narrow smile. The male guest froze for a moment: "Are you bragging what you just said?" "Haha." A burst of laughter erupted around the bar. The laughter stopped for a while, and a thin middle-aged man looked at the slightly embarrassed guest and said, "Outlander, you actually believe Lumian''s story, he tells different stories every day, yesterday he was still a The unlucky guy whose engagement was broken off by his fianc¨¦e because of poverty, has become a corpse keeper today!" "Yes, say thirty years on the east side of the Serenzo River, thirty years on the right side of the Serenzo River, I only know nonsense language!" Another tavern regular followed suit. They were all peasants from the large village of Kordu, and wore jackets of black, gray, or brown. The black-haired young man named Lumian supported the bar with his hands, stood up slowly, and said with a smile: "You know, this is not a story I made up, it''s all written by my sister, she likes writing stories the most, She''s a columnist for "Fiction Weekly." After finishing speaking, he turned sideways, spread his hands to the foreign guest, and said with a bright smile: "It seems that she writes really well. Xingwen Reading app "Sorry, let me you misunderstood. The ordinary-looking man in a brown tweed jacket didn''t get angry. He stood up and responded with a smile, "It''s an interesting story." "What''s the name?" "Isn''t it common sense to introduce yourself before asking others?" Lumian laughed. The guest from a foreign country nodded: "My name is Ryan Kos." These two are my companions Valentine and Liya. "The latter sentence refers to a man and a woman sitting next to him. The man in the Xingwen reading app is twenty-seven or eighteen years old. His yellow hair is covered with a little powder, and his eyes, which are not too big, are darker than the blue of the lake. He was wearing a white vest, a blue tweed jacket and black trousers, and he had obviously been well-dressed before going out. His expression was quite indifferent, and he didn''t look at the farmers and herdsmen around him very much. The woman looked younger than the two The man was younger, with long light gray hair tied into a complicated bun, and a white veil as a hat. Her eyes were the same color as her hair, and she looked at Lumian with an undisguised smile , seems to be only interested in what happened just now. Under the light of the gas wall lamp in the tavern, this woman named Liya showed a pretty nose and beautifully curved lips. She is definitely a beauty in a country like Kordu Village She was wearing a white non-pleated cashmere tight skirt, a beige small coat and a pair of Marcell boots. There were two small silver bells tied on the veil and the boots respectively. When she walked into the pub just now, she was jingling , is very eye-catching, making many men look straight. In their eyes, this must be a fashionable dress that can only be found in big cities such as the provincial capital Bigor and the capital Trier. Lumian said to the three A stranger nodded: "My name is Lumian Li, you can call me Lumian directly. ""plum? Liya blurted out. "What''s the matter? Is there something wrong with my last name?" Lumian asked curiously. Ryan Kos helped Liya explain: "Your surname is scary. I almost couldn''t control my voice just now." Seeing the puzzled faces of the surrounding farmers and herdsmen, he further explained: "Anyone who has been in contact with sailors and sea merchants knows that there is a saying spread on the five seas: "I would rather meet those pirate generals or even kings than Don''t run into a guy named Frank Lee." That one''s last name is also Lee. ¡¯ ¡®Is he terrible? Lumian asked. Ryan shook his head: "I don''t know, but since there is such a legend, it must not be bad." He broke off the subject and said to Lumian: "Thank you for the story, it''s worth a glass of wine, what do you want?" "A cup of ''Green Fairy''." Lumian was not polite at all, and sat down again. Ryan Kos frowned slightly and said: "''Green Fairy''... Absinthe? "I think I need to remind you that absinthe is harmful to the human body. This kind of wine may cause insanity and make you hallucinate." "I didn''t expect the trend of Trier to spread here." Liya next to her He added with a smile. Lumian said "Oh": "It turns out that Trier people also like to drink ''Green Fairy''..." For us, life is hard enough, there is no need to care about a little more harm, this wine can make our The spirit is more relaxed. ""All right. Ryan sat back in his seat and looked at the bartender, "A cup of ''Green Fairy'', and another cup of ''Spicy Heart'' for me." "Spicy heart mouth" is a famous fruit shochu. "Why don''t you give me a glass of ''Green Fairy'' too?" I was the one who told you the truth just now, and I can still tell the whole story about this kid! "The first skinny middle-aged man who exposed Lumian''s daily storytelling shouted dissatisfiedly, "Outsiders, I can see that you still have doubts about the truth of that story!" "Pierre, in order to drink a glass of wine for free, UU Reading You really can do anything!" Lumian responded loudly. Without waiting for Ryan to make a decision, Lumian added: "Why can''t I say it myself, so that I can have an extra glass of ''Green Fairy''?" "Because they don''t know whether to believe what you said. The middle-aged man named Pierre smiled triumphantly, "Your sister''s favorite story to tell the children is ''Wolf is Coming'', and those who always lie will lose their credibility." ""All right. Lumian shrugged his shoulders and watched the bartender push a glass of light green wine in front of him. Ryan looked at him and asked, "Is that okay?" ""No problem, as long as your wallet is enough to pay for the wine. Lumian didn''t care. "Then have another glass of ''Green Fairy''." Ryan nodded. Pierre immediately smiled: "Generous outsider, this kid is the favorite prankster in the village, you must stay away from him." "Five years ago, he was brought back to the village by his sister Aurora, and he never left again. You think, before that, he was only thirteen years old, how could he go to the hospital to be a corpse keeper? Well, it''s the closest to us. The hospital is in Darliege at the foot of the mountain, and it will take a whole afternoon." Star Wen Reading app "Take it back to the village?" Liya asked keenly. She turned her head slightly, making a tinkling sound. Pierre nodded: To read the latest chapters in the Xingwen Reading app, please download the Xingwen Reading app to read the latest chapters for free without ads. The content of the latest chapter has been read in the Xingwen app, and the website has not updated the content of the latest chapter. "Then, he took the surname ''Li'' from Aurora, and even the name ''Lumian'' was chosen by Aurora." "I forgot the original name." Lumian took a sip of absinthe, Said with a smile. It seemed that he was not at all inferior or ashamed of his past being exposed like this.

 Chapter 549： The second heart of the human body secretly registered to see a doctor

    ¡°I was a loser who paid little attention to whether the sun was shining or not because I didn¡¯t have time.¡± My parents couldn¡¯t support me, I didn¡¯t have a high degree, and I was alone in the city looking for a future. "I looked for a lot of jobs, but none of them were hired. It may be that no one likes a person who is not good at talking, doesn''t like to communicate, and doesn''t show enough ability. To read the latest chapter, please download the Xingwen Reading app, Read the latest chapters for free without ads. The website no longer updates the latest chapters, and the Xingwen Reading app has updated the latest chapters. "I only ate two breads for three days, and hunger kept me from sleeping at night. Fortunately, , I paid a month''s rent in advance, and I can continue to live in that dark basement without going outside to bear the extremely cold wind in winter. "Finally, I found a job, night vigil in the hospital, vigil for the mortuary." The night in the hospital was colder than I imagined, the wall lamps in the corridor were not lit, and it was dark everywhere, only by infiltration in the room That little bit of light coming out helps me see where I''m going. "It smells bad there, and from time to time a dead person is brought in in a body bag, and we cooperate to help him move into the morgue." It''s not a very good job, but at least it allows me to buy Picking up bread, the free time at night can also be used to study. After all, no one is willing to come to the morgue unless there is a corpse that needs to be sent or transported away for incineration. Of course, I don¡¯t have enough money to buy books, and I can¡¯t read them yet. The hope of saving money. "I have to thank my former colleague. If it hadn''t been for his sudden departure, I might not even have a job like this." My body gets a little weak and my head throbs occasionally. "One day, the mover brought a new body." According to someone else, this is my former colleague who left the job suddenly. "I was a little curious about him. After everyone left, I pulled out the cabinet and quietly opened the body bag." He was an old man with a blue and white face, wrinkled everywhere, and looked very scary under the very dim light. "His hair is not much, most of it is white, all his clothes have been taken off, and there is not even a piece of fabric left for him. The content of the website is updated slowly. Please download the Xingwen Reading app to read the latest chapter content." I saw him There was a strange mark on his chest, blue and black, I can''t describe the specific appearance, the lighting at that time was really too dark. "I reached out and touched the imprint, nothing special." Looking at this former colleague, I wondered, if I go on like this until I get old, will I be like him..." I said to him, tomorrow I will I will accompany him to the crematorium, and personally take his ashes to the nearest free cemetery, so that those who are responsible for these things will not find it troublesome, just find a river and find a wasteland and throw it away. "This will sacrifice my morning sleep, But fortunately, it will be Sunday soon, so I can make up for it. "After saying that, I fixed the body bag and stuffed it into the cabinet again." The lights in the room seemed to be dimmer... "After that day, every time I sleep, I always dream of a big fog." I had a premonition that something would happen in the near future. I had a premonition that sooner or later something that could be called a human would come to me, but no one would believe me. It''s not normal, I need to see a doctor..." A male customer sitting in front of the bar looked at the narrator who stopped suddenly: "Then what? "The male guest was in his thirties, wearing a brown tweed jacket and light yellow trousers, his hair was pressed flat, and he had a simple dark bowler hat in his hand. Some people are the same, with black hair, light blue eyes, not good-looking, not ugly, and lack of obvious features. The narrator in his eyes is a young man of eighteen or nineteen years old, tall and straight, with slender limbs, and also has short black hair. Light blue eyes, but profound facial features, can make people''s eyes shine. The young man looked at the empty wine glass in front of him, sighed: "Then? Download the Xingwen Reading app to read the latest chapters. "Then I resigned and went back to the countryside, and came here to brag to you." As he spoke, a smile appeared on his face, with a narrow smile. The male guest froze for a moment: "Are you bragging what you just said?" "Haha." A burst of laughter erupted around the bar. The laughter stopped for a while, and a thin middle-aged man looked at the slightly embarrassed guest and said, "Outlander, you actually believe Lumian''s story, he tells different stories every day, yesterday he was still a The unlucky guy whose engagement was broken off by his fianc¨¦e because of poverty, has become a corpse keeper today!" "Yes, say thirty years on the east side of the Serenzo River, thirty years on the right side of the Serenzo River, I only know nonsense language!" Another tavern regular followed suit. They were all peasants from the large village of Kordu, and wore jackets of black, gray, or brown. The black-haired young man named Lumian supported the bar with his hands, stood up slowly, and said with a smile: "You know, this is not a story I made up, it''s all written by my sister, she likes writing stories the most, She''s a columnist for "Fiction Weekly." After finishing speaking, he turned sideways, spread his hands to the foreign guest, and said with a bright smile: "It seems that she writes really well. Xingwen Reading app "Sorry, let me you misunderstood. The ordinary-looking man in a brown tweed jacket didn''t get angry. He stood up and responded with a smile, "It''s an interesting story." "What''s the name?" "Isn''t it common sense to introduce yourself before asking others?" Lumian laughed. The guest from a foreign country nodded: "My name is Ryan Kos." These two are my companions Valentine and Liya. "The latter sentence refers to a man and a woman sitting next to him. The man in the Xingwen reading app is twenty-seven or eighteen years old. His yellow hair is covered with a little powder, and his eyes, which are not too big, are darker than the blue of the lake. He was wearing a white vest, a blue tweed jacket and black trousers, and he had obviously been well-dressed before going out. His expression was quite indifferent, and he didn''t look at the farmers and herdsmen around him very much. The woman looked younger than the two The man was younger, with long light gray hair tied into a complicated bun, and a white veil as a hat. Her eyes were the same color as her hair, and she looked at Lumian with an undisguised smile , seems to be only interested in what happened just now. Under the light of the gas wall lamp in the tavern, this woman named Liya showed a pretty nose and beautifully curved lips. She is definitely a beauty in a country like Kordu Village She was wearing a white non-pleated cashmere tight skirt, a beige small coat and a pair of Marcell boots. There were two small silver bells tied on the veil and the boots respectively. When she walked into the pub just now, she was jingling , is very eye-catching, making many men look straight. In their eyes, this must be a fashionable dress that can only be found in big cities such as the provincial capital Bigor and the capital Trier. Lumian said to the three A stranger nodded: "My name is Lumian Li, you can call me Lumian directly. ""plum? Liya blurted out. "What''s the matter? Is there something wrong with my last name?" Lumian asked curiously. Ryan Kos helped Liya explain: "Your surname is scary. I almost couldn''t control my voice just now." Seeing the puzzled faces of the surrounding farmers and herdsmen, he further explained: "Anyone who has been in contact with sailors and sea merchants knows that there is a saying spread on the five seas: "I would rather meet those pirate generals or even kings than Don''t run into a guy named Frank Lee." That one''s last name is also Lee. ¡¯ ¡®Is he terrible? Lumian asked. Ryan shook his head: "I don''t know, but since there is such a legend, it must not be bad." He broke off the subject and said to Lumian: "Thank you for the story, it''s worth a glass of wine, what do you want?" "A cup of ''Green Fairy''." Lumian was not polite at all, and sat down again. Ryan Kos frowned slightly and said: "''Green Fairy''... Absinthe? "I think I need to remind you that absinthe is harmful to the human body. This kind of wine may cause insanity and make you hallucinate." "I didn''t expect the trend of Trier to spread here." Liya next to her He added with a smile. Lumian said "Oh": "It turns out that Trier people also like to drink ''Green Fairy''..." For us, life is hard enough, there is no need to care about a little more harm, this wine can make our The spirit is more relaxed. ""All right. Ryan sat back in his seat and looked at the bartender, "A cup of ''Green Fairy'', and another cup of ''Spicy Heart'' for me." "Spicy heart mouth" is a famous fruit shochu. "Why don''t you give me a glass of ''Green Fairy'' too?" I was the one who told you the truth just now, and I can still tell the whole story about this kid! "The first skinny middle-aged man who exposed Lumian''s daily storytelling shouted dissatisfiedly, "Outsiders, I can see that you still have doubts about the truth of that story!" "Pierre, in order to drink a glass of wine for free, UU Reading you really can do anything!" Lumian responded loudly. Without waiting for Ryan to make a decision, Lumian added: "Why can''t I say it myself, so that I can have an extra glass of ''Green Fairy''?" "Because they don''t know whether to believe what you said. The middle-aged man named Pierre smiled triumphantly, "Your sister''s favorite story to tell the children is ''Wolf is Coming'', and those who always lie will lose their credibility." ""All right. Lumian shrugged his shoulders and watched the bartender push a glass of light green wine in front of him. Ryan looked at him and asked, "Is that okay?" ""No problem, as long as your wallet is enough to pay for the wine. Lumian didn''t care. "Then have another glass of ''Green Fairy''." Ryan nodded. Pierre immediately smiled: "Generous outsider, this kid is the favorite prankster in the village, you must stay away from him." "Five years ago, he was brought back to the village by his sister Aurora, and he never left again. You think, before that, he was only thirteen years old, how could he go to the hospital to be a corpse keeper? Well, it''s the closest to us. The hospital is in Darliege at the foot of the mountain, and it will take a whole afternoon." Star Wen Reading app "Take it back to the village?" Liya asked keenly. She turned her head slightly, making a tinkling sound. Pierre nodded: To read the latest chapters in the Xingwen Reading app, please download the Xingwen Reading app to read the latest chapters for free without ads. The content of the latest chapter has been read in the Xingwen app, and the website has not updated the content of the latest chapter. "Then, he took the surname ''Li'' from Aurora, and even the name ''Lumian'' was chosen by Aurora." "I forgot the original name." Lumian took a sip of absinthe, Said with a smile. It seemed that he was not at all inferior or ashamed of his past being exposed like this.

 Chapter 550： The cause is identified, from unbelief to belief

    ¡°I was a loser who paid little attention to whether the sun was shining or not because I didn¡¯t have time.¡± My parents couldn¡¯t support me, I didn¡¯t have a high degree, and I was alone in the city looking for a future. "I looked for a lot of jobs, but none of them were hired. It may be that no one likes a person who is not good at talking, doesn''t like to communicate, and doesn''t show enough ability. To read the latest chapter, please download the Xingwen Reading app, Read the latest chapters for free without ads. The website no longer updates the latest chapters, and the Xingwen Reading App has updated the latest chapters. "I only ate two breads for three days, and hunger kept me from sleeping at night. Fortunately, , I paid a month''s rent in advance, and I can continue to live in that dark basement without going outside to bear the extremely cold wind in winter. "Finally, I found a job, night vigil in the hospital, vigil for the mortuary." The night in the hospital was colder than I imagined, the wall lamps in the corridor were not lit, and it was dark everywhere, only by infiltration in the room That little bit of light coming out helps me see where I''m going. "It smells bad there, and from time to time a dead person is brought in in a body bag, and we cooperate to help him move into the morgue." It''s not a very good job, but at least it allows me to buy Picking up bread, the free time at night can also be used to study. After all, no one is willing to come to the morgue unless there is a corpse that needs to be sent or transported away for incineration. Of course, I don¡¯t have enough money to buy books, and I can¡¯t read them yet. The hope of saving money. "I have to thank my former colleague. If it hadn''t been for his sudden departure, I might not even have a job like this." My body gets a little weak and my head throbs occasionally. "One day, the mover brought a new body." According to someone else, this is my former colleague who left the job suddenly. "I was a little curious about him. After everyone left, I pulled out the cabinet and quietly opened the body bag." He was an old man with a blue and white face, wrinkled everywhere, and looked very scary under the very dim light. "His hair is not much, most of it is white, all his clothes have been taken off, and there is not even a piece of fabric left for him. The content of the website is updated slowly. Please download the Xingwen Reading app to read the latest chapter content." I saw him There was a strange mark on his chest, blue and black, I can''t describe the specific appearance, the lighting at that time was really too dark. "I reached out and touched the imprint, nothing special." Looking at this former colleague, I wondered, if I go on like this until I get old, will I be like him..." I said to him, tomorrow I will I will accompany him to the crematorium, and personally take his ashes to the nearest free cemetery, so that those who are responsible for these things will not find it troublesome, just find a river and find a wasteland and throw it away. "This will sacrifice my morning sleep, But fortunately, it will be Sunday soon, so I can make up for it. "After saying that, I fixed the body bag and stuffed it into the cabinet again." The lights in the room seemed to be dimmer... "After that day, every time I sleep, I always dream of a big fog." I had a premonition that something would happen in the near future. I had a premonition that sooner or later something that could be called a human would come to me, but no one would believe me. It''s not normal, I need to see a doctor..." A male customer sitting in front of the bar looked at the narrator who stopped suddenly: "Then what? "The male guest was in his thirties, wearing a brown tweed jacket and light yellow trousers, his hair was pressed flat, and he had a simple dark bowler hat in his hand. Some people are the same, with black hair, light blue eyes, not good-looking, not ugly, and lack of obvious features. The narrator in his eyes is a young man of eighteen or nineteen years old, tall and straight, with slender limbs, and also has short black hair. Light blue eyes, but profound facial features, can make people''s eyes shine. The young man looked at the empty wine glass in front of him, sighed: "Then? Download the Xingwen Reading app to read the latest chapters. "Then I resigned and went back to the countryside, and came here to brag to you." As he spoke, a smile appeared on his face, with a narrow smile. The male guest froze for a moment: "Are you bragging what you just said?" "Haha." A burst of laughter erupted around the bar. The laughter stopped for a while, and a thin middle-aged man looked at the slightly embarrassed guest and said, "Outlander, you actually believe Lumian''s story, he tells different stories every day, yesterday he was still a The unlucky guy whose engagement was broken off by his fianc¨¦e because of poverty, has become a corpse keeper today!" "Yes, say thirty years on the east side of the Serenzo River, thirty years on the right side of the Serenzo River, I only know nonsense language!" Another tavern regular followed suit. They were all peasants from the large village of Kordu, and wore jackets of black, gray, or brown. The black-haired young man named Lumian supported the bar with his hands, stood up slowly, and said with a smile: "You know, this is not a story I made up, it''s all written by my sister, she likes writing stories the most, She''s a columnist for "Fiction Weekly." After finishing speaking, he turned sideways, spread his hands to the foreign guest, and said with a bright smile: "It seems that she writes really well. Xingwen Reading app "Sorry, let me you misunderstood. The ordinary-looking man in a brown tweed jacket didn''t get angry. He stood up and responded with a smile, "It''s an interesting story." "What''s the name?" "Isn''t it common sense to introduce yourself before asking others?" Lumian laughed. The guest from a foreign country nodded: "My name is Ryan Kos." These two are my companions Valentine and Liya. "The latter sentence refers to a man and a woman sitting next to him. The man in the Xingwen reading app is twenty-seven or eighteen years old. His yellow hair is covered with a little powder, and his eyes, which are not too big, are darker than the blue of the lake. He was wearing a white vest, a blue tweed jacket and black trousers, and he had obviously been well-dressed before going out. His expression was quite indifferent, and he didn''t look at the farmers and herdsmen around him very much. The woman looked younger than the two The man was younger, with long light gray hair tied into a complicated bun, and a white veil as a hat. Her eyes were the same color as her hair, and she looked at Lumian with an undisguised smile , seems to be only interested in what happened just now. Under the light of the gas wall lamp in the tavern, this woman named Liya showed a pretty nose and beautifully curved lips. She is definitely a beauty in a country like Kordu Village She was wearing a white non-pleated cashmere tight skirt, a beige small coat and a pair of Marcell boots. There were two small silver bells tied on the veil and the boots respectively. When she walked into the pub just now, she was jingling , is very eye-catching, making many men look straight. In their eyes, this must be a fashionable dress that can only be found in big cities such as the provincial capital Bigor and the capital Trier. Lumian said to the three A stranger nodded: "My name is Lumian Li, you can call me Lumian directly. ""plum? Liya blurted out. "What''s the matter? Is there something wrong with my last name?" Lumian asked curiously. Ryan Kos helped Liya explain: "Your surname is scary. I almost couldn''t control my voice just now." Seeing the puzzled faces of the surrounding farmers and herdsmen, he further explained: "Anyone who has been in contact with sailors and sea merchants knows that there is a saying spread on the five seas: "I would rather meet those pirate generals or even kings than Don''t run into a guy named Frank Lee." That one''s last name is also Lee. ¡¯ ¡®Is he terrible? Lumian asked. Ryan shook his head: "I don''t know, but since there is such a legend, it must not be bad." He broke off the subject and said to Lumian: "Thank you for the story, it''s worth a glass of wine, what do you want?" "A cup of ''Green Fairy''." Lumian was not polite at all, and sat down again. Ryan Kos frowned slightly and said: "''Green Fairy''... Absinthe? "I think I need to remind you that absinthe is harmful to the human body. This kind of wine may cause insanity and make you hallucinate." "I didn''t expect the trend of Trier to spread here." Liya next to her He added with a smile. Lumian said "Oh": "It turns out that Trier people also like to drink ''Green Fairy''..." For us, life is hard enough, there is no need to care about a little more harm, this wine can make our The spirit is more relaxed. ""All right. Ryan sat back in his seat and looked at the bartender, "A cup of ''Green Fairy'', and another cup of ''Spicy Heart'' for me." "Spicy heart mouth" is a famous fruit shochu. "Why don''t you give me a glass of ''Green Fairy'' too?" I was the one who told you the truth just now, and I can still tell the whole story about this kid! "The first skinny middle-aged man who exposed Lumian''s daily storytelling shouted dissatisfiedly, "Outsiders, I can see that you still have doubts about the truth of that story!" "Pierre, in order to drink a glass of wine for free, UU Reading You really can do anything!" Lumian responded loudly. Without waiting for Ryan to make a decision, Lumian added: "Why can''t I say it myself, so that I can have an extra glass of ''Green Fairy''?" "Because they don''t know whether to believe what you said. The middle-aged man named Pierre smiled triumphantly, "Your sister''s favorite story to tell the children is ''Wolf is Coming'', and those who always lie will lose their credibility." ""All right. Lumian shrugged his shoulders and watched the bartender push a glass of light green wine in front of him. Ryan looked at him and asked, "Is that okay?" ""No problem, as long as your wallet is enough to pay for the wine. Lumian didn''t care. "Then have another glass of ''Green Fairy''." Ryan nodded. Pierre immediately smiled: "Generous outsider, this kid is the favorite prankster in the village, you must stay away from him." "Five years ago, he was brought back to the village by his sister Aurora, and he never left again. You think, before that, he was only thirteen years old, how could he go to the hospital to be a corpse keeper? Well, it''s the closest to us. The hospital is in Darliege at the foot of the mountain, and it will take a whole afternoon." Star Wen Reading app "Take it back to the village?" Liya asked keenly. She turned her head slightly, making a tinkling sound. Pierre nodded: To read the latest chapters in the Xingwen Reading app, please download the Xingwen Reading app to read the latest chapters for free without ads. The content of the latest chapter has been read in the Xingwen app, and the website has not updated the content of the latest chapter. "Then, he took the surname ''Li'' from Aurora, and even the name ''Lumian'' was chosen by Aurora." "I forgot the original name." Lumian took a sip of absinthe, Said with a smile. It seemed that he was not at all inferior or ashamed of his past being exposed like this.

 Chapter 551： Taking medicine to the wrong place, newborn baby who refuses to eat

    ¡°I was a loser who paid little attention to whether the sun was shining or not because I didn¡¯t have time.¡± My parents couldn¡¯t support me, I didn¡¯t have a high degree, and I was alone in the city looking for a future. "I looked for a lot of jobs, but none of them were hired. It may be that no one likes a person who is not good at talking, doesn''t like to communicate, and doesn''t show enough ability. To read the latest chapter, please download the Xingwen Reading app, Read the latest chapters for free without ads. The website no longer updates the latest chapters, and the Xingwen Reading App has updated the latest chapters. "I only ate two breads for three days, and hunger kept me from sleeping at night. Fortunately, , I paid a month''s rent in advance, and I can continue to live in that dark basement without going outside to bear the extremely cold wind in winter. "Finally, I found a job, night vigil in the hospital, vigil for the mortuary." The night in the hospital was colder than I imagined, the wall lamps in the corridor were not lit, and it was dark everywhere, only by infiltration in the room That little bit of light coming out helps me see where I''m going. "It smells bad there, and from time to time a dead person is brought in in a body bag, and we cooperate to help him move into the morgue." It''s not a very good job, but at least it allows me to buy Picking up bread, the free time at night can also be used to study. After all, no one is willing to come to the morgue unless there is a corpse that needs to be sent or transported away for incineration. Of course, I don¡¯t have enough money to buy books, and I can¡¯t read them yet. The hope of saving money. "I have to thank my former colleague. If it hadn''t been for his sudden departure, I might not even have a job like this." My body gets a little weak and my head throbs occasionally. "One day, the mover brought a new body." According to someone else, this is my former colleague who left the job suddenly. "I was a little curious about him. After everyone left, I pulled out the cabinet and quietly opened the body bag." He was an old man with a blue and white face, wrinkled everywhere, and looked very scary under the very dim light. "His hair is not much, most of it is white, all his clothes have been taken off, and there is not even a piece of fabric left for him. The content of the website is updated slowly. Please download the Xingwen Reading app to read the latest chapter content." I saw him There was a strange mark on his chest, blue and black, I can''t describe the specific appearance, the lighting at that time was really too dark. "I reached out and touched the imprint, nothing special." Looking at this former colleague, I wondered, if I go on like this until I get old, will I be like him..." I said to him, tomorrow I will I will accompany him to the crematorium, and personally take his ashes to the nearest free cemetery, so that those who are responsible for these things will not find it troublesome, just find a river and find a wasteland and throw it away. "This will sacrifice my morning sleep, But fortunately, it will be Sunday soon, so I can make up for it. "After saying that, I fixed the body bag and stuffed it into the cabinet again." The lights in the room seemed to be dimmer... "After that day, every time I sleep, I always dream of a big fog." I had a premonition that something would happen in the near future. I had a premonition that sooner or later something that could be called a human would come to me, but no one would believe me. It''s not normal, I need to see a doctor..." A male customer sitting in front of the bar looked at the narrator who stopped suddenly: "Then what? "The male guest was in his thirties, wearing a brown tweed jacket and light yellow trousers, his hair was pressed flat, and he had a simple dark bowler hat in his hand. Some people are the same, with black hair, light blue eyes, not good-looking, not ugly, and lack of obvious features. The narrator in his eyes is a young man of eighteen or nineteen years old, tall and straight, with slender limbs, and also has short black hair. Light blue eyes, but profound facial features, can make people''s eyes shine. The young man looked at the empty wine glass in front of him, sighed: "Then? Download the Xingwen Reading app to read the latest chapters. "Then I resigned and went back to the countryside, and came here to brag to you." As he spoke, a smile appeared on his face, with a narrow smile. The male guest froze for a moment: "Are you bragging what you just said?" "Haha." A burst of laughter erupted around the bar. The laughter stopped for a while, and a thin middle-aged man looked at the slightly embarrassed guest and said, "Outlander, you actually believe Lumian''s story, he tells different stories every day, yesterday he was still a The unlucky guy whose engagement was broken off by his fianc¨¦e because of poverty, has become a corpse keeper today!" "Yes, say thirty years on the east side of the Serenzo River, thirty years on the right side of the Serenzo River, I only know nonsense language!" Another tavern regular followed suit. They were all peasants from the large village of Kordu, and wore jackets of black, gray, or brown. The black-haired young man named Lumian supported the bar with his hands, stood up slowly, and said with a smile: "You know, this is not a story I made up, it''s all written by my sister, she likes writing stories the most, She''s a columnist for "Fiction Weekly." After finishing speaking, he turned sideways, spread his hands to the foreign guest, and said with a bright smile: "It seems that she writes really well. Xingwen Reading app "Sorry, let me you misunderstood. The ordinary-looking man in a brown tweed jacket didn''t get angry. He stood up and responded with a smile, "It''s an interesting story." "What''s the name?" "Isn''t it common sense to introduce yourself before asking others?" Lumian laughed. The guest from a foreign country nodded: "My name is Ryan Kos." These two are my companions Valentine and Liya. "The latter sentence refers to a man and a woman sitting next to him. The man in the Xingwen reading app is twenty-seven or eighteen years old. His yellow hair is covered with a little powder, and his eyes, which are not too big, are darker than the blue of the lake. He was wearing a white vest, a blue tweed jacket and black trousers, and he had obviously been well-dressed before going out. His expression was quite indifferent, and he didn''t look at the farmers and herdsmen around him very much. The woman looked younger than the two The man was younger, with long light gray hair tied into a complicated bun, and a white veil as a hat. Her eyes were the same color as her hair, and she looked at Lumian with an undisguised smile , seems to be only interested in what happened just now. Under the light of the gas wall lamp in the tavern, this woman named Liya showed a pretty nose and beautifully curved lips. She is definitely a beauty in a country like Kordu Village She was wearing a white non-pleated cashmere tight skirt, a beige small coat and a pair of Marcell boots. There were two small silver bells tied on the veil and the boots respectively. When she walked into the pub just now, she was jingling , is very eye-catching, making many men look straight. In their eyes, this must be a fashionable dress that can only be found in big cities such as the provincial capital Bigor and the capital Trier. Lumian said to the three A stranger nodded: "My name is Lumian Li, you can call me Lumian directly. ""plum? Liya blurted out. "What''s the matter? Is there something wrong with my last name?" Lumian asked curiously. Ryan Kos helped Liya explain: "Your surname is scary. I almost couldn''t control my voice just now." Seeing the puzzled faces of the surrounding farmers and herdsmen, he further explained: "Anyone who has been in contact with sailors and sea merchants knows that there is a saying spread on the five seas: "I would rather meet those pirate generals or even kings than Don''t run into a guy named Frank Lee." That one''s last name is also Lee. ¡¯ ¡®Is he terrible? Lumian asked. Ryan shook his head: "I don''t know, but since there is such a legend, it must not be bad." He broke off the subject and said to Lumian: "Thank you for the story, it''s worth a glass of wine, what do you want?" "A cup of ''Green Fairy''." Lumian was not polite at all, and sat down again. Ryan Kos frowned slightly and said: "''Green Fairy''... Absinthe? "I think I need to remind you that absinthe is harmful to the human body. This kind of wine may cause insanity and make you hallucinate." "I didn''t expect the trend of Trier to spread here." Liya next to her He added with a smile. Lumian said "Oh": "It turns out that Trier people also like to drink ''Green Fairy''..." For us, life is hard enough, there is no need to care about a little more harm, this wine can make our The spirit is more relaxed. ""All right. Ryan sat back in his seat and looked at the bartender, "A cup of ''Green Fairy'', and another cup of ''Spicy Heart'' for me." "Spicy heart mouth" is a famous fruit shochu. "Why don''t you give me a glass of ''Green Fairy'' too?" I was the one who told you the truth just now, and I can still tell the whole story about this kid! "The first skinny middle-aged man who exposed Lumian''s daily storytelling shouted dissatisfiedly, "Outsiders, I can see that you still have doubts about the truth of that story!" "Pierre, in order to drink a glass of wine for free, UU Reading you really can do anything!" Lumian responded loudly. Without waiting for Ryan to make a decision, Lumian added: "Why can''t I say it myself, so that I can have an extra glass of ''Green Fairy''?" "Because they don''t know whether to believe what you said. The middle-aged man named Pierre smiled triumphantly, "Your sister''s favorite story to tell the children is ''Wolf is Coming'', and those who always lie will lose their credibility." ""All right. Lumian shrugged his shoulders and watched the bartender push a glass of light green wine in front of him. Ryan looked at him and asked, "Is that okay?" ""No problem, as long as your wallet is enough to pay for the wine. Lumian didn''t care. "Then have another glass of ''Green Fairy''." Ryan nodded. Pierre immediately smiled: "Generous outsider, this kid is the favorite prankster in the village, you must stay away from him." "Five years ago, he was brought back to the village by his sister Aurora, and he never left again. You think, before that, he was only thirteen years old, how could he go to the hospital to be a corpse keeper? Well, it''s the closest to us. The hospital is in Darliege at the foot of the mountain, and it will take a whole afternoon." Star Wen Reading app "Take it back to the village?" Liya asked keenly. She turned her head slightly, making a tinkling sound. Pierre nodded: To read the latest chapters in the Xingwen Reading app, please download the Xingwen Reading app to read the latest chapters for free without ads. The content of the latest chapter has been read in the Xingwen app, and the website has not updated the content of the latest chapter. "Then, he took the surname ''Li'' from Aurora, and even the name ''Lumian'' was chosen by Aurora." "I forgot the original name." Lumian took a sip of absinthe, Said with a smile. It seemed that he was not at all inferior or ashamed of his past being exposed like this.

 Chapter 552： Class 6 pharmacological syndrome differentiation, childrens cooling plasters

    ¡°I was a loser who paid little attention to whether the sun was shining or not because I didn¡¯t have time.¡± My parents couldn¡¯t support me, I didn¡¯t have a high degree, and I was alone in the city looking for a future. "I looked for a lot of jobs, but none of them were hired. It may be that no one likes a person who is not good at talking, doesn''t like to communicate, and doesn''t show enough ability. To read the latest chapter, please download the Xingwen Reading app, Read the latest chapters for free without ads. The website no longer updates the latest chapters, and the Xingwen Reading App has updated the latest chapters. "I only ate two breads for three days, and hunger kept me from sleeping at night. Fortunately, , I paid a month''s rent in advance, and I can continue to live in that dark basement without going outside to bear the extremely cold wind in winter. "Finally, I found a job, night vigil in the hospital, vigil for the mortuary." The night in the hospital was colder than I imagined, the wall lamps in the corridor were not lit, and it was dark everywhere, only by infiltration in the room That little bit of light coming out helps me see where I''m going. "It smells bad there, and from time to time a dead person is brought in in a body bag, and we cooperate to help him move into the morgue." It''s not a very good job, but at least it allows me to buy Picking up bread, the free time at night can also be used to study. After all, no one is willing to come to the morgue unless there is a corpse that needs to be sent or transported away for incineration. Of course, I don¡¯t have enough money to buy books, and I can¡¯t read them yet. The hope of saving money. "I have to thank my former colleague. If it hadn''t been for his sudden departure, I might not even have a job like this." My body gets a little weak and my head throbs occasionally. "One day, the mover brought a new body." According to someone else, this is my former colleague who left the job suddenly. "I was a little curious about him. After everyone left, I pulled out the cabinet and quietly opened the body bag." He was an old man with a blue and white face, wrinkled everywhere, and looked very scary under the very dim light. "His hair is not much, most of it is white, all his clothes have been taken off, and there is not even a piece of fabric left for him. The content of the website is updated slowly. Please download the Xingwen Reading app to read the latest chapter content." I saw him There was a strange mark on his chest, blue and black, I can''t describe the specific appearance, the lighting at that time was really too dark. "I reached out and touched the imprint, nothing special." Looking at this former colleague, I wondered, if I go on like this until I get old, will I be like him..." I said to him, tomorrow I will I will accompany him to the crematorium, and personally take his ashes to the nearest free cemetery, so that those who are responsible for these things will not find it troublesome, just find a river and find a wasteland and throw it away. "This will sacrifice my morning sleep, But fortunately, it will be Sunday soon, so I can make up for it. "After saying that, I fixed the body bag and stuffed it into the cabinet again." The lights in the room seemed to be dimmer... "After that day, every time I sleep, I always dream of a big fog." I had a premonition that something would happen in the near future. I had a premonition that sooner or later something that could be called a human would come to me, but no one would believe me. It''s not normal, I need to see a doctor..." A male customer sitting in front of the bar looked at the narrator who stopped suddenly: "Then what? "The male guest was in his thirties, wearing a brown tweed jacket and light yellow trousers, his hair was pressed flat, and he had a simple dark bowler hat in his hand. Some people are the same, with black hair, light blue eyes, not good-looking, not ugly, and lack of obvious features. The narrator in his eyes is a young man of eighteen or nineteen years old, tall and straight, with slender limbs, and also has short black hair. Light blue eyes, but profound facial features, can make people''s eyes shine. The young man looked at the empty wine glass in front of him, sighed: "Then? Download the Xingwen Reading app to read the latest chapters. "Then I resigned and went back to the countryside, and came here to brag to you." As he spoke, a smile appeared on his face, with a narrow smile. The male guest froze for a moment: "Are you bragging what you just said?" "Haha." A burst of laughter erupted around the bar. The laughter stopped for a while, and a thin middle-aged man looked at the slightly embarrassed guest and said, "Outlander, you actually believe Lumian''s story, he tells different stories every day, yesterday he was still a The unlucky guy whose engagement was broken off by his fianc¨¦e because of poverty, has become a corpse keeper today!" "Yes, say thirty years on the east side of the Serenzo River, thirty years on the right side of the Serenzo River, I only know nonsense language!" Another tavern regular followed suit. They were all peasants from the large village of Kordu, and wore jackets of black, gray, or brown. The black-haired young man named Lumian supported the bar with his hands, stood up slowly, and said with a smile: "You know, this is not a story I made up, it''s all written by my sister, she likes writing stories the most, She''s a columnist for "Fiction Weekly." After finishing speaking, he turned sideways, spread his hands to the foreign guest, and said with a bright smile: "It seems that she writes really well. Xingwen Reading app "Sorry, let me you misunderstood. The ordinary-looking man in a brown tweed jacket didn''t get angry. He stood up and responded with a smile, "It''s an interesting story." "What''s the name?" "Isn''t it common sense to introduce yourself before asking others?" Lumian laughed. The guest from a foreign country nodded: "My name is Ryan Kos." These two are my companions Valentine and Liya. "The latter sentence refers to a man and a woman sitting next to him. The man in the Xingwen reading app is twenty-seven or eighteen years old. His yellow hair is covered with a little powder, and his eyes, which are not too big, are darker than the blue of the lake. He was wearing a white vest, a blue tweed jacket and black trousers, and he had obviously been well-dressed before going out. His expression was quite indifferent, and he didn''t look at the farmers and herdsmen around him very much. The woman looked younger than the two The man was younger, with long light gray hair tied into a complicated bun, and a white veil as a hat. Her eyes were the same color as her hair, and she looked at Lumian with an undisguised smile , seems to be only interested in what happened just now. Under the light of the gas wall lamp in the tavern, this woman named Liya showed a pretty nose and beautifully curved lips. She is definitely a beauty in a country like Kordu Village She was wearing a white non-pleated cashmere tight skirt, a beige small coat and a pair of Marcell boots. There were two small silver bells tied on the veil and the boots respectively. When she walked into the pub just now, she was jingling , is very eye-catching, making many men look straight. In their eyes, this must be a fashionable dress that can only be found in big cities such as the provincial capital Bigor and the capital Trier. Lumian said to the three A stranger nodded: "My name is Lumian Li, you can call me Lumian directly. ""plum? Liya blurted out. "What''s the matter? Is there something wrong with my last name?" Lumian asked curiously. Ryan Kos helped Liya explain: "Your surname is scary. I almost couldn''t control my voice just now." Seeing the puzzled faces of the surrounding farmers and herdsmen, he further explained: "Anyone who has been in contact with sailors and sea merchants knows that there is a saying spread on the five seas: "I would rather meet those pirate generals or even kings than Don''t run into a guy named Frank Lee." That one''s last name is also Lee. ¡¯ ¡®Is he terrible? Lumian asked. Ryan shook his head: "I don''t know, but since there is such a legend, it must not be bad." He broke off the subject and said to Lumian: "Thank you for the story, it''s worth a glass of wine, what do you want?" "A cup of ''Green Fairy''." Lumian was not polite at all, and sat down again. Ryan Kos frowned slightly and said: "''Green Fairy''... Absinthe? "I think I need to remind you that absinthe is harmful to the human body. This kind of wine may cause insanity and make you hallucinate." "I didn''t expect the trend of Trier to spread here." Liya next to her He added with a smile. Lumian said "Oh": "It turns out that Trier people also like to drink ''Green Fairy''..." For us, life is hard enough, there is no need to care about a little more harm, this wine can make our The spirit is more relaxed. ""All right. Ryan sat back in his seat and looked at the bartender, "A cup of ''Green Fairy'', and another cup of ''Spicy Heart'' for me." "Spicy heart mouth" is a famous fruit shochu. "Why don''t you give me a glass of ''Green Fairy'' too?" I was the one who told you the truth just now, and I can still tell the whole story about this kid! "The first skinny middle-aged man who exposed Lumian''s daily storytelling shouted dissatisfiedly, "Outsiders, I can see that you still have doubts about the truth of that story!" "Pierre, in order to drink a glass of wine for free, UU read www. uukanshu. com you really can do anything! Lumian responded loudly. Without waiting for Ryan to make a decision, Lumian added: "Why can''t I say it myself, so that I can have an extra glass of ''Green Fairy''?" "Because they don''t know whether to believe what you said. The middle-aged man named Pierre smiled triumphantly, "Your sister''s favorite story to tell the children is ''Wolf is Coming'', and those who always lie will lose their credibility." ""All right. Lumian shrugged his shoulders and watched the bartender push a glass of light green wine in front of him. Ryan looked at him and asked, "Is that okay?" ""No problem, as long as your wallet is enough to pay for the wine. Lumian didn''t care. "Then have another glass of ''Green Fairy''." Ryan nodded. Pierre immediately smiled: "Generous outsider, this kid is the favorite prankster in the village, you must stay away from him." "Five years ago, he was brought back to the village by his sister Aurora, and he never left again. You think, before that, he was only thirteen years old, how could he go to the hospital to be a corpse keeper? Well, it''s the closest to us. The hospital is in Darliege at the foot of the mountain, and it will take a whole afternoon." Star Wen Reading app "Take it back to the village?" Liya asked keenly. She turned her head slightly, making a tinkling sound. Pierre nodded: To read the latest chapters in the Xingwen Reading app, please download the Xingwen Reading app to read the latest chapters for free without ads. The content of the latest chapter has been read in the Xingwen app, and the website has not updated the content of the latest chapter. "Then, he took the surname ''Li'' from Aurora, and even the name ''Lumian'' was chosen by Aurora." "I forgot the original name." Lumian took a sip of absinthe, Said with a smile. It seemed that he was not at all inferior or ashamed of his past being exposed like this.

 Chapter 553： Terrible No. 1 hospital series, the dark horse in No. 2 hospitals

    ¡°I was a loser who paid little attention to whether the sun was shining or not because I didn¡¯t have time.¡± My parents couldn¡¯t support me, I didn¡¯t have a high degree, and I was alone in the city looking for a future. "I looked for a lot of jobs, but none of them were hired. It may be that no one likes a person who is not good at talking, doesn''t like to communicate, and doesn''t show enough ability. To read the latest chapter, please download the Xingwen Reading app, Read the latest chapters for free without ads. The website no longer updates the latest chapters, and the Xingwen Reading App has updated the latest chapters. "I only ate two breads for three days, and hunger kept me from sleeping at night. Fortunately, , I paid a month''s rent in advance, and I can continue to live in that dark basement without going outside to bear the extremely cold wind in winter. "Finally, I found a job, night vigil in the hospital, vigil for the mortuary." The night in the hospital was colder than I imagined, the wall lamps in the corridor were not lit, and it was dark everywhere, only by infiltration in the room That little bit of light coming out helps me see where I''m going. "It smells bad there, and from time to time a dead person is brought in in a body bag, and we cooperate to help him move into the morgue." It''s not a very good job, but at least it allows me to buy Picking up bread, the free time at night can also be used to study. After all, no one is willing to come to the morgue unless there is a corpse that needs to be sent or transported away for incineration. Of course, I don¡¯t have enough money to buy books, and I can¡¯t read them yet. The hope of saving money. "I have to thank my former colleague. If it hadn''t been for his sudden departure, I might not even have a job like this." My body gets a little weak and my head throbs occasionally. "One day, the mover brought a new body." According to someone else, this is my former colleague who left the job suddenly. "I was a little curious about him. After everyone left, I pulled out the cabinet and quietly opened the body bag." He was an old man with a blue and white face, wrinkled everywhere, and looked very scary under the very dim light. "His hair is not much, most of it is white, all his clothes have been taken off, and there is not even a piece of fabric left for him. The content of the website is updated slowly. Please download the Xingwen Reading app to read the latest chapter content." I saw him There was a strange mark on his chest, blue and black, I can''t describe the specific appearance, the lighting at that time was really too dark. "I reached out and touched the imprint, nothing special." Looking at this former colleague, I wondered, if I go on like this until I get old, will I be like him..." I said to him, tomorrow I will I will accompany him to the crematorium, and personally take his ashes to the nearest free cemetery, so that those who are responsible for these things will not find it troublesome, just find a river and find a wasteland and throw it away. "This will sacrifice my morning sleep, But fortunately, it will be Sunday soon, so I can make up for it. "After saying that, I fixed the body bag and stuffed it into the cabinet again." The lights in the room seemed to be dimmer... "After that day, every time I sleep, I always dream of a big fog." I had a premonition that something would happen in the near future. I had a premonition that sooner or later something that could be called a human would come to me, but no one would believe me. It''s not normal, I need to see a doctor..." A male customer sitting in front of the bar looked at the narrator who stopped suddenly: "Then what? "The male guest was in his thirties, wearing a brown tweed jacket and light yellow trousers, his hair was pressed flat, and he had a simple dark bowler hat in his hand. Some people are the same, with black hair, light blue eyes, not good-looking, not ugly, and lack of obvious features. The narrator in his eyes is a young man of eighteen or nineteen years old, tall and straight, with slender limbs, and also has short black hair. Light blue eyes, but profound facial features, can make people''s eyes shine. The young man looked at the empty wine glass in front of him, sighed: "Then? Download the Xingwen Reading app to read the latest chapters. "Then I resigned and went back to the countryside, and came here to brag to you." As he spoke, a smile appeared on his face, with a narrow smile. The male guest froze for a moment: "Are you bragging what you just said?" "Haha." A burst of laughter erupted around the bar. The laughter stopped for a while, and a thin middle-aged man looked at the slightly embarrassed guest and said, "Outlander, you actually believe Lumian''s story, he tells different stories every day, yesterday he was still a The unlucky guy whose engagement was broken off by his fianc¨¦e because of poverty, has become a corpse keeper today!" "Yes, say thirty years on the east side of the Serenzo River, thirty years on the right side of the Serenzo River, I only know nonsense language!" Another tavern regular followed suit. They were all peasants from the large village of Kordu, and wore jackets of black, gray, or brown. The black-haired young man named Lumian supported the bar with his hands, stood up slowly, and said with a smile: "You know, this is not a story I made up, it''s all written by my sister, she likes writing stories the most, She''s a columnist for "Fiction Weekly." After finishing speaking, he turned sideways, spread his hands to the foreign guest, and said with a bright smile: "It seems that she writes really well. Xingwen Reading app "Sorry, let me you misunderstood. The ordinary-looking man in a brown tweed jacket didn''t get angry. He stood up and responded with a smile, "It''s an interesting story." "What''s the name?" "Isn''t it common sense to introduce yourself before asking others?" Lumian laughed. The guest from a foreign country nodded: "My name is Ryan Kos." These two are my companions Valentine and Liya. "The latter sentence refers to a man and a woman sitting next to him. The man in the Xingwen reading app is twenty-seven or eighteen years old. His yellow hair is covered with a little powder, and his eyes, which are not too big, are darker than the blue of the lake. He was wearing a white vest, a blue tweed jacket and black trousers, and he had obviously been well-dressed before going out. His expression was quite indifferent, and he didn''t look at the farmers and herdsmen around him very much. The woman looked younger than the two The man was younger, with long light gray hair tied into a complicated bun, and a white veil as a hat. Her eyes were the same color as her hair, and she looked at Lumian with an undisguised smile , seems to be only interested in what happened just now. Under the light of the gas wall lamp in the tavern, this woman named Liya showed a pretty nose and beautifully curved lips. She is definitely a beauty in a country like Kordu Village She was wearing a white non-pleated cashmere tight skirt, a beige small coat and a pair of Marcell boots. There were two small silver bells tied on the veil and the boots respectively. When she walked into the pub just now, she was jingling , is very eye-catching, making many men look straight. In their eyes, this must be a fashionable dress that can only be found in big cities such as the provincial capital Bigor and the capital Trier. Lumian said to the three A stranger nodded: "My name is Lumian Li, you can call me Lumian directly. ""plum? Liya blurted out. "What''s the matter? Is there something wrong with my last name?" Lumian asked curiously. Ryan Kos helped Liya explain: "Your surname is scary. I almost couldn''t control my voice just now." Seeing the puzzled faces of the surrounding farmers and herdsmen, he further explained: "Anyone who has been in contact with sailors and sea merchants knows that there is a saying spread on the five seas: "I would rather meet those pirate generals or even kings than Don''t run into a guy named Frank Lee." That one''s last name is also Lee. ¡¯ ¡®Is he terrible? Lumian asked. Ryan shook his head: "I don''t know, but since there is such a legend, it must not be bad." He broke off the subject and said to Lumian: "Thank you for the story, it''s worth a glass of wine, what do you want?" "A cup of ''Green Fairy''." Lumian was not polite at all, and sat down again. Ryan Kos frowned slightly and said: "''Green Fairy''... Absinthe? "I think I need to remind you that absinthe is harmful to the human body. This kind of wine may cause insanity and make you hallucinate." "I didn''t expect the trend of Trier to spread here." Liya next to her He added with a smile. Lumian said "Oh": "It turns out that Trier people also like to drink ''Green Fairy''..." For us, life is hard enough, there is no need to care about a little more harm, this wine can make our The spirit is more relaxed. ""All right. Ryan sat back in his seat and looked at the bartender, "A cup of ''Green Fairy'', and another cup of ''Spicy Heart'' for me." "Spicy heart mouth" is a famous fruit shochu. "Why don''t you give me a glass of ''Green Fairy'' too?" I was the one who told you the truth just now, and I can still tell the whole story about this kid! "The first skinny middle-aged man who exposed Lumian''s daily storytelling shouted dissatisfiedly, "Outsiders, I can see that you still have doubts about the truth of that story!" "Pierre, in order to drink a glass of wine for free, UU reads www. uukanshu.com You really can do anything! Lumian responded loudly. Without waiting for Ryan to make a decision, Lumian added: "Why can''t I say it myself, so that I can have an extra glass of ''Green Fairy''?" "Because they don''t know whether to believe what you said. The middle-aged man named Pierre smiled triumphantly, "Your sister''s favorite story to tell the children is ''Wolf is Coming'', and those who always lie will lose their credibility." ""All right. Lumian shrugged his shoulders and watched the bartender push a glass of light green wine in front of him. Ryan looked at him and asked, "Is that okay?" ""No problem, as long as your wallet is enough to pay for the wine. Lumian didn''t care. "Then have another glass of ''Green Fairy''." Ryan nodded. Pierre immediately smiled: "Generous outsider, this kid is the favorite prankster in the village, you must stay away from him." "Five years ago, he was brought back to the village by his sister Aurora, and he never left again. You think, before that, he was only thirteen years old, how could he go to the hospital to be a corpse keeper? Well, it''s the closest to us. The hospital is in Darliege at the foot of the mountain, and it will take a whole afternoon." Star Wen Reading app "Take it back to the village?" Liya asked keenly. She turned her head slightly, making a tinkling sound. Pierre nodded: To read the latest chapters in the Xingwen Reading app, please download the Xingwen Reading app to read the latest chapters for free without ads. The content of the latest chapter has been read in the Xingwen app, and the website has not updated the content of the latest chapter. "Then, he took the surname ''Li'' from Aurora, and even the name ''Lumian'' was chosen by Aurora." "I forgot the original name." Lumian took a sip of absinthe, Said with a smile. It seemed that he was not at all inferior or ashamed of his past being exposed like this.

 Chapter 555： A virtuous wife with few misfortunes, the neglected real director

    ¡°I was a loser who paid little attention to whether the sun was shining or not because I didn¡¯t have time.¡± My parents couldn¡¯t support me, I didn¡¯t have a high degree, and I was alone in the city looking for a future. "I looked for a lot of jobs, but none of them were hired. It may be that no one likes a person who is not good at talking, doesn''t like to communicate, and doesn''t show enough ability. To read the latest chapter, please download the Xingwen Reading app, Read the latest chapters for free without ads. The website no longer updates the latest chapters, and the Xingwen Reading app has updated the latest chapters. "I only ate two breads for three days, and hunger kept me from sleeping at night. Fortunately, , I paid a month''s rent in advance, and I can continue to live in that dark basement without going outside to bear the extremely cold wind in winter. "Finally, I found a job, night vigil in the hospital, vigil for the mortuary." The night in the hospital was colder than I imagined, the wall lamps in the corridor were not lit, and it was dark everywhere, only by infiltration in the room That little bit of light coming out helps me see where I''m going. "It smells bad there, and from time to time a dead person is brought in in a body bag, and we cooperate to help him move into the morgue." It''s not a very good job, but at least it allows me to buy Picking up bread, the free time at night can also be used to study. After all, no one is willing to come to the morgue unless there is a corpse that needs to be sent or transported away for incineration. Of course, I don¡¯t have enough money to buy books, and I can¡¯t read them yet. The hope of saving money. "I have to thank my former colleague. If it hadn''t been for his sudden departure, I might not even have a job like this." My body gets a little weak and my head throbs occasionally. "One day, the mover brought a new body." According to someone else, this is my former colleague who left the job suddenly. "I was a little curious about him. After everyone left, I pulled out the cabinet and quietly opened the body bag." He was an old man with a blue and white face, wrinkled everywhere, and looked very scary under the very dim light. "His hair is not much, most of it is white, all his clothes have been taken off, and there is not even a piece of fabric left for him. The content of the website is updated slowly. Please download the Xingwen Reading app to read the latest chapter content." I saw him There was a strange mark on his chest, blue and black, I can''t describe the specific appearance, the lighting at that time was really too dark. "I reached out and touched the imprint, nothing special." Looking at this former colleague, I wondered, if I go on like this until I get old, will I be like him..." I said to him, tomorrow I will I will accompany him to the crematorium, and personally take his ashes to the nearest free cemetery, so that those who are responsible for these things will not find it troublesome, just find a river and find a wasteland and throw it away. "This will sacrifice my morning sleep, But fortunately, it will be Sunday soon, so I can make up for it. "After saying that, I fixed the body bag and stuffed it into the cabinet again." The lights in the room seemed to be dimmer... "After that day, every time I sleep, I always dream of a big fog." I had a premonition that something would happen in the near future. I had a premonition that sooner or later something that could be called a human would come to me, but no one would believe me. It''s not normal, I need to see a doctor..." A male customer sitting in front of the bar looked at the narrator who stopped suddenly: "Then what? "The male guest was in his thirties, wearing a brown tweed jacket and light yellow trousers, his hair was pressed flat, and he had a simple dark bowler hat in his hand. Some people are the same, with black hair, light blue eyes, not good-looking, not ugly, and lack of obvious features. The narrator in his eyes is a young man of eighteen or nineteen years old, tall and straight, with slender limbs, and also has short black hair. Light blue eyes, but profound facial features, can make people''s eyes shine. The young man looked at the empty wine glass in front of him, sighed: "Then? Download the Xingwen Reading app to read the latest chapters. "Then I resigned and went back to the countryside, and came here to brag to you." As he spoke, a smile appeared on his face, with a narrow smile. The male guest froze for a moment: "Are you bragging what you just said?" "Haha." A burst of laughter erupted around the bar. The laughter stopped for a while, and a thin middle-aged man looked at the slightly embarrassed guest and said, "Outlander, you actually believe Lumian''s story, he tells different stories every day, yesterday he was still a The unlucky guy whose engagement was broken off by his fianc¨¦e because of poverty, has become a corpse keeper today!" "Yes, say thirty years on the east side of the Serenzo River, thirty years on the right side of the Serenzo River, I only know nonsense language!" Another tavern regular followed suit. They were all peasants from the large village of Kordu, and wore jackets of black, gray, or brown. The black-haired young man named Lumian supported the bar with his hands, stood up slowly, and said with a smile: "You know, this is not a story I made up, it''s all written by my sister, she likes writing stories the most, She''s a columnist for "Fiction Weekly." After finishing speaking, he turned sideways, spread his hands to the foreign guest, and said with a bright smile: "It seems that she writes really well. Xingwen Reading app "Sorry, let me you misunderstood. The ordinary-looking man in a brown tweed jacket didn''t get angry. He stood up and responded with a smile, "It''s an interesting story." "What''s the name?" "Isn''t it common sense to introduce yourself before asking others?" Lumian laughed. The guest from a foreign country nodded: "My name is Ryan Kos." These two are my companions Valentine and Liya. "The latter sentence refers to a man and a woman sitting next to him. The man in the Xingwen reading app is twenty-seven or eighteen years old. His yellow hair is covered with a little powder, and his eyes, which are not too big, are darker than the blue of the lake. He was wearing a white vest, a blue tweed jacket and black trousers, and he had obviously been well-dressed before going out. His expression was quite indifferent, and he didn''t look at the farmers and herdsmen around him very much. The woman looked younger than the two The man was younger, with long light gray hair tied into a complicated bun, and a white veil as a hat. Her eyes were the same color as her hair, and she looked at Lumian with an undisguised smile , seems to be only interested in what happened just now. Under the light of the gas wall lamp in the tavern, this woman named Liya showed a pretty nose and beautifully curved lips. She is definitely a beauty in a country like Kordu Village She was wearing a white non-pleated cashmere tight skirt, a beige small coat and a pair of Marcell boots. There were two small silver bells tied on the veil and the boots respectively. When she walked into the pub just now, she was jingling , is very eye-catching, making many men look straight. In their eyes, this must be a fashionable dress that can only be found in big cities such as the provincial capital Bigor and the capital Trier. Lumian said to the three A stranger nodded: "My name is Lumian Li, you can call me Lumian directly. ""plum? Liya blurted out. "What''s the matter? Is there something wrong with my last name?" Lumian asked curiously. Ryan Kos helped Liya explain: "Your surname is scary. I almost couldn''t control my voice just now." Seeing the puzzled faces of the surrounding farmers and herdsmen, he further explained: "Anyone who has been in contact with sailors and sea merchants knows that there is a saying spread on the five seas: "I would rather meet those pirate generals or even kings than Don''t run into a guy named Frank Lee." That one''s last name is also Lee. ¡¯ ¡®Is he terrible? Lumian asked. Ryan shook his head: "I don''t know, but since there is such a legend, it must not be bad." He broke off the subject and said to Lumian: "Thank you for the story, it''s worth a glass of wine, what do you want?" "A cup of ''Green Fairy''." Lumian was not polite at all, and sat down again. Ryan Kos frowned slightly and said: "''Green Fairy''... Absinthe? "I think I need to remind you that absinthe is harmful to the human body. This kind of wine may cause insanity and make you hallucinate." "I didn''t expect the trend of Trier to spread here." Liya next to her He added with a smile. Lumian said "Oh": "It turns out that Trier people also like to drink ''Green Fairy''..." For us, life is hard enough, there is no need to care about a little more harm, this wine can make our The spirit is more relaxed. ""All right. Ryan sat back in his seat and looked at the bartender, "A cup of ''Green Fairy'', and another cup of ''Spicy Heart'' for me." "Spicy heart mouth" is a famous fruit shochu. "Why don''t you give me a glass of ''Green Fairy'' too?" I was the one who told you the truth just now, and I can still tell the whole story about this kid! "The first skinny middle-aged man who exposed Lumian''s daily storytelling shouted dissatisfiedly, "Outsiders, I can see that you still have doubts about the truth of that story!" "Pierre, in order to drink a glass of wine for free, UU Reading You really can do anything!" Lumian responded loudly. Without waiting for Ryan to make a decision, Lumian added: "Why can''t I say it myself, so that I can have an extra glass of ''Green Fairy''?" "Because they don''t know whether to believe what you said. The middle-aged man named Pierre smiled triumphantly, "Your sister''s favorite story to tell the children is ''Wolf is Coming'', and those who always lie will lose their credibility." ""All right. Lumian shrugged his shoulders and watched the bartender push a glass of light green wine in front of him. Ryan looked at him and asked, "Is that okay?" ""No problem, as long as your wallet is enough to pay for the wine. Lumian didn''t care. "Then have another glass of ''Green Fairy''." Ryan nodded. Pierre immediately smiled: "Generous outsider, this kid is the favorite prankster in the village, you must stay away from him." "Five years ago, he was brought back to the village by his sister Aurora, and he never left again. You think, before that, he was only thirteen years old, how could he go to the hospital to be a corpse keeper? Well, it''s the closest to us. The hospital is in Darliege at the foot of the mountain, and it will take a whole afternoon." Star Wen Reading app "Take it back to the village?" Liya asked keenly. She turned her head slightly, making a tinkling sound. Pierre nodded: To read the latest chapters in the Xingwen Reading app, please download the Xingwen Reading app to read the latest chapters for free without ads. The content of the latest chapter has been read in the Xingwen app, and the website has not updated the content of the latest chapter. "Then, he took the surname ''Li'' from Aurora, and even the name ''Lumian'' was chosen by Aurora." "I forgot the original name." Lumian took a sip of absinthe, Said with a smile. It seemed that he was not at all inferior or ashamed of his past being exposed like this.

 Chapter 556： The 2 cancers that are most likely to be ignored before surgery

The content of this chapter is being updated...

 Chapter 557： Destruction is not equal to injury, a comfortable anesthesiologist

The content of this chapter is being updated...

 Chapter 558： Earning legal extra money, every family has a hard-to-read experience

The content of this chapter is being updated...

 Chapter 559： Jiang Weis troubles have not come for a few years, but her status remains the same

The content of this chapter is being updated...

 Chapter 560： Fudimo? win peoples hearts

The content of this chapter is being updated...

 Chapter 561： confession save action

The content of this chapter is being updated...

 Chapter 562： Believe me once, cold family affection

    As soon as the door was closed, it was Zhou Can''s turn to get nervous this time.


    He has suffered this kind of loss.


    That time was still in the hospital, talking about work with Director Xueyan in the office, but was misunderstood by Director Xueyan''s husband.


    You know, Director Xueyan is much older than Zhou Can.


    And still in the hospital office.


    Not only is it late at night, she is about the same age as Zhou Can, and she is still drunk, and what is even more terrifying is that she is at her home. It really made Zhou Can very nervous.


    "Sit down wherever you want, what do you want to drink?"


    She wasn''t completely drunk, just slightly drunk.


    "I''ll pour you a glass of boiling water to wake up the bar! Chat with you for a while, and then I''ll go back."


    Seeing her frivolous steps, Zhou Can was really worried that she would fall.


    He rushed to the kitchen and poured her a glass of water.


    Can see signs of lack of fire for cooking in the kitchen, but still immaculately cleaned.


    She usually eats at the hospital at work, and there is really no need to cook alone.


    It is estimated that only breakfast is cooked by myself.


    A transparent box covered half a pancake left over from the morning. Many young girls like to make pancakes by themselves in the morning. Pancakes made of eggs, ham sausage, corn, etc. are nutritious and hygienic. With a glass of milk, breakfast can provide good nutrition for the body.


    Poured her a glass of boiling water.


    The two sat down in the living room.


    Many older generations think that drinking strong tea can sober you up, but this is not true.


    The caffeine, tea polyphenols and other substances contained in strong tea can excite the nerves and have a refreshing effect, but they cannot hangover.


    Drinking strong tea after drinking will also increase the burden on the heart, making palpitation, dizziness and other conditions more serious.


    In addition, drinking strong tea after drinking will also increase the burden on the liver and kidneys. Alcohol needs to be decomposed and metabolized by the liver, and then excreted through the kidneys. Tea polyphenols, caffeine and other substances in strong tea also need to be decomposed and excreted by these two organs.


    Therefore, drinking strong tea after drinking will not only not relieve the hangover, but will increase the burden on the body.


    Many native methods of the older generation are actually very unscientific. For example, if a fishbone gets stuck and swallows food desperately, if the fishbone is big enough, it will be suicide. The fishbone can easily pierce the esophagus.


    There is also the need to cover during confinement. On a hot day, the mother is already weak. At this time, fans are not allowed, and a thick quilt must be covered, which can easily cause heat stroke. Some mothers even died of heat stroke directly because of this ignorant practice.


    There are many similar earth recipes, and I don''t know who came up with the method. Not in line with modern science at all.


    "Because it''s getting late, I''ll make a long story short and just talk about the matter. Someone spent half a million yuan to ask you to frame me. Since this matter has reached the last step, I don''t think you should give up halfway. You should insist on finishing it. Try to get that half a million."


    As soon as Zhou Can opened his mouth, more than half of her drunkenness was awakened.


    "No, it''s absolutely impossible. I''ve done those things, and I''m already sorry enough for you. I must not make the same mistakes again and again."


    She shook her head resolutely, never agreeing to Zhou Can''s proposal.


    "Jiang Wei, look into my eyes. I seriously suggest you do this."


    Zhou Can looked directly into her eyes.


    She slowly raised her eyes and looked at Zhou Can timidly.


    The two looked at each other, and she could see sincerity and kindness in Zhou Can''s eyes.


    "Although I don''t know why you borrowed so much usury for your brother, I know very well that the situation you are facing is on the edge of a cliff. I heard that you plan to sell the house, presumably to repay the usury. But in the face of high usury, even if you can successfully sell the house, after deducting your mortgage and high property taxes, can you pay off the usury with that little money? I¡¯m afraid it¡¯s not enough to pay the interest.¡±


    In order to save Su Qianqian, Zhou Can used to find a bank to mortgage his house for a loan. He knew that it would be extremely difficult to raise a large sum of money in a short period of time.


    As someone who has experienced it, coupled with her rich experience, Zhou Can can clearly understand her current situation.


    "Jiang Wei, trust me once?"


    Zhou Can looked at her sincerely.


    "From the moment you blocked the knife for me, I have already regarded you as a trustworthy person."


    She didn''t avoid it this time, and just looked at Zhou Can.


    A woman is most beautiful when she is half drunk.


    Her pretty face was flushed, her eyes were hazy with drunkenness, her long eyelashes fluttered slightly, and her eyes were like autumn water, extraordinarily moist.


    The term "drunken beauty" probably originated from reality.


    "Since you trust me, then do as I say, okay?"


    Zhou Can looked at her.


    "This is obviously hurting you. I can''t pass the hurdle of conscience."


    She still shook her head, but she could be seen biting her red lips tightly, with tears in her eyes.


    People''s hearts are made of flesh.


    In her words, her heart was cold at first, but it was warmed by Zhou Can.


    "Listen to me, you just do what I say, I have a way to protect myself. When the time comes, you can get the money, and the beneficiary behind the scenes will not be able to steal a piece of rice."


    The light of wisdom flashed in Zhou Can''s eyes.


    "It really won''t hurt you?"


    She was visibly agitated.


    Five hundred thousand, for her who owed a huge loan shark, this temptation was too great.


    "Having been with me for more than two months, do you see when I told a lie?"


    Zhou Can has always kept promises and kept his promises, so he was really full of confidence when he said these words at this time.


    People can''t stand without faith.


    It is difficult to keep one''s word, but by keeping one''s word, a person can gain a foothold in the society and be as stable as a mountain.


    At least at this moment, Zhou Can is a trustworthy person in her eyes, and even in the eyes of other colleagues in the department.


    "Tell me what I should do."


    She decided to listen to it first.


    "Simple, you continue to contact the benefactor behind the scenes. I guess the benefactor behind the scenes should be more anxious than anyone else now, because it is only one step away from ruining my career as a doctor. This is very beneficial to you. Fish Seeing the bait but not the hook, people seeing benefits but not harm, when the other party is most eager, your half a million is easier to get."


    Zhou Can looked very calm and analyzed what to do for her.


    "I can tell you clearly, don''t think that you can get the money by signing an agreement with the other party. I have already guessed who the beneficiary behind the scenes is, and there are countless doctors who have been cheated by them. You find a way to It is safest to get the money at this juncture. They need you to testify in court. At that time, you can sign a letter of commitment and agree to testify, but ask the other party to pay the full amount first."


    After listening to Zhou Can''s method, she asked very worriedly, "What will you do then?"


    "Don''t worry, I have my own solution."


    Zhou Can smiled confidently.


    "Okay, how to operate, the basic method has been told you. When you are waiting for the other party to come to you, you can take the opportunity to ask the other party to pay first. If you don''t pay the money first, you will resolutely not come forward as this witness. You deserve it in itself. After you get the money, you just need to perform the contract, don''t worry about me."


    Zhou Can never told her the other hole card.


    It''s not entirely distrust, but always adheres to the law that everything can be done with secrets, and words can''t be defeated.


    Don''t tell others before things happen.


    Otherwise, once a good thing is said, it will never happen, and a bad thing will spread thousands of miles.


    "Okay, I listen to you."


    Seeing that Zhou Can was very confident, she stopped doubting and nodded in agreement.


    "Even if you get the five hundred thousand, it''s still not enough for you to pay off the usury, right?"


    Zhou Can didn''t know how much she still owed.


    "At least part of it can be returned, and I''ll find a way to make up the rest."


    she said so.


    Selling the house should still be in her budget or something.


    If you want to sell the house in a short period of time, not only will the price suffer a lot, but it is also hard to say whether you can sell the house for cash.


    "You borrowed a total of 700,000 principal, right?"


    "right!"


    "How much did you pay back?"


    "Already paid almost 300,000 yuan. However, the interest on usury loans is very scary, and I still owe more than one million yuan."


    "Is there a loan contract?"


    "have!"


    "I''ll come forward to help you try to deal with this matter at that time. After you get the 500,000 yuan, don''t rush to pay it back. I will try my best to find someone to help you find a way to pay back the principal and normal interest, and fight for the rest. Exempt."


    Zhou Can was originally unwilling to wade into this muddy water.


    But now helping people can only help to the end, otherwise, even if she gets the half a million, she is still a bottomless pit.


    "Okay, I will listen to you."


    She was overjoyed to hear that Zhou Can had a way to help her get rid of some of the illegal interest.


    "Give me the loan contract, and tomorrow I''ll find someone to help you research first."


    "OK!"


    She walked into the inner room, and after searching for a while, she took out a contract bag.


    Zhou Can opened the bag and took a look. This kind of usury contract is full of pitfalls, which makes people angry.


    "After talking about this matter, let''s talk about your family affairs. We are just colleagues, and I shouldn''t meddle in your personal affairs. But I''m worried that if you clear your debts this time, you will still fall into it again next time." .Then there is no point in helping you this time.¡±


    Zhou Can speaks very directly.


    Poor people must have something to hate.


    She had a bright future in the first place, and she had her own reasons for coming to this point.


    Some girls are particularly soft-hearted, and have natural fear and respect for their parents since childhood, and dare not disobey their orders. Some parents are best at playing the family card and the bitter card, and they control their children to death.


    Originally, as a parent, a bowl of water should be balanced.


    All children should be treated equally.


    But many parents will instinctively favor their son or the more likable son. In fact, the more such a son is, the more he can''t afford to support him.


    Because they know that as long as they ask their parents, they can find a way to help him achieve his goals.


    There is no money for marriage, so ask your parents for it.


    I have no money to buy a house, so I still ask my parents for it.


    After getting married, I had no money to buy a car, so I still asked my parents for it.


    ¡­


    After this kind of thinking is formed, the son will be a ghost if he can stand up. You can get it by opening your mouth, why go to work?


    Often it is such sons who are the most selfish.


    To put it bluntly, the parents lost their use value and kicked out the door with one kick. He didn''t even let his parents live in his new house at all. Even if the money was given by the parents, some of it was even squeezed by the parents from the older sisters. But this son takes everything for granted, that he deserves it.


    "Hey! I''ve seen their true faces this time, and I probably won''t do such stupid things again..."


    As she spoke, she told about her family background.


    There are two children in her family, she is the elder sister, one year older than the younger brother.


    It can be seen that her parents really want a boy, otherwise they wouldn''t be so close.


    Under normal circumstances, after a woman gives birth to a child, it is best to wait for about three years if she wants to conceive a second child. Let the woman''s body recover, and then have another child.


    Her parents have been particularly partial to her younger brother since she was a child, and her patriarchal thinking is very serious.


    If there is something delicious, I will give it to my brother first.


    The same goes for buying clothes and shoes. She wears old clothes from other people''s homes, or cheap street stalls. Her brother wears the best clothes in the store.


    Later in school, her grades have been very good.


    To be able to become a PhD student abroad at such a young age, one can imagine that her talent must be good, and she must be particularly hardworking. Otherwise, most of the gifted prodigies will eventually decline due to laziness.


    When she was admitted to high school, her parents told her that she didn''t want her to go to college.


    Anyway, girls will marry sooner or later.


    Later, she was admitted to the best imperial university in China, and begged her parents to support her to finish university.


    Parents reluctantly provided part of the tuition, and let her figure out the rest. But her younger brother didn''t even pass the ordinary high school because of his naughtiness. Parents pay directly for their son to attend a 60,000-year private high school.


    Later, when I was admitted to university, I didn''t even pass three of them. My parents provided my younger brother with the Pheasant University.


    Jiang Wei knew that she was not as good as her younger brother since she was a child. In order to study more, she learned to work part-study, work in summer and winter vacations, and work hard to earn tuition fees by herself.


    ¡¿


    Later, when she got the opportunity to study abroad, the little money she earned from working part-time was not enough. She begged her parents on her knees, and only then did she get support of 130,000 yuan. It is also this money, and the parents have always used this matter to say how much they paid her.


    Even after she graduated, she returned the 130,000 yuan to her parents. Later, when her younger brother got married and bought a house, her parents still used this matter as a bitter card.


    She also said that her annual salary is at least more than 200,000 yuan, so it is no problem to borrow some money for her brother.


    This loan shark was operated by her younger brother and family members and borrowed in her name.


    In the face of family affection, UU reads www.uukanshu. com She finally chose to bear it silently.


    Until she found out that the loan was usury, with rolling interest and rolling interest, which was very scary. Not at all, so I panicked.


    When I called my parents and younger brother about this, they all spoke lightly.


    Said that her salary is high, let her find a way by herself.


    When Jiang Wei was most helpless, she asked her parents for help and asked her to borrow some money first, otherwise she would be threatened by the loan shark company. Parents remain unimpressed.


    Not to mention the younger brother, who scolded her for acting.


    Scold her for wanting to save the money for future men, scold her for being selfish.


    It was also like this that made her see her parents and younger brother clearly, and that the family relationship can be so ruthless. They don''t care about her life at all.


    After listening, Zhou Can sighed.


    It''s not easy for him to manage other people''s housework, so he can only let her wake up.

 Chapter 563： Put your kindness on edge, something went wrong

    From the perspective of Zhou Can, a bystander, her family is really not worthy of being called family, and the oppression of this daughter has reached an outrageous level.


    Knowing that she bought a house with a mortgage, she still borrowed 700,000 usury loans in her name, never thinking about what would happen to her?


    I just took it for granted that she has a doctorate and must be able to make a lot of money.


    It was equivalent to forcing her to take out the money to repay the usury.


    In fact, she was so miserable that she needed to sell her only house to repay the usury.


    How could it be possible to hide the deposit?


    "Okay, it''s time for me to go. Remember next time don''t go out alone to get drunk, how dangerous is a girl!"


    Zhou Can got up to say goodbye.


    "Boss, if next time my mother cries and begs me to lend money to my younger brother, and I soft-heartedly agree, will you be disappointed?"


    she asked.


    "You are an adult and have your own considerations and thinking. I will definitely not interfere with your family affairs. Also, I will not feel disappointed, but just feel sorry. You can actually treat this unequal deformity correctly. Love, let''s normalize my life. Do you have paper and pen?"


    Zhou Can asked her.


    "have!"


    She took out a pen and paper from her shoulder bag.


    "Give!"


    Pass it to Zhou Can.


    "Let me give you a word, which can help you correctly deal with the extreme oppression and demands of your parents and younger brothers. As long as you can do it, I dare say that not only will you not lose your family affection, but it will make them learn to respect you in the future. "


    After speaking, Zhou Can quickly wrote down a sentence on the paper.


    She narrowed her phoenix eyes slightly to check.


    Immediately read, "People can be kind, please let your kindness be a little bit sharper!"


    This is a sentence Zhou Can gave her.


    Can help her with housework.


    "I remember. Thank you for trying to help me."


    She stood up and sent Zhou Can off.


    Neither of them had any romantic thoughts about men and women, it was just a normal interaction between friends.


    It was also like this that made her more grateful to Zhou Can.


    If Zhou Can was greedy for her body, no matter how hard he tried to help her, it would be just a deal.


    "It is estimated that the money owner behind the scenes will be eager to ask you to testify in the next few days. You must hold your breath and remember what I told you. Collect the money first and then do things."


    Before Zhou Can left, he was still a little worried, so he reminded him again.


    "I got it!"


    She nodded heavily.


    When going out, Zhou Can told her not to see her off, and kindly helped her close the anti-theft door.


    This warm little detail is enough to make her trust Zhou Can even more.


    ¡­


    In the next few days, Zhou Can began to use his off-duty time to do cardiothoracic surgery desperately, solving difficult cases one after another. And for the first time, Director Xueyan asked the publicity department of the hospital to publicize it to the outside world.


    There is only one purpose, which is to severely hurt the nerves of the Third Hospital.


    The stronger the cardiothoracic surgery department at Tuya Hospital and the better their results, the more difficult it would be for the Third Hospital to sit still.


    "Xiao Zhou, the results of the postgraduate entrance examination are out, you can check your scores."


    This day went to work as usual. As soon as Zhou Can came out of the operating room, Director Lou told him to check the scores of the postgraduate entrance examination.


    Zhou Can has long been looking forward to improving his academic qualifications.


    After checking the scores with excitement, even he himself was stunned to get a good score of 427. According to his thinking, if he can score more than 350 points in the test, his ancestral grave will be smoked.


    With such a high score, it is basically stable.


    Even if he fails in the next retest, the hospital will find a way to help him adjust. As for the interview, that''s even less of a problem.


    "It seems that my strength has really improved a lot!"


    After he calmed down, he repositioned himself.


    In the past few years, he has been conscientiously studying theoretical knowledge and improving practical skills. A day or two may not see much effect, but if you persist in this way, after a few years, the accumulation will be considerable.


    There used to be a lot of short boards in knowledge.


    Now it''s all patched up.


    In addition, all the practical skills have been promoted to the level of chief physician, which in turn can help him better understand theoretical knowledge.


    Therefore, it is not surprising that he can get a high score of more than 400 in the test this time.


    After he reported the score to Director Lou, Director Lou seemed happier than him. After all, Zhou Can is now the pillar of the emergency department, and has long been cultivated as the face of the emergency department.


    The education is only a bachelor''s degree, and in this era of four idealism, after all, it is not so interesting.


    Don''t look at Tuya''s dean and vice dean, many of them have a bachelor''s degree. That''s because they are over fifty years old, and Zhou Can, a young man, can''t keep up with them.


    The young doctors currently recruited by the hospital are basically stuck in the postgraduate and master''s degree line.


    In the future, it is likely to be even more demanding.


    After all, there are a large number of people taking the postgraduate entrance examination every year, and there are very many people who have successfully landed. Twenty or thirty years ago, college students were very scarce. Look at now, just grab a handful on the street.


    Perhaps in another ten or twenty years, postgraduate masters will become as common as college students.


    If Zhou Can wants to achieve greater achievements, he must adapt to the rules of this society.


    He has no ability to change the whole social trend.


    Of course, the calls to break the four idealisms in the medical field are getting louder and louder. In the future, those who have no academic qualifications but are very capable may be given a fair chance to compete.


    It''s just a possibility.


    No matter how it develops in the future, it must be a great thing for Zhou Can to succeed in the postgraduate entrance examination this time.


    The next step is to wait patiently for the retest.


    A month later, it will come soon.


    At 4:11 in the afternoon, Zhou Can was performing endoscopic surgery on a patient with enditis in the operating room, but the cardiothoracic surgery department called.


    Ma Xiaolan is now a full-time itinerant nurse in Zhou Can''s team. If there is anything to do, she usually contacts her.


    Especially during the operation, Zhou Can did not carry his mobile phone with him at all.


    This is also for surgical safety.


    It wasn''t until Zhou Can finished the tail resection that Ma Xiaolan said to Zhou Can, "Boss, just now the cardiothoracic surgery department called and said that a patient who just had the operation is dying. Please come over for consultation."


    "Is it done by this hospital, or a patient transferred from another hospital?"


    Zhou Can''s heart suddenly popped.


    In the past few days, he has performed many challenging major surgeries. Could it be that some patient had an accident?


    First of all, he can be sure that there is no problem with his technology, and his experience is also no problem.


    But some procedures are inherently extremely risky.


    No matter who is replaced to perform this type of operation, problems are prone to occur.


    "I didn''t say the specifics, but from the anxious tone of the nurse, I can probably infer that the operation should be performed by this hospital."


    Ma Xiaolan replied.


    There are some things that everyone understands.


    The surgical patients transferred from other hospitals, because they are rotten patients themselves, are willing to accept them, which is already a great kindness. Something happened to the patient, and it had little to do with Tuya.


    Therefore, doctors and nurses will try their best to save the lives of patients, but they will not be as anxious as burning eyebrows.


    The surgery performed in this hospital is much different.


    If a patient dies or becomes disabled, the hospital must bear certain responsibilities.


    Because the operation consent form and the anesthesia risk notification form were signed, even if the patient dies after the operation, the hospital does not need to compensate, and there is no legal responsibility. But the assessment of medical staff will be reflected.


    This is related to the vital interests of doctors and nurses.


    Can''t help but they are not in a hurry.


    Zhou Can is not clear about the assessment mechanism of ordinary small hospitals. At least Tuya''s assessment mechanism is extremely strict. As far as he knows, there was once a neurosurgery doctor who performed very well.


    It is also well-known in the industry.


    Because the age is only forty-one years old, the future is boundless. Almost everyone favors him.


    However, this doctor had been unlucky for a while, and he didn''t know whether it was too aggressive or a violation of Tai Sui. Within one month, seven of the patients he operated on died.


    The quality control department first ordered the medical department to investigate.


    Later, the doctor''s surgical authority was directly suspended. The doctor had already been promoted to be the deputy director of the neurosurgery department, and then it was cancelled.


    The list of candidates to lead the team leader was also removed.


    The final results of the investigation have not been made public, and only the parties concerned and a few hospital leaders know the inside story.


    The promising surgeon was eventually forced to switch to scientific research and teaching, completely leaving the clinical position. While embarrassing and regrettable, it can also be seen that Tuya Hospital attaches great importance to medical safety.


    If it were a smaller hospital, even a provincial top three hospital like Tuya, surgeons of this level would generally receive a lot of preferential treatment.


    Including some small mistakes made during the operation, the hospital will wipe their **** for them.


    Even if a big mistake is made, the hospital will find a way to make the big and small things smaller.


    After all, it is not easy to train an excellent surgeon.


    Studying medicine requires talent, luck, money, time, and hard work. Because of this, the hospital will choose to shelter these outstanding doctors.


    If the patient in the cardiothoracic surgery department was operated by Zhou Can, if he died, it would definitely affect Zhou Can.


    Moreover, Director Xueyan would be implicated.


    Because all the fourth-level operations are basically done under her ''guidance'' under her name.


    ¡­


    After greeting Dr. Xu, he hurried to the cardiothoracic surgery department.


    "Brother Can, hurry up and go to the intensive care unit. Director Xue and others have told you to go there directly after you come."


    The nurses at the nurse''s station usually see Zhou Can as Dr. Zhou, and Brother Can yells very sweetly.


    And chat with him a little bit.


    This time, there was no extra nonsense.


    After the joint efforts of Zhou Can and Director Xueyan in Cardiothoracic Surgery, the cohesion of this department is now very good.


    Whether it is a doctor or a nurse in the department, they are proud to stay in this department, and they can always play a role in their work.


    When a patient has an accident, all the doctors and nurses, as long as they know about it, will work together to rescue them.


    Because everyone understands that every time a patient dies, it will have a great negative impact on the honor and rating of the department.


    Zhou Can walked quickly to the intensive care unit.


    In fact, it is a small ICU built by the cardiothoracic surgery department.


    At the beginning, when the Third Hospital poached people, they poached away two chief physicians and a head nurse from the small ICU of the cardiothoracic surgery department.


    Fortunately, Zhou Can has a good relationship with Director Liu of the Department of Intensive Care Medicine, and in desperation he had the cheek to call in the rescuers, which allowed the intensive care unit of the cardiothoracic surgery to operate smoothly.


    Sometimes it''s good to have more than one relationship.


    Zhou Can begged Director Liu twice for cardiothoracic surgery and the intensive care unit of the emergency department.


    Not only did Director Liu not find it troublesome, but he was very happy.


    Relationships are weird sometimes.


    He may think that Zhou Can thinks of him whenever he has difficulties, which is a kind of closeness.


    Some personal connections, if you don''t use them for a long time, if you don''t communicate with them, they will easily become unfamiliar. Some people say that favors have a shelf life, and there should be some truth to this saying.


    Zhou Can changed into a sterile suit and entered the ward in the intensive care unit after being disinfected according to strict procedures.


    I saw many doctors and nurses surrounding a bed directly.


    Looking at the situation, he knew that the patient in that bed must be undergoing emergency rescue.


    "Sister Yan, I''m sorry for being late. What''s the patient''s condition now?"


    Seeing the urgency of the situation, Zhou Can chose to simply greet Xueyan and get straight to the point.


    His gaze had already turned to the patient who was being rescued, and his heart sank suddenly.


    I''m really afraid of something.


    This patient was really operated on by him.


    The left lung was completely removed.


    Because the patient itself is relatively old, the lung cancer has spread to the entire left lung. Simply resecting part of the lung lobes, removing lymph, etc., cannot guarantee that cancer cells will not metastasize.


    In fact, the spread of cancer cells is very cunning and stealthy.


    A tumor that can be seen with the naked eye is already cancer. And those hidden cancer cells that cannot be seen by the naked eye and cannot be detected by advanced equipment are the most terrifying.


    Because you never know when it will quietly fission, replicate rapidly, and eventually become a new cancer tumor.


    In case of local metastasis, the best way is to resect it completely.


    If there are multiple metastases in the body, basically comfort the patient, what to eat, what to drink, where to go to play, and to have a look.


    Only some unscrupulous doctors would persuade patients with systemic metastases to continue treatment, and after all kinds of tossing, they would lose their money.


    "The patient is mainly suffering from breathing problems now The blood oxygen saturation is frighteningly low. I discussed with several directors just now and planned to give the patient extracorporeal lung membranes. However, the family members considered that the treatment cost was too expensive. No answer."


    Director Xueyan said worriedly.


    The start-up cost of the extracorporeal lung membrane is about 70,000 yuan, and the daily operating cost is 10,000 to 20,000 yuan, plus other medical expenses and treatment expenses, which are indeed beyond the reach of ordinary families.


    Although life is priceless, in actual treatment, almost the vast majority of patients choose to die because of lack of money.


    In the hospital, the cruelest reality is that there is no money.


    An ordinary person''s salary of 10,000 yuan a month is considered a high income. But in the hospital, the cost of treatment for half a day may not be enough. If it is a major operation, or requires the use of high-tech treatment equipment such as extracorporeal lung membranes, the cost is often extremely staggering.


    Some say the best investment is health.


    It is true that if your health is gone, it is useless to make more money.

 Chapter 564： Township, 1 false alarm

    Zhou Can carefully examined the patient, hoping to find a way to save the patient.


    To be honest, if there is a problem with the lungs, even the use of extracorporeal lung membranes may not be able to save it. ecmo is by no means a panacea, its use is only to temporarily replace cardiopulmonary work and help patients complete breathing and circulation.


    It cannot replace cardiorespiratory work for long periods of time.


    Not to mention the extracorporeal lung membrane, even if it''s just a simple ventilator, it can''t be too long. Otherwise, the patient''s body can easily form dependence and greatly increase the probability of infection.


    For patients with pneumonectomy on one side, the lung function will be reduced by 50% after surgery, and the respiratory and circulatory systems will be under tremendous pressure. It is equivalent to two people carrying a weight of two hundred catties together, and suddenly one person slips away, and the other person will be exhausted to death.


    Therefore, the mortality and complications of pneumonectomy on one side are very high.


    Removing part of the lung is relatively less risky.


    In addition, the quality of life of patients with pneumonectomy on one side will be greatly affected. I used to easily climb up to the third floor, but now I may be out of breath and exhausted after climbing half a floor.


    If the patient is younger, it may even be impossible to live a normal married life.


    When formulating the operation plan for this patient, Zhou Can thought carefully, and there was really no other way, so he chose to cut the patient''s left lung to save his life.


    The operation performed by the patient two days ago is the third day today.


    At present, the face and lips are cyanotic, including the abnormal cyanosis of the nails, which is an obvious manifestation of hypoxia.


    The patient had difficulty breathing, a large amount of pink frothy sputum, and a heart rate that was significantly higher than normal. Reached 150 times/min.


    The blood oxygen saturation has dropped to the bottom, and has already fallen below the minimum warning line.


    When the blood oxygen saturation is lower than 95%, there will generally be obvious symptoms of discomfort, and it will arouse the vigilance of doctors. The patient''s blood oxygen saturation has dropped below 80%, which is the result of various rescue measures.


    Zhou Can''s face sank like water, and several chief physicians in the intensive care unit all looked at him solemnly. Everyone is really hopeless, and can only place their hopes on him to see if he can think of a cure.


    "Sister Yan, let me borrow your stethoscope!"


    Zhou Can said to Director Xueyan.


    Percussion hammer and stethoscope should be commonly used equipment for cardiothoracic surgeons. Because these two things may be needed at any time.


    But here is aseptic management, and items from outside cannot be brought in easily.


    Director Xueyan''s stethoscope should be equipped in the intensive care unit.


    Although the patient looked scary as if he might die at any time every time he took a breath, Zhou Can was as steady as Mount Tai. Hold the stethoscope and listen to the patient''s lungs.


    "It is full of moist rales and vesicle sounds, combined with the patient''s current symptoms and signs, it must be pulmonary edema. It is still good on the first day after surgery, indicating that the deterioration of the patient''s lung condition occurred yesterday, and it may even be This morning. Show me the infusion and medication list."


    Zhou Can''s pharmacological syndrome differentiation has also been upgraded to the sixth level. When diagnosing and treating such critically ill patients, he has the ability to start from multiple aspects.


    Including pharmacology, pathology, symptoms and so on.


    In the past, it was difficult for him to intervene in matters related to doctor''s orders and medication, especially for some patients with complicated medication.


    It seems that the deputy chief physician and the chief physician are only half a level behind, but the level is very different.


    Especially the two core items of pharmacology and pathology, the difference is even more obvious.


    Before Zhou Can''s pharmacological syndrome differentiation was promoted, he was even inferior to nurse Jiang Wei in many areas of medication.


    Director Xueyan''s theoretical level has always been outstanding, and her pharmacological syndrome differentiation has long been at the sixth level. Even now, Zhou Can is slightly inferior to her.


    At most, Zhou Can now has the qualifications to ''discuss'' with her.


    It is equivalent to that everyone is at this level, she is just stronger.


    Although Xueyan, Deputy Director He and others had already checked the patient''s infusion and medication, Zhou Can still wanted to check again. Even if no problems are found, a clearer understanding of the patient''s medication status can be obtained.


    Which medicines are used how much and how effective they are after use, all of which can give Zhou Can a good feedback.


    After checking, his originally frowning brow relaxed a lot.


    "At present, the main rescue measures that have been implemented for patients are mainly face mask oxygen inhalation and intramuscular injection of sedative drugs."


    Maybe everyone dare not take medication rashly when the diagnostic opinions are not unified.


    "Zhou Can, looking at your expression, you have already found the cause of the patient''s pulmonary edema, right?"


    Director Xueyan has worked with him for a long time, and has a deep understanding of some of his behaviors and habits.


    Seeing Zhou Can''s brows relaxed, she felt a lot more relaxed.


    This is a trust built over a long period of cooperation.


    During Zhou Can''s rescue work, he only showed this expression when he felt that he had a high level of confidence.


    "It counts!"


    Zhou Can nodded.


    "Actually, after our discussion just now, we also thought that the patient might have pulmonary edema, but we didn''t dare to act rashly when we saw pink sputum and the pathological mechanism was unclear. The rescue measures were also conservative."


    Deputy Director He''s words were more or less intended to save face.


    After all, in the field of extra-thoracic surgery, he is considered a veteran of the department.


    For a long time after the death of Director Hu Kan, he always regarded himself as the boss in the field of chest surgery.


    It is undeniable that Deputy Director He''s strength is indeed good, and his experience is extremely rich.


    Pink sputum indicates hemorrhagic exudate or bleeding in the lungs.


    Except Director Xueyan, no one else really knew how the operation was performed. However, everyone is quite confident in Zhou Can''s surgical skills.


    "I performed the operation, and I am indeed more familiar with the patient''s condition. You and several directors called me over to deal with it, which is very prudent."


    Zhou Can praised the other party, and then continued.


    "Just now I saw that there was nothing wrong with the medication for the past three days. The patient''s sudden pulmonary edema should be related to his left pneumonectomy. To put it bluntly, this postoperative complication cannot be avoided. One side of the lung was completely removed. Finally, due to the reduction of pulmonary blood vessels, the hydrostatic pressure in the blood vessels will increase, and the permeability of capillaries will also increase, and a large amount of water will seep into the alveoli from the pulmonary capillaries, eventually causing acute pulmonary edema.¡±


    Zhou Can told the doctors and nurses present about his pathological analysis.


    When everyone is rescuing various critically ill patients, it is also a process of learning and progressing together.


    Everyone has different medical knowledge, clinical experience, clinical application of knowledge, and ideas. Listen to the opinions of others, you can learn from each other. It will serve as a good reference for the next time you encounter a similar case.


    Even better doctors can directly give different diagnosis and treatment opinions in this operation, and work together.


    Avoid missed diagnosis and misdiagnosis.


    Sometimes, when a patient in a department has a problem, more than a dozen doctors and nurses surround him. The family members didn''t understand and thought it was a fight.


    Actually not really.


    In the hospital, the doctors felt that there was danger, so a dozen doctors would not confront the family members together.


    Unless the family members are already committing crimes and beating others, the doctor will stand shoulder to shoulder in order to protect the female doctor and nurse to prevent the family members from continuing to commit violence.


    When rescuing critically ill patients, there is a large group of doctors and nurses at once. On the one hand, they attach importance to the lives of patients.


    On the other hand, it also wants to gather the wisdom and strength of the group to save lives together.


    This can also ensure a higher rescue success rate.


    "Then what are you going to do now?"


    Director Xueyan thought of almost using an extracorporeal lung membrane to save the patient''s life, and couldn''t help but feel a slight fever on her face.


    If you are in a hurry, you will be chaotic.


    Chaos is unknown.


    Not long ago, she was really frightened when she saw that the patient''s condition suddenly deteriorated and he looked like he might die soon.


    The other chief physicians were also anxious.


    If it is not effective for ordinary patients to wear an oxygen mask, you can also consider using a ventilator. This patient''s situation is very special, and everyone agrees that the upper lung membrane is the safest.


    At least that''s how it was then.


    Even now, if Zhou Can is not very calm to analyze the patient''s condition and tell them that there is no abnormal bleeding in the patient''s lungs and heart. It''s just acute pulmonary edema, they might still be as nervous and anxious as before.


    All the doctors present have rich experience in first aid.


    They are very aware of how fragile a patient''s life is.


    Sometimes, what was fine one second, will be gone in the next second.


    "I think the patient''s heart rate is still a little too fast. I will give 10mg morphine intramuscular injection for sedation, and then treat with cardiotonic and diuretic drugs to control acute pulmonary edema. In addition, the input of crystalloid fluid must be reduced, which is also related to the patient. There is an association with sudden acute pulmonary edema."


    When Zhou Can said this, he looked at the head nurse.


    The doctor''s order is issued by the doctor, and the nurse has the responsibility and obligation to review the medicine when taking the medicine.


    If during the nursing process, you can be more careful about this patient, and if you find something is wrong, report it to the attending doctor immediately, and you should not suffer from sudden acute pulmonary edema.


    Of course, blaming the nurse is definitely not to blame.


    It was impossible for Zhou Can to say such words directly.


    "Okay, in the next nursing care, I will pay special attention to this patient."


    She is not stupid if she can be the head nurse.


    Immediately understand the meaning of Zhou Can''s words.


    "I can only trouble Teacher Chang! When the patient''s condition improves, I will treat the sisters in the nurse''s station to drink milk tea."


    Zhou Can was very satisfied with the head nurse''s statement.


    What is needed is a correct attitude.


    There are only two head nurses in the intensive care unit, and one of them has spoken, which is guaranteed.


    "Director He, there is one more thing to pay attention to. This patient must be extra vigilant when turning over. After pneumonectomy on one side, it is very easy for the mediastinum to gradually shift sideways. Especially this patient is currently suffering from severe pulmonary edema and is more likely to occur."


    Zhou Can then explained to the chief physician of the intensive care unit.


    Director He was newly promoted after the two chief physicians in the intensive care unit switched jobs. His professional title is Deputy Chief Physician, and he is currently the head of the cardiothoracic surgery intensive care unit.


    The work is still serious and responsible, but there is a gap between the level of the two directors who were poached.


    Now the two job-hopping chief physicians have returned, but the position of the head of the intensive care unit no longer belongs to them.


    As an adult, there must be a price to pay for doing something wrong.


    After pneumonectomy on one side, the lateral position is particular.


    It can be understood in this way that originally the two lungs just filled the lungs in the thoracic cavity. When the lung on the other side is cut away, a space is left.


    At this time, the lung on the other side is squeezed in the middle, which will cause the mediastinum to shift.


    Don''t take it lightly.


    When the mediastinal displacement is severe, it will cause the surrounding structures to compress the uninjured bronchi.


    If the patient is young, in his 20s or 30s, because the bronchial wall is soft, stenosis and deformation will appear after compression. At this time, dyspnea after airway obstruction will appear.


    Experienced doctors often refer to this phenomenon as post-pneumonectomy syndrome.


    There is also a particularly interesting phenomenon that this syndrome mostly occurs in right pneumonectomy.


    When this happens, it is equivalent to curing one disease for the patient and creating a new one.


    At this time, because the patient has difficulty breathing, the ideal solution is to place a stent in the compressed and deformed bronchi.


    Regardless of the age of this patient, the bronchial wall is much harder than that of young people. At the same time, the entire left lung was removed, not the right. However, there is still a chance of postoperative syndrome.


    Especially acute pulmonary edema will lead to a sharp increase in the volume and weight of the remaining right lung. At this time, if the clinical care is not careful, it will lead to the patient''s second disease again.


    According to the treatment method given by Zhou Can, after a series of rescue medication, the patient''s condition gradually improved.


    Everyone breathed a sigh of relief.


    At this time, the atmosphere in the intensive care unit became significantly more relaxed.


    No matter whether it is a doctor or a nurse, it is a kind of relief and happiness not to have such a terrible patient. Especially on duty at night, nurses are not only afraid that there will be a lot of patients coming to see the doctor, but also afraid that the patients who have already been admitted will have problems.


    The bowl of food for doctors and nurses is actually quite unpalatable.


    It is hard work, dangerous, and the key is tiring.


    "It seems that the decision to invite Dr. Zhou over for a consultation is the right one. He knows the patient''s condition best when he performs the operation on the patient. I was always worried that the patient had a pulmonary embolism just now!"


    Director He smiled easily.


    "Old He, not to mention you, even I am more inclined to pulmonary embolism. If the family members did not agree, I would definitely agree to use ecmo for the patient. Fortunately, it was just a false alarm."


    After hearing this, the others all smiled.


    Seeing a critically ill and dying patient being brought back, everyone feels a sense of accomplishment and will be very happy.


    "Zhou Can, are you still doing the two major surgeries tonight?"


    Director Xueyan is more concerned about this matter.


    The crisis is over, and there is still a new job waiting for her.


    If a department wants to remain strong, it must insist on gnawing hard bones every day.


    So far, Zhou Can is still the sharpest scalpel in cardiothoracic surgery, bar none.


    In terms of surgical prowess, Zhou Can is indeed well-deserved.


    Steady knife, fast knifeHe can use it.


    With the fusion of the two, he can also be handy.


    Then whether it is maintenance, hemostasis, ligation, dissection... he can do almost everything.


    It is almost difficult to find a doctor with such comprehensive surgical skills.


    The former director Hu Kan far surpassed Zhou Can in terms of stability. However, in other fields, it is basically at the level of the director, and even some surgical skills are still only at the level of the deputy director until death.


    ¡¿


    "Do, of course! I''ll be on time for my appointment after get off work."


    Zhou Can looked high-spirited.


    It made everyone smile again.


    Now is the critical moment of the secret rivalry with the Third Hospital, and Zhou Can is desperately trying to put pressure there. The more difficult operations he performed and the better his reputation, the greater the pressure on the Third Hospital.

 Chapter 565： Go straight away, turn over

    The cardiothoracic surgery side is fine for the time being, so he went back to the emergency department to continue the operation without mentioning it.


    At around 6:30 in the evening, Zhou Can and members of the surgical team came out of the operating room one after another.


    "Doctor Zhou, can I take a step to speak?"


    A rather rich middle-aged man saw Zhou Can coming out, and immediately got up and walked towards him.


    This person is none other than Zhang Mingxing, the vice president of the Third Hospital.


    "Dean Zhang has something to say directly."


    Zhou Can thought to himself, it seems that the capacity of the Third Hospital is more fragile than imagined.


    It was because Tuya Hospital couldn''t stand it anymore, so they took the initiative to look for him again.


    They must be able to find out through the eyeliner that Tuya''s cardiothoracic surgery is actually Zhou Can who is constantly solving difficult cases. As long as Zhou Can is taken down, Tuya''s cardiothoracic surgery will be nothing to worry about.


    At least the decision-makers of the Third Hospital think so.


    "I''m afraid it''s inconvenient to say it here! I''m fine, I''m mainly afraid of having a bad influence on you."


    Zhang Mingxing looked like he was thinking of him.


    Zhou Can wouldn''t follow him.


    "It''s okay, I''m just a little doctor, there are no taboos. Dean Zhang just say it."


    "Then... okay! I''ll just say it straight, do you think about what I talked to you last time? I''m a person, Aicai. I really can''t bear to have such a good seedling like you ruined."


    The thing Zhang Mingxing mentioned should be the last time he proposed to spend five million to dig Zhou Can in the car.


    "There is no need to consider this matter, I will not agree. If there is nothing else, please go back, Dean Zhang, I should go to dinner."


    Without even thinking about it, Zhou Can refused directly.


    Hearing Vice President Zhang''s determined tone, the corners of Zhou Can''s mouth curled up.


    It''s hard to say who will eat it!


    He thought he had caught Zhou Can''s handle, but he didn''t know that Zhou Can was already prepared. It is not yet known how the Third Hospital plans to launch an attack, but the only place that can attack Zhou Can is the leapfrog operation.


    Not a big deal.


    Not to mention that Jiang Wei, the spy, has been taken down by him now, and he confessed everything to him.


    Even if Jiang Wei''s true identity has never been discovered, he is still not afraid of the trick of the Third Hospital.


    Any level 3 or 4 surgery performed in the hospital will be "guided" by Dr. Xu or other chief physicians. Procedural aspects stand up to scrutiny.


    Besides, he is now one of the most outstanding doctors among many quasi-famous doctors in Tuya Hospital, and the hospital is absolutely reluctant to let him be plotted by external forces, thus ruining his future. The middle and senior management of Tuya Hospital has a strong force of justice.


    It is also this force that has been guarding the medical ethics of Tuya Hospital.


    We spare no effort to tolerate and protect the doctors in our hospital.


    When Dr. Xu had an accident that year, the whole hospital did its best to save him. Otherwise, not to mention continuing to practice medicine, he may even go to jail.


    One must know that the family of the patient who was maimed by him was extremely powerful.


    Even after many years, Dr. Xu still trembles every time he mentions it.


    Zhou Can originally thought that after the surgical skills such as anastomosis and suture were promoted to the sixth level, he would be able to help Dr. Xu cure the patient. Now it has become a little out of reach.


    The reason is that his surgical skills have not reached the peak as imagined.


    The patient''s body is precious, and he will not be easily allowed to try it.


    Let him operate on the patient now, maybe there will be some hope, but it is only a little hope. Far from being sure.


    It is estimated that when his key surgical skills are promoted to the seventh level, it will be stable.


    Right now, he is working hard to improve his academic qualifications, professional titles, and popularity.


    These are all preparations for being able to get in touch with that patient and gain the trust of the family members.


    Zhang Mingxing did not expect Zhou Can''s answer to be so decisive.


    His face became a little ugly.


    "Dr. Zhou is a rare young genius. He may have quite high attainments in medical skills, but he still needs to study hard when it comes to being a person and doing things! I suggest you think carefully again, or you will definitely regret it when the time comes." .¡±


    Every time Zhang Mingxing came into contact with him, he was always kind.


    This time it was rare to threaten him with words.


    It''s also a little bit annoyed.


    Because Zhou Can has always been soft and hard, and just refused to give in.


    "I don''t know if I will regret it in the future. If Dean Zhang doesn''t leave now, I''m afraid I will regret it soon."


    Zhou Can smiled indifferently.


    "you¡­"


    Zhang Mingxing was speechless with anger.


    I was about to say something more, but I saw a few security guards with stern faces walking over quickly.


    The leading security captain ran over quickly.


    They rushed over in such a hurry that Zhou Can couldn''t help but laugh.


    It is likely that the leaders of the hospital got the news and were afraid that Zhou Can, a good seed, would be poached by the Third Hospital, so they hurriedly ordered the security department to come over and chase him away.


    Hospitals are public places, and theoretically, anyone can enter.


    But if they enter the hospital to make trouble or disturb the medical order, the security guards have the right to "invite" people out.


    "What are you doing? Why are you pestering the doctors in our hospital here? Walk around and talk to us in the office."


    The security captain got instructions from the hospital leader and was very rude to Zhang Mingxing.


    "I''m here to see your doctor Zhou, can''t you? The hospital is a public place. I can come whenever I want. Can you manage it?"


    Zhang Mingxing is a little angry today.


    He asked several security guards repeatedly.


    It was the security captain who greeted him, and several security guards rushed forward like wolves and grabbed him.


    "Security, security, the safety of one side is guaranteed. We wear this suit, and we can control you in the hospital. Take it away."


    The security captain looked disdainful.


    Zhang Xingxing was supported by two strong security guards, and another person behind him kept pushing and shoving.


    This is really a scholar who meets a soldier, and the reason is hard to explain.


    The security guard ate this bowl of strength rice, but he didn''t know how to reason with him.


    "Let go of me, let go of me! I''m going to sue you!"


    "Although it''s fine to complain, brothers are not afraid."


    The security captain sneered, not afraid of complaints from the other party.


    Originally, he acted according to the order of the leader of the hospital. If he complained to the medical department, nothing would happen.


    "You, you guys... are dressed in uniforms and have the lowest security position. Do you really think of yourself as a policeman? You have no right to arrest me, let me go, otherwise I will call the police."


    The deputy director of the dignified No. 3 Hospital was being driven like a prisoner by several security guards, under the watchful eyes of everyone. Where does this put his face?


    Zhang Mingxing kept yelling and threatening all the way.


    In exchange for more rough treatment.


    No one hit him, but the strength of twisting his arm secretly increased a little, and Zhang Mingxing screamed in pain.


    Zhou Can watched Zhang Mingxing being taken away, but shook his head helplessly.


    It is also time for someone to treat the third hospital.


    With so many doctors and nurses who quit their jobs, this hospital is the worst one Zhou Can has ever seen.


    When poaching people in other hospitals, they are all polite, and they will do their best to fulfill the agreed conditions.


    After all, everyone is a win-win relationship.


    The third hospital is not so good, it writes a bunch of bad checks, and can''t even pay the basic salary. What''s even more hateful is to trick these job-hoppers into signing the Overlord contract.


    Count job hoppers everywhere.


    It is simply the nightmare of all job hoppers.


    Zhou Can walked towards Su Qianqian who was waiting for him with a thermos bucket not far away.


    "Honey, are you all right?"


    "I''m fine, that person doesn''t know."


    Zhou Can shrugged and took the thermos from her hand. After opening it, it was full of his favorite delicious dishes.


    "You made so many delicious food for me again! Thank you, lady!"


    He couldn''t wait to eat it.


    I''ve been busy all afternoon, basically doing physical work, and I''m already hungry.


    "Hehe, if you want to grab a man''s heart, you must first grab his stomach. If you like to eat my cooking, then you won''t change your mind."


    ¡¿


    She smiled very happily.


    Seeing Zhou Can love her food so much, she felt a sense of accomplishment.


    "Even if you can''t hold my stomach, I won''t change my mind. Of course, now that my stomach is satisfied, my sense of happiness is stronger."


    "Eat slowly, and no one will grab you! Eating too fast is bad for your health, don''t you know?"


    Su Qianqian''s beautiful eyes were all about him.


    This kind of love is definitely the kind carved into the bone.


    Since falling in love with Zhou Can, the two have experienced many things. The relationship between the two is also unforgettable.


    ¡­


    The next morning, Zhou Can received a message from Jiang Wei.


    "The money has already been received, please be ready."


    I didn''t expect that the behind-the-scenes benefactor would pay the money so soon.


    Five hundred thousand is definitely not a small sum.


    It seems that Zhou Can''s guess is correct, the third hospital must be behind the scenes.


    Zhang Mingxing came to Tuya Hospital yesterday to give Zhou Can an ultimatum, but was severely punished by the hospital security.


    It is estimated that the anger is not light.


    It is very likely that an agreement was reached with Jiang Wei overnight, and Zhou Can was ready to be defeated.


    "receive!"


    Zhou Can replied two words.


    Sometimes, doing things is really wrong. Zhang Mingxing was accidentally stimulated yesterday, and immediately forced the Third Hospital to speed up the process and directly reached an agreement with Jiang Wei.


    And paid in advance.


    It''s not easy.


    You know, the Third Hospital has always been an old man.


    As early as a few months ago, the capital chain began to break, and it has been struggling until now. It is really not an easy task to take out 500,000 yuan.


    Leaving the operating room at noon, Zhou Can received a court summons.


    He was sued by his family.


    This family member is none other than the family member of the patient who was rescued at the No. 1 Hospital that night.


    The story of the farmer and the snake was actually staged.


    There are many reasons for prosecuting him, one of which involves leapfrog surgery.


    Vice President Zhang was rejected yesterday, and today he received a court summons. The revenge came really fast.


    "This family member is really a jackal. They obviously did not sue the No. 1 Hospital for the operation performed in the No. 1 Hospital, but they sued me."


    If Zhou Can hadn''t been prepared for a long time, he still doesn''t know what will happen.


    A long time ago, Dr. Xu had warned him that it was risky to visit the doctor.


    If you are not short of money, try to make as few outpatient visits as possible and take less private work.


    After receiving the subpoena, Zhou Can didn''t panic, and directly contacted his company''s legal affairs, and let them handle it.


    At the same time, he personally called Zhong Ming and asked him to have dinner in the evening.


    In the hotel box at night, there were only Zhou Can and Zhong Ming. Zhou Can talked about the fact that he was sued by his family to the court, and then he wanted to ask Zhong Ming to stand up and help him.


    Zhong Ming agreed without even thinking about it.


    Not to mention that Zhou Can gave him an extra 1,000 yuan from his outpatient fee on the second day after he came back from the clinic. Even if he didn''t give this money, Zhong Ming was willing to help Zhou Can.


    ¡­


    In court, Zhou Can asked the hospital for leave to appear in court.


    Because it was a private matter, he didn''t feel embarrassed to ask the hospital for help.


    Instead, choose to figure it out on your own.


    In the plaintiff''s seat, the patient has almost recovered.


    After nearly a month of growth, the esophageal fistula has basically healed.


    In the auditorium below, the two directors of the Third Hospital were all present in person. The two were really murderous and vowed to destroy Zhou Can today.


    The presentations of both parties began quickly.


    The reason for the lawsuit brought forward by the patient and his family is that after the first operation, the esophageal fistula could have been healed faster. As a result, the First Hospital sought out famous doctors from other hospitals to help solve the problem.


    Ask Zhou Can to do the second surgery.


    As a result, Zhou Can concealed the fact that he was only a resident doctor, performed a jejunostomy on the patient in violation of regulations, and even proposed a conservative treatment plan for esophageal fistula, which caused great economic losses and physical harm to the patient.


    The No. 1 Hospital and the family members have already agreed on the caliber.


    When it was said that Zhou Can was looking for surgery, Zhou Can claimed to be qualified. In order to earn high medical fees, he deliberately deceived and concealed the truth.


    At the same time, let Jiang Wei, the middleman, testify.


    As Zhongzhou Can''s surgical nurse, Jiang Wei is a third-party witness, and her words have strong credibility.


    When it was her turn to testify in court, she looked at Zhou Can.


    Obviously, she was still a little worried.


    Zhou Can nodded slightly to her, signaling her to testify to the plaintiff.


    When she testified, she was very cautious in every word she said, trying to minimize the attack on Zhou Can. Including the conversation she secretly recorded with Qiao Yu, which has never been released.


    "Jiang Wei, as the surgical nurse next to the defendant, are you sure that the defendant really violated the rules by leapfrogging surgery?"


    "I''m sure! That night, I worked as an equipment nurse for Dr. Zhou Can, and Dr. Zhou Can brought a colleague from Tuya Hospital as an assistant. I saw with my own eyes that Dr. Zhou Can perform surgery on patients throughout the entire process."


    she replied firmly.


    "Okay! Thank you for your cooperation."


    At this point, Zhou Can has basically been charged with leapfrog surgery and left.


    "Defendant, do you have any objection to the above statement?"


    "no disagreement."


    Zhou Can shook his head to express his approval of what Jiang Wei said.


    The two Dean Zhang sitting in the auditorium both showed happy smiles.


    This kid surnamed Zhou had a big somersault today and didn''t run away.


    "Your Honor, I have something to say."


    At this critical moment, Zhou Can spoke again unhurriedly.


    "Speaking!"


    "Just now, my equipment nurse Jiang Wei mentioned that during the operation, I brought a colleague from Tuya Hospital to participate in the operation. I would like to ask him to testify in court as well. Do you think it is okay?"


    Zhou Can asked politely.


    You must be polite to the judge and jury in court, otherwise you will suffer a lot in sentencing and other aspects.


    People have a lot of freedom to judgeFor example, according to the law, a certain criminal offense can be sentenced to one to three years in prison.


    There is a lot of room for manipulation here.


    Even including the death penalty, as long as some favorable trial conditions are created, it is still possible to impose a suspended death sentence.


    "Consent to the defendant to call another witness to testify in court."


    The judge agreed.


    The two Dean Zhang sitting in the auditorium couldn''t help feeling flustered. Because Zhou Can has been very calm from the beginning to the end, and now he suddenly invites another witness to appear in court, I am afraid that something will happen.


    Zhong Ming walked into the court from behind and stood on the witness stand.


    "It''s him!"


    After Zhang Mingxing saw Zhong Ming''s face clearly, his expression changed drastically.


    When digging Zhongming back then, Zhang Mingxing put in a lot of effort, and naturally recognized it at a glance.

 Chapter 566： Paralyzed by gas, the team is a small family

    "Hello, Your Honor! Hello friends from the media! Today I am honored to appear in court to testify for Dr. Zhou Can. Thank you, Your Honor, for giving me this opportunity, and thank you for Dr. Zhou''s trust. I can guarantee that everything I say next is true Yes, willing to bear legal responsibility."


    Zhong Ming usually kept silent, but he didn''t expect to go to court, he had a small mouth, and he was quite good at speaking.


    After Jiang Wei testified, she went to the court.


    Seeing Zhong Ming come out at this time, she seemed to have realized something, and the worry on her face obviously faded a lot.


    Zhong Ming glanced indifferently at the two dean Zhang in the court.


    When enemies meet, they are extremely jealous.


    "First of all, I have to clarify one thing in public. Dr. Zhou came to me that afternoon and said that a patient who had undergone esophageal repair surgery in the First Hospital developed an esophageal fistula on the third day after the operation. Now it is very troublesome. He wants to invite a doctor from another hospital. Help solve it. To be honest, almost no doctor is willing to take over this kind of patient with postoperative problems, because the risk is extremely high. If the previous doctor had a problem after the operation, it will only be more difficult for other doctors to deal with it.¡±


    The judge and jurors nodded repeatedly.


    Indeed, patients undergoing secondary surgery are hot potatoes.


    Everyone has the idea of ??seeking advantages and avoiding disadvantages, and no doctor is willing to cause trouble.


    "Doctor Zhou told me that the No. 1 Hospital is no longer able to handle the patient well, and it is basically impossible to transfer it to other hospitals. It happens that Song Qian, the deputy chief of the medical department of No. 1 Hospital, and Dr. Zhou''s surgical nurse Jiang Wei are classmates. Listen It is said that Dr. Zhou¡¯s surgical ability is very strong, and he is good at handling difficult cases, so he found Zhou Can through Jiang Wei, and wanted to ask him to help out. At first, Dr. Zhou didn¡¯t want to go, because his own work was already busy and tiring. Later, I couldn''t help Jiang Wei''s repeated requests, considering that if I don''t help to deal with it, no one will take over the patient."


    "In the heart of a doctor''s parents, he came to me and asked me for help. Because Dr. Zhou''s surgical ability is very strong, but his rank is very low. Out of responsibility for the patient and in order to strictly abide by the laws and regulations, he wanted to hire a qualified doctor. The deputy chief physician guided him to complete the operation."


    Zhong Ming unhurriedly explained the ins and outs of the whole matter clearly.


    Many people present were moved when they heard it.


    At this moment, the family members and patients sitting in the plaintiff''s seat couldn''t sit still.


    No matter how shameless they are, under this invisible moral stick, they feel extremely ashamed in the eyes of everyone.


    "I can prove that what Dr. Zhong Ming said is basically true. It was indeed when I begged Dr. Zhou for help that he agreed. And he did not do this operation for money. As far as I know, his family is rich and there is no shortage of money. .¡±


    Jiang Wei tried her best to help Zhou Can speak.


    The 500,000 yuan has been obtained, and she also appeared in court to testify according to the agreement.


    It''s totally fine to help Zhou Can say something fair without any trace.


    "Witness Jiang Wei, I didn''t ask you anything, please don''t interrupt me."


    The plaintiff''s lawyer saw that the momentum was wrong, and his heart was half cold.


    Hurry up and stop Jiang Wei from making comments that are beneficial to Zhou Can.


    "Witness Zhong Ming, according to your statement, can I understand this: after Dr. Zhou Can took over the operation, he actually invited you to preside over the operation, including the formulation of the operation plan, treatment, diagnosis, etc. of the patient. You are the master, he completed the second operation for the patient under your guidance?"


    Zhou Can''s lawyer seized the opportunity to ask questions.


    Expand the results of the battle and guide the thinking direction of judges and jurors.


    "That''s right. After Dr. Zhou took over the private work, he sent me the patient''s information as soon as possible. He performed the operation safely for the patient under my guidance throughout the whole process. However, when discussing the patient''s condition and drafting the operation plan, , Dr. Zhou actively participated in the consultation and gave very valuable suggestions. I must admit that although I am a senior deputy chief physician, Dr. Zhou''s diagnostic thinking, surgical thinking, and flexible use of medical knowledge, He is much better than me. In terms of talent, I must admit that he is far better than me."


    Zhong Ming took the opportunity to spread a wave of publicity to Zhou Can.


    Hearing this, black lines appeared on the faces of the two deans Zhang.


    The plaintiff''s lawyer even interrupted, "Protest! Please witness Zhong Ming not to state things that have nothing to do with this case."


    "Your Honor, I think the things Zhong Ming stated have something to do with the circumstances of the case, so that everyone can better understand Dr. Zhou Can''s behavior during the operation."


    Zhou Can''s lawyer is not a vegetarian.


    "Witness Zhong Ming''s statement is valid, please continue to make the statement."


    The judge presided over justice with a dignified face.


    The plaintiff''s lawyer, like a defeated rooster, stopped talking.


    "Hi, patients and family members. In fact, if you are not satisfied with the results of the operation, you should not sue Dr. Zhou Can, but you should sue the First Hospital and me. Because I presided over the operation, and as a medical assistant, I have been I am guiding Dr. Zhou to complete the entire operation. According to relevant regulations, I am the first responsible doctor."


    Zhong Ming turned to look at the family members and patients.


    Take all responsibility directly on yourself.


    He didn''t know that such a small move made Zhou Can regard him as one of the most trustworthy people.


    In the future, we will definitely help him regain his status in Tuya Hospital.


    Zhou Can is also fully capable of this.


    "Families and patients, I will testify in court today, and there is one more thing I want to tell you. The original plan for this operation was to repair the esophageal fistula. That is, to suture the fistula after debridement. In this way, It is simple and trouble-free, which is the most beneficial for the surgeon. However, out of consideration for your future quality of life, Dr. Zhou Can strongly recommends a more complicated, more difficult and laborious operation plan, which is the jejunostomy used on you later. Nutrition was given through the jejunal fistula."


    "Because if the esophageal fistula is directly repaired according to the original operation plan, it is hard to say whether it will be successful. Even if the repair is successful, the area where the esophageal fistula is located will become extremely narrow. In the future, even if you drink saliva, you will find it difficult to swallow. More It¡¯s because I can¡¯t eat normally, and I can only eat liquid food for the rest of my life, and I can¡¯t eat too much at a time, I have to drink it in small sips like a baby.¡±


    "So, whether it''s to encourage our doctors to devote themselves to the good medical ethics of patients, or to maintain fairness and justice, morality and conscience in this world, I suggest that you withdraw the lawsuit. Dr. Zhou and I have tried every means to cure your illness. It''s fine if you don''t appreciate it, and you even sued Dr. Zhou directly. I think if you have a conscience, it will definitely hurt."


    Zhong Ming''s words made the court fall into silence.


    The reporters kept taking pictures of him.


    There is no doubt that he spoke up for Zhou Can and stepped into a highlight moment in his life.


    "Protest, I protest! Witness Zhong Ming is deliberately guiding public opinion and creating mental pressure on the plaintiff. It should be stopped immediately and should not be admitted."


    The plaintiff''s lawyer broke the silence and shouted there.


    Like a cornered beast.


    "Honorable Judge, all jurors and witnesses preaching good medical ethics, the purpose is to maintain public order and good customs, and there is nothing wrong with it. I think it should be accepted. The purpose of the court is to maintain the justice and legal principles in the world, and guide the world to abandon evil and promote good. , if the plaintiff can find out with conscience and take the initiative to withdraw the lawsuit, it will be a beautiful thing.¡±


    Zhou Can''s lawyer has already shown a smile of victory.


    To fight a lawsuit, the legal team of the entertainment company has to be the strongest.


    "The following announces a temporary adjournment, and this judge will organize mediation between the two parties."


    This kind of mediation in court trials is quite common.


    Although the final result has not yet come out, it is already foreseeable that the plaintiff''s insistence on suing is of little significance.


    You have to bear the notoriety of repaying kindness with revenge.


    Therefore, the plaintiff has basically lost.


    After the adjournment, Zhang Qilian, the principal of the Third Hospital, looked so gloomy that he could drip water.


    Without further ado, get up and leave.


    After taking two steps, he staggered and almost fell to the ground.


    Zhang Mingxing has sharp eyesight and quick hands, so he quickly supports him.


    "Dean, would you like to sit and rest for a while before leaving?"


    He could feel Zhang Qilian''s body shaking violently.


    The deputy dean calls the major dean, usually the dean or the secretary.


    Nowadays, in most of the larger public hospitals, the deputy secretary concurrently serves as the dean.


    The good old days when the dean had absolute authority are basically over. But even so, the dean''s power is still great.


    "Go, help me get out of here quickly! I don''t want to stay here for a moment!"


    Zhang Qilian''s voice was icy cold, and his teeth were clenched.


    With his wisdom, he naturally knew that this assassination against Zhou Can had failed.


    Instead, Zhou Can took this opportunity to make a wave of publicity.


    The money was spent and the means were exhausted, but in the end he ended up with such a result, and he was really aggrieved in his heart.


    But so what?


    The world of adults is all about competing for ability, means, contacts, financial resources and so on.


    Although his status is much higher than that of Zhou Can, but the fight has basically been defeated at this stage.


    The gimmick of the Japanese cardiologist in the Third Hospital was basically scrapped by Zhou Can.


    Now, this lawsuit still ends in failure.


    At the level of Zhang Qilian, it is definitely not the half a million yuan that is distressing, but also the benefits secretly promised to the patients and their families, as well as the expensive legal fees. It was this face that Zhou Can stepped on.


    It was hard for him to swallow this breath.


    The difference between a big man and a small man is that the little man fights for a morsel of food and a little profit. The big shots have long had no worries about food and clothing, and what they are fighting for is this face, majesty and face.


    ¡­


    After Zhou Can returned to the hospital from the court, he went straight to work.


    For him, the lawsuit was just a sideshow.


    It also taught him a lesson.


    In the future, he will definitely be more cautious, lest someone take advantage of his kindness and count him against him.


    Jiang Wei was supposed to rest today, but she rushed to the hospital and worked overtime in the operating room as an assistant for Zhou Can.


    This can be understood as an act of atonement for her.


    Zhou Can''s surgery team was busy until 8:00 p.m. before finishing the surgery. They have been so busy that they have not had time to eat dinner.


    "It''s hard work for everyone today. Because of my personal reasons, everyone got off work so late. I invite everyone to go to the food stall for supper! Are you going?"


    Zhou Can looked at the doctors and nurses under him.


    "Yeah, I''m lucky again tonight!"


    Ma Xiaolan was the first to applaud.


    "Dr. Zhou treats guests, I must go, I am so happy to eat a big family."


    Qiao Yu followed suit.


    Seeing that Zhou Can turned the corner and went through a lawsuit, nothing happened, she felt happy for Zhou Can from the bottom of her heart.


    "Even if the boss wants to come here tonight to get drunk and never return, I will risk my life to accompany the gentleman."


    Yang Zhi and Pu Dingdong also agreed.


    Someone treats guests, and it''s the boss of the team who treats guests, so everyone is naturally very happy.


    Jiang Wei looked a little dull, which was obviously different from her previous performance.


    Even though Zhou Can voluntarily agreed to testify in court, it was still a kind of spiritual torment and whipping for her.


    "Jiang Wei, everyone go, you can''t disappoint!"


    Ma Xiaolan took her hand and said.


    "Yes, yes, there are a few people in the team, no one can do without anyone."


    Qiao Yu, the number two member of the team, followed suit.


    "I¡­"


    Jiang Wei turned her head to look at Zhou Can timidly.


    "Our team is a family, and you are also a part of this family. Don''t hesitate, let''s go together."


    Zhou Can said to her.


    "Thanks!"


    She made a pun, only Zhou Can could understand it.


    After testifying in court, she already felt ashamed to stay in the surgery team, so she didn''t want to attend this dinner party.


    As everyone knows, Zhou Can saw her thoughts and suggested that everyone go to have supper together.


    Just now Zhou Can stated that she is also a part of this family, just to tell her that she will not be kicked out because of this matter.


    ¡­


    At a table at the food stall, Zhou Can sat around the table with several medical staff and ordered a lot of food.


    Ma Xiaolan had just eaten a crayfish, so she said to Zhou Can, "Boss, can I pack some to take home?"


    "Okay, you can go and get a box and fill it up. If you don''t have enough, order it. It''s just that these late-night snacks won''t taste good if you leave them overnight. If you like them, I''ll treat you next time."


    Zhou Can nodded in agreement readily.


    "Xiaolan didn''t eat it by herself! I guess, she must have brought it back for Dr. Du to eat."


    Qiao Yu smiled beside him.


    "Have you and Du Leng developed so fast? Are you living together?"


    Zhou Can looked at her in surprise.


    I heard that Du Leng is a big carrot a scourge of female doctors, and the number of female nurses exceeds double digits.


    After Zhou Can knew that Ma Xiaolan was in a relationship with Du Leng, she persuaded her not to trust a man''s mouth.


    In the end, they were still not persuaded, and the two had already lived together directly.


    Women, when you fall in love, your IQ is basically zero.


    In fact, men are similar. Even for sixty-year-old uncles and aunts, love still has a strong temptation.


    Many middle-aged and elderly men are deceived into selling their houses because they believe in love. They run out of money and become homeless.


    "We''ve been talking for more than a year! The speed of development is pretty normal! He treats me very well."


    Ma Xiaolan said a little shyly.


    "As long as he treats you nicely. Waiter, can you bring us two boxes, please?"


    Zhou Can happened to see the waiter passing by the next table, so he yelled.

 Chapter 567： Special myocardial infarction patients, systemic arterial vascular distortion

    "OK."


    The waiter quickly delivered two takeaway boxes.


    As far as the service attitude is concerned, the attitude of these ordinary stores and restaurants is warm and thoughtful. The service attitude of banks and luxury stores is relatively double-standard. If you have money, you can enjoy VIP service, but if you have no money, you will be treated with cold eyes.


    "I''ve discussed with Du Leng about getting married this year, and then you all have to come and drink my wedding wine!"


    Ma Xiaolan put some crayfish, lamb skewers, and leeks into the box.


    At the same time, a shocking news was announced to them.


    When she first fell in love with Du Leng, there were probably not many people who liked her.


    Zhou Can even felt that Du Leng was just playing for fun, and the two would break up soon. I really didn''t expect that the two had reached the point where they were talking about marriage.


    "Xiaolan is married, I will definitely go. I''m just a little afraid that I won''t be able to ask for leave."


    Qiao Yu was the first to express his opinion.


    "Boss, getting married is a great event, it only happens once in a lifetime. You have to give everyone a leave of absence."


    Ma Xiaolan immediately looked at Zhou Can.


    "I''m sure I won''t get you stuck here. It''s just that doctors and nurses are special professions. It''s really not very likely that everyone will take vacation at the same time. If it''s a wedding in this city, I can arrange two or three hours of vacation. It''s not a big problem. "


    Zhou Can didn''t dare to agree indiscriminately.


    Medical staff is the worst profession to ask for leave. Because patients can''t afford to wait, they must be treated in time when they arrive at the hospital.


    The nurses in the hospital are usually very tight, and many clinical nurses do the work of two people alone. Not only did the hospital not allow them to ask for leave, but they also wanted to make them work overtime day and night.


    Especially in large hospitals, this phenomenon is extremely common.


    In the event of a flu outbreak, the medicines in the treatment room can be placed from the end of the cabinet. Each patient''s medicine needs to be checked at least twice, prepared in advance, and then given to the patient within the required time.


    Even if it only takes one minute to dispense the medicine for a patient, two to ten minutes for the infusion and injection, and about one minute to collect the waste bottle after the injection, pull out the needle or dispose of the indwelling needle.


    It takes at least five to ten minutes, or even longer, to fully treat a patient.


    Even if the working hours of nurses are extended to twelve hours a day, when there are too many patients, it is still far from enough.


    After there are more patients, there is another terrible phenomenon, which is prone to severe patients and accidents.


    This will lead to severe crowding of multiple nurse resources.


    Therefore, it is difficult for nurses to ask for leave.


    Doctors are more special than nurses, and each doctor specializes in different fields. The more senior the doctor, the lower the substitutability in the department.


    If a certain chief physician takes a break, that department may not be able to treat that type of patients.


    General doctors are very replaceable, but they do a lot of work!


    The more low-level doctors such as interns and regular trainees, the more work they do. Thinking that interns can hold both hands to watch the superior doctor operate and learn slowly is really overthinking.


    Take the emergency department where Zhou Can works as an example. When the superior doctor is not present, the interns have to come to rescue patients.


    It is almost impossible for Ma Xiaolan to get married and let the surgical team take a day off collectively.


    It is easier to get approval for temporarily asking for two or three hours of leave from the department.


    Everyone was happily eating delicious food when Zhou Can''s cell phone rang.


    I took it out and saw that it was a call from the emergency department of the hospital.


    connected.


    "Doctor Zhou, please hurry back to the emergency department of the hospital. A patient with myocardial infarction has been sent here. The condition is very dangerous."


    "Okay! I''ll be right there!"


    Zhou Can stood up and hurriedly said to everyone, "I can''t stay with you anymore. A patient came to the emergency department, and I have to rush there immediately. Just be open about what food and condiments you like, and ask me for reimbursement tomorrow."


    After speaking, Zhou Can left quickly.


    Fortunately, the alley where he had supper was very close to Tuya Hospital, so he trotted back to the emergency department of the hospital.


    When he arrived, the patient had already pushed into the emergency room.


    Patients with myocardial infarction must be rescued in time, otherwise they will die soon.


    "Xiao Zhou, come and see how this patient is doing!"


    Director Lou''s brow was sweating.


    It seems that he has led the emergency department nurses and doctors to launch a round of rescue for the patient.


    So far, no doctors from cardiothoracic surgery or cardiovascular medicine have come for consultation.


    Both departments are capable of treating patients with myocardial infarction.


    The emergency department currently does not have the ability to treat patients, and simple vascular thrombolysis and cardiopulmonary resuscitation are no problem.


    Zhou Can walked quickly to the emergency bed, and when he saw the patient''s face, he couldn''t help but froze.


    How could it be him?


    The patient on the rescue bed was Zhang Qilian, the director of the Third Hospital who had met twice.


    At this moment, his face was pale, his eyes were indifferent, his breathing was short, and his heart rate was extremely unstable.


    "Have you had a radiography?"


    "Not yet. The patient was transferred from the third hospital. The results of biochemical tests showed that the patient''s myocardial enzymes were severely elevated. After checking the electrocardiogram, it can basically be diagnosed as myocardial infarction."


    Director Lou showed the patient''s examination data to Zhou Can for review.


    "Looking at his blood pressure, heart rate, and complexion, as well as the st-t dynamic changes of the electrocardiogram, the size of the myocardial infarction should be quite large. It would be great if he could be sent here earlier, but now I am afraid that he needs to be sent to the cardiac catheterization laboratory for interventional treatment immediately. "


    After seeing the patient''s condition, Zhou Can quickly gave rescue suggestions.


    This is the difference between high level and average level.


    Even though Director Lou and others knew that the patient had a myocardial infarction, they could only do some routine rescue, and they had to stabilize the patient''s life first.


    After Zhou Can read it, he was able to give a specific rescue plan directly.


    "Contact the cardiac catheterization laboratory immediately and send the patient there. I will communicate with the family members."


    Director Lou is also very decisive.


    ¡­


    After nearly two hours of rescue, Zhang Qilian''s life was saved, but because the ischemia time was too long, serious sequelae would definitely be left.


    Heart failure, arrhythmia, and ventricular aneurysm.


    The main manifestation is heart failure.


    In the future, he will feel out of breath if he takes two steps casually, and the quality of life for the rest of his life will be seriously reduced.


    The only solution is to replace the artificial heart or a heart transplant.


    Both myocardial infarction and cerebral infarction are irreversible damage.


    In fact, prolonged ischemia of any tissue in the body may cause irreversible damage.


    However, some parts are quite special. Even if the large blood vessels are blocked, some arteries can still supply blood. In this case, the body will have serious symptoms, as long as it is treated in time, most of the sequelae will not be left.


    Zhang Qilian''s interventional thrombectomy was very difficult.


    His blood vessels are very special.


    Doctors in the Interventional Department were unsuccessful no matter whether they intervened from the femoral artery, radial artery, or percutaneous coronary intervention.


    Later, it was Zhou Can who made the move, with the help of six-level injection and six-level implantation, and finally found the problem.


    It turned out that there were two serious arterial plaques in the path from Zhang Qilian''s femoral artery to the coronary artery. As a result, the two blood vessels were abnormally narrowed, especially at a turning point, where the blockage was quite serious.


    Invisibly, it also greatly increases the difficulty of the guide wire passing through the blood vessel.


    If only the femoral artery access is blocked, interventional doctors are still not afraid. It can also be accessed from the radial artery.


    In clinical emergencies, the radial artery approach is used more.


    It is a pity that Zhang Qilian''s radial artery-coronary artery was blocked more seriously, and the blood vessel was seriously deformed. This situation is very rare in clinical practice.


    At least it was Zhou Can''s first time seeing a patient with such a serious vascular malformation.


    Even, he found that the patient''s coronary artery was severely deformed through coronary angiography.


    This made him have to wonder if this kind of lesion occurred in the arteries of the patient''s whole body? Or is it a special constitution, born like this?


    What is the reason, we can only wait to find out later.


    Zhang Qilian''s blood vessel condition is so special, no wonder the Japanese cardiologist in the Third Hospital was helpless.


    Through this treatment, Zhou Can has stronger confidence in his level of interventional therapy.


    Before he knew it, his level of intervention had surpassed that of many ''experts''.


    When he walked out of the cardiac catheterization room, he had roughly deduced the whole process of Zhang Qilian''s illness - treatment in his mind.


    It is very likely that in the court, Zhou Can made a big counterattack, which made Zhang Qilian find it difficult to accept.


    The age is too old, and there are serious lesions in the arteries and vessels of the whole body. After severe mental stimulation, the blood pressure soars, which aggravates the blockage of blood vessels, and eventually causes myocardial infarction.


    Some people will be curious, when the blood pressure rises, the blood circulation in the body should be accelerated, and the blood flow should be smoother, so why would myocardial infarction occur instead?


    The pathogenic mechanism should be analyzed from multiple angles.


    First, high blood pressure can promote the process of atherosclerosis, which directly leads to narrowing of the arteries.


    Zhang Qilian''s arterial vascular disease is so serious, it is likely that he has been in a state of high blood pressure for a long time.


    Secondly, poor blood pressure control for a long time can easily cause target organ damage and enlargement of the left ventricle.


    As the left ventricle becomes enlarged, its ability to eject blood will decrease.


    It''s like a house, where a family of three originally lived, and they lived very warmly. One day, the house was expanded and the area was much larger, but there were still three people living in it, so it would look empty.


    The same goes for the ventricle.


    As the ventricle enlarges, so much blood still enters, and its ability to eject blood naturally weakens.


    At the same time, the enlargement of the ventricles causes the heart muscle to become weak, which is also an important reason for the weakened ejection ability.


    If the left ventricle is enlarged and left alone, it will affect the blood supply to the myocardium in the long run. At this time, the patient''s risk of developing coronary spasm will be seriously increased.


    With the above-mentioned conditions, the patient is stimulated, and the blood pressure suddenly rises, and the unstable atherosclerotic plaque will directly fall off. At this time, a thrombus will form, eventually causing coronary artery blockage,


    Therefore, when communicating with those patients with heart disease, we must pay attention to the way of speech.


    Excessive action will cause the patient''s blood pressure to rise, which is dangerous at this time.


    In case of losing popularity, there will be a lawsuit in all likelihood.


    Zhang Qilian lost the battle in court, his blood pressure rose, and unfortunately he suffered a myocardial infarction.


    His own hospital specializes in cardiac surgery, so he naturally prefers his own hospital for diagnosis and treatment. It''s just that he never expected that the highly paid Japanese cardiologist in the hospital would be such rubbish.


    At the critical moment, the chain was dropped again.


    In the end, after many efforts, there was still no way to help him remove the thrombus and clear the blocked arteries and cardiovascular vessels.


    At this time there is no other way.


    After discussion with the family members, Vice President Zhang and others, they chose to believe in Tuya''s medical technology and dragged him directly to Tuya for rescue.


    Facts have proved that their decision is very correct.


    After more than two hours of hard work, Zhou Can placed two stents in the path from the patient''s femoral artery to the coronary artery. After the severely narrowed blood vessel was stretched, the guide wire was able to pass through smoothly.


    Finally, thrombectomy was successfully completed.


    According to Zhou Can''s criteria, he felt that at least hundreds of vascular stents should be placed in the patient''s body.


    Even so, I am afraid it still cannot completely solve the problem.


    Zhang Qilian is still at risk of arterial blockage.


    In any case, he successfully rescued the man, which will definitely increase his reputation again.


    After coming out of the intervention room, family members surrounded him.


    "Doctor, how is my husband?"


    Zhang Qilian''s wife looks very young, well maintained, with exquisite makeup.


    If it weren''t for her nasolabial folds, slight crow''s feet at the corners of her eyes, and her eyes that didn''t match her youthful appearance, Zhou Can would have thought that this woman was only in her twenties.


    The skin is not only fair, but also very shiny.


    The figure is also maintained very well.


    The temperament is gentle, the kind that is beautiful and intelligent.


    Zhang Qilian acted viciously, viciously, and was not handsome, but he married such a beautiful wife. This reminded Zhou Can not help but think of another sentence, flowers love to grow on cow dung.


    "The patient is out of danger temporarily. However, his systemic arterial vascular disease is very serious, and he needs to be extra careful in the later stage, and he must not get angry again. And because he was sent too late, the best rescue time was missed, and the patient may have a heart attack after recovery. Aging phenomenon, unable to do heavy work, unable to engage in strenuous exercise."


    Zhou Can and Zhang Qilian are enemies.


    But whether in the rescue process or now, he embodies the sacredness and nobility of the doctor''s profession.


    Always be considerate of the patient.


    "Su Qing ¤é¤·¤¤!"


    After she finished listening, she put her hands together and a happy smile appeared on her face.


    It could be seen that she cared about Zhang Qilian very much.


    The love between the two should be very sweet.


    What she said just now was in Japanese, which was also an instinctive reaction. This made Zhou Can understand that this woman was probably from Japan.


    Subconsciously, he glanced down at her legs.


    Sure enough, the standard bowlegged.


    "Thank you, thank you!"


    She thanked Zhou Can again and again.


    "You''re welcome! You can see the patient later It may take about three to seven days in the hospital."


    Zhou Can nodded to her and left.


    ¡­


    The next day, after checking the ward of the emergency department in the morning, Zhou Can went to check on Zhang Qilian''s recovery.


    As soon as I arrived at the inpatient ward of the cardiovascular department, I saw a familiar figure.


    Vice President Zhang, who was taken away by the security last time, was standing outside the ward talking on the phone.


    As the deputy dean, now that the dean is down, his work will definitely be very busy.


    Seeing Zhou Can approaching, Zhang Mingxing''s face showed a subtle change.


    More of an embarrassment.


    "Morning Dean Zhang!"


    Zhou Can was very generous and greeted with a smile.

 Chapter 568： The importance of flattering the leadership, the burden on the shoulders is down

    "morning!"


    Zhang Mingxing''s smile was somewhat stiff.


    If it wasn''t about his future this time, he would definitely not want to come to Tuya Hospital again.


    People need face, trees need bark.


    Anyway, he is also a person with a head and a face. He was taken away in public by the security guards of Tuya Hospital last time, which made him extremely angry.


    It''s just because he was in the wrong, so it''s not easy to break up with Tuya Hospital.


    In terms of social status, those who can be vice presidents are basically department-level cadres. Naihe Tuya Hospital is much larger than the Third Hospital, and its level is much higher. In Tuya Hospital, he couldn''t afford to use his official authority, let alone reason, so he could only admit it by pinching his nose.


    Who hasn''t suffered a few times as an adult?


    "Is Dean Zhang Qilian awake?"


    Zhou Can asked directly.


    "have no idea."


    Zhang Mingxing subconsciously distanced himself from him, lest those hospital security guards with sharper noses than dogs would chase him away again.


    He came to Tuya Hospital twice to look for Zhou Can, but was driven away by the security guards, which already left a psychological shadow on him.


    He didn''t want to try again.


    The security guards at Tuya Hospital were very aggressive. If they dared to attack him, he couldn''t help but not be afraid.


    It is said that those who are horizontal are afraid of being stunned, and this is the reason.


    "Don''t you know if Dean Zhang Qilian is awake? You came to visit the patients, and at least you have some snacks. This is too perfunctory. I know, you must have got the news, knowing that Dean Zhang Qilian''s body may not be able to be the dean again work, so hurry over here to show your loyalty..."


    Zhou Can never talked about gentlemanly etiquette when dealing with enemies.


    It is also a good thing to be able to disgust each other.


    "Ancestor, my living ancestor, please don''t hurt me again, okay?" Zhang Mingxing didn''t dare to let Zhou Can speak any more, so he quickly bowed to Zhou Can and begged for mercy.


    This little ancestor really dared to say anything.


    But he also explained all his little thoughts.


    Zhang Qilian''s body had a big problem, Zhang Mingxing was very concerned on the surface, but actually he was very happy in his heart.


    Anyone who has been a leader knows that if the leaders above are not transferred or retired, the people below will have no chance to rise.


    Zhang Mingxing must have dreamed of becoming the director of the third hospital.


    Even though the Third Hospital was already a mess and could close down at any time, he still longed to be the director.


    If he wanted to succeed Zhang Qilian smoothly, he had to have a solid background and someone above him. For example, Dean Zhu of Tuya is covered by someone above him. When he was running for president, Cao Guozheng tried his best to push him to the position.


    If Zhang Xingxing was appreciated by that kind of nobleman, he wouldn''t have to go to Tuya Hospital to poach Zhou Can again and again like a running dog.


    It''s not that he wanted to come, but Zhang Qilian gave instructions that he must come.


    It is by no means an easy task to gain the appreciation and trust of leaders.


    So many people in the hospital sharpen their heads and want to please the dean, why?


    Because as long as he is appreciated and trusted by the dean, his future will be bright. The dean will illuminate that person''s future like the sun, and all kinds of promotion opportunities will be softened.


    However, there are often very few people who can successfully gain the appreciation of the dean.


    Zhang Mingxing climbed to today''s position step by step, without any background, relying on his mouth and his heart to please Zhang Qilian.


    At the beginning, Zhang Qilian wanted to revitalize the Third Hospital, and Zhang Mingxing was the first to fully support it.


    Including spending a lot of money to import Japanese cardiology experts and a complete set of equipment, this kind of thing cannot be decided by the director Zhang Qilian alone. It must be discussed at the leadership meeting of the hospital.


    Only when those in favor must have a majority can it be implemented.


    Without Zhang Mingxing, a heavyweight vice president, helping to wave the flag and shout, Zhang Qilian''s desire to accomplish these major events would not be easy.


    Over the years, Zhang Mingxing has been working hard, trying his best to please Zhang Qilian.


    He didn''t want to lose the chain at this critical moment and be harmed by Zhou Can, the fifth child.


    Sowing discord is always scary.


    It is easy for leaders to become suspicious of competitors just by talking about it.


    There are more people in the office who like to do this kind of thing.


    Even with Zhou Can''s words, there is only a 1% chance of succeeding in sowing dissension, making Zhang Qilian feel suspicious of Zhang Mingxing. Zhang Mingxing couldn''t afford to gamble either.


    In desperation, he bowed to Zhou Can and begged for mercy.


    "Look at your timid and cowardly appearance. After all, you are the vice president of the Third Hospital, and you will soon become a regular person. Is there any need to be afraid of this?"


    Killing people.


    What Zhou Can said before entering the ward made Zhang Mingxing break out in a cold sweat again.


    This ancestor is really not to be offended.


    The matter of being promoted to the dean has not yet been written off, and Zhou Can is talking about it now, which is by no means a good thing.


    I hope it won''t arouse Dean Zhang Qilian''s disgust.


    Zhou Can opened the door and entered the ward, which is an advanced ward with one room and two beds.


    It seems that Zhang Qilian''s family has found a way to find someone to say hello, otherwise it would be impossible to receive such good treatment.


    Medical resources are now basically one of the most scarce resources in society.


    For ordinary people, it is hard to find a bed.


    Patients with a little status and power are not willing to live in non-special needs wards and advanced wards.


    Zhou Can looked at the patient on the hospital bed. On the other bed was a thin old man with white hair and beard. It is basically impossible for ordinary people to live in this kind of ward.


    Because the average person has only two choices.


    If the condition is normal, live in a general ward. If the condition is serious, go directly to ICU.


    Only dignitaries and leading cadres can enjoy certain high-quality medical resources.


    "Hey, it''s you!"


    Zhang Qilian''s wife was standing by the side of the ward. Seeing Zhou Can enter the ward, a friendly smile appeared on her face, and she also stood up to show her respect for Zhou Can.


    In advanced wards, there are actually nurses and nurses on duty 24 hours a day.


    If the patient''s condition is stable, family members do not need to accompany the patient at the bedside at all times.


    Of course, the cost here is also much higher.


    The patients living here can basically achieve a reimbursement rate of more than 90%, so they don''t care much about the cost. Even if it cost 100,000 yuan to stay in the hospital, he would pay 10,000 yuan at most.


    More likely, all reimbursed.


    "Hi! I''m done checking the house, and I''m stopping by to see how your husband is doing. Did you urinate?"


    Zhou Can could tell at a glance that Zhang Qilian had awakened.


    But his complexion was still bad.


    Some ashamed.


    The sequelae of myocardial infarction are terrible, and after careful maintenance, it is still impossible to return to the previous state.


    If it is intestinal surgery, the doctor will also ask the patient if he has gas.


    That is to say fart.


    Because if the patient farts after the operation, it can be inferred that the intestinal tract is moving normally, which is normal.


    Patients undergoing intestinal surgery need to fast for food and water before the operation, and the intestinal tract will be in a state of emptying at this time. You cannot eat immediately after the operation.


    From eating to forming feces and excreting, the fastest is about ten hours.


    There are also patients with strong spending power, and the defecation time will be shorter.


    Relatively speaking, the digestive ability of the elderly is weak, and the time from eating to defecation will be longer.


    "I urinated twice, and the nurse and the doctor in charge of the bed said that the situation is not bad."


    "Has a doctor checked the room this morning?"


    "Director Ling of the Cardiovascular Department has already brought someone here for an investigation."


    "Anyone auscultating heart sounds?"


    "Auscultation. Director Ling personally auscultated, saying that he will stay in the hospital for two days before observation. Judging from Director Ling''s expression, my husband''s condition should not be so ideal."


    Zhang Qilian''s wife is absolutely highly educated. When answering Zhou Can''s questions, she is very organized and can answer to the point every time.


    And his attitude towards Zhou Can is always friendly and respectful.


    He was not underestimated just because he was young.


    "Don''t worry too much, just let nature take its course. For the time being, his cardiovascular system is unblocked, but one of the myocardium may have undergone necrosis due to long-term ischemia. We must be vigilant about this. If the area of ??necrosis is too large If it is large, it is likely that surgery will be required.¡±


    ¡¿


    Zhou Can gave himself some suggestions appropriately.


    The purpose is to hope that family members can be more vigilant and always pay attention to the changes of patients.


    Because even if you live in an advanced ward, it is impossible for a nurse to stay in the ward 24 hours a day. In addition, the nurses here work in two shifts, and it is normal to have omissions during the handover.


    "Thank you for telling me this. Director Ling also said similar things. The doctors in Tuya Hospital are not only skilled, but also very responsible for patients. I am really touched. It would be great if I could have sent my husband here earlier. gone."


    She thought that after her husband fell ill, too much time wasted in the third hospital, which caused the serious consequences now. There must be some regret and self-blame in her heart.


    In fact, whatever you sow, you will reap the same fruit.


    Zhang Qilian spent a lot of money to invite Japanese cardiology experts, because the level is not as good as imagined, and many people have been deceived.


    Now that he himself fell ill, he deserved to suffer again.


    It was good enough to save his life.


    "You don''t have to blame yourself too much, it has already happened, just try to find a way to solve it. As long as the person is rescued, this is a blessing in misfortune."


    Zhou Can comforted.


    "I''ll come back tomorrow to take a look. When you accompany him, if you find any significant changes in his breathing, heart rate, or blood pressure, you must ring the bell to call the medical staff in time. According to my clinical experience, his dangerous critical period It should be within the period of thirty-six hours to seventy-two hours after surgery."


    After myocardial infarction, even if the blood vessels are reopened, there will still be a medical "malignant attack period".


    It can also be called the tissue necrosis period.


    The fastest occurred within 24 hours after surgery, and most of them did not show obvious symptoms until 36 hours later.


    When Zhang Qilian was operated on yesterday, Zhou Can didn''t feel too obvious.


    Because at that time the myocardial infarction had not been particularly long.


    Moreover, if most of the myocardium is only transiently ischemic, it is possible to relieve and recover after the blood vessels are opened urgently and the blood supply is restored.


    "Ok, thank you!"


    The family thanked Zhou Can again.


    "goodbye!"


    Zhou Can waved his hand and walked out of the ward.


    Zhang Qilian was lying on the hospital bed with his eyes closed.


    If he wasn''t pretending to be asleep, he must have recognized Zhou Can''s voice. It''s just that he planned to take Zhou Can to court not long ago, so he must have no face to meet Zhou Can.


    ¡­


    When it was time to get off work in the evening, Zhou Can received a call from Director Tan of the Department of Internal Medicine.


    Normally, Director Tan rarely called him.


    "Xiao Zhou, do you want to work overtime tonight?"


    "There are two operations in the cardiothoracic surgery department to help."


    The personal relationship between the two has always been good, and their words seem to be much more straightforward.


    "Did your wife bring you dinner today?"


    "You know all about this!"


    Zhou Can couldn''t help smiling.


    "Hehe, the show of affection between you and your girlfriend is no longer a public secret in our hospital. Many young people are learning from you. If a man wants to be stable, he must not only work hard in his career, but also take good care of his family. Only when Xiaojia is stable can I focus on my career."


    Director Tan agrees with him and his girlfriend showing affection.


    A successful man needs a stable marriage very much.


    Only in this way can we appear stable and responsible in the public impression.


    It is also a prerequisite for competing for many leadership positions.


    "I guess you must have something to look for me. I''ll look for you after dinner, okay?"


    Zhou Can knows Director Tan too well.


    "Haha, okay, okay, I''ll wait for you in the office. I thought, if your wife doesn''t bring you dinner today, I''ll treat you to dinner and talk about something by the way."


    Director Tan smiled heartily.


    "No problem, I''ll be there in about forty minutes. It won''t take a few minutes for me to eat, and the rounds at the emergency department will take a little longer."


    Zhou Can explained.


    "As a physician, I must warn you that you must learn to chew and eat slowly. Eating too fast or too fast will cause certain harm to your body. No matter how busy you are, your health must come first."


    Director Tan cared about him from the bottom of his heart.


    Many people don''t have much time to spend on eating because they are too busy with work. Sometimes even when I get busy, I don''t have time to eat.


    Doing so will cause great harm to the body.


    But it is also impossible.


    "Okay, I will definitely remember your teachings."


    Zhou Can agreed but you can''t say you will remember it, but don''t put it into action! I like you very much, lad. The greater a person''s ability, the heavier the burden on his shoulders. do you know? Now you no longer simply represent yourself, but represent the strongest hope of the young generation of Tuya Hospital. Our Tuya Hospital is full of talents, and there are many talents in various departments, but you are the most special one among them. Many of our old comrades are very optimistic about you, and hope that one day, you can lead Tuya Hospital to a higher level. "


    Zhou Can was really flattered to hear Director Tan''s heartfelt words.


    For him, what he thinks is to keep working hard to improve his medical skills and cure as many patients as possible.


    I really didn''t expect that the burden on my shoulders was already so heavy.


    Just like many men in their thirties, when they were in their twenties, they only felt that they were just a child who hadn''t grown up, with a childish innocence. If one person is full, the whole family will not be hungry. But after getting married and having children, in the blink of an eye, when I was in my thirties, I suddenly realized that the burden on my shoulders was all on my shoulders.


    There are young people at the bottom, and old people at the top. There is no way to be as chic as a young man in his twenties.

 Chapter 569： Serious Consequences of Myocardial Necrosis

    Nearly fifty minutes later, Zhou Can hurried to the director''s office in the Internal Medicine Building.


    In terms of status, Director Tan is already second only to the Vice President.


    According to some gossip, if Tuya successfully completes the reform of all departments this time, the director of each major department may be automatically promoted to vice president.


    This is also an opportunity for Zhou Can to quickly rise to the top.


    At present, his only hope is to improve his academic qualifications as soon as possible. This is related to his future developments such as the evaluation of professional titles, competition for important positions, and comprehensive evaluation of famous doctors.


    The door to the director''s office was closed.


    Dongdongdong!


    He knocked on the door politely, and then Director Tan''s gentle and honest voice came.


    "Come in!"


    Pushing the door open, I saw Director Tan was holding a yellowed ancient book in his hand.


    It is a Chinese medicine book.


    Physicians like to study medical theory and pathology. After reaching a certain level, they will even study pulse.


    Now at least three developed countries have developed automatic pulse diagnosis instruments based on the pulse diagnosis technology of traditional Chinese medicine. Unfortunately, the effect is always unsatisfactory.


    This is because TCM pulse diagnosis needs to be based on the doctor''s pulse knowledge, pulse meaning, and diagnostic experience, and then comprehensively consider it.


    Among them is the very important human autonomous intelligence, which is ever-changing and requires flexible diagnosis.


    With the current artificial intelligence, it is impossible to imitate it.


    It is estimated that even in the past fifty years, it is still difficult for automatic pulse diagnosis instruments to achieve major breakthroughs.


    Chinese medicine is extensive and profound, and people who don''t understand it think it is metaphysics.


    People who understand it will think it is medicine.


    Most young doctors in China now think that Chinese medicine is more ''metaphysical''. There is a most common phenomenon, when encountering some difficult patients or terminally ill patients who cannot be cured, everyone will unanimously persuade these people to see Chinese medicine.


    From this point of view, Chinese medicine must have been seriously belittled.


    At least Zhou Can has experienced the power of Chinese medicine. If Su Qianqian''s kidney disease is treated according to Western medicine, there will be no other way except kidney transplantation. However, taking traditional Chinese medicine prescriptions, supplemented by diet therapy, gymnastics and other methods, he was finally cured.


    Now she has been reviewed three times, all showing that her urine test results are normal and her kidney function is normal.


    "Director Tan!"


    "Come on! Sit!"


    Director Tan got up and made him a cup of health-preserving tea. There are wolfberry, astragalus and other things.


    There are not many people who can let Director Tan make tea for himself.


    Zhou Can is an exception.


    "There are two reasons for asking you to come here. The first one: the identity of the myocardial infarction patient yesterday is very special. He is the director of the Third Hospital."


    When Zhang Qilian''s identity was mentioned, Director Tan showed a narrow smile on his face.


    It''s really interesting.


    The Third Hospital itself is mainly engaged in the diagnosis and treatment of cardiac surgery. There was a time when it was so famous that even its father was not known.


    It''s good now, the dean has a myocardial infarction, and his own hospital can''t handle it, so he sent him to Tuya Hospital for emergency treatment.


    The point is, Tuya really succeeded in rescuing him.


    "The Third Hospital has dealt with our hospital before. This time it is a good promotional opportunity for our Department of Cardiology and Cardiothoracic Surgery. The hospital is already preparing to arrange interviews and reports to create a wave of publicity."


    When Director Tan said this, there was a hint of murder in his calm tone.


    Righteousness does not do business, compassion does not command soldiers.


    No one who can become an important leader of the hospital is easy to be with. When it''s time to be ruthless, the means are extremely iron-blooded.


    Ten years is not too late for a gentleman to take revenge.


    It can be heard that Tuya Hospital is going to seize this opportunity and make a serious blow to the situation.


    It is a big taboo for a country to be weak but not to be humble, to be weak without fear of strength.


    When the Third Hospital attacked Tuya Hospital, it should have expected such a day.


    Tuya Hospital can be magnanimous, but it does not mean blindly magnanimous.


    "Because it involves you, I would like to say hello to you in advance, which is considered a discussion. The hospital may need your cooperation in the publicity."


    Zhang Qilian''s thrombus was taken out and the blood vessels were unblocked, which was basically done by Zhou Can.


    Now that we want to use this matter as a publicity, out of respect, we must communicate with Zhou Cantong in advance.


    As for ''discussion'', just listen to it.


    When leaders discuss things with their subordinates, they often just say hello. In fact, the leaders have already made a decision, and the subordinates can raise objections, but it has little effect on the result.


    "I will fully cooperate with the hospital in publicity work."


    Zhou Can made a statement on the spot.


    He knew that Director Tan would report his attitude to the hospital leaders.


    Taking the Third Hospital as a stepping stone is no psychological obstacle for Zhou Can. Non-toxic no husband.


    It''s ridiculous to still have the heart of the Virgin, benevolence, righteousness and morality when it''s time to kill.


    Taking advantage of its illness and killing it is the way of life it should have.


    The law of the jungle has always existed.


    Lions and tigers never sympathize with the weak, but think about how to get the food they need to survive at the least cost.


    "The second thing: Your interventional surgery is so smooth, the level is already very high. The level of interventional surgery in internal medicine has always been very good, which is not in line with the competition of modern strong hospitals. I would like to hire you as a teacher of interventional surgery in internal medicine. Teach internal medicine doctors to do interventional surgery. I know you are very busy, but every doctor will go to a teaching position, and only in this way can medicine be passed on forever."


    "Your current part-time teaching position will be of great benefit to you in promoting your teaching position in the future. If you agree, the only thing I can get for you from the college is the teaching assistant position. Even the doctoral supervisor of the college will start from this position. It went up step by step."


    Director Tan must have made an in-depth evaluation and analysis of Zhang Qilian''s interventional surgery and postoperative effects.


    After discovering that Zhou Can''s level of intervention has far exceeded his imagination, he moved his mind and wanted to hire Zhou Can as a teacher of interventional surgery.


    This is something that benefits both parties.


    "I am very happy to accept this position. Teaching itself is also a very pleasant thing. I am a little worried that my level is not enough and I can''t teach well."


    Zhou Can said it more modestly, which is actually equivalent to agreeing.


    It''s like visiting relatives. When stuffing red envelopes, everyone will often say a few polite words.


    He said no, no, how embarrassing it was, but he took it honestly in his hand.


    Teachers in colleges and universities are promoted, usually teaching assistants, lecturers, associate professors, and professors.


    After being promoted to professor, there will be first-level professors, second-level professors, and third-level professors.


    Among them, first-level professors are the highest level, and they are often "Pangu"-level figures in a certain teaching field. There is absolute authority in that field. The third-level professor is the lowest position among professors, but those who can be awarded this title are also very good.


    Not everyone can comment on it.


    There are thirteen levels of teachers in colleges and universities, just like doctors in hospitals have multiple levels, and they need to be promoted step by step.


    The level is not enough, the ability is weak, and the promotion is very slow.


    There are many college teachers who may not be rated as third-level professors in their entire lives, and stay in the position of lecturers until they retire. There are many of them.


    There are even a few teachers who are unlucky and have some flaws, and they are still teaching assistants when they retire.


    In short, the competition in every professional field is extremely cruel.


    Those who are capable will go up, and those who are mediocre will stand still or be eliminated.


    It is definitely a great thing that Zhou Can can step into the teaching position now.


    Many talented people start cheating after the age of thirty. He can start his career in a teaching position before the age of thirty, which will be very beneficial to his future promotion.


    The promotion of the position, step by step, step by step.


    "Don''t worry about whether the teaching is good or not. Everyone starts as a toddler. The college will definitely give you enough time and opportunities to grow up, and you won''t make extremely strict requirements as soon as you come up."


    Director Tan comforted him and said.


    "Alright, since you trust me so much, there''s nothing to say, just roll up your sleeves and do it. Everything will be arranged by you then."


    Zhou Can readily agreed.


    There is no need to be too hypocritical, because it is difficult to miss this kind of opportunity.


    ¡­


    On the third day, Zhou Can was undergoing an emergency surgery when the cardiothoracic surgery department suddenly called for help and asked him to go for an emergency consultation.


    ¡¿


    Saving people is like fighting a fire, Zhou Can handed over the operation to two assistants.


    They are now fully capable of handling the general surgery part of primary and secondary surgery and tertiary surgery.


    Yang Zhi and Pu Dingdong were not able to do a good job in the difficult second-level surgery and many important parts of the third-level surgery. This is already very fast progress.


    Because Yang Zhi has a good surgical foundation, he is obviously better than Pu Dingdong in terms of surgical ability.


    However, Pu Dingdong''s progress is very stable, and he has been progressing at a balanced speed.


    It is hard to say who will be stronger and who will be weaker between the two in the future.


    Zhou Can was very satisfied with his two medical assistants.


    It is impossible to ask them to grow to Zhou Can''s level in just one or two years. That''s unrealistic.


    If you compare them with ordinary doctors of the same level, the progress is already amazing.


    He rushed to cardiothoracic surgery soon.


    In the consultation room, the atmosphere is dignified.


    "This patient underwent an emergency interventional thrombectomy in the Cardiovascular Department of this hospital three days ago. He began to experience obvious discomfort symptoms last night. He was short of breath, had severe pain in the heart area, and a severe drop in blood pressure. Now he suspects acute myocardial infarction. After the occurrence, a large amount of myocardial ischemia took too long to cause necrosis. The patient''s current state is very dangerous. After evaluating with several directors, I think the operation risk is very high. You know the patient''s condition best, and I specially invite you to come over for consultation .¡±


    Director Xueyan sat at the head of the consultation table.


    The first seat on the left was empty, which was specially reserved for Zhou Can.


    Most of the doctors in the department acquiesced that Zhou Can was number two in cardiothoracic surgery.


    The ancients have respected the left since ancient times.


    The first seat on the left is usually seated by number two.


    Zhou Can took a look at the examination materials, mainly chest color ultrasound and CT examination.


    This helps spot anomalies.


    "When this patient was sent for rescue three days ago, the best time for rescue has been delayed. I had a bad feeling during the interventional dredging operation. I felt that his myocardial necrosis area might be very large. I didn''t expect it to be true now. It became like this."


    Speaking of Zhang Qilian''s condition, Zhou Can also had a headache.


    This is an absolute tough bone.


    "In his current situation, according to my clinical experience, if he does not undergo surgery, he will die. Even if surgery is performed, the survival rate will not be higher than 50%. After we discussed just now, there are two ways. The first one is to try surgery first. Let¡¯s see the situation. The second is to directly consider heart transplantation. Of course, if you want to do heart transplantation, the donor is a big problem. Artificial heart is the first choice.¡±


    Director Xueyan gave some discussion opinions.


    After Zhou Can listened, he was still very worried.


    "Both surgical methods are feasible to a certain extent. The key is that the arteries and vessels of the patient''s body are severely deformed, and atherosclerosis is very obvious. During my rounds, I found out through chatting with family members that the patient has had blood vessels since childhood." Abnormal. Since then, he has been taking medicine to control it. For this reason, the patient once studied in Japan, specifically to find a way to treat systemic arterial vascular disease."


    The patient''s situation is very special.


    Even if it is an ordinary patient undergoing a heart transplant, there is still a very high risk of death.


    What''s more, it is a patient with severe arterial malformation.


    After everyone heard this, they were in trouble for a while.


    In patients with acute myocardial infarction, if a large amount of myocardial necrosis occurs, myocardial remodeling will occur, resulting in cardiac enlargement, myocardial contractility, decreased cardiac output, heart failure, decreased blood pressure, and even cardiogenic shock.


    If it is not treated in time, the necrotic myocardium will expand outward, and cardiac aneurysm or papillary muscle rupture may occur, and even the heart may rupture.


    Weekly, due to myocardial necrosis, the infarcted myocardium becomes thinner, the non-infarcted myocardium thickens, and the myocardial contraction is uncoordinated. There will be a wall thrombus in the left ventricle. If it falls off, it will cause arterial embolism in the brain, kidney, spleen, lung or limbs.


    Therefore, when Zhou Can went to the ward to check Zhang Qilian''s postoperative situation that morning, he reminded his family members that the real danger period was far from over.


    He was able to successfully remove the thrombus for Zhang Qilian, but he couldn''t guarantee that the myocardium would not suffer from necrosis.


    Because during thrombectomy, part of the myocardium has been necrotic due to ischemia. It''s just that if you don''t open the pericardium, you can''t find it.


    The treatment of western medicine is often relatively passive.


    It can also be understood as a secondary version of defensive medicineFor example, if a patient is found to have a tumor, but the tumor is not large, the doctor will ask the patient to observe first, every three months or six months Double check. If it doesn''t continue to grow, just let it go.


    This is called living with disease in medicine.


    The entire diagnosis and treatment thinking of Western medicine is basically the same. Prolong the life of the patient as much as possible, and then find ways to alleviate the suffering of the patient.


    For example, cancer patients are first given chemotherapy or radiotherapy to control the spread of cancer cells. The purpose of doing this is not to cure, but to prolong the survival period of patients.


    Then the patient will be prescribed some painkillers to relieve the pain of advanced cancer.


    Many people think that trigeminal neuralgia has the highest level of pain, and some people think that childbirth is the most painful. In fact, these pains are nothing compared to cancer pain.


    Cancer pain is what really makes life worse than death.


    Especially the pain in the late stage of cancer is enough to make people feel miserable.

 Chapter 570： Infant hypertension, the harm of close relative marriage

    "Has the patient had vascular problems since he was a child? The family members have not responded to this problem. Fortunately, the operation was not rushed, otherwise the risk factor of the operation will be multiplied."


    After hearing this, several directors felt a little terrified in their hearts.


    Before the operation, the patient''s past medical history and underlying diseases are usually known. The family members did not respond to such an important matter, and they did not ask.


    There is also a question of responsibility.


    even


    The content of this chapter is being updated...

 Chapter 571： Tactile feedback for special physiques, major reforms in the hospital

    All previous interviews have been completed.


    Although it has not been widely publicized, it has already begun to test the water in some channels such as self-media and tabloids. Large hospitals are generally more cautious in publicity.


    Tuya Hospital has always attached great importance to publicity work in recent years.


    Also accumulated a wealth of publicity experience.


    When publicizing the typical cases and important achievements of the hospital, it is seldom a "blockbuster" like the Third Hospital. It''s more about adopting a little bit of warming, multi-channel


    The content of this chapter is being updated...

 Chapter 572： Quickly promoted to deputy team leader

    "Thank you Dean Ye and Dean Bai for your cultivation, I will do my best to strive for progress."


    Director Xueyan couldn''t help beaming with joy when she got the letter of approval.


    No one doesn''t want to get promoted and get rich, it''s just that they don''t have the opportunity.


    Vice President Ye said that she had a great chance, and was willing to take the initiative to tell her about it, which meant that her chances of being elected as the new Vice President were extremely high.


    "Just work hard! Both Dean Bai and I really hope that a down-to-earth and hard-working talent like you will be admitted


    The content of this chapter is being updated...

 Chapter 573： Adults only have interests, dont mess with nurses

    Even though he is just a deputy team leader, it is a leap forward for Zhou Can.


    Sometimes, what seems like a small step is actually a giant leap in life.


    The previous Zhou Can, no matter how good he was, was still just a ''little soldier''. Now he serves as the deputy team leader of the emergency operating room, which is equivalent to being promoted to an ''officer''.


    There is an essential difference in identity between officers and soldiers.


    Officers have jurisdiction, have some privileges, and soldiers


    The content of this chapter is being updated...

 Chapter 574： It cant last for 3 seconds, the deity hasnt made a move yet

    Ma Xiaolan''s verbal attack was just sharp, which made people angry. However, Jiang Wei''s attack can grasp the key points, focusing on the enemy''s seven-inch vital points.


    High education does not mean strong ability.


    But the higher the degree, the higher the level of speaking. Can grasp the key points, and never curse.


    Speaking without dirty words is more lethal than cursing.


    Fu Chachun''s interpersonal relationship in the department is not bad, and he would not be so isolated in the first place. now there is no


    The content of this chapter is being updated...

 Chapter 575： The resurrection of the No. 3 Hospital, the new official took office as the first fire

    "Boss, you''ve been promoted, why don''t you treat us to dinner so stingyly?" Ma Xiaolan has a relatively close relationship with Zhou Can now, and she is not afraid of Zhou Can.


    Occasionally dare to joke with Zhou Can in his spare time.


    "The past two days have been a bit busy. There is an intractable disease in the pediatrics department that has not been solved, and the cardiothoracic surgery department has major operations every day. After I have been busy for the past two days, I will not work overtime after get off work. I will invite everyone to have a meal let''s celebrate with a big meal. can i


    The content of this chapter is being updated...

 Chapter 576： The most vicious compliment, the effect of anesthesia is too good

    Why are ''returning customers'' in quotation marks? If you are doing catering, haircuts and other services, you definitely hope that the more regular customers the better.


    The hospital is quite special, and it is one of the few places where repeat customers are taboo.


    The hospital is not taboo, at most it has a bad reputation. Patients and their families are taboo!


    Because the patient just got sick a few days after being treated here, and then fell ill again. What kind of disease does your hospital treat? Did you stay behind on purpose? Is it because of poor medical skills? Is it fake medicine for Lao Tzu?


    Zhou Can wants to check the ''repeat customers'', which refers to the patients who have been treated here. They feel that the medical skills here are good and the service is good, and they will introduce those relatives and friends who are in need.


    Recently, he has clearly felt that such ''repeat customers'' are becoming less and less.


    This speaks to the declining reputation of the emergency department.


    The upper class doctor treats the disease that is not yet sick, the traditional Chinese medicine doctor treats the disease that is about to be sick, and the lower doctor treats the disease that is already sick.


    As an excellent doctor, Zhou Can has always believed that prevention is better than cure.


    Now it is found that there is a bad sign in the operating room of the emergency department. If you really wait until it is cool to deal with it, then you will be passive.


    The best way is to act decisively, find the problem immediately, and solve it.


    He has served as the deputy team leader of the operating room for some time. Currently, apart from continuing to show extraordinary talent and ability in surgery, he is still somewhat lackluster in terms of management.


    At the beginning, he was exceptionally promoted to the deputy head of the operating room by the department, which caused dissatisfaction among some people.


    It was just that a few nurses under Zhou Can made an example and suppressed Dr. Fu Chachun, so no one dared to jump out and act as a demon.


    As time went by, some unfavorable remarks about Zhou Can gradually began to circulate in the department.


    One of the most unfavorable mainstream opinions is that Zhou Can only knows how to perform surgery, and is only suitable for treating diseases, not for management, or for scientific research.


    This is absolutely murderous.


    For a genius like Zhou Can, the most vicious insult is not to call him poor in medical skills, or to call him poor in character, because in these two aspects, he is not afraid of attack at all. His surgical ability and diagnostic ability are obvious to all.


    Noble medical ethics are widely recognized by doctors, nurses, patients and their families.


    For him, the most vicious remarks are boasting that he only knows how to see a doctor.


    If he is really labeled with this label, he will be black for life. To the end of his life, he was just an ordinary doctor, at most the chief physician.


    A slightly higher administrative position will miss him.


    Zhou Can didn''t want to find out who spread such vicious words. Can''t find out why.


    Because the emergency department now has nearly a hundred medical staff, it is too easy to spread irresponsible remarks. As the saying goes, good things don''t go out, but bad things spread thousands of miles.


    Regarding his remarks about the lack of management ability of this Tuya celebrity, there is no need to deliberately fuel the flames. Some people who suffer from jealousy will be very happy to spread it around.


    The greatest evil of human nature is that we can''t see others living better than ourselves.


    Zhou Can has been going smoothly in his career, like a dazzling pearl, which other people basically can only look up to.


    Even Zhou Can''s two medical assistants have a very close relationship with Zhou Can. I believe that in the dead of night, or when watching Zhou Can shine brightly, they also felt envious or even jealous in their hearts.


    It''s just because they have a deep emotional foundation with Zhou Can, they won''t frame him.


    The interests of each other are deeply bound. When Zhou Can is attacked, they will spontaneously defend Zhou Can.


    But other colleagues in the department are hard to say.


    There is always a small group of people who are villains who eat honey and swords.


    The best way to break vicious rumors is not to quarrel with others, but to prove it with practical actions.


    This time, he had an insight into the problems in the operating room in advance, which was an excellent opportunity for Zhou Can to break the rumors.


    He didn''t immediately announce that he found a problem in the operating room.


    Publicizing the problem as soon as he discovers it doesn''t reflect how good his management is. Apart from a short-term show off, it will only make the superiors think that his head has grown beans?


    Really high-level leaders have a chest like a thunderbolt and a flat mirror.


    After discovering the problem, keep calm, conduct in-depth investigation and understanding secretly, identify the root cause of the problem, and then find a solution. This is smart management.


    If you want to find out the root of the problem, you must start with the surgical patient.


    This matter is not difficult to say.


    Because the hospital has a regular return visit for most surgical patients.


    There is at least one return visit, and if it is more, it may reach two or three times.


    For example, if the orthopedic surgeon has undergone fracture surgery, he will usually call back once every three months, and then once every six months or one year.


    The purpose is to grasp the patient''s recovery situation, and if any abnormality is found, the patient can be reminded to go to the hospital for reexamination in time.


    Zhou Can is familiar with most of the girls in the emergency nurse station.


    Many people who saw him were calling Cange Cange, which was very intimate.


    After get off work, Zhou Can went directly to Ye Tingting, who had been promoted to a supervisor and held a certain position.


    After she was stabbed by a crazy family member that time, the hospital recognized her as a work-related injury.


    In view of the fact that her body was not as good as before after the injury, she was not allowed to continue to engage in high-intensity front-line work. Instead, she was gradually promoted to the second line and engaged in some management work.


    Why is it promoted to the second line instead of retiring to the second line?


    That''s because front-line nurses work very hard, but their income is very low. After being transferred to the second line, they can eat finger food and direct ordinary nurses to work. The key salary is much higher than that of ordinary nurses.


    Therefore, nurses are very eager to be transferred to second-line work.


    They call entering the second line a promotion.


    In fact, it is indeed a promotion and salary increase.


    It''s just that there are limited positions in the second line, and it is impossible for hospitals to support idlers. After reaching the age of 35, many front-line nurses will choose to change careers and become full-time wives when they see no hope of promotion.


    Most smart women still want to have a job of their own, and don''t want to reach out and ask men for money.


    Otherwise, it will be too insecure to wait until old age and fading.


    Without their own career, their status in the family is often very low.


    Most will choose to change careers and re-employment.


    It was a blessing in disguise that Ye Tingting was promoted to the second line.


    Speaking of her promotion, Zhou Can was a great help.


    Because it is not generally difficult to be promoted to the second line, unless you can be rated as a deputy senior professional title, it will be easier. But how many nurses can be rated as deputy senior professional titles?


    After all, there are only a few.


    More ordinary nurses, working hard to be promoted to supervisor nurses, have basically reached the top.


    Head nurse Niu Lan has almost absolute say on whether the nurses in the nurse station can be transferred to the second line.


    That time when Zhou Can went to the Provincial People''s Hospital to visit Deputy Director Lu who was injured by jumping off a building, didn''t Dean Zhu ask someone to send 500 yuan to Zhou Can, asking him to take it to Deputy Director Lu?


    Because the five hundred yuan was placed on the nurse''s desk, head nurse Niu knew it naturally.


    Since then, head nurse Niu has always believed that Zhou Can has a close relationship with Dean Zhu, and has taken extra care of Zhou Can.


    With this level of relationship, it is very useful for Zhou Can to speak in front of head nurse Niu.


    Seeing that Ye Tingting was a little weak after recovering from her injury, he just mentioned it to Nurse Niu.


    Not long after, Ye Tingting told Zhou Can in great surprise that she finally didn''t have to run around in the observation room and emergency room anymore. Director Niu transferred her to the background to do patient maintenance and return visits.


    At first, Ye Tingting didn''t know that it was Zhou Can who greeted her.


    Later, in order to express my gratitude, I invited Head Nurse Niu to dinner and gave some "souvenir products" from my hometown. Only then did I know from head nurse Niu that it was Zhou Can who greeted her.


    Head nurse Niu also comforted Ye Tingting, and she will work in the patient maintenance and return visit position first. If she is not satisfied, there will be a better second-line position at that time, and then she will be replaced.


    Ye Tingting was so happy that she almost fainted on the spot.


    She is a nurse in charge who has nothing to do with no background, and she has already burnt high incense if she can be promoted to the second line.


    This is a good thing that I didn''t even dare to think about before.


    It''s good now, it doesn''t count if she was promoted to the second line. Listening to what head nurse Niu said, there will be better second-line positions vacant in the future, and if it suits her, she can be transferred to an easier position.


    Ye Tingting was extremely grateful, Zhou Can was so kind to her.


    Helped her so much, didn''t even say a word.


    Help without expecting anything in return from her is the real kindness.


    Since then, Ye Tingting has become one of Zhou Can''s most staunch allies in the emergency department.


    Sometimes, the foundation of a department or a unit is laid down bit by bit.


    As long as we gradually have a few die-hard supporters, the unit will basically be stable.


    Zhou Can''s position in the emergency department and cardiothoracic surgery department is deeply rooted.


    Die-hard supporters are not one or two, but a large group.


    "Sister Ting, you''re not off work today!"


    Zhou Can walked over to say hello to Ye Tingting.


    At this point, she is still carefully sorting out the patient''s information. Her work is much easier than ordinary front-line nurses, but the workload is still relatively heavy. And need to have enough patience and care.


    Every day new patients in the emergency department need to be registered in time.


    Of course, this does not require manual filling in the ledger, just copy and organize it into a form on the computer.


    Then she needs to check the return visit list to ensure that every patient who needs a return visit can get a return visit in time. If the recovery is good, you can tick it. If there is a problem, it needs to be carefully recorded, and some need to be reported to the doctor for further processing.


    "Oh, it''s you!"


    Ye Tingting looked up and saw Zhou Can, and immediately showed a bright smile. As happy as seeing a family member.


    "I want to ask you to get a copy of the follow-up data of surgical patients in the past three months, especially the data of those patients who are not satisfied with the follow-up visits."


    Zhou Can and her don''t need to be polite, just talk about things directly.


    "No problem. Print it out or email it to you?"


    She answered very frankly.


    "Send me email!"


    Zhou Can thinks it will be more convenient to send emails to check and count. You can print it out when you need it.


    "I''m going to check the room first, just send it to me when you''re done, thank you!"


    He is a busy man with a lot of things to do every day.


    "Why are you being polite to me, see you!"


    She scolded dissatisfied.


    Zhou Can smiled and waved his hands, and went to make rounds.


    In the emergency inpatient ward, Zhou Can was different from previous ward rounds, and this time he was extra careful.


    In the past, because of the large number of hospital beds and limited time for ward rounds, for those patients who were in normal condition, he would basically check the next bed with a few simple questions.


    Only patients with abnormal conditions will be checked in detail.


    This detailed and clear ward round method is commonly used by chief physicians and deputy chief physicians.


    They are as busy as Zhou Can, even if they only need to make rounds once or twice a week, it is still a big burden for them. Ordinary patients, even from hospitalization to discharge, have no chance to see the chief physician at all.


    The hospital has a three-level responsibility system.


    If the interns and trainees cannot solve the problems, they will report to the resident physician.


    If the resident cannot solve the problem, report it to the attending physician.


    If you still can''t solve it at the level of attending, or you are not sure about the treatment of the disease, you can report it to the deputy chief physician or the chief physician.


    It is also the implementation of this grading system that allows the chief physician to squeeze out more time and energy to focus on dealing with some difficult and difficult patients or critically ill patients.


    When Zhou Can found the first bed in the emergency department, he didn''t just ask a few questions and skip over as usual.


    Instead, walk directly from the end of the bed to the side of the bed.


    "Girl, I remember you did a toe split, didn''t you?"


    "You remember exactly."


    She nodded somewhat flattered.


    Basically, most hospitalized patients know that Zhou Can is a famous doctor in the emergency department. Family members and patients like gossip the most, both men and women.


    Which doctor is skilled and which doctor is the director, they don''t need to be taught at all, they can figure it out one by one.


    "Is today the second day of surgery?"


    "That''s right! I had an operation at eleven o''clock yesterday morning. I wanted to ask you to help me perform the operation myself, but the sister nurse told us that your operation is already fully booked. She also told me that this It¡¯s just an ordinary minor operation, which can be performed by any doctor. I thought that Tuya is a famous hospital in the province, and everyone said that the medical skills here are excellent, so I agreed.¡±


    When she looked at Zhou Can, she looked very respectful.


    She felt a little regretful that Zhou Can could not perform the operation on her personally.


    But it can be seen that this is an optimistic girl.


    The age should be about eighteen or nineteen.


    "Thank you for your trust in our hospital, thank you for trusting me so much. Do you feel anything unusual after the operation? For example, severe pain."


    Every time Zhou Can hears that patients come to him for surgery, he feels very happy.


    This heavy trust is also the greatest encouragement to him.


    Many patients who underwent surgery by him did not look down on him because he was young, let alone because he was not a director or professor. UU Reading They will recommend Zhou Can to their relatives and friends as long as they feel that the effect of the operation is good after recovery from the operation.


    This kind of word-of-mouth accumulation is something that every doctor likes.


    "Well... I don''t have severe pain. I just feel that the right toe is still a little numb. Your big hospital is different. The effect of anesthesia is very good. I heard from others that you will start to feel pain at most five or six hours after the operation."


    The female patient was very naive, and thought that the anesthetic was very effective, so she always felt numb.


    In a word, it directly scared Zhou Can into a cold sweat.


    If she hadn''t stopped and asked carefully, she probably wouldn''t report the situation to the doctor until she was discharged from the hospital.


    "Under normal circumstances, the effect of the anesthetic doesn''t last that long. Let me check it for you."


    He carefully loosened the gauze wrapped around the patient''s foot.


    This surgery involves separating two toes that grow together. The difficulty of surgery depends on the specific degree of deformity.

 Chapter 577： Nervous problem? current state of medicine

    Under normal circumstances, if the bones of the two toes do not grow together, and each has an independent and complete bone structure, it only needs to be surgically separated from the middle.


    Because it is a deformity itself, various unexpected situations are prone to occur in actual surgery.


    For example, the blood vessels of the two toes are crossed, or only one artery supplies blood to them at the same time. In this case, the surgery is a little more complicated. An artificial bypass is required to reconstruct an arterial vessel.


    In fact, the anterior tibial and dorsalis pedis arteries are the main blood supply to the toes.


    As for the venous return, the great saphenous vein and the small saphenous vein are the sources.


    The posterior tibial artery belongs to the two terminal branches of the popliteal artery, and it can also serve as a blood source for bypass remodeling vessels if necessary. It generally supplies blood to the soles of the feet and is rarely used during surgery.


    Zhou Can is not clear about the specific operation of this patient.


    One thing is for sure, the operation should not be too difficult. Otherwise, he or the doctor will perform the surgery himself.


    After the gauze is untied, the sutured wound can be seen.


    The suture is relatively neat, without skin grafting, but with suture.


    Conditional patients will receive water-filled skin expansion for a period of time before surgery. However, because it is only a minor operation and the patients come from all over the province, it is often impossible to prepare for everything.


    Requiring patients to go back and forth to the hospital multiple times is not realistic in itself.


    Doctors definitely want the surgery to be as perfect as possible, but patients often find it difficult to accept it in consideration of economic affordability and time cost.


    Postoperative suturing is more common.


    The skin itself has strong toughness and extensibility. It only needs to rest for a period of time, and it can grow automatically and cover the wound completely.


    The only thing to pay attention to during this period is to prevent infection.


    Also, postoperative hospital observation time is often only about one to two days. The rest of the time is spent dispensing medicines for patients and taking care of them at home.


    Especially in a large hospital like Tuya, there is a shortage of beds, and it is difficult to spend the limited bed resources on a minor surgery patient.


    This patient chose to have surgery in Tuya''s emergency department mainly because of Zhou Can''s reputation.


    Originally, this kind of toe splitting operation is usually done by general surgery.


    The operating room of the emergency department is now a general operating room. Except for the fourth-level surgery and obstetric surgery, almost all operations are dared to be performed.


    The operation is mainly divided into two technical parts.


    One is the basic skills of surgery, that is, incision, suture, hemostasis, anastomosis and so on. The second is surgical experience.


    Under normal circumstances, as long as the operation is not particularly difficult, all surgeons can become all-round fighters.


    Of course, in practice, such a versatile surgeon is very rare.


    You ask a surgeon who usually only performs general surgery to open the chest and perform heart surgery on the patient, basically curing one to death.


    This is why cardiac surgery and neurosurgery have always been called the two ceilings of surgery.


    Because these two fields are high-precision surgery.


    Only those with a high level of surgery and rich experience in this field can be qualified.


    The training period for surgeons in cardiology and neurosurgery is at least eleven years.


    That is to say, it takes at least eleven years to train an ordinary novice doctor to be able to independently complete a cardiac surgery. In fact, the training period will be longer. Without 15 to 20 years of surgical experience, the superior doctors dare not let you preside over the surgery alone.


    Life is at stake.


    Judging from the suture technique and neatness of the toe splitting operation of this patient, it should be performed by an experienced surgeon.


    Because some details are handled quite well.


    "Is this toe numb?"


    Zhou Can took a sterile cotton swab and touched the patient''s right toe. To be precise, this toe is the third toe.


    Typically, the second to fifth toes are most prone to syndactyly.


    The first toe is the thickest one on the inside.


    It is the eldest of the toes, and the chance of deformity with the second toe is very small.


    This female patient mainly had deformities of the third toe and fourth toe of the left foot.


    "Yes, this is it."


    The girl nods.


    Family members are accompanying in front of the hospital bed.


    Judging from appearance and age, the **** should be the girl''s mother. But this woman was very shy and simple, she didn''t talk much, she just stood by with a smiling face and watched Zhou Can examine her daughter.


    The patient''s father only showed up on the day of the operation. It is estimated that after seeing the baby''s operation, he went home to work and earn money.


    Basically, the men in most families are the pillars of the family.


    It is also the backbone of the economy.


    "You close your eyes first."


    Zhou Can said to the patient.


    "Do you feel it?"


    He again touched the patient''s left third toe with a cotton swab.


    "A little bit, it''s not obvious."


    "Which toe am I touching you? The left or the right?"


    "right!"


    "Which one are you touching now?"


    "left!"


    "Does the toe on the left feel different from the one on the right?"


    "Yes! It''s so clear, I can tell you''re touching my toes with the handshake end of the swab."


    The girl''s answer was very precise.


    This also facilitates Zhou Can''s accurate diagnosis.


    What I am most afraid of is the kind of patients who don''t know what to ask, answer questions with ambiguity, and say nothing.


    It''s really maddening.


    It is now basically certain that there is a problem with the patient''s left third toe.


    Zhou Can''s expression became serious.


    "You can open your eyes now, thank you for your cooperation."


    Now that the operation has been completed, nothing can be seen from the outside with the naked eye.


    The patient''s two toes are relatively rosy, indicating that the blood supply is smooth.


    It seems likely that there is a problem with the nerves in the toes.


    "Have you ever touched those two toes with your hands before?"


    "I touched it!"


    "When the toe on the right touches, do you feel it?"


    "Yes! I used to have clear sensations when I cut my nails and when I scratched it. Dr. Zhou, may I ask if there is something wrong with my toe?"


    No matter how stupid she is at this time, she still understands that the third toe is not effective for anesthesia.


    Most likely something went wrong.


    "It''s hard to say for the time being. There must be a problem with the touch of the third toe. Because the operation has just been completed, you can observe it for a day or two. I will arrange further examination for you at that time."


    Zhou Can did not immediately draw a conclusion.


    Due to the existence of local hematoma, wound pain and other conditions after the operation, it is really difficult to draw a conclusion immediately.


    In fact, there are very few conclusive conclusions in medicine, and the answers given to patients are often relatively vague and flexible.


    Even if they know that the patient''s tumor is cancer, even if the doctor sees that the pathological biopsy results support a malignant tumor, they will still not tell the patient that you must be a certain cancer. I''ll try to be as conservative as possible.


    Of course, when a patient is found to have malignant diseases such as malignant tumors and uremia, considering the patient''s ability to bear, the patient is often not informed of the examination results.


    Instead, inform the family.


    "I have this operation because I want to be able to dance ballet better in the future. If there is a problem with this toe, will it affect my dancing?"


    The girl seemed a little nervous at this moment.


    This is also a normal reaction in most patients.


    Once they learn that there is something wrong with their bodies after the operation, they often feel anxious and tense.


    "Don''t worry too much, take a good rest. If something goes wrong, we will definitely find a way to help you solve it."


    Zhou Can doesn''t know much about ballet. He only knows that to dance this kind of dance, you need to touch the ground with your toes and spin your whole body like a spinning top. There are high requirements for the bearing capacity and flexibility of the toes.


    Patients undergo this surgery not only for aesthetics, but also for better dancing.


    Each toe has its own unique function.


    In theory, the main function of the toes is to stabilize the body.


    In the process of human evolution, apes need to run and jump barefoot in the woods and mountains, and even climb trees to avoid predators when they are in danger.


    This requires the foot to have a certain gripping ability.


    The toes are used to grip the ground, grasp the trunk, and stabilize the body.


    Modern humans have evolved to a high level of civilization, basically walking in shoes most of the time, and the function of the toes has further degenerated. Even if you lose a toe, you can adapt quickly, and basically it will not affect your walking too much.


    But for jumping and dancing, there will definitely be effects.


    ¡­


    After checking the house, Zhou Can found that there were quite a few minor problems.


    There is a certain reason why patients dare not let young doctors perform operations and see a doctor.


    Among the hospitalized surgical patients in the emergency department, the proportion of inpatients with primary and secondary operations is very low, accounting for only about 30% of the total number of inpatients in emergency surgery. Most of the first-level and second-level surgery patients go with the treatment.


    At most, I come to the outpatient clinic to change the medicine once a day, or go to the hospital to remove the stitches and have a reexamination within a week.


    The third-level surgery and the second-level complex surgery are basically presided over by Zhou Can and Dr. Xu. The quality is not perfect, but at least it has reached a high level.


    But the operations done by other people are a bit hard to describe.


    In particular, the emergency department has continuously introduced new surgeons in the past two years, and they are all young doctors with insufficient experience and poor surgical skills.


    In this case, the quality of the surgery can be imagined.


    The hospital has always been very tolerant of new recruits.


    It is to allow doctors to make some small mistakes and problems in the process of learning and evolution. As long as there is no accident, the hospital will turn a blind eye.


    It is unrealistic to ask every novice surgeon to perform surgery at a high level like Zhou Can and Dr. Xu.


    "Which doctor performed the one-bed surgery?"


    Zhou Can asked Dr. Jiang Shuangshuang who was in charge of the bed.


    Because she is a doctor in the Department of Endocrinology, when she was transferred to the emergency department, an inpatient ward happened to be established in the emergency department, so she was transferred to the inpatient ward as a bed doctor.


    ¡¿


    At present, there are more than 100 beds in the emergency department, and her status here has also increased significantly.


    If nothing else happens, I should be able to get an opportunity to study further this year, and then come back to be the head of the hospital to prepare for promotion to attending.


    Every resident basically grows up like this.


    When there are few doctors in the department, each doctor will be forced to take turns to be hospitalized for a period of one year.


    If there are too many doctors, it''s hard to say.


    Hospitalization always requires staying in the hospital for a whole year, which can be said to be on duty 24 hours a day.


    Very unfriendly for married people or young doctors who are in a relationship.


    It is an extravagant wish to go home and live a normal married life with your lover.


    Many doctors love and hate the position of general inpatient.


    Because after being hospitalized, all aspects of ability, including ward management ability, will be greatly improved and exercised. Next, he will be promoted to an attending doctor, as long as he can pass the exam, it is basically a certainty.


    In fact, the examination for attending physicians is not particularly difficult.


    More than 80% of doctors can pass.


    If it doesn''t work, you can take the exam again in the second year.


    Therefore, the key to being promoted to an attending physician is not the attending physician examination, but the one-year total hospitalization exercise.


    Those doctoral students who didn''t work were always hospitalized, and after working for a year, they were directly promoted to attending physicians.


    Clinically, there will definitely be certain defects.


    Maybe the management ability, the ability to solve the patient''s sudden illness and the deterioration of the disease, is not as good as this kind of attending physician who is steadily promoted step by step. Hospital leaders are not stupid. When appointing important management positions in clinical departments, they usually don''t give such untrained doctoral students directly.


    Besides, the development path of others is completely different.


    Doctoral students pay more attention to scientific research and write high-quality papers desperately to prepare for the impact on the sub-high and the high-level as soon as possible.


    It is also this kind of talent promotion system that is somewhat divorced from reality, which has led to the fact that many postgraduate and postgraduate students who have studied for eight years may not be able to do anything after entering the hospital.


    Many famous doctors may not even cure diseases.


    This is also a strange phenomenon in the current medical circle. The relevant competent authorities have discovered this problem and are formulating a more scientific and reasonable personnel training mechanism.


    The old American medical student exam uses living people.


    Obtaining a medical license abroad is very difficult. It often takes very wealthy families to train doctors or nurses. Old American doctors belong to the high-paying class.


    At present, there is no shortage of medical students in China, but there is a shortage of medical students who can see a doctor.


    The last time Tuya Hospital recruited people for the emergency department, there were only two positions, and they were relatively poor technical positions. As a result, more than 300 postgraduates and masters submitted their resumes. Including a few doctoral students also sent their resumes.


    It can be seen how far medical students are now looking for jobs.


    There is also a very strange phenomenon. Everyone is trying to get into a big hospital. However, it is difficult for those small and medium-sized hospitals to recruit senior talents.


    The more top hospitals like Tuya, the more sought-after UU Reading .


    When Zhou Can participated in the general training recruitment, the hospital initially gave only ten to twelve places, but thousands of people participated in the recruitment.


    Over the past few years, Tuya''s overall strength and ranking have improved a lot, and the recruitment will only increase.


    Jiang Shuangshuang has always had special respect for Zhou Can.


    During Zhou Can''s ward rounds, as long as she was on duty, she would basically wait for Zhou Can to arrive early.


    Because following Zhou Can''s ward rounds together, I can learn a lot.


    Zhou Can often gave her some guidance, which benefited her a lot.


    "The toe splitting operation in the first bed was performed by Dr. Fu. Do you need to check the operation records?"


    Jiang Shuang asked.


    "You can help me adjust the operation records. I have to find Dr. Fu to find out the situation. There is probably something wrong with this patient''s toes."

 Chapter 578： 1 more thing is worse than 1 less thing, deep investigation of the cause

    After Zhou Can and Fu Chachun got into an argument last time, they basically only kept their superficial politeness.


    There is a saying that reconciliation is so easy, but it is too difficult as before.


    The two didn''t have a deep friendship. At the critical moment when Zhou Can was promoted to the deputy team leader, Fu Chachun jumped out and stabbed him. Since people didn''t take Zhou Can seriously, he naturally wouldn''t have the heart of the Virgin Mary.


    Clearly using the power of the deputy team leader to retaliate against Fu Chachun, that would not be the case.


    He still has this kind of mind and bearing.


    It is also impossible for him to wipe Fu Chachun''s ass, take care of him in various ways, and repay kindness with kindness.


    To put it bluntly, it is business.


    He remembered Fu Chachun''s day shift today, and he should have come home from get off work by now.


    Call the person directly.


    It was connected quickly.


    "Hello, Team Leader Zhou! What''s the matter?"


    Fu Chachun asked politely.


    Of course, this kindness is only superficial.


    He said Hello, Team Leader Zhou, not Hello, Team Leader Zhou. This detail can reflect that he doesn''t have much respect for Zhou Can, the deputy team leader, in his heart.


    Many old comrades are like this tune, clinging to that little face, unwilling to let go of their figure.


    "There is a patient here who had a split-toe surgery by you the day before yesterday. Now he has some problems. I would like to invite you to come over!"


    "What happened to the patient?"


    "Her third toe on her left foot was numb and almost lost touch."


    "This is not a big problem. Toe splitting surgery itself has considerable risks. It is very common to injure nerves after splitting the toes. As long as the blood supply of the patient''s toes is smooth and the wound heals well, it is already considered a problem." A successful operation."


    Fu Chachun said it lightly.


    He didn''t care much about the patient''s numbness in one toe.


    In clinical operations, patients experience numbness in a certain finger or toe, because few doctors are willing to take care of it because it involves nerve problems.


    Because of this ''minor problem'' most patients can accept it.


    There is no need to add extraneous branches.


    Everyone is afraid of trouble, let alone more trouble.


    If you tell the patient, the nerve may have been injured during the operation.


    Who is responsible for this?


    "The patient told me that she had the operation to dance ballet better. After the operation, there is a problem with the third toe, which will definitely affect the motor function of her left foot. Dr. Fu, do you think this is okay? Please come and join us Study the cause of the numbness of the third toe of the patient''s left foot, and try to help her if it can be solved."


    The heart of doctors and parents.


    Zhou Can is unwilling to deal with patients'' problems with such an irresponsible attitude.


    "No need! Surgery is inherently risky, and the family members signed it, directly telling the patient that the third toe of the left foot can try to exercise more in the future to see if it can recover gradually. If it can''t recover, the doctor can''t help it."


    The solution given by Fu Chachun is more in line with the interests of the hospital and the surgeon himself.


    Usually encounter similar situations, basically solved in this way.


    "That''s right! The family members signed the signature before the operation, and the possible risks of the operation have indeed been informed to the family members and patients before the operation, and their consent has been obtained. If we don''t deal with it, the family members and patients can only admit it. But I I think there is a better way to deal with it. At least it is worth trying."


    Zhou Can could only do Fu Chachun''s ideological work earnestly.


    "Humph! Team Leader Zhou wants to be this good guy, so he can do it himself, and I won''t accompany you. If you just want to retaliate against me, you can do whatever you want. My attitude is only one, and you don''t need to deal with it. If you are not convinced , You can find the department leaders, the medical department leaders, and see what they say."


    all...


    A busy tone came from the phone, and Fu Chachun had already hung up the phone.


    What a day.


    Doctor Fu actually thought that he was taking personal revenge. The conscience of heaven and earth, Zhou Can really never had such an idea.


    "Doctor Zhou, the patient''s surgery record has been retrieved from the operating room. Here it is!"


    Jiang Shuangshuang''s service is really thoughtful.


    Not only did I find the operation room to transfer to the operation record, but I also printed it out.


    Surgical records are generally managed in two places, the operating room and the medical department. It is not as easy as imagined to adjust the operation records of a certain patient, let alone anyone can adjust it.


    Zhou Can is the deputy team leader of the operating room, and has a special status in the emergency department. Jiang Shuangshuang told the operating room that Zhou Can wanted to adjust the operation records of a certain patient, basically it was just a matter of one sentence.


    "Thank you! You can go to work."


    After receiving the newly printed surgical records, he carefully checked them one by one.


    Surgical records are usually written by the surgeon himself and must be signed at the end, which has a certain legal effect. Relatively speaking, it is fairly rigorous.


    Sometimes, the chief surgeon is really overwhelmed, and the first medical assistant will write it.


    It is very likely that medical records and course records will be written by interns and regular trainees, but surgical records are often not written by interns.


    If the surgical records are written in a standardized and true manner, professionals can directly restore the entire surgical process by viewing the surgical records.


    Zhou Can was not in a hurry to go to the cardiothoracic surgery department.


    Instead, he took the operation records and logged in to his personal account in the emergency department to call up the patient''s preoperative examination data. Including the patient''s preoperative toe photos are recorded.


    After some research, not much to gain.


    Judging from the operation records and preoperative examination, this is a very simple operation. There is no complicated operation such as reconstruction of phalanges and blood vessels.


    Just separating the two toes from the middle normally, how can it hurt the nerves?


    Zhou Can couldn''t help recalling the patient''s postoperative wound condition again in his mind.


    Is the nerve distribution of the third toe of the left foot on the side of the adhesion with the fourth toe? Then during the separation process, the nerve was severed?


    This possibility is relatively large.


    Of course, it is also possible that the skin of the wound was pulled too tightly when suturing the wound, which compressed the nerve. In addition, the possibility that postoperative local hematoma may compress the nerve also exists.


    Before the operation, the patient knew that the touch of the third toe of the left foot was clear, but now there is numbness, which must be caused by the operation.


    After half a day of research, there was no major progress, so Zhou Can decided to check the situation tomorrow morning after checking the ward.


    I hurried to the cardiothoracic surgery department to help complete two major four-level surgeries.


    When I got home, it was past 11:40. After taking a shower, Su Qianqian was already wearing a beautiful lace pajamas and urged him to go to bed early.


    "I found that there seems to be a problem with the quality of the recent surgeries in the emergency department, so I asked the nurse to send me the statistics report of the surgeries for the past three months. You go to bed first, I have to check it in detail."


    Zhou Can said apologetically.


    His girlfriend deliberately wore such beautiful pajamas after taking a shower. If he didn''t understand her intentions, he would be too stupid.


    It''s just that there is no way, the work pressure is huge, and I am afraid that I will be powerless today.


    He sat on the sofa in the living room, turned on his laptop, logged in to his mailbox, and opened the email from Ye Tingting.


    "Patient Wang Jian, 17 years old, male, had a ureterostomy tube replacement last Thursday. The patient called on the third day after the operation and reported hematuria. The surgeon Tang Wangnian."


    "Patient Zhou Yongbo, 54 years old, male, had facial bone sequestration surgery on September 8, and returned to the room one month after the operation. The patient reported facial paralysis. The surgeon Fu Chachun."


    ¡­


    I don''t know if I don''t read it, but when I look at the return questionnaire given by Ye Tingting, it''s shocking.


    Patients are dissatisfied with the curative effect after operation, and various minor problems abound.


    Doctors in almost the entire department are involved.


    Including the surgery performed by Zhou Can himself and Dr. Xu, the satisfaction rate of the follow-up visit is also not 100%.


    It''s just relatively much better than other doctors.


    Zhou Can''s return visit satisfaction rate ranked first, and Dr. Xu was squeezed to the second place, and the gap between Dr. Xu and Zhou Can was quite large. Ranked third is Dr. Cui.


    The surgical satisfaction rate can also reflect the doctor''s surgical level.


    Only with a high level of care, enough care, and rich experience can the surgery cause as little harm as possible to the patient. Avoid a large number of sequelae after surgery.


    It seems that the operating room of the emergency department still has a long way to go if it wants to become bigger and stronger!


    There is a long way to go.


    Surgery, whether it is now or in the future, will become the core competitiveness of the emergency department.


    To improve the quality of surgery, Zhou Can alone is too weak.


    Because if you really take care of it, you will offend almost all the doctors in the operating room.


    Even if individual doctors who are close to Zhou Can don''t hold grudges against him, other doctors will definitely be dissatisfied.


    Therefore, this matter needs to be discussed with the department leaders.


    ¡­


    At around 7:00 the next morning, Zhou Can came to the emergency ward for rounds.


    The female patient in bed 1 of the emergency department is recovering well in other aspects. The only problem is the numbness of the third toe of the left foot and the extremely weak touch.


    "Well, are you feeling better today?"


    Zhou Can asked the patient concerned.


    "It seems to be the same, still numb, and I don''t feel anything."


    She looked rather worried.


    "The nurse hasn''t come to change the dressing yet, has she?"


    "No, I come here to change the dressing every morning at half past eight."


    "I''ll check again for you."


    Zhou Can put on thin disposable sterile gloves, and gently opened the third and fourth toes of her left foot.


    "Ah... it hurts, it hurts!"


    She immediately let out a cry of pain.


    "Honghong, hold on, Doctor Zhou is examining you, and he also wants to help you find out the problem and treat it." The patient''s mother comforted her daughter beside her.


    ¡¿


    The mouth is so comforting, but the eyes are fixed on Zhou Can''s movements, which seems to be more nervous than the patient himself.


    Poor parents in the world.


    A mother''s love for her children is greater than the sky and thicker than the earth.


    "Come on, try to flex your toes."


    During the inspection yesterday, Zhou Can just did some simple touch tests with cotton swabs.


    Because after checking the operation records and preoperative examination, there was no answer. So we must step up inspections today.


    Every examination a doctor gives a patient has a strong purpose.


    It''s definitely not like a child''s play house.


    She bent the toes of her left foot according to Zhou Can''s request, and as a result, all five toes bent down together.


    Due to the lack of special exercise on weekdays, the toes are more often like a pampered princess, wearing socks and shoes, and are heavily protected.


    This also makes it far from being as flexible as a finger.


    If you study the ancient apes, you will find that their toes are about as long as their fingers. After human beings learned to use tools and developed to the stage of stone civilization, their feet gradually became more comfortable.


    The toes are also degenerating.


    Therefore, the toes are much shorter than the fingers. In addition, after training, the toes can actually grasp as flexibly as fingers and perform various difficult movements. Some disabled people who unfortunately lost their arms fully proved this point through acquired efforts.


    They can use their feet to dress, eat, write and more.


    In this case, his toes will be as flexible as his fingers.


    Zhou Can held her other four toes with two hands, leaving only the third toe on her left foot.


    "Try to bend again, don''t be afraid of pain."


    She tried to bend the third toe of her left foot, and Zhou Can could clearly feel the other four toes exerting force together. But he got caught.


    He found that the third toe of the patient''s left foot could not be flexed well.


    "Okay! Try the fourth toe of the left foot again!"


    Next, Zhou Can tested the bending of the other toes of her left foot one by one.


    His mood became extremely heavy, and the flexion and extension ability of the third toe was obviously abnormal. If you just don''t feel pain and you can bend and straighten, that''s pretty good.


    Now, even the flexion ability is lost, and the injured nerves include motor nerves.


    "Next, I will press your feet. You close your eyes. If you can feel it normally, don''t talk. If you find that your perception becomes weak or disappears, please tell me immediately."


    Zhou Can first pressed on the back of her foot, approaching the third toe all the way.


    "Stop, stop, the touch is getting weaker, getting weaker."


    She hastily yelled to stop.


    At this moment, Zhou Can pressed her third toe nearly one-third of the way from the root.


    After some more tests, he had a bottom line in his mind.


    "Thank you for your cooperation. I will continue to follow up or arrange for further inspection."


    After checking in detail, Zhou Can began to check other beds.


    When encountering problems, he will carefully record in his notebook, which bed, what operation was performed, and what the problem is.


    After checking the house, when I came out, I saw Fu Chachun coming to work.


    The two had a face-to-face meeting.


    When Fu Chachun saw others, he always greeted them with a smile, but when he saw Zhou Can, he glanced coldly, pretended not to see them, and went straight into the office.


    Should have changed clothes.


    It seems that UU Reading Zhou Can called him yesterday because of the toe numbness of the patient in bed 1, which made him very unhappy.


    I must think that Zhou Can is deliberately punishing him.


    Zhou Can didn''t explain either, there was no need to explain.


    As a leader, if you want to accomplish something, you will definitely encounter a lot of resistance. As long as he is sincerely for the development of the emergency department, I believe everyone will understand him in the future.


    Look at the time, it''s almost eight o''clock.


    He had to go to the operating room to work quickly, but before that, he was going to talk to Director Lou and Dr. Xu first, and report the situation.


    At this time, his cell phone rang.


    He took out his mobile phone and saw that it was the call from Vice President Bai.


    Usually during the New Year and holidays, Zhou Can took the initiative to send a message to send blessings to the other party. Vice President Bai almost never took the initiative to call him.


    There must be something important.

 Chapter 580： Take full responsibility, pick it up high, put it down gently?

    "No problem, I can confirm the list of judges on the spot!" Dr. Xu was more anxious than anyone else.


    Since his accident, he has been rooted in the operating room of the emergency department.


    I have deep feelings for the operating room of the emergency department, and I have indeed put in a lot of effort.


    After accepting Zhou Can as an apprentice, seeing the operating room of the emergency department expand a little bit, it finally developed to the present point. He would never want to see any mistakes in the operating room.


    Back then, the cardiothoracic surgery department was so powerful that it would collapse as soon as it was said, which left a deep impression on him.


    So his sense of crisis has always been strong.


    After listening to Zhou Can''s report today, he was already in a cold sweat.


    Pay more attention to this matter.


    "Haha, Old Xu is still so resolute in handling things!"


    Director Lou was obviously very satisfied with Dr. Xu''s attitude.


    "I am so anxious! The operating room of the emergency department is like my child. I am more happy than anyone else when I see it grow up step by step. But now I suddenly find that it is sick, and I can''t wait to solve the problem right away! The judges are currently selecting three people, me, Xiao Zhou, and Cui Ming. Both Xiao Zhou and Cui Ming have excellent surgical skills, are fair and dignified, and I can trust both of them."


    Dr. Xu drew up three lists of judges on the spot.


    This time, the selection of judges does not depend on seniority or age, but on professional level and morality.


    "Don''t you choose one or two old comrades? For example, Fu Chachun."


    Director Lou asked.


    "It''s not that I don''t respect the old comrades. If I want to change the atmosphere in the operating room of the emergency department, I must use someone like Xiao Zhou who is capable and courageous. Otherwise, I will choose someone like Fu Chachun to be a judge and have a good fight with each other. , then it will lose the function of this scoring mechanism. At that time, it will become a formalism, which will not only be ineffective, but may encourage the crooked trend of fraud.¡±


    Dr. Xu''s efforts to hide his strength and bide his time in the past few years are really not in vain.


    He has a very clear prediction of some unhealthy tendencies that may arise in management.


    If an old fritter like Fu Chachun is selected as the judge, even if a certain doctor''s operation is not good, as long as he secretly gives Fu Chachun some gifts and establishes a good relationship, he can still pass the test and even get a high score.


    So Dr. Xu firmly opposed it.


    "Old Xu, I will leave this matter to you. After you formulate a complete plan and submit it to me, I will back you up at that time. The operation business is the core business that the emergency department has finally developed. The reputation of the emergency department is the main root of the growth and development of the emergency department. If anyone ignores the reputation and image of the operating room for a little self-interest, I will tell him to leave class. It is hard to find two-legged toads. Can recruit a lot."


    Director Lou made the final statement.


    As the biggest leader of the emergency department, what I have to do is to support these practical people and provide them with the power and legitimacy to do things.


    A hospital is a unit as well as a small kingdom.


    The emergency department is equivalent to a state, and the operating room is half of the state and the most important foundation.


    Destroying word of mouth is tantamount to destroying this foundation.


    It''s no wonder that Director Lou would let out cruel words in a murderous manner, and let anyone who doesn''t obey the order be dismissed from get out of class.


    ¡­


    Coming out of Director Lou''s office, Dr. Xu was still frowning, probably still thinking about cleaning up the operating room.


    As the chief person in charge, Dr. Xu was under a lot of pressure when there was such a big problem with the quality of the operation.


    "Teacher, you decided on the list of judges on the spot. Are you planning to implement the surgery scoring system immediately?"


    "That''s right! Thanks to your timely discovery of this matter, if you wait until you discover the chronic disease that has formed, it will be completely cold. After reading the return visit forms you provided, it is urgent to improve the quality of surgery. Xiao Zhou, in the future you Pay more attention, and report any problems to me or Director Lou in time. The operating room of the emergency department must not let it collapse!"


    Dr. Xu is already in his fifties, and it was the first time he was old when faced with such a major crisis.


    For the first time, I have the consciousness to slowly transfer the burden to Zhou Can''s shoulders.


    "Today is the first day of the implementation of the scoring system, and I will score it myself. From now on, you and Dr. Cui will take turns scoring, and send me the surgical scoring report for the day after get off work."


    A total of three judges were selected, and not all three judged a surgery at the same time.


    Instead, Zhou Can and Dr. Cui took turns to score each operation before submitting it to Dr. Xu for examination. to ensure fairness.


    "By the way, what caused the toe numbness of the patient in the first bed, has it been found out?"


    "For the time being, only a physical examination has been done. It can be basically concluded that the nerve is broken or compressed. About one-third of the base of the third toe, the patient''s sense of touch is significantly weakened, and the flexion function disappears."


    Zhou Can''s current medical skills have not yet reached the peak level.


    It can only roughly predict where the problem lies.


    Almost all doctors have this practice, first perform the most intuitive physical examination such as palpation and visual inspection on the patient. Then make a prediction, also called the first diagnosis.


    Doctors with high level can achieve at least 60% correct rate of initial diagnosis.


    "You have to find a way to find out the root of the problem first, and you will be responsible for this matter. There are two points to pay special attention to. The first point is to prevent patients and their families from thinking that this is a medical accident. Publicize the risks of surgery to them as much as possible. Knowledge, tell them that some surgical risks are unavoidable. The second point is to protect the interests of the doctors involved and our hospital. Even if Fu Chachun really made a mistake during the operation, he must not be dismantled. "


    Dr. Xu has a firm stance when dealing with such matters.


    The interests of both parties must be guaranteed.


    This is the premise.


    "I see!"


    Zhou Can nodded heavily.


    Not to mention the doctor in this hospital, even if the patient had the surgery done in another hospital, and it was obvious that the surgery was done poorly, he would never tear down other doctors. When patients and family members asked whether the previous doctor''s surgery was not done well, Zhou Can''s answers were often vague.


    This is also the minimum quality of a doctor.


    Those who like to speak ill of other doctors and belittle their colleagues in front of other patients and their families are, in all likelihood, double scum.


    Character scum, technical scum.


    Zhou Can is naturally not this kind of person.


    The nerve was severed, and even the most advanced MRI couldn''t detect it. EMG signal detection is also only valid for connected nerves. It can detect whether the nerve signal disappears or attenuates after reaching this muscle, but it cannot detect whether the nerve has been cut.


    The best way is to dissect, and use the doctor''s experience, naked eyes, and touch to find out the nerves and make a diagnosis.


    Out of caution, Zhou Can still performed an EMG signal examination on the patient.


    It is basically consistent with the results of his hand diagnosis on patients.


    The EMG signal was almost interrupted at that position.


    It has basically been determined that the patient''s third toe nerve was severed.


    After the conclusion of the diagnosis, Zhou Can was still not in a hurry to arrange a second operation for the patient. Instead, he found Fu Chachun, who was undergoing a consultation, to learn more about the operation.


    Dr. Fu was the operator of the surgery and knew the situation best at that time.


    "Doctor Fu, you''re busy!"


    Zhou Can greeted with a smile.


    "Um!"


    Doctor Fu just hummed in his nostrils. Zhou Can robbed him of his position as deputy head of the operating room, and he already had a lot of opinions.


    Zhou Can clung to the patient in bed 1, and even went into Director Lou''s office with Dr. Xu this morning, which made Dr. Fu even more furious.


    It''s not bad to be able to talk to Zhou Can now.


    "Is it convenient for you to have a chat later?"


    "There are so many patients queuing up, there is no time!"


    Doctor Fu coldly refused.


    "Then I''ll say it here. When the patient in bed 1 underwent surgery, did you see the nerve of the patient''s left third toe?"


    Zhou Can suppressed his anger and asked patiently.


    In any unit, the biggest headaches are these stubborn and paranoid old comrades. Some old comrades are very knowledgeable about current affairs, and they are very cooperative with the work of the young leaders of the department. Some old comrades put on airs and find that young cadres are not pleasing to the eye.


    I always feel that such a little baby is in charge of the old man, and I don''t know the heights of the heavens and the earth.


    "Didn''t I tell you everything? Don''t ask me about this again. If you are not satisfied with me, you can go directly to Director Lou and Dr. Xu to sue me." Fu Chachun looked at Zhou Can and pulled Dr. Xu into the room. If I went to Director Lou''s office, I must have filed a criminal complaint.


    Now he humbly came to him to inquire about the patient''s operation.


    He thought to himself, probably he ran to file a complaint to no avail.


    As a result, Doctor Fu became more confident.


    "We are all colleagues in the same department. I believe that you and I have the same purpose, which is to restore the patient''s health. The patient''s left third toe lost its flexion function and became numb. The problem is actually quite serious and will never be repeated. What a trivial matter. The head of the department gave me full authority to handle this matter, and I hope to solve the problem as much as possible without harming the interests of both parties. Please cooperate."


    Zhou Can was still patient and worked hard to do ideological work for Fu Chachun.


    "Xiao Ding, call the next one!"


    Fu Chachun ignored Zhou Can with a cold face.


    Seeing that this old comrade didn''t want to get in, Zhou Can was no longer polite. Just stand there and call Director Lou.


    At this moment, Dr. Xu is operating on a patient in the operating room, so it is more appropriate to ask Director Lou to come forward to solve the problem.


    Because in terms of rank, Dr. Xu is only an attending physician.


    A plucked phoenix is ??not as good as a chicken.


    After the disaster, Dr. Xu was actually quite miserable. Many people have long since ignored him.


    "Xiao Zhou, what''s the matter?"


    "Director Lou, there is something I need to report to you..."


    Zhou Can told about Fu Chachun''s non-cooperation.


    Director Lou''s panting became obviously thicker, which showed that he was very angry.


    "You asked Fu Chachun to cooperate with you, just say what I said."


    Director Lou suppressed his anger on the phone and said.


    "Doctor Fu, you heard the phone call. Director Lou asked you to cooperate with me to solve the patient''s problem."


    Zhou Can was almost depressed.


    He was obviously helping Fu Chachun wipe his ass, but now he begged his grandpa to sue his grandma, but Fu Chachun was here to make a show.


    I don''t know where the confidence comes from.


    Do you really think the emergency department can''t do without him?


    Director Lou just sent a message not long ago that anyone who doesn''t do a good job will be dismissed from get out of class.


    It may be a little difficult for the department director to deal with the director-level physicians, but it is definitely a matter of one sentence to deal with an average-level attending physician.


    "How to solve it? Tell the patient, is there a problem with the doctor''s operation? Xiao Zhou, it''s best not to be too wicked, and be careful to give birth to a son with an extra anus."


    Fu Chachun scolded Zhou Can with a thick neck.


    The nurses, doctors, patients, and family members nearby all listened.


    For the first time, Zhou Can had the idea of ??cleaning up this rich old man.


    Why is this old man so clueless?


    The last time in the conference room, he also attacked Zhou Can with his airs of seniority, but Zhou Can didn''t make a move at all, but the three nurses under him made a move, and cleaned up Fu Chachun so much that he almost called his mother.


    ¡¿


    It has only been half a year, and Fu Chachun is afraid that the scar has healed and he has forgotten the pain.


    Started to die again.


    Zhou Can could feel a pair of strange eyes. If he can''t fight back this time, if he can''t deal with Fu Chachun severely, the story of him being scolded by Fu Chachun in the department will go viral.


    At that time, the damage will not only be majesty.


    Just when Zhou Can was about to get angry, a short and sturdy figure rushed over like a rolling knife.


    The momentum is fierce.


    After taking a closer look, I realized that it was Director Lou who rushed over from the office with a dark face.


    "Fu Chachun, you don''t need to go to the clinic anymore, I will arrange another doctor to take over. You come to the office with me right now."


    Director Lou had a gloomy face, he had never been so scary like this moment.


    "Xiao Zhou, you also come to the office with me."


    When he spoke to Zhou Can, his voice softened significantly.


    Even an idiot can hear it, this is the rhythm of cleaning up Doctor Fu.


    After all, it was the director of the department. Although he was very angry, he still controlled his anger and didn''t say anything in front of the patient and his family.


    This is a very rational and correct approach.


    In front of family members and patients, there are many things that cannot be said. Otherwise, it is easy to be misinterpreted after dissemination, causing extremely bad influence.


    The two followed Director Lou to the office.


    Fu Chachun had an unconvinced expression. Zhou Can''s expression was indifferent.


    Now that Director Lou has come forward, there is no need for him to confront Fu Chachun again.


    "Sit, both of you!"


    Director Lou asked the two to sit down and made tea himself.


    "Old Fu, have you been working in the emergency department for a long time?"


    He didn''t lose his temper as imagined, but chatted with Fu Chachun in a gentle tone.


    The more this happened, the more disturbed Fu Chachun was.


    Because he knows Director Lou too well.


    Director Lou has an impatient personality and is straightforward and honest with others. The doctors or nurses in the department made mistakes, and it would be a good thing if Director Lou got angry and scolded him.


    After scolding, basically nothing happened.


    But if Director Lou is obviously angry, but instead of getting angry, he talks in such a gentle tone.


    Nine times out of ten, it is the rhythm to take this person to the knife.


    The lightest ones are substantive punishments such as deducting bonuses and lowering powers.


    "When you were the deputy director of the emergency department, I entered the emergency department at UU Reading . I remember that in the second year, you were promoted to the director of the department."


    Fu Chachun subconsciously put his legs together.


    His hands rested awkwardly on his knees.


    "Yeah, time flies too fast. In the blink of an eye, eleven years have passed. I just became the director of the department. At that time, Dr. Xu Chen had not yet come to the emergency department. I still remember that you were busy with appointments, I have to go to the operating room for surgery again, but I am very busy. It is also the old comrades in the emergency department like you who helped the department through the most difficult days. "


    Director Lou seems to have a big temper, but he is very attached to old feelings.


    When Dr. Lu committed a crime, Director Lou also gave Dr. Lu a chance.


    This time, mentioning Dr. Fu''s past achievements should also have this meaning.


    It was also intentionally told to Zhou Can.


    Fu Chachun insulted Zhou Can in public just now, and his behavior was extremely bad. Zhou Can must understand why he didn''t just fire Fu Chachun.

 Chapter 581： Doctors are trifles, patients are catastrophes. The old comrades rescue...

    Compared with Doctor Fu, Zhou Can has more weight.


    The emergency department can live without Doctor Fu, but it cannot live without Zhou Can, the most powerful scalpel.


    Zhou Can''s current surgical ability may not be as good as Dr. Xu''s, but the number of surgeries has far exceeded Dr. Xu''s. Moreover, the quality also overwhelmed Dr. Xu.


    He is not only the strongest general in the emergency department, but also the number and quality of surgeries. Moreover, the emergency room, intensive care unit, and inpatient ward are almost inseparable from Zhou Can''s support.


    There are distinguished patients in the emergency room, or patients in critical condition, who will invite Zhou Can over as soon as possible.


    Not for anything else, because Zhou Can can really solve problems at critical moments.


    In addition, Zhou Can has a very close relationship with many departments.


    The directors and chief physicians of pediatrics, cardiothoracic surgery, obstetrics and gynecology, and general surgery all have a close friendship with Zhou Can. Internal medicine, even the most proud neurology department, treats Zhou Can differently.


    Whenever Director Yin Hua comes to the emergency department for consultation, he will definitely ask, where is Zhou Can?


    Not to mention Director Tan of the Department of Internal Medicine, every time he sees Zhou Can, he is as kind and friendly as seeing his own child.


    Therefore, Zhou Can is not only the technical core of the emergency department, but also the super network of the emergency department.


    He connects the emergency department with various weight departments.


    The emergency department can now set up medical and surgical inpatient wards, 100-level operating rooms, 10,000-level operating rooms, and endoscopy rooms, one after another. The ICU can get the full support of the Department of Intensive Care Medicine...Every case, every case, no major event can be separated from Zhou Can.


    If Zhou Can is forced to leave the emergency department, Director Xie promises that he will be the first to jump out and ask for the removal of the surgical inpatient ward of the emergency department.


    The emergency department blatantly competed with the surgery department. Director Xie had no objection, but was helpless.


    The current Zhou Can''s wings have hardened, and he, the chief of surgery, has no way to shake Zhou Can''s position.


    Because there are many important departments in the surgery department, they all have a good friendship with Zhou Can.


    It is almost impossible for those department directors to follow Director Xie to deal with Zhou Can.


    As early as last year, when the emergency department first set up inpatient wards, Director Xie hurriedly called a meeting with the directors of various surgical departments. Discuss how to stop emergency departments from setting up inpatient wards.


    Unexpectedly, Director Xueyan from the Department of Cardiothoracic Surgery, Directors Liu and Director Xiao from the Department of General Surgery, Director Shen from the Department of Orthopedics, and others all advised Director Xie not to make a fuss out of a molehill.


    He also said that the emergency department is a business card of Tuya Hospital, which can develop better and attract more patients to come for treatment.


    Let Director Xie take a long-term view and don''t just focus on immediate interests.


    After the meeting, Director Xie was so angry that his face convulsed, and his mouth was crooked for several days before recovering.


    Since then, he has not mentioned the crackdown on the emergency department.


    The directors of the departments under him, all of whom were drugged with ecstasy soup by Zhou Can, turned their elbows outward, towards Zhou Can.


    It is precisely because Zhou Can''s influence and role are extremely great, Director Lou must take Zhou Can''s feelings into consideration when dealing with Fu Chachun''s matter.


    "Old Fu, it is difficult to conquer the country, but it is even more difficult to defend the country!"


    "Yes, you are right!"


    Fu Chachun lowered his head, not daring to look at Director Lou.


    He is not stupid, so how can he fail to understand the meaning of Director Lou''s words when he has said this?


    "This is all the operations you presided over in the past three months. The dissatisfaction rate of the return visit is 47%, which is close to half of the dissatisfaction rate. Among them, the special dissatisfaction rate is 24%. Except for a few patients with objective reasons, most of them are due to the operation. Afterwards, various sequelae appeared. See for yourself!"


    Director Lou is so impeccable in his work.


    Even Fu Chachun''s surgery statistics for the past three months were printed out.


    When he took a few sheets of stapled printing paper from the desk, there were at least twenty copies in a thick pile.


    It seems that after Zhou Can reported the situation in the morning, Director Lou has already started to prepare.


    It is possible to count the operations performed by every doctor in the emergency operating room. Those who are unsatisfied with the follow-up visits and those with more serious problems are listed one by one.


    With these detailed statistical data, Director Lou can more clearly understand the working status of each doctor in the operating room.


    It is clear to everyone who is sloppy during the operation and ignores the postoperative health and experience of the patient.


    After Fu Chachun took it, there was an obvious expression of disbelief on his face.


    After looking at the statistical table carefully, his expression gradually became unbelievable, and a look of shame gradually appeared on his face.


    "How is it? Don''t you know if you don''t look at it, and you are shocked when you see it?"


    Director Lou''s tone was still gentle.


    Fu Chachun seemed even more embarrassed.


    "I know that you were very disappointed when you promoted Zhou Can as the deputy team leader of the operating room half a year ago. You feel that the department doesn''t value you old comrades. Look at the statistics again."


    Director Lou took out another copy from the pile of printed forms and handed it to Fu Chachun.


    This printed form is also the thickest one, with more than twenty pages.


    "Hey, why is the satisfaction rate of return visits in this statistical form so high? The number is also amazing. Is this a high-quality surgery in the whole department?"


    Fu Chachun flipped through it quickly, the more shocked he looked.


    After asking, he seemed to have realized something, and suddenly widened his eyes and looked at Zhou Can next to him.


    "Could it be that all these operations were performed by Dr. Zhou?"


    "Yes, the table in your hand shows Zhou Can''s total surgeries in the past three months, a total of 1,841 surgeries, more than one-third of which belong to the third-level surgeries, and the rest are mostly second-grade complex surgeries. Level-1 surgeries only account for about 10% of the total, and all of them are difficult and demanding level-1 surgeries.¡±


    Director Lou nodded slightly, with a serious face.


    "Old Fu, now you understand why you promoted Zhou Can as the deputy team leader, but not you, an old comrade? Old people can''t rely on their muscles and bones! The department has never denied the contributions of you old comrades, but it must Keep pace with the times and put your thoughts in the right position. If people are always immersed in the glory of the past, they will always stagnate."


    When Fu Chachun arrived at this moment, he was already ashamed.


    The statistics of these two surgery data will not be falsified, and can very clearly reflect the gap between him and Zhou Can.


    The two of them were completely different, one in the sky and the other in the ground.


    It''s ridiculous that he always thought that even if he had a few fewer operations than Zhou Can, the gap would not be too big.


    He had been blinded by blind self-confidence and over-optimism before.


    I never seriously understood Zhou Can''s workload, and lost my sense of impartiality, so the conclusions I drew were of course non-existent.


    After discovering the truth, Fu Chachun finally began to wake up, shame, self-ashamed, and shame gradually occupied his heart.


    It is also shown on the face.


    Never wake up a person who pretends to be asleep. In the past, when he hadn''t read the surgical statistics report of the two, he would not listen to the unfavorable remarks at all.


    Now, he finally woke up.


    "Let''s talk about the patient in the first bed. After you performed the surgery on him, the patient suffered from numbness of the third toe of the left foot and loss of flexion function. This is just a trivial matter to you, but it is a catastrophe when it happens to the patient. If we don''t help her solve it, her toe will remain in this state for the rest of her life, and may even atrophy and degenerate."


    Director Lou is very good at doing ideological work for the following doctors and nurses.


    Every sentence can speak to the heart of a person.


    In the eyes of the doctor, it is just a trivial matter, but it becomes a catastrophe when it falls on the patient. If you don''t have a sense of empathy and empathy, and if you don''t have enough clinical experience, you can''t say such high-level words at all.


    Fu Chachun lowered his head even lower.


    Can''t wait to bury it in the chest cavity.


    "After Zhou Can discovered the problem, he wholeheartedly wanted to help the patient solve the problem. He never thought of targeting you. Even if you spoke ill of him, when Dr. Xu handed over the patient to him, he still didn''t hesitate A complaint, and he readily agreed to take over. But do you know? This patient should have been taken care of by you, and Zhou Can was wiping his **** for you. And you? You didn¡¯t even say a word of gratitude, and you treated him in various ways. Harsh words, even more excessive just now, and insulting him in public."


    "I really don''t know where you got the confidence and confidence to contradict your superiors like this? Do you think the hospital really dare not touch you?"


    Director Lou changed his gentle tone before, and when he spoke later, he was already stern.


    The supreme majesty of the head of the department is fully displayed at this moment.


    The majesty of the tiger is breathtaking.


    Fu Chachun shouted, "I was wrong!"


    Shame and fear began to spread crazily deep in Fu Chachun''s heart. A trace of regret showed on his face.


    In the past, he felt that Zhou Can had robbed him of his position as deputy team leader, so he hated Zhou Can from the bottom of his heart, and disliked Zhou Can in every way. I always feel that the department is unfair to him.


    It wasn''t until now that he realized that it wasn''t that the department was unfair to him, but that his ability was not good enough.


    With prejudice, his thinking is basically distorted.


    Seeing everything, I feel that Zhou Can is targeting him.


    Even when Zhou Can wiped his **** this time, he was still hated by him in various ways.


    "The hospital is undergoing drastic reforms. The general surgery department has taken the lead in completing the reform, and is now preparing to implement it in the whole hospital. If you can''t keep up with the tide of the times, you are doomed to be eliminated. Old Fu, to put it bluntly, I don''t want to see you being dismissed by the hospital before you reach the retirement age. I have deep feelings for you old comrades, and I don''t expect you to become the top existence in the industry, or at least to keep your job. Now you I''ve reached the edge of a cliff, but I just don''t know it yet."


    Director Lou said earnestly.


    "I was wrong, Director Lou, I really know I was wrong. I am willing to change it, please give me another chance. I promise, I will not make jokes again in the future, and I will cherish it."


    When Fu Chachun heard that he couldn''t even keep his job, he realized that the problem was more serious than he imagined.


    "I told you so much just to give you a hand. Although I am the director of the department, I can only help you so much. Whether you can survive or not depends entirely on yourself."


    Director Lou was quite satisfied with Fu Chachun''s performance, and his tone softened a lot.


    A 500-jin big buffalo doesn''t drink water, so you can''t press its head by force.


    Fu Chachun is an adult with his own thinking and way of doing things. Director Lou can save him for a while, but not for the rest of his life.


    If Fu Chachun continued to die, he could only be eliminated ruthlessly without any suspense.


    "I will definitely change my mind and work hard to correct it, so as to live up to your painstaking efforts."


    Fu Chachun stood up and bowed deeply to Director Lou to express his gratitude.


    It can be seen that he no longer has the stubbornness and arrogance that he used to put on the airs of an old comrade.


    "Doctor Zhou, I am willing to fully cooperate with your work. If I make a joke again in the future, you can just use your shoe to slap me in the mouth."


    Fu Chachun turned around and looked at Zhou Can next to him. There was no hostility and sharpness in his eyes, only sincerity.


    It''s really not easy for this stubborn old man to make such a big change in a short period of time.


    According to Fu Chachun''s previous performance, Zhou Can even felt that the old man was hopeless.


    Director Lou had a way. After some conversation and admonishment, Fu Chachun actually let go of his stubbornness and prejudice, and bowed his head to Zhou Can.


    "No way, no way!"


    Zhou Can waved his hands generously, feeling very happy for Fu Chachun''s change.


    "Tell me about the operation of the one-bed patient. Did you see the nerve of the third toe during the operation?"


    Director Lou, who was sitting across from him, couldn''t help laughing, "Haha, Xiao Zhou is not only a patient, but a patient in his heart, no wonder he can have such a high level of medical skills at such a young age!"


    Seeing the two doctors in the department shaking hands and making peace, Director Lou was happier than anyone else.


    For him, any member of the department is worth cherishing.


    The ability of veteran comrades may not be satisfactory, but veteran comrades are also the background of a department. They can better maintain the temperature and unity atmosphere of a department.


    People, in fact, are emotional.


    Old comrades can stay in the department for a long time, and they can also give newcomers a good thought.


    Because newcomers often learn from the treatment of old comrades to look forward to their future treatment.


    Just imagine, if there are old comrades over 50 years old in a department, as long as they are weak, all of them will be expelled. Will those newcomers feel sad when the rabbit dies?


    ¡¿


    "I won''t hide it. I accidentally cut off the nerve of the third toe of that patient during the process of separating and joining the toes. According to normal conditions, the nerve of the third toe should not be on the side. I was indeed Careless, coupled with the limited level of anatomy, not paying attention when separating, by the time it was discovered, it was already too late."


    After Fu Chachun let go of his hatred, he actually had a high level of trust in Zhou Can.


    Directly in front of Zhou Can and Director Lou, he told about his mistakes in the operation.


    "Sure enough, it''s similar to what I guessed. After the nerve was severed, how did you deal with it?"


    Zhou Can had long guessed this result.


    If it wasn''t for being a guilty conscience, Fu Chachun didn''t need to be like a hedgehog when he asked Fu Chachun to find out about the situation.


    "I didn''t do any treatment, so UU Reading will just stay there. I''m ashamed to say that my anastomotic level is very bad, not to mention nerve anastomosis, even blood vessel anastomosis."


    Fu Chachun said truthfully.


    In terms of surgical ability, he, a senior attending physician, may not be as good as those excellent residents.


    To be honest, the operating room of the emergency department is gradually enriched with talents. It may be better for Fu Chachun to quit the operating room and only work in the front.


    It is beneficial to him personally and to the department.


    "I will communicate with the patient first, and strive to perform a second operation for him as soon as possible. When the time is settled, I will notify you of the operation together, and the nerve anastomosis will be handed over to me."


    Zhou Can felt that the sooner the operation was performed, the better.


    Especially for this newly severed nerve, if it is anastomosed now, its function can be restored better.


    It just happened to be able to verify his nerve anastomosis level.

 Chapter 582： Super coincidence, subversive breakthrough in stabilizing the knife

    "Okay, then please...!"


    It was the first time that Fu Chachun used the honorific title to Zhou Can, and he was obviously a little embarrassed.


    It''s like a little daughter-in-law who has just passed through the door and changes her name to mom and dad, always feeling a little embarrassed.


    "Okay, this matter has a better solution. Old Fu, if you do something wrong, you have to admit punishment. You neglected your duty during the operation. This is the first crime. It is the first crime to insult Zhou Can in public and contradict the leader. two."


    After Director Lou tried his best to match up, the matter has advanced to this point, and he has no intention of ending it here.


    Those who should be punished must be punished.


    It''s just that Fu Chachun''s punishment will not be so severe that he should be fired now.


    "I accept the punishment!"


    Fu Chachun nodded honestly.


    "Suspend the operation authority for a week. If the operation is still not standardized in the future, the operation authority will be permanently cancelled. You publicly apologize to Zhou Can within the department to eliminate the adverse effects. You must be clear about one thing, Zhou Can is now the operator of the operation. The deputy head of the office is your leader, and respecting your superiors is the minimum criterion for every employee."


    After Director Lou got through Fu Chachun''s ideological work, he told Fu Chachun mercilessly that Zhou Can was his leader.


    "It is acceptable to suspend the operation authority for a week. I just apologized to Dr. Zhou in public. Can I apologize to Dr. Zhou in front of the main leaders of the department instead?"


    Fu Chachun thought of the negative impact of writing the review half a year ago, and he still had lingering thoughts.


    This time, it hurt his self-esteem to ask him to apologize to Zhou Can in public.


    "This matter is not negotiable."


    Director Lou directly responded with six words.


    Fu Chachun is honest and timid on the surface, but actually quite cunning. He looked at Zhou Can with pleading eyes, looking pitiful.


    It''s just a pity that Zhou Can has never been a holy mother.


    If Director Lou hadn''t come forward to solve the problem in person today, according to Zhou Can''s temperament, Fu Chachun would definitely have to get out of the emergency room. At the very least, he would be kicked out of the operating room and permanently disqualified from surgery.


    Apologizing in front of the doctors and nurses of the whole department is even more indispensable.


    At this moment, Zhou Can has already recalled it.


    Director Lou''s appearance in person can actually be interpreted as a kind of protection for Fu Chachun.


    It''s like your own child has made a mistake, and if someone else educates him, it must be a severe beating. Educated by parents, although it is also very strict, but mainly scolding.


    "I accept!"


    Seeing that Zhou Can didn''t express anything, Fu Chachun had no choice but to accept the reality resentfully.


    "After get off work, I will hold a short meeting of the whole department. I just have something to announce. At that time, you will apologize to Zhou Can in public at the meeting. Go get busy!"


    After Director Lou made the final decision, he waved his hand.


    The two walked out of the director''s office one after another, and many colleagues in the department watched secretly. They found that Fu Chachun was like a half-defeated rooster, with his head down and his face ashen. Zhou Can was the same as before, with a calm expression.


    It seems that Fu Chachun lost.


    Everyone quietly discussed the department''s final handling of this matter.


    Unfortunately, the two parties did not reveal anything.


    ¡­


    In the operating room, a female patient in bed 1 was lying quietly on the operating table.


    Because she has a good foundation of trust in Zhou Can, when Zhou Can communicated with her, it went very smoothly. The family members are honest ordinary people. Now that their daughter has a problem with her toes, after hearing Zhou Can''s explanation, they only think that it is their bad luck that they encountered unavoidable "postoperative complications".


    Although their family is not rich, they are still willing to risk another operation for their daughter''s health.


    Because Zhou Can had a detailed understanding of the situation with Fu Chachun before the operation, after the operation began, he directly loosened the suture of the third toe of his left foot. The severed nerve was successfully found with almost no effort.


    In an anatomical diagram, blood vessels are represented by red lines and nerves by yellow lines.


    Finding the nerve is not easy for a surgeon without extensive surgical experience.


    Because in clinical practice, nerves look like normal body tissue. It is often good at hiding in a piece of muscle, and it is even more difficult to find.


    There are many types of nerves, such as the most famous trigeminal nerve, spinal cord, and brainstem, as well as the lesser-known sympathetic nerve, parasympathetic nerve, vagus nerve, autonomic plexus, and so on.


    After finding the two sections of the severed nerve, it is necessary to debride the sections first, and then anastomose under the microscope.


    It can be seen from this that any surgical operation has an interdependent relationship.


    The more surgical skills you master and the higher the level of each surgical skill, the easier it is to succeed in surgery.


    The anastomosis of nerves is not only a delicate project, but the effect after anastomosis is often unsatisfactory.


    Because nerve cells are the only non-renewable cells in the body.


    Non-renewable means it cannot grow and heal.


    It can only rely on the connection of the conductive filaments in the neurons to allow the nerve electrical signals to regain circulation.


    But even if it is only the tiniest nerve, there are still tens of thousands of tiny nerve bundles inside it, like precision wires. Cutting off the nerve also means cutting off all the nerve bundles that are many times thinner than a hair.


    Few surgeons can accurately connect them one by one.


    As long as a small part of them is guaranteed to be successfully docked, it is considered a successful nerve anastomosis.


    In clinical practice, it is often seen that the spinal cord of the patient is injured and the lower body is paralyzed due to dancing, high fall injury, and car accident injury. There is no way to cure this kind of patients after going to large hospitals all over the country and even foreign hospitals.


    The reason is that the repair and anastomosis of nerves are extremely difficult.


    With the current level of human science and technology and medical treatment, there is no way to accurately connect the severed nerve bundles one by one.


    This is almost an impossible surgical task.


    Therefore, after Fu Chachun accidentally severed the patient''s third toe nerve, he chose to ignore it.


    The first must be the fear of taking responsibility for the accident.


    Secondly, it is also because the anastomosis rate of nerves is too low.


    His surgical skills are so-so, and he doesn''t even have the idea of ??trying to anastomose.


    All motor and most sensory nerves in the foot originate from the sciatic nerve. Only the branch of the femoral nerve, known to surgeons as the saphenous nerve, runs through the ankle and the inside of the foot, where it innervates sensation to the skin.


    The sciatic nerve divides into two branches, the one that runs straight down is called the tibial nerve, and the one that runs along the outer side is called the common peroneal nerve.


    After knowing the general branch of the foot nerve, it is not difficult to find out the reason why the third toe loses the functions of flexion, pain and touch.


    To put it bluntly, the nerve from the sciatic nerve to the third toe was cut off at the third toe.


    Putting it back could potentially restore movement and sensory function to the patient''s third toe.


    Zhou Can''s current anastomosis has been promoted to the sixth level, which is the primary level of the director. It is very awesome.


    In addition, he has a high talent for nerve anastomosis, and he is like a **** when operating.


    It¡¯s hard to say, but when the broken nerves are anastomosed, it¡¯s as if they¡¯ve been done billions of times. Every movement, how the nerves are connected, is so familiar that it can no longer be familiar.


    And every stitch is just right.


    He knew that whether the nerve function of this toe was restored, it carried a girl''s dream.


    So, he pulled out all the stops.


    During the treatment, he could feel that there seemed to be an invisible force helping him.


    This invisible power is particularly mysterious, like a blessing to the soul, making every operation of him more precise and satisfactory.


    After nearly two hours, the operation was over.


    It was originally just a minor operation, but it took Zhou Can nearly two hours. This is enough for him to complete a difficult level four major surgery.


    He, a well-known sharp knife player in Tuya Hospital, performed the slowest surgery for the first time in a record.


    Because the anastomosis of nerves needs to be extremely precise, even if there is only one stitch that is not sutured properly, all previous efforts may be wasted and the effect of the operation will be greatly reduced.


    During the whole operation, Zhou Can only felt like he was piling up towers.


    The higher the pile, the more dangerous it is.


    If any block is not stacked properly, it may cause the entire tower to collapse.


    Slow and steady are twin brothers.


    This is the surgical experience Director Hu Kan told Zhou Can.


    Before, he didn''t quite understand.


    Because after his own experiments, he is fully capable of achieving both speed and stability without delay.


    He didn''t really understand the true meaning of Director Hu Kan''s words until he completed the slowest operation in history.


    "The slower the more stable!"


    This is his latest understanding of the knife stabilization method, and it is also a subversive understanding.


    Because before this, he always thought that as long as it was stable enough, even if the speed was increased appropriately, it would not affect the stability. In actual operation, he has been verified countless times, and all of them are successful.


    "Am I stepping into the second advanced realm of stabilizing the knife?"


    Seeing mountains as mountains is the first realm. Seeing the mountain is not the mountain is the second realm. Seeing mountains or mountains is the third state, and it is also the highest state of returning to simplicity.


    After the operation, Zhou Can had a new understanding.


    [You successfully completed a nerve anastomosis operation, and obtained a qualitative breakthrough, anastomosis experience +1, reward anastomosis experience +10000. ¡¿


    [The experience value reward of steady knife method +10000. ¡¿


    [The heart of benevolence and special medical skill experience +1. ¡¿


    He was very pleasantly surprised to see these additional experience points after the operation.


    It is a certain confirmation of what I just thought.


    He can clearly feel the qualitative breakthrough of matching this nerve. Rewarding 10,000 anastomosis experience points is very reasonable.


    Even, he felt that even if 10,000 blood vessels, nerves or intestines were anastomosed, such a big breakthrough would not be possible.


    It''s really a qualitative improvement.


    What it''s like to jump from Bronze to Silver.


    It was an extra surprise to reward 10,000 experience points for the Steady Sword Technique.


    That''s because he has a new understanding and a deeper understanding of Wen''s understanding.


    Looking at the mountain is not a mountain. He used to think that speed can also guarantee stability, but it was overthrown.


    With such a major comprehension of the Steady Sword Technique, it should be rewarded with 10,000 experience points.


    Facts have proved that it is not necessary to hold a scalpel for dissection to increase the experience value of stabilizing the knife. When performing other medical operations, there is a new breakthrough in the comprehension of stability, which can also improve the stability of the knife.


    This also made Zhou Can more convinced that all laws in the world are interlinked, and that all roads can lead to Rome.


    This has been verified not only by him, but also by other doctors. For example, Jiang Wei, through the combination of reading and clinical practice, also promoted pharmacological syndrome differentiation to the director level at a young age.


    The experience value of the compassionate heart medicine skill has also increased by 1.


    Although the addition is not much, it is of great significance.


    He vaguely guessed that in the process of nerve anastomosis, he was assisted by a mysterious force, and it is likely that the heart of benevolence is playing a unique role.


    This medical skill is very special, and it seems to be specially used to help his soul.


    "Okay, push it back to the ward and take good care of it! I will pay special attention to it during my daily rounds."


    After Zhou Can completed a small toe nerve anastomosis operation, he was so tired that he was about to collapse.


    Just now he was concentrating on performing the operation on the patient, and he put all his body and mind into the operation, which made him ignore the consumption of his body at all.


    The consumption of energy and physical strength is too great.


    "Boss, it''s time for dinner. Shall we go to eat first, rest and then perform surgery or what?"


    Ma Xiaolan asked.


    "Listen to you, everyone has worked hard, let''s go eat first!"


    When Zhou Can performed this nerve anastomosis operation, the two doctors under him were not idle.


    Together they do what they can.


    I also made three sets in two hours, which is quite good.


    It''s just that Yang Zhi and Pu Dingdong don''t have the talent for sharp knife, and the operation speed is affected by Zhou Can, which is faster than ordinary doctors. But fast enough.


    Zhou Can did not recruit a third doctor into the team for a long time, and he did have multiple considerations.


    Luo Shigen, who had been with him for nearly a year, had already said hello, and came to find Zhou Can to return to the team after three years of regular training.


    Zhou Can is a person who is very affectionate and loyal. Every time he wants to recruit someone, he will silently reserve a place for Luo Shigentle in his heart.


    Also, he had to consider inheritance issues.


    Whether it''s Dr. Xu''s fast swordsmanship or Director Hu Kan''s steady swordsmanship, someone needs to inherit it.


    Director Hu Kan''s steady sword technique has been passed on to many people, but Zhou Can is the only one who has really reached a high level.


    Director Xueyan also has certain attainments in the field of stabilizing swordsmanship, but is much inferior to Zhou Can.


    There is another person who has made great progress, and that is Jin Mingxi.


    This guy is good at cheating, performing surgery, and practicing steady knife skills. It''s kind of talented.


    It''s just that he doesn''t have a medical skill experience system, UU Reading , so the advancement of steady knife skills is far from being comparable to that of Zhou Can.


    Currently in rapid progress.


    There is still a long way to go to achieve certain achievements and the ability to independently preside over tertiary surgeries. He was originally an attending physician, so it was easier for him to win the title of deputy senior than Zhou Can.


    After all, the working years required to hit the subtropical high school have already reached the standard.


    What Zhou Can lacks the most at present is the number of working years.


    However, as long as the academic qualifications are upgraded, the requirements for working years can be greatly shortened, so it is quite worth looking forward to. He is now in graduate school and is learning very quickly in the field of orthopedics.


    As for the clinical operation, hehe... It''s not a problem to directly hit his mentor in multiple fields.


    It is estimated that by the time he finishes his postgraduate studies, Tuya''s orthopedics department will have another strong player.


    Director Shen has already spoken, hoping that one day, Zhou Can can also open an outpatient account in the Department of Orthopedics just like he helped the Department of Pediatrics.

 Chapter 583： The era of digital surgery is coming, the impeccable daughter-in-law

    It''s just that Zhou Can''s time and energy are limited, and he is physically and mentally exhausted by fighting in three places: pediatrics, cardiothoracic surgery, and emergency department at the same time. There is really no way to add a new battlefield.


    Unless he can bring out a mature surgical team in the future, he will withdraw from the emergency general surgery and specialize in overcoming various difficult and miscellaneous diseases.


    At that time, not to mention the four-line battle, it will be no problem to fight in the whole department.


    This is also one of Zhou Can''s ideals


    The content of this chapter is being updated...

 Chapter 584： It is not easy to deal with the first-class domestic colleges and universities

    It is precisely because of Zhou Can''s hard work at the beginning that he was able to harvest such a nearly perfect girlfriend.


    "Marriage is a big deal. How about calling your elders to discuss it? Give me a little more time, and then I will ask for leave, bring the dowry gift and engagement letter, and go to your hometown to propose marriage. This kind of thing will definitely not make you suffer any grievances." .¡±


    Zhou Can''s attitude towards this matter is very firm.


    The main reason is that there are too many things at work, and there are waves of various things


    The content of this chapter is being updated...

 Chapter 585： The kettle is thundering, Dr. Tang is scared

    It is precisely because of various considerations that Dr. Xu has been tolerant of Tang Wangnian.


    But now it seems that instead of being ungrateful, Tang Wangnian has become even more confident.


    bang bang!


    "Tang Wangnian, please correct your attitude!"


    Doctor Xu was so angry that he slapped the table.


    In terms of sophistry, Dr. Xu is obviously not Tang Wangnian''s opponent.


    "I''m just stating the facts. I have to pick and choose and find some people who are undergoing surgery.


    The content of this chapter is being updated...

 Chapter 586： The dean wants to add more burdens, and the assistant of Qin Yuan cant bear it anymore?

    On a strategic level, emergency departments have this need.


    For example, the Emergency Department has been allocated two sub-senior positions this year, and Tang Wangnian just happens to meet the conditions for being a sub-senior in all aspects, so the department will help him. This is called uplifting.


    Why is everyone rushing to enter the weight department? In addition to better remuneration and a brighter future, there will be more places in the establishment, training, sub-senior and high-level evaluations.


    Plus, the honor of working in the weights section


    The content of this chapter is being updated...

 Chapter 587： Qin Yuanzhus complaints, the precious quota has been obtained

    Besides, Assistant Qin insisted on preventing Zhou Can from entering the quality control department. Apart from the fact that there was only one vacancy, the main reason was to reserve this precious spot for the young neurosurgery chief physician.


    Everyone is an adult, and it''s not entirely because of the evildoer of the other party, Qin Yuanzhu just wants to support that person.


    It was because the chief physician surnamed Nong was closer to Assistant Qin.


    According to Zhou Can''s inquiring information, the director of agriculture is the "brother" of Qin Yuan''s assistant wife.


    The content of this chapter is being updated...

 Chapter 588： Gastroenterology is dead, participate in the investigation

    "If you want to understand the scope of work of the quality control department, you must first understand what we do. The hospital has two departments for the control of medical quality, namely the medical department and the quality control department. The medical department is equivalent to the division between medical staff and clinical departments. The coach, how to operate the specific clinic behavior and how to improve the service quality will be taught by the medical department to the medical staff in the clinical department."


    This is the first time Zhou Can has heard of such an argument.


    But think about it carefully, the medical department is still


    The content of this chapter is being updated...

 Chapter 589： The cause of death was not urinary catheter insertion, relying heavily on

    The cause of the patient''s death was related to the failure of the urinary catheter, which means that the Department of Gastroenterology needs to take responsibility.


    "The patient''s abdominal distention is like a drum, and the skin all over the body is brown, indicating that the urine and feces are retained in the body for a long time and cannot be discharged. The toxins in turn invade the body, causing severe organ failure and death. The catheter has no urine output, it is true There is a problem."


    Director Shi of the Hospital Infection Office also came to a similar conclusion.


    are professionals,


    The content of this chapter is being updated...

 Chapter 590： Hospital version of forensic doctor, the truth of the cause of death emerges

    Now that everyone is dead, if you want to find out the cause of death without an autopsy, this will undoubtedly greatly increase the difficulty of diagnosis.


    Zhou Can often finds it difficult to diagnose a living person, but this is the first time to treat a dead person.


    Facing Qin Yuanzhu''s hopeful gaze, Zhou Can finally chose to try.


    "Let me try! It''s just that you know that patients can no longer provide much meaningful diagnostic data after death, so please don''t get too hopeful


    The content of this chapter is being updated...

 Chapter 591： Recognized, motherfucker

    The creator Zhong Lingxiu, Zhou Can has seen all kinds of strange things.


    In the obstetrics department, there was even a baby whose heart grew outside the chest cavity. Later, it was returned to its place through surgery, and the little baby survived tenaciously, and is now five years old.


    The hemorrhage in this patient''s body was extremely strange. It was obvious that the blood stagnated in the abdominal cavity, but the patient vomited a lot of blood from the mouth.


    From a doctor''s professional point of view, this situation is extremely abnormal.


    The content of this chapter is being updated...

 Chapter 593： Cure first and investigate later, the despised general

    Hospitals are equally afraid of criticism.


    Whether it''s surgery or ward care, medication, diagnosis, there''s always room to find fault.


    However, when encountering such super VIP patients, the hospital is very vulnerable, and there is no other way to go except to fully cooperate and strive to provide the best service.


    Of course, if the top management of the hospital insists on trying to die, then there is no taboo.


    The girl was only five years old and had a persistent fever for nearly a year.


    The content of this chapter is being updated...

 Chapter 594： If you have eyes but dont know Taishan, you will find embarrassment yourself

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


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


    Tang Fei


    The content of this chapter is being updated...

 Chapter 595： The doctor can only give advice, he is just a father at the moment

    "That little boy was clearly found to have a brain tumor, and the manifestations were also brain diseases. How could it be related to cardiovascular?" Director Qu''s wrinkled face was already full of Jianghong.


    Embarrassed, ashamed, and unwilling, she couldn''t bear her old face.


    This kind of old expert values ??face more than anything else.


    Lin Jinzhi just listened silently and didn''t speak. However, it can be seen from his expression that he obviously trusts Zhou Can more.


    "The brain tumor


    The content of this chapter is being updated...

 Chapter 596： Do everything you can to obey the destiny, the emergence of medical miracles

    If Lin Anxi was willing to take some risks and accept Zhou Can''s suggestion on the night when he was transferred to Tuya, his daughter might still be saved.


    Although Lin Jinzhi is a member of the medical system, he is not a doctor, and he does not know the horror of the progress of the disease.


    There are many chronic diseases, and it is also fatal if the treatment is delayed.


    It is also gastric cancer, one day earlier and one day later may be the difference between the second stage and the third stage. This is also why doctors try their best to arrange beds for some patients when they suspect malignant diseases, admit them to the hospital as soon as possible, and do various examinations as soon as possible.


    Sometimes it is even risky to start taking medication before the test results come out.


    This is really the heart of a Bodhisattva.


    For doctors, treating one more patient and one less patient has almost no effect.


    The reason why they work so hard is definitely not to earn the patient''s treatment fee. In fact, even if the patient''s treatment fee is as high as one million, what can fall into the pocket of the receiving doctor is very limited.


    At that time, Zhou Can strongly suggested to give the little girl a laparoscopy, which was completely out of the doctor''s sense of responsibility and full of goodwill.


    It is a pity that the family members were unwilling to take this risk, and finally delayed again and again.


    Minor ailments can turn into serious illnesses, not to mention the terrible intestinal type evil group.


    Many people only know that cancer is terrible, but they don''t know that there are many diseases with a much shorter survival cycle than cancer. For example, in the intestinal type malignant group, if effective treatment is not given in time, the survival period will hardly exceed two months.


    Among the cases that Zhou Can has seen, he basically died within a month or so.


    Faced with the begging of Bureau Forest, Zhou Can also wanted to help, but he knew that there was nothing he could do.


    "Doctor Zhou, why don''t we help you find a way! It''s good to do your best and obey the destiny. I''m a mother, and I feel very uncomfortable every time I see this situation."


    Director Tang Fei said beside him.


    She has a very close relationship with Zhou Can, and she has taken care of Zhou Can a lot since the first day he entered the pediatric clinic.


    Later, even though Zhou Can took the lead in protesting the hospital''s disregard for the safety of clinical medical staff in the emergency department, she rushed to support with the pediatric doctors and nurses.


    When people get along with each other, the heart is the most important thing.


    Similar character, level and state of mind are relatively close, only the same kind of people can get along happily.


    This is also the reason why things are judged by their kind and people are divided by groups.


    People who are not on the same level, it is difficult to get along with each other sincerely. The levels are similar, but the character is too different, and they can''t urinate in the same pot.


    Zhou Can is willing to stay in the Department of Pediatrics and work hard. It is very important to have a good leader like Director Tang Fei.


    Now that she has spoken, Zhou Can will naturally consider it carefully.


    "When I checked Lin Yuxi just now, I found that she was sweating profusely, her abdominal muscles were tense, and her tenderness was extremely obvious. Then I also saw the results of the emergency peritoneal dialysis. There was free gas under the double diaphragm, suggesting that the intestinal tract There are piercings. To be honest, this is already terminally ill!"


    As cruel as it is to tell the truth, it has to be said.


    "Doctor Zhou, Director Tang, I beg you to do your best. As for the result, I can accept any result. I can immediately sign the agreement and sign the release agreement."


    Lin Jinzhi regretted it very much, but it''s a pity that there is no regret medicine in this world.


    Zhou Can was also particularly impressed by this case.


    "Let''s do an exploratory laparotomy first! Intestinal perforation definitely requires surgical treatment. After laparotomy, it can be treated on the spot."


    Zhou Can gave a diagnosis and treatment opinion.


    "Okay, I agree!"


    Lin Jinzhi agreed this time without even thinking about it.


    It''s a pity that there is a big difference between agreeing now and agreeing six days ago.


    To become the boss of the Bureau of Health and Family Planning, one must have no mental problems, and one cannot be a mother-in-law in case of trouble. But many things, if you care about it, you will be chaotic.


    His daughter''s life was at stake, which made him indecisive.


    Now that the **** of death has come, he has no choice.


    Next, an emergency laparotomy was performed on the little girl. During the operation, it was found that there was light yellow turbid fluid in the abdominal cavity, which was as high as 700 ml after suction. Zhou Can found multiple peanut-sized lymph nodes at the root of her mesentery, and a 12cm-long, 9cm-diameter mass in the ileocecal.


    This mass is exactly the cord-like mass that was touched in the patient''s abdomen during the physical examination.


    I saw it tightly adhered to the retroperitoneum.


    After discussion, Director Xiao from the Department of Digestive Surgery was invited over.


    Under the on-site "guidance" of director Xiao, Zhou Can performed the surgery himself, and performed intestinal mass resection, lymph node removal, and end-to-side anastomosis of the ileocolon for the little girl.


    After the surgery, Zhou Can couldn''t be happy.


    He usually has full confidence in surgery.


    This time it felt very heavy.


    With his current level of surgical skills, he is actually able to perceive the patient''s physical condition during the operation, and even have a more accurate prediction of the prognosis.


    The operation went well, but his premonition was bad.


    This little girl is afraid that something bad will happen.


    "The patient''s intestine is already extremely fragile, especially the ascending colon is like a rotten wood. Postoperative care should pay special attention to intestinal re-perforation and peritonitis." Zhou Can warned.


    "OK."


    The itinerant nurse has great respect for Zhou Can. Because it was not the first time she had seen Zhou Can''s ability in the operating room.


    In the operating room, the nurses can basically tell at a glance who is capable and who is not.


    Many young doctors of Zhou Can''s age are still complacent about getting a chance to have their skin closed. It took more than an hour to suture the most precious thing, and then I felt that I had made great progress in surgery.


    Zhou Can, however, is already able to hold a scalpel and maneuver vertically and horizontally in the patient''s abdominal cavity, incision, separation, resection, hemostasis, debridement, lymph node removal, anastomosis, and cavity closure. All steps are performed in one go and operated freely.


    The level and strength displayed are even better than some chief physicians.


    Facing such a super genius, the nurses naturally respect from the bottom of their hearts.


    If it weren''t for knowing that Zhou Can was married, the surgical nurses chasing after him would definitely have formed a long queue.


    You know, the nurses in the operating room are all very good-looking.


    Coming out of the operating room, Lin Jinzhi waited anxiously outside.


    "Doctor Zhou, how is my daughter?"


    "The operation went well, but your daughter''s ascending colon is already extremely fragile, and the condition is very bad. I am particularly worried that there will be a second perforation, and during the laparotomy, 700ml of cloudy fluid was drawn out of her abdominal cavity. The contents that flow out after the perforation of the tract. This is prone to peritonitis, especially for patients with poor physical condition like her, who are more prone to peritonitis."


    Zhou Can''s tone was dignified and his expression serious.


    "Thank you, thank you! Thank you for your hard work!"


    Lin Jinzhi naturally knew that Zhou Can basically completed his daughter''s surgery. During these six days, his daughter''s condition worsened and he missed a good opportunity for treatment, coupled with the treatment experience in the Provincial Children''s Hospital, he realized that professional titles and titles are just floating clouds.


    The most important thing is the real ability.


    He didn''t know how capable the young man in front of him was.


    All he knew was that in so many years, it was the first time he heard many experts, professors, ordinary medical staff, family members, and patients praise the same doctor at the same time. Even Professor Wei Zhengzheng from the Outer Academy, many colleagues and friends from the Bureau of Health and Family Planning and the Center for Disease Control and Prevention all spoke highly of Zhou Can.


    This is enough to show that Zhou Can''s ability is extraordinary.


    "There is a nurse in my team who is very good. He has learned a lot of advanced nursing knowledge during his overseas study and has practiced in many large hospitals in China. I am really moved by the fatherly love you show. That''s good, I Call to see if I can get that nurse to come over. With her help, the chances of survival after surgery are better."


    Zhou Can''s team is just such a baby bump.


    In order to keep Jiang Wei, he did a lot of work.


    "Great! Dr. Lao Zhou will take care of you."


    Lin Jinzhi repeatedly agreed, and was even more grateful to Zhou Can.


    Zhou Can didn''t shy away from it, and directly dialed Jiang Wei''s phone in person.


    After ringing for a long time, the phone was connected.


    In the middle of the night, she must be sleeping soundly.


    The front-line medical staff are very tired at work, and they often go to the hospital in the middle of the night to rescue patients, and they never get enough sleep.


    "Hello!"


    A lazy and somewhat lost female voice came from the other end of the phone.


    "Jiang Wei, it''s me, Zhou Can!"


    "Ah...boss, it''s you! I''m sorry, I slept too deeply and didn''t even look at the screen." When she heard that it was Zhou Can, most of her sleepiness immediately woke up.


    "I should be the one to say I''m sorry for disturbing your dreams in the middle of the night. There is a little girl here who has just undergone surgery and is likely to be an intestinal type. The situation is very bad. I know your nursing level is extremely high, I want you to come over and help her take a look and make a nutrition plan and care plan. Can you see it?"


    "You have already spoken, I will definitely go through fire and water!"


    "It''s inconvenient to take a taxi at night, and it''s not safe for you as a girl. I''ll go pick you up!"


    "OK!"


    She and Zhou Can are welcome.


    Since Zhou Can helped her get rid of loan sharks and return to normal life, she has regarded Zhou Can as one of the most trusted people.


    ¡­


    Fifty minutes later, Zhou Can took Jiang Wei to the hospital.


    Not long after Lin Yanxi was transferred from the recovery room to the ICU, she looked very weak.


    He opened his dull eyes slightly, looking at the busy medical staff in front of the hospital bed.


    After Jiang Wei looked at it, her expression was serious.


    Several people came to the waiting room, and she said directly, "This little girl''s condition is very bad, and the chance of survival may not exceed 5%. I can give her a combination of medication and nutritional care, but the chance of survival is still not more than 10%. "


    In clinical practice, she estimated the survival rate of such seriously ill patients, and it came true almost every time.


    The survival rate is less than 5%, which is almost a certain death.


    "Let''s do our best!"


    Zhou Can is also not optimistic about the little girl''s prognosis.


    Jiang Wei formulated a nutrition plan and postoperative care plan for Lin Aixi. The operation does not require her to take care of it personally.


    The next day, Zhou Can got the news that Lin Aixi''s condition took a turn for the worse, with abdominal pain, high fever, and signs of organ failure.


    His heart is heavy, the little girl is afraid that he will die soon.


    Another two days passed, and on the fourth day after the operation, Lin Jinzhi called Zhou Can, his tone seemed quite excited.


    "Dr. Zhou, I have good news for you. My daughter''s condition has improved today. When I went in to visit, the medical staff told me that my daughter''s urination had increased and she was crying for food for the first time. According to The nutrition plan formulated by Jiang Wei made porridge for her, and she drank half a bowl. Do you think there will be a medical miracle?"


    After Lin Jinzhi finished speaking, he asked again with some trepidation.


    "I hope for a medical miracle."


    This is Zhou Can''s answer.


    It''s no fun to deceive family members, but it can''t undermine the confidence of family members.


    He could only answer with this kind of ingenuity.


    According to his clinical experience, some seriously ill patients suddenly show improvement, which is likely to be a flashback.


    At least, he thinks that it is difficult for Lin Yanxi''s condition to be a miracle.


    In the blink of an eye, another five days passed.


    This is the ninth day after Lin Aixi''s surgery, and Lin Jinzhi calls Zhou Can almost every day to report on his daughter''s situation.


    He knew that Zhou Can was very busy with work and might not have time to take care of his daughter.


    Moreover, Zhou Can is not afraid of power, and he is not as flattering as other doctors to him, the boss of the Bureau of Health and Statistics. Just treat him as an ordinary family member.


    It was this that made him feel that Zhou Can was very real.


    According to Zhou Can''s prediction, it would be difficult for Lin Aixi to survive a week. But now he has lived two days longer, and judging from Lin Jinzhi''s feedback, Lin Yanxi''s condition has continued to improve in an unbelievable way.


    This shows that it is not a flashback.


    Since the ICU implements aseptic management, irrelevant idle personnel, including the medical staff of this hospital, cannot go in at will to check the patient''s condition.


    Zhou Can could only understand Lin Aixi''s condition through Lin Jinzhi''s description and his colleagues who worked in the pediatric ICU.


    On the tenth day, Director Tang Fei personally sent Zhou Can a WeChat message.


    "Doctor Zhou, this little girl was saved by you!"


    Director Tang Fei also posted a cheerful and jumping emoticon in the back.


    It can be seen that she is in a very good mood.


    From the random photos she sent, it can be seen that Lin Yanxi has been transferred to the general ward. The whole person looks very different from ten days ago. There seemed to be a little blood on his face.


    Of course, it may also be the effect of camera beauty.


    Smartphones these days all come with automatic photo beautification functions. It is also the high-definition camera and video recording function of the mobile phone that directly puts the traditional camera on the ground.


    In the past, when traveling, many people would hang a camera on their chest.


    Except for journalists, professional photographers and practitioners, no one uses cameras anymore.


    Instead, use a more convenient and faster mobile phone.


    After get off work, UU Reading Zhou Can took Jiang Wei to visit Lin Aixi who was transferred to the general ward.


    Even he himself felt incredible.


    How could the little girl who was destined to die survive?


    This also made him look at Jiang Wei even more highly.


    The two came to the ward, and Lin Jinzhi was standing in front of the bed, feeding his daughter warm water.


    Seeing Zhou Can coming, he immediately stood up and held Zhou Can''s hand tightly.


    "Doctor Zhou, thank you for saving my daughter, thank you! I will never forget your great kindness in my life."


    Having experienced the imminent loss, the boss of the Health and Statistics Bureau cherishes the present even more.


    "The hero who really saved your daughter''s life is the nurse Jiang Wei. Without her nutritional support, combined care plan, and chemotherapy drug advice, I think it would be difficult for such a medical miracle to happen."


    Zhou Can gave all the credit to Jiang Wei.

 Chapter 597： The end of medicine is life, green out of blue is better than blue

    This is also Zhou Can''s consistent style of doing things, never acting alone.


    In fact, any diagnosis and treatment cannot be completed by one person, but by the cooperation of a team or multiple departments.


    Although there are many people who contribute, they are divided into primary and secondary.


    The attending doctors and the medical staff who play a key role in treatment must be the main contributors. As for the others, they are more of participants than protagonists.


    "All


    The content of this chapter is being updated...

 Chapter 598： Fulfilling promises, competing for the interests of departments

    Not only has his position in the operating room and emergency department been improved by leaps and bounds, but his position in the hospital has also gradually been established.


    Don''t look at it as a small member of the quality control department, but in a leadership position with power in your hands, the status it brings is quite different. In the event of an accident in a clinical department and a doctor-patient dispute, the hospital needs to find out who is responsible.


    The medical department can only make a simple investigation and has no final say.


    real


    The content of this chapter is being updated...

 Chapter 599： Promoted to deputy director of the department, Qian Qian of returning home

    Dean Zhu is at the helm of Tuya Hospital and has been working hard to manage it. Whether it is his long-term vision or his courage to promote hospital reform, he is very good. Two years earlier, if he hadn''t been implicated because of the accidents between the security chief, the assistant, the vice president of general affairs and others, he would have been promoted a long time ago.


    Later, although the position of dean was retained, he also lost his last chance to be promoted in his life.


    When the age is up, I can only retire in the position of dean


    The content of this chapter is being updated...

 Chapter 600： The good and evil of human nature, the old woman of prey

    The misfortune of childhood made her have the best love and memories of the short-lived family relationship in childhood.


    My biological parents are very different from uncles, aunts and other elders. Although her uncle and aunt took her in, they treated her as an outsider after all. She has never been able to integrate into the family of her uncle and aunt.


    Perhaps it was this relatively indifferent and cruel family environment that allowed her to learn to be independent since she was a child.


    Even if Zhou Can and her confirmed their relationship, she still insisted on repaying the money lent to her.


    "If you want, we can spend money to build a house here, and come back with you every year to stay for a few days, so that you can relive the happiness and beauty of childhood." Zhou Can stepped forward and gently embraced her shoulders, Said with pity.


    "Forget it, let''s keep those beautiful childhood memories in our hearts! If we built a house here, we would not be able to live here. Some memories are hard to remember, and are only suitable to be kept in the deep memory forever. In the dead of night, when the scene is full of emotion, I occasionally take it out and recall it."


    She shook her head slightly and said.


    "The persimmons look unripe now, are they edible? Will they be very astringent?"


    Zhou Can changed the subject, trying not to let her feel the pain of her parents'' absence.


    "It''s edible! You can''t eat it right away, you need to soak it in clean water for a while. When I was a child, my dad often soaked green persimmons in lime water. It tastes very sweet and crisp. But I don''t know if eating it is harmful? "


    She still remembers things from her childhood very clearly.


    Many childhood memories can never be forgotten for a lifetime.


    Many parents are busy with work and ask confinement mothers to take care of their children as soon as they are born. Apart from providing their children with superior economic conditions and an environment for learning and growth, they rarely accompany their children to grow up. This will lead to indifference in family affection, and it will be difficult for children to really get close to their parents when they grow up.


    In fact, only blood relationship maintains the family relationship between parents and children, which is far from enough.


    Because of the lack of emotional foundation, family relationship will become very fragile.


    Human emotions are the most complex.


    For a lover, for a close friend, we can give almost anything. Many times it is unconditional trust, this is the charm of feelings.


    Whether it is love or friendship, including family affection, the ultimate core is actually based on feelings, and the establishment of mutual trust and close relationship.


    ¡¿


    Therefore, after parents give birth to a child, it is not just about providing superior economic conditions.


    The deepest love for children is not how much money you give, but companionship.


    "Lime water mainly contains calcium carbonate, calcium hydroxide, and water. It is a mixture and usually has strong alkalinity. The stomach contains a certain amount of gastric acid, which is usually acidic. Persimmons soaked in lime water, if only a small amount Eating it will cause a neutralization reaction between stomach acid and lime water, and generally there will be no symptoms of discomfort. However, for health reasons, it is best to eat less or not to eat.¡±


    Zhou Can answered her doubts from a professional medical perspective.


    Children have a strong metabolic ability, even if they eat a little food that is harmful to the body, they can be metabolized quickly.


    But after all, it is still harmful to the body and there are risks.


    So try to eat less or not eat.


    This is the same reason that smoking is harmful to health.


    Many foods with toxic side effects do invisible harm to the body.


    "If you like to eat, we can pick some back when we leave. Soaking them directly in clean water should achieve the same effect, at most, the soaking time will need to be longer."


    Zhou Can said to her with a smile.


    "OK!"


    Su Qianqian really likes the feeling of being pampered by her lover, which makes her feel very sweet.


    "Let''s go, let''s say hello to uncle and aunt first! We country people like to watch the excitement, and there will definitely be many people around later."


    Su Qianqian has already noticed that many villagers are standing not far away looking at her and Zhou Can.


    The two walked towards the bungalow.


    It seems that it should have been built for a few years, and it is quite new.


    There is a concrete floor outside, which occupies a large area.


    The gate is closed, people should not be at home.


    "My uncle and aunt may have gone to work in the field." Su Qianqian called a few times in dialect outside, but got no response.


    Only a big yellow dog kept barking at them in the house where sundries and firewood were piled up next to them.


    "Why don''t we go to the field and look for it!"


    "OK!"


    Zhou Can readily agreed.


    Compared with Su Qianqian, Zhou Can is very happy. He has no worries about food and clothing since he was a child. He is a rich second generation and has never experienced the hard life in the countryside.


    He felt very novel about life in the country.


    "Who are you looking for?"


    A slightly old middle-aged man''s voice came.


    The two turned around and looked not far away, only to see a middle-aged and elderly man in his sixties walking straight with a large bundle of rice straw on his back.


    "Uncle!"


    Su Qianqian called out in dialect.


    Zhou Can can understand it even when she is nearby. Their dialect here is somewhat similar to Sichuan dialect.


    "Oh, are you a tiger girl?"


    The man obviously didn''t recognize Su Qianqian.


    "It''s me! Uncle, this is my boyfriend Zhou Can. We came here specially to see you and auntie." Su Qianqian hurriedly introduced Zhou Can''s identity to his uncle.


    "Hi uncle!"


    Zhou Can took out a pack of cigarettes that he had prepared a long time ago, opened it and hurried forward to hand the cigarettes.


    In the countryside, cigarettes are a great weapon in dealing with people.


    It is also a kind of etiquette and courtesy.


    "The young man looks handsome! Come and sit inside! Your aunt will be back soon, ask her to cook for you."


    The man stared at Zhou Can carefully, and couldn''t help boasting.


    Zhou Can is tall, sunny and handsome, plus his net worth has already exceeded 100 million, he has a successful career, and he is also decent, so he has a very good temperament. Not to mention being in such a rural place, even if you go to a provincial capital city and stand among the crowd, you are equally outstanding.


    The man took out a key from the window sill, opened the door, and invited two people to sit down.


    The furniture in the house was extremely old, and the stool was covered with a thick layer of black dirt. Zhou Can didn''t have any bad habits of coddling, so he just sat on it.


    If you are wearing expensive clothes, you will definitely hesitate to sit down.


    In case of some stubborn stains, dry cleaning can''t wash them off at all, and the clothes will be useless.


    "Uncle, are you and your aunt healthy?"


    Su Qianqian was obviously a little restrained, and she didn''t feel natural and comfortable when she returned to her mother''s house.


    In fact, this family can''t see the slightest trace left for her.


    "Your aunt has a herniated lumbar intervertebral disc, and she will suffer from low back pain after doing too much heavy work. She went to the big hospital in the county for treatment several times, but it didn''t work. My blood pressure is a little high, and my kidney seems to have some problems. The doctor said it was chronic nephritis. , I don¡¯t understand anyway, as long as the body can still move, I don¡¯t bother to go to the doctor.¡±


    Her uncle looked dark and seemed a little bloated.


    With Zhou Can''s current level of medical skills, he could tell at a glance that this man''s kidney problem was not just a small problem, but probably a big problem.


    If nephritis drags on for a long time, it will soon progress to renal failure. The patient''s body''s metabolic waste and water discharge disorders can lead to damage to multiple systems throughout the body. Symptoms such as vomiting, loss of appetite, headache, dizziness, coma, and decreased urination may occur, and severe cases may cause hyperkalemia, acute left heart failure, and other life-threatening conditions.


    The late stage of nephritis is actually uremia.


    Basically, when it develops to the third stage, obvious and severe symptoms will appear. At this time, dialysis is required to maintain normal life needs.


    Many rural people dare not go to the hospital when they are sick because of poor economic conditions and limited income.


    Because they think that hospital visits are expensive.


    Moreover, most of the middle-aged and elderly people in rural areas have a very low level of education, and their ideology is also particularly backward.


    Tell them you can''t eat this, and you can''t eat that. You can''t do this, and you can''t do that, he will think you are crazy.


    Also, people who do heavy physical work generally age faster.


    As long as you get older, you will basically suffer from all kinds of diseases.


    All debts accumulated when young will be liquidated when old. The body has its own set of mechanisms.


    This is how the idiom "sickness from overwork" comes from.


    "Go to the hospital if you''re not feeling well! The hospitals in the county may be limited. You and your aunt can go to the big hospitals in the province." While Su Qianqian persuaded, she glanced at Zhou Can.


    Her boyfriend is a doctor, a famous doctor in Tuya Hospital.


    Uncle thinks that the hospitals in the county are big hospitals.


    In Zhou Can''s eyes, the hospitals in the county are at the level of grass-roots hospitals. It is much better than the township health center, but compared with the provincial top three hospitals, it is really not a star and a half.


    "I''m too lazy to bother. Your aunt and I are almost sixty years old. How many years can we live? After spending the money, we still can''t cure it. It''s better to save more money for your brother."


    The uncle shook his head and waved his hands again and again, basically accepting his fate.


    Get ready to die.


    This is also the true thinking of the vast majority of rural elderly.


    I would rather die myself than drag my children down, but leave as much money as possible for my son.


    This ideology is completely different from that of Western developed countries.


    Parents in developed countries in the West work hard to cultivate their children when they are underage. After adulthood, let it live independently and support itself.


    As for giving all their parents'' money to their children, they have no such idea at all.


    As long as the parents are alive, the parents'' property belongs only to the parents. Travel when you need to travel, and shop when you need to shop. There is no such thing as in China, where parents spend money to help their sons buy a wedding house, car, and marry a wife.


    In foreign countries, these are the children''s own business.


    Domestic grandparents, helping to take care of their grandchildren, are basically regarded as a matter of course by default. In foreign countries, leaving grandchildren with grandparents for more than two hours is considered unacceptable.


    Because it will affect the lives of grandparents.


    "Where''s Su Jun? Has he gone to work outside?"


    Su Qianqian asked.


    Obviously, Su Jun is the son of Uncle and Aunt.


    "Your brother used to work in a developed coastal city. Because he didn''t have a diploma, he could only work as a waiter in a factory or a restaurant. He thought the salary was low and the work was tiring. He has worked in a car wash shop in the county for the past two years. You rarely come back , I will call him now and ask him to come back for a gathering."


    As the uncle said, he took out an old-fashioned push-button mobile phone.


    This kind of elderly phone has very few functions, basically it can only make and receive calls.


    However, the elderly in rural areas like this kind of mobile phone very much. Because they feel cheap and have a long standby time. The function is simple and the operation will be easier.


    It is really friendly to the elderly with low education level.


    At this time, an old woman with a relatively short stature came in with a big basket and a **** on her shoulders.


    The old woman''s face was rather sinister, with eight hundred scheming in her eyes.


    "Auntie!"


    Su Qianqian hurriedly stood up and greeted with a smile.


    Zhou Can also stood up.


    "This is the boyfriend brought back by Huniu."


    Uncle introduced a sentence to his wife.


    "Hello, Auntie!"


    Zhou Can greeted with a smile.


    "Hello! Boy, please sit down!"


    Aunt''s small eyes stared at Zhou Can up and down, and the smile on her face was quite enthusiastic.


    "Is that car on the side of the road yours?"


    She is really interesting. When they meet, they will directly ask about the car instead of asking how Su Qianqian has been doing in the past few years.


    "I rented it with money. It''s not because I thought I''ve known Qianqian for several years, and now that I''m old enough to talk about marriage, I came here to propose marriage." Zhou Can replied.


    After my aunt heard this, the enthusiasm on her face immediately faded a lot.


    "It''s rented! It will cost a lot of money, right?"


    When she asked this question, she stared closely at Zhou Can''s eyes.


    "It''s quite expensive. It costs 2,000 yuan to rent for three days, plus the gas fee. The driver''s salary is 200 yuan per day." Zhou Can answered tightly.


    The old country woman didn''t even think about asking something strange from him.


    "Oh, it costs several thousand, it''s too expensive! Why spend this unjust money." Auntie said this as if it was her money. There was really a pained expression on his face.


    "Qianqian, it''s hard to go home, but you can stay longer. Auntie will clean up your room right away."


    She turned her head and began to greet Su Qianqian warmly.


    Uncle called Su Qianqian''s nickname Huniu, but aunt called her Qianqian.


    "Auntie, don''t bother, we are going to leave tomorrow. Both Zhou Can and I have taken leave from the company, so we can''t stay long."


    Su Qianqian is not stupid either.


    My old house was directly demolished by my uncle and aunt. When building a new house, they almost occupied most of her homestead. Walking into this house, there is no trace left for her at all.


    To put it bluntly, she is an outsider.


    Auntie is so hypocritical now, how could she fall into the trap?


    "What are you talking about, kid? Aren''t you already ready to talk about marriage? Your parents died early, and your uncle and I raised you up, and we hope you will live happily ever after. You have to stay and let us see See how this young man''s character is and how well he treats you, so we can safely marry you to him! Everything is arranged by my aunt."


    Auntie is extremely strong, UU Reading www. uukanshu.com directly raised the banner of the elders caring about the younger generation, and kept Su Qianqian behind.


    Zhou Can sneered to himself when he heard it.


    Su Qianqian was brought up from a young age? If Su Qianqian hadn''t told Zhou Can about her childhood, Zhou Can would have believed this aunt''s words.


    Of course, this time he came to propose a marriage, Zhou Can will definitely follow the other party as much as possible.


    After getting married, if uncles and aunts really want family affection and treat Su Qianqian as their own daughter, Zhou Can will find a way to help them heal their diseases. Give them a good old age life.


    If you just use her as a tool for profit, all kinds of scheming, all kinds of calculations, then there is no need to be polite.


    Give a little money, it''s a settlement.


    There will be no contact at all in the future.


    "Auntie, we really can''t stay here for a long time. You don''t need to be busy. After a day''s work, you must be exhausted. Sit down and have a rest!" Su Qianqian said to her again.

 Chapter 601： The story of the greedy old woman, the fisherman and the goldfish

    "I''m not tired, I''m not too tired to see you coming back. I''m so happy! You sit and drink tea, and I''ll cook for you after I clean up the room!" After finishing speaking, the aunt turned to her husband and said, "Go and cut two catties. The meat is back! Qianqian brought the man back, so she must cook something delicious."


    "okay!"


    Su Qianqian''s uncle agreed, and came out soon after entering the room on the left.


    It is estimated that some money was taken into the room.


    Many rural old people have not followed


    The content of this chapter is being updated...

 Chapter 602： Cant look down on other peoples kindness, greedy and unrestricted style dies

    Since they are here to propose marriage, the bride price is the highlight.


    The local market that Zhou Can inquired about was around 100,000. He withdrew 300,000, three times the amount, which should be enough.


    "Although it''s a bit urgent to make arrangements like this, but you young people are busy with work, I can understand."


    When the uncle heard that Zhou Can was going to pay off the gift money today, he couldn''t help but looked at him again in surprise.


    Can receive such a large gift, uncle''s face


    The content of this chapter is being updated...

 Chapter 603： Grace is broken, I cant stop if I want to leave

    His girlfriend sat beside him silently, but it could be seen from her expression that there was a hint of uncontrollable excitement.


    Maybe she didn''t expect that she would have such a powerful ''sister'' after casually befriending a poor boyfriend who washes cars.


    Five hundred thousand may be the income that ordinary people can earn in ten or even twenty years.


    But the boyfriend''s sister can easily take it out. She works as a nurse in a clinic and only costs five or six thousand yuan a month. I met a star today


    The content of this chapter is being updated...

 Chapter 604： The energy of the circle of friends is too great, justice is not late

    It is justifiable self-defense to stop others from destroying property on the spot.


    This engineer shovel slapped this person on the head, which had the effect of killing chickens and monkeys and deterring the gang of thieves. If this shovel hadn''t been taken, the Mercedes-Benz would have been smashed into a pile of scrap metal in all likelihood today. Zhou Can and Wei Fang will be severely injured, and Su Qianqian will be brutally detained.


    The tricksters in the poor mountains and rivers are best at taking an inch and squeezing it endlessly.


    They are as scary as hyenas.


    This man who doesn''t believe in evil dares to take the lead in smashing cars, so he must be someone with some influence in the village on weekdays.


    When there is trouble, this kind of person is the leader of the villagers.


    The best booing.


    Now being slapped to the ground by Zhou Can with a shovel, life and death are uncertain, which really scared the other villagers.


    Of course, if you think that the villagers have suffered a loss, they will forget it like this, then you will underestimate the dominance and arrogance of the clan power.


    Holding weapons, they backed away a little, gathered together, and continued to confront Zhou Can.


    "Don''t let this **** go away, our son was injured by him!"


    My aunt rushed out of the house with a sharp voice.


    Su Jun also limped out while clutching his stomach and supporting the wall. When looking at Zhou Can, apart from fear, there was also deep resentment.


    Before he could react at all just now, he was directly kicked down by Zhou Can, which made him feel extremely humiliated.


    Being easily defeated by another man in front of his girlfriend is a trample on a man''s dignity.


    "I''ll say it again, Su Qianqian is an adult, don''t say that you are just her uncle and aunt, even her biological parents, if she wants to leave, you have no right to stop her. If someone is stubborn, insist on going In this muddy water, be careful not only will you not get a penny of benefits, but you will also lie on the ground to cool off like this friend."


    Zhou Can''s eyes swept over everyone like a tiger.


    A majestic majesty emanated from him.


    Backed by powerful force, coupled with terrifying economic strength as his confidence, he is not afraid of so many unruly people besieging him.


    "Wei Fang, drive!"


    Zhou Can held an engineering shovel, and every time he took a step forward, the villagers took a step back.


    This is power and influence.


    Just now, in front of so many people, they "beheaded" their leaders with sapper shovels. It is equivalent to directly taking the head of the enemy general among thousands of troops. This ferocity is enough to make everyone frightened.


    It''s like Meng Zhang Fei holding a Zhangba Snake Spear to block the long Banqiao. One man guards the gate, and no enemy can open it.


    The Mercedes-Benz drove slowly onto the road, and my aunt saw them trying to escape, and was so anxious that she kept screaming, like ghosts crying and wolves howling.


    It''s a pity that no one is stupid, and everyone can see that Zhou Can is a stubborn stubble.


    It would be too unfair to die for Su Jun''s family, and then shoot him to death like that strong man who was ''slapped to death'' in front of the car by Zhou Can.


    The Mercedes-Benz successfully drove onto the road, and it seemed that it was about to escape smoothly.


    After such a commotion, Su Qianqian feared that she would never come back again for the rest of her life.


    There were at least fifty or sixty villagers gathered around, but none of them dared to come forward to fight Zhou Can. Just like a pack of wolves, when confronted with a tiger, none of the wolves dare to step forward to provoke trouble.


    A police car roared ahead and stopped Zhou Can and the others.


    It turned out that these villagers saw that Zhou Can was too fierce, even tougher than these rough countrymen like them. He couldn''t fight, and another person was injured, so the police were called.


    "We are... ordering you to drop your weapons immediately!"


    When facing the police, Zhou Can naturally cooperated honestly.


    Put down the sapper shovel and accept interrogation.


    After simple interrogation, the Mercedes-Benz was taken over by the police, and Zhou Can and others were taken directly to the local police station for disposal.


    Because this is already a fight incident.


    And it''s a group fight.


    After arriving at the prison, Zhou Can was directly handcuffed. He sensed that the wind seemed to be in the wrong direction.


    He signaled Su Qianqian to call the legal counsel of Jinyu Interactive immediately.


    A strong team of lawyers is used to deal with various disputes.


    Litigation can be used at any time.


    At least it''s much easier than ordinary people.


    But Zhou Can personally used it less. The legal affairs are more for Jinyu Interactive Company. Any breach of contract by an artist under the banner, or economic or contract disputes between the company and other companies, will be resolved by legal affairs.


    Prosecute when it is time to sue, and never relent.


    It can be said that there is no entertainment company that is merciful.


    "Bastard, you dare to hurt my son, and you want to take the shallow girl away for nothing, you just wait and go to jail!"


    When my aunt arrived at the police station, she saw that the clan forces were exerting force, and Zhou Can was already at a disadvantage.


    She couldn''t help being a villain, pointing at Zhou Can''s nose and scolding.


    Su Jun was lying on the ground when the police arrived, saying that he was seriously injured by Zhou Can, and kept screaming. Naturally, he should be taken to the hospital for treatment and injury examination first.


    It''s just that these people didn''t get complacent for long.


    The legal team of Jinyu Interactive has begun to make rapid efforts. The boss has been detained, which is fine.


    Naturally, they have to do their best to rescue them.


    "Zhou Can, you can now lift the device restrictions, but you still can''t leave here and must cooperate with us. If you are found to be involved in a crime, you will be dealt with according to the procedures. If you need to be detained, you will be detained, and if you need to be prosecuted, you will be prosecuted."


    The investigators said to Zhou Can seriously.


    "Can!"


    After Zhou Can''s handcuffs were lifted, the next step was to honestly wait for the lawyers to come over with Su Qianqian and Wei Fang.


    It is very likely that a security deposit will be paid, and then Zhou Can will be sent back first.


    During the waiting period, Zhou Can posted a circle of friends out of boredom.


    "This is the way of hospitality in Dacheng Township, and I have learned it."


    In fact, it is just a complaint.


    With his current status, posting this kind of Moments content is a very sensitive matter.


    Without the involvement of the legal team, he may have been detained directly.


    So sigh.


    In the past, people often heard people say that the local forces were deeply entrenched, and that strong dragons did not overwhelm local snakes. He didn''t have a deep understanding of the mystery, and felt that it was a bit exaggerated.


    Today, after experiencing it personally, I understand a truth, the locals must help the locals.


    Just like people of a country, when facing foreigners, they must give priority to the side of their own people.


    Not long after posting, Zhou Can''s cell phone began to receive calls, and WeChat messages rang one after another.


    Director Lou was actually the first to call.


    "Xiao Zhou, are you okay?"


    "Thank you Director Lou for your concern. I''m fine now."


    At this time, Zhou Can has realized that the circle of friends should not be random.


    "It''s fine if you''re fine. You are the pillar of our emergency department. If you need help with anything, you can tell me at any time. I know some people, so I can say hello for you."


    When Director Lou heard him say it was all right, his tone was obviously much more relaxed.


    "Okay, thank you. If I need it, I will not be polite to you."


    After Zhou Can answered the call, he quickly deleted this circle of friends.


    Although the entire time is estimated to be more than ten minutes, it has been seen by many people.


    Calls and messages of various inquiries and concerns kept coming.


    Even Cao Zhengguo, an old leading cadre, saw his circle of friends and called him to inquire.


    Zhou Can was very flattered.


    He has been giving silently all the time, saving lives and helping the wounded, and making friends with others.


    Unexpectedly, when he was in trouble, so many people extended a helping hand to him in the first place. This is something he never expected.


    This also made him realize that his circle of friends has become extremely strong after several years of accumulation of contacts.


    On Zhou Can''s side, just answer the phone in time, reply to the message, and explain clearly to those who care about him one by one.


    But this circle of friends, which was posted only ten minutes ago, still looks like a blockbuster.


    The phone in the office began to ring frequently.


    Not long after, even the director and instructors rushed over in person.


    Perhaps even the investigators who brought Zhou Can back to the office did not expect that this young man who was fighting had such great energy.


    Anyone who drives a luxury car does not have a simple identity.


    They feel sorry for each other.


    "Mr. Zhou, I''m sorry to have wronged you."


    After the boss of the institute arrived, he went directly to Zhou Can and expressed condolences to him.


    "The whole story has been basically ascertained. It was the local villager Su Hongsheng''s family who was messing around and greedy for profit. They made things difficult for their niece Su Qianqian who was going home to visit relatives, and even tried to detain her forcibly. This has been suspected of illegal crimes. What''s more hateful is that they They even gathered other villagers with weapons to stop Mr. Zhou and others from leaving, and smashed vehicles, which is also suspected of breaking the law. Mr. Zhou was forced to injure one person, which is self-defense. Now the injured person has basically completed the injury examination. It was a minor injury, and after treatment it was fine."


    The BOSS in the institute should have done enough homework on the way here.


    The right and wrong are all investigated clearly.


    The superior leaders from various departments called to pay attention to this matter, which made him feel a lot of pressure.


    Handling it properly is a top priority.


    "Leader, you have to decide for us! It was obviously this Zhou who injured my son and the villagers. Su Qianqian is our adopted daughter. Why was he taken away by him? If you want to take someone away, you have to come up with If there is enough bride price, the matchmaker will marry, otherwise it will be a crime."


    My aunt''s mouth is still very strong.


    She was extremely angry and incomprehensible when she heard that the leaders who arrived decided that Zhou Can was acting in self-defense, and those who were beaten became guilty instead.


    What made her heartache the most was that the 50 million yuan flew away.


    "Hmph, you are Su Qianqian''s aunt, right? Mr. Zhou drove thousands of miles to propose marriage to you with a dowry gift. His original intention was to show respect and gratitude to you two elders. But you are greedy. The dowry gift ranges from 128,000 When the price rose to 168, the young man agreed. Later, you changed your mind, and the lion asked for 50 million yuan, and asked you to share half of the money earned by Ms. Su Qianqian. Are you willing?"


    A leader is a leader, his eyes are not blind, and his heart is even more open.


    The leaders of several departments above are paying attention to this matter. It must be dealt with fairly and properly, otherwise it will be his dereliction of duty and incompetence.


    My aunt was so ashamed by the scolding that she bowed her head in silence.


    Only now did she understand that the little tricks she played had already been investigated by the government.


    "You guys were unsuccessful in asking for a huge bride price, so you used force to detain them forcibly, and even incited the villagers to gather to besiege Mr. Zhou and Ms. Su Qianqian and others. This simple pronunciation is to discredit and shame our local. If it is wrong for you today It is my greatest dereliction of duty to deal with and crack down on such illegal and criminal acts, but to punish Mr. Zhou, the victim. Maintaining public order and good customs, demonstrating justice, and strictly cracking down on illegal and criminal acts are the meaning of our existence."


    The BOSS in the institute scolded angrily, which really made people applaud.


    It also made Zhou Can, Su Qianqian, and Wei Fang feel at ease. The most terrifying thing in the world is that there is no justice and no justice.


    The next thing is easy.


    Zhou Can, Su Qianqian and others went through the formalities directly according to the regulations, and then left.


    The smashed Mercedes-Benz will be sent to the fourth son''s shop to determine the damage, and then the person who smashed the car will be compensated.


    This confrontation made the Su family understand how terrifying Zhou Can was.


    Now the villagers all know that Su Qianqian has flown up a branch and turned into a phoenix, and married a good man. Not only rich, but also powerful, and his personal force value is beyond the charts.


    They have offended someone they can''t afford to offend, and now the rest is luck.


    Fortunately, I was stupefied by that young man at that time, so I didn''t dare to step forward and make a rough move. Look at the villager who smashed the car. He got a shovel for nothing and had to pay more than 10,000 yuan for repairing the car.


    This is because Mr. Zhou is magnanimous, otherwise he will not only lose money, but also be prosecuted for the crime of damaging other people''s property.


    To be detained.


    As for Su Qianqian''s uncle''s family, they finally suffered retribution.


    The lightest ones were all detained for three days, and my aunt and Su Jun were both arrested and detained for fifteen days, which is considered a top punishment.


    I heard that Su Jun and his girlfriend just blew it.


    The car he drove back that night belonged to a customer of the car wash he opened.


    It was stolen.


    After the person was detained, the car was left at home, and the incident came to light.


    Customers were very angry when they found out.


    The boss not only apologized to the customer, but also directly fired Su Jun all wages were deducted, and the compensation was given to the customer.


    Although Su Jun''s girlfriend is only a nurse in a small clinic, but these days there are more men than women, and she is pretty.


    If Su Jun''s family hadn''t been greedy, maybe their marriage with her would have been successful long ago.


    Because Zhou Can agreed to give a bride price of 168,000 that night. After the Su family received the money, they could take out 128,000 yuan as a bride price for their son to marry his wife. Coupled with having a star sister like Su Qianqian, no matter where she goes, she will have face.


    Moreover, Su Qianqian is a very kind person, so he can help Su Jun and his uncle''s family casually when the time comes, and a good life will come easily.


    It''s a pity that people''s hearts are not enough.


    The poorer and backward the people, the less they can see the situation clearly. Their ideology is backward, they are extremely greedy, they have no integrity and justice, and their cognition is even worse.


    He obviously got a good hand of cards, but in the end he played poorly.


    Good and evil will eventually be rewarded. Some evil deeds have been done too much and become a habit, and the retribution will come sooner or later.


    Zhou Can took Su Qianqian home to propose marriage, completely broke up with her uncle and aunt, and stopped making their plans. After discussing with Su Qianqian, they decided to get married on this year''s National Day.


    ¡­


    After returning to the provincial capital, Zhou Can entered intense study and work again.


    His official working period will soon be four years, and he can already take the attending physician examination according to the regulations. With his strength, there is absolutely no pressure to take the test.


    With his status and influence in the hospital, as long as he passed the exam, he would be indispensable for the attending appointment.


    Postgraduate studies are also gradually coming to an end, and as long as you successfully graduate by then, you will be able to become a postgraduate master immediately. The education problem is basically solved.


    But he has greater ambitions, and he already has the idea of ????a college entrance exam.

 Chapter 605： Benefits are inseparable, if you want face, you will lose face

    It didn''t take long before Director Lou promised that his letter of appointment for the deputy director of the department came down.


    Director Lou does not have the right to appoint personnel, but he has the right to recommend and advise on employment.


    This is also one of the unique powers of the leader.


    The appointment of important positions in the department, as well as the replacement of the top leader after retirement, the top leader has a lot of say. As long as there is no airborne landing, whoever the top leader recommends to take over is basically guaranteed.


    The same is true for the director of the department, and so is the dean.


    The last time Zhou Can was appointed as the deputy team leader of the operating room was quite controversial, and the voices of the protesters were very loud. Later, Zhou Canren quelled the controversy by borrowing human skills and strong surgical skills, and was recognized by almost all his colleagues.


    In one fell swoop, he successfully entered the quality control department and officially became a leading position in the hospital.


    This time, he was promoted by the hospital to be the deputy director of the emergency department, but no one jumped out to object.


    Zhou Can was really surprised.


    Not only that, everyone is very cooperative in his management work.


    It feels like he has the support of everyone.


    Of course, he knew that it was definitely not as simple as he thought. There must be a deep-seated reason inside.


    The surgery was underway, and Zhou Can kept Ma Xiaolan.


    "Xiaolan, do you have time for a chat?"


    "sure!"


    Ma Xiaolan has also been married for a long time, her stomach is slightly swollen, and sometimes she goes to the medical waste disposal room to vomit suddenly while she is at work. If she guessed right, she was probably pregnant.


    Du Leng lost to Zhou Can in career, but took the lead in marriage.


    Not only did he get married first, but he was going to be a father soon.


    "I was elected as the deputy director of the department this time. How come there is no one who opposes it? This is too abnormal."


    Zhou Can knew that she was well-informed.


    It is right to ask her about this matter.


    "Hey, so you are asking this question! Everyone admires you, so I support you!"


    Ma Xiaolan said with a smile.


    "I want to hear the truth, don''t feed me these sugar-coated shells!"


    Zhou Can stared at her.


    It is very cold at a high place. After you have a high status, everyone is afraid of you and respects you. It is difficult to hear opposition. But it doesn''t mean that there is no objection. It is definitely not about singing and dancing, but that those who oppose it dare not blatantly oppose it.


    You can only bury the voice of opposition in your heart, or make some small moves to object secretly.


    "Hee hee, this is really not a sugar-coated bullet, but colleagues in the department admire you from the bottom of their hearts, so they are willing to support your work like this. However, no one objected to your promotion to the deputy director of the department this time. Support, there are indeed other reasons. First of all, let me state that this reason is just my irresponsible conjecture.¡±


    Ma Xiaolan glanced around and found no one around, so she lowered her voice and continued.


    "There is a big news quietly circulating in the department, saying that our emergency department is about to implement a new round of expansion, which will subdivide internal medicine and surgery, and create multiple subdivided departments. This is very important for everyone in the emergency department. This is great news. It means that the emergency department will not only become bigger and stronger, but also have many new sub-department directors and deputy directors. Even our nurse station is looking forward to this matter. The sub-department will elect at least two head nurses, and the sisters are already gearing up!"


    "There are even more rumors that whether the emergency department can be successfully restructured this time depends entirely on your efforts."


    Ma Xiaolan blinked when she said this, but didn''t go on.


    She believes that Zhou Can is a smart person, and she must know why everyone does not object to his promotion to the deputy director of the department.


    Just imagine, when everyone has something to gain, it is too late to support Zhou Can, so naturally no one will oppose him.


    Otherwise, it would be an enemy to everyone, and it would be difficult for one''s own future and interests.


    "Understood."


    Zhou Can nodded.


    There is no shortage of benefits, and he has a little more understanding of the meaning of this sentence.


    "Get off work when you''re done with get off work! If you need to ask for maternity leave from the hospital, remember to let me know a month or two in advance, so that I can prepare a replacement for you."


    Hearing Zhou Can mention this matter, Ma Xiaolan immediately looked at Zhou Can with a cute and flattering expression.


    "Boss, can you not kick me out of the team? I have worked with you for so long, and I already have deep feelings for the whole team. Under your wise leadership, I feel more at ease than ever before. Every day I can feel that I am improving. I am reluctant to leave the team, and I am even more reluctant to leave you."


    Ma Xiaolan was worried that when she came back from her maternity leave, someone would take her place.


    At that time, it will be difficult to find such a good job.


    Follow Zhou Can, the future is bright.


    This is one of the reasons why many working women are afraid to have children. After giving birth, the figure will start to lose shape, and the competitiveness in the workplace will drop rapidly.


    During the months or even half a year of maternity leave, it is definitely a painful thing for someone to replace an important position that you have finally climbed up to.


    This also means that careers are likely to decline rapidly, and even face the risk of losing their jobs.


    There are many female executives in companies who return to the company after their maternity leave, only to find that their original jobs have already been replaced by young women. It is impossible for them to return to their original positions.


    At this time, I can only ask the familiar boss with the cheek.


    For the sake of their hard work, a new job will be arranged for them.


    At this time, because they are already too old, many of them are over 30 years old, and if they want to compete with young girls, their physical strength, energy, and appearance are already at a disadvantage.


    In this case, there is a strong sense of crisis, and it would be nice to be able to keep the existing jobs.


    Climbing up is something that I dare not even think about.


    In fact, due to weakened competitiveness, older female workers like them can easily be laid off in waves of layoffs.


    Although men and women are equal, women actually have a great disadvantage in the workplace.


    Ma Xiaolan is now familiar with the work of itinerant nurses, and because Zhou Can''s surgical ability is extremely strong, she also enjoys a lot of food and drink, and her income is not low. So she was particularly worried about losing this position.


    Seeing that Zhou Can didn''t agree for a long time, she begged again, "Boss, can you not kick me out of the team? I didn''t want to have a child so early, but Du Leng said that I wanted a child, so I got pregnant."


    She tasted the sweetness of marriage, but also ushered in a career crisis.


    "I will try my best to find a way about this matter. No matter what, when you come back after giving birth, I will definitely arrange a better job for you."


    Zhou Can could only answer her in this way.


    Nursing positions are highly replaceable.


    Especially a nurse in the operating room like Ma Xiaolan, who has no special features, is particularly weak in competitiveness.


    A special talent like Jiang Wei, even after taking a year of maternity leave, can still return to the team smoothly.


    "Okay then, thank you for your care."


    She couldn''t get Zhou Can''s affirmative answer, and she was obviously a little disappointed.


    His expression also became gloomy.


    After two days like this, Ma Xiaolan was obviously affected at work and kept making mistakes. The whole person looked absent-minded, and his working condition was very poor.


    When she got off work, Ma Xiaolan took the initiative to say to Zhou Can, "Boss, I would like to take a week off, is that okay?"


    "Why do you suddenly have to take such a long leave? What happened? And I see that you have been out of work for the past two days. Did something happen at home?"


    Zhou Can asked with concern.


    As the deputy director of the department and the deputy head of the operating room, his experience in management has become more and more abundant.


    "There is nothing at home. I want to get rid of this child. It may be more appropriate to have a child later."


    She hesitated for two or three seconds and replied.


    "Ah! I finally got pregnant. Why do you want to get rid of the baby? You are also a medical worker, and you are a professional. You should be very clear that abortion is very harmful to your body."


    Zhou Can was extremely surprised after hearing this.


    When a woman is pregnant for the first time, it is best not to miscarry easily, otherwise it will cause great harm to the woman''s body. If you get pregnant again in the future, it is easy to form a habitual miscarriage, and you may even never be able to conceive a child again.


    "I''ve thought about it for a long time these two days, and I''ve decided to get rid of the child and focus on my career first. Will you grant me a week''s leave?"


    The last time she talked to Zhou Can about taking maternity leave, she couldn''t get a satisfactory answer, so she must be very anxious.


    No wonder the working condition of these two days is so poor.


    I am afraid that there is no less cranky thinking.


    It is even possible to suffer from insomnia due to excessive anxiety, which can lead to increased anxiety.


    "Xiaolan, if you insist on getting rid of the child, I will definitely respect your opinion. But I still suggest that you consider this matter carefully. You can''t have both shark''s fin and bear''s paw. You are still very young. I am fully capable of returning to work. And having a child at a young age makes it easier for the body to recover, and the child will be healthier and smarter. Besides, after finally conceiving a child, the pain of early pregnancy has tortured you for so long, Take away the child now, don''t you suffer all those crimes in vain?"


    Zhou Can tried hard to persuade her not to take away the child.


    The management of a team is not easy, he can only treat every team member as kindly as possible.


    The team currently has three surgical nurses. After Ma Xiaolan leaves, another one must be recruited.


    Zhou Can actually wanted to take this opportunity to recruit another nurse as powerful as Jiang Wei.


    "I really don''t want to lose this job. Du Leng and I bought a house with a loan, and he bought a car. It was also done in installments. The family is currently spending a lot of money. It takes a lot of money to have a child. When the time comes After the child is finished, not only does he need someone to take care of him, he also needs to buy milk powder, and I can¡¯t work. All the burdens are on Lao Du alone, and his career is still in its infancy. I dare not imagine that life will change under such circumstances. What is it like?"


    Ma Xiaolan is not a brainless woman.


    She has thought clearly these days.


    Following Zhou Can''s team to perform surgery, her income is very considerable. Can maintain at least a monthly income of more than 20,000 per month.


    Du Leng''s current income may not be as good as hers.


    A hospital is actually an enterprise in essence, it also needs to survive and make a profit.


    Don''t look at Zhou Can earning at least tens of thousands a month, that''s because Zhou Can''s benefits for the hospital far exceed this amount.


    For a large operation, the operation fee and equipment fee alone can generate at least a few thousand yuan for the hospital, and the costly operation can even reach hundreds of thousands. If the examination fees in the early stage, drug fees, and hospitalization fees in the later stage are included, the contribution to the hospital is really too great.


    He gets 70,000 a month, at least generating millions, or even millions, for the hospital.


    Du Leng''s academic qualifications are indeed very high, but his eyes are high and his abilities are low. Now we have a digital operating room. The concept is very novel. Unfortunately, not only can it not make profits for the hospital in the early stage, but it also requires the hospital to invest a lot of money.


    So his salary must not be much higher.


    "When it comes to buying a house with a loan, I agree very much. Because it is just needed after all. But I must say a few words to your family, Du Leng, consumption must be rational and within one''s ability. You must buy a large flat of 200 square meters, and choose The location is the most expensive. To buy a car, you have to buy a BMW luxury car worth more than 800,000 yuan. Why do you want to look so good?"


    Zhou Can knew a little about the affairs of Ma Xiaolan''s family.


    The combined pre-tax income of her and Du Leng is about 30,000 to 40,000 a month, which is considered a high income.


    But Du Leng is very face-saving.


    The house I bought was the famous Shengshi Mansion, with an area of ??24,100 square meters.


    Shengshihaoting is not only a river-view room, but also a large flat floor. The smallest area is more than 180 square meters To be honest, ordinary families really don¡¯t need to buy a large flat floor.


    A house of 200 square meters costs more than 4.8 million yuan, which is comparable to the price of a villa.


    I really don''t know what Du Leng is thinking?


    Even if the husband and wife do not eat or drink their wages, it will take more than ten years to pay them off.


    In fact, with a down payment of 20% and a loan of more than 3.8 million, the monthly interest is a terrible expense. Not to mention ten years, even twenty years may not be able to pay off.


    Buying a house is almost the financial limit of the couple. Du Leng saw Zhou Can driving a luxury car and was stimulated, so he also bought one.


    And it''s a BMW worth more than 800,000 yuan.


    It can only be said that this person will lose face if he wants face.


    Du Leng''s frantic debt shopping behavior does not match his high IQ.


    The consequences of irrational consumption may be disastrous.


    "Oh, I can''t stop Lao Du from buying it. He bought the Jiangjing flat floor because he saw that I liked it, so he gritted his teeth and bought it. He bought a BMW because he saw that you drove it every time. Da Ben took us to dinner and supper. He felt that he was inferior to you, so he wanted to fight for his breath. In addition, when I accompanied him to the class reunion, one of his classmates was drunk and asked him What kind of car came? Old Du didn''t have the nerve to say it at the time."


    "It was exposed by a classmate in public, saying that the two of us rode a shared bicycle. At that time, Lao Du was so ashamed that he almost got into the ground. He is a doctoral student studying abroad, and he is not as good as his college classmates. No After a while, he insisted on buying that BMW. This time, he has gained face by driving out, but the financial burden is too heavy."


    When Ma Xiaolan talked about these things, she seemed very helpless.


    Every family has scriptures that are difficult to recite, and every time Du Leng spends irrationally, there is a reason.

 Chapter 606： Unity of the team, patients seeking medical treatment in other places

    I believe that when Du Leng was admitted to a prestigious foreign school, he must have been high-spirited and full of ambition. Moreover, his family can support him to study abroad, and his economic strength should not be much worse.


    Such a proud son of heaven, after returning from school, his salary is far from his ideal income, which will definitely aggravate Du Leng''s inferiority complex.


    The reunions of classmates in the early years were really reminiscing about the past and friendship.


    The current class reunion has long since changed its nature, and it is completely a competition among classmates and a personal show.


    Students who get along well are the absolute core, and even the teachers will try their best to please these students who get along well.


    People are very realistic.


    If you please these good people, you can get care and help when necessary.


    "Why do you say you are doing this! Consumption should be done according to your ability! If you ask for leave to miscarry, I will not grant this leave. Go home early if you have nothing to do!"


    Zhou Can rejected Ma Xiaolan''s application.


    It is certain that Ma Xiaolan will regret it in the future as long as this leave is approved.


    Seeing Zhou Can''s icy attitude, Ma Xiaolan couldn''t help turning pale, biting her lips and leaving. When she left, she looked at Zhou Can with incomprehension, disappointment, and chills.


    After working with Zhou Can for several years, I didn''t expect that after pregnancy, Zhou Can was no different from other leaders. Don''t talk about friendship, and don''t even give permission for a seven-day holiday.


    I remembered that when Zhou Can first set up the surgery team, she entrusted Ye Tingting''s relationship to join in, worked hard with Zhou Can, and made countless contributions. Now it has ended like this.


    She couldn''t help but feel more desolate.


    "Why didn''t you approve Xiaolan''s little fake?"


    Qiao Yu quickly walked in from the outside and stopped Zhou Can from questioning.


    She is also the boss of the team, and has always had a special place in Zhou Can''s heart.


    In this matter, Zhou Can was unreasonable, which obviously made Qiao Yu feel puzzled and even a little angry.


    The core of a team''s cohesion, in addition to interests, the personality of the team leader is also very important. If the leader does not care enough for his subordinates, is cold and ruthless, it will be difficult to gain everyone''s loyalty.


    "I don''t want her to regret it in the future."


    Zhou Can just explained a sentence lightly.


    It was Qiao Yu who came to ask him to explain such a sentence. If it were someone else, he wouldn''t bother to talk to him.


    Qiao Yu knew Zhou Can''s character and behavior very well.


    After listening to it, I was stunned for a while, and after thinking for a few seconds, a clear look appeared in my eyes. But when she raised her eyes to look again, Zhou Can had already gone far away, leaving only a stalwart back.


    She couldn''t help showing a smile, he was still the maverick him, still as deep as a pool of water, making it hard to see through.


    ¡­


    Zhou Can was making ward rounds, Du Leng rushed into the ward of the emergency department aggressively, stared at Zhou Can fiercely, and asked angrily, "Zhou, don''t bully me too much, what did you do to my wife?"


    Zhou Can asked blankly, "What did I do to your wife? After the operation, let her go home from get off work."


    "Then why did she keep crying as soon as she got into my car? It wasn''t you who bullied her, who else could it be?" Du Leng''s workshop always showed a gentle and elegant image.


    At this moment, he looks like an angry lion, and it can be seen that he loves Ma Xiaolan deeply.


    Seeing his wife crying so sadly, he must have thought that Zhou Can had bullied Ma Xiaolan.


    Only then did he rush over to find Zhou Can to settle the score.


    "She cried very sadly?"


    Zhou Can frowned slightly, arguing with Du Leng in the ward would definitely not work, the impact would be very bad.


    "You wait for me in the duty room of the emergency department. If you have anything to do, wait until I finish checking the room."


    Du Leng''s eyes spewed fire, and his cheeks bulged because of gnashing his teeth.


    In the end, he chose to wait for Zhou Can in the duty room.


    "Don''t try to run away. If you don''t give me an explanation today, even if you make a fuss with the Health and Family Planning Bureau, you won''t be able to eat it. You bastard, there are so many women, and you still want to play tricks on my wife. It''s a beast."


    Du Leng went out angrily.


    These words made Zhou Can very embarrassed. Those patients and their family members also looked at Zhou Can with strange eyes.


    "Jiang Wei, check the remaining two beds. I have to hurry up and explain to Du Leng after checking the room. Otherwise, I don''t know what that lunatic will do."


    Zhou Can really had no face to face the strange eyes of the family members and patients in this ward.


    "Okay! Dr. Du is really good, he just scolded without asking indiscriminately. You and Ma Xiaolan are just normal colleagues. Nothing happened. Qiao Yu and I can testify to this. If the explanation doesn''t make sense, you can find Let''s go and testify together."


    Jiang Wei''s EQ and IQ are higher than Qiao Yu''s, and her social experience is richer.


    In the face of such emergencies, he explained Zhou Can to the patients and family members without any trace.


    It also made the eyes of those people looking at Zhou Can change from strange and doubtful to normal.


    Zhou Can nodded gratefully to her and walked out of the ward.


    After checking all the wards, Zhou Can went to the duty room.


    Du Leng still sat there with a livid face.


    Someone poured him a glass of water, but left it on the table undrinked.


    "Zhou, I thought you were too guilty to come here! Why did you bully my wife? Explain to me clearly."


    When Du Leng saw Zhou Can coming in, he wished he could rush forward and make a move.


    "Joke, why do I have a guilty conscience? There is nothing to explain to you. I want to make a request to you."


    Zhou Can''s face was cold, and he showed no sincerity in apologizing.


    The attitude is even tougher than Du Leng.


    "You...don''t think that you will be afraid of you because you have a higher status in the hospital than me. If you don''t explain clearly to me today, I will turn it upside down. At worst, I won''t be able to do this job."


    Like most men, Du Leng couldn''t tolerate his wife being bullied by other men.


    He knew that his status was far inferior to Zhou Can''s. If he wanted to make a fuss about this matter, he had to have the determination to cut himself to pieces and pull the emperor off his horse.


    "You can make trouble if you want to. If I''m afraid, your surname will not be Zhou."


    Zhou Can is really not afraid of Du Leng making trouble.


    He was clear and upright, without any fault at all, what was he afraid of?


    Du Leng''s insinuations and irresponsible biting were impossible to cause any substantial harm to Zhou Can. Just be able to avoid the best. After all, when things got serious, the yellow mud fell into the crotch, and it became **** if it wasn''t shit.


    At that time, Zhou Can will be affected to some extent.


    There is no actual punishment, but the impact on the image is certain.


    This is not good for his future promotion and promotion.


    "I want your wife to stop crying. The solution is very simple. Sell your BMW quickly. This is my advice to you."


    Zhou Can in turn made a request to him.


    "Let me wait for you for more than 40 minutes, just waiting for such an ''explanation''?" Du Leng''s eyes were spitting fire, and his expression was extremely ferocious.


    "Otherwise, what do you think? Don''t say good things twice. You have already been taught how to stop your wife from crying. It is up to you to sell or not. I must advise you that a man is the backbone of a family. You must do what you can. If you don''t have that strength, no matter how swollen your face is, you will still be a fake fat man."


    After finishing speaking, Zhou Can opened the door and left regardless of Du Leng''s man-eating expression.


    There are still two major operations in the cardiothoracic surgery department waiting for him to preside over them.


    But I have no time to spend here with Du Leng.


    ¡­


    When Ma Xiaolan came to work the next day, her attitude towards Zhou Can was obviously a bit cold.


    At work, she hardly spoke a word with Zhou Can.


    Zhou Can didn''t care about this.


    Qiao Yu and Jiang Wei took all this seriously, and after get off work, they took Ma Xiaolan to drink coffee.


    Originally, according to the usual schedule, after get off work, Jiang Wei would go round with Zhou Can. Give advice on the care and nutritional support of many key patients.


    This is also one of the important reasons why the quality of medical care in the emergency department''s inpatient wards has been creating new highs.


    In this way, four days passed in a row.


    At around ten o''clock in the evening on the fifth day, Zhou Can received a message.


    It was Ma Xiaolan who sent it.


    The two words "thank you" without thinking, followed by a smiley expression.


    In the past few days, Ma Xiaolan has hardly spoken a word with Zhou Canduo except for necessary work conversations. His attitude towards Zhou Can was also extremely cold.


    Now that such a message was sent suddenly in the middle of the night, it really baffled him.


    Because she didn''t know the background and reason for her sending this message, Zhou Can didn''t reply.


    When Zhou Can went to work the next day, as soon as Zhou Can entered the operating room, Ma Xiaolan called him with a smile all over her face, "Good morning, boss."


    "morning!"


    Zhou Can nodded in response, but felt that this woman''s heart was really like a needle in the sea.


    A few days ago, he had been cold and regarded him as an enemy.


    But now she suddenly changed her face, and the familiar Ma Xiaolan came back again.


    The way she looked at Zhou Can was not only as friendly as before, but also showed a trace of indescribable respect.


    Although she didn''t know that her attitude had suddenly changed 180 degrees, Zhou Can thought it was a good thing. Team unity is very important.


    Although Ma Xiaolan is just an itinerant nurse who can be replaced, her qualifications are not old and her level is average, but as long as Zhou Can''s team uses her, she will naturally need her contribution in many places.


    Even her little itinerant nurse can affect the success or failure of an operation.


    "Boss, I have decided not to have an abortion. Thank you for everything you have done for me and my family."


    Ma Xiaolan took the initiative to say to Zhou Can.


    "I didn''t do anything, you don''t have to be polite." After Zhou Can finished speaking, his eyes swept over everyone.


    He clearly noticed that Qiao Yu, Jiang Wei and the others had smiles on their faces.


    The cohesion of the team has been significantly improved.


    Even Yang Zhi, the medical assistant, showed a rare happy smile.


    It seems that everyone likes to be in a big united family.


    The day''s surgical work will soon begin.


    Zhou Can now basically only performs difficult operations, complex operations, and tertiary operations in the second-level surgery.


    Since he comprehended the second-level mystery of stabilizing the knife last time, the operation speed has actually slowed down.


    Especially in the key steps of some delicate operations, sometimes it may take him an hour or two, or even longer, to connect a nerve.


    At first, Dr. Xu thought there was something wrong with Zhou Can''s condition.


    Later, it was discovered that the nerves, important blood vessels, and even the bone transplanted by Zhou Can had achieved very satisfactory results. So he gradually accepted Zhou Can''s ''slowness''.


    Just watching the only apprentice suddenly stop on the road of rapid development and turn to steady development, this made Dr. Xu somewhat disappointed.


    No matter which teacher it is, I definitely hope that there will be successors.


    Being able to pass on knowledge and technology and carry it forward is the greatest comfort to them.


    Dr. Xu may not know that Zhou Can is already walking his own path.


    Now we are in the second state of steady knife technique, after experiencing the mountain is the mountain, we are now in the state of seeing the mountain is not the mountain.


    When Zhou Can understands the true meaning of it and returns to the basics, he will enter the real realm of sharp swords. Moreover, it can take into account the characteristics of a stable knife, so that it can be fast and stable.


    However, it is extremely difficult to achieve this level.


    On the day when he really reaches it, his surgical level should be enough to become the top existence in the country.


    If all his other medical skills reached level seven or above at that time, it would be terrible. It is very likely that he will directly become a world-class super doctor who has never been seen before or since. Possibly even number one in the world.


    "Doctor Zhou, a patient came outside and wanted to see you on a special trip. I told the family that Dr. Zhou has no time now. If you want to see Dr. Zhou, you can register your number when you are in the clinic. The family insists I want to ask you to help me take a look, and I say that I am willing to spend more money."


    The nurse outside stood at the door of the operating room to pass the message.


    "What''s wrong?"


    Zhou Can just finished the tertiary surgery at hand The rest of the Guanqiang can be left to Pu Dingdong to complete.


    Yang Zhi''s surgical skills are quite accomplished.


    After all, he has performed so many operations with Zhou Can every day, and he is the first assistant.


    There are still plenty of opportunities to get started.


    The strength of all aspects has been improved.


    Pu Dingdong''s surgical prowess has also improved significantly, but because of his weak foundation, he is obviously weaker than Yang Zhi. But in terms of potential, Zhou Can is more optimistic about Pu Dingdong.


    It''s hard to say, but Pu Dingdong''s strength improvement in all aspects has been very stable.


    It stands to reason that the higher the strength, the more difficult it is to improve and the longer it will take.


    But this truth does not seem to work here in Pu Dingdong.


    He has always improved steadily at a constant speed, which sometimes makes Zhou Can wonder if Pu Dingdong has a system like himself?


    Of course, this kind of matter involves other people''s core secrets, and Zhou Can will definitely not inquire about it.


    Even if you ask, people won''t tell you.


    "I said it was a high fall injury, and I was a child less than three years old. When I was playing in the game city, I accidentally fell from the top of the castle ladder. I was sober at the time. But after I fell, I didn''t cry or cry. Nao, his whole body was limp, and it was as if he had no bones when held in his hands. The family members are so anxious now that they flew here to see you for treatment."


    The nurse inquired about the situation in great detail.


    Because Zhou Can''s status is already very distinguished, not only a famous doctor in the emergency department, but also the deputy director of the department, needless to say his status.


    If anyone finds Zhou Can, she will report to him. If Zhou Can doesn''t scold her, Director Lou should scold her.


    "Gao Chuan is still a child, this is probably very tricky!"


    Zhou Can''s reputation is now spreading far and wide, and patients from other places often come to him for medical treatment.

 Chapter 607： Strange neck stiffness, the simplest reflex test begins

    Most of the diseases that cannot be cured by local hospitals are difficult.


    He can''t be cured of any disease.


    Sometimes there are some strange diseases, and he is also helpless. But in general, as long as a patient finds him, even if he doesn''t have the ability to cure him, he will ask other doctors for help.


    The comprehensive strength of Tuya Hospital is still very strong. Except for a few medical fields that are not very strong, most of the other medical fields are of high level.


    "Well, I''ll go and have a look first."


    Zhou Can understands the difficulty of the patient and his family, so he came all the way to see him, and they had great hopes.


    The journey is also very difficult.


    Transporting sick people is much more difficult than ordinary people.


    "Dingdong, I''ll leave the patient''s Guanqiang to you. Yang Zhi, you will help him by the side."


    After speaking, Zhou Can went straight out of the operating room.


    Under normal circumstances, doctors in the operating room are not willing to leave the operating room easily. Because the use of various sterile consumables will increase.


    Not to mention anything else, just wash the surgical clothes and change a few more sets, Auntie Cleaning should be talking about it.


    Headgear and gloves are basically disposable, and it is also easy to cause some unnecessary verification and trouble if they are used too much.


    Zhou Can followed the nurse to the emergency room.


    A two or three-year-old boy was lying on the flat bed outside the door, his eyes were open, but his hands and feet were lying flat. With Zhou Can''s professional level and experience, he could tell at a glance that this little boy was already in a state of high paraplegia.


    "This is Dr. Zhou Can you are looking for. After hearing about what happened to you, he stopped what he was doing in the operating room and rushed over to ask a doctor. If you have any questions, you can hurry up and ask Dr. Zhou."


    The nurse told the family.


    A total of five family members came.


    To be honest, with so many family members here, it was enough for the doctor to be very careful.


    Too many family members come, which often means that in case of disputes, the other party has a large number of people, and the doctor will appear relatively weak.


    Moreover, there are too many people, and the probability of doctor-patient disputes will also increase.


    "Doctor Zhou, we also came from the imperial capital to look for you after hearing the introduction from our acquaintances. Please also see if this child can be cured?"


    The first person to speak was a middle-aged man with a big belly, black trousers, a purple shirt, and a golden tie. His leather shoes were already covered with dust but he didn''t bother to wipe them off.


    Compared with other family members, this middle-aged man and a fashionable young woman behind him did not have the grief of a loved one who was seriously injured, but only anxiety.


    Based on Zhou Can''s experience in receiving patients, he secretly guessed that these two people should not be family members.


    "First, tell me about the child''s condition, how he was injured, what his performance was like after the injury, and whether he has been checked?"


    Zhou Can looked at the five family members.


    "Doctor Zhou, I beg you to save my son! Woohoo...it''s all my fault, I shouldn''t have taken the child to play in their playground." A weeping young woman told her misfortune, her eyes He also glared at the potbellied man and the fashionable woman. "At that time, many children were playing in the balloon castle they opened. When my son climbed to the top of the castle, there were a few children in front of him blocking the way. He climbed up the guardrail, and then unfortunately fell from it. At that time It seems that the head hit the ground first, and after falling on the ground, it was bounced several times before it stopped moving."


    "After the fall, my son didn''t cry or fuss, just lay there motionless..."


    When the little boy''s mother talked about the situation at that time, she was still very self-blame and heartbroken.


    "Our bouncy castle has strict safety standards. The air cushion on the ground is more than 50 centimeters thick. At that time, the child fell from a height of about three meters. Under normal circumstances, there would be no problems at all. Paralyzed!"


    The potbellied man should be the boss of the bouncy castle.


    Speaking of this matter, he seemed very aggrieved.


    This person is going to be unlucky, and a sip of cold water can get stuck between his teeth.


    "Young man, there is only one grandson in my family for three generations. His father is guarding the frontier, and he has not dared to tell him the news. Please think of a way to save my grandson."


    The old man with white eyebrows came over and begged Zhou Can.


    "My son is a high-ranking general. As long as you cure my grandson, your benefits will definitely be indispensable!"


    The tone of the old lady''s speech was quite arrogant.


    To be honest, no doctor likes to bear the tone of family members.


    Some family members rely on how much money they have in the family, or if they have a little power, they throw money at doctors as soon as they come up. Just give me treatment, how much money my family can afford.


    Or, hurry up and treat us, who is an official in my family.


    When encountering this kind of family members, the doctor will not refute in person, and it is certain that they will feel uncomfortable.


    A doctor is a sacred profession that saves lives and heals the wounded, and should be respected.


    Instead of wantonly trampling under the two sharp weapons of money and power.


    The reality is that no matter how good a doctor''s medical skills are, he still works hard for those with power and money.


    "Oh, please don''t say a few words. The young man is a doctor, and there is no distinction between high and low in saving people."


    The old man scolded the old lady who was showing off her authority.


    "The old man is right. Our doctor''s tenet is: if someone comes to ask for help, don''t ask him whether he is high or low, rich or poor, whether he is old or young, resent relatives and friends, Hua Yi is foolish and wise, everyone is the same, and they are all like close relatives." No matter what your status is, there is only one title when you arrive at the hospital, and that is patient."


    Zhou Can felt a little better.


    Taking advantage of the opportunity, I gave this old lady who showed off her official authority a three-view science popularization.


    Not every doctor is afraid of power, and will wag his tail when encountering rich or powerful patients. Most doctors have their own backbone and pride, and abide by the sacredness in their hearts.


    If one day, doctors are forced to bow their heads to power, it will be a tragedy for society.


    Because it also means that the distribution of medical resources will become unfair.


    It is very necessary to safeguard the interests and dignity of doctors.


    "The old woman can''t talk, don''t take it wrong, young man."


    The old man hurriedly apologized to Zhou Can.


    "It''s okay, it''s okay. Just make it clear." Zhou Can waved his hand. "Have you taken your child to the hospital for an examination? The medical level in the imperial capital should be the highest in the country. Why do you think that you will take your child to Tuya Hospital all the way?"


    Zhou Can began to ask why.


    Doctors must not only learn to see a doctor, but also learn how to protect themselves.


    When encountering such patients from other places, it is very necessary to ask clearly.


    "Let me tell the story!"


    The boss of the bouncy castle took up the conversation again.


    "After the child fell, we sent him to the nearest large hospital for treatment as soon as possible. After examination, the doctor initially diagnosed cervical nerve damage and high paraplegia. The doctor at that hospital suggested that we transfer to the imperial capital Renhe hospital treatment."


    The blood vessels and nerves of the cervical spine and the entire spine are very rich, especially the nerves. After sending out from the brain, the nerve trunk in the spine is equivalent to a total nerve trunk.


    After millions of years of human evolution, this nerve trunk is protected in the spinal canal.


    Normally, it is not easily damaged.


    But this high fall is an exception.


    Especially the cervical spine in the neck is particularly vulnerable.


    "What did the doctor at Imperial Renhe Hospital say?"


    When Zhou Can heard that the child had been admitted to at least two major hospitals, his face became more serious.


    Renhe Hospital has a dedicated spine research department, neurology department, and surgery department, and the neurosurgery department has also been subdivided. It can be said that Renhe Hospital''s research in the field of neurology is definitely one of the best in China.


    Even this hospital can''t cure it, how can Zhou Can dare to challenge such an extremely difficult case?


    I''m afraid it will be difficult to save this child.


    "The doctor there also shook his head after seeing it, gathered experts from multiple departments of Renhe Hospital for consultation, and did conservative treatment for a week, but it still didn''t work. I just heard a friend recommend that there is a famous doctor from Tuya Hospital. The young doctor named Zhou Can is very capable and might be able to cure the child. After discussing with the family, we finally decided to bring the child to have a look.¡±


    When the boss of the bouncy castle said these words, his face was full of bitterness.


    A total of six people flew from the imperial capital to Tuya Hospital. The cost of the journey, accommodation, and meals alone were quite a lot of expenses.


    The money he earned from opening a bouncy castle for a year may not be enough to treat this child.


    "First of all, I must tell you that Renhe Hospital should be one of the best in the field of neurology in China. Even if they say that it can''t be cured, there is a high probability that our side can''t be cured either. But since you are here, our side will definitely treat it. Go all out. The child¡¯s father is guarding the frontier, and now his child is injured and paralyzed, we doctors are willing to do our best to treat the child, strive to create a medical miracle, and let the hero guard the frontier with peace of mind.¡±


    Zhou Can can be regarded as an attitude to several people.


    They are also given vaccinations.


    Doctors often like to talk about the seriousness of the disease and the worst consequences, in order to lower the psychological expectations of family members and patients.


    This can minimize medical disputes.


    "Dr. Lao Zhou is here! Don''t worry about the treatment expenses. I will pay for the amount of money I need to deposit. By the way, our bouncy castle is insured, and the insurance company can pay part of it at that time."


    The owner of the bouncy castle is trying to make up for his mistakes.


    At least his current attitude satisfies the family members.


    The fashionable woman hardly spoke, as if she was a vase following the boss. Whether it was the boss''s wife or the secretary, no one knew.


    Zhou Can began to give the child a preliminary physical examination.


    The child''s limbs were weak, limp, and a little cold to the touch.


    This shows that the peripheral blood supply is not good.


    Nerve damage can cause blood flow to be affected.


    Moreover, after the nerve is damaged, it cannot recover for a long time, and it will face a more terrible problem. The muscles of the whole body will gradually atrophy, and eventually, like a patient with ALS, there is almost no possibility of recovery.


    It is necessary to intervene as early as possible and help patients massage the muscles of the body to maintain muscle vitality and slow down the rate of muscle atrophy as much as possible.


    "Which day did the child fall and hurt?"


    "I fell on the third day of this month."


    "It''s been about eight days since the fall, right?"


    "right!"


    Zhou Can asked for relevant information while checking the child''s situation.


    There was no trauma to the child''s neck. To the touch, there was a certain degree of stiffness on the right side of the neck, and softness on the left side.


    This is a very strange phenomenon.


    Because under normal circumstances, there is no distinction between left and right neck stiffness.


    If Zhou Can can discover this abnormality, I believe that the experts from Renhe Hospital will also be able to discover it.


    It doesn''t make much sense to infer the cause of this strange phenomenon out of thin air.


    He decided to look at the results of the examination done by Renhe Hospital first.


    Such as electromyographic signal conduction test.


    This is also the usual means of neural pathway testing.


    The presence or absence of myoelectric signals can be used to determine whether there is a problem with the nerve.


    "Did you bring the checklists from the first two hospitals?"


    "It''s all packed in these two bags. This is the examination done at Chaoyang Hospital. This is the examination done at Renhe Hospital."


    The child''s mother gave Zhou Can two information bags.


    After Zhou Can took it, he checked it carefully.


    The first hospital performed routine blood tests, neck CT, and EMG tests on the child.


    The results of the blood test were basically normal, with slightly low hemoglobin.


    This may be anemia in the child itself.


    Nowadays, many children like to be picky eaters, and even take snacks as their staple food.


    This also causes their bodies to be in a sub-healthy state all the time.


    No obvious abnormality was found on neck CT, only local slight hematoma. After eight days of treatment, the child''s neck hematoma has already disappeared.


    Basically, the possibility of neck hematoma compressing the nerve and causing paralysis can be ruled out.


    Because if the hematoma is really oppressive Now that the hematoma is eliminated, the boy''s paralysis symptoms will gradually disappear.


    Renhe Hospital performed an enhanced head CT on the little boy, probably because he was worried that the child''s brain would be traumatized.


    Unfortunately, nothing has been found yet.


    Zhou Can stared at the child''s inspection results repeatedly, and made detailed comparisons, hoping to find clues.


    So many experts have read it, and found no problems.


    After watching for more than 20 minutes, he also found nothing.


    There was no trauma, and no abnormalities were found in the head and neck. There were no fractures, or even fractures, of the neck.


    Where is the problem?


    Encountering such an extremely difficult case, Zhou Can felt powerless for a while.


    His medical skills are powerful, but not all diseases can be cured.


    The only suspicion now is that the cervical spine was severely traumatized during the high fall, resulting in a blockage of nerve signals to the neck below.


    "Come on, help me sit the baby on the edge of the bed. The legs hang down naturally."


    Zhou Can instructed the family members to help the child sit up.


    It can be seen that the child''s head seems to have lost its support, and it is somewhat weakly pulled forward.


    There were many family members and doctors and nurses around, all wanting to see how Dr. Zhou diagnosed the child.


    "Who has a percussion hammer? Lend me to use it."


    Zhou Can asked other doctors and nurses aloud.


    "I have, I have. Director Zhou, can you see this?"


    Dr. Xie rushed to hand a percussion hammer to Zhou Can.


    The opportunity to please Director Zhou should not be missed.


    "Can."


    After Zhou Can took it, he smashed it on the child''s knee.


    Knee **** reflex test is not commonly used in clinical medicine, but Zhou Can has never been diagnosed according to common sense. He used knee **** reflex test this time.

 Chapter 608： Low-level nerve center unobstructed, inexplicable hemorrhage

    Anyone who studies medicine knows that the knee **** reflex is the simplest type of nerve reflex, and its completion process only includes two neurons, sensory neurons and motor neurons.


    boom!


    After the small hammer hit the stimulating point on the knee, the child''s left leg bounced upward.


    Zhou Can''s face suddenly showed joy.


    The nerve center of the knee **** reflex is the lower nerve center, located in the gray matter of the spinal cord. But at the same time as the knee **** reflex is being completed, nerves in the spinal cord leading to the brain send this nerve impulse to the brain, making the person feel that the knee has been tapped. This causes the legs to bounce.


    The child is paraplegic at a high position. Logically speaking, the nerves below the head and neck are blocked.


    Zhou Can has now passed a simple test to prove that there is no interruption between the nerve center of the lower limbs and the brain, indicating that there is still hope for the child to be cured.


    Even though it only stimulated the low-level nerve center, it was enough to make him feel excited.


    This is like feeling the presence of a pulse in a patient, and basically determining that the patient has a heart rate.


    But heart rate is not the same thing as pulse. Heart rate is the number of times your heart beats in a minute. The pulse is the number of times the artery beats, also known as the pulse rate. When a large amount of blood enters the artery, the pressure of the artery will increase and the diameter of the artery will expand. This expansion can be felt in the shallower part of the body surface, which is the so-called pulse.


    Normally, the heart rate coincides with the pulse.


    In some patients the heart rate may be higher than the pulse.


    The nerve center is more complicated than the pulse and heart rate. Now it is found that the child''s low-level nerve center reflex is unobstructed, which shows that the child''s nerve damage is not as serious as imagined.


    After testing the child''s left leg, Zhou Can tested the right leg again.


    The knee **** reflex is also present, but the knee **** is weaker in the right leg.


    After several consecutive tests, he found that the knee **** reflex of the child''s right leg was indeed much weaker than that of the left leg, but the reflex still existed.


    At this time, he once again thought of the child''s neck stiffness.


    The left side of the neck is soft, and the right side is stiff.


    Everything seemed to point to a serious problem with nerve conduction on the right side of the child''s body. Or, on the contrary, the left side is seriously injured, but the right side is fine?


    At least give him a diagnostic direction.


    Neck stiffness indicates that there is a pain response or other response in the neck, and the muscles are tense. Just like when a doctor examines a patient''s abdomen, soft and hard abdomen are completely two diagnostic concepts.


    A soft and flat abdomen means that there is generally no major problem.


    If the abdomen feels hard to the touch, it means that the patient''s abdomen is pressed and there is severe pain, so that the patient can''t help but protect himself by tightening the abdominal muscles.


    This is a normal body defense response.


    First of all, it must be clear that whether it is abdominal muscle contraction or neck stiffness, it is the effect of muscle exertion and tension.


    Muscle contraction is stimulated by nerve signals.


    Without nerve signaling, the muscle would be a piece of meat without any mobility.


    This is also the main reason why Zhou Can was not sure whether the child''s right nerve was seriously damaged.


    He even wondered, could it be that the child''s right neck muscles have been tense, which affects the conduction of the nerves?


    There are too many diagnostic ideas that need to be sorted out, and many need to be verified one by one.


    If you want to ask for a certificate, the necessary auxiliary inspection is indispensable.


    Although the patient had already undergone a lot of examinations in the previous two hospitals, Zhou Can still felt that it was necessary to do some supplementary examinations in Tuya Hospital to clarify the cause. When necessary, even surgical exploration is required.


    Of course, many family members were very reluctant when they heard about the surgical exploration, and even resisted this kind of invasive examination.


    Just like clinical rescue of critically ill patients, it is often necessary to cut the trachea and use an invasive ventilator, and family members will be particularly resistant at this time. There are not a few people who even miss the chance of rescue because of this.


    "Director Zhou, Director Zhou, there is a patient in the operating room who needs emergency surgery, Dr. Xu can''t get away, please go over and preside over it."


    A nurse hurried over to ask Zhou Can for help.


    In the operating room of the emergency department, only Dr. Xu and Zhou Can have the surgical ability of level three or above.


    In rescuing critically ill patients, Zhou Can is even better than blue, and his ability in this area has surpassed Dr. Xu.


    "Okay, I''ll be there right away."


    The purpose of the emergency department is to save the lives of patients.


    Now there is an emergency operation patient, the child with high paraplegia can only be let go first.


    Moreover, the diagnosis of this child will not come out in a short time.


    "The child needs to be hospitalized first, and the cause of the disease should be found out before treatment. Is the family willing to let the child be hospitalized here? First of all, we can only do our best in Tuya Hospital, and we dare not guarantee that it will be cured."


    Zhou Can looked at the family members and the owner of the bouncy castle.


    "Yes, yes! Dr. Zhou is extraordinary. I have made some progress in doing knee **** reflexes for my grandson just now. We are very willing to be hospitalized here. I also ask Dr. Zhou to take my grandson''s condition into consideration. When he is not so busy , help him heal."


    The child''s grandfather is quite knowledgeable.


    He didn''t despise Zhou Can just because he was young.


    After seeing Zhou Can''s unique diagnosis and treatment methods just now, his confidence in Zhou Can was even stronger.


    The name of a person, the shadow of a tree.


    This young doctor Zhou can have a great reputation, and even has a certain reputation in the imperial capital, so there must be something special about him.


    Employers do not suspect, suspects do not.


    He chose to trust Zhou Can.


    "Doctor Zhou, please take care."


    The child''s mother also had tears in her eyes, begging Zhou Can repeatedly.


    The child''s grandmother was a little embarrassed, because she showed off her son''s official power in front of Zhou Can not long ago, which caused Zhou Can''s displeasure.


    "Don''t worry, I will attach great importance to every patient. Since you agree, I will ask other doctors to handle the hospitalization procedures for the child. I guess the child may need an operation, so he should be admitted to the surgical inpatient ward first!"


    After Zhou Can finished speaking, he looked at the boss of the bouncy castle.


    This person is also unlucky, with such a big event on the table, his situation is probably similar to that of Dr. Xu back then.


    Because the child''s father has a very special identity.


    His only child had an accident while spending money in the bouncy castle. As the boss and the main responsible person, he definitely couldn''t escape.


    Make every effort to make up for and cure, this is the only means of survival.


    Otherwise, it is likely to have been controlled and locked up long ago.


    "Judging from the child''s knee jump test just now and the results of some examinations he did in the previous two hospitals, it is not particularly bad. At least I think there is a slight chance of recovery. But this chance may only be 10% or lower. If you have medical insurance, try to find a way to reimburse the medical expenses, and when you are hospitalized, please ask Dr. Xie to teach you how to transfer medical insurance in other places."


    Zhou Can has seen the bleak situation of Dr. Xu after his accident, so he sympathizes with this unfortunate boss very much.


    Minimize some losses for the other party as much as possible.


    Most of the residents of the imperial capital have formal medical insurance, and the reimbursement rate is higher than that of the new rural medical insurance and urban and rural medical insurance.


    Of course, if the child does not have formal medical insurance, there is no way.


    "Thank you, thank you! My friend said that you are benevolent and benevolent, and I have seen it with my own eyes today. I came here from the imperial capital to look for you, and I did not make a mistake."


    The boss''s eye sockets were a little moist.


    At this moment of distress, Dr. Zhou was still able to consider him, the party responsible for the accident, which really moved him.


    "My son has bought medical insurance, but he has been worried that he will not be reimbursed in other places. It is great to be able to go to another place for medical treatment." The child''s mother can say that, enough to see that she is a kind and wise woman.


    Really put all the burden on the bouncy castle owner, he is crushed, it is not good for anyone.


    "Don''t worry, you can generally switch to medical insurance in other places, at most, the reimbursement rate will be reduced."


    Zhou Can has been a doctor for so long, and he knows that the biggest factor hindering patients'' treatment is money.


    The significance of medical insurance is that people dare to be hospitalized and treated after they get sick.


    In particular, there are hundreds of thousands or millions of treatment items to choose from, if you dare to choose, you can use them.


    The bouncy castle project itself has purchased commercial insurance, coupled with the child''s formal medical insurance, the treatment cost should not be too much in the end.


    It is mainly the other costs of medical treatment in different places, and the cost of the child''s follow-up rehabilitation treatment.


    Many rehab treatments are not reimbursed.


    "Doctor Xie, please help them get it done. I''ll come back to make a diagnosis plan after the operation. Maybe some supplementary examination items are needed."


    After Zhou Can settled the child who had come all the way to him for medical treatment, he hurried to the operating room.


    "Director Zhou, the patient is in operating room No. 3."


    There are now three operating rooms in the emergency department, one operating room with level 100, one operating room with level 10,000, and the oldest general operating room.


    Zhou Can and Dr. Xu basically perform operations in the 100-level operating room, also known as No. 2 operating room.


    The last 10,000-level operating room was No. 3 operating room.


    Generally, doctors of other attending levels lead people to perform operations inside.


    Mostly secondary surgery.


    "Why not send the patient directly to operating room 2?"


    Zhou Can asked a little puzzled.


    Since it was an emergency operation, and he, the deputy head of the operating room, had to be asked to do it himself, it meant that the patient''s condition was very serious.


    There must be some differences between a 10,000-level operating room and a 100-level operating room.


    The most well-equipped one is also the 100-level operating room.


    When the hospital purchases some more expensive equipment, it is really all used wisely.


    It is absolutely impossible to equip every operating room.


    In the entire emergency department, there is only one set of many surgical equipment, which is basically placed in No. 2 operating room. Of course, the current endoscopy room in the emergency department is also well established. Endoscopic surgery or diagnosis has been carried out one after another.


    This itself is also a big development trend.


    However, it is basically impossible for endoscopic surgery to replace traditional surgery.


    For many serious diseases or complex major operations, it is more beneficial to use traditional laparotomy, thoracotomy and craniotomy.


    For any operation, in addition to considering the harm caused by the operation to the patient, the success rate and curative effect of the operation must also be considered.


    For example, in cardiac surgery, even if it is just a simple right ventricular hypertrophy, it is often safer to open the chest for treatment.


    After all, endoscopic operation has certain limitations, which will limit the doctor''s medical skills, and will hinder many surgical projects.


    Therefore, it is basically impossible for endoscopic surgery to completely replace traditional surgery.


    "The patient was originally undergoing subcutaneous tumor resection, but unexpectedly, she suffered a sudden hemorrhage from her lower body during the operation, and she is currently being rescued."


    Nurses don''t know much.


    Because she didn''t work in the operating room, she was only in charge of managing surgical patients outside.


    "You go to work!"


    Zhou Can''s heart sank slightly, and his face became serious.


    As the deputy director of the department, he is also the deputy head of the operating room. The occurrence of such a medical accident inevitably made his nerves tense.


    If something goes wrong, the doctor involved will be punished for sure.


    However, the heads of the operating room and the department will also be affected, and it will have a negative impact on the reputation and image of the department.


    After pressing the door of the operating room with his foot, he changed into a sterile surgical gown and walked quickly into the operating room inside.


    When he came in, he felt a dignified atmosphere.


    Some medical staff were running non-stop, looking nervous.


    "What''s the matter with the patient?"


    Zhou Can asked blankly.


    "It was just a subcutaneous tumor excision, which was a simple second-level operation. Who would have thought that during the operation, the patient would suddenly bleed heavily. His blood pressure kept dropping, and his breathing became short and heavy...Director Zhou, look now how to do?"


    Tang Wangnian is the attending doctor, and such an incident happened at the juncture of his pursuit of the deputy senior title He is afraid that he wants to die.


    In the past, seven people were dissatisfied with Zhou Can, and eight people were not angry.


    Something happened at this moment, seeing Zhou Can coming, it was like seeing an ancestor.


    He just missed kneeling on the ground and begging Zhou Can to help him.


    "What else can I do? I must first try to save the patient''s life."


    Zhou Can glared at him angrily, and walked directly to the operating table.


    The patient was a young woman, in her twenties. There was a subcutaneous tumor on the inner left thigh, and it had been increasing recently. She was afraid that it might be cancerous, so she came to Tuya Hospital for treatment.


    Because of the good reputation of the emergency department, she chose to perform this subcutaneous tumor resection in the emergency department.


    Originally, general surgery could also be done.


    Gynecology is also capable of handling it.


    Subcutaneous tumors, as long as they are not too complicated and the surgical risk factor is not particularly high, basically most surgeons are competent.


    It stands to reason that cutting the tumor on the thigh would not cause the patient''s lower body to bleed heavily.


    There were many doctors and nurses at the scene, and it was almost impossible for Tang Wangnian to do anything wrong while the patient was under anesthesia.


    So what is the cause of the bleeding?


    At this moment, the patient''s breathing is very scary, short and heavy, and the chest rises and falls violently.


    Explain that she has to work hard to get fresh air.


    Also, her blood pressure was terribly low and dropping.


    The patient''s abdomen is fairly flat.


    Zhou Can slightly pressed her abdomen with his hands, and a large amount of blood gushed out from his lower body. The color is more bright red.


    It shows that the bleeding is still happening, and there is a lot of blood in the abdominal cavity.


    "Has the patient had a pregnancy test before the operation?"


    After Zhou Can stared at the patient''s body and face, he asked Dr. Tang Wangnian.


    Her physical appearance resembled that of a pregnant woman.

 Chapter 609： The Consequences of Concealing Doctors, Impressive Class President

    For a young female patient like this who suffers from massive lower body bleeding for no reason, it must be suspected that she has a miscarriage at first.


    Especially ectopic pregnancy is the most prone to miscarriage.


    This is why the hospital will ask clearly before performing an operation on a patient. If a female patient is pregnant, they will try their best to postpone the operation. When an operation is necessary, a doctor from the obstetrics and gynecology department will also be invited to perform the operation together.


    Because if the fetal gas is moved, or the patient has a miscarriage during the operation, no one can bear the responsibility.


    The patient''s lower abdomen is flat, but other parts of the body still show a more or less pregnant appearance.


    Stretch marks on the stomach and thighs are not the only signs of pregnancy.


    Darkening of some parts of the body, thick hair growing on the lips, dull skin on the face and even many acnes... are all symptoms of pregnancy.


    In the first trimester, these features may not be so obvious.


    If you reach the third trimester, the various characteristics are extremely obvious.


    "I asked the patient himself and his family members before the operation, and they all said that he was not pregnant! It should be impossible!"


    Tang Wangnian was obviously not too sure.


    There are even suspicions of shirking responsibility and covering up the inadequacy of the preoperative inspection.


    Zhou Can frowned slightly, now is not the time to pursue accountability.


    The most important thing is to save the patient''s life first.


    "Did you have blood drawn before the operation?"


    "Smoked!"


    It is almost one of the necessary items to do a blood test before surgery.


    What blood type is the patient? Are there any infectious diseases? Is there a major physical impairment?


    There is a lot of information that can be found out through routine blood tests.


    "Immediately ask the laboratory to check the blood hcg of this patient."


    Blood hcg and progesterone are the gold standard for detecting pregnancy.


    In clinical practice, HCG examination is the most widely used.


    In theory, it is more accurate than progesterone testing.


    hCG is also known as human chorionic gonadotropin, as long as the woman is pregnant, the test will be positive.


    It takes a certain amount of time for the laboratory to check HCG, but the bleeding situation of pregnant women is very dangerous now, and I am afraid that they will be gone before the test results come out.


    Internal hemorrhage, especially uterine hemorrhage in women, is extremely dangerous and the mortality rate is extremely alarming.


    "Have you communicated with the family?"


    Zhou Can asked Tang Wangnian.


    "No, no!"


    Tang Wangnian''s face was pale, and his eyes were full of panic and fear.


    The female patient was on the verge of death, and he, the chief surgeon, could hardly shirk the blame. It is unknown what punishment will be given at that time. The lightest thing is to suspend the job for investigation, and if it goes wrong, the operation authority may be revoked, or even the license may be revoked.


    Medical accidents occur in Tuya Hospital every year, some of which are unavoidable.


    Some medical accidents are caused by doctors or nurses who did not strictly follow the regulations. In this case, hospitals and higher authorities often impose severe penalties on the medical staff involved.


    "Director Zhou, because the cause of the massive bleeding has not yet been identified, communicating with family members will easily interfere and hinder the rescue. It is more likely to cause misunderstandings."


    Nurses Tang Ling and Zhou Can are old colleagues.


    When Zhou Can first entered the operating room of the emergency department, she happened to be transferred to the operating room as a nurse.


    A few years later, she became a nurse, and Zhou Can was promoted to the deputy director of the department, the deputy team leader of the operating room, and the first team member of the quality control department, which she could only look up to.


    Behind every position is a height that many doctors can hardly achieve in their lifetime.


    "The patient had massive bleeding during the operation. If the family members are not informed, the trouble will be even greater. The only thing to confirm now is whether the patient is pregnant." Zhou Can''s face was as deep as water, and his attitude towards Tang Ling was quite gentle.


    After all, she was a girl and an old colleague, so he really couldn''t get angry because of such a trivial matter.


    "Doctor Tang, I''m really not talking about you. When the patient shows signs of lower body bleeding, you should immediately think of taking a pregnancy test for her. If you don''t do a pregnancy test before the operation, if there is a problem during the operation, you still only think about it." Shirk responsibility. If this patient dies on the operating table today, your future will be completely ruined, do you know?"


    Zhou Can couldn''t hold back his anger.


    Vent to Tang Wangnian.


    Although Tang Wangnian is a senior attending physician, he is in his forties and is much older than Zhou Can, but at work, Zhou Can is his superior and has the right to control him.


    Officials crushing people to death at the first level is applicable anywhere.


    "I, I thought the patient might just be on her period..." Tang Wangnian could only explain in a low voice with his head bowed under the scolding.


    In fact, he also knew that there were negligence in this operation.


    After the accident, the response was indeed a little slow, and it was not done well.


    "Have you ever seen a woman who has her period, bleeding like a fountain? You are a senior attending physician, so you don''t even have this experience? Get two pregnancy test strips right away. The tour teacher will get the catheter. It is too late to wait for the laboratory test results to come out, and the cause must be found out immediately and further treatment should be done. Otherwise, it will be difficult to rescue this patient."


    Zhou Can''s rescue experience is extremely rich, and he never plays cards according to routines.


    Those rules and regulations, in his eyes, are just that, and he will break them without hesitation when they should be broken. Especially when saving a patient''s life, if one''s hands are bound, a fresh life will be lost.


    As long as you do your best and do your best, if there is anything, leave it to the department and the hospital to help wipe your ass.


    At least Tuya Hospital is currently doing a good job of protecting doctors.


    Especially for the quasi-famous doctors who he focused on training, the hospital and departments love him very much.


    This kind of good medical environment is very friendly to doctors. It can allow doctors to let go of their hands and feet during the rescue process, greatly improving the success rate of rescue.


    In addition, the improvement of doctors'' medical skills is definitely the fastest in the rescue process.


    Because in such a highly tense situation, the doctor can''t help but squeeze out all the potential.


    Tang Wangnian and other doctors and nurses couldn''t help seeing Zhou Can''s quick inspection plan.


    It is indeed much faster to check with a pregnancy test strip than a blood test.


    It''s just that the accuracy is difficult to guarantee.


    Less than five minutes later, Tang Wangnian got the pregnancy test strips.


    In order to save himself, he also worked hard.


    I directly called a relative who opened a pharmacy next to the hospital, and asked him to hurry up and send a box of pregnancy test strips.


    Under normal circumstances, this relationship would certainly not be easily exposed.


    However, if you open a pharmacy, a hotel, a rehabilitation center, or a confinement center around the hospital, at least nine out of ten are inextricably linked to the doctors and nurses in the hospital.


    Often they are their acquaintances or relatives.


    It doesn''t matter at all, not to mention anything else, soliciting business is a big problem.


    For example, if you open a confinement center, if your relative is a chief physician in the obstetrics and gynecology department of Tuya Hospital. After receiving patients, as long as he meets a suitable patient, he will try his best to recommend it to the confinement center.


    Out of trust in the doctor, patients will mostly go to the confinement center recommended by the doctor when they have this need.


    Then the confinement center would tacitly give the recommended chief physician a commission.


    Everyone benefits each other.


    Only in this way can the business last for a long time.


    There are also doctors who simply end up in person and ask their spouse or themselves to open a rehabilitation center.


    As long as there is a steady stream of customers, the profits will be considerable.


    The hospital turned a blind eye to this kind of thing.


    As long as nothing happens, no one will take care of it.


    Some attending physicians only earn tens of thousands of yuan a month, but their families have bought several houses and drive luxury cars worth hundreds of thousands. Children are sent abroad to study. With a serious salary, it is impossible to live so well.


    It can only be said that after working for several years or more than ten years, such a doctor has made a fortune through his own accumulation.


    After the pregnancy test strips arrived, Zhou Can had already inserted a urinary catheter for the patient, and dripped the dripped urine on the detection area of ??the test strips.


    Then just wait patiently.


    Rescue work for patients has also continued.


    It''s just that the speed of blood transfusion couldn''t keep up with the bleeding, and the situation became very dangerous for a while.


    Now it is not known whether the patient is pregnant or not, Zhou Cankong has the ability to stop bleeding and dare not use it casually. For example, the commonly used hemostasis method, if you know it is intrauterine bleeding, you can use gauze filling to stop the bleeding.


    If the patient is pregnant, this will not work.


    The test results came out soon.


    Pregnancy test was positive.


    In order to ensure the accuracy of the test, the test was carried out on two test papers.


    The results were all positive.


    So far, Zhou Can has roughly guessed the cause of the patient''s massive bleeding. While inviting experts from the obstetrics and gynecology department to participate in joint consultation and rescue, they also explained and communicated to family members.


    The critical illness notice was also sent to the family members.


    In this accident, the hospital has a certain responsibility, but the family members and the patient themselves also have great responsibility for concealing the fact of pregnancy.


    Even if it is a lawsuit, the probability of the hospital winning the case is very high.


    The obstetrics and gynecology department sent two doctors to participate in the rescue. One is Zhou Can''s old acquaintance, old classmate, Yang Chan. The other is Zhao Zhisheng, the deputy chief physician of the Department of Obstetrics and Gynecology. Many people think that obstetrics and gynecology are all female doctors. In fact, this is a wrong perception.


    There are also many male doctors in obstetrics and gynecology.


    For example, this Zhao Zhisheng is one of many male doctors in the Department of Obstetrics and Gynecology. He can become the chief physician, so his strength and level are naturally very high.


    After coming, through the examination, it is directly determined that the patient is an ectopic pregnancy, which is commonly known as an ectopic pregnancy.


    It may be that during the operation, the drug causes uterine contraction, which leads to miscarriage and heavy bleeding.


    Ectopic pregnancy itself is very dangerous.


    This female patient concealed the fact of her pregnancy and asked the doctor to perform subcutaneous tumor resection on her unprepared. It was a joke with her life.


    Zhou Can is very good at hemostasis and surgery.


    But he is really not good at obstetric surgery.


    Yang Chan, who hadn''t seen her for a long time, seemed to have lost some weight, but she also became more beautiful. A trace of self-confidence can be felt from her eyebrows.


    It seems that her medical skills should have improved a lot in the past few years.


    In the following operation, she showed her hand very well, which really made Zhou Can look at her with admiration.


    Her current level of surgery is not inferior to that of senior attending physicians. No wonder Director Zhang of the Department of Obstetrics and Gynecology fell in love with her at the first sight and devoted all his efforts to cultivating her.


    Don''t look at Zhou Can''s current medical skills that have all reached the director''s level, and she is several blocks away, it is because of the system''s bonus.


    She doesn''t have a system, relying entirely on talent and sweat, she can improve her surgical ability to this level in just a few years, which is really amazing.


    ¡­


    At the end of the rescue, the patient''s uterus was not removed.


    Postpartum hemorrhage is often forced to remove the uterus in order to save their lives.


    In the event of intrauterine hemorrhage, after comprehensive consideration, the doctor will generally require the removal of the patient''s uterus to save his life.


    It is difficult to stop bleeding due to heavy uterine bleeding.


    And extremely dangerous.


    The patient''s uterus and life were saved, which is a blessing in misfortune.


    Zhou Can couldn''t help but heaved a long sigh of relief when he saw the patient turned from danger to safety, and felt a chill on his back. Only then did I realize that I was busy saving people just now, and my back was already drenched with sweat.


    Tang Wangnian took off his mask, showing a reborn expression.


    The patient was barely saved.


    This feeling of having your head pinned to your trouser belt is really frightening.


    I believe that with this experience and lessons, he will be more cautious in practicing medicine in the future.


    He had already received relatively reliable news a while ago, and the department gave him a place to evaluate the deputy senior professional title.


    With this quota, as long as the hardware conditions in all aspects are qualified, it is basically a certainty.


    When many medical students just graduate, they naively think that as long as they have enough ability, they can be rated as deputy high school or regular high school. In fact, they ignored the biggest influencing factor of the hospital.


    As we all know, doctors work in the hospital where they are registered.


    According to the size and comprehensive strength of the hospital, there are indicators for the titles of deputy senior and senior senior.


    Obtaining the hospital''s indicators will definitely get twice the result with half the effort.


    In a compound like Tuya the deputy high school, the main high school, and the number of establishments will all be assigned to specific departments.


    The emergency department has been blessed by Zhou Can in the past two years, and when allocating these places, it can be regarded as a small piece of meat.


    In the past, it was hard to say whether I could have a sip of soup.


    Tang Wangnian got a sub-high index in the emergency department, and he was somewhat flustered.


    As soon as a person floats, he must be careful to be stabbed.


    He inevitably had some negligence and carelessness in his work, which almost led to tragedy in the end. The lesson this time was very profound for him.


    "Okay, the patient should be fine, so we will withdraw first."


    Director Zhao Zhisheng took the mask and gloves and threw them into the trash can.


    "Thank you, Director Zhao and Dr. Yang. I''ll see you off."


    Although Zhou Can has been trying his best to avoid contact with Yang Chan, but this time he has something to ask for, so he can''t cross the river and tear down the bridge, right?


    He could only bite the bullet and send the two of them away.


    This is also a kind of respect.


    "Director Zhou didn''t call me that before!"


    Yang Chan''s bright eyes narrowed slightly, and a complicated expression appeared on that pretty face.


    "Cough...Squad leader, don''t make fun of me. You and I have always been old classmates."


    When Zhou Can was told by her in front of colleagues in the department, he suddenly felt a little fever on his face.


    Others showed weird smiles, somewhat gloating.


    Everyone usually only sees that Director Zhou is invincible in the department. Whether it is the operating room, the emergency room, or the emergency room, he is always invincible. Now that Director Zhou is deflated, everyone feels very happy.


    "You still recognize me as the monitor. You thought that you would stop playing with us old people after you became the director! Every time I come to the emergency department, I don''t see you. Are you hiding from me on purpose?"


    Yang Chan seems to have had a grudge for a long time, and she has no intention of letting him go easily today.

 Chapter 610： Broken 4 Wei started? always save a place for you

    "The class monitor is so beautiful and moving, the flowers are blooming, everyone loves you, how can I avoid you! It''s just that I''m really busy recently, so I don''t care about it. If you neglect the class monitor, please forgive me."


    Zhou Can explained with a smiling face.


    This is how adults talk. There are some things that everyone knows, but they have to swear to deny.


    Zhou Can and Su Qianqian''s wedding date has been set, so how could they go on flirting and entangle with Yang Chan again?


    The content of this chapter is being updated...

 Chapter 611： No one can replace you, overcome the nerve problem

    "Of course it''s the chief surgeon! If there is a team leader, the one with the highest status is the team leader."


    She replied without thinking.


    "Wrong! The head nurse has the highest status in the operating room. I believe you have the potential to become the head nurse."


    Zhou Can''s words made her stunned.


    This is actually an affirmation of her status.


    In fact, the head nurse is indeed the head nurse with the highest status in the operating room. It is often seen that when the head nurse is upset, whoever scolds her


    The content of this chapter is being updated...

 Chapter 612： The spinal cord is a forbidden area for the nerves, a female patient with double vision

    It is definitely a kind of luck for the patient to meet a doctor like Zhou Can.


    He is responsible, compassionate, professional and well connected. When encountering difficult cases, we can often consult with top experts from the corresponding departments as soon as possible.


    Yin Hua picked up the information and checked it carefully, and did not make comments easily.


    Almost all experts are in this tune.


    They will never express their opinions indiscriminately when they are not sure about their illness. They can control themselves very well.


    The content of this chapter is being updated...

 Chapter 613： The importance of inspection, a breakthrough discovery

    On the day after admission, the patient had another headache, especially in the bilateral frontal and temporal regions. Finally, because the pain was too severe, vomiting occurred.


    It can be so painful that the patient vomits, indicating that the pain level is very high.


    The patient''s body temperature was 38.4 degrees when admitted to the hospital, indicating the presence of fever.


    After admission, the hospital gave her an intravenous infusion of antibiotics, which is also the basic package for most patients after admission. Especially in gastrointestinal surgery patients, glucose or chlorine


    The content of this chapter is being updated...

 Chapter 614： Start with the course of the disease, come to me for a while if you have time

    Sometimes he always likes to have a bit of black humor, tell some bad jokes and so on.


    And treat people very sincerely.


    Of course, it''s not that kind of bottomless sincerity. You can be extremely honest with friends and trusted people, but when it comes to patients and family members, it depends on the situation.


    Any doctor who is a little older has once tasted the feeling of being bitten by a ''poisonous snake'' because of his kindness at work.


    "It''s not a joke, what are you doing?


    The content of this chapter is being updated...

 Chapter 615： Brain damage, including visible and invisible, deep examination of the spinal cord

    "The boy''s right side of the neck has rigidity, and his right leg knee reflex is weak, which means that there is a problem with the nerve conduction circuit. Also, the lower nerve center is unobstructed, but it does not mean that all the nerves The central nervous system is connected. Combined with the child¡¯s high fall, it is found that there is an obvious hematoma in the neck, and it can be concluded that there is an injury to the cervical spine. And it is likely that the spinal cord was injured.¡±


    Seeing that he agreed, Director Yin began to seriously discuss the child''s cause


    The content of this chapter is being updated...

 Chapter 616： Lock gray matter, the trust of family members is the driving force

    Because of the high risk of surgery, as long as the vertebrae are moved, it is equivalent to moving the pillars of a house. Both doctors and patients should be cautious. The effect can refer to the load-bearing wall of the modern decoration moving house.


    After Zhou Can found out that the boy''s neurological decline mainly started from the medulla oblongata, he quickly recalled the anatomical deconstruction of the nerves in his mind.


    Each segment of the spinal cord sends out a pair of spinal nerves, a total of 31 pairs.


    8 pairs of spinal nerves.


    The content of this chapter is being updated...

 Chapter 617： The expectations of the hospital leaders, Jiang Weis marriage

    In terms of sentencing, there is a big difference between robbing 100 yuan and robbing 300,000 yuan.


    As long as this family dares to confront Zhou Can, Zhou Can is absolutely capable of letting their son sit for ten or eight years.


    Aunt was frightened by him, and she really stopped.


    For this kind of villain, what Zhou Can can do is to protect Su Qianqian and keep her away as much as possible.


    Fortunately, although Su Qianqian is very kind, it is not the kind of kindness that has no limit. Her heart is like a mirror,


    The content of this chapter is being updated...

 Chapter 618： Spinal cord transection basically ruled out, terrible infection

    In addition to necrosis, nerve rupture caused by spinal cord transection is also irreversible.


    Clinically, so many doctors regard the spinal cord as a restricted area of ??nerves, and they have their own reasons.


    According to the induction of somatosensory potential, it has been basically found out that the first pair of spinal nerves of this little boy is abnormal. This can be a bit troublesome.


    Let¡¯s talk about the structure of the brain stem first.


    The brain stem is called the forbidden zone of life and the forbidden zone of surgery. Many senior brain surgeons talk about the brain stem.


    The content of this chapter is being updated...

 Chapter 619： The germs that take advantage of the situation, big things come one after another

    There is no doubt about Tuya''s test results. The child must have been infected with tuberculosis, and it was a spinal cord infection.


    Only in this way, his cause of disease is somewhat difficult to determine.


    According to the results of the somatosensory evoked potential test, it was thought that the first pair of spinal and cervical nerves was injured, resulting in high paraplegia of the sick child. Now that mycobacterium tuberculosis infection has been found in the spinal cord, the etiology must be reconsidered.


    Zhou Can thinks that it is very likely that the injury is just a fuse.


    The content of this chapter is being updated...

 Chapter 620： The dean has paid attention to this matter, Director Zhou is really enviable

    "Well...not bad!"


    The meaning of her words was obvious, and the uncle and aunt''s family still did not give up and continued to call her.


    Someone with a little dignity would definitely not stalk like this.


    But the aunt and the aunt''s son are all typical hob meat, rascals. They didn''t know that Su Qianqian had made a fortune, but now that they knew that Su Qianqian was a big star with a lot of money, how could they be willing to let her go?


    in their eyes


    The content of this chapter is being updated...

 Chapter 621： Both of them are cured, and one hair can move the whole body

    "Haha, as long as Director Zhou has time, you are welcome to visit at any time. However, the technology in all aspects is still being perfected, and I am afraid that Director Zhou will be a little disappointed after seeing it."


    Du Leng''s most proud thing is to come up with a digital operating room project.


    This is also a coup he came up with after he found out that Zhou Can could not compete in the field of artificial surgery.


    It''s a bit sad to say.


    After he entered Tuya Hospital, because the starting point was very


    The content of this chapter is being updated...

 Chapter 622： Fairness and freedom in the hearts of the people, Deans request

    In any case, the loss of a top talent must be much lighter than the loss of a weighted department.


    "Director Zhou, if you want to do this, it will probably take two years."


    Wu Baihe added another sentence.


    "Why?"


    Zhou Can was shocked.


    In the past few years, he has been preparing for this matter, and as his reputation has gradually grown, he has become a little famous in Tuya Hospital. even in the province


    The content of this chapter is being updated...

 Chapter 623： How many people can you save in one day? Kampo Decoction

    "I¡­"


    Just as Zhou Can opened his mouth to decline, Dean Zhu waved his hands to suppress him.


    "It''s not too late to make a decision after listening to me. I know that you only want to study medical skills and save lives and heal the wounded."


    I wish the dean has been in charge of Tuya Hospital for many years, holding a high position, standing still and as stable as a mountain.


    Naturally has his extraordinary ability and charm.


    I don''t have much contact with him at ordinary times, but I don''t think there is anything.


    at the moment really with


    The content of this chapter is being updated...

 Chapter 624： Brothers joined forces, Hanhun Pharmaceutical Company was established

    You must make a phone call before you go. Although Li Luo has hired several professional managers for Jinyu Interactive, each perform their own duties and help him share a lot of work. But there are still some entertaining jobs that require him to do it himself.


    Don''t look at Zhou Can, except for the initial investment and contribution, now he hardly touches the company''s affairs, but enjoys huge dividends every month. Li Luo never complained, but Zhou Can remembered this kindness in his heart.


    Know how to be grateful, it is also the countless great


    The content of this chapter is being updated...

 Chapter 625： The old fritters are raging, promoted to attending physician

    The company''s shares are subscribed, Zhou Can 60%, Li Luo 40%.


    Zhou Can has absolute control over this company, which is also what the superior leaders unanimously demand. This is very interesting. Dean Zhu and others recognize Zhou Can, and Zhou Can is a member of the medical system, so he is treated as one of his own by the leaders.


    Li Luo is an outsider and is regarded as an outsider.


    If it hadn''t been for Zhou Can''s insistence on letting Li Lao join, and finding out that Li Lao had the status of a veteran, the superior


    The content of this chapter is being updated...

 Chapter 626： Hospital rejection rules, the benefits of learning some medical knowledge

    After being promoted to attending physician, his status in the department will be qualitatively improved.


    In the past, although he has proved himself with his strength, and has been recognized by most people in the department. But the title is very low, just a resident doctor, which seriously affected his weight.


    Since ancient times, there has been a rule in architecture that there is no prestige without magnificence.


    A hundred feet is a shape, but a thousand feet can be a form.


    This is also the ancient dignitaries'' mansions, official residences, and imperial palaces.


    The content of this chapter is being updated...

 Chapter 627： Three major sequelae of thalamic hemorrhage, the doctor Huairen

    After seeing the brain CT film, Zhou Can''s expression instantly became extremely serious.


    The patient''s condition was more serious than imagined.


    The thalamus and caudate nucleus can see shadows, and even a small amount of water flushing zone can be seen. It shows that the bleeding site is in the thalamus, and the amount of bleeding must be far more than 5ml.


    There are two types of intracranial hemorrhage, one is the cerebral layer, such as the gyrus, and the bleeding in these parts is not serious even if it exceeds 5ml. As long as the bleeding can be controlled, the


    The content of this chapter is being updated...

 Chapter 628： The demeanor of the doctors in the compound, criticism is a kind of care

    Dr. Xu didn''t say much the whole time, and just walked out of Director Lou''s office with Zhou Can at the moment.


    "I see that you have been very active in treating various neurological diseases recently!"


    Doctor Xu asked meaningfully.


    "Hey... I am active in treating diseases in any field, and I can''t finish studying medicine in my lifetime. I want to learn more about medical knowledge in all aspects in my lifetime."


    Zhou Can laughed dryly and laughed.


    "


    The content of this chapter is being updated...

 Chapter 629： After the fear, hit the focus

    Surgery has always had extremely strict operating specifications.


    Internal medicine treatment is never graded, as long as you have the ability, it is completely possible for Gui Peisheng to treat serious diseases. However, the operating room has strict qualification requirements and grade access system.


    Resident physicians can only perform first-level surgeries, and at most participate in second-level surgeries.


    There are also preoperative assessments, intraoperative aseptic management, safety management, strict postoperative care, etc. All medical staff have a certain responsibility.


    The content of this chapter is being updated...

 Chapter 630： Gray matter is to blame, its a feeling

    There was not much hemorrhage in the cranial cavity.


    Typically, there are two sources of hemorrhage during craniotomy. One is that the patient had intracranial hemorrhage before operation, resulting in effusion. The other is intraoperative bleeding, which is caused by surgery.


    Zhou Can''s incision technique is already at the level of a director, and his hand feeling is even more insanely strong.


    It can identify blood vessels, nerves, tendons, etc. one by one.


    This kind of hand feeling ability is by no means possessed by ordinary surgeons. often only hands


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 Chapter 631： Initially integrated into the Shenwai team, what happened?

    At least in the minds of these doctors and nurses, the godlike supreme authority has been shaken.


    It turns out that Director Wu is not the omniscient "God of Medicine".


    "Director Wu, I ordered supper, do you want to go back if you don''t want to eat?"


    Zhou Can didn''t dare to do this kind of thing like crossing rivers and tearing down bridges.


    Stealing Wu Baihe''s limelight has already made others unhappy, so please ask Wu Baihe to come over to help at night, what can I do if I don''t express anything?


    Hire someone next time


    The content of this chapter is being updated...